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19-011 HUNTLEY HUNTLEY ASSOCIATES, P.C. SURVEYORS • ENGINEERS • LICENSED SITE PROFESSIONALS November 8, 2012 Building Commissioner City of Northampton Main Street Northampton, MA 01060 Re: Roof Renovation; 32 Industrial Drive East, Northampton MA Dear Commissioner: Please be advised that we have been requested by our Landlord to provide you with a letter describing the health, accessibility, life and fire safety, or structural impacts of the above referenced project. Based on a description of the work provided by our Landlord, they are stripping off the existing shingles and paper down to the existing roof sheathing, installing new 6 -foot ice /water barriers along the eaves and up any valleys, lining all exterior edges with 5" aluminum drip edge, installing a ridge vent and new vent stack collars, replacing/installing new flashing and plywood sheathing as needed and then installing new paper /asphalt shingles. There have been no access or structural modifications to the roof system that would negatively affect the roof's health, accessibility, life and fire safety, or structural integrity. It is, therefore, requested that you grant the Building Owner a control construction wavier for this project, due to its nature an non - negative impact. Should you have any question, please do not hesitate to give me a call. Sincerely, HUNT Y A 1 y T i 5 I Sc . fer, Pre en t,`' a:: cc: Fugu Group 30 INDUSTRIAL DRIVE EAST • NORTHAMPTON, MASSACHUSETTS 01060. (413) 584 -7444 . Fax (413) 586 -9159 1885 STATE STREET. ScasnecTADV, New YORK 12304. (518) 393 -4767 • FAx (518) 393 -3510 16 -18 REYNOLDS AVENUE. ONEONrA, New YORK 13820. (607) 432 -3300. Fax (607) 432 -8313 Versionl.7 Commercial Building Permit May 15, 2000 J 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 �j I, /- ilk ... ... ... ,. . _._u.. as Owner of the subject property hereby authorize o t c- '1t y y�v.t� act on m 0- . i II matters relative to work authorized by this building permit application _ _ _ _ , ' ' / / 6� /*i ill �- _ _ . _._ _ _ __ i gnature of Owner Date 77 _____ ______ ___ _ I , ,' e ` '~", a _ ) � 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 _ enalties - of perju i. _ ___ n „ w _,��,„ ,,, , ___ Print Name Signature of Owner /Agent Date SECTION 12 - CONSTRUCTION SERVICES jp.1 Licensed Construction Su rvisor Not Applicable ❑ �/ t- `� 7249 .. License Number Addr • Expiration Date qf3 I I'? ' . .igna ur - ...- --_... Telephone -.�.,. w 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 . • The Commonwealth of Massachusetts D epartment oflndustrial Accidents , r ' ` th Office of Investigations c _ ,.:; 600 Washington Street . Boston, MA 02111 -_--- N www.mass.gov /dia Workers' Compensation Insurance Affidavit: Builders / Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name ( Business /Organization/Individual): 1) A ‘.. f" t ✓t >' e— Address: 3 `( 7 ' 1 .4..e - 0-- City /State /Zip: 4 tAc k .7 / 1 P- v t o 7 f Phone #: Are you an employer? Check the appropriate box: Type of project (required): 1 'ram a employer with Q 4. ❑ I am a general contractor and I ❑ employees (full and/or part- time).* have hired the sub - contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. emodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' g Y P ty 9. n Building addition [No workers' comp. insurance comp. insurance.. required.] . 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions ❑ officers have exercised ocers ave exercse their 11. 3. I am a homeowner doing all work ❑ Plumbing 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. ❑ Other . comp. insurance required.] *Any applicant that checks box #1 must also fi 11 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 contactors 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: z t c i^ _ Policy # or Self -ins. Lic. #: G ? v O) �- t"1 ' is � n Expiration Date: / 0 / ) i � ? iJ i Job Site Address: ) v - 3 x- E :F- ‚)j c 1 '<; ...\ 4) A- City /State /Zip: ," 0 / e.i i f k 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. do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. S ignature: Date: // / S 2 Phone #: 1 I / ? 53' ) -- vi, 1 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. Plumbing Inspector 6. Other Contact Person: Phone #: 11 r Versionl.7 Commercial Building Permit May 15, 2000 .o 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 EIJOLOSED SPACE) 9.1 Registered Architect: ._ __......____. ._. .__.. __ . * Not Applicable ❑ Name (Registrant): Registration Number Address ""''''''' ------------ 1 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 _ __ _._.._.._..._ i 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 1 .3 General Contractor 1 n .....� Not Applicable ❑ Co yNa Responsible In Charge of Construction Address d 15.7c& - &' _..Ilir► � .f(.42 3 Signa 4 _ i� Telephone Version1.7 Commercial Building Permit May 15, 2000 S. NORTHAMPTON. ZONING Existing Proposed Required by Zoning This column to re filled in by Building Department Lot Size _...._:. Frontage Setbacks Front Side L:' _. R.... _ _ L i ' R •__. _. Rear Building Height a Bldg. Square Footage o/ Open Space Footage (Lot area minus bldg & paved parking) # of Parking Spaces (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW (3 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW 0 YES IF YES: enter Book ' Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW 0 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 0 NO 0 IF YES, describe size, type and location: -D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO 0 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 ( t that will disturb over 1 acre? YES NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. 3 Version1.7 Commercial Building Permit May 15, 2000 1 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 (/ \ t 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 ❑/ i Brief Description Enter a brief description here. — I ! Of Proposed Work ` ole.„(40 R v_f/ .e 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 0 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B [ ❑ F Factory ❑ F -1 0 F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1 -1 ❑ I -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 0 R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ 5-1 ❑ 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: ii, 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 1st —. 2 nd 2 nd 3 4 Total Area (sf) Total Proposed New Constructionjsf)____„ 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❑ • . - R C Ve rsion1.7 Commercial Building Permit May 15, 2000 -_._ ----- Departmet use nTTly Nov Ci of Northampton sa c��Pc��tt������ �� �� f � ��� • 8 B ilding Department Cci cutl ©nueway Perrnit. s 212 Main ain Stree Sewer /SepticAvailabitityy° g ot ft MPT: OF BUI Cr , IN; FECTI -- Ro 00 m a y Water/1/tfell�Auallaballtyl £ A4i i1 f tt a 0 g4 , ; NORTHAMPTON, MA 010TI hampton, MA 01060 T'wa Seso uett itt+ Pint g' £,�' Vii a _ - phone 413 - 587 -1240 Fax 413 - 587 -1272 Plot/ Ptans Other 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 3 2 X) - "‘ , e "i rw�J ___ _._ _.__ _ _� Map Lot O\ q Unit /447 fr"n o i0 4a Zone Overlay District ,.�.. ,-. ' ' Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Name (Print) Current _Mailing Address: ._.- ', Signat Telephone 2.2 Authorized Agent: (Print) ....._ . _ _.... .. __.._ .__ .._._. �_ _ ��,_____�� .._.m Name Current Malhn9Address Signature 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 _..._.mw___...__.,....'. _.._'_'__. -- . (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) 4 Y3 /000 Check Number V gep reg- This Section For Official Use Ortly Building Permit Number Date Issued Signature: Building Commissioner /Inspector of Buildings Date File # BP- 2013 -0537 APPLICANT /CONTACT PERSON RONALD PELC ADDRESS/PHONE P 0 BOX 364 GRANBY (413) 467 -3066 PROPERTY LOCATION 32 INDUSTRIAL DR EAST MAP 19 PARCEL 011 001 ZONE THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out 3RJ 3 } Fee Paid (' � Typeof Construction: STRIP & REROOF ARCH SHINGLE GAF New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 74920 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFORMATION PRESENTED: I VApproved 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: § Finding Special Permit 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 �� 111 /ll 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. 32 INDUSTRIAL DR EAST BP- 2013 -0537 GIS #: COMMONWEALTH OF MASSACHUSETTS Map:Block: 19 - 011 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 -0537 Project # JS- 2013- 000868 Est. Cost: $43000.00 Fee: $258.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RONALD PELC 74920 Lot Size(sq. ft.): 106722.00 Owner: FUGU THE GROUP LLC Zoning: Applicant: RONALD PELC AT: 32 INDUSTRIAL DR EAST Applicant Address: Phone: Insurance: P 0 BOX 364 (413) 467 -3066 WC GRANBYMA01033 ISSUED ON:11/19/2012 0:00:00 TO PERFORM THE FOLLOWING WORK: STRIP & REROOF ARCH SHINGLE GAF 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 11/19/2012 0:00:00 $258.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner