23B-035 (18) BP-2022-1307
61 LOCUST ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23B-035-001 CITY OF NORTHAMPTON
Permit: Exterior Res
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-1307 PERMISSION IS HEREBY GRANTED TO:
Project# ROOF Contractor: License:
Est. Cost: 15000 FLORENCE ROOFING 071107
Const.Class: ' Exp.Date: 04/24/2023
Use Group: Owner: DELRO LLC
Lot Size (sq.ft.)
Zoning: NB Applicant: FLORENCE ROOFING
Applicant Address Phone: Insurance:
405 RYAN RD WC2-3 I S-374455-041
FLORENCE, MA01062
ISSUED ON: 10/13/2022
TO PERFORM THE FOLLOWING WORK:
STRIP AND RE-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:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: I (� 3-)A17
Fees Paid: SI05.UO
2,12 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
V 1
RECEIVED
OCT 1 2 2C22
The Commonwealth of Massachusetts
ETit Office of Public Safety and Inspections
1 Massachusetts State Building Code(780 CMR)
' . Appiication for any Building other than a One-or Two-Family pwelling
f'EYT.Oc ni in niN.,
r,nATHAM1'TON MA 01060 _ (This Section For Official Use Only)
Building Permit Number: p?A• I307 Date Applied: Building Official:
I
SECTION 1:LOCATION
61 Locust St. Northampton 01060 Christopher Steed
No.and Street City/Town Zip Code Name of Building(if applicable)
?3g- d35
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:Rooting
I
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ o 0
Is an Independent Structural Engineering Peer Review required? Yes 0 o 0
Brief Description of Proposed Work:See attched Proposal.
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADI ITION,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 . cational 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❑ Ill❑ M: Mercantile 0 R Residential R-ID R-2 0 R-: 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 0 IIB ❑ IIIA ❑ MB ❑ IV VA 0 VB 0
SECTION 7:SITE INFORMATION(refer to 750 CMR 105.3 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Deb Removal:
Public 0 Check if outside Flood Zone❑ Indicate municipal 0 A trench will not be Lic Disposal Site 0
Private 0 or indentify Zone: or on site system 0 required 0 or trench or
permit is enclosed 0
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission•eview Process
Not Applicable 0 Is Structure within airport approach area? Is their review co s pleted?
or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0
SECTIONS: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:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes:
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❑.
Otherwise provide construction coi,tru1 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
C. Philip Andrikidis/d/b/a Florence Roofing
Company Name
Phil Andrikidis CS-071107
Name of Person Responsible for Construction License No. and Type if Applicable
405 Ryan Rd. Florence MA 01062
Street Address City/Town State Zip
413-585-9171 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 0 No ❑
SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)_$
1.Building $15,000.00 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 $15,000.00 (contact municipality)and write check number here oZ`' 5-
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
app i" n is d accurate to the best of my knowledge and understanding.
,....,e_
C. Philip Andrikidis Sole Proprietor 413:262-8007 10/12/2022
Please print and sign name Title Telephone No. Date
405 Ryan Rd. Florence MA 01062 tlorenceroofing@gmail.com
Street Address City/Town State Zip Email Address
Municipal Inspector to fill out this section upon application approval: -,�'L /��C_- Jo'13"2O2Z
Name Date
City of Northampton
9.t4*M
Massachusetts Aw
f + DEPARTMENT OF BUILDING INSPECTIONS
taf 212 Main Street • Municipal Building
Northampton, MA 01060 Jj'fril 101\�
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 dispo ed 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
Location of Facility: 234 Easthampton Rd. Northampton, MA. 01060
The debris will be transported by:
Name of Hauler: Amherst Trucking, Inc.
Signature of Applicant: Date: 10/12/2022
Fr >
,t__ The Commomvea//h of Massachusetts
1 _- Department of Industrial Accidents
I Congress Street,Suite/00
,_ Boston,lilA 021/42017
a: www.mass.gov/dia
ow/dia
\\o,•ke rs'Compensation Insurance Affidavit:Builde rsJContractors!Ele(tri(ians1Plumhers.
TO 8£ FIL£O WITHTH£P£RINJ"rtJN(, Al"'IHORITY.
re . .e I . II. -I I I . imia i
•. me Sus ,:. n -.too: tn: :e :;-:_ C. Philip Andrikidis/ d/b/a Florence_Roofing
Address: 405 Ryan Rd.
City State Zip: Florence, MA. 01062 Phone 413-262-8007
An you a" elal'>,s, . __ IN.itl * ._-z.a +,._. of project(requirod),:
1.0 lam ittniakl.yer with _mp)o .:sifull tiddJft7 p:Uldit ).• 7.0 Newconstruction
2Q anti Sc.lk ati ri..y::or plst./I r narz hzw -.zeitaiive.""Bead i-kin f.s 3 zr: S. 0 R:: t> sng
any capacity.(Nowortct-s'eoinp.insuramt 11.."'quin.-d.t
9.0 Demolition
30 t atoll!•ImtioWn•i-doing all,...-u,t myself.[No wfri etr<:Ottt).i r.l.ui.:required.
i0O' Building addition
4.o I amii bomro,. iiei:indwill be htnngoc>ntrUtors t0 c<ltldt,<1 ill work:on my prop...--zty. I will
ei1Su th:u ail oo mr ors titherh 1.111"—tili:tlrCi)114po >,icatior3 insurance or are'..ok 110 Eke(tidal repairs or additions
pn'1pri.rti.) with noeinptoyecc.
12.0Pluvub ng repairs oradditions
10 Iarn ii t_.-halt)<:Ont.r..CIOraudIh,i.hi dthesub-<:oni.ctetOrSlisiidonlhcawIdiedsheeI.
Thesesub-<:onInietorShaweinploved and ha.awo,ten'eoaztp.r.nsurnn<:e. 1J.(()R/oofrepat
rsther
6.o Weini•H)fp0ndionilndiisofftCersh;Ivet.ItcreisedtheU!'righIofexemptionpertx1OL;:.
1S2.§1(4).;Ind we hs.-eoo enziito)'ees.(Plow,te,s'eoi;zp.insurance required.)
"A nv;Ipplt.:zaltiia.'i c It.tcb taox. mike also fI i out the satin nolo.%snowing their exotic/left-v..rts.ttiaon pethct L tsotut.:?Iion
t I-unnoowntrS whosubtnill_bisaffidavit indicating'_bey aredoing_l i twodt:,lnd then ht?'eoutside coil!sae fors muscubmit a newalil=b:vilindica:tt l a such.
tCoui.r.etorS8l3t<:heck this box mu:=tal I3ehcd an addiLiona.'shursho htg thenameof Niel St:.b-coo 1 tr tors andsrne whether ornnt ll t I.1;e CFi lilies its-e
einplovees.:)1flh i su°NM:ontra-:tors tzar-eeiniAn its. ,ey iuii>ipn.wi c:twin v.-eaters romp putt)'number.
I amtm employer tlu,t isllrol4ding,.,orkers•CbmJ,ensation insurance/or my employees. Belowis the policy and jobsile
iliformi,tion..
Insurance Company Name:_ Liberty Mutual Fire Insurance Company
Policy#or Self-ins.Lie.ii:__ WC2-31S-374455-052 Expiration Date: 01/25/2023
Job Site Adtrs ems: 61 Locust St Lire 'Slate lip: Northampton,MA.01060
Attach a copy of the workers'coml>en.sarion policy declaration l>age(showing the 1>Olicy number and exl>irarion date).
Failure to secnrecaverage as required under MG/L c.152,z25A 4s a criminal.;iolateon punishable by a fineupto Si,500.00
an<L'or one-year imprisonment,as well as civil penalties in the fonnofa STOP WORK ORDER and a tineofupto$250.00 a
day against the l iolator.A copy ofIhis statement may be fo:warded to the Office of Ins estigat;ons of the DIA forinsurance
coverage verification.
I dohereby urtify um/.ahe pa- . tmd/Je.nalties ofperjllrr thatthe information prol-Illed aboi>eis true and correct.
Sionarure: Date: 10/12/2022
Phone : 413-262-8007
Official 11seonly. Do not writein this,.re„ to becomplelel/bv cityortown official
City or Town: Pennit/License#
Is.suing Authority(circle one):
I.Board of Health 2.Building Department 3.Cityn-own Cle rk 4.Electrical Inspector 5.Plumbing Inspector
6.Othe r
Contact Pe rson: Phone#:
ORENCE A FLORENCEROOFINGWMA.COM
C.PHILIP ANDRIKIDIS
405 RYAN ROAD, FLORENCE, MA 01062
• Mrif
ill
6 INSURED BY KING&CUSHMAN 413-584-5610
HIC #150673
58 5-9 I 7 I ----------- CSL#171107
MSL#11282
t C) R to 1 J C::. I .,1 .• CELL#413-262-8007
July 25,2022
Estimate for: Christopher Steed
Property location: 61 Locust St.Northampton,MA,01060
Description: - Strip roof in rear of building of(1)layer of asphalt shingles.
- Remove skylights in front of building.
- Install plywood over existing rafter system in location of skylights. i
- All protection to the interior of the building during work on the skylights
to be provided by a contractor other than Florence Roofing.
- All finishing of interior trim, sheet rock, etc. to be performed by a
contractor other than Florence Roofing
- Apply ice and water barrier to the first 6'of roof edge. 1
- Synthetic underlayment to cover remaining surfaces.
- Install aluminum drip edge to all roof edges.
- Shingle rear roof and section over skylights in front with GAF Timberline
HDZ architectural shingles with System Plus Limited Lifetime Warranty.
Color to match existing shingles as close as possible..
- Install continuous ridge vent to peak.
- Clean area and remove all debris to landfill.
- All material furnished and installed by Florence Roofing.
- All permits included in this estimate.
CONSTRUCTION CONTROL WAIVER
From: Florence Roofing
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
61 Locust St. 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,
C. Philip Andrikidis