38B-228 (4) 61 FAIRVIEW AVE BP-2019-0665
GIs#: COMMONWEALTH OF MASSACHUSETTS
MW:Block:38B-228 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BASEMENT RENOVATION BUILDING PERMIT
Permit# BP-2019-0665
Proiect# JS-2019-001087
Est.Cost: $45500.00
Fee: $295.75 PERMISSION IS HEREBY GRANTED TO:
Cgnst. Class. Contractor: ,license:
Use Group: STEVEN SILVERMAN 77279
Lot Size(sq.ft.): 5532.12 Owner: FORD ANDREW L&MARTINE GANTREL-FORD
Zoning: URB(100)/ A-pplicant: STEVEN SILVERMAN
AT. 61 FAIRVIEW AVE
Applicant Address: Phone: Insurance:
PO BOX 60627 (413) 584-7522 O WC
FLORENCE ,MA01062 ISSUED ON.12/21/2018 0:00.00
TO PERFORM THE FOLLOWING WORK.-FINISHING PORTION OF BASEMENT, ADDING
EMERGENCY ESCAPE WINDOW
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:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 12/21/2018 0:00:00 $295.75
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
r.
File#BP-2019-0665
! -
APPLICANT/CONTACT PERSON STEVEN SILVERMAN
ADDRESS/PHONE PO BOX 60627 FLORENCE , (413)584-7522 ��
PROPERTY LOCATION 61 FAIRVIEW AVE �j
MAP 38B PARCEL 228 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLI ON CHECKLIST
EN OSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid rJ
Building Permit Filled out
Fee Paid
lypeof Construction: FINISHING PORTIONMF B MENT ADDING EMERGENCY ESCAPE WINDOW
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 77279
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO)IMATION PRESENTED:
__I,,/Approved Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
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
1z � c �
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.
r �s
OYO{OYIM'NO1dWVH1dON
1 ON10-line d0 1d30
Departmentuse.oly
�,. City of North pt stat of rfTllt
Building Dep me �urb Uv veway Pefmltt
/ Y
212 Main S eet se %sep `walta6ittiy
i 1-0t 'J Room 1 ^ + %Well vaIlabll�tji
Northampton, 01 6D! \I D O ets o Structural Plans
rry " phone 413-587-1240 Fax 413-587-1272 PlotFsitePlans a 4 "
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1.-SITE INFORMATION
1.1 ProperttyyAddrless: This section to be completed by office
f� ai*view �/71ei Map `-''' Lot .. Unit
Zone " OverlayDistrlct.
Elm St'District CB District
SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
bawtyel Fad Col Ri-eVlew 19W, Ab(+tQ.4G7 8661,54-b
Name t) Current Mailing Address:
��= —
Telephone
Signature cU
2.2 Authorized Agent:
i l�e�- P o, x bo�a�, �Iore�cL �- �►(�(�Z
Name(Print) O Current Mailing Address:
Aff z 413-5$�1- 522
Signature Telephone
SECTION3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building
'7'/
��O (a)Building Permit Fee
2. Electrical T (b)Estimated Total Cost of
3 yDU Construction from 6
3. Plumbing / U�{j Building Permit Fee
�j
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) Check Number
This.Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
S icicym @yal��e y�l I ro . CefY�
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
':;Y tt106G
Section 4. ZONING All Inforrhation Must Be Completed. iff"hot C Be D nied Due To Incomplete Information
lExisting -Trop ed Required by Zoning
i This column to be filled in
t Building Department
Lot Size
Frontage -
Setbacks Front
Side L: R:' _ L= R:
}
Rear __ _..
Building Height
Bldg. Square Footage 1 % ? '
Open Space Footage _ _ % /
Y r
(Lot area minus bldg&paved f
parking)
i.i
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever bee issued for/on the site?
NO 0 DON'T KNOW 0 / YES 0
IF YES, date issued:,.
IF YES: Was the permit recorded at the Regis of Deeds?
NO 0 DON'T KNOW YES C)
IF YES: enter Book Page; ' and/or Document#!
I
B. Does the site contain a brook, body of ater or wetlands? NO 0 DON'T KNOW YES
IF YES, has a permit been or nee to be obtained from the Conservation Commission?
Needs to be obtained ObtainedQ , Date Issued:
C. Do any signs exist on the pro�erty? YES C NO 0
IF YES, de/orthampton
typ and location:
D. Are there anhanges to or additions of signs intended for the property? YES NO
IF YES, detype and location:
..___.......__...___._..._ ._......__.. _..__._._._._..............__._..-----.__...__--------..__
E. Will the consity disturb(clearing, grading, excavation, or filling)over 1 acre or is it part of a common plan
that will disture? YES O NO 0
IF YES,then on Storm Water Management Permit from the DPW is required.
II
I
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition [] Replacement Windows Alteration(s) Roofing
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [0 Siding [0] Other[[Z]
Brief Descriptonof Proposed rY /VO STiLUG Ulm
Work: t'IJtst- ►N6 L;W -_ GY r- GA W )OWo
Alteration of existing bedroom Yes No Adding new bedroom Yes No G11016P ry
Attached Narrative Renovating unfinished basement _ �Yes No -
Plans Attached Roll -Shee
sa If Newhouse'and Ora. i d n to'existin'a hd�tsinct, camptete the fol[uwing:
a. Use of building: One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION: TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES:FOR BUILDING PERMIT
I,M�1 y�'jY1,L Wil!i1�"E "r-int /{tel r+�J r� as Owner of the subject
property
hereby authorize Gi 1Qet-t-"cu--7)
to act o y e relative to work authorized by this building permit application.
S ur of Owner Dat
I, 5-eA SJJer'Ma4 V as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
even Iver
Print Name
4
Signature of r Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: C Not Applicable ❑
Name of License Holder: C W,2 0-7-70-19
License Number
Address Expiration Date
Sig ature V telepfione
9.Registered Home Improvement Contractor Not Applicable ❑
Company Naphe Registration Number
D(o ? (P14 o i o&2 `I � 1-1 1 2v
Address Expiration Date
zV A& Telephone�'3 SgN-75ZZ
SECTION 10-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....... No...... ❑
I
J
City of Northampton
Massachusetts-
DEPARTMENT
assachusetts DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building
s
Northampton, MA 01060 J `SO
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
The Office of Consumer Affairs and Business Regulation("OCABR')regulates the registration of contractors and
subcontractors performing improvements or renovations on detached one to four family homes.Prior to
performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC").
M.G.L. Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion,
improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing
at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building"be
done by registered contractors.
Note:If the homeowner has contracted with a corporation or LLC, that entity must be registered
Type of Work: �efylc6el Est. Cost: S (�
Address of Work: (0 i Vt4r�I1�ly
Date of Permit Application: t l ]
I hereby certify that:
Registration is not required for the following reason(s):
_Work excluded by law(explain):
_Job under$1,000.00
Owner obtaining own permit(explain):
Building not owner-occupied
Other(specify):
OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED
CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT
ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND
UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK
PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION.
Signed under the penalties of perjury:
I hereby app l for a building permit as the agent of the owner:
l� l q ►��e mrn-�`' c. a 5 y 3
Date
Contract6r Name HIC Registration No.
OR:
Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property:
Date Owner Name and Signature
City of Northampton
r - Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS ?t
fi.
212 Main Street • Municipal Building
Northampton, MA 01060
Massachusetts Residential Building Code
Section 110.R5.1.2
Homeowner: Person (s) who own a parcel of land on which he/she resides or intends to reside,
on which there is, or is intended to be, a one or two family dwelling, attached or detached
structures accessory to such use and/ or farm structures. A person who constructs more than one
home in a two-year period shall not be considered a homeowner.
Section 110.R5.1.3.1
Any homeowner performing work for which a building permit is required shall be exempt from
the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s)
for hire to do such work, then such homeowner shall act as supervisor.
Such homeowner shall submit to the Building Official, on a form acceptable to the Building
Official, that he/she shall be responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to
time, during and upon completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153
(Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts
General Laws Annotated, you may be liable for person(s) you hire to perform work for you
under this permit.
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street •Municipal Building
1::::, s - •••tiaS`
Northampton, MA 01060
Debris Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building
permit all debris resulting from the construction activity governed by this Building Permit shall be disposed
of in a properly licensed solid waste disposal facility, as,defined by MGL c 111, S 150A.
The debris from construction work being performed at:
(�I FMrV itu) �imnue.
(Please print house number and street name)
Is to be disposed of at:
�Cwtm Rwa�cwl&, - (deo .
(PI a print ndFde and locatfon of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
(Company Name and Address)
Signatu of Permit Applican or Owner ate
If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the
Building Department as to the location where the debris will be disposed.
1
The Commonwealth of Massachusetts
Department oflndustrialAccidents
0
1 Congress Street,Suite 100
Boston,MA 02114-2017
www.mass.gov/dia
IN-orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERNUTTING AUTHORITY.
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): ;' _ i17(z"N-Pl'Y1.en+ t U41 L
Address:
I
City/State/Zip: V\a(er)a, V�s , (> (bb2 Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
LKI am a employer with__employees(full and/or part-time).* 7. 0 New construction
2.0 I am a sole proprietor or partnership and have no employees working for me in 8. M Remodeling
any capacity.[No workers'comp.insurance required.]
9. El Demolition
3.1 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10 Q Building addition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 1 L❑Electrical repairs or additions
proprietors with no employees.
12.Q Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ p
Roof repairs
These sub-contractors have employees and have workers'comp.insumuce.t
6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
IL
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: �(bet)la Disue-C ctc 6yn ? 1 l p
Policy#or Self-ins.Lic.M 0 U�1_1&0302-k 6 Expiration Date: 07 I 1
Job Site Address:- b I Fairy I Trw F t )rnui' City/State/Zip: N6>'
Attach a copy of the workers'compensation policy declaration page(showing the policy number and explration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify un r thepains and enalties that the information provided above s tru and correct
Signature: �pDate:
l
Phone#: a-
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street, Suite 100
Boston,MA 02114-2017
Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE
Fax#617-727-7749
Revised 02-23-15 www.mass.gov/dia
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However,the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply your insurance company's name,address and phone number along with a certificate of insurance.
Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members
or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees, a policy
is required.Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of
insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town
that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you
have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the
Department at the number listed below. Self-insured companies should enter their self-insurance license number on the
appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact y6u regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number.In addition,an applicant that
must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary). A copy of the affidavit that has been officially stamped or marked by the city or town
may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit
must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business
or commercial venture(i.e.a dog license or permit.to bum leaves etc.)said person is NOT required to complete this
affidavit.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street
Boston,MA 02114-2017
Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE
Fax# 617-727-7749
www.mass.gov/dia
Form Revised 02-23-15
Commonwealth of Massachusetts
®� Division of Professional Licensure
Board of Building Regulations and Standards
Const`�ct,�S§b"pervisor
tf
CS-077279 �� E�ires: 06/21/2020
l 1 '0l : rf
J I�r ' 'I
STEVEN A Si-VERMAN
268 FOM=R ROD
SOUTHAMPTON%yA-01073,--%• XO
/VC
j,SS I30�S
Commissioner C
gQ�n/�J?/�/�/�GI�PiC?/ �Office of of Consumer Affairs and Business Regulation
One Ashburton Place - Suite 1301
Boston, Massachusetts 02108
Home Improveme e"tziCaontractor Registration
Type: Corporation
r 1 Registration: 105543
VALLEY HOME IMPROVEMENT INC I "�^ �1' Expiration: 07/16/2020
P.O.BOX 60627
FLORENCE,MA 01062 �
.� _• �'
Update Address and Return Card.
41 b 20M-05/17
✓e r 121111 JMIU6'e¢�l�a�%�¢��¢c�cle�l�
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Corporation before the expiration date. If found return to:
Registr.`a`tion� Expiration Office of Consumer Affairs and Business Regulation
543 07/16/2020 One Ashburton Place-Suite 1301
f05Boston,MA 02108
VALLEY HOME(JTME-ROVEMEN. -INC
STEVEN A.SILVERMP,TI q
--
340 RIVERSIDEDR%'�- Not valid without signature
NORTHAMPTON,MA 0-66-2 Undersecretary
Aff AN HARVEY Manufacturing
HAr+vEv ORDER
Aff 0. BUILDING PRODUCTS
Harvey Industries,Inc.
1400 Main Street.Waltham,MA 02451-1689 Dealer Quote
(781)899-3500 harveybp.com Summary
BILL TO: SHIP TO: Springfield
175 Carando Drive
SPRINGFIELD,MA 0 1104-4327
Phone:(413)731-7700 Fax:(413)781-3116
VALLEY HOME IMPROVEMENT VALLEY HOME IMPROVEMENT III IIIwill
1111411](11lij
IIIIII340 RIVERSIDE AVENUE 340 RIVERSIDE AVENUE
PO BOX 60627
FLORENCE MA 01060-0000
Phone: 413-584-7522 Fax: 4135850820 Phone: 413-584-7522 Fax: (413)585-0820
QUOTE NBR OUST NBR' CUSTOMER POI ENTERED DATE ORDERED' ORDER TYPE
4522478 1030220 1 1 12/10/2018 12/11/2018 7:06:12 1 Charge
ORDERED BY STATUS SKIP VIA DELIVERY AREA
Steven Ordered Whse Pickup SPRINGFIELD WAREHOUSE
CLERK JOB`NAME COUPON
arc -Alyssa Cunningham Gantrel-Ford-Egress
LINE# " DESCRIPTION QT1 UNIT PRICE EXTENDED
10000-1 Slimline DH,Unit Size 36 x 49.5,RO 36.5 x 50 1 $227.20 $227.20
Unit 1:U-Factor=0.27, SHGC=0.3 1,VT=0.55,
HII-M-34-01523-00001,Size Options=Custom Size,New Construction
Frame Width(Inches)=36,Frame Height(Inches)=49.5
Double Glazed,Double Low-E RS,Argon Filled
Base Color=White
Plain Lock,Double,All Horizontals,Sash Limit Devices=Night Latch 0. �
Half Screen,Fiberglass Mesh
Integral J Fin,Receiver Pocket
Overall Frame Width(Inches)=36,Overall Frame Height(Inches)=49.5,
Overall Rough Opening Width(Inches)=36.5,Overall Rough Opening 36"
RO
RO-36.5'
Height(Inches)=50
Clear Opening Width=30.75,Clear Opening Height=20.3125,Clear
Opening Square Footage=4.34
E.Star Zone:North=Yes,E.Star Zone:North-Central=Yes
Room Location: None Assigned
This quotation is based on our interpretation of the information provided. All quantities,sizes,extensions, SUBTOTAL: $227.201
grand totals,and specifications should be verified by the contractor prior to his/her bidding or ordering of
materials. Harvey Industries,Inc.,is responsible only for the items as quoted above. Any changes or $14.20
addendums will be subject to a requote. We propose to supply the materials as described above,subject to
the terms and conditions as required by our credit department. The prices are guaranteed for 30 days from RDER TO'T'AL:' $241.40
the date of quotation unless otherwise noted. Delivery charges may apply and are not reflected on this
quote.We appreciate the opportunity to quote this job. If you have any questions,please call your local
warehouse.
CUSTOMER SIGNATURE DATE
Last Update: 12/11/2018 7:06 AM Page 1 Of 1 Printed:12/11/2018 7:07 AM
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PROJECT PLN E0
G o THI5 PLAN SET,COMBINED WITH THE BUILDING CONTRACT,PROVIDES BUILDING DETAILS FOR THE RENOVATION OWNER: INDEXOF DRAWINGS W E E
v PROJECT. THE LEAD CARPENTER SHALL VERIFY THAT 51TE CONDITIONS,AND DIMEN51ON5 ARE CONSISTENT WITH ` Z =
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THESE PLANS BEFORE STARTING WORK.WORK NOT SPECIFICALLY DETAILED SHALL BE CONSTRUCTED TO THE SAME PROJECT PROJECT SUMMARY 1 7
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a 1 l WRITTEN DIMENSIONS AND 5PEGIFIG NOTES SHALL TAKE PRECEDENCE OVER 5GALED DIMEN51ON5 AND GENERAL QTR fJLAL p�N pi TA A�p(O p�(+N� — ENOTE5.THE SALE bC ry 3
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o e QUESTION ARISES OVER THE INTENT OF THE PLANS OR NOTES.CARPENTER OR 5UB-GONTRAGTOR SHALL VERIFY AND V/ (Lco
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