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13-019 (3) BP-2024-0086 32 ROCKLAND HEIGHTS COMMONWEALTH OF MASSACHUSETTS RD Map:Block:Lot: CITY OF NORTHAMPTON 13-019-001 Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2024-0086 PERMISSION IS HEREBY GRANTED TO: Project# 2024 ROOF Contractor: License: Est. Cost: 68950 MATTHEW CARRIER CSL117335 Const.Class: Exp.Date: 06/03/2026 Use Group: Owner: HAYES, IOHANA &HAYES, SEAN Lot Size (sq.ft.) Zoning: RI/SR Applicant: STONE MOUNTAIN ROOFING LLC Applicant Address Phone: Insurance: 36 LYON HILL RD (413)998-9010 7PJUB6R27941623 CHESTER, MA 01011 ISSUED ON: 01/29/2024 TO PERFORM THE FOLLOWING WORK: STRIP&REPLACE WITH METAL 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: >2. I Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner DocuSign Envelope ID.2F041473-7D21-4AE5-9807-897A60084214 The Commonwealth of Massachusetts r Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY is 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:j3P-?o2 c)- Ob810 Date Applied: itv►k_) !K ss // 1-21f zOzy Building Official(Print Name) Signature Datc SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 32 Rockland Heights Rd 13 -019-001 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Rl/6T2_ , $03 ace►-c_ 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 ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Sean & lohana Hayes Northampton, MA 01060 Name(Print) City,State,ZIP 32 Rockland Heights Rd 973-222-1325 is_hayesfamily@protonmail.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 Q/Specify: Roofing Brief Description of Proposed Work2: Strip and rep!ace roof with standing seam metal roof system SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 68,950.00 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.Sup ression) (Fire $ Total All Fees: $ �,, pp D Check No.I'3) 1q Check Amount���:` Cash Amount: 6.Total Project Cost: $ 68,950.00 0 Paid in Full 0 Outstanding Balance Due: DocuSign Envelope ID:2F041473-7D21-4AE5-9807-897A60084214 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 156 Northampton St., List CSL Type(see below) U No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Easthampton, MA 01027 R Restricted l&2FamilyDwelling 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 09/15/2024 Stone Mountain Roofing LLC HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 156 Northampton St. stonemountainroofinglIc@gmail.com No.and Street Email address Easthampton, MA 413-998-9010 corpowyn,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 .I 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: Sean & lohana Hayes1/22/2024 Y CS.LtAIA,Q� �z (b�alna (kat�t.SPrint Owner's Name(Electronic �l'�f5ID81F3354F8... 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 the best of my knowledge and understanding. Matthew Carrier ak 77.-, I ! )3 allay Print Owner's or Authorized Agent's Name(Elec nic Si ature) 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" DocuSign Envelope ID:2F041473-7D21-4AE5-9807-897A60084214 City of Northampton os •t� �5 SAC rl,;fr, , 4R; Massachusetts ��? *1- '<<G N; DEPARTMENT OF BUILDING INSPECTIONS 4,' .I.{�y4 yJ b P 212 Main Street • Municipal Building y cs mar Northampton, MA 01060 s3'Nh; Do\ 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: I 1„).-4 a -I " Commonwealth of Massachusetts ;.gtDivision of Occupational Licensure Board of Buildiing`R.et I lations and Standards Cons rt tl �ton�Yisor CS-117335 . 6pires 06/03/2026 MATTHEW C 9RRIE/:' .1 p - `a 36 LYON HILT,ROAD CHESTER M%t'�0101 1 t l Commissioner ca ' . B` " - THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affaits and Business Regulation 1000 Washingtgrjt,`Suite 710 Bostor Massachusetts ? 118 Home Impro a enf_ ''. rac o ''e.istration 7tii !,: man . w`Type: LLC STONE MOUNTAIN ROOFING,LLC � e� anon: 206447 36 LYON HILL RD E 61 ation: 09/15/2024 CHESTER,MA 01011 1�Zsa i Q 7taii it We td - tie,‘,4—,-- v r Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for Individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: tt TYpE:L[C Office of Consumer Affairs and Business Regulation RegIstta6oq }c ty,Taijimi 1000 Washington Street •Suite 710 2� Z` i.YA91 Boston,MA 02110 STONE MOUNTAIN�RD pF :, I. ',;- MATTHEW CARRIER . Ai ary.... 30 LYON HILL RD c / c(,..x..ea.4,4' CHESTER,MA 01011 y.•. Undersecretary Not valid without signature The Commonwealth of Massachusetts Department of Industrial Accidents 9_,mil_IIIIIIM Office of Investigations p = ' Lafayette City Center F 2 Avenue de Lafayette, Boston,MA 02111-1750 4. IMP 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: 156 Northampton St. City/State/Zip: Easthampton, MA 01027 Phone ##: 413-998-9010 Are you an employer? Check the appropriate box: Type of project(required): 1.E✓ I am a employer with 2 4. 0 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction listed on the attached sheet. 7. 0 Remodeling 2.El I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in anycapacity. employees and have workers' P t3' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. ✓0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1Contractors 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 Expiration Date:02/17/2025 Job Site Address: 3a Roc.f oncA t OA rkS City/State/Zip:Nextra nrul ( \ OIO(QO 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 o pj�urry that the information provided above is true and correct. Signature:*a-C 11� '' V""r Date: il_a b t aoaLf 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): 10Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: ® DATE(MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 01/23/2024 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(les)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 CONT CT Michelle Lastowski Alera Group,Inc. PHONE (413)586-0111 FAX No): (413)586-6481 (A/C No,Ext): (A/C, Webber&Grinnell Division EA-MAIL : mlastowski@webberandgrinnell.com 8 North King Street INSURER(S)AFFORDING COVERAGE NAIC B Northampton MA 01060 INSURER A: Berkley Specialty Insurance Co INSURED INSURER B: Arbella Protection 41360 Stone Mountain Roofing LLC INSURER C: WCAR-Travelers 156 Northampton Street INSURER D: INSURER E: Easthampton MA 01027 INSURER F: COVERAGES CERTIFICATE NUMBER: Exp 2025 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 SUER POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD W /Y VD POLICY NUMBER (MM/DDIYYYY) (MM/DDYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'000'000 DAMAGE TO RENTED 100,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A CGL0159193 02/18/2024 02/18/2025 PERSONAL 8,ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO 0000 X POLICY JECT LOC 20 OTHER' AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ g OWNED X SCHEDULED 1020114776 02/18/2024 02/18/2025 BODILY INJURY(Per accident) $ — AUTOS ONLY _ AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) — PIP-Basic $ 8,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- STATUTE ER AND EMPLOYERS'LIABILITY Y I N 500,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA 7PJUB6R27941623 02/17/2024 02/17I2025 E.L.EACH ACCIDENT $ C OFFICER/MEMBER EXCLUDED? 500,000 (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 I 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 ll)) 1 , ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 111 DocuSign Envelope ID:2F041473-7D21-4AE5-9807-897A60084214 Stone Mountain Roofing LLC 156 Northampton St #001.1S Easthampton, MA 01027 413-998-9010 stonemountainroofingllc@gmail.com STONE MOUNTAIN www.stonemountainroofingllc.com/ ROOFING oia�r Contract ADDRESS CONTRACT# 1258 Sean& Iohana Hayes DATE 01/11/2024 32 Rockland Heights. Northampton, MA 01060 is hayesfamily@protonmail. corn 973-222-1325 DESCRIPTION 1. Remove the existing EPDM rubber on the entire house 2. Remove and replace any of the existing Polyisocyanurate insulation as needed at$100 per sheet (Polyiso is to be mechanically attached to the decking) 3. Inspect the existing plywood for any rot or deterioration. Any new plywood will be $100 per sheet installed. (Wood prices subject to change) 4. Install new 1/2 inch CDX plywood overtop the existing Polyiso insulation using approved screws 5. Install HT(High Temperature) ice&water shield on the entire roof 6. Install 24-gauge standing seam metal roof system. 16" wide panels with 1.5" mechanical lock seams. Brand: Englert https://www.englertinc.com/metal-roofing Color Choice: PATINA GREEN Note: For metal roofs that will receive solar, additional fasteners will be installed: clips 18"on center 7. Ensure the sheathing is cut at the ridge to allow for proper exhaust ventilation. Install vented"z" enclosures and fasten ridge cap to "z" enclosures. https://www.standingseamroofvent.com/roof-vent- products Remove all debris from premises, and throughout the job, continue cleanup and keep the premises undamaged. WE ARE NOT RESPONSIBLE FOR DEBRIS THAT MAY FALL INTO ATTIC. Please be proactive and prepare for the worst by covering everything in the attic. We recommend covering with tarps or plastic sheeting. Please use reasonable caution during the installation process: do not walk or drive under active work, or on areas of potential roofing debris. Stone Mountain Roofing will obtain the necessary building permit. Installations are weather permitting; inclement weather will cause scheduling delays. Either party may cancel this contract for any reason,up until the time of firm scheduling and/or the second deposit,with a full refund of deposit less any permit fees paid. Colorgard snow rails. $30 per linear foot installed. Recommended for any areas where protecting people/vehicles/plantings/animals/gutters from sliding snow is a concern. Snow rails are installed last, or MA-CSL#117335 MA-HIC#206447 CT-HIC.0668321 s DocuSign Envelope ID:2F041473-7D21-4AE5-9807-897A60084214 DESCRIPTION • 1111111111111111111111111111111111 can be added at a later date. If snow rails are added later on, the price is $35 per linear foot installed http://www.metalplusllc.com/documents/metalplus-colorgard-brochure.pdf Total=$68,950 Thank you for choosing Stone Mountain Roofing. A one-third deposit of$22,900 will secure contract,permitting,material order, and priority scheduling. The balance shall be due upon completion,within 15 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 warranties are not in effect until Paid In Full. TOTAL $68,950.00 Acce ted B °S°n.dby. Accepted Date 1/22/2024 P Y � Sum& 0 letwa t NU)?GS "-37F25D61F3354F8... MA-CSL#117335 MA-HIC#206447 CT-HIC.0668321