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23D-172 (2) B P-2 02 2-0332 48 BAKER HILL RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23D-172-001 CITY OF NORTHAMPTON Permit: Ails Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-0332 PERMISSIONISHEREBYGRANTED TO: Project# roof Contractor: License: Est. Cost: 10500 MJT HOME IMPROVEMENT INC 05531 Const.Class: Exp.Date:01/16/2024 Use Group: Owner: J RYAN G ANTHONY & AUDRE Lot Size (sq.ft.) Zoning: URB Applicant: MJT HOME IMPROVEMENT INC Applicant Address Phone: Insurance: 181 BOSTON POST RD EAST SUITE 1 (617)637-0761 WC23 I S61686402 MARLBOROUGH, MA 01752 ISSUED ON:04/05/2022 TO PERFORM THE FOLLOWING WORK: 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I • 1 • . Tsi Fees Paid: $71.50 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner f I APR - 4 2022 iZa The Commonwealth of Massachusetts , Wit Board of Building Regulations and St,0•!•r • Massachusetts State Building Code, 780 C ! a FOR P Ir;UU�, �N tealsPFCTir:rMUN1CIPALITY 01060 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:er 6 P- .1�.-3 3.2--- Date Applied: zw _) ' J�O5) ////7 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Proper Ad ress: I� 1.2 Assessors M Map&Parcel Numbers � 164IU'/�'1'i1 ik /2- // 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 ZoningInformati n'Vl / 1.4 Property Dimensions: k it4,44 Gi 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 ne Information: 1.8 Sewage Disposal System: Zone: Outside Flood Zone? Public Private❑ Check if yes❑ Municipals site disposal system 0 SECTION 2: PROPERTY OWNERSHIPr 2.1 Owner'of Record: 70 r)t/ K y(1,11 4--r- )rcfice lio-we6? Name(Print) City,State,ZIP < g. 64 4''hiii /2 --3 ' d 1a (Add ug evA-e , No.and Street Telephone Email Add ess SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied 0 Repairs(s)ie Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': e p 1- lee ,a oar SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ f© to`co 1. Building Permit Fee:$'i J.S7) Indicate how fee is determined: J / "" 0 Standard City/Town Application Fee 2.Electrical $ el) 0 Total Project Cost'(Item 6)x multiplier x 3. Plumbing $ IJ 2. Other Fees: $ 4.Mechanical (HVAC) $ 0 List: 5.Mechanical (Fire $ I Suppression) Total All Fees:A Check No. l?l Check Amount: — Cash Amount: 6.Total Project Cost: $ /D, so_U. c', 0 Paid in Full 0 Outstanding Balance D • SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) n r g553ir I 47 7 l/L` Cif(54/// License Number E irati Date Name of CSL Holder C'L `"Ail (7 List CSL Type(see below) No.and Street T e Description 1�4�1-6 C ./ ti'4 'I .7 Unrestricted(Buildings up to 35,000 Cu.ft.) f" Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding f ,f SF Solid Fuel Burning Appliances `/7!'1/� f t' G/'rf(5.` 6+��iaW 1 Insulation elephone Email address freer D Demolition 5.2 Registered Hoyuie Improvement Contractor(HICK ���/ 7 ,c jf �� 7 J 1 I--Wili/ J' ri 41 � `'�v IlIC Registration Number xptr tion Date HIC C any me or HIC Regi rant i f i / 5 / , Plan, C l6-195'7i�/ / f�i5 ilr 6-� ,,,,,i �, Si;Aie '— No.and Streetf Email address City/Town, ( ZIP/ / � ' 1227� dii p� —i,),Y i 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 a building permit. Signed Affidavit Attached? Yes . No .