Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
38A-021 (5)
U.S. METAL ROOFING D I S T R I B U T O R S , I N C. 740 High Street • Suite 2 • Holyoke, MA 01040 1- 800 - 232 -0399. 1- 413 -536 -5474 • Fax 1- 413 - 533 -8166 DATE PROPOSED TO BE DONE ON www usmetalroofing.biz l . / v :w t� SUBMITTED TO (� +� PHONE RS Pr o 4 f UM BE � 4 9 Peel i' C+�'E ii i'�'i'�^ „e(I i 7 /J ? 536 STREET ' Y � JOB LOCATION 3 5 : e. CITY, STATE AND ZIP CODE j or -� r'> ty a (Y'1 A C> t oc o DIRECTIONS We will furnish and install materials and labor for job as listed below. Work is guaranteed for five years and the manufacturer warranties the finish on the metal for 35 years. COLOR: 5 A 1 )t1c t^v 1-,-!e HOUSE: e SPECIAL INSTRUCTIONS / COMMENTS ROOF: `± `" � PORCH: SOFFIT: ADDITION: T FASCIA: c.I Q ) " » %* 1i 4 ''Y GARAGE: ° PLYWOOD: �t ' GUTTERS: RIP /REMOVE: ° c t DOWNSPOUTS: r O THER: REPAIR: les Old ciFvta, Ex.) t -tf �: �'"" s'f:JL,J, -f 7 6, L P s APl' i t. a:. I I b s lo �C �.•f is „ 1 J �e Dl H/ry r i/, a: r 731 - ; v r P x : c,�:. !, r!r ��. r , c r is T !s t t1 ' 1J - M ->ur r, J %.P �r 'ta . I'. , r ' r :. .4 &irC -- t- - f J r r r l / .. ,, 1 i j e 7 r r�.• - . /. � ( r r T/ - I t-'� f '1 7 r . r<- .:IrirY- ( ,e.: 1 . _ , s f _ ,.:, , -.f:l LA,. .. , ::� . : v,y- t. r,✓ ,I «-�:' :.f'' :u + - - au i+ r ,1. �� ty h °�I�r:�j ;wen ,1/ '7e ✓ Sr V 01 e v+< n , -,1 n ;.f Mi '- t i0 11 . 1 ' gri•■30 t.V i I Aft" truer - 1 F+e hr 4) / ire 4 • =T y ) , rcxo V e:Y 1 Cc. , t he f n< dk l(rs �c* Cn:tYlrL f � :` v i' ira,,, vy. -(-r r■-• A ;•. y r.c .�,.- „r. 1f ho ; /mac `,i ±r-.( r 1 /', 1 / ' /2 (t) C .( > - -I`� (4 t ).)c ^I./I t ,. Ilnp!i ( c e « Oa.). *T- t - 4 . , .,',i yk, t_c, tr ° a, , ,.AI i.t�r„a c w+J r�z..f iu /4 Q . "Ike- t 6.e u11 „Gle l , h f� C.!? r,^ 1 rl , . r f. • j `'/C �j of rt. !_kc: ? t ,re.'7f /.. ' I L z o Cc! Cr /rt:,t 4,, t, /(~ L✓ - lc. 'St 41 .') p k . I th..: F. rs . t r� `d IJI I r.4 t�. /., ,v 1:. , .1 , Contractor will begin work on or about (date). Barring delay caused by circumstances beyond Contractor's control, the work will be completed by (date). All roofing panels are custom fabricated on -site with state -of- the -art rollforming equipment. 'As with any rollform steel panels, a certain amount of waviness or oil canning may become evident at certain times of the day when sunlight hits them. This is standard in the industry and does not affect the integrity of the metal. This shall not be construed as a product defect and shall not be cause for rejection. Contractor does not perform or assume any responsibility for any painting, staining or wood or wall finishing on interior or exterior. The contractor does further agree with the owner that (a) he will begin work within a reasonable time after the execution thereof, and will prosecute it diligently and with due care, and in a good and workmanlike manner; (b) in doing the work, he will comply with all statutes, rules, regulations and ordinances applicable thereto: Contractor to procure all permits required by law. Contractor shall provide public liability insurances. Owner warrants that he is the owner of the property on which the work is to be performed or that he is otherwise authorized on behalf of the owners to enter into this agreement. We Propose hereby to furnish material and labor - complete in with above specifications for the sum of: 7:0 eii { - TG;v I !'Gust i (I ve �1 e•rL1rr. 4,a �"06'"""dollars ($ °� , - 349° ). Payment to be / made as follows: q UL rt` Sit i /4' Name of Contractor/Designated Registrant % ($ `f l - ) upon signing Contract;/ 140/4,0C,,(70 U.S. METAL ROOFING DISTRIBUTORS, INC. ry 9 ! t �J D n om ) upon start of job; ` ' '• Street Address , ' f j ' u L 740 High Street, Suite 2, Holyoke, MA 01040 ($ Phone u % ($ , t➢ ` x ) upon 1/2 job completion; 1-800-232-0399 • 0.00,Ze _620 4 • Boars o : uilding egulaVons an. tano art s 4 Wi vAt 1, One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 134740 Type: Private Corporation Expiration: 1/11/2010 Tr# 262024 U.S. METAL ROOFING DISTRIBUTION , IN GARY REHBEIN 740 HIGH ST. SUITE 2 HOLYOKE, MA 01040 --- Update Address and return card. Mark reason for change. 