Loading...
24D-243 (4) SIEGFRIED PORTH A R C H I T E C T A.I.A. 116 PLEASANT ST. SUITE 331 EASTHAMPTON , MA 01027 PHONE: 413 -529 -9434 TO: 04/09/13 LOUIS HASBROUCK BUILDING COMMISSIONER 212 MAIN ST. NORTHAMPTON, MA 01060 1 SIEGFRIED PORTH ARCHITECT REQUEST THAT YOU GRANT A MODIFICATION TO WAIVE THE REQUIREMENT FOR CONTROLLED CONSTRUCTION FOR THE PROJECT LOCATED AT 61 CRESCENT ST. UNIT #8 NORTHAMPTON, MA. BECAUSE THE WORK IS OF A MINOR NATURE, AND WILL NOT AFFECT HEALTH, ACCESSIBILITY, LIFE SAFETY, OR ANY STRUCTURAL ELEMENTS. -" _ r 7 `, a -? c",;/;3`.;:,-- �R THANK YO ` , � -) SIEGFRIh{ry B U I L D E R S/ 7 51A Hatfield Street •Northampton•MA•01060•Phone: 413 - 586- 8600•Fax:413- 280 -0124•keiterbuilders.com APR1 ! 2 . DEPT, 0FBLIILOING Iti To Whom It May Concern: N O RT HAMPTON, ryq Qy06 NS I request that you grant a modification to waive the requirement for control construction for the project at 61 Crescent Street, Unit # 8 in Northampton, MA because the work is of minor nature, will not affect health, accessibility, life and fire safety, or structural requirements and is impractical in that the cost of control construction is considerable when compared to the cost of the proposed work. I have provided a stamped letter from Siegfried Porth Architect A.I.A. in support of this request. Thank you for your consideration. Respectfully, KEITER BUILDERS, INC. / By S I Keiter, President Date 61 CRESCENT ST 8 MP -2013 -0026 COMMONWEALTH OF MASSACHUSETTS GIS #: 11666 oP , "AMp CITY OF NORTHAMPTON Map: 24D Aromp block: 243 �� ZONING PERMIT -.�1� RMIT Lot: 000 � - A Permit: ZONING PERMIT APPLI rF APP ■ ,ICATION PERMIT !Category: Zoning Permit Permit # MP- 2013 -0026 PERMISSION IS HEREBY GRANTED TO: Project# JS- 2013 - 000323 jEst_ Cost: Contractor: License: Expires: Fee Charged: $15.00 SCOTT KEITER Balance Due: $.00 Owner: LULENTINI ERIC & SANDRA r-- 1# of Fixtures: Applicant: SCOTT KEITER DigSafe # AT: 61 CRESCENT ST 8 UseGroup 1 ConstClass ISSUED ON: 24- Aug -2012 AMENDED ON: EXPIRES ON: TO PERFORM THE FOLLOWING WORK: ZPA - REPLACE DECK & PAVER PATIO THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. :X Signature: Fixtures: Floor: Type: # of Fixtures Floor: Type: # of Fixtures Fee Type: Receipt No: Date Paid: Check No: Amount: Zoning Permit Application REC- 2013- 000769 22- Aug -12 2328 $15.00 212 Main Street, Phone:(413) 587 - 1240, Fax:(413) 587 - 1272, Email :lhasbrouck@northamptonma.gov GeoTMS® 2012 Des Lauriers Municipal Solutions, Inc. r _ ______............:..... . ,_ --* ___„.. ..,.... _ _ .k—Nm_ a. -F { 3 'R +o i /� Nr �� ' } tn„ 1 .., 0 1 1 „c , 1 ; ,' Z , 1 , .; co b ., i . -1) z i ; : ,... :13 .;;, . i; i :: ,/ . ;L„. c; ci , i . � c o 1 . 0 pry . :v. ._.......,,.....J • i _ ..„. e - . . _ _ ., C e• ry u1v �asw� c& V N A 1 Vb Y n tr v: n ° C U a II i< to , I NN \ 1 \ 1 , . ; . . . ... . ........ -.. --- I ; 1 1 .. 4 1 ' 1 ; t ) ; ,.. ■ _ . : ! 1 : • I . : 1 ' N : • . • 4 1 : . • 1 ' . , • , . . . . 1 . . • . . . , . w. w .!, . , : ,• . z - . N , . f ' 1 i . 4 1 1 i ''',., I /I ,: : • , , L a , , .. .., \ , „ , . , 5 mr• . \ 1 1 . .. ,...,.._.. — ._. .,...._ . - - 1 - I • . ,. .. . .... .. . -6 ! - • , - I i 0 \I t 1 % ' ■ ' . • , , . : ) '-,......- i , T 1 "' • : . ! . i . \\:\,:, \ i (T• 5 LA . , .. -.. g ...." r 1 , • ! , . , , . . ,,, , / , , I . \ e ,.. \ \ ' \ . -Z1 _ I Go ___ ..,, — ... . . . \ — ..... _ — — — - , — ,' O , i r \ \ ____ I 1 i 1 , \ u _ _ 4.. . i ...,..,_. J1/4* _ • li Y CS' ,, \ , V tv fit _ • Cn } O s ^ f 3 , 1\ / / � ti' �� _ - ___n__. __� __ _� _ _ _ �__.. pi Q 2 C 3 - a ' 4 I i 1 c.: II) til d S ,, , { A I . tr. I 1 2' q" l - N i,J , ff = j< y , a ,, SI d Al ics 2 IX- VI Lk ,m Owner 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 Contractor may have incurred or might incur in good faith in connections with this Agreement, as well as receiving payment for Contractor's 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. 