31B-043 BP-2023-0136
25 SUMMER ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31B-043-001 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-2023-0136 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 KITCHEN RENO Contractor: License:
Est. Cost: 15000 KEITER CORPORATION 102457
Const.Class: Exp.Date: 06/20/2024
Use Group: Owner: ROBYN WYNN JONATHAN &
Lot Size(sq.ft.)
Zoning. URC Applicant: KEITER CORPORATION
Applicant Address Phone: Insurance:
35 MAIN ST,2ND FLOOR (413)586-8600 MCC20020005382021A
FLORENCE, MA 01062
ISSUED ON: 02/07/2023
TO PERFORM THE FOLLOWING WORK:
KITCHEN RENO -RELOCATE OUTLETS FOR NEW CABINETS
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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIO ATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $195.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachusetts
J48, 6 2023 Board of Building Regulations and Standards FOR
Massachusetts State BuildingCode,780 CMR MUNICIPALITY
ri; • USE
,[' BLdillg.Aertnit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
One-or Two-Fanzilr Dwelling
This Section For Official Use Only
Building Permit Number: 6 -. —)2 (p Date pplied:
i (Z5 2-7-20z3
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property, Address: 1.2 Assessors Map&Parcel Numbers
25 Summer Street 3 ,3
1.1 a Is this an accepted street?yes no Map P t ber Parcel Nu 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 FIood Zone Information: 1.8 Sewage Disposal System:
Zone: Outside Flood Zone?
_
Public 0 Private Check if yes0 Municipal tg On site disposal system 0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Ov�ner'of Record: 15j�
Robyn Goodmark Norfhampton, MA 01060
Name(Print) City,State,ZIP
25 Summer Street 1-347-403-3285 rgoodmark@gmail.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'-(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work2:
Install structural header between Kitchen and Liv Rm
Beam calcs attached
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
(Labor and Materials) Official Use Only
1.Building $ 14,000 1. Building Permit Fee: $ $195 Indicate how fee is determined:
2.Electrical $ 500 0 Standard City/Town Application Fee
13Total Project Cost'(Item 6)x multiplier $15k x 6.5
3.Plumbing $ 2. Other Fees: $ $97.50 x 2 = $195
4.Mechanical (HVAC) $ 500 List:
5.Mechanical (Fire $ /
Suppression) Total All Fees: /a 5
Check No.361 Check Amount: t Cash Amount:
6.Total Project Cost: $ 15,000 ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-102457 6/20/24
Scott Keiter License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
35 Main Street Type Description
No.and Street yP
Florence, MA 01062 U Unrestricted(Buildings up to 35,000 cu.ft.)
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-586-8600 skeiter@keiter.com I Insulation '
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor CHIC)
Keiter Corporation 175168 4/28/23
HIC Company Name or HIC Registrant Name HIC Registration Number Expiration Date
35 Main Street skeiter@ keiter.com
No.and Street Email address
Florence MA 01062 413-586-8600
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 P No 0
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 9.4 my behalf,in all matters relative to work authorized by this building permit application.
//See attached signed contract 811 /22
Print'Owner's Name(Electronic Signature) Date
SECTION 7b: OWNER1 OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
co,p fined in this application is true and accurate to the best of my knowledge and understanding..Y/,�✓it-
President. KC 8/16/22
r 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
www.mass.Rov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq. fr.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system - Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"