32A-255 (8) MAR-13-2009 09:22 PM
413 527 5099 P. 01
63/0312908 18:88 413-585-0226 YOUNG ROOFING ING/_. PAGE 01
Oontr.Uo.Wb. 101723
01"0/
g�� Tel. 413-884-1367
TGUM 004 I=, 413-586-9197
,.413-585-0228
ROL BaX 60088 Fib MA010MOM
Cuetomer: Pioneer Contractors Date: 12/28/07
.Address: P.O.Boa 1145 Northampton,MA. 01060
Job Location Tie roof levels at near of Hotel Northampton
SPECIFICA'T'IONS:
1. Apply 112 inch fiberboard insulation to all three goof areas.
2. Rip the roof edge on the upper roof back three feet.
3. Install Carlisle's .045 reinforced mechanically attached roofing system.
4. Adhere the membrane to all parapet walls and caps,
5. Flash all walls, edges,and roof penetrations with an approved Carlisle detail.
6. Fabricate and install .032 gauge brown aluminum edge metal locked to a,kicker strip.
7. Obtain a building permit for the work.
S. Upon completion of the work Carlisle will inspect the job an issue the owner a fifteen (15)year
Golden Seal Total system warranty.
anwn���o'�wrae�a.�anaar.�wr�aoanwpnw�+
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w1r MW7aoyi nOl OD�waal�heOdMN ISM 9fSNi'K .�1..»� .a /1
1P q 0�hr WprO WI►IYOk In IMF I �OMp�y IIIMIIGitl i5�01Yet Autho Lied '���r
: �nart�iv.+"..•''''" •' "e°'•+•anraoe�a.an.r SIPatAn'e,,,.,,,,,(Richard Young . ident
Acceptant of proposal- -rhe ob" p6*&% vdrjcaiions
and condiOom am sWarack ry and arc birth),acocpwd. You we authWaW to
do The work as speciriied.Payment will be mule as oWinad ahme. B�QIIAtttik'e
Aweptance
]Date of Acaeptanae_M) �'Vog
Versionl.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes No
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, as Owner of the subject property
hereby authorize to
act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
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 ns and penalti s of perjury.
t C k-v C� V✓)c
Print Name ,. 7
,--'�� /�- ,, /-1-- 3- 1�0
Signature of Owner/Agent — Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed ConstructionKS7uperrvisor: ��. Not Applicable r'❑J
Name of License Holder: / ]lC r'is rj 1 L L /1 0 1 ( � l �J
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
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
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
Not Applicable ❑
Company Name:
Responsible 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:__ L: R:.
Rear
Building Height
Bldg. Square Footage
Open Space Footage °i°
(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 DON'T KNOW ® YES i
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES C)
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained 0 Date Issued: "
C. Do any signs exist on the property? YES ® NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES NO
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
Adak
that will disturb over 1 acre? YES NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.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❑ Repairs❑ Additions ❑ Accessory Building❑
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing® Change of Use❑ Other❑
Brief Description Enter a brief description here. '1
Of Proposed Work: 5 cL Ci e a �O {%C �� ,
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
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:
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)
1St 1St
2nd 2nd
3rd 3rd
4th
4th
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 ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system❑
Version 1.7 Commercial Buildin Permit May 15,2000
Department use only
-bity of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
4 ' ' _ Room 100 Water/WellAvailabiliity
i Northampton, MA 01060 Two Sets of Structural Plans
phone 413?587-1?40 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
1.1Property Address:
This section to be completed by office
W-A-C-1 �I U OW'IMy-o►/1 Map Lot Unit
56, VL t ST
U Zone Overlay District
�-1 0 irAi LL Im pkUt t PR - C lc;UA)
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Records:
+W Iu✓I�,c�vv� 3ILp klv)33r, Alovthani vi, rip . 600
Name(Print) Current Mailing Address:
Signature Telephone
2.2 Authorized A ent:
�uVnC , S►�1C:. (,� E Vx'X G�CCa rlu e�Ce, �; Oic,Ydo1
Name(Print) ; l V U✓1j' Current Mailing Address:
?1 �/[ L113 5N' 1317
Signature C/ Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building - IQL4t (a)Building Permit Fee
2. Electrical 1 t�J (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=0 +2+3+4+5) Check Number 2
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2008-0789
APPLICANT/CONTACT PERSON Young Roofing Co Inc
ADDRESS/PHONE P O Box 60056 FLORENCE (413) 584-1367
PROPERTY LOCATION 36 KING ST
MAP 32A PARCEL 255 001 ZONE CB
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out
Fee Paid
Typeof Construction: INSTALL CARLISLE ROOF SYS TO REAR 3 ROOF LEVELS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 011878
3 sets of Plans/Plot Plan
THE FO OWING 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: §
fiCO'""s
Finding Special Permit Variance*
Received&Recorded at Registry of Deeds Proof Enclosed V
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
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.
j.,t,
;41 1 f BP-2008-0789
GIs#: COMMONWEALTH OF MASSACHUSETTS
WWII
$;' CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cate,,ory: BUILDING PERMIT
Permit# BP-2008-0789
Project# JS-2008-001217
Ls:. Cost: $27900.00
Fee: $139.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: Young Roofing Co Inc 011878
Lot Size(sq. ft.): 72614.52 Owner: STAR NORTHAMPTON INC
Zoning: CB Applicant: Young Roofing Co Inc
AT: 36 KING ST
Applicant Address: Phone: Insurance:
P O Box 60056 (413) 584-1367 Workers
Compensation
FLORENCEMA01062 ISSUED ON:311812008 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL CARLISLE ROOF SYS TO REAR 3
ROOF LEVELS
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 3/18/2008 0:00:00 $139.0022282
212 Main Street,Phone(413) 587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo