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31B-311 (4) IN WITNESS WHEREOF the Owner caused these presents to be signed in quadruplicate and approved by Mary Clare Higgins its Mayor and the said Contractor has caused these presents to be signed in quadruplicate and its official seal to be hereto affixed by its officer or agent thereunto duly authorized (by the attached corporate resolution). This instrument shall take effect as a sealed instrument. CONTRACTOR: I^),[r• . ce 00'}PI L L LC. COMP `MANE it's AUTHORIZED SIGNATURE DATE � r TITLE CITY OF NORTHAMPTON: BY: AGENCY NAME Signatures Date bid filed with City Clerk: , Performance Bond Required? Yes No 1 Bid Date; , amount: Bonding Company `�ti`"• k' Date I - 2 - 65 City Auditor, approved as to appropriatior LEI - � I he 1 J J i1, date d1 • M —,• r r r ` � H ‘\ a s James House Roofing- Scope of Work Page 05 6. Store materials to avoid water damage and store rolled goods on end. Comply with manufacturer's recommendations for job -site storage and protection. 7. Job Conditions- • Substrate- Proceed with shingle work only after substrate construction and penetrating work has been completed. • Weather Conditions- Proceed with shingle work only when weather conditions are in compliance with manufacturer's recommendations and when substrate is completely dry. • NO WORK WILL BE DONE IN THE RAIN. 8. Specified Product Warranty- • The manufacturer's standard warranty shall be for a period of Thirty (30) years from date of substantial completion with warranty information provided to the Owner. • The Contractor shall provide the Owner with a copy of the Bill of Sale for the Shingles clearly indicating the product, quantity, purchase date, and note indicating the project for which the product is intended. • The Contractor shall provide a warranty covering labor and materials for a period of Five (5) years from the date of substantial completion to the Owner. • Satisfactory delivery of warrantees shall be precedent for final payment. ASPHALT SHINGLES - 1. Double layer, fiberglass mat; ceramically coated/UV resistant mineral granule across entire face of shingle; 245 lb. /square; color to be selected by Owner. 2. Shingles to comply with standards: ASTM D 3018, Typel; ASTM D 3462 Tear Resistance; ASTM E 108 Fire Resistance: Class A; ASTM D 316 Wind Resistance: Type 1; UL 790 Fire Resistance: Class A; UL 997 Wind Resistance; NYC -MEA- 120 -79 -M; BOCA and SBCCI Building Code; CSA Standard Al23.5 -M90; Algae Resistant. F James House Roofing- Scope of Work Page 04 10. Plywood Sheathing Replacement- • Replacement sheathing shall be installed in accordance with the recommendations of the APA Engineered Wood Association, and the requirements of the most recent edition of the Massachusetts State Building Code. • Panel Size- Replacement panels shall be a minimum of 12" wide and shall span a minimum of two rafter bays. • Spacing- Perimeter space around new panels shall be the minimum of the diameter of a 10d common nail. • Fasteners- Minimum 8d common nails spaces at least 6" o.c. at the support edges and 12" o.c. at the intermediate supports. Fasteners shall be a minimum 3/8" from all panel edges. • All panels shall be properly oriented so that the panel grain runs perpendicular to the supports. Install all panels true and level and shim trusses and rafters to prevent bows, bellies or other out of plane installations. ROOFING - 1. The scope of work consists of replacement of the asphalt shingle roofing system including but not limited to asphalt roof shingles, underlayment, rubberized membrane underlayment, aluminum drip edge, and other sheet metal flashings, ridge vents, starter strips, nails and fasteners, and plastic cement and other items required for a complete watertight installation. 