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31B-081 (23)
BP-2023-1565 131 KING ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31B-081-001 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-2023-1565 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2023 Contractor: License: Est.Cost: 66300 RCI ROOFING LLP 074334 Const.Class: Exp.Date: 05/03/2024 Use Group: Owner: SERVICENET INC Lot Size (sq.ft.) Zoning: CB Applicant: RCI ROOFING LLP Applicant Address Phone: Insurance: 6 LINE ST (413)527-4775 VWC10060226472023 SOUTHAMPTON, MA 01073 ISSUED ON:11/09/2023 TO PERFORM THE FOLLOWING WORK: STRIP AND REROOF ON REAR SECTION OF BUILDING 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 (\'�' cs- b ' • • J`/J` I Fees Paid: $469.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / /(;) Op 6Nee) The Commonwealth of Ma usetts 6 \ jfi Office of Public Safety and Inp (9Qc. , f Massachusetts State Building Code(78015 �:.r�„n% Building Permit Application for any Building other than a One—oz=! wgc mily elli u (This Section For Official Use Only) Ain7n rind 0 S Building Permit Number Date Applied: Building Official: SECTION 1:LOCATION 131 Kina Street Northamoton 01060 No.and Street City/Town Zip Code Name of Building(if applicable) 31B 081 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® Alteration 0 Addition Cl Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Changeaof Occupancy 0 Other © Specify: roofing repairs/replacement Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No Igi Is an Independent Structural Engineering Peer Review required? Yes 0 No la Brief Description of Proposed Work: rear section of building:removing existing roofing and install new roofing (combination of shingles and membrane)-see attached contract for additional details 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) ❑ 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 ❑ A-3 ❑ 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 0 I-2❑ I-3❑ I-4❑ 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❑ Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB ❑ HA CI IIB 0 IIIA ❑ IIIB ❑ IV 0 VA 0 VB 0 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: A trench will not be Licensed Disposal Site Public 0 Check if outside Flood Zone 0 Indicate municipal 0 required 0 or trench or specify: Private 0 or indentify Zone: or on site system 0 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❑ 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 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner ServiceNet Inc 21 Olander Dr Northampton 01060 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Tom Gross _ 413 _575 - 0437 tgross@servicenet.ord Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: RCI Roofing LLP 6 Line Street Southampton MA 01073 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 buildingpermit 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 RCI Roofing LLP Company Name Mark Delisle CS-074334 --unrestricted Name of Person Responsible for Construction License No. and Type if Applicable 6 Line Street Southampton MA 01073 Street Address City/Town State Zip 413 527 4775 413 204 3207 mdelisle@rciroofing.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® No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Estimated Costs:(Labor Item and Materials) Total Construction Cost(from Item 6)=$ 66,300 1.8caidding roof repairs $ 66,300 Building Permit Fee=Total Construction Cost x 7.00(Insert here 2.Electrical $ appropriate municipal factor)=$ 469 . 4.Plembing $ 100 (contact municipality) 4.Mechanical (HVAC) $ Note:Minimum fee=$ 5.Mechanical (Other) $ Enclose check payable to City of Northampton 6.Total Cost $ 66,300 (contact municipality)and write check number here 3 LA 3 q 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 o nowledge and understanding. Mark Delisle Partner 413.527 _4775 Please print and sign name Title Telephone No. Date 6 Line Street Southampton MA A 01073 mdelisle@rciroofing.com Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: ./ /� �- iI"q ZOZ, P P P PP PP Name Date The Commonwealth of Massachusetts Department of Industrial Accidents -. ' _ �--� Office of Investigations kFr lk Lafayette City Center ' = 2 Avenue de Lafayette, Boston,MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): RCI Roofing LLP Address: 6 Line Street City/State/Zip: Southampton MA 01073 Phone #:413-527-4775 Are you an employer? Check the appropriate box: Type of project(required): 1.II I am a employer with 13 4. ❑ I am a general contractor and I 6. 0 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. 0 Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition workingfor me in anycapacity. employees and have workers' p �' 9. 0 Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.E Roof repairs insurance required.] t c. 152, §1(4),and we have no 13.0 Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AIM Mutual Insurance Co Policy#or Self-ins. Lic. #: VWC10060226472023A Expiration Date: 10/5/2024 Job Site Address: 131 King Street City/State/Zip: Northampton MA 01060 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 under the pains and penalt' per" ry that the information provided above is true and correct. Signature: -._..e/.... Date: 11/2/2023 Phone#: 413-527-4775 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority(check one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: City of Northampton / Massachusetts DEPARTMENT OF BUILDING INSPECTIONS ; g. ,` 212 Main Street • Municipal Building fib% 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: Location of Facility: Shoham Road, East Windsor, CT The debris will be transported by: Name of Hauler: USA Hauling & Recycling Inc Signature of Applicant: Date: 11/02/2023 From: RCI Roofing LLP 6 Line Street Southampton MA 01073 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 131 King Street, Northampton MA 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, Mark Delisle - r C.R. 1. Roofing 11.1. 6 Line Street,Southampton,MA 01073 Phone:413-527.4775 Fax:413-527=8469 October 13,2023 Mr.Tom Gross ServiceNet,Inc. 21 Olander Drive Northampton,MA 01060 Re: Roof Replacement Estimate Shingle and Flat Roofs 131 King St. Northampton,MA Dear Tom; We are pleased to providethe:following proposal to replace the asphalt shingle and EPDM roofing at the above referenced property. Our scope of work is outlined below. Shingle Scope of Work: Remove existing asphalt shingles and accessories to wood deck and properly dispose. Furnish& install Winterguard Ice&water barrier at eaves,penetrations and parapet walls. Furnish&install synthetic underlayment at balance of exposed roof Furnish&install.019 aluminum drip edge Furnish-&install.Certainteed 30-year shingles Furnish&install roof penetration fiashings Provide owner with shingle:manufacturer's warranty Provide a 5-Year RCI Roofing Workmanship.Warranty Flat Roof Scope of Work: Remove existing EPDM membrane and fiberboard insulation down to wood deck and properly dispose Furnish&install wood blocking as needed to match insulation height Furnish& install'/2"HD coverboard mechanically fastened to wood deck Furnish.&install.060.non-reinforced EPDM membrane fully adhered.with 3"taped seams Furnish&install wall flashings and terminations Furnish&install roof penetration flashings (2) Furnish&install .040 aluminum edge metal Provide owner with manufacturer's 20-year membrane warranty Provide owner with 5-Year RCI Roofing Workmanship Warranty Price:$66,300.00 Notes: EPDM roof at front of building not included in pricing(closest to King St.) This is a private wage project Project is tax exempt RCI Roofing to provide all necessary permits Workers are OSHA I0 certified Terms: A 50% payment due at time of material delivery.Balance due upon completion. Warranties will be issued after final payment is received. Please let us know if you have any questions. We hope that you find this price competitive and that we will have the opportunity to work with you on this project. Sincerely, Dana Painchaud Estimator,Commercial Accounts To accept this proposal,please sign in the space provided below and send work request order. Construction contract to follow. Signed' Date: I)~9-a3 rvtib Cr'l le)u 5c- P of OPc°c`A-4-OA)5