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32C-328 (13)
6 SERVICE CENTER COMMONWEALTH OF MASSACHUSETTS BP-2021-1559 Map:Block:Lot:32C-328- 001 CITY OF NORTHAMPTON Permit: ROOF PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-1559 PERMISSIONISHEREBYGRANTED TO: Project# JS-2021-002586 Contractor: License: Est. Cost: 20350.00 C PHILIP ANDRIKIDIS Const.Class: Exp.Date: Use Group: Owner: LANDERS, JO Lot Size (sq.ft.) Zoning: GB Applicant: C PHILIP ANDRIKIDIS Applicant Address Phone: Insurance: 405 RYAN RD (413)585-9171 FLORENCE, MA 01062 ISSUED ON:08/25/2021 TO PERFORM THE FOLLOWING WORK: STRIP&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. Signature: I , cfrill yd Fees Paid: $140.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner 4' )..Ji:-EQ C / V�d JUN 8 4'0�� h. Commonwealth of Massachusetts aT / Office of Public Safety and Inspections � �. Npgl 6u�� f' Massachusetts State Building Code(780 CMR) NAMt #" ' • t Application for any Building other than a One-or Two-Family Dwelling o7 6p°Ns I (This Section For Official Use Only) Building Permit Number. " f / ate Applied: Building Official: SECTION 1:LOCATION ip.„&irl/G CeA'SteA o.and Street City_/Town n Zip Code Name of Building(if applicable)C'J , ?5 Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building 0 Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify:Roofing Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No 0 Is an Independent Structural Engineering Peer Review required? Yes 0 No 0 Brief Description of Proposed Work: See attached propsai. SECTION 3:COMPLE'I 1 THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0 Existing Use Group(s): Proposed Use Group(s): SECTION 4 BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0 I: Institutional I-1 0 I-2❑ I-3❑ 1-4❑ M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2❑ U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION Cx CONSTRUCTION TYPE(Check as applicable) IA 0 IB ❑ IIA ❑ IIB 0 ILIA ❑ IIIB ❑ IV 0 VA CI VB SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public 0 Check if outside Flood Zone 0 Indicate municipal 0 A trench will not be Licensed Disposal Site 0 Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify: permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 0 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: FLORENCEROOFINWMA.COM C.PHILIP ANDRIKIDIS 405 RYAN ROAD, FLORENCE, MA 01062 • 0 1 INSURED BY KING&CUSHMAN 413-584-5610 HIC #150673 "" CSL#171107 5 ._{ t I I " MSL#11282 413-262-8007 February 9,2021 Estimate for: Jo Landers Job Location:6 Service Center Rd.Northampton,MA 01060 Description: - Strip roof over office on Northeast section of building of(3)layers of roofing.2,000 sq.ft.+/- - Remove insulation and ductwork from RTU,raise ductwork to accommodate height of new insulation on roof,and install new insulation to ductwork.Existing ductwork to be reused. - All lifting,plumbing,and electrical work for proper flashing of HVAC roof top unit included in this estimate. - Remove existing roof system membrane over Southeast section of building.2,500 sq.ft.+/- - Remove terracotta tiles at top of parapet wall. - Install wood blocking to perimeter of roof to height of new insulation. - Mechanically attach(2)layers of 2.6"polyiso insulation to all roofs on building and over HVAC doghouse achieving an R-value of R-45+with existing insulation.4,500 sq.ft.+/- - Mechanically attached Firestone UltraPly.060 TPO using RhinoBond induction weld system to all roofs on building,covering up and over parapet wall.4,500 sq.ft+/- - Brake form and install 24gauge Kynar finish edge metal to roof edges.Color:Extra dark bronze to match existing window frames. - Install .032 seamless aluminum 6"K-style gutter to rear of Northeast roof with(1) downspout extending away from neighbor's yard.50'+/- - All TPO related flashings and terminations installed per manufacturers specifications. - Damaged,rotted,or broken sheathing to be replaced @ 2.25 per square foot. - Area cleaned and all roof related debris removed to landfill. - Firestone Red Shield 20 Year Total System Warranty - All permits filed for by Florence Roofing. lorence Roofi g. SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Jo Landers 6 Service Center Rd. Northampton, MA. _ _ 01060 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: 413.296_ - - Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Florence Roofing 405 Ryan Rd. Florence, MA. 01062 Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here O. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Florence Roofing/ C.Philip Andrikidis - 413-262-8007 Florenceroofing@gmail.com CS-171107 Name(Registrant) Telephone No. e-mail address Registration Number 405 Ryan Rd. Florence MA 01062 4/24/2023 Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Florence Roofing/ C.Philip Andrikidis Company Name C. Philip Andrikidis CS0171107 Name of Person Responsible for Construction License No. and Type if Applicable 405 Ryan Rd. Florence MA 01062 Street Address City/Town State Zip 413 262 8007 Florenceroofing@gmail.com - - Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes la No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor 20,350.00 and Materials) Total Construction Cost(from Item 6)_$ 1.Building $20,350.00 Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal factor)=$ 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $20,350.00 (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Florence Roofing/ C.Philip Andrikidis Sole Proprietor 413 _262 8007 Please print and sign name Title Telephone No. Date 405 Ryan Rd. Florence MA 01062 florenceroofingagmail.com Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: /37 5 25 ZZZi Name Date City of Northampton ; r v Massachusetts tI ar� ; DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building ff Northampton, MA 01060 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Valley Recycling Northampton St.Easthampton,MA 01027 Location of Facility: — The debris will be transported by: Florence Roofing Name of Hauler: Signature of Applicant: Date: 6/24/21 The Commonwealth of Massachusetts zany= Department of Industrial Accidents � = 1 Congress Street,Suite 100 .1 5, Boston,MA 02114-2017 www mass.golafdin 11urkers'Compensation Insurance.Viidasit:Builder l("ontractorstElectriciansfPlumbers. Cc)BE F ILL )V II H THE PERMEr rim;At"fHORl7l .‘ttniicant Information Please Print Leeibls Name(Bttsincs itkps ati n Individual): Florence Roofing Address: 405 Ryan Rd. City/State/Zip: Florence,MA. 01062 Phone#: 413-262-8007 Are t.0 an mrtpi.rer'(1rtch he apperparinr hot: Type of project(required): I.0 I am a cn key aT with 5 tnplowes(full and or part-tune) 7. Q New construction 3 fl I am a sole proprietor or putn-rship and have no cavia cam working for me in S. Q Remodeling an)t of e%.[Nu workers'coup.usumnee n-atuical_I 9. E]Demolition 3.0I am a homeowner thong all work myself.INo*ultimo,'comp-insurance nagtired.J' 4.0 I am a honk net t and will be hiring rxwarasturs to conduct all work om my property. w 1 ill ('''� HID Building addition ensure that all contractors tither have worker,'con sasation.uurantx or are sole 1 1.0 Electrical repairs or additions pmprutors with rrV a7rg11ova es_ 12.0 Plumbing repairs or additions Sin tam a general contractor and I have hired the sub-contractors listed on the anaektd shoot 13 0Roofrepairs These sub—contractor have crnpk+yces and have wurkcn'ctwnp.insurance_ 60 Ike are a corporation and its uffwcr,has c c crca td their right of extnQtwn per ant&c_ 14 . Roofing 132,§1(4),and we have no employees.('W workers'comp.insane required.] 'Any applicant that drnks tint PI runt alas fill out the section below showing their warkoas cdmpematinr policy information. *tiiwnorwncrn who submit dis aftirarsit indx:uirg they arc doing an work a idihar hire urtsa&ad omi torn nom submit a new affidavit inciecgng sushi. 'Contractors that check this box must attacln-d an additional shwa Amin the raw oldie sub-cinaractun and state w heihcr in not dust entities have employees- If doe subcontractors have euptutoes.they must provide their wnriters'coop.policy number. I am an t ntpiurer that is providing worLers'compensation insurance for my employees Below is the policy and job site information_ InsuranceCompany Name: Liberty Mutual Fire Insurance Company Policy#or SelfWC231S374455041 ins.Lie.#: Expiration Date: 1/25/22 Job Site Address: 6 Service Center Rd. City'State Zip: Northampton,MA.01062 Attach a copy alike workers'compensation pole declaration page(show ing the policy cumber and expiration date). Failure to secure coverage as required under MGL c. 152,*25A is a criminal s tvlattair putiisliable by a fine up to$1,500.00 anifor one-year mrprisomnent,as well as civil penahics in the form of a STOP WORK(*DER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of In cstt;raltuns of the DIA for insurance coverage verifi ation. I do hereby certify under the ins and penalties ofperjuri that the information provided above is true and correct. Signature: Date_ 6/24/21 Phone«_ 413-262-8007 Official use only. Do not write in this area,to be completed by city or town official ('its or Tuna: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Appendix 1 Construction Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required. The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x"where applicable No. Item Submitted Incomplete Not Required l Architectural 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm(may require repeaters) 6 HVAC 7 Electrical 8 Plumbing(include local connections) 9 Gas(Natural,Propane,Medical or other) 10 Surveyed Site Plan(Utilities,Wetland,etc.) 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review(521 CMR) 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction. Registered Professional Contact Information Florence Roofing/C.Philip Andnkidis 413-282-8007 fiorenceroofing©gmail.com CS-071107 Name(Registrant) Telephone No. e-mail address Registration Number 405 Ryan Rd. Florence MA 01062 4/24/2023 Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Tel-ephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date - Name(Registrant) Tel-ephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Please follow this link for construction control forms to be used by Registered Design Professionals. CONSTRUCTION CONTROL WAIVER From: Florence Roofing / C. Philip Andrikidis 405 Ryan Rd. Florence, MA. 01062 To: Jonathan Flagg Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 The Massachusetts Building Code, section 107.1 allows for an exclusion from requirements for construction control in certain situations. In accordance with code section 104.10, I request that you grant a modification to waive the requirement for construction control of the project at 6 Service Center Rd. Northampton, MA. 01060 because the work is of a minor nature, will not affect structural elements, health, accessibility, life or fire safety, and will be done in accordance with the prescriptive requirements of the code. Thank you for your consideration. Respectfully,