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28-030 (8) BP-2024-0518 668 RYAN RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 28-030-001 CITY OF NORTHAMPTON Permit: Alts Renovation;, Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-0518 PERMISSION IS HEREBY GRANTED TO: Project# rebuild deck 2024 Contractor: License: Est. Cost: 22000 VALLEY HOME 077279 Const.Class: Exp.Date: 06/21/2024 ANZOVIN RAFAEL P&CAROLE Z ANZOVIN- Use Group: Owner: BROWNE Lot Size (sq.ft.) Zoning: WSP Applicant: VALLEY HOME IMPROVEMENT INC Applicant Address Phone: Insurance: P O BOX 60627 (413)584-7522 6H62301-1 FLORENCE, MA 01062` ISSUED ON: 04/29/2024 TO PERFORM THE FOLLOWING WORK: REBUILD FRONT AND REAR DECK 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: lier2„. Fees Paid: $143.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner LJULUJIIyII CI IVCIUpJC ILJ. Y.]000OU U�YJYO'tJUL'OU I I 'fLJ I JUVLJ I LJl1J Ir '. ft. :� The Commonwealth of Massachusetts �~ iff,9 M/� 'T ii Board of Building Regulations and Stand** c6 F !CITY : Massachusetts State Building Codc, 780 C1 �„ 20�� M I ` . r4Y.., e• USE Building Permit Application To Construct, Repair,Renovate dr`' i h a P.cvised Mar 201I One- or Two-Family Dwelling 4,4&c, J 'This Section For Official Use Only --°-70 Bui!ding Permit Number: igP.-gt/.... /g Date Applied: f:tifxi 10,5 .//Z y_Z1 Z02.11 BuildingOftiei I(Print Name) Signature Date �Q SECTION I:SITE INFORMATION 1.1 P�'" erty dress: 1.2 Assessorrlap&Parcel Numbers I.la Is this an accepted street?yes:✓_ no_ Map Number Parcel Number 1.3 Zoning information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(It) 1.5 Building Setbacks(ft) I7ront Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.U.I.c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public ❑ Private 0 Zone: _ Outside Flood Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Ref An2oviii Fl7renca MA 01062 Name(Print) City,Slate,ZIP 68B Ryan Road 413-687-3473 rat@anzovin.com - No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK(cheek all that apply) l New Construction 0 Existing Building 2 Owner-Occupied 0 Repairs(s) la Alteration(s) 0 Addition 0 1 Demolition 0 Accessory Bldg. 0 Number of Units Other ❑ Specify,,, , ._,., :__ Brief Description of Proposed Work2:.Rebuild front and rear deck. Same footprint as existing SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I.Building S 22.A 1. Building Permit Fee:$_ Indicate how tee is determined: i l i ❑ Standard City/Town Application Fee 2.Electrical S_ __ _ _ ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing S 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire S Suppression) Total MI Fees:/urQD 0,110 ,yy1(��7' //�/�/�/ Check D JCL... •�J 1 6. Total Project Cost: $ �2� �.itfrL.n No.�� Check Amount: Cash rv"t10t7ict. 1 IG•J� 1 1 0 Paid in Full 0 Outstanding Balance Due: uocusign tnverope tu:4scsutstsou�+ ate-45ul-suer-nb rsabZs rur+s SECTION 5: CONSTRUCTION SERVICES C5.1 Construction Supervisor License(CSL) 077279 6-21-24 Steven Silverman , License Number Expiration Daie Name of CSL I folder List CSL Type(see below) U PO Box 60627, No. and Street Type Description t U Unrestricted(Buildings up to 35.000 cu.ft.)MA 01062 Restricted I&2 Family Dwelling City/Town.State VI Masonry • RC Rooting Covering _.......- _ WS Window and Siding SF Solid Fuel Burning Appliances 413-584-7522 info@valleyhomeimprovement.com I Insulation Telephone Fmail address ilk l Demolition 5.2 Registered Home Improvement Contractor(HIC) 105543 8-20-24 Valley Home Improvmsent RTC Registration Number Expiration Date MC Company Name or['IC Registrant Name Po 3°"60627.. info c©valleyhomeimprovement.com No.and Street Email address rtwanae MA et062 413-584-7522 City/Timm, State,ZIP Telephone SECTION 6: 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 - 1!T! No 0 SECTION 7a:OWNER AUTHORIZATION TO BF.COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner of the subject property, hereby authorize ..tC,t1 i d t#-t .p. V 413-7 rJ t t my behalf, in all matters relative to work authorized by this building permit application. goer: 4/18/2024 WPM( Name(Ele tronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and ac -to to the hest o"t unnwledge and understanding. 54- :cj i.v> 104g1k) y as-aaa y Print Owner's or Authorized Agent's Name(Clem ie Signature Date NOTES: I _.An Owner who obtains a building permit to do his/her own work.or an owner who hires an unregistered contractor (not registered in the Home.Improvement Contractor(IBC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. I 42A. Other important information on the HIC Program can be found at uwmass.gov/'oca Information on the Construction Supervisor License can he !build at www.mass,g9v4ps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage, finished basement/attics,decks or porch) Gross living area(sq. Il.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of hall/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3 "Total Project Square Ftxitagc„may be Substituted tilt "Total Ftt jeer Cost" DQwSign Envelope IL);43BOB86U-45413-4S01-9b a-Att1 ibt 4 i1 UAa City of Northampton. (- ° - Massachusetts ;1 DEPARTMENT OF BUILDING INSPECTIONSW - 212 Main Street • Municipal Building --! Northampton, MA 01060 '!,y -1 v CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In 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: Valley Recycling, Northampton Location of Facility: The debris will be transported by: Name of Hauler: Valley Home Improvement o Signature of Applicant: d J , Date: da _aa • • •• The Commonwealth of.1Iassachttsens Department of IndustrialAccidenrs 4 t:-.711:j."-i:UTI* 1 Congress Street, Suite 100 Boston.AL-102114-2017 • •••• -7t:er—• •- - - • wwmmass..gooldio ••- o» 'ompromation Imarasser.1.1Irdsts it:Builderet'outracinrsitiretricia-nN Plumbrm. .1()fib FILED NA,It II 1 RE PERN111117st; Al 111014111. Annlicant Information Please Print 1.e.2.ibls Narrlc, or.4...uu.r.mon. \skOxf\e_b prOoeirnekij-- Uri C_ AddreS2..: -b City:Statei Zip: __c•kore.rx_c_ cAL't°2-- 4,k3- .tit 3.e on tiorplurr:"['heck dur apprupgisic bet: .r,pe of project(required): 10.8 rtirA)k;':..3 1710 3t2T1 01 ran • 7. 2.D i all:a au!:min:elor rultnisalup at.ki ha% S. 21 Remodeling %sorters'%.•%•.:np.1.-iaLtrance n.:%1=rell 9. Demolltion 1 au:a Ihma,:v•.%.3%.1 I A Build:mg ademon 4.0 i J:11..L.E.•:.4.1i."J=1.1••••:11 c_mIL...3 ••••%/i.-n::mr.• LI, crp,4:re:Ed 31 fshe uorker." ::v.urA.-2,-.• I Ekc.trical reparrs or adthhons rwrricion al:Ilk' 12..D Plumbing repairs or additions aui parc:a::out:11:1%,r and I have Ivavd Use ma"itatitz:4114,..i .1vd 'i%lht A repatrs ilac•ae.ILL',•41.TTZIT.3:7:0:-..i . %.-mtpl:,:%et,.Jilt;k.1%e 4 Dotho 6.0.06c are 1a.11. .firterVi,e1.1,1%:37 riTET•.°4 ITACTCrL4,11 NT S•t;A.. J .; 4 1.an.! t . ( %%.1.1L:th '.‘n? Incm Alse WI Intl riC•"11,"Il.""`''S'"try:th-lt it.T111tV11,new%LK: ta:a all ida%if Litcy we doing All t..otli and thaal 1:1!%.yutailie csmiu:10%../%.Imam>unimt 'so%J titiii%1.1.18141).:21LITC LTC h. : ont.r."!en.thJt C.us Iht•( 4L> JILaNal J."A114:tion.J. ia:ru n.: ir.zsk A.:1J rn.t h. cusriu:.,:i;:s. Ll th L.s %Am:qt.:a:Cs,th.::6 I am an employer that is providing worliers•compensation insurance for my employees. Rehm.is the policy and jab site information. Insurance Company Nallte" Policy or Sell-ins. =1 (401.‘ID;I-6(3\ — EN.pwaivor:Date: 2. .lik Sae Address: 62 Cilv.Slate Zip: .F10feelee '14 alub•-e.._ Attach a cop) of the ut3rkers'e • pensation policy declaration page(shays ing the policy number and expiration date). Failure to .ccuie eragej.s ree,turt.-11 under 3.161.. c. 152. L5A32. rn:mill to?.aLon punishable It:. a lice up 10 S1.50t1(JO aud or one-:.car cuTrtsonanent.as oil as cri1 penallaes in the ton::o: i STOP WORK ORDER.ezd a fine of un to 52.50.4.1.1 clj. against the siolator. .A copy ifti Liternent ma> be lora arded the(Mice c‘f Irri.es;1gat1ons or the DIA for insurance cos crag,:'verification. 1 do hereby certify under th p s and penalties perfa Afar:nation provided above is true and currecl. Spnlatuse: 1 Official use only. Do not write in this area,ho be completed by city or bourn official. City or-1-33un: Ptrmitlicruse Issuing Authority (circle one): 1. Board of Health 2. Building 1)vplirtnteni 3,CitOms it Clerk 4. F.lectric:31 love-3-113r 5. Plumbing h. tither contact Person. rtAtmt 41; - - — Commonwealth of Massachusetts • ' 1113j) Division of Occupational Licensure •- Board of Building Requlations and Standards • C onsktitildiVtiOrviSor . .t...i ..r, . . CS-077279 .k. .,„7-7...z.,...i.f4-;-,•'7..1.'ci: qpires•. 06/21/2024. 1-VEIT A •'1;:!r-e* - k,:''';',•- STEVEN A S) i:41.,. -'. '-" 1...i.i, .01',,17.4-1, :,..• FLORENCE NI* 0106. . 1 :,,•• •?••• -- 1,1:,7 " .• -A. , '...; 0 .1,/: 7i: ..." ••••,,4 ,.-.,'. •-•'? •••.,.. .:/...1'!!' -s- 'All,••'),.. t•• "Nii;.:1,0 k ;so IlAirf: a"`t..,,il V. . • i' Oj ,. . r'urarrassioner d- a ff • . . _ . . . ... . • . . • . • THE COMMONWEALTH OF MASSACHUSETTS . Office ot Consumer Affaitf&rid Business Regulation 1000 Washingtoirv ,tr%Ots- Suite 710 ,...,+ B o s to nr-Ma ssaG1413Setts!..79' 118 -.g.... _-„,....-- _...;..;_, .. I Home Im ro .g:k6i-ifig.!,:kiti:a7c4o72,-. egistration • •-,', ------- 1::-, . pr". .. jj'i --hr-i&-:-7.,_ ..t...- '4-,-.4-t.L7---- r"i Type: Corporation - I...-. -,----oiti•---Ii....:.."-:-...7,:-."- i4 VALLEY X.H 6O0M62E7 IMPROVEMENT INC I ,..,A \ T. ii 0 024 r: -,,;. ---:,-.7*--7 rTh, • FLORLNCE, MA 01062 . • -‘,-,,-1/s%\7.f-:. 1 ,..1' ...-.' -...:7 i4s1M/ -,...-":.. . L ,, \ :,..:-:-.. -!.-1, -.._:.-__--'4" it,-.1 • r" .,. '-c=.1.-* k_.......4= / .r4t,,, -7. 7--7-V ,/,r7.v, • Vi''.'",,. .7..:.--;':',;', NO'riZ-ra:fril*-.7-Z.11'2,,• Update Address and Return Card. --- . . . . , • THE COMMONWEALTH OF MASSACHUSETTS - . . - Office of Consumer Aftages&Business Regulation ' Registration valid for individual use only before the HOME IMPROVE101,1-CONTRACTOR expiration date. If found return to: TYRES_ *AAR% Office of Consumer Affairs and Business Regulation • • .ftect! t 4*.;fabliation 1900 Washington Street -Stale 710 Vr AV''. 1.Ao..g lerl v.) Boston,MA 02110 . . /ALLEY HOMF.IMP RA V-- -*49 II7--4:•=1,1 1,-.A . . p: 11 1;4_1 /I .- . . . 3TEVEN A SILVERMAIV 7-4,, tii... 7 •':' • - . :LORF.NCE, MA 01062 l';'• -.' :?-7;--- '''''''.- 6..7 ,•-•!.....?;A.::...i:•...!:.-' Undersecretary Not valid without signature . ._-• . .