31B-159 J.D.RIVET CO. Fax:413- 543 -3373 Oct 7 2011 02:4dpm P003 /003
3. South East slate and metal roof replacement (345 Sq. Ft.).
- Remove the existing roofing.
- Furnish and install V2" CDX plywood over the existing wood decking.
- Furnish and install Sa ruafil G.410 .060 felt back membrane on the lower low sloped
area (85 Sq. Ft.).
- Furnish and install GAF ice and water shield, GAF slate line shingles, 15#
underlayvaent and new copper step fleshings.
(Reuse the existing copper counter flashing)
• Line the existing built in gutter with peel and stick foam flash EPDM rubber.
- Furnish and install one new copper drop tube.
- Repair metal soffit hole (6"x6") using galvanized steel metal 24 gauge.
- Furnish and install copper shingle drip edge on the low sloped area.
PRICE.S7,450.00 (Seven Thousand pour Hundred Fifty Dollars)
4. Steeple shingle repair area (1,100 Sq. Ft.)
- Remove the existing shingles and wood decking in the bad wood deck.axea as spawn
on page Al on the roof plans.
- Furnish and install new wood decking, Arch laminated shingles (Similar to the
existing), and GAF ice n water shield.
-- Reuse the existing steeple #lashings, (step, counter, etc.)
- Maintain the area in a clean manner and dispose of all rubbish.
PRICE $54,150.00 (Fifty -Four Thousand One Hundred Fifty Dollars)
Add Alternate: Wood Deck Replacement Pricing a $15.00 / Sq. Ft.
•
�.—. ✓ rro�c3''�enSA
Ja L. Trask - President
Acceptance of Proposal — The above prices, specifications and conditions are satisfactory and arc hereby accepted. You are authorized to do the
woxlt as specified. Payment thins are net 30 days unless otherwise agreed in writing. All m•taied is guaranteed to be as specified. Any dtanion
or deviation from above specifications involving extra posts will be ex eented and i upon p,rins,� ^ w�{I be=we a. h claage rrrei Ott,
above the estimate. All agreements contingent upon strikes. accidents or delays beyond our control. Owner to carry fire arid other necessary
insurance. All accounts not paid within 30 days are subject to a late merge or 1 wx, per month oil the unpaid beiance. in the event Haar legs!
action is instituted to collect airy suns due under this agreement, the undersigned *Vets to pay all costs incurred including resourabic utAxtsey s
fees. PAYA R ^x TERMS; 23% DUE UPON PROPOSAL ACCEPTANCE, 14 % DIJE UPON MATERIAL DELIVER, BALANCE
(WA) DUE UPON COMPLETION. NOTE: THIS PROPOSAL IM BE WITHDRAWN BY LS IF NOT ACCEPTED WITHIN
60 DAYS "OWNER RESPONSIBLE FOR ALL CIIARGF.S RELATED TO BUILDING PERMIT FEES."
Signature: Date:
}
J.D.RIVET CO. Fax:413 -543 -3373 lxt r zuii uz :44pi1 ruucfuus
J.D. •
Rivet & Inc
ROOFING • SH EE'CIRETA>_
r 1635 PAGE BOULEVARD
IVED SPRINGFIELD, MA
P.O. BOX 51086
INDIAN ORCHARD. MA 01161
CC i - 7 2011 TEL (41)
September 16, FAx (413> 543-3373
Sacred Heart Church NORTHAMPTON, ONS
99 King Street
Northampton, MA 01060
Attn: Richard Wilk of Spfld Diocese
RE: 99 King Street — Northampton MA
Scope of Work
1. Two side front flat roof sills.
- Furnish and install white Sarnaci rnet'.1 as shown orr page A2- alrrai111.
PRICE. Not To Exceed - 53,950.00 (Three Thousand Nine Hundred Fifty Dollars)
2. Two Front Flat Roofs
- Remove and properly dispose of the existing membrane resofit g fibetooard and metal
roof down to the wood deck.
- Furnish and install V2 Iso -Gard polyisocylValltz it,gu1ation over the wood deck.
