38B-255 . • •
Reade Roofing
Derrick Reade
429 Deerfield Street
Greenfield, Ma.
01301
HIC# 154731
Mark Weinberg
65 Franklin Street
Northampton, Ma.
01060
re: Contract
51 Olive Street
Northampton, Ma.
Remove present roof material from house main roof and front porch roof and then install 30 year
Landmark Architect shingles in the following manner.
Reade Roofing will:
1. Tarp off the entire grounds below work area
2. Install staging around roof edge for proper fall protection and to protect siding and
landscaping
3. Remove present roof material
4. Inspect deck making minor repairs as needed
5. Install 1/2" plywood over present roof deck
6. Install ice barrier bottom three feet and around all roof projections
7. Install 15# felt over the rest of the roof
8. Wrap the roof edges in 8" aluminum drip edge
9. Install 30 year Landmark architect shingles
10. Install new boots
11. Install shingle cap
12. Clean the entire grounds around work area ,/ z/c. /' 4?.i (
13. Properly dispose of all debris
Reade Roofing can accomplish this work for $5,850.00, and we require 30 %, $1,800.00 upfront
and the remaining $4,050.00 due upon completion. We also require permission to drive trailer along roof ,
edges where possible. ;' Ic �;; 7 .. , -7 .;.. ✓ Z /)
1 17 a'[
Thank you for the interest in Reade Roofing and we look forward to serving you soon.
Do Not Sign This Contract If There Are Any Blank Spaces
All home improvement contractors and contractors shall be registered and that inquiries about a
contractor or subcontractor should be directed to:
Registration Division, Program Coordinator
One Ashburton Place Room 1301
Boston, Ma. 02108
Tel (617) 727 -3200
The home owner has a three day cancellation time in any contract under MGL c 93 s 48: MGL c 140D s 10
Home Owner's Signature Date Reade Roofing Owner's Signature Date
` �IC f
, , i ,
1 : .L 4 I" i / 5/a
/
•
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction supervisor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends to be, a one or two family
dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two -year period shall not be considered a
home owner."
The building department for the City _of Northampton wants person(s) who seek to use
the home owner exemption, to act as their own construction supervisor, to be aware that
by doing so you become responsible for compliance with state building codes and
regulatinns The in sTion proce requires that the building depart ment be called to
inspect work at various stages, which include foundation /footings (before backfill),
sonotube holes (before pour), a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection. The
building department requires these inspections before the work is concealed, failure to
secure .these .inspections .can _result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
----- - - - - -- pests in conjunctionto _the buiilinv g_per it_issued,. and_that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner /resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Address of work
location
The Commonwealth of Massachusetts
Department of Industrial Accidents
=i — Ei Office of Investigations '
t,.,_ 600 Washington Street
,,,, '7.17 Boston, MA 02111
www.mass.gov /dia
-Workers' Compensation Insurance Affidavit: Builders/ Contractors /Electricians/Plumb.ers
Applicant Information Please Print Legibly
Name ( Business /Organization/Individual): Deft/ C �c .pcL R -e� 1 \ oG f n
Address: Y � /r't ((J( S -tick .
City /State/Zip: 2 �t /4 , Phone. #: 9 ' /2 775 0or
Are you an employer? Check the appropriate box: Type of project (required): /,.
,
1. I am a employer with eX 4_. 0 I am a general contractor and I 6. New construction
employees (full and/or part- time).* have hired the sub- contractors
2.I am a sole proprietor or partner- listed on the attached sheet 7. 0 Remodeling
ship and have. no . loyees These sub - contractors have 8. 0 Demol on
working for in any capacity. employees and have workers'
g Y ap ty. 9. Q Building addition
[No workers' comp. insurance c°� _
required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
o cerslaye Plumbs r
A_:xerc�.se_d_ �1.
3. � F -am -a herneo�vaer- do� all -waFk- -- - -- - - - - - .; 0- g repairs or additions
myself [No workers' comp. right of exemption per MGL 12. [Roof repairs
insurance required] t c. 152, § 1(4), and we have no
employees. [No workers' 13.0 Other
comp. insurance required.]
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy infomhation.
t Homeowners who submit this affidavit . indicating -they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors 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 Co an Name: - Tiavt
Policy # or Self-ins. Lic. #: ( p L ki or' L 7b Expiration Date: 8' { 4 . �o
Job Site Address: 51 V 11 ✓e , $°e-t 1 - City /State/Zip: * �`11rr j✓ d /00
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 fne
of up to $250.00 a day against the violator. l5 advised that a copy of this statement may be forwarded to the Office of
Investisations of the DIA for insurance coverage verification.
I do hereby certify under the p , ' and penalties of perjury that the information provided _above is_tr P anti correct -.-
Signature: i Date
Phone #: 1 -113 - 1 T -7. 00 ( -
Official use only. Do nvt write in this area, to be completed by city or town official
City or Town: Permit/License #_ .
Issuing Authority (circle one):
- I Board of Health 2. Building Department 3. City/Town - Clerk .4. Electrical Inspector 5. Plumbing Inspector _
6. Other '
Contact Person: Phone #:
�" The Commonwealth of Massachusetts
Department of Industrial Accidents
;`_...x.a ' , Office of Investigations
,,,.. 600 Washington Street
,_ - Boston, MA 02111
www. mass.gov /dia
Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians /Plumbers
Applicant Information Please Print Legibly
Name ( Business /Organization/Individual): r" I (\I c;C?,t• a e ( _
Address: j j_ 1 R `` v ,,, -- 0, ck
City /State /Zip: �t'_ (4 00 /YA 013 Phone #: L 3 -6, V r c7t7
Are you an employer? eheck the appropriate box: Type of project (required):
1. El I am a employer with 4 ❑ I am a general contractor and I
.C'tnployees (full and/or part- time).* have hired the sub - contractors 6. [1] 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 8. El Demolition
working for me in any capacity. employees and have workers'
Y P ty. 9. 0 Building addition
[No workers' comp. insurance comp. insurance.
required.] 5. Li We are a corporation and its io.❑ Electrical repairs or additions
3. ❑ I am a homeowner doing all work
officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 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 #1 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:
Policy # or Self -ins. Lic. #: Expiration Date:
Job Site Address: City /State /Zip:
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 certi n er the p ins and p lties of perjury that the information provided above is true and correct.
' C.
Signature: -' Date: ( I - / —C1
Phone #: 1 1 i x) - 1 1 7
Official use oily. Du nut 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 Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone #:
Version1.7 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 0
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, ( D.Zf , as Owner /Authorized
Qoent 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.,
e
l/ //7 y „
Signature of Owner /Agent ate
S ECTION 12 - CONSTRUCTION SERVICES
VI0.1 Licensed Construction Supervisor: Not Applicable ❑
License 7,
�
Leyd e t_ .__.._ !1/ ,__.. __..._ ...._ ...._. _.� .. j 1 ..
Address Expiration Date
Signature 1 . 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
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
Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
Version1.7 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 .._ �.... w
Building Height
Bldg. Square Footage
Open Space Footage ° - - --
(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 Q DONT KNOW YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW el YES
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO C) DONT KNOW YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 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 (3 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 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 ❑ Roofing Er Change of Use ❑ Other ❑
� -F-11
-en Description Enter a brief description here. ' /-�,ty�'i pv'e_ p r �'
f l t- row- ot vl J `f I1 �i ( A S
0 Of Proposed Work: '
l c< d l i,,,
� l n .__ �� f_ .. � i { P _n _. 4444__ IA� . _._ CN _.444 5 �
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 ❑
f E Educational ❑ 2B I ❑
F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
1 Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑
S Storage ❑ S -1 0 S -2 ❑ _ 5B
1 ❑
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: 444,4.. ___
Existing Hazard Index 780 CMR 34): _ Proposed Hazard Index 780 CMR 34): ',__ 444_.. .._ ,_.__,_.,.'I
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor (sf)
1
1
2nd ... .. 444 2 nd
3rd 3 r d
44,4 4444 _ , . _, _.. _ ... 4444 4 m
4 th
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 ❑ Private ❑ Zone _ ,,, , Outside Flood Zone❑ Municipal ❑ On site disposal system El
Version1.7 Commercial Building Permit May 15, 2000
Department use only
': Gity pf Northampton Status`ofPerrnit
---- Building Department Gurb Cut/Dnveway Permit
212 Main Street Sewer /Septic Availability
DEC " 7 2009 Room 100 Water Well Avallabiltty .
Northampton, MA 01060 Two Sets of Structural Plans. =.'
M,phone.41,3- 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:
5 � LS h h V?. S�r /� �' Map Lot Unit
IV (4tAt -4^A / , r ` Y� ` Zone Overlay District
CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
? r ...._ _ . ._ . . c
F rl kt 5} (Q-f No - o f1 .kpfbin V 1C(
Name (Print) Current Mailing Address:
Signature Telephone
2.2 Authorized Agent
_ I i (MCAN
61Z _
Name (Print) Current ailing Address
X3._.. . 0D` _._
Signature 5 t � C`� Telephone
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
4. Mechanical (HVAC) _._.......,
5. Fire Protection
6. Total= (1 +2 +3 +4 +5) 6 0 `�(� Q Check Number a?��
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner /Inspector of Buildings Date
C ` •
BP-2010-0590
GIS #: COMMONWEALTH OF MASSACHUSETTS
14t0,05 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit # BP- 2010 -0590
Project # JS- 2010 - 000862
Est. Cost: $5850.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Lase Group: READE ROOFING 87965
Lot Size(sq. ft.): 9801.00 Owner: PRAHL DUNCAN F & MARK WINEBURG
Zoning: URB(100)/ Applicant: READE ROOFING
AT: 51 OLIVE ST
Applicant Address: Phone: Insurance:
429 DEERFIELD ST (413) 775 - 0071 WC
GREENFIELDMA01301 ISSUED ON:12/11/2009 0:00:00
TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE 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 12/11/2009 0:00:00 $35.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo