Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
31A-077 (2)
BP-2024-0507 22 JEWETT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31A-077-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-0507 PERMISSION IS HEREBY GRANTED TO: Project# JS-2003-000519 Contractor: License: Est.Cost: 92305 KEITER CORPORATION 102457 Const.Class: Exp.Date: 06/20/2024 Use Group: Owner: PARIKH PRANAY &ELIZABETH SCHOENFELD Lot Size (sq.ft.) Zoning: URB Applicant: KEITER CORPORATION Applicant Address Phonez Insurance: 35 MAIN ST,2ND FLOOR (413)586-8600 MCC20020005382022 FLORENCE, MA 01062 ISSUED ON: 04/25/2024 TO PERFORM THE FOLLOWING WORK: KITCHEN RENO 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: /(0.2, Fees Paid: $600.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner tom( • ms° tax.. The Commonwealth of Massachusetts pR rot Board of Building Regulations and Standards 5 2024 FOR Massachusetts State Building Code,,78Q..CMR MUNICIPALITY _ USE Building Permit Application To Construct,Repair, Reri!o �„( $''l snpii }4 Revised Mar 2011 One- or Two-Family Dwelling �° 07060 This Section For Official Use Only Building Permit Number: aP- Y 7 Date Applied: (.off i5 S b ro Ac - °` � ( BLS "- Building Official(Print Name) Signature Dale SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 22 Jewett Street, Northampton, MA 01060 31A 31A-077-001 1.1 a Is this an accepted street?yes 0 no ❑ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: URB NA NA Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) NA Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided NA NA NA NA NA NA 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone'? Public El Private❑ Check if yes Municipal❑✓ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Elizabeth Schoenfeld and Pranay Parikh Northampton, MA 01060 Name(Print) City,State,ZIP 22 Jewett Street (401)935-9296 elizschoen@gmail.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: Renovate first floor Kitchen. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $82,955 1. Building Permit Fee: $soo.00 Indicate how fee is determined: 2.Electrical $ 1,700 —❑Standard City/Town Application Fee ['Total Project Cost3(Item 6)x multiplier 92.305 x 6.5 3.Plumbing $ 7,650 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All Fees:66o0.0o Check No.b.,\ Check Amount: U013 Cash Amount: 6.Total Project Cost: $92,305 ❑Paid in Full ❑Outstanding Balance Due: 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 List CSL Type(see below) U 35 Main Street No.and Street Type Description FlFlorence, MA 01062 U Unrestricted(Buildings up to 35,000 Cu.ft.) orence,Town,State,ZIP R Restricted 1&2 Family Dwelling CityM 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 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 matterse relative to work authorized by this building permit application. Scott Keiter ! 04/24/2024 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 trruuee and accurate to the best of my knowledge and understanding. Scott Keiter lsfi. 04/24/2024 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.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton tom _ Massachusetts ' 'r DEPARTMENT OF BUILDING INSPECTIONS 1. 212 Main Street • Municipal Building Northampton, MA 01060 s`f-�1 4,.)‘"' 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: Date: 04/24/2024 L!...4,1 1 1 CU YC IIJ.J441491.54Y C4-17 fiJtWr19L ICE ITER CORPORATICI OWNER (CONT RACT OR) By Scott ICeiter, Chief Execuiiue Officer Date D ate NOTICE THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE S ETI'LEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. THE RIGHT TO INITIATE ALTERNATIVE DIS PUTE RESOLUTION SHALL END TWO YEARS AFTER THE DATE OF THIS AGREEMENT. DISPUTE RESOLUTION AND ATTORNEY'S FEES Arty controversy or claim arising cut of or related to this Agreement involving an anuunt less than$5,00J (or the maximum limit of the S mall C lairns court) rmst be heard in the Small Claims Division of the Municipal Court in the ccuntywhere the Contractor's office is located.Any dispute over tie dollar limit of the SmallClaints Court arising at of this Agreement shall be submitted to an experienced private constriction arbitrator that shall be rmrl i.ally selected by tie parties to ccatduct abinding arbitration in accordance with the arbitration laws of the state where the project is located. The arbitrators hall b e either a licensed attarrey or retired judge whu is famaliarwith carts tnuction law.If the parties can rut mutually agree on an arbitratorwithan thirty(33)days ofwritten demand for arbitration, than either of the parties s hall submit the dis pate to b finding arbitration before the American Arb itration As sociation in accordance with the Cons traction Industry Rules of the AmericanA rb itrationA ssociation then in effect. Judgment upon the award maybe entered in any Court having jurisdiction thereof. The prevailing party Many legal proceeding related to this Agreement s hall b e entitled t3 payment of reasonab le attoaney's fees,costs,and post-judgment interest at tie legal rate. ENTIRE AGREEMENT, SEVERABILITY,AND ICIODIFICATION This Agreement repres ents and contains the entire agreenirnt and under tarring b etween the parties.Prior dis cuss ions or verbal representations b y C ontractor or Owner that are not contained in this Agreement are rut a part of this Agreement. In the event that any provision of this Agreement is at anytime held b y a Count to be invalid orurrnforceable,the parties agree that all other provisions of this Agreement will remain in full Force and effect.Any future modification of this Agreement s hDuld b e made in writing and executed by Owner and Contractor. 11 — : Contractor Owne r° DociSIgl Evuelope ID:3467C6AC-2A72-4839-A2E2-F9F23469$T62 MISCELLANEOUS This Agreement is a Mass aclusetts contract, contains the entire agreement b etween us, any representations or warranties not expressly contaired in it are not a part of the Agreement, and it is b iniing upon cur heirs, executors, successors and assigns. This Agreement maybe modified onlyb y an ins bument inwriting signed b yb oth of us. This Agreement is subject to and is intended to comply with the provisions of Chapter 142A of the Massachusetts General Lays and it corresponding regulations YOU MAY CANCEL THIS AGREEMENT IF IT HAS BEEN S IG NED BY A PAY THERETO BY FORWARDING YOUR INTENT 'ID CANCEL IN WRITING BY ORDINARY MAIL POSTED, BY TELEGRAM SENT OR BY DELIVERY, NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FOLLOWING THE SIGNING OF THIS AGREEMENT. By signing this Agreement,you acknowledge that pax have received a complete and original copy of tie entire Agreement and attached Addenda. Contractor may not start work until after this Agreement has beensigned. 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 Ail ATTORNEY BEFORE SIGNING. KEITER CORPORATIC OWNER (CORPORA'ION) r {{ jj By Scott Kettex, Chief Executive Officer Date Date ADDENDA & EXHIBITS TIE folkwing exhibits and addenda have been attached to this Agreement and as such are included as part of this agreement: Exlub it_1 040224 S chaenfeld-Parikh CD Budget_S OW Exla1 it_2a Schoenfeld- 22 Jewett St,Northampton Exhib it_2b_05. NEMH D layut Exhnb it_3_S choenfeld S chedule 4.1.24 Exhubit_4 Schoenfeld S SSP Exhib it_S Schoenfeld Logis tic Detail Exlvb it6 S choenfeld Logis tic Plan 1. S17 t Contractor Owne r The Contntotnueahh of Massachusetts mow E Department of Industrial Accidents at'alief Congress Street.Suite 100 _l ammo MA 02114-2017 www.ntass.gov/dla NVutkers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMUTING AUTHORITY. Applicant Information Please Print Leeibly Name(ftusi;css'UrgaruaatianIndividuat):Keiter Corporation .Address: 35 Main Street CityiStateiZip:Florence, MA 01062 phone#: 413-586-8600 w , a Are you an cn,l.yer?Cheek the appropriate b.s_ Type of project (required): 3. ✓�1 am employe with 90,,._ _entployvres(MI anti+or psrt"time).• 7. New construction 20 1 am a sole prupriCtoa or partnership and have n.entptoVCea working for me in K. Remodeling any capacity, (No workers'eaanp insurance :squirted) am a honaowtur doing all want myelf.[No workers'corm.insurance requinad.] 9. ® Demolition 100 Building addition 4.0 1 am rr honeowti r and will be hiring o.ntractors to Otrttduct!ll work on my prop.