25C-062 Reade Roofing
Derrick Reade
429 Deerfield Street
Greenfield,Ma.
01301
Charlie Welch
262 Bridge Street
Northampton, Ma.
01060
re: Strip and roof back half of main house leaving.the existing copper
Reade Roofing will remove present roofing from the back side of the main house and
then install Architect shingles and a ridge vent.
in emanneso install a 22 year rubber
membrane roof on the flat dormer m g
Reade Roofing will:
1. Tarp around work area
2. Remove present roof material
3. Make minor repairs to deck if needed
4. Install ice barrier all over bottom low pitch sections
5. Wrap the edges in aluminum
6. Install Lifetime Architect shingles to match existing
7. Install ridge vent at peak
8. Screw down `/2" fiber board over flat roof
9. Glue rubber to fiber board
10. Wrap the roof edge in metal
11. Install 5" selfstick over metal
12. Clean around work area
Properly dispose of all debris
, -
e Roofing can accomplish this task for$7,550.00,we will require 40%,
4 $2,900.00 up front and the remaining$4,650.00 at the completion of the job.
We will require permission to drive on land around building and access to electricity.
Thank you for your interest in Reade Roofing`and we look forward to servicing you
soon.
' are ate Reade Roof na Owner's Signature Date
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DEPARTMENT OF BUILr'�G L SP=10NS
i NS P�CTC R 2 1 2 Maun S trees 0 Municipal B uilding
°✓
Nort xnpton, MA 01060
!I%'--.;"ME OWNER EXENITIPTION ACICI`�iOWLEDGEIVIENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction sups:_ , :Ur. The state defines Homeowner as, "Person(s)
who owns a parcel on which he/she resides or intends to be, a one or two family
welling, attached or detached structures accessory to such use and/or farm structures. A
person_who constructs more than one home in a two-year period shall not be considered a
home owner."
The building department for the City of Northampton wants any person(s)who seek to
use the home owner exemption- to act as thew`own construction super iisc I to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before back-fill).
sonotube holes (before sour). a rough building inspection,(before work is
_cance.-fled). insulation ins€iecti-o-n (if reu.uired)and_aTn.al_huildina.insnecti.o.n. The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancv
until the-work-can be inspected.
If the homeowner hires other trades to perform work(electrical, plumbing&gas) the
homeowner will I be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
The Commonwealth of_Llassachusetts
--�— Department of Industrial Accidents
r� r
O ace oflnlesti anions
(� 600 T ashington Street
, - Boston,iIL-1 01111
� J
rvww.mass.gov/din
Workers" Compensation insurance Affiaiati-it: Builders/Contractors/Electricians/Plumbers
A,Dolicant information Please Print Legibly
Name fl�BI:SIr1ess'Or.anization/Individual).
Address: qaq
City/state/zip:af-e r3g\ Phone.#: W3 775- 0071
Are you an employer?Chen:the appropriate box: Type of project(required):
4. I am a general contractor and I
i.�I am a employer with�� ❑ - 6. Q New construction
employees(full and/or part-time).* have hired the sub-contractors
1 listed on the attached sheet 7. Q Remodeling
_.Q I am a sore proprietor or partner-
ship a--,d have no employees These sub-contractors have � . D emouuon
working for me is any capacity. employees and have work.-rs'
9. Q Building addition
Lip worke=I Comp.ins- -n e Comp.insurance.=
r i0. Electrical repairs or additions
required j f. U vv e are a corporation and its IJ
❑ I am a homeowner doi=all work officers have exercised their l 1.Q Plumbingg repairs or additions
myself. [No work-°rs'comp. rift of exemption per MGL 12.7 Roof repairs
insurance required]t c. 152, §I(4), and we have no
er ployees. [No workers 1-'.Q Other
comp.insurance required.]
---'- ;�agpucan caers5 cox r.aasaz ago a out me sermon oe:ow snowing their woc�-s'conopensanon.poiicf information.
73omeownes who submit this affidavit indicating they are doing all wor6 and then hire outside contractors mustsubffit a new affidavit indicating such.
*Contractors that check this box must-attached an additional shed showing the name of the sub-conttactors and state whether ornot those entities have
e-zpiovees. Y the sub-contractors have a npioyees,they must provide then worms'corrm.policy numbs.
I am an employer that is providing workers'camp ensarion insurance for my employees: Below is the policy and job site
information. f
Insurance Company Name: I`�'r Ct V2�t-{s a,, r `i`y
Policy or Self ins_Lic. Gl U U V r7`7 0Z / f Q Expiration Date: 6
Job Site Address: I (�
d NUr wipl,�n ciL�,Stare/zip: D 1 (.0 C�
Attach a copy of the workers' compensation policy declaration page(showing the policy number and empiration date).
Failure to secure coverage as required under Section 25A of MGL c- I52 can lead to the imposition of criminal penalties of a
rime up to S 1-500.00 andi or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a f one
of up to S2f0-00 a day against the violator. Be advised that a copy-of this statement may be forwarded to the Office of
Investigations of the DLk for i=,=c-coverage verirication.
I do hereby certify under the pains and penalises of perjury that the injormarion provided above is true and correct
-
7AcAk,. — - a itJ i ale-
Phone=: t/13 [ 767 00r-71
ri
(� v Txiat use ong. Do not write rn thts area, to be complered by eilvcisv or tow,.49�r igl 1<
_City or Town: _P-ermitUcense
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. Cit7lTown Clerk 4.Electrical Inspector S. Plumbing Inspector
6. Other
contact Person: Plioce a:
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:
License Number
Address Expiration Date
Signature Telephone
9.Registered Home Improvement Contractor: Not Applicable ❑
Company Name Registration Nu.mber
y a st 1i-el nt .200
Address Expiration Date
G,t'c�r. i-���. . • D l 30 Telephone 411? `??,5-007
SECTION 10-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...... ❑
11 - Horne Owner Exempt on
The current exemption for"homeowners"was extended to include Owner-occupied 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 building 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
i
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing
Or Doors (]
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding[O] Other[O]
Brief Desy i tion of Proposed ( l + yy� L� '
Work: rinr r 1( rcI trl� CnC>'fi� r)_0L � hSC Y� C►'li R( S ��"��� artc'� YV� oe\' Ci rd'
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a, If New house and-or-addition to-existing housinq, complete the following:
a. Use-of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
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 No. Is construction within 100 yr. floodplain Yes No
j. 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
1 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. (C ' ALA as Owne uthoriz
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.
�f( C
Pr 1 /o
Signature of Owner/Agent Date
s
Section 4. ZONING Alt 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
Frontage
Setbacks Front
Side L: R: L: R: .,. .
Rear
Duilding IIcight •
Bldg. Square Footage -_.
Open Space Footage
(Lot area minus bldg&paved
oarkinej
#of Parking Spaces
Fill:
(volume&Location) .. ...,
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW YES 0
IF YES, date issued:'
IF YES: Was the permit recorded at the Registry of Deeds?
Aft 0
NO 0 DONT KNOW 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 ® YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained 0 Obtained 0 Date Issued:
C. Do any signs exist on the property? YES 0 NO
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
........:....._........ ..........
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,excavation, or filling)over i acre or is it part of a common plan
that will disturb over 1 acre? YES U NO Op
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
f '
" Department'use onto
City of Northampton Status of Permit
�V Building Department Curb Cut/DrivewayPermit
21'2,Maln Street Sewer/SepticAvailabilit
Room 100 Water/WellAvailability
NorthaC ipton,,\MA 01060 Two Sets of Structural Plans. {
phone 413-5$7?12�'Fax 413-587-1272 Plot(Site Plans
C3ther Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION —7
This section to be completed by office
1.1 Property Address:
y stI-,e :f Map Lot Unit
N,o f f lrAwr r) (V�a Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
C t1
Name(Print) Current 1M�Ring Address:
Telephone 7/9Q
Signature
2.2 Authorized Agent:
Name Print) \ ^� Current Mailing tAddress: boy
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by per it applicant
1. Building r7 �-� (a)Building Permit Fee
2. Electncal (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total= (1 +2+3+41+5) �D Check Number Ag
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
_ -- - - — --- --
Building Commissioner/Inspector ofBuild mgs '--- Date
BP-2008-0583
GIs#: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Perrnit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2008-0583
Project# JS-2008-000898
Est. Cost: $7550.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
use Group: READE ROOFING 154731
Lot Size(sq. ft.): 20081 .16 Owner: WELCH CHARLIE
Zoning: URB Applicant: READE ROOFING
AT. 262 BRIDGE ST
Applicant Address: Phone: Insurance:
429 DEERFIELD ST (413) 775-0071
GREENFIELDMA01301 ISSUED ON:1211712007 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF & INSTALL NEW FLAT
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 12/17/2007 0:00:00 $25.001901
212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272
Building Commissioner-Anthony Patillo