31B-223 (3) BP-2022-1310
74 STATE ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31 B-223-001 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-2022-1310 PERMISSION IS HEREBY GRANTED TO:
Project# ROOF Contractor: License:
Est. Cost: 30000 FLORENCE ROOFING 071 107
Const.Class: Exp. Date: 04/24/2023
Use Group: Owner: COLLEGE SMITH
Lot Size (sq.ft.)
Zoning: EU/URC 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.VV. 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:
at • 6 >9 Ts)
. Apt,
Fees Paid: $210.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
IIIII
1 2 2022 The Commonwealth of Massachusetts
c.
'!-. yii 7 4 0 C1 Office of Public Safety and Inspections
Massachusetts State Building Code(780 CMR)
"'1 ____----BirIringibattnit Application for any Building other than a One-or Two-Family pwelling
< <r ,i x' r,c:-t_ ' (This Section For Official Use Only)
Building Permit Number:..1 2' 13 to Date Applied: Building Official:
SECTION 1:LOCATION
21 Prospect St Northampton 01062 Smith College
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 0 or check all that apply in the twct 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
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 2
Brief Description of Proposed Work: See attached Proposal.
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-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business ❑ 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❑ I-2❑ I-3❑ 1-4❑ M: Mercantile 0 R: Residential R-ID 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 0 IIB ❑ MA BIB IV El VA 0 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❑ Indicate municipal 0 A trench will not be Licensed Disposal Site 0
Private 0 or indentify Zone: or on site system Elrequired 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:
SECTION 4: 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 endosed space and/or not under Construction Control then check here❑.
Otherwise provide construction control fore s(see section 107 in the code)as required.
10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals)
C. Philip Andrikidis 413..262-8007 florenceroofing( mail.com CS-071107
Name(Registrant) Telephone No. e-mail address Registration Number
405 Ryan Rd. Florence,MA.01062 U 4/24/2023
Street Address State Discipline Expiration Date
10.2 General Con r
Co pany Name
Name of Person Responsible for Construction License No. and Type if Applicable
Street Address City/Town State Zip
hone No.(business) Telephone No.(cell) e-mail address
SECTION 11:WORKERS'COMM'\SATI(,'X LXS T� aNC i%u;V T . §25C(6))
A Worke ' nation Insurance Affidavit from the n of Industrial Accidents must be completed and
submitted with this application. a ure 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 0
SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=$
1.Building $30,000.00 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 $30,000.00 (contact municipality)and write check number here 0,1,4 }-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
applica ' is trd accurate to the best of my knowledge and understanding.
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
2 Municipal Inspector to fill out this section upon application approval: i �/ er 3-2DZ2
Name Date
IIPPI"
City of Northampton
as P .
5� s
Massachusetts ��/ .. '
}
*
f w "Y` DEPARTMENT OF BUILDING INSPECTIONS S_
212 Main Street • Municipal Building y.
ayi, Northampton, MA 01060 ' k"-*SO'
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 Trucking, Inc.
Signature of Applicant: Date: 10/12/2022
The Commomvea//h of Massachusetts
Department of Industrial Accidents
Visi1744
I Congress Street,Suite/00
h,,,,,. t.
�. t Boston,!11A 021/4-20t7
www.mass.gou/diar
\\'o,•ke rs' Compensation Insurance Affidavit:Builde tsJContractors!Ele(tri(ianslPlumhers.
TO 8f FJLE0 WITH THE PfRMJ"rf)N(; AUTHORITY.
AnllliC ant Information Ptraa•e Print I.faihly
Name(Bus iness-f)rf.'anizatit' Individual): C. Philip Andrikidis/d/b/a Florence Roofing
Address__ 405 Ryan Rd.
City State Zip: Florence, MA. 01062 Phone•`• 413-262-8007
Art yenta" ettt l>klyes?Ch I I--pull Inge 4tr...: Ty 1,e of project(required):
1.0 tam Iltmpkt.yerwatt _mp)o .:sffull Iltldltll p.;UliiI ).• 7.0 Newconstruction
3Q _an iSo?rkpt!lpri.xcn or Oil rt :e liiw.:,,.:,mpkkve..'"°Sw e cin fur nin S. 0 R od;:Ting
any capacity.(Nowortct-s'eoinp.i.nsurantt tl.."°quin.—d.)
J 0
9.0 Demolition
Yarn!I,"tmn€NVmn-doing all,. u,t mysebl.[No totfk ere <:Ot11)i r.l.oi.T required
tO0 Building addition
4.0 I amii bomro —tier:indw Ii be innegoc>ntrtll ors 10 c<Itldu<1 ill waken my prop...--rty. I will
eilSu th:u all turner orrs either h t.111"""tlti.tD" Chita. tlS ion insurance or are sok: 110 Electrical repairs or additions
pnipricti,)tj wah noemple ees.
12.QPlumbing repairs oradditions
10 lam ii t,--fled) :Onl.r..CIOraud 1 h.,c hi d lhesub-<:ont:raelOrSlisdtd onlhcau;I diedshee I.
Thesesub-<:on1nIetorShaweinptoved and ha.ewo,ters'eoinp.i.iircunri<;e. li.t}Roofrepairs
I4.0 Other
6.o Wean iIX(lfpOndion iindiis offlCersh;Ivetitcrei sett% 'righIofexemptiofe perMOL;:.
1S2.§1(4).:Ind we h.s.-eoo empto)'ees.(Mo:ro,te,s'eoisnp.insurance required.)
..iAnv;tpplieaihtlh:I leli.tcb box4 nine also fel out the sadoobelowses,sweng their wotren comp,:ns.ILaon ptiticy U'Uonn;l lion.
t I-tmnoowntrSwhosubmilt.bisattidavitindicatinal_bey are doing;11iwork::Ind then htU'eoutside coil lac lirsmu,scobmitanewatil<,b:vilindica.t1 I g such_
tConi.r..eturS%tl31:::heck this box mu:>tal 1 thed an addil ions tshmsho iae thenaneof Nei S -.b-col l lr tors andsrne whetter omot R 11.€se eoI Brier h s-e
employees. Itlht su:M:ontra,:tors ha,-ecinpiovns.iteyttuil>Lpe.wide then woik:ers romp.p<3iIcy number.
I amtm employer tlu,t isllrol4ding,.,orkers•Cbmd ensation insurance/or my employees. Belowis the policy and jobsile
ilifornu,tion.
Insurance Company Name: Liberty Mutual Fire Insurance Company
—
Policy or Self-ins.Lie.##:__ WC2-31 S-374455-052 Expiration Date: 01/25/2023
Job Site Address: 21 Prospect St city State7ip: Northampton,MA.01062
Attach a copy of the workers'coml>en.sarion policy dedaration l>age(showing the 1>Olicy number and exl>irarion date).
Failure to securecoverage as required under MGL c.152,w25A is a criminal violation punishable by a ftneup to Si,500.00
an<L'or one-year imprisonment,as well as civil penalties in the fonnofa STOP WORK ORDER and a fineofupto$250.00 a
day against the violator.A copy of this statement may be fa.warded to the Office of Investigations of the DIA forinsurance
coverage verification.
I dohereby unify um/erthe pain, t- 7.Ie.nalties ofperjllry Malik information prol4lled abot>eis true and correct.
Sionarure. -�..,,,..--) Date: 10/12/2022
P : 413-262-8007
O icialIIseonly. Donatwritein this„re„ to becomplel el/by cilyor town official
City or Town: Pennit/License#
ls.suing Authority(circle one):
I.Board of Health 2.Building Department 3.Cityn•own Cle tic 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 104.10,1 request that you
grant a modification to waive the requirement for construction control of the project at
21 Prospect 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 clone in accordance with the prescriptive requirements of the code.
Thank you for your consideration.
Respectfully,
C. Philip Andrikidis
ORENCE aurnmAinor
FLORENCEROOFINGWMA.COM
C.PHILIP ANDRIKIDIS •
405 RYAN ROAD, FLORENCE, MA 01062
I IpimaINSURED BY KING&CUSHMAN 413-584-5610
HIC #150673
- 5 8 5-9 17 1 • CSL#171107
MSL#11282
c R 1_ IN I M 7 CELL#413-262-8007
July 20,2022
Estimate for: Smith College
Property location:21 Prospect St.Northampton,MA
Description: - Strip(1)layer of asphalt shingled roof on building.5,300 sq.ft.+/-
- Apply ice and water barrier to the first 6' of all roof eves, in valleys,at
sidewalls,and around all penetrations.
- Synthetic underlayment to cover remaining surfaces.
- Install aluminum drip edge to all shingled roof edges.
- Shingle roof with TAMKO Heritage 30 year architectural shingles.Color to
be determined.
- Install all new flashings to roof penetrations.
- Fully adhere.060 TPO over existing EPDM on flat roof outlined in red on attached
roof plan.
- Existing roof drains to be reused on flat roof
- Brake form.040 aluminum gravel stop to flat roof edges.
- Install Forever Clean Gutter Guard System to all gutters in rear of building.
- Any broken,rotted,or damaged roof sheathing to be replaced at$85.00 per sheet.
- Clean area and remove all debris to landfill.
- All material furnished and installed by Florence Roofing.
- All permits applied for by Florence Roofing.