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46-027 (3) BP-2023-1521 7 FERRY AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 46-027-001 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-2023-1521 PERMISSION IS HEREBY GRANTED TO: Project# KITCH/BATH RENO 2023 Contractor: License: Est. Cost: 25000 JIM BOYLE CS107689 Const.Class: Exp.Date: 10/25/2025 Use Group: Owner: B MCKINEY KEVIN M&MARIA Lot Size (sq.ft.) Zoning: SC Applicant: KITCHEN CONCEPTS &DESIGN CENTER LLC Applicant Address Phone: Insurance: P O BOX 241 413-586-3506 WCB49466 HADLEY, MA 01035 ISSUED ON: 11/02/2023 TO PERFORM THE FOLLOWING WORK: KITCHEN AND BATH 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: $162.50 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner A? c The Commonwealth of Massachu•etts / :, Board of Building Regulations and an ds OCj 2 O a Massachusetts State Building Code 780 MR 6 7JMC ALITY •- a ,o 20 .E Building Permit Application To Construct,Repair, ' - 1 o emolish a evise Mar 2011 One-or Two-Family Dwelling NilLI A,G This Section For Official Use Only T Mq o OneoNp Building Permit Number: go- A 3../S11 Date Applied: • lo. S 0a23`o�3 Building Official Name) / Signature --� Date (Print SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers ""!�!� L Map Is this an accept street?yes no 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 El Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2. Oyvne f Reco e,Jl ci.J orict< ►'Llif Jor1-I)QJYp1rf?, 010(04 N e ) Ci ,State,ZIP �r .5 7-7cx:o Kmou4doorsO rraai1 e17dtlgutcq - rnar1abrnckirl Cqr aiI.awn- No. and Street elephone Email Ad s SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other X Specify: 'i S Brief D iption of Proposed'-LL_Work2: 01(e d' 1 lore �;cLr t e4- 4 cou r�P' _mol e_ —rIIe floor in k f�!>e I s-1'all a Wood1' ole a doors Co rlor) Q o✓ a w i.as�d. ir)� 1-a 1 r1e�w h ck oof. T�s+all ()co ✓en+ fan A ba-I�)Poom. /-Serv,o✓e. -h-u� f irsta// walk ire (V o&el, SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $a b 1 OoO. 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 3,OC . 0 Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ a. . — 2. Other Fees: $ 4. Mechanical (HVAC) $ — List: 5.Mechanical (Fire4". Suppression) $ — Total All Fegs ( -�( U' Cash No P1 Check Amount`' �VI Cash Amount: 6.Total Project Cost: $ a5,aco- -- 0 Paid in ull 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) _ io7lOg9 4�}5 m R. . 0S.l License Number Expirition Date Name of CSL Holder V Q �j+ List CSL Type(see below) u 1/ 7 f juSS No.and S_ et ill "' Type Description /tic! ,�1 U Unrestricted(Buildings up to 35,000 cu.ft.) el,�i / 1 Q ( R Restricted 1&2 Family Dwelling own,State,ZIP M Masonry RC Roofing Covering WS Window and Siding � SF Solid Fuel Burning Appliances 6J 3)52k-6504 desnn elk 0)m -CD�f� ( I Insulation elephone Email address net D Demolition 5.2 Registered Home Improvement Cotractor(HIC) ,93.35o Q rr . IJo JE - I {r�Ien cvncepfs HIC Registration Number Exp ion Date ' 1 uIS /C�o r 'star*&-t Name „J Ps 1 rn �l0 1j -c'oncep •nt reet �� 1 ^! LEmail address 4 0! 