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39A-078 (3) J.D. Rivet & Co., Inc. fiat 11 ROOFING • SHEETMETAL 1635 PAGE BOULEVARD SPRINGFIELD, MA P.O. BOX 51068 INDIAN ORCHARD, MA 01151 TEL. (413) 543 -5660 April 1, 2013 FAX (413) 543 -3373 2013 518 Pleasant St. LLC 'Firestone P.O. Box 326 MASTER Northampton, MA 01061 CONTRACTOR Attn: Ed Kamansky Firestone Building Products RE: 518 PLEASANT ST. — LOWER ROOF REPLACEMENT -- 73 . 2C, • Scope of Work: 1. Remove and properly dispose of the existing roofing down to the existing built up roof. 2. Furnish and install new pressure treated wood nailers with height to match thickness of the new insulation. 3. Furnish and install 5" polyisocyanurate insulation of the built up roof. 4. Furnish and install Firestone 60mil TPO mechanically attached roofing system complete with all associated flashings. 5. Furnish and install new .040" painted aluminum edge metal in accordance with Firestone's requirements. 6. Furnish and install new .032" painted aluminum K -Style machine gutter complete with and appropriate attachments. 7. Clean jobsite of all roofing debris. 8. Furnish owner with a 20 year Firestone labor and material warranty. *Cost to disconnect and reconnect (2) units — ADD- $950.00 *Includes tapered insulation along the South wall PRICE = $49,500.00 FORTY -NINE THOUSAND FIVE HUNDRED DOLLARS) ALL CO . " • LATED TO OBTAININ :. iING PERMIT ARE EXCLUDED FROM THIS PROPOSAL James L. . , President Acceptance of Proposal - The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payment terms 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 will be executed only upon written orders, and will become an extra charge over and above the estimate. All 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 %A 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 NOTE: THIS PROPOSAL MAY BE WITHDRAWN BY US IF NOT ACCEPTED WITHIN _ 60 DAYS. Signature: C , e G%ota-4 fe , v f Date: �/ ` / 3 c,„), ,Awe 1,960 1 total load of 51 psf. The addition of the new insulation and roofing membrane will increase the dead load by 1.5 psf. V, 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 i Building Code. I will also verify the existing capacity of this roof system per current 2009 International Building Code and the 8 Edition of the Massachusetts State 1 Amendments for commercial snow loads. r The result of my analysis indicates that the existing upper and intermediate roof 1 Hemlock rough cut 2x8 old growth rafters at 24" on center are at 91% capacity under the ll existing roof loads as described above and 93% capacity with the additional dead loads t 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 1 increase the stress in the existing roof joists and supporting beams by 2 -3 %. This is below 1 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. i 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. k Please do not hesitate to contact me with any questions. Sincerely, Thayer Street Associates, Inc. ��r - °� "' c By 1- 4,4.10 0 -5. 1 i JACOB F. . Jacob F. Smith, P.E. z 6"" iii m o Civil - -.+ i 0 MO 47430 v rs THAYER STREET ASSOCIATES, INC. General Contractors as, Residential / Commercial /Institutional /Historical September 13, 2012 To: Edmund Kamansky 518 Pleasant Street L.L.C. Re: 518 Pleasant Street Northampton, MA 01060 Fd. On August 29th, 2012, I visited the above address to observe the condition or the existing roof system prior to the installation of a new membrane roof. This is required per section 606.2 Addition or replacement of roofing or replacement of equipment found in 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 me that you wish to install a new single ply membrane roof over 5 inches of new rigid insulation. If required the existing roofing would be removed. If it is not required then the existing roofing would remain. This is considered a "level 1" alteration per the 2009 International Existing Building Code. The existing structure has no masonry parapets. The address above is a "B" use group and the construction type is "III B ". Half of the existing structure's footprint is a single story masonry building. The other half is a two story masonry structure with a partial third floor located in the middle of the building. The existing low roof structure is composed of lx board roof sheathing attached to 2x8 rough cut old growth Hemlock rafters at 24" on center. These 2x8 roof joists span 9' -0" 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 intei'inediaie and high roof structures also consist of rough cut Hemlock 2x8 rafters at 24" on center. These rafters are supported by 8x 12 old growth hemlock timbers. These timbers are supported by 8x8 posts at 16' -0" on the second floor and 5 ' /z" O.D. diameter steel pipe columns on the first floor. Section 606.2 of the International Existing Building Code states: Where the addition or replacement of roofing or replacement of equipment results in additional dead loads, structural components supporting such reroofing or equipment shall comply with the gravity load requirements of the International Building Code. Exception #1 state: Structural elements where the additional dead load from roofing or equipment does not increase the force in the elements by more than 5 percent. The commercial ground snow load for Northampton 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 3a (413) 665 -4018 ra' fax (413) 665 -1142 ra. thayerstreetassociates.com '`` ° CERTIFICATE OF LIABILITY INSURANCE DATEIY 04/30/230 /2012 2 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 NAME: Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX 312 - 803 -7443 (A/C. No. Extl: (A/C, No): 300 South Riverside Plaza A ADD DREDRE SS: Chi Certificates @AJG.com Suite 1900 Chicago, IL 60606 INSURER(S) AFFORDING COVERAGE NAIC# INSURER A : ARCH INS CO 11150 INSURED INSURERS: AMERICAN GUAR & LIAB INS 26247 J.D. Rivet & Co., Inc. INSURER C : 1635 Page Blvd. INSURERD: Springfield, MA 01104 -1752 INSURER E : 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR INSR W POLICY NUMBER (MM /DDIYYYY) (MM /DD/YYYY) A GENERAL LIABILITY ZAGLB9155800 05/01/12 05/01/13 EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED 300,000 COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ _ CLAIMS -MADE X OCCUR MED EXP (Any one person) $ 10,000 X 5,000,000 All Projects PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2,000,000 - I POLICY X JECT LOC $ A AUTOMOBILE LIABILITY ZACAT9138100 05/01/12 05/01/13 COMBINED SINGLE LIMIT 1, 000, 000 (Ea accident) X ANY AUTO BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE HIRED AUTOS _ AUTOS (Per accident) Physical Damage $ 1,000 Comp /Col_ B X UMBRELLA LIAB X OCCUR AIIC- 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 05 /01 /12 05/01/13 X WCSTATU OTH AND EMPLOYERS' LIABILITY TORY LIMITS ER Y / N ANY PROPRIETOR/PARTNER /EXECUTIVE NIA E.L. EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N (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 / 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 (2010/05) The ACORD name and logo are registered marks of ACORD bhargavchi 26947671 The Commonwealth of Massachusetts = Department of Industrial Accidents Office of Investigations ° ,1 5 600 Washington Street 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 (All mail to P. O. Box 51068, Indian Orchard, MA 01151) City /State /Zip: Springfield, MA 01104 Phone #: (413) 543 -5660 Are you an employer? Check the appropriate box: Type of project (required): 1. Q I am a employer with 50 4. ❑ I am a general contractor and I 6. ❑ New construction employees (full and/or part- time).* have hired the sub - contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. $ 7 • ❑ Remodeling ship and have no employees These sub - contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition • [No workers' comp. insurance 5. ❑ We are a corporation and its • officers have exercised their 10.0 Electrical repairs or additions required.] right per MGL 11.0 Plumbing repairs or additions ht of exemption 3. ❑ I am a homeowner doing all work g P • P myself. [No workers' comp. c. 152, § 1(4), and we have no 12.0 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. *Contractors 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. Lic. #: ZAWCI9235300 Expiration Date: 5/1/2013 Job Site Address: 518 Pleasant St City /State /zip: Northampton, MA 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 . ' the p ns and penalties of perjuty that the information provided above is true and correct. Si • nature:.I Date: / 4 / 2013 Phone #: ' 13) 543 -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. Plumbing Inspector 6. Other Contact Person: Phone #: • Versionl.7 Commercial Building Permit May 15, 2000 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 1, A DM n� _. _.. -�y ` �j .._ Lek T . 7 _ LCas Owner of the subject property hereby authorize .. , ..._.. act on O my behalf, in all matters relative to work authorized thorized by this building permit application. ,^ _ (��z cr/ L a4 e4a s / � Ji lv.. iL1 .L L (� cr fr -'' 5 ( 201,3 . Signature of Owner Date I, ; T oc 4 Co I /4c- as Z>I4LIAuthorized 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 4-1 zo i3 Signature ofRAr /Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder . Jan Dreyer CS050230 License Number 44 Lakeside Drive, Monson, MA 01057 '07/21/2014 Address Expiration Date �. .