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29-001 (3) Florence Heights Apartments December 15, 2003 C(OPY Roof Replacement-Buildings I- I stated. The various provisions in Addenda shall be construed in the order of preference of the component part of the Contract which each modifies. IN WITNESS WHEREOF,the parties hereto have caused this Instrument to be executed in 3 original counterparts as of the day year first above written. (Contractor) cd- By (Authority) Tide Fx cntiv ni r or Tide lG� Business Address: Business Address: 69 Old South Street 51 Sawmill Road Northampton, MA 01060 Dudley. MA 01571 est: Attest c END OF SECTION FORM OF CONTRACT 2 {� ,w_, � r Florence Heights Apartments December IS,2003 Roof Replacement- Buildings 1- 12 COPY P gs FORM OF CONTRACT THIS AGREEMENT, made this qth . day of mn-rrh . in the year Two Thousand and fn,,,- by and between mnm FnFngi n r;nc_ Tnr_ hereinafter called the "Contractor" and the Northampton Housing Authority,a public body, politic and corporate, organized and existing under the Housing Authority Law of the Commonwealth of Massachusetts,hereinafter called the"Authority", WITNESSETH,that the Contractor and the Authority for the consideration stated herein agree as follows: Article I. Statement of Work. The Contactor shall furnish ail labor, materials, equipment's,services and insurance, and perform and complete ail work required by and in strict accordance with the Contract documents for ROOF REPLACEMENT at Florence Heights Apartments, Northampton, Massachusetts and the addenda thereto numbered ail as prepared by Dietz & Company Architects, Inc. Said Contract Documents and addenda are incorporated herein by reference and are made a part hereof. Article L Time of Completion. The Contractor shall commence work under this Contract the date specified in the written notice of the Authority to proceed and shall fully complete all work hereunder within the time stated elsewhere in the Contract Documents. Article 3. The Contract Price. The Authority shall pay the Contractor for performance of the Contract;in current funds. subject to additions and deductions as provided in the Specifications,the sum of Eighty—three thousand dollars ($ 83,600-00 ),which includes Alternates# six hundred Article 4. Contract Documents. The Contract shall consist of the following component parts: a. This Instrument b. Non-collusive affidavit C. Labor and Material Payment Bond d. Performance Bond e. Addenda f. Special Conditions g. General Conditions h. General Scope of Work i. Alternates (if any) i. Technical Specifications This instrument, together wi[h other documents enumerated in this Article 4, which said other documents are as fully a part of the Contract as if hereto attached or herein repeated. form the Contract In the event that any provision in any component part of this Contract conflicts with any provision of any other component part, the provision of the component part first enumerated in this Article 4 shall govern, except as otherwise specifically FORM OF CONTRACT oa�tw-r�TO �- �i y _- a of �,IcrtIJUIII}itoll g f �t asinCflnLrlta' _ — W DEPARTMEIJT OP BUILDT.�\C INSPECTION'S 212 Main Street "Municipal Building, Northampton, Mass. 01060 W 0IUC:R'S C O NEP ENS A`I I O N M S URAN CE A I�'LID A VI7 (Ii cxnsec'Jpermi ttec) with a principal place of business/residence at: —. (I hone-') (Somwci ty/swcJa P) do hereby certify, under LIic pzinS and penalties of pcgury, hat O I am an employer providing die followinL workcr's comocns-nuon covemgc for im, eluplovccs wor-�Jng On L1115 job: (inntr� Conr`e}) tPolic: i;u r) --' (a-pir-a on Due) ( ) barn a sole proprietor, genera] contractor or homeowner (ci:c;e one) and have hired the con-actors listed below wbo hive the foilotvtnQ, workers comoens2don policies: (1`amc Oi co:,.:Icwr) (Ins-urancr- CO[A03n)'lt�GhCi <<7ff1LG1) fi-?:)1iJ ^ t�llC} (Name of Cootracor) (Insuranc Comoaaw?olic}, Nunccr) (-Epp r,:aon Date) (Name of Conuaclo;) (Lasiwanec Compan}'/PoUcy Numb-r) (Exairboo Date) (Dame of Contractor) (Lnsuranc-- Company/Policy Numb:r) (Expiration Darc). (nab..t�<boc31 'UCa iroccca.�•to rr-c�ud:iaforma._�oa pertnia;.a�w all 000ss.co�) - O I a.m a sole proprietor and bave no one wofUog for me. ( ) I am.a home owner performing all the work myself. NOTE:pica be ewarc thra_tzij;bcc eO D,m abo cmploy pcsom Lo L%,j •a ,••,•., 0, cjoo cr rc,,air••-oric on.d..c(L`or not-Oct th-.n L1---itr is u$icb the bomoowu rcaida or oo the mint- tsee e.-c Do( cocmidred to be -aVIo)e-uncle the wakdz o=p�ca Act(GLI52,=1(5)�applia000 by a bomcoava ry-Ge=ts or IxnnA r=y c idenoc the 1,&U--of-c=ploy.r under dw Wor oe,Comp.000.ai-ioa AcL _ r yodma..nd tha a oopy orthu mt.rmca os.y be r1--dsd to lb-Dop�or Indutrial Amda=>OQ•ioo or Irrarrwoo for th. oovQasc—i c:lioo=%d then L-.ileac to&On=`eovcma c-36er=cxjoa 25 A of MOL 152 an lad to the L=poaidoa oraimi w pealwli= eoosi%Lm of a fiat of up b s 1-5oo.00 and/or j-prttionMC3i of up to oat yvr nad cavil peaattio is the room of.Stop Work Ordcr and. frm of S l DODO a day tpin:a me For dep,�Uie---jy PMeapit_N-t mbcs l Lot r 5192441rc of Lic=nscr/Pcrmiuct DBte :: t w Versionl.7 Commercial Building Permit May 15,2000 SECTION O STRUCTllRAL PEER REVIEW 780�GMR 110.11) .. Independent Structural Engineering Structural Peer Review Required Yes......❑ No......❑ `SECTION 11 ;OWNER AUTHORIZATION „TO BE COMPLETED WHEN OWNERS AGENT OR CONT#2ACTOR AP,PLlES FOR BOIL DING'PERMIT I, 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 I, 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 un er the pains and penalties of perjury. i Print Na/me '7c t � ��� Cep 7 l Signature of wner/Agent Date SECTION 12 r;CONS gT7J JON SERVICES; 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder License Number Address \ Expiration Date Signature Telephone SECTION 13 WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M 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...... ❑ Version 1.7 Commercial Building Permit May 15,2000 SECTION `9 PROFESSIONAL DESIGN A7VD CONSTRUCTION'SER1'ICES FOR;BUILDINGS AND STRUCTURESSllBJECT TO C©NSTRllGTION-CONTROL PURSUANT T0:780:CMR[116{CONTAINING MORE THAN'3 ,000 C F OF:ENCLDSED. RACE] 9.1 Registered Architect: Not Applicable O Name(Registrant): Registration Number I Address 1 Expiration Date Signature Telephone 92 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 Company Name: ���G( ` Not Applicable O �w Flo/f� Responsib`k in Charge of Constructio A Address / C�{ Signature Telephone ,+ Versionl.7 Commercial Building Permit May 15,2000 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ 1 Zone: Outside Flood Zone ❑ Municipal ❑On site disposal system ❑ 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: l Rear / Building Height f Bldg. Square Footage % Open Space Footage (Lot area minus bldg&paved aridn #of Parking Spaces Fill: (volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO DONT KNOW YES IF YES: enter Book Page nd/or Document# B. Does the site contain a brook, body of water or wetlands? N DONT KNOW YES IF YES, has a permit been or need to be obtained fr the Conservation Commission? , Needs to be obtained Obtained . Date Issued: C. Do any signs exist on the property? Y NO IF YES, describe size, type and location: D. Are there any proposed changestO or additions of signs intended for the property ?YES No IF YES, describe size, type and location: Versionl.7 Commercial Building Permit May 15,2000 *► SECIflN4=: 1�1CflN SfitfSRitQECT ASSHA13 ,000 CUBIC FEET fNCLDSIFfl1 r .. Y { J Interior Alterations Existing Wall Signs Existing Ground Signs Additions❑ Roofing ❑ D Exterior Alterations DemolitionO New Signs [ ] Change of Use [ ] Other [ ] ❑ Accessory Building [ ] Repairs [ ] BRIEF DESCRIPTION: SECTION 5 USE GROUP AND CONSI R1�CI'lOIY TYKE,; USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly 113 A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 O 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory O F-1 ❑ - ❑ 2C ❑ H High Hazard ❑ 11 r 3A ❑ I Institutional ❑ I-1 ❑ 1 Y-2 O I-3 ❑ 3B ❑ M Mercantile ❑ 1 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: COI PLEfE S 303T�1 iFE S 3T�1G BtJI1�Si G,11 1SE NDERGOING O §NS RHANGE IN Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): 'SECTION 6:B1lILDING( EIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION �� ° Viz . l� Floor Area per Floor(sf) Ist lst nd 2 3 rd 4m nuxs 4�' ; � ,n Total Area (sf) Total Proposed New Construction (sf) Total Height(ft) Total Height ft-----------—------ �� �{ Versionl.7 Commercial Building Permit May 15,2000 City of Northampton Building Department 212 Main Street Room 100 Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTIUN.� ;SITE'1<i+IF-011�IAT30N 1.1 Properly Address: R;:; u Qn feted ocerhr sr , ECT10N 2 PtOPER7YOWNERSF1IPjAUTHORIZE©.-A6ENT 2.1 Owner of_ : Cj Name(Print) _,lL.� /fA Current Mailing dress: I'll ell 0 Signature Telephone 2.2 Authorized Agent: Name(Print) Current Mailing Address: Signature Telephone N'3 ESTIMATED CONSTRUCTION-COSTS Item Estimated Cost(Dollars)to be Officia['�Use OnN completed by ermit applicant 1. Building {s Bu�dir�g`Rermit;:Fee 2. Electrical fib)•Esbh%t,0 Total Cast of 'Cofi Won firm fi 3. Plumbing Bn�ld�ng Rern��tee 4. Mechanical (HVAC) 5. Fire Protection . :." 6. Total = (1 +2+ 3+4+ 5) U CJ C-)'6 f�i�"mti6r- - Budding Permit:Number' date Issued lll Signature: Building Commissioner%Inspector of Bultlings" Date 178 FLORENCE RD-FLORENCE HEIGHTS BP-2004-1077 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block:29-001 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit# BP-2004-1077 Project# IS-2004-1601 Est. Cost: $83600.00 Fee: $440.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: M D M ENGINEERING INC 072493 Lot Size(sg. ft.): 255697.20 Owner. NORTHAMPTON CITY OF Zoning.URA Applicant: M D M ENGINEERING INC AT. 178 FLORENCE RD - FLORENCE HEIGHTS Applicant Address: Phone: Insurance: 51 SAWMILL RD (508)949-1616 WC DUDLEYMA01571 ISSUED ON:4130104 0:00.00 TO PERFORM THE FOLLOWING WORK.-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• Receipt No: Date Paid: Check No: Amount: Building 4/30/04 0:00:00 2525 $440.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Building Commissioner-Anthony Patillo