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38A-129
104 MOSER ST BP-2021-1513 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38A- 129 CITY OF NORTHAMPTON Lot: - PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ADDITION BUILDING PERMIT Permit# BP-2021-1513 Project# JS-2021-002515 Est. Cost: $21960.00 Fee: $134.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: NOVA VC CONSTRUCTION & CLEANING INC 110457 Lot Size(sq. ft.): 6123.00 Owner: COE TERENCE Zoning: PV Applicant: NOVA VC CONSTRUCTION & CLEANING INC AT: 104 MOSER ST Applicant Address: Phone: Insurance: 41 SULLIVAN ST (851) 312-9860 WC CHICOPEEMA01020 ISSUED ON:6/22/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:EXTENSION OF DINING ROOM TO FRONT PORCH 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. 1. i' y2 Certificate of Occupancy Signature: 1 FeeType: Date Paid: Amount: Building 6/22/2021 0:00:00 $134.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner The Commonwealth of Massachusetts Board of Building Regulations and Stan• ds FOR Massachusetts State Building Code, 780 SSE LITY Building Permit Application To Construct, Repair,Reno tam emolisl R• sed 1413r 2011 One-or Two-Family Dwelling et*, This Section For Official Use Only 1•1`7:s),c, Building Permit Number: Q/n""a I M/673 Date Applied: �'°eo'oti Building ,CP 4 Official(Print Name) )514fitignature Da I SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers '1b4 MO5er A 39A ! 2g 1.1 a Is this an accepted street?yes I/ no Map Number Parcel Number i 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use 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 la' Zone: Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: -rere►1ce, toe. lelAy L ctni AD min 1J0t41v netp - 1�b4 Name(Print) City,State,ZIP 4C4 Mosey' S C" O64& 4131 t+errti cre rgns No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) El. Addition El Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: FXICA15510() o 'lx,vl 1p -h&t' f rnA —porch SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ a 0 Standard City/Town Application Fee 1 f' ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Feek l Check No. Lj Ootheck Amount:/3 / Cash Amount: 6. Total Project Cost: $ A gad Cl Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C.45- i i 0L}5 7 oh 1g ZZ ( ( KW( Go4or License Number Expiration Date Name of CSL Holder g Tc to r List CSL Type(see below) LI No.and Street Type Description ,�'��rd —min(^ / U / Unrestricted(Buildings up to 35,000 Cu.ft.) City/Town,State,ZIP f l ' R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding 31 q a � SF Solid Fuel Burning Appliances 5)) Z 67 1iOV'A-vCCon&hitt. too 6)11,��incui. I insulation Telephone Email address D Demolition 5.2 Registered Home Improvement�//o� Contractor(HIC) 1 qy 365 O1'�IaD73 A I W VA VC CCIjYI.1C�.on 2' CitQ n no_In HIC Registration Number Expiration Date HIC Company Name or H1C Registrant Name 4� S U[t i vain s ' nova JGC.DhStnAc br kv trvY,t.i l.caw, No.and Street Email address CNI'GoPeE - PIA OW?.0 (551)312 '1860 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 V 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 114YJ A VC. GONS�YUC+fOV\ B'Giza rig In U to act on my half,in all matters relative to work authorized by this building permit application. e�� , n�'1 nc, Print Owner's Name(Electronic 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 best of my knowledge and understanding. Print Owner's or Authorized Agent's Name(Electronic 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 www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 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 Project Square Footage"may be substituted for"Total Project Cost" l RENDERING SCOPE OF WORK: EXTENSION OF THE DINING ROOM.THE EXISTING Cell) i \111EXISTING\N PORCH ROOF WILL REMAIN. 1, PROPOSEDB 1 ��_ --- - 1 's _ L R I A i1.. t; k 3 Houses TTIG,L...LHI..COM 441011425 -' 1 4, , • I_ 1m� ` • — ' I - �:_ s IS j- y ' Y ' P I Ili I -- [, IjI fit� � _4, it_1 � 11 # 1�1 � EIi ‘.4\ 1, \S1 1 I _:- .', ,--- q vii, . ,........ _ ._.__-_-_-----_-_-_--___-_„4 i I a �� 1 '" "� � ,s FRAMING - .. - GENERAL NOTE 2X10 RIDGE ROOF • ALL STATE AND LOCAL CODES.ORDINANCES.AND REGULATIONS.FOR THE TOWN OF INTEREST SHALL BE CONSIDERED 2X10 RAFTERS 9))10 O.C. PART OF THE SPECIFICATIONS IN THESE PUNS AND WLL GOVERN ANYTHNG SHOWN.DESCREED,OR IMPLIED WT R/ 1/TZIP ROOFING THESE DRAWINGS:RC 20159TH ADDITION:WITH M.GL C.143 ARCHITECTURAL ROOF SHINGLES • ONSIIE AND FEW MEASUREMENTS THROUGHOUT TIE ENTIRE CONSTRUCTION PROCESS TO REFLECT ACTUAL SITE Q HURRICANE CUPS 610 O.C. CONGIpNS ARE NEEDED. X 1X3 STRAPPING-SHEET ROCK/PLASTERED/PAINT • THE HIRED GENERAL CONTRACTOR ON THE JOB WILL ASSUME RESPONSBIUTY FOR THE P/TES USTED ABOVE,ANO WU 3/4 T60 ADVENTECH FLOORING OVERSEE ANY SUBCONTRACTORS AND BUILDING PERMITS REQUIRED. SD Z • THESE PUNS ARE SPECIFICALLY DESIGNED AND INTENDED TO SHOW HOMED NERIS).CONTRACTORIS),AND ALL OMER FINISH FLOOR TDB FAMES CONC ERNED'GENERAL AND BASIC STRUCTURAL INFORMATION Of SAD RESIDENCE TO RE SUET.THESE FLANS DO I- 2X8 EXTERIOR WALLS®18 O.C. NOT SHOW'VERY DIMENSION,NOTE.MATERIAL.ETC.NEEDED 10 FULLY CONSTRUCT THIS PROJECT. Z W 1- VEINED INTERIOR WAS010 O.C. AU LVLS OR STRUCTURAL BEAMS MUST BE VEED AND STAMPED BY OTHERS. LL j Ln 7/11 ZIP WALL EXTERIOR WALL SHEATHING ALL ENGINEERING OR ARCHITECTURAL STAND REOUREMENTS 10 BE VEREIED BY OTHERS. -O I VINYL SIDING GUTTER/DOWNSPOUT ALL INTERIOR DECOR.PANT,STASH.FLOORING.WHOOWS.DOORS.AND KITCHEN DESIGN TO BE DETERMINED BY V X Q HOMEOWNER AND/SE SUBCONTRACTOR. _ ONSTRUCTION CODES ALL HEATING AND COOING AND ELECTRICAL TO BE DESIGNED AND DETERMINED BY SUBCONTRACTOR ''I- INSULATION ALL HOME ENERGY AUDIT f0 BE DETERMINED BY OTHERS. O O R-49 BLOWN IN ATTIC RADON REQUIREMENTS OF THE STATE BUILDING G REGULATIONS MUST COMPLIED W IF REQUIRED-APPENDIX F ICI.i R-49 EXTERIOR WALLS 6'BATT SA10[E DQKTGS AR!ENDURED AS POLIO SJ RR.TRS14L�.id1 Z A55AGHU5ETT5 4TH EDITION BASE GORE RJO CELLAR CEfLLING O'BATTS ONE SMOKE DETECTOORR AT THE BASE OF ALL STARS 10 ANOTHER OCCUPIED N THE BASEmENT AND ONE ON EACH NAMEABLE STORY OF E RESIDENCE. HEATING WATER PIPES WRAPPED IN BASEMENT ONE SMOKE DETECTOR OUTSIDE OF EACH SEPARATE SLEEPING AREA. A MINIMUM OF ONE SMOKE DETECTOR MUST BE INSTALLED FOR EVERY 1.000 SQUARE FEET OF AREA OR PART THEREOF. ••15 IRC-INTERNATIONAL RESIDENTIAL CODE T SM KE HARDWIRED AS DM S BE PHOTOELECTRIC. SMOKEIC. DETECTOR WITH BATTERY BACKUP. ALL SMOKE DETECTORS MUST BE PHOiOHEC1RIC. p HEAT BITICTOIS AU RGBIRED AS fOLLOWL IIEf.4 1411.11 W GMR-MA AMENDMENTS TO THE IRC A SINGLE HEAT DETECTOR MUST BE INSTALLED IN AN INTEGRAL OR ATTACHED GARAGE. ONE ON EVERY LEVEL OP THE RESIDENCE,INCLUDING BASEMENTS AND RAMBLE PORTIONS OF ATTICS MUST BE LOCATED LIST OF DRAWINGS WINN I FEET Of EACH BEDROOM DOOR, H' •f 151EBC-INTERNATIONAL EXISTING BUILDING CODE NO FURTHER THAN ID FEET FROM ANY BEDROOM DOOR. iti G-01 COVER SHEET AND NOTE 1 1• COMBINATION ALARMS IPHOTOEIECTRIC SMOKE AND CARBON MONOXIDE ALARM)MAY BEUSED. i .15 IEGG-INTERNATIONAL ENERGY CONSERVATION CODE • MUST BE HARDWIRED AND INTERCONNECTED WITH BATTERY BACKUP.FRAY BE SEPARATELY WRED FROM FIE EXIRING SMOKE DETECTION SYSTEM.) •••15 IMG-INTERNATIONAL MECHANICAL CODE 6-02 FLOOR PLAN : SMOKE T G-03 FLOOR PLANT SIDE VIEW FnEPROE01EC OM KITCHEN F100D REF.KO CM)BATHROOM AND DRYER REF.)105 GEM]CONT.VENT ►4151FG-INTERNATIONAL FIRE CODE • THE GARAGE SHALL HAVE2'TYPE'K'GYPSUMWALLBOARDONTHEGARAGESIDEOFTHEWA.LORFLOORADJACENTTO 21THE HOUSE AND D THE HOUSE. GMR-MA FIRE PREVENTION AND ELECTRICAL REGULATIONS r• AFR OP OF2GYPSUMWAALLBOARDTHE ATTIC SHAALLLBEA IS OSroG ORRMABAA'Ra OSEPARTTGARAGE ATE THE GARAGE AND THE HOUSE DATE WIND•HMI IEACING -21 CMR-MA ACCESSIBILITY REGULATIONS • REF.USING CS.WSP METHOD 2015 RC SECTION RE02 6/8/21 DECK TENSION HOLD DOWN-R507.21 I.R507.2A •48 GMR-MA PLUMBING REGULATIONS SCALE: 1/4•-1' /GGUPANY GROUP CLASSIFICATION THE HIRED GENERAL CONTRACTOR ON THE JOB WILL ASSUME RESPONSIBILITY FOR ALL CONSTRUCTION MATERIAL AND WILL OVERSEE ANY SUBCONTRACTORS AND BUILDING PERMITS. SHEET: •NSTRUGTION TYP/CLASSIFICATION:YB REFERENCE RED 015 DETERMINED UTO S/l G CODES TILL PARTIES A PLANS ARE SPECIFICALLY AL DESIGNEDNOBASIC AND URAL TO SNOW HONER SAID RESIDENCE ST ENCET BE BUILT. ONING:CURRENT USE:ONE FAMILY ESEAND PLANS DONO SHOW VERYT DIME SIO,NOTE ATERI LETC.NEEDED T FOU L DONSTRUCT HIS POJECA-1 THESE PLANS DO NOT BHOW'EVERY'DIMENSION,NOTE MATHRIAL,ETC.NEEDED TO FULLY CONSTRUCT THIS PROJECT. /•� 1 L FLOOR FLAN . EXISTING .OUSE5TEGNGGHAIL GOH • 11.-3001,12 .r_,__. R I• A•YG ••.-. ill-_.- I1:11JHM“Tme IIeatm ` Ee•ce. I *f I a {{1Wyjj� B I_,I 1 1 ea.EO WAX[Oat I Q jy 4p ® rr I a - . !c.w.o., A I As NU. M.D3 „ 1E WED HEADER . i x awrLIIRS b • b R 466 S • T. IRY R !IN . L4• ` 64RAGE 8 :: nu. T�i j1.5..h24'1). -. -- -------—� - j �'1' .. V y 2a\PO� 1 I 0 r , PROPOSED N. Q r _. 14•'... 1I k F ENTRY N1191PEpfUS9 _ `--- ---- _EMI--.--- --I�+ saw --�` - Teo' Ma riff 0 94 1stFlOOr 1SGALE1/3“•11 :,0,111i& — a1i 43 e., F-IX z 43 W E TRY p J x FADER 2.2X1 V IT,,,T.1 I.,9(,9i4".n WI ""1P'I DOUBLE.HUNG T•10" S"X61.5" Z — —I — CLIMATE ZONE S / — U FACTOR 0.30 • LABEL MUST REMAIN ®16O.G.EXTERIOR WALL Pi C I II r 1 R•21 INSULATION PROPOSED 1 C., 10r-0" it DATE: SCALE 1/S'•1• 6/8/21 SCALE: 114-.1' Floor Plan View Shell SHEET: A-2 • FLOOR PLAN & SIDE VIEV" • INSULATION NOTES 141 SO FT ENT 1r . PROPOSED 67 SQ R-49 BLOWN IN THE CEILING « x a ou3rcc.yar+. .ca+ R-21 EXTERIOR WALLS + 114 3301426 W • R-30 IN THE FLOOR i t.-----1—___ w ._. DINING :J TABLE IRC 2015—R802.5.1(6) f 10'-10"x lb'-4' E TRY 115 SQ FT GROUND SNOW LOAD— 50 PSF e . 7-X6'-g = DEAD LOAD 20 PSF A 1155Q FT HEADER2.2X10' RAFTERS DEFLECTION =240 DOUBLE.HUNG 2x8 SPRUCE—PINE—FIR #2 @16 O.C. 363"X61.5" CLIMATE ZONE 5 '' U FACTOR 0.30 .� LABEL MUST REMAIN \ -- ASPHALT ROOFING \ ARCHITECTURAL SHINGLES ' 2X6®16 O.C.EXTERIOR WALL ROOFING MEMBRANE f � 31'- 1-- ,l.1,1,1•[E:•r - R•21 INSULATION FLASHING RAFTER 2%8 ~ _ BAFFLE �.� FASCIA i ,", 1� "VENTED AIRSPACE Z I FINISH SIDNGGPROPOSED DN 't/ HEATHION R-21 SOFFIT FURRING��- .�' SCREENED VENT ,0'.6" SCALE 1/3"•1' Vented Soffit 'C 1st Floor 1--- f 1 _- 1n z I zWL �OQ —I __Iilf17v X x TI EXISNG ROOF IIILL1-- 0 EXISTING GABLE REMAIN ROOF WILL REMAIN \1pPr - - Z _ !NIL_ ...1 1 1 .: rRl -I e, e, 6- 000E 010E= — in 111—w_ F'''. II D E 411,31- DATE: J.-I 1i III :9;2 DO SCALE 13..1� I 1 I 6/8/21 '''- SCALE: � Elevation 1 1I+"�1' —� SCALE 113-'I J SHEET: Elevation 2 I A-3 CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD GARA&E PROPOSEDIN._ ENTRY DINING -r '.. E I1 R'r SIDE YARD I SIDE YARD 4-l0" I. I ( I I • PROP05E17 �^ 10'-0' 1• (SCALE 119'.1.1 0 0A K Floor Plan View Shell FRONT SETBACK FRONTAGE I ��' Z5-4 I/2" N - 3'-II In' 10'-9" iL--1-J 1 V 5/8'FIRECOHOUSE/GARAGE OGK - 5 V2" / ' r LOCATE PLUMBING 111tHI HALLS WHEN p0551BLE ON HOUSFJGARAGE HALL ONLY / O ii_REFRKITCkEN IG. I Al PLUh�PK,WITHIN E)i 3'0"C.O. ji 7, z,„‘ S'O'XVO GARAGE DOOR BATH ry F o I 3'0" L, 3'-0"VANITY ;� 2X6 WALL PKT.DR. N LVL HEADER SIZED 76 BY SUPPLIERS Q x - ry ry i- a O 2'6" EN g ENTRY ry .INING ROOM x i O M m I'2"51. I'2"51. 4 v {If 3-O�� 4- 1— �� 4'STEP -� /, i t ( DI NI et t R-00M ) .47k / ` E xTEN sr 0/4 4 II Y it 4Q rn 6X60-04 TURNED POST I sq- - - - - - - o'�'UIm,, 9g �� <,,\ - LA i ( U-G tn11► d0,/_; c-,,° 6'-0' 6'-0" 5-0' I0'-0` 5-0° / / / / 1'-0" E-0" 10'-0" I'-0" / 4, i 20'-0' 1'ST FLOOR PLAN r i 2 3 4 SI 0 1/4" = 1'-0" 800 S.F. City of Northampton . Massachusetts tea? . , wi S • ( •�., ( 4' g DEPARTMENT OF BUILDING INSPECTIONS , j,° 212 Main Street • Municipal Building 'j Northampton, MA 01060 rs �10c 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: Location of Facility: U 51/9 YOJQ S[ CU.(i,Q •HA CW W ouln an*cJOr Oumpsfer The debris will be transported by: ChraOr and OA rnondalt5 bJ Name of Hauler: WGsT.e M 1 'L.SWeiv1 - Signature of Applicant: Date: 06) 0 Li(zozl The Commonwealth of Massachusetts h' a'i Department of Industrial Accidents w ' = =. = 1 Congress Street,Suite 100 .1:r , Boston. MA 02114-2017 ww)t.mass got/dia 1%others`Compensation Insurance Aflidawit:Builders/(ontractorstElectricisnslPlumbers. 10 BF;FILED won i NE PI:RMITI IM:At"111UR11 V. Applicant Information +\� / ny �.� /! M Please Print Leribiv Hanle(BBusinessOr anvatian lndniduall: NOVA V C., WIW' 1�1,14t 10' li outfit n9 .fin/ Address: 4 at l L_(\AA✓l Si- City/State/Zip: U ACo q •ILIA' 0102Q Phone#:( j7) 3l 2 G1,8610 Are yen an cmplwa re!I heck the appropriate boa: 7 t f w of project(required):. 1.0i.in:a ctrtpkrya with 7 - employees(fon wain Pet-temc€' 7. 0 Nett (-construction 20 I am a sole proprietor or ponnv ship and(hate nn employers wa' 'a ter me in IL Remodeling any capacity.(No workers°oagr.intwance mowed.) El)c]1 am a homeowner doing all wank myself.(No winters'comp.m,aran:e required"' g Demolitionm 10[J Building addition 41.0 I am a homeowner eowia r and will be kiting contractors to conduct aft w.•ilr on ml:property. I w ill ensure that all contractor.either hate workers"caenperrsaiion insurance or are sole I I.0 Electrical repairs or additions proprietors with no employees.. 12.0 Plumbing,repairs or additions SC:i I am a 1}ate.•ra1 contractor and I have hated the sab-comeraeliesa Weed on the attached sheet. I Roof repairs ilrese subcontractors hate employees and Into wtltkers'coop.insurance." 6.0 we an a corporation and its officer.hat a ewcn red their tight of exemptionpet K L c. 14. Other 152..+It41.and we have no einployeesiNo anthers*romp.insttaneeaequi edLi •.Any applicant that checks bet ax 1 roust iho fill ail the actoro blow showing their tuition'compensation polio*information. t Iloacsm non who satinet this atliiLsvit indicating they ens deitg all work and then hire outside contractors moo submit a new affala%it inificatmvr such. :Contractor.that check this boa must attached an MtStiOhd saner show in V"die our of he suh-e irartor..and state w hethecr or not thane entities hate anrlo%c.,. If the arbooseractors hat e."r”14.,. t,they ih:;r workers Pimp.police numtrcr. I am an employer that is providing worLers'compensation insurance for my employees. Below is the policy and job site insurance l'onipans Name T'1 loAtA.Ira na,„e 0tyvt k4 Policy#or Self-ins. Lie. M14 ' 102.500 Expiration Date: 047/2Q24 Job Site Address: 4044 M.OSEtZ,, SA' City/StatetZip: N0rititampkan-MA-01060 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 SI.50000 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 t+yret arded to the Office of Investigations of the DiA for insurance coverage .eritication- I do hereby certify under the pains and penalties of perjurer that the information provided above is true and c•orrecL Signature: Date De`2417c2 l Phone : ( 5l 3 f 2..' 6 0 Official use only. Do not write in this area,to be completed by city or town official. ('its or Tow is: Permit/License 4 issuing Authority (circle one): 1. Board of Health 2.Building Department 3.City'/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector . 6.Other • ' Contact Person: Phone#: 6/16/2021 Mail-Novavc constructiom-Outlook Commonwealth of Massachusetts t Division of Professional Licensure Board of Building Regulations and Standards Constr{Rd1$rl'it rvisor CS-110457Wires:07/18/2442 GILMAR COSTA 8 TAYLOR STREET MILFORD MA 01757 Commissioner diva,. 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 Regulatior 194365 01/29/2023 1000 Washington Street -Suite 710 NOVA VC CONSTRUCTION & CLEANING INC Boston, MA 02118 r, ALMIR DIAS �� 41 SULLIVAN ST a-G(s i- CHICOPEE, MA 01020 Undersecretary Not valid without signature https://outlook.live.com/mail/id/AQQkADAwATYwMA1tZG15MCOxYTBITAwAiOwMAoAEACA%2FuNgE%2FbkRJlHgxrH9oBw/sxs/AQMkADAwATYwM... 1/1 TE(MM A� DA /DD/YYYY)EP CERTIFICATE OF LIABILITY INSURANCE TEIMM 021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT Jeffrey Brochu Brochu Insurance Agency Inc (A1coNN,Extl: (413)536-3311 (A(c,No): (413)536-0900 • 725 Grattan Street E-MAIL ADDRESS: Ieff brochuinsurance.com INSURER(S)AFFORDING COVERAGE NAIC C Chicopee MA 01020 INSURER A: Western World Insurance Company INSURED INSURER B: PMA Insurance Omarks Nava VC Construction&Cleaning Inc INSURER C: 41 Sullivan St INSURER : INSURER E: Chicopee MA 01020 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER IMM!DD/YYYYI IMWDDIYYYY1 X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 500,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 NPP8617198 04/25/2021 04/25/2022 PERSONAL 8 ADV INJURY $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 X POLICY PRO- JECT LOC PRODUCTS-COMPIOPAGG $ 1,000,000 OTHER: $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE X ER Y/N ANY PROPRIETOR:PARTNER/EXECUTIVE E.L EACH ACCIDENT $ 1,000,000 OFF]CER�MEMBEREXCLUDED? N NIA WCMA000162500 09/17/2020 09/172021 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes.cescnbe under DESCRIPTION OF OPERATIONS below EL_DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHCLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Janitorial Service-Cleaning,Carpentry,Painting&Drywall CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Terence Coe&Jayalaxmi Kannan ACCORDANCE WITH THE POLICY PROVISIONS. 104 Moser St AUTHORIZED REPRESENTATIVE J __4 I Northampton MA 01060 Fax: Email: ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Home Depot Special Order Quote •.ti 4 s Customer Agreement#: H2610-159210 Printed Date:6/11/2021 Customer: NOVA VC CONSTRUCTION Store: 2610 Pre-Savings Total: CLEANING Associate: KENNY Total Savings: ($0.00) Address: 41 SULLIVAN ST CHICOPEE, MA 01020 Address: 655 MEMORIAL DRIVE Pre-Tax Price: CHICOPEE, MA 01020 Phone 1: 781-485-7332 Phone: 413-593-5400 Phone 2: 781-485-7332 Email: ALMIRDIAS27@LIVE.COM 1 All prices are subject to change. Customer is responsible for verifying product selections. The Home Depot will not accept returns for the below products. Sash Split= Even Catalog Version 102 Line Number Item Summary Was Price Now Price Quantity Total Sav'.I Total Pric 100-1 Contractor Double Hung Twin Operating/Operating,72 x 60.5 Sash Split=Even Exterior=White,Interior=White Deluxe J-Channel,Frame Modification=None Standard Glass Options,Dual Pane,Lower Glass Style= None,Upper Glass Style=None,ProSolar Low E, Upper=Annealed,Lower=Annealed,Glass Tint=None, 3/32 in-3/32 out,Argon,3/4",Intercept Number of Locks=2, Upgrade to 2 locks?=No,Lock Type =Cam,Cam Position=8,Number of Air Latches=None, Window Opening Control Device(WOCD)=No,Interior Hardware Finish=White,Maximum Clearance Hardware =No Screen=Half,Fiberglass,Roll-Formed, , None Jamb Extensions=No,Jamb Extensions-Finished Size= None,Jamb Extensions-Wood/Color=None, , ,Drywall Option=No U-Factor=0.3,SHGC=0.29,VT=0.53,STC=27,Meets Energy Star Zones=North Central AAMA,DP=35 Room Location= Interior Casing=None,Interior Casing Finish=None Delivery Zone=M Common Frame,T-Mullion(.5 Vertical) Unit 100 Total: Begin Line 100 Description ----Line 100-1---- Contractor Double Hung Twin Upper=Annealed,Lower=Annealed,Glass Tint= AAMA,DP=35 Page 1 of 2 Date Printed:6/11/2021 01:10 PP Operating/Operating,72 x 60.5 None,3/32 in-3/32 out,Argon,3/4",Intercept Room Location= Sash Split=Even Number of Locks=2,Upgrade to 2 locks?=No, Interior Casing=None,Interior Casing Finish= Exte o ~White, Interior=White Lock Type=Cam,Cam Position=8, Number of Air None —uxe 1-Channel,Frame Modification=None Latches=None,Window Opening Control Device Delivery Zone=M Standard Glass Options,Dual Pane,Lower Glass (WOCD)=No,Interior Hardware Finish=White, Common Frame,T-Mullion(.5 Vertical) Style=None,Upper Glass Style=None,ProSolar Maximum Clearance Hardware=No Low E, Screen=Half,Fiberglass,Roll-Formed, , None Jamb Extensions=No,Jamb Extensions-Finished Size=None,Jamb Extensions-Wood/Color= None, , ,Drywall Option=No U-Factor=0.3,SHGC=0.29,VT=0.53,5TC=27, Meets Energy Star Zones=North Central End Line 100 Description