12C-094 BP-2022-0050
28 MORNINGSIDE DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
12C-094-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-0050 PERMISSION IS HEREBY GRANTED TO:
Project# RENOVATION Contractor: License:
Est. Cost: 410000 Scott KEITER 102457
Const.Class: Exp.Date:06/20/2022
Use Group: Owner: ONEILL, WILLIAM B& KRISTIN HALLBERG
Lot Size (sq.ft.)
Zoning: WP/WSP Applicant: KEITER CORPORATION
Applicant Address Phone: Insurance:
35 Main St. (413)586-8600 0 MCC200200053820121A
FLORENCE, MA 01062
ISSUED ON:01/18/2022
TO PERFORM THE FOLLOWING WORK:
RENOVATION
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:
Gas: Final: Final: Rough Frame:
Rough: Fire Department Driveway Final: Fireplace/Chimney:
Final: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: iyhtiL
,g .
Fees Paid: $2,665.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
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1 8 2022
The Commonwealth of Massachusetts '^(7;7 ,,, fir,__._ i
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a Board of Building Regulations and Standards _ '''''-r:.r,n,;r,,; FOR
=: ' ' Massachusetts State BuildingCode,780 CMR .-----------2_ MUNICIPALITY
�" USE
Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
One- or Two-Family Dwelling
13 This Section For Official Use Only
Building Permit Number: ,�1 a-- 0 Date Applied:
t2•-7).A08/ga
Building Official(Print Name) Signature `u Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
ers
28 Morningside Drive Florence (7(✓ C'(�Y
I.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public C� Private 0 Zone: _ Outside Flood Zone?
Check if yes® Municipal y On site disposal system 0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Kris Hallberg & Bill O'Neill Northampton, MA 01062
Name(Print) City,State.ZIP
88 Laurel Park bill.onell@frontiernet.net
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ® Addition 0
Demolition ❑ Accessory Bldg. 0 Number of Units Other 0 Specify.
Brief Description of Proposed Work2:
Home remodel as per. drawings
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ 1. Building Permit Fee: $ 2.665 Indicate how fee is determined:
283.000 0 Standard City/Town Application Fee
2.Electrical $
28.000 ❑Total Project Cost'(Item 6)x multiplier 410 x 6.5
3.Plumbing $ 41,000 2. Other Fees: $
4.Mechanical (HVAC) $ 58,000 List:
5.Mechanical (Fire $
Suppression) Total All Fees:$ i. C
Check No./l 1'O Check Amount:'?1 to Cash Amount:
6.Total Project Cost: $ 410,000 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-102457 6i20122
Scott Keiter License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
�.S —
Min Strpat
No.and Street Type Description
Florence,MA 01062 U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 18:2 Family Dwelling
CityfTown,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-586-8600 skeiter@keiterbuilders.corn I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
175168 4178/2
Keiter Builders, Inc. HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
35 Main Street
skeiter@i<oiterbuilders.COT:
No.and Street Email address
Florence,MA 01062 411-,S86-R600
City/Town, State,ZIP Telephone
SECTION 6: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 67 No ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize Keiter Corporation
to act qa,my behalf,in all matters relative to work authorized by this building permit application.
//
See attached signed contract 01,11,2022
PrinAwner's Name(Electronic Signature) Date
SECTION 7b: OWNERI OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
confined in this application is true and accurate to the best of my knowledge and understanding.
Air 6✓/(-
President, KC 01.11.2022
rint Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at
wviw.mass.eov/oca Information on the Construction Supervisor License can be found at uww.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq. ft.) 4,000 (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) 7,600 Habitable room count R
Number of fireplaces 1 Number of bedrooms 3
Number of bathrooms Number of half/baths 1
Type of heating system Heat 'ump - Number of decks/porches 1
Type of cooling system Heat Pump Enclosed 1 Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"