- Furnish and install 6Ornil Sarnafil P.V.C. fully neLherzci roofing system complete with
all associated flashings.
- Properly tie into adjoining shingle roof.
- Clean jobsite of all new roofing debris.
- Furnish owner with a 15 year Saarn& Instruttaturr labor and material warranty.
(Unit Price - Replace wet trotted wood deck with r ;'t:C t& ;rastch thic1u ess of existing S4.50 Sq. Ft)
PRICE = 56,500.00 (Six Thousand Five Hundred Dollars).
2a. Gutter Repair
Built In gutter repair using EPDM rnembraw.
PRICE Not To Exceed - 51,850.00 (One Thousand Eight Hundred Fifty Dollars)
C/l,vx cvme/ieo Continued on Page 2
4,w 1,96'G
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J.D.RIVET CO. Fax:413 -543 -3373 Oct 7 2011 02:43pr P001/003 .
MUM • MIMETIMER Remit to:
1176 Pin MMUS= P.O. sox 51068 J. D. RrvET & CO., INC. •
SPA Bli Inman orchard, MA 01151 ROO NG - SHEET METAL
TM. (413) 5 -a-6870 1635 PAGE BOULEVARD
MX: (tea643
SPRINGFIELD, MA 01104
RECEIVED
M A1,LI.NG ADDRESS:
0C1 - 7 2011 P.O. BOX 51068
INDIAN ORCHARD, MA 01151
DEPT. OF BUILDING INSDEC '? *'S TEL. (413) 543 -5660
NORTHAM?P70 ?c,
FAX (413) 543 -3373
FAX COVER SHEET DATE: 10/7/11
T
c ompany: 413- 587 -1272 - City of Northampton
ATTENTION:
Chuck Miner
FROM:
Name: MATT CLARK
DESCRIPTION: 3
NO. OF PAGES (including cover page) r�
If you do not receive all pages, please call (413) 543 - 56611, Thank yru
v1ESSAGE:
Proposal for work to be completed at 99 King Street.
All of the quoted items will be completed 1 t i arty que ions.
Thank you - Matt
J.D. VET & CO, INC. • ...1eepitiws R,,�arsy*as 667,
l
. NI - Departnicnt of Public Safety
4 .- Board of Builditn4 1-2c2ulation, and Standards
Construction Supervisor License
License: CS 50230
� f
JAN N DREYER +'
44 LAKESIDE DR fit; ti_h
MONSON, MA 01057 „ ' `4
Expiration: 7/21/2012
( Tr: 29504
The Conztnonwen0lt of. assaclzusetis Prim Forr
Department of Industrial Accidents
Office of Investigations
�.__ 600 J'T nslzington Street
Boston, .ALA 02111
,_= 1i�wlti. mass.; ov /dig
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le2
Name ( Business 'Organization /lndividualj: J. D. Rivet & Co. , Inc .
Address: 1635 Page Boulevard
City /State /Zip: Springfield, MA 01104 ph i v : 413- 543 -5660
Are you an employer'? Check the appropriate box: Type of project (required):
1 .XI 1 am a employer with 50 'l. ❑ I am a genera; contractor and I
employees (full and/or part-time).' have hired the sub - contractors 6. ❑ New construction
:. [7] 1 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. employees and have workers'
9. ❑ Buildin addition
1No workers' comp- insurance comp insurance..
5. i 10.❑ Electrical repairs or additions
_ required.] ❑ �� e are to corporation p
oraton and its
3.
] ! am a homeowner doing all work officers have exercised their 1 l.__ PI lbmg repairs or additions
myself No workers' com p. right of exemption per MCI. i
i E Roof repairs
nsurance required.] 1 c. 152, §1('4), and we have no
employees. INo w<)ri<els' 1 3.❑ Other
comp. insurance required_] I
Any applicant Iliac the 1. ,wx i 1 must 1also fill out the section below showmtt diem v; 1)1 crs' compensation policy into(matiun
I louu:nwncr w))o sub11111 all: : ; ffidnvit indicatin_t lhuy are duuut all wank and alien him uuntalc contractors must submit a n tiff Inthcalitm such
1 ) ontractnr': Mat check this box muss attached an !HI(f IliOflal sheet she om the n u mc. or the s th- contractors and slate Wherhi.( or not those cnotnas have
employees 11 the soh- contraciots I(65 emhloyccs, Mc) n provutc (heir worlmts' comp policy numher
/ ant 11/1 employer that is providing workers' conil)ens'utinn insurance for my employees. Below 1.5 OW policy and job site
information.
Insurau(.0 (nInpury Name:
LtdsuL 1 110 c' 001(1110112
?i or soo.11 -in:,. 1 i�
IAWCI�135300 5 -J_ -12
Policy -- - - -_ - _ Expiration Date:
lob Sitt:. Address: ._ 0.1 �v -- NoAlwilik-csA Cit /5,1 %ip: 1_I1.$- 01066
Altar1(a cu or lhr vv�0r to (16:10021 0(1)1'y 111(1:u;I1ion 100',)' (Woo iu<' the policy numllt:r :anal t vpiralion (1:11)
I Mini c to s�.cui c (0(629 coveiagc as requilud u(irl ` i,,;, ').O 1'! iv11 i1 . c. 0')7 can lr:,ol to the imposition of cr 11104 l penalties 01 a
fine up to S 1,500.00 m10 /05 one year imprisonment, as w::l1 as civil penalties in the foiio of a S101' WORK ORDER and 1 ti
of up to 0,200.00 a day against the violator. 13c advised 01 ;11 a copy i.)1 this statement rn he (ortivarded to the Office of
lnvesti1o s of the DIA for insurance coverage vcrillca
/ do bench)' cer11f' er the pains 017(1 penalties perjury that the information provided above 1) true au/ correct_
Sr_'natur__ - 1 ] a l e - _a p -..- i�
i
/4137 5'660
Phone
Offi, tul use obit. 1)0 not writ:. in 117..E nr. n, to bo «0))i/('0'(/ by car or town of licial_
Ci■ or '1unin: Permit :I.
1ssuin,; Authority (ell one):
■
1_ hoard ur I lealth 2. 1 >uildin 1)e r r ttn.nt _. (HI) ' I o( n (. I ,:s1: -i. LIL.cu ical 1n,pce101 1 ' li mihin 6 '' [p,-.1)06101
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AC o CERTIFICATE OF LIABILITY INSURANCE DATE IMMoorrYYY)
Ds /oz /2oi?
• THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER,
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorssd. if SUBROGATION IS WAIVED, subject to
the terms and conditions of the poilcy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s),
P800000R 1- 630 -773 -3800 NAME CT C5.r= stopher Mowery
?f tour J. G11000 Risk Management Services, Inc- ?HONE FAX
K. N
/An F07J • 312-803-6575 • fN0.1421:
Tb,p Pierce Place --MAIL Chi Cc ri£icate5F9AJG.com
AgoRess: _
•
Ito. ca., IL 00143 INSURER(S)AFFOROINGCOVORADE NAIL$ •
CSrietapEr. MowBzy INSURER A: ARCE INS CO 111150
• GLIUROO INSURER 8 : NATIONAL 001''011. 8118 1510 CO 01? PI :'SE 1 19445 •
•
J, D. RiveL 0 Co., Io.c.
INSURER Q
1635 ?ace Blvd. INSURER'S:
•
Spring£ie1d, MA 01104-1752 . INSURER c:
INSURER F :
COVERAGES CERTIFICATE NUMBER: 209E7545 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR. THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT Wl fH RESPECT TO WHICH THIS
CERTIFICATE MAY SE ISSUED 08 MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 10 SUBJECT TO ALL THE TERMS,
EYCLUEIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
I1,S8; ADDLISU(8) POLICY 880 PoLkI5Y EX P '
L TYPE CP INSURANCE POLICY NULIEER ' ,%d /W (001')0 LIMITS
._ ! OENI2ALLIAOIUTY I 23o3089131200 o5 /01/1 - 1 05/01/12' EACHCCCU080NCE :y 1,000,000
i
%I w a o 7 �' t Th 0 1 3 , 0
Ot7MMERCL .L GENERAL LIf._ILI . Y PREMISES (En aaalrra I $
i 1 I
CUTIM5 -0100 L 1 j OODUR. 1 ME0 888 Any ono 001 s 10 , D 00
� :0 5,000,000 All Projecoo 1,000,000
• PERSONAL 8 AOV INJURY S
•
GENERAL AGGREGATE $ 2.000, 000
_EN•L AGGR8C-,.^TE LIMIT 188055 HEE: '1 0R000CT5 - 0008100 AGG S 2,000,000
- S
1 I 1
!POLICY ° I�R�)' � LGC
A AUTOE105LEL IABILITY 2T_GA i'n0153D0 05701 /15 0 T0Y71� COMBINED NGLE UI�A I
rP9 ec riinnl) s 1,000,000
L. A AUTO 1 .B ODILY INJURY (Per ponon) $
S----
1 ALL OWNED 1 SCHEDUI-T0
I AUTO 900ILY 1INJURY (F BCi'00001) 5
- 1 1 AUTOS
NoN oW,NED PROPER T nAOAUE
. HIRED AUTOS I A -re:s L LP.�t- 00V05lli
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1,,,, .;,' UMBHELLAJ C CuR AB 1 X 0 0785950 05/01/11 05 /01/12 EACFOOCUR5E.'�C°- � 5,000,000
• - -00000 LIAR ' CLf.IMS.b.f , �� �_
___ AGGREGATE 3 5,000,000
0 &O I Y RETENTION 510, 000 I $
' WOEl(0k COMt'E1.1SA7(05 1 1 SY ., I WI STA 1 0TH -
ANC X411 I OY EriS l L:Sn 1TY Y f N /01./1.:f fS)f3__LJ L)1)1,;� L _� -
&my °RCP 0OWPART(1'f}VEXECUTIVF L. E EACH ACC :DEIST g 1,000,000
. - - - - I.
riCERLMEM0 0 8x040000; �14 �, N ! A - -- - -- - - -�
( Mandar/ry in NI I) j E.L. DISEASE- EA 0'.10 /080; 5 1,000,005
0 oo . c 1- r r k c urn. - - - -- -- - -- - -.- ---- -
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•
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CERTIFICATE HOLDER EANCELEA:itoN
- — -- -- — I --
I
SHOULD ANY 01 51 ABOVE DESCRIBED POLICIES FE 0 o8150L EDHEFORL
I TEE F_KL ISU j DEJE 0101000 NoTicII WILL BE DELIVERED IN
ACCORDANCE. 05110 THE PcucY T= ROVI:,IrNS..
0CF.T.'02 , F :ELEEN ,five
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Version1.7 Commercial Building Permit May 15, 2000
SECTION 10. STRUCTURAL PEER REVIEW (TIISCIAR 110.11) , 1
Independent Structural Engineering Structural Peer Review Required Yes 0 No
SECTION 11 .OWNEIRAURIORIZATION .TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTORAPPLIES FOR EILM.DING PERMIT
, „ • i
& f O'ceiteg-
1, y! . f. , Ann . PArat`-. . . , ,, as owner of the subject property
hereby authorize . • . 7 eN k.00..:4_4mc. to
act on my , in all matters relative to work authorized by this building permk application. 02
4ignature of O 7
1 ----.1-- - .._ , as Owner/Authorized-.
Agent hereby dedare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief.
Signed under the pains and penalties of peiluni.
el" ‘.--- f■ir",..• % a
Print Name
Signature of Owned/Wpafr digimpi - Date
SECTION 12 -CONSTRUCTION SERVICES
12,11agnefulr Not Applic:able CI
None of License Holder : es 5 10
'''breki
ucerise
C PCD.Z0)(. 510(07 e—"-- 4. 4 -1 1 Ch4P Ord\arle /VA 0/45). 7 e2./ it.-
Address Eviration
CIZI" 5
Signature 4 Telephone
‘............
SECTION 13 -WORKERS' C TION INSURANCE AFFIDAVIT (M.G.L. c. 132, t 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the bull' permit
Signed Affidavit Attached Yes No 0
Version1.7 Commercial Building Permit May 15, 2000
SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES - FOR BUILDINGS AND STRUCTURES SUBJECT To
CONSTRUCTION CONTROL PURSUANT TO 780 ChIR 116 (CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE)
9.1 Registered Architect
Not Applicable 0
l itrel114r-4-1-%a
Name (Registrant):
6 lc/ Golii VA-. ro vion o igys. 11 Ron Number
Address 1 i44 4 94 73
1‘ . 11 4 elon
, f/3 1, izz Expirafion Date
4..2,042.
Signature Telephone
9.2 Registered PrclssI Engineer(s):
Name Area of Responsibikty
Address Registration Number
Signature Tetephone Explrafion Date
Name Area of Responsibility
Address
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsiblity
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
• Not Applicable 0
Companitlans.—
Responsible In Charge of
. St S(068—.1. fan Orch 17711 0716
Add
gi 3 - 543- 5 69 3
Signature Telephone
Version1.7 Commercial Building Permit May 15, 2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg. Square Footage
Open Space Footage
(Lot area minus bldg & paved
parking)
# of Parking Spaces
Fill:
(volume & Location)
A. Has a Sp • Permit /Variance /Finding ever been issued for /on the site?
NO DONT KNOW 0 YES 0
IF YES, date issued:
IF YES: Was the it recorded at the Registry of Deeds?
NO DON'T KNOW 0 YES
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW ® YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ® Obtained ® , Date Issued:
C. Do any signs exist on the property? YES 0 NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YES ® NO Er
IF YES, describe size, type and location:
E. Will the construction activity disturb (Gearing, grading, excav • n, or filling) over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES ® NO
IF YES, then a Northampton Storm Water Management Permit from the DPW is required.
Version!.7 Commercial Building Permit May 15, 2000
SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE _/
Interior Alterations ❑ Existing Wall Signs ❑ Demolitio Repairs L itions ❑ Accessory Building ❑
Exterior Alteration ❑ Existing Ground Sign ❑ New Si Roofing Sr hange of Use ❑ Other ❑
Brief Description Enter a brief description here. / • / % • ' /1 %CY3
Of Proposed Work: , 4.(2,e. cetf co 04 .
SECTION 5 - USE GROUP AND CONSTRUCTION TYPE
USE GROUP (Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A -1 ❑ A -2 ❑ A -3 ❑ 1A 1 ❑
A-4 ❑ A -5 ❑ 1B ❑
B Business Ur 2A 1 ❑
E Educational a 1 2
F Factory ❑ F-1 ❑ F -2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
1 Institutional ❑ 1-1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑
S Storage ❑ S -1 ❑ S -2 ❑ 5B 1 ❑
U Utility ❑ Specify:
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE
Existing Use Group: CAu2CA--- Proposed Use Group:
(-527.111--e—
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor (sf)
1
1st
2 nd
2nd
3 3 rd
rd
4 th
4
(.9112 l tS = #0 '
Total Area (sf) R s a 00 it Total Proposed New C uction (sf)
Total Height (ft) • Sbr LL
3 � � Total Height ft Ste_
i
7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal system❑
'• •
4441
•
Versionl.7 Commercial Buidi g Permit Ma) 5 , 2 000
, ,� y \� \ City of Northampton
• A ' Building Department Cuter
�� + 212 Main Street a�rf
N�,�Nso`cfi° Room 100 A i
��� �9 0G Northa MA 01060 T °of
oE�; phone 413 -587 -1240 Fax 413-587 -1272 Its
Q -
APPUCATION TO CONSTRUCT, REPAIR, RENOVATE. CHANGE THE USE OR OCCUPANCY OF, OR DEMOUSH ANY BUILDING
OTHER THAN A ONE OR TYPO FAIRLY DWELLING
SECTION 1- SITE INFORMATION ?1
1.1 Properly Address: fltNs` to b coed b'lf : '
3I� Un
5
t >
SECTION 2 - 'PROPERTY OWNERSIMP/A ('AGENT
2.12r of :
�
^ IrT- om /� ()°`1161%Cl!TenthialiP9 3 EIP itiot�'� ^ .;1JIV{ c t66b
Name (Print) C, f/)1 �tGt ,( "1 4 (" 1 % JG '.
.' _�� -,C__.,..,..1--' m�.i. -3'7 - 54
Signature —p a , : s k le-Y\ a r ) cr- Telephone 4 -/ / 3 - _s y - ''7 l o JC t a r
2.2 Autlorb:sd Aosnt
• ' P6 8 g sio68 41c1.0.". (Jrchiest
N ( Current Medina Add. 0 0 ur
tie
Signature r''"' ��- Telephone
Item Estimated Cost (Dollars) to be ;Official Use Oely
completed by permit applicant
1. Building ' (a) 8uikiing Permii Fee'
73 7
2. Electrical (() Estimated Toted Cosk.of
. 4 3 Construction from (6)
3. Plumbing Building Peenit Fee
4. Mechanical (FIVAC)
5. Fire Protection
6. Total =(1 +2 +3 +4 +5)
jt 73' ... C hed(Number. j c9 i
T A B section For Ofocial use only
Building Permit Number Date
Issued
Signature:
Budrting Comn asione llnspec tor of Buldxrgs Date
File # BP- 2012 -0328
APPLICANT /CONTACT PERSON J D RIVET & CO INC
ADDRESS/PHONE P 0 BOX 51068 INDIAN ORCHARD (413) 543 -5660
PROPERTY LOCATION 99 KING ST
MAP 31B PARCEL 159 001 ZONE URC(100)/
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLIST
ENCLOSED REQUIRED DATE
ZONING FORM FILLED OUT
Fee Paid
Building Permit Filled out �f
Fee Paid L a .3 #Y'W
Typeof Construction: REPAIR & REPLACE ROOFS
New Construction
Non Structural interior renovations
Addition to Existing
Accessory Structure
Building Plans Included:
Owner/ Statement or License
3 sets of Plans / Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFO ATION PRESENTED:
pproved Additional permits required (see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND /OR Special Permit With Site Plan
Major Project: Site Plan AND /OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER: §
Finding Special Permit Variance*
Received & Recorded at Registry of Deeds Proof Enclosed
Other Permits Required:
Curb Cut from DPW Water Availability Sewer Availability
Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission _ Permit DPW Storm Water Management
ftseeoe
0 e Delay
i lle,; ( 1,, ,-- If
/O
Signature of Building Official Date
Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health, Conservation Commission, Department
of public works and other applicable permit granting authorities.
* Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of
Planning & Development for more information.
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99 KING ST BP- 2012 -0328
GIS #: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 31B - 159 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ROOF BUILDING PERMIT
Permit # BP- 2012 -0328
Project # JS- 2012 - 000536
Est. Cost: $73900.00
Fee: $444.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: J D RIVET & CO INC
Lot Size(sq. ft): 146797.20 Owner: ROMAN CATHOLIC BISHOP OF SPRINGFELD -REV ANTHONY MENARD
Zoning: URC(100)/ Applicant: J D RIVET & CO INC
AT: 99 KING ST
Applicant Address: Phone: Insurance:
P 0 BOX 51068 (413) 543 -5660
INDIAN ORCHARDMA01151 ISSUED ON:10 /11/2011 0:00:00
TO PERFORM THE FOLLOWING WORK: REPAIR & REPLACE ROOFS - PROVIDE HIGH
WIND & STTEP PITCH SHINGLE DETAILING
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.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 10/11/2011 0:00:00 $444.00
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Louis Hasbrouck — Building Commissioner