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32A-042 (3)
BP-2022-0250 25 CHERRY ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32A-042-001 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-2022-0250 PERMISSIONIS HEREBY GRANTED TO: Project# ROOF Contractor: License: Est.Cost: 9700 A&J HOME IMPROVEMENT INC 101017 Const.Class: Exp.Date: 11/16/2023 Use Group: Owner: RIESER ABIGAIL Lot Size (sq.ft.) Zoning: URC Applicant: A& J HOME IMPROVEMENT INC Applicant Address Phone: Insurance: 60 WASHINGTON AVE 413-575-1290 WC531S621875010 SOUTH HADLEY, MA 01075 ISSUED ON:03/16/2022 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: !,Li � - Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner RE ! IL, The Commonwealth of Massachu etts Board of Building Regulations and S n MAR F Massachusetts State Building Code, 80 C R 1 2022 C ALITY U E Building Permit Application To Construct,Repair, encrvat lish a R isedMar 2011 One-or Two-Family Dwelli 5--..__ or rNati,D'Nu misPec ow I This Section For Official Use Only �'�50 Buildinn Permit Number: 4p� 2.) - d,� Date Applied: /G EUt� /2os') /77..-Z -6-ZOZZ Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Number = as GneRRM Sf+ .3.2:4 1.1a Is this an accep ed street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(it) 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 Owner'of Record: Abb f\icSRs NotAtavnimsA tD ocow Name(Print)) City,State,ZIP ¶S eh(ae ‘Si- Ls!3 (RS t)X). No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(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. ❑ Number of Units Other ! ' Specify: RoA,� Brief Description of Proposed Work': t ,., c r1su� 1 CbX +�I�t a�nn ►�... .41a oh_ a�( Aft,cA t c l-v, adk SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined: Ob.a ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) $ Total All Fee /� Check No. �� Check Amount: ` Cash Amount: 6.Total Project Cost: $ �70b,ot, 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) /010 1-7 ( -j3 AR License Number Expiration Date Name of CSL 'Holder ��yy,, List CSL Type(see below) PC �S No.and Street V Type Description Q_ �6 d M O RD U Unrestricted(Buildings up to 35,000 Cu.ft.) CiWty/Town,State, Restricted 18z2 Family Dwelling M Masonry RC Roofing Covering Window and Siding q 0 SF Solid Fuel Burning Appliances N►3 5 S 1�` C Mineimt)2ouerIVvt SeyDi1co.(,,k I Insulation Telephone mail address D Demolition 5.2Registered Home Improvement Contractor(HIC) 13 5394 3-34"16)1 •' 11 t117WW I vLt HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name `` ,o W25tNti �t k GJ 401Vte) Apeoveon•onV Selptia,•C4" No.ang Stre t Email address/ ak4 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 Issuancenc of the building permit. Signed Affidavit Attached? Yes L21 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 JvT Pak< I Vh j i._ 1-7 to act on my behalf,in all matters relative to work authorized by this building permit application. 1 RKStsS ( sec oik t� Print�er'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. 3 -11-AD Print Owner's or Authorized Agen '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 found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/des 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or torch) 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 a<H r\ o M ° �� ' ' st Massachusetts J i d 1.1 ' 4. DEPARTMENT OF BUILDING INSPECTIONS ♦` / .. 212 Main Street • Municipal Building Northampton, MA 01060 s'p % 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: has-1\u o The debris will be transported by: Name of Hauler: 51 l� 4 Signature of Applicant: Date: 3r 1-2.0?.)., R - A & J Home Improvements, Inc. 60 Washington Avenue • South Hadley, MA 01075 TAMKOPro Office / Fax: (413) 467-1500 • Cell: (413) 575-1290 CERTIFIED CONTRACTOjC;, AJHomelmprovements@yahoo.com 4-k HIC Lic# 135399 • CT Lic#600705/CS, SL, RF, WS # 101017 -lt" k4;2,t 1,581? Proposal Submitted To: Phone#'s: Abh� R%e3P.S Home: ! J NJ ill),11l Cell: Street:)%r &%44 City, State,-Zip Code: \ et Mat S (4( V' La '�4 L N, -rka,m , , Mk i ›,)„,cp),. ()turd-3 ., , 1 IHous Cl Garage ❑ Other Proposal to furnish ad install the following: 5 JAr ❑ Re-Roof rerear-off ❑ Gutter Complete Roof Preparation i/Home exterior to be protected by tarps and plywood 'Shrubs, landscaping, trees to be protected LRoofers buggy shall be used where accessible with permission from owner 'Entire existing roofing material to be removed to existing decking, including flashing, etc. 2/Site to be cleaned everyday with roll magnet debris removed at project completion (included in price) • ra e e ' re laced at 1;:pBrown 8 inch metal drip edge installed at eaves and rakes ❑ White/Brown 5 inch for re-roof only re'- ty flashing will be installed where necessary / install lead to chimney i tall new pipe boot flashing shall acquire all appropriate permits etc. for all roofing work Complete Roof System ❑ 3 ft. lid'Ice & Water Barrier installed at the eaves to protect from ice dams (and meet code in the north) U1.61t. Vice & Water Barrier installed at all valleys, around penetrations, and chimneys to protectcritical areas ati- A.1--Reutfvtced utiderlayment installed over entire decking / nthetic roof und`ertgyment� VArpeallAigafk.t11 ND Shingles: Tamko Series 3 Lifetime 50 Color P1S t L ,3 l ac E1famko Ridge Cap Shingles Warranty P&O‘(:.4.. L•lWe guarantee our workmanship for 10 full years Quote go d for 30 days We propose hereby to furnish materials and labor - complete ip/accordance with above specifications for the sum of: _ , �-� .1W Uu y JI IC7i1 vc uocu YVI lci c a1.i.cJaiuic Yr u I IJcI n uJJwI I II JI I I vYVI,v, GJEntire existing roofing material to be removed to existing decking. including flashing. etc. 'Site to be cleaned everyday with roll magnet debris removed at project completion (included in price) - eterforated stin>g-d 'n re laced at __ _ pex et nl. v 1 ln.ly.-if-needed) COY hitepBrown 8 inch metal drip edge installed at eaves and rakes J White/Brown 5 inch for re-roof only ew flashing will be installed where necessary / install lead to chimney Install new pipe boot flashing L<We shall acquire all appropriate permits etc. for all roofing work Complete Roof System 1 3 ft. lid'Ice & Water Barrier installed at the eaves to protect from ice dams (and meet code in the north) airft. 'fce & Water Barrier installed at all valleys, around penetrations, and chimneys to proteci critical areas i5-pek-R-etrrforced-underlayment installed over entire decking / nthetic roof under yment yiken AiD Shingles: YTamko Series Lifetime 50 Color IN-LA 1-1 C J) t C(.C. B1amko Ridge Cap Shingles Warranty ?al P ran e o r workmanshipf r 1 full ears Quote gook for 30 a s egua to uo O y Q g odySN'� We propose hereby to furnish materials and labor - complete ir,�accordance with above specifications for the sum of: � �/ Total Sale Price $ 97w, QU Down Payment $ . Li Upon Completion $ S?oo ACCEPTANCE OF PROPOSAL: The above prices,`s c fi ations and conditions are satisfactoryand p � f� are hereby accepted. You are authorized to do work as specified. Payment will be 40% down upon signing, and balance due upon completion. Unpaid balances shall accrue with interest at 18% per annum. Purchaser(s) will pay for all costs, expenses and reasonable attorney's fees incurred by A & J Home Improvements, Inc. to recover any s ms due under this contract. Date: ? /7 .�fZz. Signature: '�--� ' ' ,� Phone # Ll/f o';95 ` �� Date: 1-, 5-aO`).) Estimator's Signature: �5 ' ATTENTION HOMEOWNERS: Please cover all personal belongings in the attic, garage or storage areas due to t� possibility of roofing debris or dust coming through cracks of the wood. A& J Home Improvements. Inc. will r responsible for debris or dust in the attic or storage areas. VISA The Commonwealth of Massachusetts 1 =^ 1, Department of Indusb ialAccidents 1 Congress Street,Suite 100 y ( = Boston,MA 02114-2017 411Zis wwx.mass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organzation/individual): Al trca.(42.vvverli 5 Address: (00 iiht w P t City/State/Zip: 'fin 414.1 ilk OiD75 Phone#: t13 467 -15O6 Are you en employer?Check the appropr1 to ox: Type of project(required): 1.[I am a employer with D employees(full and/or part time).a 7, El New construction 2.0 lam a sole proprietor or partnership and have no employees working for me in g Remodeling any capacity,jNo workers'comp.insurance required.] ��{{ 3.�I am a homeowner doing all work myself,(No workers'comp.insurance recittired.1 t 9 Ll Demolition 4.01 am a homeowner and will be hiring contractors to conduct all work on my property. I will 0 0 Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 12.[ Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet, 13,hoof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.0 We are a corporation and its officers have exercised their right of exemption perMOL a. 14.D Other 152,§1(4),and we have no employees.tNo workers'comp.insurance required.] 'Any applioentthat checks box#1 must also fill ontthe 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,. , A. t L I Insurance Company Name: I. V J Co • Policy#or Self ins.Lic.#: WC. 531 S(.2; 1?OS' © IC) Expiration Date: 5 - l 1 -a a Job Site Address: ), C T• CSity/State/Zip:) c f ,,R k. A<- Attach a copy of the workers'compensation policy declaration page(showing the policy number and edpiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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 ofup to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify sunder the putts andpenalties of perjury that the information provided above is true and correct Signature: �i !/� /'�^- Date:• `)', Pbone 9T Of icier use only. Do not write ire 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#: ACORO° CERTIFICATE OF LIABILITY INSURANCE DATE(MMlDD/YYYY) :14.........„, 05/14/2021 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 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 CONTNAME ACT JoAnn Casagranda FOLEY INSURANCE GROUP PH Ne,Ext) (413)214-7474 (q FAX N,): • E-MAIL ADDREss: Casagranda@foleyinsurancegroup.com 37 ELM ST INSURER(S)AFFORDING COVERAGE NAIC 4 WEST SPRINGFIELD MA 01089 INSURER A: LM INS CORP 33600 INSURED INSURER B: A &J HOME IMPROVEMENTS INC INSURER C: INSURER D: 60 WASHINGTON AVE INSURERE: SOUTH HADLEY MA 01075 INSURER F: COVERAGES CERTIFICATE NUMBER: 655814 . 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. ILTR TYPE OF INSURANCE IANSD DDL SWVD POLICY NUMBER (MMIUBR DD//YY YYY) (MM(DOIYYYY) LIMITS I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE . J OCCUR DAMAGE TO RENTED PREMISES Ea occurrence) S MED EXP(Any one person) $ _ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ ,POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGO $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) }ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED• AUTOS N/A BODILY INJURY(Per acddent) $ AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS (Per accident) $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE_ N/A AGGREGATE $ DED RETENTION$ I $ WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE I ERH A OFF CER/MEMBER EXCLUDED?ECUTIVE N/A N/A N/A WC531 S621875011 ,05/11/2021 05/11/2022 E.L.EACH ACCIDENT S 500,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 H yyes describe under DESdRIPTION OF OPERATIONS below E,L.DISEASE-POLICY LIMIT $ 500,000 j 1 N/A I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the Issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at Www.mass.gov/Iwd/workers-compensation/investigations/. CERTIFICATE_HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 4 }- . i THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ; ,'. !' _ L. ACCORDANCE WITH THE POLICY PROVISIONS. I- a'- 1�' r '''`' r, StcKrl ,,:,a1,, 1: ',.6111111114AUTHORIZED REPRESENTATIVE T.:,:e.,', c.Pk.:11111e' •'•• ` 01060 L I,-j (L..1 - N -• ' Daniel M.CroW ey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards CSSL-101017 Expires: 11/16/2024 ANDREW J DEREN 60 WASHINGTON AVENUE SOUTH HADLEY MA 01078 Commissioner �, � "�" —� • e-A/g dslb /pAcmoackem,ei& Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Individual ANDREW J DEREN • Registration: 135399 60 WASHINGTON AVE. Expiration: 03/31l2022 SO.HADLEY,MA 01075 Update Address and Return Card. SCA 1 0 20M-0-05/17 • i/// r772n`eONNMO/two/a nl^[[(atereAr/Jet6 Office of Consumer Affairs S.Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid far individual use only TYPE:Individual before the expiration date. If found return to: Reaistratiort Expiration Office of Consumer Affairs and Business Regulation 135399 03/91/2022 1000 Washington Street •Suite 710 ANDREW J DEREN Boston,MA 02118 ANDREW J.DEREN 60 WASHINGTON AVE. FC 4. Not valid without signature SO.HADLEY,MA 01075 Undersecretary