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31B-049 (16) 139 KING ST BP-2017-0227 GIS it: COMMONWEALTH OF MASSACHUSETTS Map-Block: 31 B -049 CITY OF NORTHAMPTON Lot:-001 Permit: Building Category: INSULATION BUILDING PERMIT Permit# BP-2017-0227 Project ft JS-2016-002589 Est. Cost: $6650000 Fee: S465.50 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: use croup: J D RIVET & CO INC 050230 Lot Size(sq. ft.): 16335.00 Owner: TRIDENT REALTY CORP C/O HAMPSHIRE MANAGEMENT GROUP Zoning: HB(100)/ Applicant: J D RIVET & CO INC AT: 139 KING ST Applicant Address: Phone: Insurance: P O BOX 51068 (413) 543-5660 Workers Compensation INDIAN ORCHARDMA01151 ISSUED ON:8/19/2016 0:00:00 TO PERFORM THE FOLLOWING WORK: FURNISH & INSTALL ISO INSULATION AND ROOF OVER EXISTING 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 ft 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 O.F NORTH• k P DN UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occu.anc si_n.� FeeT le: Date Paid: Amount: Building 8/19/2016 0:00:00 $465.50 212 Main Street, Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck-Building Commissioner File E BP-2017-0227 APPLICANT/CONTACT PERSON J D RIVET&CO INC ADDRESS/PHONE P O BOX 51068 INDIAN ORCHARD (413)543-5660 PROPERTY LOCATION 139 KING ST MAP 31B PARCEL 049 001 ZONE HB(100)/ THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT / Fee Paid / ^ ` `/) ] y (Jsj, lcjo Building Permit Filled out 1... F— Fee Paid Typeof Construction: FURNISH& INSTALL ISO INSULATION AND ROOF OVER EXISTING ROOF New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 050230 3 sets of Plans/Plot Plan THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION 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 717-7( Sign ml mg falai 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. Versionl.7 Commercial Building Permit May 15,2000 * Department use only City of Northampton stains oPer`°init ' x Building Department CurtiCuVVDnveway Permit ` $ Y 212 Main Street SeweriSep§cAvailaM6ty 4 `4,C, Room 100 Wate ell AYaebiiity'' .:. Northampton, MA 01060 TwooSets'of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Pians Othe;Specliye. +e" 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 139 K,r.0 s} Map Lot Unit � N tc+ P inx r{�('\w, Zone Overlay District Elm St District C0 District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: i;c4.t Qe.1+y Coy- 13o 0At-7t S}, P.D. BOA G'd6/ gli+dA.y{„ luta, Name(Print) Current Mailing Address 01061 Signature SC< S 5.tty( ircftf&.) Telephone 2.2 Authorized Agent: • T D (:'wer c Cp � L _... 16,75. Pei[ Q(Jet) soden tfd Mc. ) Name(Pont) Current Mailing Address D Ifo ``��--���� 4I ?- 543-Seco Signature /`�/ ' =lest1 S ktt1 Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building (a)Building Permit Fee (obr 500 "Soo-s 1000 = 66.5+7 �6rSD 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) tole SOO Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Building Commissioner/Inspector of Buildings Date tri ✓Z� r007-1 79, CO/#7 5 C A � PP 5 v Versionl.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 El epairs❑ Additions 0 Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs Roofing❑ Change of Use❑ Other (11100 5 FY Brief Description f description es _—� FrA•sh o-el 'AS kJ I y,4" Poly`facyr...dia1�` p Enter a brief description here. Inrvre.HeA a` Go 'I TM log( o+✓ e.a.,sh,'as reef Of Proposed Work: +^d-pts S al1 nueff✓4 4-lasl+�A5 .scLre�s 4414. 4441-03, SECTION 5 -USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 ElA-2 0 A-3 ❑ 1A I ❑ A-4 0 A-5 0 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B 1 0 F Factory ❑ F-1 ❑ F-2 0 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential 0 R-1 0 R-2 0 R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 El 5B 0 U Utility ❑ Specify: M Mixed Use ❑ Specify: ' S Special Use El 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) 15 1.1 2nd _ 2" 3'O __ ..__.. 3,a 411 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 0 Private 0 Zone Outside Flood Zone❑ Municipal 0 On site disposal system Version 17 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'-_ Rear —__ _____ -__-- Building Height ' Bldg.Square Footage ---- � --'. % —'— ---- -- Open Space Footage _.... % ___.... ----- (Lot arca minus bldg&paved „— parking) #of Parking Spaces -„ Fill: (volume&Location) A. Has a Sp sal Permit/Variance/Finding ever been issued for/on the site? NO DONT KNOW O YES O IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES IF YES: enter Book Page d/or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained O , Date Issued: C. Do any signs exist on the property? YES V NO O IF YES, describe size, type and location: P..110.. 5 to -Cgs f' D F by,Ids S tl.ede fed +0 It, D. Are there any proposed changes to or additions of signs intended for the property? YES O NO l:J IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,exc ation,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. Version1.7 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: �Ixo S ne.11,4 g4.1.1..c 4-3 Not Applicable 0 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 T.D, (r enc Not ApplicableD Company Name: 7-AA Qrt-(cr Responsible In Charge of Construction IG3S Pup Lglae1 'p ' fka-. 01151 Address 413-543-5464s• Signature Telephone Versionl.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes © No 0 SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT hereby authorize __. _. _. _____ _._ __ _______ ____ .__ __- _ _- to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date L -_ 1S1s.t( Se,kip ,asBwne4Authorized 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 eer p ins and penalties of perjury Print Name af5/rt. l _cc the p cX—r&-rta Signature of9wee.Lagent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Homer . Mott (Yell/ _ £S $-ca 3D License Number 44 LckrtrrAt Dct✓c Mo,,sw,j tat, 0105—-7 -7-aI- ie Address Expiration Dale 413-543-S66D _...._. Signature Telephone SECTION 13- '• •S'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the b ding permit. Signed Affidavit Attached Yes No O City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150k Address of the work: 139 K7„5 st- . Mar LA,/ ,,, M e, The debris will be transported by: AAA'S4ri] The debris will be received by: Building permit number: Name of Permit Applicant 3-1 ,tr c Co. tst c 5- -it, A JAI Date Signature of Permit Applicant The Conmmmvealth ofMassaehnrenn • Depa, n+eatalL+darfWAe&fents Fi D5eeollnvestlgattons _ 60OWashington Street . Boston,314 02111 wwwtmasagovid/a Workers'Compensation Insurance Affidavit BuUders/Cootractors/&lectddenSSPLmben Aw0IWmt Information Please Print Legibly Name pasinarioaszationanevidc J Alive & Co., tue. Adders: 1635 Page Blvd. • CSfy/Bnfra Springfield, NA 01104, phoneg. 413-543-5660 Axeyea m employee Cheek the apprepdate bet Two opPreic4 0610 1.111 Im a employer with 65 4. ❑Iamageneral cztu rsodI Q ❑New aoostmctlsa employees(B$and/or pmbdmo).' ham bi edtembcoof.Cm9 2❑Imasole momiatarorpartner. listed rethe aeaobr-1 tea 7. 02ancdellog ship sod have 110 zplayees Th$mwbraohmlorshave & ❑per working lc me In myoapnity. employees md abnewu�' 9. ❑Bu0dmgaddition [No workers'cep.imami. Wa sre m aporMm sod its ion Bladd t mein or additions 3.0 am a homeovmerdoing all emir ❑ 11.0 Phmbkgmpatn orsddmms offiaembaveemdvA their -myself Pio macs'atom. dgbtofeaempekmpet MOE 125]Itoofrepaln tusartime required]t e152,§1(4),'awe have ne 13.0Qin waters' Other ramp.hr®mmgahecp nayapp0„mtm etas boat mad=69 am rasa=tat=thewiceect eavdome osseposelm paytekrontra. aamaainaiab.emathb affidavit{va.tivgaryazedologeavark *ea himeebae aWmm.=west**entalThintt Oe4amaaaaa . imomam ISeeat,bb bam.tamrhdesMadinatgoddmnftones aIDe,rbmmmasead amaaaarar=Maeamrbin empbRea Xthe auemmeemelava mvptyeo,*Ay amap.vaeCu*rote mmppe04 amahee am en employer that Is prorate work&ettereassatioatemratteeformy employees. Below h&ap thy WAD site mlamaamt. barna cmpat,Nmc American Casualty of Reading PA Pogpyg orgpp.jus.Lie0. 5092136486 ErpinsionDaim 5/1/17 lab SiteAddter�t 3I tn� Ste. crgymbedS nNoikL.!✓.p}o1 , /1/44 a. . Attach a copy of the workers'oompeoa_aa polity declaration page Omuta t a pa0eyamabarand mpkadondate). 0(000 Brame to ere°mastsas requiredmoierSadan25A etMG1.a 152mIndio the imposition ofahoie-1pamdtia ofa Imo up to 81,580.00 end/aovsyen Impthoomat,asInt escivil penalties lathe Sam ofa SLOPWOBKORDBR sada fans of up to$250.00 a day emirate vlolmm.Be advised that a copy of Ok entemed may be forwarded to the Office of Innstip mofem ei fa km>®naormyavedfimim. .14hhnekyy eve ! ' mapamma gwdmithat the tya maaoaprovided Monis maoaf carn t. Sisaame: rya; 1 -I t - I C Arms R• 14 -543 - 5(0(, 0 • OJtldalare es* Do hot nets In Mb to becompleted byde velem nOidai City or Town PermalLkwa/ ludogAntot4y(dtek nmx 1.Board ofBealm 2.BaOding Department 3,City/Town Clair 4.Eketiml Inspector S.Plumbing Impactor ' 6.Other Cmme:Perso n Phone& Client#:39066 JDRIV ACORDT. CERTIFICATE OF LIABILITY INSURANCE DATE`MMDDRYYYI 5/02/2016 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 NOT 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(ies)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 lights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACTM NAME: Mary Hoth People's United Ins.Agency MA PHONE 1/+C,No.Esti,413781-6871 rnx (A/C,Nol: 1391 Main Street,3rd Floor EMAIL hoth eo I¢s.com PO Box 4950 ADADDRESS: ma ry �P P INSURER'S)AFFORDING COVERAGE NAICY Springfield,MA 01101 I INSURER A:National Fire Insurance Company 20893 INSURED I INSURER e:Continental Casualty Company 20443 J.D.Rivet Company,Inc. 'INsuRERm American Casualty of Reading PA 20427 PO Box 51068 INSURER 0: 1635 Page Blvd. Indian Orchard, MA 01151 INSURER E: INSURFA F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WrNCH This CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR A )LSUBR POLICY EFF POLICY EX? LTR TYPE OF INSURANCE 'NSR WVO PoVCY NUMBER IMMIDMYY) IMMIDIYYYY) UMTS A X COMMERCIAL GENERALLABIUTY , 5092136472 05/01/2016 05/01/2017 IEAACIH GOECCCaURRENCE 11,000,000 CLAIMS-MADE X; OCCUR PREMISES'EaE EDrcel $300,000 Blanket Al Per Prior MED EXP(Any ale Parses) 610,000 Written Contract Y Y PERSONAL&ADV INJURY 61,000,000 GERI AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE s2,000,000 PRO- POLICY X JLOC PRODUCTS-COMP/OP AGG s2,000,000 OTHER: I s A I AUTOMOBILE LIABILITY 'Il Y Y 5092136469 05/01/201605/01/2017 CGMenewswGLE LIMIT COMBIN+D 51,000,000 X'ANY AUTO BODILY INJURY IPttcersonl s ALLAOWmosm NED — SCHEDULED I _ TOS AUTOS BODILY INJURY'Per nl s X HIRED AUTOS X NON-0WOSNED PBr OPPERTY DAMAGE 5 B X UMBRELLA LIAB X OCCUR % Y Y 6012109801 05/0112016 05/01/2017 EACH OCCURRENCE s5,000,000 EXCESS LIAD CLAMS-MADE' AGGREGATE $5,000,000 DED X RETENTION x10,000 s C WORMERS COMPENSATION 5092136486 05/01/2016 05/0112017 XPER IOTH- AND EMPLOYERS LIABIUTY y,N igTl rF SFR OFPROPRIETOR/PARTNER/EXECUTIVE l E L EACH ACCIDENT s1,000,000 FICERm1EMBER EXCLUDED, N N I A (Mandatory In NH) E DISEASE.EA EMPLOYEE'61,000,000 If OF OPERATIONS belt?* E.L DISEASE-POLICY LIMIT 161,000,000 DESCRIPTOR OF OPERATORS I LOCATORS I VEHICLES ACORD 101.AJEMonal Remarks Schedule,may be attached H mare space Is required) Proof of Insurance CERTIFICATE HOLDER CANCELLATION Proof of Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I rX&S Ihvl{d)flOMt& ifirifty O 1988-2014 ACORD CORPORATION.All rights reserved. ACORD 25(2014)01) 1 of 1 The ACORD name and logo are registered marks of ACORD #S689003/M687060 SJBVT • • Massachusetts Department of Public Safety r Board of Building Regulations and Standards License: CS-050230 Construction Supervisor JAN N DREVER as LAKESIDE DR F. MONSON MA 01057 ; ,t Expiration: Commissioner 07212015 J.D. Rivet & Co., Inc. ROOFING•SHEETMETAL 1835 PAGE BOULEVARD SPRINGFIELD,MA ". P.O.BOX 51068 INDIAN ORCHARD,MA 01151 TEL(413)543-5660 July 29,2016 FAX(413)543-3373 To: Hampshire Property Management Group Attn: Richard Madowitz Project: Trident Realty Property. Location: 139 King Street Northampton,MA BASE BID PRICE: 566,500.00 01e91p0 Sections Included: Roofing &Flashing Base Bid - - Furnish and install 2 layers of 2.2"polyisocyanurate insulation over the existing roof, - Furnish and install 60 mil TPO mechanically attached single ply membrane roof system. - Furnish and install TPO clad edge metal, 2"x 6"blocking. - Provide owner with 20 yr manufacturer's warranty. Unit Prices - - Tongue and groove deck replacement$15.00 linear foot - Any wet insulation that must be replaced will be at a unit price of$4.75 per sq. ft. - Furnish and install TPO walk pads 520/linear ft. Exclusions: - HVAC units -removal and replacement by others, - Cutting and raising gas lines to accommodate new roof insulation height by others. - Owner to repair wall and siding at front. Owner to repair masonry as required. Addenda: N/A Sales Tax: Yes Date of Specs:6-10-16 Bonds: N/A Special Insurance: N/A F/ 15116 Requirements:Open shop wages Contact: James Trask,President Gary Brown,Senior Estimator �t en i H1 l l7I 15(/).i ti c Cun4 r�ccatamen�a .�trcce 1960 144 (r w1GLoo� C�cc lj Cc� �9 C4v1cL��E 1'i.o.-1 �'d`' 'fG 1G-`�7 n11\ e re,of'frt , e.4 /pon 6c9'2 -e a1 i '7 Tont �p, )_D �( 6 (b. �^c �Cv3eDnP"5S