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38B-047-000
BP-2024-1292 9/1 1 LYMAN RD(CONDO COMMONWEALTH OF MASSACHUSETTS ASSOCIATION) Map:Block:Lot: CITY OF NORTHAMPTON 38B-047-000 Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-1292 PERMISSION IS HEREBY GRANTED TO: Project# 2024 ROOF Contractor: License: Est. Cost: 23950 MATTHEW CARRIER CSL1 17335 Const.Class: Exp.Date: 06/03/2026 Use Group: Owner: SOUTHSIDE CONDOMINIUM ASSOCIATION Lot Size(sq.ft.) Zoning: Applicant: STONE MOUNTAIN ROOFING LLC Applicant Address Phone: Insurance: 156 NORTHAMPTON ST (413)998-9010 7PJUB6R27941623 EASTHAMPTON, MA 01027 ISSUED ON: 10/10/2024 TO PERFORM THE FOLLOWING WORK: STRIP&REROOF 5 UNIT CONDOMINIUM BUILDING 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: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 72_ Fees Paid: $180.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner Docusign Envelope ID:4EA17981-8CB3-4F7E-8BC1-152384E54F85 O n The Commonwealth of Massachusetts =i. f Office of Public Safety and Inspections Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) Building Permit Numlg -7024-/2-4/2.. Date Applied: Building Official: SECTION 1:LOCATION 9-11 Lyman Rd. Northampton 01060 No.and S eet City/Town Zip Code Name of Building(if applicable) 38B-04 7 Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Buildin Repair 0 Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other% Specify: Roofing Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No ili/ Is an Independent Structural Engineering Peer Review required? Yes 0 No 11i✓ Brief Description of Proposed Work: Strip and replace asphalt roofing SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0 Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 0 A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H4 0 H-5 C I: Institutional I-1 0 I-2 0 1-3 0 1-4 0 M: Mercantile 0 R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB 0 IIA 0 IIB O IIIA O IIIB 0 IV O VA 0 VB 0 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit Debris Removal: Public 0 Check if outside Flood Zone 0 Indicate municipal 0 A trench will not be Licensed Disposal Site 0 Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify: permit is enclosed 0 Railroad right-of-wa Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicably Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: Docusign Envelope ID:4EA17981-8CB3-4F7E-8BC1-152384E54F85 SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Southside Condominium Association 9-11 Lyman Rd., Northampton MA 01060 _ Name(Print) No.and Street City/Town Zip Property Owner Contact Information: c/o Bridget Blaisdell 978-793-3079 = _ bridgetblaisdell@gmail.com Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner ereby authorizes: /,, OW) — gfe 5- NorthA)St E'atf tilin '"N pa 0/O3 Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here O. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Matthew Carrier 411-998-9010 stonemountainroofingllc@gmail.com CS-117335 Name(Registrant) Telephone No. e-mail address Registration Number 156 Northampton St.. Easthampton MA 01027 U 09/15/2024 Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Stone Mountain Roofing LLC Company Name Matthew Carrier HIC: 206447 Name of Person Responsible for Construction License No. and Type if Applicable 156 Northampton St.. Easthampton MA 01027 Street Address City/Town State Zip 413:998-9010 413-214-9525 stonemountainroofingllc@gmail.com Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the' uance of the building permit. Is a signed Affidavit submitted with this application? YesVNo 17 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ a, ,950.00 0 - Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical _ $ appropriate municipal factor)=$ 18b'°. 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical (Other) _ $ Enclose check payable to 6.Total Cost $ 23,950.00 (contact municipality)and write check number here /1/ SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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 wledge and understanding. Matthew Carrier °" --Owner 413-998-9010 Please print and sign name Title Telephone No. Date 156 Northampton St. Easthampton MA 01027 stonemountainroofingllc@gmail.com Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: g �lGAD 70 ` ame Date Docusign Envelope ID:4EA17981-8CB3-4F7E-8BC1-152384E54F85 City of Northampton oµHniir�o\ 5...'u. fI (/ � �.• Massachusetts lu * DEPARTMENT OF BUILDING INSPECTIONS % h .'Fn 212 Main Street • Municipal Building J`•.., v Northampton, MA 01060 �sPh,.• ` CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, 554, 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, Northampton MA The debris will be transported by: Name of Hauler: Aaron's 24/7 Towing & Roll Off Services Inc Signature of Applicant: C.�. Date: /D ft/2-45ZY The Commonwealth of Massachusetts Department of Industrial Accidents T ;=_ l- Office of Investigations Lafayette City Center c 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 box: Type of project (required): 1.❑ 1 am a employer with 4. Ig I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New constniction listed on the attached sheet. 7. ❑ Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. 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 3.0 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.❑✓ 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 f-lomcowners 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: 9-11 Lyman Rd. City/State/Zip: Northampton, MA 01060 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. Signature:9Giew ,4,i,..4, Date: 10/1/24 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 Ilealth 20 Building Department 3❑City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: ACCPREA e GATE IMM,UU"YYYYI CERTIFICATE OF LIABILITY INSURANCE 01,237,,, 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 forms 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 (AiC,No,Eat): (A/C,No): Webber&Grinnell Division E-MAIL mlastowski@webberandgrinnell.com ADDRESS: 8 North King Street INSURER(S)AFFORDING COVERAGE NAIC 0 Northampton MA 01060 INSURER A: Berkley Specialty Insurance Co INSURED INSURER 8: Arbella Protection 41360 Stone Mountain Roofing LLC INSURER C: WCAR-Travelers 156 Northampton Street INSURER 0: INSURER E: Easthampton MA 01027 INSURER F: COVERAGES CERTIFICATE NUMBER: Exp 2025 REVISION NUMBER: T I MIS 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 MAYBE 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 ADOLSUBR' POLICY EFF POLICYEXP LTR TYPE OF INSURANCE INSO VIVO POLICY NUMBER (MM/OO/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE ®OCCUR PREMISES(Ea occurrence) $ 100,000 MED UP(Any one person) $ 5,000 A CGL0159193 02118/2024 02/18/2025 PERSONAL a ADV INJURY $ 1'000.000 GENt AGGREGATE LIMIT APPLIES PER- GENERAL AGGREGATE $ 2.000,000 1 POLICY 0 PRO- JECT n LOC PRODUCTS-COMP/OPAGG $ 2.00 A° OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 1020114776 02/18/2024 02/18/2025 BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOS ! HIRED ^ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) PIP-Basic S 8,000 f UMBRELLA LIAB OCCUR EACH OCCURRENCE $ ^— EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABIUTY Y/N STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE Y N/A 7PJUB6R27941623 07"17/2024 02/17/2025 E.L.EACH ACCIDENT S 500.000 OFFICER/MEMBER EXCLUDED'? (Mandatory In NN) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500.000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule,may be attached II 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 CommonConsweajNtlo of Massachusetts Division of Occupational Licensure Board of Building Re 'ulationsktvisor and Standards CS-117335 Itpires:06/03/2026 MATTHEW CjRRIER .- 36 LYON HILkROAD A CHESTER MlX;01011 0 t��Gft'd10�, Commissioner dQ,� ' B ncja THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLC STONE MOUNTAIN ROOFING,LLC Registration: 206447 Expiration: 09/15/2026 156 NORTHAMPTON ST. EASTHAMPTON,MA 01027 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:LLC Office of Consumer Affairs and Business Regulation Re9lstratloR Expiration 1000 Washington Street -Suite 710 206447 09/15/2026 Boston,MA 02118 STONE MOUNTAIN ROOFING,LLC MATTHEW CARRIER 156 NORTHAMPTON ST. �^ EASTHAMPTON,MA 01027 Undersecretary of valid without signature Docusign Envelope ID:A7F9F71 B-33F0-495F 9460-2513B849A9E8 ' f Massachusetts ar.— Department of Industrial Accidents =� =� Office of Investigations ==110 mama— =� Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 wwx.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): SRJ Construction LLC Address: 201 Union St. City/State/Zip: Manchester CT 06042 Phone #:413-693-5543 Are you an employer? Check the appropriate box: Type of project (required): 1.El18 4. I am a general contractor and I I am a employer with ❑ 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 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' t 9. ❑ Building addition [No workers' comp. insurance comp. insurance. 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 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.1=1 Roof repairs insurance required.] t c. 152, §1(4),and we have no q ] employees. [No workers' 13.0 Other Roofing comp. insurance required.] *Any applicant that checks box#t I must also till out the section below showing their workers'compensation policy information. I I lomeowncrs who submit this affidavit indicating they arc 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: Liberty Mutual Insurance Policy#or Self-ins. Lic. #:06-15628-24240-342341 Expiration Date:08/28/2025 9-11 Lyman Rd. Northampton, MA 01060 Job Site Address: City/State/Zip: 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. e-- umado nor Si�;ttature Date: 1 0/1/24 4^3z61933E3E45E.-. Phone#: 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): l❑Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: DATE(MM/DD/YYYY) ACOREP CERTIFICATE OF LIABILITY INSURANCE 09/24/2024 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 ERICA LUCERO NAME: LUCERO INSURANCE AGENCY PHONE 203-220-2622 FAX JALC.No.EXti; (A/C,No): 836 FOXON RD ADDRESS: ELUCERO4@FARMERSAGENT.COM EAST HAVEN CT 06513 INSURER(S)AFFORDING COVERAGE NAIC I INSURER A: ATLANTIC CASUALTY INSURANCE CO INSURED INSURER B: LIBERTY MUTUAL INS SRJ CONSTRUCTION LLC INSURER C: 201 UNION ST INSURERO: MANCHESTER CT 06042 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 TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LIMITS LTRINSD WVD POLICY NUMBER (M M/M/DD/YYYY) (MDD/YYYY) X i COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO CLAIMS-MADE n OCCUR PREMISES(EaENTED occurrence) S 100.000 MED EXP(Any one person) $ 5.000 A L261008944-0 08/29/2024 08/29/2025 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 1.000,000 OTHER AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S (Ea accident) ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED BODILY INJURY(Per accident) S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY (Per accident) S UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DEO RETENTIONS S WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANYPROPRIETORPARTNER/EXECUTIVE Yn N/A WC5-33S-B25T69-014 08/28/2024 08/28/2025 E.L.EACH ACCIDENT S 500.000 B -0FFICERMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500.000 I1 yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S 500.000 DESCRIPTION OF OPERATIONS/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 St.Easthampton,MA 01027 AUTHORIZED REPRESENTATIVE ERICA LUCERO @ 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Docusign Envelope ID:4EA17981-8CB3-4F7E-8BC1-152384E54F85 Stone Mountain Roofing LLC 156 Northampton St Easthampton, MA 01027 ^�/1'r 413-998-9010 AWAY. stonemountainroofingllc@gmail.com STONE MOUNTAIN www.stonemountainroofingllc.com/ ROOFING Contract ADDRESS CONTRACT# 1403 Southside Condominium DATE 08/05/2024 Association c/o Bridget Blaisdell 9-11 Lyman Rd., Northampton,MA 01060 bridgetblaisdell@gmail.com 978-793-3079 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. Boards replacement will be $4 per foot installed(Wood prices subject to change) 3. Install six feet of ice and water shield on eaves and three feet in the valleys/around all penetrations 4. Cover remaining roof with synthetic underlayment S. Install new 8" aluminum drip edge on all eaves and rake edges 6. Install architectural shingles by CertainTeed(Landmark) I1 up://www.certainteed.com/residential-roofing/products/landmark/ Color Choice: Georgetown Gray 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) https://lifetimetool.com/product/ultimate-pipe-flashing-shingle-kynar-coated/ Includes CertainTeed Lifetime Limited Warranty(Transferable)with 10 year SureStart period. https://certainteed.widen.net/content/srzv 1 kjewe/pdf/surestart-warranty-brochure-00-02-203-NA-EN- 2301.pdf?u=nwk4fd 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 MA-CSL#117335 MA-HIC#206447 CT-HIC.0668321 Docusign Envelope ID:4EA17981-8CB3-4F7E-8BC1-152384E54F85 DESCRIPTION "'' "' 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. Landmark shingles=$23,950 Thank you for choosing Stone Mountain Roofing. Expected Installation: Fall 2024. A$500 deposit will secure contract,permitting, material order, and priority scheduling. The balance of the one-third deposit, $7,400 will be due prior to installation. The balance shall be due upon completion, within 10 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 $23,950.00 Accepted By D"USIgned Accepted Date 10/1/2024 E CAMFAECBFO&47A... MA-CSL#I 17335 MA-HIC#206447 CT-HIC.0668321