22B-112 (6) BP-2023-1663
53 MEADOW ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
22B-112-001 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-2023-1663 PERMISSION IS HEREBY GRANTED TO:
Project# WINDOW/DOOR 2023 Contractor: License:
VALLEY HOME IMPROVEMENT
Est. Cost: 10000 INC 077279
Const.Class: Exp.Date: 06/21/2024
Use Group: Owner: SIZER BUNK BRIAN D&LAURA P
Lot Size (sq.ft.)
Zoning: URA/URB/WP Applicant: VALLEY HOME IMPROVEMENT INC
Applicant Address Phone: Insurance:
P O BOX 60627 (413)584-7522 0055030215
FLORENCE, MA 01062
ISSUED ON: 11/27/2023
TO PERFORM THE FOLLOWING WORK:
REPLACE WINDOW AND SLIDER
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
A dl
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Buildine Commissioner
. RE—_______LyL6-CE 0
LIN The Commonwealth of Massachusett Nov 21
WI Board of Building Regulations and Stan arils 023 R
Massachusetts State Building Code, 780 CMAEpr OF MU r2 ITY
NORrk M l•DiNG 1NS
'BuildingEo oiQD v Perinit Application To Construct,Repair,Renovate Or an,/A a ill da. 2011
One- or Two-Family Dwelling
• .This Section For Official Use Only
Building Permit Number: 8p))) /0(,/ 3 Date Applied:
)c' ! floss 17/1 /i Z7-71:043
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1,I-Pr_Qperty Addre 53 �G� C* 1.2 Assessors Map&Parcel Numbers
J
1.1 a Ts this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning.District Proposed Use Lot Area(so ft) Frontage(ft)
1.5 Building Setbacks (ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1,.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone?
Public 0 Private 0 ueLk ii yes❑ _IMunicipal 0 On site disposal system 0
SECTION 2: PROPERTY OWNERSHIP1
2.1 Owvnerl of Record:
bort kri Vu4 k Nor `- KA.
Name(Print) City,State,ZIP f cx( ou&,'CQ.,61---x.co-,.
-3 h1Z ..) - -r
No.and Street Telephone Email Address
CFCTTnM 1•ilk'Cr-ti PTLClg rW pRcipa,CRII WC-RK1 (els.rk all tlint`netht)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s)9Z Alterations) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: •
Brief Description of Proposed Work': C'G'P(.c-c.e_ L a.'pi)o..) S, 5 t l 4 -c
•
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item (Labor and Materials) Official Use Only -
1.Building $ /QK - 1. Building Permit Fee: $ • Indicate how fee is determined:
2.Electrical $ ❑ Standard City/Town Application Fee
•
• '❑Total Project'Costs•(Item•6)x multiplier x
• 3.Plumbing $ 2. Other Fees: $ • -
•t.IYlel.'1a ica1 (I11 vr1yC) $ T i et'
5.Mechanical (Fire $ Total All Fees:110,$
Suppression)
'Check No-y(4•T'Check Amount: � -
6. Total Project Cost: $ 13 (( .❑.Paid.i.a Full.. . . . 0 Outstanding Balance Due:
A
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SECTION 5: CONSL'&UCTION SERVICES
5.1 Construction Supervisor License (CSL) a u
License Number Expiration Date
Name of CSL Holder •
. List CSL Type(see below)
O 'er l (DO( c)
No.and Street Type Description
��'t E 0��,��, Unrestricted(Buildings up to 35,000 Cu. -II.)R Restricted I&2 Family Dwelling
City/Town, , TP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
Li, SO 1.�J 1 Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor (If IC) •
FRC Registration NulIIher Expiration Date
• FTTC Comper9 Name or HTC Registrant Name
t BOO
No.and Street
k� (y ,� (2.. Email address
City/Town,State, ZIP, C/ 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 ofthe building permit
Signed Affidavit Attached? Yes111No 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$ C,L 'l l t ,vlm..C:xJ-) . V I-
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature). l
� ) Date
SECTION 7b: OWNER1 OR AUTHORIZED AGENT DECLARATION
•
By entering my name below,I hereby attest under the pains and penaLtie perjury that all of the information
contained in this application is true and accura t of Imo and understanding. •
•
S-rW bt 4 /i-o?U ozca3
Print Owner's or Authorized Agent's Name(Electronic Sigagur Date
NOTES:
1. An Owner who obta ins a building pt'rm it to do his/her ova work,or an owner vim hires an unregistered contractor
(not registered in the Home Improvement Contractor(I-IC)Program),will not have access to the arbitration
program or guaranty fund under MG_L_c_142A. Other important information on the HIC Program can be found at
v,•ww.nlass.gov/oca Information on the Construction Supervisor License can be found"at www.mass.govid_ps
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 half/baths
Type of heating system • Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Prefect Square Footage"may be substituted for"Total Project Cost"
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a.. .
The Cornrnonwealth of Massachusett s
Deparctrzent of Industrial r4cciderzts
er 1 Congres,s Street, Suite 100
•
= f= Boston, It 02114-2017
� •
W1-1).ii'ia.SS.gJJ/dia .
•
- Workers'Compensation Insurance Affidavit:Bu iders,/Coney-actors/Electr-icians/1humbers.
TO BE FILED WITH THE.PERMITTING AUTHORITY.
Applicant Information `I • Please Print Legibly
(Business/Organization/Individual): �IQll-eJ ti-OYIG . rrs e`r.0'12ry z'✓- - ,- Er C.
Address: J 10 r�i�v'S\GLC )r-I\rc- 1?• 0. ?:::.0 C CcO&nZ`7
City/State/Zip: t--1 O r cG ke- 01 O(o _ Phone#: Li 3-S`LI-1 S2-
Are you an employer?Check thee-appropriate box: Type of project(required):
• I.g3 I am a employer with 1 U employees(full and/or part time).* 7. 0 New construction
2.01 am a sole proprietor or partnership and haste no employees working for me in 8. pZI Remodeling
any capacity.[No workers'comp.insurance required.)
3.0 T am a homeowner doing all work myself.(No workers'comp.insurance required.)t 9. ❑Demolition
10 D Building addition
4.0 I am a homeowner and will be 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
5.0 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.* 13.7Roof repairs
6_0 We arc a corporation and its officers have exercised their right of exemption per MGL c. 14.D Other'
152,§1(4),and we have no employees.(No workers'comp.insurance required.)
*Any applicant that checks box#1 must also Ell 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.
tContraccors that check this box must attached an additional sheet showing the name of the sub-contractors and stare whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number,
I ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: -Ay ;t,\& V1 SL rO y Lt, 6:1,rU i\[a
Policy#or Self-ins.Lic.#: ObC-D 0'' b'2_-1 S Expiration Date: p7) f ) i2
Job Site Address: City/State/Zip:
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 pimishable 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
I do hereby certify tit er the pains and pe allies of p 'r��hhat the information provided above is true and correcf
Signature: !'/ //? Date:
Phone - trt-t - sLt---i SZ Z . .
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: P'ermit/License# •
-
.Issuing Authority(circle one);
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.ether
•
Contact Person: Phone#: - -
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City of Northampton _ „
N. massachusets
DEPARTMENT OF BUILDING 114SPECTTONS ' ''• Z19 L'z
212 Main Street • Municipal Building
!'y'44-'14 -'' Northampton, MA 01060 j.1-;9—??5.\
s---_--'
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 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: 11 .1Ac,(3iliti ACIA__ - 11Q,C)V-1-1-v CLXY-1.49,1n,--,
"Cf-- J )
The debris will be transported b.y:
Name of Hauler: \10110j NAlkk--- Th/TVO .4----'
/ - /70- agaA 5
S I ignature of Applicant: Date:
. z.
Commonwealth of Massachusetts
IV/ Division of Occupational Licensure
•• Board of BuilditntgikRiqulations and Standards
• - I T•
Cons ibnt*rviSor
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CS-077279 'kJ ,.,'I.: Aii':••••••:,'" ' 4pires: 06/21/2024
vi•ii;I°.1,(4;
STEVEN A SiVEF,0/11 Jil.:1:4,IV 7.„' i Str• iiitt - ,i
PO BOX 606 1::i V;i7 / ..i'..;;;I:y4
. . FLORENCE 102A 0166. . i'.,..'.0 I.,- l'.11 • i'' 1..•il
A : -.:;, 1-,./../ 1s.
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• •0/.1,Vrl'i.13 i
‘-*.ornrnissioner ,...-- - 5.24-717:4-: • .
- •• • - - •-• - - • .
•
THE COMMONWEALTH OF MASSACHUSETTS
Office of ConsOmer Affaltr anal Business Regulation
1000 WashingtpilnAtr' . Vuite 710
• BostoyaGhus 118
rrasset! -02 -
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Home Im ro .eil-5")..,.. -:..:1•.t.a. t Ot--- egistration
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rn , "+(ii . __ - . ., ,E• 4/...'. 1:-: -7-:,,, .51. .-- I • [ ."". .""4•,,..'.:4 .-....J,/
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'" ------* '.--I • '''r!.." "--"`" 1 r-i Type: Corporation
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(.'"/ .-^77::::;::-'Ir...7.4 ; :;.:::--.. e ist ation: 105543
VALLEY.HQME IMPROVEMENT INC pl 1...—,....._ - ----., --. .
4..4; ‘r-Z,:-..2,-,";:'44."1 '....‘1=.:.7.-4:-'- EAPjation: 08/20/2024
P.O. BOX 60627 t„,\
. \.., ,-_.:-.-_Ef_.77 1,--4, ..,-FLORENCE, MA 01062 .
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''''.fi';'• 77-77i7 ,./ si
_....,.._, Update Address and Return Card.
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. . . . , .. . _ .. . .. .... . , . .. . .
THE COMMONWEALTH OF MASSACHUSETTS
Office of Constimer AffaiF8,Business Regulation - . Registration valid for individual use only before the
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HOME IMPROVE4kItCONTRACTOR • expiration date. If found return to:
TiplE ",o tali o q . Office of Consumer Affairs and Business Regulation
e istrat UT-ft.:T. .,.,..Effsb-liStiopi 1000 Washington Street -Suite 710
q 4SY—"::;g0g1201, c'',(2/1 Boston,MA 02118
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AIrLEY HOME IMPRA:air. . ir itli ii ...
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TEVEN A.SILVERMAN., ''7_,.--,`A,6.1,..... .'" •1-7 • /2
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-ORENCE, MA 01062 •••-•',-*•-• :----7'1•'" ''''.../ 1
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Undersecretary Not valid without signature •
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Paradigm. Window Solutions Customer(Sell)
QUOTATION
PARADIGM 56 Milliken Street Phone: (877) 994-6369
Portland, Maine 04013 www.paradigmwindows.com
WINDOWS
*
Creation Date
5/11/2023
BILL TO: SHIP TO:
Not Available Not Available
I
Phone: Fax: Phone: Fax:
Thank you for choosing Paradigm Window Solutions!
QUOTE NAME PROJECT NAME CUSTOMER PO# DATE REQUESTED
VALLEY HOME-05-11-2023 SIZER RESIDENCE
_SALES REPRESENTATIVE TERMS SHIP VIA QUOTE NUMBER
mailto:kimballm@rkn es. 821638
7 LineItem# Descrip Net Price Quantity Extended Price
1-1
Comment/Room: Product: 8300 Series,Two Panel Door,NC
RO: 72"x 80"
TTT Overall Size: 71.5"x 79.5"
TTT Unit Size: 71.5"x 79.5"
XO,Performance Level: Standard,
Glass Options:Double Glazed,LowE, Argon,Tempered,DS
1" IG Thickness ning: 26.9375"x 75.5", 14.123Sq ft
Ratings: U-F tor=0.3, GC=0.26, VT=0.49
Vinyl Color:
Hardware: White,
J 3
Screen: Patio Door Screen,Fiberglass, White,Ship Screen Separately
71.5"
Interior Trim:No,
Last Update: 5/15/2023 12:09:51 PM Page 1 Of 3 Printed: 5/15/2023 12:11:04 PM
QUOTE NAME PROJECT NAME CUSTOMER PO# DATE REQUESTED
VALLEY HOME-05-11-2023 SIZER RESIDENCE
SALES REPRESENTATIVE TERMS SHIP VIA QUOTE NUMBER
.am a m 821638
neltem# ' • cription Net Price Quantity Extended Price
3-1 allinalinaiIMINIMIW
Comment/Room: Product: 8300 Series,Double Hung,NC
RO: 76.5"x 56.5"
TIT Overall Size:76".x 56"
TTT Unit Size:38"x 56" w, ! ---- "
Double HungIDouble Hung,Combo Fixed Type:Standard IE�
Sash Split:Equal o"'
Mulls: 0 Degree,Vertical,Performance Level:Standard, ce - --
Glass Options:Double Glazed,LowE,Argon,Annealed,SS I
3/4"IG c ,Clear pening:32.625"x 22.585",5.117Sq ft
Ratings: -Factor=0.27, HGC=0.25, VT=0.47 — 38" 76"
3E" —
Vinyl Co : White RO-76 5"
Locks: Stan ,Double
Hardware: White,
Screen: Full Screen,Extruded-Fiberglass,White, '
Grids: Contour GBG,Colonial,3W2H,Not Applicable,
Interior Trim:No;
LineItem# Description Net Price Quantity Extended Price
4-1 WO 15*
Com •oom: 'roduct: 8300 Series,Double Hung,NC
----)
RO:76.5"x 56.5" t
TTT Overall Size:76"x 56"
TTT Unit Size: 38"x 56"
Double HungiDouble Hung,Combo Fixed Type:Standard 6� I
Sash Split:Equal '"'
o
Mulls: 0 Degree,Vertical,Performance Level:Standard,
ti . s Options:Triple Glazed,LowE,Argon,Ann • I, S ji
3/4' Thickness,Clear Opening:32.625" .585",5.117Sq ft
Ratings: •-Factor=0.26, SHGC= :. , VT=0.37 -- 38" 76" 3s" —
Vinyl Color: , s.te RO-76.5"
Locks: Standar,, `••• e
Hardware: , ; e,
Scre-' ull Screen,Extru• iberglass,White,
rids: Flat GBG,Colonial,3W2 , • Applicable,
Interior Trim:No,
SETUP: $0.00
LABOR: $0.00
CUSTOMER SIGNATURE DATE FREIGHT: $0.00
DEPOSIT: ($0.00)
We appreciate the opportunity to provideyou with this quote! SALASCA
pp Pp Y SALES TAX:
SUB-TOTAL:
TOTAL: 7
Last Update: 5/15/2023 12:09:51 PM Page 3 Of 3 Printed: 5/15/2023,12:11:04 PM