0 Address 0 Renewal 0 Employment 0 Lost Card DPS-CA1 0 50M-07/07-PC8490 N ias ,, a0111%etts - 1 'Act If (1 fif ltiihh,i R&.11,Itill1 and StandaniS License: CS 31003 Restricted to: 00 GARY C REHBEIN 16 JONATHAN JUDD CIR SOUTHAMPTON, MA 01073 Expiration: 5/19/2010 0.1111111,s1"11t.1" Tr= 28292 ACQRD CERTIFICATE OF LIABILITY INSURANCE I iilo s PRODUCER (781) 273 -3200 FAX: (781) 273 -0600 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY NO RIGHTS Bonacorso Insurance Agency LLC THIS CONFERS DOES OTOAMEND, CERTIFICATE EXTEND OR 83 Cambridge Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1502 Burlington MA 01803 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER k Seneca Insurance Co. 0077 US Metal Roofing Distributors, Inc. INSURER a Granite State Ins. Co. 740 High Street INSURER C: INSURER D: Holyoke MA 01040 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADM POUCY EFFECTIVE POUCY EXPIRATION LIR lNSRB TYPE OF INSURANCE POUCY NUMBER DATE (MWDDNY) DATE (MMIDD VY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED A X I CLAIMS MADE n � ME0 E oR sGL3000109 11/7/2007 11/7/2008 P ( soa o e) $ 50,000 EOXP (AnAnYOneoarsan> $ 10,000 X CG 2010 10 /01 PERSONAL & ADV INJURY $ 1,000,000 X $2,500 Deductible GENERAL AGGREGATE $ 2,000,000 GEN1 AGGREGATE UMIT APPUES PER: PRODUCTS - COMP/OP AGG $ 2,000,000 POLICY 12L I JECT n LOC AUTOMOBN_E LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea ) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per ) HIRED AUTOS BODILY INJURY NON-OWNEDAUTOS (Per accident) PROPERTY DAMAGE (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT _ $ 1 ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSNMBRELLA LABILITY EACH OCCURRENCE $ 3,000,000 X I OCCUR 1 I CLAIMS MADE CUP3000109 12/7/2007 11/7/2008 AGGREGATE _ s 3,000,000 $ A DEDUCTIBLE _ $ - RETENTION $ l yy � + $ WORKERS COMPENSATION AND 1 TOR IIM 4 I I + ER EMPLOYERS' UABIU Y ANY PROPRIETOR/PARTNER/EXECUTIVE WC3798224 12/1/2007 12/1/2008 EL EAOi ACCIDENT $ 500,000 B OFFICER/MEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 500,000 I yes, describe older SPECIAL PROVISIONS Woo EL DISEASE - POUCY LIMIT $ 500,000, OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS Highland Construction, LLC is named as the additional insured by means of ISO CG2010 1001 . Blanket Waiver of Subrogation is provided. Additional Insured is named on a Primary and Non Contributory Basis, for ongoing and completed jobs. There is No Residential Exclusion. CERTIFICATE HOLDER CANCELLATION ( SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Michael Bonacorso ACORD 25(2001/08) ® ACORD CORPORATION 1988 INCfl')R rn,non non O 1 N 0 .'i ttn�f PT • ' ,'+�+o -- O % ti ay __„ �`, (ri of Northampton • = , 4 Fr - Vii i.12 t 3t.,,*(ryncola' �— DEPARTMENT OP OUIL.OflC INSPECTIONS 44 ` 212 Maio Street ' hfunicipnl building Norlhamplon, Mass. 01060 y''" WORKERS COM TENSATION G' SURA_NC., AFTTI M\'fl (li GCns.cdperm; t tcc) / with 2 plunk paJ place of busiOess/resid afze at: . — ✓ i r l 57 1 cr�, u ,y .vo , 41,1�_okl,lj (phone.!) ,43-753C -54142 (stiA t i p ) do hereby certify, under thc.pa_uis and penalties of perjury., ha • V'J I an an employer providing the followinv, worker's colnocns<:don covc:a`c for 111r ewployecs wori6rtg on this job. • IXAN , � e€ 5 ?47( tifJ)1( ecJC., 37(-°. )a ','a �� (lrsur- Conr:ny) (Polio; n ' (r:.-piro „ Dale) ( ) 1 am a sole proprietor, geoeraJ contraaor or homeowner (circAe one) and have hired • the coo ractors Listed below crbo have the ioiuowine worker's coDDensaoon policies: (Nome (Y Coco (InsUranc,: Cotnpan /PGhc,' Nufnec:) Cl_X?u -,luon Date) (Name of Contractor) (lnsufaocc CompaupPotic, Nu»cct) CC 4inliion Date) . (Name of Cotlnano;) (Insurance- Company/Poky N,lmbu) (E_Np;rtion Date) (Name of Cow - ctor) (Iusuranct Comoauy/Poticy Numbs) (Expirmion Dale). (.ttxb 11.!i ioc�! txu if owas.ry to 1ct.dw4k ioform.000 perutiaini to .11 ooOr .con) ( ) 1 am a sole proprietor anti have no out working for me. ( ) 1 am.,a home owner performing all the N"ork myself. NOTE: plc- be aa-arc du': , •tik bomco..um .vbo crytplay pCtons Lo ti, r.�- -• arr.:a,00 c- rcpav work on , d..cti_C of not mac tbco Lb - cc tmit) in uneb tic bomoo- cr nwida or oa the crouoa, i, putt<13 tbe Lt ax cma-+lly oeerd>cd to L•c citploycr tsoc:• tbc...cokoey n s+m Act (G1_152_1:3 1(5)1, cpplica:too by . boo kr c liccmc ac pamrt rccy c.-idc»oc ti:c kip! cu.au or an cgloy.r uod.r tt o W ortu . Co op000.tio.a Mt. 1 , todon,.od duck copy of thu miccoacat co.) b. for- mtrct.d to tbo Dcp.nmca of lort.• nuodmtY Offioo or lruur.00., ref tb,o covokb-c wiGcaiioo and th1 Ciltac to .auuc toovcnac .mdcr soctioo 25 A of MOL 111 in lad to the impacaico or o;min.! pcn..ltio ooniwag of a Goo or u, to 11,300.00 ancYor Cooprioomnale of up to *cc you cod civil p.callica to ex roan of . Stop work Or& .od . (tm of 3100.00 l aty ap.ieta toe f dcp.rm -m—L.1 u.c ody `, � : < b Permit l't a 1 1 .0.4.i 1 t . �^.- '` ✓ tl �Y 1t�p — Lot t 1 -- Sirnaturc of L • 3 1 rit S .d dgr:Tn bn 41.7 dac SECTION 8 - CONSTRUCTION SERVICES 1 8.1 Licensed Construction Supervisor: (i' wate Not Applicable 0 Name of License Holter : 6AA y e e 5 , 3, , License Number _ ... A. A - A A _ tido eft 5,,,,- 4 .L. bki Address , Expiratfon Fla* signature f / Telephone '9,Retilitiged 41hinis11111 . ' ntringiatiSCW:. Not Applicable 0 . 7 1.1.5.,,,/k-mL 04,)r,,i./1.-Dfige(7 -pv , ....),,1t) •r, fiz/li O Company Name r Registration Number ; / ,/ 7q6 Ad ryss /4 / (- k) S 1 -.7 2 ...) / ..--- /' Expisfation 0 14 , , , •/.0 4 ' vjp. 01 Yu Tetepho d `ri/75-34 -5 i7 . i I i 1 SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, i 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. s Signed Affidavit Attached Yes yes No 0 1,111diti&Miintr•_ ,' ' • The current exemption for "homeowners" was extended to include Owner Dwellings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780. Sixth Edition Section 108.3.5.1. Definition of Homeowner: Person (s) who own a parcel of land on which he/she resides or intends to reside, on which there is, or is intended 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-vear period shall not be considered a homeowner. Such "homeowner shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be . responsible for all such work performed under the buildine Permit As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature , t''ol cISE:TO 1,0 isT daS SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable) New House ❑ Addition ❑ Replacement Windows Alterations) J Roofing K , Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs [D] Decks [(] Siding [d] Other [D] Brief Descri Lion of Proposed Work: A 5-k-4 l 1 c ] � LI 3v y: J e. 5 • + ncti o / Se4 W1 mP J 1 1 f S7�c•F 64,.7,;04) 47 1 i DiJf cJ ( Alteration of existing bedroom c7 Yes No Adding new bedroom Yes No 01 ( kt. , Attached Narrative Renovating unfinished basement - Yes No Plans Attached Roll - Sheet . sa f Neil boili d malt bift a 3f ;iiil la' i i'a: a. Use of building : One Family t" Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? Il 0 d. Proposed Square footage of new construction. Dimensions e. Number of stories ?' , a 5'4 f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes X No. Is construction within 100 yr. floodplain Yes No Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes _ No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a • OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT y 1, '4"irJ (`Alvwrt3.frs` wcr::v'hw) Cf--yrror R 90-Lx , as Owner of the subject property ,2 r S hereby authorize J , , . 1� _ U /"..)f . / ° — 1 / 7O(J - 790o c.._-- to act on my behal 7 in all matters relative a thorize • this building permit applicati•n. 10 -2A. g T na re of Owner Date . I, , i7X / j 6.:Ajek /A.j , . , as OwnerlAuthorized Agent hereby decla 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. /7/J (E tiv Print Name • / / Signature of Owner /Agent Date / E • o 1 dcc.: Tn in L,T ..� Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed ' Required by Zoning This column to be filled in by Building Department Lot Size 1 r- . Frontage _ - ....__ Setbacks Front __� [-- -_ J Side L:L.. R :L _ J (.:i R r i _._ i Rear L - ..__. -J i _ c – ___., Building Height '_�� f — • _ — ! Bldg. Square Footage , .. . i - % _ ._.- r _....., �- �_ r t_.. Open Space Footage % ## (Lot area minus bldg & paved i L i i I I L__J parking) - # of Parking Spaces Fill: r._ I _ (volume & Location) - _. _.. _. _ -. i .__ -.. _ t _____, A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO Q DON'T KNOW a YES O IF YES, date issued:1 IF YES: Was the permit recorded at the Registry of Deeds? NO 0 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 Er DON'T KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained ® Date Issued: C. Do any signs exist on the property? YES +O NO IF YES, describe size, type and location: r ^ — D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO a' . IF YES, desoribe size, type : and location: r _ E. WIII 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. a •d dSE :Tf bf) bT dac City of Northampton - Building Department �4, , '� ,S , '� �• `.. 212 Main Street .�, Room 100� (: r , . Northampton, MA 01060 phone 413- 587 -1240 Fax 413- 587 -1272 1F: ` ,, � j ioT s �'�,•r ti �; APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address: Tine sectio�li o be cpnikjeted by office 3 sr A(G(C Map - Lot Unit N / 4 - r4Q 0 A) t‘ Pi. �tSt�e ?tftarlayi "strict � Elnit; District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT Z.1 Owner of Record: 11 jf`t d /_ _. 4 /J f f 7 # ∎ 4 ' ' .0 Lf S / /�,�E da7441916 Name (P 'nt) /' _ - I Current Mailin Address: _ Telep ne Signature' 2.2 Authorized Aaent: de ,p�� C1. "eiL- fl_ Ju�onl�") D/<it 1N <� '7z7 57 5r,, ,41,y4/0k A4 01044u p Name (Print) , / Current Mailing Ad r s: / 11/3 - 53 i'; 5'' 7 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building „ 6-00 (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 L 6. Total = (1 + 2 + 3 + 4 + 5) 4 (/ 0 Check Number This Section For Official Use Only Permit Number. Date Building issued: Signature' Building Commissioner /Inspector of Buildings Date . d di7E:IO bn bi daq BP- 2009 -0438 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: roofing BUILDING PERMIT Permit # BP- 2009 -0438 Proiect # JS- 2009 - 000030 Est. Cost: $24500.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: U S METAL ROOFING DISTRIBUTORS, INC 134740 Lot Size(sq ft.): 7884.36 Owner: PENGELLY FRITHA Zoning: URB(100)/ Applicant: U S METAL ROOFING DISTRIBUTORS, INC AT: 35 RUST AVE Applicant Address: Phone: Insurance: 740 HIGH ST, SUITE 2 (413) 536 -5474 WC HOLYOKEMA01040 ISSUED ON:10/20/2008 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & INSTALL STANDING SEAM METAL 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 10/20/2008 0:00:00 $35.005646 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo