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36-225 (13) BP-2023-1151 60 WINTERBERRY LN COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 36-225-001 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-2023-1151 PERMISSION IS HEREBY GRANTED TO: Project# 2023 KITCHEN RENO Contractor: License: Est. Cost: 54000 DANIEL DACRI 105989 Const.Class: Exp.Date: 05/07/2024 Use Group: Owner: KLEINMAN KATZ JAMES K&GERI A Lot Size (sq.ft.) Zoning: SR/WSP Applicant: DANIEL DACRI Applicant Address Phone: Insurance: 247 RIVERSIDE DR (617)543-2843 R2WC357035 FLORENCE, MA 01062 ISSUED ON: 08/24/2023 TO PERFORM THE FOLLOWING WORK: KITCHEN 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: 3 It, 1 'Jl i 4 i Fees Paid: $351.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massac usett: 400 V W Board of Building Regulations an StaR4.rds (4 UNIFIPALITY Massachusetts State Building Co.-, 8(�" 'N. oqr c,�/1 USE Building Permit Application To Construct, Repair, Renov. -'it 43.e : ' h a Rev'.edMar 2011 One-or Two-Family Dwelling N 4,1,48 o cce-,otir9 This Section For Official Use Only Building Permit Number: e"-1,j" //-% Date Applied: .0i. l, i ii; Building Official(Print Name) Signature / / D e SECTION 1:SITE INFORMATION 1. Proppe�rt Address: 1.2 Assessors Map& Parcel Numbers 6J Wl,nfe( f(' ��) FIorepu 1.1 a Is this an accepted street?yes 1,7 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: Zone: Outside Flood Zone? Public D Private 0 Check if yes❑ Municipal 0 On site disposal system 01 SECTION 2: PROPERTY OWNERSHIP' 2. Owner' f Record: rse r, le'h M ov\ ROrti1 e1 414 01o6' Name(Print), City,State,ZIP C 0 wl n4-e rk(L1 iv‘ '/r 3-aso-1 0 No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 21Repairs(s) Ell Alteration(s) I:( Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': pG t.L k1 fG',4/'� Ca f�,KidS / IhsJ/R/e 4begl/ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 5-0) c'oJ 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 31 0C) 0 Total Project Costa (Item 6)x multiplier x 3. Plumbing $ 6 O . o 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire ✓ 00 $ Suppression) Total All Fees: $ 3Ji/. J Check No. !?70 Check Amount: Cash Amount: 6. Total Project Cost: $ 5-L7 -00 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) cc 1 o q 7 1 T)c v\ -bG C () License Number Ex ration Date Name of CSL Holder L T—) .5) / ( List CSL Type(see below) f leAr No.and Street �(,� Type Description r r,f /11 0 ) V Unrestricted(Buildings up to 35,000 Cu.ft.) —` t ' ' ' I�� /— R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances G»--5 J3-a�4 I Insulation Telephone Email address D Demolition q, 5. gistere Home Improvement Contractor(HIC) /0-9a i / r CM. \ OiCf) HIC Registration Number xp' ion Date flic Copam'1Name or HIC Registrant Name Iff.L d Street,ram, _,�^ O,Z r(�2— /� 7- -lG Email address City/Town,R State,ZIP E� JTelephone0 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 Issuan 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 CIA J1) c (,)lam to act on my behalf j in all matters relative to work authorized by this building permit applicatio . 6-cr; ) trhrtc,,,. i,,,V33 Print Owner's Name(Electronic 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 a plication is true and accurate to the best of my knowledge and understanding. �17N� Oct) P/j/-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 ad 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" City of Northampton QHA MY�� 2S%S,..jeit . ..S/C' . Massachusetts 4, �• << DEPARTMENT OF BUILDING INSPECTIONS i � 212 Main Street • Municipal Building ` . 