32C-297 (7) 41 VALLEY ST BP-2019-0239
GIS 4: COMMONWEALTH OF MASSACHUSETTS
Man:Block: 32C- 297 CITY OF NORTHAMPTON
Lot-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Cateeorv�renovation BUILDING PERMIT
Permit 4 SP-2019-0239
Proiect4 JS-2019-000386
Est.Cost$17000.00
Fee' $110 00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group WYNTER HOWLAND 109919
Lot Sia(so. ft.): 6098.40 Owner: BLANCHETTE PETER
Zoninz UR0000)/ AoaUcant. WYNTER HOWLAND
AT. 41 VALLEY ST
Applicant Address: Phone: Insurance:
45 PLEASANT ST (413) 522-1012 WC
SOUTHAMPTONMA01073 ISSUED ON:8/24/2018 0:00:00
TO PERFORM THE FOLLOWING WORK DEMO EXISTING PORCH AND REPLACE WITH
DECK AND NEW STAIRS UNDER EXISTING ROOF & BUILD WALL IN KITCHEN AND CHANGE
WINDOW
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/Cbimney:
Rough: 9!L 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 Sienature:
FeeType: Date Paid: Amount:
Building 8/24/20180:00:00 $110.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2019-0239
APPLICANT/CONTACT PERSON WYNI tit HOWLAND
ADDRESS/PHONE 45 PLEASANT ST SOUTHAMPTON (413)522-1012
PROPERTY LOCATION 41 VALLEY ST
MAP 32C PARCEL 297 001 ZONE URC(100)/
THIS SECTION FOR OFFICIAL 111E ONLY:
PERMIT APPLICAT_IO_Y CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid rn
Building Permit Filled out
Fee Paid
Tvocof Construct DEMO EXISTING PO AND REPLACE WITH DECK AND NEW STAIRS UNDER
EXISTING ROOF&BUILD WALL IN KITCHEN AND CHANGE WINDOW _
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 109919
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF9RMATION 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
Pemrit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
1� � e �s
Signature of Building Official Date
Now: 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.
EC^�` ,� Department use only
--' City of Nort amp t v us PemM. ,- {
.:+ Building De artant C rbC nvewWy Permit
212 Main tre t S en ptic Availability
—
Room 00 AUG 23 2018 ofil ellAveilawuty
_ Northampton, A 1060 of Structural Plans
�_ phone 413-587-1240 ax� aM .A�or Plans
Gf
APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by office
1.1 Property Address: ]] -7
Map es''�� //11 Lot CQ / Unit _
41 Valley St. Zone Overlay District
Elm St.District CS District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Peter and Maddie Blanchette 41 Valley St
N e Print) Curr n g Atl s'.
Telep ne
gnature
2.2<Authorized A ent:
Name(Print) Curren(Mailing Address: �-17
Y. r?- ?
Signature Telephone j
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Oficial Use Only _
completed by permit a licant 1
1. Building 17000 (a) Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee !]
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 + 2+ 3+4+5) 17000 Check Number CO
This Section For Official Use Only
Building Permit Number: Issued:
ed:
Signature'
• r Building Commissioner/Inspector of Buildings Dale
VMCkg-e-( arse v{ry SAA— 2 Cwta f Cot
it
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION S DESCRIPTION OF PROPOSED WORK check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑✓ Roofing ❑
Or Doors O
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [lam Siding(17] Other[G¶
Brief Description of Proposed Demo existing porch and replace with deck and new stairs under existing roof.
Work: Also Build a Small Dividing wall in kitchen and change a window
Alteration of existing bedroom_Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
Its. If New house and or addition to exlellinci housingli, 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?
f. Method of heating? Fireplaces or Woodstoves Number of each _
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction R*t
I. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
T Depth of basement or cellar floor below finished grade
k. Will building conform to the Building 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 1
as Owner of the subject
property
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
r
Signature cf Owner Data
I, Village Carpentry and Landscaping 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.
Shelby Howland
Printme
=a
--�YY 82/18
Signature of Owner/Agent Date
SECTION 8•CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder Wynter Howland cs-109919
License Number
45 Pleasant St. 04/03/20
Address Expiration Date
Southampton MA 01073
Signature Telephone
413-522-3320
.FlQra�l 14opne ImmusI144 diralral Not Applicable ❑
I Village Carpentry and Landscaping
Company Name Registration Number
45 Pleasant St 191955
Address Expiration Dale
Southampton MA 01073 Telephone413-824-0204 5/27/2020
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. - 0 No. ❑
City of Northampton
?t� ' Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Bedding
Northampton, MA 01060
u AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
The Office of Consumer Affairs and Business Regulation ("OCARR")regulates the registration of contractors and
subcontractors performing improvements or renovations on detached one to four family homes. Prior to
performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC").
