39A-76 (68) 480 PLEASANT ST BP-2009-0416
GIS ft: COMMONWEALTH OF MASSACHUSETTS
Map:Block:39A-076 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-2009-0416
Project# JS-2009-000560
Est. Cost:$15500.00
Fee: $93.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: YOUNG ROOFING CO INC 011878
Lot Size(sq.ft.): 6621 1.20 Owner: OUICKBEAM REALTY TRUST C/O MATTHEW PITONIAK
Zoning: GB(100)/ Applicant: YOUNG ROOFING CO INC
AT: 480 PLEASANT ST
Applicant Address: Phone: Insurance:
P O Box 60056 (413) 584-1367 Workers
Compensation
FLORENCEMA01062 ISSUED ON:10/14/2008 0:00:00
TO PERFORM THE FOLLOWING WORK:INSTALL CARLISEL ROOF SYS
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 10/14/2008 0:00:00 $93.0023137
212 Main Street,Phone(413)587-1240,Fax: (413) 587-1272
Building Commissioner-Anthony Patillo
Version1.7 Commercial Building Permit May 15,2000
Department use only
City of Northampton------
status of Permit:
Building Department �---' Curb Cut,Driveway Permit
212 Main Street Sewer!Septic Ava;lab:liy _ _
Room 100 QCI vJa`erANell Availability ___
Northampton, MA 01060 Two Sets of Structural Plans __
phone 413-587-1240 Fax 413-587-1272 ;- Plot/ate Plans
Other Specify
APPLICATION TO CONSTRUCT,REPAIR, RENOVATE,CI4ANGETHE 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
.__. ..roper .
TW Rert5a iT ST • 1.410674- kX
— Map Lot Unit
l lOrtiflUif i 001 /`'t 1i. 61 NO Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: r.
[—Weak__..Pal ► tci-L . Ia5 A 19) ay.1-St- Ahrt�ta 7k- .
Name(Print) Current Mailing Address:
y 13-5.5(0— '`� __.�
Signature Telephone
2.2 Authorized Agent:
-11 0 4V4)._-1:—M.--___ '' — j
t .
Name(Print) Current Mailing Address:_____�T _ 4�
c
r _ _-51i-
SignatureXcli. `
Telephone
a _
SECTION 3-ESTIMATED CONS CTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building R C (a)Building Permit Fee
tt(
2. Electrical il� _�.�. (b)Estimated Total Cost of }
I Construction from(6) 1
3. Plumbing Building Permit Fee
4. Mechanical(HVAC) 1...._____________
----------- ——
5.Fire Protection L___ v__� I ? �_. �_____.. —
6. Total=(1 +2+3+4+5) 15.�,.t�'OD Check Number . ?.3�✓7' '......
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissioner/Inspector of Buildings Date •
`•,!
.
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 0 Existing Wall Signs ❑ Demolition❑ Repairs❑ Additions 0 Accessory Building 0
Exterior Alteration 0 Existing Ground Sign❑ New Signs❑ Roofing® Change of Use❑ Other❑
Brief Description Enter a brief description here.
Of Proposed Work: See_ G}-kc J et. Pr(A20 .
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) I CONSTRUCTION TYPE
A Assembly ID 'A-1 0 A-2 El A-3 El1A I 0 _
A-4 El A-5 ❑ 1B ❑
B Business WI 2A 1 ❑
E Educational ❑ 2B I 0
F Factory 0 F-1 0 F-2 0 -. 2C l ❑
H High Hazard 0 3A I ❑
I Institutional 0 1-1 ❑ 1-2 ❑ 1-3 0 3B ❑
M Mercantile 0 4 0
R Residential 0 R-1 0 R-2 0 R-3 0 5A ❑
S Storage ❑ S-1 El 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
I ,
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
1 1St
2'12na
3° 3m
4t
4'h
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 0 Zone Outside Flood Zone❑ Municipal ❑ On site disposal system
.
_ Versionl.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 ( 11
__
_Frontage _ _._.___ _
Setbacks Front "-_"1 1
Side Li---1 R:L__._! L:I I R:r I 1 r-
Rear 1 __I t» I, ___.___..i
Building Height ! i l f I
Bldg.Square Footage % r---
L t
Open Space Footage j
(Lot area minus bldg&paved l_ I [J !_____I t
parking)
2 of Parking Spaces 1 1 — . .
Fill: 1 1 _
(volume&Location) ..-
`A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO Q DONT KNOW ® YES 0
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW ® YES
IF YES: enter Book [ Page and/or Document#
6. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW • YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ® Obtained ® , 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 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 0 NO •
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
Versionl.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:
I _ _..._ __.....-__. Not Applicable 0
Name(Registrant): ---e,a -------.1
'I Registration Number
Address _J _
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
i
Signature Telephone Expiration Date
NameArea of Responsibility
Address I Registration Number
Signature Telephone _, Expiration Date
I __-_._..._ ._...,....__...__V___.______._.. ___ _.
I I
Name Area of Responsibility
Address Registration Number
I I
Signature Telephone Expiration Date
9.3 General Contractor
___ Not Applicable ❑
Company Name:
1
Responsible In Charge of Construction
^
Address
Signature Telephone
Version1.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
1
Independent Structural Engineering Structural Peer Review Required Yes 0 No D
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 -_._---------_-- ---- ----_---- -- - ... _... —....... -- -
act on my behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, — 4` "'" � 007 J/ I ,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.
Side Lin the ins and p realties of pe!urv. _____,.___ ___
1
vor___
____i
Print Name
f
Signature of Owner/Agent/ / Date
SECTION 12-CONST- CTION SERVICES
10.1 Licensed Construction Supervisor: �yy Not Applicable 0
---
Name of License Holder:[ tcka r�/W- 1 V 1 l!.,Ae _.v
(� License Number
FP(TAY 6vcicv �1orelieQ� It w-- 6 1v(o -----87/416-1------
AddressExpiration Date
/ /t -t SignaTelephone
SECTION iS-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
Contr. Supervisors•Lic.'N'o. 011878
Ploame
Tel. 413-584-1367
OUNG p i *MG COv M 413-586-9167
Fax 413-585-0226
P.O.BOX 60056 FLORENCE MA 01062-0056
LA ick H6444 if644..-ty
Date: 10/3/08
Customer : Atift,rheetipip iv(cck,
Address: 125 A Pleasant St. Northampton, MA. 01060
Job Location Prolube building 480 Pleasant St. Northampton, MA
SPECIFICATIONS:
1. Apply 1/2 inch fiberboard insulation over the complete roof. (Cut out and remove any blisters
in the existing roof.)
2. Install Carlisle's .045 gauge reinforced mechanically roofing system. ( The membrane will be
adhered to all parapet walls and caps.)
3. Flash all walls, edges, and roof penetrations with an approved Carlisle detail.
4. Fabricate and install .032 gauge white aluminum to the roof edge and brown aluminum to the
parapet edges.
5. Obtain a building permit for the work.
6. Upon completion of the work Carlisle will inspect the job an issue the owner a Fifteen (15) year
Golden Seal Total System warranty.
specifications involving extra costs will be executed only upon written orders,and Will
become an extra charge over and above the estimate. All agreements contingent upon
strikes.accidents or delays beyond our control. Owner to carry fire and other necessary
insurance. All accounts not paid within 30 days ere subiect to a late charge 01 tf2%
per month on the unpaid balance. In the event that legal action Is instituted to collect Authorized
any sums due under this agreement,the undersigned agrees to pay all costs incurred
ncludingreasonableattorneysfees. Signature_ 'chard Young est ant
Acceptance of Proposal-The above prices,specifications
and conditions are satisfactory and are hereby accepted. You are authorized Signature eh
to do the work as specified.Payment will be made as outlined above.
Acceptance Date of Acceptance /OAT