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32A-147 (4) BP-2022-0150 16 MAIN ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32A-147-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-0150 PERMISSION IS HEREBY GRANTED TO: Project# Contractor: License: NOVA VC CONSTRUCTION and Est. Cost: 40420 CLEANING INC 110457 Const.Class: Exp.Date:07/18/2022 Use Group: Owner: 16-18 MAIN STREET REALTY TRUST Lot Size(sq.ft.) Zoning: CB Applicant: NOVA VC CONSTRUCTION Applicant Address Phone: Insurance: 41 SULLIVAN ST 857-312-9860 WCMA 000162501 CHICOPEE,MA 01020 ISSUED ON:0 2/1 62 0 2 2 TO PERFORM THE FOLLO WING WORK: INTERIOR RENOVATIONS, NEW HANDRAILS 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: �g ► Fees Paid: $282.94 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner , FE8 7 the/Commonwealth of Massachusetts Fes / 5 Office of Public Safety and Inspections / 5 2022 1 / Massachusetts State Building Code(780 CMR) • / 'enni,Application for any Building other than a one:-or'IN,!ct-, • Dwellmg„ nine (This Section For Official Use Only) "II PoN6 Building Permit&umber: 4P. /"6"-K.,- Date Applied: Building Official: 1° SECTION 1:LOCATION 1153` MAN3t NorTha rn pfnn C 4060 No.and Street City Town P Zip Code Name of Building(if applicable) -71F6 / 117 Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building FZI Repair GA Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy El Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 131 No 0 Is an Independent Structural Engineering Peer Review required? 4,Lt Yes q No to- Brief Description of Proposed WorkAMiai, Drop ce-Cui1/413 trrkatta-4107\ where. rtr\A-.5sino‘, PEAK) ra.CI Cryl P.• •-•4 2y .ixicg,stairs) auarrq 411 hc-kalCcke cktpo.)trIZA-0,i_rS (Fiyr)k Se hOcurci) 'c'ex3t0u_+ rik-Winsikzus,,,r9 SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) Cl Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 E] H-4 0 H-5 0 I: Institutional I-1 0 1-2 0 1-3 0 1-4 0 M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 El S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB 0 HA 0 IIB Cl IIIA 0 111B El IV Cl VA Cl VB SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information Sewage Disposal: Trench P Debris Removal:ermit: A trench will not be Licensed Disposal Site 0 Public 0 Check if outside Flood Zone 0 Indicate municipal 0 required 0 or trench or specify: Private 0 or indentify Zone: or on site system 0 permit is endosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 0 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and A dr s of PropertyOwner A"46 Si 'm 13 mein st lacx-Nrl�i mp-io Y1 M.A 01060 Name(Print) No.and Street City/Town Zip Property Owner Contact Information Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: NOVA lib COW' rd di 0i1 Cltaiuev6 41 Su it(Vurl ChiCOpte MA oio7o Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here❑D. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor 1\1oVA V G C30'1TU C1'I DY1 2/ C Ax n 1 rA . L Company Name I lmyir Cos-kA, I PI(mir iu6 CS(, 110451 (o1/lg120?) f }i.C): 4g4i6(0a2 023 Name of Person Responsible for Construction License No. and Type if Applicable 4► aki Li van 5k' OJvu.c, e.t , Mil ot020 Street Address City/Town State Zip C '- - 92.6o ( 51)-N2 -ggGO AJ( v4vC,cou54-rUc4'on ? iiaidtotro (. . Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes CI No D SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor 4-0.420,) and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ 401 420 W Building Permit Fee=Total Construction Cost x 7 (Insert here 2.Electrical $ appropriate municipal factor)=$#2 'Z.64 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)f 5.Mechanical (Other) $ Enclose check payable to C).''k1 Cet- f i 9Wl't'Jl,A YW(4 i.11 6.Total Cost $ 40,42.0.CQ (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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. Cidwv' Ctrifik, A NIAA'n v'o-Pr.(Ar'1&id W-312-ci9 6.0 P1 ase rmt and sign nanr,e Title Telephone No. Date 1 q,att,Va IA S.. aill'(41kik, 01020 ,JOVA,r��_-o �otr Street Address City/Town State Zip Email Address `( Municipal Inspector to fill out this section upon application approval: r� �• T i ►♦ a KO a Name ate • City of Northampton • 0—.....sic r • " Massachusetts teat? '<< • ,1 DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building vj.,. Ca Northampton, MA 01060 "`^se, 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: hut( OtJiY1 .bui npskex' con-tamed( Location of Facility: ,_) ►-600;0 1,,- 1 PiKi J LQ • MTN' The debris will be transported by: \ o\l \G C,O�� 0N ` CA1"cnj t • Name of Hauler: loiN \JC Signature of Applicant: Date: 01.1 I hA722_ i 4+. ',"' The Commonwealth of Massachusetts - -_ Department of Industrial.-I ccidents 1 Congress Street,Suite 100 Boston,M.f 0211 4-201 T wrs'w:muss.gov/dia 11 in kers'( ontpensation Insurance:1f1idas it: Builders/Contractors/Electricians Plumbers. to Bt_ I ILl I)551111 111t: 1't 10111 t1NC;A11.110KJ •1. Applicant Information p� p ,p, Please Print Lyeibls N alll�4 IiusuK�s organizati oa tn.l iz actual1: ���-P" V C. _J�� L�J� `f e �',�.A �,y►�-��1G . Address: -i 51ill(Nian City/State/Zip: Cr* C0PE "t- oic-O phone#: 6 -) St2 . (l,geC Are sou a.cmplu"'K'('bark Me appropriate boa: Ty pe�of project(required): .® m l a a<sapdawLT*Ida 7 emplo (full andtorpa 1 `,J-time).• }- Nevi construction 201 am a suk pre prretut an txrttn-rdnp and hri.a rr,empl n.0.corking lase nee an 8. Q Remodeling any capacity.(No not-Lee.'caantp.un+utanai ecquared.1 30 t am a Iur.naxrwnaT doom:all nor&om,cll.l\ar workaT ca.n�, u ursn ce•rcyuarad l 9. El Demolition 10 Budding addition 4.0 tam a Irarnratrnnct and nod b bum ctnnractor to ca.nduet all vaai.an my pn,paTt,.. I as oll Q comae that all contractors either hate Amhara"cnwnp►aasataon ut uraner of an:sole I 1 Electrical repairs or additions proprietor,wrlh too cnaployo-.. 12.0 Plumbing repairs or additions 5 1 am a:►Trial ctmttfactor and I luae hared the wl*-carcntraaram lr.tcd On the 41t tih:d-+bane Thew sub-contractors hunt:cnor.h v,ca�and ha�c winker. a+wntr•.immune.: I3.aRalitfrCpai�rs �j Kt- 6.0 a a corporation and its athk�ez h CtaTax nn a% caal than uht a,t atantapia t yet%1C.t_: 14.®Othez r f�t �V W rrc 4114l.and we haar rat cnapkrstt-s.(N.a,wtxkm etinp orison am*:legutned.J •Aim applicant that chock.bat al anent abar tall out th ,eattant h.a danw.ha.m nag than worker,'cuntpcn.ation policy information. e Iknnnrn%nen,ac ho.ut.tnrt du.stinks%tt nulteatmp[loco arc ducat all watk and than here a uE.ttia a,atarnatora must salient s maw diktat it atwhcai to tuck =Contractors that aback the.,h'..t amuse attached an awe titaa,tal alaart.htr.a tine the name..i the uh.caatttsatunrc and.fate wlaittrcr iv not terser chute.,haoa canj' i io, It the+41M—e titraetat%}u.e eatapde,sat+.thay must pn.nic.tha:n wotkars canny. poltc.nttrntar. I am an employer that is providing workers'compensation insurance for m1"employees.es. Below is the policy and job site information. Insurance Company Name: pm- n �1��( C Policy#or Self-ins.Lit:.#: ‘M 1U A 009tl %2 5. 1 Expiration Date: �(1712,.02 lob Site Address:_AF M u(^) IVOrTT lam t{RCit, State Zip: tOr'Th'w1,mpion-MA owo Attach a cops of the s►orkers'compensation policy declaration page(shoo ing the policy number and expiration date). Failure to secure coseragc as required under MGL c. 152,*25A is a criminal violation punishable by a tine up to SI.500.00 and'ur one-year imprisonment.as IA,ell as civil penalties in the form of STOP WORK ORDER and a fine of up to S250.00 a dos a ,ainst the violator.A copy of this statement nus be forwarded to the Office of Investigations of the DIA for insurance cot erage verification. I do hereby certify under the pains and penalties of perjury•that the information provided above is true and correct Signature: c...i- 1L Phone i) 31 2 .rt8e,O IOfficial use only: Do not write in this area.to be completed by city or town official (its or'loon: Permit'License Issuing:luthorits Icircle tote): I. Board of Ilealth 2.Building Department 3.t its:'lassn Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phony#: tl • 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 194365 01/29/2023 1000 Washington Street -Suite 710 NOVA VC CONSTRUCTION & CLEANING INC Boston, MA 02118 ALMIR DIAS �� li✓� 41 SULLIVAN ST �a Not valid without signature CHICOPEE, MA 01020 Undersecretary 6/16/2021 Mail-Novavc constructiom-Outlook ktlf Commonwealth of Massachusetts Division of Professional Licensure - Board of Building Regulations and Standards ConstructOSrt sper uvisor CS-110457 E pires: 07/18/2022 GILMAR COSTA -f - : , 8 TAYLOR STREET ^ MILFORD MA 01757 ' r s ,voisiori Commissioner doick fi• `1&ata- i DATE(MMIDDIYYYY) '`��RD® CERTIFICATE OF LIABILITY INSURANCE TE{MM o21 _ 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. 3. 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 Jeffr BroChu NAME: eY Brochu Insurance Agency Inc A1CN No.EA): (413)536-3311 (Arc,re,* (413)536-0900 725 Grattan Street E-MAIL • ff iADDRESS: Iebrochunsurance.com -- INSURER(S)AFFORDING COVERAGE I NAIL 0 Chicopee MA 01020 INSURER : Western World Insurance Company INSURED INSURER B: PMA Insurance Omarks F. Nora VC Construction&Cleaning Inc INSURER C: 41 Sullivan St INSURER D: INSURER E: 3 Chicopee MA 01020 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: A THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD 3 INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS 3 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 ADDL SUER POLICY EFF I POLICY EXP a OR TYPE OF INSURANCE IN yy Cn yn POLICY NUMBER IMMIDDIYYYYI 1(MMIDD(YYYY)I UNITS A X COMMERCIAL GENERAL LIABILITY I EACH OCCURRENCE 5 500.000 1 DAMGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea Ocaurence) i S 100.000 1 MED EXP(Any one person) I S 5.000 NPP8617198 04/25/2021 04/25/2022 PERSONAL&ADV INJURY I s 500.000 _ GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE !3 1,000,000 X POLICY PRO- ACT LOC PRODUCTS-COMP/OPAGG S 1.000.000 OTHER- 3 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 3 (Ea accident)Fi _ ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per acctent)'S AUTOS ONLY AUTOS I HIRED NON-OWNED PROPERTY DAMAGE S a AUTOS ONLY AUTOS ONLY (Per accident) a ;S 'a 3 UMBRELLA UAB OCCUR EACH OCCURRENCE S E s EXCESS LAB CLAIMS-MADE AGGREGATE S a _ DOD RETENTIONS S s WORKERS COMPENSATOR PER STATUTE X ERH- a K)EiIPLOYERS'L(ABUTY YIN 3 =,tiY x_ _ CR-A.Rl(GJZ EXECU IVE EL EACH ACCIDENT S 1,000,000 V alEER=_,XW/DM? N N/A WCMA000162501 09/17/2021 09/17/2022 1 :M&ndatory in NH)!+OF OPERATIONS below E.L DISEASE-EA EMPLOYEE S 1.000.000 EL DISEASE-POLICY LIMIT S 1.000.000 1 a z 2 1 DES:.R='C'K C=O.F.ItAnONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) {..a- :: Caning.Carpentry.Painting&Drywall i -• =c-- _A 6,IC_DE R CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. '"`:: AUTHORIZED REPRESENTATIVE ;4r: EDi21i:_ ©1988-2015 ACORD CORPORATION. All rights reserved. ) The ACORD name and logo are registered marks of ACORD * 1 Nova VC Construction&Cleaning,Inc 1g Matn SA- m..1.,n— t.Il p. o(o6o Almir Dias NoYkhcA Y�"`'' Gisele Pinheiro 41 Sullivan St Chicopee-MA 01020 41'1" 42'4"► �7' i l ° 430'0"► n ♦ R Sr to 12'2" o • • i 2'10"► 4 3'1"r 2'4"► prep table iv w • • r -- N • ♦ :...1._ 5 vinyl floor plankto io vinyl floor plank N • vinyl floor plank R 12'2" Z A •T4"► o 6 o tfaCil R- ♦ o iO :I: I CI: CC co A office `� 41'1" __