5 ( )8(�:35Co tate, P 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 APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize ( ►e'1 R. 13 OtJ I to act on my behalf,in all matters relative to work authorized by this building permit application. ij 0VI d Qri€. aki011V tbla51ao2,3 'lit Owner' ame( ectronic Signature) ate 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. JIM Q. 30/LAl& 4( 5�aoa3 Print Owner's or Authorized Agent's Name(Electronic Signature) ate 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" itchen Kitchen Concepts&Design Center Viresc * ""'R*M uvE T'** ri il - y p � gg tnDu:Z 40 oncepis P.O.Box 241 THEoLLEY 1Ht\111.0 THEogYTo— Y�IUI CHOICE CHOICE CHOICE 2023 102'2 2ir; I RlMR Il D OQ •1OI 1 _ pIp DREAM 6 DESIGN O DELIVER Hadley, MA 01035-0241 CONSTRUCTION SUPERVISORS LICENSE Recognized by the Commonwealth of Massachusetts as a Supervisor. Superior knowledge of Massachusetts laws and code are mandatory. Testing and years of experience are required to receive this license. Commonwealth of Massachusetts Division of Occupational Licensure Board of Building R ulations and Standards tr Cons k n**visor t , ra ht,.�� . .f ace w CS-107689 pires: 1C-251282`3- Por JIM R BOYI4. -- 117 RUSSELi SSEUc ST -' neko card PO 80X 241 HanLEY MA , 'froQ r r i Y E . Commissioner Ligiiiit K U4tu ta.. License #- CS 1076894 HOME IMPROVEMENT CONTRACTORS LICENSE Required for remodeling existing property. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:LLC giaatratian. ¢xplratIort 193350 1011012024 KITCHEN CONCEPTS&DESIGN CENTER LLC • JIM R.BOYLE . 117 RUSSELL STREET '7D'ett•. , HADLEY.MA 01035 s ., Undersecretary License#-193350 All licensing information can be obtained through government agencies. Insurance coverage binders and references are furnished upon request. • Office: (413)586-3506 • Fax: (413)586-8051 • Email: design@kitchen-concepts.net City of Northampton P-"4 '� �� 5�5,.., sic �' w Massachusetts ��? ;-- '<< i. k,. cu i : DEPARTMENT OF BUILDING INSPECTIONS j„ =� 212 Main Street • Municipal Building yJ, D" M--� Northampton, MA 01060 �'} aoc% 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: 4 I E R iG Gii n 9 a3 sf�.c amp 1 Road LI, any)kr,, nj q O i O&,O The debris will be transported by: Name of Hauler: 11 t /)Eti, a nopp1 n ' Signature of Applicant: la� A Q Date: 1 O 1160,0a3 ,obi J The Commonwealth of Massachusetts , Department of Industrial Accidents 1 Congress Street,Suite 1011 Boston,MA 02114-2017 '— www mass.gov/din 4ya,rr�•i�,. 11 urkeri('ompensation Insurance Affidavit:Buildersi("ontractorrftaectricianv'Plumhers. TO BI.Ill_k_U V.f1 H T11t~PEIIMI l 11\G Al 1 HOR11.V. Applicant Information n�. Please Print LIribls Name(Hum ncss'(kg.anr/atom lndiv�iduoll: P,SF/P ��,n ( u,ssel/ r 1 / Po box 9 4! Address: 1I � city/Staterz>ip dl) ,YY)a 0►Q3.5 Phone#: (q,3) a5S b -POI o �n tier an emplirical('heck the appropriate dos: Ty prof project(required): I 53 I am a Emplo%er ugh 13 emataltitaes ttuli and or part-tint)..• 7. Q Neu construction 20 I am a.ark praapnetes tat putinerrhrp and hate eta+ait4al+atca wotlrmt tear me in X. eta Remodeling am aapwtlY.I\ar warrkerm-caanp suurance tcywraol.l 9. 110 Demolition 3C]I am a buamatanrwt dating all week'raised I eta workers"comp.ata.auataae required_)" loci Budding addition 4.0 lam a Irwntarwtaa.i and wail be hung auntiraatur.iu avndual all Murk on nfl ptraperty. I well amUn that all aaran►laes either lane nosier;a it ern:atatm rear an:sole I I.Q Electrical repairs or additions pnapneto m w nth no en>ployecs. 12.0 Plumbing repairs or additions 50Iam3 reneiudeemuaataarand1baseliiladtineseb-evatraaturahatedathisaitaehcdduct. I 30 Roof repairs. hew Ihe sub-contractors tor.)at.a employees sad inters'atinttp iniumne 6.❑We axe a corparatean and at,ulrueen hate caeri eted then Flynt of e‘emphtan per 5ttuI_a. 14.C:1OLbCr 1S`.r"lilt.and we base Late utapl sec..(tin st mien comp.insurance nyuired l *Ails applicant that cheeks beta=I mini alio till out the vectrnt betan.bowing their nutter":cuntipemaatnan policy idOlaim. I knaaaran ter.w Iwo'aubrnat tea attains it indYtating they are doing all it and then lure twin&contractors must submit anew attiada%it indurating mach. :('t,nuaators that dux.IL this brat must attu'bedan aakhtional shalt.hum mr the name tat the set a ratraaiar,and%ate slaw ar nut Heise entities hate cAespiaaoc� It¢Ix.-.rah,a,.nutra.too s hate eta>plaxtee._titan rnu.t mootda their worker, eAMnp.rialaq,number.. 1 um an employer that is providing warier."compensation insurance for my employees. Below is the polity and job site in/nrmistion. Insurance C'ontpany Hans Va In r aviEr/Ca Policy#or Self-ins.Lic.#: (o ct3 t-t"►q to(o Expiation Date: I 3 I lob Site Address: 7 F -rr 9 8 tf Fat U& City State+'Zip: 1_,o 0 MP it y�c I/1 0 I WU Attach a copy of the workers'Nrmpensatioa policy declaration page(showing the policy number and espliation date). Failure to secure coverage as required under MGL c. 152.Z25A is a criminal violation punishable by a line up to S1.5(0.(Kt and''or one-year imprisonment,as well as civil penalties in the funs of a STOP WORK ORDER and a tine of up to S250.(K1 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 �der the pesins and penalties of perjury that the information provided above is true and correct Signature: r t-t J I , 5IY i /p Date:: l �%' 135 I a(} `J Fhtmc�. (4/a3) ' 844010 VV Official use only. Do not write in this area.to be completed by city or town official ('its or Tossn: Permit I.icrnse# Issuing.tuthorit (circle one): I. Board of Health 2.Building Itepartntent 3.(*ity'Tuwn(jerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: ACORD DATE(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 06/20/2023 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 CONTACT Elizabeth Carballo,CISR,CPIA NAME: Finck&Perras Insurance Agency Inc (A/PHONE Ext): (413)527-5520 FA No): (413)527-5970 6 Campus Lane ADDAAILSS: bcarballo@finckandperras.com INSURER(S)AFFORDING COVERAGE NAIC# Easthampton MA 01027 INSURERA: Main Street AmericaAssrCo 29939 INSURED INSURER B: NGM Insurance Company 14788 ASAP PAINTING INC INSURER C: PO BOX 241 INSURER D: INSURER E: HADLEY MA 01035-0241 INSURER F: COVERAGES CERTIFICATE NUMBER: CL2362007307 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 (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 500,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 500,000 MED EXP(Any one person) $ 10,000 A MPB49466 05/05/2023 05/05/2024 PERSONAL&ADVINJURY $ 500,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 1,000,000 POLICY PRO- LOC 1,000,000 JECT PRODUCTS-COMP/OPAGG $ OTHER: Individual Risk Mod Prem $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ 100,000 g OWNED X SCHEDULED M9B49466 06/20/2023 06/20/2024 BODILY INJURY(Per accident) $ 300,000 AUTOS ONLY AUTOS X HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) HNTBI $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN 100,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA WCB49466 01/31/2023 01/31/2024 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? 100000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Proof of Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ASAP Painting Inc ACCORDANCE WITH THE POLICY PROVISIONS. PO Box 241 AUTHORIZED REPRESENTATIVE Hadley MA 01035-0241 �r({! 1417 /a ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ADVOCATE ADVOCATE ADVOCATE �•••� *� lichen Kitchen Concepts&Design Center *BEST**BEST**BEST*EH01 01 E �HUI N01 �nDUZZ once is °`_- __°F_ P.O.Box 241 ""`. T*Br TeavauEv h I. � �n11i u�Rc ra-i 0.r,nras�roi i BBB. 2020 fair 20'i8 i e DREAM o DESIGN m DELIVER Hadley,MA 01035-0241 2 0 2 2 2 0 2 1 2 0 2 0 r ue��,�x:�Wla�naeP,n,�.�a ii5 �� ATT. October 25, 2023 Attn: Department of Building Inspections City of Northampton Puchalski Municipal Building 212 Main Street, Northampton, MA 01060 Subject: Building Permit 7 Ferry Avenue To Whom It May Concern: Enclosed please find our building permit and payment for the above job. If you have any questions or need anything else, please contact me at (413) 586-3506. Thank you, Luca#uv L ro-w Luann L. Brown Executive Administrative Assistant :llb • Office: (413)586-3506 • Fax: (413)586-8051 • Email: design@kitchen-concepts.net y _T — 178" — 3" 201" 27" 4 36" 91-1" 90" 37" 9" 38" 2" 664" f_ 1091" �.2,,, 18 27" a 36" 91" 6--1 Ist a �LJ j� t, 2733 RW8615 alt.' i / s N N 1181287-t ! o 487E i 4 1- F387 1 �._. — w Afi N. (O (V P. 'Kt CO st •`; N 03 n 1 I O 1Y^�"�nL// / ,�I �j IL o O1.3v C.I _Im it ____ M N ^ co M 4- d !ba- ����,GAS.30-1 DB18 E ; • W 1 j HOOD30-3 la' 5'- SHSQ38 4_ n i. I 77 �1 / i K� 46' 3,t 30" r 19" ;r31 —21 54 .., i ,e 44. iiikr -� 64' 112" G� n ,'' 13 32"-- - 77 --v-- 39;„ 141„ 1 n /f —84" 36" --, - 56" 176" — - All dimensions_size designations This is an original design and must Designed: 11/2/2023 given are subject to verification on not be released or cop ied unless Printed: 11/2/2023 1 job site and adjustment to fit job ��2CJ applicable fee has been paid or job conditions. 1 order placed. All 'Drawing#: 1 No Scale. t 176" . D" ,+=-20/' 27" a _. 36" — 91 fir" 1 — _—,-------90" • --37"— r 9"y-- 38"- .. ---- -66f'— I #- 109-4"1 18" . 2T' .,. 36" 91" N /5•.{' 2733 R 15 :c, N tv 1181287- `g !487E '.: a F387 l I r- "1' e i v cn m -7 mar 0 Z l / Nt CI m 0 {327 N ----i'--_ U r" -_wt 0E-'. lL C l __.... m (n N1 N 773 co CO W N y CO H 0) 1 is I `�3 cn I i rl �3P 1 D618 u HOOD30-3 71 5 SHSQ36 1 --TT ------ 96 3" ;,,i c/ f ipk- -s----- 3p 22" 24" k.OlP1 50 Oj004- 64„ 112" 4 /f�-C�L' 4„ 32" 96-" 39+" 4„ fr t, 176" All dimensions_size designations This is an original design and must Designed: 11/2/2023 given are subject to verification on not be released or copied unless Printed: 11/2/2023 job site and adjustment to fit job 2020 applicable fee has been paid or job conditions. 1 1 order placed. ; Ce*--6111111111111.111111111111111 ------ _______ All Drawing#: 1 No Scale.