23C-026 (7) BP-2021-1984
509RIVERSIDE DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23C-026-001 CITY OF NORTHAMPTON
Permit: Exterior Res
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2021-1984 PERMISSION IS HEREBY GRANTED TO:
Project# WINDOW Contractor: License:
VALLEY HOME IMPROVEMENT
Est. Cost: 8600 INC 077279
Const.Class: Exp.Date:06/21/2022
Use Group: Owner: WOOD BENJAMIN &SUNA TURGAY
Lot Size (sq.ft.)
Zoning: URB Applicant: VALLEY HOME IMPROVEMENT INC
Applicant Address Phone: Insurance:
P O BOX 60627 (413)584-7522 0055030215
FLORENCE, MA 01062
ISSUED ON:10/07/2021
TO PERFORM THE FOLLOWING WORK:
4 NEW WINDOWS
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.
Signature: I
Fees Paid: $40.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
'4?FThe Commonwealth of Massachuse C
FOR
Board of Building Regulations and St. dard:
I IPALITY
l !yr/ Massachusetts State Building Code, ,:0 C R O�j j U
Building Permit Application To Construct, Repair Re ,..,. Or Demo{fsh) Rei red 'r2011
1.
One- or Two-Family Dwelling itogTti�'"�O el '
- ection For Official Use Only 9Mnr'tic/,ysp
Building Permit Number: • Date Applied: 411 eC ivisooft
get &55 // e- I-Zazi
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1, Pro .rtv ddress: 1.2 Assessors Map Vie, Parcel Numbers
i1v 1<- Vet\re----
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 ft) Frontage(ft)
1.5 Building Setbacks(ft)
From Yard ! Side Yards , Rear Yard
Required Provided I 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 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTIONS 2: PROPERTY OWNERSHIP'
7.1 riwnerl of R,Tord:
• Name(Print) City,State,ZIP
f)Ct \`t v e-,.Aci an VZ'_, .-1 1 - o130.• t:352�
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'' (check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) ❑ Addition 0
Demolition- 0- Accessory Bldg. ❑ 1 Number of Units I Omer 0 Specify:
--
. Brief Descr ption of Proposed Work2: w tdd 1t15 f4
rep1Ac. it AiIA era ChnAi z RhAtr4e , Li . 14(WA
1ti•Fa 4Hiic41p
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item Official Use Only
(L abor and Maeer:als)
I Building - $ 1. Building Permit Fee: -. --,Indicate how fec is.determined
Glf
® ❑'Standard City/Town Application Fee
2.Electrical $ 100 0 0 Total Project Cost3(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: S
4. Mechanical (HVAC) $ — List:
5.Mechanical (Fire $ _
Suppression) Total Al!Fees
Check Not VCheck Amount:
6.Total Project Cost: i; S ?r(coo 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 01-1 a--) 2Z
t_ i-e _rm Cat 1 License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
.&.. . dj:D-1 No. and Street Type Description
vn
`t'' cr ncc f RU. 1 �-- `I � rr irnresi;ictea(R,�;Iw;ra s ^•o�cnn�ca. fig.
,
y�'
R Restricted I&2 Family Dwelling
City/Town,St It , ?t� Masonry
•�-'-...- RC Rim(ingC vexing
/ V WS Window and Siding
SF Solid Fuel Burning Appliances
Insulation
Telephone Email address D Demolition
5.2 Registered Home improvement Contractor (HIC) giZp‘207,2
MC Registration Number Expiration Date
TC Comp.., Tame or H1C Registrant ame
t7 , "+r•sX (vC)(0—1
'o. and Street Email address
Fk r enC.0 C:.)\()b2.- '-(i -SR( -1 52Z
tty/Town, 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 of the Issuance of the building permit.
Signed Affidavit Attached? Yes 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 \I """ C `C Y`► S 1 1 a}'t ,--yv l.,—
• to act on my b alf,,in all matters relative to work authorized by this building permit application.
4 Print Owner's Name(E me Signature) 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 the est of my knowled e derstanding.
rrty S)Ld V 1L/1/1,^J - - I
Print Owner's or Authorized Agent's Name(Electr c Signature) Date
NOTES:
1. 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. 142A. Other important information on the HIC Program can be found at
VAAA\\ mas 2.1V u 8 Information on the Construction Supervisor License can be found at www.n i» ic)1-`Lt.'s
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. fi.) Habitable room count
Number of fireplaces 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
j, 0.,,..."7 :, ,', ,.. .•, sic,
Massachusetts . ...
:
-7-
; 1
UJ .3if 7'
DEPARTMENT OF BUILDING INSPECTIONS ii A f ,,...
212 Main Street • Municipal Building -.,,: NY
Northampton, MA 01060
CONSTRUCTION DEBRIS AFFIDA'VIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL r 4n, s54, a condition of Building Permit
Number is that all debris resulting from this vtrork shall be disposed of
in a properly licensed waste disposal facility, as defined by MGL c 111, S 15.0A.
The debris will be disposed of in:
Location of Facility: \laStltd tart( : P-Afr— i NiCA/4-kbaikti-612
The debris will be transported by:
. n
Name of Hauler: klikirM11- --c)4—
Signature of Applicant:
Alit yfli, Date:
Commonwealth of Massachusetts
Zv) Division of Professional Licensure
Board of Building Regulations and Standards
Cons{ir tlU,>litSbpp isor
CS-077279 �� : f spires: 06/21/2022
STEVEN A SILVERMAN;L� ! 7, _rJ u
PO BOX 60627j
FLORENCE MA 01062 i i
1,.
Commissioner ("v. f'. Y6vnt.4,...
6/72/22,61-./z{/..)-e-Kzitf
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
P.O.BOX 60627 Expiration: 08/20/2022
FLORENCE,MA 01062
Update Address and Return Card.
SCA 1 C. 20M"05/17
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:
Registration Expiration Office of Consumer Affairs and Business Regulation
105543 08/20/2022 1000 Washington Street -Suite 710
VALLEY HOME IMPROVEMENT INC Boston,MA 02118
/71
A
STEVEN A.SILVEAMAN to, /J Pa�lJ>> t
340 RIVERSIDE DRIVE
FLORENCE,MA 01062 Undersecretary Not valid without signature
The Commonwealth of Massachusetts
Department of Industrial Accidents
• 1 Congress Street, Suite 100
• Boston, MA 02114-2017
,,. y www mass.govldia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO DE PILED WITH THE PERMITTING AUTHORITY.
Applicant Information ` Please Print Leiihly
Name (Businesslorgauizationiludividual): \Ja. '1 trOon Tm -o--e -n•Cr't-I �r'l(-
Address: 5-10 R1�.1"e.4(c7\6 T ?. D. 6cO(.o21
City/State/Zip:V-for-cncc, le)- DI 0(02 Phone#: 413-SE.L1-1 S2Z
Are you an employer?Check the appropriate box: Type of project (required):
1.3 I am a employer with t V employees(full and/or part-time).* 7. ❑New construction
2.01
am a sole proprietor or partnership and have no employees working for me in
8. El Remodeling
any capacity.1No workers'comp.insurance required.)
3.01 am a homeowner doing all work myself.[.No workers'comp.insurance required.]'
9. El Demolition •
10 ]Building addition
4.❑I ant a homeowner and will he hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions
proprietors with no employees.
12.❑Plumbing repairs or additions
5.❑i am a general contractor and I have hired the sub-contractors listed on the attached sheet. j 3.❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other
152,§1(4).and we have nu employees.(No workers'comp.insurance required.)
'Any applicant that checks box 4J must also fall 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: -A1' `\C T 1 Si )ray'? ( i Y-Qk. \a
Policy#or Self-ins.Lic.#': QOc-D ' (3 2 \S Expiration Date: 07) r )
Job Site Address 1 \ Y SLC�I� t u--- City!State/Zip:_F C;3Tete"jC
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 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 S250.00 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.
r
I do hereby certify un r the pains and per allies of p r'' hat the information provided above is true and correct.
Signature: M `Ci Y// KI Date: 91401202
Phone#: 4\3- JJ2,2-
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
F. Other
Contact Person: Phone#:
Customer:Valley Home Improvement Project Name: Turgay Order Number: 184 Quote Number: 14419244
Line# Location: Attributes
10 None Assigned Lifestyle, Double Hung, 34 X 53,Without HGP, White Item Price Qty Ext'd Price
I 4
Lw.�.,,,■,.�. 1: Non-Standard SizeNon-Standard Size Double Hung,Equal
Frame Size: 34 X 53
PK# General Information: No Package,Without Hinged Glass Panel,Clad,Pine,5".3 1 1/16", Gray
Exterior Color/Finish: Standard Enduraclad.White
2092 Interior Color/Finish: Prefinished White Paint Interior
Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Viewed From Exterior Hardware Options: Cam-Action Lock,White,No Limited Opening Hardware.Order Sash Lift,No Integrated Sensor
Screen: Full Screen,White,InView"
Performance Information: U-Factor 0.30,SHGC 0.30,VLT 0.56,CPD PEL-N-35-00426-00001,Performance Class LC, PG 35,Calculated Positive DP
Rating 35,Calculated Negative DP Rating 35,Year Rated 08111,Clear Opening Width 30.812,Clear Opening Height 23.25, Clear Opening Area 4,974854,
Egress Does not meet typical United States egress,but may comply with local code requirements
l Grille: No Grille,
(\ V Wrapping Information: Foldout Fins,Factory Applied, No Exterior Trim,4 9/16",5 7/8",Standard Four Sided Jamb Extension,Factory Applied, Pella
" Recommended Clearance,Perimeter Length=174".
Rough Opening: 34-314"X 53-3/4"
Customer Notes: MEETS EGRESS
Line# Location: Attributes
15 IMPERVIA Impervia, Sliding Window, Fixed/Vent Left, 71.5 X 52.5, White Item Price Qty Ext'd Price
r 1
1: Non-Standard Size Fixed!Vent Left Double Slider
Frame Size: 71 1/2 X 52 1/2
_ _ PK# General Information: Standard, Duracast®,Nail Fin,Foam Insulated.3", 1 5/16", 1 11116"
Exterior Color!Finish: White
2094 Interior Color/Finish: White
Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Viewed From Exterior Hardware Options: White, No Limited Opening Hardware
Screen: Half Screen, InView1"
Performance Information: U-Factor 0.28,SHGC 0.28,VLT 0.53,CPD PEL-N-103-00851-00003, Performance Class LC, PG 30,Calculated Positive DP
Rating 30,Calculated Negative DP Rating 30,Year Rated 08;Clear Opening Width 32.1875,Clear Opening Height 48.9375,Clear Opening Area 10.93872,
Egress Meets Typical 5.7 sqft(E)(United States Only)
Grille: No Grille.
Wrapping Information: No Exterior Trim,Pella Recommended Clearance, Perimeter Length=248".
Venting Width: Equal
Rough Opening: 72"X 53"
Customer Notes: IMPERVIA(FIBERGLASS)SLIDING WINDOW SHOWN
NO JAMB EXTENSIONS AVAILABLE FOR IMPERVIA WINDOWS
For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 812512021 Contract-Detailed Page 2 of 7