22B-109 (5) 199 PINE ST BP-2019-0309
GIs#: COMMONWEALTH OF MASSACHUSETTS
Man:Block:22B- 109 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-2019-0309
Project# JS-2019-000502
Est.Cost: $364800.00
Fee: $2555.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RCI ROOFING 74334
Lot Size(sq. ft.): 203425.20 Owner: DUFRESNE NICK
Zoning: SI(92)/WP(73)/URA(19)/URB(2)/ Applicant. RCI ROOFING
AT. 199 PINE ST
Applicant Address: Phone: Insurance:
6 LINE ST (413) 527-4775 Workers Compensation
SOUTHAMPTONMA01073 ISSUED ON:9/24/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.-RE-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 9/24/2018 0:00:00 $2555.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
e^O Verso
in 1.7 Cuuuncrcial 13uiI(IiII PC rt iM1520
v v Ca , 00
Department use only
City of Northampton Status of Permit:
SFP ?018 Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
----- i Room 100 Water/Well Availability
FLAI
^:0 ITHA%4PJ0N.%.A oj,),;() Northampton, MA 01060 Two Sets of Structural Plans
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
1.1 Property Address: This section to be completed by office
I6?p P/�e S, Map 3 Lot 1 ,01 Unit
Po/ �ree- , MA Zone OverlayDistrict
Elm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
/V/ &fr�S� Pahe�r Vct lluj /�oo�S
Name (Print) Current Mailing Address: Iq
Naifh�pfio�r, /h�- oio�c�
SignatureaV a#A C--Geed Telephone /�//3 - 6, 'f— 713
2.2 Authorized Agent:
-�)r\; SI e C RbQRP,nc) L-P co
Name (Print) Curren(Mailing Address:
Signature Telephone
SECTION 3- ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by permit applicant
1. Auilding „r�C, 03l0�f, X00. _ (a) Building Permit Fee
J
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) 3 �o l7 Check Number
This Section For Official Use Only
Building Permit Number Date
Issued
Signator
--- ------------------- -------
Buiding Commissioner/Inspector of Buildings _ Date
Version 1.7 Commercial 13uildill b PCrmit M;IV IJ, 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 bricFdescrip(lot) 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
A-4 ❑ A-5 ❑
B Business ❑ _ —�A-- --- -
E Educational ❑ —213 -
F Factory ❑ F-1 ❑ F-2 ❑
H High Hazard ❑ 3A �]— -
I Institutional ❑ 1-1 ❑ 1.2 ❑ _
M Mercantile ❑ 4 - -- —_- -
R Residential ❑ R-1 ❑ R-2 ❑
S Storage ❑ S-1 ❑ S-2 ❑
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)
151
151
0
2 n 2n
3"•
31"
4 u,
4 u.
Total Area (sf) Total Proposed New Construction (sf)
Total Height (ft)
Total Height fl
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zoned _ — sposa feN❑— -
Version 1.7 Commercial 131.1ilding PCH nliI Nlay 15, 2000
SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes O No —�
SECTION 11 - OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, N�ek D�-�rQSr�� as Owner of the subject property
hereby authorize_ �Q 0 t/GtGf L/� to
act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Dale
Mo -, \�S� R C �Op �mac` L\J? as Owner/AuthQrtzed
Ager1Lhereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowlecge
and belief.
Signed under the pains and p Ities of perjury.
Add 1)ell-sl&
Print Name
Signature of Owner/Agenl Date _
SECTION 12 -CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: pNot
,Applicable O
Name of License Holder: 10.0 Cl �E'�\�5�� h C �bD (-\cLX lJ
l2 y --------
License Number
---
Address Expiration Dale
y 13 ,�2,'1 - X11`15
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 No O __._
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: /99
The debris will be transported by: USAF a&Ilneq «l7d A�
The debris will be received by: Jtesters Rec.u% %rIzj,7s4?r rl1Lc/,h,
Building permit number:
Name of Permit Applicant �.()y6 /`Ac
Date �'j - 7 -/V' Signature of Permit Applicant
i
\ The Commonwealth of Massachusetts
(; Department of Industrial Accidents
— I Congress Street, Suite 100
Boston, MA 02119-2017
www.mass.gov/dia
Wovkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbet•s,
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant InformationPlease Print Legibly
Name (Business/Ot•ganization/Individual); R C• 1 /go a ,L..L.
Address:
City/State/Zip; 04 0/U73 Phone #: ('f13) �T_;77 - 1-/'775'
Are you an employer?Check the appropriate box,
Type of project(required):
1. 17 a employer with c.�-U employees(full and/or part-time).* 7. ❑New construction
2.7 1 am a sole proprietor or partnership and have no employees working for me in $, [] Remodeling
any capacity.(No workers'comp. insurance required.]
9.3.7 1 am a homeowner doing all work myself.[No workers'com1p. insurance required.]' ❑ Demolition
10 E] Building addition
4.7 1 am a homeowner and will be hiring contractors to conduct all work on my property. i will
ensure that all contractors either have workers'compensation insurance or are sole 11,7 Electrical repairs or additions
proprietors with no employees.
12,[]Plumbing repairs or additions
5.7 I air a general contractor and I have hired the sub•contraetors listed on the attached sheet. 13,[1,�R0of repairs
These subcontractors have employees and have workers'comp.insurance.t
6.7 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.Q Other
152,§1(4),and we have no employees.(No workers'comp.insurance required.]
*Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
I 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 subcontractors and state whether or not those entities have
employees. if the subcontractors have employees,they must provide their workers'comp,policy number.
lain an employer that is providing workers'connpensatioi insurance for my employees, Below is the pollcy and job site
information. n
Insurance Company Name: A,'L,/�, �2� _r4st �'Q�ll ez &. . _
Policy Id or Self-ins, Lic, #: /00 4 1-17 -AO/714 Expiration Date: M
Job Site Address: l99 /0/' A City/State/Zip:rlar mee IM &0�a
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),
Failure to secure coverage as required under MGL c. 152, §25A is a Criminal violation punishable by a tine up to$1,500.00
and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORI{ ORDER and a fine of up to$250,00 a
day against the violator. A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification,
I do hereby certify under�11 pains a d penalties of perjury that the information provided above is true and correct.
Signature: ""`" ✓ Date: 9' 7—/,�7
Phone#: L13) J_12-`7 7 7.5
Offlcial use only, Do not write in this area, to be completed by city or town official.
City or-Town: Permit/License#
Issuing Authority(circle one):
1, Board of Health 2, Building Department 3, City/Town Cleric 4, Electrical Inspector 5, Plumbing Inspector
G. Other
Contact Person: Phone#;
Rchi;; fin
6 Line Street, Southampton, MA 01073
Phone: 413-527-4775 Fax: 413-527-8469
City of Northampton
Building Department
212 Main Street
Room 100
Northampton, MA 01060-3189
Job: Re Roofing
199 Pine Street
Florence, MA
To whom it may concern:
I request that you grant a modification to waive the requirements for control construction for the
building at 199 Pine Street, Florence, MA , because the work is of a minor nature, will not affect
health, accessibility, life and fire safety, or structural requirements and is impractical in that the
cost of control construction is considerable when compared to the cost of the proposed work.
Thank you for your consideration. "Mass Amendments, sections 107.1 allows for an exclusion
from construction control for this project"
Respectfully,
Chris Thompson/ Mark Delisle
RCI Roofing LLP
6 Line Street
Easthampton, MA 01073
K
Rci.-R-o o fi n(}y�V��
6 Line Street,Southampton, MA 01073
Phone:413-527-4775 Fax:413-527-8469
February 16, 2018
Mr. Nick Dufresne
Pioneer Valley Books
155A Industrial Drive
Northampton, MA 01060
Re: Roof Estimate
Pioneer Valley Books
199 Pine Street
Florence, MA
Dear Nick;
Thank you for the opportunity to provide the following estimate for the above
referenced property. Our scope of work is outlined below.
Scope of Work
Remove existing ridge cap
Cut back steel panel overhang at fascia
Furnish&install wood nailers at perimeter
Furnish& install 1-1/2" polystyrene flute fillers
Furnish& install 3"polyisocyanurate continuous insulation mechanically attached
Furnish&install 1/2" HD coverboard (100psi) mechanically attached
Furnish & install .060 TPO membrane Rhino bond attached
Furnish& install roof penetration flashings
Furnish& install RTU flashings
Raise existing smoke vents to 8" (min) above roof
Furnish &install .040 Aluminum box gutter
Furnish& install .040 Aluminum edge metal
Price: $364,800.00
K
(2)
Notes:
RCI Roofing will provide crane as needed
RCI Roofing to obtain building permit
Furnish 20 year manufacturers membrane warranty.
Provide a 5-year RCI Roofing workmanship warranty.
All work installed to manufacturers standards
RCI Roofing employees are OSHA 10 certified.
Terms:
Project payment terms are outlined below.
A 1/3 deposit due at material delivery,1/3 at 50% complete and balance due within 30
days after completion. The project warranty will be provided after final payment is
received.
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 and return a copy to us. We will obtain required permits and notify you
when we plan to schedule the work.
Keith Hamel
Estimator Commercial Accounts
Accepted by Date 9/6/18
Nick Dufresne (IT/Operations Manager)
Rci.-R- oof,n
6 Line Street, Southampton, MA 01073
Phone: 413-527-4775 Fax: 413-527-8469
CONTRACT
This agreement made as of the date indicated below, by and between the contractor and
OWNER.
CONTRACTOR: R.C.I. Roofing, LLP
ADDRESS: 6 Line St., Southampton, MA 01073
PHONE: (413) 527-4775
OWNERS: Chris Thompson/ Mark Delisle
FED. ID #: 04-3418839
H.I.C. LIC. #: 126235
CONST. SUPER. LIC. #: 074334
OWNERS NAME: Pioneer Valley Books
OWNERS ADDRESS: 155A Industrial Drive, Northampton, MA 01060
PROJECT ADDRESS:199 Pine Street, Northampton, MA
Company Representative: Nick Dufresne
Representative Phone: 413-687-7135
The contractor agrees to furnish both labor and materials to complete the work as specified
in the attached proposals for the sum of ($364,800.00) the payment of which is to be made
as follows: a 1/3 deposit ($121,600.00) due upon delivery of materials. A 1/3 (121,600.00)
payment at 50% complete. and balance due upon completion ($121,600.00). The project
warranty will be provided to owners after final payment is received.
All material is guaranteed to be as specified. All work will be completed in a professional
manner according to standard practices. Any alterations or deviation from the above
specifications will be performed only upon the written agreement with owner for which an
extra charge over and above the agreement price may apply. This agreement is contingent
upon strikes, accidents or delays beyond the control of the contractor. The contractor is
fully covered by workman's compensation insurance and any other insurance coverage
required by law. Documentation will be furnished upon request. The owner is to carry fire
and other necessary insurance to cover his property.
(2)
THIS CONTRACT SHALL BE BINDING UPON BOTH THE CONTRACTOR AND THE
OWNER/ AUTHORIZED REPRESENTATIVE UPON AFIXING THEIR SIGNATURES AND
DATES WHERE INDICATED BELOW. DO NOT SIGN THIS CONTRACT IF THERE ARE
ANY BLANK SPACES.
1
i
Contractor: Owner/Authorized Representative
Signature: Signature:
Date: l� Date: _9/6/18
NOTICE: The owner has the right to cancel the contract within (3) three business days of
date of signing.
i
I
A r. 4. 2018 10; 50AM No, 2462 P. 1/1
ac R CERTIFICATE OF LIABILITY INSURANCE DATE(Mn,1/00/YYYY)
04/04/18
THIS CERTIFICATE IS ISSUED ASA 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 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 have ADDITIONAL INSURED provisions or be endorsed,
If SUBROGATION 1S 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 Ileu of such endorsement($),
PRODUCER AME: Michael R,Banas
Banas&Fickert FAA
AJCNa , 413-527-2700 C No); 413.527-0849
Insurance AgencyMAIL
63 Main Street ADDRESS: mb@banasinsurance,com
Easthampton,MA 01027 INSURER(S)AFFORDING COVERAGE MAIC A.
INSURERA, Admiral Insurance Co. 24856
INSURED INSURERS; Safety Insurance Co. 30454
RCI Roofing,LLP INSURERC: Admiral Insurance Co. 24856
6 Line Street INSURER D
Southampton,MA 01073
INSURER E t
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDINGANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENY WITH RESPECTTO WHICH THIS
CERTIFICATE MAYBE 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 CLAIM&.
IL7R TYPE OF INSURANCE IN D POLICY NUMBER MMIDD EFF MM/OD/YYYY LIMITS
X COMMERCIALGENCRAL LIABILITY EACH OCCURRENCE S 1,000,000
CLAJMS-MADE X OCCUR PREMISES LC
a 4
curtena3 S 50,000
MED EXP(Any ens rpn S 10,000
A X CA000020963-04 03/04/18 03/04/19 PERSONALBAOVINJURY s 1,000,000
GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE S 2,000,000
17;POLICY X PRO.JECT LOC PRODUCTS-COMP/OP AGO $ 2,000,000
OTHER: S
AUTOMOBILE LIABILITY COMBIN IN LE LIMIT
Ee eccidenl S 1,000,000
ANYAUTO BODILY INJURY(Per Person) S
OWNED SCHEDULED
B AUTOS ONLY X AUTOS X 6207761 09/30117 09/30/18 BODILY INJURY(Per ecddeni) S
X HIREDX NON-OVNMED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY Par eccldenl
S
UMBRELLA LIAR HOCCUR EACH OCCURRENCE S 5,000,000
C EXCESS LIAs CLAIMS-MAD X GX000000385-02 03/04/18 03/04/19 AGGREGATE $ 5,000,000
DED I X1 RETENTIONS 10,000 $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANYPROPRIETOR/PARTNER/EXECLrrIVl1 N/A E.L.EACH ACCIDENT S
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH) E.L.DISEASE,FA EMPLOYEE S
t yes,deb' under
DESCRIPTION OF OPERATIONS below R.L.DISEASE-POLICY LIMIT S
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached If more space IS required)
ROOFING CONTRACTOR.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
REk')!',);2.ENCE COPY. ACCORDANCE WITH THE POLICY PROVISIONS.
II I
AUTHORIZED REP 3 E
--- — 15 AC RD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORO
� S
4L
ACC>R0 CERTIFICATE 4F LIABILITY INSURANCE F DATE(MM/ODIYYYY)
1025/2017
1
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 01978-001 CAMACT
Branch 1978-1
T
'N—Hl1OoNE—NEE'- -----'--'---...--
M R Banas Insurance Agency Inc (413)527-0288 [��� No (913)527-0899
63 Main Street ) �s
Easthampton,MA 01027 ( ss:
1NSURER(SIAEPOtiRiRL4 CQ.Y.EfiA�iE ___ NAIC P
___—_ TSUt3ERA: A,i.M Mutual Insurance Company--
------------------ ----- ------
INSURED I„INSURER B
RCI ROOFING LLP
INSURER C,
6 LINE STREET
SOUTHAMPTON, MA 01073 L.1N$UREft,R.1_......._....___.....,...._.._.._._._................... ........_.._......___.._...__.__..____. ...._......_-....._.. _
'INSURER E:INSURER F
i
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ggR q�pl,gI/gR pp��Cy app I�ICy Epp
LTR TYPE OF INSURANCE INSR WVD, POLICY NUMBER _ (Mh1/ODlYY1_Y) (MUST YYY)_ _. LIMITS
GENERAL LIABILITY i EACH OCCURRENCE €$
f
COMMERCIAL GENERAL LIABILITY DAMADETOHENTEl7_...........
...,_..
$ '
,.,. _ QEiv�($ESjEapgcurren_ret ____
CLAIMS-MADE OCCUR MED EXP(Any one person) $ _
......._._....
I
PERSONAL d ADV INJURY $
j GENERALAGGREGATE -$
GEN AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $
POLICY OC
�IECT _..._...`t .................................... ......__..................._.. _...._.
t_.. .._...._. ... ...... ....... ........._.---...__ COMBINED SINGLE LiMCT
AUTOMOBILE LIABILITY '$
ANY AUTO ( person) Is
BODILY INJURY Per
ALL OWNED F—'SCHEDULEDAOTOS BODILY INJURY(Par accident) $
HIREDAUTOS I AUTOS NON-OVuNED PROPERTY DAMAbE__... ._..(.................
HIRED AUTOS !$
_(Por accident) _
UMBRELLA LIAR OCCUR I EACH OCCURRENCE $
i.....___ ------i...—�.. ...._._..�.—..
EXCESS UAB CLAIMS MADE I AGGREGATE g
DED k .
rRETENTION$
....—...._�..... ------yOVT -$—.._...�i-O-JpKMRgpMRA % X TLMUH..-
-._..._... _....-. ........
.._..._
OyIPEp MTpR/EINDEDECUTIVEY-(N ! E.L.EACHACCIDENT $
A ..
1,000,000.00
Y NIA VWC-100-6022647-2017A 10/6/2017 101612018
(Mandatory In NH) + E.L.DISEASE.CA EMPLOYEE;$ 1.000,000.00...
i ................................................................_.........................
__._......
�11 dd pp r�d E.L.DISEASE-POLICY LIMB '$
;,DsCRtION OF�PERATIONS babes — I 1,QQ.Q,QQQaQ.O
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i
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required)
"Proof of Coverage”
Worker's Compensation Coverage Applies to Massachusetts Employees Only
No Partner is covered by the workers compensation policy.
CERTIFICATE HOLDER CANCELLATION
RCI Roofing LLP
6 Line Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Southampton,MA 01073 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
(�)1988-2010 ACORD CORPORATION.All rights reserved.
ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD
f
SCA 1 0 20M-0.05/177 �,� pp
&/r. -';,0ft6')tl!/Ca&&r1�d�EUdP '
Office of Consumer Affair &Business Regulation
HOME IMPROVEMENT CONTRACTOR
TYPE:PartnershiD
Expiration
05/05/2020
RCI ROOFING, "
Commonwealth of Massachusetts "
MARKT.DELISL Division of Processional Licensure
6 LINE ST Board of Building Regulations and Standards
SOUTHAMPTON,M '0:1QT ' Undersecretary Cons, {W,&id;NIt'p,rvisor
!r•
CS•074334 IF•' -s: 05/03/2020
} '
Registration valid for individual use only %
before the expiration date. If found return to: MARK THOM,4S
Office of Consumer Affairs and Business Regulation 69 BRIGGS S TEE7w1:.t .
1000 Washington Street-Suite 710 EASTHAMPTO A'a.0�0" f;• ` `'
Boston,MA 02118
Commissioner CIL
Not valid without signature
Isi•"---•+.._•.Yw...`�••"•-�.•,'..--,;,�;Win,.,., '
/ HEOMM:ON:INEA�:1'H b,F'
MA : AHIJSE.:T:TS
HOME IMPRQV 4MF,N,T-QONTRACTOR
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199 Pine Street
1 message
Louis Hasbrouck<Iasbrouck@northamptonma.gov> Sun, Sep 16, 2018 at 3:15 PM
To: mdelisle@rciroofing.com,cthompson@rciroofing.com
Mark, Chris
It's not clear from the permit application if this is a flat roof,whether you're stripping down to the roof deck or not, and whether there's
insulation below the roof deck.
have some plans from the renovation but it's not clear.
If you're stripping it to the deck and there's no cavity insulation below the deck, you need to get to R-30 continuous. If yo're going over
existing roofing or there's cavity insulation, 3"polyiso is fine.
Let me know.Thanks. (`+
Louis Hasbrouck
Building Commissioner
City of Northampton
Town of Williamsburg
(413)587-1240 office
(413)587-1272 fax
1