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24B-012 (2) BP-2024-0232 37 BARRETT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24B-012-001 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-2024-0232 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2024 Contractor: License: Est. Cost: 7000 PHILIP SHUMWAY 105743 Const.Class: Exp.Date: 01/14/2025 Use Group: Owner: WEAVER KAREN Lot Size (sq.ft.) Zoning: URB Applicant: PHILIP SHUMWAY Applicant Address Phone: Insurance: P 0 BOX 522 (413)687-9400 HADLEY, MA 01035 ISSUED ON: 03/04/2024 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: id4414 1144146•44 Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner MAR - ga The Commonwealth of Massac use eul4 Board of Building Regulations an S FOR • MUNICIPALITY Massachusetts State Building Cod 8_Q! •f' ��,'41'�nT";�'tn�sPFCTio��s ; USE Building Permit Application To Construct,Repair,Renovate Or Demdit tra- Reyijsed Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 8' •Z y- eiisDate Applied: 1.-0AL5 I73brat4cic C � ~ - Bi4fizci Building Official(Print Name) Signature Date SECTION l: SITE INFORMATION 1.1 Pro er Addr sv 1.2 Assessors Map&Parcel Numbers 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: Outside Flood Zone? _ Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: `r..('cll �ot,(,.t� Nb( 41 i Name(Print) City,State,ZIP 17 )97C/P4)- 5$- 1;-ekrviel.v. 4.0tecefri No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK' (check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) Alteration(s) ❑ Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': Replacement of roof section with 30 year architectural roof system.Ice and water shield. synthetic felt,ridge vent and cap. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: 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 Costa (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire Suppression) Total All Fe�js: $ btio --7 Check No.1 b YV Check Amount: Cash Amount: 6.Total Project Cost: $ /pC C) 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 105743 01/202‘ Shumway Services License Number Expiration Date Name of CSL Holder P.O Box 522 List CSL Type(see below) U No.and Street Type Description Hadley MA 01035 U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,State,ZIP R \ Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-687-9400 shumwayservices@gmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 178390 04/202` Shumway Services HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name P.O Box 522 shumwayservices@gmail.com No.and Street Email address Hadley MA 01035 413-687-9400 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........... ❑ 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 Shumway Services to act on my behalf,in all matters relative to work authorized by this building permit application. 5i9k2 C-0(ptieCiF 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. —� _ 7 a Print Owner's or ho ent'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,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" Licensed General Contractor Mass CSL#105743 Shumway Services Po Box 522 Hadley,MA 01035 (413)687-9400 TO:Karen Weaver 37 Barrett St Northampton,Ma 01060 Proposal 10/10/2023 Description- Price is for replacement of roofmg system on house with exception of rubber roof on porch •Building permit acquired by Shumway services •Remove existing Shingles •Install of Certainteed Winterguard Ice barrier at 6 feet eaves. •Install of synthetic felt-this is an underlayment that exceeds code requirements •Installation of new metal rake edge and drip edge •Installation of shingle starter strips •Installation of CertainTeed Landmark 30 year or 1KO Dynasty architectural shingles •Rolled roofmg installed on low slope area a •Installation of new pipe boots and vent hoods PC t.J`}'C r tx,O C Cl •Installation premium ridge vent and ridge caps with 2.5"hand nails •All debris hauled away to appropriate waste facility •Magnetic sweeping to clear nail debris •This estimate is proceeding under expected conditions.Variable unfore een item Bch pl wood are additional cost to Homeowner. lDcludes: •"Mess free roofmg"equipment used to catch debris for a clean jobsite •Premium Materials •5 Year workmanship Guarantee from Shumway Services •Limited Lifetime Warranty from CertainTeed Terms •$7,500.00 due to Shumway Services.Plus any extras •2 payments due consist of$35%deposit,and balance upon completion of work within 7 seven days •Customer pays separately for any permit fees and carpentry work •Shumway Services will charge$50.00 late fee plus 1.5%monthly interest for outstanding balances. • Shumway Services reserves the right to stop work if payment schedule is not followed. •Price is valid for 14 days Contractor Signature:� Date: Homeowner. [ „• 1, o �` p Q � Date: 6,),./18)d Unknown Variables Plywood deck over at$4.50/sq foot 5%discount applied to check payments City of Northampton oa"MY>Q �1 tip ��s,. ......sic / Massachusetts �'�� Id G p�ji iX i `� DEPARTMENT OF BUILDING INSPECTIONS r 212 Main Street • Municipal Building O`. rCL� a,rrr Northampton, MA 01060 fs'y "--ij° 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: Amherst Trucking or Private Dump Truck to Valley Recycling The debris will be transported by: Name of Hauler: Amherst Trucking or Private Dump Truck to Valley Recycling Signature of Applicant: Date: The Commonwealth of Massachusetts Department of industrial Accidents d1 Congress Street,Suite 100 Boston, MA 02114-2017 www.mass.gor/dia l�'otkers'('ompensation Insurance Affidavit: Builders/('ontractors/Electricians/Plumbers. ID BE: FILED W l i ll l llI:l'E iottrt7M;At l llok111. %nnlicanl Information Please Print l.eeibly Philip Shumway Inc. DBA Shumway Services Name(busmen,Organization ludo idual);_. Address: P.O Box 522 Ci JState/Zi Hadley MA 01035 Phone #: 413-687-9400 Are you as employer:'('heck the appropriate box: Type of project(required): I.®I am a employer with_X employees(full and or pani•tmhe).' 7. New construction 2.D I am a sole proprietor or partnership and hate nu employees working for me in K. 2g Remodeling any capacity.INu workers'comp.insurance required.) 9. ❑Demolition 30 I am a homeowner doing all work myself.(No workers'comp.insurance required.(' 10 Q Building addition a.C3homeowner I am a hoeiow ncr and w ill be luring contractor. my conduct all work on y property. I will -- ensure that all contractors either have workers'ceaipenaattun insurance or are sole I l.❑Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions •,CjI am a general contractor and I lose hired the sub-contractors listed on the attached sheet. These sub•cuntractora lase employees and has workers'comp.insurance.; 1 3.13 Roof repairs 6.0 We are a corporation and its officers have exercised their nght of exemption per iI(it.c. 14.nOttter unit we lair no employees.INu wurkerS.comp.insurance required.] 'Any applicant that checks box irl must also fill out ilk section below show mg their workers'compensation policy intonation. flonteuw ners who submit this at d.av it indicating they are doing all work and then lure outside contractors must submit a new atlidas it indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractor.and state whetter or not those entities have employees. It the sub-contractors late employees,they must pro%ide 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: WeSCO ----- — Policy#or Self ins.Lic.#: WWC7569281 Expiration Date: 02/2023 Job Site Address: City/State/Zip: 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 violation punishable by a tine up to S1.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine 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 verification. i do hereby certify under the pains and penalties of perjur.v that the information provided above is true and correct. Signature: 5 �Q�ZlicGC�d Date: Phone#: 413-687-9400 Oncial use only. Do not write in this area.to be completed by city or town officiat ( itt, or Town: Permit/License# Issuing Authority.(circle one): I. Board of Health 2. Building Department 3.('ityfl'own Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Client#: 20308 SHUPHI ACORD.:- CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY)8/03/2023 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 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 Brittany O'Connor White-Jubinville Ins.Agency PHONE 413 538-8293 FAX 413 538-5970 (NC,No,Ext): (A/C,No): 39 Lamb Street E-MAIL britt o ubinville.com P.O. Box 789 ADDRESS: an Y INSURER(S)AFFORDING COVERAGE NAIC# South Hadley, MA 01075 INSURER A:Travelers Property Casueity INSURED INSURER B:AmTrust/Wesco Insurance Philip W. Shumway INSURER C:Commerce Insurance Company and Philip Shumway Inc. PO Box 522 INSURER D: Hadley, MA 01035 INSURERS: 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. LTR • TYPE OF INSURANCE INSRW VD POLICY NUMBER POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYW) LIMITS A GENERAL LIABILITY 6807D2332902242 10/11/2022 10/11/2023 EACH OCCURRENCE $1,000,000 AMA X COMMERCIAL GENERAL LIABILITY REMI ST ERENTEDoccurrence) $300,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $5,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, PRODUCTS-COMP/OP AGG $2,000,000 POLICY JECOT- — LOC $ C AUTOMOBILE LIABILITY RYM361 02/07/2023 02/07/2024 EaOMBINEDdent)SINGLE LIMIT $1,000,000 ( acci ANY AUTO BODILY INJURY(Per person) $ AALL OWNED X SCHEDULED BODILY INJURY(Per accident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE _ AUTOS (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ B WORKERS COMPENSATION WWC3569281 02/20/2023 02/20/2024 X_WC STATU- OTH- AND EMPLOYERS'LIABILITY — TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? Y N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) Philip Shumway, President, has opted out of the Workers Compensation coverage. Emcor Facilities Services, Inc., USM., Inc., its clients and all parties as required per contract are included as Additional Insured per written contract via form CGD246 (04/19). Waiver of Subrogation applies per XTEND Endt for Small Business#CGD842 (02/19)and Snow Plow Operations coverage applies per CG2292 (12/07). copies of forms attached. CERTIFICATE HOLDER CANCELLATION EMCOR Facilities Services Inc. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN USM, Inc. ACCORDANCE WITH THE POLICY PROVISIONS. 1700 Markley St.,Ste. 100 Norristown, PA 19401 AUTHORIZED REPRESENTATIVE e 6741. ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 1 The ACORD name and logo are registered marks of ACORD #537478/M36551 CEM