31B-168 RC.I. Roofing LLP
P.O. tic ax 309 - 518 1.Iolyokz Street
Easihampty n. MA (] 1027
Phone; 413- 527 -4775 Fax; 41 3.527 -8469
March 14, 2006
Rick Konopka
SMITH COLLEGE
Physical Plant RE: The Gables
126 west Street
Northampton, MA 01060
PROPOSAL
1. Remove existing roofs.
2. Furnish and install 'h" plywood over existing decking.
3. Furnish and install aluminum drip edge and all other related flashings.
4, Furnish and install .032 aluminum valleys.
5. Furnish and install ice and water barrier along eaves and valleys.
6. Furnish and Install 30 Ib. felt,
7. Furnish and install 30 year IKO Chateau shingles.
8. Furnish and install ridge vent.
9. Furnish and Install 1 /2" fiberboard insulation, mechanically fastened, on
flat section.
10. Furnish and install Versico EPDM roof system, mechanically fastened,
on fiat section.
11.. Replace existing half round gutters and downspouts with "K" style
aluminum gutters and downspouts.
12. All roofing related debris to be removed by R.C.I. Roofing.
13, 5 -year R.G.I. Roofing workmanship warranty included.
14. 30 -year IKO material warranty included.
15. All related permitsto be obtained by R.C.T. Roofing.
Labor & Materials $22,300.00
Price for rip without plywood $16,400.00
ADD........$2.50 per square foot for wood replacement as needed.
TOTAL P.04
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Gill! Northampton = * =i
1K' � 1 ph • If ,fa.�assarhnsctis' --i�'
" " y DEPARTMENT OP BUILDING INSPECTIONS 4 _ f '
. 212 Main Street • Municipal Building
Northampton, Mass. 01060 err
WORKER'S COMPENSATION INSURANCE AF1I.DAVrr
i , J\ l l
err _ e li _s l e____of it. e . L o i�a
a
(l i ccnsedpernnittcc)
with a principal place of busincss/residence at:
5h of o StjEAstharn to .Ma. o.ioa7 (pllone #k� 13)5 a7 - Ai� ?5
istrcc /stair/zip)
do hereby certify, under the pains and penalties of perjury, that:
(4 '. ;:m an employer providing the following worker's compensation coverage for my
drip, )Vets working on this job:
Arnctean Int'1 GGraup 62Ibb1D 10 f 5106
C n x ancc Company) (Policy Number) (Expiration Date)
) 1 ,_rn a sole proprietor, general contractor or homeowner (circle one) and have hired
the contractors listed below who have the following worker's compensation policies:
:Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
;Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(•ame of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(Name of Contractor) (Insurance Company/Policy Number) (Expiration Date)
(n■ %CI: adational shc<t if ncccaisry to include infocmetioa pertaining to all coatcn .don)
i
( I gun a sole proprietor and have no one w orking for me.
( I am a home owner performing all the work myself.
'. lOTE: plc--ac be aware that whilo bomoownrs who map! ay paeans to do rtseh trn.ner, wet tl c ion or repair work on a dwelling of
no, cYocc then throe units in which tbe luxmowncr sides oc oa the grounds zppiztea& dthecdo are not generally considered to be
en Ip ioyc:e unacr the worker's c ecrlr atim Act (01,151,s:11(5)), application by a homeowner for a Gegsx or permit may evidence the
lcr7.: ct ua of an emptoyor under the Woricoet Compemation Ad_
u:a., st nd that a copy of this uitcmast may be forwarded to the Depertmrat of Industrial Accidents{ Ofrtoe of Insurance for the
avczagc vc and that failure to ran ere coverngo tusder soction 2$A of MOL 1ST an lout to thi imposition of criminal penalties
-:. rig of n fmc of up to S 1,300,00 anSor of up to one year tend dvil penalties in the tam of a Stop Work Order and t '
c'-
Lw day tvinstInc.
Fat dcpat t oah'
p Number
Map#, Lot # _
y .., ; �' igaaturc of LiIpctzuittcc Date;
•
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SECTION 8 - CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable J.�
cable ❑
Na_nLe_of License Holder : a el.�_sl ea r17433 —___— 1 (- 1 33 _
License Number
51_131A *e- atett - -_t 111arn pib n Ma. oio2.7
5-03-08
Address Expiration Date
(113) 5 a- H X175
Signature Telephone
- ,.-� . i .. I . w .w _ fi�k'1"� r +,� a
i9��Regi�ste "retl�Ho rovement Cont "ractor.. a� - - � � ��`�,,�;����..�.�'.; � . » .b � Not Applicable ❑
�n 1 x,6 2.35
Com any .Name �-+-'�- --- Registration Number
3113 J _Street_ _ P.O. Box 3b 5- O b - 09
Address �- Expiration Date
ce" } M n ^ `,
--.�th.ar 1cn. Ma. i 1L_ 44_ ' i Telephon�'7I3) 5 75
SECTION 10- 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 ❑ No ❑
��nt-a • 'hi. w-- om�e wne � E ': -e f p ' n
The current exemption for "homeowners" was extended to include Owner - occupied Dwellings of one (1) or two(2) families
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts
as supervisor. CMR 780, Sixth Edition Section 108.3.5.1.
Defin'.tion of Homeowner: Person (s) who own a parcel of land on which he /she resides or intends to reside, on which there
is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm
structures. A person who constructs more than one home in a two -year period shall not be considered a homeowner.
Such ` shall submit to the Building Official, on a form acceptable to the Building Official, that he /she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your'presence on the job site will be required from time to time, during and upon
compietion of the work for which this permit is issued.
Also he advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s)
you l to perform work for you under this permit.
The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of
North tmpton Ordinances, Statc and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature a.tta.t heei _ _____
SECTION 5- DESCRIPTION'' OF PROPOSED WORK (check all applicable)
I _
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing V
Or Doors ❑
Accessory Bldg. ❑ Demolition❑ New Signs [ i Decks
[ ] Siding [ ] Other [ ]
Brief Description of Proposed Work;_t _ aleA "_ S _40 " , • 04 I i4.9.
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative C1 Renovating unfinished basement Yes No
Plans Attached Roll ❑ Sheet ❑
sa. If' New 'holsearid.or "to °existing ='housing, complete the follbwing:
a. Use of builcing : One Family Two Family Other
b. Number of - ooms in each family unit: __ Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction.. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Mascheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes _No
Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, _RICK s • t • • 1 . • 0 .1 • it 't eon l � , as Owner of the subject property
hereby authorize INIMiel I s e.. f In to act or
my behalf, in , it matters relative to work authorized by this building permit application.J
machec1 b /a2IDb
Signature of Owner Da e
I, ___Rar__ De\isle" a autXicY zed ag 1. , as Owner /Authorized Agent
hereby declara that the statements and information on the foregoin application are true and accurate, to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury.
NI aY el s1 e
Print Name
0a/0
Signature of 0v.'ner /Agent Date
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Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Front Age _
Setbacks Front
Side L: R: L: R:
Rear
Building Height
BIdg. Square Footage
Open Space Footage
(Lot area minus bldg & paved
parkin)
# of Parking Spaces _
Fill:
(volun.c & Location)
A. Has a Special Permit /Variance /Finding ever been issued for /on the site?
NO DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book Page and /or Document #
B. Does the site contain a brook, body of water or wetlands? NO DON'T 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 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
IF YES, describe size, type and location:
City of Northampton 44.Fol? ,
Building Department +.*��(° `�'0..? ) ,,�e _
212 Main Street $ ,9 'g`i'a�tlFh1t1,
Room 100 = �fiiiQti `i. Y
Northampton, MA 01060 , ets m s4r i)r+r `ori°
phone 413. 587.1240 Fax 413-587-1272 Plot /Site 7, a ` ,�
OthersSpe ' t ; .. ,, <� , r s. n 0:
r
1 APPLICATION TO CONSTRUCT, ALTER, R6�A,NOVATE,O.R DEMOLISH A ONE OR TWO FAMILY DWELLING
I
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SECTION 1 - SITE INFORMATION , . .
1 Property Address: } Thi sect�nbe completed ffg�
Tlhe, Gables d& 3 % - , got , il 2 ...
., .. ---' .�.,.._..._ ' , y t�"' ['kM! s Zone Overlay Di strict
Sm�+h C?nlI �.
E lm St. District CB District
SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT
i 2.1 Owner of Record:
j &n 4+ eolle5e, _alOd Se: /Hon
Na } c. 1 (Print) } Currpp /l5O x ^nqg
a ..t2&7 TelepphoneJJ�� •` �f a`�
Signature
1 2.2 Authorized Aent:
ivl ark - De115k - i.e.i.. Jopcir P t). finx 309 - Easthapioton Ma
Name (Print) Current Mailing Address: 01 Dail
(J4i3) 527- 9875
Signature Telephone
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
I completed by permit applicant
1. Budding Rnofi n9 22 2 300.00 (a) Building Permit Fee
2 Electrical 1 (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (F VAC)
L 5. Fire Protection
6. Total = (1 + 2 + 3 + 4 + 5) 1 422 ). 100.00 Check Number lir -°
This Section For Official Use Only
I Building Permit Number: Date Issued:
I _
j
i Signature:
Building Commissioner /Inspector of Buildi s Date
x 4 BP- 2006 -1418
GIS #: COMMONWEALTH OF MASSACHUSETTS
CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: BUILDING PERMIT
Permit # BP- 2006 -1418
Proiect # JS- 2006 -2084
Est. Cost: $22300.00
Fee: $111.50 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: RCI ROOFING
Lot Size(sq. ft.): 55756.80 Owner: Smith College
Zoning: URC Applicant: RCI ROOFING
AT: 23 ROUND HILL RD - THE GABLES
Applicant Address: Phone: Insurance:
P 0 BOX 309 (413) 527 -4775 Workers
Compensation
EASTHAMPTONMA01027 -0309 ISSUED ON:6/27/2006 0:00:00
TO PERFORM THE FOLLOWING WORK:STRIP, PLY & SHINGLE ROOF
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 6/27/2006 0:00:00 $111.508875/77
212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272
Building Commissioner - Anthony Patillo