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39A-078 (2)
total load of 51 psf. The addition of the new insulation and roofing membrane will increase the dead load by 1.5 psf. I have reviewed the existing upper roof, intermediate roof and low roof structures to verify if they qualify for section 606.2 Exemption #1 of the 2009 International Existing Building Code. I will also verify the existin capacity of this roof system per current 2009 International Building Code and the 8" Edition of the Massachusetts State Amendments for commercial snow loads. The result of my analysis indicates that the existing upper and intermediate roof Hemlock rough cut 2x8 old growth rafters at 24" on center are at 91% capacity under the existing roof loads as described above and 93% capacity with the additional dead loads resulting from the new roof insulation and roofing. The existing intermediate roof level old growth Hemlock 8x12 dropped beams at 97% capacity under existing roof loads as specified above and at 100% capacity with the additional dead loads resulting from the new roof insulation and roofing. The existing lower roof Hemlock rough cut 2x8 old growth rafters at 24" on center are at 32% capacity under the existing roof loads as described above and 33% capacity with the additional dead loads resulting from the new roof insulation and roofing. The existing low roof level flush 2x10 rough cut 4 -ply girders are at 74% capacity under existing roof loads as specified above and at 77% capacity with the additional dead loads resulting from the new roof insulation and roofing. The addition of 5 inches of new rigid insulation and a new membrane roof will increase the stress in the existing roof joists and supporting beams by 2 -3 %. This is below the 5% threshold required to meet exemption #1 of section 606.2 and the existing roof members will support the new roofing along with current 2009 International Existing Building Code and 8`" Edition Massachusetts Amendments prescribed commercial snow loads. It is my determination that this roof structure can receive the desired new roofing insulation and roofing membrane without the removal of the existing roofing materials. It should be noted that once the proposed new roof insulation and roofing membrane are installed some of the existing roof structural elements will be at capacity. This means that in the future, no additional roofing, insulation, or roof top equipment should be added to this structure after the proposed 5 inches of insulation and new membrane roof without either removing existing roofing materials or reinforcing existing structural roof members. I recommend that single event uniform snow depths exceeding 36" should be removed and any accumulated snow depth exceeding 24" should also be removed to prevent overload of the roof structural members. Please do not hesitate to contact me with any questions. Sincerely, of- 0, Thayer Street Associates, Inc. 4 ,0 4- By _ t rfl O � JACOP F. ti c /Jacob F. Smith, P.E. cMViL 0 NO 4743D (4 Aft Ts THAYER STREET ASSOCIATES, INC. General Contractors ra, Resident a i l/ Commercial /Institutional /Historical Se pt ei"be i 11;, 2012 To. Edmund Kamansky 513 ;'lea giant Street L.L.C. Re: 518 i'lei,sill Street Northampton, MA 01060 Ed: ati August 791h, visit':d the above. aridress t observe the condition of the existing roof system prior to the installation of a new membrane roof. This is required per section 606.2 Addition or replacement of rooting or replace,nent of equipment found '1i the 2009 international Existing Building Code which has been adopted per the 8 Edition of the Massachusetts Amendments to the 2009 International Building Code. You have informed r'ie that you wish to install a new single ply membrane root over 5 niches of new rigid insulation. If required the existin , roofing would be removed. 11 it is not redi nred then the existing rooting would remain. This is considered a "level l aiteration per the 2009 International Existing Building Code. The existing structure has no masonry parapets. The address above is a `13" use group and the construction type is "111 B ". Half of the existing structure's footprint is a single story masonry building. The other half is a tvvo story masonry structure with a partial third floor located in the, middle of the building. The existing low roof structure is composed of ix board roof sheathing attached to 2x8 rough cut old growth Hemlock rafters at 24" on center. These 2x8 roof joists span 9' -O" and are supported by flush 2x10 rough cut 4 -ply girders with 2x4 continuous joist bearing ledgers at each face. These 4 -ply 2x10 girders span 16' -0" and are supported by 8x8x 12' -8" tall posts. The intermediate and high roof structures also consist of rough cut Hemlock 2x8 rafters at 24" on center. These raters are supported by 8x 12 o.d growth hemlock timbers. These timbers are supported by 3 posts at 16' -0" on the second floor ail k 3 V2 G.D. diameter steel pipe column: on the first floor. Section 606.2 of the International Existing Building Code states: Where the addition or eplacemerr of o: fing or replacement ofequiomeni results in additional dead loads, ,iructural c:ompor'en s support ing such reroofing or equipment shall comply pith the gravity Toad requ "nt of the International Building Code. Exception #1 state: 'trrtirtral elements where the additional dead loadfrom roofing or equipment does not in reuse the, force in the elements by more than 5 percent. The commercial ground ,■,ow load iurNorthampton MA is 55 psf. When this snow load is applied to the roof using chapter 7 in the ASCE7 -10 the roof applied snow load is 39 psf. I have estimated the existing roof dead load to be 12 psf. This results in a 8 Coates Ave., South Deerfield, MA 01373 ra' (413) 665 -4018 ?a fax (413) 665 -1142 as' thayerstreetassociates.com RES J.D. Rivet & Co. Inc. ROOFING • SHEETMETAL 1635 PAGE BOULEVARD SPRINGFIELD, MA September 28, 2012 P.O. BOX 51068 INDIAN ORCHARD, MA 01151 TEL. (413) 543 -5660 51 8 Pleasant St. LLC FAX (413) 543 -3373 P.O. Box 326 Northampton, MA 01061 Attn: Ed Kamanslc' UPPER ROOF REPLACEMENT – 518 PLEASANT ST. — NORTHAMPTON, MA — 7900 SQ. FT. r)[ 1. Remove and properly dispose c f the existing (1) - Roof System down to the 1 layer roof. 2. Removal of (16) existing windows and cover middle roof section wall. 3. Furnish and install new plywood substrate along the walls of the middle roof section. 4. Furnish and install new pressure treated wood nailers with height to match thickness of the new insulation. . 5. Furnish and install 5" polyisocyanurate insulation over the wood deck. 6. Furnish and install Firestone .060 TPO Membrane mechanically attached roofing system complete with all associated flashings. 7. Furnish and install new .040 aluminum edge metal. 8. Furnish and install new .032" painted aluminum K -Style machine gutter complete with rain leaders and appropriate attachments. 9. Clean jobsite of all roofing debris. 10. Furnish owner with a 20 year Firestone labor and material warranty. PRICE= 555,725.00 (FIFTY FIVE THOUSAND SEVEN HUNDRED TWENTY FIVE DOLLARS) j e./ Matthew A. Clark - Saks i \c eptance• ot Proposal - .■fic ahoy, pri'cs, specifications and conditions are sal istlictory and are hereby accepted. You are authorized to do the work as ; ;per:dled. Payment team; are net 30 days unless otherwise agreed in writing. All material is guaranteed to be as specified. Any alteration or deviation from above specifications involving extra costs wiIl he executed only upon written orders, and will become an extra charge over and above the estimate. Ali 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 1 Y20 /U 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 fees. PAYMENT TERMS: 25% DUE UPON PROPOSAL ACCEPTANCE, 25% DUE UPON MATERIAL DELIVER, BALANCE (50 %) DUE UPON COMPLETION. NOTE: TiiIS PROPOSAL MAY BE WiTiIDRAW'N BY US IF NOT ACCEPTED WI'I'1IIN 60 DAYS. "OWNER RESPONSIBLE FOR Ali, CHARGES RELATED TO BUILDING PERMIT FEES." Signature: Date: • .nee 1960 AW ® C E RTIFICATE OF LIABILITY INSURANCE D 04/30/ D""") �- 04/30/2012 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- 312 - 704 -0100 CONTACT Certificate Issuance Team Arthur J. Gallagher Risk Management Services, Inc. PHO FAX INC No.ExtY Luc, N 312 803 - 7443 300 South Riverside Plaza E Chi_Certificates @AJG.com Suite 1900 Chicago, IL 60606 INSURERS) AFFORDING COVERAGE NAJC# INSURER A ; ARCH INS CO 11150 INSURED INSURERB: AMERICAN GUAR & LIAB INS 26247 J.D. Rivet & Co., Inc. INSURER C: 1635 Page Blvd. INSURERD: Springfield, MA 01104 -1752 INSURERS: INSURER F : COVERAGES CERTIFICATE NUMBER: 26947671 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 I POLICY ADDL SUBR POLICY EFF EXP LIMBS LTR TYPE OF INSURANCE _ MSR NN POLICY NUMBER (MMJDD/YYYY) (MM/DWYYYY) A GENERALLIABIUTY ZAGLB9155800 05/01/12 05/01/13 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL UABILTY PREMISES (Ea occurrence) $ 300 000 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 GEN'L AGGREGATE LIMIT APPLIES PER _ PRODUCTS - COMP /OP AGG $ 2,000,000 7 POLICY X JEC7 LOC $ A AUTOMOBILE LIABILITY ZACAT9138100 05/01/12 05/01/13 ( COMBINED Ea A O SINGLE LIMIT _s_1,000,000 X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS _ HIRED AUTOS p OWNED (Per accident) nt DAMAGE $ Physical Damage $ 1,000 Comp /Col'- B X UMBRELLA LOB X OCCUR AUC- 9244241 -00 05/01/12 05/01/13 EACH OCCURRENCE $ 5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5,000,000 DED X RETENTION$ 10,000 $ A WORKERS COMPENSATION ZAWCI9271200 OS /O1 /l. 05/01/13 X I TORY I M TS I FR AND E LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE N E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N J A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1,000,000 If yes, describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS 1 LOCATIONS / 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 © 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD bhargavchi 26947671 Details http://elicense.chs.state.ma.us/Verification/Details.aspx?agency_id=18z... The Official Website of the Executive Office of Public Safety and Security (EOPSS) Mass.Gov Home State Agencies State Online Services Licensee Details Demographic Information i Full Name: JAN N DREYER 'Gender: "Owner Name: License Address Information • Address: 44 LAKESIDE DR Address 2: City: Monson State: MA Zipcode: 01057 • Country: United States License Information ;License No: CS-050230 License Type: Construction Supervisor Profession: Building Licenses Date of Last Renewal: 7/9/2012 • Issue Date: 7/21/2010 Expiration Date: 7/21/2014 License Status: Active Today's Date: 8/6/2012 :Secondary License: !Doing Business As: ;Status Change: Prerequisite Information No Prerequisite Information Discipline No Discipline Information Documentum Close Window © 2011 Commonwealth of Massachusetts Site Policies Contact Us Site Mar • • • 1 of 1 8/6/2012 8:51 AM • }l:t D(J) fl 1I)H. ' of Public S tter, Z;1> � Board of Bttiltlint! Rc, null Jt.tnttartk Construction Supervisor License License- CS 50230 JAN N DREYER { 44 LAKESIDE DR'�� MONSON, MA 01057 Expiration: 7121/2012 ( Tr 29504 , ...,..0 CP�.�t *,� The Commonwealth of Massachusetts ==.2----- .Department of Industrial Accidents i a � =k} = . V l Office of Investigations : := 1 600 Washington Street I. Iv � ' .t= c ~y Boston, MA 02111 %, , , www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians/Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): J. D. Rivet & Co., Inc. Address: 1635 Page Boulevard City /State /Zip: Springfield, MA 01104 Phone #: (413) 543 -5660 Are you an employer? Check the appropriate box: Type of project (required): 1. 0 I am a er with 50 employer 4. ❑ 1 am a general contractor and I P Y 6. 0 New construction employees (full and/or part- time).* have hired the sub - contractors 2. n I am a sole proprietor or partner- listed on the attached sheet. 1 7. ❑ Remodeling ship and have no employees These sub - contractors have 8. 0 Demolition working for in any capacity. worers comp. insurance. g y workers' i 9. 0 Building addition • [No workers' comp. insurance 5. ❑ We are a corporation and its • required.] officers have exercised their 10.0 Electrical repairs or additions 3. Q 1 am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, § 1(4), and we have no 12. Roof repairs insurance required.] t 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 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. TContractors that check this box must attached an additional sheet showing the name of the sub - contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Arch Insurance Company Policy # or Self -ins. Lie. #: ZAWCI9235300 Expiration Date: 5/1t2013 Job Site Address: S/ 7 2'h sC�.. ..- frK-� f City/State /Zip: jai 11" /14 D (0 6 I 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 certify t - r the ' ains and penalties of perjury that the information provided above is rue and correct: Si _nature•% Date: i� Phone #: ' 131543 -5660 Official use only. Do not 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. Numbing 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 No 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 , 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 ❑ Name of License Holder : J c*-^^- N r 4,11 'f License Number � a� d (, -Maio.: fir 0 7 Ci 5 - 0."3 0 Address Expiration Date r/1 3°S`t3 ° 5 - 4'6 7 Telephone 77) 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 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 g r � u -�rtu � a � e / �j� 4. O( 373 Address Registration Number ' (1"' C // WO 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 5E,e Not Applicable ❑ Company Name: Responsible In Charge of Construction Address Signature Telephone Version] .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 Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg & paved parking) # of Parking Spaces Fill: (volume & Location) A. Has Special Permit /Variance /Finding ever been issued for /on the site? NO DONT KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW Q YES Q IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DON'T KNOW Q YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO s IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES IQ NO l' IF YES, describe size, type and location: E. WiII the construction activity disturb (clearing, grading, x vation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 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 ❑ Roofiingk' Change of Use ❑ Other ❑ Brief Description Enter a brief description here. / fA‘-e4-1.7---- Of Proposed Work: -47.- A ct.CLJ S o ( too 4., /Rr z.L /4-0-6 SECTION 5 - USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑ A-4 ❑ A -5 ❑ 1B ❑ B Business X 2A ❑ E Educational ❑ 2B 1 0 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 I ❑ 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): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1 st 1 st 2 nd 2 nd 3rd 3rd 4 th 4 th Total Area (sf) 7 7 se fi Total Proposed New Construction (sf) Total Height (ft) oD ,) '" 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❑ Versionl.7 Commercial Building, Permit May 15, 2000 Department use only RECEIV City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit - OCT _ 5 2 0`2 212 Main Street Sewer /Septic Availability I Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans DEPT. of BUILDING "` _ skJ�io 413- 587 -1240 Fax 413- 587 -1272 Plot/Site Plans NORTHAMPTON, MA U1 U 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 1.1 Property Address: This section to be completed by office c I Ns Wit• --,,- , .k SA . Map Lot Unit Pt. �i t-s- , ,'A A 0t. 0 (, i Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: HA'? pi A?C ('OL Gtry E. 14Ccc.,r+1rt, s ky s/ 7kk.f,,.,rcu, Si . (-4-- G Name (Print) Current Mailing Address: 51g PLeAS s < < d g P. 0. i3ox 3 6 - rfkC 4ri,,, MA Signature , __ ....c._ - �-,A... Telephone y /,g'" SW 351r( 2.2 Authorized Agent: Cant/A/ Cant/A/D k 4.4A 4/SI ' Name (Print) Current Mailing Address: l/ /3.. f * ; Y Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building 1 SS", -7 .15.- dL (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) Check Number `i7, 433 This Section For Official Use Only Building Permit Number Date Issued Signature: / i 0 ik - Building Commissioner/inspector of Buildings Date , / 518 PLEASANT ST BP- 2013 -0413 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 39A - 078 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- 2013 -0413 Project # JS- 2013- 000659 Est. Cost: $55725.00 Fee: $334.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: J D RIVET & CO INC 050230 Lot Size(sq. ft.): 48612.96 Owner: 518 PLEASANT STREET LLC Zoning: GB(100)/ Applicant: J D RIVET & CO INC AT: 518 PLEASANT ST Applicant Address: Phone: Insurance: P 0 BOX 51068 (413) 543 -5660 Workers Compensation INDIAN ORCHARDMA01151 ISSUED ON:10/10/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: ROOF INSULATION & 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 10/10/2012 0:00:00 $334.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner