Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
23A-075 (8)
BP-2022-1308 40 MAIN ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-075-001 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-2022-1308 PERMISSION IS HEREBY GRANTED TO: Project# ROOF Contractor: License: Est. Cost: 9000 FLORENCE ROOFING 071 107 Const.Class: Exp.Date: 04/24/2023 Use Group: Owner: FORTY MAIN STREET INC Lot Size (sq.ft.) Zoning: GB Applicant: FLORENCE ROOFING Applicant Address Phone: Insurance: 405 RYAN RD WC2-31S-374455-041 FLORENCE, MA 01062 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: Ii • •► Fees Paid: $100.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner IIIP BECEt\/ : ----------------------:- 'kw he Commonwealth of Massachusetts I'., fi Office of Public Safety and Inspections ' OCT 1 2 2022 Massachusetts State Building Code(780 OAR) `_ Building Pe it A Iication for any Building other than a One-or Two-Family Dwelling nra-rCrnuILDIr4C.INSPPOTIONS (This Section For Official Use Only) Building Permttc$dumb6!R p° -Bate Applied: Building Official: SECTION 1:LOCATION 40 Main St. Florence 01062 No.and Street City/Town Zip Code Name of Building(if applicable) - A-- Q 7.5 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 tw D rows below Existing Building El Repair i Alteration 0 1 Addition 01 Demolition 0 (Please fill out and submit Appendix 2) Change of Use ❑ Change of Occupancy 0 Other 0 Specify:Roofing Are building plans and/or construction documents being supplied as part of this pert application? Yes 0 No 2 is an Independent Structural Engineering Peer Review required? Yes 0 No B Brief Description of Proposed Work:Bliko one tayer of ems,apply ice and water barrier fet 6'of all roof eves,and install new shingles. 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.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-213 Nightclub 1 A-3 El A-4❑ A-5 O 8: Business ID E: Educational 0 F: Factory F-1❑ F2❑ H: High Hazard H.-1❑ F}r2❑ H.3 El 11 4 E H-5 I: Institutional I-1 D 1-2 0 13❑ 1-4 0 1Vk Mercantile❑ It: Residential R-IO R-2❑> RR-3 0 R-4 S: Storage S-1❑ S-2 0 U: Utility 0 I Special Use❑and please describe below: Special Use:Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA IB ❑ HA IIBO MA I1IBCI IV O 1 VA VBEI 4 i SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Hood Zone information Sewage Disposal: ( Trench,Permit: Debris Removal: Public 0 Check if outside Flood Zone El Indicate Indicate municipal A trench will not be Licensed Disposal Site 0 Private 0 or indentify Zone: or on site system❑. required 0 or trench or specify: permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA'Historic Commission fission Review Process: Not Applicable 0 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed El Yes 0 or No 0 Yes Cl No Cl SECTION&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: Pj 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 authorizec 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 1e CONSTRUCTION CONTROL( lease fill out Appendix 1) if a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then cheek here£l. Otherwise provide construction mount halms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the preffessio .coordinatingdocrwi ert submittals); C. Philip Andrikidis 413-262:8007 dorericeroofing@gmail Oorn CS-071107 Name(Registrant) Telephone No. e-mail address 'Registration Number 405 Ryan Rd. Florence _ MA 01062 U 4/24/2023 Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Company Name Name of Person Responsible for Construction License No. and Type if Applicable Street Address City/Town State Zip Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WOI:Kt'16 COMPENSATION.INSZZKANICE ram.IDA(i (M.G.L.c.152.§3'SC f 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 buring permit. Is a signed Affidavit submitted with this application? Yes E2 No I SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1.Budding $9,000430 Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal factor)_$ . 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ 16° (contact municipality) 5.Mechanical (Other) $ Enclose check payable to ! 6.Total Cost $9,000.00 (contact municipality)and write check number here 2-1' SECTION 1&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. .,_7C. 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 florenceroofing©gmail.com Street Address City/Town State Zip Email Address // id-l3-ZQZ Municipal Inspector to fill out this section upon application approvak 712 Name Date City of Northampton Massachusetts { rx' DEPARTMENT OF BUILDING INSPECTIONS s g 212 Main Street ♦ Municipal Building t CD Northampton, MA 01060 sr 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 Location of Facility: 234 Easthampton Rd. Northampton, MA. 01060 The debris will be transported by: Name of Hauler: Amherst Truocing,'inc. Signature of Applicant: Date: /0/12/2022 The Commomvea//h of Massachusetts ,= Department of Industrial.Accidents 'Congress Street,Suite/00 -:Z Boston. !11A 021/4-2017 ,:�, www.mass.gov/dia \\'o,•ke rs'Compensation Insurance Affidavit:Builde rsJContractors!Ele(tri(iansiPlumhers. TO 8ff FJUO WITH THE P£RMJ"rfN(; AIJ'THORITY. ,Anillit'ant information Pfeac-t Print i,rih4v C. Philip Andrlkidrs/ d tala Florence Roofing. Name(Business/Organization/Individual): Address: 405 Ryan Rd. City/State/Zip:Florence, MA. 01062 Phone#: 413-262-8007 Art yeiu a" c itt l>ktyer?Chak NI i t t>pnl 1 Iri.ale 00..:: Ty tt,e of project(required): 1.0 Iam iltmpkt,yer with _mp)o .s(full lltldiffi p:Ukii1 )• 7.0 Newconstruction 2Q I anaiSo.%pie i.:tor or pit.11ntttaipsjnd hlw.:,f-,nr ve.""Sworleine f tmein 8. 0 Re modeting any capacity.(Nowortct-s'eoinp.i.nsurantt ti..'"quin.—d.) 30 9.0 Demolition tarn!l l r tmnownei-doing all,...-U,t myself.[No wttft:crr<:Otll).i r.l.uiN required.; 10 4.0 I an mal ba ro,...—pin indwitl be hiringoc>ntrUlors l0 c<lUdu<1 III wak:on my prop,..--tty. I will 0 Budding tudtttnn eilSu th:u all oonrr ors either h:1.Ill""`flli:t0"COiltpo."1tSation insurance or are sok 110 Electrical repairs or additions pnlpri.ct()tj with noempioyees. 1 12.OPnmbing repairs oradditions 10 I am ii s,—nctira<:Onl.r..CIOraud I 1141.hi•d lhesub-<:onl:r.telOrSlis ltd onlhcau;Idiedsheel. Thesesub-<:onInIetorShaweinptoyed and ha,ewo,ten'wing.i.nsurnn<:e.; i3.()ROofrepairs 14.00rther 6.o Watt i L)OfpOndion ilndiis of Cers h;I vetitereised lfieU'righ l ofexemptio n perMOL.,.. lS2.§1(4).;Ind we h.s,-eoo employees.(Nowo,te,s'eoittp.insurance required.) "rAny;lpplicaillitti teli.tcb box•l mu,e also fill out die satioo belowshowrng their wotteri eomp.:its.tLion pOlicy 1_119onn:11 ion. t l-tmnoowntrSwhosubmill:bisafFrdavit indicating'_bey aredoing_l lIwork:;lndthenhireoutsidecoiltractorsmu,scnbmita.newaffl<b;viIindica:.1igsuch_ tConi.r..etor:Sill3t<:heci:this box mu:;-1af 13ehcd an addil.ionaJshntshao jig thenameof Itiel SU.b-cot I Yr tors andsme wbethcr onrot 1111.1 se ell lilies h.s;e employees. lfiht so!M:ontra<-tors ha,-eeinproytts.!key ttuil>tpn.wide their workers romp.pt)lley number. I amtm employer du,t isl_fro]4ding,.,orkers"CbmJ,ensation insurance/or my employees. Belowis the policy and job sue iff onn,tion. Insurance Company Name: Liberty Mutual Fire Insurance.Company — Policy#or Self-ins.Lie.ii: VVC2-3 S-374455-062 Expiration Date: 1/25/23 Job Site Address: 40 Main St City State/Zip: 'l or e,)M•01062 Attach a copy of the workers'coml>en.sarion policy declaration 1>age(showing the 1>Olicy number and ex i>irarion date). Failure to securecoverageas required under M L C. 152,a25A is a criminal violation punishable by a fineupto SI,500.00 an<L'or one-year imprisonment,as well as civil penalties in-the fonnof a STOP WORK ORDER and a fineofupto S250.00 a day against Ilse violator.A copy ofi his statement maybe fo:warded to the Office of Investigations of the DIA forinsurance coverage verification. I dohereby urtifi um/erthe pains trndJ.le.nalties otperllfry that/he information prol-flled abot>eis true and correct. Sionarure: / Dale: 10/12/2022 Phone#: 413-262.8007 l Official 1/sese only. Do not writein this„re„ to becomplelel/by cityorIowa official 1 ! City or Town: Permit/License# - 1s.suing Authority(circle one): I.Board of Health 2.Building Department 3.City,n•own Cle rk 4. Electrical Inspector 5.Plumbing Inspector 6. Otbe r Contact Person: Phone#: 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 40 Main St. Florence, MA. 01062 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