32C-176 19 HOLYOKE ST BP-2014-0711
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32C- 176 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-2014-0711
Project# JS-2014-001204
Est.Cost: $11500.00
Fee: $72.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: RCI ROOFING 74334
Lot Size(sq. ft.): 33105.60 Owner: HOLYOKE STREET LLC
Zoning: GB(100)/ Applicant: RCI ROOFING
AT: 19 HOLYOKE ST
Applicant Address: Phone: Insurance:
6 LINE ST (413) 527-4775 Workers Compensation
SOUTHAMPTONMA01073 ISSUED ON:12/10/2013 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL NEW TPO ROOF SYSTEM
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 12/10/2013 0:00:00 $72.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2014-0711
APPLICANT/CONTACT PERSON RCI ROOFING
ADDRESS/PHONE 6 LINE ST SOUTHAMPTON (413)527-4775
PROPERTY LOCATION 19 HOLYOKE ST
MAP 32C PARCEL 176 001 ZONE GB(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid �j�r
Building Permit Filled out
Fee Paid 022Z-0\7 J 7p .
Typeof Construction: INSTALL NEW TPO ROOF SYSTEM
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/Statement or License 74334
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO TION PRESENTED:
Approved 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
D-• ol't�elay
/- /�`/X
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.
Northampton, MA Property Detail Page 1 of 2
City of Northampton, MA: Commercial Property Record C
New Search Property Type Classification Code Reference Card 1 of 1
Parcel - Location - Zoning - Assessment
Map-Block-Lot: 32C-176-001 Zoning: Assessment:
Location: 19 HOLYOKE ST Neigborhood: 306 Land: 239,
#Living Units: 0 Deed Book: 8595 Building: 166,
Class: C-332 Deed Page: 290 Total: 406,
Building Information Building Sketch
Bldg #: 1
Year Built: 1958
# of Units: 0
Quality Grade: C-
# Efficiencies: 0
# 1-Bedroom: 0 7 08
# 2-Bedroom: 0
# 3-Bedroom: 0 36 1sCB
Covered Parking: 0 3888
Uncovered Parking: 0
Total Unadj RCN: 104,350
Total Unadj RCNLD: 100,530
Grade Factor: .92
# Ident Units: 1
Func/Econ Factor: 1
RNCLD: 100,530
Attached Improvements Detail Information:
Type Meas-1 Meas-2 Meas-3 #Units Levels Use Ext Walls Heat AC % Good Un
OD1 144 0 1 1 - 01 47 Conc. Block Unit Heat 0
Land Data Outbuilding Info
Square Foot Type Descr Width Length Quan Yr. Phys Fun
SQ
Utilities or Size Built Cond Uti
Type Feet Value All PA1 0 27000 1 1959 Fair Fail
Prime Public FN1 0 2580 1 1969 Fair Fai]
Site 33,100 239,780
RG4 0 560 1 1959 Fair Faii
http://www.northamptonassessor.us/noho/commdetail.php?map_no=32C-176-001&p... 12/9/2013
Northampton, MA Property Detail Page 2 of 2
Acreage Type RG4 0 1200 1 1959 Fair Faii
Type Acres Value Street/Road
SH3 0 2400 0 1979 Fair Nora
no Paved
information Other Improvements: T
Sales Info Permit Info
Date Type Price Validity Date Permit# Price Purpose
no information no information
http://www.northamptonassessor.us/noho/commdetail.php?map_no=3 2C-176-001&p... 12/9/2013
r-
r l( i '.I Versionf.7 Commercial Building Permit May t5, 2000 !_
Department usefonly
` i City of Northampton Status of Permit
LIEC 1 9 2013 ' Building Department Curb Cut/Driveway-Permit
212 Main Street .Sewer/Septic.Availability .
Room 100 Water/Well Availability _ -
--- --- Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Rlot/SltePlans
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
This section to be completed by office
1.1 Property Address:
9 +_ leKc.. Map Lot Unit
A..)o ----k\fLo....e,∎,P\:-Ilt>Y Zone Overlay District
Elm St. District CB District
SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: �,`
Name (Print)\-k--0,,,A �,v\0.rA Current Mailing Address: ✓ 9 14 Oke- "\-
Signature See._ 0, ...k-osA,..t Telephone(y3) 5 '(( — 3yq
2.2 Authorized Agent:
CY)C 061-N -`)(.\∎S\ti, (),e_-s_... c ooctnc) L.!-.P (a �rY� e.. 1,4-- "_::-)C?V..\\AU.AvA)\-0 t1,rock, ot07.:y
Name (Print) Current Mailing Address:
��--°e Lt:(t 3) ;5-2_1- L`__1 1-5
Signature /'� � Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS •
Item Estimated Cost (Dollars) to be Official Use Only
• completed b permit applicant _
1. . uiiding rioC7cc rAc� I 1 5 00 • 4 (a) Building Permit Fee
2. Electrical l .) (b) Estimated Total Cost of
Construction from 6
3 Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
— ' --
6. Total = (1 + 2 + 3 i 4 + 5) I I , Soo , oc7 Check Number i� •
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
Version 1.7 Commercial Building Permit May 15, 2(100
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(a‘ Change of Use❑ Other ❑
Brief Description Enter a brief description here.
Of Proposed Work: Pv - S^ � `-a
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) I CONSTRUCTION TYPE
A Assembly ❑ A-1 0 A-2 ❑ A-3 MN .` � :J ,
A-4 ❑ A-5 ❑ A
B Business C] --2A- M� —❑
E Educational ❑ --- _ inguniliMMINIMint - 215- —� ❑ ---
F Factory ❑ F-1 ❑ F-2 ❑N1111111111.11111111111111.11111111111--- 11111111[111IUIMAI
H High Hazard ❑ an - - — —[-� —
I Institutional ❑ I-1 ❑ 1-2 ❑1111111111111111111111111111111111111111111111110 V„ [-] "
M Mercantile ❑ --—r)
R Residential ❑ R-1 ❑ R-2 ❑MUM I IINI❑a'm■"
S Storage ❑ S-1 ❑ S-2 ❑MIN= 1111111111011111Mini
U Utility ❑ Specify: 1■f111—r110
M Mixed Use ❑ Specify: — —
S Special Use ❑ Specify: 1111111111111.11111111•111111111011111111111111111111111111111111111111111
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): — �T
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor (sf)
1 51
51
2�d •
2nd
3
3111
4
41h
Total Area (sf) Total Proposed New Construction (sf)
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 11•11110111111 w11IIMU1 • a I disposa._syiTEalL
Version I.7 Commercial Building Permit May 15, 2000
S. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column Io be tilled in in'
Building Department
Lot Size
Frontage _
Setbacks Front
Side L: R: L: R:
Rear
Building Height
13Idg. Square Footage
Open Space Footage % -(La oleo area minus bldg&paved
parkins)
ll of Parking Spaces
Fill:
wolinne& 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 O DON'T KNOW O YES Q
IF YES: enter Book Page and/or Document N
B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW 0 YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NC) O
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 O
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 01 a common plan
that will disturb over 1 acre? YES O NO O
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Version 1.7 Commercial Building Permit May 15, 200(1
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 Dale
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Dale
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Dale
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Dale
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Dale
9.3 General Contractor
Not Applicable El
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
Version1.7 Commercial L3uilding Permit May 15, 200(1
SECTION 10- STRUCTURAL PEER REVIEW (780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes Q No Q
SECTION 11 - OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, �-�n-� 6 ►�\0. ci — _, as Owner of the subject property
hereby authorize ( T �p� \_L to
act on my behalf, in all matters relative to work authorized by this building permit application.
cL\�► ��c�.�°_c� ! 2.-6 - 13 --
Signature of Owner Dale
$\ �. `21 C : 0CYC\ r1c l..\_t) _, as Owner/Aueri?ed
AgCpi_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 pgpalties of perjury.
Print Name
_ Z- G-
Signature of Owner/• Dale
SECTION 12- CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable 1
��
Name of License Holder: CG.°ri. C)V._\,'S\'f: - Q-(>1)C■ c■3 L.\23 Lk --- —
License Number
Address Expiration Dale
Signature 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 O __ —j
The Commonwealth of Massachusetts
—,*-4j..-..... Department of Industrial Accidents
; 1._ Office of Investigations
-::.,-:
600 Washington Street
4 t _ :c < Boston, MA 02111
.V'v www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
kpplicant Information _ Please Print Legibly
ame (Business/Organization/Individual): R Q.,-y. 2,,,,cs, rto U..s'
Address: l:; 5\--
7ity/State/Zip: ■.,a--\, \.6-o 1 OA 0,. o f C> /3 • Phone #: 43) 5-41 -t("(`15
.re you an employer? Check the appropriate box: Type of project (required):
Lg--i am a employer with Z U 4. IT I am a general contractor and I 6, ❑ New construction
employees (full and/or part-time).* have hired the sub-contractors
❑ I am a sole proprietor or partner.. listed on the attached sheet. # ❑ Remodeling
ship and have no employees . These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp. insurance. 9, E Building addition
[No workers' comp. insurance 5. ❑ We are a corporation and its
_ required.] officers have exercised their MD Electrical repairs or additions
_ I 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.E Other
comp. insurance required.] —.
ny applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information,
omeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
)ntractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers' comp.policy information.
