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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€/� • Board of Building Regulations and S :ndaa ? BYO a' Massachusetts State Building Code, 7: Alto, USIP TY oqs 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