The URL can be used to link to this page

44-120 (2) BP-2023-0498 820 FLORENCE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 44-120-001 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-2023-0498 PERMISSION IS HEREBY GRANTED TO: Project# 2023 ROOF Contractor: License: Est. Cost: 13800 MATTHEW CARRIER CSL1 17335 Const.Class: Exp.Date: 06/03/2026 Use Group: Owner: WHALEN SARA A Lot Size (sq.ft.) Zoning: SR Applicant: STONE MOUNTAIN ROOFING LLC Applicant Address Phone: Insurance: 36 LYON HILL RD (413)998-9010 7PJUB6R27941623 CHESTER,MA 01011 ISSUED ON: 04/24/2023 TO PERFORM THE FOLLOWING WORK: STRIP&REPLACE ASPHALT 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: 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: ( � . Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner DocuSign Envelope ID: 17FD9B40-D5F3-494A-A700-3DB31 C6F0A4E 1 m —3 1' The Commonwealth of Massachusetts �, Board of Building Regulations and Standards FOR E � , Massachusetts State Building Code, 780 CMR MUNICIPALITY USE 1 — o Billing Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 i c"' �� One- or Two-Family Dwelling t — This Section For Official Use Only Building Permit:N mber. Q 7 Oz q'' Date Applied: /k uJL /ZZS /// 1/-211.26�3 Building Official(Print Name) Signature Date 1 SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 820 Florence Rd. Florence clef-/20—o o/ 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: S i. 'l?8 Zoning Dis ct 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 !❑ Check if yes❑ i SECTION 2: PROPERTY OWNERSHIP' 2.1 Ownerl of Record: Sara Whalen Florence, MA 01062 Name(Print) City,State,ZIP 820 Florence Rd. Florence 413-886-1581 swhalen626@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other VSpecify: Roofing Brief Description of Proposed Work': strip and replace asphalt roof SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 13,800.00 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Costa (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ Check No. //5$ Check Amount: Cash Amount: 6.Total Project Cost: $ 13,800.00 ❑Paid in Full 0 Outstanding Balance Due: i DocuSign Envelope ID:17FD9B40-D5F3-494A-A700-3DB31C6F0A4E SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-117335 06/03/2026 Matthew Carrier License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 36 Lyon Hill Rd No.and Street Type Description U Unrestricted(Buildings up to 35,000 cl.ft.) Chester, MA 01011 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering _ WS Window and Siding _ SF Solid Fuel Burning Appliances 413-998-9010 stonemountainroofinglIc@gmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 206447 09/15/2 24 Stone Mountain Roofing LLC HIC Registration Number Expiratio Date HIC Company Name or HIC Registrant Name 36 Lyon Hill Rd _ storhemountainroofinglIc@gmail.com No.and Street Email address Chester, MA 01011 413-998-9010 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 4 No .0 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 Stone Mountain Roofing LLC/Matthew Carrier to act on my behalf,in all matters relative to work authorized by this building permit application. "--DocuSiyned by: 4/16/2023 Sara Whalen Spa IA, (�l(A,a,, Print Owner's Nameal q *eS Lure) 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. Matthew Carrier °� ~" 4/16/2023 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),wil: 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" DocuSign Envelope ID: 17FD9B40-D5F3-494A-A700-3DB31C6F0A4E City of Northampton T M M p \S S C "u f Massachusetts A. x- <<k s. � DEPARTMENT OF BUILDING INSPECTIONS t`- 212 Main Street • Municipal Building Jti �b \ A.' -7"' Northampton, MA 01060 sstr,y •a )\'\ 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: Valley Recycling, 234 Easthampton Rd., Northampton MA 01060 The debris will be transported by: Name of Hauler: Aaron's 24/7 Towing & Roll Off Services Signature of Applicant: Date: 4/16/2023 AC O® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYV) kta.....-----.. 02/13/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Michelle Lastowski NAME: Alera Group,Inc. PHONE Ext1: (413)586-0111 FAX No): (413)586-6481 Webber&Grinnell Division EMAIL mlastowski@webberandgrinnell.com ADDRESS: 8 North King Street INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURER A: Berkley Specialty Insurance Co INSURED INSURER B: WCAR-Travelers Stone Mountain Roofing,LLC INSURER C: 36 Lyon Hill Road INSURER D: INSURER E: Chester MA 01011 INSURER F: COVERAGES CERTIFICATE NUMBER: Exp 2/2024 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 CONDITION 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMBS LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 I��X� DAMAGE TO RENTED 100,000 CLAIMS-MADE 1"1 OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A CGL0159193 02/18/2023 02/18/2024 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE $ 2,000,000 PRO 0000X POLICY JECT LOC 20 $ OTHER: , AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ _ AUTOS ONLY _ AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY YIN 1 00 000 B ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA 7PJUB6R27941623 02/17/2023 02/17I2024 E.L.EACH ACCIDENT $ , OFFICER/MEMBER EXCLUDED? 1 OO,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1t11 yi., ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts '-1r Division of Occupational Licensure Board of Building Re ulations and Standards ionor CS-117335 ' spires:06/03/2026 MATTHEW 4RRIER .,r 36 LYON HILT ROAD CHESTER MAj01011 ' . Commissioner di .. i . 8' i.b... THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affatti r>4 Business Regulation 1000 Washingtq rwk_Suite 710 Bosto _Massachus_tt ~-0 118 Home Im ro er" r1eiE-'. rac o -egistration rR ,- e: LLC STONE MOUNTAIN ROOFING,LLC v = egstlation: 206447 -. 36 LYON HILL RD F^ E ,ation: 09/15/2024 CHESTER,MA 01011 �` '" e ij v .14 s,1D • Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENTCONT.4ACTOR TYPErLCC expiration date. If found return to: Office of Consumer Affairs and Business Regulation 2� ▪i�7tptratton 1000 Washington Street -Suite 710 .09/15/202!1 Boston,MA 02118 STONE MOUNTAIN I3OOFI L t' 44,,t MATTHEW CARRIER f�� 36 LYON HILL RD • +' �/ CHESTER,MA 01011 • � �� a.,r.... ▪ Undersecretary Not valid without signature L Re I.VRiA{VRWCKiiri Vf 1YIU33141./iU3eii) Department of Industrial Accidents tl `` Office of Investigations 11. Lafayette City Center o _ 2Avenue de Lafayette, Boston,MA 02111-1750 www•mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Stone Mountain Roofing LLC Address: 36 Lyon Hill Rd. City/State/Zip: Chester, MA 01011 Phone #:413-998-9010 Are you an employer? Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 1 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I 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. employees and have workers' n [No workers' comp. insurance comp. insurance.# 9. ❑ Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or addititns myself. [No workers' comp. right of exemption per MGL 1 2.❑✓ Roof repairs insurance required.] t c. 152,§1(4),and we have no 1; ❑ Other employees. [No workers' comp. insurance required.] *My 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. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Travelers Policy#or Self-ins. Lic.#:7PJUB6R27941623 Expirati n Date:02/17/2024 Job Site Address: 820 Florence Rd. City/Star /Zip: Florence, MA 01062 Attach a copy of the workers' compensation policy declaration page(showing the p icy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the ' position of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form f 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 e forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify�� under the pains and penalties of perjury correct. that the information provided above is true and Signature:G'�'G4: ieeo t Date: 4/17/2023 Phone#: 413-998-9010 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): lDBoard of Health 21:Building Department 31:1City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: ?ocuSi�.Envelope ID: 17FD9B40-D5F3-494A-A700-3DB31 C6F0A4E Stone Mountain Roofing LLC 36 Lyon Hill Rd., Chester, MA 01011 A�;;�//.� 413-998-9010 vijiliaulio I' stonemountainroofingllc@gmail.com .V www.stonemountainroofingllc.com/ R O U F I tI C Contract ADDRESS CONTRACT# 1107 Sara Whalen & Steve Broide DATE 04/16/023 820 Florence Rd. Florence, MA 01062 413-886-1581 swhalen626@gmail.com DESCRIPTION% n 1. Remove the existing roofing shingles 2. Inspect the existing plywood for any rot or deterioration. Any new plywood will be $85 per sheet installed. (Wood prices subject to change) 3. Install six feet of ice and water shield on eaves and three feet in valleys/ around all penetrations 4. Cover remaining roof with synthetic underlayment 5. Install new 8" aluminum drip edge on all eaves and rake edges (White) 6. Install architectural shingles by CertainTeed(Landmark PRO)https://www.certainteed.com/residential- roofing/products/landmark-pro/ Color Choice: MAX DEFINITION GEORGETOWN GRAY 7. Install Shingle Vent 11 ridge vent on peaks of roof(where applicable) http://www.airvent.com/index.php/products/exhaust-vents/ridge-vents/shinglevent2 8. Complete all necessary flashings including new LIFETIME pi a boots https://lifetimetool.com/product/ultimate-pipe-flashing-shingle-k ar-coated/ Includes CertainTeed Lifetime Limited Warranty (Transferable) ith 10 year SureStart perio . https://www.certainteed.com/resources/Asphalt-LowSlope-Res- arranty-e-2201 ctr.pdf Remove all debris from premises, and throughout the job, continlie cleanup and keep the pre ises undamaged. WE ARE NOT RESPONSIBLE FOR DEBRIS THAT MAY FALL INTO ATT C. Please be proactive and prepare for the worst by covering everything in the' attic. We recommend cove ing with tarps or plastic sheeting. Please use reasonable caution during th installation process: do not walk or drive under active work, or on areas of potential roofing debris. Stone ountain Roofing will obta' the building permit if necessary. Installations are weather permitting inclement weather will cau a scheduling delays. Total: Landmark PRO shingles= $13,800 MA-CSL#117335 MA-HIC#206447 CT-HIC.0668321 DocuSidn Envelope ID: 17FD9B40-D5F3-494A-A700-3DB31C6F0A4E DESCRIPTION Thank you for choosing Stone Mountain Roofing. Expected Installation: Spring 2023. A $500 deposit will secure co tract,permitting, material o der, and priority scheduling. The balance of the one-third deposit, $4,100 will be due prior to i tallation. The balance shall be due upon completion, within 10 days of invoice. Accounts outstanding over 30 days subject to 2% finance charge monthly. Warranty confirmation shall be provided upon final payment. Installation and manufacturer w*rranties are not in effect until Paid In Full. TOTAL $13,800.00 —DocuSigned by: Accepted By r.antw � Accepted Date 4/16/2023 F452B9F46CCB4C9... MA-CSL#117335 MA-HIC#206447 CT-HIC.0668321