49-039 BP-2024-0929
673 PARK HILL RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
49-039-001 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-2024-0929 PERMISSION IS HEREBY GRANTED TO:
Project# KITCHEN RENO 2024 Contractor: License:
Est. Cost: 50000 VALLEY HOME 077279
Const.Class: Exp.Date: 06/21/2026
Use Group: Owner: M.TRUSTEE BUNNING, CAITLIN
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: 07/29/2024
TO PERFORM THE FOLLOWING WORK:
KITCHEN RENO
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: /Z.
Fees Paid: $375.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
RECEIVED
The Commonwealth of Massachusetts JUL 2 3 2024
•.4)t� Board of Building Regulations and Standzrds _MUNICIPALITY
fis Massachusetts State Building Code, 118O DCFMR S T OF BUILDING INSPECT .JSE
Building Permit Application To Construct,Repair, • T A°'°6° Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Date Applied:
4..)it.) /» /G / Ze) zvz.Li
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Add s: 1.2 Assessors Map&Parcel Numbers
03 vatic- Flit( Ofdact
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1:3-.Zoning.Information: -1.4 Property Dimensions: W— _-- ........ _-
f Zoning District Proposed Use Lot Area(sq ft) Frontage(R)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard .
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private Zone: __ Outside Flood Zone? Municipal 0 On site disposal system
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2 ON-nerr o ecord:
Name(Print) City,State,ZIP
(c-z? Pa Lk_ 1,-�,..1 (Lek - 5tot-7057)
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 1 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units ! Other Cl Specify: ,,
Brief Description of Proposed Work': n GIN wf1�CCle� #- /kr if
C PJO - IA( ( �S. AO < w , i c c'
Silk zvl - re�1- . c.J J L vfcergre 43 h
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
(Labor and Materials) Official Use Only
1.Building S 4 1. Building Permit Fee:$ Indicate how tee is determined:
0 Standard City/Town Application Fee
2.Electrical $ 0 Total Project Cost3(Item 6)x multiplier x
3.Plumbing S iJ 2. Other Fees: S
4.Mechanical (HVAC) $ ------- List:
5.Mechanical (Fire $ .�"�
Suppression) Total All Fees:
Check No.4601 D Check Amount I' ' Cash Amount:
6.Total Project Cost: $ too p Paid in Full 0 Outstanding Balance Due:
i
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 01`7 2,1 9 (p 121 I20Z-4
t.re.n A S t\Vim✓r-v-,an License Number Expiration Date
Name of CSL Holder .
List C5L Type(see below)
Q-V . goy � O(' 1 Type Description
Nu.and Street
FIC.I!-Grr tC'G `'A-Pr 0X 0 102' U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted t&2 Family Dwelling
City/Tow , tate,ZIP M Masonry
RC Roofing Covering
///jjjAAA /14..-'- WS Window and Siding
SF Solid Fuel Burning Appliances
4-kl. -SIN-- 7S27- _ I Insulation
Telephone Email address D Demolition .
5.2 Registered Home Improvement Contractor(MC)
t\Jt Lk'4 Tin -- __
.tcmt•-v} '-1rZC„ ����(� BUD on
2Y
�"'� Hie Registration Number Expiration Date
HIC Compa y Name or HIC Registrant Name
-22g tk. GIG— I2U-lp-Z�I
No.and Street Email address ---. ___ _- __
'�L4leXZGc i(no r O tC)o'2- 41�j-S'St{-,S2�
' 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 Cir 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 1 kk-St 4c. -, S 1 qrr -,
to act on my behalf, in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Si t 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 accurate to th t of my knowledge and understanding.
STt vE� A. / le 111 • lD I he (z9
Print Owner's or Authorized Agent's Name(Electronic 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(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at
www;mass.sov/oca Information on the Construction Supervisor License can be found at wwvv.rnass.guv•dns
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 half/baths
Type of beating 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
• 0 0 ��5-•:' ..Jf
�J Massachusetts
7 • :I,,
�.:.� ��� DEPARTMENT OF BUILDING INSPECTIONS t'Ps: ski
212 Main Street • Municipal Building
Northampton, MA 01060
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: \kale..3 e .tCL4_.r IN10/ 4--,
The debris will be transported by:
Name of Hauler: 4.A.Uti J047, rrVn.4 Irt�--
i
Signature of Applicant: j' Date: 0M2-s-i
The Commonwealth of. fttssachusetts
Department of Industrial Accidents
1 Congress Street,Suite 100
Boston, :%1_4 02114-2017
wwtc:mass.go/dia
\1 urfarrs'('uumprrttttion lrxnrsare.&WWrdarrin: Bniideryi 'attract►ats,'LkKriciam•`Ptumbers.
1()BE FILED%%It'll 1 HE FERMI CI IN(. t 1"HORi71.
Annlicant tnformttl_tion Please,Print Legibly
Name I BlittIneSS Ot-o ,sabot.teas\b:tsrl f. JV\t /M,\ -L-ciarjA2cuN,yenaen,tL Uri C.
Address: 'Q.b. (,QOt.O —1
0\Ulo22
City;State Zip: c-korerlc,c_ rnPr Phone :':
Art%ao an rapttner".Cheri tile appropriate boa:
`` Type of project(Irquilrrd):
3-®!am ae:splcRLr .ab l esa;t`»ray 17u'iJENSw;ue.-trml• i. 0 N. 1% construction
aru s>< pRpi,att�ur parUx-a4rp alai ha,t " 2i. 125
1�Cft±Ut�r tl n
art%i.-4=i% (Nu wuttters'Ltixts .uaia r ix rcyctant(
9- 0 Demolition
3❑1 em a baDD uw:irt dense aII wtrk m}arlI- �u t\aria s :u r;+..ra;tra ii 71.-4:12n,1.
100 Budding a\!tlitrun
.373+3 ht,ricittrwa:sad wait tC s .z. rac".xa ki.cntk Y a•1 wt-1 tc ta.;r Marti I w!J
ert.,trry that ail tuntracturs crd*y ha,•r•..tvim'eirnr naat:.n in aranur or a:r x,k 1 1.�Electrical repays or additions
petTrtclt•ra u tth Du trnpiuvec3A
Plumbint repairs or additions
gcnrnl tutitrahx anal I btve(turd flu:aubzucitio,n Iwtd un tilt artattacd alx-ct.
71s�c sub-euntraLTun ta,c. a11Y t art?has aarsen•ot�cp.ts.+t:.ani‹. 13 IZ��J1 t:p iU.
6 a an:a%.,i,T traiatan as l a of icir a bloc 2tta,�.et!tL.v rehi rI-.t.nrcoaaa pet VA
14.LJOthei
l}'.Qlt-i t.sal Me1trirDatapJ(stea.j'uwurL.za taarip ,rsta-an:tr:tluirtn
•Ana applimuT thaw sheds b =1 must abio fill t.ui t i %`akin ta•l.••a ttx.,ttn;the.+,.arlcr,':n:7„raai Ion;elk) tf amati.en.
Huu1.v,+t_era%oho submit Lea atlitla,rt inahuating tbe% arc dutiii aJJ hurl and then h:ir,.L•t:tank cer.0 ii wta O1U?t%ata it a at•„af!idavii tulaa-a uti such
:('urn rr:ura that shed Isis tell CILIA attaltarr!as-J,bautaai at:.t•t a&o•x rnr:he taert:ae.J t.•ouh-ruaa-acb ra.aol,rase w!a:her ut mot thuae scy kcaw
tarspk yo.•a, tf dae acly»ol'actrxa Lr.e ca plir.sra dar►alai rri .idle then vui ttia-.zrap p.. itt ntsuber.
I am an employer that is providing workers'compensation insurance for my employees.. Below is the policy and job site
information.
Insurance Cutnpa.-1y Name.
Polley =or Self-ins.Lk.=: (}1(0,-1 t ktj;- (\�—�f I Exptratien Date: 2.1 l 12„92S
Job Site Addy«.,: (0-M City State.Lip: C}'to(e [_
Attach a cop) of the workers' compensation policy declaration pane(showing the policy number and expiration date).
Failure to secure co%erage rt nerved uutkr`IGL c. 132. I;25A is a tTirntnal'N.iolatnon punishable bs a tine up to S1.500.00
axxi'ctr one-year imprisonment.as well as cavil ptnultics sa the &u m of a STOP WORK.ORDER a foe of up to 50.00 a
day against the violator. A copy of this statcrnent rnty btr forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby err*,under tJt ' s and penalties perju nfurnation provided above itf s true and correct
` t0 I
Sinatasr: Date.. I la 1`''y
Phone=: t'`k.43-- (��Ul=7)Cj22
Official use only. Do not write in this area.to be campkred by city or town official
City or Tnnn: Perttrittieetts.c x
• Issuing Authority (circle nine);
I. Board of Health 2. Building Department 3.City/Town Clerk •t. Ekctrictrl inspector S. Plunthinn inspector
6.Other
Cotttavt Pet-Nutt; Itbtttrr tIF:
1
Commonwealth of Massachusetts `
`7) Division of Occupational Licensure
•/ Board of Building Regulations and Standards
Constiik1i fs �i visor
CS-077279 �' r i cpires:06/21/20216
rr ,.".!' 1,,
STEVEN A Si VER it r + ,
PO BOX 606 i:y r {r v+l
• FLORENCE 1�A 0io•si, .: ....•1 t' . i
,fib. ''.., • ••I', J� '� «`
`
Commissi.^.r.er ^) n. A s6--:;;J
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Aff ,,,a„•d Business Regulation
1000 Washin �t� Suite 710
Bostori Massacla psetts:0 2118
Home Im ro�ete�tftadfT- e ist ration pl
ir''t .. - r- -- Wi :2v Type: Corporation
f t i ' '1 — is ation: 105543
VALLEYHOMEIMPROVEMENT INC
P.O BOX 60627 : - w E ton: 08l20/2 024t�.k ... ,
t'
FLORENCE,MA 01062 i . ---:- ;.. w ,
\:-F._, 'c.--._ - IV
•,,,....q--;-:„- -7:;9
` _1 Update Address and Return Card,
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairt4 Business Regulation Registration valid for individual use only before the
HOME IMPROVEMENT CONTRACTOR expiration date. If found return to:
TYPEoiyord_tior3 Office of Consumer Affairs and Business Regulation
t s_; .
i E> lration 1000 Washington Street -Suite 710
'‘.'X ''25 Boston,MA 02118
ALLEY HOME IMPR..6 EM .431 -i
i s
,--...i
TEVEN A.SILVERMAt .`• it •:
1-0 .,0 RIVERSIDE DRIVE' , • - ' 1,,,,,gN. a.(
LORENCE,MA 01062 ***. �" ;
Undersecretary Not valid without signature •