32C-038 Contr. Supervisors Lie. No. 011878
arF
Tel. 413- 584 -1367
YOUNG ru0 QMet CO. Ma 413 -586 -9167
Fax 413- 585 -0226
P.O. BOX 60066 FOORENCIE MA. 01062.0066
Customer : WHMP Date: 2/2/10
Address: P.O. Box 268 Northampton, MA 01061
Job Location
SPECIFICATIONS:
1. Rip the complete main roof down to the decking.
2. Apply 3.3 inch polyisocyanurate insulation over the complete roof area. Long term Thermal
Residence 20.4
3. Apply 1/2 inch fiberboard insulation to the parapet wall.
4. Install Carlisle's .060 gauge reinforced mechanically attached roofing system. Adhere the
membrane to the parapet wall.
5. Flash all walls, edges, and roof penetrations with an approved Carlisle detail.
6. Fabricate and install .032 gauge brown aluminum edge metal locked to a kicker strip.
7. Install a new Wade roof drain and connect to the existing plumbing by a licensed plumber.
8. Obtain a building permit for the work to be done.
9. Remove all our roofing debris from the job site.
10. Upon completion of the work Carlisle will inspect the job an issue the owner a Fifteen (15) year
Total System warranty.
The Owner will take care of any resetting necessary for the satellite dishes.
strikes, accidents or delays beyond our control. owner to carry fire and other necessary L
Insurance. All accounts not paid within 30 days are subjeot to a late charge or 1 12 % / y , [
per month on the unpaid balance. In the event that legal action le Instituted to collect Authorized i ! --
anY sums due under this egreement, the undersigned agrees to pay all costs Incurred
+ncluding re asonable attorney a tees.
Signature Y oun President
Acceptance of Proposal -Ile above prices ,specifications
and conditions are satisfactory an. are hereby accepted. You are authorized Signature
to do the work as specified. Payme • will be made as outlined above.
Date of Acceptance
Acceptance A bl im . 1 d' _ _
Version1.7 Commercial Building Permit May 15, 2000
SECTION 107 PEER REVIEW (780 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
o t i t C 1 - v , 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.
Sired under the !is pe Ides f oerd'urv. _
Print Name
Signature of Owner /Agent Date
SECTION 12 CONSTR
ONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder : L ' ycx).
License Number
1 o , a vs6c ire -CeC -_ P 4. 0 j .. .....— g 114p
Address j Expiration Date
Signature Telephone
SECTION .•3 - 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
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Ycrsion1.7 Commercial Building Permit May 15, 2000
SECTION:' 9- PRUFE$SIONAL.DESIGN AND GONSTRUGTION.SERYICE3 FOR BUILDINGS AND: STRUCTURES.SUBJECT TO
CONSTRUCTION CONTROL PURSUANT To :TBO GMR 11e (CONTAINING: MORE.THAN'35,000.C OF :ENCLOS SPACE) .:
9.1 Registered Architect:
• 1 Not Applicable ❑
Name Re tsIrant :
Registration Number
Address I
1 ,. -. -.t Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
1 1
Address Registration Number
•
1 I
Signature Telephone Expiration Dete . .
r Name Area of Responsibility
1I 1
Address Registration Number
Signature Telephone Expiration Date
( 1 1
Name Area of Responsibility
Address Registration Number
C 1 I � 1
Signature Telephone Expiration Date
Name Area of Responsibility
-1 I 1
Address Registration Number
1 I. I
Signature Telephone Expiration Date
•
•
9.3 General Contractor
Not Applicable ❑
Company Name: _
Responsible In Charge of Construction
(
Address
•
Signature Telephone
Versionl.7 Commercial Building Permit May 15, 2000
l: g sR AIVt j OlV: 0 1G A
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size 1 11 11 1
Frontage
Setbacks Front 1 1
Side L: 1 L:1 1 R:1 1 1 1 1 1
Rear 1 1 1_.__.__J - -�
Building Height 1
Bldg. Square Footage a/ [J
Open Space Footage t 1
(Lot area minus bldg & paved 1-1 CJ LJ
parking)
# of Parking Spaces 1 1 1 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:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW ® YES 0
IF YES: enter Book Page 1 and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES I
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ® - 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 ? YE5 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
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
•
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Version1.7 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 ❑ Change of Use ❑ Other ❑
Brief Description Enter a brief description here. jet li o ac __ . _ _ _ __________i
Of Proposed Work:
• 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 IN 2A ❑
E Educational ❑ 2 B ❑
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 ❑ 58 ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify: __.....
.-- ....�..._.
S Special Use ❑ Specify: [
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CNGE IN USE -
Existing Use Group: r 1 Proposed Use Group:� �-
Existing Hazard Index 780 CMR 34): L -._.
_._.___. 1 Proposed Hazard Index 780 CMR 34): t
SECTION 6 BUILDING HEIGHT AND AREA.
OFFICE USE ONLY
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION ,
r j
Floor Area per Floor (sf)
J N
�_.
2L . r L _- _ - _—
---� rd
P r { 3 ; i
t t s
4'
4"'( . L_------i (
Total Area (sf) Total Proposed New Construction (sf
Total Height (ft) { _M _ I _- p „�:_._
Total Height ft
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal'
Public ❑ Private ❑ Zone E .., ,���= Outside Flood Zone❑ Municipal 1—.1 On site disposal System: system❑
t
Version!.7 Commercial Buildin: Ma 15, 2000
• ` � al. aa -,, , , 0 - .7 , 1- �e g r : ''
City of Nort hampton
�¢ ��
Building Department l�,i ,,, ,,,, ■ , �l
212 Main Street a +_ t�� I �
Permit
APR 2 C01 Room 100 1 aj ik 1 -
Northampton, MA 01060 iR
phone 413 -5F - 1240 Fa 413- 587 - 1 272 :
APPLICATION TO CONSTRUCT, R AJR, RENOVATE, CHA TH USE OANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR NGE TWO E FAMILY R DWELLIN
SECTION :1 = SITE INFORMATION
This section t be;cornpleted by of f dd -
---b314-n1 `� `,'�� Map Lot U nit
)51
15 FICt 1 W 1 / 6 �, � , l l Ovorl
1.1 Proaertv Aress: ay District
[
. �_ _ �..__ . - -C•' _____ m St: ; District . CB Distiict'.
SECTION :4-i/14111i
: PROPERTY OWNERSHIP /AUTHORIZED AGENT
2.1 Owner of Record:
� _ —. .. ,
Name ( Print ) Current Mailing Address: _ _
A ...., -... _. ....�.... .. __.,...,_ 1 I i
Signature Telephone
2.2 Authorized Agent:
., 1 ` tk�, v \. UU t�N �t� .g0 (¢c�C Fj►i►_ µ 7;747-'6 1 D(o
Name (Print) � t 1.✓IC Curr Mai Addre
f 612 Signature f /'- - —� Telephone
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SECTION 3 = ESTIMATED CONS CTION C
Item Estimated Cost (Dollars) to be Official Use Oniy .,
c ompleted by permit a
1. Building R�r` 0(}b. (a) Bulldmg Permlt Fee
2. Electrical t (b) Estimated Total Cost of
Construction frOm(6) _,.
3. Plumbing Building Permit Fee :,:
4 M echanical (HVAC)
5. Fire Protection - (
6. Total = (1 + 2 + 3 + 4 + 5) �7 r Check Number � ' , ` 7 W
L I � s
This Section For Official Use Oniy .
Building Petmd Number
Date
Issued
Signature'; .
Building Commissioner/Inspector of Build Date ::
, .AV.T, , p BP - 2010 - 0962
GIS #: COMMONWEALTH OF MASSACHUSETTS
k: 3 C =038 ; 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-2010-0962
Proiect # JS- 2010 - 001424
Est. Cost: $27000.00
Fee: $162.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: YOUNG ROOFING CO INC 011878
Lot Size(sq. ft.): 5401.44 Owner: SAGA COMMUNICATION OF N E INC
Zoning: CB(100)/ Applicant: YOUNG ROOFING CO INC
AT: 15 HAMPTON AVE
Applicant Address: Phone: Insurance:
P 0 Box 60056 (413) 584 -1367 Workers
Compensation
FLORENCEMA01062 ISSUED ON:4/29/2010 0:00:00
TO PERFORM THE FOLLOWING WORK: INSTALL NEW CARLISLE MEMBRANE 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 4/29/2010 0:00:00 $162.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo
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City of Northampton
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/�a �� ; ,` f Massachusetts s F't
3 .X
l DEPART OF BUILDING INSPECTIONS x
e 212 Main Street •Municipal Building 6 i,
a , ,C. . Northampton, MA 01060 w 0
INS CT•, = '' - ion for a Permit to Place or Maintain a Sign
Or other Advertising Device, or Marquee �����
(Application to be filled out in ink or typewritten) Number .
Plans must be filed with the Building Inspector Erection ( )
before a permit will be granted. Alteration (X )
Repair ( )
Repainting ( )
Removal ( )
FEE PAGE PLOT
Northampton, Mass. 20
To the Building Commissioner:
Application for a permit to place or maintain a sign or other advertising device, or marquee.
BUSINESS NAME W R S E( knl 1-1 PIP
1. Location, Street and No.
1-5 HKAI' 1013 AVE
2. Owner's name S /\ 6A CM. M.U.h!'1. Cf.\ N
3. Owner's address (5 L *)S h"1.19:T.QtJ 1V
1 r
4. Maker's name \411-(2- y 1'7 'tM G 1. Js pV.. OV lE .
5. Maker's address 3 1O R iv tr s7 Dr. 01062--
6. Erector's name V A 1 !-k. y 1111141c"
'l ' i mpa\PIVIZA -
7. Erector's address S A A c°
SIGN KIND OF SIGN
(Designate)
1. Sign will be (check one) illuminated .. 24.. Non - illuminated
2. Will sign obstruct a fire escape, window or door? ....NO Marquee
3. Lower edge will be ..la.ft...:U...ins above the public way. Projecting
4. Upper edge will be ..9 ft....c ..ins above the public way. Roof
5. Height ... .ft...' .ins Width .I.l1.ft..LQ.ins Temporary
6. Face area ..g0.sq. ft. Wall
7. Inner edge will be 3...ins from the building or pole. Ground
8. Outer edge will be ..1..ins from the building or pole. Other
9. Face of building or pole is N /'..ins back from the street line.
10. Sign will project ...0..ins beyond the street line.
11. Sign will extend ....d.ft .. td ..ins above the building or pole.
12. Of what material will sign be constructed? Frame ... \,A/.laQ-b Face.. ROAQ..AL.i4f 1 A)GN
13. Estimated cost $ is ,2cb
The undersigned certifies that the above statements are true to the est of his knowledge n belief.
r3...4.... ��
(Signature of Owner or gent)
Page 1 of 3
11. ALL INFORMATION MUST BE COMPLETED: PERMIT CAN BE DENIED DUE TO LACK OF INFORMATION.
12. This column to be filled in by
the Building Department.
Existing Proposed Required by
Zoning
Lot Size
Frontage
Front:
Setbacks:
Side: L: R: L: R:
Rear:
Building Height
Bldg Square
Footage
% Open Space:
(Lot area minus bldg and
Paved parking)
# of Parking Spaces
# of Loading Docks
Fill: (volume & location)
13. Certification: 1 hereby certify that the information contained herein is true and accu to to the best
of my knowledge.
it' DATE: 3 2 2011 APPLICANT'S SIGNATURE / dif,
//�
NOTE: Issuance of a zoning permit does not relieve an applicant's burden to comply with all zoning
Requirements and obtain all required permits from the Board of Health, Conservation Commission,
Department of Public Works and other applicable permit granting authorities.
FILE #
Page 3 of 3
THIS FORM IS PART OF THE SIGN PERMIT APPLICATION
File No.
ZONING PERMIT APPLICATION
PLEASE TYPE OR PRINT ALL INFORMATION
1. Name of Applicant: , S -1 1 S 1 Lvf2RMAP, V Li. M p troy - e/ e
Address: 3 1 10 ft (\t-Q ✓ 5) ie., 0 N Telephone: CB
2. Owner of Property: SAGA COYYi YY1(4N1 c �./ dn/ S I) GA P
Address: 15 H Jy A P TOt) A v Telephone: � � (� 7V
3. Status of Applicant: Owner X Contract Purchaser Lessee
A Other(explain): CO N ` ! A cAS-
4. Job Location: 1 5 A AP 10A) ANS'
Parcel ID: Zoning Map # Parcel # District(s)
(TO BE FILLED IN BY THE BUILDING DEPARTMENT)
5. Existing Use of Structure /Property: 13 LI ,S I g — R d) k71 J 1 dN
6. Description of Proposed Use/Work/Project/Occupation: (Use additional sheets if necessary)
p 1 FCAGz Oc But L -P •J WILL j3 R ENoo C1,el) ; .WN /it /, 41E
ANP �AN�'L � � , W`tTH i t,J01 1 ( x IIiS(4 En /LaiM /,v1i
S 60 _2 Kis S 16/J X ► F .g '- ii W7 (r)S w /V Erik L/6/1T/14
7. Attached Plans: '- Sketch Plan Site Plan Engineered/Surveyed Plans
8. Has a Special PermitNariance/Finding ever been issued for /on the site?
NO DONT KNOW L YES IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DONT KNOW YES
IF YES: Enter. Book Page and/or Document #
9. Does the site contain a brook, body of water or wetlands? NO x DONT KNOW YES
IF YES: Has a permit been, or need to be, obtained from the Conservation Commission?
Needs to be obtained Obtained , Date issued
10. Do any signs exist on the property? YES NO
/
IF YES: Describe the size, type and location: Fv (Of r)f B in 1 Il} jY1q I 1 u `J ti
a _ 7 ' x 3 See, pro
Are there any proposed changes to, or additions of, signs intended for the property? YES NO
IF YES: Describe the size, type and location:
ry c)--F 8u, j 16 k 5'
Page 2 of 3
File # BP- 2011 -0746
APPLICANT /CONTACT PERSON VALLEY HOME IMPROVEMENT INC
ADDRESS/PHONE P 0 Box 60627 FLORENCE (413) 584 -7522
PROPERTY LOCATION 15 HAMPTON AVE
MAP 32C PARCEL 038 001 ZONE CB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out .� — j
Fee Paid / b 3 t 3
Tvpeof Construction: REPLACE SIDE WALL SIGN - WRSI/WHMP
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION ESENTED:
Approved V Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND /OR Special Permit With Site Plan
Major Project: Site Plan AND /OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: § 33 50 7' Z (r9
Finding Special Permit t/ Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
Demolition Delay
//4-11 3 /zit I)
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health, Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning & Development for more information.