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32A-077 Contr. Supervisors Lie. No. 011878 PIOAadal Tel. 413 - 584 4367 (:*' YOUNG ° 001MG CO INO 413- 586 -9167 Fax 413 - 585 -0226 P.O. BOX 60056 FLORENCE MA.01062-0056 Customer : Joe's Cafe Spaghetti and Pizza House Date: 10/29/10 Address: 33 Market St. Northampton, MA. 01060 Job Location The front right side of building. SPECIFICATIONS: 1. Apply 1/2 inch fiberboard insulation over the complete roof area to be done. 2. Install Carlisle's .045 gauge white T.P.O. mechanically attached roofing system. 3. Flash all walls, edges, and roof penetrations with an approved Carlisle detail. 4. Fabricate and install .032 gauge white aluminum edge metal. All material Is guaranteed to be as specified. Any alterations or aeviation from above specifications involving extra costs will be executed only upon written orders, and will become an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays beyond our control. Owner to carry fire and other necessary Insurance. All accounts not paid within 30 days are subject to a late charge of 1 1/2 % G-' per month on the unpaid balance. In the event that legal action is instituted to collect Authorized any sums due under this agreement, the undersigned agrees to pay all costs incurred c� Including reasonable attorney's fees. Signature Rich. d Youn Nsident Acceptance of Proposal -The above prices,specifications and conditions are satisfactory and are hereby accepted. You are authorized Signatur es )A I to do the work as specified. Payment will be made as outlined above. � f! ' Date of Acceptance Version1.7 Commercial Building Permit May 15, 2000 SECTION 10= STRUCTURAL REVIEW (780 CMR 110:11) Independent Structural Engineering Structural Peer Review Required Yes 0 No SECTION 11 = OWNER AUTHORIZATION . TO BE COMPLETED WHEN: OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING:PERMIT:'::: I, E.— � ..__. , as Owner of the subject property hereby authorize act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date ,V U/P/ 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 ns . • pe' - ties ' Derl. UV. Print Name f.064 o " ` � /0 Signature of Owner /Agent Date SECTION. 12 CONSTRUCTION SERVICES . 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder : -/ License Number 0 • i O )( /o(X p '' Oi' !9 - o1 w 1 Address � J h c – Expiration Date Signature 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 ■ T r ■ . Yot9ion1.7 Commercial Building Permit May 15, 2000 SECTION'S- PRQFEBSIONAL DESIt N AND G('/NSTRUCTION .SERVICES =FOR BUILDINGS AND`STfiuGTURES.SUBJECT TO • CONSTRUCTION CONTROL PURSUANT TO:Tse GIVIR11e.( CONTAININ0:'.MORE.THAN'3s,eoo. r OF`EN SPACE) . 9.1 Registered Architect: I •1 Not A Iicable 0 Name (Reg errant): I I Registration Number .. Address ( I 1 _ Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): . I r .. Name Area of Responsibility Address Registration Number - I I Signature Telephone Expiration Date Name Area of Responsibility I 11 . 1 Address Registration Number Signature Telephone Expiration Date . .- 1 1L 1 • Name Aree of Responsibility f I Address Registration Number I 1 1 Signature Telephone Expiration Date I I 1 Name Area of Responsibility Address Registration Number I 1 1 Signature Telephone Expiration Date • 9.3 General Contractor • Not Applicable ❑ Company Name: . Responsible In Charge of Construction L . Address 1 Signature Telephone • Yeraionl.7 Commercial Building Permit May 15, 2000 Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size 1 11 11 1 Frontage 1 11 1 L 7 Setbacks Front 1 1 Side L:1 1 R:1.__.__ 1 L:1 I. R:1 1 Rear f I 1 1 f i Building Height Bldg. Square Footage 1 ' 1 I - ) % f 1 - Open Space Footage pa mg 1 i % i t 1 1 area minus b & paved 1 ....,_.,� i parking) # of Parking Spaces 1 J 1 1 1 1 Fill: r— w �, .. . (volume & Location) A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO 0 DONT KNOW 0 YES • • IF YES, date Issued: 1 Goo IF YES: Was the permit recorded at the Registry of Deeds/ NO ® DONT KNOW YES IF YES: enter Book I Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained 0 , Date Issued: 1 C. Do any signs exist on the property? YES 4111, NO 0 IF YES, describe size, type and location: 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: ( 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 ® NO • IF YES, then a Northampton Storm Water Management Permit from the DPW is required. Versionl.7 Commercial Building Permit May 15, 2000 SECTION 4- CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35 ;000- CUBIC FEET O1= 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 Enter a brief description here. $ e -f irolu . Of Proposed Work: SECTION 5 -:USE GROUP AND: CONSTRUCTION :TYPE : USE GROUP (Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A -1 ❑ A - ❑ A -3 ❑ 1A ❑ A-4 ❑ A -5 ❑ _ 1B ❑ B Business I 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F -1 ❑ F -2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ Institutional ❑ 1 -1 ❑ 1 -2 ❑ 1 -3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R -1 ❑ R -2 ❑ R -3 ❑ 5A ❑ 5 Storage ❑ S -1 ❑ S -2 ❑ 5B ❑ U Utility El Specify: - -- M Mixed Use ❑ Specify: S Special Use ❑ Specify: L . . COMPLETE: THIS'SEGTION IP EXISTING BUILDING UNDERGOING RENOVATIONS ADDITIONS AND /OR CHANGE IN USE Existing Use Group: r 1 Proposed Use Group: I -- — 1 Existing Hazard Index 780 CMR 34):1 _ Proposed Hazard Index 780 CMR 34): I _ J SECTION :5 BUILDING HEIGHT AND AREA. . .. OFFICE . USE ONLY BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION 1 t q A j ' Floor Area per Floor (sf) 5 ; , I' i f ir, • 2nd L 1 2nd � � r Y o F t r r , f tc �. s i t J• s r 1 rd -t- � 3 3 ✓ r t f h r 4 4 J I _____.1 4� f M __._._ } . Total Area (sf) I I Total Proposed New C onstruction_(sf L Yt y t Total Height (ft) }1 Total Height ft 1 ----1 , •, +' :.. l. ' ;. t : s 7. Water Supply (M.G.L. c. 40, § 54) 7.1 Flood Zo a nformation: 7.3 Sewage Disposal System: Public El Private ❑ Zone Outside Flood Zone❑ Municipal ❑ On site disposal systemO f Versionl.7 Commercial Buildin: Permit Ma 15 2000 i I • City of Northampton C i _- :'. . Building Department _ 212 Main Street ,'") Room 100 \' , J Northampton, MA 01060 phoner413 -5$7 -1240 Fax 413-587-1272 I :, . APPLICATION TO CONSTRUCT, 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 setr;tion to be by office , Jo (u e. S(. e1 fi Pest //voS Map LOt Uni `33 it.larke-/-k...fl— Zoe Overlay District A/0) .Eire St Distat: CS lii SECTION 2 = PROPERTY: OWNERSHIP/AUTHORIZED AGENT . 2.1 Owner of Record: II . _,.r-i�. � K-� �f tior4 wl Name (Print) Current Mailing Address: I aR -314° Signature Telephone 2.2 Authorized A e A. nt: _ __ /r aY ro��o . .I I' 6 ��,i,..,, 3r�e C/lf}-- _ __ Name (Print) -'7 Current Mailing Address: _ , Signature / .7 Telephone SECTION 3. , ESTIMATE ONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only completed by permit applicant 1. Building / (a) Building Permit Fee 2. Electrical I ' (b) Estimated Total Cost of . . F--- ----1 • Construction frtim 3. Plumbing Building Permit Fee _ ____ • 4. Mechanical (HVAC) 5. Fire Protection ,J D 6. Total =(1 +2 +3 +4 +5) ( Check Number This Section For Official Use Only Building Permit Number : Date . : issued'' Signature::.. .: Building Commissioner /inspector of Buildings ..... Date . L . ST BP- 2011 -0429 GIS #: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: BUILDING PERMIT Permit # BP- 2011 -0429 Project # JS-2011-000701 Est. Cost: $4100.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: YOUNG ROOFING CO INC 011878 Lot Size(sq. ft.): 2918.52 Owner: RAINVILLE LINDA J & ANN P SULLIVAN Zoning: URC(100)/ Applicant: YOUNG ROOFING CO INC AT: 33 MARKET ST Applicant Address: Phone: Insurance: P O Box 60056 (413) 584 -1367 Workers Compensation FLORENCEMA01062 ISSUED ON:11 /5/2010 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL NEW 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 11/5/2010 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Louis Hasbrouck — Building Commissioner