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32C-248 (12) BP-2023-1184 36 HOLYOKE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-248-001 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-2023-1184 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2023 Contractor: License: JEREMY SAWYER DBA ALL Est.Cost: 12400 EXTERIORS 106836 Const.Class: Exp.Date:05/26/2024 Use Group: Owner: ALTSHULER CAULEY CHARLINE&DANA Lot Size (sq.ft.) Zoning: URC Applicant: JEREMY SAWYER DBA ALL EXTERIORS Applicant Address Phone: Insurance: 121 WEST STATE STREET 413-478-1536 6S6OUB2E12612823 GRANBY, MA 01033 ISSUED ON: 08/31/2023 • TO PERFORM THE FOLLOWING WORK: STRIP AND REROOF 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: • fr . '/ • Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner .5)<<", The Commonwealth of Massach :etts 1.› FOR rot Board of Building Regulations an a tan ds UNIC PALITY Massachusetts State Building Co a e, 7$9� MR4G6' USE Building Permit Application To Construct,Repair, ' - :T Or Dertfo h a iseU A ar 2011 One- or Two-Family Dwelling v9Ttiq O <i� This Section For Official Use Only �A oti 140 Building Pe it Number: ' "13—i i 3 V Date Applied: l'"io oc`r, Elio—) 3•5 I ,/./ Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 3C 'lin/ Dk4. S-/- 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: 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: Ocl iN.c f//1 s h 0/Pr No r-ilc,.,, -, /1719 0/06/9 Name(Print) City,State,ZIP 36 Ho /, b c _S 1- 6o, 3a '//-S3- Dr1/c -e /.2i09 �.//, o.,., No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction ❑ Existing Building❑ Owner-Occupied Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: / e,►.i p,rL c;,i.4,.( re,/ti r t -5" i n f le 20 e S •. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ a 47/pC2 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ CIStandard 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 Fees,% 440 Check Notb `7 Check Amount: Cash Amount: 6. Total Project Cost: $ 1<),VDU 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) S /06er36 J .erf -' G ,�✓ License Number Expiration ate Name of CSL Holded / List CSL Type(see below) (/ No.and Street Type Description (-A ` �� ©� 3 3 U Unrestricted(Buildings up to 35,000 Cu.ft.) City/Town,State,ZIP R Restricted I&2 Family Dwelling �' M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances /V wr-i —36 A//PX'/-e//brS�q si I Insulation Telephone Email address / D Demolition 5.2 Registered Home Improvement Contractor(HIC) /« OBA 171/ �ysa /ar/as `J �X�el'/ol 1' HIC Registration Number Expiration Date HIC Company Nine or HIC Re strant Name a / e-✓ s ti < .S f /9//e k4-e v c cow . No.and Street Email address Cc r .1 rn rT- a/0_?3 (4'i]) V?frJS3' 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 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 --1 t rr rti? to act on my behalf,in all matters relative to work authorized by this building permit application. 'IA A/4S4d/P, 6/l a 3 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. -as / 3 Print Owner's or Au orized Agent's ame(Electronic Signature) ate 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.go ;oca Information on the Construction Supervisor License can be found at wvww•.mass.goy kips 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 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 ytH�MP ... sic` Massachusetts F.: G S a t DEPARTMENT OF BUILDING INSPECTIONS ,. � r 212 Main Street to Municipal Building 0 it ' ` Northampton, MA 01060 rs� 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: c-P �� tJis/J os 4/ The debris will be transported by: Name of Hauler: e 1O o s Signature of Appli • Date: �q3 /. JEREASA-01 LAURA ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) �/ 7/20/2023 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 Laura Misseri NAME: Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (A/c,No,Ext):(413) 594-59841(A/C,No):(413)592-8499 Chicopee,MA 01013 ADDRESS:(aura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE RAID* INSURER A:The Cincinnati Insurance Companies INSURED INSURER B:Selective Ins Co of Southeast 39926 Jeremy A Sawyer dba All Exteriors INSURER C:Hartford Underwriters Insurance Company 30104 121 W State Street INSURER D: Granby,MA 01033 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITSLTR INSD WVD (MM/DD/YYYY) (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR CSU0151382 6/3/2023 6/3/2024 PRE DAMISAGE ES TO(Ea RENTEDoccurrence) $ 100,000 M MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY E T LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ANY AUTO A 9105120 4/16/2023 4/16/2024 BODILY INJURY(Per person) $ OWAAUTOS ONLY D X AUTOppSULED BODILY INJURY(Per accident) $ X AUTOS ONLY X AUUTOS ONLYY (Pere PROPERTY tDAMAGE $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ C WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N 6S6OUB-2E12612-8-23 4/16/2023 4/16/2024 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE V N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) The Workers Compensation Policy Includes coverage for the following 3A States:MA CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD t Commonwealth of Massachusetts Division of Occupational Licensure Board of Building R ulations and Standards Constiti5 visor Ns CS-106836 :• spires:05/26/2024 JEREMY SAWYER . ; r ` p 121 WEST SATE - ' +' .; GRANBY MAj1033 ?b Q.' '`Uf.LVd.13 Commissioner 2.i..� t YEim '•'�. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE: Individual Registration Expiration 174528 02/25/2025 JEREMY SAWYER D/B/A ALL EXTERIORS JEREMY SAWYER 310 COLD SPRING RD '/r,a.,, 04- BELCHERTOWN,MA 01007 Undersecretary _ STATE OF CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION HOME IMPROVEMENT CONTRACTOR JEREMY SAWYER 121W STATE ST GRANBY,MA 01033-9614 i Registration# Effective Expiration HIC.0636067 04/0 3 03/31/2024 SIGNED The Commonwealth of:lfassachusetts Department of Industrial Accidents au tip= _�� la" 1 Congress Street, Suite 100 F' Boston, MA 02 114-201 www.mass.gor/dia ll a,kers' Compensation Insurance Affidaa it: Builders/('ontractors'E lectricians Plumhrrs. lO B!.I HAD N RH THk:PERS111'1•IN(.Al I H()RtII. Applicant Informatioa Please Print I.eeibla Name(Bw.inc,.(hgantr iti.tn Individual): .n"--c,re Address: / a ( w S 'f e_ S f City/State/Zip: G rc 0/033 Phone#: `77 /S_3 6 Are tea an emples.r?Cheek the appespriatr bua: Type of project(required): ! a,am a employer with j employees I full and or part•hmel.• 7. CI New construction 201am a wk proprietor or partnership and hate no employees working for me m K. O Remodeling any Capacity.]No w(Akers comp.insurance required.) 9. ❑Demolition 30 lam a I&.m o...net doing all work myself [No workers'comp.insuramc reysurcd.]' 40 I ant a homeowner and will be hums contractors to conduct all sour►on my property. I will 10 D Building addition tYuure that all contracture either late workers'compensation insurance or are sole 110 Electrical repairs or additions prupneton w ith no employees 12.0 Plumbing repairs or additions 50 I am a►w-ncral contractot and I hat a hired the sub-contractors listed on the attached sheet. The.:sob-contractors hate employees and has c workers'comp.insurance.: 13 koof repairs The.: 6.0 We an: on a corporation and its officers hat a exercised then nght of exemption per Mt& 14.0 Other I y_'.C 114I.and we hate no employees.]`o workers.comp.insurance requued 1 'Any applicant that cheeks box nl mint also till out the section below showing their workers'compensation policy tnfurmatwn. r lkorricow tier who submit this affidavit Indicatinia the-y are doing all work and then hire outside cunlractuts mint Submit a new allidas it indicating such. :l oontra-tort that check this box Rife ankh red an additional sheet show tag the name of the subcontractors and state N hethct or not those entities hate mplut cc, It the sub-contractors haaie employees.they mast peotidc their workers'camp_policy number i am an employer that is providing workers'comptus ilea lasaaunce for Ivry employees Below is the policy and job site information. lnsur me Company Name: 7 /' S r"p• Polk, ur Silt-ins. Ltc.:: 6S 6 o V e a /oti6/a -- )3 Expiration Date: 6,. Job Site Address: 3/S Ito /5 a e CitytState Zip:Nor f b q,... -can 1, 0/060 Attack a copy of the workers'compensation policy declaration page(showing the policy number sad e:lratioa date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to S 1,500.00 and/or one-year imprisonment.as well as civil penalties in the form ofa STOP WORK ORDER and a fine of up to S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage scritication. I do hereby certify under the an nalties of perjury that the information provided above is true and correct Stgnat c: �� _� Uatc: 6:1— ,) Official use only. Do not write in this area,to be completed by city or town official ('its or I own: Permit/License b Issuing Authorits (circle one): I. Board of Health 2. Building Department 3.('its'Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other ( ontact Person: Phony#: C t ALL EXTERIORS ROOFING - FLAT ROOFING REPAIRS - SNOW PLOWING WE ARE LICENSED FULLY INSURED (413) 478-1536 FACTORY TRAINED OSHA CERTIFIED Jeremy Sawyer owner MA Registration#174528 HONEST&RELIABLE 121 West State St. CT Registration#0636067 Granby MA 01033 MA C.S.L.#106836 Allexteriorsl@gmail.com Proposal Submitted To: Date: (•,/l.s/:.13 Phone#'s: C: 0s) /-55V w: Street: / Email: 3 �/a /, o`-� S cnfte (- _- 7 City,State,Zip Code: Special Requirements: No 'I6,S,-• 0-'1 O/1. //'l/9 o /06 0 ® Recover JStrip If cis e ? (ter rr e Complete Roof System ® We shall acquire permits for the work NI Home exterior and landscaping to be protected Do Not Do: inF-16-;/ 62ro t S 51, Strip existing roofing to the decking and dispose of it in a proper landfill ag Deteriorated existing decking will be replaced for$/DOper sheet of plywood after a full inspection. m Install Ice&Water Barrier at all eaves,valleys,chimneys,pipes and skylights(6'min.on all eaves) • Install151b.felt Synthetic)underlayment over remaining decking area E /jc, ® Install metal drip edge at eaves and rakes,F5 i Co) whiiaifbrownicopperj C Install manufacturers starter shingle on all eaves Install new pipe boots standar / opper) ® Install new ridge vent of Rigid) Shingles: (6 nails per shingle) /�� F Shingles f HDZ Lifetime❑Ultra HDZ Lifetime Color ��f(4y"e g I '' V!7 J' Ridge cap shingles Warranty Options: /K) GAF System Plus Warranty ® We guarantee our workmanship for 10 full years(see our warranty coverage) [k Estimated Start Date /0,4/4 3 gJ Estimated Completion Date /////w 3 Options: Lead Counter Flashing ❑ 4"Box Vents(Black/Silver) ❑ 12"Box Vents(Black/Silver) We propose hereby to furnish materials and labor-complete In accordance with above specifications for the sum of: Total ($ 1L 7I /101) ) ACCEPTANCE OF PROPOSAL:The above prices,specifications and conditions are Down Payment(S // /33 ) satisfactory and are hereby accepted.You are authorized to do work as specified. Payment will be 1/3 down,and balance due the day of completion. Balance Due Day of Completion(S fJ.] ) Do not sign unless all sections are filled out. /� 2 Date:i4 l41 Ili Owner:(Print) DPW") Tji-of t (Sign) Date: C,//.-//4y Estimator:(Print) - /'/,••+7 44/7,-- (Sign Estimates are honored for sixty(60)days from above bate ATTENTION HOMEOWNERS:Please cover all personal belongs in the attic,garage or,storage due to the possibility of roofing debris or dust coming in through cracks of the wood.All Exteriors will not be responsible for debris or dust in the attic or storage areas.