.m an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
Formation.
;urance Company Name: 5 ct^ - a:,'\�, - -L.-
hey#or Self-ins. Lie. #: i C ; olo'r3,13 q 05 - Expiration Date: 10 • j. i a
b Site Address: 19 \ aY� Se City/State/Zip:/06e'c\r,s."0-6(1)MA Oiot,O
tach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
ilure to secure coverage as required;.ender Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
to 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
up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
vestigations of the DIA for insurance coverage verification,
to hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
gn.ature: .,.----
Date: / 2,—
tone#: .--1 13 ) 52,1-41 'T 5
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#:
_&�_Office of Consumer Affairs& Business Regulation License or registration valid for marvluur use unry
•ME IMPROVEMENT CONTRACTOR before the expiration date, If found return to:
` Office of Consumer Affairs and Business Regulation
_ _.-ieglstratlon: 126235 Type,
3y�^ xplration: 5/6'I2014 Partnership 10 Park Plaza-Suite 5170
N,so Boston,MA 02116
R,C.I, ROOFING •
MARK DELISLE
6 LINE ST .aw __ w�� � _ —
SOUTHAMPTON, MA 01073 Undersecretary Not valid without signature
_i 4COMMONWEALTH.OF MASSACHUSETTS Massachusetts - Department of Public Safety
1fi10000'‘lf**11.;ifitgiN1000.000,,..A.0400,0i, Board of Building Regulations and Standards •
SHEET METAL. WORKERS Cunsnucriun Supti isur tW
AS A MASTER-UNRESTR'ICT aJ License; CS-074334 r -4rt '
ISSUES THE ABOVE LICENSE TO: IL' `t S v,, €, °F v
�� 0t, t^ k z.
MARK T DELIS w,. nj
E a '•� -- , ,
MARK T DEL ISLE p 33N71tSTAVE, u } �`�;
1 EASTHAMI 'ON r } 1 y
33 FIRST AVE `�
,11x114,-,0,%`k �1
EASTHAMPTON MA 01027- 151 ) °�- •- Expiration
Commissioner
13276 05/28/1 + 15588, I 05/03/2014
yy.. y �y� 1}� ��f p
14*00 AO:1 4 i 7EAkff�t�4O j T4,�,s s,7(y .Ei.R 44(1,OL3
Fold,Then Detach Along All Perforations H
•
ills;..e parimellroJ o4
Omfpaiionalt 5igty e'htll dillh•Adoi,otralfori
•
ha:r:;af ehesSiolliy tpn pl@focl a lWroi2r Occugaitonan3Wl{y TrrtPIRtrallh
•training d5uisbyrn
fTrineF)
•
•
RC.I. Roofing Date
6 Line St.
Estimate
Southampton,Ma. 01073 6/20/2013
Phone(413)527-4775
Fax(413)527-8469
Name/Address Job Location
Harold Willard Harold's Garage
19 Holyoke St. 19 Holyoke St.
Northampton, MA 01060 Northampton, MA 01060
Terms Rep
Estimate valid for 30 days Chris
Description Total
Furnish and install 1/2" pressure treated wood nailer over existing roof 11,500.00
Furnish and install 1/2" fiberboard insulation, mechanically fastened.
Furnish and install .060 TPO roof system,mechanically fastened.
Furnish and install .032 aluminum edge metal.
Furnish and install all related flashings.
All work to be performed according to manufacturers'specifications.
All exterior roofing related debris to be removed by R.C.I. Roofing.
5-year R.C.I. workmanship warranty included.
All related permits will be obtained by R.C.I. Roofing.
WE LOOK FORWARD TO DOING BUSINESS WITH YOU,
'Total $11,500.00
TERMS OF PAYMENT
5%Deposit
Balance upon completion Customer Signature
Registration# 126235
Construction License#074334 Date id-g^"
Insured by Banas&Fickert Ins.
(413)527-2700
RC. . Roofing
6 Line Street,Southampton, MA 01073
Phone:413-527-4775 Fax:413-527-8469
C. Miller
Building Inspector
Northampton Building Dept.
I request that you grant a modification to waive the requirement for control construction for the
project at 19 Holyoke St. in Northampton because the work is of a minor nature,will not affect health,
accessibility, life and fire safety,or structural requirements and is impractical in that the cost of control
construction is considerable when compared to the cost of the proposed work.Thank you for your
consideration.
Respectfully,
Mark Delisle
(Partner)
R.C.I. Roofing LLP
6 Line St.
Southampton, MA 01073