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24D-021 (2) 12 LAWN AVE BP-2019-1482 GIS#: COMMONWEALTH OF MASSACHUSETTS Map-.Block:24D-021 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cateaorv:renovation BUILDING PERMIT Penni # BP-2019-1482 Project# JS-2019-002396 Est.Cost: $40800.00 Fee:$265.20 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: VALLEY HOME IMPROVEMENT INC 112166 Lot Size(sp.ft.): 89733.60 Owner: CURRAN JOSEPH& KAREN DOLAN Zoning: URB(100V Applicant: VALLEY HOME IMPROVEMENT INC AT. 12 LAWN AVE ApplicantAddress: Phone. Insurance: P O BOX 60627 (413)584-7522 Workers Compensation FLORENCEMA01062 ISSUED ON.612712019 0:00:00 TO PERFORM THE FOLLOWING WORK.1 ST FLOOR RENO TO OPEN FLOOR PIAN, NEW WOOD FIRE PLACE UNIT &VENTING HVAC THROUGH ROOF 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: FeeTvpe: Date Paid: Amount: Building 6/2720190:00:00 $265.20 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2019-1482 APPLICANT/CONTACT PERSON VALLEY HOME IMPROVEMENT INC ADDRESS/PHONE P O BOX 60627 FLORENCE (413)584-7522 PROPERTY LOCATION 12 LAWN AVE MAP 24D PARCEL 021 001 ZONE URB(100 THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED 1 REQUIRED DATE ZONING FORM FILLED OUT l . L Fee Paid rt _ Building Permit Filled out Fee Paid Tvueof Construction: IST FLOOR RENO TO OPEN FLOOR PLAN.NEW WOOD FIRE PLACE UNIT& VENTING HVAC THROUGH ROOF New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 112166 3 sets of Plans/Plot Plan THE OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF9KMATION PRESENTED: _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 lition Delay ZDe- -� y 6-Z7-Z019 Signature orffuilding 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 Northai iptorREQE1VED�fP.'m1t if I Building Depa me UboDr, away Permit 212 Main St Set ept AvahabdityRoom 10 JUN 2 4 2ag vailamlit Northampton, M 01 6O f tructural clamphone 413587-1240 F 4 f , NINspla s NOniHR:?PTON.Ifo erS APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION t-SITE INFORMATION 12 1.1 Property Address: /7��� 'phis section to be.completed by office l0. ""Vn pvcn C Map -2 ' ., O Lot ().LZ Unit Zone Overlay District Elm SL District Ca District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED.AGENT 2.1 Owner of Record: /r Karen, L Tac WIrLL'7 /'-L" can AV-. &1§566 o.�ato4rn rxla-o OfoO Name(Pit q Current MailingAtldress: 7 UY 3- InFS- /9(..f Telephone i 2.2 Authprl d Agent: Bach'-A Robe'+5 ?pew tonoa-i `i rcnccHa o�obz Nameprint) Current Mailing Address: �`JC?� F//Vil?r584- 7Sa3 Sign he Telephone SECTION 3.ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 3 0, 760 (a) Building Permit Fee 2. Electrical - 3 S�� (b)Estimated Total Cost of - J -Construction Gam 6 3. Plumbing - - Building Permit Fee. 4. Mechanical(HVAC) a( � 5. Fire Protection ) / 6. Total=(1 +2+3+4+5) d I -Check Number This.Section ForOrfitial.Use Only Building Permit Nu ben DateIssued: - - - Signature27" U/IOnn 1/ Building Commissioner/Inspector of Buildings - Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Infamatim Must Be Completed.Permit Can Be Denied Due To Incomplete Information Exisdng Proposed Required by Zoning Thin whomro be Uil in by Building Deparmcnt Lot Sin I 1 Frontage Setbacks Front O Side L= R:0 L:= R:0 Rear Building Height O O O Bldg.Square Footage O % O O O Open Space Footage (Lot erg)maav bldg a Paved erkv #ofParkip spaces whmc&inurim A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO © DONT KNOW Q YES IF YES, dateissued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW © YES O IF YES: enter BookF Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW © YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES © NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO O IF YES, describe size, type and location: E. WII the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTIONS DESCRIPTION OF PROPOSED WORK(check all aopli.blel New House ❑ Achill ❑ Replacement Windows Alterations) ® Roofing Q Or Doors E3 Accessory Bldg. ❑ Demolition ❑ New Signs [OI Decks IM Siding[O] Other[C7I Brief De Work B "p AbaanAten /a��i�aicy/� A�Wyt1Q�1p�/atyunit�f17 VIF�`Ja Alteration of emsting bedroom_____Yes No Adding new bedroom Yes X' No rov Attached Narrative Renovating unfinished basement _Yes _NC_No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing. complete the followin4: 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? I. Method of healing? 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 I. 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 OP.CONTRACTOR 'APPLIES.FOR BUILDING PERMIT I. :Toe-4-sKJLYPr') W'r �Q�'l . as Owner of the subject property hereby authorize VT t KaCj'tP� K6�9Pr'fS to act on m all, i all iters relative to work authorized by this building permit application. ure of er n Date 1, t (Z(erh� g1�2✓I as Owner/Authorized Agent hereby declare that the statements and information an the foregoing application ere true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. &LVWr P,4beryis Print Name � ✓H/ 6�z o jig Signature of Owner/Agent Oa[e / 1 ' SECTION 8-CONSTRUCTION SERVICES - 8.1 Licensed Construction_Suo1erviscr: /J Not Applicable O Na ,, Name of License Holder: �ei [Zbbek+s 11 a 1 Lo(o License Number \O �f1 mC4.h Cri", ulfsl-l-1Q rn ro�-P�r-,F-lM} U to3'l Co I 1 121 Address F-V"vatbn Date �5aa- Sig' nature Telephone 9.Asoistered Home�Improvement Contractor. Not Applicable ❑ y0.Q.Qe�t 51L�fY}C. �'rnr�r�.CPmen+ '1055N3 Comoanv Na Registration Number Pz bac locxoai wlarence MW 0�0(02 -11 )1, 120 Address Eviration Date Telephone 413584=I5a SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c. 152,§25C(8)) 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....... p No...... O City of Northampton Massachusetts ` 4� DEPARTMENT OF BUILDING INSPECTIONS pt yte. 7 212 Bain Stiaat a Municipal Building .,,..- Northampton, lm 01060 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, aftesatron,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition to anypre- isting 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 Rcontracted with a corporation or LLC,that entity must be registered Type of Work /4117012 WW- "f ds if ac Est.Cost y"o go Address of Work L'A 1O.Lun QArC- Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): —lob 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 RESPONSIBHITES FOR ALL WORK PERFORMED UNDER THE BIIHAINGPGE FOR MORE INFORMATION. Signed orIder the penalties of perjury: k*1 I hereby apply for a building permit as the agent of the owner: \Ia Ie FFan6 �rr�nrt> temud aL 106513 Date Contr etor 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 s ,v C;- ;4- Massachusetts c si " OEPABT!ffi!1T OF BBIBOING INSP6CTZ0NS 414 Main StreetMuamipal Building ur S NocMampton, ea. 01060 �Pc Massachusetts Residential Building Code Section 110.R5.1.2 Homeowner: Person(s)who own a parcel of land on which helshe 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 110.85,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 Q(', MassachusettsDEPARTMENT OF BUILDING INSPECTIONS212 Main S[raa[ •Municipal Building NozUamptan, . 01060 0 Debris Disposal Affidavit In accordance of the provisions of MGL c 40, 554, 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 property licensed solid waste disposal facility, as.defined by MGL c 111, S 150A. The debris from construction work being performed at: 1 2�" L� A-yr")C (Please print house number and street name) Is to bedisposedof at: V n UfAA ..t Ui l d I 0 IU. Iwo t' 1 (PI a print n and I a on of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) y� 6/�a/moi Signature of Permit Applicant or Owner Date 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. The Commonwealth of Massachusetts W—Warkers'Compensation Department oflndustrialAccidents 1 Congress Street'Suite 100Boston,MA 02114-20177www.massgov/dia Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMr TNG AUTHORITY. Applicant Information Please Print Le 'bl Name Bonnese/organirxtionnadividuap: L Address: Q-p G l90(D3—1t?�yCrS1LlG. �1 r City/state/zip: \o�ex�frMkA- aobZ Phone#: Ul�sSgt'--153x Are you an employer?Cherk the appropriate boa: Type of project(required): I M I..employe wofla pkyeca(M mals film).' 7. ❑New contraction 2[]Iwasokpropsinororpumcrshipmdhavcmcmpbyaawmr gfin=at 8. Remodeling mycapmity.(No wuskus'camp.insurance t,aonsJ 3.[]l a ma homeownsrdning all work u seB.[No wmlam'camp.insurance mquiaedl? 9. ❑Demolition 4.❑I son.ho ..,andwill bs tunes cmtnctors to cmductdl wnlaa.myptopdill y. Iw10[]Building addition - maueethaf ill camncrnrs Ether have wohm'compemdov ioamanee oc ve ink 11.❑Electrical repairs or additions pmpae m wim m napT.'es. 12.❑Plumbing repairs or additions dC]lars a annual rmtnfta and l haw bird the mb-embactors tsmd on the asmrhed shxe imurmcc.t Raaf[ errs lhueaub<onommnhwe mmkryees and haw wodsm'comv_ - 13.❑ 6.❑Wo am a oupunton and in utficee haw cxaasdtkuright ofex=4xonpe MGL c. 14.[]Other Is2,41P),and we how as employem.Mo wohma'comp.insmanu rtqumd] *A 7 upptrent That 6ccks box#1 mmf ako U out an sectmbebw shawkgthcu wo k o coon emanonpohey mfomatkn. t1. who submit ntis at5davit wdiutlng Wry art doing 0 work andthmhno mdiae caatacf as moat inch. tCootmrnrca Wm check Wv box must attmhed m additimalsheef sbowivg Wename ofMe sub-mvtradors adsek wit darnrnot dwse emioes lave empkyee. Bthc sub-mvtracmntaw®playas,fteY mss[pavidc they wodes'co op.pokyonmbe. I am an employer that it'providing workers'compensation insurance for my employees Below is the polity andjob site information ff�\ `,..,_I I ,, /' Insurance Company Name: Off ly�t�j,� ITris .yancG nmp�Loq Policy#or Self-ins.Lie.#: Ooq�b 0302\S Expiration Date: Job Sae Address: G- L OAA-n 1}t5G1' x- Cityrstate24:-Wgt{�p�ypt�.,�I Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punisbable 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 cerdfy under the�s pain/andpenaldes ofperjury that rhe information provided above is true and correct /11 Signature: e? �a7w Date: "-7,- Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/Liceuse# 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 my two or more of the foregoing engaged in ajcint enterprise,and including the legal representatives of a deceased employer,or the receiver in trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling boom having not more than three apartments and who resides therein,or the occupant of the dwelling house of mother 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 my of its political subdivisions shall enter into my contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have hem presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by chmldng the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone numbers)along with thew certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members in 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. Shouldyou have my questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department"a number listed below. Self-insured companies should color 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 our in the event the Office of Investigations has to contact you regarding the applicant. Please be me to fill in the pemrit/lianse numbs which will be used as a reference comber. In addition,an applicant that must submit multiple pesmit/liceose applications in my given year,need only submit one affidavit indicating current policy information(if necessary)and unda"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 avalid affidavit is on file for future pamits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to my business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said paean is NOT required to complete this affidavit. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Amidents 1 Congress Sheet, Suite 100 Boston,MA 02114-2017 Tel.#617-7274900 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'rempareatiou 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 definedas"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 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." Applicant Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply yam insurance company's name,address and phone number along with a certificate of insurance. Limited Liability Companies(LLC)or limited Liability Partnerships(LLP)with an employees other than the members or parme s,are not required to tarty 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 Accident 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 ate 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 sine that the affidavit is complete and printed legibly. The Department bas provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has in comact you regarding the applicant Plesse be sure to fill in the permit/liamse number which will be used as a reference number.In addition,an applicant that must submit multiple permit/liceau 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 permit 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 orpermitto burn 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 03-n-15 �c Commonwealth of Massachusetts 11171 Division of Professional Licensure l�J Board of Building Regulations and Standards cons`jj${KNH'p�"isar �i CS-112166 > E3Pires:0610112021 _ RACHEL K ROBERTsII 10 CHAPMAN7�VE 'i. K EASTHAMPTO MA 0102] >` /i�NSCTdO�� Commissioner Office of Consumer Affairs and Business Regulation One Ashburton Place- Suite 1301 Boston, Massachusetts 02108 Home Improvemen Contractor Registration Type: Corporation VALLEY HOME IMPROVEMENT INC _ Registration: 105693 P.O.BOX 60627 r Expiration: 07/16/2020 FLORENCE,MA 01062 =� d - F Y /+e rLiM sv° Update Address and Retum Card. :A1 A MWM7 Olriu of MC.IMPROc EME a BusinessCOR Regulation HOMEINPROPV�E�NOENtraff. ACTOR before the expiratioon valld n ate. duo found enly tur Re T Na"HaC11 Exp Office theonsumer date. a loundreturn eg s 1 to Office A of Consumers-Suits 1301 Business Regulation 03 0]/162020 One Ashburton Plece-Suite 130/ - VAUFYHOME_f NC Boston,MA 02108 BTEVEN A.BILV R. 390 RNERSIDEDfl*'�,� (, s NORTHAMPTON,Mp'OlOG2 Undersecretary ^ Not valid without signature