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32C-213 (8)
BP-2023-0318 39 HOLYOKE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-213-001 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-2023-0318 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2023 Contractor: License: Est. Cost: 16695 THOMAS MORIN 112460 Const.Class: Exp.Date: 07/23/2024 Use Group: Owner: BEDGIO HOYT COLIN J&KIMBERLY Lot Size (sq.ft.) Zoning: URC Applicant: VALLEY ROOFING AND RESTORATION Applicant Address Phone: Insurance: 143 PARKER LANE (413)230-8076 7PJUB6R27625422 LUDLOW, MA 01056 ISSUED ON: 03/13/2023 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-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: � A • .).9 Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner f,,*R emkt The Commonwealth of Massachusetts A Board of Building Regulations and Stpndar A j FOR MUNICIPALITY Massachusetts State Building Code,i8Q CMR 20(93 USE Building Permit Application To Construct,Repair,Rena t )rpemolish a Revised Mar 2011 One-or Two-Family Dwelling pp This Section For Official Use Only p Building Permit Number: P Date Applied: /4u)k) Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 39 Holyoke St. Northampton, MA 01060 1.la 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.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: Colin Hoyt Whately, MA 01093 Name(Print) City,State,ZIP P.O. Box 276 413-768-7662 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building El Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other El Specify: Roof replacement Brief Description of Proposed Work2: Remove and replace asphalt shingles, see attached estimate if further detail is needed SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 16,695.00 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 0 Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire Suppression) $ Total All Fees I'(l� Check No. Check Amount: `� Cash Amount: 6.Total Project Cost: $ 16,695.00 0 Paid in Fu 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-112460 07/23/2024 Thomas Morin License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 143 Parker Lane No.and Street Type Description Ludlow, MA 01056 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 413-230-8076 valleyroofingandrestoration@gmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 24 Tom Morin D/B/A ValleyRoofingand Restoration 185148 E6/08ion Date HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 143 Parker Lane valleyroofingandrestoration@gmail.com No.and Street Email address Ludlow, MA 01056 413-230-8076 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 181 No .O 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 Tom Morin D/B/A Valley Roofing and Restoration to act on my behalf,in all matters relative to work authorized by this building permit application. Colin Hoyt 3/10/23 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. Tom Morin D/B/A Valley Roofing and Restoration 3/10/23 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.) $16,695.00 (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 Oaf GM ,,, r-. �) Massachusetts �A... { DEPARTMENT OF BUILDING INSPECTIONS `r cAt, .• 212 Main Street • Municipal Building ;/_ +''' Northampton, MA 01060 �ft-yy, �,�,� 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: Casella Waste Systems 700 Main St. Holyoke, MA 01040 413-306-3929 The debris will be transported by: Name of Hauler: The Barnish Companies pr---1...... Signature of Applicant: Date: 3/10/23 The Commonwealth of alacsachusetts Department of Industrial r — Accidents 1 Congress Street,Suite 100 •• i>= r Boston. MA 0211 4-2017 IV wt•rt•:mass.Ro►/dim ‘1,,,kers' ( ompensat" Insurance Allidas it:Builders1CootractorslEketrieians/PIumhrrs. I l)BE FILED%fill THE PER%tl Ii leiG Airrtio TI. .tpnlicant Informal" Please Print Le_ibls Name iausinc,organtzauoalnd,.tJual): Tom Morin D/B/A Valley Roofing and Restoration Address: 143 Parker Lane City/StateZip: Ludlow, MA 01056 phorie#: 413-230`8076 Are rill In e111101111,re('Arch the appropriate hoc: "1-y pr of project(required): 1.0 I am a&magm r w ith employees(lull amd of pat-Gnat-• 7. D New construction 2C3 I am a sok proprietor or partnership and base nu enpli%et'>VIorkuig fur me in H. 0 Remodeling any capacity (Nu uor►en'comp.uuurance n-qured.) 30 I am a lion/sound strung all work rnchf.(No%mien'comp-insurance required.I` 9. El Demolition 4.0 I am a n sound and%ell he hums cvntraaturs to conduct all w nr or on ley pper[y- I%ell 10 CI Building addition hu cmurc that all contractor.either Fuse Monica"compensation insurance w are sole 1 1.0 Electrical repairs or additions proprietors with no employed. 12.0-0 Plumbing repairs or additions 51:ZII am a general contractor and I lose hued the sub-iunuaciun listed tar the attached sleet These snb-contractor lose employed and has e utalers.comp.insurance. 13.0 Roof repairs 14.®other Roof replacement 60 Vic are a corporation aryl ILs officers hale exercised then nsht of eoe'npli n per alit_c. 152.41141.and sic base no employed.(`o ssor►en'comp insurance requied.I •Any applicant that checks hot nl must also till out the section floss sha w ins their%takers compensation pulati information. 'I kinetics nrs oho submit this attwlrsit Indlea ine they arc dung all%oil and ten hue outside contractors must submut a ne%at ila%it indicating siah- :Contractors that cheek this!sus must attached an additional sheet shuss ins the name of the sub"etaitractors and state whether am not tisuse ntitiw>base e-rnplo)ecs. It the sub-contractors haw employed.the'.muss proside their moiler."comp.policy number. I um an enrplurer that is providing worAers'compensation insurance for my employees. Below is the police and job site information. Insurance Company Name: _ - — Policy#or Self-ins.Lie. #: Expiration Date: - lob Site Address: 39 Holyoke St. 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 MGL c. 152.*25A is a criminal s iolation punishable hs a fine up to S 1.50O.00 anal+or 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 siolator.A copy of this statement may be forwarded to the Office of In%estigations of the I)IA for insurance co%erage verification. I do hereby certifj�underr ate pains and penalties of perjury that the information provided above is true and correct_ Signature: I Dale_ 3/10/23 Phone::: 413-230-8076 Official use unit. Du nut write in this area,to be completed by city or town official ('its or Town: I'ermilil.icense a _ Issuing.tuthority (circle one): 1. Board of Health 2.Building Department 3.City aim ii(lerk 4.Ekctrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone#: ESTIMATE Valley Roofing and Restoraton,LLC Sales Representative ROOF/N 143 Parker Lane Tom Morin Ludlow,MA 01056 (413)230-8076 (413)230-8076 valleyroofingandrestoration@gmail.com CSL#CS-112460 HIC#185148 Colin Hoyt Estimate# 1539 39 Holyoke St. Northampton, MA 01060 Date 1/11/2023 Item Description Price Amount Asphalt/plywood •Strip all layers of roofing on the house-dispose of all $16,695.00 $16,695.00 debris •Furnish and install new CDX plywood •Furnish and install mechanically fastened base sheet on the flat/low-slope area of house •Furnish and install synthetic underlayment •Furnish and install starter strip •Change existing bath hood vent if needed •Furnish and install 6'ice and water barrier at all eaves, valleys,and all roof penetrations to meet MA code •Furnish and install new aluminum drip edge—Color: White •Furnish and install low profile ridge vent •Replace stack pipe collars •Furnish and install new lead flashing on 2 chimneys • Furnish and install new GAF Timberline HDZ Lifetime Shingle(color to be determined) •Furnish and install new Tri-Built rolled asphalt roofing on the flat/low-slope area of house Sub Total $16,695.00 When Paying by Cash or Check Total S16.695.00 When Paying by Credit Card Surcharge $484.45 Balance Due* $17,179.45 *Credit card payments include a surcharge of 2.9%+29¢per transaction. SPECIAL INSTRUCTIONS ***The prices in this estimate are valid for 3 weeks*** *All installations include a lifetime workmanship warranty *The prices in this estimate include labor, materials,dump fees and permits for work at address listed above. *All measurements are based on aerial photos.There may be some discrepancy. Document ID: 97FF0C93-3D16-421 E-8970-84190005BD8F Page 1 of 2 ACODATE(MMIDDIYYYY) �� CERTIFICATE OF LIABILITY INSURANCE 03/07/2023 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 LEANDRO GUIMARAES NAME: POINT INSURANCE INC HONo.EA: (508)552-8066 F No): (508)552-8065 424 BELMONT ST E-MAIL Iguirnaraes@pointinsure.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# WORCESTER MA 01604 INSURER A: ATLANTIC CASUALTY INS CO INSURED INSURER B: TRAVELERS PROPERTY CAS CO OF AM CT HOME EVOLUTION LLC INSURER C PO BOX 81328 INSURER D: INSURER E: SPRINGFIELD MA 01108 INSURER F COVERAGES CERTIFICATE NUMBER: Master Cert 2023 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 SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MMIDDIYYYY) (MM/DDIYYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE—ITS-RENTED 100,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A L307002444 03/02/2023 03/02/2024 PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: AUTOMOBILE LIABILITY 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 LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY X STATUTE ER YIN 1,000,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE Y N/A WCBTRV000195440 03/02/2023 03/02/2024 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED'? 1,000,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 1000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ , DESCRIPTION OF OPERATIONS/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 Valley Roofing and Restoration LLC ACCORDANCE WITH THE POLICY PROVISIONS. 143 Parker Ln AUTHORIZED REPRESENTATIVE 56 Ludlow MA 01056 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Ve Division of Occupational Licensure Board of Building Regulations and Standards 7Ii ConstCion tilq,rvisor CS-112460 Ocpi res:07/23/2024 THOMAS D P ORIN p 162 PENDLETON AVE P O CHICOPEE kik. 01020 e !rd J '4q(.LVd�13J Cam,.,.,.. �,orc c, p; i.. ,,- . THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual Registration Expiration 185148 08/08/2024 TOM MORIN D/B/A VALLEY ROOFING AND RESTORATION THOMAS MORIN i 162 PENDLETON AVE, ,,c4,,N,dc' i=, " CHICOPEE,MA 01020 Undersecretary AC® CERTIFICATE OF LIABILITY INSURANCE DATE(r•1M;DO/YYYY) 09/29/2022 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 this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Jennifer Hamel NAME: Southwick Insurance Agency PHONE (413)413)569-5541 FAX (413)569-6530 _jA/C�No,Ezt}: (A/C,No): 562 College Hwy E-MAIL s: }hamel@southwickinsagency com ADDRE INSURERS)AFFORDING COVERAGE I--_NAIC# Southwick MA 01077 INSURER A: Crum&Forster Specialty Insurance Company 44520 INSURED INSURER B: Thomas Morin,DBA Valley Roofing&Restoration INSURER C: 143 Parker Lane (- INSURER D: INSURER E: Ludlow MA 01056 INSURERF: COVERAGES CERTIFICATE NUMBER: Ct.2292904057 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 NOTVV?THSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR 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. ADOL'SUBRI POLICY EFF POLICY EXP 1 T W R TYPE OF INSURANCE INSD VD POLICY NUMBER (MMIOD!YYYY) IMMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE r5 1,000,000 1 DAMAGE TO RENTED 100,000 CLAIMS-MADE 1 Xl OCCUR PREMISES(Ea orrurrer.:e) _S MED EXP(Any one person) 5 5,000 A BAK-69939-2 09125/2022 09/25/2023 PERSONAL SADVINJURY 5 1•C00,000 GEN'LAGGREGATE OMIT APPLIES PER GENERAL AGGREGATE S 2.000,000 X POLICY [ 1 PE q1 FTCT PRODUCTS-COMPtCPAGO S 2.000,000 s OTHER AUTOMOBILE LIABILITY - COh181NED SINGLE LIMIT S (Ea awdenry _ ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDCLEO BODILY INJURY(Per acader.11 S AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY , - AUTOS ONLY !Per as,Ce^N S ( i . UMBRELLA UAB C=CUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE 5 'CEO RETENTION S I i 5 WORKERS COMPENSATION PER OTH. STATUTE I ER AND EMPLOYERS'UAB(LITY Y I N ANY PROPRIETORJPARTNER!EXECUTIVE 1 1 NIA EL EACH ACCIDENT S OFFICERSLIEMBER EXCLUDED? (Mandatory in NH) E L DISEASE-EA EMPLOYEE 5 If yes,describe under DESCRIPTION OF OPERATIONS be!a.v J. E L O:SEASE-POLICY LIMIT S 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 City of Northampton Dept of Bulldrng Inspections ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main Street AUTHORIZED REPRESENTATIVE Municipal Building ' 'N 1l Northampton MA 01060 a �;i l`, I - -( ,, U 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Valley Roofing & Restoration CSL#CS-112460 HIC# 185148 Please mail permit to: 143 Parker Lane Ludlow MA 01056 or Email to: valleyroofingandrestoration@gmail.com * If you cannot do either of these can you call 413-230-8076 so that we know permit has been issued Thank you ! Tom Morin • 143 Parker Ln. • Ludlow MA 01056 • (413) 230-8076 valleyroofingandrestoration@gmail.com