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24C-134
BP-2023-0782 104 FRANKLIN ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24C-134-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-0782 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2023 Contractor: License: Est. Cost: 12400 MATTHEW CARRI i' CSL117335 Const.Class: Exp.Date: 06/03/202 Use Group: Owner: SHEA .HEA JUDITH A &JAMES E 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: 06/13/2023 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-ROOF, REPLACE 2 SKYLIGHTS 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: le, • • >2 • 6 • Fees Paid: $80.00 212 Main Street,Phone(413)587-1240,Fax (413)587-1272 Office of the Building Commissiiner uocusign Envelope ID:7FD228FA-6844-4B51-A642-A5D13D1AA267 PIECE/VED The Commonwealth of Massachuse v s Board of Building Regulations and Standard UN j FO Massachusetts State Building Code, 787 C CI'ALITY o6. U T Building Permit Application To Construct,Repair,R- ; . 0011 ,61ttibii<$;p: :e ised ar 2011 One- or Two-Family Dwelling �''JON.MA oE06o NS Vection For Official Use Only Building Permit Number: L,,a r Date A plied: 4103 6205, � /3- 2023 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 104 Franklin St. Northampton 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.G.L c.40,§54) 1.7 Flood Zone Information: l.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: James Shea Northampton, MA 01060 Name(Print) City,State,ZIP 104 Franklin St. 413-586-0466 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Existing Building Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units — Other pecify: Roofing Brief Description of Proposed Work2: strip and replace asphalt roof (excludes garage). Replace 2 existing skylights SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 12,400.00 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 0 Total Project Cost3 (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire Suppression) $ Total All Fees: h Check Amount: �� Check No. O Cash Amount: 6. Total Project Cost: $ 12,400.00 0 Paid in Full 0 Outstanding Balance ue: trijk' Pit Ati .6 1 DocuSign Envelope ID:7FD228FA-6844-4B51-A642-A5D13D1AA267 SECTION 5: CONSTRUCTION SERVI ES 5.1 Construction Supervisor License(CSL) CS-117 35 06/03/2026 Matthew Carrier License Num.-r Expiration Date Name of CSL Holder L) List CSL Typ. (see below) 36 Lyon Hill Rd No.and Street Type Description U i nrestricted(Buildings up to 35,000 cu.ft.) Chester, MA 01011 R estricted 1&2 Family Dwelling City/Town,State,ZIP M asonry RC 'oofing Covering WS indow and Siding SF .olid Fuel Burning Appliances 413-998-9010 stonemountainroofingllc@gmail.com I sulation Telephone Email address D 'emolition 5.2 Registered Home Improvement Contractor(HIC) 20.447 09/15/2024 Stone Mountain Roofing LLC HIC 'egistration Number Expiration Date HIC Company Name or HIC Registrant Name 36 Lyon Hill Rd sto emountainroofinglic@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 with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes QI No 0 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 permit application. r—DocusIgned by: 6/2/2023 James Shea c9C7 Print Owner's Name(Ekca Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of pejury that all of the information ' contained in this application is true and accurate to the best of my knowledge avid understanding. Matthew Carrier 6/2/2023 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 arbitrations 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/dP 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable oom count Number of fireplaces Number o bedrooms Number of bathrooms Number o half/baths Type of heating system Number o decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" DocuSign Envelope ID:7FD228FA-6844-4B51-A642-A5D13D1AA267 City of Northampton rMassachusetts �� '<, '_ DEPARTMENT OF BUILDING INSPECTIONS �' •r�,,+ " 212 Main Street • Municipal Building -1 `a, Northampton, MA 01060 �s'I• Cv� 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: a►=^-- Date: 6/2/2023 The Commonwealth of Massa husetts Department of Industrial Ac idents _ Office of Investigation ��1 ~' x ' Lafayette City Center •— 2 Avenue de Lafayette, Boston,MA 02111-1750 Nipsor 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: 36 Lyon Hill Rd. City/State/Zip: Chester, MA 01011 Phone #: 413-998-9010 Are you an employer? Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 1 4. ❑ I am a general contractor and I 6 El 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 working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: 9. ❑ Building addition required.] 5. ❑ We are a corporation and 'ts 10.1=1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised th it 1 1.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per M L 12.❑✓ Roof repairs insurance required.] t c. 152, §1(4),and we hav 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'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-co 7tractors 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: 02/17/2024 Job Site Address: 1(.34 FY011 UU o() City/State/Zip: b- -Vyi-V ra1 OM)- Attach a copy of the workers' compensation policy declaration page(sho ing 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 i 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 stat ment may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and �penalties soo�f perjury that the information provided above is true and correct. Signature: ./Vou ""^' Date: CO 1 6 I p1 O&R 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): 11:1Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5DPlumbing Inspector 6.0Other Contact Person: Phone#: Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Re ulations and Standards Cons tonT -visor CS-117335 plres 06/03/2026 MATTHEW C,IRRIER 36 LYON HILL ROAD CHESTER MA�01011 t ' , :r, Commissioner da FiErnala- THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Afffi' a y .Business Regulation 1000 Washingto r -Suite 710 Bosto =M-ssach set =0 118 Home Imero e e c.. cto ze istration Type: LLC STONE MOUNTAIN ROOFING,LLC ( M1ei s ation: 206447 36 HILL RD 6 ation: 09/15/2024 CHESTER,MA 01011 == 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 IMPROVE1 E.NTCONTRACTOR expiration date. If found return to: TyrE c Office of Consumer Affairs and Business Regulation Reglst tlony , 1000 Washington Street -Suite 710 20644 = 4!ghtS/2oz4 Boston,MA 02118 STONE MOUNTAIN fOFI 1`` L "t 1 1 z MATTHEW CARRIER !1 n R!` 38 LYON HILL RD V //mot. wyw� CHESTER,MA 01011 _. Undersecretary Not valid without signature ACo® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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 NAME: Alera Group,Inc. PHONE (41 )586-0111 (AAX c No): (413)586-6481 AI Ext): Webber&Grinnell Division -MAIL mlastowski@webberandgrinnell.com ADDRESS: 8 North King Street Northampton MA 01060 Berkley INSURER(S) I AFFORDING COVERAGE NAIL# INSURER A: 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: Exp 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGETO RENTED 100,000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A CGL0159193 02/18/2023 02/18/2024 PERSONAL&ADVINJUItY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 Xl POLICY PRO2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ 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 PER OTH- X STATUTE ER AND EMPLOYERS'LIABILITY y/N 100,000 B ANY PROPRIETOR/PARTNER/EXECUTIVE r 1 N/A 7PJUB6R27941623 02/17/2023 02/17/2024 E.L.EACH ACCIDENT $ _ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Stone Mountain Roofing LLC 36 Lyon Hill Rd., �*� Chester, MA 01011 413-998-9010 �:keA. stonemountainroofingllc@gmail.com STONE MOUNTAIN www.stonemountainroofingllc.com/ \ ROOFING Contract ADDRESS CONTRACT# 1133 James Shea DATE 06/02/2023 104 Franklin St. Northampton, MA 01060 413-586-0466 DESCRIPTION 111111111 - This contract excludes the detached garage 1. Remove the existing roofing shingles 2. Inspect the existing plywood for any rot or deterioration. Any w plywood will be $85 per sheet installed. (Wood prices subject to change) Remove and replace a roximately 12'worth of rotted fascia and install new Azek PVC trim 3. Install six feet of ice and water shield on eaves and three feet around all penetrations 4. Cover remaining 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.comiresidential-roofing/products/landmark-pro/ Color Choice: MAX DEFINITION COBBLESTONE GRAY 7. Install Shingle Vent 11 ridge vent on peaks of roof(where appli able) http://www.airvent.com/index.php/products/exhaust-vents/ridge-v nts/shinglevent2 8. Complete all necessary flashings including new LIFETIME pip boots and base flashing around the chimney https://lifetimetool.com/product/ultimate-pipe-flashing-shingle-kynar-coated/ 9. Remove existing skylights and replace with (2)new Velux manual venting skylights *Stone Mountain Roofing is not responsible for any necessary int rior trim work* Includes CertainTeed Lifetime Limited Warranty (Transferable) ith 10 year SureStart period. https://www.certainteed.com/resources/Asphalt-LowSlope-Res-Warranty-e-2201 ctr.pdf Remove all debris from premises, and throughout the job, continu cleanup and keep the premises undamaged. WE ARE NOT RESPONSIBLE FOR DEBRIS THA MAY FALL INTO ATTIC. Please be proactive and prepare for the worst by covering everything in the ttic. We recommend covering with tarps or plastic sheeting. Please use reasonable caution during the nstallation process: do not walk or drive MA-CSL#117335 MA-HIC#206447 CT-HIC.0668321 uocubign Envelope ID:7FD228FA-6844-4B51-A642-A5D13D1AA267 DESCRIPTION under active work, or on areas of potential roofing debris. Stone Mountain Roofing will obtain the building permit if necessary. Installations are weather permitting; inclement weather will cause scheduling delays. COST SUMMARY: Landmark PRO shingles=$9,700 Manual Venting Velux Skylights: $1,350 x (2) = $2,700 TOTAL= $12,400 Thank you for choosing Stone Mountain Roofing. A one-third deposit of$4,100 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. Warranty confirmation shall be provided upon final payment. Installation and manufacturer warranties are not in effect until Paid In Full. TOTAL $12,400.00 by: Accepted By p—DocuSigned Q '-ILJCs Accepted Date 6/2/2023 �26A9E1C34FD9486... MA-CSL#117335 MA-HIC#206447 CT-HIC.0668321