23A-093 (12) BP-2007-0827
GIS#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2007-0827
Project JS-2007-001365
Est. Cost: $11400.00
Fee: $57.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Valley Home Improvement, Inc 077279
Lot Size(sq. ft.): 13242.24 Owner: GOTTLIEB SETH&JENNIFER
Zoning: URB Applicant: Valley Home Improvement, Inc
AT: 17 FAIRFIELD AVE
Applicant Address: Phone: Insurance:
P 0 Box 60627 (413) 584-7522 Workers
Compensation
F L O R E N C E M A 010 6 2 ISSUED ON:3/15/2 007 0:00:00
TO PERFORM THE FOLLOWING WORK:REBUILD FRONT PORCH, WINTERIZE
MUDROOM & CONSTRUCT 8 X 8 DECK
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: 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 3/15/2007 0:00:00 $57.0022190
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
File#BP-2007-0827
APPLICANT/CONTACT PERSON Valley Home Improvement,Inc
ADDRESS/PHONE P O Box 60627 FLORENCE (413)584-7522
PROPERTY LOCATION 17 FAIRFIELD AVE
MAP 23A PARCEL 093 001 ZONE URB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out 3 IQO 4 5'1 -
Fee Paid
Tvoeof Construction: REBUILD FRONT PORCH,WINTERIZE MUDROOM&CONSTRUCT 8 X 8 DECK
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
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 Pennit 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 C. tfssion
Signature rBuilding 0 'cial D e
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.
-
- ",,Department use only
City of Northampton Status of
Building Department Curb Cut ay fi lt'
212 Main Street Sewer/Septic Arai
Room 100 - /Well Availability z".l. t' ..-{r . tlp
Northampton, MA 01060
phone 413-5871240 Fax 413-5871272 Plot/Site --,,, i
Other Spe : ..A-"- r
APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
Map Lot Unit
17 Farfield Avenue
Florence, MA 01062 Zone Overlay District
Elm St.District CB District
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: 17 Fairfield Avnue
Jennifer & q t-h Gnt}l jobFlorence, MA 01062
Name(Print) I Current Mailing Address:
584-0939
at — Telephone
Signature
2.2 Authorized Agent: Steven Silverman E/
Valle B:ome Impr v ent, Inc. P.O. Fiox 60627, Florence, MA o1n 2
Name(Pri Current Mailing Atltl(ess'.
584-7522 _
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Budding ,f I0 2oo
(a)Building Permit Fee
/
2. Electrical 41
(b) Estimated Total Cost of
'T U(] Construction from(6)
3. Plumbing 41 8a0 Building Permit Fee
4. Mechanical (HVAC) 0
5. Fire Protection
6. Total =(1 + 2 + 3 + 4 + 5) '-1
II1400 Check Number a 9 0057
This Section For Official Use Only
Building Permit Number: Date Issued: _
Signature: _
Building Commissioner/Inspector of Buildings Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to he flied in In
1 Building Department
Lot Size V 3 r 2-COD 13, 7-4o
Frontage
32i Co
Setbacks Front 15 / 15 ' aro
Side i:26 R 25 I.: 25 R: 7-6
Bean O C7 20
Building Height 2 I
�1�O h / 1
�3 S
Bldg. Square Footage (15-2.0 IP % t52D ft e/p
Open Space Footage I� Q °/0
i yr
lint arca minus bldg @paged I '%O BD I +I�ltt4 el4 ,SOZ
parking) 4W f ;J��'I
f.of Parking Spaces Si"WE. t./wL- bRiutW„V
Fill: _
colume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES
IF YES, date issued:____
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained , Date Issued:
C. Do any signs exist on the property? YES _ NO ..IF YES, describe size, type and location: _..
D. Are there any proposed changes to or additions of signs intended for the property?YES __
No ?<
IF YES, describe size, type and location:
'EC710N 5- DESCRIPTION OF PROPOSED WORK(check all applicable)
New House 0 Addition 0 Replacement Windows Alteration(s)% Roofing 0
Or Doors 0
Accessory Bldg. 0 Demolition❑ New Signs [ ] Decks [ ] Siding[ ] Other [ ]
Brief Description of Proposed Work: REU(.Il LP FRONT Po RCE WfNTET21tE 1YIIAp P CA-VA g)(9 Deck
Alteration of existing bedroom Yes No Adding new bedroom Yes X No
Attached Narrative a Renovating unfinished basement Yes No
Plans Attached Roll'_ - Sheet l i
sa. If New house and or addition to existing•housin¢. complete the following: �
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?
E Method of heating? Fireplace Woodstoves Number of each
g. Energy Conservation Compliance. •scheck Energy Compliance form attached?
Type of construction
i. Is construction within 100 ft. of wetlands? ' Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor ow finished grade
k. Will building conform to tb€guilding and Zoning regulations? Yes No
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Jennifer & Seth Gotlieb , as Owner of the subject property
hereby authorize Steven Silverman, Valley Home Improvement, Inc. to act on
my behalf, in all matters relative to work authorized by this building permit application.
t r aVes. Z 27 6
S 4 re of Owner 4111. Date
Steven Silerman Valle - ,i . . - - , as Owner/Authorized Agent
hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
Steven Silve Ian
Print Name
SECTION 8-CONSTRUCTION SERVICES
.1 Licensed Construction Supervisor: Not Applicable 0
Name of License Holder : Steven Silverman 077279
License Number
268 File_ - . _ ,� • • , • • 6/21/08 _
Address / 1 • „ Expiration Date
584-7522
Sig .tu� / �/ / Telephone
9. Registered Home Improvement Contractor: . Not Applicable 0
Steven Silverman _ 131945
Company Name Registration Number
268 Romer Road 10/13/08
Address Expiration Date
Southampton, MA 01073 Telephone 584-7522
SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c.152,§25C(6))
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 X No 0
11. - Home Owner Exemption
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) or two(2) families
and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts
as supervisor. CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person(s)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 person who constructs more than one home in a two-year period shall not be considered a homeowner.
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official that he/she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon
completion of the work for which this permit is issued.
Also be advised that 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,you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
To'.Sieve Sherman Faso 2 of 2 2027-03-050,51.09 f GMT) Fom.Seei Gottlieb
MORTGAGE INSPECTION PLAN t- '• 013LAL[R71R
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• DEPARTMENT OF BUILDING INSPECTIONS ., 4f +
212 Main Street ' Municipal Building
Northampton, Mass. 01060
WORKER'S COMPENSATION tNSLIRANCN. AF DDAVTT
1, Nelson Shifflett - Valley Home Improvement Inc.
(1icons&permittte)
with a principal place of business/residence at
340 Riverside Drive, Northampton,MA 01060 (pyone") 584-7522
(rrr_nicityltra Trio)
Oa hereby certify, under the pains and penalties of perjury, that:
(4 I am an employer providing the following worker's compensation coverage for my
employees working on this job:
A.I .M. Mutual Ins . Co. WM28005610 01 2007 2/1/06
(Insurance Company) (Policy Number) (Expiration Dale)
() I am a sole proprietor, general contractor or homeowner (c cie one) and have Sired
the contractors listed below who have the following worker's compensation polices:
a
((Name of Contractor nce
OnsuraCupp/any/Policy Number) (Expiators Date)
(Name of Coctracnor) (insurance Company/Policy Numtcr) Expii-,.noa Dae)
(Name or Contac:cr) (Insurance Comp:my/Policy N:ur±c) (E pimden Date)
(Name of Contractor) -......(Insnance Compwy/Policy Number)_.. (Expiranon Dae)
(Ream oMiUai era ifireacitian to mclada ichrtoatlon pc-waving to all oamuan-a)
) I am a sole proprietor and have no one working for me.
( ) I am a home owner performing all the work myself.
NOTE:ptcse Fe aware thtt+Wilo hrmvwms wto aptay peaoatto do m.:m,-.,nom¢autConor re;arar wait on a dodging of
i.:1610.Irma thee vrtiti triet if)ee)y6rov.9tr red=or no 044 g[ at appiartriberao art Dec yeaaatty tcoridaGd to be
e ptoyen unethewarkab ocarrNaasatiro Act(GL152,nl(5)),apprirapoo by a bommw=for'limos repermrtmmy eta he
legit natw af an a yloyer uajnthe Wehda Compwation AG.
Iundcrpwd that a copy ofibia internees=Lily Sc forwarded to Na pegwtrean elf Mantra Awi*Mt Moe of(I(IMMO.for tha
coverage wifcaim and Netfsalse taswue covmge unlet seCian25A&MOL 152 cam lathe the itticaskicia ai aimasr;critics
<oasisv/of a Ea of up to.11,11 .00 ao&c<it of up to ooe rat rad civil pemRic u@ef of a Step wmt Order enda
Enc of SI 00.00 a day apical I=
Signedthis /.5 day of /F�31p2- recoemairmal weedy
Permit Number
xr..� r...x �—
•
y/ /
Board of Building Regulations and Standards
One Ashburton Place - Room 1301
" Boston. Massachusetts 02108
Home Improvement Contractor Registration
Registration: 131945
Type:
Expiration'. 10/13/2008
STEVEN A. SILVERMAN
STEVEN SILVERMAN
268 FOMER RD. - - - --- - -- _- --- -
SOUTHAMPTON, MA 01073 -- ---- - --- -
Update Address and return card.Mark reason for change.
Address Renewal _ Employment -- Lost Card
_ _ Board of Building Regulations and Standards License or registration valid for individul use onlc
HOME iMPROVEMENT CONTRACTOR before the expiration date. If tonna return to:
Registration: 131945 Board of Building Regulations and Standards
Expiration: 10.13/2008 One Ashburton Place Rm 1301
Boston,Ma. 02108
Type:
STEVEN A. SILVERMAN
STEVEN SILVERMAN
258 FOMER RD- .y-,Ci,�.�
SOUTHAMPTON. MA 21073 Deputy Administrator Not r olid w ith out signature
BOARD OF BUILDING REGULATIONS
L!cense: CONSTRUCTION SUPERVISOR
Number: CS DFAC5
Birthdate: [521:364
-#
Expires 26/21'2008
Tr.no 242y0
Restricted: CD
STEVEN A SILVERMAN
268 FOMER RD
SOUTHAMPTON_ MA 01093 %� „.
Commissioner /
1 I 1--------1,- ',i Swap location of door and center
window
8'x 8'
r--. _ — _ ____._ Mahogany
Dock with
exisitng door UP Cedar
j ^— Raiffngs and
■ vinyl lattice
Proposed Gottlieb ■■■ I below
Mudroom Renovation
and Expanded Deck
Rename floor ro tavaC VCT Boor finish ......� it
i New Deck and Stairs
I
Insulate wails end floors of FHWheating to follow j
I-
1
�
i
muk�m with dense packed i
cellulose
r------ i
-i 1 I r =
exisfng doors
new wood screen door to match
p I
Exisitng Screen Porch =I'
I IF -77'r. :.-II II IEl11= --=I
I Il _:: II' - I - 1L_._._..-_ Swap location of door and center
window
_II IL'_ ----.j
8'x 8'
- 16 - Mahogany
Deck with
�P._- _._ Cedar
exisitng door L7
----- ----- Railings and
vinyl lattice
Proposed Gottlieb - below
Mudroom Renovation -
and Expanded Deck
Reframe floor to level;VCT floor finish t,._ i[i
New Deck and Stairs
Insulate walls and floors of FRW heating to follow I
mudroom with dense packed
' cellulose j
F
I 1
exisitng doors — r _-7
new wood screen door to match
1
Exisitng Screen Porch
4 I -11 L71 I
ji
OB 17 -i'k i'.: EL (tic'
VALLEY HOME IMPROVEMENT, INC.
340 Riverside Drive P.O. Box 60627 SHEET NO. OF
NORTHAMPTON, MASSACHUSETTS 01062
CALCULATED BY DATE
TEL (413) 584-7522
FAX (413) 585-0820 CHECKED BY DATE
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VALLEY HOME IMPROVEMENT, INC.
340 Riverside Drive P.O. Box 60627 SHEET NO OF
NORTHAMPTON, MASSACHUSETTS 01062c+LcuureDar OATE
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TEL (413) 584-7522
FAX (413) 585-0820 CHECKED BY DATE
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