Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
24D-336-002
BP-2024-0080 133 FRANKLIN ST UNIT COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: CITY OF NORTHAMPTON 24D-336-002 Permit:Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-0080 PERMISSION IS HEREBY GRANTED TO: Project# 2024 ROOF Contractor: License: VASILIE KUKHARCHUK DBA Est.Cost: 8750 MAJOR HOME IMPROVEMENTS CS-103054 Const.Class: Exp.Date:08/24/2024 Use Group: Owner: B BACAL JOSEPH E&JESSICA Lot Size(sq.ft.) VASILIE KUKHARCHUK DBA MAJOR HOME Zoning: URB Applicant: IMPROVEMENTS Applicant Address Phone: Insurance: 22 VERONA ST (781)913-6405 WC5-31S-360160 WESTFIELD,MA 01085 ISSUED ON: 01/26/2024 TO PERFORM THE FOLLOWING WORK: STRIP&RE-SHINGLE ROOF 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: � t�r� s2 • 5911 v Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner r „. The Commonwealth of Massachusetts a. , A 'i Board of Building Regulations and Standards t4'' FOR 5 MUNICIPALITY s� Massachusetts State Building Code, 780 CMR USE ;y Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: pje.?AAA—0n$o Date Applied: /'1ekli►J 5- /�//�eA 1• ZG.-ZOZLI Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers /3 2 -B. F4 Cut. uL tf� z��-33 4,--o o z n ( �_'� c? 1.1 a Is this an accepted street?yes V no Map Number Parcel Number 1.3 CZonnin Information: �/� 1.4 Property Dimensions: , (61�Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) " 1.5 Building Setbacks(ft) n/Q. 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 I� Private❑ Zone: Outside Flood Zoned Municipal 12rOn site disposal system 0 Check if yes❑,/)/a SECTION 2: PROPERTY OWNERSHIP' d �,,�prcit _ `2.o Mer'of Record: __ _ \ c4 Jha,ki Li v(o(�o acc>� /3 UName(Print) I finia*, --1Peit /I 2 -3 )�'�/� G /r/ tli �4 a c r • No.and Street l L,N.p,Win, L111411 Huuress SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building Owner-Occupied !a' Repairs(s) 6 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units ,OOther 0 Specify: Brid_Description of Proposed Work2: s�24 r e yl Jai y 1Z ,7 j^n ,�'{C.c h 14460 _IA01 Cai- Atui an LitA-kf_A-c4 k Lifk as kvr4-k_ /D1 ,)9-e/1 Ctild-19-41-e-a-d . SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1 1. Building $ �t ,�V v 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire Total All Fees: $ Suppression) $ a -GO Check No.J�I74Check Amount:HI/0 'Cash Amount: 6.Total Project Cost: v p- `— 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ,41 U a"►'i L t C/160(14,i( C ce se u �v��-( �-�.L y �"""� License Number Expiration Date Name of CSL Holder List CSL Type(see below) (/ J.,2 V -)n a No.and Street Type Description 0(0 6 ) R Unrestricted es Restricted 1 (Buildings up etol 35,000 Cu.ft.) t R Restricted I&2 Family Dwelling ity/Town, ate,ZIP M Masonry RC Roofing Covering WS Window and Siding //// 636 [/y,/ SF Solid Fuel Burning Appliances ` i 3 b 3 6-V 0'7 6 tYl. `19 (CQ I Insulation Tel hone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) /P) bi1{/ ��f3 /� i ( be- W DMA- art ik-U�f HIC Registration Number / Expiration Date HIC C ,pany Name or HIC 'stran ame 20.1 N an Stre t pJ-� �Ld ,Gvt olOn143) 3t 1c�`l C Email address City/Town, ate,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 No .0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize 004, /l to act on my behalf,in all matters relative to work authorized by this building permit application. B a LGc-f__ /46 P 'ht 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. /1/a/p u_t_iice4°tut_ //ort:Lk 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.tnass.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 pYHAP.i. .«. fro 441 4' �S ,.» .,SiC Massachusetts �Q?' L 'et, ( ; DEPARTMENT OF BUILDING INSPECTIONS y. 4 212 Main Street • Municipal Building r f Northampton, MA 01060 S41,1 .000 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: r c ,,))j__, �� Location of Facility: ( A Ha_c�C tic c ge Cc/GIx11Ct.) The debris will be transported by: f `Name of Hauler: (AJA. tatcc.i►c ji -e C/C a Signature of Applicant: — Date: /' The Commonwealth of Massachusetts I. =;: .-_ !, Department of Industrial Accidents '_ __cam;_ I Congress Street,Suite 1©l1 =� 7" Bos , MA ©2114-2©17 wwwton mass.goi/die Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING ACTHORITI. Applicant Information _ Please Print l eaibly Name(Business lha.ntzaUon,individual): Ure. Oii_ Lthid C.r-EALC AI f Address: (do/ l"€' i1 a J 4( /Ciy/State/Zip2JJ d "O(Oa Phone#: jd-/c' V Are few an employer!Check the appropriate box: Type of project(required): 1.011 am a employer with_ __._employees(full madrbrpart•tirttel.• 7. 1:3 New construction 201 am a sok pnrpnetor or partnership and bate no employees working for me in S. 0 Remodeling any capacity.[No workers'comp.insurance required.] 30 I am a homeowner dung all work myself.[No workers'comp_ittewrsrrse required] 9. Ej Demolition 4.0I am a hunteov.ncr and will be hums orrtlracturs to conduct all work on my property. I will 10 a Building addition ensure that all contractors either have workers'cYtrttttensatwn irrsriranue or nee sole II a Electrical repairs or additions propnctors with no employees, 12. Plumbing repairs or additions ..c.6 I am a general contractor and 1 have hired the subcontractors listed on the attached street 13 Roof repairs These sub-euntracton have employees and have workers'carp.insurance.; �j 6.0 We are a cumulation and officers have exercised then right of etentptwn MG L GL c. 14 1J Other — 1 S2,f 1(4),and we have no employees.[No workers'carp.insurance requited] *Any applicant that checks boa it mum alto till out the section below%bowing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must subunit a new affidat it indica ing sew♦•;. :Contractors that check this boa must attached an additional sheet showing the name of the sub-contractor,and state v he her to not terse entities ha%e employees. lithe subcontractors have employees,they must prop ide their KI'rkers-cutup.pokey number I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. I:isurance 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 expiration date). Failure to secure coverage as required under MGL c. 152. §25A is a criminal violation punishable by a fine up to Si.500,0(1 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 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 in formation provided above is true cacti e`acret t. Signature:((7 y Date /4 -/- // 7 Phone e: ./3 a 6 —b (-(6 Official use only. Do not write In this area. to be completed by city or town official ii ('ity or Town: Permit/License# Issuing Authority(circle one): I. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other ('ontact Person: Phone G: COR Co A CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYY1) 05/03/2023 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 "INTACT David R Ja Neill&Neill Insurance Agency Inc NAME: RY 662 Riverdale Street mot, 413-732-4137 I FAX 413-731-6629 West Springfield,MA 01089 EAtL (A/C.No): �.MD�, dj@neillandneill.com INSURERS)AFFORDING COVERAGE NAIL N INSURER A: Nautilus Insurance Company 17370 INSURED Milet,Inc. INSURER B: Liberty Mutual Insurance Company 23043 Major Home Improvements 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 ADDL SUBR LIR TYPE OF INSURANCE INSD VD POLICY NUMBER POLICY EFF POUCY EXP fYYIDD/YYY1n (MY/DD/YYY)n LIMITS W A V COMMERCIAL GENERAL LIABILITY NN1534184 04/28/2023 04/28/2024 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE I V OCCUR DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY JE T LOC O- PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ (Ea AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 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 (Peracddent) $ _ $ UMBRELLA LL46 OCCUR EACH OCCURRENCE $ EXCESS LB CLAIMS-MADE AGGREGATE $LAB DED RETENTION$ $ T ERBWRKRSCOPETON WC5-31S-360160 06/09/2022 06/09/2023 I PER AND EONIA TY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE WC5-31S-360160 06/09/2023 06/09/2024 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? n N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule.may he 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 aimuaR42...z„,,, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts IIP Division of Occupational Licensure Board of Building Re ulations and Standards Cons t f visor CS-103054 z s * c ires: 08/24/2024 VASILIE M KKH1I; l ' ,' 19 HUNTERS/SLOP, 1 al y WESTFIELD MA 01'. i t - Commissioner d•' & .bt K. ' . r THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Aff-,,41 ,' a Business Regulation 1000 Washing "ti - -Suite 710 Bosto - --- —z 118 Home Im•ro_ -_� ='?• '-.istration =-r Type: Individual VASILIE KUKHARCHUK 1 atm. 150841 D/B/A MAJOR HOME IMPROVEMENTS —�- E ;:ton: 05/03/2024 19 HUNTERS SLOPE , __ c ©t WESTFIELD,MA 01085 C_t _ f LY G,IM UN Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer A &Business Regulation Registration valid for individual use only before the HOME IMPROVVECONTRACTOR expiration date. If found return to: Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 t!--`— = -nri Boston,MA 02118 VASILIE KUKHARCH•��_.:;�= D/B/A MAJOR HOM- ___ 1= VASILIE KUKHARCHU'• '-_�_ 19 HUNTERS SLOPE % �' WESTFIELD,MA 01085 s Undersecretary . Not valid without signature STATE OF CONNECTICUT DEP t RTME.\T OF CO\S(.1/ER PROTECTIO.\ HOME IMPROVEMENT CONTRACTOR VASILIE KUKHARCHUK 22 Verona St Westfield,MA 01085 1 MAJOR HOME IMPROVEMENTS Registration# Effective Expiration HIC.0611632 04/01/2023 03/31/2024 SIGNED Date 12-4-2023 Job# MAJOR HOLE IMPROVEJ&NTS Customer Name Joe Bacal MAJOR HOME 22 Verona St.Westfield,MA 01085 Customer's H. ,:P : Cis rice:(413)636b046 Street -• -:I,4. i-" L045 IMPROVEMENTS t Address 133-B Franklin St Roofing canraaor License I aspetrason number city Northampton. l OflogrdeAgreement Is MA CS 1 Page 1 Agreement city limits? CT LIC 611632 Installation Address County es n No Billing Address(tf different from above) ,City ! State dip Code t project Consultant Name Description of the Prolect and Desc�tlon of the S Steve Bradbury ��to t�ysed and Ettllll>Otellt tom The work to be done under this contract includes the following(where checked): Permits,dumpster and dump fees are included in this contract Not !bill& it dad agedltatin Etworetn 1. D Tear oft existing roof shingles dam to wood deck on entire houseigarag 0S, 12S D o 2. D Inspect wood deck and replace any rotten wood farad in the deck area at a rate of$ 1461160 1/2" 0 3/4"Per 4x8 foot sheet PLEASE NOTE:this amount is not included lithe TOTAL PRICE shown below. 5 20,00 Per linear foot Customer and Mil agree that the TOTAL PRICE will be amended via a Contract Charge Authorization form b.add the costs of replacing rotten wood in the deck area discovered after existing roofing materials are removed. in 3. 0 Furnish and instal Customers)initials ed Landmark - GOOD TYPE: Certalnte COLOR: 4. D Furnish and install Synthetic Paper 5. der D Furnish and install ice-damming eave protector 6'at eaves,3'at rakes-valleys-chimney-skylights 6. C' D Furnish and install starter shingle on alt eaves. 7. At D Furnish and install/replace any deteriorated`L'flashing: Mliall 'Chimney der Dormer 8. e!t` D Furnish and install metal drip edge along rake edges and eaves. illa White 0 Brown 9. D Furnish and install skylight systems. 10. fir' D Furnish and install new vent covers on all vent pipes. 11. $ D Furnish and install attic ventilation system(Check all applicable): 3ehingle-over ridge vents D Soffit vents 12. D fi Furnish rubber roof 13. D der Furnish and instal new flat roof Exterior Protection System COLOR: D Drip Edge D Tie-n under shingles D SA base sheet D#43 base sheet D SA cap sheet 14. D 19' Furnish and install guttering: COLOR: 15. D Mr' Disposed old guttering. adoljp 16. . D Clean-up and removal of all job-related debris including excess materials. (Extra materials are shipped with each job to avoid delays). Manufacturers warranty will be sent upon completion of installation. Additional scope of work: Spring install per customer request; 10% deposit, 45% when materials received, 45% upon completion. Price does not include plywood or boards. Sales tax included. Customer(s)Initials "DO NOT SIGN THIS DOCUMENT IF THERE ARE ANY AREAS LEFT BLANK'" APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE:The work will start approximately Spring '24 (Approximate Start Date)and will be substantially completed by approximately 2 days (Approximate Completion Date). These dates are subject to change at the time the contract is accepted by Major Home Improvements or at any other time by mutual written agreement Customer understands that the Approximate Start Date is only an estimated date and the Customer will be contacted prior to this date to schedule the actual start date. The TOTAL PRICE including all labor,material,taxes and any applicable discount is$ 8,750.00 Contract p $ 8,750.00 Initial Payment(not to exceed 50%of Total Price unless Special Order)$ 875.00 deposit State-Sties To{ %) Final Payment(balance payable upon completion of job)$ 3,938 00 materials Local;ales Tax t X1 $ The Initial Payment is due prior to MHI ordering products, 3,937.00 finish Total Amount Due $ 8,750.00 NOTICE TO BUYER YOU,THE BUYER.MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY(FIFTH BUSINESS DAY IN ALASKA,FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER)AFTER THE DATE OF THIS TRANSACTION. Customerls)initials , CONTRACT APPROVED Customers)Signature .' •.-.,w. m. ......e,if Date 1/S I z.4 BY I = ,� Z �Z(,- ACCEPTED BY MAJOR HOME IMPROVEMENTS Project Consultant , �' Date