23C-047 Az
File#BP-2017-0116 qd ti A I
APPLICANT/CONTACT PERSON KEITER BUILDERS
ADDRESS/PHONE 35 MAIN ST FLORENCE0I062(413)586-8600 0 nr
josLO
PROPERTY LOCATION 32 WILLOW ST r
MAP 23C PARCEL 047 001 ZONE URA(105)/WSP(104)/WP(39V
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT U �/
Fee Paid �/ / Icr/'2 7
Building Permit Filled out
Fee Paid
TypeofConstruction: EXTEND PORCH MUDROOM ADDITION,ADD BEDRM IN EXISTING
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 102457 yy,
3 is of Plans/Plot Plan 71- /G( /LON/ C
THE OLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
IIF RMATION 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 Pennit DPW Storm Water Management
olition D lay
Signature of Building O' 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.
r
-it . El II Department use only
1 ity of Northampton Status of Permit:
JUL Z 7 ZUIB ' ilding Department Curb Cut/Driveway Permit
Jw 212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
DEM orewoiMC lnsvccn°MaN0 ampton, MA 01060 Two Sets of Structural Plans
NORIVAMF'. MA atom
p one 413-587-1240 Fax 413-587-1272 Piot/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
Map Lot Unit
32 Willow Street
Florence, MA 01062 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
9.1 Owner of Record:
Erica Sharrer&Jody Barker 32 Willow St Florence MA
Name(Print) Current Mailing Address. 413-320-9035 617-216-5988
Please see signed contract Telephone
Signature
2.2 Authorized Agent:
Keiter Builders, Inc 35 Main St Florence, MA
Na o'ring Currant Mailing Address:
President, KW 413-586-8600
Si/alure Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1 Building $174,402.67 (a)Building Permit Fee
2. Electrical $9,137 (b)Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee
4 Mechanical(HVAC) $8,436
5 Fire Protection I�
J `. T (1 +2+ 3+4 +5) $191,9/5.6/ Check Numbers 5797 6 /1 �
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
Section 4. ZONING AU 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 Site
Frontage
Setbacks Front
Side I.: R: L: R:
Rear
Building Height
Bldg.Square Footage 9c
Open Space Footage
(La arca meats bag&paved
pnrkinol
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DON'T KNOW YES O
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO (3 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 Q
IF YES, describe size, type and location:
E Will the construction activity disturb(clearing,grading,excavation, or filling)over 1 acre or is it pal of a common plan
that will disturb over 1 acre' YES (3 NO O
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House I Addition ❑✓ Replacement Windows Alteration(s) j Rooting n
Or Doors 0
I--�
Accessory Bldg. 1, I Demolition ❑ New Signs C] Decks i, Siding CI] Other IO)
sem: A , A isir / y ( ril
Brief Description of Proposed w porch nd additi�n (see attached plans) I
Work._.. ,_.....
Alteration of existing bedroom Yes No Adding new bedroom_ X Yes No
Attached Narrative Renovating unfinished basement __Yes No
Plans Attached Rot .Sheet
Ba. It 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 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
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
Jody Barker& Erica Scharrer as Owner of the subiect
property
hereby authorize Keifer Builders no
to act on rim hehrtf in all matters relative to work authorized by this building permit application.
So- att. hed aimed contract 07.19.18
sure of Owner Date
I, Kejter Builders Inc , 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 Ke' Nr _....
P /Name
�'�'/"y`�•,C��—••..G Prx‘xideni,Keller Builders.Inc. QZ i9.)8
Signature 0 Owner/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:Scott Keifer CS-102457
License Number
51 A Hatfield St Northampton MA 01060 6.20.16
AddreExpiration Date
President, Keifer Builders, lee 413.586.8600
Signature Telephone
9, Registered Home Improvement Contractor: Not Applicable ❑
Keiter Builders Inc 175168
Company Name Registration Number
35 Main Street Florence. MA 01062 4.29.17
Address Expiration Date
Telephone 413.586.8600
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(I) 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‘v Ell be required from time to time,during and upon
completion of the work for which this permit is issued.
