35-207 (12) 1238 HURTS PIT RD BP-2017-0908
GIS#: COMMONWEALTH OF MASSACHUSETTS
Man:Bleck: 35-207 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: Bath reno BUILDING PERMIT
Permit# BP-2017-0908
Project# JS-2017-001551
Est.Cost:$15000.00
gee:$9750 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: VALLEY HOME IMPROVEMENT INC 077279
Lot Size(sq,II.): 71002.80 Owner: KOSSON JULIE&MARCIA MERITHEW
toning: Applicant: VALLEY HOME IMPROVEMENT INC
AT: 1238 BURTS PIT RD
Applicant Address: Phone: Insurance:
P O BOX 60627 (413)584-7522 Workers Compensation
FLORENC EMA01062 ISSUED ONTO /2017 0:00:00
TO PERFORM THE FOLLOWING WORK:PARTIAL REMODEL 2 BATHS - NO CHANGE TO
EXTERIOR, NO STRUCTURAL CHANGES
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 it 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 TTS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 2/1/2017 0:00:00 $97.50
212 Main Street.Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File if BP-2017-0908
APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS/PHONE P O BOX 60627 FLORENCE (413)584-7522
PROPERTY LOCATION 1238 HURTS PIT RD
MAP 35 PARCEL 207 001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid I (t1,
Building,Permit Filled out jj
Fee Paid
TvpeofConstruction:yARTIAL REMODEL 2 BATHS-NO CHANGE TQ EXTERIOR,NO STRUCTURAL
CHANGES
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 FOL WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Nan AND/OR_ Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
FindingSpecial Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cui 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
D d-
Sign. • e of Building Official 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.
35- ao7
I ..-. Department use only
City of Northampton Status of Permit:
Building Department Curb CuUN;tveway Fenno
212 Main Street Sewer/Septic Availability i„ _
Room 100 Water:Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 PbJSite Plans
Other Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION f•SITE INFORMATION
1.1 Feooertppa Addre`s: !_ This section to be completed by office
K)&8 (3.045YR l- �2UUd Map_ Lot Unit__
Flo/1.. 17([_ Zone Overlay District
Elm St.District CB District_
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
)]l 'S iti011 tIlairci .. Her-M1LCW , L >'' 4 'lc
► S a' Vic-e dna Grob
Name(Pant) Gummi Meiling AMdgs S 3a,J
. > �iq-+-` Telephone
Signature
2.2 Authorized Apen •
l
uFf t 11\yefry-4-v v.-....)
.-. _ 1).L) _ . Coo n2i Fla r,cr Jam. Q p6,2--
Hanle(Print) 7 Current Mailing Address:
cr3g
Sign=tura /7� i_leuhone i
I S,ECTroN 3 EMMA, E^CC'lt!STRiaa+;T:OH COST.,
item Estimated Cost(Dollars:to 5e Officio!Use Orgy
completed by permit applicant
1. Building 1 rt j2pi) (a)Building Permit Fee
2. ElectricalJ� / t OE Estimated Total Cost of
I ( •1(lt/ Construction tom(e)
3. Piumbing 2, 5290 I Enlifdnx.Pe:'tnit roe
4. Mechanical(HVAC) //��
5.Fire Protection y //lJ"� /� ,/y
6. Total r('I +2+3+4+5) 1,5 OCaO Check Number ✓ Val rr% /• ,20
This Seton For Official Use On v
Here .. - l
BuildingNumberfdrrg Permit NumberI -
Issued:_
Signature:
Building.Cmnmissioned!nsssotor of Buildings.,_ a;s
Section 4. ZONING AD Inform=_tion Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This colmnv iobc DIM is by
BuiidingDeparancnt
Lot Size
Frontage _ '. .
Setbacks Front
Side L: R:
Rear -
Building Height
Bldg.Square Footage °o _ .
Open Space Footage °%o
(Lot arca minus bldg&paved _. . _.
.
puking)
_
padding)
D of Parking Spaces
Fill: �.... _.... _. ..
(volume&Location) — — - -
A. Has a Special Permit/Variance/Finding ever been issued.for/on the site?
NO fl Dar KNOW 0 YES/0 _
IF YES, date issued:
iF YES: Was the permit recorded at the Registry of 6:-ds?
