Loading...
24D-156 (6) 8 FINN ST BP-2017-0252 Gis COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D- 156 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Egr@ss Stairs BUILDING PERMIT Permit# BP-2017-0252 Project It JS-2017-000432 1st. Cost: $13685.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Us c o KEITER BUILDERS Int Size(sq ft.): 16204.32 Owner: Service Net Zoning:URC(1011)/ Applicant: KEITER BUILDERS AT: 8 FINN ST Applicant Address: Phone: Insurance: 35 MAIN ST (413) 586-8600 F LORENCEMA01062 ISSUED ON:9/6/2016(1:00:00 TO PERFORM THE FOLLOWING WORK:Remove, dispose and rebuild exterior stair system 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: 08: 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 9/612016 0:00:00 $50.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File4-BP-22017-0252 {2 t r N1t5 �, fC APPLICANT/CONTACT PERSON KEITER BUILDERS ,� .J1 ADDRESS/PHONE 35 MAIN ST (413)586-8600 Q /iQ '", PROPERTY LOCATION 8 FINN ST MAP 240 PARCEL 156 001 ZONE URC(100)( THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Buildine Permit Filled out Fee Paid Tvoeof Construction: Remove, dispose and rebuild exterior stair system New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 3 sets of Plans/Plot Plan THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved Additional permits required(see below) PLANNING BOARD PERMIT REQUIRED UNDER § Intermediate Project: Site Plan AND/OR Special Permit with Site Plan Major Project: Site Plan AND/OR Special Permit with Site Plan 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 fn•• Elm StreetCommission Signature of;mld"mg Ot tcia Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health,Conservation Commission,Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact the Office of Planning&Development for more information. a�{t7 - t 5G Department se only City of Northampton Status gf Permit: Building Department Curb Cut/Orrvewav Permit 212 Main Street SewertSeptic Avai ab+tty Room 100 WaterAWeil Availability, ,_ Northampton, MA 01060 Two Sets of Structural Plans __ Waffle 413-587-1240 Fax 413-587-1272 Plot/Site Plans APPLICATION TO CONSTRUCT.ALTER.REPAIR.RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 SITE INFORMATION 1.1 Properly Address. This seotbn to be completed by office 4 J.e Finn Sl Map __...__.... Lot _.___...._....Unit _ Ntn.thainpti n, A l tlttle.1 Zone Overlay District_„_ Elm SL District CS District SECTION 2•PROPERTY OWNERSHIP/AUTHORIZED AGENT 21 Owner of Record- C7414 y l/ cr Name V'.m, --- (.ter ..,./7, YV r czar_ ....._ Sianan:re 2.2 Authorized Agent: hcil.r ffeildrr'>. Iri, 1trn � ! I� rnca. •7 A ream __ .. . .._.. G to to t .t:i. r�Vii A . eit i I s� anrs rc ,.. SECTION 3-ESTIMATED CONSTRUCTION COSTS ".err Esmtatea Can Do tars to he Off cc Use Only cornteted fr .ern-it ap:Mcant I. Budding ‘,I3.(tt=.00 ia}Butl1 tg Pnrmit Fee �, 2. Elect,ca 03,stir aaie:;Total Cos:ce _ +:n avml'.n)n tram(6 3 Piuncng Suiadi ng Permit Fee 4. Mechanical(HVAC, 5 Fre Protection o. Tota l= f1 •2+3 .. .5t S(3_trgcon f C-reck Numoer �jrflj� ThisSection��^ For Official Use Only ejid ng Perm,:Num �”ber. � «"PA51 rn t Dat ss en f Sgnature 5.)M r‘;;Commissionorn nspector of 3undiegs -- AUG 26 Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column w be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: 1.: R: Rett Building Height Bldg,Square Footage Open Space Footage flat area minus bldg k pat ed parking) x of Parking So tees Fill: mol wax&Lmfion_,,, _ .. A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW O YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? /''� NO O 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 O DONT KNOW Q YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES (3 NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O IF YES, describe size,type and location: E. Will the construction activity disturb(clearing, gracing,excavation, or filling)over 1 acre or is it pad of a common plan that will disturb over 1 acre? YES' O NO () IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all appiiaabie) New House 1:iI Addition I I Replacement Windows Alteration(s) _1 I Roofing Or Doors ___ Accessory Bldg. _ I Demolition. New Signs ?_,) Decks h Siding fail Other;al 1 I Brie`Cesar pees of Pmpesed Aork Remove disooseand rebuild extenorstairsystem Alteration of existing Sector:: Yes No Adding new bedroom__Yes , No Attached Narrative Renovating enwhed basement Yes No Plans Attached Roo -Sheet _--- _— tea, if New house and or addition to existing housing, complete the following. a Use of sine rg Cite tam to _ Two earn., _ Orae- i n, Number of rooms n each fares ,ace Number of Sathrooas_ C, is there a garage attached' li d. Proposed Satiate footage of nee t tstJC.ion D:mecssus _ e Numbe'of stenos" f Method of neat rig" _. ...._.. -_ Stitt—pacts or 1Soo see+ Number of each tt g. Energy Cerise-cation Compliance Maws:neck energy Comoliance form attached' h. drype of construction .—._ Is cons. uston within 70 ft ctcella-de" s`es _N< is consrichon et ut,m 10a y' '103(...0 0"I Yes No . Dept et casement or cellarfoo to ow fie shedg sac k di tl n, ild ng W fo -I o tie Buil ng and Zoning ragattens? 'es No Septic Tank__ City Secret Prsate sp _ ,_ City water Supply SECTION 73.OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 2/sr�l_.. roe c r.7-`.r' 1-i'.Y v_L-k-' ,"-0 Ln 7 as Carnet o'the sub;en property herebyherety author re Keitec Boaters Ins to act sn kPa.r matters relat oeto work auo-nr zze by ns of iding:ern:a✓ai canar SigatLre ei Owner Jaty Keller Builders, Inc as onorteriAideionzed Agent carobs declare that the statements and interne*on en the forego dd ado canon are Irue ane accurate to the best o my knowledge and belie(. Signe,under&`.e pains and penaIt es at per u.ry. Scott Keifer sate Nintie ,/ �.r ! vlts ttioisiti. tihclRt ['stoat i.,.. -. Signature^i O.,ner'Agect Des 0801 is __ — SECTION 8 CONSTRUCTION SERVICES ,8.1 Licensed Construction SUDervisot: Not Applicable 0 Ham'W Iirentiftblelder:Scan Keiter C$-102457 License Number 51A Hatfield St Northampton MA 01060 6.20.17 Addie Expiration Date President.Keiter Builders,Inc 413.586.8600 Signature Telephone 3.Reutstered Home knorevement Contractor Not Apphcabie Keifer Ruildemloc ..... 175168 Comoanv Name Registration Number u.i F,. As: I A01062 42917 Address Expiration Date Telephone 413.586.8600 SECTION 70.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 © No 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(I) 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 aSsupervisor,CMR 788, Sixth Edition Section 1883.5.1. Definition of Homeowner: Person(s)who own a parcel of land on which he/she resides or intends io 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 shad be MMus/61e for all such work performed under the building permit. As acting ConstnmHon 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 he 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 Williamsburg, MA City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MOL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: 10 Finn Street The debris will be transported by: Keifer Builders Inc The debris will be received by: ouseau Trucking Building permit number: Name of Permitin At Applicant Keiter Builders I 08.2316 �.t.Gt i President_Neuer Builders,Inc,,,,_,,, Date 4 Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents I-z' I, �t Office of Investigations stj = 1 Congress Street,Suite 100 Boston,MA 02114-2017 -4. www.mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Keiter Builders, Inc Name (Business/Organization/Individual): Address:35 Main Street City/State/Zip: Florence, MA 01062 Phone #:413.586.8600 Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 18 4. 0 I am a general contractor and I employees (full and/or part-time).' have hired the sub-contractors 6. New construction 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.', 9. ® Building addition required.] 5. a We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] 1 c. 152, §I(4),and we have no new stairs employees. [No workers' 13.® Other_- comp. insurance required.] 'Any applicanuhat checks box el must also fill out the section below showing their workers compensation policy information. 'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new a llidav it 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. Insurance Company Name:Arbella Policy#or Self-ins. Lia #:9127440615 Expiration Date:6.11 .17 10 Finn Street Northampton Job Site Address: City/State/lip: 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 herebify under the pains and penalties of perjury that the information provided above is true and correct. 08.22.16 Signature' G�✓� President, Keiter Builders, Ina Date: Phone#: 413.586.8600 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone #: ACSD® M. CERTIFICATE OF LIABILITY INSURANCE DATEIMDDNYYY) 6/19/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER H2ME?m Cynthia Henderson, CISR Webber & Grinnell PHONEo „cll. (913)566-0111 TFAX xol:(417)586-6481 AIL _-- 8 North King Street AEDMDREss:chenderson@webberandgrinnell.com INSURER(S)AFFORDING COVERAGE . "AICt Northampton NA 01060 INSURER A Arbella Protection 41360 INSURED INSURER a: Baiter Builders, Inc. INSURER C: I Attn: Scott Reiter INSURER o_ I____ _ 35 Main StreetI IXSUREE: I Florence HA 01062 INSURER F• COVERAGES CERTIFICATE NUMBER79a ster exp 2017 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. • COMMERCIAL GENERAL LIABILITY IWVO _ .. LIMITS LTH INSURANCE I INS POLICY NUMBER I MMTWVVYVI IMWDDIVYVYIi EACH OCCURRENCE $ 1,000,000 I DAMAGE TO RENTED E 100,000 TYPE OF A O MS'MADE LX OCCUR 'P BEM SESJEa occurrence) 8500064395 6/1/2016 6/1/2017 I MED EXP)Any one person) $ 5,000 IPERSONAL&ADV INJURY ,E 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER 1 GENERAL AGGREGATE E 2,000,000 O- )_% IPOLILY _ IJEPRCT -.LOL • IPRODUCTS COMPOPAGG $ 2,000,000 'OTHER. I . $ AUTOMOBILE LIABILITY I I COMBINED SINGLE LIMIT s 1,000,000 ,__ i (Ea acc ent) A • ANY AUTO . I BODILY JV (Per person) E _.AUTOS x AUTOS 102003938101, 102003938101 6/1/2016 ' 6/1/2017 ' BODILY INJURY(Per