Also he 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
32 WILLOW ST BP-2017-0116
019#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 2301-047 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ADDITION BUILDING PERMIT
Permit# BP-2017-0116
Project# JS-2017-000192
Est.Cost: $191976.00
Fee: $1247.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
llse Grouo: KEITER BUILDERS 102457
Lot Size(so.lt,): 31101.84 Qwner: BARKER JODY P&ERICA SCHARRER
Znnina: URA(105VWSP(104yWP(39)/ Applicant: KEITER BUILDERS
AT: 32 WILLOW ST
Applicant Address: Phone: Insurance:
35 MAIN ST (413) 586-8600 1') WC
FLORENCEMA01062 ISSUED ON:8/16/2016 0:00:00
TO PERFORM THE FOLLOWING WORK EXTEND PORCH, MUDROOM ADDITION, ADD
BEDRM IN EXISTING
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 8/16/2016 0:00:00 $1247.00
212 Main Street,Phone(413)587-1240,Fax;(413)587-1272
Louis Hasbrouck—Building Commissioner
The Commonwealth of Massachusetts
Department of Industrial Accidents
=3)1r it C/fficeofInvestigations 1 Congress Street,Suite 100
Roston,MA 02114-2017
www.mass.govtdia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Keller Builders, Inc
Name (BusinessfOrganirationttndividutal):
Address:35 Main Street
City/State/Zip:Florence, MA 01062 Phone N:413.586.8600
Are you an employer? Check the appropriate box: 'Type of project (required):
I.g I am a employer with 15 4. I am a general contractor and I 6. a New construction
employees(full and/or part-time).* have hired the sub-contractors
2.® t am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling
ship and have no employees These sub-contractors have 8. a Demolition
workingfor me in anycapacity. employees and have workers'
9. is Building addition
[No workers' comp. insurance comp. insurance.,
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3.0 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 MGI. 12 Roof repairs
insurance required.] * c. 152, §I(4), and we have no
employees. [No workers' 13.0 Other
comp. insurance required.]_
*Any applicant that checks box fr l must also till out the section helms showing their workers compensation policy information.
'I1 m:owners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new a nidavit indicating such.
:Contractors that check this box most attached an additional sheet showing.the name of the sub-contractors and.state whether or not those entities have
employees. If the,sub-rcNmc,ors have employees,they must provide their v orkers corp_policy number_
I am an employer that is providing workers'compensation insurance for my employees. Below is the police'and job site
information.
Insurance Company Name:Arbella
Policy b or Sc)I ins. Lie. 4;9127440615
Expiration Date:6.11.17_
32 Willow St Florence
Job Site Address: City/State/Zip:
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 ofa
fine up to$1.500.00 and/or one-year imprisonment, as well as civil penalties in the form ofa 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 he forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby rtify under the pains and penalties of perjury that the information provided above is true and correct.
07.19.16
Keller Builders, Inc.
^yl•na[ure: President, Date:
hone#: 413.586.8600
POfficial 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):
I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone #:
Williamsburg, MA
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: 32 Willow ST Florence
The debris will be transported by: Keifer Builders Inc
The debris will be received by: DuseauTruckino
Building permit number:
Name of Permit ApplicantjcaKeifer Builders Inc
0429 16 "�✓�' President.Keller Builders. Inc
Date Signature of Permit Applicant
BARKER - SCHARRER SCOPE OF WORK July 18, 2016
Scott Keiterr S. . PE
•
Keiter Builders, Inc. L., LIP -✓tI- Li11
35 Main Street
Florence, MA 01062 ;: KEITER.
Office 413,586.8600 ;, h
Fax 413,280.0124 t., ,..' BUILDERS
scottkeiter@gmail.com
www.KeiterBuilders.com
License 1f: 102457
Project rCustomer
BARKER-SCHARRER SCOPE OF WORK ' Jody Barker& Erica Scharrer
32 WILLOW STREET 32 Willow Street
FLORENCE, MA 01062 Florence, MA 01062
- SCOPE OF WORK BASED ON PLANS NAMED"BARKER-SCHARRER RESIDENCE" BY JODY BARKER DATED 06.14 16
' Description _.- _ .
Cont 'i
GENERAL.et REQUIREMENtSr r ". • , ; fj"` ;;;•:"
,.
Administrative Requirements
Building Permit
Dumpsterts)
Dust Control/Negative Pressure
Equipment
Staging,ladders,planks,etc.
-Transportation,set-up/breakdown
Materials Running
Portable Toilet
Progress Cleaning
Project Management/Coordination
Site Set-Up 8 Breakdown
•Mobilization&Final Breakdown
Temporary Protections
Temporary Protections-Weather
m G
MUDROOM/KITCHEN AREA
Demolition
Selective Demolition
-Siding,wall studs Interior plaster/drywall,miscinterior near pantry area,temp shoring,cut pass through
ADDITION AREA
Demolition
Pavers
Remove and stack existing concrete pavers onto pallets located on-site
Keifer Builders, Inc License#' 102457 1
BARKER - SCHARRER SCOPE OF WORK July 18,2016
Description _.. Cost
{ate . .Y". :" -^ I�xm s , '•:' x.... f. 'x1"°".'wt"
ADDITION AREA
Demolition
Root Assembly-Dining Room
-Hip root system down to top plate
Dispose of all debris
Pull back siding as required on main home
FRONT PORCH AREA
Demolition
Existing Entry steps/landing/root
-Demolition of existing
Open siding as required
„ :-> t : s
Concrete Contractor
-See Division 31 Earthwork.Subcontractor Told Alexander
Foundation Work-Misc.
-Pinning,modification of existing as required
• yy •
AF, S _ . '( .v .t: .. . . „. y.nt Y_
MUDROOM/KITCHEN AREA
Finish Carpentry
Closets
Custom shelving in pantry closet
Single shelf and closet pole in mudmom
Interior Trim
-Baseboard trim,mmc.moldings
Framing
Framing/Building Envelope
-New header for existing exterior wall
•Modify existrg floor box as required
Install new Joists/rim
-Install new floor sheathing
-New exterior wall System
-New rafters and sheathing
Partition walls
ADDITION AREA
Finish Carpentry
Bedroom Closet Shelving
Single shelf and closet pole
Interior Trim
-Supply and install clear pine baseboard,window casing,door casing,window sloe's/aprons
-Approximately 135 LI M baseboard
-161 window openings
Keifer Builders, Inc., License#: 102457 2
BARKER - SCHARRER SCOPE OF WORK July 18, 2016
Description Cost
ADDITION AREA
Framing
Framing-New Addition
-Floor Joists.floor sheeting,exterior walls,partition walls,rafters,ridge pole,wall sheathing.roof sneating.lyvek,furring,hardi-panel
Roof Assembly over Dining Room
install new headers along wall tops
install new rafters and structural ridge pole
•Install new roof sheathing
General Carpentry
Deck
•Frame
•Install concrete pad with keyway for stringers to land on
•Install Trex transcends deck planks with concealed fastening system
•Custom steel guardrail allowance. 81,700.00
Interconnection to Existing
-Create opening In gable end of existing dining room
New wood stairs to rear door
•Install(1)concrete pier
•Install(1)concrete pad for stringers
-Install 4 x 0'platform with PT deck planks
-Install steps with PT deck planks and riser
No guardrail
FRONT PORCH AREA
General Carpentry
Front Porch(Complete)
•Approximately 6'x 28'
-Prepare existing home to accept new porch
•New plsts,rim,connection to existing home,posts to piers,decorative/structural fiberglass posts($4W allowance each),framed flat ceiling.
rafters,roof sheathing,beadhoard ceiling(pre-primed finger jointed),mahogany clear sealed floor,cedar railing system,floral trim,misc.
decorative moldings,Fascia,box frame for cedar lattice,miSC.siding repairs and re-connection to existing
Gutters
Gutter Contractor
-Allowances.$2,500.00
Insulation
Insulation Contractor
-See Builders Installed Products proposal dated 06 27 16 in the amount of 811.675 00
Roofing
Roofing Contractor
Allowance.$7,000.00 Standing seam metal roof at front porch roof and asphalt shingles at new addition/dining area
Doors
Doors(Installation)
Keiter Builders, Inc, License it 102457 3
BARKER - SCHARRER SCOPE OF WORK July 18, 2016
Description Cost
Doors
Doors(Materials)
-Allowance. $3.000.00
Windows
Windows
Allowance. $970000
•Includes exterior door on of addition
Windows(Installation-Inserts)
(5)Total
Windows(Installation New Construction)
-(7)new construction openings in Addition
M 3,yyy-(1)new construction openings in Kitchen/Mudroom
Drywall
Drywall Contractor
•See Baird Ceiling Systems proposal dated 070716 in the amount of 52 050.00
Flooring
Flooring Contractor
-See S T Floor Covering estimate p 4958 dated 0708.16 in the amount of$4 709.75
Painting
Exterior Paint
Allowance_ $3500.00
Interior Painting
-See Bannister Painting proposal dated March 15 2016 in the amount of$3,850.00
MUDROOM/KITCHEN AREA
Siding&Trim
Siding&Exterior Trim
-Install vinyl siding and trim to match existing
ADDITION AREA
Siding&Trim
Siding&Exterior Trim
•Install 1 x 8 pine barnboard siding
-Boral Vim
-Louver
234 ...! + ,.... r; ..T • sf xTM °. c r"`r
HVAC Contractor
See M J.Moran proposal dated 06.2416in the amount of$3,168.00
See MJ Moran proposal dated 10.2416 in the amount of$5,268.00
1
Keifer Builders, Inc., License#: 102457 4
BARKER - SCHARRER SCOPE OF WORK July 18, 2016
Methadon Cost
Electrical Contractor
See Niamey Ele:ticesstlmate deleo 0708 IS in the amount 0159.137 00
Sitework&Concrete
-See geposal dated Aped 3,2015 by Todd Alexander In the amount of$92,22500
Mudrnflm excavation,concrete,backfill&compaction. Pre-caat piers al front porch 53i]1500
2'Insulation Beneath New Addf ton
Excluded
New Terrace;Pavers
-By others
Parge Foundation
Excluded
Relocation of Gas
Excluded
Root Snow Protection
Excluded
Rot Repair
Excluded. To be handled on a time and material basis.
Project Total 191,975.67
Keller Builders, no.,license# 102457 5
Any alteration or deviation from the Scope of Work referred to in this Agreement involving extra costs of
materials or labor(including any overage on ALLOWANCE work and any changes in the Scope of Work
required by Owner, Owner's design professional. Owner's agent, or governmental plan checkers or field
building inspectors) will be treated as Additional Work under this Agreement resulting in an additional
charge to Owner as set forth herein. Contractor and Owner may execute a Change Order for this
Additional Work.
Contractor to supervise, coordinate,and charge 10% profit and overhead on the following: all Additional
Work under this Agreement. Additional Work caused by concealed conditions, all overages on
ALLOWANCE work, all Owner-furnished materials. and all work of Owner's separate contractors who
are working on site at same time as Contractor. The amount of the Additional Work will be reasonably
determined by the Contractor, and will be subject to Contractor's profit and overhead as noted above.
Contractor's profit and overhead, and any supervisory labor will not be credited back to Owner with any
deductive Change Orders(work deleted from Agreement by Owner).
RATES CHARGED FOR ALLOWANCE-ONLY AND TIME-AND-MATERIALS WORK
Journeyman Carpenter: $55 per hour; Apprentice Carpenter: $50 per hour; Laborer: $45 per hour:
Contractor: $75 per hour; Subcontractor: Amount charged by Subcontractor. Note: Contractor will charge
for profit and overhead at the rate of 10% on all work performed on a Time-and-Materials basis (on both
materials and labor rates set forth in this Agreement) and on all costs that exceed specifically stated
ALLOWANCE estimates in the Agreement.
PEOPLE AUTHORIZED TO SIGN CHANGE ORDERS
The follpwing peopte are authorized to sign Change Orders:
•
(Please fill in line(s)above at time of signing Agreement)
PERMITS
To perform this work, Keiter Builders, Inc., or subcontractors hired by Keiter Builders, Inc., will obtain, on Owner's
behalf.the following permits (if required):
Building Permit x Electrical Permit Smoke Certificate
x_ Plumbing Permit Demolition Permit Certificate of Occupancy
IT IS THE OBLIGATION OF CONTRACTOR TO OBTAIN THESE PERMITS AS YOUR AGENT. IN THE
EVENT THAT CONTRACTOR DOES NOT OBTAIN THESE PERMITS, AND THE OWNER OBTAINS
THEM, OR IF CONTRACTOR IS NOT REGISTERED WITH THE BOARD OF BUILDING REGULATIONS,
OWNER WILL NOT BE ENTITLED TO OBTAIN ANY BENEFITS FROM THE GUARANTEE FUND
ESTABLISHED UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 142A.
Contractor's obligation to obtain permits is limited to those permits directly related to performing the work Contractor
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 ofconservation commissions, are required to be
obtained before Contractor can obtain their permits, it is the Owner's obligation to satisfy such requirements and to meet
those requirements at the Owner's cost.
4
Contractor _ _ _ Owner l=-
strictly in accordance with the Payment Schedule in this Agreement, or if Owner repeatedly fails or refuses to furnish
Contractor with access to the job site and/or product selections or information necessary for the advancement of
Contractor's work. Simultaneous with stopping work on the project. the Contractor must give Owner written notice of the
nature of Owner's material breach of this Agreement and must also give the Owner a i4-day period in which to cure this
breach of contract. Owner to follow this same notice procedure with Contractor if Owner alleges Contractor is in material
breach of this Agreement.
If work is stopped due to any of the above reasons (or for any other material breach of contract by Owner)for a period of
IA days, and the Owner has failed to take significant steps to cure his default, then Contractor may.without prejudicing
any other remedies Contractor may have. give written notice of termination of the Agreement to Owner and demand
payment for all completed work and materials ordered through the date of work stoppage, and any other reasonable loss
sustained by Contractor, including Contractor's Profit and Overhead at the rate of y$% on the balance of the incomplete
work under the Agreement. Thereafter, Contractor is relieved from all other contractual duties, including all Punch List
and warranty work.
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 Owner's control; or if the work shall be stopped or delayed either in whole or
substantial park for a period of thirty (30) days due to Owner's failure to make a payment on time, or make Contractor
feel insecure, or if Owner should commit a material breach of any of Owner's responsibilities or obligations under this
Agreement. then Contractor may. upon giving Owner seven (7)days written notice, terminate this Agreement and recover
from 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 ifdeliveredin 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 Tills 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
July 18th,2016 • t
By Scott Keifer, President Date - Date
10
r r
Contractor Owner C:.
DELIVERY. NOT LATER THAN MIDNIGIO 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 .4RE ANY PROVISIONS WHICH YOU DO NOT UNDERSTAND, YOU SHOULD
CONSULT WITH AN,ATTORNEY BEFORE SIGNING.
KEITER BUILDERS, INC. (CONTRACTOR) OWNER
July l8'",2016 - . •
by,Scott Keifer,President Date I Date
Date
ADDENDA
The following have been attached to this Agreement:
I. PAYMENT SCHEDULE
2. SCOPE OF WORK
3. COPY OF INSURANCE
4. LIMITED WARRANTY
5. CHANGE ORDER (COPY AND EXPLANATION)
12
Contractor _ __. . Owner
ATE
A`RD CERTIFICATE OF LIABILITY INSURANCE D5/ig/�O YLA
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 CONBii UTE 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 Cynthia Henderson, CIMS
MAME' y
Webber S Grinnell PHONE (413)525-0111 FAY .(ax3)6eti-fiasl
Ifl..NPL
3 North King street LMAII- s:chenderaon@webberandgrianell.cos
INSURERISLAFFOROINO COVERAGE NAIC#
Northampton MA 0106.0 _ INSURER AArbella Protection _ � 41360
INSURED
INSURER H:
goiter Builders, Inc. MAMMA G;
Attn: Scott Keiter INSURER 0
G-
35 Main Street INSURER E I
Florence MA 01062 INSURER F;
COVERAGES CERTIFICATE NUMBERI4aster asp 2017 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 SEEN REDUCED 9Y PAID CLAIMS.
INTn. ULIBETELinj POLICY OLICY EXP
ITR TYPE FFIAL F NUP pilyyN POLICY HVMBEq 1MMDp(Y%YY11MAW0/IYTYI LIMITS
X COMMERLYAL GENERAL- LIABILITY DAMAGE TO
NTE ,$ Ir000,000
DAMAGE TO RENTED
A CLAIMS-MADE K OCCUR s_P_REMISESla tcrunenrc ,a 100,000
I
BSOOO69146 16/1/20LE 6/1/2031 TINED EXP(Any and person) s 5,000
_ PERSONAL fl AUVINJURY ' s 1,000,000
_ .
.GERI AGGREGATE LIMIT APPLIES PER. k 1 GENERAL AGGREGATE 5 2,000,000
F.7ipY LW .FNiOOJCIS-COMrMOPACw^ 5 2.0oO,P00
OTHER' ..S- -. _..
AUTOMOBILE LIABILITY ' COMBINED SINGLE LIMIT $ 1,000,000
,spa emd
A _ YAIUTO _ BODILYNJ V Verss
LLDVQNED x SCHEDULED 102003930101 6/1/2016 ! 6/1/2017 BODILY INJURY(Per accident) S.__ AUTOS AUTOS -_
x HIRED AUTOS X- tXAN-OWNED - PROPERTY
ROPER YOMARO 6 _—
.AUTOS J
_ I
II Menupxvmemi _6 _.- 5,000
X I UMBRELLA DAB _ OCCUR RE
EACH OCCURNCE -Y, 5,000009
A
EXCESS LIAR ICLAIMSMADE, AGGREGATE S 5 poo,000
. ..
I Ow X .RETENTIONS ro.Ooo. 1 4F00069399 6/1/2016 ! 6/1/2017 'y
AOyRERSCOW'FNSATIONPER DiH-
OEMPLOYLHaLIABILRY Y/N I X STATATE X IEn _
ANY
PR IR/FXCLuD PROPRIETOR/PARTNER/EP-VA/TIRE E.L.EACH ACCIDENT $ 1,000,000
A OFFICER/MEMBER EXCLUO N I N/A —
IMandatorylnNll) 9127990615 6/11/2016 6/11/2017 IEL DISEASE,RAEMPLOYEE, S _1100,000
DESCRIPTION OF OPERATIONS POOP E.L.DISEASE-POLICY LIMIT 15 1,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES IAA/RI/101.AceiSonl Remarks Sceotnle,may be attached II owe space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
FOY Informational Purposes THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS,
AUTHORIZED REPRESENTATIVE
C Henderson, CISR/CIN el fes'
A 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014)01) The ACORD name and logo are registered marks of ACORD
MEMOS?7n101