38B-050 (5) 31LYMAN BP-2019-1148
GIS#: COMMONWEALTH OF MASSACHUSETTS
MaR.Block: 38B-050 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Penna: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Categorv: ROOF BUILDING PERMIT
Permit BP-2019-1148
Project ft JS-2019-001859
Est Cost: $29400.00
Fee: $205.80 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: SEXTON ROOFING CO 99689
Lot Size(su. ft): 0.00 Owner. KENDRICK PROPERTY
Zoning: URB Applicant: SEXTON ROOFING CO
AT.- 31 LYMAN
ApplicantAddress: Phone: Insurance:
P O BOX 6327 (413) 534-1234 WC
HOLYOKEMA01041 ISSUED ON:4/1912019 0:00:00
TO PERFORM THE FOLLOWING WORkINSTALL NEW EPDM ROOF MEMBRANE
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: Oft 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 Occuoancv Shmature:
FeeTvpe: Date Paid: Amount:
Building 4/19/2019 0:00:00 $205.80
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
Vemion1.7 Commercial Building Permit
Department use only
City fNorthampton Status of Permit
uildi Department Curb CutlDnvexay Perms -
(��iG/ 12 ain Street SewerlSeptic Availability
Ro 100 WaterNfeO Availability
\ No tgpto MA 01060 Two Sets of Structural Plana
\ PQM phone �/- 0 Fax 413-587-1272 PWSite Plans
Omer Specify
APPLI TIOc, OOiUCT,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'
.�� �Y4✓1� L Map : q'q Lot 06V Unit
Zone Overlay District
Ekn at District CS District
SECTION 2-PROPERTY OWNERSHIP/AUTHORUED AGENT
21 Owner of Record:
j6a-tQCy- P2.( -kj rrA.9n�wu�uT °f 73 S/-A- A 5 l �
Name(Prim) L�INAU 2O, Current Mailing Address:
�6r orOrt+uv.-.�'r
P 53 _ caas—
signature Telephone
2 2 Authorized Apert:
Name(Prim) �y�,r J ,y�k-(e✓ Current Mailing Address:
Signal. Teleplane
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3, Plumbing Building Permit Fee 10
4.
4. Mechanical(HVAC) "t A 0 h
5. Fire Protection
6. Total=(1 +2+3+4+5) I Check Number
This Section For Ofrwial Use Only
Building Permit Number Date
Issued
Signature.
ti- jq,
Building to rspedor of BuiMinBs Date
Version 1.7 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❑ Roofng®Change of Use❑ Other❑
Brief Description Enter a brief description here. _rn 3yp � n eL(.)
Of Proposed Work:
�Q.Irti Y'J rtu n. '�
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 ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ 1-1 ❑ 1-2 ❑ IJ ❑ 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 760 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(at)
1° 1°
2n0 2-
3-
Total
m3`°Total Area(sf) Total Proposed New Construction(sf)
Total Height(ft)
Total Height it
7.Water Supply(M.G.L.C.40,$54) 7.1 Flood Zone IMor rhi 7.3 Sewage Disposal System:
Pudic ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system❑
Versionl.7 Commercial Building Permit May 15,2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This wlumn W be nllal in by
auiWing DepaNnem
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg Square Footage
Open Space Footage
(Lis arta minus bldg&paves
#of Parking Spaces
Fill:
volume&Lrcaiion
A. Has a Special Permit/Variance/Finding er been issued for/on the site?
NO O DONT KNOW YES O
IF YES,date issued:
IF YES: Was the permit recorded at the try of Deeds?
NO O DONT KNOW YES O
IF YES: enter Book Page and/or Document M
B. Dces the site contain a brook, body of water or wetlands? NO O DONT KNOW (D-"YES O
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 0 NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO
IF YES,describe size, type and location:
E Will the construction activity r stiirb( grading,excavation, or filling)ova 1 acre or is it part of a common plan
that will disturb over 1 acre? YES U NO O
IF YES,then a Northampton Slorm Water Management Permit from the DPW is required.
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 700 CMR 116(CONTAINING MORE THAN 35,090 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable ❑
Name(Registrant):
Registration Number
Arldress
6m4ration Date
SignaNre Telephone
9.2 Registered Pm(essionsl Engineer(s):
NG'Piev 7v u
Name -� Area of Responsibility
7 �i LrL� go/10E7
Registration Number
0201/2f73_ /o - S
SignaNre Telephone aon Date
Name Area of Responsidlity
Address Registration Number
Signature Telephone E*wal on Date
Name Area of Responsibility
Atltlress Registration Number
SignaNre Telephone Expiation Dale
Name Area of Responsituldy
Address Registration Number
SN.W. Telephone Er wation Dale
9.3 Gerrenl Contractor
&'K�VW. fed I of
�
Not Applicable❑
C. Name
ry� �4, .
Re nslble In Charge of C nstwm
�c K 7
Address
7—
Telephone
Telephone
Versionl.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) 1
Independent Structural Engineering Structural Peer Review Required Yes O No
SECTION II -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, 9 .+f SAfrCz/4, WA rr�� �o�Cr—� S�.En a� as Owner of the subject property
hereby authorize appe A-4c, Zo((fL/ J �l d j.1 q �Z-�L. to
act on my behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date
V n- /,C-ea/zt J S '�! �( .���— .asamena,mon:ed
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 and1'penalties of perjury.
Print Name
Signature of OwrwdAgent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Nat Applicable ❑
Name of titans Hold er: �V t12� ��`�V 99(0 k 9
II License Number
I 0 Lire / 0 - �-
Address�... Expiration Date
204 24 � s
Signature Telephone
SECTION 13-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(S))
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 Q
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: �,4 Zyn W,
The debris will be transported by:
The debris will be received by:
Building permit number:
Name of Permit Applicant
"'z 4
Date Signature of Permit Applicant
�ro�o�ai
SEXTON ROOFING AND SIDING INC.
www.sextonroofdnv.eoin
lj K0
Setting the Standard
certified Roofing e.mraeema lifilgbg
P.O. Box 6327
p. 413.534.1234 S"tonroofing@hotmad.com Holyoke, MA 01041
E 413.539.9906
MA HIC# 118239 CT
HIC#0605383
SUBMITTED TO Kendrick Property PHONE 253-0285 DATE 4/9/19
mmmenarrit
STREET 437 Main St. JOB NAME Managed Property/Lyman Rd Condos
CITY,STATE,ZIP Amherst,Ma. JOB LOCATION 31 Lyman Rd.Northampton,Ma.
MAIN ROOF AND PORCHES. (Excludes Garage)
I)Install '/2" ISO board mechanically fastened with corrosion resistant fasteners and stainless steel plates.
2)Install EPDM .060 single ply roofing system as per manufactures specs.
3)Install .032 metal edging and counter flash. (C-6)
4)Install new EPDM boots over existing vent stacks.
5)Counter flash chimney,pitch pockets, and install proper termination.
6)All work carries a Manufactures 20 yr warranty and SRC 10 yr. W aorkmansip warranty.
All contracts fully insured with workers comp. and liability insurance.
We jilropa4e hereby to famish material and labor-complete in accordance with the above specifications, for the sum of.
Twenty Nine Thousand Four Hundred DOLLARS($29,400.00)Payment to be made as follows: balance due in full upon
completion
All Material is guarantred to be as spedfied. All work to be completed in a Authorized
workmanlike"rimer aaar&as to standard practices, Any alteration or Signature
deviation from above spedgcadons involving extra even will be executed only
upon written orders,and will become an extra charge over and above the
estimate. All agreements contai ent upon mikes,accidents or delays beyond Note:This proposal may be withdrawn by us if not accepted
ourmntrol. Not responsible for water damage during romouction. Ownerto within(14)days.
ay responsible,few fees for no.- a enc aM a licabk inserter.
f(CCM Ct Bt i)rBpOgal The above prices,specifications
and conditions are satisfactory and are hereby accepted. You Signator u D
are authorized to the work as specified. Payment will be made q35�G
as outlined above.
Date of Acceptarice.
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Boston,MA 0211¢2017
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W11'.t.'Compeasation Insurance Affidavit:BmMers/fAntmctorsWAeehieiaasffl%mbem
TO BE Fff"WITH THE PERMPfnNG AUTHORM -
AUolieantLtormation Please Print /.eably
Name(Bwm%sKkgaoimrioMudivimnq:NRC Construction Inc
Address:66 Water St Apt 2
City/Stffie/Zip:Milford, Ma-01757 Pham#_774-287-1485
A ym mempb'er!CYrh rheappnpriahhoc T ofproject
Type (repaired):
1.0 l..co,Aoymsvim4 employm(fou 7. ❑New conshnction
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p i' ..kbmcxo� 12.❑Plumbing repass or additions
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Insurance Company N.Athmfic Casually
Policy it or Self-ms.Lic.#:R21NC947397 EapQstion :8/16/19
Job Site Address: LltyAtatr0p:
Attach a copy of the workers'compensation policy dedaratiom page(showing the policy number and expiration date).
Failure to same coverage as required under MGL c. 15Z§25A is a criminal violation punishable by a fine tip to 51,500.00
and/or ono-year imprisonment,as well as civil penalties in the form afa STOP WORE ORDER nod a fine ofup to$250.00 a
day against the violator.A copy ofthis statement may be forwarded to the Office of hrvestigabons ofthe DIA fm insurance
coverage vedfcatton.
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Phos #.:T 287-1485
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City or Town:. Permit/Lieease#
issuing Authority(cede one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Impeetor S.Plumbing Inspector
6.Other
Contact Persou: Phone#:
ACO CERTIFICATE OF LIABILITY INSURANCE
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CARPENTRY,ROOFING,PAINTING-
CERTIFICATE HOLDER CANCELLATION
SEXTON ROOFING&SIDING INC SHNIUDANYOF TIE ABOVE HEs(RBm POLICES BE CANCELLED BEfDRE
PO BOX 6327 THE EIPHATfOH DATE THEREOF. NOTICE WILL BE OELIVBUt r) M
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