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39A-004 N:'/ 1N/ 1OU J 14:19 4135299775 DENESE @ NORTHRI'VER __ F ��G T - d2rd'�/2005 10;a4- • 411r k1t,c;1 Y r�uur 1140 111~,1_.. , ,,,E • 01 Contr. Supervisors Lie. No 011878 • • ._.......___________________PeafrUed- . `el. - 13 -584-1 7 )" • O O NUOPINW c % 13.588918* • Fax: 4 13.585 -022e 1),0 BOX MRENCE MA 010 8 Customer : Nortbriver 0 CO i1 r .) Co �1 b Ru 2/9/09 Address: 207 Main B4, Westhampton, M.A. 01027 I Job L.c�cation - -� ____,_._._.�_.. — 90 Conz St. nrthaxxapton, IViA. SPECIFICATIONS: ; l I 1. Apply 1/2 inch fiberboard ihsulation over the complete main roof and two a ranee canopies. 2. Install Carlisle's .045 au r reinforced mechanically attached roofing s ste . , (Fully adhere g � Y 6 Y the membrane to the pa rap t walls and caps.) C 3. Flash all walls, alls, edges, and oof penetrations with an approved Carlisle detail 4. 1:tytali 118 inch per foot cri lcets between each roof drain. 5_ .Fabncate and install .032 gauge brown aluminum edge metal. 6. Upon completion of the work Carlisle win inspect the job an issue the owne a Fifteen (15) year Golden Seal Total System Warranty. . raata4M a! pv s * sew t . as 9000 f4 , Any qlf nStsons , J*'u 4k ' kom abets -- . ... . lotaic.t+wv rwhMQ eotri mitts "As ae eMe4Utatl Of*, .tl. r. M s ' o %i. & A'4 11.11 became in Wm* Ghenso owe and *Joys eh* M11 Ar }Qr OM, SOMI Zl151 LS.c�n .I �. � ,,.... M4 *IOW. , W. y;tiAtAsl*e u Q b and OW oathol. Ckr+iW b Ce S ens 01rAr mesessarY .. 4'24 NtiU /eY' &1. AIf aG:�G+7Y�i !101 tlyb►pr �0 PIIH en bl�tytic! 14 rift= W t t F ?. ''^ ;,1% pre iW a14 Vt• ,tt iMU `4,'.r�wr 1�lZY+i]QI'Z7iHdJ ' 9 NW'lt• 4tM u�0 Mva 4 4t+l, ow ul'0/ri en apM! S4I 44 0 ectrr e" 4' d �� .w.»,,,,1,.f•�s, signature_ Rird Y ung President £cc ptt*c of Proposal!•7he above przce>laperficatione Neal aclid3b on* *re ssusfado" egad are heteiby ucca}:ted Y IN art' 31:ncyx±xed Steil ttire.�. r II, �..�� .... r r•e CIO she. tF•4rlP: as specified. ' ymeut will be r>.ade as ruilinCd rJx.v4. 1 \ , Cc ept;Bt, " oe iim .A. `� Da of Anueptation _.. I , ',I . . Versionl.7 Commercial Building Permit May 15, 2000 SECTION 10 STRUCTURAL PEER REVIEW (780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes 0 No I fli) SECTION 11 - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, L._ _ •. . . ., as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. __ __ [ ,, i Signature of Owner Date IIIEIIIIMIMW r 0 Ufr7ff , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Si ned under th_va_jsins andpenaltie of 9 ,----- ---- ---- -- - - - -- - - -- ----- l „rf i( trgli'il Oil - Print Name . - . . .. . 7- Signatura.ef Owner/Agent Date SECTION 12 - CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable 0 ______ _...... , lig I IL:4 LA. _ F - 1 Name of License Holder : '‘ .. t , v'Cl y 1 j — License Number rpT. ox ;:,.---34., 1 — 1-4/1 - ofcl.pa i 1 Address Expiration Date Signature - --;;;.. A --1 • 1 -`:.) ,L7 ___ 11 Telephone SECTION 13 -WORKERS COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 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 building permit. , Signed Affidavit Attached Yes 0 No 4110 Versionl.7 Commercial Building Permit May 15, 2000 • SECTION 9- PROFESSIONAL. DESIGN AND CONSTRUCTION. SERVICES = FOR BUILDINGS AND :STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO: 780 116 35,000 C ENCLOSED SPACE) .. 9.1 Registered Architect: Not Applicable ❑ Name (Registrant): 1.... u.»,.,...»..... m„.A.. _..�,..,,.,,,w.„„.....�....,..t -,^„ i Registration Number Address _ I._ .. • EL---__J Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility _ —__ .. —. u — -- ____11 [_:.__a____ M .� ... 1 Address _ ----] Registration Number _ _ Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number 1 ( Signature Telephone Expiration Date Name Area of Responsibility _____ _. __ _ ., _ m _ , w _� __ _ Address Registration Number Signature Telephone Expiration Date Name _ Area of Responsibility i Address Registration Number _........ .. . . ...= Signature Telephone _ Expiration Date 9.3 General Contractor �_� , . . ..�..� Not Applicable ❑ Company Name: Responsible In Charge of Construction ____ .. _. Address 1 ------ 1 Signature Telephone - • • Versionl.7 Commercial Building Permit May 15, 2000 840 AMI ON ZoNvINGa Existing Proposed Required by Zoning This column to be filled in by ' Building Department Lot Size ______._. _J U I I ._._. ~., 1 Frontage C---- _ I T ...,_.,,.: ] [ .._ ... _ 1 Setbacks Front `- ] 1Y Side L:F. I R:1. -• 1 L:= R:L F E Rear El = L... Building Height [ 1 [*_] [- ° Bldg. Square Footage Open Space Footage (Lot area minus bldg &paved - M E] parking) # of Parking Spaces - 1.17;_i Fill: _.1_._ (volume 8c Location) — ---- -- --- ......_ -_. .._... ' A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW ® YES 0 • IF YES, date issued: IF YES: Was the permit recorded at the Registry of D eeds? NO 0 DONT KNOW ® YES 0 IF YES: enter Book [ _ Page[ ! and /or Document fill , .. B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW • YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 - Obtained , Date Issued: . , C. Do any signs exist on the property? YES NO 0 IF YES, describe size, type and location: L _ TM_ mm w __I .. . D. Are there any proposed changes to or additions of signs intended for the property ? YES 0 NO IF YES, describe size, type and location: =1— . E. Will the construction activity disturb (clearing, grading, excavation, or filling) over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. . +t Version1.7 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 ❑ Demolition ❑ Repairs ❑ Additions ❑ Accessory Building ❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing Change of Use ❑ Other ❑ Brief Description Chang tion Enter a brief description h i ton ere. t mm ' �y ` , P P � �! 1. (. �. c, t � i (C� (r i ` ' >: L �__..,_...__.___. __,_,..__._. _._......_._._...__... Of Proposed Work: SECTION 5 = USE GROUP AND CONSTRUCTION TYPE USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly A -1 ❑ A -2 ❑ A -3 ❑ 1A I ❑ A-4 ❑ A -5 ❑ 1 B ❑ B Business III 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I 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 ❑ U Utility ❑ Specify: i MMixed Use ❑ Specify: j - '.. _ _�...... ._,.. _._.,__.�.,_,_,_.�._,... _.,_._.. .,__._._.,_..__.,_. �._...., ......... _..,___..:_..._...,. S Special Use ❑ Specify: I[-•- COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND /OR CHANGE IN USE Existing Use Group: _. - _.,... __1__._ Tilt 7 ., Ill Proposed Use Group: I,._.__. ___ ____ . _....._.._. Existing Hazard Index 780 CMR 34): � ....�_ Y __.._.,_._._ -._. - ._..._; 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) st T.. __,_....,...._ __ mmmm -_ _ ____ ._�. 15� [ 1 .,, .....,. ._.. 2nd �_...._.... . __ ..._ -.. 3rd r__......._ . --- -- _._..J 3 rd 4th �_ __ ..__. _ Total Area (sf) # Total Proposed New Construction (sf) Total Height (ft) Total Height ft I __., _ ___.........w_,_.. 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❑ • , Versionl.7 Commercial Buildin: Permit Ma 15, 2000 � � ' ' �6" r � � ag���bsT f � �� #�� �° Er a . `' CAI Of Northampton :, , - f axYf s '' Buildin De artment �, �� � �� _ � , �, r, (10 212 Ma Street a 1, ; � , / -; ' 7 ;� / "� r/ ` R m 10Co �$ S �� � € i s rile# s �� e a < Q `v � ` pton, MA 01060 fir, r� � s r �, a ��.i , . 5 phc(n 41 < � 87 -1240 Fax 413- 587 -1272 11 ,,, : 1:1 , ) 1 . ; , , , : : :, ,L. , : :: !-_ � APPLI ATION" `1S'ONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING \ , .: SECTION .1 = SITE INFORMATION 1.1 Property Address: This section .to be completed by office _ M Lot Unit 90 Cole_ -I done Overlay District llyrr i c" , l . ._ � -1 i m ._ ._. • 112 Elul St. Distri . CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record: Name (Print) Current Mailing Address: _ _ _ Signature Telephone 2.2 Authorized Agent: ►c �.,►�! _ t C o x _13,,,, �U 1i�,R �?! Name (Print) '� Current Mailin�_Address_ _ , __. _ ____„ Signature f f .� �� I Telephone SECTION 3'= ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only ., comp leted by permit applicant 1. Building 1. �t� (a) Bu Perm Fee ti------ _- 2. Electrical (b) Estimated Total Cost of Construction from .(6) .. ._ 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection M �... _ --� 6. Total = (1 + 2 +3 +4 +5) 7 OW. 00 Check Number ; dp/ • This Section For Official Use Only Building Permit Number.. Date Issued. Signature Building Comrnlssioner /Inspector of Buildings Date ,SZST ` BP- 2010 -0321 GIS #: COMMONWEALTH OF MASSACHUSETTS _ f :; 39A .004 k CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2010 -0321 Project # JS- 2010 - 000430 Est. Cost: $37000.00 Fee: $222.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: YOUNG ROOFING CO INC 011878 Lot Size(sq. ft.): Owner: FLEITMAN JAY & MARY LOU STUART Zoning: Applicant: YOUNG ROOFING CO INC AT: 90 CONZ ST Applicant Address: Phone: Insurance: P 0 Box 60056 (413) 584 -1367 Workers Compensation FLORENCEMA01062 ISSUED ON:9/24/2009 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL CARLISLE ROOF SYS 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 9/24/2009 0:00:00 $222.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo