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25A-181 • . , , ft' r J.D. Rivet & Co a Inc. ROOFING • BHEETMETAL 1635 PAGE BOULEVARD EPR1NGF(EL D,MA P.O. BOX 51066 lNDIAN.: ORCHARD, MA 01151 TEL. (413) 543 -5660 PAX (413) 543 -3373 October 14, 2011 To: Ctty of Northampton Building Department 212 Main Street, Room 100 Northampton, MA 01060 RE: 3Iki +ght 9Aiiiluor 115 tndustrizA DrWe at on, MA 01060 .1.0. Rivet & Co., Inc. herby requests a waiver for requirements for a "construction control affidavit" on this roofing project. Sincerely, jars Dreyer, Operations Manager Licensed Construction Supervisor • raix egated ZeY4 ,444.66 1,960 Z00/Z00d Id81/:V0 I40Z Vl 1 VIE - CPS -EIV: XJ '03 13A111.01' • J.D. Rivet & Co., Inc. lila la ROOFING • SHEETMETAL 1635 PAGE BOULEVARD SPRINGFIELD, MA P.O. BOX 51068 INDIAN ORCHARD, MA 01151 TEL. (413) 543 -5660 FAX (413) 543 -3373 October 13, 2011 City of Northampton Building Department 212 Main Street, Room 100 Northampton, MA 01060 RE: Wright Millwork, 115 Industrial Road Northampton, MA 01060 At the above referenced job location, we are removing and properly disposing of the existing EPDM membrane and one layer of wet 1 inch rigid insulation. We are replacing that with a single -ply membrane, of same weight and thickness, and one layer of new 1 inch rigid insulation. The new items listed above add no additional weight to the roof or building structure. Sincerely, Jan Dreyer — Project Manager e • ✓ ce /960 r. A , , ry J.D. Rivet & Co. Inc. ROOFING • SHEETMETAL 1635 PAGE BOULEVARD SPRINGFIELD, MA P.O. BOX 51068 September 12, 2011 INDIAN ORCHARD, MA 01151 TEL. (413) 543 -5660 FAX (413) 543 -3373 Wright Millwork 'Firestone 1 15 Industrial Drive 20MASTER 11 Northampton, MA 01060 CONTRACTOR Attn: Mike I3Lle BUI LDING �t PRODUCTS Q — RE: ) f;7 tIlutisU )itl u ➢1 C -- Lower ILt ■eir r Roiri — 5,2-w c,i . ii . Scope' of JVor I. Remove and dispose of excess stone and debris. do i� ) 2. Remove and properly dispose of the existing 1 PDM and wet insulation ar and gravel roof. 3. Furnish and install 1" polyisocyanurate insulation over the tar anti . gravel roof. 4. Furnish and install Firestone 60mil TPO mechanically attached roofing system complete with all associated (lashings. 5. Furnish and install new pressure treated wood nailers with height to match thickness of' the new insulation. 6. Furnish and install new .040" painted aluminum edge metal in accordance with Firestone's requirements. 7. Furnish and install (3) new copper drain inserts at existing locations. 8. Clean jobsite ()Call roofing debris. 9. Furnish owner with a 15 year Firestone labor and material warranty. PRICE= $25,750.00 (Twenty -Five Thousand Seven Hundred Fifty Dollars) Is ael Schepps — S. es & Customer Service Acceptance of Proposal - The above prices, specifications and conditions are sttislactory and are hereby accepted. You are authorized 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 limn above specifications involving extra costs will be executed only upon written orders, and will become all 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 are subject to a late charge of I '4 %0 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 attorney's Ices. PAYMENT TERMS: 25% DUE UPON PROPOSAL ACCEPTANCE, 25% DUE UPON MATERIAL DELIVER, BALANCE (50 %) DUE UPON COMPLETION. NOTE: THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT AC'C'EPTED WITHIN 6(1 DAYS. "OWNER I 'ONSI .E FOR ALL ('IIARGES RELATED TO BUILDING PERMIT FEES." Signature: > tq // - Pu 6 o RECEIVED GJZee 1.960 SFP 1 4 2011 WRIGHT ARCHITECTURAL_ MILLWORK CORP A C CP CERTIFICATE OF LIABILITY INSURANCE DATE 05 /02 /DD /YYYY) 05/02/2011 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 1- 630 - 773 -3800 CONTACT Christopher Mowery NAME: so P Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX (NC. No. Est): 312 803 - 6375 A/f C,No): Two Pierce Place E - MAIL Chi Certificates @AJG.com ADDRESS: Itasca, IL 60143 - INSURER(S) AFFORDING COVERAGE NAIC # Christopher Mowery INSURERA: ARCH INS CO 11150 INSURED INSURERB: NATIONAL UNION FIRE INS CO OF PITTS 19445 J.D. Rivet & Co., Inc. INSURER C : 1635 Page Blvd. INSURER D: Springfield, MA 01104 -1752 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: 20987545 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. INSR ADDL SUBR — POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR wvn POLICY NUMBER (MM /DD/YYYY) (MM /DD/YYYY) LIMITS A GENERAL LIABILITY ZAGLB9131200 05/01/11 05/01/12 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED 300,000 COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10 , 000 X 5,000,000 All Projects PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GE 'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2, 000 , 000 POLICY X PRO- JECT A AUTOMOBILE LIABILITY ZACAT9115300 05/01/11 05/01/12 COMBINED SINGLE LIMIT 1 000, 000 �a accident) $ , X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED i BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS (Per accident) Physical Damage $ 1,000 Comp /Col. B X UMBRELLA LIAB X OCCUR 9788956 05/01/11 05/01/12 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000,000 OED X RETENTION $ 10, 000 $ WORKERS COMPENSATION WC STATU- I OTH- A ZAWCI9235300 YIN AND EMPLOYERS' LIABILITY O5 /O1 /11 05/01/12 X TORYIIMITfi__ FR � ANY PROPRIETOR /PARTNER/EXECUTIVE N / A E.L. EACH ACCIDENT $ 1,000,000 OFFICER /MEMBER EXCLUDED? N (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1, 000 , 000 If yes, describe under DESCRIPTION OF OPERATIONS be :ow E.L. DISEASE - POLICY LIMIT $ 1, 000 , 000 DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Evidence of Coverage THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I © 1988 -2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD chrismow 20987545 \IASSachusetts - Department of Public Safety Board of Building., Rc∎2ulations And Standards Construction Supervisor License License: CS 50230 JAN N DREYER 44 LAKESIDE DR MONSON, MA 01057 i,' Expiration: 7/21/2012 ( ui7lmis.rmcr Tr#: 29504 • 'Print Form { The Comrnonweal:h of hlassachuse is I = -- = -= Department of Int- L/stria! Acciri Oi 7Ce Ojlitu esLog(310?S 600 TT- as/lin Street Boston. ;1,, -1 0211 n21SS. g OV%CZ'1a VVTorkers' Compensation Insurance Affidavit: Builders / Contractors /ElectriciansiPlurnbers Applicant Information _ Please Print Le2 Name ( BusinessiOreanizatioa /lndividual0_ 2 • D • Rivet & Co. , Ad(ress: 1635 Page Boulevard City /State /Zip Springfield, MIt 01104 I'ht)n% 413 -543 -5660 Are you an employer? Check the appropriate boy_: Type of project (required): I a. 1amaaen l r�icontactorand I ant a employer ��ith r �0 �__! c:rnnloyees (full and/or part- time) - have n I cd the sub contracts rs I New consr uctlon i , 1 t, 1 Ilic ! Pcodehno ?. ❑ I am a sole. pi oprietor or partner ire. on the a�tachec sheet. ill ship and have no employees "[hew sub - contractors ba,ve S !Demolition en plu -es rid have oorke work r - for me m any capacity. pacity. r� >. T I Luil< I1I, adcltu)n j No woll<cral comp. Insurance. co Ip ulsul t [ We 11, o'p)ruion and its 16 ❑ Llecu» cal IC lair! r. �icdt_lons 1,;11C('('( 1 Co;ercise.(a their 1 Plumb%°) t:, 0r irm< an a ( ht)mco ,N 60100 al. W011_ s � �l auc �iidtl x-12 11 t ! t.�cr �ptiorl p r NIG! rnv s l:� IN() ,.yr)rkcrs' con 1? :or i r .pair:; ul nr ux:r et11Ii1u) I I, f ) , ant' et :1;-e. 110 i:1 plirv'c IN() wo((.. r:. 1 1. 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I1„ jl C (IF 'I o' I - I'rI III._ !1ee Se Iy,u1 10 � L :',01H 0. 1 1 /0:111 I)c1:-rlit, n: _. t, n ti 111Th /ic: Ity, :Cm /I ») 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 O No O SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT , 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 I, ,TAAI i. , as er-/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. t1 /)` , Print Name 40 41IPP / g// Signature ofg071 /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : TAN "// €-r2 _ CS 602_30 License Number Dtew E Moto' / MA 7 - 71 21 z-0 ( Address Expiration Date ' / % / Sign. or- _ - 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 0 V Version1.7 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 • D ?L..1tI-e..1" Not Applicable ❑ Company Name: Responsible In Charge of Cons action Address i1 (w) C Signa -telephone VersionI.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to he filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height t Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved parking) #1 of Parking Spaces Fill: (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW O YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW O YES O IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW O 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 o NO 10 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 disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES O NO 0 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 E Roofing Change of Use ❑ Other ❑ Brief Description Acieetit05theipticelKiteb ti f" CIO c> E 4NJn t0 dLd .. s tb1V1 Of Proposed Work: J.Q,l+3 f ro 1Jt •o l,o - p0 S'�� .91A • Sob 6.1 be s SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A I ❑ A -4 ❑ A -5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 28 ❑ 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: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34). i SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1St 1 St 2nd 2 nd 3d 3rd 4 111 4 th Total Area (sf) > }, 00 $t, Total Proposed New Construction (sf) J 4 /K-1._ Total Height (ft) t5 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 ZoneD L Municipal ❑ On site disposal system❑ - � • -~_- � � ' ' ` - ' ~ V i | 7 Commercial Building Permit May 15 2O08 o��� ��`mco ���?g nn oy . Department use only ^ .� • City of Northampton Status of Permit 1 4 2011 BuiNingDepadmerd Curb CuVDnvewayPonnh / 212&1ain3�eei Sowe�SepdoAva�bi0y I Room 1UO VVa^a�No||Avai�bUUy ' OF Northampton, MA Two . phone 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 This section to be completed by office 1.1 Property Address Map Lot Unit . 1^�60,5 - h = t0\ R Zone Overlay District Elm St. District CB District SECTION 2 PROPERTY OWNERSHlP/AUTHORIZED AGENT 2.1 Owner of Record: . '�A��u 1/�� co Dr tw Name (Print) Current Mailing Address ���~ - Ca � �� � ���m / _ 2.2 Authorized Agent: � ~ 12.:'*��'CC. T. ID'eu 5V0 GI An& 0 ." mn Name (Print) Current Mailir q Address. 0 \\ \ ��{� ���4~��&40 k1 ' Signature _ Telephone a ' . 4.*.‘""' ''' SECTION 3 - �ST)MAI Item Estimated Cost (Dollars) to be Official Use Only completed by permit appUcant ____ 1 Building ��K� �� ^,n�Z3, (a) Building Po,muFee � 2 Electrical (b) Estimated Total Cost of Construction from C6) 3. Plumbing Building Permit Fee _ ____ 4, Mechanical (HVAC) 5. Fire Protection .4 6. ��;=p+2+3+�+Q ^' � �� r �7 C»�rkNombe, 8 c h r ~ This Section For Official Use Only_ _� Building Permit Number Date Issued ___ __ __ ui t 2 . 77 -- /7 ammmo Da er — ____ __ ___ • •, 115 INDUSTRIAL DR BP-2012-0387 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 25A - 181 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- 2012 -0387 Project # JS- 2012 - 000616 Est. Cost: $25750.00 Fee: $156.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: J D RIVET & CO INC 050230 Lot Size(sq. ft.): 108900.00 Owner: WAM LLC Zoning: GI(100)/ Applicant: J D RIVET & CO INC AT: 115 INDUSTRIAL DR Applicant Address: Phone: Insurance: P 0 BOX 51068 (413) 543 -5660 Workers Compensation INDIAN ORCHARDMA01151 ISSUED ON:10/17/2011 0:00:00 TO PERFORM THE FOLLOWING WORK:REMOVE ROOF TO DECK & 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 10/17/2011 0:00:00 $156.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner