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39A-033 (2) # ! i 1 • MIND III nimiiliiiilil� r 2014 POLYISO INSULATION LTTR R-VALUES NEW Lang-Term Thermal Resistance Values are based an ASST NI C1289-1]A effective January 1, 2014, predicting product R-value after five years, which is equivalent to a time-weighted thermal design R-value For 15 yearn, MP-H Polyiso MP-H POLYISO THERNt/ LVALUES Thickness Thickness LTTR flute (inches) (MM) R-vakse*" Spanabitity 1.00 25 5.6 2 5/a' 1.50 38 8.6 4'/a" 1.75 44 10.0 4'/a" # y 1.80 46 10.2 4 3/4" k i 1 a 2.00 51 11.4 4'/e" 4 r f I 2.50 64 14.4 4 Ys" 2.60 66 15.0 4Y/e" 3.00 76 17A 4A" 3.50 89 20.5 4A 3.80 97 223 4'/a" 4A0 102 23.6 4'/s` 4.30 109 25.5 4'A" MP-H is a rigid-roof insulation panel composed of a closed-cell 4.50 114 26.8 4%` polyisocyanurate foam core bonded on each side to fiber- **NEW Long-Term Thermal Resistance Values are based on ASTM 01289-11A effective reinforced paper facers. January 1,2014;predicting product R-value after five years,which is equivalent to a Size:4'x 4'and 4'x 8' time-weighted thermal design R-value for 15 years. Thickness: 1"to 4.5" MP-HNB Polyiso MP-HNS POLYISO THERMAL VALUES Thicknesst Thicknesst LTTR Flute (inches) (MM) R-value Spanability 1.50 38 6.3 4%" 2.00 51 9.2 4'A" 2.50 64 12.0 4'/s" 3.00 76 15.0 4'/a" 3.50 86 18.0 4'/e' 3.90 96 20.5 4'/a'« 4.00 102 21.1 43/a" 4.50 115 24.2 4 3/4" t Thickness is calculated with 1/16"0SB. MP-HNB is a rigid-roof insulation composite panel composed of a closed-cell polyisocyanurate foam core bonded during the manufacturing process to a fiber-reinforced paper facer on one side and either'lie or-'/a"oriented strand board(OSB)on the other. Size:4'x 8' Thickness: 1.5"to 4.5" VERSICQ A SINGLE SOURCE FOR SINGLE-PLY ROOFING ROOFING SYSTEMS versico, PO Box 1289, Carlisle, PA 77013 Tel: 800.992.7663 Fax: 717.960.4036 Web: www.versico.com 4 MOM3 LEED INFORMATION Pre-consumer Recycled Content 10% Post-consumer Recycled Content 0% Manufacturing Location Tooele,UT T MS ooel White:99 Solar Reflective index(SRI) Tan:86 Gray:53 RADIATIVE PROPERTIES FOR ENERGY,STAR*; COOL ROOF RATING COUNCIL'(GRRC)AND LEED• Test Method White TPO Tan TPO Gray TPO ENERGY STAR Solar Spectrum 0.79 0.71 NIA initial solar reflectance Reflectometer ENERGY STAR initial Solar Spectrum 0.70 0.64 NIA solar reflectance Reflectometer after 3 years (after cleaning) CRRC initial ASTM 61549 0.79 0.71 0.46 solar reflectance CRRC solar reflectance ASTM C1549 0.70 0.64 0.43 after 3 years (uncleaned) GRRC initial ASTM C1371 0.90 036 0.89 thermal emittance CRRC thermal ASTM C1371 0.86 0.87 0.88 emittance after 3 years (uncleaned) LEED thermal emittance ASTM E408 0.90 0.66 0.86 Solar Reflectance Index(SRI) ASTM E1980 99 86 53 Solar Reflectance Index(SRI)is calculated per ASTM El 980,The SRI is a measure of the roof's ability to reject solar heat, as shown by a small temperature rise. It is defined so that a standard black(reflectance 0.05, emittance 0.90) is 0 and a standard white(reflectance 0.80, emittance 0.90)is 100. Materials with the highest SRI values are the coolest choices for roofing, Due to the way SRI is defined, particularly hot materials can even take slightly negative values and particularly cool materials can even exceed 100. Extreme Testing for Severe Climates Environmental Cycling subjects the membrane to repeated cycles of heat aging, hot-water immersion and xenon-arc exposure. ASTM Standard 06878 is the material specification for ASTM requirement-none Thermoplastic Polyolefln Based Sheet Roofing. It covers material property requirements for TPO roof sheeting Versico EXTREME test*: and includes initial and aged properties offer heat 10 days heat aging at 240°F(116°C)followed by and xenon-arc exposure.As stated in the scope of the standard, "the tests and property limits used to 5 days water immersion at 158°F(70°C)followed by characterize the sheet are values intended to ensure 5040 kJ/m-,(2000 hrs at 0.70 W/mz irradiance) minimum quality for the intended purpose."Versico's goal xenon-arc exposure is to produce TPO that delivers maximum performance for the intended purpose of roofing membranes. Maximum Test specimen is 2.75"by 5.3'piece of membrane with edges sealed. performance requires the membrane to far exceed the 'Criterion-after 3 complete cycles.test specimens shod remain lexible requirements of ASTM D6878. Heat Aging accelerates the and not have any cracking under IN magnification while wrapped oxidation rate that roughly doubles for each 18°F(10°C) around a 3"-diameter mandrel. increase in roof membrane temperature. Oxidation (reaction with oxygen)is one of the primary chemical Supplemental Approvals, Statements degradation mechanisms of roofing materials. and Characteristics: VERSICO EXTREME TESTING-HEAT AGING ASTM Requirement VersWeld Requirement 1. VersiWeld TPO meets or exceeds the requirements of ASTM TEST 24D°F 32wees" 52 weeks ASTM D6878 Standard Speclficaflon for Thermoplastic "Comparable to 1,024 weeks(20 yrs)at 185°F for 6 hrsrday. Polyolefin Based Sheet Roofing. 2. Radiative properties for ENERGY STAR,Cool Roof Test specimen is 1"by 4"piece of 45-mil membrane Rating Council(CRRC)and LEER. unbacked, placed in a circulating hot-air oven. 3. VersiWeld TPO membranes conform to requirements Criterion-no visible cracks after bending aged test of the USE.P.A.Toxic Leachate Test(40 CFR part 136) specimen around 0.25"-diameter mandrel. performed by an independent analytical laboratory. Xenon-Arc exposes the membrane samples to the 4. VersiWeld TPO was tested for dynamic puncture combined effect of UV, visible and infrared radiation as resistance per ASTM D5635-04 using the most recently well as ozone, heat and water spray to greatly acclerate modified impact head.45-mil was watertight after the effects of outdoor weathering.The radiation dose is an impact energy of 12.5 J(4.2 ft-lbf)and 60-mil was measured in kilojoules per square meter(kJJm,)at 340 watertight after 22.5 J(16.6 ft-lbf).The 80-mil product nm machine UV wavelength.The irradiance power of the was watertight after an impact energy of 30.0 J(22.1 xenon-arc lamp is measured in watts per square meter ft-lbf). (W/m'), VMSIC0 EXTREME TESTING-XENON-ARC VersiWeld ResuNs ASTM TEST ASTM 06878 45-MIL 60-MIL 80-MIL REQUIREMENT Uma at 340 nm 10,080 17,640 20,160 27,720 Test specimen is 2.75"by 5.5"piece of membrane, unbacked, weathering side facing arc lamp. Criterion-no visible cracks viewed under 10x magnification while wrapped around 3"-diameter mandrel. MOM r r r s maw 3. The Versico Fully Ahered Roofing System installation 4. Use proper stacking procedures to ensure sufficient begins by fastening the insulation at the required stability of the rolls, density necessary to meet the appropriate wind 5. Exercise caution when walking on wet membrane. load requirement.The substrate and membrane are Membranes may be slippery when wet. coated with an appropriate VersiWeld TPO bonding adhesive and the membrane is rolled into place. 6. Store membrane in the original undisturbed REVIEW CURRENT VERSICO SPECIFICATIONS AND DETAILS plastic wrap in a cool,shaded area and cover the FOR SPECIFIC INSTALLATION REQUIREMENTS. light-colored, breathable, waterproof tarpaulins. Membrane that has been exposed to the weather must be prepared with Weathered Membrane Precautions Cleaner prior to hot-air welding. 7. Take care not to stand or place heavy objects on the 1. Sunglasses that filter out ultraviolet light are strongly edge of folded-over membrane,as this could cause a recommended as tan and white surfaces are hard crease in the membrane. highly reflective. goofing technicians should dress 8. Maximum sustained temperature not to exceed 160°F appropriately and wear sunscreen. (71°C)for TPO membrane. 2. Surfaces may become slippery due to frost and ice buildup.Exercise caution during cold conditions to prevent falls. 3. Care must be exercised when working close to a roof edge when surrounding area is snow-covered as the roof edge may not be clearly visible. TYPICAL PR€)PERTIES.AND C14ARACTE STIC Physical Property ASTM D6878 Requirement 45-mil BO-mil s0-mil Tolerance on nominal thickness,% +15,-10 ±10 t t 10 ASTM 0751 test method Thickness over scrim,in.(mm) 0.015 min 0.018 typ 0.024 typ 0.034 typ ASTM D6878 optical method, (0380) (0.457) (0.610) (0.864) average of 3 areas Breaking strength,ibf(kN) 220(976 N) 225(1.0)min 250(1.1)min 350(1.6)min ASTM D751 grab method min 320(1.4)typ 360(1.6)typ 425(1.9)typ Elongation break of reinforcement,% 15 min 15 min 15 min 15 min ASTM 0751 grab method 25 typ 25 typ 25 typ Tearing strength,lbf(N) 55(245)min 55(245)min 55(245)min 55(245)min ASTM 0751 proc.B 8 in.x 8 in. 130(578)typ 130(578)typ 130(578)typ Brittleness point,If(°C) -40(-40)max -40(-40)max -40(-40)max -40(-40)max ASTM 02137 -50(-46)typ -50(-46)typ -50(-46)typ Unear dimensional change,% t 1 max t 1 max t 1 max t 1 max ASTM U1204,13 hours at 158"F -0.2 typ -0.2 typ -0.2 typ Ozone Resistance,no cracks 7X PASS PASS PASS PASS ASTM D1149,100 pphm,168 hrs Water absorption resistance,mass% t 3.0 max t 3.0 max t 3.0 max t 3.0 max ASTM D471 top surface only 0.9 typ 0.9 typ 0.9 typ 166 hours at 158°F water Factory seam strength,Ibftin(kNJm) 66(290)min 66(290)min 66(290)min 66(290)min ASTM D751 grab method Field seam strength,tbfrin(kNlm) No requirement 25(4.4)min 25(4.4)min 40(7.0)min ASTM 01876 tested in peel 50(8.8)typ 60(10.5)typ 70(123)typ Water vapor permeance,Perms No requirement 0.10 max 0.10 max 0.10 max ASTM E96 pros.B 0.05 typ 0.05 typ 0.05 typ Puncture resistance,Ibf(kN) No requirement 250(1.1)min 300(1.3)min 400(1.8)min FTM 101C,method 2031 325(1.4)typ 350(1.6)typ 450(2.0)typ (see supplemental section) Properties after heat aging ASTM D573,5,376 hours®240°F Breaking strength,%retained 198(881)90%min 205(912)min 225(1,000)min 315(1,400)min Elongation reint.,%retained 13.5(90%)min 13.5 min 13.5 min 13.5 min Tearing Strength,%retained 33(60%)min 33 min 33 min 33 min Weight change,% t 1.0 max 1.0 max 1.0 max 1.0 max Typical Weights 0.23(1.1) 0.29(1.4) 0.40(2.0) Typical properties and characteristics are based on samples tested and are not guaranteed for all samples of this product.This data and information is intended as a guide and does not reflect the specification range for any particular property of this product. VERSIWELD* TPO REINFORCED MEMBRANE l ' and 8-, 10-and 2-ft eld sheets. I Versico's tan and white TPO membranes are ENERGY STAR"'*-qualified and California Title 24 compliant and can contribute toward LEED'(Leadership in Energy and Environmental Design)credits. Features and Benefits Outstanding puncture resistance Chlorine-free with no halogenated flame retardants Plasticizer-free; does not contain liquid or polymeric plasticizers Excellent resistance to impact and low temperature Overview Excellent chemical resistance to acids, bases and restaurant exhaust emissions Versico's VersiWeld TPO reinforced membrane is a premium, UL 2218 Class 4 hail rating heat-weldable,single-ply thermoplastic polyolefin(TPO) Exceptional resistance to heat solar UV, ozone and sheet designed for new roof construction and re-roofing oxidation applications.VersiWeld High Slope(HS/ES)membrane Manufactured using a hot-melt extrusion process for is formulated with additional flame retardant for higher- slope fire code approvals.VersiWeld Plus is 80-mils thick for complete scrim encapsulation significantly higher strength and weatherability. 100%recyclable(refer to Versico's Recyclability Versico's TPO membranes use advanced polymerization Statement) technology that combines the flexibility of ethylene- Enhanced with the OctaGuard XT weathering packag propylene(EP)rubber with the heat weldability of polypropylene. All VersiWeld TPO membranes include ~, OCTRG�ARD X OctaGuard XTTm, an Industry-leading, state-of--the-art �_��'I WEATHERING PACKAGE weathering package. OctaGuard XT technology enables VersiWeld TPO to withstand the extreme weatherability testing intended to simulate exposure to severe climates. Installation Physical properties of the membrane are enhanced by a strong polyester fabric that is encapsulated between 1. VersiWeld TPO Roofing Systems are quick to install, as the TPO-based top and bottom plies.The combination minimal labor and few components are required.TPO of the fabric and TPO plies provides high breaking and systems may be installed using an automatic heat tearing strength, as well as excellent puncture resistance. welder, making sheet welding fast, clean,consistent, The relatively smooth surface of the membrane produces and easy to learn,while reducing strain on the roofing a total surface fusion weld that creates a consistent. technician. watertight, monolithic roof assembly.The membrane is 2 The Versico Mechanically Attached Root System environmentally friendly and safe to install. installation starts by fastening the insulation with VersiWeld TPO Standard and HS/ES membranes are a minimum of 4 fasteners per 4' by 8'board.The available in highly reflective white, tan and gray, in both membrane is mechanically fastened to the deck using 45-mil and 60-mil.80-mil VersiWeld Plus is also offered HPVX Fasteners and HPVX Plates or HPV-XL Fasteners in white, gray and tan colors.Sixteen special colors are and HPV-XL Plates. Adjoining sheets of membrane are also available(see Versico TPO Color Palette brochure). overlapped over the fasteners and plates and joined Versico's TPO is offered in 4-and 6-ft perimeter sheets together with a minimum 1'12'-wide(4cm)hot-air weld. V ERS1C(..-J A SINGLE SOURCE FOR SINGLE-PLY ROOFING ROOFING SYSTEMS Versico, PO Box 1289, Carlisle. PA 17013 Tel: 800.992.7663 Fax: 717.960.4036 Web: www.versico.com 'AA&hbhh-- -C `;pecia4ty Roofing 111c. September 14, 2015 To: Northampton Building Department 212 Main St Northampton MA.01060 1 request that you grant a modification to waive the requirement for control construction for the Daily Hampshire Gazette 115 Conz St Northampton MA.01060 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. " Mass Amendments, section 107.1 allows for an exclusion from control construction for the project". Respectfully, MC Specialty Roofing Inc Lti Donald Wurster President 50 Valley View Dr. Westfield Ma. 01085 Phone 413-642-3842 Fax 413-642-3955 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 1 Congress Street,Suite 100 Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers AvOcant Information Please Print Legibly Name(Business/Organization/Individual): iM M CL_'5 c- 1 v\ (Al I'L- i � Address: V-til L�t c t o �r 1 v� 1 cl- City/State/Zip: Yv-\lA 4nY1(> hone#: 403 L Ar Z 3r9 4�?_ Are you an employer?Check the appropriate box: general contractor and I Type of project(required): 1.'� 4.I am a employer with 10 ❑ I am a g employees(full and/or part-time).* have hired the sub-contractors 6. F1 New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insurance? required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.`®Roof repairs insurance required.]t c. 152, §1(4),and we have no 13.F1 Other employees.[No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such_ :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp_policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A Z Policy#or Self-ins. Lic. --Sul Expiration Date: Job Site Address: .I 1 j tit" City/State/Zip:fuctfq-lllo-,"Q Ibvy\ V4 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration da e). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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 of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby erti under t aims and penalties of perjury that the information provided above is true and correct Si afore: A Date: 9 /14-115 Phone toq- 3I- VZ 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#: City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: % 15 The debris will be transported by: �' �c� �5 The debris will be received by: Building permit number: Name of Permit Applic t + 0-1 Date Signature of Permit Applicant 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 0 No 4 SECTION 11 -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 1, ,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 Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: c t rz' C_S (5-) License Number e6 t, J---? 1 Zc, ? Address Expiration Date 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 N MP No 0 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 36,000 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 Mm C 'J -f-t �t =Y�L Not Applicable ❑ Company Name: Responsible In Charge of Construction so ddres ___. . x- 13 1.4Z 354 igna ure Telephone 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 0 DON'T KNOW Q YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW Q YES Q IF YES: enter Book Page and/or Document#; B. Does the site contain a brook, body of water or wetlands? NO ® DON'T KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained © Obtained Q , Date Issued: C. Do any signs exist on the property? YES o NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO 0 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❑ Roofingig Change of Use❑ Other❑ Brief Description Enter a brief description here. x ,-�4-'73 r,`v^e- Of Proposed Work: )����� l '`� f i i'7 1 , tiL_ I'` LA e,4 1 yr ✓1°� v �/�`E V SECTION 5-USE GROUP AND CONSTRUCTION TYPE 10'0\6 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(sf) 1st 1st 2nd 2nd 3rd 3`d 4th 4th 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 Outside Flood Zone❑ Municipal ❑ On site disposal system[] Version 1.7 Commercial Building Permit May 15,2000 _ Department use only Vic' i \.J y of Northampton Status of Permit: [ding Department Curb Cut/Driveway Permit 5�P Q 2��5 12 Main Street Sewer/SepticAvallaabil+lty Room 100 Water/Well Availability ort ampton, MA 01060 Two sets of Structural Plans Electric. P u b ng °f'9- 7-1240 Fax 413-587-1272 Plot/Site Plans Ncr'hampton, 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. 1 1 S C—x�n 'S-k- Map Lot Unit f 7 - , ^ ev`� � Gl Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 21 Owner of Record: .y Name(Print) 9 Current Mailin Address: n,� C � Signature ��— Telephone 1�4 3 �M— CA.>-o 2.2 Authorized A-gent: Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by ermit applicant 1. Building ' � y ��.� (a) Building Permit Fee 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) Check Number er d r This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date File#BP-2016-0350 APPLICANT/CONTACT PERSON MMC SPECIALTY ROOFING INC ADDRESSIPHONE 50 VALLEY VIEW RD WESTFIELD01085 PROPERTY LOCATION 115 CONZ ST MAP 39A PARCEL 033 001 ZONE GB(100)/ THIS SECTION FOR OFFICIAL USE ONLY:_ PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out Fee Paid Typeof Construction: REPLACE MEMBRANE ROO New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 076497 3 sets of Plans/Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFOPMATION PRESENTED: P-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 e do Delay v-f- l— (gnature of uilding O icial 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. 115 CONZ ST BP-2016-0350 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 39A-033 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-2016-0350 Project# JS-2016-000559 Est.Cost: $118000.00 Fee: $826.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: MMC SPECIALTY ROOFING INC 076497 Lot Size(sq. ft.): 139392.00 Owner: GAZETTE REALTY LLC Zoning: GB(100)/ Applicant: MMC SPECIALTY ROOFING INC AT: 115 CONZ ST Applicant Address: Phone: Insurance: 50 VALLEY VIEW RD WC WESTFIELDMA01085 ISSUED ON.911712015 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE 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 9/17/2015 0:00:00 $826.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner