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53-005 (3) PCA Northampton, MA • 2 3 4 5 6 7 10 9 8 11 15 14 13 12 CENTIMARK FM Approvals ROOFING SYSTEM CONTRACTOR PACKAGE Fastener Placement Now that the configuration is complete for the field of the roof, you must select the required fastener placement from the Fastener Placement Figures 3 -6 in FM Global Property Loss Prevention Data Sheet 1 -29. Corner /Perimeter Enhancements Now that you have selected a fastener placement, you must select enhancements for the corners and perimeters. Refer to FM Global Property Loss Prevention Data Sheet 1 -29. If you have sufficient detail about the roof assembly, you can select enhancements that have been approved for roofs with your specifications from Table 1A: Recommended Rating of Field, Perimeter and Corner Areas (Zones 1, 2 and 3) for Enclosed Buildings. Otherwise, you can select the appropriate prescriptive enhancements from section 2.2.1.5.1. Also, the deck must be secured per the requirements in Data Sheet 1 -29. For a steel deck, see section 2.2.1.5.6. For installation instructions, see section 2.2.13.2. Perimeter Flashing Now that you have selected enhancements for the corners and perimeters, you must select an FM Approved perimeter flashing that meets a Class X rating, where X is the Wind Uplift rating for your roof. For more information, see FM Global Property Loss Prevention Data Sheet 1 -49. You can find FM Approved perimeter flashings in RoofNay. To do so, click Products. On the Product Search page, select Other for the Category and Perimeter Flashing for the Subcategory. Specify any other criteria as needed and then click Search. 2006 -2010 FM Approvals LLC. All rights reserved. Page 7 of 7 FM <Aj ovair ROOFING SYSTEM CONTRACTOR PACKAGE 4.Securetnent (Deck) from 3.(Deck) Steel to 5.Structure Comments: none Fastening (Fastener) Company: ITW Buildex Corp Trade Name: Teks 5 Material: steel Row Spacing: 6.0000 in On Center: 72.0000 in Field Rows: No Field Row On Center: 0.0000 in Fastener Diameter: 0.0000 in Number of Field Rows: 0 Min Length: 1.2500 in Application Method: n/a Max Length: 0.0000 in Embedment: 0.0000 in Contributory Area: 0.0000 ft2 Secures to Concrete Deck: No Steel Deck Fastener: Yes Comments: none 5.Structure Structure Type: steel Max Spacing: 0.0000 in Min Thickness: 0.0000 in Min Strength: 0.0000 ksi Comments: none 2006 -2010 FM Approvals LLC. All rights reserved. Page 6 of 7 j Pf J fGVaIF ROOFING SYSTEM CONTRACTOR PACKAGE 3.(Deck) Steel Comments: none Deck (Steel) Company: See Separate Steel Deck Manufacturer Listing Trade Name: steel deck, 22 to 18 ga., 1.5 in. deep, wide rib ( >90 psf) Acoustical: No Design Thickness: 0.0295 in Rib Type: Type WR Max Span: 72.0000 in Min Depth: 1.5000 in Min Grade: 33.0000 ksi Max Depth: 1.5000 in Min Thickness: 0.0281 in Min Width: 24.0000 in Max Width: 36.0000 in Comments: none Securement (Deck Lap) Comments: none Fastening (Fastener) Company: ITW Buildex Corp Trade Name: Stitch Teks 1 Material: steel Row Spacing: 0.0000 in On Center: 24.0000 in Field Rows: No Field Row On Center: 0.0000 in Fastener Diameter: 0.0000 in Number of Field Rows: 0 Min Length: 0.7500 in Application Method: n/a Max Length: 0.0000 in Embedment: 0.0000 in Contributory Area: 0.0000 ft2 Secures to Concrete Deck: No Steel Deck Fastener: Yes Comments: none 2006 -2010 FM Approvals LLC. All rights reserved. Page 5 of 7 fki ROOFING SYSTEM CONTRACTOR PACKAGE 2.Securement (Cover) from'f.Cover (Single -ply) to 3.(Deck) Steel Comments: none Fastening System (Stress Plate) System: SSSP14515 Company TradeName Carlisle SynTec Inc Carlisle HP -X OMG RHINOBOND Insulation Plate (TPO) Row Spacing: 0.0000 in On Center: 0.0000 in Fasteners per Plate /Clip: 1 Field Rows: No Field Row on Center: 0.0000 in Number of Field Rows: 0 Application Method: n/a Contributory Area: 4.0000 ft2 Embedment: 0.0000 in Comments: Applied at a rate of 1 per 4 ft2 (0.37 m2) - 8 per 4 ft by 8 ft (1.2 m by 2.4 m) board according to patterns shown in FM Approvals Data Sheet 1 -29. 2006 -2010 FM Approvals LLC. All rights reserved. Page 4 of 7 provals ROOFING G SYSTEM CONTRACTOR PACKAGE 1. Lover ( Single -ply) Comments: none Cover (Single -ply) Company: Versico LLC Trade Name: VersiWeld Reinforced TPO Membrane Material: TPO (thermoplastic olefin) Max Width: 0.0000 in Backing: (none) Min Thickness: 0.0450 in Max Thickness: 0.0600 in Reinforcement: polyester Comments: none Securement (Sheet Lap) Comments: none Weld (Heat) Company: Generic Trade Name: weld, hot air Configuration: Single Outside /Full Width: 1.5000 in Inside Width: 0.0000 in Comments: The outside 1.5 in. (40 mm) of the 5.5 in. (140 mm) wide roof cover laps is heat welded. 2006 -2010 FM Approvals LLC. All rights reserved. Page 3 of 7 '<Ori rtas' ROOFING SYSTEM CONTRACTOR PACKAGE ll 63 Le i TAR i;. . I 9 Roofing Contractor: Jason Grieco, CentiMark Roofing Email: jason.grieco @centimark.com Telephone: 860 - 256 - 6603 Fax: 860 - 256 - 6609 Address: 51 Belamose Ave Suite # 1 Rocky Hill, Connecticut, 06067 United States of America Roofing Jeff Papillon, CentiMark Email: Jeff.Papillon @centimark.com Designer /Observer: Telephone: 1 - 800 - 990 -0706 Fax: 860 - 256 - 6604 Address: 51 Belamose Avenue Suite #1 Rocky Hill, Connecticut, 06066 United States of America Client/Property Owner: Tom Dougherty, PCA Email: Telephone: 413) 582 -0499r Fax: (413) 586 -9652 Address: 525 Mount Tom Rd Northampton, Massachusetts, 01060 United States of America e^� „..re" -, Lt/ �• , -:-w - €iVERv1E F : - .. . � ..w. ,c,fw.... a Jh ,k- ,,. �.:. .II, G x ... A:28,paribituu S ✓ 2 Building Name /Number: Upper Lefts / Phase 2 Area of Roof: Field Roof Area: Phase 2 Index Number (Optional): Created In RoofNav: Sep 26, 2011 Assembly #: 233475 -0 -0 Type of Work: New Roof Min 3ft (1 m) Continuous N Parapet: • .;„„x.ia„u H 3 i%. .�,,.7..�..... sue' Roof Area Properties Site Properties Fire / Hail Wind Uplift Ratings Dimensions: 396 x 433 ft Surface C Internal Fire: 1 Field: 60 psf (120.70 x 131.98 Roughness: m) Height: 35 ft (10.67 m) Wind Speed: 90 mph Exterior Fire: A Perimeter: 90 psf Slope: 0.1250 in 12 (0.6 °) Wind Borne No Hail: MH Corner: 120 psf Debris Risk: 10`IN0S P . 14 Internal /Exterior Fire: Max Slope: Hail: *Wind Uplift Rating: 1/A 0.5000 in 12 (2.4 °) SH 105 psf * FM Approved roofs must also have corner and perimeter enhancements and FM Approved perimeter flashing. For details, see FM Global Property Loss Prevention Data Sheets 1 -29 and 1 -49. For Standing/Lap Seam roofs, see Property Loss Prevention Data Sheet 1 -31. 2006 -2010 FM Approvals LLC. All rights reserved. Page 1 of 7 Date: October 13, 2011 Index No. 10926.15 Page 3 of 3 Distribution: 1 em: Mr. Clinton Farrell, FM Global Clinton.farrell @fmglobal.com 1 em: Mr. Brent Fetherlin, Packaging Corp. bfetherlin@packagingcorp.com 1 em: Mr. Bruce Ellsberry, Packaging Corp. bellsberry@packagingcorp.com 1 em: Mr. Bryan Sorensen, Packaging Corp. bsorensen(a,packagingcorp.com 1 em: Mr. Craig Backus, Packaging Corp. cbackus@packagingcorp.com 1 em: Mr. Jacob Lobermeier, Packaging Corp. ilobermeier@packagingcorp.com 1 em: Mr. John Martin, Packaging Corp. jmartin(cpackagingcorp.com 1 em: Mr. Lloyd Herry, Packaging Corp. lherry @packagingcorp.com 1 em: Mr. Michael Lykins, Packaging Corp. mlykins@packagingcorp.com 1 em: Mr. Roland Laury, Aon roland.laury@aon.com 1 em: Mr. Rusty Washburn, Packaging Corp. rwashburn@packagingcorp.com 1 em: Ms. Lindsay Kaufman, Packaging Corp. lkaufman @packagingcorp.com 1 em: Ms. Mary Proietti, Packaging Corp. mproietti @packagingcorp.com 1 em: Mr. Jason Grieco, Centimark Jason.grieco(uicentimark.com Factory Mutual Insurance Company (FM Global) has developed this report for insurance underwriting purposes. The report is provided to you for informational purposes only to reduce the possibility of loss to property by bringing to your attention certain potential hazards or conditions. You must make the decision whether to take any action. FM Global undertakes no duty to any party by providing this report or performing the activities on which it is based. The liability of FM Global is limited to that contained in its insurance policies. Date: October 13, 2011 Index No. 10926.15 Page 2 of 3 The information provided in this submittal is acceptable and no further information is needed. The following recommendations have been provided for your reference to assist you in this project. Final installation acceptance will be by field examination by a representative of FM Global. Recommendations Roof 1. FM Global should be notified at least two weeks prior to the start date of the installation of the roof to conduct a field evaluation (i.e. deck securement, confirmation of materials to be used and securement of above deck components). 2. When reroofing, the existing deck securement should be inspected and, if necessary, the deck fastened per FM Global Property Loss Prevention Data Sheet 1 -28, Design Wind Loads, and 1 -29, Roof Deck Securement and Above -Deck Roof Components, prior to installation of the above -deck components. 3. Ensure that enhancements to the corners and perimeters are provided. Refer to Data Sheet 1 -29. Please note that all FM Global Property Loss Prevention Data Sheets are available, free of charge, online at www.fmglobaldatasheets.com. In addition, the Approval Guide, a publication ofFMApprovals, can be accessed online at www.approvalguide.com. Please respond to the above recommendations to our office within 14 days of receipt of this letter. If there are any questions or concerns regarding this review, you can contact the Boston Operations Lead Engineer via e -mail at bostonleadengineer @fin2lobal.com or phone (781) 440 -8241. This review is for property insurance purposes only in accordance with FM Global standards and guidelines. Nothing should be inferred from this review regarding compliance with any rules, regulations or requirements of government agencies, state or local codes or any other jurisdictional authority. We are retaining the copy of your submitted plans for our files. Sincerely, Amanda ounnell Amanda Dunnell Consultant Engineer FM Global — Boston Operations Amanda.dunnell @fmglobal.com Factory Mutual Insurance Company (FM Global) has developed this report for insurance underwriting purposes. The report is provided to you for informational purposes only to reduce the possibility of loss to property by bringing to your attention certain potential hazards or conditions. You must make the decision whether to take any action. FM Global undertakes no duty to any party by providing this report or performing the activities on which it is based. The liability of FM Global is limited to that contained in its insurance policies. 175 YEARS Factory Mutual Insurance Company 500 River Ridge Drive, P.O. Box 9102 Norwood, MA 02062 USA T: (781) 440 -8000 F: (781) 440 -8718 www.fmglobal.com Plan Roviow Packaging Corporation of America 525 Mount Tom Road Northampton, MA USA Attn: Mr. Charles Hatch, General Manager chatch(a,nackagingcorp.com Index -Rec: 10962.15 Date of Review: October 13, 2011 Account No: 01 - 07701 Review by: Amanda Dunnell Plan ID: 133242 Project Name: Re- Roofing Project Subject: Contractors Package and Roof Plan Submitted By: Mr. Jason Grieco, Centimark Summary and Scope of Review: This confirms the receipt and review of the contractor's package and roof plan, for the re- roofing project at the subject location. Approximately 25,811 sq. ft. of this roof will be replaced with a mechanically fastened roofing system. The roof area that will be replaced covers Building 7. This facility is located in a 90 mph wind zone and has a Ground Roughness of B. The RoofNav Number for this system is 233475 -0 -0. This roofing assembly shows a new membrane being attached to the steel deck, and then ensuring that the steel deck is secured to the structure. It has been confirmed that this system can use either Carlisle or Versico components for this system. The contractor's package states that a Carlisle HP recovery board will be placed between the existing deck and the new roof membrane. This board will be held in place with RHINOBOND fastening. This will be applied at a rate of one every 4 sq. ft. having eight per every 4 x 8 ft board. Statement of Acceptability: This submittal has been reviewed and found to be: ® Acceptable n Unacceptable Factory Mutual Insurance Company (FM Global) has developed this report for insurance underwriting purposes. The report is provided to you for informational purposes only to reduce the possibility of loss to property by bringing to your attention certain potential hazards or conditions. You must make the decision whether to take any action. FM Global undertakes no duty to any party by providing this report or performing the activities on which it is based. The liability of FM Global is limited to that contained in its insurance policies. (3/10) 4444 Executive Proposal Summary •*1* PCA 525 Mount Tom Road Northampton, MA 01060 Quote Section Sq Ft. System Warranty* Price Roofbond TPO $145,952 Recover 1,2,3,7,12 12 6,213 TPO RoofBond Twenty (20) years 1 1,250 TPO RoofBond Twenty (20) years 2 3,913 TPO RoofBond Twenty (20) years 3 3,906 TPO RoofBond Twenty (20) years 7 9,576 TPO Roof Bond Twenty (20) years Options for Quote: • Per the NRCA's Roofwise Energy Audit CentiMark can install new 3" insul on over the BaileN Roof for an additional Cost of $31,800.00. This would being the project co to $177,752.00 • Walkway System Furnish and install additional 30" wide TPO protection walkway system at a cost of $598.50 per fifty (50') Ln ft installed at your direction. Roofbond TPO $233,586 Top Tear Off - 13,14,15 13 11,224 TPO RoofBond Twenty (20) years 14 15,250 TPO RoofBond Twenty (20) years 15 14,012 TPO RoofBond Twenty (20) years Options for Quote: • Walkway System Fumish and install additional 30" wide TPO protection walkway system at a cost of $598.50 per fifty (50') Ln ft installed at your direction. * Roof system warranties protect your roof against defects in materials or workmanship for the specified period as outlined in the CentiMark Non - Prorated Limited Roof Warranty or the manufacturer's warranty. CentiMark Confidential Warranty Upon purchase of the roofing system, you become entitled to receive the benefits of single source responsibility through CentiMark's comprehensive written warranty. This warranty protects your roof against defects in materials or workmanship. If your roof leaks at any time during the warranty period, we will provide complete warranty service. Quote Name Section Name Length All Quotes. All Sections. Twenty (20) CentiMark Corporation disclaims any and all responsibility for pre- existing conditions including, but not limited to: structural damage or deficiencies, clogged drains, mold growth, excessive standing water, removal of hazardous material or other hidden deficiencies such as; damaged or leaking skylights, HVAC units /conduits, electrical or gas lines. This proposal does not cover, and in no case shall CentiMark be liable for, the removal of, or damage to, HVAC units /conduits, gas lines, water lines, electric lines, or conduits, whether located above, below, or in the roof system, lightning protection systems, landscaping, communication cable, communication devices, or other devices, including recalibration of satellites. It is the building owner's financial obligation to provide corrective measures. Recommended Accessory Options to Consider: Per the NRCA's Roofwise Energy Audit CentiMark can install new 3" insulation over the Bailer Roof for an additional Cost of $31,800.00. This would being the project cost to $177,752.00 Walkway System Furnish and install additional 30" wide TPO protection walkway system at a cost of $598.50 per fifty (50') Ln ft installed at your direction. CentiMark Confidential HVAC, Curbed Penetrations and Other Air Handling Unit Details Furnish and install at the base of the unit round plates to be mechanically attached to the deck and the around the perimeter of the projection. The membrane will then be attached to the plates via the induction welding process. Install prefabricated universal corners for reinforcement. PLEASE NOTE: CentiMark has included to Plywood and membrane the wall on the lower roof that was not completed with the Phase 1 project. Pipes Less Than 6" In Diameter Furnish and install new prefabricated thermoplastic pipe boot secured at the top with a stainless steel screw type clamp fully adhered to the field sheet. Stacks Greater Than 6" In Diameter Furnish and install a 60 mil, non - reinforced thermoplastic flashing, where applicable. Miscellaneous Projections Furnish and install thermoplastic flashings to the roof projections. Upon completion of welding, each seam shall be probed to ensure proper securement. Furnish and install a 30" wide TPO protective mat at rooftop access points. Furnish and install new white 24 gauge TPO coated metal pitch pan(s) and/or ChemCurb(s). Sheet Metal Accessories: Furnish and install new retrofit drain inserts into existing drains. Furnish and install aluminum termination bar at the edge of the membrane at any applicable perimeter(s). (2 Only.) Furnish and install new 24 gauge white thermoplastic coated metal gravel stop /drip edge with continuous cleat. Standard Operating Procedures: Employee Professionalism All work shall be performed in a safe, professional manner in compliance with Centimark policy. Permits CentiMark typically does not supply the necessary permits for the project. Permits During permitting, the municipality may require the services of a certified professional. Any fees related to obtaining permit approval are not included in CentiMark's proposal. If the permit is purchased separately from the roof contract, CentiMark can submit all required documentation to secure the permit on the owner's behalf. Nightly Tie - In's Depending on new roof system being installed, temporary water cut -offs are to be constructed at the end of each working day to protect the newly installed roof system and building interior. Clean Up All work premises will be cleaned daily during the construction process and at the completion of the project. Job Acceptance and Punch List Conduct a post job walk through for final sign - off of our job completion form. CentiMark Confidential "• Construction Spec ►� ►► PCA 525 Mount Tom Road Northampton, MA 01060 Specifications For CentiMark RoofBond System Sections included: 12, 1, 2, 3, 7 Project Preparation: Please Note: All sections are quoted to current FM specs. If FM Specifications change CentiMark will have to re evaluate all the sections quoted. Perform a pre -job meeting to determine jobsite logistics and safety requirements. Safety Related Furnish and install proper safety equipment in accordance with Centimark's written safety program. Furnish and install warning lines to identified areas associated with ground related roofing activities. Store roofing materials in accordance with good roofing practices. Material placement will be to distribute weight loads throughout the entire roof area. Surface Preparation: Remove and dispose of existing pitch pan(s) as needed. Remove existing perimeter drip edging and dispose of debris. Remove existing sheet metal copings and dispose of debris. Insulation Attachment: Furnish and install a layer of 1/2" high density, coated 6- sides, fiberboard insulation, (R -Value = 1.4). This layer of insulation will be mechanically attached to the prepared substrate utilizing FM Global (FM) approved 3" plates and fasteners. System Application: Furnish and install CentiMark 60 mil reinforced, TPO roof membrane. Position the TPO membrane over the prepared substrate and allow the membrane sufficient time to "relax" prior to installation. Install the new TPO membrane over the prepared surface. Secure the membrane in place by welding it to the plates utilizing induction methodology Twelve (12) foot centers. This will create a roof assembly whereby no penetrations shall be made to the membrane! ( Roofbond TPO Recover - 1,2,3,7,12, 1 Only.) The thermoplastic membrane seams will be overlapped a minimum of 5 ", then hot air welded together. Weld width shall be a minimum of 1.5" in width for automatic machine welding. Weld width shall be 2" in width for hand welding. Upon completion of welding, each seam shall be probed to ensure proper securement. CentiMark Confidential C E NflM I RK( L Innovative opifijr9 and Floonag Sohdt■Ons, Roof Assessment and Proposed Solution Prepared On: 07/08/2011 Prepared For: Prepared By: Customer Information Project Manager PCA Jason Grieco 525 Mount Tom Road CentiMark Corporation Northampton, MA 01060 51 BELAMOSE AVE Attn: TOM DOUGHERTY ROCKY HILL, CT 06067 PLANT MANAGER Jason.Grieco @centimark.com Phone: 860 - 256 -6601 Fax: 860 -563 -3148 Location Information National Account Manager PCA Don A Lyter 525 Mount Tom Road CentiMark Corporation Northampton, MA 01060 845 HAWTHORNE LANE Attn: TOM DOUGHERTY WEST CHICAGO, IL 60185 PLANT MANAGER Don.Lyter @centimark.com Phone: 331 - 465 -3000 Fax: 630 - 293 -5796 NATIONAL __ Please visit us at www.centimark.com uII ASSOGATION� A` °R° CERTIFICATE OF LIABILITY INSURANCE Page 1 of 1 03/16/2012 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 CONSTITUTE 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 NAME Willis of Pennsylvania, Inc. PHONE FXT 877 - 945 - 7378 FAX Nn 810- 257 -2465 c/o 26 Century Blvd. ( )' ( )' P. O. Box 305191 E -MAIL Nashville, TN 37230 -5191 ADDRFCC certificates@willis.com INSURER(S)AFFORDING COVERAGE NAIC # INSURER A: Arch Insurance Company 11150 -001 INSURED Centimark Corporation INSURER B: American Guarantee & Liability Insurance 26247 -001 12 Grandview Circle INSURER C: Canonsburg, PA 15317 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 17532518 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 BEEN REDUCED BY PAID CLAIMS. INSR AMYL OF MM/ ADL SUB' P OLICY NUMBER POLICYEFF POLICYEXP LIMITS ITR I NSRf1 wvn (lf1 /YYVYL (MMIFIf1IYWV) A GENERAL LIABILITY 11PKG2382905 5/1/2011 5/1/2012 EACH OCCURRENCE $ 2, X COMMERCIAL GENERAL LIABILITY PREMISES(EaoccEence) $ 300,000 CLAIMS -MADE X OCCUR MEDEXP(Any one person) _ $ 5,000 X Contractual Liability PERSONAL &ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'LAGGREGATELIMITAPPLIESPER: PRODUCTS- COMP /OPAGG $ 4,000,000 7 POLICY X PRO - JFrT X LOC $ A AUTOMOBILE LIABILITY MA 11CAB2383105 5/1/2011 5/1/2012 COMBINED S INGLE LIMIT (Ea accident) $ 2,000,000 A X ANY AUTO AOS 11PKG2382905 5/1/2011 5/1/2012 BODILYINJURY(Per person) $ ALL OWNED SCHEDULED BODILYINJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X MOWN ED PROPERTY DAMAGE AUTOS (Per accident) $ X Coll.Ded:S X Comp.Ded:S elf Insured elf Insured $ B X UMBRELLALIAB X OCCUR AUC930387909 5/1/2011 5/1/2012 EACH OCCURRENCE $ 10, 000, 000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 10, 000, 000 DED RETENTION $ $ A WORKERS COMPENSATION 11WC22382805 5/1/2011 5/1/2012 X WCSTATU- O- AND EMPLOYERS' LIABILITY TORY I IMITS FR TH ANY PROPRIETOR/PARTNER /EXECUTIVE N NIA E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? (MandatcaLnNH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If y es, descnbe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach Acord 101, Additonal Remarks Schedule, if more space is required) Division /Location: 1100 -Rocky Hill, CT Workers' Compensation Policy #11WCl2382805 (AOS = All Other States except OH, WA, ND, and WY which are insured through state funds). RE: 2600067880 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRE ENTATIVE Packaging Corporation of America 525 Mt Tom Road 1 Northampton, MA 01060 Acs Co11: 3667479 Tpl :1414755 Cert : 175326_ 8 ©1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Massachusetts - Department .of Public Safet Board of Buildina Re2ulations and Standards • Construction Supervisor License • License: CS 80749 JAMES E BEST - t • 4 SIMONDS FARM RD • BILLERICA, MA 01862 Expiration: 5/24(2013 Commissioner Tr#: 14707 Barone Engineering, Inc. 281 Beardsley Road Shelton, CT. 06484 (203) 521— 9630 (Cell Phone) The new TPO system will be added to it. The additional load of less than 1.9 PSI', in my professional opinion, can be safely carried by the existing structural components. Please feel free to call me with any questions or concerns. I am available upon request to meet at the subject property. 3 2 12 Sincerel yours, •O'kv. OF � C th / LIFFORD A. y G B ARONE, SR. `^ �&24L o STRUCTURAL , ti o. 383970 if Cliff A. Barone, Sr., P.E. President w„\ ,./a VI *' ` • 2 Barone Engineering, Inc. 281 Beardsley Road Shelton, CT. 06484 (203) 521— 9630 (Cell Phone) March 21, 2012 To Whom It May Concern: City of Northampton, MA. Building Department Northampton, MA. Letter Care Of: CentiMark 51 Belamose Avenue Rocky Hill, CT. 06067 Attention: Mr. Jason Grieco; Senior Project Manager Building Name and Location: PCA Roof Northampton, MA. Dear Mr. Grieco: RE: Structural capacity of existing Roof(s) to accept new roofing system. A new 60 mil TPO Roofing Membrane System over Y2" of fiberboard insulation will be added to the existing roofing system in three roof sections totaling approximately 19,700 SF. The new TPO System weighs less than 1.5 pounds per square foot, PSF. The existing roofing core consisting of metal deck, 1 -inch fiberglass insulation and V2" Bitumen, weighing 2 PSF shall remain in place. The new TPO system will be added to it. The additional load of less than 1.5 PSF, in my professional opinion, can be safely carried by the existing structural components. A new 60 mil TPO Roofing Membrane System over Y2" of fiberboard insulation and 3- inch ISO will be added to the existing roofing system in two other roof sections totaling approximately 5,165 SF. The new TPO System weighs less than 1.9 pounds per square foot, PSF. The existing roofing core consisting of 3 /4" plywood, 1 -inch fiberglass insulation and V2" Modified Bitumen, weighing 2 PSF shall remain in place. 1 t Version1.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No 0 SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT lam __. ! tv g, e J° 1 1 LI ' ..._s, as Owner of the subject property act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date Li , , 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. Print Name Signature of er /Agent Date SECTION 1 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Er Name of License Holder (- License Number Address Expiration Date Signature Telephone SECTION 13 - 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 0 No 0 Versionl.7 Commercial Building Permit May 15, 2000 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 Applicable Name (Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date i Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 Gen ntracto l Not Applicable ❑ Company . Re sponsible In Charge of Construction Address Signature Telephone Versionl .7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage _.. _..: Setbacks Front Side L. , . R. ,_.,_�. Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved ? parking) # of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW 0 YES 0 IF YES: enter Book Page', and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW Q YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 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 Q NO Q IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit May 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition ❑ RepaN ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ RoofiniE Change of Use ❑ Other ❑ Brief Description Enter a brief description here. Of Proposed Work: SECTION 5 -USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑ A -4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B 1 ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -1 ❑ S -2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify. S Special Use ❑ Specify: i 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 BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) ..,.... 1 st 1 st ._ _ ..... �. s 2 nd n 2 d 3 rd 3 rd .. _ _ — __ _ „. 4 th 4 th Total Area (sf) Total Proposed New Construction,(sf) Total Height (ft) Total Height ft 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private El Zone - Outside Flood Zone❑ Municipal ❑ On site disposal system T ___.. L Versionl.7 Commercial Buildin Permit May 15, 2000 APR '.- .. �t W ¢ Department use only .... City of No rthampton Building Department Curb CutfDnveway Permit i /� /p 212 Main Street Status of Permit Sewer /Septic Availability Room 100 Water /Well Avallabtlity? >' : Northampton, MA 01060 Two Sets of Structural Plans phone 413 -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 1.1 Property Address: This section to be completed by office _ . op , Property .. ._... C } �� C� ��/ _� E (�'0 1 C Map Lot Unit `?- i Cam", fY"Z K C__) C& v( � On J i � n /\ ( Zo Overlay District ` V _ .— _____ .. Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Name Print) Current Mailing Address: Signature Telephone 2.2 Authorized Agent: ( 4 - SI r,L -- -c(,:k..(r\>.... pJ 1 6 (:,, 1 Name (Print) Current Mailing Address �d _ ( .,,-. 0 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building L� (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) Check Number 7 ) This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date ff /�� • ll Gw CV ,A.}' , 1 %re , ._1r ( ra V A File # BP- 2012 -0911 APPLICANT /CONTACT PERSON CENTIMARK INC ADDRESS/PHONE 51 BELAMOSE AVE ROCKY HILL (860) 256 -6601 0 PROPERTY LOCATION 525 MOUNT TOM RD MAP 53 PARCEL 005 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ? is l V hi /, D 6 b- 5 J Fee Paid 1 Typeof Construction: NEW ROOF New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License CS080749 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION 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 Permit DPW Storm Water Management Demolition Delay L/LA-4.- I ( 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. 1 525 MOUNT TOM RD BP- 2012 -091 1 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 53 - 005 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 -0911 Project # JS- 2012 - 001597 Est. Cost: $177752.00 Fee: $1 066.51 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: CENTIMARK INC CS080749 Lot Size(sq. ft.): 1932278.04 Owner: PACKAGING CORP OF AMERICA C/O GRANT THORNTON LLP ATT RICHARD PEREZ SR MGR Zoning: Applicant: CENTIMARK INC AT: 525 MOUNT TOM RD Applicant Address: Phone: Insurance: 51 BELAMOSE AVE (860) 256 -6601 () WC ROCKY HILLCT06067 ISSUED ON:4/30/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: NEW ROOF 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 4/30/2012 0:00:00 $1066.51 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner