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31C-073 (5) BP-2024-0488 75 HIGGINS WAY COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31C-073-001 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-2024-0488 PERMISSION IS HEREBY GRANTED TO: Project# BASEMENT RENO 2024 Contractor: License: Est.Cost: 46511 BASEMENT FINISH PROS LLC 118531 Const.Class: Exp.Date: 02/24/2027 Use Group: Owner: GAETANO, BRITTANY A. &VELEZ,MARISSA Lot Size (sq.ft.) Zoning: PV Applicant: BASEMENT FINISH PROS LLC Applicant Address Phone: Insurance: 135 HILLSIDE RD (413)348-7299 WESTFIELD, MA 01085 ISSUED ON: 04/23/2024 TO PERFORM THE FOLLOWING WORK: BASEMENT RENO 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: Fees Paid: $306.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner ( 6 'q i' :4------...,,..z., 00 w rC'-� &� *'- -, The Commonwealth of Massacius AP6 '-,......4,. ' Board of Building Regulations and St rds 2� FAR =_ /� Massachusetts State Building Code,780 �O USE LITY Rry�//lb ° Building Permit Application To Construct, Repair, Renoi/ate0r,tiktplist a / Revised Mar 2011 One- or Two-Family Dwelling s, This section For Official Use Only Building Permit Number: Jo-.2 y/ 4/if Date Applied: A/El./40(0>D .00 y-z2.zozy Building Official(Print Name) Signature Date SECTION l: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 75 Higgins Way Northampton, MA 01060 1.1a Is this an accepted street?yes_ no _ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: 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 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Northampton, MA 01060 Marissa Velez P Name(Print) City. State,ZIP 75 Higgins Way 8025222937 marissavelez21@gmail.com_ No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other IN Specify: Basement Finishing Brief Description of Proposed Work': Basement Finishing Metal framing, existing insulation, R-19 as needed, fireblocking, drywall, LVT flooring, interior door installation, drop ceiling SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee 5,100.00 ❑Total Project Costa (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $_ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees $ Check Noll) Check Amount V(0 Cash Amount: 6.Total Project Cost: $ 46,511.00 0 Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-118531 02/24/2027 PAVEL TARALUNGA License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 321 SPRINGFIELD ST No.and Street Type Description AGAWAM MA 01001 l Unrestricted(Buildings up to 35,000 cu. II.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413.657.0841paveltaralunga@yahoo.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 18403 702 02/2 6/2 0 2 6 Basement Finish Pros LLC HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name PO Box 932 info@basementfinishpros.com No.and Street Email address Southwick MA 01077 959.888.2039 City/Town,State,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 0 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 Basement Finish Pros LLC to act on my behalf,in all matters relative to work authorized by this building permit application. 04/19/2024 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. Pavel Taralunga 04/19/2024 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.) 500 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 m: Si Massachusetts1/4 F r qG " , 3 DEPAR2'MENT OF BUILDING INSPECTIONS y w 212 Main Street • Municipal Building 0% *� ,, Northampton, MA 01060 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: McNamara Waste Services LLC 24 E Longmeadow Rd, Hampden, MA 01036 The debris will be transported by: Name of Hauler: Green Leaf Disposal Signature of Applicant: Pavel Taralunga Date: 04/19/2024 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston, MA 02114-2017 www.mass.gov/dia %Voilters'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO RE FILED WITH THE PERMITTING AITIHHUTV. Applicant Information Please Print Usably Name(RuauKssormzt1on!rtd1dLu Basement Finish Pros LLC Address: PO Box 932 City/State/Zip: Southwick MA 01077 Phone #: 959.888.2039 Art yoo an employee Check the appriapriage box: Type of project(required): AM a employer with employees(full andOr parvtime),* 7, a New construction 20 I am a sole proprietor or partnership and have no employees working for me in 8. CI Remodeling any capocity. (No workers comp.insurance impaired" 9.. Demolition ICI I am a honsisoisnirs doing all work myself.(No workers'comp_ittionuice required" ur 4.01am a basements.and will be haring corgimoors to conduct all mk on trty p 10 El Building additionroperty, I will tuatara that all cotaniriort tither haw*token,'conyoustion ilourans:c or are sole 1 .0 Electrical repairs or additions proprietors with tray employees. 12.0 Plumbing repairs or additions Sri I am a general contractor and I have hired the sub-contreciors hated on the attached sheet 13.E:IRoof repairs These sub-contraetors have employees and have workers'camp,insurance.: izt. Ij other Basement Finish fig We are a ormiciration and its officers have exercised their riglia of exemption per MU e I S2.§I f 4j.arid*e have tao employees.(No*mien'comp,insurance required.] *Any applicant that clam:Ica box al must also till out the seroton below%bowing then xutker. compensation pulley infocrnation Irloirneowrsos who submit this affidavit indicating they are doing ail work and then hire utstsade Ciatirak:IOr,must submit a new a It sndwahng sush. 1-Contractors that cheat Ibis box must attached an additional sheet dicrwins the mune of the salb-contraetorN and date whether in not those oodles have employee's lf oifb•obalrector. clopkt:*ech,they mama preside their workers"comp,policy number l am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name'. Liberty Mutual Policy#or Self-ins. Lic. #: WC5-33S-B239K1 Expiration B.,re: 01/13/2025 Job Site Address: 75 Higgins way CitytStateiZip: Northampton, MA Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under M61., c. 152.§25A is a criminal violation punishable by a fine up to$I.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a line of up to$250.00 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 information provided above is true and correct.' Signature: Igor Cojocaru Dale 04/22/2024 Phone g: 413.348.7299 Official use only. Do not write in this arra,to be completed by city or town official City or Town: Permitd.icense# Issuing Authority(circle one): I. Hoard of health 2.Building Department 3.Cif!,rfown Clerk 4.Electrical Inspector 5. Plumbing Inspector O.Other contact Person: Phone la: ;<7://// &,./.7.27 //7/ //<",/ '//'/7:-:///// 'z ',,/ '07 7,'';'',W 7//'7/77/7 ///' MI `,.0 __, /)y/r current floor plan 7,; /// si . s ?/21//(:° ot 8 f,`/, // / 0 c:)'2029 — 28' 4 ' ' ® Smoke CO detectors Project:Update Existing finished basement ir g ,�t; -500sq.ft of finished space / -Finished floor to ceiling 7'.8" / finished -Drop ceiling storage 1 -Finished floor to beam/ } I / duct 6'.10" ) -Door sizes 80"x30"-80"x36" 0A0 �\ � 3 ,,,, + } y Lilf -LVT flooring -Metal framing ome° Le Q -Existing foam board and R-19 Insulation unlaced E \xi) , -Fire Rated RockWool insulation • ' for fire blocking i -Minisplit -4"-6"LED recessed lights with -FSf'':1 / dimmer i Use: i. ;/ r4 Workout area and home office keep as is open finish area space. Er / T I access to e enrri '' // f pant .,,„.. 7/ •4�CGRIf CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) �-' 03/19/2024 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 CONTACT y Neill&Neill Insurance Agency Inc PHONE David R A FAX 662 Riverdale Street (A/c.No.Eat); (413)732-4137 (A/C.No): E-MAIL West Springfield, MA 01089 ADDRESS: dj©neillandneill.com INSURER(S)AFFORDING COVERAGE NAIC S INSURER A: Liberty Mutual Insurance Co. 23043 INSURED Basement Finish Professionals, LLC INSURER B: Atlantic Casualty 42846 Igor Cojocaru 880 S Grand St INSURER C: East Granby,CT 06026 INSURERD: 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER LIMB'S (MMIDD/Yl'YY) (MMIDD/YYYY) B i COMMERCIAL GENERAL LIABILITY NPP8924793 11/09/2023 11/09/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED ( CLAIMS-MADE /OCCUR PREMISES(Ea occurrence) $ 100,000 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 J CT El LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per(. person) $ OWNED 1 SCHEDULED BODILY INJURY(Peraccident $ '.AUTOS ONLY w .�'AUTOS ) HIRED I NON-OWNED PROPERTY DAMAGE AUTOS ONLY ,,IAUTOS ONLY (Per accident) $ i $ UMBRELLA LIAB 1 OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ ..... DED .1__ 'RETENTION$ $ A WORKERS COMPENSATION WC5-33S-B239K1 01/13/2024 01/13/2025 PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? y N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/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 Basement Finish Professionals,LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Igor Cojocaru ACCORDANCE WITH THE POLICY PROVISIONS. 880 S Grand Street East Granby,CT 06026 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORA ON. Al rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD A(701?"1 CERTIFICATE OF LIABILITY INSURANCE 03/2112024 —THIS CERTIFICATE IS ISSUED Al A MATTER Of INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE! HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATNELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED IV THE POLICIES BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIB),AUTHORIZED REPRESENTATIVE OR PRODUCEA,AND THE CERTIFICATE HOLDER. IMPORTANT: If the eggettfloole holder Is en ADDITIONAL INSURED,the polloy(les) must have ADDITIONAL INSURED proyIsions or be endorsed, SUBROGATION IS WAIVED, subleat to the terms and conditions of the policy, certain ponchos may moult.* an endorsement A statement on Hi dortIllosile does n confer rl,phts to the oertilloste holder In lieu of such endortemertb,$). „ _ FISmoolot -coorrAct RAF WETEGO LLC -- — WE111100 LLC FAI 41 PERIM STREET L?,'c, 506.)11-76110_ sol; CHICOPEE MA 01013 EAL AOPRESEE ISRE,Onewytego,00rn INSAFIIIIStAFFORD4WICOVVILACEE mApc s INELMER A Midvale Indemnity Comma 27139 INSURED - INSURER Tarolunga Construction Inc 321 Springfield Street orsvFEF c Agawam MA 01001 igokmr.rg E _iNsueitA F COVERAGES CERTIFICATE NUMBER 000014844411140 REVISION NUMBER 1 HIS IS 10(A RTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO T1-1E INSURED NAMED ABOVE FOR THE POI ICY PERIOD INDICATED NOT-WTI-ISE AMONG 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 PQiICIl5 LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS 'Fret OF '411Et lEUBIE POUCTLIFF - POLICY EXP TR INSURANCE , FEVD POLICY NUMBER PNWOorrrfr) liggroonn A coggegtocw.GENERAL LIAMUTY yr umire 1.4 14 CP030S23T2 03/21,2024 0, EACH CCURRENCE 3/2025 S I CC°co , O CLAMS X DAMAGE TO RENTED - OCCUR MADE OCCUR (Es arum* S100 000 MED EXP(My one person) PERSONAL i ADV INJURY JI 000 GENL AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE rt2 coo 000 X POLICY E PRCI" =0C PRODUCTS Comprot, GS2 COO COI EECT OTHER COMBINED SINGLE llkifT AUTENISOMILE.t miss ITT (EA acceMPII ANY AUTO BODILY INJURY(PIN person) OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY(Pre ecacienI) FUME>AUTOS NON-OWNED PROPERTY DAMAGE ONlY AUTOS ONLY 'Peor&wooden() UMBRELLA LiAll OCCUR EACH OCCURRENCE EXCESS LLAB CIAllAS-SIADE AGGREGATE DEO iRETENTION ONCIRKERS COMPENSATVON PER OTM, AND EMPLOYERS'UABIUTY STATUTE ER PlkOPRATORRAP nommcv TIVE orricERAIENNER EXCLUOED' NIA E L EACH ACCIDENT (Illanebelmy In NMI EL DISEASE-EA Bps.,Omoribe we* E L DISEASE-POLICY LAST DESCRIPTION OF OPERATIONS War • PROFESSIONAL UABIUTY OCCURRENCE AGGREGATE ixgcskgrook or OPERATIONS I LOCATIONS VEHICLES(ACORD 101,Additional Remark'Schecluh,may be onsebed if moo sp.,'tog requir*cif •knEenot C*TentrY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN TARAIMNOA CONSTALICTION INC ACCORDANCE WITH THE POLICY PROVIsioNS, 321 IPROIGERELD STREET AUTHORIZED REPRESENTATIVE AGAWAM IAA 01001 1988-2016 ACORD CORPORATION.All rights reserved. ACORD 26(2016(03) The ACORD name and logo are registered marks of ACORD lerwrera.,