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