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25A-182 (47) BP-2021-2012 94 INDUSTRIAL DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25A-182-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-2012 PERMISSIONISHEREBYGRANTED TO: Project# ROOF Contractor: License: Est.Cost: 100950 SUPREME SYSTEMS INC 106059 Const.Class: Exp.Date:09/06/2023 Use Group: Owner: NORTHAMPTON STORAGE SOLUTIONS Lot Size (sq.ft.) Zoning: GI Applicant: SUPREME SYSTEMS INC Applicant Address Phone: Insurance: 788 SHERIDAN ST (413)331-4490 5092135967 CHICOPEE, MA 01020 ISSUED ON:10/14/2021 TO PERFORM THE FOLLOWING WORK: 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: 0 5.5._ Fees Paid: S706.65 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner RECEIVE 0� - 7 2021 The Commonwealth of Massachusetts Office of Public Safety and Inspections Uil[)uvc^ Massachusetts State Building Code(780 CMR) rHaMnroN, e i t Application for any Building other than a One-or Two-Family Dwelling A otoco (This Section For Official Use Only) Building Permit Numbe +1 AJ 2O41 Date Applied: Building Official: SECTION 1:LOCATION Clt4 i(V'4a tY cif UiOLs N 1ces w 9-ex rvr No.and Street City/Town Zip Code Name of Building(if applicable) Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below Existing Building 0 Repair1 Alteration 0 Addition❑ Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No Is an Independent Structural Engineering Peer Review required? Yes 0 No c Brief Description of Proposed Work VUXINSVN o lcl t 1 1oi,tie,r is E.Ps oc � {.0 c�vex x`.S4ir� �re4_\ t�rl6 if1Cj[LII OD�u BSc 119CcylciJ-icx> aver fltln) Q1tt '�i'tt ii-h ,C n�rs axrl Rhiquilono( flo.MS• (hSta.i l re J pc.SSt.u-e d-reO.:1-col. koloncac-:ram 1r1Stcam► 47Z1n%AOt-orvi •OIiO v.*\k4e l pO Ci\er(lbreivw 0.\b(tnA►-4-4-N kCXrninC)c- >c\S (Lx\A eiGSir\irNCjC SECTION 3:COMPLETE 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.) raoi co ScL �E 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 0 I-4 0 M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB ❑ HA IIB ❑ IIIA ❑ IIIB ❑ IV 0 VA 0 VB 0 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Trench Permit: Debris Removal: Water Supp y: Flood Zone Information: Sewage Disposal: / w' Public Check if outside Flood Zone A trench1 not be Licensed Disposal Site t Indicate municipal J� Private 0 or indentify Zone: or on site system❑ required`PJ or trench or specify: permit is enclosed 0 Railroad right-of-wa . Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable Is Structure within airport ap roach area? Is their review comp ted? or Consent to Build enclosed 0 Yes 0 or Noe Yes 0 No 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: �o)0fl2,a-fie z OU,pr yne • Cprr) SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner 'S ,e CSph Albano (14 tnduvrt1OJ chi;ut I0f-►-hw ) r-ur\, 1- 1 006_0 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Neal nP Strad j9 4 bucinesS i.ii-a$5- 315%-} _- - <1(iI.anO IAC0.9li-O t(rtlllP• Title Telephone No.(business) Telephone No. (cell) e-ma address Will If applicable,the property owner hereby authorizes: StAparrit Sk4SitrM k `lzg Sheridan S{r;ee4 Nimpeie Mft 010'aO Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here O. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor SU fx- ie Sl ASA-tmS I nC Corn ny Name tCX\ 1t b1-et,1 C SS L- 10la0 Name of Person Responsible for Construction License No. and Type if Applicable -clSg Shea tot o.tm -k-c--ee - ChiCOpee. \AR 0109.0 Street Address City/Town State Zip 41 3 -331- 1-14go - - 31-horn e1 s@s '�n eerc r`oj, Corn Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes D No D SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Building $ 1 m C150 100 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 $ 1()O i C1150 , O0 (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 bes y kn edge and understanding. 30n _ Senior vice are .vier*tp3 -331 - Iltrio 10-Le-al Please print and sign name Title Telephone No. Date -i$% Sher,don are ek ( \'two ee -ik(\ O 10'3-U _15�-, � L Street Address City/Town State Zip Email Address "'�Rg` Corn Municipal Inspector to fill out this section upon application approval: 1 ' '1 t y Name c - City of Northampton i Massachusetts �wS %f,, 4# -c': DEPARTMENT OF BUILDING INSPECTIONS - I}7 rn,` �, t ,-' p 212 Main Street • Municipal Building yJr r' f` Northampton, MA 01060 f5.11N \A 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: Location of Facility: C__,1 06 1, The debris will be transported by: Name of Hauler: a t'CQlki ( (. 1 Signature of Applicant: Date: (b—Le - 3 1 r9 Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards ConstructiottSi)p Mspr Specialty /t CSSL 106059 Expires: 09/06/2021 JON HAMBLEY } 12 JOHN LANE SOUTH HADLEY MA 01075 440 C Commissioner A ----- J p Construction Supervisor Specialty Restricted to. CSSL-RF-Roofing Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpl • The Commonwealth of Massachusetts Department of Industrial Accidents 1 ►. Office of Investigations #,� 600 Washington Street ' �_ Boston,MA 02111 v,- www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Ch} ie_(Y1c Ts k'kpfy\S `r C _ Address: -Albet SY C.n C Cs.__ 5b_A- City/State/Zip: C, .\ e.. hone #: 1 '__.4c4C4210 Are you an employer?Check the appropriate box: Type of project(required): 1.tg I am a employer with \5 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.: 7. ❑ Remodeling ship and have no employees These sub-contractors have 8, ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.]t employees. [No workers' 13.0 Other comp. insurance required.] 'An}applicant that checks box#1 must also fill out the section below showing their worker, compensation policy information t I lenneowners 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 'b e.,1( �e ,_ky\f..,f\r\ Policy#or Self-ins. Lic.#: 2,\ 5 et Expiration Date: 5`\\'Lp2\ Job Site Address: G1 LJ l 'Ci U�t 0 6(I tj Q _ �.� City/State/Zip: k0(t$'1ail'1p-cn 1 t,A0 CI0(00 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). 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 certify rut pain• l penalties of perjury that the information provided above is true and correct. ' Signature_ �} Date: Phone»: (4 -2 J)_ -- 4.kc.Q 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#: SUPREME ROOFING. DONE. RIGHT. TO: 08/13/2021 Spaces for Rent 94 Industrial Drive Northampton, MA 94 Industrial Drive Northampton, MA Project JOB: Project 1823 ADDRESS: Spaces for Rent 94 Industrial Drive, Northampton, MA 01060 After a thorough evaluation of the roof and roof system components at your 94 Industrial Drive Building 4 in Northampton, MA.we are pleased to provide the following proposal for the approximate 20,000 square foot roofing project. Supreme Systems,Inc.proposes to do the following work: • Install temporary safety equipment to provide a safe and secure construction site for our roofing professionals as well as your employees and the general public.This equipment will meet or exceed OSHA and company set safety policies (Supreme Roofing provides an on- site full-time Superintendent on all projects). • Furnish& Install one(1)layer of loose laid 1.5" EPS insulation flute fill over existing steel roof. • Furnish & Install one(1)layer of mechanically attached 1"polyiso insulation over new flute fill utilizing#15 HD fasteners and Rhinobond plates. (20psi) • Furnish & Install new pressure treated blocking along perimeter of roof to match new insulation height. • Furnish & Install new mechanically attached Rhinobond .060 wi..2.11.1 TPO membrane along with all terminations and flashings and ensure it is done in strict accordance to manufacturers specifications. • Fabricate & Install perimeter edge sheet metal gravel stop and drip edge flashings constructed of 24-gauge Kynar coated steel and a continuous retaining clip constructed of 22-gauge galvanized steel. • Clean up and remove all related debris from jobsite and dispose of properly in an approved container. (dumpster to be supplied by Supreme Roofing) • Provide building owner with a 20-year manufacturer's warranty. • Provide building owner with a 2-year Supreme Systems Inc. workmanship guarantee. "Exceeding Expectations in Commercial Roofing Since 1987." 788 SHERIDAN ST,CHICOPEE,MA 01020 •SUPREMEROOFING.COM •413-331-4490 SUPREME q ROOFING. DONE. RIGHT PRICE $100,950.00 ADD: Price To Furnish&Install Materials To Strip In Gutter Seams:$1,600.00 ADD: Price To Furnish&Install Penetration Pockets If Ready During New Roof Scope Of Work: $250.00/Penetration Pocket Exclusions/Conclusions: Excludes MA Prevailing Wage Rates,Excludes Construction Control,Excludes Interior Protection,Excludes Walkway Pad,Excludes Lower Roof Sections,Excludes New Gutters And Downspouts,Excludes Safety Rails,Excludes Snow Guards,Excludes Snow Removal,Excludes Bond. Payment terms for this project will be 50%due at the delivery of materials,40%due at completion,and 10% due at delivery of the warranty. Ap roved By: e— (mod %'AME ' SIGNATURE Supreme Systems,Inc. "Exceeding Expectations in Commercial Roofing Since 1987." 788 SHERIDAN ST.,CHICOPEE,MA 01020 ■SUPREMEROOFING.COM ■413-331-4490 Licensing Home Page The list below displays your that are currently available for online services. Online services include address change, request for duplicate license card, and renewal. If a license shows a "Status" link, you are eligible to renew your license. To begin a renewal, please click"Renew License" on the menu at the left. To request a duplicate license card, please click"Document Request" on the menu at the left. To change your address, please click"Address Update" on the menu at the left. • Please note: if your license is in renewal, you can update your address as part of the renewal. • If you want to renew by mail, and need a renewal form after your change of address, please e-mail OPSI-info©mass.gov with your license number and "Request for Duplicate Renewal" in the subject line. • There is no charge for a change of address. When you are finished with your renewal information or duplicate license request, you will be redirected to our payment processor for payments. Acceptable methods are Visa or MasterCard credit or debit cards which have a 2.35% processing fee or an Electronic Funds Transfer from your bank account with a processing fee capped at$1.95. Upon completion, you will be transferred back to this site. Renewals and duplicate license requests are not submitted until a payment is completed. License fees are non-refundable. Name Name: JON HAMBLEY Address: 12 JOHN LANE South Hadley, MA 01075 Licenses Eligible for Processing License Type Construction Supervisor Specialty License Status: Active License Number: CSSL-106059 Expiration Date 9/6/2023 !iding Licenses License Type CSSL-RF-Roofing. License Status: Active License Number: CSSL-106059 Expiration Date 9/6/2023 CONSTRUCTION CONTROL WAIVER From: 1pr frae 00r-A0 1eY► o n ()pe e Ptc\ 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 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,