30A-064 (2) BP-2022-0536
1 HIGH MEADOW RD COMMONWEALTH OF MASS CHUSETTS
Map:Block:Lot:
30A-064-0O1 CITY OF NORTHAMP ON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTE CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY F ND (MGL c.142A)
BUILDING PE MIT
Permit# BP-2022-0536 PERMISSION IS HEREBY GRANTED TO:
Project# KITCH RENO Contractor: License:
Est. Cost: 44000 KUEL MCQUAID 051394
Const.Class: Exp.Date: 12/11/2022
Use Group: Owner: HANNAH B NSON RONALD &
Lot Size (sq.ft.)
Zoning: WSP Applicant: KUEL MCQU D
Applicant Address Phone: Insurance:
131 FERRY ST 41335375063
EASTHAMPTON, MA 01027
ISSUED ON:05/16/2022
TO PERFORM THE FOLLOWING WORK:
KITCH 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: Q
Ci/Plgm,,
Fees Paid: $286.0(1
1
212 Main Street,Phone(413)587-1240,Fax:(413) 87-1272
Office of the Building Commissioner
SEC iv =
L��
t4 The Commonwealth of Massa use s MAY 1 Wt b 2Q22
Board of Building Regulations an' Stan'.rds 'OR
Massachusetts State Building Cod,, 7806 n CIPALITY
BUILDI G INSPECTI g USE
NOR e r-'416 h•'lQ1Pso Revis d Mar 2011
Building Permit Application To Construct,Repair,Reno
One-or Two-Family Dwelling
This Section For Official Use Onl
Buildin Permit Number: . ...?- 6- 60 Date Applied:
l�Evl� ` 2,s �� -2022
5-1 to
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 I Address: 1.2Ass sors Map& Parcel s
-40h � V 00cr
1.la 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❑ Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP
2.1 caner' f Record:
4- 1i�z .c Mb 6 iht.o.Z.
Name(Print) City,State,Zlll
( 411r1 4<c ..l CPA A13 43+ Cj oe c(w-,-csi+• rd-
No.andStreet Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building Cl Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work': Re �O i i;k �(;keys L� C h�� i,1� W!LJO\j
ctlaavP
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 3 i O n 1. Building Permit Fee: $ Indicate how fee is determined:
k 0 Standard City/Town Application Fee
2.Electrical $ 4 512 O 0 Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ /5 0 v 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: $
Check Noa„ j 0 Check Amount: Z1 Cash Amount:
6.Total Project Cost: $ Lk Cy (-j 0 0 Paid in Full 0 Outstanding Balance Due:
1Z�'
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) [s--06 13g L' I 2l(( 2622
�I /1/` t Qv�`� License Number ExpirAtion I9ate
Name of CSL Holder
3 t �e S t _ List CSL Type(see below) t1
No.and Street T Type Description
E& k- C w&QA /�/j A o(0 7 U Unrestricted(Buildings up to 35,000 cu.ft.)
CiCty/TownT State,NZIP` ' ` L Restricted 1&2 Family Dwelling
M Masonry
RC Roofing covering
WS Window and Siding
nn SF Solid Fuel Burning Appliances
413 -437-So63 ,L& .&u .idi. koe gpt ,t it I Insulation
Telephone Email address Low• D Demolition
5.2 Registered Home Improvement Contractor(HIC)
K� 1 M Qo 4 t HIC Registr 'on Number pirati n Date
HIC Compan Name or HIC Registrant Name \
13 ( ra.t-r SI— Mc Quo, L keel MK(( , LI
as
an Street Email addr
EA -f nA 6tog-7 4(3- S3 7-Cob3
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 Ig No . ❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as er of the subject property,hereby authorize t e (F x)v( �C''
to my ehalf,in all matters relative to work authorized by this building permit application.
Q 2 L %i(:
P t er 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 th' application is true and accurate to the best of my knowledge and understanding.
)13ita,z,
Print Owner's or Authorized A nt's Name Si nature te
� (ElectronicSignature)
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 bas ent/attics,decks or porch)
Gross living area(sq.ft.) Habitable room cou t
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
f, Massachusetts ham? I._ ',
f.1,1 A , v)
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • Municipal Building 53 r
? Northampton, MA 01060 'rJ'y • 1.�®
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: vok�z R e_ c.�
�
Location of Facility: A/0A- a-..,,e A-cw, A4 4
The debris will be transported by:
Name of Hauler: ffsie ( Quet..1
Signature of Applicant: Ais% A Date: CR 3 (2ozz
The Commonwealth of Massachusetts
It - 4-,:tantm Department of Industrial Accidents
1 Congress Street,Suite 100
OW In . 5
Z•""•*=='
lik
Boston,MA 02114-2017
wwwmass.govidia
...,
Workers'compensation insurance Affidavit:Builders1(.7ontractors/Electritions/Plutishen.
10 HE i'll„.ED VI ITH THE PERMIIIINt;AVIVOILITY.
Applicant Information Please Print Legibly
,p
Name(BusineskOrgantiatintalliatheithial): ku e...1 Mc 62,../el-tt,k
Address: I P") 1 ' c-.1"cj SA—
City/State/Zip: ,get_544Actuke 4ov. AIA Phone#:
Art yew MI employee Cheek the appnaprlate him: c IA 2.7 '
: Type of project(required):
Lc]1 a employo•with _erearloyees(full andor part,tinic),* I 7. J New construction
o
2 am 11 SO ic proprietor or partnership and have no employcea,working for me in il
$. altemodeling
any capacity.(No workers'ci3mp.insuranix ierptin:d) I
9„ 0 Demolition
30 I am a homeowner doing all work myself.(No worktn:cotr i ft.ireananoe wetland.]'
I I 0[J Building addition
4.C3 I am a honaeowner and will he hiring wen-actors to 1..sinduct all week on my property, I will
ensure that all contractors either have workers'conmensation insurance or are sole 11.0 Electrical repairs or additions
priori-v.iih no employers,
ILE]Plumbing repairs or additions
50 I am a genet-Id contractor anal!have hired the sub-ciannictora listed on the attaches'sheet.
13E1 RiNi)frepairs
These uth,contracton iwee employees and have workers'comp.insurance.:
14.0 Other
6 Et We are a emporation and its officers have exercised duo right of exemption per I1/44GL c, _
152.§Ital.,and we 11.11Ve no ernployeea.[No%ANAL-vs•comp.inauraricervouired.1
I .
'Any applicant that cheeks Neat vl mist also fill out the section below allowing their workers'compensatior potie tithernrettpuct..
t Eliornwriers who auhrial this affidavit inalicatirat they are doing ail Wort and then lure outside contractkirs most submit a new aftidna it indicating such.
:Contractors that check this hotinusi attached an additional sheet h how imp the name of the sub-cormacton mid Aate whether or not those smarties have
employers. li the sub-eutaractoin base employees.they nine provide their worker.'orinp.policy number.
I am an employer that is providing workers'compensation insurance for my employ es_ Below is the policy and job site
information.
Insurance Company Name:
Policy#or Self-ins.Lic.#: Exp' • ion Date:
Job Site Address: City/Silte/Zip:
Attach m ropy of the workers'compensation policy declaration page(showing t,,.Ipollcy number and espirsition date).
Failure to secure coverage as required under MGI c. 152,*25A is a criminal violati 6 punishable by a(me up to$1,500_00
antior one-year imprisonment,as well as civil penalties in the form of a STOP WO' ' ORDER and a fine of up to$2.50.00 a
day against the violator.A copy of this statement may be forwarded to the Office of I vestigations of the DIA for insurance
6:4:6Verage verification.
,
I do hereby tern} ,and r the pains and penalties of perjurc that she information pro ided above is true and correct
siv.iture: A e24,e/, Date: a--
Phone#:
. . ,
offiaioi use only. Do not write in this area.to he completed by city or town official E
City or Town: Permit/License 4
[Issuing Authority(circle one):
I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrksil Inspector S.Plumbing Inspector
6.()tiler
("outset Person: Phone#:
i.,
*cabinet Installation Plans to Follow
315 1/4"
231 1/4" X 30" 54"
X 54 3/4" / 74" / 108 3/8" I / 48 I1/4" /- 29 V8" X
] r I °
81842.12 I W2739 W2739 I WG2739R
I ry 36" ss • I I
I - C •oc - I 0 1
B4D15
___. 34 1/16" X 39 3/4" f 1 Ui UTENSIL
0 •
Icy _ CUTLERY I 24"PANEL I I L536 L or R
UTENSIL DIVIDER DIVIDER I FRONT ON 1 i I
�� L r.aAn.,rvu11-111 _J__ L
ry I 36"Gas Range New Under Sink
1
j-�--- F.
l� x 2
�I 1 ft v ��K!/� C/��(/� 1 5 n,-
\ 4 j__ G �j [--
1.. 106" y'q
kP
S
�o • .fl 'r`� \ lO B21.18"D u✓ 6FH�� B4D24 MWB27 ry o
V '�+ �I ��aAsf 1 surest able I Pullout 1 I MW Ramer I = ry V wp
v `Vh 1 Shelves I I I I d mQ 7 N
i 9 m L--/---
- 1 1 12 L S'vW
7 / \ Wainscot Panelsa1f---_I-----T- -4 �E
\ 1 _ f II BFH31.5(9"D) I BFH31.5(9"D) 1
u \ f' �--Ell) 1-- \---324 -11
1 9"Deep Cabinets
I Counter Overhang I' II
1 for 2 Stools ,( 41 1/2" J("
t=
i ENTRY HALLy 96
I II y
83642.12 1336.13
1 51842.12 I rc I fn �y _ Panes
\ \ -- •
- }[cj 1',7i'� l j �TU3684.13 W362413 TU3684.13 \
45 3/4" / 53" 1 145 1/8" ,i` 41 1/8" 1 42 1/2"
327 1/2" /
DATE: 12/17/21 Final Kitchen Layout PAGE NUMBER
�l._rcnc,:.. ,,.. Berenson Project
„e_flie1/4_41,40‘..." .
1503)910 I b 7 The intent of these drawings/renderings are conceptual and for the
design rriAA-A3--
sclana clanzjamesdesi n__n 1 High Meadow Road SCALE: convenience of reference.Plans are not be final until all decisions have
Florence,MA 01062 been made.