25C-073 (2) Reade Roofing
Derrick Reade
429 Deerfield Street
Greenfield, Ma.
01301
Paul Holt
413-775-0071
215 North Street
Northampton, Ma.
01060
Re:Contract
23-25 Day Ave.
Reade Roofing has spoken with you in depth as to what is the best way to deal with your roof and
what we have decided is to remove the existing roofing material all the way down to the roof deck, inspect
deck and install a new layer of 3/8"plywood over existing deck,remove rotten sophet boards where birds
get in and install new ones primed and painted.And then lay ice barrier along the bottom three feet, felt the
rest of the roof,wrap the roof edges in white metal and install life time Architect shingles in your choice of
color.
Reade Roofing will:
1. Tarp off the entire grounds below work area
2. Remove all layers of roof down to roof deck
3. Remove rotten trim boards
4. Replace with primed and painted boards
5. Inspect deck and prepare for second layer of plywood
6. Lay 3/8"plywood over the existing roof deck
7. Lay ice barrier along the bottom three feet of roof
8. Felt over the rest of the roof
9. Wrap your roof edges in white metal
10. Install Lifetime Architect shingles
11, Install ridge vent
12. Clean the entire grounds around work area
13. Properly dispose of all debris
/�/• Z.,5h/� ,✓zld Sk1(1'yLit L hem VN�w ►f5,300.00+'lS
Reade Roofing can accomplish this task for$13,250.00 w will require 40%, upfront 4Z-
as a deposit on materials and the remaining$7,950.00 at the completion of the job. We will also require �?K�(o�c
adequate electricity to operate my compressor and permission to drive trailer up too roof edges where
applicable.
Reade Roofing will stand behind the workmanship of our roof for five years and if you have any
questions about this or any other roof please call immediately.
Thank you for your support and we look forward to servicing you soon.
ome wner's Signature Date Reade oofing Owner's Signature Date
•r'rs
GEPt'�Ttf=NT OF EUILIJIJ\TG n SFECTIONS
INSPECTOR ?1?Main Strut 0 Municipal Euilding
Northampton, MA 01060
The State of Massachusetts allows the homeowner the right under 78OCNM 108.3.4 to
act as i is/her construction sup er. The stare defines "Homeowner" as, "person(s)
who owns a parcel on which he/she resides or intends to be, a one or two family
dweNng, 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 exemptrorL to act as their, own, construction superv:s^, 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 bacldiIl).
sonotube holes (before nour). a rough building inspection (before work is
_cance.fl€d) insulation-insuection (if reu.uired)andaTTinal_buildiva.imr)ection. 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 occupancy
untl the-work-can-be inspected-
If the homeowner hires other trades to perform work(electrical, plumbing&gas) the
homeowner will 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 DEILAY the protect 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 Afassachuserts
.— Department ofIndust;-ial Accidents
OJWce of Investigations
600 Washington Streer
Boston,1TL4 02111
............
ii rvww.massgov/dia
Workers" Compensation Insurance A-ffidaNit: Builders/Cont ractors/Electricians/Plumbers
,kDplicant Information r Please Print Legibly
Name (u=-:ssiorz=ization/Individuai):
A
Address: y I e��;el d
Ci /I Ity/Stat�lZip.- L retfl l-ljd, !►(c, Phone.-,,: `7113 7Y5- 002 1
Are you an employer?Check the appropriate box: 'Type of project(required):
4. I am a gene-al contractor and I
1.[�I am a emmloyer with� � 6. -New construction
employees(foil and/orpart-time).* have hired the sub-contractors
12.� I am a sole proprietor or partner- fisted on*+e aached shee 7. Remodels
ship and have no e=loye cs These sub-contractors have g, Lemolidon
working forme in any capacity. employees and have workers'
[No workers' -Omar insurance comp.insurance.*
9. ❑Building addition
required] 5- �� vve are a corporation and its iv.❑riectiicai repairs or additions
3.❑ I am a homeowner doing all woes officers have exercised.their 11.❑Plumbing repairs or additions
myself.[ti o workers'comp. right of exemption per MGL 12.0 Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees. [No workers' 13.� Other
comp.insurance required.]
'—'Xr apptican - per box�.must=45 out me secaon oe:ow snowm� err workers'cor�easaticn.poiicy mforrretiaa -- ---
i Homeowners who submit this affidavit indicating they are doing all work and dien hire outside contractors must submit a new affidavit indicating such.
*Contractors that check this box mumattached an additional sheet showing the name of the sub-contractors and state whether ornot those entities have
employe-.s. L°the sub-contractors have empiove-s,they must provide their workers'comp.poficf number.
I am an employer that is providing workers compensation insurance for my employee& Below is the policy and job site
information.
Insurance Company Name: 7ruV41G(-S 1151jfu!0CG✓
Policy#or SeI:`-lust Lic. Expiration Date,: 9 -19'- 68
Job Site Address: ,J V t1 y<� Not{k�MO l AA-I t t C /Staie/Zip: �a iG�'li i{ ��'U; G�•3c�I
Attach a cony of the worriers' compensation policy declaration page(snowing the policy number and expiration date).
Failure w secure coverage,as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to S1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a f nne
of up to X250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Invest`zations of the DLL for insurance, coverage veriucation.
I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct
— - _._. _
T
�/ gate• _
Phone= 7 / 7 7,
ir=
�l QU--zc ai use only. Do not write to this area,to be completed by city or town n fr-rciaL
City or?own:
--Permit/License R
Issuing Authority(circle one):
1.Boards of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5. PIumbing Inspector
6. Other
Contact Person: Phone.
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 ❑
1
Company Name Registration Number
�,to j C 'J C�[.I V-i l-4 �/2/,?
Address J Expiratio Date
l y1c1, Telephone
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. - Home Owner Exemption
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
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing 0
Or Doors 1771
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding[0] Other[C3]
Brief Descri ttion of Proposed 1
Work: PtnJ ins}�I� ��Pu S�CV�/�r1�S r T%Afrr V I�fG�4 �l S
Alteration of existing bedroom Yes No Adding new bedroom Yes
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a. If-New house and-or-addition to existing housing,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 I City Sewer Private well City water Supply
SECTION 7a--OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
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
l-aA -_, 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 under the pains and penalties of perjury.
Print Name
Name
QAM(� 1 +TT o
Signature of Owner/Agent tafe
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
Frontage
Setbacks Front
Side L: R: L: R:` _
Rear
Duilding IIcight
Bldg. Square Footage %
Open Space Footage _-.. _ %
(Lot area minus bldg&paved -
narking)
#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
IF YES, date issued:'
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW YES 0
IF YES: enter Book Page and/or Document#'
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW W 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 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 1 acre or is it part of a common plan
that will disturb over 1 acre? YES U NO
IF YES, then a Northampton Storm WaterManagemenf Permit from the DPW is required.
Department use only
''of Northampton Status of Permit:,
u'#ing Department 'Curb Cut/Driveway'Permit
t2 Main Street Sewer/Septic Availability!'
R Om 100 Water/WltellAvailabilitjr
No amp n, MA 01060 Two,Sets of StrueturalTlans
pho 7-1 0 Fax 413-587-1272 Plot(Site Plans
Other Specify
AP PL . CONSTRUCT,ALTER,REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by office
1.1 Property Address:
tai t`, ay )\Ve- Map Lot Unit
Q.r 1P t0 lr-� Zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 owner of Record:
Name(Print) Current Mailing Address:
Telephone
Signature
2.2 Authorized Agent: 11,E rr JI
Name(Print) Current Mailing Address:
1� ,ur n Y/�2 ' -2d 001-7 l
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building -1 o (a)!Building Permit Fee
v
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total= (1 +2+3+4+5) Check Number
This Section For Official Use Only
Date
Building Permit Number: Issued:
Signature:
Building.Commissioner/Inspector dfBuirdings Date
23 DAY AVE BP-2008-0474
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 25C-073 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: BUILDING PERMIT
Permit# BP-2008-0474
Project# JS-2008-000706
Est. Cost: $13250.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: READE ROOFING 154731
Lot Size(sq. ft.): 7187.40 Owner: HOLT PAUL L&PAMELA K
Zoning: URB Applicant: READE ROOFING
AT. 23 DAY AVE
Applicant Address: Phone: Insurance:
429 DEERFIELD ST (413) 775-0071
GREENFIELDMA01301 ISSUED ON:111512007 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP, PLY & SHINGLE ROOF & REPLACE
SKYLIGHTS
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 11/5/2007 0:00:00 $25.00620
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
%Ww' 'A I I BP-2008-0474
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: BUILDING PERMIT
Permit# BP-2008-0474
Project# JS-2008-000706
Est. Cost: $13250.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Groin READE ROOFING 154731
Lot Size(sg. ft.): 7187.40 Owner: HOLT PAUL L&PAMELA K
Zoning: URB Applicant: READE ROOFING
AT. 23 DAY AVE
Applicant Address: Phone: Insurance:
429 DEERFIELD ST (413) 775-0071
GREENFIELDMA01301 ISSUED ON.111512007 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP, PLY & SHINGLE ROOF & REPLACE
SKYLIGHTS
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 11/5/2007 0:00:00 $25.00620
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo