11C-024 (3) BP-2023-1305
8 STOWELL ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
11C-024-001 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-2023-1305 PERMISSION IS HEREBY GRANTED TO:
Project# WINDOW 2023 Contractor: License:
VALLEY HOME IMPROVEMENT
Est. Cost: 44600 INC 077279
Const.Class: Exp.Date: 06/21/2024
Use Group: Owner: DISSINGER JACOB A
Lot Size (sq.ft.)
Zoning: URA Applicant: VALLEY HOME IMPROVEMENT INC
Applicant Address hon : Insurance:
P 0 BOX 60627 (413)584-7522 0055030215
FLORENCE, MA 01062
ISSUED ON: 09/25/2023
TO PERFORM THE FOLLOWING WORK:
NEW WINDOW/SIDING
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:
1
).21 It
1 ' J
Fees Paid: $100.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
uuwuiyi i La iveiuie 1�J.rYLOLJ.7Yti.JYYu-Y I au-t OL- Loal.I LA101:100
Ric
The Cornrro uitteth Of!:Massa,nt:a::: s SEP
`4 Board.of Building Regulzt:rn::s Sta dauds 1 9 OR
_0 _ CJPALITY
�, 1 Massachusetts State Boil ;r g Co e,78 .
tam NOgr nU`Co USE
Building Permit Applicat°ot) -co Construct,Repair,Reno T9 e Rev sedAdar 2011
OnE- or nvo-Fc:rnilv.Dwelling "4q O'oso°Ns
This Section For Official Use Only
-Building ermit Nurnbc: '> 3_. 1 Yb Date Applied;
iC-l./j0 5, /t/Z 9- iq-za, .
Building Official(Pi:rr:Narne) Signature Date
SEC'I•ION 1; SITE INFORMATION _.
i i i Pru erty Address: sv Leea, 1.2 Assessors Map &Parcel Numbers
1,l a.Ts this an accepted street?yes no Map Nunber Parcel Number
1.3 Zoning Information: • 1.4 Property Dimensions:
Zoning.District Proposed Use Lot Area(sq ft) Frorta e(1'3
1.5 Building Setbacks(ft)
Front Yard S i de Ya ds Rear Yard
Required Provided Require_ 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❑ Zone: w Outside Flood Zone?
Cl.ti.-_ r_ _❑ Municipal 0 On site disposal systezn ❑
ie.cw a,yca
SECTION 2: PROPERTY D WNERSHIP1
2.1 Owne 1 of Record:
t1 U 4- C- \ \..CCO me o\cc.
Name(Print) City,State,ZIT'
No.and Street Telephone Email Address
•
SECTION 3:DESCRIPTION OF PROPOSED WOP.K (_bock all that apply) J.
r New Construction❑ I Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 1 Addition 0
Demolition 0 Accessory Bldg. Cl Number of Units j Other 0 Specify
Brief Description of Proposed Wore: Mile) (oNSTit-uc otJ fAP-F1 D l 6A✓1 W►ki1061
( N S 4 S. ik_ n's ; N t V i..,, L 5 ),O ( ► ) -3, .
SECTION 4:ESTIM-ATE;D CONSTRUCTION COSTS
Item Estimated Costs; Official Use OnJy and Materials)
1.Building $ 9 Li w) I. Building Permit Fee; $ Indicate how fee is determined:
2.Electrical.
0 0 ' ❑ Standard City/Town Application Bee
3. Plumbing $
'0 Total Tr of ect'Cost''(Item•6)x multiplier x
j 2. Otherlees: $ •
4.Me...--h Gdi (Ii 4 AC) $ ^1 T st: l
5.Mechanical (Fire
Suppression) $ Total All Fers: if �
Check No.(-1 Lit •'.eck Amount: (A 6.
Total Project Cost: $ (1 j �}CK)
L ❑p . ❑ Outstandin Bai Due:
tk\°6)
uncus:gn Envelope ia i 4HY ss
S ,G'T'ION 5: CO\ i C1JUN SER.17.CI:.;,S .
5.1 Construction Super,iisor'License(CSI>) 6,,,f2tizOty
s'L •
c rN .,..,I\
-+ . t.1-exr m 6Li"'.. License Nurnhei ExpirationIrate
Flame of CSL Holder
--� List CSL Type(see below)
l
-0 4 t�C.t� �(. ���� Type Dwe:ripton �
Na and Street
II Unrestricted iP�iilJi £sup to iS,C'GO ca. .j
- �' ' ' .. R Restricted i&:2Fan lyNIT ing
CiryiTown,State,ZIP t MMasonry
RC Roofing awning
t'i WS Window and Sidi.tg
SF S0:idFtclBurningAppliances
t __.
l•15 :-/S2- T Insulation
Telephone Ernai address I D Demolition
5.2\hsRe 'stered Home improvement Contractor(HIC)
~J -1 ETC Registrvinn N.:tu-nbe;. t T ira:;on Date-
• KrCorrea :`dame or RTC keT sti ant Vane
6) - C?tc 1
No.and Street _._.._...___
f)rtpn - ►'(�^� - 0�0 � BT�211 address
i
C:tyiTowrr,State,ZIP "elephc,e _
SECTION 6:WORKERS' COMPENSATION INS( RANCE AFFIDAVIT(10.6.1 .e. t Si.§ 25C(6))
Workers Compensation Insurance affidavit Trt.rt be ccmn'.eted and sib rtittee. -th tins appiicazion. Failure to provide
this affidavit will result in the denial of the Issnar.ce of-the building p-rmit
5:ered Affidavit Attached? Yes 'do...,..,.... Ci
SECTION 7a:011.-NT.R.I7THORIZATI O N TO BE COMPLETED WREN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,as Owner of the subject property,hereby atthotize .,t sei S -51 i t.,..tyr 1-} , V 0.4
--ooeu or,my aehalt in el matters relative to work aut#tctnzed by this building ptxmit application.
8/27/2023
Fees Plifit2eina'S Name(Electonic Siparure) Dar
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
1
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
,� y, in this application is nue and accurate to the best of my knowledge ard understanding.
5
! Si tt A, 8/22/2023
.
4f °HW 's or Authaized Agent's Name(tRecromic Sit au' e) Dart
_ 1
NOTES: _
1. An Owner who obtains a building permit'to do hisrher n w rkt,or an rn a ct whole reu an unregistered eon?ractor
(not re stereri in the Home Improvement Contractor (HIC)Program),will not have access to the arbitration
program or guaranty fluid vuder M.G.L,c.142A. Other important information on the MC Program can be found at
u�,�-.nlass •Rcs ioca Information on t e Construction Supervisor License can be found at+sa'ww mnass.gowirps
t
2. When substantial work is planned,provide the information be:ow:
Total Lloor area(sq. ft.) (including garage,finished.baset:rezo.tlattiea,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of balftbaths
Type of beating system _ ''umber of decks/porches
Type*of cooling system ....
EaGlose_d, Open
3. "Total Project Square Footage"maybe substituted for"Total Projeu:Cost"
uocuSIgn Envelope in.: 1-4'Lan:iy4-4.T44U-41bU-A4til-921:1Y ;l[:4ti5313
Tit,3 C}ornmo121v(:olth of itlassuchusetts
it I -,f .Department of Industrial Accidents •
1 Congress Street,Suite 100
..-.1- Boston, M 02114-203 7
1.4... ,,,, ,,.,:f. www.mass.gov/dia
,Vol-kci-s' Compensation Iuserance Affidavit:BuildersiConn•actorsi lever ici2ns't'lurri'bsrs.
TO BE FILES WITH THE PFR1 UTTU G AUTHORITY.
ADpliczntTnformation Please Print Lea-ibly
Name (Bu;ine:'s?Ors,.eization/Individual); VaI1' \-A-0cY1C. Trr e •1•Eon•Cn'4 , 'rr'iC..
i.
dd~ess: D Rtv-Ct' \ijk.t, 7)t—t,rr- ? Q. 6cc (00(pa1 .
C:ityiS ate/Zip; %--1 Di lcz, kP) C1002- Phone #: L C -.SSL _1 ,22
Are you an employer?Check the•appeopriate box:
Yype of project(required):
. LE I am a employer with 5 employees(full and/or part time).' 7• 0 New constr-action
proprietor of partnership mod no employees wod:ig foe mein
�❑I am a soleorieto a hi d h l
S. fg Remodeling
any capaciry No'workers'wmp.insurance rerjuirnr'1
3.0 T am a horneoamer doing all work myself [Ku workers'comp.insurance required)t 9. ❑Demolition
10 0 Building addition
4.❑]rut,a 1.1e4ucowncr and will be hiring eont•actors to conduct all worx or.-:y properr•. l will
ensure that all contractors tidier havcwe-ll:;rs'compensation ice o;are sole 11.0 Electrical repairs or additiol,s
piuprictors with na cm?ioye•_s
12.0 Plumbing_epezra or add_ticns
5.0 I am a 4 tne-ai cunt ac:or and I have bred the sub-cc raractors Iisrad pa die Alt ailed sheet. 13.ERoof repair
These have a plryees and have workers't.m»p_irteuranee.t
6_❑We arc a corporation and its officers have eacreised their righr of cuing/ion per Mai,.c. 14.❑aotbe. .___.. _---
152,41(4),and we have no employees.(No workers'corns,.iusuraucc iequircd.l -
'Ane,applicant dial checks box ti1 must alio fill out the seeaonbelow showing their workers'•compensation policy information. •
I Hnmeoismers who submit this affidavit indicating they are doing all work and then.hire onside coot•actorsmnst submit a new affidavit indicating such.
;Contactors that check this box must attached as additional sheet sh•.wiag the name of the sub-contractors and sum whether or not those entities have
employees. If the sub-coneracr.ots have employees,they mist provide their acwk-c•ecro.po;icyIA:mber •
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: 41r \\C ..�•.' y2 C-L 61 Y"c_).\o
•Policy#or Self-ins.Lic.it: Ob c; D' b Z`5 Expiration Date: r9) F J 26.4
lob Site Address: 1 C ff.lt aI _ City/State/Zip: L,,,c6As *VI- ot0
Attach a copy of the workers' cotnpensadon policy declaration page(shoring 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 une.year imv.risoamen; as well as ciNi:.penalties in the form of a STOP WORK ORDER and a fore of up to$250.00 a
day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
c overage.v erification.
I do hereby certify un er the pains and pe hies of p , hat the information provided above is true and correct
. Signature: y•' ///, t/k). Date: L&123
Phoneill; - C{ - esq-� 52 2_11 _
Offweul rye only. Do root write in this area,to be completed by city or town official.
` City or Town; _..T_ -Perrnit/License
Issuing Authority(circle one)::
. 1.Board of Health 2.Buildsng Departrn ens 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing fnspr.ctor
6. Oihter
Contact Person: Florio#:
LiocuSign Envelope 11.):I-4282394-U44D-4 1 51)-A462-9289C 1 C48938
City of Northampton _
kfaszachu.s.'etts
kalif
SSJ)
LITARIVIL.-711' BUL(DING 1.11.5,2E.C2101,73
:-!Zz
212 main ti thit t • Bunicipal. Building
Iirthaz.pton, 1X 01060
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL 15FMOLITION AND RENOVATION PROJECTS)
In accordance of the provis'ons of MGL c 40, 554, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of
in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: 31)UCLA ii„.(7.0 CV4-iry CLX1-"pk.")
The debris will be transported by:
Name of Hauler: \ a., • 00(1A-k--• j-41\-e
•(-1,,..s4„edb,„
cJ. 8/22/2023
Signature of Appl(ca,,,,,, Si("6.46" Date:___________
Customer(Sell)
QUOTATION
ife .. 21 WEST ST.
r k .MILESHATFIELD,MA 01088
PATTY JORDAN
PING Never AR-$ jordanp@rkmiles.com
PARADIGM
Creation Date
III
8/9/2023 W I N D O W S
BILL TO: SHIP TO:
VALLEY HOME-09-05-2023
DISSINGER RESIDENCE
Phone: Fax: Phone: Fax:
QUOTE NAME PROJECT NAME CUSTOMER PO# DATE REQUESTED
VALLEY HOME DISSINGER
IMPROVEMENT
SALES REPRESENTATIVE TERMS SHIP VIA QUOTE NUMBER
jordanp@rkmiles.com 832815
Lineltem# Description Net Price Quantity Extended Price
1-1 $342.03 2 S684.06
Comment/Room: Product: 8300 Series,Double Hung,NC
RO: 31.875"x 37.75" Tj
TTT Overall Size: 31.375"x 37.25"
TTT Unit Size: 31.375"x 37.25"
Sash Split: Equal m `+
Performance Level: Standard,
Glass Options:Double Glazed,LowE,Argon,Annealed,SS
3/4" IG Thickness,Clear Opening:26"x 13.21",2.385Sq ft
Ratings:U-Factor=0.29, SHGC=0.28, VT=0.53 _ r} r____
Vinyl Color: White RC3-i Si787. 5
Locks: Standard,Double
Hardware: White,
Screen: Full Screen,Extruded-Fiberglass,White,
Surround(Jambs/Receivers): Receiver,3/4",4 Sides,
Interior Trim:No,
Last Update: 9/5/2023 7:03:48 PM Page 1 Of 4 Printed: 9/5/2023 7:15:19 PM
QUOTE NAME PROJECT NAME CUSTOMER PO# DATE REQUESTED
VALLEY HOME DISSINGER
IMPROVEMENT
SALES REPRESENTATIVE TERMS SHIP VIA QUOTE NUMBER
jordanp a rkmiles.com 832815
Lineltem# Description Net Price Quantity Extended Price
2-1 $482.81 1 $482.81
Comment/Room: Product: 8300 Series,Casement,NC .
RO:36.5"x 39.5"
TTT Overall Size: 36"x 39" -
TIT Unit Size: 36"x 39" 1?)
. Right,Performance Level: Standard,
Glass Options:Double Glazed,LowE,Argon,Annealed, SS O
3/4"IG Thickness,Clear Opening:24.5"x 34",5.785Sq ft
Ratings:U-Factor=0.28, SHGC=0.25, VT=0.47
Vinyl Color: White
Hardware: White,Washability Operator RO
Screen: Full Screen,Roll Formed-Fiberglass,White,Reinforcements:
Reinforce Rails, None,
Surround(Jambs/Receivers): Receiver,3/4",4 Sides,
Interior Trim:No,
Lineltem# Description Net Price Quantity Extended Price
3-1 $872.28 1 $872.28
Comment/Room: Product: 8300 Series,Double Hung,NC
RO: 67.25"x 55.25" 1
ITT Overall Size: 66.75"x 54.75"
TTT Unit Size: 33.375"x 54.75"
Double HungIDouble Hung,Sash Split:Equal A
Mulls: 0 Degree,Vertical,Performance Level: Standard, o n
Glass Options:Double Glazed,LowE,Argon,Annealed,SS re
3/4"IG Thickness,Clear Opening:28"x 21.96",4.27Sq ft
R 'n = _ = I 1 ati gs:U-Factor SHGC 0.28, VT 0.53
• — 33.375" -- 33.375"
Vinyl Color: White 66.75"
Locks: Standard,Double RO-67 25"
Hardware: White,
Screen: Full Screen,Extruded-Fiberglass,White,
Surround(Jambs/Receivers): Receiver,3/4",4 Sides,
Interior Trim:No,
Last Update: 9/5/2023 7:03:48 PM Page 2 Of 4 Printed: 9/5/2023 7:15:19 PM
QUOTE NAME PROJECT NAME CUSTOMER PO# DATE REQUESTED
VALLEY HOME DISSINGER
IMPROVEMENT
SALES REPRESENTATIVE TERMS SHIP VIA QUOTE NUMBER
jordanpLrkmiles.com 832815
LineItem# Description Net Price Quantity Extended Price
4-1 S411.21 4 $1,644.84
Comment/Room: Product: 8300 Series,Double Hung,NC
RO:36"x 55.25"
TTT Overall Size: 35.5"x 54.75"
TIT Unit Size: 35.5"x 54.75" N
Sash Split: Equal
Performance Level: Standard, cam'
Glass Options:Double Glazed,.LowE,Argon,Annealed,SS
3/4" IG Thickness,Clear Opening: 30.125"x 21.96",4.594Sq ft
Ratings: U-Factor=0.29, SHGC=0.28, VT=0.53 _Ru5-Vinyl Color: White — 6}
Locks: Standard,Double
Hardware: White,
Screen: Full Screen,Extruded-Fiberglass,White,
Surround(Jambs/Receivers): Receiver,3/4",4 Sides,
Interior Trim:No,
LineItem# Description Net Price Quantity Extended Price
5-1 $399.98 2 S799.96
Comment/Room: Product: 8300 Series,Double Hung,NC
RO:29.75"x 55.25"
TTT Overall Size:29.25"x 54.75"
TTT Unit Size:29.25"x 54.75"
Sash Split:Equal
Performance Level: Standard, c''
Glass Options:Double Glazed,LowE,Argon,Annealed, SS
3/4" IG Thickness,Clear Opening: 23.875"x 21.96",3.641Sq ft
Ratings:U-Factor=0.29, SHGC=0.28, VT=0.53
Vinyl Color: White .RO- 75 .
Locks: Standard,Double
Hardware: White,
Screen: Full Screen,Extruded-Fiberglass,White,
Surround(Jambs/Receivers): Receiver,3/4",4 Sides,
Interior Trim:No,
Last Update: 9/5/2023 7:03:48 PM Page 3 Of 4 Printed: 9/5/2023 7:15:19 PM
QUOTE NAME PROJECT NAME CUSTOMER PO# DATE REQUESTED
VALLEY HOME DISSINGER
IMPROVEMENT
SALES REPRESENTATIVE TERMS SHIP VIA QUOTE NUMBER
jordanp@rkmiles.com 832815
LineItem# Description Net Price Quantity Extended Price
6-1 $334.53 2 $669.06
Comment/Room: Product: 8300 Series,Double Hung,NC
RO: 22.125"x 40"
TTT Overall Size: 21.625" x 39.5" -
TTT Unit Size: 21.625"x 39.5" a
Sash Split: Equal
Performance Level: Standard,
Glass Options: Double Glazed,LowE,Argon,Annealed, SS ,
3/4" IG Thickness,Clear Opening: 16.25" x 14.335", 1.618Sq ft
Ratings: U-Factor=0.29, SHGC=0.28, VT=0.53 21 625„
Vinyl Color: White RO-22.125"
Locks: Standard, Single
Hardware: White,
Screen: Full Screen,Extruded-Fiberglass,White,
Surround(Jambs/Receivers): Receiver, 3/4",4 Sides,
Interior Trim:No,
LineItem# Description Net Price Quantity Extended Price
7-1 $405.07 1 $405.07
Comment/Room: Product: 8300 Series,Double Hung,NC
RO: 33.875"x 55.25"
TTT Overall Size: 33.375"x 54.75" t
TTT Unit Size: 33.375"x 54.75"
Sash Split: Equal ,, _
Performance Level: Standard,
Glass Options: Double Glazed, LowE,Argon,Annealed, SS l_(
3/4"IG Thickness,Clear Opening: 28"x 21.96",4.27Sq ft
Ratings: U-Factor=0.29, SHGC=0.28, VT=0.53 _ 7
Vinyl Color: White .R 33_ 75"
Locks: Standard,Double
Hardware: White,
Screen: Full Screen,Extruded-Fiberglass,White,
Surround(Jambs/Receivers): Receiver,3/4",4 Sides,
Interior Trim:No,
SETUP: $0.00
LABOR: $0.00
CUSTOMER SIGNATURE DATE FREIGHT: $0.00
DEPOSIT: ($0.00)
We appreciate the opportunity toprovideyou with thisquote! BALANCE: $ 47.38
PP PP ySALES TAX: $347.38
SUB-TOTAL: $5,558.08
TOTAL: $5,905.46
Last Update: 9/5/2023 7:03:48 PM Page 4 Of 4 Printed: 9/5/2023 7:15:19 PM