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32A-058 (32) 50 UNION ST BP-2017-0059 GIS k: COMMONWEALTH OF MASSACHUSETTS Map:Block:32A-058 CITY OF NORTHAMPTON Lot:-012 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permits BP-2017-0059 Project It JS-2017-000110 Est. Cost:$27226.00 Fee: $19R00 PERMISSION IS HEREBY GRANTED TO: Const Class: Contractor: License: Use Group: KEITER BUILDERS 102457 Lot Size(se,(4): Owner: COOLIDGE PARK CONDDS, Zoning/.URC Applicant: KEITER BUILDERS AT- 50 UNION ST Applicant Address: Phone: Insurance: 35 MAIN ST (411) 586-8600 O WC F L O R E N C E M A01062 ISSUED ON:7121/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:REPAIR STAIRS ON CHERRY ST SIDE 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 k 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 siauatnre: FeeType: Date Paid: Amount: Building 7/21/2016 0:00:00 $190-00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner File#BP-2017-0059 APPLICANT/CONTACT PERSON KEITER BUILDERS ADDRESS/PHONE 35 MAIN ST FLORENCE01062(413)586-8600 0 PROPERTY LOCATION 50 UNION ST MAP 32A PARCEL 058 012 ZONE URC THIS SECTION FOR OFFICIAL USF,ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT t(� Fee Paid S7 olio Eujldine Permit Filled out Fee Paid Typeof Construction: REPAIR STAIRS ON CHERRY ST SIDE New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building_Plans Included: Owner/Statement or License 102457 �f �7- 3 sets of Plans/Plot Plan F(C"G r/Pdrl(k. *4'S THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 PermitVariance*, 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 from Elm Street Commission „ Permit DPW Storm Water Management Demolition Delay Signa re of Building fficial 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 MOL 40A.Contact Office of Planning& Development for more information. �,_ Versionl.7 Commercial 8uildins Permit May 15,2000 ') ---a-1/.. Department Department use only U Cit of Northampton Status of Femur: At,+ g Bui.ting Department Curb Cut/Driveway nem* - as .12 Main Street Sewer/Septic Availability Room 100 Water/Well Availability_ oc ^` r'o0 ampton, MA 01060 Two Sets of Structural Plans � v .a A13-'87-1240 Fax 413-587-1272 Plot/Site Plans Other Specify) APPLICATIONTO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1•SITE INFORMATION 1.1 Property Address' This section to be completed by office Map Lot Unit 50 Union St Zone Overlay District Northampton,MA Elm St Diatnct CO District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 3,1 Owner of Record: Coolidge Park Condo A}ssoc'ation ( .)� 50 Union St r brtl4 M4ptta4 i MA U10‘0 Name(PdnI) Ilk Ottaet ; . J(x'rG$i e5 CP(es-,CPCA) Curren Mailing yAddress: Signature l�"� �, �. . - Telephone Lt (3 t3(JHJ �t11(f f, (� 22 Authorized Agent: / Keiter Builders,Inc. 4111 35 Main St Florence,MA 01062 Name(Pmt) Current M llog Address: Atino 413-586-8600 Signature __ Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Hera Estimated Cost(Dollars)to be Official Use Only completed by permit applicant C/- ? 1. Building }`} I a) ( . }d` (a)Building Permit Fee 2. Electrical b (b)Estimated Total Cost of Construction from(6) _ 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection �'1 ,,,,,,,,,...///���..���}}} / 6. Total=(1 +2+3+4+5) -rt as C. a. .� Check Numberyj�% ;'7y / giO This Section For Official Use Only /yY /// Building Permit Number Date Issued Signature: Btekreig Cmm issionetflospecta of Buddegs Date .._..__-. Versionl 7 Commercial Building Permit May 15,2000 SECTION 4 CONSTRUCTION SERVICES FOR PROJECTS LESS TITAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations 0 Existing Wall Signs 0 Demolition Repairs 0 Additions 0 Accessory Building 0 Exterior Alteration 0 Existing Ground Sign 0 New Signs 0 Roofing 0 Change of Use Other❑ Brief Description Of Proposed Work: Cherry St entrance stair repairs SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-I 0 A-2 0 A-3 0 IA 0 A-4 0 A-5 0 1B 0 B Business 0 2A ❑ E Educational 0 2B 0 F Factory 0 F-1 0 F-2 0 2C 0 H High Hazard 0 3A ❑ I Institutional 0 I-1 0 I-2 0 1-3 0 3B 0 M Mercantile 0 4 0 R Residential 0 R-1 0 R-2 0 R-3 0 5A 0 S Storage 0 S-I 0 S-2 0 58 0 U Utility ❑ Specify: M Mixed Use ❑ Specify: $ Special Use 0 Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: ExistIng Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTIONS BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 1° 1° 2n4 r 3rd 3,e 4th 4'h Total Area(sf Total Proposed New Construction(si) Total Height(ti) Total Height ft 7.Water Supply(M.G.I.c.40,§54) 7.1 Flood Zone information: 7.3 Sewage Disposal System: Public El Private 0 Zone Outside Flood Zone Municipal 0 On site disposal system❑ Version!.?Commercial Building Permit May 1d,2000 $, NORTHAMPTON ZONING Existing Proposed Required by Zoning This comnm tote Med el by Building Department Lot Slat Frontage Setbacks Front Side L: _R:_ L: Real Building Height Bldg.Square Footage Open Space Footage (ion area miausbldg S paved Sm) #of Parking Spaces Flit: (vomme&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW Q YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW O 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 O 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 O 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 Q NO O 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 i acre? YES O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW iis required. Versionl.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Ronald John Alex Not Aoplleable 0 Name(Registrant): 5494 Ronald John Alex Registration Number Address to.A _ ' r . 617-584-5352 Expiration Date Signature Telephone 92 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number • Signature Telephone Expiration Date Name Area of ResponsiEiily Address Registration Number ... Signature Telephone Eaton Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Keiter Builders,Inc Not Applicable ❑ Company Name: Scott Keiter 'Responsitik In Charge of Cosauction —_ 35 Main St.Florence,MA 01062 pis* 413-586-8600 Signature TeIepnane Version I.9 Commercial Building Permit May 15,2000 SECTION 10•STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes O No Q SECTION 11 •OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR{CONTRACTOR APPLES FORR BUILDING PERMIT I. AliCALAQt[ R . 'Q) U}Cl{2ii (i ,c G C 1 Ir R -1 ,as Owner of the subject property hereby authorize Keiter Builders,Inc. to ct on m behalf in - rola vet work authorized by this building permit application. i afore of Own: /"` D to Keiter Builders,Inc as OwnertAuthorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Scott Keifer Rpt}Neme Xis 07.17.16 Signature of Owner/Agent Rate SECTION 12•CONSTRUCTION SERVICES 101 Licensed Construction Supervisor: Not Applicable ❑ Nie of License HoWes: Scott Keiter CS-102459 License Number 51 A Hatfield Street Northampton,MA 01062 06/20/2018 Expiration Date 413-586-8600 Signature Telephone SECTION 13-WORKERS`COMPENSATION INSURANCE AFFIDAVIT(MAI.c.152,§25C(6)) Workers Compensation Insurance aifidmAt 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 (j) No 0 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL 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 150k Address of the work: 51) (irk (t ovtt" The debris will be transported by: Ct4t &.0 lcri-v s, The debris will be received by: 1421711? Building permit number: 1 �/ Name of Permit Applicant tILA �--cr 6 ,+1� I ,5 '4 - (( 6I( 6 f5 Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents to et Office of Investigations {Gr iii, �m ' I Congress Street,Suite 100 :i'ryl � Boston,MA 02114-2017 *WV www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individnaf: Keiter Builders, inc. 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. D I am a general contractor and I 6. 0 New construction employees(full and/or pan-time).* have hired the sub-contractors 2.❑ 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. ❑Demolition working for me in any capacity. employees and have workers' 9 D Building addition [No workers' comp. insurance comp.insurance.t required] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 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.] r c. 152, §1(4),and we have no 13.11 Other exterior repairs employees. [No workers' comp.insurance required.) *Any applicant that checks box tit 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 submits new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and slate whether or not those entities have employees. If the sub-contractors have employees,they must provide their worker'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 Protection Policy#or Self-ins. Lic.#:9127440615 _ Expiration Date:6/1/17 Jab site Address: 50 Union Street ciryishderzip:Northampton 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 e, 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 hereby rani ander the pains and penalties of perjury that the information provided above is true and correct. m enae: ( t : ..Idese Date:07.19.16 Phone#' 413586.8600 Official use only, Do not write in this area,to be completed by city or town official. City or Town: Permit/License a 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 E: Construction Control Affidavit THE COMMONWEALTH OF MASSACHUSETTS Department of Public Safety Date: July 6, 2016 To: Inspectional Services Commissioner- City of Northampton 212 Main Street, Northampton, MA 01060 Project: Coolidge Park Condominium 50 Union Street Northampton,MA 01060 Scope of Project: Entrance Stair Repairs,Historic Preservation, Cherry Street Entrance Stair Repairs, Drawings A1.3, A1.4 dated 4/1212016 In accordance with the Eighth Edition Massachusetts State Building Code, 780 CMR Section 116.2: I, Ronald J.Alex, Registered Architect, MASS Registration Number 5494 being a registered professional architect, hereby CERTFY that I have prepared or directly supervised the preparation of all architectural design plans, computations,and specifications for the above named project and that to the best of my knowledge, such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, 8m Edition, ail acceptable architectural practices and all applicable laws for the proposed project. Furthermore, I understand and AGREE that I shall perform the necessary professional services to determine that the above mentioned design of the work proceed in accordance with the documents approved for this building permit. Upon completion of the work, I shall submit a final report as to the satisfactory completion of the above mentioned project. REGISTERED ARCHITECT 1 Boston Bay Architects c. Ronald J. Alex,AIA 22/4 , zO/l0 Name / Signet • Mass Reg, No.5494•, - Die C `ER 4 ABCXrrf AN IONA._ et • 11 Ngo.5494e* C psTON ; M J7 a (sear) 41010f 0. • Construction Control Affidavit/Projects/Coolidge Park Condominium/50 Union Street j CHERRY ST STAIRS BASE BID June 26, 2016 Scott Keiter 4 ' 1 Keiter Builders, Inc. 35 Main Street Florence, MA 01062 Office 413.586.8600 p - Fax 4132B 80.0124 UILDERS scottkeiter@gmail.com www.KeiterBuilders.com License #: 102457 Project Customer CHERRY ST. STAIRS BASE BID Coolidge Park Condominiums 50 Union Street 50 Union Street Northampton, MA 01060 Northampton, MA 01060 MISC. STAIR REPAIRS - BASE BID Notes: PLANS NAMED"COOLIDGE PARK CONDOMINIUM AT 50 UNION ST, HISTORIC PRESERVATION ENTRANCE STAIR REPAIRS" BY BOSTON BAY ARCHITECTS. INC. DATED 04.12.16. PAGES A1.3&A1.4 Description Cost la` ; 4w«.. t . r tl'^,. ..",ts .fm4ru z» 1' ,..A:. . .xv.Ati Building Permit Portable Toilet Site Safety& Management Concrete Form and Pour new foolingroperrepair pad Demolition of existing Pier Includes debris removal Excavation and Sub Surface Cui back stabexcavate existing Iodate lobos!depth debns removal trttWdes nivement at exisbnp granite patter base Masonry -Rebued ii)new per -Repaint enllle brick wall&left brick pilaster -Cut&repaint area as shown in detail 5 on sago Al.3 Area around door only. - Demolish and ee-beatl east arch -Rebuild west arch -Install new stainless steel shims Temporary Shoring Metal Railing -Custom fabricate new metal taging to match existing Keiter Builders, Inc., License#' 102457 CHERRY ST STAIRS BASE BID June 26. 2016 Description Coat . Mailboxes -Remove and replace existing mailboxes -Remove and replace lattice Platform -Demolish e%Istrng wood platform and(aili rip -Rough Rimming attached 10 granite landing New Tren decking with concealed laoleners -No stain included Protect Total 27,226.26 We appreciate your business and look forward to working with you. Approved By: Date: Date: Contractor Customer Keiter Builders,Inc, License#:102457 2