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22D-030 (4)
BP-2024-0995 148 RYAN RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 22D-030-001 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-2024-0995 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2024 Contractor: License: Est.Cost: 14300 MATTHEW CARRIER CSLI 17335 Const.Class: Exp.Date: 06/03/2026 Use Group: Owner: A RUSSELL DAVID J& ELIZABETH Lot Size(sq.ft.) Zoning: WSP Applicant: STONE MOUNTAIN ROOFING LLC poplleant Address Phone: Insurance: 36 LYON HILL RD (413)998-9010 7PJUB6R27941623 CHESTER, MA 01011 ISSUED ON: 08/09/2024 TO PERFORM THE FOLLOWING WORK: STRIP AND REROOF 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: (:a.: 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: 172. Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner 7/23/24,3:52 PM IMG_7426.heic ,c1;, a ��24 it, The Commonwealth of Massachusetts ...Jc�Ii' Wt Board of Building Regulations and Standards loin HUNK Y /1✓CA Massachusetts State Building Code,780 CMR USE ON 4d4 oFCTjO Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 06o NS One-or Two-Family Dwelling t. This Sz.tion For Official Use Only Building Permit Number: j2.-st�s flop, Date Applied: _ • Brdlvig UiTicial(Print Name) Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 148 Ryan Rd., Florence 22D-030-001 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) - 1.5 Banding 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❑ Private❑ Zone: v Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yoCI SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: aw-d Russell Florence MA Q1062 Name(Print) City,State,ZIP 148 Ryan Rd., 413-687-7703 Davidrussell945@oomcast.net 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.❑Number of Units Other IQ/Specify: Roofing Brief Description of Proposed Work2: Strip and replace asphalt roof SECTION 4:ESTIMATED CONSTRUCTION COSTS jItem (Labor Materials) - Official Use Only 1.Building S 14,300.00 1. Building Permit Fee:S Indicate how fee is determined: 0 Standard City/Town Application Foe 2.Electrical S 0 Total Project Cost'(Item 6)x multiplier x 3.Plumbing S 2. Other Fees: S _ z 4.Mechanical (HVAC) S List: 5.Suppression)Mechartical (Fire S Total All Fee5s I ` p Check No\ eck Amount: '� 'Cash Amount:__ 6.Total Project Cost: S 14,300.00 ❑Paid in Full ❑Outstanding Balance Due: • • https://drive.goog le.con/drive/u/O/recent 111 7/23/24,3:53 PM IMG 7427.heic • • 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 CSI.Type(see Below) 156 Northampton St., U No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) East mpton,MA 01027 _ R Restricted IR2 Family Dwelling Ciry/fown State.ZIP M Masonry RC Roofing Covering — WS Window and Siding SF Solid Fuel Homing Appliances 413-998-9010 stonemountainroofingllc@gmall.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 CompanyName or R straM Name 156sit Northampton�. stonemountainroofingllc®gmail.com No.and Street Email address Easthampton. MA 01027 — 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.......... 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 Stone Mountain Roofing LLC/Matthew Carrier to act on my behalf,in all matters rein( a to work authorized b this building permit application. David Russell ._ 6_ 9_ Zq 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 t the best of my knowledge and understanding. Matthew Carrier ' "'"' - 6// y/JY --- Print Owner's or Authorized Agent's Name(El tc S we) 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(WC)Program),will ZQf have acmes 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/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.8.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.8.) Habitable room count Number of fireplaces Number of bedrooms __ --- Number of bathrooms Number of halflbaths Type of bating systan Number of decks/porches - - Type of cooling system Enclosed -_-_ Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" .. .. Y t httpsJ/drive.google.com/drive/u/0/recent /1 City of Northampton Massachusetts ;4 '4 C � 0 L.cp` ` DEPARTMENT OF BUILDING INSPECTIONS r - 212 Nain street • Munioipal Building » V � Northampton, IOi 01060 fr,y .+.�i�, CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40,554,a condition of Building Permit •t' • 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 2417 Towing&Roll Off Services Signature of Applicant: °. •+^- Date: Ji Docusign Envelope ID: F4958165-DE58-4CEE-B192-57E042A65E32 1 [Massachusetts Department of Industrial Accidents •;xi `�, Office of Investigations Lafayette City Center 1-1 2 Avenue 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): Andrade Brothers Construction Inc. Address: 16 Jefferson St., Apt 4 City/State/Zip: Milford MA 01757 Phone#:413-505-6124 Are you an employer? Check the appropriate box: Type of project(required): LE I am a employer with 18 4. ❑ I am a general contractor and 1 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 workingfor me in anycapacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 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.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑✓ Other Roofing 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. 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: ARWC Travelers Indemnity Company Policy#or Self-ins. Lic. #: 'TO Pr - Sp Expiration Date:7/31/2025 Job Site Address: \ 'g 'R \ City/State/Zip: F(Yf0'0f o f'flt- 01010 a 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 certii uned by: nder the pains and penalties of perjury that the information provided above is true and correct. (�Do S S�-nature:l ��.-S Date: j a 0 1-1 Phone#: 43156%24 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 5E3:Plumbing Inspector 6.0Other Contact Person: Phone#: C RO® CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DD/YYYY) 08/01/2024 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(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 Jackie Medeiros NAME: Universal Insurance Agency,Inc. (PnHJONrE Ext): (508)752-9333 ac,No): (508)752-9303 374 Belmont Street E-MAIL I g ackie universalinsa en .com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 Worcester MA 01604 INSURER Atlantic Casualty Insurance Company 42846 INSURED INSURER B: ARWC Travelers Indemnity Company Andrade Brothers Construction Inc INSURER C: 16 Jefferson St apt 4 INSURER D: INSURER E: Milford MA 01757 INSURER F: COVERAGES CERTIFICATE NUMBER: Temp 02 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. NOTVVITHSTANDING 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MMIDDIYYYY) (MMIDD/YYYY) X COMMERCIAL GENERAL LABILITY EACH OCCURRENCE $ 1,00,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurD ence) $ 100,000 MED EXP(Any one person) $ 5,000 A L375000875-0 03/08/2024 03/08/2025 PERSONAL&ADV INJURY g 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 X POLICY J I% LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER $ AUTOMOBILE UABIUTY 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 LAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATIONOTH- AND EMPLOYERS'LABILITY X STATUTE ER Y/N 1 000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE N NIA TBA 07/31/2024 07/31/2025 E.L.EACH ACCIDENT $ , OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 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 Stone Mountain Roofing LLC ACCORDANCE WITH THE POLICY PROVISIONS. 156 Northampton Street AUTHORIZED REPRESENTATIVE Easthampton MA 01027 1 �- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD * '* The Commonwealth of Massachusetts Department of Industrial Accidents ;y '' Office of Investigations i ' Lafayette City Center fi ' 2 Avenue 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: 156 Northampton St. City/State/Zip: Easthampton MA 01027 Phone #:413-998-9010 Are you an employer? Check the appropriate pox: Type of project(required): 1.0 I am a employer with 4. 1 am a general contractor and 1 employees (full and/or part-time).* have hired the sub-contractors 6. 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. 0 Demolition workingfor me in anycapacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. 0 We are a corporation and its 10.1=1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 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. 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 Expiration Date:02/17/2025 Job Site Address: \ piN Q_c\ City/State/Zip: el0f01102 t761Pr CAW. 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 perjuty that the information provided above is true and correct. Signature:ka eco � Date: g ,� I a( � 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): 1OBoard of Health 20 Building Department 30City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: 'A�ORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDlYYYY) 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(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 (413)586-0111 FAX (413)586-6481 (A/C,No,Ext): (A/C,No): Webber&Grinnell Division E-MAIL mlastowskicwebberandgrinnell.com ADDRESS: 8 North King Street INSURER(S)AFFORDING COVERAGE NAIC II 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 INSURERF: 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD {MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PREMISESO(EaEoccurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A CGL0159193 02/18/2024 02/18/2025 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 X POLICY JECOT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B - 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 UAB CLAIMS-MADE AGGREGATE S DED RETENTION$ S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N 500 000 C ANY PROPRIETOR/PARTNER/EXECUTIVE Y N/A 7PJUB6R27941623 02/17/2024 02/17/2025 E.L.EACH ACCIDENT $ , OFFICER/MEMBER EXCLUDED'? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Occupational Licensure I Board of Building Re ulations and Standards Cons tonrS ,rvisor CS-117335 spires:06/03/2026 MATTHEW CIRRIER 36 LYON HIL&ROAD CHESTER Mt01011 i) �'�)t.r.�az� � r Commissioner i # A. r ` LR& it THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affaiand Business Regulation 1000 Washin to t-Suite 710 Boston,_Massachusetts-02118 Home Improve eht=G•-''.tb ERe istration f ` 4 .,�.� w Type: LLC STONE MOUNTAIN ROOFING,LLC ='ilk I egisNation: 206447:r> �_ ,.iation: 09/15/2024 36 LYON HILL RD ........ CHESTER,MA 01011 4 =. t A.L C‹ W L-1A4 s\0; VIP 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: .__TYPE'LCc Office of Consumer Affairs and Business Regulation Re 1000 Washington Street-Suite 710 296447- _5l2024 Boston,MA 02118 -STONE MOUNTAIN t — ii -1 =i{ - _ MATTHEW CARRIER- f r /{' 137k2...-7.-. 36 LYON HILL RD , „r_.4 CHESTER,MA 01011 y.,;:. . Undersecretary Not valid without signature 7/23/24.3:53 PM-4 IMG_7424.heic Stone Mountain Roofing LLC 156 Northampton St .,/ Easthampton,MA 01027 413-998-9010 stonemountainroofingllc@gmail.com STtNE MOUNTAIN www.stonemountainroofingllc.com/ ROOFING -x- Contract ADDRESS CONTRACT# 1367 David Russell DATE 06/03/2024 148 Ryan Rd., Florence,MA 01062 413-687-7703 DESCRIPTION 1.Remove the existing roofing shingles 2. Inspect the existing plywood for any rot or deterioration.Any new plywood will be$75 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.Cover "lower slope"areas entirely with ice and water shield 4.Cover remaining roof with synthetic underlayment 5.Install new 8"aluminum drip edge on all eaves and rake edges(Brown) 6.Install architectural shingles.GAF Timberline HDZ https://www.gaf.com/en-us/roofing-material s/residential-roofing-materials/shingles/timberline-hdz Color:"Hickory" 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 pipe boots and base flashing around the chimney's httpsJ/Iifetimetool.com/product/ultimate-pipe-fl ashing-shingle-kynar-coated/ 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. Total=$14,300 A one-third deposit of$4,700 will secure contract,permitting,material order,and priority scheduling. MMCSL 0117335 MA-HIC 0206447 Cr.HIC.066832 https://drive.google.com/drive/u/0/recent 1/1 7/23/24,3:52 PM IMG7425.heic DESCRIPTION The balance shall be due upon completion,within 10 days of invoice. Accounts outstanding over 30 days s ,*ect to 2%afinance t• 'cm, TOTAL $14,300.00 . . • --0 Accepted41- By Accepted4tAt , Date •N r• " • • • A• •, • •a' MA I., 441C 1130.44.7 C1-WC.066$321 a 'a. https://drivegoogle.com/drive/u/O/recent 1/1