22B-066 BP-2023-0273
123 MEADOW ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
22B-066-001 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-2023-0273 PERMISSION IS HEREBY GRANTED TO:
Project# NEW BATH 2023 Contractor: License:
Est. Cost: 37910 CLASSIC COLONIAL HOMES INC 112063
Const.Class: Exp.Date: 03/19/2024
LEIGHTON JACQUELINE & JANE CAROL BAER-
Use Group: Owner: LEIGHTON
Lot Size (sq.ft.)
Zoning: WP/WSP Applicant: CLASSIC COLONIAL HOMES INC
Applicant Address Phone: Insurance:
123 MEADOW ST (413)341-3375 AWC-400-7037036
FLORENCE, MA 01062
ISSUED ON: 03/07/2023
TO PERFORM THE FOLLOWING WORK:
CREAT NEW BATHROOM AND NEW OFFICE SPACE IN BARN
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: n
• lityy
Fees Paid: $246.42
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
E t.
The Commonwealth of Massachusetts .
Board of Building Regulations and Standards itiAR FOR
MUNICIPALITY
Massachusetts State Building Code, 780 CMR 7 2023 USE
Building Permit Application To Construct,Repair,Renov Or emolish a RevisedMar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: � -�, - 7 Date Applied:
,
31
Building Official(Print Name) Signature D to
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
123 Meadow Street, Florence 22B-066 001
1.1a Is this an accepted street?yes x no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
URA/SC 98010.00 720'
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
10 15 20
1.6 Water Supply: (M.G.L c.40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public IN Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Jaqueline Leighton Florence, Ma 01062
Name(Print) City, State,ZIP
123 Meadow Street 413-768-8468 jacqueline@classiccolonlalhomes.com
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building® Owner-Occupied 0 Repairs(s) 0 Alteration(s) RI Addition 0
Demolition 0 Accessory Bldg. ® Number of Units Other 0 Specify:
Brief Description of Proposed Work': The scope is to create a bathroom and new office space in the back 1/3
of the existing barn. New framing within the timber frame, replace windows and Insulate.
New siding will be installed to match the siding that was replaced on 2020.
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ a�1910. .0 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ 00� .Od 0 Standard City/Town Application Fee
1 0 Total Project Cost (Item 6)x multiplier x
3.Plumbing $ 5+6Ob .o0 2. Other Fees: $
4.Mechanical (HVAC) $ 11000 .00 List:
5. Mechanical (Fire $
Suppression) Total All Fees: $ 11 n rrJ
Check No.(Q(I Check Amo Or _I ash Amount:
6.Total Project Cost: $ 3 ci`O.00 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS-112063 03-29-24
Lance Kirley License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
123 Meadow Street
No.and Street Type Description
Florence, Ma, 01062 U Unrestricted(Buildings up to 35,000 cu. ft.)
City/Town,State,ZIP R Restricted 1&2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-335-1185 lance@classiccolonialhomes.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
192078 06.06.23
Classic Colonial Homes HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
123 Meadow Street Lance@colonialhomes.com
No.and Street Email address
Florence, Ma 01062 413-335-1185
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 ® No .....❑
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 Classic Colonial Homes
to a be f,in all matters relative to work authorized by this building permit application.
03/% I�-3
Print Own 's (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.
Classic Colonial Homes 01.19.23
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.) 898 SF (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) 898 SF Habitable room count WA
Number of fireplaces WA Number of bedrooms
Number of bathrooms WA Number of half/baths
Type of heating system Mini-Split heat pump Number of decks/porches
Type of cooling system Mini-Split heat pump Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
,_, City of Northampton
.osa.r.,„.., .. , s Massachusetts ��,t/ 1_ 'e`
c.
!. DEPARTMENT OF BUILDING INSPECTIONS Sk („T
\ E y' ;' 212 Main Street • Municipal Building yvh c*,ty
- � Northampton, MA 01060 s4.1, ,A
1Y VD
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: Valley Recycling
The debris will be transported by:
Name of Hauler: Classic Colonial Homes
.-4. ---
Signature of Applicant: Date: 03.06.23
The Commonwealth of Massachusetts
—ck.
,fi_!l. Deportment of Industrial Accidents
',
i Congress Street,Suite 100
_,,.„.,_ ._
Boston,MA 02114-2017
. 30. ,,�� www:mass.gov/dia
- 11 urkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED V.II H Tllk Pl:R%117TING AUTHOWTI.
Applicant Information Please Print I.ezibiv
Name(Business'C>rganiration+1ndividuoll: Classic Colonial Homes
Address: 123 Meadow Street
City/State/Zip: Florence, MA,01062 phone#: 413-341-3375
Are you an employee!Mark the appropriate hox:
Type of project 4requiredE
I, I ant a employ el with 7 employees.(toll ard'ur part-tins►.• 7. 0 New construction
DI am a sole proprietor or puitnemhip and have no employees winking for me in 8. ■- Remodeling.
:sty capacity.INu%tele cony,.nuunx ra required.] El
9. El.Demolition
3f:j I am a horrt`<o*ner doing all work tnyuelf.[No*criers`cony,.ortunince rquired.I
4.0 I am a hominy net and oil!be hiring contr atom to conduct all work on my pretty. I vv ill
t
10 Q Building addition
1 c vvuie that all contra:tu,a either have woakcrs"compensation i/anMO!or are sole 11.❑Elecincal repairs or additions
proprietors*rah no employees.
12.0 Plumbing repairs or additions
50 I am a general amrtra-tur and I hate hired the sub-contractors Wad eon the allrelyd iota 130 Roof
repairs
Them maircenaserae have employ ce_.and hate tsorkera eon,.inatraeoa.t
6.0 We are a corporation and ita officer,have exereucd then .right of exemption per MGL c 14.0 Other
152,yv 1(4).and ve have no employees.[No*oriels'wrap.insurance required)
*Any applicant that chest*hos=I natal akso fill out die oretion helots shaving their markers'camlpe malls policy infwsAiea.
t Nunwuitters who sulnna this affidavit indicating they ate doing all work and then hire outside.cuniradots aura submit a sew affidavit imdicai mark
:Contractors that check this ivov mutt altatled as dditiamal theet shwa me the mom tit the sal.e rm actom aad Waft velledite of sot dime taa des bare
employees. It tl .sob-tttlIrackrs Inv employees.they lnlr9.. Irr,iidc their sv.aarl.crs"vt.nip I'lwy number.
I am an employer that is providing workers"compensation insurance for my ewtplayt Below is the policy and job site
information.
Insurance Company Name: AAA Northeast Ins Agency,Inc
Policy#or ScIf-ins.Lie.#: AWC40070370362022A Expiration Date: 07.10.23
Job Site Address: 123 Meadow Street CityrStatelZip: Northampton, Ma,01060
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 punishahkc by a fine up to$I.500.00
andior one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine 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 fur insurance
coverage vernticahon.
I do hereby certify under the pains and penalties ofperjury that the information provided above if hue and exrrrt rt.
Siviature:- Date: 03.06.23
phone#: 413-658-4574
II 1
Official use only. Do not write in this area.to be completed by city or town official
City or Town: Permit/License# _ I
' Issuing Authority(circle one):
E I.Board of Health 2.Building Ihpartmenl 3.('itsi hewn Clerk 4.Electrical inspector 5. Plumbing Inspector
6.Other
Contact Person: ('hone#:
THIS PLAT IS COMPILED FROM DEEDS.N PL�T � --NS A
AND IS N
TO BE CONSTRUED AS AN ACCURATE SURVI_YNAND IS NOTOTHEROIES TO(JBE RECORDED T
BUILDING LOCATION ACCURACY I ; NO I GUARAN TEED
287'± to c/I Mill River
\ i , i,
119
o s NOTE:
a 63 THE PREMISES TO INCLUDE THE
� BOOK 6994, PAGE 80 o STRUCTURES ARE LOCATED
b✓ am i WITHIN A 100 YEAR FLOOD
SEE: PLAN BK. 224, PG. 49 �7°)9 ZONE (ZONE A).
co
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#121-123 /9/
V barn
71(/- /
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720'±
MEADOW STREET
TO: GREENFIELD SAVINGS BANK &
FIRST AMERICAN TITLE INSURANCE COMPANY
TO THE BEST OF MY INFORMATION, KNOWLEDGE AND BELIEF
I HEREBY REPORT THAT I HAVE EXAMINED THE PREMISES AND BASED ON EXISTING
MONUMENTATION ALL VISIBLE EASEMENTS, ENCROACHMENTS AND BUILDINGS ARE LOCATED ON
THE GROUND AS SHOWN AND THAT THE BUILDINGS ARE ENTIRELY WITHIN THE LOT LINES,
EXCEPT AS NOTED. I FURTHER REPORT THAT THE PROPERTY IS LOCATED WITHIN
A FLOOD PRONE AREA AS SHOWN ON FEDERAL FLOOD INSURANCE MAPS FOR
COMMUNITY #250167
-NOTE-
SURVEYOR: 1 _ ��,_J' , _ t l .� THIS PLAT FOR MORTGAGE LOAN PURPOSES ONLY
AND DOES NOT CONSTITUTE A PROPERTY SURVEY
AAA
/ ems, -MORTGAGE LOAN INSPECTION PLAT-
cy NORTHAMPTON, MASSACHUSETTS
(I-�ANDALL ,\ PREPARED FOR
IZER
ZA JACQUELINE LEIGHTON
#35032 SCALE: 1"=100' MARCH 9, 2016
c°� / HAROLD L. EATON AND ASSOCIATES, INC.
., �,ti tea,►•.
S REGISTERED PROFESSIONAL LAND SURVEYORS
235 RUSSELL STREET - HADLEY - MASSACHUSETTS