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37-064 MAY -22 -2012 20:56 From:RCI Roofing 4135278469 To:5871272 Page:2 /2 5116112 attachment (2550x3507) (2) Upon receipt, we will obtain required permits and notify you when we plan to schedule the work, Sincerely, Tom Gallivan Estimator Accepted by l date 51/ // .- https:/ /mail- attachment .googlellsercontent.com /attachment/ ?ui= 2 &ik= Oea0ff9255 &view= att &thw137566... 1/1 MAY -22 -2812 28:55 From:RCI Roofing 4135278469 To:5871272 Pa9e:1'2 516112 attachment (2550x3507) R . I. Roofing 6 Line Street, Southampton, MA 01073 Phone: 413- 5274775 Fax! 413 -527 -8469 May 11, 2012 Mr. Jim Dean, General Manager Phillips Enterprises, Inc. 149 5asthampton. Rd. Northampton, MA 01060 -4199 Re: Roof Proposal Dear Jim; Thank you for the opportunity to provide the following estimates for replacing the small roof at the rear of you manufacturing facility. This estimate is for the rear roof only We will send our estimate for the other section of the roof early next week. Scope: • Remove & dispose of existing rolled roofing material down to wood deck • Inspect deck for rot and replace with owners approval on unit price basis • Furnish & install 1/2" high density recover board • Furnish & install .060" EPDM rubber membrane, fully adhered to cover board • Furnish & install membrane flashing at walls to adjoin roofs • Furnish & install .032" aluminum edge metal at perimeter • Provide owner with manufacturer's 20 -year membrane warranty • Provide owner with R.C.T. Roofing 5 -year workmanship warranty Price: $ 2,000.00 Unit price: Wood deck replacement rate of $2.50 per sq. ft. R.C.I will provide all necessary permits. Terms: 5% deposit due with acceptance of estimate; balance upon completion. References and insurance certificates will be provided upon request. We hope that you select R.C.I. Roofing to do this work for you. To accept this proposal, please sign in the space below and return a copy to us with your deposit. https:// mail- attachment.googleusercontent. corn!attachment/ ?ui= 2 &ik= 0ea0ff9255 &view = act &th =137566... 1/1 Vcrsionl.7 Conum::rcia! liuilrlin0 I'urmil Mav I. ZUIIU SECTION 10 STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes a No 0 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Yl AV IS C.Ag st 7t - n s Owner of the subject property hereby authorize '(•(\p, r Q -Ye S \C,- `\ , bG - - -- to act on my behalf, in all matters relative to work authorized by this building permit application. o- 1� Signature of Owner Dale ff I k. as Owner,Airtl? nZed - _, AgenLhereby declare that the statements and information 00 the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and p- -flies of perjury. Prot Name Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: NotApplicable ❑ Name of License Holder t 11 > ��' - �. vC} `tic ( 1,273 LA License Number c— Af C cE \ \`' n �� ' C.> J - 3 - 1 , Address - - - - -- EExpiration Date ( Signature Telephone SECTION 13 - WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 25C(6)) Workers Compensation Insurance affidavit must he 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 O _ _ q Vcrton I 7 (:()Hlmci11 liuilding Pcriuil May 1:s. 2,110(1 ........., 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 Applic E Name (Registrant). Registration Number Address Expiration Date 1 Signature lelephone I 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Regisirrition Number Signature Telephone Expiration Data Name Area r)I Responsibilly Address Registrauon Number Signature TE.Oephorie Expiration Date Name Ai ea of Responsibility Address Registration Number Signature 'Telephone Expiration Date Name Area of Responsibility Address f Number Signatore Telephone ExpiratIon Date 9.3 General Contractor Not Applicable 0 Company Name. Responsible In Charge of Construction Address Signature Telephone Version I . i Commercial Building I'crnlit M;Iy 15, ?(Idt) 8. NORTHAMPTON ZONING I •y i s i i i i 1'rol -- h , : , „ 1 „ , „ „ h� /Ill Inh 1 NIn I(Li I Lot Size FloiliaLzu Setbacks Ijrent Rear Building ilei hi Bldg. Syuarc Pootay,e Open Shaer I'uutage _._� �— — �— - -- - - - - - -- 1 L(1 arc:I nlinlu hIJL , I r(I it or Parkin`; Spaces fill: ( 1A11■111(111) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO O DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DON'T KNOW O YES 0 IF YES: enter Book Page and /or Document tt B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES 0 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 Q 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 Q 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 part of a common plan that will disturb over 1 acre? YES O NO O IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Vcuim`|7( Building Pernik Mn |:'L 2 __ _ __ _ SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE � / Interior Alterations 0 Existing Wall Signs [] Demolition Repairs Additions [] Accessory Building Lil] Exterior Alteration 0 Existing Ground Sign Eli New Signs LI Roofing [Et Change 0! Use Ot Brief Description Filter ti bric| here. Proposed � � O/P ,opo Work: ,`�� r�o\� ��r� [\_~\ � SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION • Assembly A-1 �� A-2 �] A'3 . �y .�. ' 1 [] / | / m�~ A-4 [] A-5 � / � l L� ' ! ' B Business [] �e�----' [] -- —�� X — -- E Educational El / �--aA---- [_F -- — U F Factory 0 F-1 0 Fe [] / - - N H High Hazard [] ` _-IA--��—�� —LI L .,smounov/ [] /1 [] 1-2 LI M �o.ranme 0 � �-"��' �� ~� R Residential �� R'� �] R-2 �]} �� ~` ii. -- i � S Storage Ell S-1 0 S'2 [] / ~~ L_ mi. U Utility [] Specify: 1_____ ___ M Mixed Use L] Specify: . � --�------- —f / S Spmcio/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 ---- - --- ---- — --- OFF|CEUSEONLY -- -- BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION Floor Area per Floor (x0 |"' * '2 2 w 3 3 ,i 4 * 4"' Total Area (d) Total Proposed New Construction (n0 Total Height )tt) Total Height 11 -- ' 7. Water Supply (M.G.L. c. 40. §s*) 7.1 Flood Information: | 7.3 Sewage Disposal System: _ Public �� Private LZone �m�m��/ ti, . �� ' • u � ^ al -- e VcrsionI.7 (M11111(.1 6:11 May li, 2_ll(If) - - - - --- - -- r Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit MAY 2 1 2012 212 Main Street Sewer /Septic Availability Room 1 00 Water /Well Availability DEPT. OFBUiLD�N 11 ;Northampton, MA 01060 Two Sets of Structural Plans NORTHAMPTON MAOir • • • 13- 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 This section to be completed by office 1.1 Property Address: mck C 5. .,,MQ Ot, ELa , Map 8 7 Lot 6 Unit Na r�,o_r�po �� ` 'OA 0.. Zone v Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Q\r: ■,\V, OS Ec• \ - tr p; , 5 c S , 19 Es. . ,yr anon. Name (Print) Current Mailing Address: et101,,c 13)58(0 -- 6 8b0 Signature � C ti_,_ - --. Telephone 2.2 Authorized Agent: 01").6„4-\11 r c,V, `jt t C1 Q. Ts,i_ �C�f. "k`= tl L.L. , OVA. 01013 Name (Print) Current Mailing Address , 4t" 5 :1 —V5 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant t. BuiJduag t�rOp�Y,t 000 �© (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of _ Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = (1 + 2 + 3 + 4 + 5) 000 , pO Check Number 61V7 This Section For Official Use Only Building Permit Number j�n / � ` /5; g Date a(� Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2012 -1028 APPLICANT /CONTACT PERSON RCI ROOFING ADDRESS /PHONE 6 LINE ST SOUTHAMPTON (413) 527 -4775 PROPERTY LOCATION 149 EASTHAMPTON RD MAP 37 PARCEL 064 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out �) > [� Fee Paid QV/ 7 Typeof Construction: REROOF New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 74334 3 sets of Plans / Plot Plan THE FOL ING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFO ATION PRESENTED: pproved 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 olitionD d f 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. 149 EASTHAMPTON RD BP- 2012 -1028 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 37 - 064 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ROOF BUILDING PERMIT Permit # BP- 2012 -1028 Project # JS- 2012- 001766 Est. Cost: $2000.00 Fee: $50.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RCI ROOFING 74334 Lot Size(sq. ft.): 451717.20 Owner: PHILLIPS WILLIAM L TRUSTEE Zoning: Applicant: RCI ROOFING AT: 149 EASTHAMPTON RD Applicant Address: Phone: Insurance: 6 LINE ST (413) 527 -4775 Workers Compensation SOUTHAMPTONMA01073 ISSUED ON:5/23/2012 0:00:00 TO PERFORM THE FOLLOWING WORK:REROOF 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 5/23/2012 0:00:00 $50.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner