17C-231 (28) IT Co Airg4C7o CM'i el- BP-2023-1189
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-2023-1189 PERMISSION IS HEREBY GRANTED TO:
Project# CANNIBUS RENO 2023 Contractor: License:
Est. Cost: 260000 LUKE PAULL
Const.Class: Exp.Date:
Use Group: Owner: LHIC INC
Lot Size (sq.ft.)
Zoning: 01 Applicant: LUKE PAULL
Applicant Address Phone: Insurance:
51 WARREN RD (413)883-7531 NPP8876888
BRIMFIELD, MA 01010
ISSUED ON: 09/06/2023
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:
I 11,
Fees Paid: $30.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
cal/ Piz' /2/06 P
Co ATIM-C io/L
The Commonwealth of Massachusetts
Office of Public Safety and Inspections
Massachusetts State Building Code(780 CMR)
/ Building Permit Application for anyBuildingother than a One-or Two-FamilyDwelling
(This Section For Official Use Only)
Building Permit Number: D3- 11g9 Date Applied: Building Official:
SECTION 1:LOCATION
Ater-)* P\W/t_ S f- Pe r r1t a n/&/)
No.and Street City/Town Zip Code 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
Existing Building 0 Repair❑ Alteration 0 Addition❑ Demolition 0 (Please fill out and submit Appendix 2)
Change of Use 0 Change of Occupancy ❑ Other 0 Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No ❑
Is art Independent Structural Engineeriin,S Peer Revie w required? Yes 0 No 0
Brief Description of Proposed Work: I(An3'1 i P Q�26 �6)23
$IU.la bud ex;s ,)y V6►Can-t' s fa&v. to houy4_ a c-onn al' C UI NfaliDel Riedi-ly
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 AkEA
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❑ Nightclub 0 A-3 0 A-4❑ A-5 0 B: Business 0 E: Educational 0
F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2❑ H-3 ❑ H-4 0 H-5 0
I: Institutional I-1 0 I-2 0 I-3 0 I-4❑ M: Mercantile 0 R: Residential R-ID R-2 0 R-3 0 R-4❑
S: Storage S-1❑ S-2 0 U: Utility❑ Special Use 0 and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA IB ❑ rIA ❑ IIB ❑ MA ❑ rIIB ❑ IV ❑ VA ❑ 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 ElCheck if outside Flood Zone❑ Indicate municipal❑
A trench will not be Licensed Disposal Site 0
Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify:
permit is enclosed 0
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable❑ Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed❑ Yes 0 or No 0 Yes 0 No 0
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction:
Does the building contain an Sprinkler System?: Special Stipulations:
Design Occupant Load per Floor and Assembly space:
f_ 4 77 -- �2 7 -//3l
l
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
ErFC Sulu- 3L1 Narl'1, Kyle- s 1- Nord a meal
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
(5ah Y- - _ yl3 -5l - e5u/ter@ ees/orb:co,'
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
Name Street Address City/Town State Zip
to apply for and act on the property owner's behalf,hi all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill 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 D.
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)
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Lvk.t fay
Company Name Gr,1t Paull C.5 - 166 G Z
Name of Person Responsible for Construction License No. and Type if Applicable
�1 la/a rim R.& fr)"-F,it id- MA- QJOID
Street Address City/Town State Zip
ql3 - IV.. 0531 /lrke)roll&t ntiaIl,co.I
Telephone No.(business) Telephone No.(cell) e-` hail 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 $ Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ _ appropriate municipal factor)=$
3.Plumbing $
4.Mechanical (HVAC) $ - Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ (contact municipality)and write check number here
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.
LuL4. fcwI� y� 7/ 6-erltral Cbn'4racfP- 11 -8K3 -r753/ /3O/z3
Please print and sign nameS7 4/wren
Q /� Title 0161 6 /c_el Telephone No;g nDQ.1
Street Address City/Town State Zip EmailAddress`J
Municipal Inspector to fill out this section upon application approval: 1 �/ 6 wea*
9 2.3
Name ate
offal;� The City of Northampton
4..,. .
''' )
4 4,- = . Building Department
P§0):44,E 212 Main Street
1@y.
%TED stool Northampton, Massachusetts 01060
Phone (413) 587-1240
Fax (413) 587-1272
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVAT ION PROJECTS)
In accordance with the provisions of MGL c40, 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, s150A.
The debris will be disposed of in: G5COre U OS--e
Location of Facility l t1 f1S`k- S Ware) 1\ P 1 01 0 61-
The debris will be transported by:
Name of Hauler 14 42 'au11
Signature of Applicant: ` - "1, - Date: /3O/2)
The Commonwealth of Massachusetts
41 t' ( ; Department of Industrial Accidents
=„ i'=w 1 Congress Street, Suite 100
It•— " Boston, MA 02114-2017
-- www mass.gov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): Lu Iu, V(� i i
Address: 51 idr1 rt.n
City/State/Zip: BC i r‘+;l 1d 1n Pi- OJD 10 Phone#: (4l3 i 3 -i)')3/
Are you an employer?Check the appropriate box: Type of project(required):
1. am a employer with employees(full and/or part-time).*
7. ❑ ew construction
2.'II am a sole proprietor or partnership and have no employees working for me in 8. Remodeling
any capacity.[No workers'comp.insurance required.]
9. ❑Demolition
3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10❑Building addition
4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions
proprietors with no employees.
12.❑Plumbing repairs or additions
5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance.:
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. ',! 1
Insurance Company Name: W W$ er'n /�OI 1- /I15' Co
Policy#or Self-ins.Lic.#: TV i V �7IO D / r6 O Expiration Date: /2/g/2 3
Job Site Address: 3 ( 41dt A Mgt_ S.F City/State/Zip: Writ.AOrt TCih 111 it
Attach a copy of the workers' compensatio 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$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby ce
rtify under the pains and penalties of perjury that the information provided above is true and correct
Signature: �I! �"'"" 1� Date: 0`Y)/2 3
/
Phone#: `l • - 883- 9571
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
From: / U 00Vl )
•
Pin -rSt idf (Y\ A OibID
To:
Jonathan Flagg
Building Commissioner
City of Northampton
212 Main Street
Northampton, MA 01060
The Massachusetts Building Code, section 107.1 allows for an exclusion from requirements for
construction control in certain situations. In accordance with code section 104.10, I request that you
grant a modification to waive the requirement for construction control of the project at
l Nor-h M y ple 5) j ea,r---z Q tr07` 1 /;
because the work is of a minor nature, will not affect structural elements, health, accessibility, life or fire
safety, and will be done in accordance with the prescriptive requirements of the code.
Thank you for your consideration.
Respectfully,
c J��
9/6/23,8:50 AM City of Northampton Mail-34 NORTH MAPLE BP-2023-0123
' . City of Northampton�- Kim Carson <kcarson@northamptonma.gov>
1
34 NORTH MAPLE BP-2023-0123
2 messages
Kim Carson <kcarson@northamptonma.gov> Wed,Aug 30, 2023 at 3:16 PM
To: "mcquaidkuel@gmail.com" <mcquaidkuel@gmail.com>
Hi, Did you ever send me a withdrawal on this job? I remember you telling me but I need something in writing....can you
email it to me?
Kim Carson
Northampton Building Department
212 Main St
413-587-1240
Kuel McQuaid <mcquaid.kuel@gmail.com> Tue, Sep 5, 2023 at 9:53 AM
To: Kim Carson <kcarson@northamptonma.gov>
Good morning Kim I never sent you a withdrawal, but could you please withdraw my name from that permit for 34 North
Maple St. in Florence.
Thank you
[Quoted text hidden]
Kuel McQuaid
KAM Construction
m: (413) 537-6063
e: mcquaid.kuel@gmail.com
https://mail.google.com/mail/u/0/?ik=28605c8627&view=pt&search=all&permthid=thread-a:r8918670549982261130&simpl=msg-a:r-55698821550515... 1/1