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23A-290 (6) BP-2024-0331 198 NONOTUCK ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-290-001 CITY OF NORTHAMPTON Permit: Addition PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-0331 PERMISSION IS HEREBY GRANTED TO: Project# ADDITION/DECK 2024 Contractor: License: Est. Cost: 150000 VALLEY HOME 077279 Const.Class: Exp.Date:06/21/2024 Use Group: Owner: MICHAEL MARTINDELL LOUISE M& Lot Size (sq.ft.) Zoning: GI Applicant: VALLEY HOME IMPROVEMENT INC Applicant Address Phone: Insurance: P O BOX 60627 (413)584-7522 6H62301-1 FLORENCE, MA 01062 ISSUED ON: 04/05/2024 TO PERFORM THE FOLLOWING WORK: REAR ADDITION PLUS DECK *the owner shall not add egress doors to the west/southwest side of house* 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: Fees Paid: $975.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner The Commonwealth of Massachusetts AIAR I Board of Building Regulations and Standards ' 5 2024 ,FOR ` Massachusetts State Building Code, USE 780 CMR 'MUNICIPALITY 5.+�`%>! - Building Permit Application To Construct, Repair,Renovate:bi:,Diymo 11.a.. Revi.ged Mar 2011 One-or Two-Family Dwelling ,,- ''I's This Section For Official Use Only Building Permit Number: 6/1 �,�' ?,...3/ Date Applied: 411—/ n5 // y-5.2oZy Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers l a$ Nonokuck_ S l.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 tt) Frontage(It) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.1,c. 40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private❑ Zone: Outside Flood Zone? _ Municipal ❑ On site disposal.system 0 Cheek if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: ] . lMalkl. liCLW .. c1.w tc:e tiv -' - 0Noc02 Name(Print) City. State,ZIP No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction El Existing Building I Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition ❑ Accessory Bldg. El Number of Units Other 0 Specify: _ Brief Description of Proposed Work': C c r- Eik, Ir a"- L+k IV e kr°c+- 4"9V.n.'n.s, _cOD "'� yl✓ xcG tic —He owL)lfrz. SH L _1001 ►4oro EGtZe-s4 1'S TO TI-(E bli EST/ 5(..N.)-1-HL JE Sloe OF Hpusr--_ SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Building $ ! br\ 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ S J CI Standard City/Town Application Fee " 1 0 Total Project Costa (Item 6)x multiplier x 3. Plumbing S 5j Ir( 2. Other Fees: $ 4. Mechanical (t-IVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees' 'Check No.`11 heck Amountq11) Cash Amount: 6.Total Project Cost: S l 5v Y� 0 Paid in Full 0 Outstanding Balance Due: SECTION S: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 077279 6-21-24 Steven Silverman - License Number Expiration Date Name of CSI,Holder I ist CSI,Type(see below) U PO Box 60627, No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Florence MA 01062 is Restricted I&2 Family Dwelling City/Town.St- e. II' Masonry RC Routine Covering „ WS Window and Siding SF Solid Fuel Burning Appliances 413-584-7522 info@valleyhomeimprovement.com I Insulation Telephone Intail address Demolition 5.2 Registered Home Improvement Contractor(HIC) 105543 8-20-24 y Valle Home Improvmeent __„ I IIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name PO Box 50527 info@valleyhomeimprovement corn No.and Street Email address Florence Me C1062 413-584-7522 City/Town,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 be No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize • to act on my behalf, in all matters relative to work authorized by th uilding permit applicati n. int Owner's Name(Electronic Signature) 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 accurate to the best of my kit wledge nderstanding. STEW) LS)t v 614444p Print Owner'sOt7Authorired Agent's Name(Electronic...ignaturet 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(HIC)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 www.mass.govloca Information on the Construction Supervisor License can be found at%VW .mass.govidps 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. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of halt Type of 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 rt. /tF Massachusetts ~ '.- Y R , t 3. o f. (,...... 'A DEPARTMENT OF BUILDING INSPECTIONS x' 212 Main Street • Municipal Building �, -,'`' Northampton, MA 01060 't/t1 ,} ,\� CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, 554, 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 Signature of Applicant: 1, Date: 5"" 1./" zy The Comntun►teolth of.%1assachusetts -- Department of Industrial'Accidents 1 Congress Street,Suite 100 717 _ Baston. .1i4 02114-2017 tyt)V)itmass.jotjtlitt 1l Ili kers' t`un►pensation Insurance.‘ffidasit:Builders:('ctutrariar':LI ctrie-iani Ptuuttrrrs. It)BE I ILIA)%if I III I III.Nk_KNII I I ISti Ail 1110R111. 1h1I$cant Infrtrutatittu Please Print I.etihh \ante 13u,1 �+ tlr.anazattstn Ind.%idualt Valley Home Improvement Addre,: 340 Riverside Drive PO box 60627 C itt state Zip. Florence MA 01062 . .. 413-584-7522 ter tttu an emptu%.r?t fur k Orr:+ptiroltIGOt'hart; I Iit of project lrequiredt t ant a..-niptv2.az wth. 18 ;:.<<...,stint and of pat tamt.• "' \t xt cursttruction .. I atn a tote ie€t+rttictan tw tz[31 nreiup and tuts at*,tstttt* t %%ati.ensr tiM ttae [jtirticrdt.Lau tt Ong astrs.rti \a raattiera'sinp_unnrunsc just s btstarua acting all work isirrt..za.°:taw aburae _-._ �) t)rn:ulttiun * 311.1 Uutldtta addition • I arts it butraa,tN tR i and tt sIl t being ax aitaslur,iu satndtltai art wruk t.nt, 1s3; ..•t• 3 .. I sn wsrc MA 31;e:310333.fttitns other Late tat>tksrt: ce*Lrttet-ttsation t istsrttnaC s*t ssae ++1. 1 i sD I:It_ira.tt re palls or additions pn.prtsa rt t tth su,craphrr 12.D Plumbing repairs us additietn% t AIM u}*t ni tal ctsrdit it+t and 1 hat c hard the ruh-crstaractot,ttstcd ettt rta::etrathcci ilt*s2. Hume tat*-eonitaiapis haw whir* yte.anti K.%e tt.tircr °comp.ramming,. Roo rL'p nr' Hume a()diet t,0 1Nc asst a.t"t;snoimis and rn tr(tissn hat c ctcrt.r.:J€fsia ngltt ttta%..nti+ttam ttst'Mt —— i�.t. 1.and ttc hat crva:trrhn r+.Isitttraker-a•%r mp irimaartc.:ro.nan7ti •At%ajt♦`ttG3rtt teue riti.t arty t11;intt 11%, tq It.,t'3.****i i 'Era 1M1t117st7, Gt'-apti11,.111,,a,.::.. t'.I.' t.,': 1-39ttu033tr.1t xAhttut did sltt..144 1 ttsslmcating tits „3t437 33.133331it a;l*eatk aad'tacn lue.. 13,1tie.,ru-jar trn,t,.ur t 3.!a r.c.,. .._ ,i i.:;t . •t_..ttttar'ctr,th;tt.aec1.this txx>aloes attatlxt art atl.3130. 141 Asir,:+tn.*133r:`tti:wscu ii rnt 4.44 -1.ttsct. au tat.+ tt,:in.: .;n t la,. .14 t.i . . cAtph,Aes, It[l:-,t.t.,;crnircner14has ih .r r;tuA pry.*air Elsa •tutkt sa.inna 1 ant an employer that is providing wcrr ers"compensation insurance for my employees. Below iA the polity and jab site information. Inairant e Cttuttt,:r., :::1nc Arbella Insurance Group Puhi� =or St:It-1ns.l.,c 0055030215 i..,ptritiun Date: 2-1-26 Job Site A JJtest t°� (�( .CYVOc J_. t C'tt� State Zip. '�erA mom' O O( 2 a Attsich a cops oldie aurkers"cumpensatitiu polias declaration page(ahoy tng the policy number and expiration date). I:aitt tt:to sce:ute:eta eratrt as required under 4"1CL e. 152.§25A is u.:rtnmtitl t tulutitm punishable by a tide up to S I.500 tt0 arul or one-seat trripziwntmnt.as t44:11.:s ^.it penalties in the font)old STOP WORK.ORDER and a line uf up to S250.(0 Ja :i;rutnst the ttuhtor.A cop} tit'this aJtclitint in he fora:uded tt%the of Inct° s; Of the DIA for insurantc co%a:]L'i tt'r11sC;ttii"ti_ I do hereby certify unetr-r the pal rtnultiet t/prr,rl, It'in/or/nu/ton pre,.tried t+b it a it true and twrreRct. �/ �:_tt.lttuc. - ://‘' ti t. J 2 Sty 413-584-I522 J/ pEnq:. =. U/prinl use only. Do not write in this area.to be completed by.city or roam afliciat ( its or Too n: Perrnii'l.ireuse i„uirtt;Authority, tcirclr one!: 1. llo,ird of Health 2.Butldiu, Ucp:trtinent 3.(nit t:Tin%n Clerk -t_ Electrical Inspector 5, hhitnttin< Iatspec-ntr b_ other ('t►tttact Person: (hour#: Commonwealth of Massachusetts �� • • Division of Occupational Licensure •• Board or Building Reggulations and Standards 1'1I T' Const �ion$ pervisor .r CS-077279 ,• `- llcpires: 06/21/2024 STEVEN ,_ ,. 1E,,.' A S) VERl4 y4'r %r T,.t �ik1`l �t,'u . PO BOX 606 i:i. c.,;I fi�; Y - r�i1 k�tj• . FLORENCE 14.1 0006 �� �_ ri; �;11 t • ii }tit.. J 1. ..,11l I.f 'YCII.I,dil,,• � '°' 1i I't . r'^'^^':ssicle: n(1• � 'A , . r • THE COMMONWEALTH OF MASSACHUSETTS Office o{ Consumer Affa•i' a d. Business Regulation 1000 Washing le_{ - Suite 710 Bosto =Mass- 0—us91 cso9 118 - ' Home Im ro .e 9-swJ— rac v ewstration • - • • (tr, 7 L �,.:.'. • , Type: Corporation • VALLEY.HOME IMPROVEMENT INC F e 1.} ation: 105543 P.O. BOX 60627 F ¢,j ation. 08/20/2024 FLORENCE, MA 01062 = e • \‘.71:1 ....._— • ,_, ,...r Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affa.irtql.Business Regulation • Registration valid for individual use only before the HOME IMPROVE 1('PONTRACTOR expiration date. If found return to: 1G� TEL... LpiRati.ort Office of Consumer Affairs and Business Regulation Regi• ifi •;••,:tai 1000 Washington Street -Suite 710 • W1,1' _ Boston,MA 02118 4 LEY HOME `'.IMP17p� tT 1 - +�„ • • TEVEN A.SILVERMAI Li - r • . . t0•RIVERSIDE DRIVE;: ti / • _ORENCE, MA 01062 :,� J y'• ""K�•+�` "� A- / I,/��� " Undersecretary Not valid without signature