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24D-092 (2) -__ DA. SULLIVAN SONS 1 .vC . ilh. GENERAL CONTRACTORS/CONSTRUCTION MANAGERS j - OWNER:,PROTECT MANAGERS EST\DLISI{T.D IRA: INCORPORATED 192$ April 30th,2013 City of Northampton Office of the Building Commissioner Puchalski Municpal Building 212 Main Street Northampton,MA 01060 Attn:Louis Hasbrouck Re: Roof Re-shingle at DAS office Construction Control BBRS 2012-10-29 Dear Louis, I request that you grant a modification to waive the requirement for control construction for the roofing project at our office at 82-83 North Street. The project is of a minor nature(re- shingling the roof),will not affect health,accessibility,life and fire safety,or structural requirements and is impractical in that the cost of control construction is considerable when compared to the actual cost of this specific maintenance project. Thank you for your consideration. Respectfully, D.A.Sullivan&Sons,Inc. //a i ti, )//Z...... Mark G.Sullivan President 82—84 North Street Northampton,MA 01060-3289 p,(413) 584-0310 f. (413)585-5710 rc ww.dasullivan.com J.U.t(IVt:I CU. tax:(113-boil-33HH Nov 'L1 /U1Z UU;4Uam IUU1/UU1 z stiff ' r + J J.D. Rivet & Co., Inc. _ ROOFING •SHEETMETAL 1635 PAGE BGULEVARC SPRINGFIELD,MA P.O.BOX 51058 INDIAN ORCHARD.MA 01151 TEL(413)543-5860 November 20,2012 FAX WS)543-3573 ,vc � 0a Yf • � D.A. Sullivan s .;? . . ' ;tea at, 82-84 North Street RER Northampton;M1 t ''O w : . r �"f G4*.r Attn: Mark Sullivan °RSA RE: 82-84 NORTH STREET—ROOF REPLACEMENT APPROX.5,800 SQ. FT. Scope of Work: 1. Remove and properly dispose of(2)layers of existing asphalt shingles down to the wood deck. 2. Furnish and install(2)rows of ice and water shield at roof eaves,valleys and lashings_ 3. Furnish and install synthetic underlayment over the wood deck. 4. Furnish and install new aluminum drip edge. 5. Furnish and install Lifetime Architectural asphalt shingle roofing system complete with all associated flashings. 6. Clean jobsite of all roofing debris. 7. Furnish owner with the shingle manufacturer's Limited Lifetime warranty. Note: Includes (I) layer of plywood to build up (2) entry way roofs. Add Alternate: $9,625.00—Furnish and install 1/)" CDX plywood over existing wood deck PRICE=$26,94 0.00(TWENTY-SIX THOUSAND NINE HUNDRED FORTY DOLLARS) A Jf,L r Matthew Clark,Sales ` Acteptanca of Proposal-The above prices,specifications and cep ditio:s are satisfactory, and are hereby accepted. You art authorized to do the work as speciled. Payment terns are net 30 days unless otherwise agreed In writing.All material is guaranteed to be as specified. Any alteration or deviation from above specifications involving extra costs will k executed only upon written orders,and will become an extra charge over aid above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry ere and other rneccssay insurance. All accounts not paid within 30 days are subject to a late charge of I 1/2%per month on the unpaid balance. In the event that legal acdon is Instituted to collect any sums due under this agreement,the undersigned agrees to pay all costs incurred including reasonable attontey's fees, PAYMENT TERMS:25%DUE UPON PROPOSAL ACCEPTANCE,25%DUE UPON MATERIAL DELIVER,BALANCE (50%)DUE UPON COMPLETION. NOTE:xitlS PROPOSAL MAY BF,WITHDRAWN BY U$IF NOT ACCEPTED WITHIN 68, DAYS."OWNER RESPONSIBLE FOR ALL CHARGES RELATED TO BUILDING PERMIT PEES." Signature: it/4.1 6,04 eualO/rite/xo J1(42ce 1,9 The Commonwealth of Massachusetts • Department of Industrial Accidents = ] I l Office of Investigations t e}= 600 Washington Street Boston,MA 02111 • �, www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): J. D.Rivet& Co.,Inc. • Address: 1635 Page Boulevard City/State/Zip: Springfield,MA 01104 Phone#: (413)543-5660 Are you an employer?Check the appropriate box: Type of project(required): 1.NI I am a employer with 50 4. 0 I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.0 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. workers'comp.insurance. 9. ❑Building addition • [No workers' comp.insurance 5. ❑We are a corporation and its • officers have exercised their 10.0 Electrical repairs or additions required.] 3.❑I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.0 Roof repairs 'N t employees. o workers insurance required.] [No 13.0 Other • comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Arch Insurance Company Policy#or Self-ins.Lic.#: ZAWCI9235300 Expiration Date: 5/1/2013 Job Site Address: gc--` H of 1.1% 'F , City/State/Zip: K04' 40-.l lAC.-, O(b 'O Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certi curd the p ns and penalties of perjury that the information provided above is true and correct. Signature: Date: H—15-' 13 Phone#: (413) 543-5660 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: - Phone#: Version1.7 Commercial Building Permit May 15,2000 f SECTION 10-STRUCTURAL PEER REVIEW(7E0 CMR 110.11) • Independent Structural Enginwrin1Structural Peer Review Required Yes C) No C ) I SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT t, I rt ►C L,u L,,vii, 1,as Chimer of the subject property hereby authorize I ri. r"`d LA- _ Ca. ,_ 1,., to act on my beh N, all matte etattwe to work authorized by this building permit application. (s� r____.__.� 26 13 4' 1. Signature of Owner Date i I, .� _:, _ ._._ _ as OwnedAuthortzed Agent hereby declare that the statements and infomiation on the foregoing application are true and accurate,to the best of my knowledge and belief. il PM Name { Signature of Omer/Agent Data SECTION 12-'CONSTRUCTION SERVICES l 10.1 Licensed Conattuctkn Sunerviaor. __ _ Not Applicable p Name of Uterus,Helder:hTw•. _.._ _._..______ ____._____] G5-050 30 1 Uoawe Number rt;3S ecic Bttrd , its _Ni\o-- _ I I -7-1t- . .°"i —1 Address Expiration Data +�.ti. 413-543-5 140 I sip dot. ■.r Telephone SECTION 1 3-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L,c.152,f 25C($)) Workers Compensation Insurance affil must be completed and submitted with this application.Failure to provide this affidavit wIll result in the denial of the issuance of the ing permit. Signed Affidavit Attached Yes No 0 • { 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 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable El Name(Registrant): __. __..___..._.. ___ Registration Number Address __..__.._._._..___._..._ Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Re istration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor T D (a.•+c } CO, Not Applicable ❑ Company Name: n ._._Dui c .... _.._.___ ...... .. . .. Responsible In Charge of Construction Address �,�••► 1 41 3 5 H 3-5‘,60 Signature Telephone • A- Versionl.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 ° 0 (Lot area minus bldg&paved parking) #of Parking Spaces ... Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW 0 YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES -.._ ..... _-. IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW Q YES 0 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 Q NO Q 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 Q 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 Q NO O 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 OF ENCLOSED SPACE Interior Alterations El 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. 24x.c, `I " F`�� do r^ `°`F a 01.et i` �"r^,'sti Ct".C� ,,„c kco\ rtt w.•k/sh,`LACR 544.1+c\-,l- ..A,CAZ,l al..-,c.1 k" A''P Of Proposed Work: edsc c�oi c✓e%. kccv..-e.-( sti„,�tef, SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1 B ❑ B Business ❑ 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: 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: _ .. ,.... ____....,..,,,_. _.__...-..-_ Proposed Use Group: 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) 1st 1st __..._ ...__.... . ._._.. ._ ._ 2nd 2nd 3rd 3rd ___._,_._-._.. _._._.___. _ — ,_._.._ _ 4th 4th ___,,.__ -.... _,_..___..' Total Area(sf) Total Proposed New Construction(sf) Total Height(ft) _.._„, ......._. ,__.,_._ Total Height ft -,,_,,,,_--, .,, _--,- 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 I V-- . -----;;;;"gcEG-T■oNs Version1.7 Commercial Buildin• Permit Ma 15 2000 __ ._ .i. •,...., ,, , •.., DEp-r u Awl ON, 1405n4 i t City of Northampton Building Department 212 Main Street Room 100 ,'.. - Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 ,,,.._,..,. 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-BITE INFORMATION I , This 1400#011 to bo".1441/•# ' 1.1 dr.,.. .1, .....‘,,,. : -, . '.'• t; , ... , I-3-49 140,14, fiat- Map' Lot tin* Zone '001fra*DI*" , 'Ion st.Sietriit . cli ONO* SECTION 2.PROPERTY OWNERSHIPIAUTHORIZED AGENT 2,1 Owner of amid: [(TA' collios,‘ i: ,5-00,S _ 1 I qa-14 P-Iseiii S'., 4.'i i i.A,. o'e& Nom*(Print) current MaiiIng Addroso: a I 4t3- .5.14-0310 i spitfire - ,t 4 ....04 .1/.., Telephone .3 . 12AYET 4 c...) 1,Jc_. 1 IP C), ISO)C (063.) IAJbliVki ORC4-4064Z6 i Nuns(Prfnt) : /,4,1kr- e)I(S‘ [4---irLf:3 S‘6 r:::› Signoturt — Toiophono SECTION 3•ESTIMATE!CONSTRUCTION COSTS I Item Estimated Cost(Goners)lobs Official Use Only completed bv pefrnit applicant 1. Building 4 a t,,t 4 o (s)Building PermIt Foo 2. Electric-el (b)Estimated To Cost of 4 j c,elt 44o Consitucaon from(I) "T 3. Plumbing 1-- BulkEng Permit Fee i 4, /.4110,0 .at.944 4. Mechanical(HVAC) r----------I 5,Fin Protection l ____......._ S. Totalli(1+2+3+4+15) • 4 3 Li I Check Number This Section For Official Use Only Building Permit Number Date Issued Signature: Bulding Commlosionofilnspoctof of Buikiings Date File#BP-2013-1002 APPLICANT/CONTACT PERSON J D RIVET&CO INC ADDRESS/PHONE P 0 BOX 51068 INDIAN ORCHARD (413)543-5660 PROPERTY LOCATION 84 NORTH ST MAP 24D PARCEL 092 001 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 3/493 (1 /,( y Fee Paid 7 Typeof Construction: STRIP&SHINGLE ROOF New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/Statement or License 050230 3 sets of Plans/Plot Plan THE FO OWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INF ATION PRESENTED: Approved 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 eel . 'tion Delay 5- 212 Sigma e of Building Officia 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. Animmunpr 84 NORTH ST BP-2013-1002 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 24D-092 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-2013-1002 Project# JS-2013-001678 Est.Cost: $26940.00 Fee: $161.64 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: J D RIVET & CO INC 050230 Lot Size(sq. ft.): 21692.88 Owner: SULLIVAN D A&SONS INC Zoning:URC(100)/ Applicant: J D RIVET & CO INC AT: 84 NORTH ST Applicant Address: Phone: Insurance: P 0 BOX 51068 (413) 543-5660 Workers Compensation INDIAN ORCHARDMA01151 ISSUED ON:5/1/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:ST RI P & 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 5/1/2013 0:00:00 $161.64 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner