13-094 (2) J I L U t K Jcl '� '�tLam
SCOPE OF WORK
February 16, 2014
1 re
CUSTOMER NAME: Sue Rudnitsky
ADDRESS: 24 Stonewall Drive, Northampton, MA
ESTIMATED START DATE: Winter/Spring
ESTIMATED PROJECT RUN TIME: 2 Days
FRONT ENTRY DOOR AND STORM DOOR
*PLEASE SEE ATTACHED ESTIMATES FOR EXTERIOR DOOR, STORM DOOR, AND HARDWARE
This contract includes the following:
• Permit application, fees, and inspections
• Remove, and dispose of, existing interior casing, door,jamb, storm door, kick, and exterior casing
• Prepare rough opening to accept new door unit. This includes new pan flashing
• Install new exterior door to manufacturer's specifications
• Install low expansion spray foam insulation around new door unit
• Install new extension jambs at interior
• Install new, pre-primed 2 ''/z" colonial casing to match existing
• Install new red oak threshold to bridge between new door unit and existing tile floor
• Drop off interior trim ahead of time so that Owner can apply (1) coat of paint
• Install new Brick mold / or flat casing at exterior to provide a positive mounting location for new
storm door unit — Review with Owner
• Install new PVC kick plate
• Re-install existing vinyl molding detail — Review with Owner
o Install new storm door and all hardware.
QUALIFICATIONS / CLARIFICATIONS
• It was noted that the existing door is very tight between the jack studs. This proposal assumes that
the new 3'0" door unit will fit between the existing studs. If re-working this framing is required,
this would be handled on a time and material basis
• Please note that this proposal does not include any painting, nail hole filling, or other finishes.
PRICE FOR EXT. DOOR, STORM, & HARDWARE INCL. TAX: $1,710.00
PRICE FOR LABOR AND MISC. MATERIAL $1,350.00
TOTAL PRICE FOR ALL LABOR AND MATERIAL: $3,060.00
been signed.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. THIS IS A LEGALLY
BINDING AGREEMENT. IF THERE ARE ANY PROVISIONS WHICH YOU DO NOT UNDERSTAND,
YOU SHOULD CONSULT WITH ANA TTORNEY BEFORE SIGNING.
KE BUILDERS, INC. OWNER
y, Scott Keiter, President Date ate
Date
6
STARTING AND ENDING DATES:
Keiter Builders, Inc. will apply for the permits within 30 day(s) of signing this Agreement or your satisfying
any conditions required to be met prior to the permits being used, whichever date is later. Keiter Builders, Inc.
will start work within 30 day(s) of obtaining the necessary permits and expects to have the work substantially
completed within 2 day (s) of starting.
If Keiter Builders, Inc. is delayed at any time, in the progress of completing the work, due to acts of God, war,
civil commotion, accident, government regulations or policies, any act or neglect of yours, or by any separate
contractor, or by change orders, or by labor disputes, fire, delay in transportation, unavailability of materials,
adverse weather conditions, unavoidable casualties, difficulty in obtaining fuel, electricity, services or supplies
from the sources from which they are normally obtained, or other causes reasonably beyond my control, then
Keiter Builders, Inc. may reasonably extend the date for substantial completion. If the work is not substantially
complete by the ending date, as extended, Keiter Builders, Inc. will not be liable to you for any incidental or
consequential damages you may incur due to such delay.
If you are supplying any materials or equipment to be used in the work, you shall have such materials and
equipment delivered to the work site not less than 5 days before they are needed for the work. If they are not
delivered on a timely basis, Keiter Builders, Inc. will not be able to schedule work dependent upon them and the
date of substantial completion will be extended due to such delay.
TOTAL PRICEAND PAYMENT SCHEDULE:
The total price for performing the work and supplying the materials under this Agreement is
Three Thousand and Sixty ($3,060.00) DOLLARS. Payments against work completed and materials delivered
will be made within 2 days from when Keiter Builders, Inc. notifies you that they have reached different
completion stages. Payments will be made in the amounts as set forth in the attached payment schedule.
Special order materials due with signed contract ($1,710.00)
Final payment due at Substantial Completion. ($1,350.00)
All sums not paid before substantial completion of the work will be due and payable upon substantial
completion.
Payments due and unpaid under this Agreement shall bear interest from the date payment is due at the annual
rate of Eighteen (18%) percent or at the maximum legal rate whichever is less. In the event that Keiter
Builders, Inc. incurs costs or expenses in collecting any payments due and unpaid under this Agreement, you
shall pay such costs and expenses including reasonable attorney's fees.
If you fail to make any payments when they are due, then Keiter Builders, Inc. may immediately stop work.
Keiter Builders, Inc. may choose to not start work again until you are current with the payments and Keiter
Builders, Inc. feels secure in obtaining the remaining payments. If there is any stoppage in work due to your
failure to pay on time, or to make Keiter Builders, Inc. feel insecure that the remaining payments will be made,
such delay shall automatically extend the date of substantial completion.
CONSTRUCTION_AGREEMENT
Keiter Builders, Inc., of Northampton, MA whose Federal Tax Identification Number is 27-2518846,
Contractor's Registration Number 175168 (Exp. 04-29-2015), and License 4102457 (Exp. 06-20-2014), is
entering into this Agreement with you Al&_Sue_Rudniskyof 24 Stonewall Drive Northampton, MA.
ALL RESIDENTIAL CONTRACTORS AND SUBCONTRACTORS ARE REQUIRED TO BE
REGISTERED WITH THE MASSACHUSETTS BOARD OF BUILDING REGULATIONS AND
STANDARDS, UNLESS SPECIFICALLY EXEMPT FROM REGISTRATION. INQUIRIES
CONCERNING REGISTRATION SHOULD BE DIRECTED TO: DIRECTOR, HOME
IMPROVEMENT CONTRACTOR REGISTRATION, ONE ASHBURTON PLACE, ROOM 1301,
BOSTON, MA 02018 (617) 727-8598.
SCOPE OF WORK:
Keiter Builders, Inc. will perform the work set forth in the attached Scope of Work on your home, or the
property located at 24 Stonewall Drive._ Northampton,- MA. If you would like to change any work to be
performed or materials used, we will have to make such changes through a Change Work Order, which may
also change the total price and extend the date for completion. Change Orders will be handled on a time and
material basis. Keiter Builders, Inc. reserves the right to make minor changes in any plans and to substitute
materials of equal or better quality.
Should Keiter Builders, Inc. encounter any unknown conditions below the surface of the ground, or concealed
or unknown conditions in any existing structure, you will agree to make an equitable adjustment with Keiter
Builders, Inc. under a Change Work Order, which shall increase the total price and extend the date for
substantial completion of the work.
PERMITS:
To perform this work, Keiter Builders, Inc., or subcontractors hired by Keiter Builders, Inc., will obtain, on
your behalf, the following permits (if required):
—x--_ Building Permit Electrical Permit Smoke Certificate
Plumbing Permit Demolition Permit Certificate of Occupancy
IT IS THE OBLIGATION OF KEITER BUILDERS, INC. TO OBTAIN THESE PERMITS AS YOUR
AGENT. IN THE EVENT THAT KEITER BUILDERS, INC. DOES NOT OBTAIN THESE PERMITS,
AND YOU OBTAIN THEM, OR IF KEITER BUILDERS, INC. IS NOT REGISTERED WITH THE
BOARD OF BUILDING REGULATIONS, YOU WILL NOT BE ENTITLED TO OBTAIN ANY
BENEFITS FROM THE GUARANTEE FUND ESTABLISHED UNDER MASSACHUSETTS
GENERAL LAWS CHAPTER 142A.
Keiter Builders, Inc. obligation to obtain permits is limited to those permits directly related to performing the
work Keiter Builders, Inc. agrees to do. To the extent that other permits or governmental or regulatory agency
approvals, such as, but not limited to, zone changes, variances, special permits, site plan approvals, or approvals
-.-.C.ITY OF NOmTHAMPTON
Construction Debris Affidavit
In accordance with the provisions of MG.L. c. 40 § 54, all debris resulting from any work
covered by-a-Building Permit shalt be disposed-of•in a properly licensed disposal facility,
as defined by M.G.L-: c.•11 T § 150A. .
Address of Work:
�kie-debris_will.be-transported by:
. _ The debris.will be.received:at:. �
--' - - Signature of Permft-Abiikirrt
Date
Building Permit Number:
- T
RAM Office of Investigations
600 Washington Street
Boston,Mf102111
www mass gov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/EIectricians/Piumbers
,kpiplicant Information n /, Please Print Le 'bl
Name(Business/Organization/Individual): ��4 -e r lUl 1't'1 e-
Address: / A- TTAIT -��
• T
City/State/Zip. o r�("P k1 90-.Q l0� Phone.#:
Ari you an employer? Check the appropriate box: Type of project(required):
1. I am a to er with 4. [] I am a general contractor and 1
y s have hired the sub-contractors
6. ❑New construction
employees(full and/or p rime).
2.❑ I ant a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees Tliese sub-contractors have 8. ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers'comp.insurance comp.insurance.#
required.] 5. [] We are a corporation and its 10.❑Electrical repairs or additions
officers have exercised their I L Plumbing repairs or additions
3.❑ I am a homeowner doing all work ❑ g P
myself [No workers'comp. right of exemption per MGL 12.❑Roof repairs
insurance r t c. 152,§1(4),and we have no
required-! employees.[No workers' 13.E]Other
comp.insurance required.]
'My applicant that checks tape#1 must also fig out the section below showing their workers'compensation policy infonnation.
t Homdbwners who submit this affidavit indicating they are doing all work and than hire outside conractors must submit a new affidavit indicating such.
'Contractors that check this box mist attached an addidaul sheet showing the same of the sub-contractors and state whether or not those entities have
employem if the sub-contractors have employees,they nnrst provide their workas'comp.policy number.
Jam an employer that is providing workers'compensation insurance far my employees: Below is the policy and job site
information. ,, Q
Insurance Company Name: ��Q y�t`e(�5 �GC ram 6-c,
Policy#or Self-ins.Lic. Expiration Date: &- //-, /7
Job Site Address:o17 17bN�.t�11�-� City/StateQp: ( K-At(,b!1PI t'1 /Vl/� 6 r o lv U
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do here&C , d r e ains and penalties of perjury that the information provided above is true andcorrect
Si ature Date:
Phone# q/-5 .,5 2 4e _2 to 6-0
Official use only. Do not write In flits 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 Clark 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person:- Phone#•
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor:rvisor: l Not Applicable ❑
Name of License Holder: �� K�( ( 'e C L[5 �0 2 L15 -7� � License Number
A- �� S� /V a Q wl p t� - 2 0 1?
Addr ss Expiration Date
�/3 boo
ture Telephone
9, g9latered Home IM12rovement Contractor: Not Applicable ❑
17.5/( 0
Comoany Name Registration Number
l < � -e� �/ — 2 - 2015
Address ��{/�� /, Expiration Date
tb✓` �� i'Yl� t'd f'D Telephone5�6 (o0Q
SECTION 10-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 buil 'ng permit.
Signed Affidavit Attached Yes....... No...... ❑
11. - Home Owner Exemption
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families
and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts
as supervisor.CMR 780, Sixth Edition Section 1083.5.1.
Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there
is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm
structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all aal2licable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors 171
Accessory Bldg. ❑ Demolition ❑ New Signs [13] Decks [Q Siding[O] Other]
Brief Description of Propq'$ed ��r
Work: ty-W
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a. If New house oraddition to existina housina, comlete o
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING;PERMIT
1 as Owner of the subject
property
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I� (ITT
a7m R-1eV*VJ— �7 e✓ IGi-e��� l/✓tC as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief. REQEIVE 7)
Si ned under the pain and enalties of perjury. r
i
Qom` 'I ✓ � ;
Print/Name
� . a � . �.-
kignalture of 0 r/Agent Date
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:'
Rear
Building Height
Bldg.Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DON'T KNOW YES 0
IF YES, date issued:'''
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DON'T KNOW YES 0
IF YES: enter Book Page, and/or Document#'
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation, or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES 0 NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
0
ity of Northampton Status of!IPermt
�Z, B ilding Department Curb Cut/.Qfiyeway Permlt
12 Main Streeterl ep lc
twat iblllt+
Room 100 WatrlUUei1 Aallakalilt �
0" e�°� Northampton, MA 01060 Two Se rut�ur�T�larr�
phone 413-587-1240 Fax 413-587-1272 P1otlS)te Ptar�
other
APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by office
1.1 Property Address:
a� Map Lot Unit
a o y A � Zone Overlay District
��/ Elm St.District CS District 1
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
� P1,✓ mat ay
�a-�- �►-
Name(Print) Curren](v1/3 g Address: r
Telephone
Signature
2.2 Authorized Aaent: / o
v ,o�rn Nb-Q ��a
` "Tr J � T�2 �AL 73yr
WNam (Print) Current Mailing Address:
zh3- 56 .2000
e Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building -J C) Q (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) 115 D & 0, °O Check Number
This Section For Official'Use Only
Date
Building Permit Number: Issued
Signature:
Building Commissioner/Inspector of Buildings Date
24 STONEWALL DR BP-2014-0920
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 13-094 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: REPLACEMENT DOOR BUILDING PERMIT
Permit# BP-2014-0920
Project# JS-2014-001589
Est. Cost: $3060.00
Fee: $55.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Groin: SCOTT KEITER 102457
Lot Size(sq. ft.): 16988.40 Owner: RUDNITSKY ALAN N&SUSAN K
Zoning: Applicant: SCOTT KEITER
AT. 24 STONEWALL DR
Applicant Address: Phone: Insurance:
5 1 A HATFIELD ST (413) 320-9035 WC
NORTHAMPTONMA01060 ISSUED ON:31312014 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL NEW FRONT ENTRY DOOR
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:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType• Date Paid: Amount:
Building 3/3/2014 0:00:00 $55.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner