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22B-040 (25) . 221 PINE ST BP-2006-0426 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:22B-040 CITY OF NORTHAMPTON Lot: -001 Permit: Building Category: BUILDING PERMIT Permit# BP-2006-0426 Project# JS-2006-0629 Est. Cost: $58900.00 Fee: $295.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Young Roofing Co Inc 011878 Lot Size(sq. ft.): 348044.40 Owner: PINE STREET ENTERPRISES Zoning: SUWSP/FP Applicant: Young Roofing Co Inc AT: 221 PINE ST Applicant Address: Phone: Insurance: P 0 Box 56 (413) 584-1367 Workers Compensation FLORENCEMA01062 ISSUED ON: 0(24(106c. qf- TO PERFORM THE FOLLOWING WORK:Roofing; per specifications submitted 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 $295.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo Versionl.7 Commercial Building Permit May 15,2000 r Department use only: City of Northampton Starts of Permit: - Building Department Curb Cut/Driveway Permit_' _ _- 212 Main Street Se•.ver'Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 rTvo Sets-of Structural Plans _ phone 413-587-1240 Fax 413-587-1272 Plot/Site Plan -Other Specify -. 3 APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING • _SECT1OPU $.ITE'INFORMATION'_ _ _ 1-P rtYAddress: _This section'toi#e-completedbyoffice l F 1 t o (.�i l k '�S e , Map 22 .E Lot G L b Unit. Riiti e;n•e. I. Zone 51 /.,>5 f I /p Overlay District I Flom M C-- v►o(p)- . _ . R ( Elm St.District' CB District SECTION a-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Pine: . . Er>}-ey-19 I P;IneSr ioroilc 1 MA• oi0(cd, Name(Print) -r (LA i n n l Current Mailing Address: Signature - Telephone 2.2 Authorized Agent: ! \I �L7t ( �a'1G i I P.�.(5Di( 1p( j5(o fti re iet,( Pi A-. oicto- Name(Print) auv-d, Current Mailing Address: 1� # L13 - 54.(Npij Signature Telephone - -SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant - } 1. Building VI,y.,� t�rcko r O (a)Building Permit`Fee Z 1 2. Electrical vt) vv -GO (b)Estimated Total Cost of Construction from(51 _ _ 3. Plumbing 1 ! Building Permit Fee 4. Mechanical(HVAC) I 5.Fire Protection I ' L. 6. Total=(1 +2+3+4+5) 530 9oo-O -.Check Number ..•_ _. : . _ This Section For Official Use-Only Building PermitNumbcl'• Date Issued Signature: Building Commissioner/Inspector of Buildings Date • 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 El Demolition❑ Re i ❑ Additions ❑ Accessory Building❑ Exterior Alteration 0 Existing Ground Sign 0 New Signs El(Roofir_lajll Change of Use Other 0 Brief Description !Enter a brief description here. /, �" hStl,Iu iall lul'11S� 1"�Ce�ahi(C:lly Of Proposed Work: � a���S, � -1-� "-Jr)� Fu vt c.c -5yS46n,-) • SECTION 5-USE GROUP AND CONSTRUCTION TYPE r' • USE GROUP(Check as applicable) 1 CONSTRUCTION TYPE A Assembly El A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ — A-4 ❑ A-5 ❑ 1B ❑ B Business 0 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 D 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B [ ❑ U Utility ❑ Specify: —M Mixed Use El Specify: S Special Use ❑ Specify: f COMPLE 1 b THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE Existing Use Group: I. Proposed Use Group: ._ Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA OFFICE USE ONLY BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION • . Floor Area per Floor(sf) �' � ' 4 - .a- St I 1st : ( 3 :--a.. n'.°'t;s�.. 4 ,: •� -x- r ..r 2"d 1 1 2 i •Ir,- �iF a '" - r •, A, y a,} 7Yr e —.!F �.0 _ .� -as :- sz 4t I y ..4 _ ._ .� ,• � o t „r . ., ,,,. z 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 0 Private 0 Zone _- Outside Flood Zone Municipal ❑ On site disposal system❑ • Version 1.7 Commercial Building Permit May 15,2000 Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size l i a Frontage I 1 • Setbacks Front I i 1 Side L:7-1 R:! I L:1-1 R:1 E� .i 7-1 Rear _ I L -E wilding Height _ -- t! Bldg.Square Footage Open Space Footage (Lot area minus bldg&paved I—li 1 i 71 I 1 1 parking) #of Parking Spaces I 1 Fill: ' (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW ® YES IF YES, date issued: i I IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW ® YES 0 IF YES: enter Book i i 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 O Obtained © , Date Issued: C. Do any signs exist on the property? YES ® NO IF YES, describe size, type and location: i • D. Are there any proposed changes to or additions of signs intended for the property? YES 0 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 © ' NO 111) IF YES,then a Northampton Storm Water Management Permit from the DPW is required. Version1.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO780-CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect Not Applicable Name(Registrant): + Registration Number Address -- i -I 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 ' I � Signature Telephone Expiration Date • 9.3 General Contractor /00MG eXF---J--AiG CD Q0_, Not Applicable ❑ Company Name: Rlc IltvU' VOOT Responsible In Charge of Consthicbon Address (e freSeviT -1310`7 Signature Telephone Version1.7 Commercial Building Permit May 15,2000 r•• SECTION 10-STRUCTURAL.PEER REVIEW"(Z80 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 • hereby authorize' !to act on my behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date 1, ! ,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 Owner/Agent Date -SECTION 12-CONSTRUCTION'SERVICES 10.1 Licensed Construction Supervisor. Not Applicable 0 Name of License Holder: R� c�t7c /QtJv' ( i i O ► I ST6 License Num [cz i'r) C, C. PO.�i 6 TIc� �fA oZZi i S114 o(o Ad/01U18' ess Expiration Date H l3 —h(.o7 I 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 1 • of �?a�:flia�ii}�fon 1 _ / EZaaancFlntclla' •1:ti 7 1". DEPARTMENT OP r3IIILDINC INSPECTIONS 4 —. — 212 Main Strcct • Municipal Building Northampton, Mass. 01060 \tirgas •., \VORICCIt'S COMTENSATION. ENSURANCE AF U)AVf'I' • _ -- • (limns c%permittec) with sidencc at: -(phone) • (srr (/citylst2J.ri ip) do hereby certify, under the pains and penalties of perjury, :hat X) I am an employer providing the following tv'orkcr's compensation coverage for my employees worng on this job: ac hcoas, 4ifo iIt b(0 5? , (tnsur-mc.Coop lay) • (Polk:Nu-ter) (E pirrion Dal ) • ( ) I am a sole proprietor, general contractor or homeowner (circie one) and have hired the contractors listed below who have the following worker's compen_a ion policies: (dame of Contrtctor) (insurance, Colrloany?olic (c-?:plrat3on Dntc)' (Name of Cootraaor) (Lns.rancc CompanyiPolic; Number) (Eknirtion Date) • • (Name of Conlraaor) (Insurance Company/PoL•c)• Number) (Expir000 Date) (Name of Contractor) (Losuranm Comeauy/Policy Numbs) (Expiration Dale). (.tech ditiocul e'tec if pope s.r to ends&inforauoo peruining to 4.1 owe--con) ( ) I am a sole proprietor and have no one working for me. ( ) I am.a home owner performing all the work myself. NOTE:plea bc ea-arc tbs.:setrJc bocoro.+vera v bo eatploy pc-tow to to r-•••r•+•-+•,••• c -ico a rc lair work 173.ds.ctinE of apt mote t1=-0 ttloe trans in wbich the botnoowoo-rnic14 or co the grouoca svpattcru.=tbcdo crc co((.•a..11y ccccrids,ril to bc caploycs uo'e the wrckcls c e�.•ica Acs(GLI S'2.1(5)).appliesaoo try a bomeoax fQ c li=-cc psmis ram•y c.idmoc the • legal tl.w.or ca cccploy.c uoder dip Wortola Coc pomation Act. 1 undcrt.od dut a copy of this rat®om m.y b.forw.ud.E to tbo Dop.naaccs of lodarai.J Aaodcote Offioe of tr . 'Invoraoco for th. eovtsagc vcrifictioa arid thet C Jt c to scour tovc-uge trader s.ouioo 25A of MOL 152 an Iced to the i••*�<Rion of Qimiaal paulua co:nixag of a tux of up to S I,O0.00 artdror c=peisoamen of up to ooc year end civil pco.tio is ttc focal of.Slop Wort Ordc and. flap of S100.00.thy aptiaK coo. For doo.rtro use only ZAL Permit Number 1 p`l� (6 Map"—_ Lot^" Signature of Li rrnrucc L)3te .I .. . .._... L I-1t7-r UOD KUM: t r.T .i. I'11r1V1t-rc. µ7..!,7+d45��c'_ IIJ:5:j5Uc'ci., P.1 06/17/2005 83:57 413-585-Tab YUUfYu tuurINta 1rK./_. r -, .. ct,t,tr. c. No. 101723 Proposal . _ —. - -. _ . QUNG Tel, 413-584-1367 Roofing Co., Inc. Fax 4 41313--585-022SFB-91G7 6 P.O. Box 60056 Florence, MA 0 1062-005 6 Date; 6:17105 Customer : Pine Street Enterprises Address: 221 Pine St. Florence, MA. 01062 Job Location The roof over G section. SPECIFICATIONS: 1. Power broom all loose gravel off the complete roof. 2. Apply 2 layers of 2 inch polyisocyanurate Insulation over roof area. (R Value- 24.2) 3. Install pressure treated wood nailer the thickness of the insulation to all edges. 4. Apply Carlisle's reinforced mechanically attached roofing system. 5. Flash all walls,edges, and roof penetrations with an approved Carlisle detail. 6. Install .032 gauge mill finish aluminum edge metal. 7. Install new Smith 10/10 roof drains and connect to the existing plumbing by a licensed Plumber. 8. Remove two unused chimneys and close the openings. 9. Install 1/2 inch thick walk mat from the door to the stairs. 10. Upon completion of the work Carlisle will inspect the job an issue the owner a Fifteen (15) year warranty. rr'W4r4 to'Jiri'1K0 to 4*of soorti4 any VIVO*Cr DasaSDOR V4M ttr'* epeDDOa'DDI rnp Vnp Gala eau wtt DO iuicu`i0 a+y von wrC+an 0. v4 end wl:� dorfr CWC" en evil'1wQo cog,r UM,.I4 attrneta Ai e9reiflrn's COr0'Qer,upon e^1e M;trrw.aC:tl co eye eay OeN 00'W Q v ciny l Ve II Q'RM net Wiry /(_oui s •t 8.7.›Xot7 rA Dir0.00',"3c C aY P 00110 a leo*moo 9r 1 t/2% [v+ne xn cc w N t>d c^Ze M* +n r e wirteu rpr m Oda+ti, wtod to wardAut prized .Richard Youngent any It^e o.n uncl r Inld weeenent.Wi.nMM/gNd Wyss to NY•l ca ty i+w:naa t tna+:onprool000lo♦.iw.'41.gr. Si nature,,,,_ Acceptance of Proposal- me alloy priccs,zpccificetions anti Witness conditions ane satisfactory and art hereby aceuptetl. Yuu are authorised to l gnaw re_--- do thy work as spcctfird.Payment will he made as put red abo'e. Date of Acceptance --()— Acceptance C