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31A-269 (11) BP-2024-1205 43 DRYADS GREEN COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31A-269-001 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-2024-1205 PERMISSION IS HEREBY GRANTED TO: Project# INTERIOR RENO 2024 Contractor: License: Est.Cost: 74000 VALLEY HOME 077279 Const.Class: Exp.Date:06/21/2026 BERTONE-JOHNSON REID W&ELIZABETH R Use Group: Owner: BERTONE-JOHNSON Lot Size (sq.ft.) Zoning: URA Applicant: VALLEY HOME IMPROVEMENT INC Applicant Address Phone: Insurance: P O BOX 60627 (413)584-7522 6H62301-1 FLORENCE, MA 01062 ISSUED ON: 09/23/2024 TO PERFORM THE FOL L O WING WORK: COMBINE 2 BEDROOMS INTO ONE, NEW BAT!! 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/Chimne}: 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: 17-2. Fees Paid: S555.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner {JUWCIWI Gf I Ve/IUrJV IV.J.3!%. I GJRIV[JY'YVYV-J I VG-VVI VfI I I'f /r- >7- -� rt The Commonwealth of Massachtitsetts P e Board of Building Regulatio ad/ tandards ' 6 2024 UNICIPALITYR FO Massachusetts State Buildin de,,,7111 o; , ohyr, USE Building Permit Application To Construct, Repair,Retrc ;f Z; " a Revised Mar 2011 One-or Two-Family Dwelling °j0bo Ns This Section For Official Use Only Building Permit Number:60e a•c•I I 20 Date Applied: Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Pro erty Address: 1.2 Assessors Map&Parcel Numbers 190 aatS El,f4-1 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(sq fc) Frontage(tt) 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 CI Private 0 Zone: w_ Outside yesFloo Zone? Municipal 0 On site disposal system ElCheeck if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Reid Bertone-Johnson Northampton MA 01060 Name(Print) City,State,ZIP 43 Dryads Green 413-687-8935 rbertone©smith.edu No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 2 Owner-Occupied 0 Repairs(s) ❑ Alteration(s) 2 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:_ Brief Description of Proposed Work2: Combine 2 existing bedrooms to create new Primary suite with walk in closets and new bathroom SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building s Gc K 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical S K 0 Standard City/Town Application Fee 0 Total Project Costs(Item 6)x multiplier x 3. Plumbing S /c 2. Other Fees: $ 4.Mechanical (HVAC) S List: 5. Mechanical (Fire S Suppression) Total All Fees: $ ,.� j� Check No.46-20/Check Amount: Cash Amount: 6. Total Project Cost: $ 'L(r\ 0 Paid in Full ❑Outstanding Balance Due: - W it-x3oL !J 05 Tp i i Te-riP p ) W 1?rti� �0 0g T'��,+L p g'4 5 r &P1rti, 4-23 uocusrgn envelope IU::53A3/t'zJ-bUb4-4U4b-91 UL-Ubr r,#\1 14L;Ut 9 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CS1 ) 077279 6-24, Steven Silverman License Number Expiration Date Name of CSL l!older List CSL Type(see below) U PO Box 60627, No.and Street Type Description Florence MA 01062 Unrestricted(Buildings up to 35.000 cu.11.) dilijR Restricted 18t2 Family Dwelling City/T'o wn.St. �f r M Masonry / /\ RC Rooting Covering / L` WS Window and Siding SF Solid Fuel Burning Appliances 413-584-7522 info@valleyhomeimprovement.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 105543 8-20-26 Valley Home Improvmeent HIC Registration Number Expiration Date !ITC Company Name or HIC Registrant Name PC Box bossy. info©valleyhomeimprovemert.com No.and Street Email address Flarence MA 01062 413-584-7522 City/Town,State,LIP 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 Er No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize \,) t A >CrN Sllsw -�•, Ito ictnotrnj w behalf,in all matters relative to work authorized by this building permit application. uoc6ail__ 9/9/2024 4,4 \--Prt4h41 0}1 4attnre(Electronic Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties F perjury that all of the information contained in this application is true and accurate t '"hest of kn i L.; and understanding. 767,1/ Print Owner's or Authorized Agent's Name(Elej,1171 Signature) U c NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owncr who hires an unregistered contractor (not registered in the!tome improvement Contractor(I-IIC)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 www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov dps 2. When substantial work is planned,provide the information below: Total floor area(sq. I) (including garage,finished basement/attics,decks or porch) Gross living area(sq. IL) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type or heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" Dowalgn Envelops ID:33A37F23-80B4-4D48-8102-136I-C;A114ccd9 City of Northampton • Massachusetts �Q+.• ,� •er fir `. 4. a DEPARTMKNT OF BUILDING INSPECTIONS \ ��`� 212 Main Street • Municipal Building ��b.. cs • 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: Valley Recycling,Northampton Location of Facility: The debris will be transported by: Name of Hauler: Valley Home Improvement Signature of Applicant: JL Date: /JU g pp 1 /2)-1 The Commonwealth of Massachusetts ; Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 0211 4-?017 Ktx'w.mas .goi/ilia 11 vticrrt'(.amp¢astau insurance.‘fradas ir. Bnikler ('ouerarior v Electricians:Plumfirrs. TO 13E I ILEi)%%1111 1 Ht: r)K.11 1-11.1(; At I IIORI1"1. Applicant Information Please Print-Leiiibllt Name tBut.•CSC Crc.nizauoi led:sidut1 \4f1� S��t_ �� ,ex-�ictu.1_ AddrLss:2 b f) (.DU(O a� - 0\0(4)2 City;State;Zip: inO' Phone• Are you as cnouple►er'(-back Our appropriate box: T,patof project(rrquirxtil): 1.0l an. r L8 kw c s.s A [-rT n»•c�>t'u�I:reels r3tb4,n.•,s + ?. Nru cvttstzut:twn .j I aJll a sc ptuprx•ttr Vt patU)t711trr1 aa1 pace x.encloyecx w mkt tvr tco u: i S. Remo ielin`4 an) {Nu M.;tlt7a. 1mur_r_.1 rcyvs.-11 J t 9. ❑ Dvr.wlition 30 Aa l 3 hu14:30vA11C1 60t.-1g.113 NIA sa}Scl1 J\u a•.sla> ..Y.i",f.atursss.: 1 o 3 Bu)ltt:cs addition 4.01=1 areaal»a:aatl'•ill tti 12=:=..ectr..s ice, .:n.tx.x.9 %e l or rn+.rpria:R !od? Braun th31 all euntra•:ur,ertla-r etc. i.utiCh' t:turass,.i.r.ez.,... 110 Fkctri al reparm or adtrltion.s prurn.i.m with au citopluyeex. 12 0 Plutnbtn rt-patrN ur addittun, .50lam rsI.unlnalur coal l lav;lured the stabrvans:Cum tsslrl ul tc:nathcti ab ct TLvc sub-:...ctrxwn ta,c. :131a)vch r. 1-4%t-ur ^•s .taclp. 2sa rt•U.. 13-. Rlwi'rrpslr> 6.0 e am a tu-xr-twa arid 3+ui:urn!a.c:xrn aced dam:r_u bt t c�.. t:.ce per : 14. Other t!2.4314J.soar% tint:O0 empkn cca.{\ti p l.r,l‘rs .ztrrip :r..Wr.SAY retr.nrea. ---- 'Any I mast atx tel:out t is ac.hun!ad.r.,lw.Ir.: d, t w oricn':urrrix-nvallor.rt li.- inf•mtoti m. ttu:tavwtrrt-wbo subntot ova u11t.kl,tl tnthcatuu:ttwy Us:dune.3t1 anti aral lbeu hen uut.aulc cunt/a.1cva mug>u'ttut a neo alfilut It uallcalutj au►h :C'unrraOura tltit ch.xk!ht.hoc cigar atLrtct3 sa :wtrcal jag'rz.vm4 alder Ls+cot',ts.t.x>;.1.race w 174,7etc: at'[t_tu,c c�LL.,leas t t.•the at.b-r sirxAga t u,c.7tglvy a a,t 1.. stoat rn s urc lam: - iL-a .tap Ft:la!ca= a I am an employer that is providing workers•compensation insurance for my employees. Below is the polity and job site information. Insur.ince Company Name: t t-lGt• ;rljl t�r�t Policy or Sat-in 1 ��s.Lis. =: (Q (o 3 ^ l Expiration Dlrc: 2 ` i \ZO25 Job Site Address: `tz) Ofticurl.s r&r9 City State Ztp: 'Roe .' + ' t4•f'n 00)67- Attach a copy of the Workers ccuupeisalion policy declaration page(sha»ing case policy number and expiration date). Failure to secure coserigc as reyus.-ed sunder`iG[_ c. 152. 2.5A is a criminal siulzt on punishable by a tine up to S1.500.00 and Or one-year imprisonment.as a d1 as co:11 ptmlides r the tetras of a STOP WORK ORDER a_^_d a firs,of area L}S25O.CO:s day against the violator.A copy of this statement ma) be forwarded to the Office of Ins.t.-sugabons of the DIA for insurance coserage scrification. 1 do hereby certife ander th p and penalties perju ',formation provided abo•e is true and tarred. Sp,1112UJti: Date: Phone k`t: Ofcial else only. Do not mite in this area.to be completed by city or town official • City or Torts: 1'trrmitl"l.krnae Issuing Authority(circle one): I. Board of Health 2. Building,Department 3.t'it/Ti sn Clerk 4. Electrical Inspector S. Plumping Inspector 6.Other COntact 1'cr%atis:__ Phttur c 11; 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: 105543 Expiration: 08/20/2026 Q.O.BOX 60627 F ORENCE,MA 01062 t . Update Address and Return Card. THECOIVII ONWEALTH OF MASSACHUSETTS Office of Consumer 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 Regfs_fratlon Pipl.raljcAn 1000 Washington Street -Suite 710 105543 08/20/2026 Boston,MA 02116 VALLEY HOME IMPROVEMENT INC • s-rEvatA`SIL1iERMAN Sao RIVERSIDE DRIVE r,f:, /' �� L . , r�i rLORL•-?+7CE,MA CIteS2 ;Undersecretary Not valid without signature Licensee Details Demographic Information . - - ••-• - --- • • •• - - -- -- • • _. - F-u-WN—a—me-:. ------------ --------------.. -.: Iiii-A-S-Ferman , ip_wp_er.Nam.e: .. License e Addrss Information ... .. . .. . . . .. ....... _ .... .. .... . . . State: MA , Zipcode: 01062 Country: United States _J License Information ------•-•••••• -• • •- . ILEerTi.e-Niit CS-077279 License Type: Construciiiill 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 Secondary License Type: ID son: License Renewal • s toai tnugs Bcuttnn7gses As: Prerequisite Information .• • Nx9.220attettf21.mjiLiorL.,......„ ,,,.. . ... ...,.., _,.. ....,,,.......,„..,,......, „ r.-.......:a b..,,,SZ,drzatt,••r.,11C,. ..rt 1,1V Z.,::=M:ZJIIRSI=PIC.,....'„,2IWYCJC,11t ' No Available Documents __ _, • • - • 1 •