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25C-163 (6) BP-2023-1296 14 ORCHARD ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-163-001 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-2023-1296 PERMISSION IS HEREBY GRANTED TO: Project# RENO 2023 Contractor: License: Est. Cost: COREY PEASE 115950 Const.Class: Exp.Date: 09/07/2024 Use Group: Owner: CAHILLANE CHURCH BRENDA J &DEBORAH J Lot Size (sq.ft.) Zoning: URB Applicant: COREY PEASE Applicant Address Phone: Insurance: 73 GLENDALE ST (413)218-5098 EASTHAMPTON, MA 01027 ISSUED ON: 09/18/2023 TO PERFORM THE FOLLOWING WORK: INTERIOR RENOVATIONS INCLUDING MAKING 1/2 BATH TO FULL, ADDING A MASTER BATH AND CREATING A LAUNDRY AREA 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: ! Cif Fees Paid: $642.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner erna 1 6 ...S.144d ea 1-4... . 1,/, Sep The Commonwealth of Massac use usetTh, 7 6�Q Board of Building Regulations an. n 'i r C!' W M ICI'ALITY Massachusetts State Building Code, 780E,i�y�ito�� • qa n, �r, E Building Permit Application To Construct, Repair, Renovate Or : o,` r� evise, Mar 2011 One-or Two-Family Dwelling '°h,)°''s This Section For Official Use Only Building, Permit tNNuumber: 6©•) 3 • /44 ` Date Applied: q p 2 zoo Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Addre s: 1.2 Assessors Map&Parcel Numbers 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 SewageDisposal System: Zone: _ Outside yes Zane? Public� Private 0 Municipal1d/On site disposal system 0 Check if yes SECTION 2: PROPERTY OWNERSHIP 2. Own r'of Record: '��,�r�z ,� ,� C G ,I Ia►i e 4144/14,Y ±91 /1'1 4- Name(Print) City,State,ZIP ILI or/'J,cj(kJ_ S4. W1.-c i5 4117 aciAk i ltene_re 41 (j✓1 e) r►4;)'C„," No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) I Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': /v'S flio.,r, / , iCIl ev, Ci vl e 6c— !`(?Q'n f",n b 4,_ i2.A l/ V t4 e d a v t4 r r n it a k;vo . of L cbYt e � Yl �JA �rY..0�tn'4 �- yl K �c,tiq ;�c;c�` ('-r'�(1 WI✓t Lo tn/S' '' ' ►'►' ►vu •re io�p-},.. 4y laLn I v1 Liivt�1cV►. /Cl°Set argil. IJi ykir, I ICU 4 1" C4ilint�.S el vt(, /�r/*_.,r 5 a.✓Pe 4 SECTION 4:'ESTIMATED CONSTRUeTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ ( 3 36Z 1. Building Permit Fee: $ Indicate how fee is determined: G CO Standard City/Town Application Fee 2.Electrical $ �/ 0 f� ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 21 ,S Sr 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total Al!l 4::s 1,. Check ', Check Amount-Cash Amount: 6.Total Project Cost: $9JJ ThV 0 Paid in F 1 CIOutstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS—1 15yS0 0 y d7/2tzil COI`*&/ joeGtS(L License Number Expiration Date Name of C$L Holder 7 3 G I evl de_ List CSL Type(see below) No.and Street 1 Type Description E_- ` �I C ha � l L 0 V f Q 7 7 U Unrestricted(Buildings up to 35,000 Cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding QQ SF Solid Fuel Burning Appliances ill3 Zip so tqq r CQ rpoi4,4t 1•Cori-s I Insulation Telephone Email address D Demolition 5.2 Registerec);Home Improvement Contractor(HIC) I p I�,70 1�y_ 17a (it1-' � HICl Registration Number Expiration to HIC Comm yPName,or HIC Registrant Name N2.and [[G I vl 1k. OQYe fPP2S 6Ut' l id Cat-4-1 a et A A o 10 Z7 Li/5 z:js's b' r / Email address City/Town,Stat ,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 if 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 a ',m to act on my behalf,in all matters relative to work auto by thi buildin• •,A •p• i : . D0364i1-6 I-alit/UM'- i •� /, l�' % lI t• //03 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHO' D AGE# DECLARATION By entering my name below,I hereby attest .er the ' fr: d penalties • perjury that all of the information contained in this application is true and a • ate to the ben of m i. o 1 edg • ii erstanding. • iii Print Owner's or Authorized Agent's Name(Electronic 'iglu , ate • ES: 1. An Owner who obtains a building permit to do •'s/h: own wor: or an owner who hires an unregistered contractor (not registered in the Home Improvement C•• 'actor ' s gram),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" ,rt The Commonwealth of Massachusetts ►' !f Department of Industrial Accidents 1 Congress Street,Suite 100 Boston, MA 02114-2017 www mass.govldia Waiters`Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO HE t1LEt)watt THE PERMITTING AUTHORITY. ADlslicaat Information /� u Please Print blv Name(BusinesalO ganwitionrtndividua l: C i P `�� fib✓ Y.L.M_.___. Address: 73 G tee Soc_ City/State/Zip: howv !P Z7 Phone#: f 5 2. l4-ir SO %re yam an ettaployer?Check the appropriate h s: Type of project(required): 1.0 I ant a employer with_T ^_,._employees(full and/or part-throes.* 7. New construction Eam a sole proprietor or partnership and hate no employees working fur me an 8. erkemodeling any capaedy.[No workers'carhop.insurance required.) 30 I am a homeowner doing all work myself.[No workers'curry.insurance required_)° q Demolition 4.0 lam a homeowner and will be hiring contractors to conduct all work on my property. 1 will )0 Building addition o^rtsure that all contractors either have workers'oompensaliott insurance or an:sole I I.0 Electrical repairs or additions proprietors with no employes. . 12.0 Plumbing repairs or additions 50 lam a general contractor and I have hired the orb-contractors listed on the attached sheet These sub-contracwrs have employees and has c workers,'comp.insurance.: 13 Roof repairs b.❑We are a eorporatiun and its officers have exercised their right of esempticrt pcc MG!.c. 14.0 Other 132,11(4),and we have no tatgtlo}etes.[No workers'camp.insurance required.' *Any applicant that chocks havoc Al must also fill out the section below shots Mir their workers'compensation policy information_ Romeuw'ners w hat subunit this athulat at indicating they are doing all work and then hire outside contractors snot sot nut a new aftidar it indicating such. *Contractor..that chuck this box must attached an additional sheet show my the name of the sub.-contractors and state w hither or not those entities hair etrtpb.nce, It the sub-contractor.Lee earaph t ees.they must prat idc their worker, c nh p.potty_.number I um an employer that is providing markers'compensation insurance fur m►'employees. Below is the policy and joh she information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 punishable by a fine up to SI,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a day against the violator_A copy of this statement may be faawarded 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. Stgnatur�:�-1".�� I�at�. I Phtrric r: ++ Official use only. Do not write in this area.to he completed by cull'or town official ('its or Town: Permit/License p Issuing Authority (circle one): I. Board of Health 2.Building Department 3.('ity/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: City of Northampton avHMeti, S`5 S'c Massachusetts �? "- � �� 4(' DEPART IT OF BUILDINGINSPECTIONS . it 212 Main Street • Municipal Building Jti ca Northampton, KA 01060 SNh; 3,-)0 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: 311 Eas-f-heakiiriain C NarAvisirioki / 4 The debris will be transported by: A . . Name of Hauler: ►'�'I� e-r-d—i `{�61� Signature of Applicant: Date: P-3/Z3 Or 15 tivia \ lyO 3@ 28 x 43 corner lazy susan trash 0 ` 0 DW cab EXIT 15" 36" micro& t 24 drawer 0 18" drawers = _ 18"spices �� o 0 c oO 30"stove -- in &hood CLIVING ROOM island rollin EXIT idi 30" pots • pans _ • 15" trays 12 — KITCHEN — 36" w Frig i�.i rr - e C 30 x 48 � ii dining 'I) ' I BATH table rcr 1 q BEDROOM Di� !�iV1 fec I , 1 ks, j(_). orje_..•-t J--- V Y Y _,_ --- FLOOR PLAN 1/4" = 1'-0" scale New window N y yo('- New casement windows 3@ 28 x 43 ,�. , I corner lazy susan trash ® ° ® DW cab EXIT 15" 36" micro& • 18" 24" drawer rj �prawers 0 ' 18"spi es o cIJ a7,i e0 30"stove in z fl O &hood o rolling0 EXIT LIVING ROOM island III pots 30" I • pans —I 0 trays 12" 15 -IKITCHEN 36"w Frig New door 30" — I 1(7 III c 30 x 48 �', dining ,1- ' r-MO�./ BAT table - Pantry 60 x 18 transom window ea?net E $ a ' i Toilet Stack O f , 0 x 6 washer ; 36x66 ' I BEDROOM dryer tab - . shower I po 36" w C1o • x 4' New door BATH vanity �J� • 30" owe 40" h. drawers I 1 cabinet -, _ FLOOR PLAN 1/4" = 1'-0" scale New window Your Confirmation number is 20230918385699 Date of Confirmation: 9/18/2023 NOTE: When paying by ACH (Checking) it will take two business days for the payment to be debited from your bank account. Your account number is not verified until this payment is presented to your bank. They have the right to return this payment if unable to process this transaction against your account. Your request for payment(s)of$645.95 has been received and is subject to approval by your financial institution. No email was entered so a confirmation was not sent. Account Information Payment Information Name: COREY R PEASE Payment Type: Credit Card Note: QUICK PAY TRANSACTION Payer Name: COREY R PEASE Card Number: **************7110 Transaction Information Transaction Quantity Amount Fee Payment Type City of Northampton -Building 1 $642.00 $3.95 Credit Card Department Misc. QP Permit Option: Building-Zoning-Sheet Metal Permits Full Name: COREY PEASE Phone: 413-218-5098 Property Address: 14 ORCHARD ST Notes: Total: $645.95 Privacy-Terms