23B-077 (9) 74 SOUTH MAIN ST BP-2017-1431
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23B-077 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category:REPLACEMENT BUILDING PERMIT
Permit# BP-2017-1431
Project# JS-2017-002375
Est.Cost: $2800.00
Fee: $65.00 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(l00)/ 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:6/7/2017 0:00:00
TO PERFORM THE FOLLOWING WORK:NEW FLOORING AND RAILING ON 2ND FLOOR
HALLWAY
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 6/7/2017 0:00:00 $65.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2017-1431
APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS/PHONE P O BOX 60627 FLORENCE (413)584-7522
PROPERTY LOCATION 74 SOUTH MAIN ST
MAP 23B PARCEL 077 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid I
Building Permit Filled out
Fee Paid
TvpeofConstruction: NEW FLOORING D RAILING ON 2ND FLOOR HALLWAY
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
INFORMATION PRESENTED:
Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:¢
Intemtediate 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
De 'tio, Delay
Si .; . len•'din_• 1cial 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.
Depewoenhse only City of Northampton Status of Permit
Building Department Curb OutDpvewey Permit_
212 Main Street Sewer/Septic Availability
Room 100 w6ternnrell Availability _
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Gee PI-ns
Other Speen)/ .
APPLICATION TO CONSTRUCT,ALTER,RE AUR,RENOVATE GR DEMOLISH A ONE OR TWO FAMILY a/WEI EL!):
SECTION 1.SR'E INFORMATION
1.1 Rroxrt�n A'`dd�ress. ,._..—I.
.. . - . This section to be completed by mice _
IlLi I cxyth Has " ...._- (Nab ?)b, Loa O' I J Unit
j-4oie-jcc. Zane Overlay District
_ Dim at.[strict ,.D-Dicaltt
SECTION 2.PROPERTYOWNERSf-0VP!AUTHOP.LTEO AGENT
;.t Owner of Record:
Sul at '1 OgA Pone1a Zt1k_Safii Nfu&4 flckerz_c Mri 0106 r_
Nems(PlZ[ Curren Malin Address:
111 49 _._...._ `b?, -s t 3,§23
TetephOne
Signature
2.?Authorized Accent:
�t V..A 6c c (oC ?7 Fiaencc MA OIOCOZ
Name{Print) / rM Mailing Address)
II/ 1
y(3-S8y- 752x-
) Signature Tdenho-ie
Bbr•Illi . f F .PCF?IPPI L Ur: (5
tem Es im d Co ( ar)to be Of Official Lse Cindy
c,m*tted bA st 9 r'nDoi r ppUasat I
1 1. Building _ ! (a)BuldingP Permit Fee
I Construction i
--._!—I 3. Plumbing I c,dld[nC vermit P== I �
4. Mechanical MAC)
5.Fire Protection �
6. Total=(t- 2+3'.4+ ) 2, E Check Mumbler aa2 'AI%i
Biniint s xy For N.—i -1, =t'Fhi I
'sudiioy Lamm bner4nepetItr of 5•uilninas _
Section 4. ZONING AR Insormetioo Must Be Completed. permit Can 9e Denied .u.To!nconp:etn Information
Bxis*ing Proposed Required by Zoning
'Migrate=tabs SD:dia by
WtiithagDeprament
Lot Diet
Frontage - .l.. ....
Setbacki Front .. . _
Side
Rear
Building,Height "
Bldg.Square Footage
Open -space hoot p
..mmus bldgd paved
parking)
•
g of Parting Spaces -
Fitt: .
Fill: [.doAoal ---
A. Has a Spada( Permit/Variance/Finding ever .-en issued for/on the site?
NQ CD DONT/NOW 0 YES Q _
iF YES, date issued: .. ... ...._ .. . _
iF YES: Was the pefinit rein 4ed at the eglstry of Deeds?
L'.' enter Pozahk e renal ler Dtcument-
B. Does the site contain a brook .ody of water or.wet(ands? NO 0 DONT KNOW 0 YES 01
"'r= _ ae.eact be' Lo be obtainedim the v .-seivanon Co i ^esw ?
n ea _m nrr t_ C r bed 0 it=sso
D. Do any signs exist .n the property? YES 0 NO 0
IF YES, descr.e size, type and location:
:,.e M r _'nnt'sed C-4,1-)71:,172 tr .,_ fti
Pre, 4icct'we Site, type and tocer:ont
that Nal Derineh over PDS (
;F YTS, then s Northampton Starre Water Managerrern P ,—on the ti
SEG?ON 5.DESORPTION OF PROPOSED tarORV.(check eir ccalic=_hie
New Nous Addition J Regtacernent Windows kiteration(_) Roofing
II----�� Or Doors ❑
Accessory Bldg. hi Demolition C New Signs ICI Decks in Siding rig Other[p]
1"-Bret Description of Proposed _ Mb
Work: - Nen) acrog,rNb 4 RA+L1NU OA/ `L - E=WN2 Imu-wAy(, No c Apt GE
rb 61-1- /OA
FJizration of existing bedroom Yes ..-7` No Adding new bedroom Yes
Na
Attached!Narrative _ Ara Renovating unfinished basement Yes X No Alp J?Qu Ak
Plans Attached Roll -Sheet -- -
-- - - _ - -
1e.0°HAM f cUse and oh:ad t6; Eo exdstirsw, fio[rs's;s�n n npyefe the AbIfrgurifig: .S,
a. Use of building :One Family_ Two Family Other
@. Number pi 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? _
A Method of heating? Fhaplaces orwoodstavea Number of each_„
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of cunetmcdon
i. Is construction within 100 P of wetlands? Yes _..No. Is cor'istructfon within 100 yr. floodplain- _Yes__No -
j. Depth of basement or cellar floor below finished credo
`
Will building eontorw to the Buiiding anti Zoning egutatione? �..._,{es No.
I. 'env .y aw.0-r_-- rvall _
6 r`TVCN ra•SANER AUTNOP1PATION•To BE COMPLETOD _ .ER
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT fff
r
i, tr{ tAkortion k &Mart& ino22L'Fo
hereby au hone S\teAlei I S OCsor,an V
to act on/m/y.behalf in all matters Native to work authorized by this holding permit application.
Signature of Owner Date
' ke z.r, Si1Vf,-mark o
cuigniiin Liu t .nn,uins aul penal:Les oeriury.
gri-eA n cel fues-man
/f .. 6%
its` - _.�
SECTION S-CONSTRUCTION SERVICES
LI Licensed Construction Soothe/Nor Not Applicable iD
c C - Q
,Name_of License Holder: ,,� wen �i1\RC i�Mgt(-t _ (lam 1 I ,_,
License Number ``
Address ` t E p'ration Date
fal�fl i 11l L , ' 4Pa,_ta p\_ m-, _
SI9'rture Telephone
V Recistered Home lmoevemSnt coar. atoe: __ _.. . Not Applicable.❑ —
Company Rema Registration Number
F
10(i PI)0� Are4; a'7 9/121/8
Address { b (` l / - Expiration Date
I.
seer P f. �Jt V\tDt& elephone^r`ic>u{11 D
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT thAG,L, c. 152,§25C(6.))
Workers Compensadon 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 gig No,._. ❑
;lit a rigrae Qwger Exec -,titin
gig su or.CUR 7 __ .ln =gob eery oo Wer ._.i.
f)etdriten of Homeowner:Person(s)who own a parcel of!and no'which height-aides or _ on which theta
is,oris intended to be,a one or two family dwelling,attached or detached snuctm s accessory to such use NO or farm
str cPres 4,„._. erf_n who cemettthett more Sten ene htraOL.in b.O.,ro so a- 1t .,all�,i ILQe call eler_e h nbn e0WWO..
Such"o r°0.'1:1 ._E e CI:Match on a fora receptelthe to the ithc ,official,c r m f e,
As acting a nanoeno�rn Suinienibry yon 'Di raenoe on the er.ili he le., uired nem OVO e o Gime; bacon rod boom
completion clinic work for which this penis issued
Also be stinted that with reference TO Caaptez 1li2(Workers`Compensation) and Chapter 153(Liability of Employers to
Employees for injuries not resultg in Death)of rhe Massachusetts General Laws Annotated,ton magv be gable for ptixonjs)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliancewith the Stott Fulitug Coda,Cty of
Nor ou Ordiasinorr, .. 2L__ e N_- Sipe ofMaas c us s Gentle(i cies brethren
City of Northampton 2121Vrafn. Street, Northam:tot, v_ 01060
Solid Waste!D'is'posal Affidavit
In accordance of tie provisions of MGL c 40, ,S54, ! ao<nowledgg fiat 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, 3 150A.
Address ofthe.work: PIN c5(i>Ni Hai), &V--
Th e
The debris will be transported by: Vaiiki k 0(n2., a Pmp✓ kr-rnenA—
The debris vvoi be received by: f ' ' (If . . .5
Building permit,number: l
Name of Permit Applicant _ `rf I ' It .l e e+7al
stir :s,.
Bos=nil,MA 02111 .
Workers' CernoensathEtn Va suraiA> naves B ..d.ers/Confri'ctorill ct„i_.waaf'lamke,ys
Aovlleent Information Neese rAmtLeo b'v
Nome 1:Busier:sat tCranicaiictartadicidcal): dtA vlt+-A i1.:(y ke aodAl OJ(„..t lV it' C%' , L�c..._,
t
Address: } \ tatL Y Ana-- LIC 0-..'2-C-
D
t;C-
2-
'-' k - _CtytState/Zip: t' 10fenCG YL_ 0 -Phone Th Ltf S , _ _
Are you an employer? Check ck the approp ttte box:
(1.0 I am a employer with A. [ I a general n d 1 ( Type of
alt e 4(rooked):
Cave 6. l s n5 „cron
cd nsub-contractors
employees (fell amulet-partmey _
2.0 IEDt s tioie proplSetter or partner-
�_,
ship and have no employees These sub-contractors have 8. Q Demolition
working for toe in any capacity. employees and have workers'
[No workers' comp SSLitt e
111Pp. �1.L e '> o Building addition
required] 5. 0 We a corporation ends 10 ri Elecarical repairs et additions
3.Q S a homeowner doinc all work. officers have exercised their 11.0 Plambine repairs ,r additions
myself.[do worker.' ca;rtp. right of exemption per MGL- 1
Insurance required.]'t a 152, §1(4), and we have no
12.0 Roof repairs
employees. [No workers' 13.0 Other ._......�
comp.insurance required.]
'Any applicant that checks box el must also Ell out the section below shoving their workers'compmsoti;.n policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mist submit a new amdavit indicudns such.
=Contr^ctore that chock this bo;must attached an additional sheet showing the name of Me sub-enactors and state-whether or no:those entities hm,e
employees. lithe soh-contractors have einpiocees,they tae:prmdde their wotkerst camp.pokey number.
Iar.:ai.,. ',7.r„ 221,:a iP t .^ __ -
riti:reereCte. +c..1 1-e-}.ice_ r Ue t:.� ee pet ¢ x. Lt P7 ,-,l=?
e
-
P,elit r Lirs. L �' C. � C22 s � i azionD .: a I I 2,0l
.,b s c Y h M0..i.n g)-- C jwi . eivan fr oteO6c_ MA-oroe,Z
AfecroCa e cozy it Cre ,.. cc otcoarrafeta, ._ _ tl1 w s., n y.iry aJ _e . _d_^'s).
Fair to cetera coverege a,requiredunder.de. SectionfM
5. oCL _ 151 crar,led to the mpos4 ofcriminal nenairies
fine up to -1,5 O.0S9Indio one-year crecoricorancar,ao_well as civil orrattces is ale.Conn of a S'i On nam (til mf _d r '_i
of up to$250.00 a day against the violator. Be advised d;hat a copy of this s_tc _.,t may be forwarded to free Office of
. =r-.
Invua -teres citE:DD'L&for ec navel-age ieriv,ation. -_ _. . . . .
—
.
', 6119/17
$ P...+ u e .. a Cala Stan.inrcs
L ce : a-. CS-071279 - -- x,
onv�..ne
STEVEN A SILVERMAN
255 ROShR ROAD aa z ISATA
SEI
SOUTHAMPTONrAA ""
t^✓`L..,=� `,_2( _ -_Pira'ion:
Commissioner 0E121,20t8
Office of Cons incl'Affairs and 1BUSi , C P....±(717.1.111•01-1
10 Park Plaza Suite 5i 70
Boder, Massachusetts 02116
Home 1!llri uv21LeL'i{.'e'1it :.L'.OI ii2ctsii_:IOiI
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