34-026 (16) 317 A TURKEY HILL RD BP-2017-0866
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mao:Biock: 34-026 CITY OF NORTHAMPTON
Lot:-000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: INSULATION BUILDING PERMIT
Permit# BP-2017-0866
Project# JS-2017-001464
Est.Cost: $3000.00
Fee: $65.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 108772
Lot Size(sq.ft.): Owner FELDHEIM MICHELE P
Zoning: Applicant: VALLEY HOME IMPROVEMENT INC
AT: 317 A TURKEY HILL RD
Applicant Address: Phone: Insurance:
P O BOX 60627 (413) 584-7522 Workers Compensation
FLORENCEMA01062 ISSUED ON:1/18/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:AIR SEAL ATTIC/BASEMENT AREAS, INSTALL
PROPER VENTS, INSULATE SILL, INSULATE ATTIC WITH 9" CELLULOSE TO BRING TO R49,
WEATHERIZE
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: Housea Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 1/18/2017 0:00:00 $65.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-0866
APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS/PHONE P O BOX 60627 FLORENCE (413)584-7522
PROPERTY LOCATION 317 A TURKEY HILL RD
MAP 34 PARCEL 026 000 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT /
Fee Paid
Building Permit Filled out
Fee Paid
TypeofConstruction: AIR SEAL A TIC EMENT AREAS,INSTALL PROPER VENTS,INSULATE SILL
INSULATE ATTIC WITH 9"CELL E TO BRING TO R49, WEATHERIZE
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 108772
3 sets of Plans/Plot Plan
THE F LLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF MATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§_
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR _Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
#P•I
- li '.• i1. v
Sipa. ..eoCZd/ Dat/-/r / 7
/ 7
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
*Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
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Department use only
City of Northampton status of Permit
Building Department Curb Cut/Driveway Fermin
212 Main Street SeWe�)SepflcAvadpbility
I JIMI 72011 Room 100 WaterM7ell Aatlab6ity
iI Northampton, MA 01060 Two Sets of SfmcturaI Plans
pkef3e413t58'7-1240 Fax 413-587-1272 PIaUSItd Plans r
Other`ypecdy ,
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
Y1I t)
1.1
Sir/Property Address: , { + %�,} This section to be completed by office
S J A iirkaj Rd. Map Lot Unit_
Eloremce, IMA Cii0(0.)- Zone Overlay District
Elm St.District Ce District _
SECTION 2-PROPERTY OWNERSHIP/AUTHORfZED AGENT
2.1 Owner of Record:
l (( ...Lk Felahr.itrZ 311lA Tvrteti Hdl Rd- Florence 114
Name riot} n Curre MaAng Akira
/)1/.0r111/21/40 Telephone
Sign ur
12 Authorized Agent:
. t-
din Dernefskt 340 Rivet:lde Dr. 7'e &xl_0(5 r 7 Tlor NA-
Name(Print) . Current Mailing Address: 0761u
� ' ,Qe Pt__.. - _ 4r-2) c 5 q `74a9Li
Si ature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item u Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building (a)Building Permit Fee
$ 3000,OV
2. Electrical (b)Estimated Total Cost of
Construction from(61i
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection /i,� s-"
6. Total=M +2+3+4+5) A3c Ue Z34=S Check Number
This Section For Official Use Oni
Building Permit Number Date
Issued: _ _ .
Signature:
Building Commissioner/Inspector of Buildings Date
Tit f. of Nartl-ttun plan
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��. :14nsancf(uset$a r •� _
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DEPARTMENT OF BUILD/NC INSPECTIONS
212 Main Street • Municipal Building
Northampton, MA 01060
LOUIS
INSPECTOR
BUILDING PERMIT FEES Phone: (413)582-1240
BUILDING COMMISSIONER Effective July 21,2008 Fax: (413)587-1272
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DEMOLITION $ 20.00 ACCESSORY STRUCTURE
$ 35.00 PRINCIPAL BUILDING-Residential
$200.00 PRINCIPAL BUILDING-Commercial
'NEW CONSTRUCTION $ .50 per square foot for 1'floor
.30 " " " " 2"d floor
.20 " " " " '/,floors,attic,basement,garage
STRUCTURAL ALTERATIONS IN ALL USE GROUPS
$6.00 per thousand dollars of estimated cost or fraction thereof,
with a minimum fee of$55.00
$25.00 WOODBURNING STOVE
*NEW ACCESSORY STRUCTURES one hundred twenty(120)square feet and over
$ .20 per square foot with a minimum fee of$25.00
`NEW ACCESSORY STRUCTURES under one hundred twenty(120)square feet
$25.00 per Inspection
`SWIMMING POOLS $30.00 for above ground
$60.00 for In-ground
'SIGNS&AWNINGS $30.00
`DECKS $50.00
REPLACEMENT WINDOWS $35.00
SIDING&ROOFING
Residential $35.00 per structure
Commercial $55.00 min.per structure OR$61K of estimated cost
TENTS $25.00
'ZONING REQUEST FORMS $15.00 (Includes home occupation registration)
REISSUE OF LOST PERMIT $25.00
CERTIFICATE OF ANNUAL INSP. $100.00 (minimum)
Temporary Certificate of Occupancy $25.00
PERMITS REQUIRING ONLY 1(1)INSPECTION WILL BE A MINIMUM OF$25.00;ALL OTHERS WILL
HAVE A$50.00 MINIMUM. PERMIT FEES SHALL BE PAID TO THE ORDER OF THE City of Northampton
AND SUBMITTED,WITH THE COMPLETED PERMIT APPLICATION,TO THE OFFICE OF THE BUILDING
INSPECTOR. WORK STARTED WITHOUT PERMIT IS SUBJECT TO DOUBLE NORMAL FEE.
!I NO CASH -CHECKS OR MONEY ORDERS ONLY II
•Filing deadline is 12:00 pm(noon)on Wednesday.
Section 4. ZONING '. ALE Information on Must Be Conptated. Prime Can fie Drama Due to Incmrpine Information
Psfstnrc Proposed I suardh Lx
ffn¢.t
Hutla.ng ixry
Lut Sine
Sdhaiks Iront
Side I K 1.: It: ..
I I
Rear
iuilding Height- I -- -
137df..Syu I outage i
(tynsp.uu FootyJuJ
Iru , rm hiv& I00_d
of Pa#Inu ?ps'i' _._
hit
.111nit&L.aam
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW X YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW 0 YES O
IF YES: enter Book Page and/or Document=
B. hoes Use soy contain a brook body of wdter or we[ands? NO DONT KNOW (j YES lJ
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O . Date Issued:
C Do any signs exist on the property? YES (3 NO
YYY���
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO
IF YES, describe size, type and location:
'AU'the coosittLatiOu asUuty dutro(clearing,gradrneu: vat en or filiing)over I acre or is it parof a common pian
hal d.sttunover J acre': YES O NO (7a
YES !nen a Non-. Storm Yvater td.Jr aae'uaura F_ t1c CO's':ia reawled
SECTIONS DESCRIPTION OF PROPOSED WORK(check all applicable)
I
New House [ 1 1 Addition ❑ Replacement Windows 1 Alterations) ❑ Roofing
Or Doors O I _
Accessory Bldg n Demolition n New Signs Lc] Decks (Q Siding kw] Other A
� _ _lr Na _—._
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Brief Descript.n if Proposed A r,se Crilicitsenk' art4encfa I] DrtPC'.f Ye , i230/' e Siff
Work sir
I. 4 /I 1 ' ' l • • rte. C !\d ]7C'
Alteration of existing bedroom_Yes -No Adding new bedroom Yes X _N
Attached Narrative Renovating unfinished basement Yes No
Pans Attached Roll -Sheet
,
sat If New house and or addition to existing housing, complete the following
a Use of building.One Family Two Fatuity _Other
b. Number of rooms in eacn family unit. Number of Bathrooms
c. Is there a garage attached'
d Proposed Square footage et new construction Dimensions
e Number of stories?
f. Method or heating? Fireplaces or Woodstoves Number of each
g Energy Conservation Compliance _ Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft of wetlands' Yes No Is construction within 100 yr. floodplain Yes No
Depth of basement or cellar floor below finished grade
I< Will building conform to the Building and Zoning regulations' Yes No
I Septic Tank City Sewer Private well City water Supply 1
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN I
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1 MtcbdIe Felabe:tr\ as Owner of the subject
propel"!
hereby none JQ.tlt 4 Iorir- WYTT7 niet o-d- n &5kJ
to as onmy behaita m
. inallf d
mallets relative to worn authorized by thi oing permit ap lication
ot ]�P .
ase S::P-Gil L [ J 117
Signature of Owner Date
I,- / 011/ a .a .. ' tl _if J4111 diCi71E'{L�I\,i as OwnerAuthonzed
Agent her - .ecla•e that the slat* -fibsand informat n on the foregoing application are true and accurate, to the best-of my knowledge
and belief
Signed under the Paas and penalties o'pertiYy
ithn.. ...&frkffSkt
u ) k 17
;Ne f w -/Ag 1 Date
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CONSTRUCT:CR SERVICES
8.1 Licensed Construction Supervisor: j Not Applicable 0
Name of License Holder jaiflAjt2C,C,}ii_ t2—/`-v / a,.
License Nuinbor
' r. Dun oh. Bre =lo%e11--xote � o,o(0z 9121119--
Adm.. ( I Exp-ton Date
A A �. ..1 c L/6- 5PN- 75aa
Sigie Telephone
9.Registered Home Improvement Contractor Not Applicable 0
I Vl ' T�YIiJ(n>tXYoA— ante_ ioSeA
Company--, e Registration Number
P.� ; leac27 Hutevicc HC Qio&z 71/716
Addr:ss Expiration Date
Al L //a _ATelephanyi3'Sit-752L
111t
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.GL c.152,§25C(5))
Workers Ccmpensatinn Insurance affidavit must be completed and submitted with this application.Failure to provide this afdav0 will result
In the denial of the issuance of the building permit,
Signed Affidavit Attached Yes No.. 0
11. - Home Owner Exemption
The current exemption Lir 'homeowners" was extended to include Owner-occupied Dwell inas 01 one(I) or twni.21 families
and to arlow such lionicaxnar to engage an .diriduaL to .tin does not ponseen a license.p rovid ed that the owner acts
as supervisor.C\IR 780. Sieth Edition Section I OS.3.5.1..
Definition of llonienw ner: I c on is)t.cho_t r ai kali:on sbith e a, uc,t: Ea,raisiac.on flicn.hare
s-oria nteLica La tie, a one or two tam i r5.31xled 414.tiled tttrtNtittlitttr to U.., :c - .: Lr far:
:,._..ares_.A person who ennstruets more than one home in a two-venr period shall not he cow:i tered a hommwner
a mar_ 'a'h [ `l:H on a larna acaapaal,a the Nptllr '.l.-flint hoishe -tall_
reapon.sibie for all such work oerformeil under the bmhlina permit.
_.c ne Construction i„e Supervisoryour presence on theneh u nail be requiredittlIta -tiune.aurin and spm
of the work fig t i -i>p ^un is issued
Also he d'stud that with e. _ce to Chapter. 1511,11 to rt t ( vensu ) _ a_hapm c
.vuip i to
e
l nn+b,
lor iraur c, s irq:. ficainiNiaasachaa‘ahGencrai Annoa.aed.volt mas he liable l _. ratan-:i
t.mi hire to perilrm cors for you under this permit.
for ondet.ie mai . _ t L -atines andassume:,:t N nsi i itc hr compliance with dieState Building Code..Cii of
., -aa l _.,. .``Late c tonus I:t.xz and e l 11ao:uchu e.:t;ct i Laws.Annwamd.
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liomeow nee Slgaatare
26 CAA:6.•tu PlAtV£2^ CS :.z“-S an-7-4,<Sa'iEE
. _
Department ofIndustrial Accidents
— - Office fl izvestlg-atio.as
600 Washington Street
Bcste , MA 02111
isww,rnass.gav/dl¢
. orEcrc .,...,.peri 1.7z7rz7cc -..th,'vt: auf,EHzracciltrzetarrilTtfeetectiarrOThirrlaerg
Applicant Information Nease Print Leoibly
Name (Business/Organization/Individual): VlO�l{'-�. 1 is Y1< , TA-1�
Address: Fj`1G Y\ ` &3\6\C \ ((\JC
City/State/Zip: 1YlOreact ! ry),.__ D\Yh e#: SeSLl--I`022
Are you an employer? Check the appropriate box:
t� Type of project(required):
1. am ua employe:with ]�% 4. ❑ I am a general contractor and i
employees(full and/orpart-time).* have hired the sub-contractors 6. ❑New construction
listed on the attached sheet. 7. ❑ Remodeling
2.❑ I am a sole proprietor or partner-
ship and have no employees These sub-contractors have g. ❑ Demolition
workingforme in anycapacity. employees and have workers'
p _ 9. ❑ Building addition
[No Ivor'-sere• romp. surance - comp. insurance* .
i 11 nr Eliz.len'.-repairs 5. ❑� We are a comoration and its f�.0 �� � .za�,r� �� �..,.....,.,= I
officers have exercised their HD repairs or additions
3.❑ I am a homeowner doing all work
myself [No workers' right of exemption per MGL
Y comp. 12. Roof repairs
insurance required.]] c. 152, §1(4),and we have no
employees. [No workers' 13. Other Taco/a:H on
comp.insurance required.]
!Any applicant that checks box rl must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contactors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. � 1
Insurance Company Name: T((��i-YADeX\a- LY{Z },,'�j�'l{,-e t,'J rex -
Policy#or Self-ins. Lie.#: ChOFJca0502 i s Expiration Date: c9 I
Job Sitc Address: 31'74 i vrLetj Hi I Id . City/State/Zip: 1-1 Dicke }‘A,Ac 010(Od
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify ri •the pains aai d penahid gJperjury that the information provided above is true and correct
1]]i; /6/1
/ �/t FA., '
Signature: itl'.jj //6/1ffi irl.�^' Date: I /jf7
Phone AV
111
Official use only. Do not write in this area, to be completed by city or town official.
I :t.y nr:€rwm: air. Jl for-ose .
t
Issuing Authority (circle one):
1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5. Plumbing inspector
IF 6. Other
Contact Person: ?none#:
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Massachusetts Department of Public Safety i
Board of Building Regulations and Standards
License CS-108772
Construction Supervisor
JOHN DEMERSKI
72 DUNPHY DRIVE
FLORENCE MA 01062 a j..� - _ •
to LI'
f /
His'" A Expiration_
Commissioner 07121/2019
c1r o/ • wealth o c�ay ac/ t,4
Office of Consumer Affairs and Business Regulation
t,t 10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Registration: 105543
Type: Private Corporation
Expiration: 7/17/2018 Tr# 419291
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VALLEY HOME IMPROVEMENT INC.
STEVEN SILVERMAN -
P.O. Box 60627
FLORENCE, MA 01062
Update Address and return card.Mark reason for change.
SCA' C somnsn, -I Address p Renewal p Employment n, Lost Card
/re t" ,.n OL r/
Office of Consumer AffairsBusiness ReRegulation License or registration valid for individual use only
+11 HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration:. 105543 Type: Office of Consumer Affairs and Business Regulation
T+ -' 10 Park Plaza-Suite 5110
Expiration: 7/17/2018 Private Corporation
Boston,MA 02116
VALLEY HOME IMPROVEMENT INC. /
STEVEN SILVERMAN. /17 /p1J
240 Rive eDr Jul ,. / rl / 1 ir1/r/,1?
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Northampton,MA 01060 Undersecretary Not valid without signature ��