42-135 (5) BP-2022-0605
878 WESTHAMPTON RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
42-135-001 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-2022-0605 PERMISSIONIS HEREBY GRANTED TO:
Project# SKYLIGHT Contractor: License:
VALLEY HOME IMPROVEMENT
Est. Cost: 3500 INC 077279
Const.Class: Exp.Date:06/21/2022
Use Group: Owner: GOULET SNAPE BRIAN& SUSAN
Lot Size (sq.ft.)
Zoning: WSP Applicant: VALLEY HOME IMPROVEMENT INC
Applicant Address Phone: Insurance:
P O BOX 60627 (413)584-7522 0055030215
FLORENCE, MA 01062
ISSUED ON:05/31/2022
TO PERFORM THE FOLLOWING WORK:
REPLACE SKYLIGHT
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House # Foundation:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
'(I
• • • • ' I
Fees Paid: $40.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetts I C ' '
Board of Building Regulations and Standards
q MUNICIP ITY .
i� Massachusetts State Building Code, 780 CM fAY
vUS
Building Permit Application To Construct, Repair,Renovat Or I emolish a Revzs d r2011
One- or Two-Family Dwelling DEp
This Section For Official Use OnlyNORTHAMpTONINSPECTIONS
Building Permit Number &P— ).,...1.- (p D Date Applied: ----� _ ___
—
VEV)1.-1 40>5 1Z__ 5- 21•Z022-
Building Official(Print Name) Signature Date
SECTION 1: SITE TNFORMATTON
1,1 Pro
n�tvriAd c: 0- �j?xc 11.2 Assessors Map�. Parcel Numbers
1.1�a I-s thriis an accepted s +,no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(it)
1.5 Building Setbacks(ft) _
Front Yard , Side Yards Rear Yard
Required l Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L e.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private CI Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2 Owner'of Record:°nail Sn&f)C t l\&1(j - F _en_i it --
Name(Print) City,State,ZIP
Sig VU 1M.9 - Li t'-S32- 7,034,
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK1(check all that apply)
New Construction 0 Existing Building ❑ Owner-Occupied 0 Repau•s(s) 0 Alteration(s) 0 Addition 0
Demolition ❑ i Accessory Bldg. El l Number ofUnits Other ❑ Specify:
Br' f Description of,�,roposed Work:
Mtn [`o �jj .tom In i o, '?C 1
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item (i abo. and Materials) Official Use Only
1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
— _____ C1 Standard City/Town Application Fee
2 Electrical $ 0 Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5. Mechanical (Fire $
Suppression) Total All Fees:Q$ Q
'?'t� Check No.`1M O cheek Amount.
6.Total Project Cost: $ �7, i VU CI Paid in Full -0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) O-7-7D.1 C (A0 12 i I2-Z
çl`,f) n\ot.� License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
_
T T Unrestricted(Buildings up to 35,000 cu.ft)
`A. CC (11k 162'/./t
R. Restricted l&2 Family Dwelling
. City/Town,State,ZIP M Masonryi Rt Rooting Cuverinl;/J// \VS Window and Siding
SF ' Solid Fuel Burning Appliances
4 1'lit 1S T Insulation
Telephone Email address I D Demolition
ReuisteredH Improvement Contractor(MC) ) 055Lf e /2Oj22_
Ni ' HIC Registration Number Expiration Date
HTC om ame,or HIC Re istr nt Name
a - V.0,4 (4 0tc)
No.and Street Email address
City/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 .AO No .0
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 V .--, &-er''. kie.v ey-42,:--.,
to act on my behalf,in all matters relative to work authorized by this building permit application.
198
nt Owner's Name(Etecho Signature) Date
SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pains and penaltie f perjury that all of the in formation
contained in this application is true and accurate to t of my oN and understanding.
J 5-
Print Owner's or Authorized Agent's Name(Electron( igna •e) 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
wvw.mass.aov/oca Information on the Construction Supervisor License can be round at www.mass.uov_dns
. 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. ft.) Habitable room count
Number of fireplaces Number of bedrooms •
Number of bathrooms Number of haiflbaths
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
ft,„, Massachusetts
-, DEPARTMENT OF BUILDING INSPECTIONS
\tA1 - 212 Main Street • Municipal Building
,.. Northampton, MA 01060 s�F .•. 6�-
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordanCe of the provisions of MGL c 40, 554, a condition of Building Permit
Number is that all debris resulting from this work shell be disposed of
in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: VCLJa. C9Cl.... eke- 1C-3 t
t
The debris will be transported by:
Name of Hauler: NICL-CL 1�t ,-- 31-tf '>�c�
Signature of Applicant: Date:
The Commonwealth of Massachusetts
Department of Industrial Accidents
SEINE= 1 Congress Street, Suite 100
fw Boston, MA 02114-2017
www mass.govldia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Org<atnization/Individual): \jQ.l� \--OmC —Ernero-1€rnrr7-1 . 'MC-
Address: 5-kO Rkv-ee,vj ? O• e-)c c 440( 11
City/State/Zip: Drer a"f 01 3(02 Phone #: 4 t3-S` LI- S2Z
Are you an employer?Cheek the appropriate box: Type of project(required):
I I am a employer with s employees(full and/or part-time).* 7. ElNew construction
2.1-1 I am a sole proprietor or partnership and have no employees working for me in 8. j0 Remodeling
any capacity.(No workers'comp.insurance required.l
i❑1 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 4. [1]Demolition
• ❑I am a homcownc and will be hiring to conduct all work on my10 Q Building addition
contractors property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.Q 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.•
These sub-contractors have employees and have workers'comp.insurance.t 13.0Roof repairs
nWe are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other
(4),and we have no employees.(No workers'comp.insurance required.]
*Any applicant that checks box 41 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 joh site
inf nvnation.
Insurance Company Name: -A \p
Policy#or Self-ins.
�L}ic.#: ,OO'jC ,O' u 2\S Expiration Date: p?) l r 0.9
Job Site Address: J 1 b kt/i'l„{k'Z•i" "`'\ City/State/Zip: (Yfl' i 0►O(r-,
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$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 the pains and per allies of p' 'r haalll the information provided Tiove is true and correct.
Si mature: ��v/l'' Date: 5 Ili 1 2:2
Phone#: L4 S 152 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
fi.Other
Contact Person: Phone#:
Commonwealth of Massachusetts
VDivision of Professional Licensure
Board of Building Regulations and Standards
Cons r�#ct%Jiii i5pp.rvisor
CS-077279 ,t. 6,pires: 06/21/2022
. STEVEN A SIVERMAN !
PO BOX 60627 —
FLORENCE Mg 01062 i•; z' ' " '
c'
Commissioner d. P. ,i. i7�r»�Qla
e f
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home improvement Contractor Registration
Type: Corporation
Registration: 105543
VALLEY HOME IMPROVEMENT INC Expiration: 08/20/2022
P.O. BOX 60627
FLORENCE, MA 01062
Update Addrecc and Return Card.
SCA 1 i.+ 20M-05117
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
STEVEN A.SILVERMAN I '9//•.t' �
340 RIVERSIDE DRIVE �fC( i..4 t `l
FLORENCE,MA 01062 Undersecretary Not valid without signature
Glass 04 05 06** 08 10 99 93 99 94
Air infiltration/exfiltration* [max.@ 75 Pa(1.57 Ibs/ft2)differential pressure]
/s/m2 0.2 0.5 0.4 0.2 0.3 0.5 0.2
cfm/ft2 0.03 0.09 0.07 0.03 0.06 0.09 0.03
Water resistance @ 3.4 L/m2/min(5 USgal/ft2/hr)*
[max.tested differential pressure with no leakage]
Pascals 720 720 720 720 720 720 720
Ibs/ft' 1.5 15 15 15 15 15 15
Thermal performance (Certified,complete unit values)
• VELUX Glass Skylights are rated at 20°slope and labeled with NFRC-certified
U-Factor,SHGC, and VT ratings listed in the NFRC Certified Products Directory.
• Ratings for products with standard available fitted shades are available.
U-Factor 0.43 0.44 0.41 0.43 0.42 0.39 0.38
(Btu/hr•ft2•°F)
SHGC 0.23 0.23 0.23 0.22 0.23 0.23 0.23
VT 0.53 0.54 0.53 0.38 0.53 0.52 0.52
UV protection,%(Glass panel only)
(300-380 nm) 99.9 95.2 99.9 99.9 99.9 95.3 99.9
Fading protection,%,Krochmann damage function(Glass panel only)
(300-600 nm) 83.1 79.2 84.6 88.4 83.2 81.6 85.1
Certified Structural Performance [Performance Grade or DP]*
Tested Size Uplift(Ibs/ft2)
S06 65 90 65 65 80 90 65
M08 105 120 65 105 85 120 105
C06 n.r. n.r. n.r. n.r. 90 n.r. n.r.
Tested Size Download (Ibs/ft2)
506 370 370 300 370 860 300 370
M08 440 550 360 140 1090 400 440
C06 n.r. n.r. n.r. n.r. 1200 n.r. n.r.
* Tested in accordance with AAMA/WDMA/CSA 101/I.S.2/A440-11 (NAFS 2011)
** 06 variant is tested and WDMA Hallmark certified for Wind-Borne debris impact,
in accordance with ASTM E 1886 and ASTM E 1996.
Rated for Wind Zone 3, Missile Level C, Cycle Pressure+50/-50
Structural performance ratings also apply to sizes smaller than the Tested Size
VS skylights are WDMA Hallmark certified: Product Number 426-H-670.xx
(not applicable to copper-clad variants)
04 glass:Tempered over laminated HS (0.030" interlayer)
05 glass:Tempered over tempered
06 glass:Tempered over laminated HS (0.090" interlayer)
08 glass: Same as 04, with white interlayer
10 glass:Temp.over laminated temp. (0.030" interlayer)
99 93 glass: Same as 05,with i89 coating on interior surface
99 94 glass: Same as 04, with i89 coating on interior surface
1/31/18