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23A-165 (10) BP-2024-0552 71 PINE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-165-001 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-2024-0552 PERMISSION IS HEREBY GRANTED TO: Project# 2024 ROOF Contractor: License: NEXTGEN CONSTRUCTION Est. Cost: 18656 SERVICES INC 098654 Const.Class: Exp.Date: 08/19/2025 Use Group: Owner: G DEVILLIERS PETER A&JILL Lot Size (sq.ft.) Zoning: URB Applicant: NEXTGEN CONSTRUCTION SERVICES INC Applicant Address Phone: Insurance: 1 ARCH RD (413)579-5798 WC-9098917 WESTFIELD, MA 01085 ISSUED ON: 05/07/2024 TO PERFORM THE FOLLOWING WORK: REMOVE &REPLACE ROOF & SHEATHING 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: 16/0 • Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY o ilding Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling iml This Section For Official Use Only Building Number:W 20211—t 5S2_ Date Applied: /eV/0 7Z5> 2 57-zozy Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 71 Pine St 2.3A - /Gb- by 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 El 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: Jill DeVilliers Florence,MA.01062 Name(Print) City,State,ZIP 71 Pine St 413-250-6250 pcathro@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building❑ Owner-Occupied 0 Repairs(s) 12 Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': Remove and replace Roof to code and manufacturers specifications. Please see estimate for details. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 18655.89 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Total All Fees: $ Suppression) '1 Check No.2$a f Check Amount: ( p. Cash Amount: 6.Total Project Cost: $ 18655.89 0 Paid in Full 0 Outstanding Balance Due: • SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-o98654 o8/19/2025 Rene Gauthier License Number Expiration Date Name of CSL Holder i Arch Road Suite it List CSL Type(see below) U No.and Street Type Description Westfield,MA 01085 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted I&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-579-5798 info@nextgen413.net I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 196063 06/27/2025 NextGen Construction Service Inc. HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name i Arch Road Suite it info@nextgen413.net No.and Street Email address Westfield,MA o1085 413-579-5798 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 Rene Gauthier to act on my behalf,in all matters relative to work authorized by this building permit application. Rene Gauthier �.� 4/30/24 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. Rene Gauthier ' ,J� 4/30/24 Print Owner's or AuthorizedAgent's Name Eleefronic 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" City of Northampton t� Massachusetts 4,% ic> A l I t £ , DEPARTMENT OF BUILDING INSPECTIONS ti %L e 212 Main Street • Municipal Building Jti�S ^Jca Northampton, MA 01060 Mho 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 686 Main Street Holyoke,MA o1040 The debris will be transported by: Name of Hauler: NextGen Construction Service Inc. 4/30/24 Signature of Applicant: �� Date: The Commonwealth of Massachusetts vo ` """' Department of Industrial Accidents 1- 1 Congress Street.Suite 100 ; _ • ., Boston.MA 02114-2017 www:mass:gov/die • air 11utkers'Compensation Insurance Affidavit:Buildrrsl("ontractors/Ekclriciansl'Plumhers. l)BE 111.1 ih W II II l NE PElt%l1-l'11M:AI 41101011. Applicant Information Please Print l.reibly. Name(Hulancss;Orptantrauon Incite tofiultl;NextGen Construction Service Inc. Address: 1 Arch Road Suite i1 Clty/State/Zlp:_ Westfield,MA o1085 Phone#: 413-579-5798 Ara you ea employee t het k ttlr aipeopriale hat: Type dprokM(required): 1.0I am a employer with 12 :ny r)eCf[full and or part-tone t.• 7. O New construction 201 am a wk pnrpriekie w pu.w.nhip and ham nor envie"me,working tare me on $. O Remodeling any capacity.I"tu workers'comp.naurance ngwr►d.I 9. 0 Dominion 301 am a homeowner doing all work myself_(No waiter,:comp.insurance required.l 4.0 I am a Irrnrer.wner and will be hiring manraators w emitted all work sin e n property. I es ell 10 0 Building addition mom:that all csintraitirt either have workers a'rMlylellfalhen tmularnx 1111 cue full' 1 1.0 Electrical repairs or additions propnetors w101 no empkeyeea. !ID 0 Plumbing repairs or additions 50 lam a general contractor and I lease hued the sutrtontaataae toted in the attached sheet. These sub-conrraekin hater employees and Fuse%takers'co mp.insurance 13 Roof repairs 14.0 Other 60 We are a oampuratiun and its otYcen hen a eraciwd then nght uteaemptw a per%tit il.c. 152.41(4).and we have no cmplosees.I No woxkers'comp-insurance retuned.' *Any applicant that cheeks but lit must also till out the section below showing their workers'cwupamauun policy inforrnatrm. t!hammy.nets w IM,.ubnui this affidavit nsh i.atng dies are doing all work and then hire outer&contractors nab:submit a new atlidar It raduvtiag suck :Contractors that cheek this hart must attached an aikhtoonal beet show mg the name of die sul►eonttach*s and stale whether or nut those entities hose IIy7k'\Yee.. It the subcontrarchrrs fuse c'rti rk.,is.ds'v Irmlt prosidc thcar workers eunyp polity number. as I am an employer that is providing workers"compensation insurance for my employees. Below is the policy and job site information. Insurance Compaq Nam: Alert group Inc Peary*or Self-ins.Lie.#373666580101 Expiration Date:07/14/2024 Job Site Address: 71 Pine St cityrstate:zrpFlorence, MA. 01062 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 e. 152.*25A is a crinunal c tolaton 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 Wt►RK t WIN-.R 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 Ina estlgations of the DIA for insurance coverage verification. I do hereby cerli •under the pains and penalties of perfuiy that the information providedabove is true and correct. Signature. (..- .Zga,„„1—/ I)a11e 4/30/24 Phone.;. 413-579-5798 Official use onlg. Do not write in this area.to be completed by city or town official ( its or l own: Permit/License X __ _ Issuing.luthurih(circle one): 1.Board of Ilralth 2.Building 1)epartinent 3.(•its/Town Clerk 4.Electrical Inspector S.Plumbing Inspector b.Other __-___---- _________ Contact Person: Phone St: • ACCORD et /Y DATE(MMIDDYYY) CERTIFICATE OF LIABILITY INSURANCE 07/14/2023 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 Stephanie Herring NAME: Alera Group,Inc. PHONE Ext): (413)586-0111 FAX(A/C No): (413)586-6481 (A/C,Webber&Grinnell Division EMAIL sherring@webberandgrinnell.com ADDRESS: 8 North King Street INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURER A: State Auto Insurance Companies 14923 INSURED INSURERS: Applied Underwriters NextGen Construction Service,Inc INSURER C: 1 Arch Road INSURER D: Suite 11 INSURER E: Westfield MA 01085 INSURER F: COVERAGES CERTIFICATE NUMBER: Exp 7/2024 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 ADM SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILI Y EACH OCCURRENCE $ 1,000,000 DAMAGECLAIMS-MADE X OCCUR PREM SESO(EaEN occurrence) $ 500,000 MED EXP(Any one person) $ 15,000 A 10180642CP 07/14/2023 07/14/2024 PERSONAL&ADV INJURY $ 1,000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000'000 POLICY PEo n LOC2'000,000 PRODUCTS-COMP/OPAGG $ OTHER: Employee Benefits $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ A OWNED x SCHEDULED BAP248470200 07/14/2023 07/14/2024 BODILY INJURY(Per accident) $ _ AUTOS ONLY X HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY x AUTOS ONLY (Per accident) PIP-Basic $ 8,000 x UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ 1'000'000 A ^ EXCESS LIAB CLAIMS-MADE 10180646CU 07/14/2023 07/14/2024 AGGREGATE $ 1,000,000 DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000'000 B OFFICER/MEMBER EXCLUDED? Y N/A 373666580101 07/14/2023 07/14/2024 (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/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space is required) Rene Gauthier is Excluded from Workers'Compensation coverage. 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 j/ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 9,_ Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Reo ulations and Standards Cons n rirvisor 4- 4' CS-098654 rc, ,' , * spires: 08/1912025 RENE E GAtJ 'HIE-. u 82 PEQUOT lib SOUTHAMPN MA U ?y7Q. „ ,30 E. N O O n 7 Commissioner S.,,,,,ev,,,a,..,5,..„____ `� o�8 a ; O ro Viso i ��fDm D CC _ c `2.. 7 I cn N tT ee co17' l0 7 O w n e e, 0) n 1 C.. N t0 Q m V P. C= ,O v 7 p Q) f0 i« n r° U C N N •- ovoza Construction Supervisor o co L o " f fJ3 V O m�of° c Inrestricted - Buildings of any use group which contain o N o 0 ss than 35,000 cubic feet (991 cubic meters) of enclosed 6 a '2 E ¢ m space. z E % o $ o S g .. comE 0 a OW Oo z > W'" go ffi I a CrIL i¢ ~ g F- ao ¢ Z 44 ¢@i CZ)Z 0 0 LL=Og w �m V U ae l cc ° -Z0 Z O J4 WIl z r, 7 A iilure to possess a current edition of the Massachusetts Z° W o g� ite Building Code is cause for revocation of this license. o x-- U g W 166 For information about this license z-co-w °s Call (617) 727-3200 or visit www mass.gov/dpl Z �� ~, W wok ' V 4bv ..-TEA.. NEXTGEN ELITTE' ROOFING ''n A - .... .4,1 Arx ,„...,, .... ..- 4,04 4 ------- L /: *. .......,.., 1. , if fejli , 0.,A. ' 4 4 k f :-,- ,• ' , •-••• .I.: ••', Ili ., ` i F A,. 0 I i P �°t Mt 4,:1/..,- .. .•, , 0.,,.. ..„" vit 1........ .41. I it:.- '." ' '''. '...-- ilk .. , -.... IA '.N pr..,7______„„..._ 711 kY w+ _ .y. . +r ' may'. •�1r ii* i + ti,•. . • ,r. Vi • �' • 1��' Yi - gee ` ii 4.. \ k'c'it : t li 4 ' � �1 W^ S • 7 ! / % fit , 7, la(1 , ,,, . i 7 Til 1 .1r RESIDENTIAL FLAT ROOF/TOWER ROOF JILL DEVILLIERS APR 29,2024 I Project#3451 71 Pine St Florence, MA We can help you with 01062 Roofing,Siding,Windows,Gutters,&Decks 4132506250 1 Arch Rd Suite 11 Westfield, MA 01085 info@nextgen413.net (413)579-5798 RESIDENTIAL EPDM Description Material EPDM RESIDENTIAL ROOFING: Residential Use-All Inclusive Commercial rubber roofing system installed in low slope areas that shingles cannot be installed-per manufacturer's specifications. 1/2" CDX PLYWOOD SHEATHING: delivers outstanding stiffness, strength,and versatility. It is an excellent choice for light frame wall and roof assemblies in weather protected applications. Pipe Boot LIFETIME PIPE FLASHING 3": Used to seal around plumbing vents that penetrate through the roof decking.These have a flange that is secured to the deck and the roofing material is installed to create a positive lap creating a proper seal. CHIMNEY FLASHING: Covers the cost of material and labor to install chimney flashing including reglet style counter flashing.(up to a 36"x 24" chimney) DETACH AND RESET GUTTERS WITH STRAP HANGERS: Your gutters are attached through the roofing with strap hangers.These have to be removed to properly install the new roofing system.We will carefully remove the existing gutters to limit damage to the best of our ability.Any mitered corners are a challenge to remove and may have to be replaced at an additional cost.Aged gutters may sustain irreversible damage rendering them inoperable. If the budget allows we recommend replacing the gutters to ensure many years of worry free function-ability. Labor and Disposal BUILDING PERMIT: Municipal permit for construction activities. DUMP TRAILER: Dump fees for waste disposal. Warranty 20 YEAR NDL WARRANTY: Factory inspected and warrantied for 20 years for material and labor. Quote subtotal $18,655.89 Total $18,655.89 AUTHORIZATION PAGE Residential EPDM $18,655.89 Project: 3451 Name: Jill DeVilliers Address: 71 Pine St, Florence, MA Estimates valid for 30 days from date of estimate/A 30%deposit is required before any project begins. Final Price $18,655.89 Customer Comments / Notes My Product Selections Shingle/Panel Color EPDM BLACK Metal Color Vent Color Jill DeVilliers: 7cC1 Devincers Date:4/29/2024 Exclusions: By signing this form I agree to and confirm the following:I certify that I am the registered owner of the above project property,or have the legal permission to authorize the work as stated.I agree to pay the total project price and understand that this work will be completed in accordance with industry best practices.