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46-026 BP-2022-0584 3 FERRY AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 46-026-001 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-2022-0584 PERMISSION IS HEREBY GRANTED TO: Project# ROOF Contractor: License: Est. Cost: 14000 R& H ROOFING LLP 114097 Const.Class: Exp.Date:02/12/2023 LIPSKI THERESA S &WALTER S LIPSKI JR& Use Group: Owner: C YNTH I A DI DONATO Lot Size (sq.ft.) Zoning: SC Applicant: R& H ROOFING LLP Applicant Address Phone: Insurance: 59 SOUTH ST 413-527-9378 6080835024 EASTHAMPTON, MA 01027 ISSUED ON:05/25/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RESHINGLE 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: i • f i .52 53:)piT Fees Paid: $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massachusetts / Board of Building Regulations and Stand rds A14 2� FOR Massachusetts State Building Code, 780 MR 4 22 IFIPALITY USE Building Permit Application To Construct, Repair,Reribvat lish a evised Mar 2011 One-or Two-Family Dwelling "'�'"inti r'0N PF• Ns rvs cri This Section For Official Use Only c a n"'�0 Building ermit Number: t P-A. S if V pplied: �v 1,.1 ��S //2 6-24-1-2022 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 3 Ferry Avenue 1.2 Asr sors Map&Parcel Numbed Northampton,MA 01060 U 1.1 a Is this an accepted street?yes X no Map Num r 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 Owner'of Record: Theresa Lipski Northampton,MA 01060 Name(Print) City,State,ZIP 3 Ferry Avenue 413-584-0873 N/A No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building gl Owner-Occupied 121 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': Removal of existing shingle roofing,flashing and drip edges and replace with new shingle roofing system SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building (Roof) $ 14.000.00 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 Feysk; Check Nod Check Amount: V Cash Amount: 6.Total Project Cost: $ 14,000.00 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-114097 02/12/2023 Timothy Hopkins License Number Expiration Date Name of CSL Holder 59 South Street List CSL Type(see below) No.and Street Type Description Easthampton,MA 01027 U Unrestricted(Buildings up to 35,000 Cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-527-9378 rhroofingllp@gmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 105948 11/02/2022 R&H Roofing,LLP HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 59 South StreetY rhroofingllp@gmail.com No.and Street Easthampton,MA 01027 413-527-9378 Email address 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 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 R&H Roofing,LLP to act on my behalf,in all matters relative to work authorized by this building permit application. Theresa Lipski 05/18/2022 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. 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 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 Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building vti �a Northampton, MA 01060 �S jy 71�J 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: TBD The debris will be transported by: Name of Hauler: Dave Wickles Signature of Applicant: Date: 05/18/2022 .,� The Commonwealth of Massachusetts Department of Industrial Accidents ,'- 1 Congress Street.Suite 100 c C:. -•_ ���.:: Boston,MA 02114-2017 www mass.gov/thin ))utters'Compensation Insurance AII'idavit:Builder►1(:"ontracturW I'.iectriciai.sJPlunrbrr. TO BE t71.E1)W Oil THE I'ENNI!FLING At'7 HONI fl. Applicant Information Please Print Lelibl, Name(I1usiinensMkrant/aeon India'dual►: R&H Roofing, LLP Address: 59 South Street City/state/Zip: Easthampton,MA 01027 phone 413-527-9378 Are tau an einishnre!i'hcrk the retscuproac hos: Type.1 project(required): i.®I aura a employer with 11 employees*hill and or prat-tiiln:r* 7. ®New'construction 2J U 1 1 ant:1 solo'pittplIt A or pinnnJi cip anti hate 110 Ctupl ccs%urkurr for arc in $. (j Remodeling any capacity.INu%mile . corps.uisurinax required.) 9. []Demolition I am a I olINAIW.rt.-r dump all Nark myself No wuekaTs'comp.itrwrusx replant]• 4.01 am n- a hometwit and will he hiring coinrat:urs to conduct all work on my prapert)r. I will 100 Building addition ensue that all klontraalor`,either lease milkers'cons n JiKat insurance re are sole 11E1 Electrical repairs or additions pilprxtor,Nn[h 1K1 taiipl[lyees_ 12.0 Plumbing repairs or additions S 1 am a pelletal contractor and I hate bred the orb-ctunu:icwrs listed on the atuchaal silscL 13.:Roof repairs the-sc su p.b-cawtracium fuse annploycas and hate%tinkers'coo .utwrawra: fi.�W.an:a tiisparstinn and its affirmba c etcrcrx-d then right of emma/Muir per hail.c. 14,®Ottt�y Roof Replacement 152.111(4},aid Ire bare no compioyac'ta(Nu wothos'clasp.inatranc$:required. 'Any applicant no chocks boss 81 rust also fill out da section below,sltrwinf their w.,rkers'compensation policy information. *llwincowricrs who.solicit*tors atliFJtit irubeatine the-*an during all work and Mel tetra outside contractors ruler submit a new adult*it indicating such. tnitractnrs that cheek this toes MUM attached an addirlurial shell rn inu Mc name el the+lrtrcuignset rs and state whether or not those i nlutie-s lute caliph)I, It tla lute-eutaiaelea s lose empktyves.they must prrusrtle their worker,'comp.pulley nunber- I eat an employer that is providing corkers'compensation insurance for any ealaploJeer. Below is the policy and job site in farmetion. litstoattr a Company Native: CNA Insurance Policy#or Self-et .Lic. 6080835024 Expiration fie._ May 26,2023 Job Site Address: 3 Ferry Avenue Citv'Statr.'Z* Northampton,MA 01060 Attach a copy ratite workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152.*25A is a criminal violation punishable by a fine up to S I S(01W andfor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator.A copy of this statement may be tiwwarded to the Office of Investigations of the DIA for insurance cos erage s•crificaticm. t du hereby certil'no the pains and penalties of perhers that the information provided abnre is true and correct '*+mature: Trtho trey t-t-P11.n1S Date: 05/18/2022 Phone,#: 413-527-9378 Official use only Do not write in this area,to he completed by city or town official ('ifs or Trivia: Permit/License q' Issuing_Authority(circle one): I.Board of Ilealth 2.Building Department 3.('its rl'onn Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other ('unlaet Person: Phone#: • u • {{,, • �L ♦♦ y 'z ® I Commonwealth of Massachusetts s WI • W • ' •'F O ALL �� I t Division of Professional Licensure 0 :;" BOARD OF Board of Building Regulations and Standards SHEET METAL WORKERS Constructi'�it1i�>Spgrvisor 'fir ISSUES THE FOLLOWING LICENSE W CS-114097ta, I3pires:02/12/2023 MASTER-UNRESTRICTED : TIMOTHY H HOPKINS , +.; TIMOTHY H HOPKINS 27 RESERVATION RD ;" m — EASTHAMPTON MA 01027 ,?. 59 SOUTH ST W R&H ROOFING LLP ''` z EASTHAMPTON,MA 01027 2109 'g >er �sr r 'i�t `'"3�" 1 / �. `yx� zsrr Commissioner /t,�i 1738 a. '; ' 02128/.024 .: 162938 .. �/,�— LICENSE NUMBER EXPIRATION DATE SERIAL NUMBER // trle Kt/2-4~-fme,teilo, , 4 4 elk, Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLP R&H ROOFING,LLP Registration: 105948 Expiration: 11/02/2022 59 SOUTH STREET EASTHAMPTON, MA 01027 Update Address and Return Card. SCA 1 0 2r�0MM 0-5/17 1 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLP before the expiration date. If ound return to: Registration Expiration Office of Consumer Affairs :nd Business Regulation 105948 11/02/2022 1000 Washington Street Suite 710 R&H ROOFING,LLP Boston,MA 02118 TIMOTHY HOPKINS t '., 59 SOUTH STREET .NI'a• , -f' EASTHAMPTON,MA 01027 Undersecretary Not valid without signature ^1 R&HROOF-01 M , e, ACT ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/11/2022 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 I this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ ! PRODUCER �pN'ACT Melissa Morse NAME: Watts Group LLC PHONE 86021250(Arc,NoXIi:� - FAX (A/C,No):LaSalle Road#209 West Hartford,CT 06107 ,jiMist-mil arse@thewatts rp.com -_.._siSURERLSI AFFORDING C RAQE_�___.� INSURER A Continental Insurance Company._- 354C INSURED INSURER I:National Fire Insurance Company 120478 R&H Roofing (NsuRERc; 1 — 59 South Street INSURER D: Easthampton,MA 01027 ..(t4SURER E: L 1 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 POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIR X COMMERCIALTYPE OFGENERALINSURANCE U UABIUTY MIDI WO IC___ M .._... POLICY NUMBER POLICY EFF POUCY EXP ICDFAIDDIYYYYI (MMlDDJYYYY\ LASTS INSR R ___.._ 1,000,000 EACH OCCURREN CLAIMS-MADE X OCCUR '4080835010 5/26/2022 5/26/2023 PRiwhl gE$lO R O wronCol ._+.3 100,000 X NO DEDUCTIBLE _MED EXP(Any,one person) f t__ 5,000 �_. PERSONAL a ADV INJURY !$ 1,000,000 GEM.AGGREGATE LIMIT APPLIES PER: i � GENERAL AGGREGATE ZrOOO,OOO POLICY X JECT -'LOC PRODUCTS_COMP/OP AGO o S 2,000,000 OTHER: SITE POLLUTION $ 1,000,000 A AUTOMOe1LE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident).--_— 1 t. X ANY AUTO 6080835007 5/26/2022 5/26/2023 BODILY INJURY(Per persoy_ $ ,__-,_ _ OWNED SCHEDULED AUTOS ONLY AUTOS y� �p BODILY INJURY�PersectMng'S AUTOS ONLY AUOTOS ONNLY (rerr_ dens AGE_......_._ L____., -, S A X UMBRELLA LIAR X OCCUR 5,000,000 EACH OCCURRENCE_-._.. $ EXCESS LIAR CLAIMS-MADE 6080835038 5/26/2022 5/26/2023 —_ AGGREGATE £_ 5,000,000 DED X RETENTIONS 10,000 s B WORKERS COMPENSATION �R��,�G TIf AND EMPLOYERS'LIABILITY X..:AI41TE_:_.___.ELt- ANY PROPRIIETgOR�/PARTNER/EXECUTIVE YIN 6080835024 5/26/2022 5/26J2023 �4 1,000,000Mind Rory In NH)EXCLUDED? N N/A E.L.EACH ACCIDENT._— . 1,000,000E.L.DISEASE•EA EMPLOYEE;.$ II es,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Inland Marine 6080835010 5/26/2022 5/26/2023 Installation 150,000 A Inland Marine 6080835010 5/26(2022 5/26/2023 Rented/Leased Equip 25,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached if more space Is required) Evidence of Insurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Sample THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN p ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE /(/7-10(--"7./friA4.(---(..,.____ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD R & H ROOFING , LLP 59 South Street, Easthampton, MA 01027 (413) 527-9378-PH (413) 527-8244-FX May 5, 2022 3 Ferry Ave Northampton MA - Roofing Contract SCHEDULE OF VALUES Option ILFull Replacement $14,000 LABOR, MATERIALS, & TAX Furnish & Install new INCLUDED Architectural shingles. Plywood(Replacement +$100,00 If needed. Per 4x8 sheet 4x8 snF& Per sheet ASSUMPTIONS CLARIFICATIONS. AND EXCLUSIONS 1. The removal or handling of any and all asbestos/hazardous containing materials is not included 2. Applicable tax is included. 3. It is assumed that R&H Roofing will have unimpeded access to load and unload the materials and the equipment needed to perform our job duties on a daily basis. 4. Dumpsters have been included in this proposal 5. Permit fees are included in this proposal. 6. Roof sheathing replacement is not included in this proposal, if new roof sheathing is required there will be an additional charge of$100 per 4x8 board. (includes labor+materials) 7. This proposal assumes the re-use of existing gutters and downspouts 8. This proposal is based on utilizing the same method of ventilation as is currently being used 9. The current market for shingle availability changes daily, as with color selection they have 5 standard colors available. PAYMENT TER S 50°!o DUE BEFORE START DATE AND 50% DUE UPON COMPLETION. Tim Hopkins Theresa Lipski Partner/ R&H Roofing LLP 3 Ferry Ave Northampton R & H ROOFING , LLP 59 South Street, Easthampton, MA 01027 (413) 527-9378-PH (413) 527-8244-FX May 5, 2022 3 Ferry Ave Northampton MA - Roofing Contract OPTIO 1 ASPHALT SHINGI ES- FU I REPLACEMENT -APPROX 2.132 SQ FT 1. Remove and dispose of the existing shingle roofing, flashings, and drip edges. 2. Furnish and install ice and water shield at the eaves, per the manufacturer's required specifications. 3. Furnish and install synthetic underlayment at the remaining exposed decking, per the manufacturer's required specifications. 4. Furnish and install new ridge cap shingles at the new shingle roof, per the manufacturer's specifications. 5, Furnish and Install new architectural shingles roofing system per the manufacturer's specifications. 6. Furnish and install aluminum sheet metal flashings (drip edge, rake edge, step flashings) as required per manufacturer's specifications. 7. Clean up debris and remove materials from the site. SCHEDULE OF VALUES ASSUMPTIONS,CLARIFICATIONS,AND EXCLUSIONS FOLLOW ON THE NEXT PAGE