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11A-028 17 CHESTNUT AVE BP- 2011 -0848 GIS #: COMMONWEALTH OF MASSACHUSETTS Map -Bloc I IA - 028 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Cate renovation BUILDING PERMIT Permit # BP- 2011 -0848 Project# JS- 2011 - 001396 Est. Cost: $6072.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SCOTT KEITER 102457 Lot Size(sa. ft.): 27399.24 Owner: EVER ELIZABETH R & KEVIN HALE Zoning: URA(100)/ Applicant: SCOTT KEITER AT: 17 CHESTNUT AVE Applicant Address: Phone: Insurance: 51B HATFIELD ST (413) 320 -9035 WC NORTHAMPTONMA01060 ISSUED ON:412812011 0:00:00 TO PERFORM THE FOLLOWING WORK.- REMODEL BATHROOM, RELOCATE WALL,ADD SHOWER,MOVE VANITY 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: 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 Signature: FeeType: Date Paid: Amount: Building 4/28/20110:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner File # BP -2011 -0848 APPLICANT /CONTACT PERSON SCOTT KEITER ADDRESS/PHONE 51B HATFIELD ST NORTHAMPTON (413) 320 -9035 PROPERTY LOCATION 17 CHESTNUT AVE MAP I IA PARCEL 028 001 ZONE URA(l00) THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ix o k Fee Paid Tyneof Construction: REMODEL BATHROOM RELOCATE WALL ADD SHOWER MOVE VANITY New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 102457 3 sets of Plans / Plot Plan THE FOL ING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON IN O ATION PRESENTED: Approved 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 from Elm Street Commission Permit DPW Storm Water Management Demolition Delay re of Bu ing f cial 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 Office of Planning & Development for more information. Department use only City of Northampt E s o mit: Building Departme t t/D i eway Permit 212 Main Street Sewer/ epAvailability Room 100 40 2 j er ell ailability Northampton, MA 01 00 Two S s o tructural Plans phone 413 - 587 -1240 Fax 4 -t Plins APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address Q� This section to be completed by office - 7 C{{�~j wu CCt \/ Map / A Lot 0 Oq Unit Ltg��S A/w} C 4053 Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 ^ Owner of Record KU 61 r f- (ltVl tl 4A %--E, t? CHC -STN UT f l U • �5�(l A o rOs� Name (Print) Current Mailing Address: '-/ 07- 9M�? Telephone Signature 2.2 Authorized Agent: CD S1 A Nr Mgfy. YVo 'Ir6&M4MA� AJA Name (Print) Current Mailing Address: pt yr 3 - 3Lo - 903 S` Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by ermit applicant 1. Building �o / O - I (0 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = 0 +2+3+4+5) Check Number do 7 1 sj�-- This Section For Official Use Onl Building Permit Number: Date sued: Signature: Building Commissioner /Inspector of Buildings Date .. _:� �i�► � Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side R: Rear Building Height Bldg. Square Footage % Open Space Footage t (Lot area minus bldg & paved p arkin g) # of Parking Spaces Fill: volume & Location A. Has a Special Permit /Variance /Finding ever bee issued for /on the site? NO © DONT KNOW ® YES IF YES, date issued: IF YES: Was the permit recorded at the istry of Deeds? NO © DONT KNOW ® YES IF YES: enter Book Page and /or Document # B. Does the site contain a brook, dy of water or wetlands? NO ® DONT KNOW © YES IF YES, has a permit been r need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained ® , Date Issued: C. Do any signs exist on t property? YES ® NO IF YES, describe siz , type and location: D. Are there any prop sed changes to or additions of signs intended for the property ? YES © NO IF YES, descri size, type and location: E. Will the constr ion activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will distur over 1 acre? YES ® NO IF YES, the a Northampton Storm Water Management Permit from the DPW is required. SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [I7] Decks [Q Siding [p] Other Brief Work Description of Proposed A room oCJe ( is � �C% ` �'' ptv" . Alteration of existing bedroom Yes K No Adding new bedroom Yes �I _ No Attached Narrative Renovating unfinished basement Yes k No Plans Attached Roll - Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new constr ion. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Comp' nce. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 00 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basemen or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, N-e — A se SE E A HEM CaN',Z/ -c7- as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date as Owner /Authorized 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. -r )<c .'aj w Print Name a .Z Signatu f OwnerlAgent Date SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor Not Applicable ❑ Name of License Holder SCOTT 17'E'2 ( 4S 7 License Number d I Z Address j Expiration Date At y -13 -320 -903. Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ Sco T rmp '`- YS' Company Name Registration Number 14I �viLDNI iy c OG — M - -2 n 1 i Address r1 Expiration Date 7L1�Telephone zf 12-- rZ a :2? jf i SECTION 10- 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 bui di g permit. Signed Affidavit Attached Yes....... li No...... ❑ 11. - Home Owner Exemption The current exemption for "homeowners" was extended to include Owne ccu i�Dwelliings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who d not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner Person (s) who own a parcel o nd on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, a ched or detached structures accessory to such use and/ or farm structures. A person who constructs more than o home in a two- ear period shall not be considered a homeowner. Such "homeowner" shall submit to the Buildin fficial, on a form acceptable to the Building Official that he /she shall be responsible for all such work performed mfider the buildin ermit. As acting Construction Supervisor yo presence on the job site will be required from time to time, during and upon completion of the work for which th' permit is issued. Also be advised that with refere a to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not re lting 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 The Commonwealth of Massachusetts Department of Industrial Accidents J T� Office of Investigations 600 Washington Street =� Boston, MA 02111 www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Lezibly Name ( Business /Organization/Individual): Address: E>i A HAT F1cL_b ST. City /State /Zip: Mt& nAAlvt N & 0(o6o Phone #: t -3 O- Are you an employer? Check the appropriate box: Type of project (required): 1. WI am a employer with 'TLLI.� 4. ❑ I am a general contractor and I employees (full and/or part- time).* have hired the sub - contractors 6. E] New construction 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [Remodeling ship and have no employees These sub - contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. E] Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 121 Roof repairs insurance required.] t c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' comp. insurance required.] Any applicant that checks box #1 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 submit a new affidavit 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: I (L V C — LG—Q S Policy # or Self -ins. Lic. #: (p JCU g L} ZS$ P.5 7 11 0 Expiration Date: Job Site Address: 1 C 1JESTrJuT ST: City /State /Zip: LtEbj) (N(N U 1 o s 3 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 hereby cert' under t pains and penalties of perjury that the information provided above is true and correct nat Si ure: 1' Date: 0 ' a O - O Phone #: Y/3 " 3 2 a - 90 3 S 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): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #• ACORQ CERTIFICATE OF LIABILITY INSURANCE DATE (I�rDDnYYY) PRODUCER 413. 586. 0111 FAX 413.586.6481 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Webber & Grinnell Ins. Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 8 North King Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Northampton, MA 01060 INSURERS AFFORDING COVERAGE NAIL # INSURED Keiter Builders, Inc. INSURERA: Travelers Casualty of America Attn: Scott Keiter INSURERB: WCAR- Travelers 51B Hatfield Street INSURER C: Northampton, MA 01060 INSURER D. INSURER E: COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EXPIRATION LTR S TYPE OF INSURANCE POLICY NUMBER DATE DATE LNMIS GENERAL LIABILITY I6806319N661AC310 06/01 /2010 06/01/2011 EACH OCCURRENCE $ 1,000,0 X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ 300, CLAIMS MADE � OCCUR MED EXP (Any one person) $ 5 , O A PERSONAL 8 ADV INJURY $ 1, 000 ' 0 GENERAL AGGREGATE $ 2, 000 , GEN- AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP ASS $ 2,000, POLICY JET LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accider&) ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY $ NON -OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY AGG $ EXCESS / UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR FI CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ wORKERS cOmPEVSATION 6KUB4258P57110 06/11/2010 06/11 /2011 TORY LIMITS ER AND EMPLOYERS' LIABILITY YIN B PROPRIETO ❑ E.L. EACH ACCIDENT $ 100.0 (Mandatory In NH) NO E.L. DISEASE - EA EMPLOY4 $ 100, If yes, describe under SPECIAL PROVISIONS belay E.L. DISEASE - POLICY LIMIT $ 500, OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSENENTI SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WLL ENDEAVOR TO MAL DAYS VNRRTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO So SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. ¢ 4 = x For Informational Purposes Only * = r ¢ AurHORI� REPRESENTATIVE C this Henderson CINDY ACORD 25 (2008101) ®1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered narks of ACORD EC CONS AGREE APR 2 ( 2011 Keiter Builders, Inc., of No :MM F B G w, ed ral Tax Identification Number is 27- 2518846, Contractor's Registration Numbe ON M - 1), and License #102457 (Exp. 06 -20- 2012), is entering into this Agreement with you Ruth Ever & Kevin Hale of 17 Chestnut Street Leeds MA ALL RESIDENTIAL CONTRACTORS AND SUBCONTRACTORS ARE REQUIRED TO BE REGISTERED WITH THE MASSACHUSETTS BOARD OF BUILDING REGULATIONS AND STANDARDS, UNLESS SPECIFICALLY EXEMPT FROM REGISTRATION. INQUIRIES CONCERNING REGISTRATION SHOULD BE DIRECTED TO: DIRECTOR, HOME IMPROVEMENT CONTRACTOR REGISTRATION, ONE ASHBURTON PLACE, ROOM 1301, BOSTON, MA 02018 (617) 727 -8598. SCOPE OF WORK: Keiter Builders, Inc. will perform the work set forth in the attached Scope of Work on your home, or the property located at 17 Chestnut Street, Leeds, MA. If you would like to change any work to be performed or materials used, we will have to make such changes through a Change Work Order, which may also change the total price and extend the date for completion. Change Orders will be handled on a time and material basis. Keiter Builders, Inc. reserves the right to make minor changes in any plans and to substitute materials of equal or better quality. Should Keiter Builders, Inc. encounter any unknown conditions below the surface of the ground, or concealed or unknown conditions in any existing structure, you will agree to make an equitable adjustment with Keiter Builders, Inc. under a Change Work Order, which shall increase the total price and extend the date for substantial completion of the work. PERMITS To perform this work, Keiter Builders, Inc., or subcontractors hired by Keiter Builders, Inc., will obtain, on your behalf, the following permits (if required): x Building Permit x Electrical Permit Smoke Certificate x Plumbing Permit Demolition Permit Certificate of Occupancy IT IS THE OBLIGATION OF KEITER BUILDERS, INC. TO OBTAIN THESE PERMITS AS YOUR AGENT. IN THE EVENT THAT KEITER BUILDERS, INC. DOES NOT OBTAIN THESE PERMITS, AND YOU OBTAIN THEM, OR IF KEITER BUILDERS, INC. IS NOT REGISTERED WITH THE BOARD OF BUILDING REGULATIONS, YOU WILL NOT BE ENTITLED TO OBTAIN ANY BENEFITS FROM THE GUARANTEE FUND ESTABLISHED UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 142A. Keiter Builders, Inc. obligation to obtain permits is limited to those permits directly related to performing the work Keiter Builders, Inc. agrees to do. To the extent that other permits or governmental or regulatory agency approvals, such as, but not limited to, zone changes, variances, special permits, site plan approvals, or approvals of conservation commissions, are required to be obtained before Keiter Builders, Inc. can obtain their permits, it is your obligation to satisfy such requirements and you shall meet those requirements at your cost. STARTING AND ENDING DATES Keiter Builders, Inc. will apply for the permits within 120 day(s) of signing this Agreement or your satisfying any conditions required to be met prior to the permits being used, whichever date is later. Keiter Builders, Inc. will start work within 30 day(s) of obtaining the necessary permits and expects to have the work substantially completed within 30 day (s) of starting. If Keiter Builders, Inc. is delayed at any time, in the progress of completing the work, due to acts of God, war, civil commotion, accident, government regulations or policies, any act or neglect of yours, or by any separate contractor, or by change orders, or by labor disputes, fire, delay in transportation, unavailability of materials, adverse weather conditions, unavoidable casualties, difficulty in obtaining fuel, electricity, services or supplies from the sources from which they are normally obtained, or other causes reasonably beyond my control, then Keiter Builders, Inc. may reasonably extend the date for substantial completion. If the work is not substantially complete by the ending date, as extended, Keiter Builders, Inc. will not be liable to you for any incidental or consequential damages you may incur due to such delay. If you are supplying any materials or equipment to be used in the work, you shall have such materials and equipment delivered to the work site not less than 5 days before they are needed for the work. If they are not delivered on a timely basis, Keiter Builders, Inc. will not be able to schedule work dependent upon them and the date of substantial completion will be extended due to such delay. TOTAL PRICE AND PAYMENT SCHEDULE The total price for performing the work and supplying the materials under this Agreement is Eleven Thousand, One Hundred and Seventy Six Dollars and Ninety Cents ($11,176.90) DOLLARS. Payments against work completed and materials delivered will be made within 2 days from when Keiter Builders, Inc. notifies you that they have reached different completion stages. Payments will be made in the amounts as set forth in the attached payment schedule. 3% of Total Price. (Non- Refundable Deposit) ($335.31) 33% of Total Price due prior to initiating work. ($3,688.38) 50% of Total Price due following rough inspections. ($5,588.45) 14% of Total Price due at Substantial Completion. ($1,564.76) All sums not paid before substantial completion of the work will be due and payable upon substantial completion. Payments due and unpaid under this Agreement shall bear interest from the date payment is due at the annual rate of Eighteen (18 %) percent or at the maximum legal rate whichever is less. In the event that Keiter Builders, Inc. incurs costs or expenses in collecting any payments due and unpaid under this Agreement, you shall pay such costs and expenses including reasonable attorney's fees. If you fail to make any payments when they are due, then Keiter Builders, Inc. may immediately stop work. Keiter Builders, Inc. may choose to not start work again until you are current with the payments and Keiter Builders, Inc. feels secure in obtaining the remaining payments. If there is any stoppage in work due to your 2 failure to pay on time, or to make Keiter Builders, Inc. feel insecure that the remaining payments will be made, such delay shall automatically extend the date of substantial completion. ANY DEPOSIT REQUIRED UNDER THIS AGREEMENT TO BE PAID IN ADVANCE OF THE COMMENCEMENT OF WORK SHALL NOT EXCEED THE GREATER OF ONE -THIRD OF THE TOTAL CONTRACT PRICE OR THE ACTUAL COST OF ANY MATERIAL OR EQUIPMENT WHICH HAS TO BE SPECIAL ORDERED OR CUSTOM MADE, WHICH MUST BE ORDERED IN ADVANCE OF THE COMMENCEMENT OF THE WORK, IN ORDER TO ASSURE THE PROJECT WILL PROCEED ON SCHEDULE. NO FINAL PAYMENT MAY BE DEMANDED UNTIL THE AGREEMENT IS COMPLETED TO THE SATISFACTION OF BOTH OF US. KEITER BUILDERS, INC. MAY NOT REQUIRE YOU TO PAY PART OR ALL OF THE BALANCE NOT YET DUE UNDER THIS AGREEMENT BECAUSE KEITER BUILDERS, INC. DEEMS ITSELF TO BE INSECURE. HOWEVER, IF KEITER BUILDERS, INC. DEEMS ITSELF TO BE INSECURE, IT MAY REQUIRE A PREREQUISITE TO CONTINUING ANY WORK THAT THE BALANCE OF FUNDS DUE UNDER THIS AGREEMENT, WHICH ARE IN YOUR POSSESSION, SHALL BE PLACED IN A JOINT EXCROW ACCOUNT REQUIRING BOTH YOURS AND KEITER BUILDERS, INC. SIGNATURE FOR ANY WITHDRAWAL. SUBCONTRACTORS Keiter Builders, Inc. intends to hire the following subcontractors to assist in the work: Name Steve Wilson, Electrician John Thomas Plumbing & Heating S.T. Flooring, Inc. These may not be all the subcontractors that may be hired, and Keiter Builders, Inc. may decide not to hire any one or all of the above subcontractors, which decision shall be at Keiter Builders, Inc. sole discretion. If you ask any subcontractor to make any changes or substitute materials without first obtaining Keiter Builders, Inc. written agreement, these changes may adversely affect another part of the work that you are not aware of any may create additional delays and costs. If you make such changes or substitutions, you will pay Keiter Builders, Inc. the additional cost any subcontractor charges Keiter Builders, Inc. for such changes and substitutions, and for any extra work and material related to your request, plus Fifty (50 %) percent. INSURANCE Keiter Builders, Inc. shall purchase and maintain liability insurance for protection of all claims under workman compensation acts and other employee benefit acts, claims for damages because of bodily injury, including death, and from claims for damages, other than to the work itself, to the property which may arise out of or result from my operations under this Agreement. You shall purchase and maintain property insurance in a form acceptable to Keiter Builders, Inc. upon the entire work and materials for the full cost of replacement as of the time of loss. The insurance shall insure against the loss from perils of fire, extended coverage and shall include "all risk" insurance for physical loss of damage, including without duplication of coverage, at least