23A-060 (12) BP-2022-1038
59 MAPLE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23A-060-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUII_.DING PERMIT
Permit# BP-2022-1038 PERMISSION IS HEREBY GRANTED TO:
Project# PORCH Contractor: License:
NORTHERN FLOORING AND
Est.Cost: 31000 REMODELING LLC 116722
Const.Class: Exp. Date:05/14/2025
Use Group: Owner: TREWORGY JOHN REIDY
Lot Size (sq.ft.)
Zoning: URB Applicant: NORTHERN FLOORING AND REMODELING LLC
Applicant Address Phone: Insurance:
417 SPRINGFIELD ST UNIT 108 (413)386-8095 1109029001051429
AGAWAM, MA 01001
ISSUED ON:08/24/2022
TO PERFORM THE FOLLO WING WORK:
REMOVE-DECK AND BUILD NEW PORCH IN SAME FOOTPRINT
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: (}
4 • if • • 51-1'1 •
Fees Paid: $202.00
212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272
Office of the Building Commissioner
I AL
• I
' 1
The Commonwealth of Massachusetts A U G r; 0
Ii Board of Building Regulations and Standards
2C22 FOR
Massachusetts State Building Code, 780 CMR IMUNI`CIPEA 1 TY
Building Permit Application To Construct,Repair,Renovate Or Dettih�(dh'a''''r� U ar.1011
�,..^.Ao10 o
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: e P— ..1 - 10 39 Date A ied:
ill kJ i
AiniiPP
JA1
Building Official(Prot Name)
SECTION 1:SITE INFORMATION
1.1 Property A 1.2 Assessors Map&Parcel Numbers
59 Mope S4 7-3A- OCO- 001
1.la Is this an accepted street?yes V no Map Number Parcel Number
1 Information: 1.4 Dimensions:
l lkp� s'rl�re �'omi�y t-es'de/>� (7, 8Q 72'
booing District Pry�ax.d Use d Lot Area(sq It) Frontage(R)
1.5 Building Setbacks(ft)
Fraat Yard Side Yanks Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(ALG.L c.40,554) L7 Flood Zone Information: 1.8 Sewage Disposal System:
Public El Private El Zone: _ Outside Flood Zone? Municipal El On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Ow er'of Record:
John Trewor Florence/ M4 01062-
Name(Print) City,State,ZIT
Sci MaP(c `t13g88glOg
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) 0 I Addition/0 l
Demolition 0 Accessory Bldg.0 Number of Unitsrr Other VI Specify:New a nd osed porch
Brief Description of Proposed Work2: R E f»o Ye ex i s h n deck build new en Cl oseef
ford) 225-c4 2, in some -Fpp}�y�, I
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs. Official Use Only
(Labor and Materials)
( 1 Building $ 30 I. Building Permit Fee:$ Indicate how fee is detamined.
i 0 Standard Citylfovvn Application Fee 3(,Dap K &•S
2.Electrical $ J I Da? ❑Total Project Costa(Item 6)x multiplier arZiefr4,_
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.
SuppressI $ Total All Fees: �'
on)
Check No.j 3WirgtW1202-
ck Amount Cash Amount
6.Total Project Cost: $ 0 Paid in Full 0 Outstanding Balance Due:
�1 0o Iv
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
�, a k� GS-1167�2 05-(q- 2.025
I G r l V/ re✓ License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) if
15 StImm6r Ave
No.and Street Description
.��OW M 11 0 i O5-/� U Unrestricted(Buildings up to 35,000 cat li)
C.0 R Restricted l dc2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Sichng
'/ SF Solid Fuel Burning Appliances
Lit a 6 b p 0 c?-5- n t7rT m 1 Ivor Q c f�1 I _ Insulation
Telephone Email adss ryv�l ; D Demolition
5.2 Registered Home Improvement Contractor Oil )
VIOrlq VikArcv D�Number 03�f J-
&T e
HIC C any Name or HIC Registrant Name
on
15 umn+er Ave nor'l{1CUI oor mat7q�y^'i i L cool
No.Lwow 414 010c5C LC�386 8bg5 I
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(AILG.L.e.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 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 V I car/q V k�rc V to act on my behalf,in all matters relative to work authorized by this building permit application.
Jo1111 Trevor• OR— 23-2022
Print Owner's Name(Electr. f.r ignature) 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.
Vi&I-oeba kkrev 08-23 - 2022
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 H1C 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.IL) (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 haltlbaths
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"
City of Northampton
• Massachusetts
t• �. �, *
G
C
s * DEPARTMENT OF BUILDIM INSPECTIONS Z `
$- ' : i �' 212 Main Street • Municipal Building vH Ps
Morthamptme, Mk 01060 SSfr)y
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 dispo. - . 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: valley I -ecycI(n G(
The debris will be transported by:
Name of Hauler: Val KA4AI h( i v
Signature of Applicant: V. 4711 .`� Date: R-2? — 2-
.
The Commonwealth of ilassarhusetts
MIT, MIMI_ f Department of Industrial Accidents
�?/►' °I I Congress Street,Suitt 1l10
a'F{ Boston. .$1.4 0?11.1-201"
Y' ».ww.mass.goivdia
rig'
11 e,aLrrs'( omprnsation Insurance.11Tidasit: Buildersi( ontractors'Electricians Plumbers.
1011E I•11 E:D1%1111 III} Pl.R%11I IIN(: 11 IIIORI11.
.1 !leant Information Please Print 1. .ibl
Name 4Bu,trac.,fir.Invatl.,n hid l,lJua t NOr er/h Fioorin8. cc a kern( e lnGj L . A -.--
Address: 1 f(7 Spri Rely( S-[- , Lira t o 8 u -- —
C'ityState:Zip: 4,oiNcitri Mi4 01 d b/ Phonc Lf(b 36-s 5
Sic'sr m ea►pttner"('heck Ibe appropriate test:
I s Ise of project(reyui .1
t�0l ant a:ntplos r with cng,ivse.s 1tull and or part-tines• 7- j Ness construetton
:qY[f 1 am a WIC pruprtetOt or utiri.nlup and hart a..mirk),n.N.,rltng Int na to K. CI Remodeling
am upaxIiN i`.,w.rci.rs :44tttp.'mutant tcywratl 1
9. Q Ditnollllon
10 I am a horrovan-r dome all wort nissell.[Nu workers corgi Insurance retorted j
1013 Building addition
4 Q I ins a hurncvH n.T and watt be hunt contrx9.tr-s to cuncluct all work on my pnspest s I.111
sruur.that all rrtr.a ls,r.Ctthet hate workers'compensation msur me 04 an,..,IC I I O Eles;tneal repairs additions
proprietors w tth no etnplu!Cll.
12.0 Plumbing repairs additions
ti I ant a general-.contractor and I has a hired the sub-acntractors listed to the:Mashed sheet.
13 0 Roof repairs
I hose subcontractors has.:Cnlph.yccs and has.aor►Ct, stair tnsuranee P� /Jed(
11.alOthet r
h 0 We arc n Carrporalnm and Its ottwe s hash cuattsed these nithl ut ettmpInsn per MCA.c
152.§l44I.and as has.no eiiipk aces.h'5lo workers':lamp ntsteranxe requtnd l
•Arts applicant that chwks box sl must also till out the section below show mg then aoilers'.onrpi.nsation pulley utiornlatron
t Hutneuaren*tau subtnit tits Attldas,t m:lt.aunit the♦at.Jcnnp all work and then hue,,atstd:.untra:tor.attest subnut a now alttdatit mdi at :: •,.I
4 untrac.ots that check this box must at Lashed an.sldutunal shoat show tn1 the name..t the sub-sootra.tor,and.tuts a hotter or not those cuhrttei
.nnp10s0., It th.,ub-.untasenvs has.argslos.ts.that'must pro.td:then works:,'c:•mr poi:. o,<n1h,
l am an employer that is prmidinr,•',writers'compensation insurance far my employers. Below is the policy and ob site
information. M,, I f
Insurance Company Nanic ASSO 0146 _ 1f11J(4S� MA oF ' ,4 /• w- Ins C0 .
Poi, =or Self ms. Lie.17:_ 110 "IO2.. ! 001 V 51q 2J //�� Expiration Date. 08-10- Z02,3
.lb Site rlddres.. _ 51 Maple S-f- Florence 01062-_cit. Stale Llp. _
ss
.Attach a cops of the orkrrs'c ntpensatiun polies declaration page(shooing the policy number and espiratlntt date►.
Failure to secure co%erage as required under MCiL c. 152. ��5.% I.a criminal siolattxm punishable by a line up to S1.5(10.0(I
and of one-year imprisonment.as sett as cis i1 penalties in the loan of a STOP WORK ORDER and a tine of up to S25(1.09 a
day, against the s wlator. :1 cops of this statement rtuy be liras aided to the()Hive of Ins esttgations of the DIA for insurance
CO%erage N.ertireation.
i
I do hereby certify under the pains and penalties 01 perjury that the information prorided above is true and cornier.
Stbnature 1i. C Date 0 8 23- 2022
Phone %"It32 5 Ry)cjS _--
Official use only. Do not write in this area.to he t ompleted by ells.or town official
('its or Tossn: PerrniCl.icrnse a
Issuing:Authority (circle ousel:
1. Board of llralth 2. Building Department 3.( its I ussn Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
( (intact Person: Phone a:
. ---- — ® .
A�RU IA
® CERTIFICATE OF LIABILITY INSURANCEoirrE
Narosrzo2z
THIS CERTIFICATE IS ISSUED AS A MATTER OF/FffY OATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TI
CEITWICATE DOES NOT AFFORMATIVELY OR tE'GAIIVELY AMEND,EXTHD OR ALTER THE COVERAGE AFFORDED BY THE POLICES
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 WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on
this certficate does not coder rights to the certiftcale holder is lieu d suds endorsemed(s).
PRODUCER MAME anfrACT c Department
Departmd
Godwin InsuranceServicestPIAHN�ONE Eva (800)920-4125 1 N.* (800)92 -4107
2244 Faraday Avenue,#125 ADDRREs,: service@gaslampinsurance.com
NSURBR(S)AFFORDING COVERAGE NNC S
Carlsbad CA 92008 Nsuno$A Preferred Cdnhacfors Ins Co. 12497
aTRED inswor e B= Aid kre atries of MA M t he Co 33758-
Nat)hon Ong and Remcdeling.LLC snslNNee C
15 Summer Avenue INSURER D:
INSURER
Ludlow MA 01056 INSUREER F
COVERAGES CERTIFICATE NUMBER: GL 21-221 WC 22-23 REVISION NUMBER
THIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW H/1VE BEEN ISSUED TO THE*CORM NM®ABOVE FOR TEL POLICY PHSIOD
PR)CAR3D.NO BO}ISSDItEG ANY IEGUIRENENT,THINS OR CONDITION OF ANY C014f1RACY OR OTHER DOCUMENT PATH RESPECT TO WFtICT/THIS
cH UFICATE MAYBE ISSUED OR MAY PERTAIN_THE INSURANCE AFFORDED BY THE POLICES DES FERMI IS SUBJECT TO ALL THE TERMS.,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSR ADDL SUBR POUCY EFF POUCY EXP
LTR TYPE OF INSURANCE INSD wYD POUCY NUMBER (MNrDD/VYYY) (MWDD/YYYY) UNITS
COIINEtCIAL GENERAL LIABILITY EACH OCCURRENCE $ ,000,000
DAMAGE 10 DENIED I CLA IISMADE I X]OCCUR PR (Ea ce) S so coo
F EXP ee meal f 5,,000
I®
A PCA50144'C411160 09r1012021 09V10r2022 PERSONAL& PIUURY S 1,000OOD
GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000•000
XI POLICY I Pj�T LOC PRODUCTS-COMP/OP AGG S 1'0•000
OTIBt
S
AUTOMOOMIE LIABJOY COr6s®SNISLE lids S
_ 46 amde g
SW AIM &MILT WPM(Par Rem* S
— CANED SCHEDULED BODILY MAERv rev aoaderl S
AUTOS ONLY _AUTOS
— HIRED NON OWNED PROPERTY DAMAGE
AUTOS ONLY AUTOS ONLY (Per accident/
N
INRMBILALIAB OCCUR EACH OCCURRENCE S
EssSLIAB CABFSSIADE AOGR GNBE s
IED I I RETENTION S S
1101I®ra COMPENDATION XI STDUTE
I I EF"-
AND EMPLOYERS LLABI.ITY Y I N
ANY PROPRIETORIPARTNERIEXECUTI E E.L.EACH ACCIDENT $ 1,000.000
B OFFICER/MEMBER EXCLUDED? I I N IA 1109029-001051429 08/10/2022 08/10/2023
QFrdaluty 5,NH) EL ISSFASF-EA EMPLOYEE $ 1.000,000
Sees.denim under
DESCRIPTION L r ONOFOPERATIONS Woe E DISEASE S t,000.000
DESCRIPTION OF OPERATORS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more apace N required)
Verification of Coverage
'Subject to ate policy teens..eircasions and conditions'
CERTFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DFSCRB®POUCHS BE CANCELLED BEFORE
THE E]IPIRWION DALE THEREOF.NOTICE VILL BE DELVER D N
VerBicaDOn of Coverage ACCORDANCE WITH TIE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE •
%elf
Z
19118-21115 ACORD CORPORATIOIL Al rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marts of ACORD
s� Commonwealth of Massachusetts
ttJ Division of Occupational Licensure
Board of Building Re ulations and Standards
Cons - ionfS ,rvisor
CS-116722 4Lpires:05E14/2025
VICTORIA VIfHREV 'fir . rc
15 SUMMER AVE t4
LUDLOW MAj)1056. r,
Commissioner d, it K. BI
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street- Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
,`„^_,., t Type: Individual
VICTORIA VIKHREV .:- " Registration: 204706
I SUMMER AVE small" s� ;4' Expiration: 03/15/2024
LUDLOW, MA 01056i' 8 �---�
r z
,..,... 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:Individual Office of Consumer Affairs and Business Regulation
Registratio Exoltatlnn 1000 Washington Street .Suite 710
204708 03/15/2024 Boston,MA 02118
VICTORIA VIKHREV
VICTORIA VIKHREV
15 SUMMER AVE ,,./Kn,0Y>i ,e(ttrr'-
LUDLOW,MA 01058 Undersecretary Not valid without signature
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8/24/22, 11:38 AM City of Northampton Mail-Re:59 Maple St porch
X Jonathan Flagg <jflagg@northamptonma.gov>
Re: 59 Maple St porch
Oleg Katalnikov <northernflooringcompany@gmail.com> Wed, Aug 24, 2022 at 11:34 AM
To: 'jflagg@northamptonma.gov" <jflagg@northamptonma.gov>
Hi,
Regarding our phone conversation today about the piers, those supporting the roof load will be changed from 10"to 12"
Thank you!
Victoria Vikhrev
https://mail.google.com/mail/u/1/?ik=e5d 1685713&view=pt&search=all&permmsgid=msg-f%3A1742057280536555426&simpl=msg-f%a}A1742057280... 1/1