23A-188 (5) BP-2024-1099
136 SOUTH MAIN ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23A-188-001 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-2024-1099 PERMISSION IS HEREBY GRANTED TO:
Project# BATH RENO 2024 Contractor: License:
Est. Cost: 29600 VALLEY HOME 077279
Const.Class: Exp.Date:06/21/2026
Use Group: Owner: M COOPER RICHARD E&CATHERINE
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: 08/29/2024
TO PERFORM THE FOLLOWING WORK:
2ND FLOOR BATH 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 Drive ay 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:
sr
Fees Paid: $222.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
1=1z
_._ 4116, _1
The Commonwealth ofMassachusett. oFA OQ
r i :, 1, Beard of Building Regulations and Stan.. - • Nop gUgo/N �, r ,� IT?
CO 9 Massachusetts State Building Code; 780 CMR timro,� A FAT/olv USE
Building Permit Application To Construct,Repair,Renovate Or Demolish a 4's' d.d i•2011
One-or T'ii o-i ar.:11V Dwelling
This Sectioh For Of::al Usc Orly
Building Permit Number: /fir'^d-'to I ell , Date Applied:
tU1A-1 / Zs // 8-21 zoz i
Building Official(Punt Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Pr•oper Address: 1.2 ASSeSSOrs Map& Parcel Numbers
t � .�o� , Crl _.._
1.1 a Is this an accepted street?yes_____ no Map Number Pi,.-cei Number _
173—Zoning Information. - —`-1 —Property-Dimensions: - ----
i
Zor:irg District Proposed Use i..:•t Area(sq fi) Frontage in)
1.5 Building Setbacks(ft)
Front Yard. Sid:Yards i Rear Yard
Required ! Provided Required Provided Required Provided
1.6 Water Supply: (\1.G.L c.40,§54) • 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: Outside Flood Zone
Puhiic 0 Private 0 — ' Meni:ipal 0 On site disposal system 0
Meek if yes❑
SECTION 2: PROPERTY OWNERSHIP'
Ownerl of Record:
_ - 't _ tcXerzce otC�(0Z
Name(Prim) City,Stale,ZIP
�co atAliel ()Oath Yth S Lit3-sG3-egSY
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 Repairs(s) 0 1 Alteration(s) 0 Addition 0
Demolition -Ell Accessory Bldg. 0 ' Number of Units Other C Specify:
Brief Description of Proposed Work2: 2 I F>b O1L A &m i) ram.. • i j ty
__ AIt5 t T'b I�R A rst i�� o Q r r tl
S wlif
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item Official Use Only
(Labor and Materials)
1.Building S 2-62 0 bb 1• Building Permit Fec: $ Indicate how tee is determ.:ned:
❑Standard CirytTowr Application Fee
2.Electrical s 406 ❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing s 3� COD 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire --
Suppression) $ Total.All Fet : rp 1 '?
Check No.4/I Check Amount: ( Cash Amount:
1 6. Total Project Cost: $ Z1 6,Ob 0 Paid in Full 0 Qut>;tandins Balance Due: i'
SECTIO..v4: CONSTRUCTION SERVICES
S
5.1 Construction Sutrer,Rsor License(CSL) 0-I--7 2,-7`i G i2.1 Izo 4
• t.a~r'N I'-' o.V Urn ce r, - License Number Li_pi.rvion Date
Name of CSL Holder
'' j List CSL Type(see below)
Q b. v o n 2T1.-(. C)( — — •
•
No. and'Street
Type Des rip-ion
7 U 'Unrestricted(Buildings up to 35,000 cu.ft.) •
R Restricted 1&2 Family Dw:'.iing
Cs}/Tow ,�ta:e,ZIP + h� Masor.t
•
•
.�� !J "A41 RC Rooting(revering�. f , , WS Window and Siding
SF Solid Fuel Sliming Appliances
Lkl "SS(k=?SZ2— • T ( 1:nsulation
Telephone _ _ Ema;I ad Tess D Demolition
5.2 Registered Home Improvement Contractor(ftC) •
e c'-v3.` Ty lc._ MC Registtzti on Number Expiration Tate
HIC Company Name or TiiC Registrant Name
No.and Street Email address
F-1O.r c< CrSv o tob'Z 4-t13-Sgti--1S22-
City/To;tn,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 (lithe Issuance of the building permit.
Signed Affidavit Attached? Yes . 1 ' No... _......❑
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_ k Sr vcn erv-LQ.r—N
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print ner's Name(Etecronic S gnature) 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•h•st of my knowledge and understanding.
STt va< J A. t V )2 A/v er 7.v 7 ,
Print Owner's or Authorized Agent's Name(Electronic Signature) , Da:e
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. I42A. Other important information on the HIC Program can be found at
;;Ww.ma_;c s;v;oca Information on the Construction Supervisor License can be found at w'a"w rr.ass.o !dps
' 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 offireolaces _ Number 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
L�za3achusetts �" --- "
if( J
\:":,:y1- ;_ . .
(,,_
rl
- DEPFi r E r CP BUILDING INSPECTIONS
212 !fain Street • Municipal Building �. eti%
Northampton, MA01060 'i;'I•i_I'\
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: \lialle.3 e CJ 1 No/ eta-,
The debris will be transported by:
,iAtName of Hauler: \i 1A R- ,,-- rr,(.nvt (—
Signature of Applicant: a Date: S12.612(1
The Commonwealth oif fassach i et.s
Dcparrzneitt of Indnstria1.AccidetrL
1 Congress Street,Suite 100
'} ii ' Boston, MA 0 y114 2017
• tt'tcts:t;rass.c of/din
ii w l.rri'('ar:p>`tmrx:iari In rr recr.�lf3sd ti u-KGsidcr�'< c t:-FtsnrxLtccinlz--..>1P ..ISa s�.
TO BE FILED\\TIT! THE t'ERMI rl INC;. ( •I'IIORITI.
Annticarlt Information �zPlease Pr
i�ntt
Nam: I_cz<ibtt�
!L'tai^ass U:^'+^P..+-�1„`II LLrlt-SL�•i^I t: �i1\ ,1.3, 1� -C) . .= L-'.�� •.... 2v-
� e �_W LC
Address: '.(. CDUAP
City::State;Zip: '-LC>r' -�c-.0 (MP,- 0`Phone r: �` �� � �- ` 52?-..._ ._
Are pea an mapt•.),etc!Cherie the appropriate bras.: •
-I'}pr tlf Irrujrct (respired)
I.®;am a tawal:n•cr r r:5 L l irayt..s.tF¢ xa t as nun-•rtm-t• 7. 9 NCt1 CCxUti tIVIRJ:1
—2-0 I Am a axk t or:aaplu:sea-s N gnat• tat cm:a fit. 21 Remodeling
arts c sty.[No wwE:-n' ir=ft ace rtttu'rctt l
1 ._ Demolition
10 J.za a Ir.nb..tt•a:tn tern.: t!t waA total t7.f\o waci.-s .at:L itu:era.:aytanat.]
10 0 Sioldit addition
4 O I is a ho r"lit::md+arc E•c bat;urn afts.;ra i z VA aal Y k OD 3,;-c-last.. J IA `
• c ua:n ii al ati 1.1.11^r3:la7 tact M.:A.cra itet tae.n.a tea :ctu a•:are.a,L I I 0 Fh'c trtcai r:parrs or additions
Fn;vicwrs with er.:u--.lob_o. ^-•�
I J P.Lrnbin_r-parrs ur additions
ui.a g_nral turlrs!Jf tall I t•:ve Lu.vd th.x3_-vatretvn t� i:t cm:^r a[utiscd atl `a
tb.�.al3rctratramssa. ,c c:�c.cn a na kJ%c w.Lza'avrap. cz>ca- c. ! 13 D Roof repairs
h Q'At are a cs:rpo+auc and_,ol'.in:a hat c v�at.as-d Isar chat of ct.�u ca a-r\:t:L: I 14.0 Other
J §!i•Ii.:DtKYIiJ1r9Dt.1 1u'- .t'CwWk-CP,. :C.1ir : r_.;Jute:.:
'Any a,�,���:Vaal,:hole box:1:mat obl.¶1!col LSx sevhon hiss%.t...t.;nt then..tri.cT c',r..;+..•r:•.ainm pdie- iafanrulitvt.
Homci:oncra tttl t submit Ohs at!i av tatLcal:g they are Slifer=-t o uri.ant!!two htr t'.L9llt: s ura 1)1S1 atkraal 11 AaN aItdavil g ditjL,:C such
:C'onz :on.O ai cbrt this boa sa`•st attada-tJ sa atdezhksai ah r:ah.o.tag:It asat cJ to.46-6t.,unsCfiJL1 sal gale w tath:-wort t j,, mist.Este
a•ap!a.:..-, t7 seb—ctr_`::_sa 1=-+c Itws=.etc-,s•.ut pro.1c tear WuLta s cp.relit t otar:s.
I am an employer that is prorlsnc workers•compensation insurance for my employees. Below is the polity and job site
information.
Insurance Cutrpany No.ine7 -S,J(NS C4.lnCCG
Policy=or (Q �OYa�2J(3\-- ` Expiration 2•
on Darr: 211 l Z ,$o2 r
Job Site Address: k \n
aril tJs City State Lip: QtOQ
Attach a ropy of the workers' compensation policy declaration page(shouting the policy number and expiration dart�.
Failure to secure coverage as required utxtxr`IGL c. I5'.125A is a c is:laid.I.iolaron punishable by a tine up to Sl 00.00
ar.:L'or ore-y=r imprisonment.as well as civil panics u he form of a STOP WORK ORDER and a fine of up tta S250.00 1
clay against the violator.A copy of thls statement may be forwarded to the Office of 1nveaiigalsons of the DIA for insurance
coverage verification.
I do hereby ecru,fi'under th and penalties perm • nfor motion provided above is true and correct.
•
Cranaturr:
81 111
Phoae
Official use only. Do not write in this area.to be completed by city or town ofciaL
C'its nr Town.: • rrritaitieeit'r
Issuing Authority(circle one):
t. Board of Health 1. Building department 3.('io/'Tonn Clerk 4. Electric-al Inspector 5. Ptunihing Inspector
G. Other
•
•
• f'tvaact Per au. lstaatst#;
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
Type: Corporation
VALLEY HOME IMPROVEMENT INC Registration: 05542
Expiration: 08/20/2026
P.O.BOX 80627
FLOiENCE,MA 01062
Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of,Coeeunter Affairs&Business Regulation Registration valid for individual use only before the
HOME IMPROVEMENT CONTRACTOR expiration date. If found return to:
TYPE:Corporation Office of Consumer Affairs and Business Regulation
Registration gxulration 1000 Washington Street -Suite 710
t0.5643 08/2012026 Boston,MA 02118
VALLEY HOSE IMPRO 1EMENT INC
f
STEVENA.SIL ERMAN �• .340 RIVERSIDE DRIVE ` ` 1//:
i. /J /i %f�%,1 .._.
FLORENCE,MA 016&2
Undersecretary Not valid without signature
Licensee Details
Demographic I.nformaiio i
• Full Name:__. .. Steven A Silverman
Owner Name:
License Address fnforniatiort
City: Florence
State: MA
Zipcode: 01062 •
:Country: United_States
License Information
•
License No: CS-077279 License Type: Construction Supervisor
• Profession: Building Licenses Date of Last Renewal: 5/30/2024
Issue Date: 6/21/2010 Expiration Date: 6/21/2026
License Status: Active Today's Date: 8/1/2024
iSecondary License Type:
Doing Business As:
Status Change_Reason: License Renewal
Prerequisite Information
r .
No Prerequisite Information �......,_. .,.....,.... . ..,. . _ :.•,
No Available Documents
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-a.. NEW CHERRY VANITY p
NEW TILED SHOWER W/RECESSED NICHE `— %
FRAMELESS GLASS ENCLOSURE __ v ) _ CALACATTA MONT VANITY TOP AND BAC<S 14I
i F' _ RE USE LAV FACUET7.1
NEW EXPOSED SHOWER VALVE/TRIM I .-) R :- \ NEW VANITY LIGHT-SUPPLIED BY OWNER e
NEW PANASONIC FAN AND LIGHT • u.° `
LED CEILING LIGHT TO REPLACE SCONCE
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REMOVE ACCESS PANEL/MAKE WALL SOLID
EXT 2261— 2 i
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NEW TILED BATH FLOOR BATH _.. . LL
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.5 0 is
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LEVEL SLOPE IN FLOOR TO ACCOMMODATE _ ----- .::01 I t gi
LARGE FORMAT TILE(12 X 24) . / REMOVE AND RESET TUB I i
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EXT 2468 I
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PROJECTPLAN = . I PROJECT NOTES - 71
OWNER Cooprl NAT 1,1 T VT OMWINOS C O'.. li
TES S SE-GOMBMEOWRN TIE EUIdNO CONTRACT,PROVIDES MIITTCS OITYI NMI TMI RENOVATION PROJECT DE LEADCIMIdRN LOLL TRIE !M!!. E a-�
VERIFY THAT SITE CONOTONS,NO ONENSMSM COIMMTNI WRN DEW PUNS WORE STARTS(..POPP WON(NOT SPECFYNIV OFT.FO
WTI N ISI TMIl CO N CONSTRUCTED TO NE SANE OUNInN M SRM WORK TIWEOSTASL WOW O ALL WO OVAL ME
L SE OCNE NACCOMTERNATOL PROJECT ISI .SA Suw, JOB STATUS Q t ; s
L
MIIONO NO LOCAL CODES. ADORE It Fb.OR... MA PEXISTING ROPWED FLOORCOMMO PLAN ? 0 a
WRITTEN OOEIENNS AM...ono NOM WALL TM PEIx0NIN OVER SCAM 0/NEMICOPI AO OETCRAL NOTES TIE YLE PER•OMVFSIWER ELECTRCAL.DATA I“VAC N AN se?
LOLL ER 0000.TFO FOR CLAPICATON IF WEE COMMONS M EN.ROW O IIAT P E Of SERENE STINT DRAW F O6pEONONS ARE FOND N f 8
I
DeRAM OR NOTES.OR FA QUESTION PAWS OWN TIC MINT OF TN PUNS ORNOIEI GMLNTER ON MS.0 TRACTOR SHALL WADY.ADP C)
ftIM EIL E.R.O.OREIEONSpCIaC MCKIM 0.00I011L ct g li
µ A TRADES LINLN PRAT A CLEAN WOW KAL RE WOOF EAO1 WOW OAT 71. 0
REAP RE AOOTIOINL NOTES GLIM OUT ON OOER SEITS > LE: L}i
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