theft, vandalism, malicious mischief, transit, collapse, flood, 3 earthquake, testing and damage resulting from defective design, workmanship or material. You will increase the limit of coverage, if necessary, to reflect the estimated replacement cost. You will be responsible for any co- insurance penalties or deductibles. If the work covers an addition to or is adjacent to an existing building, You and Keiter Builders, Inc. agree to waive all rights against each other for damages caused by fire or other perils to the extent covered by insurance. RIGHT TO TERMINATE CONTRACT If the work is stopped or delayed, either in whole or substantial part, for a period of thirty (30) days under an order of any court or other public authority having jurisdiction, or as a result of an act of government and due to your fault or negligence, or as a result of an act within your control; or if the work shall be stopped or delayed either in whole or substantial part, for a period of theirty (30) days due to your failure to make a payment on time, or make Keiter Builders, Inc. feel insecure, or if you should commit a material breach of any of your responsibilities or obligations under this Agreement, then Keiter Builders, Inc. may, upon giving you seven (7) days written notice, terminate this Agreement and recover from you payment for all work performed; for any unpaid costs of and fees for the work; for any liability, obligations, damages, commitments, and/or claims that Keiter Builders, Inc. may have incurred or might incur in good faith in connections with this Agreement, as well as receiving payment for Keiter Builders, Inc. attorney's and legal fees and all lost anticipated gross profits on the work not performed as of the date of the termination. NOTICE Notice will be deemed if delivered in hand or if sent by certified mail, return receipt requested, to the address listed on the front page of this Agreement. WARRANTIES Keiter Builders, Inc. will grant you, as part of the Total Price, a Limited Warranty, a copy of which is attached to this Agreement. Keiter Builders, Inc. will use materials that are currently acceptable for their intended use in performing work. You should be aware that it may be determined that some of these materials may cause health problems. If there are any materials that you do not want used in the work, list them on the attached Scope of Work form. EXHIBITS The following Exhibits have been attached to this Agreement: Scope of Work Limited Warranty ARBITRATION THE CONTRACTOR AND THE HOMEOWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT THE CONTRACTOR HAS A DISUPUTE CONCERNING THIS CONTRACT, THE CONTRACTOR MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVIED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF 4 CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE CONSUMER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN MASS. GENERAL LAWS, C.142A. KEITER BUILDERS, INC. HOMEOWNER )� /'Z�z _, � y y � _ l / z4 By Yott Keiter, its president Date l5ate Date NOTICE THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT 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 DISPUTE RESOLUTION SHALL END TWO YEARS AFTER THE. DATE OF THIS AGREEMENT. MISCELLANEOUS This agreement is a Massachusetts contract, contains the entire agreement between us, any representations or warranties not expressly contained in it are not a part of the Agreement, and it is binding upon our heirs, executors, successors and assigns. This Agreement may be modified only by an instrument in writing signed by both of us. This agreement is subject to and is intended to comply with the provisions of Chapter 142A of the Massachusetts General Laws and its corresponding regulations. RIGHT TO CANCEL CONTRACT YOU MAY CANCEL THIS AGREEMENT IF IT HAS BEEN SIGNED BY A PARTY THERETO BY FORWARDING YOUR INTENT TO 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 you have received a complete and original signed copy of the entire Agreement and attached Exhibits. Keiter Builders, Inc. may not start work until after this Agreement has been signed. 5 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, YOUSHOULD CONSULT WITHANATTORNEYBEFORE SIGNING. KEITER BUILDERS, INC. HOMEOWNER y by, Sc eiter, its president Date bate Date 6 I K1 T E r_ q BUILDERSNC SCOPE OF WORK April 5 , 20l 1 PROJECT: BATHROOM REMODEL CUSTOMER NAME: Ruth Evers & Kevin Hale ADDRESS: 17 Chestnut Street Leeds, MA 01053 ADMINISTRATION ■ Keiter Builders will manage all aspects of this project, including the following: • Applying for building permit • Standing all necessary inspections • Subcontractor oversight and management • Materials ordering and delivery • Certificate of Occupancy DEMOLITION • Disconnect and secure all plumbing fixtures including: Toilet, Shower, Steam Pipe, and Sink • Remove and secure all items being saved (ie. Toilet, door, etc.) • Remove and dispose of tub • Remove and dispose of ceiling. • Remove and dispose of wall separating bathroom and living room area • Remove and dispose flooring and possibly subfloor • Dumpster and/or hauling debris FRAMING • Inspect all exposed, existing framing for structural integrity • Install new ceiling joists (lower ceiling) to accommodate plumbing vent • Install any necessary fire blocking (including fire caulking) as required by local building code • Relocate tub wall • Install new subfloor DRYWALL • Install moisture resistant drywall in new tub area • Install ' /z" drywall in living room area • Tape and finish all drywall • Note: Proposal is written assuming that wainscoting will remain and that walls will be skim coated. ti INSULATION • Insulate wall between bathroom and living room using kraft faced fiberglass insulation (soundproofing) WINDOW • N/A DOOR • Remove and reinstall existing bathroom door (Relocate hinges to change swing) SHOWER • Set shower pan o Install surround o Contract does not include installation of any door assembly for shower (Curtain Rod Only) FINISH • Install all bathroom wall fixtures (toilet paper holder, towel racks, door stops, etc.) • Install new quarter round at base of wainscoting in bathroom o Install baseboard and crown at new wall located in living room o Misc. trim FLOORING • Install sheet linoleum flooring (Allowance for $2.00 / square foot) PAINT • Contract does not include painting and caulking MISCELLANEOUS o Install wall vent and make connection to new exhaust fan o Install medicine cabinet above sink • Site preparation and set -up • Site breakdown and general cleaning SUBCONTRACTOR MANAGEMENT o Keiter Builders, Inc. charges a 10% fee for subcontractor procurement and management This fee is in addition to any individual subcontractor pricing. ITEMS PROVIDED BY CUSTOMER (Not included in proposal) • Shower pan • Shower surround • Medicine Cabinet or mirror • All light fixtures • All wall fixtures (toilet paerjw1der, towel rack, etc.) • All plumbing fixtures • Toilet (existing) o Sink • Vanity • Shower or unit 1 v 17 CHESTNUT AVE BP-2010-0691 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Bloc 11A - 028 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category: BUILDING PERMIT Permit # BP- 2010 -0691 Project # iS -201 001016 E Cost: $11000.00 F $6 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: STEVEN OLIHAN 045567 Lot_Siz ft.): 27399.24 Owner EVER ELIZABETH R & KEVI H ALE Zo ning: URA(100) Applicant: 87'E VEN QUHAN AT. 17 CHESTNUT AVE Applicant Address: Phone: Insurance: P O BOX 86 (413) 268 -0005 O GOSHENMA01032 ISSUED ON :112812010 0:00:00 TO PERFORM THE FOLLOWING WORK .- REMODEL 2ND FLR EXISTING LAUNDRY /BATHROOM POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: g � r -,., � � g Footings: Rou h: ,� ` I <Rou h:3 _/v - Q House # Foundation: 6z p" - Driveway Final: Final: Final: y A b ��` / Rough Frame: lL 3 Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: OK '31 2- S�1 Final: Smoke: Final: F1'1Jftt' OK 619 I L" IS THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occu anc 9 16 © A Si g nature: /' FeeTvpe: Date Paid: Am ount: Building 1/28/2010 0:00:00 $66.00 a' 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo r 17 CHESTNUT AVE BP-2011-0848 GIS #: C OMMONWEALTH OF MASSACHUSETTS Map-Bloc I IA - 028 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Bukinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP- 2011 -0848 Project # JS Zu i i - 001336 Est. Cost: $6072.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Groin SCOTT KEITER 102457 Lot Size( ft.): 27399.24 Owner: EVER ELIZABETH R & KEVIN HALE Zoning: URA(100) Applicant: SCOTT KEiTER AT: 17 CHESTNUT AVE Applicant Address: Phone: Insurance: 51B HATFIELD ST 1413) 320 -9035 WC NORTHAMPTONMAO1060 ISSUED ON. 4/28/20110:00:00 TO PERFORM THE FOLLOWING WORK .- REMODEL BATHROOM, RELOCATE WALL,ADD SHOWERNOVE VANITY 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: "�,''� f oughMl (� 1 1 House # Foundation: Driveway Final: Final:` Final61 ``,, Itl Rough Frame: oO -1 ' " Gas: Fire Department Fireplace /Chimney: Rough: Oil: Insulation: 0 r t - IS- , [ c Nt Se 0t7T2 Final: Smoke: Final: 11 nw THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REG T Certificate of Occu anc S nature: FeeType: Date Paid: Amount: Building ,;4/28/20110:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck - Building Commissioner 5 ,. 1 3 - � � �O O�. /� Gt � aJ ��1. R i q i o� t !�(S � f � �. V 4