Loading...
35-010 (10) 51 WEST FARMS RD BP-2020-0694 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 35 -010 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Categorv: ROOF BUILDING PERMIT Permit# BP-2020-0694 Pro'ect# JS-2020-0011810 Est.Cost: $3000.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ENDA GARRY 113557 Lot Size(sa.ft.): 24219.36 Owner: HERRELL STEPHEN zoning: Applicant: ENDA GARRY AT: 51 WEST FARMS RD Applicant Address: Phone: Insurance: 346 WESTERN AVE #2 617 908-0242 WC LOWELLMA01851 ISSUED ON.121412019 0:00:00 TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspeci or of Wiring D.P.W. Building Inspector Underground: Servic : Meter: Footings: Rough: Rough House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire D artment Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BEREVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Si(_maturc: FeeType: Date Paid: Amount: Building 12/4/20 19 0:00:00 $40.00 12 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Pe-,60 F Department use only City of Northa pton R latus of Permit: .>> Building Depa me � veway Permit �. A i 212 Main reet Q tic variability Room 00 FC 3 Water ell aitability Northampton MAo 60 Two ets o Structural Plans phone 413-587-124 `Fzj�,ej 72 Pio Site P ans A.tonr /lisp er Sp cify APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENO V o �AIOLI H A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office Map Jc- Lot 0 f O Unit 51 West Farms Road Zone Overlay District Elm St.District CB Dlstdct SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Stephen Herrell 51 West Farms Road Name(Print) ^ Current Mailing Address: Northampton,MA 01062 /(/ Telephone Signature 2.2 Authorized A nt: 69 Name(Print) Current Mailing Address: �� — jaLT'0zq7_ Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building e3l 000 (a)Building Permit Fee 2. Electrical VV (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number 2 n This Section For Official Use Only _ Date BuildingPermit Number: Issued: Signature: a 3 Building Commissioner/Inspector of Buildings Date m M i �5 @ PC,06 EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing Or Doors 1711 Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding(O] Other[O) Brief Description of Proposed C' ` Work: J C� Alteration of existing bedroom Yes #o Adding new bedroom Yes ><–No Attached Narrative Renovating unfinished basement Yes __>---No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing,complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor�elow finished grade k. Will building conform to the Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR /BUILDING PERMIT 5±�dl >� �t w as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work aluthorized by this building permit application. — 22�Z� [[-7-7-0 Signatur6-orOwner Date 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. Signed under the'pains and penaltiesiof perj ry. W ct` Ury Print Name �7 Signature of Owner/A Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction S� iso Not Applicable ��` Name of License Holder: fLicense l-vimVT�oz�4 LicenseN� r� — Address ',[/,� Expiration D e &/^ G 17-r6l( Signature Telephone 9.Registered Rome mnt Contrac1or �--F�� Not Applicable j Company Name Registration tuber _ 0 2 Address Expiration D to �Telephone��"Z'c f� 1 y/�/ SECTION 10-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....... No...... ❑ City of Northampton f5 Rl t Massachusetts c C k DEPARTMENT OF BUILDING INSPECTIONS rx, 1 212 Main Street •Municipal Building yJj PD 11� � --!' Northampton, MA 01060 �sMh T��1`� Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: SR, (Please print house number and street name) Is to be disposed of at: r I)�Ie (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 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): Greater Boston Roofing Corp Address: 346 Western Ave Unit 2 City/State/Zip: Lowell, MA 01851 Phone #: 978-905-5045 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 4 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. F1 New construction 2.❑ 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 workingfor me in an capacity. employees and have workers' Y Pa tY• 9. E] Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.El Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 1 I.F] Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑x Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.❑ 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. xContractors 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: AIM Mutual Policy#or Self-ins. Lic.#: VWC10060228482019A Expiration Date: 01/24/2020 Job Site Address:51 West Farms Road City/state/zip:Northampton, MA 01062 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 certify under the pains and penalties of perjury that the information provided above is true and correct. Si ature: .L..�z, &its Date: 8/20/19 Phone#: 978-905-5045 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#: .f.5•' Yiv...•i.rV:.V•rrr///r r� /�n,'ia.tirri;r�/.: OfBee of Consumer Affalm&Business angulation Commonwealth of Massachusetts HOME IMPROVEMENT CONTRACTOR Division of Professional Licensure TYPE:Carooratlon Board of Building Regulations and Standards Registration Ex ration Cons?ruction 5upervisar 191498 04/23/2020 GREATER BOSTON ROOFING CORP CS-113557 Epires: 10/06/2022 ENDA S GARRY 278 K STREET NO2 ENDA GARRY BOSTON MA 02127 278 K ST#2 BOSTON,MA 02127 Undersecretary Commissioner Construction Supervisor Unrestricted Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. Registration valid for individual use only before the expiration date. if found return to: Office of Consumer Affairs and Business Regulation One Ashburton Place-Suite 1901 Boston,MA 02108 Failure to possess a current edition of the Massachusetts State Budding Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www mass.govfdpl Not vafl without signature --swift, .. AC40RLY L DATE ,2011YYYY) CERTIFICATE OF LIABILITY INSURANCE o3/os12o19 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 Global Help Center Inc x ME: T TATIANA SALES 1252 LAWRENCE ST SUITE C2 PHONE 978-421-7769 FAx 978-710-5581 Lowell MA 01852 lar' °"O`ER (AIC NOI' ADDRESS:ghclowell@hotmaii.com ADDRE INSURER(SIAFFORDING COVERAGE NAIC 0 INSURERA:WESTERN WORLD INSURED GREATER BOSTON ROOFING CORP INSURER as NAUTILUS INS 27 JACKSON ST APT 123 INSURERC:AIM MUTUAL INS CO LOWELL MA 01852 INSURER 0: INSURER E: INSURER 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 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 ADOL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER DIYYYY) M LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S1,000,000 OAMAGE TO CLAIMS-MADE ✓❑OCCUR PREMISES(EaENIED occurrerNM $100,000 MED EXP I one person) $5,000 A NPP8517412 01/25/2019 01/2&2020 PERSONAL A ADV INJURY $1,000.000 GEN'L AGGREGATE LIMIT APPLIES PER. I GENERAL AGGREGATE s2,000,000 ✓ POLICY 1:1 JE� r LOC PRODUCTS-COMPIOP AGG 1,000,000 OTHER S AUTOMOBILE LIABILITYLJ COMBINED SINGLE LIMIT $ fEa accident) H ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOSHIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY (Per oc"rij S UMBRELLA LIAR V, OCCUR EACH OCCURRENCE S 2,000,000 EXCESS LIAR CLAIMS-MADE ANA047621 01/25/2019 01/25/2020 AGGREGATE S 2+000,000 DED RETENTIONS S WORKERS COMPENSATION R OTH- AND EMPLOYERS'LIABILITY STATUTE ER TIN ANYPROPRIETORIPARTNER/EXECUTIVE Fs-j-7� E.L.EACH ACCIDENT S100,000 `, (Mandatory XCLUDED? U N!A VWC10060228482019A '01/2412019 01/24/2020 100,000 (Mandatory In NH) E L.DISEASE-EA EMPLOYEE S Urs.describe under 500,000 C RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I oa Ll L'I DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) .THIS W.C.POLICY DOES NOT COVER ANY OTHER STATE THAN MA. i CERTIFICATE HOLDER CANCELLATION S SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE `t TATIANA SALES ©1988-2015ACCRd CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD Produced using Forms Boss Web Software.w FormsBoss.com(cl Impressive Publishing 600-209-1977 11/27/2019 Estimate Print Preview Greater Boston Roofing 11/27/2019 346 Western Ave • ` Lowell MA 01852 Phone:617-744-9690 GREATER BOSTON Fax: 978-418-0233 ROOFINGCompany Representative Stephanie Benitez Phone: (978)930-6722 stephanie.benitez@greaterbostonroofing.com 221R-051 HERR Stephen Herrell Job:2259:221 R-051 HERR Stephen Herrell Sunrun Solar 51 West Farms Road Northampton, MA 01062 (413)896-1762 Roofing Section •Strip existing shingles down to bare wood, Inspect integrity of roof decking thoroughly. (*'IF UNUSABLE OR ROTTEN WOOD IS FOUND DURING INSPECTION IT WILL BE REPLACED AT A PRICE OF$60 PER SHEET OF PLYWOOD SHEATHING OR$4 PER LINEAR FOOT OF LEDGER BOARD**) •Install ice&water shield to first 6-feet on eaves, 3-ft in valleys and immediately surrounding all protrusions •Install synthetic vapor barrier underlay •Install all new white 8"non-vented drip edge on perimeter •Install manufacturer suggested starter course of shingles on eaves and rakes •Install GAF Timberline HD 50 yr. Lifetime/architectural shingles in color of your choice •Install ridge vent •Cap ridge vent properly with manufacturers suggested cap •Properly flash any protrusions and all new pipe flanges •Install new lead flashing around chimney •Maintain a clean job site throughout project,with meticulous clean up of site upon completion •Submit project for manufacturer's extended warranty upon completion of project ***ESTIMATE/CONTRACT PRICING INCLUDES THE TOTAL COST ASSOCIATED WITH MATERIALS, LABOR, PERMIT COST.AND ANY DUMPSTER/REMOVAL FEES INVOLVED IN COMPLETING THE PROJECT*** Qty Unit GAF Timberline HD 6 SQ •Color of your choice •50 yr./Systems Plus Lifetime Warranty Ice and Water Shield 0 RL Vapor Barrier 0.6 RL Drip Edge 0 PC GAF ProStart Starter Shingle 0 BD GAF Cobra Snow Country Ridge Vent 0 LF GAF Seal-A-Ridge Hip and Ridge Cap 0 BD Roofing Coil Nails 0.4 BX Chimney Lead Flashing 0 EA Pipe Flashing(up to 4") 0 EA Company Provided Lead Cost 0 SQ TOTAL $3,000.00 1/2 11/27/2019 Estimate Print Preview Any work related structural deficiencies or work required to complete project to Massachusetts Building Code not covered in this estimate will require Change Order.Roof decking replacement cost will be billed at$60 per sheet of plywood or$4 per linear foot of ledger board. l 1 z7/ Company Authorized Signature Date lf- z7 - 17 Customer Signatu a Date Customer Signature Date 212