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31B-244 (12) Scott Keiter<scottkeiter @gmail.com> Jordan House 2 messages Louis Hasbrouck <Iasbrouck @northamptonma.gov> Tue, May 19, 2015 at 12:05 PM To: Scott Keiter <scottkeiter @gmail.com> Scott, There are 2 HVAC chases in the ,Jordan House project. Under Build/Install items, 200T1 and 300T1: "Frame new 25' HVAC/plumbing chase with 2 access panels above toilet stalls. Sheetrock, tape &finish." We want to inspect the chases before they're covered (fire stopping, etc). Make the permit fee$100 for Jordan and call for inspections of the chases. Park is a $55 permit fee Thanks. Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413) 587-1240 office (413) 587-1272 fax Scott Keiter<scottkeiter @gmail.com> Tue, May 19, 2015 at 4:08 PM To: Louis Hasbrouck <Iasbrouck @northamptonma.gov> Ok. Thank you. [Quoted text hidden] Scott Keiter Keiter Builders, Inc. 35 Main Street Florence, MA 01062 Phone: 413-586-8600 X303 Fax: 413-280-0124 www.keiterbuilders.com PARK HOUSE (REV 05.15.15) May 15, 2015 Description Cost'` Trenching for Electrical. ALLOWANCE=$1,000 1st Floor $1,000.00 100D ALLOWANCE: $1,000.00. Back nail subfloor following demolition $Y Fireplace and gas Portable Toilets (2)Toilets(NIC) E' Remove all books&games Replace window blinds with new Retained Furniture Removal and reinstallation of college retained furniture Tag all furniture Toilet Paper Holders&Sani Cans Fire strobes need to be clarified in Elec SOW Kitchen plumbing fixtures Verify sink faucet,on demand hot water,&dble ss undermount sink specs with college Project Total $173,434.70 We appreciate your business and look forward to working with you. Approved By: Date: Date: Contractor Customer Keiter Builders, Inc., License#: 102457 4 PARK HOUSE (REV 05.15.15) May 15, 2015 Description Cost` 1 st Floor 100K Supply&receive dishwasher and range.MATERIAL ALLOWANCE=$850 100L Install casters under piano for mobility during construction. 1001- Reinstall 4 pieces of artwork with security hardware. 100S Install custom millwork desk and custom wood paneling into brick opening.Supplied by Westek. 2nd Floor $2,050.00 200T1 Remove shelf located on bathroom partition and move to exterior wall.Does not include blocking. 200T1 Patch FRP where old partitions were connected 200T1 R&D 4 existing toilet partition frames&doors,1 tub area partition door. 200T1 Repair broken FRP behind shelves/between windows.One sheet. 3rd Floor $1,500.00 300T Patch FRP where old partitions were connected 300T R&D 4 toilet partition,frames,and doors and 1 tub area partion frame and door. 300T Remove shelf located on bathroom partition and move to exterior wall.Does not include blocking. General $4,300.00 Existing Window Blinds Remove and dispose of existing window blinds Floor Protection 100ST2,200ST2,300ST2,200C1,30001,100L,100P Materials Running Move existing appliances to accommodate work Receive Corian&Millwork Temporary Finish Protections 1001), 100S Baseboard/transition needed if wood floors are chosen.Supplied by sub.ALLOWANCE_$3,500 Plaster Patch&Repair. ALLOWANCE=$6,750 Repair/Prep Floors ALLOWANCE=$5,000.100K,100D,100S,200T1,300T1 Keiter Builders, Inc., License#: 102457 3 PARK HOUSE (REV 05.15.15) May 15, 2015 Description Cost Flooring Flooring(SUBCONTRACTOR) PO#176 Mercier Carpet Painting $16,900.00 Painting(SUBCONTRACTOR) PO#173 Coffey&Heady Vinyl Wall Covering $11,000.00 VWC(SUBCONTRACTOR) PO#173 Coffey&Heady Partitions(SUBCONTRACTOR) PO#175,182 J.Sallese&Sons Shower Caulking ALLOWANCE Remove&replace caulking in 6 shower stalls.ALLOWANCE_$2,700 Relocation of Furniture(SUBCONTRACTOR) ALLOWANCE:PO#163(MB)Boomerang Storage Plumbing(SUBCONTRACTOR) PO#177 MJ Moran Plumbing(SUBCONTRACTOR) PO#193 MJ Moran Plumbing(SUBCONTRACTOR) PO#192 MJ Moran Electrical(SUBCONTRACTOR) PO#174 Graham Electric.Value Engineered w11000 cans. v 1 st Floor $9,252.00 100K R&D stove,sink,coffee maker,dishwasher.R&D composite counter,sink,and base cabinets.R&D old SS counter and base cabinets. 100K Install(Wall B)counter base cabs 100K Install base cabinets and countertops. Keiter Builders, Inc., License#: 102457 2 PARK HOUSE (REV 05.15.15) May 15, 2015 Jaime Masick SCOPE Keiter Builders, Inc. 35 Main Street Florence, MA 01062 KEITER Office 413-586-8600 License #: 102457 11BU I L D E R S CN Project Customer PARK HOUSE (REV 05.15.15) Smith College - 126 West Street Northampton, MA 01060 _ I RESIDENTIAL HOUSING UPGRADES 2015 (FINAL EDITION - DRAFT) Description Cost' Blueprints&Reproduction ALLOWANCE=$250.00 Demolition(SUBCONTRACTOR) PO#194.SMS Dumpster(s)-Standard ALLOWANCE=$5,000 General Cleaning ALLOWANCE=$1,000 Insurance ALLOWANCE=$3,000.00 Permits ALLOWANCE=$2,000 Millwork&Corian(VENDOR) PO#180 Westek Acoustical Ceiling Tile(SUBCONTRACTOR) PO#172 BAIRD CEILING Flooring $30,220.00 Keiter Builders, Inc., License#: 102457 1 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: 2�& —�� mil) qVy" The debris will be transported by: V The debris will be received by: Building permit number: Name of Permit Applicant t�-44-Y- K41t416Cv� Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents w Office of Investigations a I Congress Street,Suite 100 t Boston,MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Hanle (Business/Organization/Individual): �� S � Pt C Address: 3,5,- kt4,4 ✓N, - City/State/Zip: F(Z4ktA4,Q A,�,+ 0106_-- Phone #: Are you an employer? Check the appropriate box: Type of project(required): am a employer with 4. ❑ I am a general contractor and 1 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. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working or me in an capacity. employees and have workers' g Y P Y• 9. ❑ Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. ❑ We are a corporation and its 10.El Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1 l.�umbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.[ ther i x comp. insurance required.] *Any applicant that checks box#1 must also till 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. �1- Insurance Company Name: 1 — Policy# or Self-ins. Lic. 66Rh S6 s— ?-cya ) y Expiration Date: t Job Site Address: /C�(l Leo� S_A City/State/Zip:�li✓ .C,ey(J X'4,+ V 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 ee y under the pains and penalties of perjury that the information provided above is true and correct. Si nature JdA Date: Phone #• �l� S-8 8-6 Cep 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#: Pon I Version 1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Karla Youngblood on behalf of the Trustees of Smith College as Owner of the subject property hereby authorize Keiter Builders, Inc. to act on my behalf, in all matters relative to work alluthorriized by,this building permit application. Karla Youngblood DN:c %b1..db1� 5 ithCollege.ou FanlitiesManagemem, 05/13/2015 mail ky ungblood@s 'hed,r—U5 D­:2015.05.19 M04:28 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 penalti s of perjury. Print Name C Sig a ure f O Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed construction Supervisor: Not Applicable ❑ Name of License Holder: ✓�T ' � "/ S License Number Address Expiration Date k 1-4- ig re Telephone SECTION 13-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 ing permit. Signed Affidavit Attached Yes No 0 Version 1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable ❑ Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Not Applicable ❑ Company Name: Responsible In Charge of Construction Address Signature Telephone Version 1.7 Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING 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 parkin R) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ver been issued for/on the site? NO 0 DON'T KNOW YES 0 IF YES, date issued: IF YES: Was the ermit recorded at the Reg ry of Deeds? P g NO 0 DON'T KNOW YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW &ES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Q , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 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 I 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 0 NO Q IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version 1.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition❑ Repairs Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing❑ Change of Use❑ Other ❑ Brief Description Enter a brief description here. Of Proposed Work: N\j 5C . 1 '",:b" SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 11 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 513 ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sf) 1 S� 1 St 2nd 2nd 3rd 3`d 4m 4th Total Area (sf) Total Proposed New Construction (sf) Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c. 40, §54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system❑ Versionl.7 Commercial Building Permit May 15,2000 Department use only `; ! ity of Northampton Status of Permit: MAY 2 wilding Department Curb Cut/Driveway Permit lUt J....:% 212 Main Street Sewer/Septic Availability E)ecfnc, Piumt,in - --1 Room 100 Water/Well Availability: Northam to n Gn5 Inspecuolq rthampton, MA 01060 Two Sets of Structural Plans p MA 01060 p o -587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Pr9Qertv Address: This section to be completed by office r f-kk4 d'— Map Lot "'( Unit Zone Overlay District ��,,� 1 /vll► Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: The Trustees of Smith College 126 West Street, Northampton 01063 Name(Print) Current Mailing Address: (413) 585-2374 Signature Telephone 2.2 Authorized Agent: Name(Print) Current Mailing Address: 1/3 5-S6 Signatur / Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building /(,/ -3- _ CJt) (a)Building Permit Fee 2. Electrical I d ELI (b)Estimated Total Cost of o Construction from 6 3. Plumbing /D 'O S, -727D Building Permit Fee 4. Mechanical(HVAC 5. Fire Protection 6. Total= 0 +2 +3+4 +5) ��"�j 'A 3`'t • Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2015-1154 APPLICANT/CONTACT PERSON SCOTT KEITER ADDRESS/PHONE 51A HATFIELD ST NORTHAMPTON01060(413)586-8600 Q PROPERTY LOCATION 134 ELM ST-PARK HOUSE MAP 31B PARCEL 244 001 ZONE EU(100)/URC(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 Tyyeof Construction: MISCELLANEOUS FINISHES 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 RMATION PRESENTED: 17pproved 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 s 2-1 Signature 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. 134 ELM ST-PARK HOUSE BP-2015-1154 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 3 1 B-244 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-2015-1154 Project# JS-2015-002066 Est. Cost: $173435.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: SCOTT KEITER 102457 Lot Size(sq. ft.): 11151.36 Owner: SMITH COLLEGE OFFICE OF TREASURER Zoning_. EU(100)/URC(100)/ Applicant. SCOTT KEITER AT. 134 ELM ST - PARK HOUSE Applicant Address: Phone: Insurance: 5 1 A HATFIELD ST (413) 586-8600 O WC NORTHAMPTONMA01060 ISSUED ON.512112015 0:00:00 TO PERFORM THE FOLLOWING WORK.MISCELLANEOUS FINISHES 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 Siiinature: FeeType• Date Paid: Amount: Building 5/21/2015 0:00:00 $55.00 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner