Loading...
23B-077 (10) 74 SOUTH MAIN ST BP-2019-0391 GIs#: COMMONWEALTH OF MASSACHUSETTS MV.-Block:23B-077 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category: ROOF BUILDING PERMIT Permit# BP-2019-0391 Proiect# JS-2019-000631 Est.Cost: $10600.00 Fee: $100.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor., License: Use Group: VALLEY HOME IMPROVEMENT INC 077279 Lot Size(sq.ft.): 7623.00 Owner: WEISMAN EDWARD N& SIMONA POZZETTO Zoning: URB(100) Applicant: VALLEY HOME IMPROVEMENT INC AT. 74 SOUTH MAIN ST Applicant Address: Phone: Insurance: P O BOX 60627 413) 584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON.10/1/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.-ROOFING & ROT REPAIR TO DETACHED GARAGE 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: rame:Gas: Firg Qgparlment Fireplace/Chimney: Dough: 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 Sianature: FeeType: Date Paid: Amount: Building 10/1/2018 0:00:00 $100.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck--Building Commissioner Department use only City of Northampton Status of Permit: �-- Building DegaFtment Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability SEP 2 7 2018 Room 100 Water/Well Availability No ham` ton DEPT OF GUIL , MA 01060 Two Sets of Structural Plans 87-1240 Fax 413-587-1272 Plot/Site Plans DIIIG INSPFCTI N NORTHAMPTON,MA 01060 ther Specify APPLICATION TO CONSTRUCT,ALTER,FZEPAfFZ,RENOVATE OF DEMOLISH A OFvrE OR TWQ FAMmY mrvELLRl4G SECTION 1 -SITE INFORMATION L /q r 3 " 1.1 PropertV Address: This section to be completed by office �y &vim aA.1, Map ;Z3'�!'o-01 Lot &772 unit flat 1(f' Zone Overlay District Elm St.Districts C13 District SECTION 2-PROPERTY 0WNEFzc`SHiP1AUTHOPdZED AGE�T 2.1 Owner bo Record: Name(Print) Current Mailing Address: y/3- .39/ Telephone Signature 2.2 Authorized Agent: �lve� e.o-So�c(oO(o Florerxc M,Pir ©to(-o2 ` Name(Print Current Mailing Address: 9 `fl3- sszf SignatureC p Telephone SECTION 3-€SFu,'%1ATGD_CONIS T RUC TC0-GS_CCISTS Item I Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building /D v�O (a) Building Permit Fee ?. Electrical 600 (b) Estimated Total Cost of Construction from (S 3. Plumbing Building Pei mit Fee t. Nlechanical(HVAC) 4� i.Fire Protection i. Total=(1 +2+3+4+5) b/aJe Check Number This Section For OFrrciai Use Only Date ;uilding Permit Number: Issued: _ i I signature: Building Commissionedinspector of Buildings Date t v E ', �d Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height % Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) 4 of Parking Spaces Fill: 'volume&Location' A. Has a5peeiat Permit/Variance/Finding er been issued fdr/on the site? NO 0 DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded a the Registry of Deeds? NO O DONT K OW ® YES IF YES: enter Book Page and/or Document# B. Does the site c/aina , body of water or wetlands? NO 0 DONT KNOW O YES o IF YES, has• or need to be obtained from the Conservation Commission? Needs to beO Obtained © , Date Issued: C. Do any signs eoperty? YES ® NOIF YES, desc and location: D. Are there a I proposed changes to or additions of signs intended for the property? YES ® NO O IF YES describe size, type and location: E. ' Will th construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that ill disturb over 1 acre? YES ® NO I YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION' OF PROPOSED WORK(check all applicable► New Nouse ❑ Addition ❑ Replacement Windows ❑ Roofing p Or Doors 0 Acc9 essory Bldg. l Demolition ❑ New Signs [ED] Decks [[_] Siding[01 Other[L! Brief Description of Proposed Work: 2cx� �N C� RST 2 ti P)a),f . Tb Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes _ L No Plans Attached Roll -Sheet Ea. ff NeW house and or addition 4o gKIS- ng frEousinco. COMWete the fd1l0 ,inco:. 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 i. Is construction within 100 ft.of wetlands? Yes No. IS construction within 100 yr. flDodplaln Yes No j. Depth of basement or cellar floor below finished grade k. Will building confonf to the Building and Zoning regulations? Yes No . L :epiic S ane City SEtder UPS water Supply SECTION 7a-OWNER AU1T111ORIZLTI06d-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR.136JILOING PERMIT I Lk—)e(S(Y�ano + &Mono- PO ZZ'e*0 as Owner of the subject property hErebyau• rize V �T�� �PJ.ZPYI t�`V�YYI'`�J1 to act o my ehalf, in all mattes relative to work authorized by this building permif application. Signature o Owner Date G&Ci oolal1R1!LIIUI ILb hart harsbv declare a at the statements and irfornlatien or the fonsooIna aD611cati On Gro tr UG and accurate.to the bast of my lmrcwledaa Signed under the pains and penalties of perjury. I Print Name C �Ignarure of O\ldnPl7%Dent Cctc SECTION 8-COHSTRUCTION SERVICES S.9 Licensed Construction Supervisor: ` Not Applicable ❑ Flame of License Molder: License Number Address Expiration Date Signa ure Telephone 9. Reeuiisstered Home Imaroyernent Contractor: Not Applicable ❑ Company Name � Registration /Number f� `o Address Expiration Datq r�e- (4�S ,,1 b'z& Telephone`ZIA 1 SECTION 10-Vr!ORKER'& COMPENSATROM IIS SURAIICE AFFIDAVIT(Ni.G.L.e. 152,§25C(�)) Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavitwill result in the denial of the issuance of the building permit. - 5igned Affidavit Attached Yes....... [ : No...... ❑ 11. a Home Owner E—xeKj f�l� Tilt-Current?ce[-njp'o:i r r`�i�==7c Reer�"-��c-tc 7r?c�to rnClLdc Gr'CEeE €Tf CLT3iEf�1IIGcElliLh�` Of�=ilc(:� !' L.:' -M families and to allow such homcowner to engoage as individual for hire who does-not possess a License, iiH`�yWHr�E'.�[fguE_€h e_oFtrnGfl'cee5 as supervisor.CTFM 790, Sirth Edition Seci oe 10€.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 structiues accessory to such use and/or farm structures.A person who censtmcts more than one Thome in a theca-year gerund shall nat he eoonF2dered a lze-Meowner. Such"tom eoPLcr"shall submit to the b-LTAILug G ucial,on a form acceptable to the b aild Sib Off icial, tb.at t,e/slue sh i<i be resDonAh-le for all such hark perfaet>aed under the Gu-ft g pet-mit. As acting Construction SuperAser you•presence on the job site will be required from tirne to time,during and upon completion of the work for which this pet��t 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 undersigued"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of NortharLpton Ordinances,State and.Local Zonng Laws and State of Massachusetts General Laws AmrrlotLteld IiV L.EGIl YY LLLl L:L�ILcvLt 1.. City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Afnda\rit fn 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: 010-1C� Th.e debris will be transported by: O QUI �Q,_�U►�Y�G)1�C����CYlQ�t The debris will be received by: �1 Building permit number: Name of Permit Applicant Date Signature of Permit Applicant . e - �. - S �N TltY Coin;wonweaieoj^1�v_�asscci. se s .:, ea��riraedat o fr�al�ts�rial �cade nts 600 Washington Street 7� Boston, AM 02111 mow.mass.gov/dia Workers'.Compensation Insurance Affidavit: Builders/Contractors/Electricians/Flumbers Applicant Information Please Print Lep_ibly Name (Business/Organization/Individual): t° 1. o UV e — T—n n \ Add-Tess: City/State/Zip: 10",-e(ycc 4hone 4: —� ��--1`�2Z Are you an employer? Check the appropriate box: Type of project(required): 1.[A I am a employer with 1�3 - 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. F1 New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑Demolition workingfor me in.an capacity. employees and have workers' Y P �r� 9. ❑ Building addition [No workers' comp.insurance comp.insurance.t required.] 5. E] We are a corporation and its 10.E:1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.E]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t C. 152, §1(4),and we haveno employees. [No workers' 13.1-1 Other comp.insurance required.] *Any applicant that checks box#1 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 anew affidavit indicating such. lContractors 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-contractors have employees,they must provide their workers'comp.policy number. ram an employer that is providing workers'compensation insurance far ney employees. Below is the policy and job site Fnformadon. `1 Insurance Company Name: V o ,uy cc t+_ Lic. �;Q,._��._ •�.�._�. __ __-Expiration Date: -P7 fT vl Vvtl uL�. r�14.Tf. fob Site Address: 1 ��vim) 1%a.(� ��" City/State/Zip: F1()1f t71 e2- �,ttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). y ailure to secure coverage as required under Section 25A of MGL-c:i 52 can teal to the imposition of criminal penalti e5 of a ine up to $1,500.00 and/or one-year imprisonment, as well as civil_penalties in the form of a STOP W0'111K ORDER and a fine )f up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations of the DIA for insurance coverage verification. 'do hereby certify .s the pains a'ld penalti perjury that the information provided above is true and correct ii ature: �`r / ; t^� Date: Z / 'hone#: Offscial use only. Do not write in this area,.to be contpleted by city or town q)Tci,7L r: n City or Town. Permitfl—cense# Issuing Authority(circle one): 1.Board of Health 2.Building IDepartrnent 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector _.6. Other Contact Person: PhDiie#: t ®L Commonwealth of Massachusetts � Division of Professional Licensure Board of Building Regulations and Standards Con striqc0i r � Spervisor I CS-077279 �� I Wires: 06/21/2020 STEVEN A SIUVERMAN y 268 FOMER ROD `;,}>'r` SOUTHAMPTOu- A 01073,. 4-01, Commissioner Office of of Consumer Affairs and Business Regulation One Ashburton Place - Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: Corporation l��t1 Registration: 105543 VALLEY HOME IMPROVEMENT INC ' i Expiration: 07/16/2020 P.O.BOX 60627 � �� `'•i FLORENCE,MA 01062 i01 N -, Update Address and Return Card. 3CA 1 20M-05/1177 0 ✓/�eC�Nrrirr-c�«�¢�l�c�✓r�¢JJ¢c�7Jell1 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE-Corooration before the expiration date. If found return to: Registration\ Expiration Office of Consumer Affairs and Business Regulation 05543 07/16/2020 One Ashburton Place-Suite 1301 VALLEYHOMETMeROVEMEN _INC Boston,MA 02108 4�-(. t !.J STEVEN A.SILVERMAN=Fi� / //// 340 RIVERSIDED ,�;�-5 � Not valid without signature NORTHAMPTON,MA'01062 Undersecretary g NEW ROLL ROOF OVER NEW PLYWOOD I � SISTER RAFTERS W — -EXT 7840 EXT 7840 _�— - -- - - - - - -- - - NEWFASGIA cn I REPLACE SECTIONS OF ROTTEN STUDS AND SIDING wi J W O ry W �C' w w. ui z w 3r I U Q K h O i i W'' w ^ V, Q O " a o Oz J INSTALL NEW STORM DOOR IN EXISTING LOCATION; $350 ALLOWANCEa o _i U) Jp L INSTALL 1X12 BORAL G P051TE WATER TABLE AROUND PERIMETER OF GAP r `� 0 a , � W CV o W CO � 5Q i GARAGE TUNE UP ELECTRICAL- $600 ALLOWANGE w / z I — — — — — — — -- - - - - - - - � _ I- w INSTALL NEW FOOTINGS FOR PT GRADE BEAM o co% I REPLACE ROTTEN STUDS; AND 51DING UP 4 GOUR5E5 ti " W INSTALL NEW SUPPORT P05T Iw; -----------JACK HIP ROOF AND INSTALL GOLLAR TIES TO STIFFEN STRUCTURE �j o � Ln Qj �_— PROJECT PLANx � OWNER: ED WESIMAN INDEXOF DRAWINGS 80B0 6080TITLE � O � o 3 TITLE SHEET z = PROJECT 74SOUTH MAIN STREET PROJEGTSUMMARY 1 } ADDRESS: FLORENCE,MA MAIN FLOOR PLAN 2 O r KITCHEN PLAN&ELEVATIONS 3 L o ELECTRICAL PLAN 4 p 4 _ i BLDG PERMIT: FRONT/SEAR EL VADON5 _ 5 c 3 DESIGNER: ' [p a O ' ai Ln im OQ � 3 z3 € - - - - - - - - - � m� JL O