❑ a 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 tow rl authorized by thi bu' g permit application. <---- - ' ,e . ''7 Print t wner's N to(El et nic Signatu ) Date SECTION 7b:OWNER' R AU ORI AGENT DECLARATION By entering my name below, I hereby attest and e pains and penalties of perjury that all of the information contained in i..rap tie i and accurate to the best of my knowledge and erstanding. --- •-------.. ,..vee i(Trr-i,vey.4)- ,/,/ ,10/ JIM' ' lla Name(Electronic Signature)Print Own zed Agen s N me(E! ctr )g NO S: 1. An Owner o 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 found at www.mass.gov.,oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 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" City of Northampton Alr+IO\ � Massachusetts ?S` s� ' le t ;= DEPARTMENT OF BUILDING INSPECTIONS 6` �{ W 212 Main Street • Municipal Building tiJ a Northampton, MA 01060 ssy •_ �ti�c 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: Location of Facility: 7(p31 ttAa5 oYuGi `&ei- The debris will be transported by: Name of Hauler: /ivyt Signature of Applicant: Date: OZ Yam' The Commonwealth of Massachusetts Department of Industrial Accidents 7 s Office of Investigations 600 Washington Street Boston,MA 02111 rvwrv.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers y Applicant Information Please Print Le�tbly Name: PI 3T �rr? - rLrleiGt- ant ti ' (Business/ dividual): 0'- Ai '--/3 .19-- v ile..L- Address: t .(�tZ City/State/Zip: f� 45 Phone#: 6/•7"fA 17 P 20'f 1.D 1 am a ernployer with 4.01 am a general contractor and I 6. [o r ;:;.4 <<7ictlon employees(full andjor part-time).' have hired the sub-contractors listed7. ❑Rettwdeitng on the attached sheet.These sub- 2.0 I am a sole proprietor or contractors have employees and 8. ❑Demolition partnership and have no employees have workers'comp.insurance.t 9 Building addition working for me in any capacity. [No workers'comp.Insurance 5. a are a corporation and its 10.❑Electrical repairs or additions required.] o -cers have exercised their right of 11.❑Plumbing Repairs exemption per MG' c.152,§1(4), 3.3.DI am a homeowner doing all work and we have s' 'ec::,.iNo 12,00f Repairs Myself,iNo workers'core.ire-i.%r _ :r to •.ntsu:once required.] required]r 13.[]Other 'Any applicant that checks nor ft I roust arso fill out the section below showing their workers'compensation policy information. t floprcowncrs tvba svhmlt tlitc affldavlt indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.ICottractors that check this box must attached an additional sheet showing the name of the enb-contractors and state whether or not those entities have employees. lithe sub-contractors have employees,they mist ptoi'?*their woile's'comp.policy number. ;cut err employer that is providing workers'compensation lnsurancefor my employees. Below is the policy and job siie,information. "J i jy` 51�ystry4 ( ,�,tJ� i 41 Ct7A-a/K ' r 1PtShA,i'7/449 Insurance Company 9 T � ` 1V ( 7'ZMC O/70Z blame: ���`� Policy#or Self-ins,I ; " f 4//4,,f, {i '. �Y D2 Expiration Date:_7 /j j l Job Site Address:_w i _ s� City/State/Zip: 60e et"- i j t- ;. O,e ee)- Attach a copy of the workers'coinpehsation 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of'Investigations of the DIA for insurance coverage verification, I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. ,e 140 -Signature: ` Dete: V r_: lie- =phone#: (t'1'► `f 2•---0 76/ OFFICIAL USE ONLY. DO NOT WRITE IN THIS AREA,m BE COMPLETED BY CITY OR TOWN OFFICIAL. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing inspector 6. Other Contact Person: Phone#: ► I . 4 _ ..... .. . .-. .4,..„..:.:,... . . ,.? ._..4z, g.,,,,,,,...„....4.,....6r,/442..„........„......„..,:, r • Offioeof Consumer Affairs&Business Regulation • r • ' HOME IMPROVEMENT CONTRACTOR . TYPE:,$upplentent Card PetitistrediQD EXDIration 49017 05/31/2022 MJT HOME IAAPRQyjNT INC a -ir{; 4 . tale.r MICHAEL CRISAFUI_L1'- _ �J 181 BOSTON POST BOi 3_EAST SUITE 1 ,�,,,a{a 117./,4�,.4" MARLBOROUGH,MA 01.752 Undersecretary (-\.,. . . . • 1 Commonwealth of Massachusetts Uit Division of Occupational Licensure •i Board of Building R ulations and Standards Con li)nr �isor ss CS-055318 s Qcplres:01116/2024 MICHAEL P ORISAc n ,i 86 WHIPPLE£TREE1:- SOUTH WEVig01. 1 q 1,�1g0 ' f i Commissioner d K itrc. • i i . i i • A CERTIFICATE OF LIABILITY INSURANCE DATE l_ " THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON HE CERTIFICATE HOLDER. Ti• CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE FOLIC)] BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZI REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDRIONAL INSURED,the pollcy(les)grulq be alidorsad. If SUBROGATION IS WAIVED,suI ect to ft terms and conditions of the policy,certain policies may require an endorsement A s OMM4It on this certificate does not confer rights to tt certificate holder in lieu of such endorsement(s). PRADVicell WI' RO GUUMARAES POINT INSURANCE INC a s, gQgg J r2,HQ;WI-552 .5 424 BELMONT ST 14f3UIt,AARLGTONFI6t.S1lRE,COk WORCESTERMA01804 INSURERMAFFORDING COVERAGE NAIL* ,INSURER A: EVANSTON INSURANCE CO INSURED INSURER B:LIBERTY MUTUAL FIRE INS CO MJT HOME IMPROVEMENT INC 181 BOSTON POST RD E STE 01 areuesac: LIBERTY MUTUAL FIRE INS CO MARLBOROUGH,MA 01752 INSURER D: INSURER F: WSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: This is TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDi DON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. WSW ADDLAISIC TYPE OF E4SURANCE __INS RR POLICY NUMBER Y,�R' '1 /NFF Ody yyyl� UNITS —� -^-' GENERAL LIABILITY EACH OCCURRENCE $1.000,000 X COMMERCIAL GENERAL LIABILITY Fr' PR occurrence)(EA orerkb) f .QOO r CLAWS-MADE I CLAS-MADE I X I OCCUR i---—` 'Aso EXP(Any one person) S 1,000 A 3EZ0832 07110/2021 07/10/2022 PERSONAL&ADY INJURY f 1,000,000 GENERAL AGGREGATE s 2.000,000 ---1_ GENi AGGREGATE UMcT APPLIES PER: PRODUCTS-COMP*AGO $1,000.0D0 --I POLICY 1 ..,lE& L LOC 8 AUTOMOBILE LIABILITYf FT! ` I II ENEb SINGLE Um.1T y.SQO.00O ! ANY AUTO BODILY INJURY(Per person) S ._. —ALL OWNED SCHEDULED BODILY INJURY(Per accident) S c }AUTOS —AUTOS Ovk+EO BAS80217071 08/24/2020 08/24/2021 'PROPERW /AGE ; —ti HIRED AUTOS AUTOS — (Per wider!) L S UMBRELLA LU/B OCCUR EACH OCCURRENCE $ EI(OESSUAB CLAIMS-MADE { AGGREGATE S DEDl I RETENTIONS i WORKERS COMPENSATION yy��,� 11- AND EMPLOYERS'LIABILITY X TOft YillAlTs B OFF PR°Z ER EXARTNEAIEXECUTIVE Yj-�u WC231 S616864021 07/11/2021 07/11/2022 EL EACH ACCIDENT $ 1.Q00,000 IMan4aAIEMBER IXCLUDE07 (N N 1 A ,, tMandabry in NH) EL.DISEASE-FA EMPLOYEES 1,000.000 i Ir yea tlecriDS unae: Et DISEASE-POLICY LIMIT S 1,000,000 nE9•",BiPT101y-OF � _..: �� • I 1 t DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 1 a1,Additional Remarks Schedule,B more space le required) 'FOR FURTHER VERIFICATION PLEASE CALL AGENT' CERTIFICATE HOLDER CANCELLATION FOR OFFICE USE ONLY SHOULD ANY Of THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPiRAT70N DATE THEREOF, NOTICE WILL BE DELIVERED IN FOR OFFICE USE ONLY ACCORDANCE WITH THE POU Y PROVISIONS. FOR OFFICE USE ONLY AUTMORI2E0 REFRESENTA rLEANDRO GUIMARAE 0198, .0 ACORD CO N.Ali rigMa tws irved. ACORD 25(2010/08) The ACORD name and Io6a arts re$lstervd!I** MOW _._._................. .. .. ...._ . w.._ - MJT Nome Improvement Inc Estimate 181 Boston Post Rd E, Suite 1 Marlborough, MA 01752 (508) 624-9000 mjthomeimprovementinc@gmail.com www.mjthomeimprovement.com ADDRESS SHIP TO Tony Ryan 48 Baker Hill Rd 48 Baker Hill Rd Florence, MA 01062 Florence, MA 01062 Roofing Project. 413-387-9990 2tonyryan@gmail.com ESTIMATE# iJr`: E 1428 02/28/2022 QTY DESCRIPTION R I E AMiOLiN 17 Scope of the work to be performed: New Shingles Roofing for the Whole House. 375.00 6,375.00 Protect and safeguard at all times, all surrounding structures, fixtures and all elements that may be affected by the proposed work. Remove of existing asphalt shingles and roofing related products, down to the plywood or boards. Dispose dumpster provided by MJT Home Improvement Inc. Renails any loose plywood using 8d ring shank nails. Determine if there is any rotted plywood or boards that will need to be replaced (for labor and material additional $7.50 per linear foot for 1 x8 ledger boards or$90.00 per sheet of plywood). Install 8"aluminum drip edge and rake edges on all roofing perimeters and reflash all pipe penetrations. Install 6' ice and water leak barrier along edges and 3' across valleys eves and edges, skylights and chimneys. Install pre-cut starter strip, cover surfaces with synthetic paper deck mate underlayment protection allowing a minimum of 6" over,�, l p. Install life time architectural shingles 1AF,Timberline HDZ)TAMKO, Heritage/ Certainteed, Landmark , St `'v. . Color) over entire roof area using a hurricane nails pattern of six nails per shingles, versus the industry standard of four nails per shingle. Shingles will be installed in step fashion. Install cobra or equal ridge vents and ridge cap, plus flashing devices. Perform daily clean up at the job site as well a thorough cleaning once the job is completed, including a magnetic sweep to remove all nails. Inspection of job site at the end of each day to ensure is complete and the customer is satisfied. Permits will be obtained by MJT Home Improvement Inc. 10 years workmanship warranty. Liberty Mutual Insurance Company Policy#WC2-31 S-616864-021 Expiration Date: 7-11-22 HIC License# 192017 Exp.:5-31-2022 CSL MA License#055318 Exp.: 01-16-2024 CSL RI License#41991 Exp.: 05-01-2022 By_having both home owner and business owner signatures in this document, it QTY DESCRIPTION RATE AMOUNI becomes a contract, and both parts agree to the content of it to do the work as specified. Terms and Conditions for payment: $3,500.00- upon contract signature $3,500.00 - upon job start $2,500.00 - upon job 90%done $ 1,000.00 - upon job completion 1 Building Permits 150.00 150.00 1 Cleanup & Restoration (Dumpster) 650.00 650.00 1 Install New Chimney Leading Flashing. 250.00 250.00 1 Removed Old Gutters and Install New 5" Seamless gutters and downspouts. 1 - 900.00 900.00 1 Install New Gutter Guards for the New Gutters. 375.00 375.00 2 Removed Old Skyli s and Install New ylig c &J Jew Flashing Kit. Me . 900.00 1,800.00 Velux Vented. 1 Homeowner Signature: 1 (' v Date:r2 /d/2022 0.00 0.00 Mr. Tony Ryan Si '� ��/••• r _ ��iA► Contractor Si., . . -. Date: 02 /01 /2022 Mr. Marcos Terenas_.(Pr- '.-is Approximate date for starting the job is _ / / ./2022. Work is dependent on availability of materials. Time is of the essence. TOTAL $1 O 500 00 Accepted By Accepted Date From: MIKE CRISAFULLI Sent:Tuesday, March 1, 2022 5:45 PM To: mjthomeimprovementinc@gmail.com Subject: florence permit- actually north hampton -covers them see attached drop off with a $71.50 check made out to city of north hampton 212 main st MIKE