23A-134 (26) BP-2024-0696
77 PINE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23A-134-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2024-0696 PERMISSION IS HEREBY GRANTED TO:
Project# PAVILLION 2024 Contractor: License:
Est.Cost: 62500 VALLEY HOME 077279
Const.Class: Exp.Date:06/21/2024
Use Group: Owner: HILL INSTITUTE
Lot Size (sq.ft.)
Zoning: URB Applicant: VALLEY HOME IMPROVEMENT INC
Applicant Address Phone: Insurance:
P O BOX 60627 (413)584-7522 6H62301-1
FLORENCE, MA 01062
ISSUED ON: 06/05/2024
TO PERFORM THE FOLLOWING WORK:
14X14 PAVILLION
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: 1/./..P
Fees Paid: $406.25
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
File #BP-2024-0696 2�7 O.
APPLICANT/CONTACT PERSON:VALLEY HOME IMPROVEMENT INC ?LA—. t/
P O BOX 60627 FLORENCE, MA 01062(413)584-7522
PROPERTY LOCATION 77 PINE ST
MAP:LOT 23A-134-001 ZONE
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Building Permit Filled out
Fee Paid 8406.25
Type of Construction: I4X14 PAVILLION
New Construction
Non Structural Renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans/Plot Plan
Driveway Grade%
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION
PRESE TED:
✓/Approved Additional permits required(see below) For all projects that need additional reviews 0
as checked below,please see the Office of Planning& Sustainability Permit page or scan here - •
ti
PLANNING BOARD PERMIT REQUIRED UNDER:§ ❑T , fur
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
Demolition Delay
/% E7 �- 5 .202y
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.
kECE1\iE:
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elt.0 o YYi. r i —Q., CA' ?
r� The Commonwealth of Massachusct N 1,
.Allr r.4. f Board of Building Regulations and Standards FOltf
. Massachusetts State Buildin Code 780 141$2EPT.OF BUILDING INS• IP t = IP:'1L!TY
�' % ' NORTHAMPTON,M••01060 USE i
Building Permit Application To Construct, Repair,RenovatiOi Demolish a Revised Mar 2011
One-or Two-Family Dwelling
e This Section For Official Use Only
Building Permit Number: tD 19'. 14 r !&q ct'I Date Applied: +
//e J (-5-ZDZY 1
Building Official(Print Namc) Signature Date
SECTION 1:SITE INFORMATION
1.1 Pru ert Address: 1.2 Assessors Map&Parcel Numbers
fit - __--
1.1 a 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 tsq ft) Frontage(It)
1.5 Building Setbacks(tt)
Front Yard Side Yards Rear Yard
L.
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.T.c.40,154) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: Outside Flood Zone?
- Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
-t11 iti -A-0 �icsac ( c Oiao2-
Name(Print) City,State.ZIl'
g'D g SA Lkl -SSy- i'-)2,S
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2 (check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 I Repairs(s) ❑ Alteration(s) ❑ Addition 0
Demolition O Accessory Bldg. 0 Number of Units i Other ❑ Specify:
Brief Description of Proposed Workz:
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Official Costs: Official Use Only
(Labor and Materials)._
1.Building S 4o 21 500 I. Building Permit Fee: S Indicate how lee is determined:
2.Electrical S 0 Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier_ x
3.Plumbing S 2. Other Fees: $
4.Mechanical (HVAC) S List:
5.Mechanical (Fire � e
Suppression) $ Total All Fetteat K dray
Check No.'4 heck Amount: qv�` Cash Amount:
6.Total Project Cost: $ (0 2 , 5 Dd C Paid in Full 0 Outstanding Valance Due;
431
SECTION a: CONSTRUCTION 5TR IVES
5.1 Construction Supervisor License(CSL) • 0-1-7 2,19 (0121 120Z4
rm License Number t.xpiration Date
Name of CSI_Holder
P. . €O>e ()( -1 List CSL'1'}ye(see below) --
Na and Street Type Description
ox b� Unrestricted(Buildings up to 35,000 cu.It)
Flt�("G'�`G'G �` Restricted I&2 Family Dwelling
Ciry/Tow , tatc,ZIP M I \vfasonry
i IMi ll�� ; Window and Siding
SF Solid Fuel Burning Appliances
Si?t{=t522. I insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
\jecuoiV stemC'^4- � �- ?TIC:Registration Number Expiration Date
f-TIC Company Name or HIC Registrant Name
9.o: O (o
•
No.and Street Email dddress
t.or.e_x^1C< mPr otO(o Z- `{�3-SBA—`1SZZ
City/Town,State,ZIP ;!_phone
SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.GA—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 c1( No 0
SECTION 7a:OWNER AUTHORIZATION TO BE COMTPI.RTEI)WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,as Owner of the subject property,hereby authorize V WE1 ut.,r—% 140y ti
to act on my behalf,in all matters relative to work authorized by this building permit application.
G y `li • - _ 16/z3/2o24
Print Owner's Name(Ete onic Signature) Date
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attevt under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to th b t of my knowledge and understanding.
Srr vo A. / V )€- f ' 57-021,--01G V
Print Owner's or Authorized Agent's Name(Electronic Signature) Date J
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered.conu•actor
(not registered in the Home Improvement Contractor(HIC)Program),will nut have access to the arbitration
program or guaranty find under M.G.L.c. 142A.Other important information on the HIC Program can be found at
',c;i Information on the Construction Supervisor License can be found at
2. When substantial work is planned,provide the information below:
Total floor area(sq. ft.) (including garage,finished basemenilauics,decks or porch)
Gross living area(sq. fr.)__ _ Habitable room count
Number of fireplaces Ntunber of bedrooms
Number of bathrooms Number of half/baths
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
Massachusetts ���' '.,
. , . tc . f
I' DEPARTMENT OF BUILDING INSPECTIONS ...,
;f 212 Main Street • Municipal Building '1 -ti
•
Northampton, MA 01060 sJ'i%jv: .4�,'\'
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:
Location of Facility: VuL.tCtl filie,ticA. I No/ }c,1^N
The debris will be transported by:
Name of Hauler: VcCnR1 z rr.Cr' in(--
Signature of Applicant: A.., Its._ Date: 512. 2,9
� The Commonwealth of.%Iassachusetts
• i---:,: Department of Industrial.4ccidents
•
‘• - > 1 Congress Street,Suite 100
Baston, MI.-1 0211.1-2017
• trww. pass-gor,'dia
11 utkrr 'l'nmpcncation Itrcu aotr.ktrnt-i sit_ Bcrihfrr-;(-untrartoss,'Electritia aluntbers.
10 BE FILED N I VIl 1 HE I'LR\l I t't 11(i All HORI 11.
Nam:
Information Please Print l_et_iblt
Narn L' ` t
Address: 9_b-- 6(4.4 (pO(O
city,ScateZip: __...._rr1Pr 0\P��;,:
Alt pun ea etaptu+er't bats tke appropriate boa: Type or project Irrgoired)-
I EXI::c a esn,so.c,.et Q nsrro o 1 atx;.r Nut-bees l' 7. J New construction
2. 1%ts a x�i tiruprtcts`ui Bart x-�hsp aal r��z rw ei +lvr.ti-b.a'i c: o nu.u: —
$. 21.Rrlrudrlir;
mar.acCs.:*.I?\u xt:4ra c irnF.imc:nn.c rulings.
q ❑Demolition
0:a2 a ta.xaLNan&nog ill Nutt.Jntal--�.(�ci M•:atti7a .l•LI;�.ails:Jl"s:u,::l'.1:ufiJ.
10 0 Building addition
4.O t_tn.a Immva tam sod+.tt!St brn:r_cure. 4.-t.,ra fc•c=r.Ji>:t aii +.e1t t'r.rr.,r_•1>:1v. 1 w t1I
coaur•that all t.u^L^.:tuna...ILL"have tasters ecn7•raat:.x.:merrzo t:r arc Electric al icl...uas or ad itsor.s
pr:Fodor.gut:no c-fvb)cc>
l 2.0 Plumbing rrpatrs ur additions
!am a b it:ra1 Luubociur Ind!have lured the atcb-antra tun hated to rht ana.•hed slxt•L
7bs�. i3 jRoofrepairs
nub-ematr a:tun 1 avc►xptutcr, G aoa! nt�wiar. **Amp.izstxr c.
14.OOthci
6.0 11 a acn a u p..it^:t.•a mar as ut".i to ka.c.i:lobe!dare nela:t ex.: t ua
I+14.1141.andw has (Nopart. a'car.sp tc.sttrar.:cr:yu;nt_J
•..n.arpinant:k+t rhecia him.1 nnat ttxl full txci tlx:sot•ti..n! .iou sbttt me th-4-1 x t rkers vornpm...a;+.+n rut in(vrrrutt.m
I Humuuuo•n tt'ta:submit fhb al:ida+it inthraltng tbcy are doing all x urn'and ttyz:hire vutasir.unlruiuta aunt submit a e.0 alTtdavu ih dxatux sa.h
4(.'untrs.!un that t'scl this him adaitvutial.k ti:'kw%smug Jac mums die.ats.cmer.s:-t.-mart.!hike vtlet=tot a:-t w4iix atbo trim
t.:.rluyn•. 1f ter bet.-.>sist ca l i.c t Etrym toss~ mu!rrt..16%-c •iiutit^.'tc17f ' c ruau,b r
I um an employer that is providing n orit rs'compensation insurance for my employees Below is the policy and job site
Information.
Insurance Company Name:
P�+licy »or Self-ins. L . _: 1Q Tt kQ�a1��jU�— I Expiration,Dote: 2. 12.02S
�
lob Site Address: 5 City'SLLte Zip (�,/t�, )( 1A- 01040Z"'
Attach a cape of the xsotketst compensation policy decLtraiion pane(shooing the policy number and expiration date).
Failure to sccure cos erage as required under MGL c. 152.$25A is a cnr:tins;'tiulatxln punishable by a five up S1.500.00
and or one:-year imprisonment as well as,civil paulncs in the form or a STOP WORK ORDER and a fine of up to S20.00 a
day against the violator. A copy of this stattmnent may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certtf}'under t6 p s and penalties perju nformutian provided abort is true and correct.
S2vn:11�.1kY: ,p l ' nit_ 512 t )ZUJ
Phone=:
Official use only. l)o not write in this arra.to be completed by city or town ojficiat
City or Too : --- Perinitil_icettse
• Issuing Authority (circle one):
1. Board of Health 2. Building;Department 3.('itr'Tonn Clerk 4. Electricai tn.prctor S. Plumbing In,pt.-etor
6.Other
•
Cont4et Person; t`tt:ttsr*;
Commonwealth of Massachusetts
It } Division of Occupational Licensure
Board of Building Regulations and Standards
Const cti�nitupe^rvi'sor
CS-077279 1 L „• spires:06/21/2024
STEVEN A Sl*VERitlA .; '.
PO BOX 606 1;{• 1. ,Y • 'a - 1.1 :.• h
FLORENCE lilt'A 01062tc, :(
t r5 }� . .''[.. r
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Commissioner t c, ,;:;;i::_
THE COMMONWEALTH OF MASSACHUSETTS
ZIY
Office of Consumer Affails and Business Regulation
1000 Washingt5r9,0 - Suite 710
Bostol.;Massachusetts 02118
Home Impro e n t-ractor�egistration
I s� �-_- `~ _." .w,.- 1, i
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-01 „-`=J` ' .'.�':-: ;,..,I Type: Corporation
*; ..^::-.3Ae • ation: 1055'43
VALLEY HOME IMPROVEMENT INC 1r"{ -
P.O. BOX 60627 :�`‘, ��_7 '� 1 ; E �il tion: 08/20/2024
FLORENCE, MA 01062 . t.4" � lk•;1
Y -�+'� ih.�
" .,,._ ''--" Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affai?sR8.Business Regulation Registration valid for individual use only before the
HOME IMPROVEMENTnCONTRACTOR expiration date. If found return to:
TYP_E..COporation Office of Consumer Affairs and Business Regulation
Reaistrat1otI 1=;0iration 1000 Washington Street -Suite 710
t�5 4Y`_^ -1. .081201kQ24 Boston,MA 02118
VALLEY HOME IMPRQAEM T IN J `.
STEVEN A.SILVERMA, ' ?'f4}:s -' :
340 RIVERSIDE DRIVE'=. =; .-_="' / �� . "
FLORENCE,MA 01062 ;-.7- �` �r
``'?' `- ' Undersecretary Not valid without signature
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Valley Home Improvement, Inc. PERMIT *SCALE SEE VIEW SHEET NUMBER
DATE.Y2Y20I♦
340 Riverside Drive,PO Box 60627,Northampton,MA 01062 Hill Institute
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Office Phone 413.584.7522 Fax 413.585.0820 FOR ILLUSTRATION ONLY.NO SCALE DRAWN By:CN.s.
Find us on the web at: www.ValleyHamelmprovement.com wyl.^.:SEI•
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Valley Home Improvement, Inc. 83 Pine St Florence,MA 01062 SCALE SEE VIEW
340 Riverside Drive,PO Box 60627,Northampton.MA 01062 PROPOSED DATE sR:Vtoi•
Office Phone 413.584.7522 Fax 413.585.0820 Hill Institute
Fold us on the web at: www.VeleyHomelmprovement.com DRAWN cv C Li S.
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Valley Home Improvement, Inc. • 83 Pine St Florence,MA 01062 ' *SCALE sEt At *SHEET NbMBER
CUSTOM STEEL DETAILS Dore 5,11,1014
340 Riverside Drive,PO Box 60627,Northampton,MA 01062 Hill Institute
Office Phone 413.584.7522 Fax 413.585.0820 DRAWN aY c ry S
Find us on the web at: www m m.VelleyMoelmproveent.com • • ner,oo•o
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