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32A-048 (6) 65A MARKET ST BP-2017-1110 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32A-048 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit# BP-2017-1110 Project# JS-2017-001891 Est. Cost:$35000.00 Fee: $228.00 PERMISSION IS HEREBY GRANTED TO: Const,Class: Contractor: License: Use Group: VALLEY BUILDING COMPANY INC 095905 Lot Size(sq. k.): 20429.64 Owner: MARKET STREET RENTALS LLC Zoning: URC(100)/ Applicant: VALLEY BUILDING COMPANY INC AT: 65A MARKET ST Applicant Address: Phone: Insurance: P O BOX 246 (413) 584-7710 WC HADLEYMA01035 ISSUED ON:4/26/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:minor interior renovation of both units, new windows & siding, add stairs, misc 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 ft 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 4/26/2017 0:00:00 $228.00 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner Pge /INaig' g��en/�eitritef (.4 File#BP-2017-1110 l` ��/i d APPLICANT/CONTACT PERSON VALLEY BUILDING COMPANY INC � ( ADDRESS/PHONE P O BOX 246 HADLEY (413)584-7710 X Lfil"y - ' PROPERTY LOCATION 65A MARKET ST i P 6a° MAP 32A PARCEL 048 001 ZONE URC(100)/ p51 5,(A\SSL e001 C THIS SECTION FOR OFFICIAL USE ONLY: / ,� 1dN 41 Li OF S PERMIT APPLICATION CHECKLIST `YJ ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid fel* Building Permit Filled out Fee Paid TyoeofConstruction: minor interior renovation of both units,new windows&siding,add stairs,misc New Construction Non Structural interior renovations Addition to Existing Accessory Structure Buildin• Plans Included: Owner/Statement or License 095905 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 Permit from Elm Street Commission Permit DPW Storm Water Management olitionD• uili ing - !tial 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. g)'1) 635 pepaMlBRt USB Only City of Northampton Status olPermR 4b , .; ,u Building Department Curbl�iuf/pr�vew8ypertpd�r - 212 Main Street Sew r4epdcAyar * ' Room 100 Waterm (ej 'tr Northampton, MA 01060 Two$ SW r'. >fr s phone 413-587-1240 Fax 413-587-1272 P i $ ' + .,ylk,: 11 .. APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION j APR — 4 201( 1.1 Property Address: I i This section to be completed by office _I 6cAMar/ f =ted _ Map' i Lot Unit /tor f l.c- r{--, /At OIL Co Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: It Pc, nnr d`tNta/ rut c/a Name(Pant) Current Mailing Address: 41 CFy-772' Telephone Signature 2.2 Authorized Anent: Vtil(r� (o,.4r c4.., 6. AA_ (ox ,45,c H, it) /44 G/03S Name(Print) Current Mailing Address: �_ A/ _ 9/3 77/0 Signatur- Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Buildinga0 uotl (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of ion/ Construction from(6) 3. Plumbing C ow Building Permit Fee 4. Mechanical(HVAC) Sruw 5. Fire Protection / Q 6. Total=(1 +2+3+4 +5) 3spr.o Check Number '746_3 This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date x A-H,, :o clu+ ('I-„ 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 .)5, °C}L. Salmi— , Frontage Ici 9 -n-.- Setbacks Front y it f I "'- Side L H''.-. A:. Sr�i_ L: IR1 _ . I l I I Rear NG , Building Height �Y'S_ I Bldg. Square Footage M%[ 7-4/1 /o - _ Open Space Footage % / (Lot area minus bldg&paved if - --- - parking) #of Parking Spaces i�a;�. 'sem - I Fill: (volume&Location) i I I A. Has a Special Permit/Variance/Findingever been issued for/on the site? NO 0 DONT KNOW a YES O IF YES, date issued: IF YES: Was the permit recorded at the�/Registry of Deeds? V9 NO O DONT KNOW YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0/ DONT KNOW O YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO l_l IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO d IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,ex ation,or filling)over 1 acre oris it part of a common plan that will disturb over 1 acre? YES O NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all apolicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding[pJ Other[1 Brief Description of Proposed Work: Mtn,.r rnl-rcir.r (Mtnad,v.r r.F Aott, Ln ', DPW ivi„iew., (r .101;n5 A rht.rj, hilt Alteration of existing bedroom Yes ,/ No Adding new bedroom Yes ✓ No Attached Narrative Renovating unfinished basement Yes V No Plans Attached Roll -Sheet ea.If New house and or addition to existing housing, complete the following: a. Use of building:One Family Two Family ✓ Other b. Number of rooms in each family unit: `i. y Number of Bathrooms 1) c. Is there a garage attached? 416 O. Proposed Square footage of new construction. P7AA Dimensions e. Number of stories? a f. Method of heating? Pl; .- cpL} El,,.{,,,, Fireplaces or Woodstoves Iii Number of each / g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? A r h. 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 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 irk- A (/t;n,.n Qr >r]'Y-{- -}^.. ii ,A0; L[ c. ,as Owner of the subject property hereby authorize Ua(/e r p /}r-cI:P_ 6— to act on If,in all matters relative to work authorized by this building permit application. 3 - ( ,y 1- -.la/ Signature of Owner . Date I• 121-4-- A- 6-;27,4 ,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. Pc4,rAI- Kr /-,n., Pt- Print Name Date Vi 7 Signa( of Owned...-nt Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: r Not Applicable 0 C� Name of License Holder: r /+i�'h-,,,i / Awry- License License Number i;-73 6ro'— ria , :frAL N„)t, ,/1A C/C-11 Address �' Expiration Date Signature Telephone moi/ `911. 3>G-7°4} 1;, I 9.Registered Home Improvement Contractor: Not Applicable 0 liner 0,,,(ii . Co', /CO�,cY Company Name Registration Number Q,c, (-us! she N„,31„ Mf 7-/c rF Address /`,//� / Expiration Date ✓ Telephone WI-CP1-77ro 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 build permit. Signed Affidavit Attached Yes Fd No ❑ 11. - Home Owner Exemption The current exemption for"homeowners”was extended to include Owner-occupied Dwellings of one(1) 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 /HA Northampton, MA : Residential Property Record Card [ Back to Search Results] [Start a New Search ][Help with Printing] Search For Properties Parcel ID Name Street Name MARKET ST Search Reset Parcel ID Card Map-Block-Lot Location Zoning State Class Acres 32A-048-001 3 63 MARKET ST 109-n/a 0.469 Owner Information Cs"A °. KI 63 Mkt Realty Lk 11 Ballard St Easthampton MA 01027 Deed Information Book/Page: 11290/246 Sale Date: 2013/04/23 Dwelling Information Living Units: 6 Style: Conventional Story Height: 2 Exterior Wall: Frame Attic Living: None Basement: Full Year Built: 1900 Ground Floor Area: 748 Unfinished BSMT Area: 0 Fin BSMT Living: 0 Tot Living Area: 1496 Rec Room: 0 x Tot Rooms: 8 Bedrooms: 4 Full Baths: 2 Descriptor/Area 22 A:2Fr/B 748 soft 34 2Fi/B C Notice The information delivered through this on-line database is provided In the spirit of open access to government information and is intended as an enhanced service and convenience for citizens of Northampton, MA. The providers of this database: CLT,Big Room Studios,and Northampton,MA assume no liability for any error or omission in the information provided here. Currently All Values Are Finalized For Fiscal Yr 2017. Comments regarding this service should be directed to:jsarafinelmorthamptonassessomus CERGGm (Th /lie (((/rrnI1rr/iimrir//// 0/n,!/r73J(cc/i<Je .i Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration Registration: 160358 Type: Private Corporation Expiration: 7/16/2018 Trp 419291 VALLEY BUILDING COMPANY INC PETER GELINAS P.O. BOX 246 HADLEY, MA 01035 - --- - - Update Address and return card.Mark reason for change. Address Renewal 1 Employment I Lost Card .> Office of Consumer Affair.de Rosiness Regulation License or registration valid for individual use only rot HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: �'., Registration: 160358 Type: Office of Consumer Affairs and Business Regulation Expiration: 7/16/2018 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 VALLEY BUILDING COMPANY INC PETER GELINAS -" 8 BAYBERRY LNiii/F, HADLEY,MA 01035 I�nJerrecreury 47:17:21C/— va08 without signature es It. Massachusetts Department of Public Safety ®� Board of Building Regulations and Standards License: CS-095905 Construction Supervisor MATTHEW J STONE 373 ORAN BY RD SOUTH HADLEY MA 01016 Expiration. Commissioner 06/0612018 Q Assessment and Sales Report Address: 63 Market St, Northampton,MA 01060-3231 Map Ref.: M:032A B:0048 L:0001 Zoning: URC Owner 1: 63 Mkt Realty Uc Owner 2: Owner Address: 11 Ballard St,Easthampton, MA 01027-1145 Use: Residential-Multiple Bldgs Style: Levels: 0 Lot Size: 0.47 Acres(20430 sqft.) Year Built: Total Area: 0 sqft. Total Rooms: 0 Living Area: 0 sqft. Bedrooms: 0 First Floor Area: 0 soft Full Baths: 0 Addl Floor Area: 0 sgft. Half Baths: 0 Attic Area: 0 sqft Roof Type: Finished Basement: 0 sqft. Heat Type: Basement: 0 sqft. Fuel Type: Basement Type: Exterior: Attached Garage: 0 Foundation: Other Garage: 0 Air Conditioned: No Fireplaces: 0 Condition: Last Sale Date: 5/9/2007 Last Sale Price: $0 Last Sale Book: 9123 Last Sale Page: 340 Map Ref.: M:032A 8:0048 L:0001 Tax Rate(Res): 16.16 Land Value: $133,700 Tax Rate(Comm): 16.16 Building Value: $264,800 Tax Rate(Ind): 16.16 Mist Improvements: $0 Fiscal Year: 2016 Total Value: $398,500 Estimated Tax: $6,439.76 The Information in the Public Record is set forth verbatim as received by MLR PIN from third patties,without veri ication or change. MLS PIN is not responsible for the accuracy or completeness of this information. The Commonwealth of Massachusetts = t Department of Industrial Accidents -'2k1 Office of Investigations r Hi. I_ ec 1 Congress Street, Suite 100 m.71= Boston,MA 0211 4-2 01 7 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information11 Please Print Legibly Name(Business/Organization/Individual): 1/P/le7 a, ''�-(v cTr>-. (e, Int. _ Address: To. 1.74..,e- XI/ City/State/Zip: He., Ir� //V G/6' 7 s Phone#: k] ; —Sri- 7? (' Are a an employer? Check jfie appropriate box: Type of project(required): 1.Li I am a employer with tS 4• ❑ lam a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor orpartner- listed on the attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9 0 Building addition [No workers' comp.insurance comp.insurance.: required.] 5. 0 We are a corporation and its 10.0 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 MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] •Any applicant that checks box#I 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 a new affidavit indicating such. =Contactors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: C;4.r-1) (+n.,},u I — Policy#or Self-ins. Lie. #: WC>- $I (_ 4-00(; 0+7 Expiration Date: / Job Site Address: 61 'c. /11 c-r)1e1 S-rtti-- City/State/Zip: iUcr-`�..,,..P /✓k4 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify the pat and penalties of perjury that the information provided above is true and correct Si, attire: a_ /v • Dat.. - ->c / Phone#: 13"girl- 77%' Official use only. Do not write In this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY tO1Liberty Mutual, INSURANCE AR INFORMATION PAGE 05 VBrtee Street Roston,NA02116 Issued by LIBERTY MUTUAL FIRE INSURANCE 16586 Policy Number WC2-31S-601163-017 Issuing Office O16C RENEWAL OF: WC2-31S-601163-016 Issue Date 01-06-17 Account Number 1-601163 Sub Account 0000 1. Insured and Mailing Address VALLEY CONSTRUCTION COMPANY INC RISK ID 000994581 1'O BOX 246 HADLEY,MA 01035 Status 03 – CORPORATION Other workplaces not shown above: SEE ITEM 4. PREMIUM- EXTENSION OF INFORMATION PAGE 2. Policy Period:The policy period is from 01-10-2017 to 01-10-2018 12:01 A.M.standard time at the Insured's malting address. 3. Coverage A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 500,000 each accident Bodily Injury by Disease $ 500, 000 policy limit Bodily injury by Disease $ 500, 000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: SEE END WC 20 03 06B D. This policy includes these endorsements and schedules: SEE EXTENSION OF INFORMATION PAGE 4. Premium: The premum for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. Code Premium Basis Total Rate per$100 Estimated Annual Classifications Number Estimated Annual Remuneration of Remuneration Premium See Extension of Information Page • !. Mnimum PreMum $ 500 (MA) Total Estimated Annual Premium $ 4, 522 • Premium will be Med ANNUAL • Producer 0004-026083 " ('/(D7 ■w MARTIN J CLAYTON INSURANCE AGENCY SLI `— INC 1649 NORTHAMPTON ST JAW 1 7 21117 P 0 BOX 989 IOW l `I WO 000001A C 1987 National Council on Compensation lnsurance,lnc. YrC 000001 B(CA) Ed. 07/0172011 All Rights Reserved Page 1 of 1 ew,t mm City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste 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. Address of the work: C3 -6C A ITe ♦- 31-rej- The debris will be transported by: AMyccr f' Trc,c/fmj The debris will be received by: An4rn, } 7r ekr Building permit number: Name of Permit Applicant Vq/Ick (orv-i-r�c-4,._ ct l.c, - ti Date Signature of Permit Applicant aria-36 i� it. � 1111ti till SecYi fv !S, , II iliali 111, . 4/1,60ej SS leeLdiV 711,010 I II , . ydy,,,,,,401 II City of Northampton Building Department -f,= Plan Review 212 Main Street Northampton, MA 01060 J -NOTE- THIS PLAT IS COMPILED FROM DEEDS, PLANS AND OTHER SOURCES AND IS NOT TO BE CONSTRUED AS AN ACCURATE SURVEY AND IS NOT TO BE RECORDED. BUILDING LOCATION ACCURACY IS NOT GUARANTEED • 84,74 fe"Ce . `5stoCkc- e o-e _ - _ 'Co Si '6 Xi mto o LA- " y) U` o Cn O coN c..+ 1 42- C o NOIL: ,\ o PROPERTY LINES SHOWN ARE J o� APPROXIMATE, A FULL FIELD SURVEY IS m REQUIRED TO ACCURATELY DETERMINE �' S 921-a THEIR LOCATION. wo Q t II •1 ° / MARKET STREET TO: EASTHAMPTON SAVINGS BANK FIRST AMERICAN TITLE INSURANCE COMPANY TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF I HEREBY REPORT THAT I HAVE EXAMINED THE PR.:MISES AND BASED ON EXISTING MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES, EXCEPT AS NOTED. I FURTHER REPORT THAT THE 'ROPERTY IS NOT LOCATED WITHIN A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR COMMUNITY #250167 F. GAGEE- SURVEYOR: e� THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY �7 AND DOES NOT CONSTITUTE A PROPERTY SURVEY �Hov y . -MORTGAGE LOAN INSPECTION PLAT- NORTHAMPTON MASSACHUSETTS iRA E ALL «T, PREPARED FOR U IZER 63 MKT REALTY, LLC /35032 r SCALE: 1'=50' JANUARY 24, 2017 `' oejHAROLD L. EATON AND ASSOCIATES, INC. REGISTERED PROFESSIONAL LAND SURVEYORS 235 RUSSELL STREET - HADLEY - MASSACHUSETTS