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: /0-t Location of Facility: 7 The debris will be transported by: Name of Hauler: S` lr Signature of Applicant: — Date: CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE The Commonwealth of Massachusetts 1a={_ t •i Department of Industrial Accidents _ /1= r 1 Congress Street,Suite 100 ='l;�1=;;` Boston,MA 02114-2017 -,-.4,"..,-,'° www.mass.gov/dia 11 oaken'Compensation Insurance Affidavit:Builders/Contractor leetricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Antillean(Information i }� • Please Print Let!ihhe Nana(Business tkganiratiun individud): �-1-JA Vl _1 J c,(I) Address:c (. ' K) City/State/Zip:, Po rr. i a) ✓ 4 O1O - phone#: 7 ' TiV 3 _-)-W3 Are yew as atipl yte('Lek Ike appropriate box: Type of project(rewind): ICI I am a employes is ith .atplayaea WI arilorpwt4imr).• 7. 0 New construction 20 I am a sole pup-New toe panscalip aid bare ono employees noting for are in 8. aleniodeling any capacity_(tie trodur'mop.inimasce tabgtrired.) 30 I ama harn ww net doing or ng all mirk myself_[No winters'comp_imaninee rryuireJ_]" 9. 0 Demolition 1.0 I am a homeowner and will be hiring contractors to conduct all work on my property_ I will 10❑Building addition mom tollat[reamseiamaiirhave workers`c'o nsio naitm inu one in are sole I La Electrical repairs or additions war orb ai►piyrai 12.©Plumbing repairs or additions 3 arms a gene al aaaaracsor and I bore bind the sdraxnutrarluna bind as the amain!silent Thew subr arrracMm have espla�lreeo and have waxen'warp.iaaimace_t 130 Roof repairs T Eta We are a corporau officers oo and its ocers have exercised their nee of esemaptiaa per 1N(,L c. 14.❑Other_ 132,l:1(4),and we have nu employees.[No workers'comp.mstraaet required.] 'Any applicant dam chat box CI wren also fill out the seniimnn below%bowing their workers'eompairriaa policy infunnatiw_ t Hon eowrrns who submit this affidavit ienicatiog they are doing all work and them hire owrde caiamtaeta nova submit a new affidavit inlianing mock $C4iaaacian rut check dna box rant storied as additional sheet showing the name of the mad amp wbeier or mot dose avtitier bars emplayars. It the aulsvontrac-Wn law employats.t16:11;must mobile then wurlcn`comp..policy mantel-.. I am an employer that is providing workers'conspesmation insurance for ivy emp/o}Yes. Below is the policy anijabillie information. 131::aeiance C't.mpany Name: 6,o l(/L 1 r5 Co Pt#fail, ;r or Sell-ins.Lie.#: Rol C 3..5--'03c Expiration Date: 1()/V/23 Job Site Address: b° (-1'e) >h City/Staterl ip:C)o tylc.(,j MA Q)0 6L Attach a copy of the workers'con satius policy declaration page(showing the policy nember and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a tine up to$1,500.00 an&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. 'statement may be forwarded to the Office.of Investigations of the DIA for insurance coverage veriticati' . I do hereby lily de ,ins an nalties of perjury that the information provided above.- true and corret-t. Signature: Date: /-)3 1I Phone#:0 I-sy 3--a-8V 3 f Official use only. Do not write in this area.ter be completed by city or town official ('it♦ or Town: Permit/License# Issuing Authority(circle one): ' I.Board of Health 2.Building Department 3.('its'''Porn Clerk 4. Electrical Inspector 5. Plumbing Inspector • 6.Other Contact Person: Phone#: 6D w(44-vvi r/CL) l./64062 . is--�y�ragy3 Note: This drawing is an artistic Designed: 11/29/2022 interpretation of the general Printed: 3/16/2023 appearance of the design. It is 0 not meant to be an exact rendition. 1^O2 1 Dacri-Katz Kleinman.kit All Drawing#: 1 / 132 Z" / 5" / 21" 15" 56i" 15" 24" / / 38 " 51 2;" / / 37 " 274" 664" -/ / 252" II / 3 "_ / 12 27„ / a - coW1539-L ` 15:WF DW2439-L N I9 �� NI.p /./6PDT785SYNF ,, B24DWBSC \ Lo 6 m 1= -i 0 (A N N N = CO ? ala N _ � P w A ,=gym CO I ( - -: rr 00 ! -irrN - N '� - M N- r I N O N N 0 ' .%S CO al W W N ... . — 0 W G M 10f w /j //I n - ,I,i 0� = w 4i_ M �. W W CO - W Co.) CO c N W t0 - D L [I, CO CO_ 0. w - - l` N _IN In 4, VIT-I—j--- o rn 3DB24" �BOC3 Ail 3" / -18" / --36" 0 EP .5 IN 10 CTC; Ia _FPO 4.5 2 1,3BFH18-I 13BFH36B ir. m 60 ' i t All dimensions_size designations This is an original design and must Designed: 11/29/2022 r, given are subject to verification on not be released or copied unless Printed:8/22/2023 d: job site and adjustment to fit job 2020 applicable fee has been paid or job conditions. order placed. 1' it • Dacri-Katz Kleinman kit All Drawing#: 1 I No Scale. 1128" 1 lit 24" / 24" / 30" 33" W3021B DW2439-L[ W2439-L W3339B e 4;4 ..),,,, , No — JNM7196SKSS �- �.:. t 1 -- , r.1co 00 N O. c\ lup353.1usiv L.,� co BFHBCPO45-BLL /BFH3OB - 3DB33 , \ \ NN I 45" 3y" / 33" 62'5„ I 49-" ib 4.1 a All dimensions_size designations This is an original design and must Designed: 11/29/2022 given are subject to verification on not be released or copied unless Printed: 8/22/2023 job site and adjustment to fit job applicable fee has been paid or job conditions. 2020 order placed. Dacri-Katz Kleinman.kit El 1 Drawing#: 1 No Scale. 132 2„ 5 11 -21" / 15" 56 8„ 15" 8 24"- .Y____--^ I 1 o` DW2139-RN1539-L immil =1 W15:WF, DW2439-L M -1°3 1 1 WINDOW I O.% c\ 1 - V) oN 11 I ice, BFHBCPO45-BLRr785SYNFSB33BSMDORG B24DWBS'BFHBCPO45-BLL ^I< N. 1 25 t 2 24" 32" 24" 27" 5 . '5 15n 37 S 27 "16 16 q All dimensions size designations This is an original design and must Designed: 11/29/2022 given are subject to verification on not be released or copied unless Printed: 8/22/2023 job site and adjustment to fit job ^OO applicable fee has been paid or job conditions. `) 2 order placed. Dacri - Katz Kleinman.kit i El 2 [Drawing#: 1 No Scale. / 2062" / / 100" / 36" 1 ,/ 24" / 24" / 21" / N \ / 24162_1 B W2439-L W2439-R DW2139-R inIco QO O• I ) N / . r 27EPU{ I 27EPU193FB c N .00 PWE213KYNFS - Nr � ,..,, f LO 1_Li ' ' ^L 3DB21 I BFHBCP045-BLR co I i N N 1 1 / 982„ 1//,, -36 2" 1 ,,- 21 " 45" A1 18 8„ 1 88 8" All dimensions_size designations This is an original design and must Designed: 11/29/2022 given are subject to verification on not be released or copied unless Printed: 8/22/2023 job site and adjustment to fit job 2CJ20 applicable fee has been paid or job conditions. 1 order placed. Dacri-Katz Kleinman.kit El 3 Drawing#: 1 No Scale. O 8= =*s-.,� C o 0 0 0 0 0 ) Q� aiia WAN1\ BOC30 3DB241 3B0D36 30" / 24 13" 69" All dimensions_size designations This is an original design and must Designed: 11/29/2022 given are subject to verification on not be released or copied unless Printed: 8/22/2023 job site and adjustment to fit job 2020 applicable fee has been paid or job conditions. 1 order placed. Dacri -Katz Kleinman.kit El 4 Drawing#: 1 No Scale. _ _ _ _ 13BOD36BFH18- I3BFH36B 13" i 18" 36" / 6 9. . i All dimensions_size designations This is an original design and must Designed: 11/29/2022 given are subject to verification on not be released or copied unless Printed: 8/22/2023 job site and adjustment to fit job ^O^O applicable fee has been paid or job conditions. 2020 order placed. Dacri -Katz Kleinman.kit El 5 Drawing#: 1 No Scale.