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 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. (CONTRACTOR) OWNER w a - .?t0 3 - _ 0 2/Vo Scott Keiter, President Date Date t 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. DISPUTE RESOLUTION AND ATTORNEY'S FEES Any controversy or claim arising out of or related to this Agreement involving an amount less than $5,000 (or the maximum limit of the Small Claims court) must be heard in the Small Claims Division of the Municipal Court in the county where the Contractor's office is located. Any dispute over the dollar Iimit of the Small Claims Court arising out of this Agreement shall be submitted to an experienced private construction arbitrator that shall be CERTIFICATE OF LIABILITY INSURANCE � " "' °I " � U ''.} � 1 06/01/2012 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 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 NAME Webber & Grinnell Ins. Agency, Inc. PHONE 413.586.0111 FAX 413.586.6481 _ 9 Y , _INC, No. Ext): _ __(AIC Not 8 North King Street E-MAIL ADDRESS: Northampton, MA 01060 PRODUCER 00021099 p CUSTOMER ID C: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: Travelers Casualty of America Keiter Builders, Inc. INSURERB: Travelers Indemn. Co. CT 25682 51A Hatfield Street INSURER C : Northampton, MA 01060 INSURER D: INSURER E • INSURER F . COVERAGES CERTIFICATE NUMBER: Master Exp 06/13 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 POLICYEFF i POLICY EXP LTR � LIMITS TYPE OF INSURANCE , INSR SUER ( (MMJDOFYYYY) (MMIDDIYYYY) WV ID LIABILITY ?ODL p POLICY NUMBER 1 I6806319N661ACJ12'I 06!0112012 , 06/01/20131 _ . , I r 1,000,000 E L' 300,000 , X = 1 f - 5,000 1,000,000 A — L4 _ t 2,000,000 _ 2,000,000 t I AUTOMOBILE LIABILITY - t r I C < -LE ,_ • T f 1EC I r I f U F .1 _c I -- I f i UMBRELLA LIABI, �_ F �� :E- j + {. ' -__... rte , __l i r : EXCESS LIAB i ,.� ' , 7E.,- I WORKERS COMPENSATION - IEUB2A56578212!, 06111/2012 06/11/2013 � T LC IT L I 1 � AND EMPLOYERS LIABILITY YIN 1 x 100 Q0Q EL L L _'i I(,I�T FIETtF F E 'I, ^ •""1 E J _ , — B 41 I_E .ErL_F[ —; NrA E rr 1 Fr FE t 100,000 (Mandatory in NH) _._ .._. — ---- y grin E L DI:_L.. C I i i LI I r 500,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (Attach ACORD 101. Additional Remarks Schedule. if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE f, '",.:. For Information Only *= _Cynthia Henderson, CISR /CINDY ©1988 -2009 ACORD CORPORATION. All rights reserved. The Commonwealth of Massachusetts Print Form Department of Industrial Accidents L 7 - Office of Investigations l 1 Congress Street, Suite 100 1.14 6 ' ' 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): rzCiL O%'beit.5, 14•JC. Address: cl i' PrirrE t ec D Sr • City /State /Zip: fV OXTVA 7b,N , MA 010(.0 Phone #: y/3 • TO. • Y(t 00 Are you an employer? Check the appropriate box: Type of project (required): 1 .m a employer with 3 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub - contractors 6. El 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 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ 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 13. El-Other lx--c �- 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. tContractors 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: [ �( c.0 -fls — Policy # or Self -ins. Lic. #: "2..E.1/4% WI-A $ c95 21 Z Expiration Date: .. (v • t 1 - 1 3 Job Site Address: to \ CK,ESc l T. . l31'.t r l$ T City/State/Zip: 110 _ '113L11 � 11a ` 4 O 0 4 0 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 under a inss nd penalties of perjury that the information provided above is true and correct i F t'�5� 'l�l it�I �DE�r C C -Date: '7 • ) ' i 3 Signature: / , Phone #: 'ill • S84 ' e5(4- O n 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 : S cam ►ct-n— 1 02 4S License Number �l !� (- 1 417 - c %6La) SZ -• 1 NoivrwrotisIDN Rte- t • ;. O - 2 o i Y Addis/ Expiration Date ` yis • s -8400 s ature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ " i .DMS , =c. l b 3'3-9 S Company Name Registration Number 5 1 4 14 mac.1> s ( ( • 2 0 CS . Address Expiration Date iLI111` -v 4: N MA- en / o 4 d Telephone /fi O c� - 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 uilding 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 1083.5.1. 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 will 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 (W• • ers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) . e Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under permit. The undersigned "homeowner" ies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinance :.te and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowne : gnature SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) J Roofing ❑ Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs lj Decks Siding BD] Other [El lu yJv Brief Description of Proposed NF bECiG 4-e Work: Alteration of existing bedroom Yes K No Adding new bedroom Yes X 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 co = ruction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation •mpliance. Masscheck Energy Compliance form attached? h. Type of constructi i. Is construction within 100 ft. of wetlands? 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 1 P,.E,,s t SEE S1GKC-� - oNsreACT 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 1 S (071-- ,cfrr - , 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. Print , e l SG e.66.7(.. S ,L- C. j • / • 1) ature of Owner /Agent 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 0 DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO O 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 O 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 1 acre? YES O NO O IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Department use only RECt r� City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit APR - $ 2013 212 Main Street Sewer /Septic Availability Room 100 Water/Well Availability DEPT. OF BUILDINGGINSr N orthampton, MA 01060 Two Sets of Structural Plans NORTHAMPTON, MAO _ 41 3- 587 -1240 Fax 413- 587 -1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH r °'' o ""•eR- ts- ( -97 SECTION 1 - SITE INFORMATION This section to be completed by office 1.1 Property Address: (a I C2ESC6ATr Sr. , tuk t 8 Map Lot Unit /V iD w ii-A0-1 rz iv , Zone Overlay District Elm St District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: CS.1 c O QA .L ten, _ 4 1 Craseewr ST. T (4k, 1T -1 8 Name (Print) Current Mailing Address: 9 e2s ' ?I Telephone Signature 2.2 Authorized Agent: keiTLK_ ■r qiietS ) ZZN1G SI a MAT- nett) ST . AlDi ati ra v MA ■ Name Current Mailing Address: `..../ _ . 1 1 /3• .SKc, • ' (0oo 4 ature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building a? 3, s 4 • S 7 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee O 4. Mechanical (HVAC) 5. Fire Protection 6. Total= (1 +2 +3 +4 +5) v 2 3, S 2b -s'"7 Check Number d 160 This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2013 -0913 APPLICANT /CONTACT PERSON SCOTT KEITER 0 ADDRESS/PHONE 51A HATFIELD ST NORTHAMPTON (413) 320 -9035 PROPERTY LOCATION 61 CRESCENT ST 8 MAP 24D PARCEL 243 000 ZONE URC(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out a9 'j / Fee Paid Typeof Construction: REPLACE 10 X 20 DECK & PAVER PATIO 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 FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF OJ MATION 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 1 4/,,/, Building Official Date Signature g 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. F 61 CRESCENT ST 8 BP- 2013 -0913 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D - 243 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: Zoning Permit BUILDING PERMIT Permit # BP- 2013 -0913 Project # JS- 2013- 000323 Est. Cost: $23526.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SCOTT KEITER 102457 Lot Size(sq. ft.): Owner: LULENTINI ERIC & SANDRA Zoning: URC(100)/ Applicant: SCOTT KEITER AT: 61 CRESCENT ST 8 Applicant Address: Phone: Insurance: 51A HATFIELD ST (413) 320 -9035 WC NORTHAMPTONMAO1060 ISSUED ON:4/11/2013 0:00:00 TO PERFORM THE FOLLOWING WORK: REPLACE 10 X 20 DECK & PAVER PATIO 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 4/11/2013 0:00:00 $50.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner