24D-041 (4) BP-2023-0180
185/187 PROSPECT ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24D-041-001 CITY OF NORTHANPTO
Permit: Alts Renovations Repair `(,� � �J 1 CO n A►�"7Y't C
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2023-0180 PERMISSION IS HEREBY GRANTED TO:
BASEMENT RENO/ADD
Project# BEDROOM Contractor: License:
Est. Cost: 18000 CHRISTOPHER SO RA 112569
Const.Class: Exp.Date: 09/08/202
Use Group: Owner: K WHE RY, JOSHUA R. &CANDACE
Lot Size (sq.ft.)
Zoning: URB Applicant:
Applicant Address P ne: Insurance:
ISSUED ON: 02/14/2023
TO PERFORM THE FOLLOWING WORK:
BASEMENT RENO WITH BEDROOM ADDITION
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:
1
g Or • .)2 '
Fees Paid: $156.00
212 Main Street,Phone(413)587-1240,Fax (413)587-1272
Office of the Building Commissioner
To: Northampton Building Department 6/1/2023
ng
at
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would like to withdraw from the existing build permit
We would like to addtLicenosedlContBra torSChr s
pect
St, Northampton Ma.because I am moving out ofstate.
Soutra to the existing permit to complete the work and close out the permit.
Thanks,
Gary Stone
Gary Stone's Remodeling, LLC
413-377-8464
'�. Policy Number: MPT8376Q
MAIN
STREET BUSINESSOWNERS COMMON DECLARATIONS
AMERICA
MAIN STREET AMERICA ASSURANCE COMPANY
4601 TOUCHTON ROAD EAST,SUITE 3400,JACKSONVILLE,FL 32245-6000
II
Item 1. Named Insured and Mailing Address Agent Name and Address
CHRISTOPHER SOUTRA AQUADRO &ASSOCS INS AGCY INC
117 PLEASANT ST
SOUTHAMPTON. MA 01073-9440 PO BOX 357
NORTHAMPTON, MA 01061
Agent Phone No. (413)-586-7373
Agent No. 201107
Item 2. Policy Period From: 01-06-2023 To: 01-06-2024
at 12:01 A.M., Standard Time at your mailing address shown above.
Item 3. Form of Business: INDIVIDUAL
Item 4. In return for the payment of the premium, and subject to all the terms of this policy, we agree with you to
p provide the insurance as stated in this policy.
This policy consists of the following coverage parts for which a premium is indicated. Where no premium is shown,
there is no coverage. This premium may be subject to adjustment.
COVERAGE PREMIUM
Section I—Property NOT APPLICABLE
Section II —Liability $1,951.00
i� Inland Marine $200.00
CYBER $43.00
II
Total Policy Premium: $2,194.00
For Coverages subject to premium audit: Annual Audit Applies
Item 5. Form(s) and Endorsement(s) made a part of this policy at time of issue:
See Schedule of Forms and Endorsements
Countersigned:
Date: By:
Authorized Representative
THIS BUSINESSOWNERS COMMON DECLARATIONS AND SUPPLEMENTAL DECLARATION(S), TOGETHER
WITH SECTION III—COMMON POLICY CONDITIONS, COVERAGE PARTS, COVERAGE FORMS AND
ENDORSEMENTS, IF ANY, COMPLETE THE ABOVE NUMBERED POLICY.
BPM D 11207
INSURED COPY
MAIN STREET AMERICA ASSURANCE COMPANY Policy Number: MPT83760
Named Insured: CHRISTOPHER SOUTRA Effective Date: 01-06-2023
Agent Name: AQUADRO & ASSOCS INS AGCY INC Agent No. 201107
SECTION II—LIABILITY— DECLARATIONS
COVERAGES LIMITS
Liability & Medical Expenses —Each Occurrence $ 1, 000, 0 0
Personal & Advertising Injury Limit $ 1, 0 0 0, 0 0 C'
Damage To Premises Rented To You $ 500, 000
Aggregate Limit-Products-Completed Operations $ 2, 000, 000
Aggregate Limit-Except Products-Completed Operations $ 2, 000, 000
Medical Expense Limit -Per Person $ 10, 000
LIABILITY--SCHEDULE
STATE: MA TERRITORY: 0 3 5 PREMISES NO: I,'1
CLASS CODE: 74171 DEDUCTIBLE-PROPERTY DAMAGE LIABILITY: NONE
CLASSIFICATION: CARPENTRY -- RESIDENTIAL -- THREE STORIES OR LESS
PREMIUM BASIS EXPOSURE RATE ADVANCE PREMIUM
PAYROLL 28, 600 $ 1, 119
BPM D LIAB 1207 Page 1
NSURED COPY
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HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Individual before the expiration date. If found return to:
Regisjation Expiration Office of Consumer Affairs and Business Regulation
16.7.6.130'- 10/23/2023 1000 Washington Street -Suite 710
CHRISTOPHER:M1cS UT A Boston,MA 02118
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117 PLEASANT ST [ L( -
SOUTHAMPTON,MA 01073 Not valid without signature
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