36-295 (6) BP-2024-0093
57 SOVEREIGN WAY COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
36-295-001 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-2024-0093 PERMISSION IS HEREBY GRANTED TO:
Project# WINDOWS 2024 Contractor: License:
VALLEY HOME IMPROVEMENT
Est.Cost: 70000 INC 077279
Const.Class: Exp.Date: 06/21/2024
Use Group: Owner: L GEORGE RICHARD N JR& KARIN
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: 01/30/2024
TO PERFORM THE FOLLOWING WORK:
REPLACEMENT 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:
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: 3-11
J' � •
I ' I
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
uacuargn Vnvelupa I U.CL•V I w I Li..{Vr r-.GY r-anG:7v 7.r.JVULl1.US, �---
t/th l' r / ..6.-iii-;:;,„,
14,. The Commonwealth of Massac usett `��
W
Board of Building Regulations an Stan rds 3 0 M'UNICPALITY
Massachusetts State Building Cod , 7 �^ 2034 IUSE
Building Permit Application To Construct, Repair, Renowatte, in ish a / Revised Mar 2011
One-or Two-Family Dwelling ".:.�'..:44,q�--L ;
This Section For Official Use Only ����
Building Permit Number: 64'44 (I-. q 3 Date Applied:
/6:--Vii....s /1-.Z5 /// - 00-Z0Z9
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
Si SO\WAC\,r \ J et-LA_
1.1 a Is this an accepted street?yes✓ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use i Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Richard George — Northampton MA 01060
Name(Print) City, State,ZIP
57 Soveriegn Way 413-586-1953 Rigeorge@comcast.net
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑
Demolition 0 Accessory Bldg. ❑ Number of Units Other 0 Specify:
Brief Description of Proposed Work2.
rep(<4 C-c. 6t.l' ‘,3\X6-oi..)S S'- c '(Lo �l0 5 r''C-fY_u 4
C.L.�g4,.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building S 30 i'c 1. Building Permit Fee:$ Indicate how fee is determined:
2_ Electrical $ 0 Standard City/Town Application Fee
. ❑Total Project Cost (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire $
Suppression) Total All Fees: $ , o
Check No.J 46 )Check Amount:-' Cash Amount:
6. Total Project Cost: $ K. ❑Paid in Full 0 Outstanding Balance Due:
40"
DOCL.1519n Lily eiope ID EC9 1007Q-1 071--424 f-UPktb-1:SU4t-;115tYlAlUt.o.
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
077279 6-21-24
Steven Silverman License Number Expiration Date
Name of CSL I[older
List CSL Type(see below) U
PO Box 60627,
No.and Street Type Description
m
U Unrestricted(Buildings up to 35,000 Cu.ft.)
Florence MA 01062 R Restricted I&2 Family Dwelling
City/Town *.ta " '
1
...0 'NM 1 / RC Roofing Covering
WS Window and Siding
r
SF Solid Fuel Burning Appliances
413-584-7522 info@valleyhomeimprovement.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
105543 8-20-24
Valley Home Improvmeent HIC Registration Number Expiration Date
IIIC Company Name or ETC Registrant Name
PO Box 60627. info@valleyhomeimprovemont.com
No.and Street Email address
Florence MA 01062 413-584-7522
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 IX 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
to act on my behalf. in all matters relative to work authorized by is building permit application.
,,,,--DocuSig bed by:
1/12/2024
kW,. 4€46T
k—egjatkifeagga e(Electronic Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below, 1 hereby attest under the pains and penalties of perjujy that all of the information
contained in this application is true and accurate tot of my owled3 understanding.
--075-022/
Print Owner's or Authorized Agent's Name(Flectr n c,igna re) Date
NOTES:
I. 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
wwv..mass,govioca information on the Construction Supervisor License can be found at w w w.mass.govidps
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
„...._
I3. "Total Project Square Footage"may be substituted for"Total Project Cost"
DocuSign Envelope ID:tu9leufu--iutt--4z4r-ap.tb-tsatti-,ItizzAitic,
City of Northampton
!'1(4 ,I,: ,.4 Massachusetts -
•*DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street f Municipal Building
Northampton, MA 01060 •l'N v,.‘
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, 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:
Valley Recycling,Northampton
Location of Facility:
The debris will be transported by:
Name of Hauler: Valley Home Improvement
Signature of Applicant:
,/ Date: /— _27/.
O,XUStgfl-7.nvelope Lt..-viouru-luf r-4,e4f
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 C011greN,« Street,Suite 100
Btott,a, .t,14 a211.1.2017
‘‘0,kers'Compensation Insurance N.Itidas.it: Rudders orstraf torsI IettrnsTlumbers.
Mgt III 0 SI11I I lIt1"1 )01111ING
lonlit ant lifrorfitation Please Print Lettibis
Valley Home Improvement
stiusaatas t s. ,
340 Riverside Drive PO box 60627
Address
Florence MA 01062 phom: 413-584-7522
Ctt., Stalk,- lip
sit:WU Arl rfl t an),nos aisinnossast snit I slit:of project(required,
18
. A.,a,tart, t*of, ) \,. w ...onstraorini
INVIVICTIAT 4.4 ratirtmoNhip an.„
iNo*otketk` Liegir tenmt . .4
9 Dentolition
'7:7] .411% litItti‘Mtt &nay,At ,.‘tific 4M lett I's. Lot'
11) litlildirlg,addition
Cr anal nai ittflay saysat.sonrs • 0,1,, Vasil
comov sparatnorarasints offal kitt.t:,ottflitCra.` II Hea:ttaeal repass,or &lin son,
onion:ants anis ass ofiolsneass
12 Li Pititithing ff.:pairs tar adds:tons
.sos fvW.fiki contra:MO OW 11108,e haul , •
I 3 4:3 Root romp,:
thest VA-4.AntrAt." .
1.100thet
0-4,a 4.....4p0Calturk and 4 '1 rtte.1 MI 4 A.
14e2, iv4 I,anti'At° 110 •
'`lot!.appiU.Atti that tivat 11 nub*ail**t41 /ht.: sheq ,lupou,,ation anonforsno
Aiwa Atiaaaa sat*4644% tatitpattav Uwatv.itotrit ^a -t...4.1k°,..4.5aino,:wr%auto italtittil rAvA afti,tligo,1^ 9, ,
`,11 knina..Uto,Ike slifs‘kshis,hot sono saus.hea tin Ji I4c4 AO%Vl; ?„*.
dst 0:10*Nix:, 'mot idt; •
I um an employer that IN providing n orAers t ompensation in8ttrante for msemplin ees. Belot, t, the ploitt'V Ixad/Oh Nat,
inforntatitpn.
Itt,utano: Arbelia Insurance Group
Poitct, s-,11 0055030215 Esrintilvn I 2-1-24
lots s1.4. Address S.,. .-SC-;‘,..CseTh Wan_ ViV,Pev 01bb
ac tith a cops of the tt rkers' t oinitensatitin polies ilectura ion page isltiosing,the Frolic% iturolser And sApor Amon dates.
1-.111:„is.: 1,, Ass-,4s-R0.1sonl„-t \If st k. 152. 425.% V.4 it.illtilthd '*10.1ailon t , 51Hil
tr 1110), "kt. s. ti P4:11.411iVN 014: t..1111*,,,4 'S I tP'Al iRK I)141.)114,and os, ~„
d4 Its ,ofs\ ol "'tat,.went ows, b forAm,„!,..s.1 1 the 4 111,..,: Itv,.4:s1uti1/41/4111/4,r1-1/4 1/4trtil,, Di .1/4
441
1 do hereby 4 erttly utttler ti and pen of periari t ItIrtnottott provided ithm.t.is true and carrel t
straxinc
41 3-5 -
PLotts:
Officio/like tOnill. Do not**Tile In this area,to be mompleted by cm err WWII official
( it or I WA n: Permit I icense a
Issuinu Authifrit teirele one):
L. Board of Health 2, L4uiJt1in Department 3.tits 'loon Clerk .1. Electrical Itispeetor 5. Plumbing Instiettor
6.Other
t. tonsil l'erson: Phtitie fit
Commonwealth of Massachusetts
�� Division of Occupational Licensure
Board of Building Reggulations and Standards
� I '
Const ton( 1.409.rvisor
CS-077279 ' Elcpires: 06/21/2024
STEVEN A SILVERMANm1. 1;. . n 7T ' ,
PO BOX 606 1 , r
FLORENCE MA 01062 i ti: ' + , `r
rfil w y:;
l•f..I1 V,W.'� 4 's :t.r:-ss ^,ter :4> 2 r7 i.,.A
VlI II.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washingt �r t- Suite 710
Boston; Massac se4 ,02118
Home Impro -emen ravctorRegistration
tci-
y :q cz . _ ....- I. Type: Corporation
VALLEY HOME IMPROVEMENT INC i-�. :-E .T'----�e9istlation: 105543
,..r, ;/ E Oitation: 08/20/2024
P.O. BOX 60627 •;',._ '~'--- - - .': 7.:.1 J r
FLORENCE, MA 01062 ,`.'k'~ -1 ''I' ^• i�%.
Y Y e r.,
"••••• rf`A.... fi r'.✓
~`max•,,,, I l"� Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs.&Business Regulation Registration valid for individual use only before the
HOME IMPROVEMENT CONTRACTOR expiration date. If found return to:
TYPE torporatiao Office of Consumer Affairs and Business Regulation
Registratio`it _14.
Exulration
3__ 1000 Washington Street -Suite 710
196M _ .A.P.$14. 024 Boston,MA 02118
VALLEY HOME IMPRQVEM1 1 .= ::`-
k_.
STEVEN A.SILVERMAKI' ..• :'s'i.__a
340 RIVERSIDE DRIVE` ;' E'y o' :{ cL a,a .. , yi i %P
FLORENCE,MA 01062 - ,--' f"` ��'"1 L�
-, " "''' Undersecretary Not valid without signature