Loading...
31A-129 (7) BP-2023-0540 35 FORBES AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31A-129-001 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-2023-0540 PERMISSIO ST IS HEREBY GRANTED TO: Project# ROOF 2023 Contractor: License: Est. Cost: 2900 MATTHEW CARRIER CSL117335 Const.Class: Exp.Date: 06/03/2026 HAWKINS CHRISTIAN W&REBEKAH R BROOKS Use Group: Owner: CO-TRUSTEES Lot Size (sq.ft.) Zoning: URB Applicant: STONE MOUNTAIN ROOFING LLC Applicant Address Phone: Insurance: 36 LYON HILL RD (413)998-9010 7PJUB6R27941623 CHESTER, MA 01011 ISSUED ON: 05/01/2023 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-ROOF PORCH ROOF ONLY 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: I CP1 ' Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissidner DocuSign Envelope ID: EA1D61BB-04C5-4081-8192-9C15F58686DD The Commonwealth of Massachu1etts , c cl) Board of Building Regulations and S nda�.s APR 2 8 2023 FOR Massachusetts State Building Code, 7'0 C R MUNICIPALITY oNs ^ SE o ti t1rR7 n -- U Building Permit Application To Construct,Repair,Renova „ `-p 4=67 A vised Mar 2011 One-or Two-Family Dwelling °' "°'' �1oso This Section For Official Use Only I Building4,„..., Permit Number: 60- ).' .6go Date Applied: !s 5,_ i,i��Z--- 5-I.2D�3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 35 Forbes Ave. 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimen$ions: Zoning District Proposed Use Lot Area(sq ft) l Frontage(11) 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: Christian Hawkins Northampton, MA 01.060 Name(Print) City,State,ZIP 35 Forbes Ave. 917-922-6628 201addlIc@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2( heck 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 t Q/Specify: Roofing Brief Description of Proposed Work2: strip and replace asphalt roof on front porch only SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 2,900.00 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost3 (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fee/s,: Check No.l�11 Check ount: 41 " Cash Amount: 6. Total Project Cost: $ 2,900.00 0 Paid in Full 0 utstanding Balance Due:_ DocuSign Envelope ID:EA1D61BB-04C5-4081-8192-9C15F58686DD 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 CSL Type(see below) U 36 Lyon Hill Rd No.and Street Type Description Chester, 01011 U Lnrestricted(Buildings up to 35,000 Cu.ft.) City/Town,State,MAI R Restricted 1&2 Family Dwelling 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 36 Lyon Hill Rd stonemountainroofinglic@gmail.com No.and Street Email address Chester, MA 01011 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 w th 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 relative to work authorized by this building p 3rmit application. r—DocuSigned by: Christian Hawkins �( 4/25/2023 UtYisti,w. ��AIA/G�1n.S Print Owner's Name(Electron§}$d (0534FD... 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. Matthew Carrier 4/24/2023 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.) (including garage,fin4ed 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:EA1D61BB-04C5-4081-8192-9C15F58686DD _ City of Northampton `'oQtN M `S __'�,s', „ . "� Massachusetts 4, ( ,.: G i l. '"i `t DEPARTMENT OF BUILDING INSPECTIONSi.S` x' \ ` ' t'.r 212 Main Street • Municipal Building JN <.b: Northampton, MA 01060 ssr,, O,�, 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: 4/24/2023 The Commonwealth of Massachusetts a Department of Industrial Accidents Office of Investigations 'alill= .;„ N:= s Lafayette City Center "' — t 2 Avenue de Lafayette, Boston,MA 02111-1750 ••r wWw.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Stone Mountain Roofing L LC Address: 36 Lyon Hill Rd. City/State/Zip: Chester, MA 01011 Phone #:413-998-9010 Are you an employer? Check the appropriate box: I Type of project (required): 1.❑ I am a employer with 1 4. El I am a general contractor land I employees (full and/or part-time).* have hired the sub-contractors 6 ❑New construction 2.0 I am a sole proprietor or partner- listed on the attached she-t. 7. 0 Remodeling shipand have no employees These sub-contractors ha e 8. 0 Demolition working for me in any capacity. employees and have wor lers' insurance.t 9• 0 Building addition comp. [No workers' comp. insurance required.] 5. ❑ We are a corporation and is 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised th it 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per M 1 L 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we hay; no employees. [No workers' 13.❑ Other comp. insurance required. *My applicant that checks box#1 must also fill out the section below showing their workers'co s pensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside c i ntractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-co tractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.polic number. I am an employer that is providing workers'compensation insurance for my •mppoyees. Below is the policy and.job site information. Insurance Company Name: Travelers Policy#or Self-ins. Lic. #: 7PJUB6R27941623 02/17/2024 Expiration Date: Job Site Address: 2)F I X bO S f\\10_J City/State/Zip: II)yA'rot t(q- ri)k 0l0W0 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 1 ad to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties • 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 state ent 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:I - a — Date: ti I as J aoa3 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 40 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: AC RE® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 02/13/2023 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 Michelle Lastowski Alera Group,Inc. PHONo,Ext): (413)586-0111 FAX No): (413)586-6481 Webber 8 Grinnell Division E-MAILRss: mlastowski@webberandgrinnell.com 8 North King Street INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURER A: Berkley Specialty Insurance Co INSURED INSURER B: WCAR-Travelers Stone Mountain Roofing,LLC INSURER C: 36 Lyon Hill Road INSURER D: INSURER E: Chester MA 01011 INSURER F: COVERAGES CERTIFICATE NUMBER: Ex;;2/2024 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. SADDL SUBR POLICY EFF POLICY EXP INLTRR TYPE OF INSURANCE ,INSD MD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE 10 REN rED 100,000 CLAIMS-MADE n OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A CGL0159193 02/18/2023 02/18/2024 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JECT OTHER: AUTOMOBILE LIABILITY CO aBINEDct)SINGLE LIMIT $ (EaANY 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 X STATUTE ERH AND EMPLOYERS'LIABILITY YIN 100'000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA 7PJUB6R27941623 02/17/2023 02/17/2024 E.L.EACH ACCIDENT $ B OFFICER/MEMBER EXCLUDED? 100,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ It yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 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 Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 1 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts 4® Division of Occupational Licensure Board of Building Re ulations and Standards Cons ions (visor CS-117335 r # pires:06/03/2026 MATTHEW Cr 1RRIER . : f 36 LYON HILL ROAD = <, CHESTER Mt,01011 l Commissioner dad K ` emaz&, THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Af4i Business Regulation 1000 Washingt • r -Suite 710 Bostofl Massachusetts=0 118 Home Im.ro e e f •• racf6E-e istration �.,»�.._ s Type: LLC STONE MOUNTAIN ROOFING,LLC `.- ,e3is ation: 206447 36 LYON HILL RD ,M ation: 09/15/2024 CHESTER,MA 01011 =„ �.._� Ltit C > r Update Address and Return Card. • THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs t8 Business Regulation Registration valid for individual use only before the HOME IMPROVEM€NT'CONTRACTOR expiration date. If found return to: f:TYpE: C_,r Office of Consumer Affairs and Business Regulation als Retratlon a — 1000 1000 Washington Street •Suite 710 2164 /2174 Boston,MA 02118 STONE MOUNTAIN ON i L t , , MATTHEW CARRIER :: � (1 36 LYON HILL RD r fol..,,,,taG,� / RI� wy w. CHESTER,MA 01011 ...-• "`' Undersecretary Not valid without signature DocuSign Envelope ID:EA1D61BB-04C5-4081-8192-9C15F58686DD Stone Mountain Roofing LLC 36 Lyon Hill Rd., Chester, MA 01011 413-998-9010 stonemountainroofingllc@gmail.com STONE MOUNTAIN www.stonemountainroofingllc.com/ R 0 0 F I N C w.X�, Contract ADDRESS CONTRACT# 1113 Christian Hawkins DATE 04/24/2023 35 Forbes Ave. Northampton, MA 01060 917-922-6628 DESCRIPTION ll. � �� � - This contract is for the front porch roof only- 1. Remove the existing roofing shingles 2. Remove existing gutters 3. Inspect the existing plywood for any rot or deterioration. Any n-w plywood will be $85 per sheet installed. (Wood prices subject to change) 4. Cover entire roof with synthetic underlayment 5. Install new 8" aluminum drip edge on all eaves and rake edges 6. Install architectural shingles by CertainTeed (Landmark PRO) https://www.certainteed.com/residential-roofing/products/landmark-pro/ Color Choice: MAX DEFINITION GEORGETOWN GRAY 7. Complete all necessary flashings Remove all debris from premises, and throughout the job, continue cleanup and keep the pre ises undamaged. WE ARE NOT RESPONSIBLE FOR DEBRIS THAT MAY FALL INTO ATTI . 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 obtair the building permit if necessary. Installations are weather permitting; inclement weather will cause scheduling delays. Total: Landmark PRO shingles= $2,900 A one-third deposit of$960 will secure contract, permitting, material order, and priority scheduling. The balance shall be due upon completion,within 10 days of invoice. Accounts outstanding over 30 days subject to 2% finance charge monthly. TOTAL $2,900.00 /—DocuSigned by: Accepted By acr'iStiaiA, ikawLit&S Accepted Date 4/25/2023 '-92235DBB0E534FD... MA-CSL#117335 MA-HIC#206447 CT-HIC.0668321