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10-023 (2) C� 0 / / /9 3-7- /3 de, A • Smith Attic Addition (Study) �_ �_�__ 40' -O" - i 4' -2" x 5'4," f = \ — Ili n 01 —s,,. i Utility Room I n b Dormer \ \ _i / . �e--- 2' -3 " \ 2' -8" ' \ 4'-10" O 2'4," 3 \ O i 9 0 4' -5" // `-4 13' -4" � . 12' - 01 3 H in f 4 -5 30' -0" / / \ \ \ `■ Crawl Space v \ Approximate ITvince space = 550 square feet NAME SIZE HINGE DIRECTION COUNT R.O. WIDTH R.O. HEIGHT TYPE 6 -PANEL COLONIAL (NEW CLOSET) 2'-6" L 1 2' -8" 6' -9" DOOR 6 -PANEL COLONIAL (UTILITY /EXISTING) 2' -8" L 1 2' -10" 6' -9" DOOR DOUBLE CASEMENT W/ 1/2 ROUND TOP 4' -2" x 5' -6" NN 1 4' -43/4" 7' -63/4" WINDOW VELUX SKYLIGHT (VENTING) MO6 30" X 46" NN 2 30 1/16 46 7/16" 6i SSKYLIGHT Fei Ay S l'i /c4 . . * Official Receipt for Recording in: Hampshire County Registry of Deeds 33 King St. Northampton, Massachusetts 01060 Issued To: SCOTT KEITER 1- 413 - 320 -9035 Recording Fees * * Document Recording Description Number Book /Page Amount * * COV 00005245 11239 208 $75.00 RESTRICTIVE COVENANT FILI $75.00 Collected Amounts * * Payment Type Amount * * Cash $80.00 $80.00 Total Received : $80.00 Less Total Recordings: $75.00 Change Due $5.00 Thank You MARY OLBERDING - Register of Deeds By: Beth C Receipt# Date Time 0260331 03/06/2013 10:54a Reprinted By: Beth C Reprinted On: 03/06/2013 10:55a t //ih/IllIhllIUIhih/////IIihjfffh//j//f(//jj/j/j IIN I { Restrictive Covenant Bh: 3 00095245 1 1239Pg: 208 Page: 1 of 1 Recorded: 03/06/2013 10 :54 AM Know All Men By These Presents -- That Dianna G. Smith, owner of the real estate at 441 Kennedy Road, Leeds, MA, more particularly shown as (Hampshire County Registry of Deeds Document #20813, Book 11029, Page 1, dated 08/31/2012) hereby Covenants and Agrees that: The attic space at 441 Kennedy Road, Leeds, MA will be used as storage, office, studio or recreation. It will not be used as a sleeping space without first obtaining a building permit and meeting all the requirements of the Massachusetts State Building and Health Code for a newly created bedroom. Executed as a sealed instrument this February 24, 2013. it _ Notary Public • Cynthia M Labrecque ti Commonwea . of Massachusetts My Com. ..zon Expires on Oct. 21, 2018 4 ,0 e ( Dianna G. Smith Owner _ S ST: ataasinam, VEARY /+ LBEILD c TIRE AGREEMENT, SEVERABILITY, AND MODIFICATION Agreement represents and contains the entire agreement and understanding between the parties. Prior .a fissions or verbal representations by Contractor or Owner that are not contained in this Agreement are not a :=rt of this Agreement. In the event that any provision of this Agreement is at any time held by a Court to be In valid or unenforceable, the parties agree that all other provisions of this Agreement will remain in full force and effect. Any future modification of this Agreement should be made in writing and executed by Owner and Contractor. 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. 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 Addenda. Contractor may not start work until after this Agreement has been signed. 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 AN ATTORNEY BEFORE SIGNING. KEITER B ILDERS, INC. (CONTRACTOR) OWNER / .3 "O7 -IX (Let/44v . di1 3'0713 by, Sc . eater, President Date Date Date ADDENDA The following have been attached to this Agreement: 1. PAYMENT SCHEDULE 2. SCOPE OF WORK 3. COPY OF INSURANCE 4. LIMITED WARRANTY 5. CHANGE ORDER (COPY AND EXPLANATION) 11 GENERAL NOTES • Access to attic work space will be through new dormer area • This contract does not include any built -in book shelves SUBCONTRACTORS (Please see attached documents showing subcontractor pricing) • ENGINEERING o This contract includes a $2,000.00 allowance for Architect fees • ELECTRICAL o Please see the attached quote from Marley Electrical Services • HVAC o Please see the attached quote from Jim Patterson • INSULATION o Please see the attached quote from SAFCO Foam Insulation • DRYWALL o Please see the attached quote from Right Way Drywall • PAINT o This proposal includes a $2,000.00 allowance for painting • FLOOR SANDING AND POLYURETHANE o This contract includes a $1,200.00 allowance for floor sanding and finish • PROFESSIONAL CLEANING o Please see the attached quote from DD Cleaning Service • Furnish and install (2) Velux 30 9/16" x 46 '/4" manual venting skylights and flashing kits. These skylights have built -in blinds. Contract includes (2) $1,000.00 allowances for the skylights, blinds, and flashing kits. Please note that there may be a tax credit available for solar blinds • Furnish and install (1) new closet door and hardware. Contract includes a $250.00 allowance for door and hardware. EXTERIOR FINISH • Dormer will be finished to replicate guest bathroom dormer. This includes: o Cedar clapboards, fluted outside corners, rake trim, soffits, fascia, frieze, decorative band, crown, and dental moldings o Window casing with keystone o Dog ears (partial roof returns) o All roofing, membranes, and flashing to connect dormer to existing roof o Note. This contract does not include any exterior painting. All siding and trim will be primed • Skylights o All roofing, membranes, and flashing to connect to existing roof INTERIOR FINISH • Install approximately 550 square feet of 2 1/4" red oak flooring to match existing flooring in home • Install vapor barrier beneath new hardwood floor • Install new casing around window units and 1/4 round window • Install window stool at base of new window unit • Install baseboard trim around perimeter of new room • Install casing and plinth blocks at any door locations • Construct and install (2) access doors into north / south wall cavities for utility access • Install cap and decorative band molding above new stairwell knee wall • All interior trim will be poplar — to be painted • Construct and install utility shelving in new closet area • Extension jambs and casing for (2) skylights MISCELLANEOUS • All miscellaneous supplies • All fasteners • All fire treatments including blocking, caulk, and foam • Preparation for spray foam insulation by installing 30 pound felt paper to back side of all open rafters • Misc. insulation and air sealing • Construct, and install, (2) access panels with (3) layers of 2" rigid foam insulation between crawl space and un- insulated areas to the north / south — These are different from the finished doors between the crawl space and living space MISCELLANEOUS - GENERAL • Permit fees • Waste management and removal • Staging transportation, set -up, break -down, and removal • Boom Truck and Hoisting • General site set -up and breakdown • Portable toilet asst ., a,5,��..t' ., 1S.. hiiki BUILDERS' SCOPE OF WORK March 7th, 2013 CUSTOMER NAME: Howard & Dianna Smith ADDRESS: 441 Kennedy Road, Leeds, MA 01053 ESTIMATED START DATE: March 2013 ESTIMATED PROJECT RUN TIME: 6 — 8 Weeks ADMINISTRATION • Keiter Builders, Inc. will manage the following aspects of the project: o Building permit application o Design and structural engineering o Communication with Architect o Standing all necessary inspections o Materials ordering and delivery o Site set -up and break -down o Certificate of Occupancy ATTIC STUDIO ADDITION (Approximately 550 square feet of living space) This contract includes the following: STRUCTURAL AND FRAMING (AS SPECIFIED BY ARCHITECT) • Demolition and debris removal (Tear roof, cut opening, remove rafters, hip, cut trough for HVAC, etc.) • Structural re- framing for dormer as drawn by Architect: • All new framing for dormer including: o Knee walls, exterior walls, plates, rafters, etc. o Exterior wall and roof sheathing using Zip system • Structural re- framing for (2) skylights including: o New jack rafters, headers, and rafter connections o All prescribed ties and brackets for wind shear, load transfer, uplift, etc. • Install 2 x 4 knee walls around entire perimeter of living space. Knee walls will be approximately 50" in height • Install 1 x 3 furring strips and/or 2 x 4's across all rafters • Install new collar ties at approximately 9' above floor • Install new knee walls on both sides of stairwell • Construct new closet area at left side of access door to utility room. This closet will provide the necessary wall space for the new mini -split unit, and provide space for housing the vacuum, etc. WINDOWS AND DOORS • Furnish and install Pella window unit as shown in attached quote # 4465333 • Install all necessary pan flashing and other weather / air sealing The Commonwealth of Massachusetts Print Form Department of Industrial Accidents a ' ` Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114 -2017 www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): i r - t wig -beitS SNP • — Address: SI A \ PVrCiEC-b ST • City /State /Zip: 1 A OA (V (44 0/040 Phone #: 9/3 • Sat , •860 c Are you an employer? Check the appropriate box: Type of project (required): 1. am a employer with 3 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part-time).* have hired the sub - contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. El Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' y ❑ Building addition [No workers' comp. insurance comp. insurance. 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.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. 1. 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: 1 R,Ahd6t.E -AS s. e.An►CE Policy # or Self -ins. Lic. #: re 82A S(05`7g. tZ Expiration Date: ( • ( • 133 Job Site Address: ?"// /47.vili 7 el). City /State /Zip: Orcr4A L EA 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 c fy under the pains and penalties of perjury that the information provided above is true and correct Signature: , . �. f �G /)if.S Z7ve . Date: 3' r . Phone #: Il /3 • SSG • gb att. 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 #: SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : eC' T ' t"� /, OWL— /0.2 YS 7 License Number S ift 4 - rciet_b sr. kat Tffi/lu � i7�/J � IlA/f oiO GJ 6o • .0 ' /Y Addr- s l V Expiration Date ■16.11106 /3 • S -no cto dt nature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ I (co 3 •a 9S Company Name Registration Number $6/7 x- uiL& &S XPJC. ( • / . / 2 Address Expiration Date S/A ezb A(DRIN N 4- Telephone c l(.? •S ge, •Y6OJ 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 building permit. Signed Affidavit Attached Yes No ❑ 11. - Home Owner Exemption The current exemption for `homeowners" was extended to include Owner- occupied Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does 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 of land on which he /she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and / or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site w be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (\ . ers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) . lo e Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under ... permit. The undersigned "homeowner" cer ' es and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, St. and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Sign . 1 re r• SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [MI Decks [0 Siding [0] Other [Ell Brief Description of Proposed Work: CON v&t, r PTTI c s : t1 cr To STU Dy Alteration of existing bedroom Yes JX No Adding new bedroom Yes K No Attached Narrative Renovating unfinished basement Yes X 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 Bathr•oms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. o etlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement 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 , 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. PLE-PcSrc Se* AT7 , 3/g/V coAirrcti Signature of Owner Date g _fr - 6 - , ( U c-'3E4 t ZYVC • , 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. S c crrr - Print Na 1 t rr-, / ..L S c. 3 5/ture of Owner /Agen Date 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 L: R: L: R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved parking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO O DON'T KNOW (I�� YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW YES O IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW 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 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO )0 IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, gradin. ex• .vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YEE O NO C. IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Department use only .. _:_City of Northampton Status of Permit: ilding Department Curb Cut/Driveway Permit L 212 Main Street Sewer /Septic Availability .�� �13 R oom 100 waterIWell Availability N rthampton, MA 01060 Two Sets of Structural Plans phone,'4131 587 -1240 Fax 413 - 587 -12 Plot/Site Plans "= Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: This section to be completed by office !f[/) Aervej&Dy a.. Map Lot Unit IL- S, M4 of o Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: bIANNA► Su, t-s-4 rig ,1& 'lave Ay eb• lei-Ds, AAA O ic' Name (Print) Current Mailing Addres : 7/ Lt • 7/5— • ?If( 3 tature -EA SCE ColL+Th -/k G i . Telephone 2.2 Authorized Agent: 14 ,T-6-,.._ 1 .s , •iry c . 5 t A [in TR -a) ST. ) 1V *4.T rb Ai Na Print) Current Mailing Address: , P,_ t I 4, 3ucDer c. C 9( • S V. • $'(9 00 "nature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building c (P % . • (9 tf (a) Building Permit Fee 2. Electrical 9) O p p (b) Estimated Total Cost of Construction from (6) 3. Plumbing -. Building Permit Fee Al ‘ 7 4. Mechanical (HVAC) > ) i d00 5. Fire Protection d � 6. Total= (1 +2 +3 +4 +5) �7`?f�(O (y Check Number This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2013 -0807 APPLICANT /CONTACT PERSON SCOTT KEITER ADDRESS/PHONE 51A HATFIELD ST NORTHAMPTON (413) 320 -9035 PROPERTY LOCATION 441 KENNEDY RD MAP 10 PARCEL 023 001 ZONE RR(100)/WSP(100)/WP(13)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out I�. ��f Fee Paid 09 31 �f' "' 1 Typeof Construction: FINISH ATTIC SPACE TO STUDY 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 FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I O ATION 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 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 �- • ' ion '-lay 3 -f-/ Sig • e of Building Official 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. 441 KENNEDY RD BP- 2013 -0807 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 10 - 023 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: renovation BUILDING PERMIT Permit # BP -2013 -0807 Project # JS -2013- 001384 Est. Cost: $77864.00 Fee: $467.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SCOTT KEITER 102457 Lot Size(sq. ft.): 375443.64 Owner: SMITH DIANNA Zoning: RR(100)/WSP(100)/WP(13)/ Applicant: SCOTT KEITER AT: 441 KENNEDY RD Applicant Address: Phone: Insurance: 51A HATFIELD ST (413) 320 -9035 WC NORTHAMPTONMA01060 ISSUED ON:3/8/2013 0:00:00 TO PERFORM THE FOLLOWING WORK: FINISH ATTIC SPACE TO STUDY 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 3/8/2013 0:00:00 $467.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner