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17C-231 (27) BP-2023-0123 34 NORTH MAPLE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17C-231-001 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-2023-0123 PERMISSION IS HEREBY GRANTED TO: Project# CANNIBUS RENO 2023 Contractor: License: Est. Cost: 260000 051394 Const.Class: Exp.Date: 12/11/2024 Use Group: Owner: LHIC INC Lot Size (sq.ft.) Zoning: OI Applicant: KUEL MCQUAID Applicant Address Phone: Insurance: 131 FERRY ST 41335375063 SOLE PROPRIETOR EASTHAMPTON, MA 01027 ISSUED ON: 04/26/2023 TO PERFORM THE FOLLOWING WORK: INTERIOR RENO FOR CANNIBUS CULTIVATION FACILITY 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: :i0,4\1 1 ,3ii.pefili Y Fees Paid: $1,820.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner File #BP-2023-0123 1-c APPLICANT/CONTACT PERSON:KUEL MCQUAID 131 FERRY ST EASTHAMPTON, MA 01027 41335375063 PROPERTY LOCATION 34 NORTH MAPLE ST MAP:LOT 17C-231-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLI1T ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $1,820.00 Type of Construction: INTERIOR RENO FOR CANNIBUS CULTIVATION FACILITY New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON } 'zow C W' 4 INFORMATION PRESENTED: Approved )( Additional permits required(see below) ALL S« 'NZ PLANNING BOARD PERMIT REQUIRED UNDER:§ 31/456 y a?.J G' M\sciA Intermediate Project: Site Plan AND/OR Spe ial Permit With Site Plan No Avb 71U)JN1, Major Project: Site Plan AND/OR Spec al Permit With Site Plan 13r4 .Avis R<;vQVl1ZEC/D ZONING BOARD PERMIT REQUIRED UNDER: § • Finding Special Permit Variance* Received&Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit D!W Storm Water Management Demolition Delay Signa,,ure of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burde to comply with all zoning requirements and obtain all required permits from Board of Health, onservation Commission,Department of public works and other applicable permit granting authorities. *Variances are granted only to those applicants who meet the strict stan rds of MGL 40A.Contact Office of Planning&Development for more information. The Commonwealth ofl Massachusetts c 7FFB 2 2023 Office of Public Safety d Inspections 5 Massachusetts State Building Code(780 CMR) dingy Permit Application for any Building other than a One-or Two-Family Dwelling FUfl rc (This Section For Official Use Only) Building Permit Number:Art5• Date Applied: Building Official: SECTION 1:LOCATION No.and Strret Cl/Town Zip de Name of Building(if applicable) Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below [e Existing Building Repair 111 Alteration If Addition 0 Demolition 0 (Please fill out and submit Appendix 2) g Chan a of Use � Change of Occupancy Other l! 0 Specify`, Are building plans and/or construction documents being supplied as part of this permit application? Yes No ❑ Is an Independent Structural Engineering Peer Review required? Yes 0 No 0 Brief Descriptiof of Propose ork: 4 S0>e SF \ /} SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft) Total Area(sq.ft.)and Total Height(ft) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0 F: Factory F-1 0 F2❑ H: High Hazard H-1❑ H-2 0 H-3 0 H-4 0 H-5❑ I: Institutional I-1 0 I-2❑ 1-3❑ 1-4❑ M: Mercantile❑ R: Residential R-ID R-2 0 R-3 0 R-4 0 S: Storage S-1❑ S-2 0 U: Utility 0 Special Use❑a4d please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB ❑ IIA ❑ IIB 0 IIIA ❑ IIIB ❑ IV 0 VA 0 VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information Sewage Disposal: / Trench Permit Debris Removal: Public Ie Check if outside Flood Zone Pi Indicate municipal C A trench will not be Licensed Disposal Site 0 Private 0 or indentify Zone: or on site system 1: required or trench or specify: permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 8' Is Structure within airport ap oach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No r Yes 0 No Er d tCk SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Ye 5 Special Stipulations: Design Occupant Load per Floor and Assembly space: City of Northampton <�.i>,r►a a rty . . Massachusetts ''� DEPARTMENT OF BUILDING INSPECTIONS xd r ,.„. w .� 212 Main Street • Municipal Building -� ^" Northampton, MA 01060 � ,,�� PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR COMMERCIAL & MULTI-FAMILY NEW CONSTRUCTION/ADDITIONS/ALTERATIONS 1. Building Permit Application signed by legal owner and filled out by owner or authorized agent. 2. One set of plans and specifications of proposed work (Digital & Hard copy). 3. Site Plan with location of proposed structure(s) and setbacks. 4. Construction Debris Affidavit filled out and signed by applicant. 5. Worker's Compensation Insurance Affidavit filled out and signed by applicant. 6. Contractors must supply a copy of CSL and proof of Liability Insurance. 7. Energy Conservation Compliance Certificate (if applicable). 8. Note any Conservation and/or Special Permit requirements (if applicable). 9. Driveway Permit (if applicable). 10. Proof of Water and Sewer entry fees paid (if applicable). 11.Trench Permit (if applicable). 12. Initial Construction Control Documents filled out and signed by the Registered Design Professional in responsible charge. 13. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton SECTION 9: PROPERTY OWNER AUTHORIZATION Name an "Address of Property Owner p f T I C /''C, C e �I Ct� I' T•l�, �7 ooft Name(Print) No.and Street City/Town Zip Pro Owner Con t Information: EA' e. S'� , Ll/3- 5"sa 0916 413 0.7ti Q-Sokeke e Title Telephone No.(business) Telephone No. (cel e-mail address I If applicable,the property owner hereby authorizes: Name Street Address C ty/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work au orized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fi out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) ---1Z wL %C Z l'() `1t3- 2y(- 4(4 w -Z-Cds.2kC%241iiiraarta*# ,,.NM) ISr 1 0'1 to Name(Registrant) Telephone No. e-mail address Registration Number Tr �4 ! Y\�f A! C. '�.6\lGpoih�baY" /M K 01 cG�' II-if /2-S Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Q Kvec av�(o Company Name Ktie ML CQvga c►e CS-- 05134'F Co tn5INcuci- Svc Name of Person Responsible for Construction _ License No. and Type if Applicable /3/ Fccc� 5-4- bets- tw. 11 to A. / 4 G(0) 7 Street Address City/Towh State Zip Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes 0 No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building $(`�i 0 0<D1 Building Permit Fee Total Construction Cost a li(Insert here , . 2.Electrical $ 10 ) O0-p appropriate municipal factor)_$ 3.Plumbing $ 3 o f B et 0 1, 4.Mechanical (HVAC) $ 0), o o Note:Minimum fee=$ (contact municipality) v.- 5.Mechanical (Other) $ Enclose check payable to Total Cost $ ��0 0 0 0 (contact municipality)and write check number here Cr-, 1 SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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. Please print and sign name Title Telephone No. Date Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: 4NOIL 1 + "/ ' 9,3 Name Da CITY OF NORTHAMPTON SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE City of Northampton Massachusetts n *tea y'. DEPARTMENT OF BUILDING INSPECTIONS 4;. 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: Location of :Facilit cX-c_ S r' '� e-( C D y � The debris will be transported by: Name of Hauler: USA Signature of Applicant: Al 444„, Date: The Comnsonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 4 Boston,MA 02114-2017 Krivw.mass.gotidia I%inters'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. IA)BE FILED WITH TIIE PERMITTING ALTHORITV. .1.nnlicant Information Please Print Leuibls Name(Busincis.t.irganizattoni individual): Ku,e-i AA.-c_ ce...6pe Address: /3 1 F-e--s-c..2, 5 City/State/Zip: Eic9tttau&kpkv A. MA 0(02.7 Phone#: If13 —g3e7--ir6,33. Are yea or employer?i'keek the appropriate box: Type of project(required): 1.0 lam a employ er with __ernplo}ees Ilisll ariiiin part-unwl.• 7. 0 New construction 2..g I am a sole proprietor or partnership amal have as employees workang for me in 8. 9 Remodeling any capacity.Diu A laialS.tZkyrap.insurankv required.] _ 1...D lam a home rti owner doing all work liself.[No workers'cutup,assurance required 9 p Demolition .]' 109 Building addition 4.0 I am a hotnewhiter and will be home....ontrailors to aandim Mt work on iny pmpaty. I wall ensure Mei all contractors either have workers'ceirmenxistrun Insurance or are sole a 1.0 Electrical repairs or additions proprwuns with nu employees. 12.0 Plumbing repairs or additions \WI am a general cormactor and 1 base hued the sub-contractors lasted on the attached sheet 13.0Roof repairs '- These sub-cimuvicturs iliVe employers and base workers'comp.insurarice. 14.0 Other n.0 like are a corporanuti and its officers has e exertised then right of exemption per MCI c. 111.§I(4 t..Anil we h.ase no emplusecs.1`so,i orks•„....,nir,imiLarani:g regotevii I •Any applicant that cheeks box 41 must also till out the,...c..i:%,,,^n N.ik,,k showing their workers compensation policy information_ *lionamis WIN Wild.,54.1111a Eft%atlitirs it uulicarting they ar.e doing all work and then hire outside contractors mats whole a new affidavit inilitzling.orh. `,Contructo6 that check this box must attached an addiummal sheet showing the ralltIC a the sub-eontracters and stare whether or nut those entities base employees If the sub-coniraetori 1ra,C Cirtployelm they must mos ide their workers",..,omp policy rannber, I am an employer that is providing workers'compensation insurance Pr my employees. Below is the policy and job Aire information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: lob Site Addre : CitysState:2ip: Attach a copy of the workers'compensation policy declaration paec(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$1,500.00 and-or one-year impnsonmenl as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against die violator.A copy of this atateinent may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pain and piliallies of perjury that the information provided above is true and corre-i.t. Sigimture: 717[Z( it'4_ (14-el Date: Phone tit: Lil 3 3 7 -. c)d.:`.? Official use only. Do not wrire in this urea to be completed by city or town officiat city or Town: Permit/License 4 Issuing Authority(circle one : I.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical.Inspector 5. Plumbing Inspector 6.Other Contact Person: L Phone 4: 1 A Initial Construction Control Document To be submitted with the building permit application by a g Registered Design Professional , . for work per the ninth edition o the ,,,'= Massachusetts State Building Code, 7$°C MR, Section 107 Project Title: Date: Property Address: X' Project: Check (x one or both as al.-1.licable: New construction Existing Construction Project description: I MA Registration Number: Expiration date: ,am registered design professional,and I have prepared or directlysupervised the preparation of all design plans,computations and specifications concerning": Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2_ Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construc -on to become generally familiar with the progress and quality of the work and to determine if the w=car is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibiIitY regarding the provisions of 780 C MR 107_ When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent comments,in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a'Final Construction Control Document'. Enter in the space to the right a"wet" or electronic signature and seal: Phone number: Email: Building Official Use Only Building Official Name: Permit No.: Date: l Note 1.Indicate with an'x'project design plans,computations and spe fications that you prepared or directly supervised.If'other.is chosen.provide a description Version 01 01 2018 - Appendix 1 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required. The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x"where applicable No. Item Submitted Incomplete Not Required 1 Architectural 2 Foundation 3 Structural 4, Fire Suppression 5 Fire Alarm(may require repeaters) 6 HVAC 7 Electrical 8 Plumbing(include local connections) 9 Gas(Natural,Propane,Medical or other) 10 Surveyed Site Plan(Utilities,Wetland,etc.) 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review(521 CMR) 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation • 20 Other(Specify) ' 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction. Registered Professional Contact Information , • -.._ !-"� Name(Registrant) Telephone No. e-mail address ,, Registration Number ° Discipline Expiration Date Street Address Cittvn State Zip k -roc t Ko ,24/ -Ic.�o vevroctt rp00.-4A4 . .sc.c .. gi Name(Registrant) Telephone No. e-mail address Registration Number �� � �j1r�•e. lo,�c c l L+(Lwx. v.vh 4 c,w'11- Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number • Street Address City/Town State Zip Discipline Expiration Date • Please follow this link for construction control forms to be used by Registered Design Professionals. Initial Construction Control Document i2 �/ To be submitted with the building permit application by a Registered Design Professional for work per the 9th edition of the ''•.0 ✓ Massachusetts State Building Code, 780 CMR, Section 107 Project Title: 34 North Maple street Grow Date: 12.12.2022 Property Address: 34 North Maple Street,Florence Ma, Project: Check(x)one or both as applicable: __New Construction X Existing Construction Project description: New HVAC systems I,James P Stroke PE,MA Registration Number: 20068 Expiration date:June 31,2023,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concemingt: Architectural Structural X Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge,information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. 1 understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, 1 will submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I will submit to the building official a `Final Construction Control Document'. AM/f$P SIRDxf w --' No 70cm ♦ fsAop Enter in the space to the right a"wet"or electronic signature and seal: Phone number:413-626-8752 Email: ddangeto@tjconway.com I Building Official Use Only IBuilding Official Name: Permit No.: Date: Note I.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If'other' is chosen, provide a description. Initial Construction Control Document la �� To be submitted with the building permit application by a w Registered Design Professional • p� for work per the 9th edition of the 4.4 •tr, Massachusetts State Building Code, 780 CMR,Section 107 Project Title: 34 North Maple street grow Date: 12.12.2022 Property Address:34 North maple street , Florence Ma, Project: Check(x)one or both as applicable: New Construction X Existing Construction Project description: New Electrical systems I,James P Stroke PE,MA Registration Number: 20068 Expiration date:June 31,2023,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Architectural Structural Mechanical Fire Protection X Electrical Other: for the above named project and that to the best of my knowledge,information,and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I(or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept,shop drawings,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official,I will submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I will submit to the building official a `Final Construction Control Document'. ,�vEso 't • ‘0,144 STfYM(E NO 2�nEe ti #' Enter in the space to the right a"wet"or electronic signature and seal: Phone number:413-626-8752 Email: ddangelo@tjconway.com Building Official Use Only Building Official Name: Permit No.: Date: 11� { Note I.Indicate with an'x'project design plans,computations and specifications that you prepared or directly supervised.If'other'is chosen, provide a description.