Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
03-026
BP-2023-1526 583 COLES MEADOW RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 03-026-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-1526 PERMISSION IS HEREBY GRANTED TO: Project# KITCH RENO 2023 Contractor: License: VALLEY HOME IMPROVEMENT Est. Cost: 85000 INC 077279 Const.Class: Exp.Date: 06/21/2024 Use Group: Owner: B. ALEO, MICHAEL E.&KATHERINE Lot Size (sq.ft.) Zoning: WSP Applicant: VALLEY HOME IMPROVEMENT INC Applicant Address Phone: Insurance: P O BOX 60627 (413)584-7522 0055030215 FLORENCE, MA 01062 ISSUED ON: 10/30/2023 TO PERFORM THE FOLLOWING WORK: KITCHEN RENO 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: qs- • v . >2 _ a/ , Fees Paid: $552.50 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner The Conimonweatth of M.assachusc4 C � Board of Building Regulations and Sta dar FOR f,°,.‘, t Massachusetts tote 13u icing C ctde, 7;Q G OL'Titiff iZ"Fi AI.ITY USE Building Permit.Application To Construct, Repair, 'en Or Demo t R serf A>ar 2011 One-or Tire-family Dwelling do°Po This Section Fur Official Use Only M ry 114 �s Building Permit Number: ''v ,?j - )5�6 Date Applied: 'xl 0 C.joy ---- su g__-_ 0610- 3 PtL�ir-) l Kos, e L(1�' 8i' —' Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Num ers 583 Coles Meadod Road ('2 40 I.I a Is this an accepted street?yes no Map Nutter Parcel Number 13 Zoning information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(tt) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.I.c.40,§54) 1.7 Flood Zone information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: Outside.k fyes Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner'of Record: Katherine and Michael Aleo Northampton MA 01060 Name(Print) __ City.State,ZIP 583 Coles Meadod Road 617-767-1578 katherinealeo@gmal.com No.and Street Telephone .,.......... _.^ Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction 0 1 Existing Building Q Owner-Occupied 0 Repaii sts) ❑ Alteration(s) 0 Addition C3 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work: Remodel existing kitchen SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I.Building a '15 O I. Building Permit Fee:S Indicate how fee is determined: 2.Electrical S c- + 0 Standard City/Town Application Fee �: CI Total Project Cast' (Item 6)x multiplier x 3.Plumbing S 3 co) 2. Other Fees: 4.Mechanical (IIVAC) S List: __ 5. Mechanical (Fire Total All Fee * lr� Suppression) 66 ,5 Cheek No. Amman! b.Tani Project Cost S S54 0 Paid in Full 0 Outstanding Balanee Due: uocuSign tnvetope mu:t:oarayur-sero-4zuu-esrrn-ruP,aojr i4L.uG SECTION 5: CONSTRUCTION SERVICES _ 5.11 ,Construction Supervisor License(CSL) O7 7 2:7 j' (c I it ) Zy Ve v> Ct t 0..C.,r t ! License Number hxpirat on Date Name of CSL I lolder © List CSL Type(see below) 0.(C . t c c 2-7 Type Description No.and Street U Unrestricted(Buildings up to 35,000 cu.it.) t IC)(e r1 Ce t om- 0 l O(.a Z R Restricted l&2 Family Dwelling City/Town,S ' P M Masonry 7, I� RC Rooting Covering lA WS Window and Siding SF Solid Fuel Burning Appliances I-6 SC§"( - 12 I insulation Telephone Email address D Demolition 5.2 Registered Home improvement Contractor(HIC) LOS5 u� giw`Z� �,�1�} `{C� ✓fr1 lQ� HIC Registration Number Expiration Date MC Comps me or IITC Registrant Name > U7c (Sao 27 No i nd Street ,. Email address A-4 Nen(e 1 l`(� (, ,l(--)tC'2- C_ity/Town, State,ZIP Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIU.AViT(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 ofthe building permit. Signed Affidavit Attached? Yes cilNo.._........ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner of the subject property,hereby authorize Steven Silverman Valley Home Improvement to act on my behalf,in all matters relative to work authorized by this building permit application. 1 oocus ned cy. ,.... 10/20/2023 saarinutimmes Name(Elect onic Signature) Date SECTION 7h: OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below, i hereby attest under the pains and penalties o rjtuy that all of the information contained in this application is true and accurate to of m now d understanding. Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do hisiher own work,or an owner who hires an unregistered contractor (not registered in the Itome improvement Contractor UIIIC)Program).will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A, Other important information on the HIC Program can he found at ,, i,‘,. sat i,. o°; i,L.: Information on the Construction Supervisor License can be found at ww v tnass ()t all , 2. When substantial work is planned, provide the information below: Total floor area(sq. ft.) (including garage,finished basement/auics,decks or porch) Gross living area(sq.11.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type or heating system 'Number of decks!porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for`"Total Project Cost" City of Northampton sz a chu setts ier A ,. tan& La :•1.,:.4.-.4-7P4A DERARTialn CiB U.1 LD INS INSPECTIONS 141, 212 Main Stet Building Northamp7on, MA 01060 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) ln accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A, The debris will be disposed of in: Location of Facility: AO, '1\ '1'OV-441 0-XYL120454-') The debris will be transported by: Name of Ha uler: \I/DA/Li L.2 Signature of Applicant:, ate: t0\230-5 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-201 7 www.mass.gov/dia -Workers' Compensation Insurance Affidavit:BuildersiContractorsiElectricians/Plumbers. TO BE FILED WITH THF PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (BusinessiOreanizarionliodividual): Qa I fi WOcrIG Tm 9,--r)--.4 e on r)-4 . "--Xi^i C. Address: -‘0 R‘ yees\cc, ---)r-i\sr- ? 0_ 6cDK ccocpzi . city/state/zip: t--iocey-x_c... ke- 0), 002_ Phone 4: 413- sc.t--7 S2 Z Are you an employer?Check the appropriate box; Type of project(required): I kml am a employer with I 0 employees(full anciJor part-turie)." 7. Ej New construction 1E3 I am a sole proprietor or partnership and have no employees working for me in 8. pzi Remodeling any capericy,(No workers comp.insurance recpaired.1 El3.0 T am a homeowner doing all work myself.[No workers'comp.insurance required 9. Demolition* I 0 0 Building addition 4.0 I am a horacownm•and will he hiring contractors to conduct all work on my property. Twill cosine that all contractors either have workers'compensation insurance or are sole • 1 LEI Electrical repairs or additions proprietors with no employees. 12.Ei Plumbing repairs crr additions 5.17)I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors liave:ernployeen and have workers'comp.insuran 1 3,1:]Roof repairs 6.0 we are a corporation and its officers have exercised their right of exemption per MGL c. 14.00ther 152,61(4),and we have no employees,fNo workers'comp.insurance regturedi I 'Any applicant that checks box i'il must also 511 out the section below shov,ir14,'3n workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then bile outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether Of not those entities have employees, lithe sub-contraccora have employees,they must provide their wmkers'comp.policy numbrr. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: -Ay'be\A.0.- S...r15.:...)-ran u _-,)v-ok.,,c) ______ Policy#or Sell ins Lic.#: Obc3cD0 S (D 2 \S Expiration Date: 0?) 1 ACl, • (- ,,,1 Job Site Address: C:1: 'L CC)t.LO Mt-0,41(1c) r c N' City/State/Zip: 4C.^, (KC.- 0 k,CY-0 Attach a copy of the'workers' compensation pulley declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGT,c, 152, §25A is a criminal violation punishable by a fine up tu$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 S250.00 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 certify un r the pains and pe allies of p r. hat the information provided above is true and correct. Signature: -• ' // 7-) Date: ro 1 2.. ‘2,5 Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Perrnitrt.ic'ense 4 Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing inspector '` 6.Other Contact Per:on: Phone#: 4. Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Re ulations and Standards Consul tionrS rvisor ,r CS-077279 r' i - ._ lscpires: 06/21/2024 STEVEN A S}} M VERA i. I 7' �' ` r PO BOX 606 , !'i. • ; i FLORENCE *A01062i�+l •. s '`' 1 Yf/f.LV.11:3 ,, Ccm...tssia111., I. .'�i:;r... THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affai"ts and Business Regulation 1000 Washingto. rt,- Suite 710 Bostor}j=Massachusetts_.Q2118 Home Impro rrter kifrac�'or 1 egistration , ''r, t,.w" x' •"'C•�:.417 �.. j-,�A,. ft _ __ ; 1 ;,Type: Corporation VALLEY HOME IMPROVEMENT INC fni,str '-' _�:-.7.i e isttation: 105543 , .=w. '� ':? Expiration: 08/20/2024 P.O. BOX 60627 :.•:::. I ,.� w,Y _-;.,7. FLORENCE, MA 01062 ~} r W j--.- \ ..," , , , �i .., ;� wit ¢'"'e / �` Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs,&Business Regulation Registration valid for individual use only before the HOME IMPROVEME4ItCONTRACTOR expiration date. If found return to: TYPE;totporation Office of Consumer Affairs and Business Regulation ReBist[atioe�_ T ii[zition 1000 Washington Street -Suite 710 l:n s4.4 _--k agi g,4 Boston, MA 02118 VALLEY HOME IMPRIQIF.E(IACti I :el,-I STEVEN A-SILVERMAN! - i;�_-_.r '? 340 RIVERSIDE DRIVE': . • : .;..._ " ..et'LL '.zd .4 /(/ .. ��e',`,"/ i J FLORENCE, MA oloti2 .>:},,;:'._r,.i' Undersecretary Not valid without signature