M.G.L.Chapter 142A requires that the "reconstruction, alteration, renovation. repair, modernization, conversion,
improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing
at least one but not more than four dwelling units_..or to structures which are adjacent to such residence or building" be
done by registered contractors.
Note:If the homeowner has contracted will, a corporation or LLC,that entity must be registered.
'I)pe of Work: Carpentry Est. Cosc 17000
Address of Work: 41 Valley St.
Date of Permit Application: 812118
I hereby certify, that:
Registration is not required for the fallowing reason(s):
Work excluded by law(explain):
Job under$1,000.00
Owner obtaining own permit(explain):
Building not owner-occupied
_Other(specify):
OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED
CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT
ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND
UNDER M.G.L.Chapter 142A. SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK
PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION.
Signed under the penalties of perjury:
I hereby apply for a building permit as the agent of the owner:
'dX1
-3/ tV 4, 9 11 1115
D e Contra or Name HIC Registration No.
OR:
t
Notwithstanding the above notice, I hereby apply for a building permit as the owner of the above properl7:
Date Owner Name and Signature
City of Northampton
+' Massachusettsuv"'�'
A DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street •Municipal BuiltlingNorthampton, M 01060
Debris Disposal Affidavit
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.
The debris from construction work being performed at:
41 Valley St.
(Please print house number and street name)
r
Is to be disposed of at:
Valley Recycling
(Please print name and location of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
(Company Nam-And Address)
J �
Signaldfi§Weftnit AWicarnt or Owner Date
If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the
Building Department as to the location where the debris will be disposed.
The Commonwealth of Massachusetts
Department of Industrial Accidents
-. 7 Congress Street, Suite 100
` Boston, MA 02114-2017
www.mass.gov/din
\4orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO RE FILED WITH THE PERMITTING AUTIIORITY.
Applicant Information Please Print Lceibly
Name
Village Carpentry and Landscaping
:V flII1C(H(tsinuss/OreanizatioMndividuoD:
Address:45 Pleasant St.
City/Stale/Zip:Southampton MA, 01073 Phone 8:413-824-0204
Are fou an employer?('.heck the appropriate box: Type of project(required):
1.01 am a employer ,in 8 ompiover,(full end/o,aw-time)) 7. ❑ New construction
2.❑I arra sole propolur or panncr0op and have no cmplopcev coding for me in $. ® Remodeling
any cito tY.tre wokol comp.Insnmn , reauiadd
3.❑I an a homeowner doin,all work m II: No souk...'cum wran, d 9. ❑Demolition
6 )se h pin �-require J'
4.❑I on,homcow d son be hiring connectorst dt'll k oil n'prptl,. l rill 10 ❑ thudding addition
ensue that nil aumo,mrs,'m,rhm,c orkers conp,rsmbnntrencu ,r adsok 11.❑Dleetrical repairs or additions
proprietors rho.nnploycee_
12.F]Plumbing repairs or additions
s❑l no a genenl eomracmr and I have hired me srv- ontracmus listed on me dual xhem. 13.o Roof repairs
llw:c soh-mnaecmrs have rniployces and hav,worked'mmp.Insnnnce,:
6.❑0.b arecorporation end itc onatx hart exercised their right of rvcmptor per'Wil v 14.❑Other_ _
132,p h41,and we have no empluyeuv_[No,voll,11arm,_insurance dance.I
"Any applicanuhat checks box 1,l must also fill ort the seaion below showingthe,worker,wmpenotoon policy Information.
T Ilomwwnas nor zahmit refs affidavit lnd,entine they ad doinr all work and then hire outside cvntmnorx must.whmit a Be"offidaclt linin lov such.
1Contragors that check this box at added an addirinnal sheet dodno the name of the sd*wnoactors end are whomeror not mase entities have
emplolrees_ Ifthesub-contnemrs have emi the, must provide theirxorken, oop.pulley number.
I ,in an employer that R providing workers'compensation insurance(or my employees. Below is the police mrd job site
information.
Liberty Mutual Fire Insuarance
Insurance Company Name:_
—
Policy ry or Self-ins. Lia WC231S613874017 g: Expiration Dao 09/06/2018
Job Site Address:
41 Valley St. I Northampton Ma 01060
_ _ _ Ciry/State Lip: _
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a line 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$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby cenify r nder the pal rs and pen lies of perjury that the information provided aabbove is true and correct.
Si,nnaturc: Date: b
Phone
Official use only. Do not write in this area,to be completed by eily or lown official.
City or Town: Permit/License#
Issuing Juthority(circle one):
I. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phase#:
Porch Remodel Specifications "I
New footing will be 10" Footings poured in place at 4' below grade. _
Existing roof will stay and be supported by new Fir 6x6 posts under 6x6 fir header beam. re,e,a�a Haeme
Connections will be made using Simpson Products
Deck and stair framing will be PT --"'--'—
Decking and railing will be made from oil treated tropical hardwood
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