-rty, I will ensure the:all contractors either haw workers'caarreyetesatioa insuranw or are sole I ln Electrical repaits or additions proprietors with no employees. !ID Plumbing repairs or additions SQ 1 am a genets)contractor for and 1 hes a hited the sub-contractors f ited on the attached aheci 13.0 Roof repairs These%ubeontraetors it employees and have workers'camp insurance.: 60 We art a corporation and its officers hate exercised their right of exemption per t+IGL c. 14.0 Oilier I S2.§1(4).and we have no employees.[No worker'comp,insurance required.) *Any applicant that cheek,bwx PI must also fill out the section below showing their workers'Compensation'poliryinfarrnaiirn. t Itommvat :s who submit this affidavit indicating they are doing at work and then hire outside contractors must submit a new affidavit irxiicaing such. Contractors that check this box must attached an additional sheet slowing the name of the sub contractors and stair whether or not those entities have employees, if the sub-contractors haw errrtkiy'ees.they must prevht their workers'comp.Iwlicy number, I am an employer dial is proridin#workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name.MA Employers/AIM Policy#or Self-ins. Lic.#:MCC20020005382023A Expiration Date:6/11/2024 22 Jewett Street Job Site Address: _ City,Statc'Zip:Northampton, MA 01060 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. I52, ;25A is a criminal violation punishable by a fine up to S I.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 S250.00 a day against the violator.A copy of this statement tray be forwarded to the Office of Investigations of the DIA for insurance coverage I,erification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Sionature: F.,Jz Date: 04/24/2024 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!f Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.Citv(l'own Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other DATE(MM/DD/YYYY) ACORN CERTIFICATE OF LIABILITY INSURANCE 05/30/2023 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 have ADDITIONAL INSURED provisions or 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 CONTACT Cyndie Henderson CISR,CPIA NAME: Alera Group,Inc. PHONE (413)586-0111 FAX (413)586-6481 (AIC,No,Ext): (A/C,No): Webber&Grinnell Division EMAIL chenderson@webberandgrinnell.com ADDRESS: 8 North King Street INSURERS)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURER A: Selective Ins Co of S Carolina 19259 INSURED INSURER B: MA Employers/A.I.M. 12886 Keiter Corporation INSURER C: • Attn:Scott Keiter INSURER D: 35 Main Street INSURER E: Florence MA 01062 INSURER F: COVERAGES CERTIFICATE NUMBER: Master Exp 2024 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE RNED CLAIMS-MADE n OCCUR PREMISESO(Ea occu ence) $ 500,000 MED EXP(Any one person) $ 15,000 A S2265567 06/01/2023 06/01/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY n PRO- 2,000,000 JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: • $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED A9105217 06/01/2023 06/01/2024 BODILY INJURY(Per accident) $ _ AUTOS ONLY _AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY _AUTOS ONLY ,(Per accident) Medical payments $ 5,000 UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 A EXCESS LIAB CLAIMS-MADE S2265567 06/01/2023 06/01/2024 AGGREGATE $ 10,000,000 DED X RETENTION$ 0 _ X $ WORKERS COMPENSATION STATUTE X ERH AND EMPLOYERS'LIABILITY Y/N 1,000,000 B ANY OFFPROPRIETOR/PARTNER/EXECUTIVE I I N/A MCC20020005382023A 06/11/2023 06/11/2024 E.L.EACH ACCIDENT $ (Mandatory in NH) EXCLUDED? 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Waiver of Subrogation can be obtained should Insured win the bid for project. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN "" Evidence of Insurance "" ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD r _ f , i ,....,_. 1 • - 1 _ . „. 11 i I ... ill 'I 1 1 . , .. . • - .. I r 1 .---- Ks , W2745 I I W2745 i / --.\J Ri195636\ , .....:. / RW3627-24D N "IN BBC4SL-WS — 2i 0 — ._r---- N --- ' X BP05-12 BKI-12 u. f' UT16 599-RT-R M.-- N Ci Mr ,---I -- N : a \ •HN <0 1---ria --- F- j i r, 1 v co 8a i,-ocalik Nal-0E131A —,. m ‘ A ,L/ if --• ., VTB30-1OR VTB30-1DR C-5 - .-lei co I N CO 1••• 1 2 t N ,:t g , 1S A i X WWI - M /1Z-ii1 7Z-4/