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38B-061 BP-2021-2259 273 SOUTH ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38B-061-001 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-2021-2259 PERMISSION IS HEREBY GRANTED TO: Project# ROOF Contractor: License: Est.Cost: 16200 SEXTON ROOFING AND SIDING INC Const.Class: Exp.Date: Use Group: Owner: MERRIAM LEIGH Lot Size (sq.ft.) Zoning: URB Applicant: SEXTON ROOFING AND SIDING INC Applicant Address Phone: Insurance: P O BOX 6327 (413)534-1234 7PJUBOG07898221 HOLYOKE, MA 01041 ISSUED ON:12/03/2021 TO PERFORM THE FOLLO WING 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department 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: imid Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Comrnonweei h of Massachusetts &_ ,�' _/ ► • Board of Building Regulations and Standards tit Massachusetts State Building Code,-780 CMR,7th edition,. Building Permit Application To Construct,Repair,Renovate Or Demolish a , Revise Jasw* One-or Two-Famity Dwelling L., ,r /77 1,�2008 �. This Section For Official Use Only^Jo�T/U�r aJ^� / /// Building Permit Number: -a,1 - . SI ' Date Applied: ----- '114n'oti miq�'c� �i Signature: . /'/-- - . . •. . i Z - 3�2e zr --- .� Building Commissioner/Inspector of Buildings Date , ; , SECTION 1:SITE INFORMATION , 1.1 Property Ad ress•1 , , __ 1.2 Assessors Map&Parcel Numbers 1.1 a 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 Building Setbacks(ft) • Front Yard Side Yards Rear Yard Required Provided Required Provided Required • Provided • 1.6 Water Supply: (M.a.L c.40,§54) ' 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private El Zone; _ Outside Flood Zone? Municipal 0 On site disposal system ❑ Ch ect if yes❑ - SECTION 2: PROPERTY Q WIERSHIP' 21 Owner'of Record: X /1f �/ Le rct pit ►in- 1.. (l •r cAw\ - 2 2`_ V (riA `' J , 1 Name(Print) Address for ervrce. • (a 44 VZ... 4,- e--*"...Q S 95/ 3 ))0 f 2 j, 4 0.-1 f9 Ca-�.,,--- - • - Signature Telephone SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building t�'" Owner-Occupied (? Repairs(s) 0 Alteration(s)'0 Addition 0^ - Demolition ❑ Accessory Bldg.0 Number of Units Other 0 Specify: ; Brief Desc tion of Proposed Work': • SECTION 4:ESTIMATED CONSTRUCTION COSTS, Estimated Costs: Item • - Official Use Only (Labor and Materials) • 1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical 0 Total Project Costl(Item 6)x multiplier . x 3.Plumbing . . S ' 2. Other Fees: S 4.Mechanical (HVAC) S List: 5.Mechanical (Fire Total All Fees:$ Suppression) _ _ r) • Check' 3Check Amount V Cash Amount: 6. Total Project Cost: $ t(4,+2 j 0 Paid in Fill 0 Outstanding Balance Due: t A N � � ii W e �PIVI5 2 " i• r OL 1 I ! 't,: lk t "i , Uk43 . , 11 ,! ' 8-11 I' it-‘ ;31 1 !, ‘ ! ' l '.I ; 1 , i . I :14 F 1 iiiii - H v -, ♦ 8. F tg'. ' 11:1 :e4It' i 1.! 1 /, tl §141R 0 .c-;% \ liF 1 ' Ft. ill fi' g. : 1 ' 0 94 1 -1 I 1 . . 11PL fi ,!' ' 5, 8 '6 11 '` ,' t [fill ' i'l : 1 ' 1 " e . - 1 - . 7 -" Kismicoczi' 1 81,4,: m ii f : 1 plii AI 11 1 tti: 11 1 '4- PE l'Ai IlEtiill v x. , i i, ' I lin [ PI • I e I ,I � � ` i .* ' ri : ; .. 1/' Pc, ! :n1.1,,-/t 1 - :11 1: i' hit . 114 1 . ' i . iii ,e . -1,. \j'Hci ' '11 ,:i N 1Z'-4;N',!:0- 1 . 0 . ,r5, ,4 -1:.1...,e, ..i,- Al R.''96—: City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: r-7 5 905 4 5 % ybQ7�-u-vPr The debris will be transported by: 4-5606/•or 60, �41 The debris will be received by: ei)& /1-S Building permit number: Name of Permit Applicant &kick 0(10644. 7 1 zy/2 Date Signature of Permit Applicant Proposal SEXTON ROOFING AND SIDING IN.0 www.sextoflroofing.coIn R Setting the Standatrd! o"'iatt.lager P.O.. Aar mom rim vim law • p. 413.534.1234 Holyoke, MA 01041 f. 413.539.9906 MA HIC # 118239 SUBMITTED TO �.�3— .. Leigh Merriam PHONE 413-3QS-9S13 DATE 3/16121 .... STREET 273 South St I Imerrimnitcomacastmet CITY, STATEt1IP Northampton, MA 01060 j roof SEXTON ROOFING HEREBY SUBMRS SPECIFICATIONS AND ESTIMATES FOR: ._ 1) _Strip and remove existing shingles and dispose of in proper landfill. 2) inspect roofing deck and replace as needed @ $75.00 per sheet. 3) Install new metal edging to rakes and eaves of roof. (8") 4) install ice and water shield on eaves ( 6'), vent stacks, in valleys, chimney, and • at intersecting roofs. 5) install #15 synthetic roofing felt on remainder of roof. 6) Install new flanges over existing vent stacks. 7) Install`starter shingles on eaves and rakes of roof. 8) Install 1KO Architectural style roofing shingles as per manufacturers' specifications. 9) Reflash chimney with new lead flashing. 10) Install new cap over ridge vent. 11) Supply manufactures Lifetime warranty and SRC 5 yr. workmanship warranty. 12) Install .060 EPDM membrane of low pitch section (Upper front porch) We Propose hereby to furnish material and labor - complete in accordance with the above specifications, for the amount of Sixteen Thousand Two Hundred Dollars ($16,200.00) Payments to be made as follows: Due in full upon completion Ali Material is guaranteed to be as specified. All work to be A completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders. and will beecorne an extra charge over and above the estimate. All agreements contingent upon strikes, accidents or delays Note: This proposal may be withdrawn by us if not beyond our control. Not responsible for water damage dunnq accepted within (14) days. _ _----_-_-1 Department of Industrial Accidents t- ( •' i+ Office Ire ofInvestigations Lafayette G Center .�br 2 Avenue de Lafayette, Boston,MA 02 1 7 1-1 750 wwwanassgov/din • Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plnmbers Applicant Information Please Print Lebibty Name(Business/Orggamzationllndividual):Sexton Roofing& Siding, Inc Address:P.O. Box 6327 , City/State/Zip:Holyoke, MA 01041 , Phone 7#:413-534-1234 Are you an employer?Check the appropriate boa: _ Type of project,(ret;nired): 1 I am a employer witL 4• [ I am a general contactor and I employees(full and/or part-time). have hired the sub-contractors 6- ❑New construction 2.❑ I am a sole proprietor orpartner- listed on the attached sheet 7. ❑Remodel; g ship and have no employees These"sub-contractors have 8_ ❑Demolition working for me in any capacity. - ployzes and have workers' ❑camp- 9. Building addition insurance* _ . insurance[No workers' comp.insance C p' - 10- Electrical i airs or additions requu ed_] 5- ❑ We are a corporation and its ❑ 3.❑ I am a homeo wrier doing all work officers have exercised their "11.0 Flwnbing repair or additions myself [No workers' c -righht of exemption per MGL 1111 Roof illairs insurance required.]t c_ 152, §1(4),arid we have no . •employees. [No workers' 13.0 Other comp.insurance required-] 'Any applicautThat checks box.1 mass also fill autthe section below showingtheir work_rs'compensation policy infmrRlatTon t Homeowners who submit this adzaEdavitinciicatingthey are doing an work mad then hire onside confract'm min',submit anew afdavitindicafmgsuch_ - ,T-ContraistarsthatcheckthisboxmastafCtche an additional sheet showing the name of the sub-cat-actors and state whether or not those ties have . employees. rfthe sub-contractors have employees,they must provide their workers'crimp_policy number. • I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site - - infornzation. - Insurance Company Name:Travelers Property CAS CO OF AM • . Policy#or Self-ins.Lic.i:7PJUS000789Fi?7, Expiration Date:6/4/29 - Job Site Address: �2 a l S City/5tate/Zrp: /(/`/4/ �Y�i��' Attach a copy of the workers'compensation policy declaration page(showing the policy number and eipiration date). ' Failure to secure coverage as required under Section 25A ofMGL c.152 can lead to the imposition of ci si4ial 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 ORDlR"and a free • of IT to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Ofnce of _ Investigations ofthe DIA for n trance coverage verification_ I do hereby certify under s and penalties-ofperjury that the information provided sib e is true and correct. <_- _ 2/Si�aiure: Date: 7/ 2 X/ • Phone#: 413-534-1234 " Official use only. Do not write in this area,to be completed by city or town officiaL • City or Town: • Permit/License k • Issuing Authority(check one): 1❑BoardofHealth 211BurldingDepartment 311City/TownClerk 4.❑Flectr-icalInspector 5Llnmbing Inspector 6.❑O the r . Contact Person: Phone#: - . I A ar, CERTIFICATE OF LIABILITY INSURANCE DATE` YTI 0614/2021 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 MSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER IMPORTANT: tf the certificate holder is an ADDITIONAL INSURER,the palicy(les)must be endorsed If SUBROGATION IS WANED,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 ardarsement(s)- PRDourcEa CONTACT e Eric Dembinske ORMSBY INSURANCE AGENCY „ ,"';0.&A, (413)737 a3CC rbl: EALIUL AAooRess.- edembinske@armsbyins.axn P O BOX 718 W5URER%3IAFEORDNGCOVERAGE !WC it WEST SPRINGFIFI() MA 01090 1N8LIRHrA. TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER B SEXTON ROOFING&SIDING INC NSURERC: INSURERD PO BOX bs2! NSure RE= HOLYOKE MA 0:1041 et SURER F COVERAGES tL-R u-ICATE NUMBER: 665015 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 INDICA I EU_ 'NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PF_f-tIAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDmONS OF SUCH POLICIES.OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADOLiSJURJ PODGY EFF POtY1 Ere L7R TYPE OF N6URM10E NSD I WUD POLICY NUMB (Iei1OOrYYYY)- r AVAIL YYYYI LD1RT5 DIAL GENERALLABRITY EACH OOG J1ENCE •$ • DAMAGE TO REAMED CLAIMS-MACE OCCUR - PREMISES fEa noel $ MED DIP(Arty ode parser) 1 S N/A PERSONAL S ACV INJURY S ti GEM.AGGREGATE OMIT APPLIES PERGENERAL AGGREGATE S POLICY I .r LOC PRODUCTS-COMP/OP AGG S S OTHER: O e1NED SINGLE LIMIT f. �s msaanros-FLIABR.r1Y LEI acacia* MrY AUTO 3O01LY 10.1WRY(Par parson) — S ALL OWN® AUTOS NIA BODILY INJURY(Per aaadant) S _AUTOS �.AN NON-OWNED - PROPERPf tact IA--F _ HIRED AUTOS - AUILb fPs accident) • UMBRELLA La/3 .OCCUR EACH OCCURRENCE. S ESCF_SS LIAR CLAIMS-MADE N/A AGGREGATE S DIEG RETRIT1ON S. .S WORKERS COMPENSATION �/ PEN GTE- AND He'LQYHts rn LIABILITY /� STAID I D L E ER e ANYPFtt7PREETORIPARIJJOEC?ECItrNE E_1_F�iCIfACCIDENr .. f 1.000,000 A (FFrc�NOEMBERDc¢upEM I.gal WA WA 7PJUBOG07898221 06/0442021 06/04i2072 (��y_� M EL DI EASE-EAEM S 1.000;DO0 If vac,dseoir under DESCRIPTION CF OPSPATIONS tonlow EL.DtSFCSF-POLICY LIMIT S 1,000,000 N/A OFa-ePT]ON OF OPERATIONS/COCA-noes(VEHICES(ACORD NH,Additiunai Rr surisScrod±-.may ha attached rf more space is egdaad) Workers Compensation benefits will be paidta Massachusetts employees only_Fursuantto Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetls.Lithe insured hires,or has hired those employees outside of Hassacitusetts. This certificate of insurance shows the policy in.force an the date that this certificate was issued(unless the expiration date an the above policy precedes the • issue date of this certificate of insurance)_ The status of this coverage can be monitored daily by ar'ecsing the Proof of Coverage-Coverage Veriric.dtiun Search tool at www inass_gov/lw dlworkers-compensationfrnvestigatiar>s1. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Daniel M.Crc ey,CPCU,Vice 1'residerrt—Residual Market—WCRIBMA 1988-2414 ACORD CORPORATION. Ali rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD ____...--.., SEXTO-2 OP ID: KH 'ACORD" CERTIFICATE OF LIABILITY INSURANCE DATE`MYTI �� o7ro7/202/zozl 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 413-737-0300 I CONTAcT Eric Dembinske Ormsby Insurance Agency,Inc. I PHONE 413-737-0300 FAX 413-737-0617 698 Westfield St PO Box 718 (A/C,No,Ext): (A/C,No): West Springfield, MA 01090 E-MREss:edembinske@ormsbyins.com Eric Dembinske INSURER(S)AFFORDING COVERAGE I NAIC# INSURER A:Northfield Insurance Company NSURED INSURER B:QUInCY Mutual Fire Insurance 15067 Sexton Roofing&Siding,Inc. PO Box 6327 INSURER C: Holyoke,MA 01041 INSURER 0: 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 ADOL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR ,INSD MD POLICY IMM/DD(YYYY) A X COMMERCIAL GENERAL LABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR WS45073 06/25/2021 06/25/2022 EMsESI a occur°rcel $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE UMIT APPLIES PER: - GENERAL AGGREGATE $ 2,000,000 POUCY l J JEC PRCT- LDC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY - CO(Ea MBINEDaccideent SINGLE LIMIT $ 1,000,000 ANY AUTO AFV206561 05/15/2021 05/15/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ HIRED NON- WNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY (Per accident) $ $ UMBRELLA LAB --IOCCUR EACH OCCURRENCE $ EXCESS L1AB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION PER 0T H- AND EMPLOYERS'LIABILITY STATUTE ER YIN TO BE ISSUED SEPARATELY ANY PROPRIETORWARTNER/EXECUTIVE N/A EL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 1 DESCRIPTION OF OPERATIONS I LOCATIONS/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 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ST_1TE OF CON ECTICL T onwealth of Massachusetts :_:- :. Licensure comet HU7fdE _ . $ Regulations and Standards £(?�BAGTOlt Division of Professions Lt�f Board of Buildings ;-J+srr Specialty EB1ETrj SEi?Q7 SB Constructt!a 1010512023 ie2 St- pires: J HOE. CSSL-099689 �r EiERETT J 4P(70 i s SEXTON ROOFING.sc SIDING CA PO BOX 632n. du HOLYOKE MAil10A ,`- HIG0605383 12 `.'fs 11/30/2t►70 01Sti•1 SIGNED COMMISSiOner J`a `:iSt a;t::�z.:_civ RESPONSIBLE REGIS i RATiON ADDRESS T: .EXPIRATION S US z D VID UAL NUMBER OAT%- SEXTON ROOFING& SEXTON,EVERETT 118239 P_O_BOX 6327 02/141 023 Current Siding Inc HOLYOKE,MA 01041 1/2