- (413) 543 -5660 Signa OO 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 of the issuance of the building permit. Signed Affidavit Attached Yes 0 No 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 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 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 Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor J D Rivet & Co., Inc Not Applicable ❑ Company Name: ;Jan Dreyer Responsible In Charge of Construction P. O. Box 51068, Indian • ard, MA 01151 Address /413 543-5660 Signature ` Telephone 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): •1•T-e_4 JQ cso t 24' Name Area of Responsibility g Cry cs 4t e- u e. , 5'o J e��i+z -Icd Aft 4 of 3 73 Address ``�� Registration Number �.7C Li 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 SE,F LE(TEg -. Not Applicable Company Name: Responsible In Charge of Construction Address Signature Telephone Version1.7 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 a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DON'T KNOW Q YES IF YES: enter Book Page', and /or Document # B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW 0 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 Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO Q 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 Q NO Q IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Versionl.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 0 Change of Use ❑ Other ❑ Brief Description Remove existing roofing down to original built up roof. Install new 5" polyiso. insulation, 60 mil Of Proposed Work: TPO membrane and edge metal. 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 1 2A ❑ E Educational ❑ 28 1 ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ 1 Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 0 3B p M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ S Storage ❑ S -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: Existing Hazard Index 780 CMR 34): __. ,,,,,._ Proposed Hazard Index 780 CMR 34): 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor (sf) 1St __ .............. 7,300 1 t , . .,.,..._.._._.,., _. 2 nd 2 3 rd ,. 3 4 4th th Total Area (sf) 7 300 Total Proposed New Construction (sf) Total Height (ft) 20! _. ..,,.., 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 Zone0 Municipal ❑ On site disposal system _ Versionl.7 Commercial Building Permit May 15, 2000 RE EIVEU Department use only PPR Ci of Northampton Status of Permit: B ilding Department Curb Cut/Driveway Permit - - 5 2013 12 Main Street Room 100 Sewer /Septic Availability Water/Well Availability pEFT. Or ur_ai;�G NS= ' c�Clort ampton, MA 01060 Two Sets of Structural Plans NORTHAMPTON,I ut060 phone 4'f3 =5 $7 -1240 Fax 413 - 587 -1272 Plot/Site Plans 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 518 Pleasant Street Map Lot Unit Zone Overlay District EIm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: 518 Pleasant St LLC P. O. Box 326, Northampton, MA 01061 Name (Print) Current Mailing Address: (413) 586 -3524 Signature Telephone 2.2 Authorized Agent: Jan Dreyer / J. D. Rivet & Co., Inc. P. O. Box 51068, Indian Orchard, MA 01151 Name (Print) Air � Current Mailing Address: (413) 543-5660 Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building $49,500.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 03 5. Fire Protection $950.00 6. Total = (1 + 2 + 3 + 4 + 5) $ 5b �0' Chec Number l ! Y "71 This Section For Official Use Only Building Permit Number Date Issued Signature: Budding Commissioner /Inspector of Buildings Date File # BP- 2013 -0905 APPLICANT /CONTACT PERSON J D RIVET & CO INC ADDRESS/PHONE P 0 BOX 51068 INDIAN ORCHARD (413) 543 -5660 PROPERTY LOCATION 518 PLEASANT ST MAP 39A PARCEL 078 001 ZONE GB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out q p`d a 3 Fee Paid y Tvpeof Construction: REPLACE ROOF New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 050230 3 sets of Plans / Plot Plan THE FOL NG ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON I FO ATION PRESENTED: pproved 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 emolition Delay ..4.001411411r 7-75 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. 518 PLEASANT ST BP- 2013 -0905 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 -0905 Project # JS- 2013- 001549 Est. Cost: $50450.00 Fee: $303.00 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:4/10/2013 0:00:00 TO PERFORM THE FOLLOWING WORK: REPLACE 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 4/10/2013 0:00:00 $303.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner