30B-073 (16) 887 SOUTH ST BP-2006-0001
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:38B-073 CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit# BP-2006-0001
Project# JS-2006-0002
Est.Cost: $8600.00
Fee:$50.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: RCI ROOFING 126235
Lot Size(sq. ft.): 23217.48 Owner: Northampton Veterinary Clinic
Zoning:URB Applicant: RCI ROOFING
AT: 227 SOUTH ST
Applicant Address: Phone: Insurance:
P 0 BOX 309 (413) 527-4775 Workers
Compensation
EASTHAM PTON MA01027-0309 ISSUED ON:7/5/05 0:00:00
TO PERFORM THE FOLLOWING WORIGSTRIP & SHINGLE 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 7/5/05 0:00:00 $50.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Building Commissioner-Anthony Patillo
Versionl.7 Commercial Building Permit May 15,2000
( . 10{alNiilN4k«Y..orlky
elf-Northampton ,lyrR t,rs a rtz
`:Build ?g Department a Icer) N-t l€
�" � s 212 Main Street :atara NarU al ltal),V ,
RO9.sin100 �"tr>~ret '+•ra! irt;r+tl rds
ftp} 3Non ampton, MA01060 lt,a,:lei). �t-+ . ittl+:l,rrti
•„ one 413587.1240 AFax 413-58'7.1272 IPtYYT�+tas�et a:
ns 1 di Tar
APPLICATION Tb CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
074a1I1 3mlCTT111 m11-0.1 aei �
1.1 proverty Address:�e
22x1,Snut t atftet
gum 2:;t�t `Ji7MYII--
' t t ?rsrmt TTr . . (411,, shet
` [5r�+� 117(In/'r'1-le(tillnf` ?, m fxe•-?IAltl' k•.,rt
?.1 Owner 9r Record:
N'tnnVeterinary Clinic, 227 Smith <Strrct
Name(Print) Current Mailing Address:
ati aclh d 58+E- b301
Signature Telephone
2.2 Authorized Agent,
RCk �F lt� � 9 0 x 309 - F'_Sk.Lmg\ott ttta.
Name(Print - ._ Current Mang Address:
e
��1� � 521 — (411�
Signature Tphone
�� . _. G4�kCmi7° ��\ is �f;rtP
_�ln] x �d1uY e m i�t�lb c m sLmlmb7l
Item Estimated Cost(Dollars)to be - z ' (oa k46 ^a
completed by permit applicant ry
1.41errd 'r fiooft ` ' $b ct.00 It1t)e. • rPER, X �Mr P mM
JJ b.. .EJ +•
2Electrical vGpnstruchon A� b ' » yr
-'�ssa
-a
3. Plumbing `uijd x rtr 71.1,1'.T4 * fir{
4. Mechanical(HVAC) ��
5. Fire Protection +` ' " ati' � wrern ,.
fr. Total (7 +2+3+415) �{p s6� 0• :.0ho5�r1Nur4beC n�n+ >^" ti,
wu E :•! snid phis S`41o' flci? Use Ont �' + s rrA`k�s`� ''. i.
(r l U u f q f 3 TJ
�'hfM1ntuv.;iI m - r' y
I•f�L' �15mt_f,��1•�a� J• " atif„deTtifi=_'t"f'Yrer .� tnn. ��:.,” Ili .Daa,i „� :R;r u, „
Versionl.7 Commercial Building Permit May 15,2000
' adCoF:fx:Ci3el;145-T-.tb C t Cl2ty *FCS /:=PUireft(E r i 4 iti0jAgi% a
Interior Alterations Existing Wall Signs Existing Ground Signs Additions 0 Roofing
0 0
Exterior Alterations Demolition❑ New Signs [ ] Change of Use [ ] Other [ ]
❑ Accessory Building[ ] Repairs [ ]
e. . ir .ter, : att. . 41 ..
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly 1❑ A.1 0 A.2 0 A-3 ❑ IA I ❑
A-4 0 A-5 0 I 18 0
B Business 0 2A 0
E Educational 0 28 0
F Factory 0 F.1 0 F-2 0 2C 0
H High Hazard 0 3A 0
I Institutional 0 I.1 0 1.2 0 1,3 0 38 0
M Mercantile 0 4 0
R Residential 0 R-1 0 R-2 0 R-3 0 5A 0
S Storage 0 S.1 0 S-2 ❑ 58 J ❑
U Utility 0 Specify:
hi Mixed Use 0 Specify:
.......
S Special Use 0 Specify:
;Vs' ,!*latCa' glifigi5�,`. i '4i. eii rir#.b o` aiO:: ` e , SIRS ,Sx a;40' F x. :1'0 -0"
Existing Use Group: Proposed Use Group:_
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
sEPlT e.hitI 1' itl-4r . r i
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION o Mc" - ,• ox
Floor Area per Floor(sf) 1" 3�
a J
2'd 2 T
m
a
3.d
2
3m
4r"
4ih
Total Area (sf) Total Proposed New Construction(sf) f,.k„e?li ,# t y r ,•
Total Height(ft) 1,';',L,,>.--.1: xA x :1 `7 I
Total Height ft
Version1.7 Commercial Building Permit May 15,2000
7.Water Supply.(M.G.L.c.40,*54) 7.1 Flood Zone Information: 73 Sewage Disposal System:
Public 0 Private 0 Zone: Outside Flood Zone 0 Municipal CI On site disposal system a
8, NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Dcparvnent
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg.Square Footage
Open Space Footage
(Lot area minus bids&paved
parking)
it of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DONT KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page _ and/or Document#
B. Does the site contain,a brook, body of water or wetlands? NO DON'T KNOW
YES
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
No
IF YES, describe size, type and location:
' - Versionl.7 Commercial
Building Permit May 15,2000
ITX1r(®,�IlabLfil-a+.a)..xo t9to ) ?Tl feirifitt�,.f 'WA ,. G ,' I . N Sa`L?° . siiLtlS?D?1i.1a "Ck@"rrPtl
an � : 9 c�Tav � o � e • i1. N �Q.QQ. .+ � N
9.1 Registered Architect:
N Not Applicable 0
Name(Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
92 Registered Professional Engineer(s):
Name N/A 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 0
Company Name:
Responsible In Charge of Construction
Address
Signature Telephone
Versionl,7 Commercial Building Permit May 15,2000
dK°7,`t Kik ji itleirgRtzl t? "i:RAlait Cwl'.te w.:. .m.. i
Independent Structural Engineering Structural Peer Review Required Yes ❑ No 0
_ 4 0O ':R iA «tri 130k i_ {OA 19, :x,\ ellrt trjks �}, Kt1Y° Ai (�'T*'SJNO,4;;ihr; 1 itaNFi;/_Y ICri APP111 S lar'Ill^.t?I 11@i.A. u911ar ?:4.=<
_Sin non feat /slitcIborrze4 :tact, �^ . as Owner of the subject property
hereby authorize c.M 7Y}{ {{{I JL')l.C(F'. of ff a- -7.. Rrnfi to act on
my behalf, in all matters relative to work authorized by this building permit applica • n.
aftaahead 1,/act o
Signature of Owner
` t P. ,i r� Date
I, 1 • u/ea `, F \1s\F . - J.' .�' c t2.tXl na'yy , as Owner/Authorized Agent
hereby declare that the statements and information on the foregoing applicatioq)re true and accurate,to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
Print /
C bia9 jos
Signature et Owner/Agent Date
10.7 Licensed Construction Supervisor: Not Alia
Applicable/ ❑ ` 1
_Na fC ��Holder:mrl CK UE_\\�..)F y I 1 -1
License Number
16 oke &Liget, nw. 03 - p6_ .
Address Expiration Date
/� (CII7b) S 1 LI115
Signature Telephone ID ,r ryy�
SEG o ti ,f.4:n t,u q.•�_ A o.Afr„U.k,U C • , pYI1'{M(ri '� S2, 5'7(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 0 No 0
•
c''.r.
i� �2� "402
a ` ys�e (11.-it-p, of �Inrfl)u))1p',0l) _ �
9 Ityt.y , a. vll,
r .at. /' uFe _ 1._•
DEPARTMENT OP OVIrDrNG INSp¢CTIOrb
4
212 Main Street ' Muoidpnl Badding
Northampton, Mass. 0)0G0
\\Jolt :in'S CO\ PENSATION CRSURANCL ALFpmAVT
I, _ Zeit Sift @ R•n• Tr ino.Yinc _.
(i ncdr ;aa)
wilb a principal place or business/residence aro
513 HoI tet• o genie a kA I I .' (phone')jy03),5g7-4775
( . dry/akin/73p)
dohereby certify, under the pains and penalties of perjury. (n!
(V)/ I am an employer providing the Folioavine workers comnrnsznon covenSe `or my
employees woh ng on this job.
Qjbent' JNpd�lol mica. 31S- 3117iQ4-0y!+ 05/ 05
� _)_
() lam a sole proprietor, general conzaaor or homeowner (circle one) and have hired
the coouactors listed below who have the following workers comnens2don policies:
(Name of Con^cttor) pnrmnen CompanyrPouc,,- Nwlicd (r. nracon Dam)
(Name or Coos-zoos) Meuranc Company/Po/cry Numcer) (Lmm.uon Dud
(Name of Coonan:) (IaSwanc Compzoy/PoL Nnmbn) Exoi don Dais)
(Name or Conaactor) (tnsuranc Company/Policy Numb r) (Ex-pis-Moe D=_)
(.". 4 ton aea ifetre uuid..----...i.r....;.ae...utea:,)
() I am a sole proprietor and have no one working for me
( ) I am:a home owner performing all the work myself.
NOTE:ptGoto'wart Lac AtJo bomm+om..bo corrp Ioy p...w to ay r gat.—...... yaa-:e, e rttan:..e.i m.d...:t_:of
ad mac tit=tbloc=Ea u Lim Ic boroboowoor nocklo or m `uc crou0a3 Aworvrooro LiAA r,- •--.Lv cccid of u h
=ploy,.pyla the:.nl;L'c ca.aka An(CL I SZn I(1)} rnvm
cvLioo by.houx fa.Lc-:cr ram,ay n:da,Oa
I.pl noona d..o calor•r.sons dae Wc.N.Coerm..;oo ha
I,uv .nl mapy otali.ma®en m.y b.rwa.
. ..W e.6.tcp.n aarb.au..' Arebaf Om.>v er lro•.m W r^r '
dnem
m`aat .airmen sad tha pane to wary totraz my miw l 5 A of MCL IS'l ate lad to ttc,Maim o(ccimal pcvil4a
co u.a or.riot or up to sumac,Lodi,iooro»orrb—s prop bco.rt,..M a.J antic u Cc rov.iofr Sop Work Ott rA.
rw as oo.oa.4y 4y.plaa me
. Pcamil Numbc.
nU
� rrn
Map:: Lal " r&-r.
Sigoapor Lisce/Iacrmiurc Ep;
pace �.. i
U.1. Roofing, LLP
516 Holyoke Street
P.O.Box 309
Easthampton, MA 01027 Estimate Date
Phone(413)527-4775 2/14/2005
Fax(413)527-8469
Name/Address Job Location
NORTHAMPTON VETERINARY CLINIC 227 South Street
ATTN: Shang Northampton, MA
227 South Street 584-6309
Northampton, MA 01060
Terms Rep
Estimate valid for 60 days Mike
Job Description Total
Remove existing roofs, 4,200.00
Furnish&install aluminum drip edge,pipe flashings and chimney flashings.
Furnish&install new lead counter flashings.
Furnish&install ice&water barrier along eaves and valleys.
Furnish and install IS lb.felt over existing deck
Furnish and install 30 year Tamko Heritage Series shingle.
Furnish and install ridge vent.
All roofing related debris to he removed by R.C.I. Roofing.
All work will be performed according to manufacturers'specifications.
5 year R.CA.workmanship warranty included.
30 year Tamko material warranty included,
All related permits wilt be obtained by R.CA.Roofing.
SPECIAL ITEMS NEEDED
Add$2.50 per sq. ft. for wood replacement if needed.
ADD for 36 of Alpine 2 Rail Snowguary System $4,400.00
800.00
WE LOOK FORWARD TO DOING BUSINESS WITH YOU.
y3c
Total
TERMS OF PAYMENT
30%Upon delivery of materials p
70%Upon completion Customer Signature ^�� L(1 261
Registrations 126235 i-f l'J�-'
Date
Construction License s 074334
Insured by Duckworth Insurance(413)527-9909 -.'*��. {G S