38A-107 (4) ` VILLAGE HILL RD SUITE 101 BP-2017-0898
4 cIS4: COMMONWEALTH OF MASSACHUSETTS
Mao:Block: 38A- 107 CITY OF NORTHAMPTON
Lotoo PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permn: .... Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category renovation BUILDING PERMIT
Portrait 11 BP-2017-0898
Proiect t JS-2017-001527
Est.Cog $16500.00
Fee:s 116.00 PERMISSION IS HEREBY GRANTED TO:
Const Class: Contractor: License:
Use Group VALLEY HOME IMPROVEMENT INC 077279
Lot Sme(sa. It L38027 Owner: HOSPITAL HILL DEVELOPMENT LLC(70 MASSDFVELOPMEN'T LLC
Zonine PVL IO T Aptalicant. VALLEY HOME IMPROVEMENT INC
AT: VILLAGE HILL RD SUITE 101
Applicant Address: Phone: Insurance:
1' O BOX 60627 (413) 584-7522 Workers Compensation
FLORENCEMA01062 ISSUED ON:1t2712017 D:D0:00
TO PERFORM THE FOLLOWING WORK:CREATE 2 NEW OFFICES ON 2ND FLOOR
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: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Erc Deoartmen[ Fireplace/Chimney:
Rough: 001: 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 OGCUDanCV Signature:
Feer e: Date Paid: Amount:
Building 1/27/20170:00:00 $116.00
212 Main Street, Phone(413)587-1240, Fav(413)587-1272
Louis Hasbrouck-Building Commissioner
File#BP-2017-0898
APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS/PHONE P O BOX 60627 FLORENCE (413)584-7522
PROPERTY LOCATION VILLAGE HILL RD SUITE 101
MAP 38A PARCEL 107 001 ZONE PV(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out IV J
Fee Paid
Typeof Cons ction CREATE 2 NNW O SON 2ND FLOOR
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included'
Owner/Statement or License 077279
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFOR TION PRESENTED:
pproved 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
n alit Dela
�
Signature of Building w al Date
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.
City ofNorthampton status of Permit: Oeparcrant use only
Building Department Curb Cul,Driveway permit__,,,,,
�.. 212 Main Street Sewer/Septic Availability
Room 100 WaterlWei:Availability_ _
Northampton, MA 01060 Two Sets of Structural Plans
241:r587-1240 Fax41'a-5&7-1272 RoVi Plans
r�.. tpmi
Other SpecifyONSTRUCT,ALTER,REPAIR,RENOVATE OR
STION
,r� This section to becompleted by ofEce
t5 ' t( j 1"'� loop Lot Unit_—..
V VFi-`�� `fit Zone Overlay District_,,,
Elm St.6istAat_, GB 6isirict
SECTION 2.PROPERTY OWNERSHIP/AUTHORIZED AGENT
2A Owner of Fg-cord:
Name(Printf _ Curent Mailin fires c�4.7 �O. F'
Si mon,
2.2 Atu�t"o—rized Asset:�
r_ �itve" .6c'- Cc�C a� Ftfxen c 1 to rA I abz
Nome(Print) Currant Mailing Address:
Slgr aWre Telephone
tiv_CTtlCt2 C:`r ars F;w-�TR ycmcg6d COLTS
ttem Esumarse Cost(Dollars)w be Official Uasn Oa1y
eompletedby Permit appiicant —---T-- i
1. Building a)Building Permit Fee
2 EI=eLHcaaI (b)Estimated Total Cast of
Construction zan(91 i .
—I —�
a P gr�;r.,,h��rn;,rlre Fca
4. Mechanical (MVAC)
5.Pre Ptotactinn _
6 Total= (5+Z+3+4+5) III AP 5-0 Check Numbe/�j'�
T!i st iam For Official use On(v
Date
IBuildio,r errnit I�uribm: asu d:
5ailding Onmmis„ianzP•r`sp-n=or Ci^cuilaincs Oa,e
Section 4. ZONING All Inform=_tion Must 6e Corueeted, Permit Can Se Denied Due To lacomplst^InrormaHs
Existing Proposed Required by Zoning
ono catumv to be filled in by
Suidinc Dcpunnmt
Lot Size
&onta e
Setleaeks Front
Side L:�R: . L:_R: . - . /.. .
REST /
Building Height u
Bldg. Square Footage %
OpenSpace Footage % -
(Loturaminusbldg6:Paved
Part"-
'ng7
tOf PdS1:Itt S aPCS
Fill: ..
(volume ffi Lnratlon) --
A. Has a Special Permit/Variance/Finding ever been issued ! r/on the site?
NO O DONT KNOW Q YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of eds?
Y4< VES j
6F YES: enter Bo
ok, Waee and/or D.^,cumenC,
B. Does the site contain a f wat r'orwetlands? NO Q DON'T KNOW V YES 0
IF YES, has a permit o e obtained from the Conser aeon Commission%nwr-:anzneddC. Oe any signs exist on tYES (D NO 0
IF YES,describe size, tion:D. A.r=_ h .e ai n-nL A4_-_,^s^f-t ^... _s : }^5 f,+
.F E5, 4rbe , type and Location: V
vm In. o su,mnon ncv my a rums( lesrng,gmcing m:l„ o mg)ovur i sc. rr t pztl or c msrron plan
--af i ill se_r6 Geer t macre^r YES 0 tao
IF YES,then a Cda.hEsTion Siarm YJa+er Mzn=_gensrrz Paretti[fi:o:n ha!'iPtAt t;rsgnirT,(i
SECTION 5-DESCRIPTION OF PROPOSED LrtrbRK(check all aoo6cab{e1
Raw House Addition ❑ Replacement Window's Alterationms)� Rooting
Or Doors 171
Accessory Bldg. ❑ Oemotifion ❑ Neu Signs [01 Decks 1=] Siding til Other tM
Brief Description of Proposed ^t �(}^ hD �j
Work: CgA� L ww C7 ,03 cy, - RIM,. NJ,
o MQIUAI 1'041L . b6 47
Alteration of edsting bedroom Yes NO Adding new bedroom Yes Nox fO eh1C r7 _
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Rol -i
ga.ff NeW house and or addition to ex€sVrta I'sti eonfiDrete @he @'oNc,wd_nr�
a. Use of building:One Family Two Family Other „_
b. Number of roams in each family unit Number of Bathrooms
c. Is there a garage attached?
d, Proposed Square footage ofnew construction,` VMensions
e. Numberofsmn.s?
f. Method of headng? rGirep(aces Orth+oodstoves_,,,_„_Nurroer� each_,_
g. Energy Conservation Compliance._ Masscheck Energy Compliance force attached?
h. Type of constructed
L Is veamuction within 100 ft.of wetlands? Yes i No. I5 construction within 100 yr, floodplain_Yes—No
1. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes_No.
L SantTmcic, Oty Ssvrer Pdvabe mr-_II CitywakesSupply_
SECOR7a-OCWfitER ALr.-XCRFEA.Tti-TO BE COPAPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
! oroi]etiV
� S+O eon tie ,t ./111 atters r , N o work author zeeddth building permit application,
ure
7LT .
\"rPf/VY1� 6� .as gwneNAuthonzatl
Sig> d untier ins fins and pen?Itie=_of pe"U”.
v .
13 f i
—..... -
SECTION B-CONSTRUCTION SERVPCES�
8.1 licensed Construction Siupervian, \ Not Applicable D
Mame of t'cena.Holder:
License Numb�e,
Add 46'
c— r Eascaton Date
SiTelephone
99.R�w+lwe�red home Improvement Contractor: Not Applicable O
Company Marne Registration/Number
_ l`1 GaY� :; x ,- /� `711.7 , /R
—.
Address - Expiration Date
A
SECTION 10.WORKERS'COIAPEOSATiON INSURMCE AFFIDAVIT((d.G1;c.353, 25C(o) `
Workers Compensation Insurance affidavit must be completed and submitted Wlh this application.Failure to provide this aKMavit whit result
in me denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... QI% No...... 0
11, -Home Owner Exe>'ption
and to allow uca cmw.m�r to eagagc am,individual.ortcevho does not possess aticen, u-aeudeed thnc ave rwmer xeta
vs err-errersnu.E'RhR lad. 5irth UL fou Secdmn 46'fl
DedcuEtnow of Pxerresaneefi:Person(a),010 oaten a parva of[and on which he/she resides or intends to reside, on which there
is, or is intended to be,a one or two family dwelling,attached or detached steuctwes accessory to such use and/or farm
structures.A.nersen E %.dorollnCtr more tEasn ane hom-m xyoe ear noting shell art be eon ecered a ha reoc per.
Such"home,morca"shall submit to the pending Official,on a form acceptable to the Building Official.thit he/she shall'Le
ue_frvn""iF eso-k '-+®rove¢ittuer tke"701,bour dc'miL
As acting innsrrur.d StrpervisOr yo.D,ceence on the join Siteunl bereoufred n''om umr,,m time.,drsing end neon
completion of the work for which this p_miit is issued.
92so lie advised that n4th m$rena;m Ckaptcc L92(Workers'Campensafion) and Chapter 153 ILiabAnty of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,ven Ilial he liable fprperson(s)
you hire to perform work for you ander this permit.
The undersigned"homeowner"egllfles mad assumes responsibility for compliance with the,State Building Cade,City of
No..thampon Ordinances, Store and Local Zoning Laws and State of lViassachwens(general Laws ivaomaaed_
Fameaw'ucr Signz,ure ,.
Cid of'Niorthavnpton 212Iviain Strcst, f rthamp`to IMA 01060
Solid uJasta Disnosai AfEbasie
In accordance of the pravOYS of MGL c40, Soo, I aaknevledge that as
a condition of The building permit ali debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed ;olid waste disposal facility, as defined by MGL c 111, S MCA,
Address of to worK: I\-gaw4. t _ &C 1pi
The debris wilt be transported by:
7"ne cebris will be received by:
Building permit;tumber:
Name of Permit Applicant
Date Signature of Permit Applicant
'. TT;a �'Dipr.flC."-.. _1:�p7r pT"Lj;r;p•;aryr;;oma;
-
600 washington street
_-- HUstnn, MA 01111
_- www.n:ass.gov/dia
Workers' Compensation Insurance Affidavit: BuHderslContractors/Electricians/Plumbers
Applicant Information Please Print Legibly
aRIE (Business/Organizatinrilladrv:dual); ykw'jF"'144-
n
^� {�✓G L
City/State/Zip:_ � , hone#: L
Are you an employer?Checkt4.the appropriate box: Type of project(required); --.�
L c� I am a employer with l L ❑ I sen a general contractor and 7
employees(full and/orpart-time).* have Fred the sub-contractors 6. New construction
listed on the maached sheet, 7, F1 Remodeling
2.❑ f am a stile proprietor or partner
ship and have no employees These sub-coutractors have g, Q Demolition
working for me in an acit employees and have workers'
Y capacity.y t 9. Building addition
[No workers' comp. insurance comp. instrrauce.
required.] 5. Q We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions
myself. [Plo workers' cramp. right of exempa(on per MGL 1213 Roof repairs
insurance required.] I c. 152, §1(4),and we have no
employers[No workers' 13.0 Other
comp. insurance required.]
•Any app}icanc that creeks box Nt muu nlu+nfl pus Che secttun below showing their umrkxrs'wmpensazion policy infnnnation.
r 9omcowners who submit r n,affidavit iodicaing they an,doing all work and their hire nuclide contractors most submit a new affidavit iadicaung such.
�Cnutraemrs[hat aback this 6az most attached an xdditiona eheot showig d¢name,of the subconrrnemrs and swtx whether or not those euhl¢es bavn
employees ICAs ub-eonUndaes have cmp3oyees,then must pravideiheir wor'xers'ramp.policy numbee.
I am an employer that is providing workers'compensation insurance for my employees. Below is the polley and job site
information.
Insurance Company Name:_
Policy Y or Seh"-ins Lic. a: c:C%'`- r-byQG 1= Expi;aaa i Date: 1 1 1 (�" M
Job Site Address: �1 �� 'V� �U� City/state/zip: '7r C71 t'?r(}`)_I Ivo 610470
Attach a copy-of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required wader Section 25A of M.GL r. 152 can lead to the imposition of criminal penalties of a
;ins up to S1,Sf,-0.00 and/o-ono-year imprisonment,asaaai as civil PanaIxias nth fin^of a STOP +,.,E`S 0!-DER ,yid
of up to $750.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Oilice of
Itn•estiga»ons of the DLs.for insurance cc:emge ' s$ca cr..
I do hereb}'certify t e pains a- penakte,( perjury that the information provided above is true and correct
gnu, tore: I / i, � • J � r; � .'-•' Date
:hme :
t)jjici11 all only. Do not wrll in this area, to be roft-!p c,d by circ or town official
City or Town: Pal mit/Liexnse 4 �)
Issuing Armarity(circle one): '
1.. Board of Health 2.Building Department 3. Cityrrown Clerk 4,Electrical Inspector 5.Plumbing Inspector 11
a i�xhu+
Contact Person: Phone#: ii
LICE CS-077279 atm '+
• b^5 O SJth^'
STEVEN A SILVERMAN _
258 FOMER ROAD
SOUTHAMPTON MA OtOTO -
f
g Commis S.Gner 0612112019
4
Office of Consumer Affairs and Business Reeulation
I G Park Plaza Suite ;170-
Boston. Massachusetts 0' 116
Horne Improvement Contractor Re�zistration
Reg(Strat!01 105E42
Type'. Private Cum,aiion
ExP!ration. 7M,2018 Tr% 4:7_51
VALLEY HOME IMPROVEMENT INC.
STEVEN SILVERMAN - -
P.O. Box 60627 -
FLORENCE, MA 61062 _. .. . .. _
Offer off 'l Tafirs& li R : !n6aa I3.xnso ur reg'sln:ian velid far lndii idual use anl_v
HOME IMPROVEMENT CC117R TCR
- R:aia.a.b �__ , ip;�. Ufbc. oSC.. :ameri � wai L'ml Mnuwnor.
&mn+n. �I i02tio
TEV N MAN
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Valley Home Improvement, Inc.
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ADI)I l7(1At • RI'[V(ICATI0\S
Louis Hasbrouck
Building Commissioner
City of Northampton
212 Main Street
Northampton,MA 01060
January 12, 2017
RE: permit application for 11 Village Hill Road,Suite 101
I am requesting that you grant a modification to waive the requirement for control construction for the project
@ 11 Village Hill Road for Fazzi Associates because the work is of a minor nature, will not affect health,accessibility, life
and fire safety,or structural requirements and is impractical in that the cost of control construction is considerable when
compared to the cost of the proposed work.
Thank you for your consideration.
Respectfully Submitted,
Steven Silverman
Valley Home Improvement
340 Riverside Drive
PO BOX 60627
Northampton, MA 01062
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Valley Home Improvement, Inc. Y FAZZIASSOCIATES FLOOR PLAN 5HEEfNOMeER
340 Riverside Drive,PO Box 60671, Northampton, MA 01062 onrenaweon
OfNce Phone 415.554 M2 Pax 415.585.0620 ��4^v�' onnwa ev
Find us on the web at: uuw.Valle omelm rovement.00m sn.s
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Valle Home Improvement, Inc. EXISTING 5 "� �" SHEE NUMBER
Valley p FAZZI ASSOCIATES onre)rzerzmv
340 Riverside 13.5, PO Box 60627, Northampton, MA 01062 CONDTIONS
Office Phone 413.SB4]522 Fax 413.585.OB20 onnwa ev:
Find us on the web at: www.Valle omelm rovement.00m sws