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16D-032 (8) BP-2023-0224 58 LILLY ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 16D-032-001 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-2023-0224 PERMISSION IS HEREBY GRANTED TO: Project# 2023 WINDOWS Contractor: License: VASILIE KUHARCHUK DBA MAJOR Est.Cost: 4480 HOME IMPROVEMENTS CS-103054 Const.Class: Exp.Date: 08/24/2024 Use Group: Owner: KELLEY COOK, DANIEL & PRIMA Lot Size (sy.ft.) VASILIE KUHARCHUK DBA MAJOR HOME Zoning: URB/WP Applicant: IMPROVEMENTS Applicant Address Phone: Insurance: 22 VERONA ST (781)913-6405 WC5-31 S-360160 WESTFIELD, MA 01085 ISSUED ON: 02/27/2023 TO PERFORM THE FOLLOWING WORK: REPLACE 3 VINYL WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of V1 i ring 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: 40 • A ZAK- .Y9 3--Aatiy) Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner 'if CALLA.,-0 — r- ( ,4r c, Z-Z 7 Z3 U. ric%ae 10 H I(a I-t i. The Commonwealth of Massachusetts ,,, Board of Building Regulations and Standards OR l i'`� Massachusetts State Building Code, 780 CMR MUNI SE LITY Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 i� One-or Two-Family Dwelling W This Section For Official Use Only Building Permit Number: 2023-0 LZY Date Applied: 4,,,a, `�� Z Z--/-Z6Z3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address;, 1.2 Assessors Map& Parcel Numbers 5�' L L-( y J/\.Li- - /l,D•-O32—oo l Li Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: UR Sw? erg 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 0 Zone: _ Outside Flood Zone? Municipal El On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2i Owner' ] Reco}• /C r (_c_ � 0/61 L Name(Print) City,State,ZIP ST &t J1LC i Ski — 6d 9 -‘3 93 No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building& Owner-Occupied Oil Repairs(s) Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': CC S SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only _ (Labor and Materials) 1.Building $ I/, q dip 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 0 Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ �f ay Check No„30_g:3 Check Amount p,' Cash Amount: 6. Total Project Cost: $ �( 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 3 Q sy 2/az y/2 U 4/Orin?, ,� k—U,khaAdLa.k License Number Expiration Date Name of CSL Holder / ^ IGa J ��J List CSL Type(see below) No.and Street Type Description 4 n_ ,�J /`� e �<� `' j U Unrestricted(Buildings up to 35,000 Cu.ft.) l/ T J1 Xat d d R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding , SF Solid Fuel Burning Appliances r3)13 6'6o y4 frit wItcy}t,e® (_Yh I Insulation \Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor,(HIC) /S �y/ 3/34z (-/ '/ i 32_ /-1 oni_e.._LIl�j)/�7(je.tP 5 HIC Registration Number Expiration Date HIdCpany Nvm,oame or HIC Leg t an�4 e apd JtryethI tAie v r D 9, r 3 3/' 4 (/ Email address City/Town State,ZIP elephone 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 I No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT r Lr I,as Owner of the subject property,hereby authorizeO �< e r�r'IJ to act on my behalf,in all matters relative to work authorized by this building permit application. cuuuz.L.- 6a)k- q A 3 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. (y0,4-12/ p_e_oulaAckc_uf oz 7f) 3 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" City of Northampton ,S " s/C Massachusetts wf ed. DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building 1.� aX Northampton, MA 01060 JSy/ 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: aoc a tr)/ /ccievzke_ The debris will be transported by: Name of Hauler: p/2_ H nt e ( p/ I Signature of Applicant: Date: ,2 — 9 -- - 3 The Commonwealth of Massachusetts _ Department of Industrial Accidents 9 'y _ Office of Investigations ti % * Lafayette City Center 2 Avenue de Lafayette, Boston,MA 02111-1750 • www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): (htf�j D��I11D/Q � S Address: aL (/eik r a ,ficaQ 4 City/State/Zip: (,(J/-X II d/(4, -0(Q J Phone#: (3 k 3(---M ( Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in anycapacity. employees and have workers' p �' 9. ❑Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.0 1 am a homeowner doing all work officers have exercised their 1 1.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no 13. Other MA n r dauf cemployees. [No workers' , L comp. insurance required.] *Any applicant that checks box#1 must also fill 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. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expira ion date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal pe alties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided bov is true and correct. Signature: r^ ,. • Date:02 9 02 3 Phone#: / )‘36- 66(1‘ Official us only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(check one): 10Board of Health 20 Building Department 3.0City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.DOther Contact Person: Phone#: A CERTIFICATE OF LIABILITY INSURANCEif(01111111/Y/Y1TYYYy 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 Neill&Neill Insurance Agency Inc NAME: David R Jarry 662 Riverdale Street PHONEN.�: 413-732-4137 FAX 413-731-6629 West Springfield,MA 01089 E-MAIL UR•wok ADDRESS: dj@neillandneill.com INSURER(S)AFFORDING COVERAGE I NAIC 0 INSURER A: Nautilus Insurance Company 17370 INSURED Milet, Inc. - Liberty Major Home Improvements INSURERS: Mutual Insurance Company 23043 22 Verona Street INSURER C: Westfield,MA 01085 INSURER D: INSURER E: 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 WSD L SUBR WVD POUCY NUMBER POUCYM/DD EFF POUCY EXP UNITS A J COMMERCIAL GENERAL LIABILITY NN1398696 04/28/2D 0 04�2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea ocarrence) $ 100,00C — MED EX?(Any one person) $ 5,000 PERSONAL&ADV INJURY S 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 VIPOLICY r1 PEQ I_ LOG PRODUCTS-COMP/OP AGG S 2,000,000 OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) — 1 ANY AUTO BODILY INJURY(Per person) $ OWNED i SCHEDULED BODILY INJURY(Per accident) S _AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY (Par awl $ UMBRELLA r A UAB OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S _ DED I RETENTION$ $ B WORKERS COMPENSATION ! WC5-31 S-360160 06/09/2022 06/09/2023 VI STATUTE ER AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA El.EACH ACCIDENT S 100,000 OFFICER/MEMBER EXCLUDED? 100,000 (Mandatory in NH) E.L.DISEASE-FA EMPLOYEE S ,If yes,describe under 500 000 DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMB S I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER 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 tocilli4:64 R 4p.fem ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS ti Office of Consumer Aff.�l� .• Business Regulation 1000 Washing"! -Suite 710 Bosto �1_:..._1:11 •118 Home Im.ro "•- - e istration ( ype Individual VASILIE KUKHARCHUK = e• ation: 15 D/B/A MAJOR HOME IMPROVEMENTS =-_` E .lion: 05/03/2024 19 HUNTERS SLOPE11111 Q/ WESTFIELD,MA 01085 ` -•071::41001— Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer A &Business Regulation Registration valid for individual use only before the HOME IMPROV a' 1?ONTRACTOR expiration date. If found return to: _- ?:-*•�^. Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 :' -"` Boston,MA 02118 VASILIE KUKHARCH r D/B/A MAJOR HOMEI. - . VASILIE KUKHARCHU w = �— 19 HUNTERS SLOPE , s c ,,,� WESTFIELD,MA 01085 —� Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards Const.(rn fServisor _ f CS-103054 z [,pires: 08/24/2024 VASILIE M K#KHARCHUK 19 HUNTERSSLOPE r WESTFIELD MA 01085 4OiJt'di1>> Commissioner daA 1 . YE,LL,L, STATE OF CONNECTICUT DEPARTMENT OF CO:\'SL':MER PROTECT/O.\• HOME IMPROVEMENT CONTRACTOR VASILIE KUKHARCHUK 22 Verona St I Westfield,MA 01085 MAJOR HOME IMPROVEMENTS Registration# Effective Expiration HIC.0611632 12/01/2021 03/31/2023 SIGNED — — — / City of Northampton Kevin Ross <kross@northamptonma.gov> 58 Lilly St. 2 messages Kevin Ross <kross@northamptonma.gov> Mon, Feb 27, 2023 at 12:18 PM To: Vasilie Kukharchuk <majorhome@yahoo.com> Good afternoon, I received a building permit application for 58 Lilly St. for 3 vinyl replacement windows with a U-factor of.31. I can not approve the application because the state code requires the U-factor to be .30 or lower. Any questions, please let me know. Thanks, Kevin Kevin Ross Local Building Inspector 212 Main Street 587-1240 Northampton,MA 01060 Fax 587-1272 kross@northamptonma.gov Vasilie Kukharchuk <majorhome@yahoo.com> Mon, Feb 27, 2023 at 12:32 PM Reply-To: Vasilie Kukharchuk <majorhome@yahoo.com> To: Kevin Ross <kross@northamptonma.gov> Hi Kevin, My apologies, I was looking at the wrong numbers. The U factor for these windows is 0.26 Regards, Ilona Kukharchuk Major Home Improvements Office 413-636-6046 Fax 413-536-5907 Majorhome@yahoo.corn [Quoted text hidden]