...0 V »Lt{,, ,.,,.,, i 1E5 Li
IF
IF YES: enter Book and/or Document A'
B. Does the site contain a brook, body of water oi wetlands? NO 0 DONT KNOW a YES Q
VF YES,hes a permit been or need ea be stained from the Conservation Commission?
Needs to be obr&nesi /'1 cieeiriee ri , _rirte rsss_g.
C. Do any siens exist on the praperyRES 0 NO 0
IF YES, describe size, type and 'cation:
D. Are there any props Pd than s r r sceelissis o .c= * nreerec ? YES (Th ^o
m YES, desa Abe size, ty and tocetion:
L, . moo .,yeeets,e,apnq C.vai3n, or Din.)Over 1 Dore or D f Dent of common;tan
trot will diElurie over t Ve? YES 0 NO 0
Ir YES,then a Nol'jtanip?on Stoma 14leter Manea_mer,t Permit from tha DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check ail applicable)
New House Ei Addition El Replacement Windows Alteration(s) % Roofing C
Or Doors ❑
Accessory Bldg. ❑ Demolition C New Signs {I—i] Decks iO Siding]p] Otherici
Brief Descdption of Proposed c
world - PfkT=tt Id 'iftpbtl. it.kiC S'iTtl., M.' (Ifyat.t,e Z' 0,1trc ICI(-_
o->
Attaof Narrative
bedroom Yes No Adding new bedroom
edb Yes _No
Attached NhedtRe _ Renovating unfinished basement Ys N o
Plans Attached RGI( FEhee _
GAIT. New house end or addition to eacistina hoUsinpt, goenolate the€Aoirr&ttca
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a Garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Waoodsteves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. !s construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes_No -
j. Depth of basement or cellar floor below finished grade —,
k. Will building conform to the Building and Zoning regulations? Yea No.
I. Septic Tank__ ,City Sewer Pdvare well City wnter 9Jtip'y
I
SECTION Ta•OWNER AUTMMORPPAMON-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR SCOLDING PERAAET
r I. tr t44r{4n� ..
�" t n: i Civ . Cr r
i property
1 Cl
hereby authorize V rt C. r ...)TCVCr? SI I tie an
i
to act on my behalf,in all matters relative to work authorized by this building permit application. 4
Signature of Owner Date
itsatuari —„ aye_ T-= .ria ., ii._, , _.
t
I l Cb7-1't Sf1X 'e-Y7"kar-) as Owner/Authonced
IAgent ad-rebid desire f t ._ _ -- cz
Signed under the pains and penalUes of perjury.
C C Yrn hierinG_,--)
e _..
if i /i/I 1, i/31)1)7
m.__ __
•
SECTION 8-CONSTRUCTION SERVICES
6.1 Licensed Construction Supervisor. Not Applicable ❑
CA
Name of License Holder: .' COli.','(\ ..711\IcAr rte t"r „( 11 a—I9
License Number
2,653 'CGcTbfi1,i !: . 1 PA 3 \ ) 7j (e) 12- \ I E3
Addres^ /. I Expiration Date yeti-•
Sig tore Telephone
9.Reoletert d Home hnprovement Contractor: Not Applicable ❑
c r "Ln (OSSY2)
Company Mame Registration Number
0 - n)O?t € o6a`7 ?/t7tie
.
Address Expiration Date
Cif
oi
I 1C/rrel/,"CC. \ �\p bd`� Telephone,
SECTION*WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.132,g 25C(S9
Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... C➢,'. No 0
11. - MonteOwner Ere laptiOn
The carrent exemption fbr ssoner_"wog_,S,.nde:,to n to e e,r,-ver- a ed=:=':en3 s elo=e ll) or (2)families
and to allow such homeowner r 1 engage an individnal for Hire who does pot posses a license,mr,,.uaed€teas the(p wirer acts
as setnervdsar.CM1 hat Singh Edifier. gorging f6S.3.5.1
DertalrOnoof Roreoweeerr Person(p)who own a parcel of land 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 structures accessory to such use and/or farm
structures.A Derma who constructs more then ope home tin a me-year reruod shall a@@ be eonrsidergd a)eemeocaeer.
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Officialthatethhe/sheshatthe
resnatreibie car i u.c L we yeliejaaedh sniper the iaadithne. permit
As acting Cersfr ccgn Suner1Vsoryour presence on the site will he reunited from tiny to tin ,airing and upon
completion of the work for rwhich this permit is issued.
Also be advised Mat with reference to Chapter 152(Workers' Compensation) and Chapter 153(Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,nom mak be liable for persou(s)
you hire to perform work for you under this permit
The undersigned"homeowner"certifies aud assumes responsibility for compliance with the State,Building Code,City of
Northampton Ordinances,State and Local Zoning Laws arid State ofMassachuseus General Laws Annotates
fomeswoer Stg `ero
City ofNoithampton 212 Main Street, Northampton, 1,1.4. 01360
Solid Waste Disposal Alii davit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the.work: la3fj f7xorl-5 Q taixr-d
The debris will be transported by: � /bait n-pror frict
The debris will be received by: Apl�Ai r;�ei ,
Building permit number:
Name of Permit Applicant VOA ��)✓e 1
) 130111
Data Signature of Permit Applicant
509 r'/4shir;s 7i St 22:
Boston,MA 02111
www.inass.g,owilau
Workers' Compensation Insurance Affidavit: EuildersJContractors/Electrisians/Plieanbers
Applicant Information Please Print Legibly
Name e (E t.usinessiOrganizationfindividual): sk: ' t 't' (' s,-t' -. U`z:,-Y.'}_en4- Inc- ._
Address: 3 ir.,‘ic. y:mdc \ (1/4Q-C-
--,
1Q:- -
Ye
2
City,fStater""Z p: t l{�t2(1( �1 _ 01 hone#: 177m-- 1 22
Are you an employer? Check the appropriate bux:
LLQ ]amaenploye with
[B 4. 0 I am a general contactor and I Type of project(required):
employees full and/or aw di ne` Ls e;tired the sub-contractors 6. ❑brew construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling
ship and have no employees These sub-contractors have $, ❑Demolition
working for me in any capacity. employees and have workers'
cam insurance.:
p- 0 Building addition
[No workers' comp. insurance p-
required] 5- 0 We are a corporation and its 10.17 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MOL 120 Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.0 Othet,,,,,,
comp. insurance required]
*Airy applicant that checks box#1 must also nil out the section below showing their workers'compensation policy information
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that cheek this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. lithe sub-contractors have employees,they mast provide their workers'comp,policy number.
lam an employer that to p.ov..d.ng W<irkers'=pen 4a1.144 14344444.4.2 f.,v m a ..,,ov z.. MON,u 2e pry ra a b sdt2
information,
Insurance Company Name: rrsri r .'llcL , ,k(1'. . .�ifct" ht C7 t-2
Policy or L esfl
Self-ins. t-2,0",{„, '}'' ..- .&n Date: f , I aJob Site Address: G.._ /-„, PF j$lyi(( City/State/Zip: Rohl -16)62.,
Attach a copy el the workers' compensation pocky derlarathro page Swing the poBey member and expiration date).
Failure to swore coverage as required under Section 25A of MCI.c. 152 can Lead to the imposition of criminal peraBies of a
fine up to$1,500.00 and/or on -yea imprisonment, as vfell as civil ,,analti_e in the fa= _.2 STOP 7.10T 071`.75..B , _:c
of up to 5250.00 a day against the violator. Be advised that a copy of this statement maybe fa,waded to the Office of
nves:igttiona of they DIA kr Lawn:ece coverage.;]cr:carie
I do hereby c rrlfy¢yia)r{•tY:.dhe •pedes oft. p. lire$,^n riary that the information provided above is true and correct
1r; /�e , I M—' 1/�
"L4"IU Date:p k i W " i '„
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L4C.e.`se CS-077279 152:1994;a4
STEVEN A SILVERMAN
ADItaq
268 FOMER ROAD r'
SOUTHAMPTON MA 01073 a— -
t _ lks\ Es 2.
:
Comm:ssoner 06/21/2018
/'i/ta it ( TNr 1r7l'r Ct'I�7t r.% afyl. .fr'r,. ,I 77' ;
Office of Consumer Affairs and Bnsinsss Regulation
10 Park Plaza - Suite 5170
Boston, Massachusetts 02116
Home Improvement Contractor Registration
Regs, eten: 155543
Type' Pm/ate Corporation
Expiraticn 7+17/2018 Tr 419,291
VALLEY HOME IMPROVEMENT INC
STEVEN SILVERMAN
F.O. Box 60627
FLORENCE MA 010;59
,r i
ornre of Cantu e 2..1.21r,S Busawst k _8.(.nu Lir. or reps:ration:JIM for-aJ iridu:d 4'.e0111.
.. Y _IivliF -NT CON'RPC c.a .:.r :_J... ,a.,.' -
R:. c__n. 105543 T➢ta. i;r:CCo t onsum s onstro:-:Ies r arl-
ou
its.soto. 115 I$n
"'LLE" C VinV t+ir
C-Nv` 1
. an4Ae ,;/ ri ,=lt I
%IA ® %' `V - -" NEW 12x 12 TILED FLOOR SET STRAIGHT OFFSET, WITH MARBLE THRESHOLD
rt - TOILET REMAINS g 1-11
e
kt NEW TOPPER CAB AND KOHLER 20 X30 VERDERA MIRRORED MED CAB, HINGED LEFT z i- 44 • 0,
4 ,_., — _ -- 1 It - INSTALL NEW SURFACE MOUNTED LIGHT AND VANITY LIGHT f m
2
BATH * I I 4
r ,11 -- - NEW 3 PIECE WHITE ACRYLIC 60 X 32 SHOWER ONLY, CHANGE DRAIN TO 2'
f }Y ' , r ._ -_ RE USE PED SINK & LAV FAUCET Z
®� , � } 5
`+ 4 -_ ., _� El PASS FRAMELESS 1/4" SHOWER ENCLOSURE FROM CREATIVE SPACE a
i JIE M p 2 M N'- , l WITH TEMPERED GLUE CHIP GLASS I d
NEW DELTA LAHARA CHROME SHOWER VALVE/TRIM WITH HANDHELD AND TWO WALL MOUNTS/2 O
@ L.
o j, UPSTAIRS BATH PLAN a
1/2in = 1ft 2
oa
Vgg
t 5
a — - _ as
re o
it
co i• x
m 8 'Cal
N• u. 3
E _. TOILET REMAINS 7
--FLOORING REMAINS '
a NEV' RECESSEDMED CAB WITH MIRROR AND RED BIRCH FRAME . n•o
m v o2
p4 POWDER ROOM RE USE L'AV FAUCET a u
,,, .SINGy
G'- S
..r NEW 31" X 22" CORIAN VANITY TOP IN SAVANAH COLOR WITH INTEGRAL WHITE BOWL; 510E AND SACKSPLASH a. g e
I,
xg j { - - NEW 30" X21" RW BIRCH VANITY jz
3
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s � �� s / �A/ /- /�j City of Northampton 2 o
1 de /e f Building Department C4 >,
8 Pian Review
B
212 Main Street — m
Northampton,MA 01080 N d< ..
DOOR24 REMAINS „i/�?y� d co
re I
I , POWDER ROOM FLOOR PLAN z° 'og
d 1 /2 in = 1 ft 1/4"=1' 32 i
yA4g
Thispenista prWireferywo*piSNuuof valbyHomm Improvement Inc.(VHllrcls dsi erepfarte betted andexcorsive purpose ofsuppn'tig the conbvet bidofVHI,end cuitemaregrees that Ma elements of dos pian shall rwl be ropub4NndorpmsentedIn any
form for the purpose of enabling or tQppoIting the work or Comperingp jeoi Nntectors whout bop pemmxvon of and COmpensabon paid to, YHl
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Valley Home Improvement, Inc. 1236SORTS PST RD EXISTING SCALE
iS�"E s �H =k
FLORENCE,MIA 01064 ons 111912017 A
340 Riverside Drive,PO Box 60621, Northampton, MA 01062 i/
Office Phone 413584.7522 Fax 415 565.0820 JULIE AND MARCIIA CiONDTIONS DRAWWgy,SAS
Find us on the web et: amp.Valle4Homelmnrovement.com, rz.w .aa