10B-021 (2) JUN-22-2015 08:00 FROM: TO:5871272 P.2/2
Young 000fing Co., Inc.
Date: May 1,2015
onnaP ..,..µ...-----
1441e as U. To: Chartpak I River Rd.Leeds,MA,01053
Northampton,MA
01060 _ --
Mailing Address Job Location: Front entrance way and office roof. PO. No.99017
PO.Box 60056
Florence,MA.01062
arMome
41a-se4-1a67 Specifications:
413-584.9167
callp"ona I, Remove the existing merribr-vine and insuldl'ion ors•the '(ront entrance and
413-531-9921
"AX office roofs.
419-585.027,6 2, Install 1/16 per inch taper with 1/2 inch at the low point polyisocyanu rate
RMA14
bw'o Fgtke=ffi Insulation.
f1=icaf8hao1mrmm 3. Apply Carlisle's .060 gauge reinforced mechanically attached roofing system.
ContK Supairvisom 4, FWh all walls,edges,and roof penetrations with an approved Carlisle detail.
Lit No.,011878 � � PP
5. Fabricate and install .040 gauge aluminum edge metal locked to a. kirker strip,
6, Install 2 new aluminum retrofit roof drains to the office roof and 1- 3 inch
plastic roof drain to the entrance way.
Connect the entrance way drain to 3 inch ABS pipe.
8, Remove all our roofing debris from the job site.
9. Obtain a building permit for the work,
10. Upon completion of work Carlisle will inspect the job an issue the owner a
Fifteen (1 S) year Golden Seal Total System warranty.
h
Metcalfe Associates Architecture
142 Main St. Northampton, MA, 01060 Tristram W. Metcalfe III, Ma. Reg.5393
Phone number > 413 586 5775
Cell number> 413 695 8200
Email >twm a1rcn.com
NCARB,NYS,MA,CT
registrations
® WMAIA
AIA
June 16,2015
To: Louis Hasbrouck,
Building Commissioner City of Northampton
Puchalski Municipal Building,
212 Main Street,Northampton,MA 01060
RE: Renovations to roof at;
Chartpak
1 River Rd. Leeds,Ma 01053
Dear Louis,
This is a Certification of compliance with code concerning the above project.
Project Description applies as per code in IEBC 2012:
I request that you grant a modification to waive the requirement for control construction for
the project at Chartpak, 1 River Rd. Leeds,Ma 01053 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.
Attached are the Specifications by Young Roofing Co.,Inc.
Titled; To; Chartpak, 1 River Rd.Leeds,Ma 01053
Attached specifications by Young Roofing
If you have any questions please reply.
Sincerely,
Tris Metcalfe, r ,►�
Ma Reg Archt#5393
Of
JUN-18-2015 12:31 FROM: TO:5871272 P.2/3
Y Co,, Inc.
Date: May 1,2015
a�rrca
144ZrI PW, To: Chartpak I River Rd.Leeds,MA,01053
NimthamPrnn,MA
D10b0
Mailing Address job Location: Front entrance way and office roof. PO. No,99017
P.O.am 60056
Florence,MA.01062
PHONE
413-&84-1367 Specifications;
4113-586M67
tall phone I , Remove the existing membrane and insulation on the front entrance and
413-531-W21 office y
PAX oil ice i�Jo&
41' -0zz` Install 1/16 per inch taper with 112 inch at the low point polyisocyanurate
pMAI6
byaUn = insulation.
1n "'"W"" 3. Apply C ariisle's .060 gauge reinforced mechanically attached roofing system,
Conn%sup6rvisoro Flash all walls,edges,and roof penetrations with an approved Carlisle detail,
Ur.Na-011878 g P Pp
S. Fabricate and install .040 gauge aluminum edge metal locked to a. kicker strip.
6, Install 2 new aluminum retrofit roof drains to the office roof and 1- 3 inch
plastic roof dr-a;n to the entrance way,
7. Connect the entrance way drain to 3 inch ABS pipe.
8, Remove all our roofing debris from the job site.
9. Obtain a building permit for the work,
1 U, Upon completion of work Carlisle will inspect the job an issue the owner a
Fifteen (15) year Golden Seal Total System warranty
All huteriabf gu rmad to be as specifled.Any alterations ar davfallon /{I}THOFi1 D SIGNATURE RIC �L
f110M aboVe spedf Cal;ldno I&MIving e%tl'd C*n will be 0muted only upon
written orders and vA1I hwome an exn ch7rge over and ab"the
estimate.All ag-eemmu cortrr nt upon atHkK accldw=or delays Accept anco of Proposal-The abgm spiKIficWons and
Depnd our conv*, Owner w carry fire AM other n1 4milry rdstnme). condidons am satisfactory and era hemby Accepted.You are
All wxounts not pWa wroin 30 days am sudlect to a lace,charp of I aumorizad to dp the work spwifloO, Payment*11 De made as
112%per month an the unpaid balance, outlined above.
I ,se,rwe "CYr L
F u in lea ",1GNATUI
DATE OFACCEpTANG
JUN-18-2015 12:31 FROM: T0:5871272 P.3/3
ACC>RV CERTIFICATE OF LIABILITY INSURANCE """
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 NQT 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(les) 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 JOttna Rodrigue, CISR
Webber & Grinnell PHONE (413)586-0211 (413)396-6491
8 North King Street " .Jradrique @webberandgrinnell.com
INSURER B AFFORDING COVERA6t; NAIC t
Northampton MA 01060 INSURERA:Firemen'B Ins/Acadia
INSURP_n INSURER s:9tar/TPA
Young Roofing Co, InC, INSURER C:
Attns Richard Young ARSURER D;
F 0 Box 60056 INSURER F:
Florence MA 01062 —IIN5VRRR F.
COVERAGES CERTIFICATE NUMBER:daster 2016 REVISION NUMBER-
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOLt
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, TIME INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJEC'I TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR LTA TYPE OF INSURANCE OLICY NUMBER Mf�WY -POLICY EXP "MITe
GENERAL LIABILITY
FA4'M OCCUFHIcNCt $ 1,000,000
x COMMERCIAL GENERAL 41ARII_ITY I Ea qc tence, 9 250,000
�► CLNMSMADE 1 7X OCCUR CP&0048040251KYR /1/2016 1/1/2016 MEDEXP(Any One croon) $ 5,000
PERSONAL A ADV INJURY $ 1,000,000
GENERAL AGGRRGATE 6 2,000,000
CEN'L AGGRCOATG LIMIT APPLIF3 PL"R' PRODUCTS.COMPIOP AGO $ 2,000,000
X POLICY E PRO,rT LOG $
AUTOMOeILid LIABILITY
lden
ANY AU f0 BODILY INJURY(PW person) S
ALL
AUTOS OWNED SCHEDULED BODILY INJURY(Pot accident) $
AUTOS
HIRED AUTOS NON-OWNED NH E 5
AUTOS
a
UMBRELLA LIAR OCCUR EACH OCCURRENCC 6
1=11155 LIAR CLAIMS-MADE AGGREGATE $
DIED ETENTION $
B WORKERS COMPENSATION X - TH.
AND EMPLOYERS'LIAMILITv
YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE� E L EACH ACCIOPNT S 500,000
OFFICER/MEMBER '
EXCLUDED? � ",
(Mandatory In NH) C0707976/NYR /1/1015 /1/2016 EL.DISEASE-EA EMPLOYE $ 500 000
If yes,d—oibe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 107,Additional Remarks$ehadulr,If more•pace la r"ulred)
CERTIFICATE HOLDER CANCELLATION
City Of Northampton SHOULD ANY OF THE ABOVE De90RIBED POLICIES BE CANCELLED BEFORE
212 Main St THE EXPIRATION DATE THEREOF, NOTICE W144 BE DELIVERED IN
Northampton, MA. 01060 ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
J Rodrigue, CISR/,TER ~ 4
ACORO 25(2010105) 4)1988.2010 ACORD CORPORATION- All rights reserved.
INRn95 ran+nn!; m TAp APP1Rn noma anri In e%aria eaniofaraA mantra,of Ar..nDn
Version 1.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes O No
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING 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
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 p nalties of perjury.
i
Version 1.7 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
Not Applicable ❑
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
k
Version 1.7 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 O DON'T KNOW YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DON'T KNOW ® YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW ® YES O
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 ® NO O
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O 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 O NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Version 1.7 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® Change of Use[:] Other❑
Brief Description Enter a brief description here. Se.e
Of Proposed Work:
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ 1B ❑
B Business ® 2A ❑
E Educational ❑ 2B I ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
I Institutional ❑ 1-1 1-2 ❑ 1-3 ❑ 3B
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):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(so
1 St 1 St
2nd 2nd
3rd 3rd
4th
4 m
Total Area(so Total Proposed New Construction (so
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 Outside Flood Zone❑ Municipal ❑ On site disposal system[]
Version 1.7 Commercial Building Permit May 15,2000
Department use only
[� City of Northampton Status of Permit:
uilding Department Curb Cut/Driveway Permit
U 212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
No hampton, MA 01060 Two Sets of Structural Plans
Elec?rlc. ,66g4,41 587-1240 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
cka'y-�f c"X Map Lot Unit
L �u553 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Cko'y+VG l- ) Avcr 1 4 L kj) W - 61653
Name(Print) Current Mailing Address:
L-1t3 -5�y- 5,4 4(0 e�
Signature 522 a"�u'�� �✓�P°� Telephone
2.2 Authorized Accent:
A(&Ctrc� 010(v�-
Name(Print) Current Mailing Address:
/13-5V-1367
Signature / Telephone
SECTION 3-ESTIMATED CO RUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building ,� c6 (a) Building Permit Fee
i
2. Electrical (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total=0 +2+3+4+5) �', 5Cb 0� Check Number Va
Lt
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date
File#BP-2015-1325
APPLICANT/CONTACT PERSON YOUNG ROOFING CO INC
ADDRESS/PHONE P O Box 60056 FLORENCE01062(413)584-1367
PROPERTY LOCATION I RIVER RD
MAP lOB PARCEL 021 001 ZONE GI(89)/WP(87)/URA(24)/NB(10)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out L
Fee Paid
Typeof Construction: INSTALL NEW MEMBRANE ROOF
New Construction
Non Structural interior renovations
Addition to Existing-
AccessoU Structure
Building,Plans Included:
Owner/Statement or License 011878
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFP4NATION 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 1' ' D
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.
I RIVER RD BP-2015-1325
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: IOB-021 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-2015-1325
Project# JS-2015-002420
Est. Cost: $18500.00
Fee: $111.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: YOUNG ROOFING CO INC 011878
Lot Size(sq. ft.): 167270.40 Owner: MASSACHUSETTS REALTY CORP
Zoning: GI(89)/WP(87)/URA(24)/NB(10)/ Applicant: YOUNG ROOFING CO INC
AT. 1 RIVER RD
Applicant Address: Phone: Insurance:
P O Box 60056 (413) 584-1367 WC
FLORENCEMA01062 ISSUED ON.612312015 0:00:00
TO PERFORM THE FOLLOWING WORK.INSTALL NEW MEMBRANE 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 6/23/2015 0:00:00 $111.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner