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32C-005 (2) BP ► 022-1563 134 MAIN ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-005-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-1563 PERMISSION IS HEREBY GRANT, D TO: Project# ROOF Contractor: License: Est. Cost: 40000 FLORENCE ROOFING 071107 Const.Class: Exp.Date: 04/24/2023 Use Group: Owner: MICHELSON RICHARD S Lot Size (sq.ft.) Zoning: CB Applicant: FLORENCE ROOFING Applicant Address Phone: Insurance: 405 RYAN RD (413)585-9171 SOLE PROPRIETOR FLORENCE, MA 01062 ISSUED ON: 12/05/2022 TO PERFORM THE FOLLOWING WORK: ROOF REPAIRS 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: si • v • TIT Fees Paid: S280.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner C4tH C/ (? 2022 The C©mmonwealth of Massachusetts FOR Board of Building Regulations and Standards l Massaachusetts State Building Code, 780 CMR MUNICIPALITY �., JoNz, USE Building Permit'Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 One- or Two-Family Dwelling This Section For Official Use Only Building Permit Number: `iJl1.4 4 1 3 Date Applied: � , 3U DZz Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Propertyt Address: i1 /01� 1.2 Assessors Map&Parcel Numbers 134MainS Ali/Kt 1.1 a Is this an accepted street?yes x no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Ownert of Record: R.Michelson Galleries Northampton,MA.01060 Name(Print) City, State,ZIP 134 Main St No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': See attached Proposal. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $40,000.00 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ (� Suppression) Total All Fees: $ 4 tp� Check No..?q4-1`&heck Amount: Cash Amount: 6. Total Project Cost: $40 000.00 0 Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-071107 01/25/2023 C.Philip Andrikidis/d/b/a Florence Roofing License Number Expiration Date Name of CSL Holder 405 Ryan Rd. List CSL Type(see below) U No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Florence,MA.01062 Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-262-8007 florenceroofing@gmail.com I Insulation Telephone Email address D , Demolition 5.2 Registered Home Improvement Contractor(HIC) 01573 8/26/23 C.Philip Andrikidis/d/b/a Florence Roofing HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 405 Ryan Rd. florenceroofing@gmail.com No.and Street Email address Florence,MA.01062 413-262-8007 City/Town,State,ZIP Telephone SECTION 6: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 ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,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. Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. C.Philip Andrikidis 11/23/22 Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contraCtor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be founld at ^c.r c:-:lass. cyvLirr Information on the Construction Supervisor License can be found at 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms _ Number of bathrooms Number of half/baths _ Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" The Commonwealth of Mensachu_.etts -` C.71.0 Department of Industrial Accidents . - I Congress Street.Suite 100 Boston...MA 62114 2017 <;_` warattnass.govidhs 1$makers'Compensation Insurance.W,dar,it:Builders/('ontntrton1Ekctricians1Plumben. tO HE f it.E1)tt II H I HE PERMUTING rs(;At THORIT1. Applicant information Please Print l-et ibl% Naltleis7atl11ch�Jfita;.ta�rt lntl,taalsul F. C. Philip Andrikidis/d/b/a Florence Roofing Address: 405 Ryan Rd. City:State:Zip: Florence, MA. 01062 phone : 413-262-8007 Arc inn an canlilns.cm?t hnk the apprupr:4 r tom: Tr pe of projeet{requitted): ..D1imuamirk»,Tagh 4 cn y.,(fullanti..-art-tnr,).' 7. JNti Ctansttt.:clton :.11 mu a s.g.e.ptaprietot«painnerskap 404'laat c in,ntnskn crca aoskeag Lam on at 8. 0 Remodeling any capacity.[No aurlcra'croup.IIIWIWICC tcquind_j -..'-. St. D 1 1J1 tttlofl t am a tionicoariter.ultxms ail w«.rk attiazt 1..oort ati earn.it w scat r rywatai;j.r 14 j Building adds* to I ant a Meat;rams and a all be natal::coutraonet to a.-.•ndoei ail acct.on cay pacipotty_list* ••.••iY anew dust all cantsaco.c8hr1 zo c o.cs.co;ct+egat-n ice ct rote ece,s are salt 1 i. Electrical repairs additions propric:aus a:tit n.v taus.!....s. 12.D Plumbing repairs or additions .(0 I am a Er:Ica:c c.narrck'r 406 thane c he c,ht tcirxtcr.Iota!.a::th.attached t`been 13_ Ring'tcptitra, t he,t iab,..cootrart or,hoc initparynci,ac■i nstc av,,it ".ti e ro at. nnernec - We 14.®Other Roofin h. c an corporation a co porati and its a4iM a%hate crxrcia cc9 dam right.mt a ten urea pea 1s1tiL a:_ II,/ It1 and a.•_late no t as':otecs.IN,.%voi ce's comp.rorsuraa:c ccure&I *Any applicant that ch►v-ka butt t41 mica aht till out the section below..howling three aarlsas'compentatkm policy mtaxtnato,n_ `Fl ntarmntints alto,alirr,ir dim attacktt;t ndrea;mg they arc doing all omit and tdxr.:hire out.nkr:ivetrekxs rnw r sabta:r a new:diktat tt a:Jac:wag+an.c, t oat hart r..that ulazck tbs.!a.:t ac::.::aiEa.:aaat am a.1,4..a..s.»h s6.oli 4..tw ae-tt.:rm.=of..i,,..va>,:.ontra:.:.atsannS..litu a►s.13a um wet rvar.t Lcacatae,has c rgik ct'S.. tt tax,ti,-4;ortrai4'nr 3awv.::awl....:t...t3ury mnata 1rtw mk their araalcxs"conic,.puilwl xuanll.u. I am an eanpltoyer that is presYdint;workers'compensation itsurrtrnee far my employees. Below is the polity and job site information. Insurance C'omrsins Mine:_____ Liberty Mutual Fire Insurance Company Policy#or Sett=ins.Lie.4: WC2-31 S-374455-052 Exprratsort Dare: 1/25/23 Job Site Address: 134 Main St Cily/StateiZip: Northampton, MA. 01062 Attach a cops of the workers"compensation polity declaarattion page(•aG.*ii.te polity number and expiration date). Failure to secure cot crarc as raaquared under MGL c. 1 S2.§2SA is a criminal violation puntshabk by a fine up to 1.50O.00 and or one-year litipnsontnent.as%cell as ci iI penalties in the foram of a STOP WORK ORDER and a tine of up t S2 0.00 a day against the t iulator.A cups of tins statement may be t jra aided to the Office of Ira%estigations of the Dt_t...,-or ur.nce co%erage seriticatiit. I do hereby tern •a der die ins and penalties,of perjury that the inficum ntim pt did above is one and correct: Sipatore: Date: 11/23/22 Phone : 413-262-8007 Official use only. Do nut write in fhb,arras.to-be, completed'by cite or coma.Whist, ('its or Toss n: Permit/License d Issuing.tuthorit (circle one): I.Board of I leak h 2.Building;,Department 3.Cii..x1ro+wn:Clerk 4,Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: City of Northampton ti" `.f Massachusetts I �', d DEPARTMENT OF BUILDING INSPECTIONS y: �, ., r; `e, 212 Main Street • Municipal Building -��. �L .: Northampton, MA 01060 rrj, CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Valley Recycling Location of Facility: 234 Easthampton Rd.Northampton,MA.01060 The debris will be transported by: Name of Hauler: Amherst Trucking, Inc. Signature of Applicant:pp g Date: 11/23/22 FLORENCEROOFINWMA.COM .- :. C.PHILIP ANDRIKIDIS ROOFING405 RYANBY ROAD, , MA 01062 INSURED KING 8�CUSHMANFLORENCE 413-b84-5610 HIC #150673 • Ja 5 9 I / CSL 71107 MSL#1 1282 I c" 1 : fvi 413-262-8007 May 14,2022 Proposal for: R.Michelson Galleries Job Location: 134 Main St.Northampton,MA,01060 Description: Area to be worked on are marked out in red on attached roof plan. - Clean roof of all dirt and debris and dispose of. - Patch loose seams and deteriorated flashings throughout roof. - All material furnished and installed by Florence Roofing. - Area to be worked on are marked out in blue on attached roof plan. - Remove all debris and loose stone from existing roof system on upper rear section of building. 1,900 sq.ft.+1- - Existing parapet coping to be removed. - Install 'h"pressure treated plywood to interior of parapet walls. Mechanically attach(1)layer of'/"fiberboard to entire roof. 1,900 sq.ft+/- - Mechanically attach Versico VersiWeld.060 TPO to entire roof using RhinoBond induction weld system. 1,900 sq.ft.+/- - (1)retrofit roof drain to be installed to existing drain pan. Brake form 24gauge Kynar finish edge metal to parapet walls.Color to be determined. All TPO related flashings and terminations installed per manufacturers specifications. - Versico NDL 20 year Total System Warranty All craning and hoisting of material,debris,and equipment to be done from rear of building.Personnel to access by ladder in front of building. Area cleaned and all roof related debris removed to landfill or proper recycling facility. - All permits to be applied for by Florence Roofing. All material furnished and installed by Florence Roofing. - Area to be worked on are marked out in yellow on attached-roof pian. - Remove all debris and loose stone from existing roof system. 1,000 sq.ft.+/- - Existing parapet coping to remain and roof to terminate - Mechanically attach(1)layer of/a"fiberboard to entire roof. 1,000 sq.ft+/- - Mechanically attach Versico VersiWeld.060 TPO to entire roof using RhinoBond induction weld system fully adhering parapets and entire newly repaired masonry front wall. 1,800 sq.ft.+/- - (2)retrofit roof drain to be installed to existing drain pans. All TPO related flashings and terminations installed per manufacturers specifications. - Versico NDL 20 year Total System Warranty - All craning and hoisting of material,debris,and equipment to be done from rear of building.Personnel to access by ladder in front of building. Area cleaned and all roof related debris removed to landfill or proper recycling facility. All permits to be applied for by Florence Roofing. - All material furnished and installed by Florence Roofing. CONSTRUCTION CONTROL WAIVER From: -/brence f(X1 V?ff yf EYe,nce Wk. o 1o(oa- To: Jonathan Flagg Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 The Massachusetts Building Code, section 107.1 allows for an exclusion from requirements for construction control in certain situations. In accordance with code section 104.10, I request that you grant a modification to waive the requirement for construction control of the project at 1 M& (54 A)0(4)&wp)Ori, ICI . a 106A because the work is of a minor nature, will not affect structural elements, health, accessibility, life or fire safety, and will be done in accordance with the prescriptive requirements of the code. Thank you for your consideration. Respectfully,