31A-175 (2) 32 MAYNARD RD BP-2019-1077
GIS #: COMMONWEALTH OF MASSACHUSETTS
Mao:Block:3IA- 175 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TOTHEGUARANTY FUND (MGL e.142A)
Categorv� Bath reno -- - BUILDING PERMIT
Permit BP-2019-1077
Protect# JS-2019-001751
Est. Cost: $23500.00
Fee: $152.75 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor. License:
Use Group? VALLEY HOME IMPROVEMENT INC 077279
Lot Size(so. R); 7492.32 Owner. WELCH EDWARD 7]R
Zoning, URB(100)/ Applicant VALLEY HOME IMPROVEMENT INC
AT. 32 MAYNARD RD
Applicant Address: Phone: Insurance:
P O BOX 60627 (413) 584-7522 Workers Compensation
FLORENCEMA01062 ISSUED ON:4/212019 0:00:00
TO PERFORM THE FOLLOWING WORK REMODEL 2ND FLOR BATH
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 Occuoancv Signature:
FeeTvoe: Date Paid: Amount:
Building 4/2/20190:00:00 $152.75
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck-Building Commissioner
File#BP-2019-1077
APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESSIPHONE P O BOX 60627 FLORENCE (413)584-7522
PROPERTY LOCATION 32 MAYNARD RD
MAP 31A PARCEL 175 001 ZONE URB000V
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
E SED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Buildirm Permit Filled out
Fee Paid
Typeof Construction: REMODEL 2ND FLOR
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 077279
3 sets of Plans/Plot Plan
THE FO WING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF ATION PRESENTED:
V 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
Z2y/-&/9
Si rte 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.
Department use only
City of Northampton s`ratus of Permit
lF Building Department curb CWOnveway Permit
- ) 212 Main Street Sewer/SepocAvailabildy �f`
Room 100lit-
Wate�NVell Avadabtldy
Northampton, MA 01060 Two Sets of5trlikural
phone 413-587-1240 FaX413-587-1272 PlouSae
Othe'rSpeatyt z �'
APPLICATION TO CONSTRUCT, VATEOR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION t-SITE INFORMATION Y
1.7 Property Address, MAR ? r� ZQ)9 This section to be completed by office
as ffb,yno4d R Map Lot Unit
nr r
moPTNc , on r,�A 1u Overlay DiStrmt
i El.St District CBDistrict
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: 1��
WdCh 4. 51-&noLjo e'l as QLaz oa dd
Name dnt) „n ' Cunent�Ad ess:
(((("')(lam(,/.` bio-a99-5o9s
( (Mti . Telephone
Signature
2.2 Authorized Agent:
5l P.?rY SI��er nc� P.p.C�ox l�o�a� �lorencc_ M!a oleX 2
Name(Print) Current Mailing Addr..i
Y j-584-1522
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS-
Item Estimated Cost(Dollars)to be Oficial Use.Only
completed by permit applicant
1. Building a U[) d (a)Building Permit Fee _
2. Electrical 606 (b)Estimated Total Cast of
Construction from 6,
3. Plumbing 5�o BuildingPermit Fee . .
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) ,JQD ' CheckNumber 3
This.Section For Official Use.Only
Date -
Building Permit Numbs
r ' Issued. L/ q/'
Signature /-/-`y//q'
Building Commissioner/inspector of Buildings - Date
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
Section 4. ZONING All Informati Must Be Completed. Permit Can Be Denied Due To Incomplete Information
leolotiog Proposed Ralmind by Zoning
This calumn to belittled laby
Building Dcpazmmt
Lot Size
Frontage
Setbacks Front
Side L: 1 R L:! R:I_! �J
Rear =--- !—�
ESquwe
�' !
tageage&paycd
j I
#of Parking Spaces
Fill: �_� __,.I� i;.
(volume&LacapoaJ
A. Hasa Special Permit/Variance/Finding ever een issued for/on the site?
NO 0 DON'T KNOW- Q YES Q
IF YES, date issued:,^
IF YES: Was the permit recorded at the Registry of eeds?
NO Q DONT KNOW 0 YES 0
IFYES: enter Booki Pa e�_I and/or Document#��
B. Does the site contain a brook, body of wateA� Dtate
? NO ® DONT KNOW YES
IF YES, has a permit been or need to be othe Conservation Commission?
Needs to be obtained Q Obt , Date Issued:
C. Do any signs exist on the property? YES NO Q
IF YES, describe size, type and location:
D. Are there any proposed changes to or additintend for the property? YES () NO C)
IF YES, describe size, type and location:E. Wtll the construction activitydisturb(clearing, graon,or filing over t acreoris itpadofacommonplanthat will disturb over t acre? YES Q N
IF YES,then a Northampton Storm Water Management Permit from the DP 's required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alterations) EA Roofing ❑
Or Doors El
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [E:I Siding[0] Other[1:1]
Brief Description of Proposed
Work gR, k,( 2rI? rl hAfi{ WO C�g4ey D 2��vj(L - NUGGIa. jQ fb
Alteration of existing bedroom_Yes�No Adding new bedroom Yes 7,No �Am'Tf .
Attached Narrative Renovating unfinished basement _Yes �[ No (/
Plans Attached Roll Sheet)
ea.ff.NeW house an&or addition to'existinChousing, com6lete the fol[owin%
a. Use of building: One Family Two Family Other
b. Number of roams 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?
E Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
L Is constmction within 1001.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
IIAGENT
II G'',^E,N.^T.IIOR'.CONTRACTOR APPLIES FOR BUILDING PERMIT
I. 114 tt '�N! d r5h&nrxn P.�0�7✓D , as Owner of the subject
property
hereby authorize\]41-T t rJrP cfla c71�VC✓MQ
to act on in behalf, in all m er relative to work authorized by this building permit application.
Signature Owner Date
, 5-e)t SI IUtf✓man V Ra: , 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.
e,ierl dVCr
Print Name r�7f f/�///// 3
Signature of Cwner/Agen I . Date �� /i
1
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construct Not C Nat Applicable ❑ q
Nameof License Holder'. C �iY$U�-Y�. V 11�{'Y(11Q.1'1 017a�
L� License Number
SUP) Fomif-t'� SoJA+-�O-ti HA oib-i3 (olaI 1a()
Address ° Expiration Oate
tSid 113 58y-�5aa
Sign re Telephone
9.Rediiter'ed HomeImproveinenE Cbntrattor j _ , ,_ __ _ „__ Not Applicable ❑
y(1�Pu rj��. Sm�rovemend 16C5543
Comaan�v Nor reNor re Registration Number
i �Ptafpcc w4 OIOIoZ 711-1 12-0
Address Expiration Date
Telephone13-Sgy'7vZZ
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 cf the issuance of the building permit.
Signed Affidavit Attached Yes......, No...... 0
City of Northampton
s �
Massachusetts-
DEPARTMENT OF BUILDING INSPECTIONS
\ 212 Main Street • Municipal Building
Northampton, MA 01060 - �M
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 most 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 he registered
Type of Work y-K ezmo(lel Est.Cost:
Address of Work oA r-)CtAd 9d
Date of Permit Application: $ ( 27
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 ARBrrRATION PROGRAM OR GUARANTY FUND
UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBH,ITES FOR ALL WORK
PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION.
Signed under the penalties of perjury:
I hereby apply for a building permit as the agent of the owner:
\Irallcum _11�rdanmr �rn
rlC 10 bqs
Date Contrac r Name MC 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
Massachusetts
Z
y DEPARTMENT OF BUILDING INSPECTIONS 'Pu
\ 212 Main street • M niciPal Building
Novthampton, FA 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 j ob 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
DEPAETMENT OF BUILDING INSPECTIONS
212 Hain street •Mu—nipal Building
Northampton, ! 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.defned by MGL c 111. S 150A.
The debris from construction work being performed at:
3a � d na� t omd
(Please print house number and street name)
Is to be disposed of at:
�ato t�1�/+hc�rnQi
(HleaYe print n We and loc onon of
Or will be disposed of in a dumpster onsite rented or leased from:
(Company Name and Address)
A� /��j A 3A71�
Signature of Permit Applicant or Owner Da e
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 oflndustrialAeeidents
1 Congress Street,Suite IOO
Boston,MA 02114-2017
Bomemass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE MED WITH THE PERN1111ING AUTHORITY,
Applicaut Information —[ Please Print Lecibly
Nam � f .lyn OYa�e TYi L
Address: Q0 CJI)A \o(Xoa—I
City/scare/zip: Florence C UP olC�b2 Phone#: 413 58N- 5aa
Are you on employer"Check the appropriate box: Type of project(required):
rgramacmpmycrwih IS mpoyenoixuam/orpanrwe).• 7. ❑New construction
2❑Iemasolepropriemruparmershipmdhaveno®ployeesworkingfvrmem 8. Remodeling
mytapedty.[No workers'comp.msmmce requ i,d]
9. El Demolition
3.❑I m,a homcowaer doing ap wodr myself Mo workers'camp.wsmmmee mquved]t
4.❑Iamahomenwvm macaw be hvio moon to comuc<au wnkann
IwJI 10 E]Building addition
g can YProPmtY.
wsuc mat au cwhactom cimerhave workers'anmpevsatiov ivsamnre oc are son
11,[:]Electrical repairs or additions
pcopvemrs wlmao cmpluyaaa 12.❑Plumbing repairs or additions
5I sm a gwaal coahace,r and l have bredme sub-contractors listed oa ffi machedsheet
These sub-contractors bare empmyecs shave wodrem'cem13p.irmcome! '❑Roof repairs
6.RWe ar,—,marcc mdesofficas have exc.cdthevrightofexe.,poops MGLu 14.❑Other
152,§I(4),mdwc have ao employees.[No workers'com,ussurmcc required]
'Any wphcmt kmnccd a box pl must ohm fill out me section below ahewiog thev workers'compensation pcU'infornamm.
t Homeoamaa who submit this atfidavh ivdicativgmey are dowg all work mdmmhve outside contractors must submit a a<w affidavit wdicatiog such.
tCovtrecmm that checkmis box mart attached m additional sheet showing me vane ofine sub-cootmctors aad stale whether or mt nose woes have
employees. Itrhe mb<ovtredors Leve®ployees,meymurt provide mer workeri comp.pohcy number.
I am an employer that is providing workers'co pensation insurance for my employees. Below is the policy and job site
information. ll cc
Insurance Company Name: A'Y�Plla I acyarye. t-1 np
Policy#or Self-ins.LLi�ic.a�#: (7 ,70302.\`J Expiration Date: a) 1 I
Job Site Address: OM f10.I/)t K.m CiTy/State/Zip: !11'1/-/fin uo—A2 A& 01L
Attach a copy of the workers'compensatim policy declaration page(showing the policy number a`n'"dexexp[ratiim—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 terrify under thepains and Id of erjury that the information provided above is true and correct
Simon ,h/Z Date
. r3/tel
Phone#: `l�3'Se,>-I—��Jaa
Official use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/Lio use#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/To%m 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 ajmen enterprise,and including the legal representatives of a deceased employer,or the
receiver ar 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 hearse 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 coutracting 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)carrots),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 maybe 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 my 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 frill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sane to fill in the permit/licewe number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given yen,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 fdled 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 ajoint 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 aparhnents 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 commouwealth 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 checldng the boxes that apply to your situation and,if
necessary,supply your insurance company's time,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 refound 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 pot cy,please call the
Department at the number listed below. Self-insured companies should enter their self-instance bcsase 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
most submit multiple permiNlicense applications in any given yen,need only submit one affidavit indicating anent
poficy 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 proofthat 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
Fmm Rcvns d02-23-15
®� Commonwealth of Massachusetts
]Ivision of Pmfexzional Licensure
Board of Building Regulations and staldard,
CanstrycH�Ss i5pervi sor
f
CS-077279i { E3rnres. 05/2112020
STEVEN A SIL�/ERMArf v j
268 FOM ER ROUND
SOUTHAMPTON[dIA-010]] :- �O
t7�/.SS33O'�S
Commissioner C/
f�ze
Office of Consumer Affairs and Business Regulation
One Ashburton Place - Suite 1301
Boston, Massachusetts 02108
Home Improvemne t;Contractor Registration
Type: Corporation
VALLEYHOME IMPROVEMENT INC {4r7 Registration: 105543
P.O.BOX 60627 x-, Expiration: 07116/2020
FLORENCE,MA 01062 y
Y• \V L�.. s1 i�
Update Address and Return Card.
1 0 20..rV11177 dJ JA
Office m
Consuer EME 4Business Regulation
HOME IMPROVEMENTCONTRACTOR before the
etogthation date. dual Iffouneenly
tur
TYPE;Carooraftion before th eonsu er date. a dBu return e
fleoistraticn. Equitation/200 Office of
Ash Consumers-Susand Business Regulation
05 0]/16/2020 One Ashburton Place-Suite 1301
VALLEY HO ME2H0 E t5V C Boston,MA 02108
3 A.SILV
40 AN MANS ,P_CGQ, —
ERSIDED
NO RIV4
NORlI-IAMPTON,MA2 Undersecretary Not valid without signature