accident) $ .T NON.OWNED PROPERTY DAMAGE $ _R 'HIRED AUTOS ___ AUTOS I (Per accident) ' Medmal payment' $ 5,000 X UMBRELLA LIAR OCCUR • EACH OCCURRENCE $ 5L000,000 EXCESS LIAB A 'CLAIMS•MADE AGGREGATE E 5,000 WO_ DEO 18 RE } 10,000 4600064399 6/1/2016 6/1/2017 E WORKERS COMPENSATIONATION ' PER DTH. j AHD EMPLOYERS'LIABILITY Y/N R I STATUTE R ER ,. ANY PROPRIETOR/PARTNER/EXECUTIVE . EL EACH ACCIDENT l5 1,000,000 I(M CERIMEMBER EXCLUDED' N I NIA' i A !mandatory In N71)I ' 9127440615 b/li/30166/ll/201] EL DISEASE-EAEMPLOYEEE 3,000000 'If yes.desunbN under (DESCRIPTION OF OPERATIONS below 11 EL.DISEASE-POLICY LIMITS 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACOHD101 Additional Remarks Schedule,may be attached if more apace is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE FOY informational Purposes THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE C Henderson, CISR/CINr1' ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INR1195 mnrann 10 FINN STREET Apr I17 2016 Scott Keiter Keifer Builders, Inc 35 Main Street Florence MA 01062 %*s'� rtws n` Office 413 586 8600 p Fax 413.280.0124 BUILDERS'' sc ottke i t e r@ g m a i I.corn www,KeiterBuilders.com License #: 102457 Project Customer 10 FINN STREET Service Net tgross@servicenet.org 10 Finn Street 129 King Street Northampton. MA 01060 Northampton. MA 01060 New Exterior Egress Stairs Description -.... -_.. . Coat Administrat ve Requirements •ft'Fh gPen a'In .y1ti tt v`#C4r^ +„ Ky u#. .. 't4rn�..w ,,. aR�1 Ykk Demolition 6 Debris Removal Inc'o-sase m ex:s: , , s7 •xn'e -fsIXv` s� �,",s':r1-"RAP` General Carpentry -cupol 7 - u z, 2 ]°'. •. Ii..:qi o.mum, b .Jss:es2x ¢� rvoxnr .a _.: 3y. e, 2xcb a o ,a.o a_.vc a as a5-. Fu> i+.... arv....F ' Y::. (yl ye� � rc. . . ..t.'` .xi' .;,a 1 SYSfY 'J ` YN in:l. {r'; Sltewnrk Eoser. - - »cants..'3pce' -Se! Project Total 13,685.00 Approved By. Date Date l�,2_ E Contractor Customer �_ y 1 r c flay Keiter Builders, Inc-License 102457 Y #F. 3 14 i 1 � re ' • X 111,11"1.10.44 "` � k Pox* Y ¢Y , ate" N R / I qqy� � !�^F'Y .pts ZL. i ,:- Y� . _. sit t" - 1` a N- 44..f. "w" iPtxy - .d F , { 3iR 9 1 iW '^ va..,,,r .' ' F ,, 'a- • • F, . .v. p'4. w . FINN SIREET .¢ si ` @ {M•H J i / Y Y f = a ;z—n—=—=—Y—=—x—x—a—z—=— I YY . ONO Si Frac. I I s w< I III 1 .a �Arw I E I xI 1111111 16 . ! I IllitAialr--A 1111111 i /. Z i _ V . v . - I N EXIYJ1 - nuc tN� P --__ I I 1 r5nw %in 1 1 C fla.Con Mg a i ii ISCIM 1110~1141311.11119.1110111D 1St — - - 1 rentMull•Ha _ _ _ 11!§1 % \ 3„e litig WM We 1•0 r,,, rs .KEITER _ BUILDERS 35 Main Street.Florence•MA•01062•Phone:413-5862500•Fax:413-280-012!•YNFUpullders.com i .r- CIT N I ;2-:.:4 - i_ BUILuu��, . ,tNT i T • BUILDERS ' These r 3 have betiit , , : ved' And _.✓ad. KEITER NB U I L D E R S 35 Main Sveett once•M4.010624Phone:613586-8600.Faa:413- • • ft- - 121— 3"' -3(0u €. awb c‘4..., AivitesaaA1/4. i I =— I • Z Z. • •/ • i „,c\ If. "t' 44 y _ _ _ •_ i� 0/3 'tc tr - ---- • , �� � �� 3 I rn 3--i.e. ti S' ir .-.. `` , t ■ a F � _r-p 10.411. ; lit Ij nt ,g Z poi 1 WI b 0u %,, 7�i {r- CAI i ;, / /Lt/ F4ctd f Cierr%44' , ...z.t. Vv ; - tic �� 1 ._ MR4* 717 4 el \ J R . Vpp I l it riffil gikU71N6j /5l-TJscs-72i6 I • j J \ 1 /0 f/u P! 9-P-6i) mererWWAMPTO ' ££EGC'£ A/6r� �x j&ezi K �'�iEl7. m 4 g : V2-- " _ J0d ■KEITER \ . BUILDERS 35 Main Stteet•F0rence•MA•01063•Phone.413-586-86ADKaa:4i3-2 -2130 1