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38B-127 (2) 40 COLUMBUS AVE BP-2019-1006 GIs#: COMMONWEALTH OF MASSACHUSETTS Mao:Block:38B- 127 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:Porch Enclosure BUILDING PERMIT Permit# BP-2019-1006 Proiect# JS-2019-001659 Est.Cost:$18000.00 Fee:$117.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor. License: Use Group: VALLEY HOME IMPROVEMENT INC 077279 Lot Siu(sa,B.): 10497.96 Ouvier. JOELSON JOHN M&JOANNE LEVIN TRUSTEES Zoning,URBII Nly Applicant, VALLEY HOME IMPROVEMENT INC AT. 40 COLUMBUS AVE Applicant Address: Phone. Insurance: P O BOX 60627 (413) 584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON:312712019 0:00:00 TO PERFORM THE FOLLOWING WORK.•REBUILD 14X16 SCREEN PORCH IN SAME FOOTPRINT 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: Qi 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 3/2720190:00:00 $117.00 212 Main Street,Phone(413)587-1240,In:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2019-1006 APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC ADDRESS/PHONE PO BOX 60627 FLORENCE (413)5847522 PROPERTY LOCATION 40 COLUMBUS AVE MAP 38B PARCEL 127 001 ZONE URBO 00V THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid n Buildina Permit Filled out t Fee Paid Tvoeof Constmction:_REBUILD 14X 16 SCREEN PNEIZU4151 SAME FOOTPRINT New Construction Non Structural interior renovations Addition to Ezistine 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 INFQRMATION PRESENTED: Approved_Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Imemnedime 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 EM Street Commission Permit DPW Storm Water Management _Demolition Delay �� Signature of Building Official 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. Department use only City of Northampton Status of Permit Building Department Curb CWDnveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Avaaablity -\, Northampton, MA 01060 Two Sets of Structural Plans phone 413587-1240 Fax 41&587-1272 Plot/Site Plans APPLICATION TO CONSTRUCT,ALTER REPAIR,RENOVATE O DEM ILY kELLING SECTION 1-SITE INFORMATION MAR 1 4 2019 1-'U6- 7" 7 1A Property Address`:_' his section to be comp) tedb office 40 Cv1umY.vs Air— Me DEPT OFg LtQIBB INSPECTio" Unit �T�1�— MPrtIN-4f Zone Overlay District Elm SL District CB District SECTION 2-PROPERTY OVRIERSHIPIAUTHORUIED AGENT 2.1 Owner of Record: -S]CAYIYu. Leiiu \+F wi Tf]G��Y1 �t� tW1'1�7US F�(1Q dD1oL Na (Prl Current Mailing Add �fi'�� Telephone igna re 2.2 Authorized Anent: 3J r'jen c d je-rmLtn P-C)'Q) `� b0(ow). Fwer-)C[_ Mpr C>%a Z Name(Pr nt) Current Mailing Address: 4lb-584-1522 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed bennIt ap licant 1. Building O OoG (a)Building Permit Fee 2. Electrical .�, (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee I 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Gbp ' Check Number This Section For Olfidal Use Only Date Building Permit Number Issued: Signature: Building Commissioneranspector of Buildings Date - rYit+ch @Ualleyhametrnprueerne�i.edrr� EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING Ait Information Must Be Completed. Permit Can Be Denied Due To Incomptete Information Existing Proposed Required by Zoning This column b m filkdm by Bed&na Dquam ut Lot Size 0 Seb.1Front Side L:=,R:= 1, L:=R= Rear Building Height Bldg. Square Footage �_-'� O % C �– Open Space Footage (Lot area mom bldg&pa c � E #of Puking Spaces 1 Fill: A. Has a Special Permit/Variance/Findin ever been issued for/on the site? NO Q DONT KNOW YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES IF YES: enter Book Paged and/or Document# B. Does the site contain a brook, body of water or wetlands? NO ® DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: F— C. Do any signs exist on the property? YES Q NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES © NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. i SECTION S DESCRIPTION OF PROPOSED WORK(check all appiicahle) New House ❑ Addition ❑ Replacement Windows Alteradon]s) Roofing Q Or Doors D T Accessory Bldg. ❑ Demolltien ❑ New Signs [O] B11 LOIuC , Docks Siding[0) Other[E Brief Description of Proposed Work 14 ,41 S�lPN ^cH -54eFY( PQI f54 ` E ttvx Alteration of existing bedroom_Yes 7-No Adding new bedroom Yes _7" No a 150 6, Attached Narrative Renovating unfinished basement _Yes -- Plans Attached Roll {Sheet/ ba. 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 Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Numberofslorles? 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. floodplain_Yes_No j. Depth of basement or cellar Boor below finished grade k. Will building conform to the Building and Zoning regulations? Yes_No. I. Seplic Tank_ CitySewer_ Private well City water Supply SECTION 7a-OWNER AUTHORIZATION:-TO BE COMPLETED= OMPLETED WHEN OWNERS'.AGENT OR CONTRACTOR APPLIESFOR BUILDING PERM6 I. JO2nn1 4- '2mOs—a l as Owner of the subject property hereIs authorize V!}S t 7fPltY.(1 St Iueema n I, a n my half,in all matters relative to work authorized by this building permit application. L ccna``ture of Ovaror Date I, lsTPxMn Sr I uermon /bF2 as OwnedAuthonzed 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. ev Print Nameq Signature of Own r en Data 2/ / / SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed ConstructionsFi�Supervisor C Not Applicable 13Name of License Holder: , n V IIVQ,f1'cery 0770,p/ License Number IR mer w , a 16-73 to1af leo Address - Expiration Dale 5"q�il torr!— Teleplwne 9.ReoIisItered Home Improvement CorLtra'etOr : - i �..x. ''ssT -'. tJf eS� Not Applicable ❑ yn 1APU nme.-'VV"(2y-p\1n� I C 55N3 Compamv a I Registration Number Oto oio o2 1 j 11 12-0 Address -Expiration Date I� 771� Telephone 113-58H-7SZ SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L a 152,g25C(e)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this afidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... 10 No...... ❑ City of Northampton f.."{�. Massachusetts- �r S` •.fir ® is DEPARTMENT OF BUILDING INSPECTIONS 111y 212 Main Stzeet • Municipal Builth, 4 T Northampton, I 01060 .��•� AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application - The Office of Consumer Affairs and Business Regulation("OCABR')regulates the registration of contractors and- subcontractors performing improvements or renovations on detached one to four family homes.Prior to performing work oa such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration,renovation,repair,modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner4ccupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be done by registered contractors. Nate:If the homeowner has""contractedr�with a corporation or LLC,that entity mast be registered rhG Type of Work: c.r-ar,P.Crt C(r t^_ -y f nairc&&� Est.Cost: B�� Address of Work I{O (n),"N bub p Date of Permit Application: Z- I I hereby certify that: Registration is not required for the following reason(s): —Work excluded by law(explain): _Job under$1,000.00 _Owner obtaining own permit(explain): _Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT ORENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBH.ITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury I hereby apply for a building permit as the agent of the owner. 1�a ll ar �rnc�✓bSCmdl�;In� i0�5�13 Date Contrac Name HIC Registration No. OR: Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property. Date - Owner Name and Signature - City of Northampton Massachusetts I1 fi DEPARTMENT OF BUILDING INSPECTIONS ® ; 312 Main SC eet a Municipal Building Jy , Nort =pton, ! 01010 1'1 Massachusetts Residential Building Code Section 110.85.1.2 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. Section 110.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s) for hire to do such work,then such homeowner shall act as supervisor. 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 Erre to perform work for you under this permit. I ' City of Northampton C Massachusetts i fK �.1RT1ffiiT OF BDILDZNG INSPECTIONS 212 lYin Stz.a[ �Nunicapal lulla.' NexNamp[oe, MA -1.60 Debris 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 property licensed solid waste disposal facility, as.defined by MGL c 111, S 150A. The debris from construction work being performed at: . 4� CC�1M�S F�ccrx�, (Please print house number and street name) Is to be disposed of at: Rt ngWe rill . f fie 10 (PI a pont n e and locallon offacility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) zM: iA Signature of Permit A icant or Owner Date If, for any reason, the debris will not be disposed of as indicated,the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. i a - The Commonwealth ofMassaehusetts Tworkers' Department oflndustrialAccidents 1 Congress 4 021 Suite 100 Boston,D1A 02114-20277www.massgov/dia Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. AvyUcant Information 1 _ 1 Please Print Legibly Name(Business/Organ¢ation/Individual): �I,F(�}Ip(Or �Fro\1ernei rt , —alC. 2� " � Address: ?D-bDA LoNo.Wl t t'iN� l',LUe,fS�,G�YtVG City/State/Zip: FAD(erX — VAVIOlbb2 Phone#: 13-58N-15a'a' Are you an employer?Cheat me appropriate box: Type of project(required): Lgremaewloyerwid, 18 mpbrees(fillmNurput-time)" 7. ❑New construction 2.❑I am a sole proprietor or perneraup avdhave vo employees wnrkmg furore b 8. ®Remodeling my capacity.[No workers'comp.insurance mqu;red] ).❑Iamahavaowuo-doing am woskmYself[No workeri comp.W.enmvicertgssvedlt 9. Demolition a.❑lamahomeowmer and will be hvivg wvmcmrsmcovduct eawark ov my ptopo-ry. lwiu 10❑Building addition enure Nat eScwwctors riNa haveworko-a•compenatiov fiamance orare sole 11.0 Electrical repairs or additions papretoas Was no employees. 12.❑Plumbing repairs or additions 5{:]r am ageueral conbac r eud I baw hired Ne sub-contactors listed on the attached sheet ❑ reP ivsmmm.t 13. Roof airs rhesesub�wbacmrs have empbYec+mdhave wodrtrs'comp. 6.❑We are acm ,eudonand ke officershaveexennedthevught o£exua vapo-MGLc. 14.❑Other 191,§1(4),avdwe have m enploYess.Mo workers'comp.bs�uavicerequired] 'Avy app5cavt Nat checks box#1 merit also 511 out Ne uc5mbelow slmwivg they workers'compcasatiov policy mfo®atwv. f Ronmwvrnwhosubmit Nis affidavitindie gNeyarcdoingZworkand Nurhireou¢Wecanh movistsubmit auew af[du,,anIi tagsuch. 1Covhacton Nat check Nis box mus[attached®eddinmW ahee[uhowWg Ne name of Ne sub-contactors and sdte wbeNer or ve[Noac m55es have emplryxs. If the subconbacmm have mpbYeu,Nry mart Pmvidc Nes worker'romp.policy unmber loan an employer that isprovidingworkers'compensation insurance for my employees Below is the policy and job site information. ((ll Insurance Company Name: kttc.l)Qiis1 -(lJr7'6 Y7Y vp Pohey#or Self-ins.Lic.#: 001�-50302\e) Expiration Date: a) Job Site Address: yO &-g= City/Stme/Zip: FNO1O(8O Attach a copy of the workers'compensation policy declaration page(showing the policy number and expir tion date). Failure to secure coverage as required under MGL c.152,§25A is a criminal violation punishable by a fore 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and enaides of erjury that the information provided above is tug and correct Signature: i��q m`/ / Date' Phone#: `t�b--_ 8q--16g-• Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/Licease# 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 4: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajand enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please till out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)camels),address(es)and phone nomber(s)along with their certificate(s)of insurance. Limited Liability Companies(ILC)or Limited Liability Partnerships(LIR)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number fisted below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be we to fill in the permit/liceme number which will be used as a reference number. In addition,an applicant that must submit multiple permit/licease,applications in any given you,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in_(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year,where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOTrequired to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel.#617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person m the service of another under any contract of Erre, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However,the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply your insurance company's name,address and phone number along with a certificate of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. Han LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also he sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Deparmient of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom ofthe affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/licease number which will be used as a reference number.In addition,an applicant that most submit multiple permit/liecrue applications in any given year,need only submit one affidavit indicating current policy information(if necessary). A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street Boston,MA 02114-2017 Tel.#617-727-4900 ext. 7406 or 1-877-NIASSAFE Fax#617-727-7749 w rnass.gov/dia Foam Revi ed W-23-15 Commonwealth of Massachusetts �J Division of Professional Licensure Board of Building Regulations and Standards - Consl�tt�}I$U'pRrvisor �I CS-077279 :> � E;pires:0612112020 _ f STEVEN ASI{�IERM ^ 268FOMER Rd ��r}���+ttl �''V ` C SOUTHAMPTOaFP.A-010 3 v ?; 11O7.r5;dam Commissioner C'z Office of Consumer Affairs and Business Regulation One Ashburton Place - Sulte 1301 Boston, Map.achusetts 02108 Home Improvemd C�Aontractor Registration a Type: Corporation VALLEY HOME IMPROVEMENT INC .f Registration: 106543 P.O.BOX 60627 Expiration: 07/16/2020 FLORENCE,MA 01062 1 d n Update Address and Rehm Card. G 1 o aaM-pall? .fe 05nmm..d.t�,A�ialJavP Js((S Wee of Wnsuarer Ptfalrs a Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Comoradm before the expiration date. if found return tee islr'ti boiretion Office of Consumer Affairs and Business Regulation , OTp6t2o20 One Ashburton Race-Suite 1301 VALLEY HOME-_ .wC Boston,MA02108 STEVEN A.SILV Am �: \,2CC�P--340 RIVERSIDE/) NORTHAMPTON,Mfio7BG2 Undersecretary Not valid without signature