36-245 BP-2023-1351
80 CARDINAL WAY COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
36-245-001 CITY OF NORTHAMPTON
Permit: New Build
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2023-1351 PERMISSION IS HEREBY GRANTED TO:
Project# NEW HOUSE 2023 Contractor: License:
Est. Cost: 969192 KEITER CORPORATION 102457
Const.Class: Exp.Date: 06/20/2024
Use Group: Owner: A. BROWN, WILLIAM
Lot Size (sq.ft.)
Zoning: WP/WSP Applicant: KEITER CORPORATION
Applicant Address Phone: Insurance:
35 MAIN ST,2ND FLOOR (413)586-8600 MCC20020005382022
FLORENCE, MA 01062
ISSUED ON: 10/13/2023
TO PERFORM THE FOLLOWING WORK:
NEW SINGLE FAMILY HOUSE
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:
Fees Paid: $2,266.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachus: s Sepv€/�
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Board of Building Regulations and S :ndaa ? BYO
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Massachusetts State Building Code, 7: Alto, USIP TY
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Building Permit Application To Construct,Repair,Renovate '54fps-,..• ' h a R. ised ar 2011
One- or Two-Family Dwelling tiMspF�
This Section For Official Use Only �O'c49o�°4's
Building Permit Number: gl9^a-3— 1 3 s Date Applied:
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
80 Cardinal Way, Northampton, MA 01060 36 36-245
1.1 a Is this an accepted street?yes 51 no ❑ Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
WSP 84,814 SQFT 175 FT
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
20 FT > 100 FT 15 FT 35 FT 20 FT >100 FT
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑✓ Private El _ Outside Flood Zone? Municipal❑On site disposal system ❑✓
Check if yes❑✓
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
William Brown East Longmeadow, MA 01028
Name(Print) City,State,ZIP
55 Devonshire Terrace 617-721-3727 wab5@aol.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction Existing Building❑ Owner-Occupied❑ Repairs(s) ❑ Alteration(s)❑ Addition
Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work2:New construction of single family residence.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $767,703 1. Building Permit Fee: $2,266.0o Indicate how fee is determined:
❑✓ Standard City/Town Application Fee
2.Electrical $ 71,495
❑Total Project Cost3 (Item 6)x multiplier x
3.Plumbing $ 67,249 2. Other Fees: $
4. Mechanical (HVAC) $ 62,745 List:
5.Mechanical (Fire
Suppression) Total All Fees:
Check No 1 Check Am t: $2,266.00 C ount:
6. Total Project Cost: $969,192 Paid in Full ❑O is ue:_
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
.: CS-102457 6/20/2024
Scott Keiter License Number Expiration Date
•
Name of CSL Holder
4‘, CSL Type(see below) U
35 Main Street
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.)
Florence, MA 01062 ' R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-586-8600 skeiter@keiter.com I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 175168 4/28/25
Keiter Corporation HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
35 Main Street skeiter@keiter.com
No.and Street Email address
Florence, MA 01062 413-586-8600
City/Town,State,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 i✓ 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 Keiter Corporation
to act on my behalf,in all matters relative to work authorized by this building permit application.
Scott Keiter 9/25/23
Print Owner's Name(Ele onic Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
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.
Scott Keiter ! 9/25/23
Print Owner's or Authoriz Agent's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),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.) 5,475 SQFT (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) 3,129 SQFT Habitable room count 10
Number of fireplaces 0 Number of bedrooms 4
Number of bathrooms 3 Number of half/baths 1
Type of heating system Forced air,ASHP Number of decks/porches 3
Type of cooling system Forced air,ASHP Enclosed 1 Open 2
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
CITY OF NORTHAMPTON
SETBACK PLAN
MAP:36 LOT:36-245
LOT SIZE:84,814 SOFT
REAR LOT DIMENSION:
REAR YARD 41 IDS
1__„_._. T�
SIDE YARD * IIZ SIDE YARD
FRONT SETBACK_202.
FRONTAGE 175 FT
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
. tx, 212 Main Street • Municipal Building
-- Northampton, MA 01060k>, �.
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: valley Recycling
Location of Facility: 234 Easthampton Road, Northampton, MA 01060
The debris will be transported by: USA Waste
Name of Hauler: USA Waste
Signature of Applicant: 41
g, Date: 9/25/23
{ Commonwealth of Massachusetts
44 City/Town of Northampton 2°23-13
iaRriber
Disposal System Construction Permit
Form 2A
DEP has provided this form for use by local Boards of Health Other forms may be used, but the
information must be substantially the same as that provided here Before using this form check with
the local Board of Health to determine the form they use
Permission is hereby granted to:
Important:vv/hen John Flanders Keiter Corporation
filling out forms Company Name Name of
on the computer
use only the tab 35 Main St
key to move your Address
cursor-do not Florence MA 01062
use the return
key City/Town State Zip Code
to perform the following work on an on-site sewage disposal system
Ng Construction
El Repair or replacement
�` v ❑ Repair or replacement of system components
80 Cardinal Way
Facility Address
Florence MA 01062
t'.tlyRowrt State Zip Code
William Brown
Owner Telephone Number
The work to be performed is further described in the Application for Disposal System Construction
Permit The applicant recognizes histher duty to comply with Title 5 and the following local provisions
or special conditions
Construct new on-site sewage disposal system
No garbage disposal
Follow Order of Conditions issued 11,i19/21 by the Pianne g/Conservation Department
Final installation inspection prior to back-fill.
Aft construction must be completed within three years of the date below.
Approved dy Date
Commissioner
Title
15form2a doc-06/03 Disposal System Construction Permit•Page of I