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34-034 (2)
File #BP-2024-0282 Z" ale v APPLICANT/CONTACT PERSON:KEITER CORPORATION 35 MAIN ST,2ND FLOOR FLORENCE, MA 01062(413)586-8600 PROPERTY LOCATION 332 TURKEY HILL RD MAP:LOT 34-034-001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Building Permit Filled out Fee Paid $5,901.60 Type of Construction: NEW SINGLE FAMILY DWELLING New Construction Non Structural Renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 3 sets of Plans/Plot Plan Driveway Grade% THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: ;/ Approved Additional permits required(see below) For all projects that need additional reviews as checked below,please see the Office of Planning& Sustainability Permit page or scan here PLANNING BOARD PERMIT REQUIRED UNDER:§ N. Wit:_ • 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 //72 3-2i- 202 y 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. The Commonwealth of Massachlusett + !' Board of Building Regulations and Stanaards' I? 5 �O24 NIUN C PALITY Massachusetts State Building Code/780�CMR i USE � ! DENT -- Building Permit Application To Construct,RepaiJ &eno 7lae _..JRevi.r ed Mar 2011 •- -�,•r,nr,. One-or Two-Family Dwelling MA olo c" - This Section For Official Use Only Building Permit Number: - ).8) Date Applied: Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 332 Turkey Hill, Northampton, MA 01060 34 34-034 1.1 a Is this an accepted street?yes 0 no ❑ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: RR Residential 574,149 SF 51 FT 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 80F >80FT 40F >40FT 100 FT > 100FT 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Public❑ Private Q Check if yes Municipal IDOn site disposal system El SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Rebecca Allen and Roland Ouellette Acton, MA Name(Print) City,State,ZIP 120 Prospect St 603-801-6868 rla@seanet.com No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction[' Existing Building❑ Owner-Occupied❑ Repairs(s) ❑ Alteration(s)[' Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work':Construction of a new single-family home. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 6,624,587 1. Building Permit Fee: $59°1.60 Indicate how fee is determined: 2.Electrical $ 920,095 ElStandard City/Town Application Fee ['Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 324,540 2. Other Fees: $ 4.Mechanical (HVAC) $ 2,203,095 List: 5. Mechanical (Fire $ 89,360 0l.I Suppression) Total All Ff� :f(�$ (� Check No.VIV Check Amount:61 qv a Ash Amount: 6. Total Project Cost: S 10,161,677 ['Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-102457 6/20/2024 Scott Keiter License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 35 Main Street No.and Street Type Description 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(HIC) 175168 4/28/25 Keiter Corporation HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 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 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 on my behalf,in all matters relative to work authorized by this building permit application. Scott Keiter ! 03/14/2024 Print Owner's Name(Ele onic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Scott Keiter Ise 03/14/2024 Print Owner's or Authoriz 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.gov/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.ft.) 17,724 SF (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) 16,232 SF Habitable room count 30 Number of fireplaces 0 Number of bedrooms 7 Number of bathrooms 6 Number of half/baths 2 Type of heating system Geothermal Fed Electric Heat Pumps Number of decks/porches 3 Type of cooling system Geothermal Fed Electric Heat Pumps Enclosed 0 Open 3 3. "Total Project Square Footage"may be substituted for"Total Project Cost"17,724 SF City of Northampton �` r elf,_ ," st rg Massachusetts DEPARTMENT OF BUILDING INSPECTIONS c; , j 212 Main Street • Municipal Building ' , Cad Northampton, MA 01060 j:" k`�4 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Valley Recycling Location of Facility: 234 Easthampton Road, Northampton, MA 01060 — The debris will be transported by: USA Waste Name of Hauler: USA Waste Signature of Applicant: Date: 03/14/2024 DocuSign Envelope ID:603074AD-6141-4F55-8AA9-CB357384F458 r—DocuSigned by: ,. DocuSigned by: SC4 t t&r \—Q �pignature) (Signature) Scott Keiter,President (Printed name and title) (Printed name and title) OWNER(Signature) (Printed name and title) AIA Document A103—2017.Copyright©2001,2007 and 2017.All rights reserved."The American Institute of Architects,""American Institute of Architects,""AIA," Init. the AIA Logo,and"AIA Contract Documents"are trademarks of The American Institute of Architects.This document was produced at 18:26:36 ET on 11/01/2023 16 under Order No.4104242549 which expires on 05/19/2024,is not for resale,is licensed for one-time use only,and may only be used in accordance with the AIA Contract Documents®Terms of Service.To report copyright violations,e-mail docinfo@aiacontracts.com. User Notes: (2054109298)