2. Shingles, flashing and drip edge shall be completely removed and replaced on all roofs. Metal drip edge shall be installed on all edges including rakes and eaves. 3. Cut existing roof sheathing and install new ridge vent on roofs. 4. Provide certificate of compliance from shingle manufacturer for ASTM and UL Standards. All shingles shall have the same Lot Number. Maintain (1) copy of manufacturer's application instructions on site. 5. Deliver materials in manufacturer's unopened, labeled bundles, rolls or containers. . . • ....1 ,-"." ...' . 1 • . , 0 •,,, ''‘' ...1• — ' ' '' . • • i , . • • • r. - I .- '.... .-* . gge eommeolsweaat oideassadatoseat • Board of Building Regulations and Standards - I , Constructipn Supervisor License •,.' -4 * , . \< License( \ CS 74334 .. • I ' c• , witra - -7 - ,•.r - 6 10 Tr# 23520 P : Efi j 0-1.. _ '' . • %:.• ...,h11, 7f-ll . . 1 \.° ' MARK T DELISLE \,› %,... --,.. .4 i "/ 1• . . ..■• 33 FIRST AVE "/ EASTHAMPTON, MA 01027 Commissioner , .‘. , _ - • ' '..,. i , t . ' ' V. , •■ ' ,•/ ■ • '■!. • • ' k k t . ... • . gAii loonotoosamalat ol‘Aasile440,44 Board of Building Regulations and Standards iii * 9 HOME IMPOVEMENT CONTRACTOR ‘ x „ „.• ,. Recilstrauoa, 126235 1..1.1.% ., r • .1 ” 010 Tr* 266063 1 • : , • ,..-.... - C4 :-- .-. ... 1 1 ' , - - . - ership " - Styps. - P rbi ' I i7 1.-.... Lt.:7i- , . .. .,.. ::,' R.C.I. ROOFING •• . \: 1 ;...1 1 /- i.. 3- , ,. ....vro, • , ' .0 i i: MARK DELISLE c„ N :4 • I' • • • 51 B HOLYOKE ST.' ., - .` -.. . . '• '' C:3 :i , -. . r • ■ • .. , • EASTHAMPTON, MA 010 2 Administrator . ' . , . , ..- 7: , • i.o. .1,i % - ".1 4 : ./...;.4 . ,-- -,, 4 '.,„ .. .:,.. 4 fy '. ' •?„.• . ,.. .".4••` .,c,„t. ' ' • ' ' t•is •• , • 4 ••:,,,..- -W . , „,, •, ,, - ...t,.--• 0:...: ',...::: '- l'.'-ok . ‘.• .. . (Lzfd of Northampton ,• 7 �w�► d ass><cftascttt' a " 411, DEPARTMENT OP BUILDING INSPECTIONS i ` j 212 Main Street ' Municipal Building n Northampton, Mass. 01060 ZR�" WO RICER' S COMPENSATION INSURANCE AFFIDAVIT -_, ______s...mark _ . - a • I I a I f, ((licensee/pm s v,ii a p rincipal place of business/residence at: • , 5j B � t . East n amn T .Ma. oi Dal {phone #�i l J3 521 - ?5 st/c /staic/b ty P) a hereby certify, under the pains and penalties of perjury, that: `v) I am an employer providing the following worker's compensation coverage for my employees worldng on this job: National ins. on Fl Ye Ins. Co. of f ittshuYQ PA • V•1C3b31?61 10/05109 (insurance rance Company) J (Policy Number) (Expiration Date) ) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following worker's compensation policies: (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Dale) (Name of Contractor) (Insurance Company/Policy Number) (Expiration Date) v (. a.uit a;diitiooi t shoe if necessary to include information pertaining to all matadors) , ( ) I. am a sole proprietor and have no one w orking for me. ( ) I am a home owner performing all the work myself. "* NOTE: please be avnrc that wbilo homeowners wbo employ petsoos to do maintenance, ceoventaioo mink week co a dwelling of not =oft thin throe units is which the bomeowoa resides or on the grounds apputtenultsardo ate not geaetoily coosidend to be employes under the wake's compensation Act (6L152ss l (5)). application by a homeowner fora liapso or pawn arty evideooe ttte `.cps atahia of an employer under the Work/set Cot pem.tion Ad. • . I understand tuns. a copy of this stactoant may be forwarded to the Dcptztm at of Indwttiel Maideet1 Otis of Mow 1k111 cove vaifiattioa sad Out tail= to SOMM oovrtago oder median 2SA of MQL 153 era lad to for tarpodtka C(UI ml ttedi t . CO misti,g of time of up to S1,500.00 sod/or er i=prisoa ord of Up to one year mad dn1 mollies in die fora of a • Stop "'Wider tad a • ' no of :;100.00 a shy amt Inc. 1 ZO5':>44: Tor deWo+ � o 0 t7 1 Permit Number . ......- -. ..,...„... Signature of Liamsee/permittee rat e • ✓•4.,4.:i:-l':Yd,�:h ?Y,� ;�� , • Version1.7 Commercial Building Permit May 15, 2000 SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11) I Independent Structural Engineering Structural Peer Review Required Yes O No O I SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 0.m n I, as Owner of the subject bl property rt hereby authorize • t C.1. TOotin3 _ ___. _ ___ .._____. to act on my behalf, in all matters relative to work authorized by this building permit application. 2 taf:heck q .30 •09 1 Signature of Owner Date =lilt 1 I, i_ __._J'1 c,iik Ue1s e. J ' . .I. snq gent ,1 , as Ownereagdigg. c.hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Si ned under the pains and penalties of perjury, _ . at(..K _ isle__. _ Print Name I ...... -._3_b •._o1 ..__._._._. Signature of Owner /Agent Date SECTION 12 . CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder Nat ._. . e isle. -. ._. , .. _ _ . _ . _ _ t License Number ITSIS Roj e. frat _ Easi}iampston Ma, o1o271 I _ o o .. io : : :�_ Address _ Expiration Date 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 cf the issuance of the building permit. Signed Affidavit Attached Yes • No Q k • i . • w i M1 "yi J •� ky `�' qy � V 5 t. 0-' . , • 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 780 CMR 116 (CONTAINING MORE THAN 36,000 C.F. OF ENCLOSED SPACE) 9.1 Registered Architect: .. _ 1 Not Applicable 0 1 1 Name (Registrant): Registration Number ---- ___ i I r Address I _ ___ ------ Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): l i 1 ti: I Name Area of Responsibility Address Registration Number __ • _ _ _ Signature Telephone Expiration Date Name Area of Responsibility I I_ _ Address Registration Number Signature Telephone Expiration Date _ . . 1 I - --- - - - - - — ------ -------- I Name Area of Responsibility =----- - — _ _ . 1 Address Registration Number I I Signature Telephone Expiration Date __ _ ._ Name Area of Responsibility ,.• Address Registration Number I • . Signature Telephone Expiration Date 9.3 General Contractor _ I Not Applicable 0 _ ..... ----- * " . - takiPanY Name: _ .t. t.= ‘.44; — . ; . , ale In Charge of Construction . -- ., — . , '.‘ ,.: * ASIbiatee Telephone . ' . ._____LILZ N' Version1.7 Commercial Building Permit May 15, 2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be fulled in by Building Department Lot Size 1 Frontage 1 . ._.._ s etbacks Front i 1 I .. Side L: - -- R: 1 L:[ . 1 R1 ..__.__i Rear i �,_ Building Height "" Bldg. Square Footage i i j %'1 1 i Open Space Footage % ('._ot area minus bldg & paved i I I I 1, i i__ _ parking) r of Parking Spaces 1 -1 17.----i F ill: _. ( & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW 0 YES 0 I F YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT KNOW ® YES O IF YES: enter Book Page[ , and /or Document #1 E. Does the site contain a brook, body of water or wetlands? NO © DONT KNOW O YES IF YES, has a permit been or need to be obtained from the Conservation Commission? , Needs to be obtained O Obtained O , Date Issued: I C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: E l D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO 0 IF YES, describe size, type and location: j ,, ., E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 aon or Is it pait of a common An' that will disturb over 1 acre? YES 0 NO 0 ' IF YES, then a Northampton Storm Water Management Permit from the DPW is required. ;' Ai r , i • 4 ,1 r 4 7 i • Versionl.7 Commercial Building Permit May 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 36,000 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 brief description here. Of Proposed Work: SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly I:1 A -1 ❑ . • A -2 ❑ A -3 ❑ 1A El A-4 ❑ A -5 ❑ . • 1B ❑ B Business ❑ 2A • ❑ E Educational ❑ 2B ❑ F Factory El _ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 0 R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ • S Storage CI S-1 ID S -2 ❑ 5B ❑ U Utility ❑ Specify M Mixed Use , - Specify: j ._ S Special Use ❑ , , Specify: i , I • COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANG IN � U S Existing Use Group: i Proposed Use Group: I .._. • .......__._ .._______...._.__..______— i Existing Hazard Index 780 CMR 34): t. W I Proposed Hazard Index 780 CMR 34): I_ ._ .__..___. ._...._._....._... _____ .._._I SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY • - 1 Floor Area per Floor ( §f) fi 'r� ,, rm,+ � _/ i st 1 _.._...._ ___..__..�- .__.____I I hfi 4 i , +u 2 � .2nd _. . � .4%„:)..§.3.44;4, t " "' _. __.._...�....._. .... 3 fd ff ( ' Y., � Ty if 1 9 3`d i i ' x :{ t* *, : .i P �.., f 4�h ... .__......�.......... . 1� I ' :77,''''' �yt1' Y N' 'Y M j d j 4 1 �w,'s.14 *� ` a I I G 5 ''4 ,r r � ? ,/,,::: 1 ' i i. "; r4 ti � Total -Area (sf) 1 Total Proposed New Construction (sf) r "' e • TO �¢HBlg ht (ft) 1 1 � ? ,ih � Ad 1'fh i ! i•■ ', ^I r I I' 4 I I r ' ti � , lk , t 1 ''m'q Total Height ft I 4 Y K . ` 4a'" ' ' # '' 4 �P1 w y Wl4 y +� � 3 r i 7. WaterSupply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public 0 Private 0 Zone I., ... __. ,,.. __ _ ,._1 Outside Flood Zone❑ Munidpal ❑ On site disposal systemp . , Version 1.7 Commercial Buildin& Permit Ma 15 2000 City of Northampton Sietus Cu Building Department -r...., , . !AP 4 4,, . '• :1 212 Main Street ..1 - 1 Room 100 W 4 :4:4L , t;„ J ' .. .., Norftrampton, MA 01060 phone 413,567-1240 Fax 413-587-1272 plotAlte- o i ° p err7---- the .,. 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 Lvz. Gok\-:%(-- S V' Map Lot Unit I "1/4)c) rAXA.sa....",..21-0.5\c\ Zone Overlay District I i Elm St District CB DletrIct SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 1 .A) G A sl, i . . . _ — ____ ____ Name (Print) Current Mailing Address: .u. Signature 2 t1,2 eh eel Telephone 2.2 Authorized Agent: Lytiy K 'Dili s i , , 4 ... _ . ___ • MILL • 11 -. is:filar), Name (Print) Current Mailing Address: in _ „ lq /3 TIE • ......-- , Signature ./-- .......— 1. ...„ Telephone SECTION 3- ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building Roofi n 41 vv, 5 a 0 . 0 0 i (a) Building Permit Fee __ 2. Electrical I i (b) Estimated Total Cost of [----------1 Construction from (6) -- I ... 3. Plumbing 1 [ . Building Permit Fee 4. Mechanical (HVAC) r•—-- . 1 5: — - , :,- 6. 'Total = (1 -, 2 + 3 +4 +5) : 1 A ) 00 . 0 0 Check Number / 1 " .7 , , 0! . . This Section For Official Use Only Blain0 Pen Number Date Issued - .I'all - ,:', ' • . •'-' ' '..!..t:a- ' , ,,, ' ...Z.'"'s; , "..-:', A ' • ' - " • - ' ' ' '.. . • S."..''' ' ‘,a:, ; 1 7 " ■• . m l'ssioner/Inspector of Buildings Date . . - ' . .4.' $:',• ' ".:::•• • , •••*, 4 l' /, c � ; S HOUSE BP- 2010 -0372 GIS #: COMMONWEALTH OF MASSACHUSETTS 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 -0372 Proiect # JS- 2010 - 000494 Est. Cost: $0.00 Fee: $0.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RCI ROOFING 74334 Lot Size(sq. ft.): 16814.16 Owner: NORTHAMPTON CITY OF CITY PROPERTY Zoning: CB(100)/ Applicant: RCI ROOFING AT: 42 GOTHIC ST - JAMES HOUSE Applicant Address: Phone: Insurance: 6 LINE ST (413) 527 -4775 Workers Compensation SOUTHAMPTONMAO1073 ISSUED ON:10/6/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP, PLY & 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 10/6/2009 0:00:00 $0.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo