38B-122 (3) I� B U I L D E R S h
SCOPE OF WORk,.
Jt�Nl 12l. M4
C USTOME,R NAME: 'tike& Betsy Stein
ADDRESS: 14 Columbus Ave., Northampton, MA
ESTIMATED START DATE: Summer, 2014
ESTIMATED PROJECT RUN TIME: 3—4 Weeks
BATHROOM REMODEL
• 'I his includes the followint:
Permit application, tees, and inspections
Subcontractor procurement and nlanagement
Demolition and debri> remo,_l
0 Site set-up and breakdown
Project isolation,tent enclosures. floor protection,cleaning. etc..
• C)emolition and debris removal of the lbllo%Ving:
D Fisting tile floor and subtlooring do\tn to original Strbflo<"
Shower vval)s.vanity, toilet. windtaw casing. doorcasing,. misc.
Vxterior walls to remain in tact
Tub to remain in tact. Comract does not include pulling t 11
• Labor and materials for the fc�lic�winsz,
o Set netia vanity, top. and backsplash
c� Install medicine cabinet. umel racks, toilet paper holder.etc.
Misc. ,hail repairs. It is assumed that 4v<�alls will be patched and skim coated where necessary
o Install new casing<,an vvindow and door
o Extend bottom of door slab
<, Fabricate and install custorm cabinet above toilet{S'€00.00:A.LLOWA\CE)
• Fixture Allowance: See Plumber(John Geryk)contract for cov,�red materials
SUBCONTRACTORS KB marks-up Subcontractors by I
PLUMBING: �(,f_t)1L';>N('[:t)}'
%2,605.60. See estimates M 10& 31 1. John Geryk
• ELECTRICAL: ALLOWANCE OF$500.00
■ REFINISH T(13: AL.E.OWANC F OF$500.00
•
FLOORING AND III L: At.i.,OW'ANC 1, -$4.077_51. See estin-ate 3319 from S.T. Floor Covering
• VANITY TOP. SPLASH. SINK: A1_10WANC I.'= %2,7W O()
EXCLAIJSIONS:
■
GLASS SHOWE1:R DOOR. Ct RTAIN ROE), TOILET PAT'E:R HOLI)ER. MUNCINE CABINET,TOWEL RACK.
ANY PRIMING OR PAINTING,TOILFT(RE-T SE EXISTING). ANY INSt_LAIION
REQI...IIREI) TO SUB.MiT TO SUICH ARBITRATION AS PROVIDED IN MASS. CENFRAL LAWS,
C.142 A.
KEI J BUILDERS, INC. OWNER
/A
U
Scott Keiter,President Date Date
Date
NO fff. ,T:
THE SIGNATURES OF I I iE PARTIES ABOVE APPI.-Y ONLY TOTHE AGREENIL"N I OFTIIF' PARTIES
f'O ALTERNATiVF., INITIATI_-D BY Till" CONTRACTOR. THE' OWNF.R MAY
INITIATE; ALTI"'RNATIVE' DISPUFF" RESOLUTION E'VLIN WHFRE THIS SLCTIOIN IS NOT
SEP,NRATELY SIGNED BY THE PARTIES. THF RIGHT TO INITIATI` ALTU-IRNATIVI", DISPUTI",
RESOLUTION SHALL END TWO YEARS Al"I'l.".RTHE DATE OF THIS AGREEMENT.
iVOTICE:
THE SIGNATURES OF THF, PARTIES ABOVF, APPLY (-)N[,,)' '1'(.) '1'1-1F. AGREEMENT OF -FHE PARTIES
TO ALTERNATIVE DISPUITI-11' SE'l"I'l..EMEN-l' INI'I'IA'1'1.,,I.) BYTIJE CONTRACTOR. THE OWNER MAY
INITIATE ALTERNATIVE DISPL'ITE RI'SOL NUTIO LVE N WHI-RI.`.' E T
THIS SCTION IS NO
SEPARATELY SIGNED By THE PARTIES. THE RIGHT TO INITIATE ALTI`RNATIvf-,, Dism,"I'l'
RESOLUTION SHAT.J., END Two YF'ARS AFTF,R THE DATE OFTHIS AGREEMENT.
MIS-CELL L4 NEO_US:
This agreement is a Nlassachusetts 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 LIS,
the
this aL!reen1C111 is subicct to and is intended to cj)jjjpjv with the provisions of Chapter 142A of
Massachusetts General Laws and its corresponding regulations.
Owner understands and acknowledges that Kelter Builders, Inc. may use any photos taken during the course of
work for promotional purposes. This may include, but is not limited to. the following: Website. newspapers,
,journals, magazines, posters, and flyers.
RIGHT TO_C41VCE1, CONTRACT:
YOU MAY CANCEL THIS AGRFEMEINT IF IT HAS BEEN SIGNFJ) BY A PARTY THERETO BY
FORWARDING YOUR INTI:'NT TO CANCEL IN WRITING BY ORDINARY MAIL POSTED, BY
TI-1117 ;RANI SENT OR BY DF.I.-IVERY. NOT LATE'R THAN MIDNIGHT OF T1,11; THIRD BUSINESS
DAY FOLLOWING THEE SIGNING OF THIS ACRE F"MEN"L
of conservation commissions, are required to he obtained before Keifer Builders. Inc. can obtain their permits, it
is vour obligation to satisfy such requirements and you shall meet those requirements at your cost.
ST,dRT1NG_AND E DLNG D4 TES:
Keiter Builders, Inc. will apply for the permits within 7 days) of signinb 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 darts) of' obtaining, the necessary permits and expects to have the work substantially
completed within 30 day (s)of starting.
ll'Keiter Builders, Inc. is delayed at any time. in the progress of completing the work, due to acts of Clod. 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, unavoidablo casualties, difficulty in obtaining fuel, electricity, services or supplies
from the source,, from which they arc normally obtained, or other causes reasonably beyond my control, then
Keitcr Builders. Inc. may rcasonabk extend the date: for substantial completion. If the work is not substantially
comp!,�te by the ending ditto as cmcnd;-d, Kc.tcr Ouddcrs, Inc. will not 10c liable to you for any Incidental or
consequential damages VOL) nta-,,' 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 `i days before they are needed for the work. If they are not
delivered on a timel4 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 ND P11 YME VT STEWED T.I_',
The total price for perforr_.iing the work and supplying the materials under this Agreement is
Seventeen Thousand Hundred and,Sixty Five Dol,lars,(`±;17,265.00) DOLLARS. Payrttents against work
completed and materials delivc �ed 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.
13 of project cost due with signed contract (S5,755,00)
1/3 of project cost due at rough framing inspection (55,755.00)
Final payment due at Substantial Completion. (55,755.00)
.All sums not paid before substantial completion of the �aork va�ill 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 (W,'O) percert or at the maximum legal rate whichever is Less. in the event that Keiter
Builders, Inc. incurs costs or expenses in collecting am% payments due and unpaid under this Agreement. you
shall pay such costs and expens::s including reasonable attorney fees.
If you fail to make any payments when they, arc due. them Keiter Builders, Inc. may immediately stop work.
Keiter Builders.. file, nay choose to not start work again until you are current with the payments and Keller
Builders, Eric. feels secure in obtaining the rcmainino payments. If there is any Stoppage in work due to your
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.
...........
CONSTRUCTION AGREEMENT
Keiter Builders, Inc., of Northampton, MA whose federal fax Identilication Number is 27-2518846,
Contractor's Registration 'Number 17,>168 (11,
- Is
xp. 04-19-20151. and IJcens, .1102457 (Fxp. 06-,�O '10 1 41i.
entering into this Aoreernent with you %Jike & BetsN Stein of'14 {..'olambus Ave.. North ampion. VIA.
AL,L RESIDENTIAL, CONTRACTORS AND SUB(''ONTRACTORS ARE REOUIRFD 11.) BE
REGISTERED wiTH THE MASSACHUSETTS BOARD OF BUILDING RFGIJ;t'..ATIONS AND
STANDARDS, UNLESS SPECIFICALLY EXEMPT FR(,)M REGISTPLATION. 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 HIORK:
Keiter Builders, Inc. will perij)rm the work- set forth in the attach.:!d Scope of Work on your home. or the
prol-.)ert-, located at 14 C011.1nibus Ave.. Nord-ran 1) 'A"01.1k: like to chan-e any work to be
JA, If VOLI
performed or materials used. we will have to make such changes through a Change Work Order. which 111a\
C., C, -
also change ie tile total price and extend the date for completion. Change Ordcrs will be handled on a time and
material basis. Keiter Builders. Inc. reserves the rl(-,Iit to make minor chantles 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 ()round, 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 Or-der. which shall increase the total price and extend the date for
substantial completion of the work.
PF.RMITS.
To perform this work, Keiter Builders. Inc., or subcontractors hire(] by Keiter Builders. Inc.. will obtain. on
your behalf-, the following permits (if required):
X_ Building Permit __N Electrical Permit Smoke Certificate
Plumbing Permit Demolition Perinlit
................ Certificate of'Occupancy
IT IS THE: OBLIGATION OF KEITEIR BUILDERS, INC. TO OBTAUS, THESE PERMITS AS YOUR
AGENT. IN THE EVENT THAT KEITER BLIJLDERS, INC. DOES NOT OBTAIN THESE PERMITS,
AND YOU OBTAIN THEM, OR IF KEITER BUILDERS, INC. IS NOT REGISTERED WITH THE
BOARD OF BIJILDING REGIJI-ATIONS, YOU WILL NOT BE ENTITLED TO OBTAIN ANN`
BENEFITS FROM THE. GUARANTEE FUND ESTABLISHED UNDER MASSACHUSETTS
GENERAL LAWS CHAPTER 142A.
Keiter Builders. Inc. obligation to obtain permits is limited to those permits Jirect 1\1 related to Performing the
work Keiter Builders, Inc, agrees to do. To the extent that other permits or goVerrimental or regulatory agency
approvals, such as. but not limited to, zone changes, variances. special permits.. site plan approvals., or '
approvals
' CITY OF NORTHAMPTON iv
Construction Debris Affidavit
In accordance with the provisions of MG.L. c. 40 § 54, all debris resulting•from any work
_CWere d:by-a-B-uitding-Perm'it-shall be disposed-of.in a-properly licensed.disposal facility,
as defined by M.G.L: c.•I I I § 150A. .
Address of Work: _
P4�
e-debris_will.be-.transported by: -e, -- q&{/-5 Mc
will. receivedTe e . . VIA
- Signature of PermitfippGcant
Date t0 l
Building Permit Number:
- - T
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
I Congress Street, Suite 100
Boston,MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibl
N amt ($xusiSs ,QgaritioIndidual) .?mot -�� `� V1 C
GitylState/Zip: Kt 0 Y-}kaNt,4�,v LA M b (t)l�o. Phone'�#'< 4(3 . �$6 ` S fob b
Air yot% n�empld��r? Chiecwifi tappro'priate`bk: TypW o�f pr jRO e 0
l X 1 am an employer with__&_ 4. 111 am a general contractor and I 6. ❑ New construction
employees(full and/or part-time).* have hired the sub-contractors 7. ❑ Remodeling
listed on the attached sheet.
2. ❑ I am a sole proprietor or partner- These sub-contractors have 8. 0 Demolition
ship and have no employees employees and have wor4rs' 9. ❑ Building addition
working for me in any capacity. comp. insurance.$
[No workers' comp. insurance 10.❑ Electrical repairs or additions
required.] 5. ❑ We are a corporation and its
` officers have exercised their 11.❑ Plumbing repairs or additions
3. ❑ I am a homeownerSeattle8 doing right of exemption per MGL c. 12.❑ Roof repairs
all work myself. [No workers' 152, §1(4),and we have no
comp. insurance required.] t employees. [No workers' 13.❑ Other
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.
am an employer that is provitling workers'compensation insurance for my employees. Below is the policy and job site
information.
Inuranc . omay am TV
Policy#tr Self=is I ic.# 8� (PS �- 3 Ezpiiahou`Da#e
p
io � ity/State ZoMY effl eAI' �ca
L � i
s o p- -,,� � - � ra a
Attach a copy of the workers' compensation policy declaration page(showi8g 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
tine 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 D1A for insurance coverage verification.
I do hereby rtify un the pains and penalties of perjury that the information provided above is true and
correct./_ f
Signature:
Phone
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 S. Plumbing Inspector
6. Other:
Contact Person: Phone#:
ZAWorkers Comp Aff-Highlited.doc
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: C�-T K�' r 1`-.__ C5 - 167-4,5"7
License Number
log � � � • � - ►�o
Ad ress Expiration Date
IV ure Telephone
9.Reaist red Home Improvement Contractor: Not Applicable ❑
Lt7elz VLG - 11 .5 [ i��
domoany Name Registration Number
Address Expiration Date
T0'16.Xone��"�
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 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(Workers'Compensation) and Chapter 153(Liability of Employers to
Employees for injuries not resulting 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
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [01 Decks [Q Siding[o] Other[E3]
Brief Description of Proposed yv
T��� ,�OcL
Work: '[6 ,v^`
Alteration of existing bedroom Yes No Adding new bedroom Yes t< No
Attached Narrative Renovating unfinished basement Yes _X___No
Plans Attached Roll -Sheet
6a. if New house and or addition to existin4 housing, Comolete 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 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. 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
i, , 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
I,'77W ' N C 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 ins and penalties of peg.u ry.
-�
Pri Nam
g ure of Own 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 Heigh[
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 DON'T KNOW ICK YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Re istry of Deeds?
NO 0 DON'T KNOW YES
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO W DON'T KNOW 0 YES l
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES Q NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO Cr
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading, ,eavation, or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Department use only
�( City of Northampton Status of Permit:
Building Department Curb CutfDrIveway Permit
���
1i 212 Main Street Sewer/Septic Availability
2014 Room 100 Water/Well Availability
orthampton, MA 01060 Two Sets of Structural Plans
tectric, Piurnbing&Gas 1 13-587-1240 Fax 413-587-1272 PlottSite Plans''.
Northan,ptcn. MAn;1.W
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
I'- W L.WW5 -Vt Map Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Name(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Agent:
Sc>nl-t- �fi �G�• 'C�/L 1 ut�IfJ�• ��N4� S;T tOgeg f,kt 10 f
me rint) Current Mailing Address:
i nature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
com feted by ermit applicant
1. Building 17 n LPS•bb (a) Building Permit Fee
2. Electrical L (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total= (1 +2+3+4+5) 1-7 Ito 5,ev Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2014-1342
APPLICANT/CONTACT PERSON SCOTT KEITER
ADDRESS/PHONE 51A HATFIELD ST NORTHAMPTON (413)320-9035
PROPERTY LOCATION 14 COLUMBUS AVE
MAP 38B PARCEL 122 001 ZONE URB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Tvpeof Construction: REMODEL BATHROOM
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 FOLLO G ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INF R TION 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
Demolition Delay
Si ure of Buil mg 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.
14 COLUMBUS AVE BP-2014-1342
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map Block: 38B- 122 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-2014-1342
Project# JS-2014-002249
Est. Cost: $17265.00
Fee: $103.00 PERMISSION IS HEREB Y GRANTED TO:
Const. Class: Contractor: License:
Use Group: SCOTT KEITER 102457
Lot Size(sg. ft.): 3833.28 Owner: STEIN MICHAEL K&BETSY J MURRAY
Zoning: URB(100)/ Applicant: SCOTT KEITER
AT. 14 COLUMBUS AVE
Applicant Address: Phone: Insurance:
5 1 A HATFIELD ST (413) 320-9035 WC
NORTHAMPTONMA01060 ISSUED ON.611612014 0:00:00
TO PERFORM THE FOLLOWING WORK.REMODEL 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:
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 6/16/2014 0:00:00 $103.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner