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18-006 (2) ift J.D. Rivet & Co., Inc. ROOFING•SHEETMETAL 1635 PAGE BOULEVARD SPRINGFIELD.MA P.O.BOX 51068 INDIAN ORCHARD.MA 01151 TEL.(413)543.5660 FAX(413)543.3373 July 11,2014 _ U-Haul = -_-- 2014 499 Montgomery St ;' a Tirestone Chicopee, MA 01020 . r $R'r • MASM Attn: Molly __ • RmstoneBulkftProtects RE: U-HAUL-227 NORTH KING ST NORTHAMPTON,MA 01060 Scope of Work: 1. Remove and properly dispose of all existing roofing down to the wood deck. 2. Furnish and install 1"polyisocyanurate insulation over the wood deck. 3. Furnish and install new pressure treated wood nailers with height to match thickness of the new insulation. 4. Furnish and install Firestone 60mil TPO mechanically attached roofing system complete with all associated flashings. 5. Furnish and install new.040" painted aluminum edge metal in accordance with Firestone's requirements. 6. Furnish and install new .032"painted aluminum K-style machine gutter complete with rainleaders and appropriate attachments. 7. Clean jobsite of all roofing debris. 8. Furnish owner with a 15 year Firestone labor and material warranty. PRICE=S11,920.00(ELVEN THOUSAND NINE HUNDRED AND TWENTY DOLLARS ALL COSTS RE TED TO OBTAIN G A BUILDING PERMIT ARE EXCLUDED FROM THIS PROPOSAL Israel Scliepps, ales & Customer Service Acceptance of Proposal—The above prices,specifications and conditions arc satisfactory and are hereby accepted. You are authori7xd to do the work as specified. Payment terms are net 30 days unless otherwise agreed in writing.All material is guaranteed to be as specified. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire and other necessary insurance. All accounts not paid within 30 days arc subject to a late charge of t'/1°/.per month on the unpaid balance. In the event that legal action is instituted to collect any sums due under this agreement,the undersigned agrees to pay all costs incurred including reasonable attomcy's fees. PAYMENT TERNIS:25%DUE UPON PROPOSAL ACCEPTANCE,25%DUE UPON MATERIAL DELIVER,BALANCE (50%)DUE UPON COMPLETION. WEE:THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN _60_DAYS. Signature: (IAI fill �Date: & 2Gl 1 131 &Mtn � Ance 06'0 City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: 3 `1 N°`�►` V'%k 5 The debris will be transported by: J /�. 1<I�7T The debris will be received by: Pot Building permit number: Name of Permit Applicant �sAc--4- �ItP,Ps q- ir- 14 Date Signature of Permit Applicant The Commonwealth of Massachusetts ` Department of Industrial Accidents Office of Invesfigations 600 Washington Street Boston,MA 02111 wwH.massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business!Organization/Individual): J.D.Rivet & Co . , Inc . Address: 1635 Page Blvd . City/State/Zip: Springfield, MA 01104 Phone#: 413-543-5660 Are you an employer?Check the appropriate box: Type of project(required): 1.n I am a employer with 5 0 4• I am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. E]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance comp.insuraaee.t 9• El Building addition required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.© I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.El Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.(,No workers' 13.❑Other comp.insurance required.] 'Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Arch Insurance Company Policy#or Self-ins.Lic.#: ZAWC 19 2 9 5 0 0 0 Expiration Date: 5/1/15 Job Site Address: -1-1- vl`-1'k City/State/Zip:I Ke`4�e 40M, M a. a 10 6 0 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce sin r the and penaties of perjury that the informs On provided above is true and corree� Si afire Date: ! 1O 1014 Phone#: E4(3- !r ,+3-- 5% 6 a Official use only. Do not write in this area,to be completed by city or town official City or Town: PermitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3,City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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 0 No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, _...._ as Owner of the subject property 61G 5 tC&Qe D eP -VP6-s L- hereby authorize _ . ,...._,..._. ._ ,, , __...,,_._ .__...._.. , ..__, to act on my behalf, in all matters relative to work authorized by this building permit application., Signature of Owner Date aser/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. Signature of gent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: �G tyw el LS O 50.1 D License Number `4`i Lej,,Sicki ot,`v Nk o-,sv., Mc— r_ o lv5y Address Expiration Date i4+,3 53-1-131y Si a Telephone SECTION 13-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152,§25C(6)) Workers Compensation Insurance affid it must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the b 'ding permit. Signed Affidavit Attached Yes 0 No Version 1.7 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 El 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 gtyok ,41d, Address yt3-Sy3- S�L .__ a Signature Telephone Version 1.7 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 m _ % (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 Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW Q YES 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 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained , 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 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 that will disturb over 1 acre? YES 0 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❑ dditions El Accessory Building El Exterior Alteration El Existing Ground Sign El New Signs El RoofinggChange of Use❑ Other❑ IQcrv"4- erc..sf-",.5 foll � ��rn ko wco Gt"is• Brief Description Enter a brief description here. a.� ; �a� pQ,y , , ��r,�, e"d ('a nit -cPe .��►��.� Of Proposed Work: Wks wtt n�cesswy uCeerrcr=er ;1c1�dr15 tea..,/ Pte{ [. Mc-}at. �� Y of (�� ►-4-e-, o�✓Ii.�-�� &4j.- �et� (E _%cSc,� 2 v,%,�.�.... SriF,..... �S aticC Irt `' Of i��✓1� Fe� SECTION 5-USE GROUP AND CONSTRUCTION TYPE s pJCS ' 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 ❑ I 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: .m.__..._ _ __... 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 _,__. ... ..... ..... 2nd 2nd 3rd 3rd 4th � Total Proposed Total Area(s 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 Building Permit May 15,2000 --�, Department use only City of Northampton Status of Remit - 41 Building Department Curb Cut/Driveway Permit i 212 Main Street SewerlSeptic Availability Room 100 Water/WellAvaitabilfy Northampton, MA 01060 Two Sets of Structural Plans 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 Ken Map Lot Unit vi{ kcm ,.�1 FA a Zone Overlay District _.._._ Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 1 Co © \,)e5-VC/,x 1`'\c, J k, 4 Q 9 /-�c4- �. ,.. Sr �. C�►1�cvp�et 1� c. . Name(Print) Current Mailing Address: L4 3 S3 s D 15V . ._..__ . .._. _.... Signature $eL" 55.�wt � >' Telephone 2.2 Authorized Agent: I , lvL i1 . o-- kcA 213 �t _ L 'S too. �oc 5 b IsI Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building f .��Q (a) Building Permit Fee . -7 J__ 2. Electrical °° --•--. (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee PC,, *1000 4. Mechanical (HVAC) �d- 5. Fire Protection 6. Total= (1 +2+3+4+5) I t 9.1c) Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2015-0301 APPLICANT/CONTACT PERSON J D RIVET&CO INC ADDRESS/PHONE P O BOX 51068 INDIAN ORCHARD (413)543-5660 PROPERTY LOCATION 227 NORTH KING ST MAP 18 PARCEL 006 001 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 Typeof Construction:_INSTALL NEW ROOF New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 050230 3 sets of Plans/Plot Plan ITHE FO ING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON FO ATION 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 emol'tio elay Signature olftuMlingoicial V 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. 227 NORTH KING ST BP-2015-0301 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18-006 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-2015-0301 Project# JS-2015-000568 Est.Cost: $11920.00 Fee: $72.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: J D RIVET & CO INC 050230 Lot Size(sc. ft.): 29141.64 Owner: U-HAUL REAL ESTATE COMPANY Zoning-: Applicant: J D RIVET & CO INC AT. 227 NORTH KING ST Applicant Address: Phone: Insurance: P O BOX 51068 (413) 543-5660 Workers Compensation INDIAN ORCHARDMA01151 ISSUED ON:911712014 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL 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 9/17/2014 0:00:00 $72.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner