32A-198 (3) 25 PHILLIPS PL BP-2019-1289
GIs a: COMMONWEALTH OF MASSACHUSETTS
Man:Block:32A- 198 CITY OF NORTHAMPTON
or-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit. Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Categorv- ROOF BUILDING PERMIT
Pertnit4 BP-2019-1289
Proiecta JS-2019-002084
Est.Cost: S 17222.00
Fee: S40,00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Groun: RENE GAUTHIER 098854
Lot Sim(so.ft.): 15594 48 Owner. HOFFMEISTER COLIN
zorimURC(100)/ Applicant: RENEG�AUTHIER
AT. 25 PHILLIPS P�
Applicant Address: Phone: Insurance:
82 PEOUOT RD (413)455-5580 WC
SOUTHAMPTONMA01073 ISSUED ON.5/15/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.STRIP & SHINGLE ROOF
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground; Service: Mater:
Footings:
Rough: Rough: Houses Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: FirgDenartment Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occuoanev Signature:
FeeTvpe: Date Paid: Amount:
Building 5/15/20190:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587.1272
Louis Hasbrouck—Building Commissioner
(&-o t::-
Department use only
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
l 212 Main Street Sewer/Septic Availability
Room 100 WaterAVell Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 Plot/Sae Plans
Other Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH AoONE
/ �O/R TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION �F ` [Z
1.1 Property Address: This section to be completed by office
25 Phillips Place Map " +A x'-_aLot ten17 unit
Northampton, MA 01060
Zone Overlay District
Elm SL Dlebk1_ CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Colin Hoffmeister
MNumrM.NA lII1Wl
Name(Print) Current Mailing Address.
31n115d2p9
Telephone
Signature
2.2 Authorized Agent:
Rene Gauthier 301 N. Elm St P.O. Box 1959 Westfield. MA 01085
NamA(Pnnit) Current Mailing Address:
//gnatu,,f. v 413-579.5798
Signature 11 Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Oficial Use Only
completed bpermit applicant
1. Building 17222.00 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fes
4. Mechanical(HVAC) 10
5.Fire Protection
B. Total=(1 +2+3+4+5) 17222.00 1 Check Number
This Section For Official Use Only
Building Permit Num Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
into @ nextgen413.net
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This whim.to Im OW in by
Building Depanmenr
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg.Square Footage %
Open Space Footage %
(lar area minus bldg&pavd
kin
#of Parking Spaces
Fill:
vdunx&laceaon
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO O DONT KNOW O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DONT KNOW O YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES O NO O
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing, grading,excavation,or filling)over 1 acre or is it pan of a common plan
that will disturb over 1 acre? YES O NO O
IF YES,then a Northampton Stone Water Management Permit from the DPW is required.
SECTION 5-DESCRIPTION OF PROPOSED WORK foheck all applicable)
New House ❑ Addition ED ReplacementWindows I Alteration(s) ❑ Roofing ✓D
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs 10] Decks [0 Siding[0] Other[Of
Brief Description of Proposed
Work: ramnua and rgrlaca mnf to finds and manufacturar^cnardinafinnc
Alteration of existing bedroom_Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
ea.H New house and or addition to existing housing. complete the foliowina:
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain_Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No.
I. SepticTank City Sawer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, . as Owner of the subject
property
hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Signature of Owner Data
I, Rene Gauthier ,as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Rene Gauthier
Prim Naga
5/70/2019
Signature W Owner/Agan Dale
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Nemo of uoenea Holder: Rene Gauthier CS-098654
License Number
301 N. Elm St. Westfield, MA 01085 08/19/2019
Add�J' Exointion Dale
/1u• F���-� 413-579-5798
Signature Telephone
9.Re llstered Rome Improvement Contractor: Not Applicable ❑
Rene Gauthier 176999
Company Name Registration Number
NextGen Construction Services Inc. 10/20/2019
Address Expiration Date
301 N. Elm St. Westfield, MA 01085 Telephone 413-579-5798
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.C.152,9 25C(8))
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....... to No...... ❑
City of Northampton
Massachusetts 4�
06PAR� OF BpILpZNG 20raPlCTZONS 1 ,�
012 Mein Street •Municipal Building
1
NortA ton, MA 01060 ` a
Debris Disposal Affidavit
In accordance of the provisions of MGL c 40, 554, I acknowledge that as a condition of the building
permit all debris resulting from the construction activity governed by this Building Permit shall be disposed
of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
The debris from construction work being performed at:
25 Phillips Place
(Please print house number and street name)
Is to be disposed of at:
Casella Waste 666 Main St. Holyoke, MA 01040
(Please print name and location of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
(Company Name and Address)
���I 5/10/2019
Signature of Permit Applicafit or Owner Date
If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the
Building Department as to the location where the debris will be disposed.
�\ The Commonweahh of Massachusetts
De I Con d ofreSN StdustrSmile 10 ants
1 Congress Street,Suite 100
Boston,AIA 02114-1017
www.maxsaov/dia
Wmi,rioem'Compensation Insurance Affidavit:Buihters/ContnMors/Electricions/Plumbem.
TO BE FILED WITH THE PERMITTING AUTHORITV.
Applicant Information Please Print Legibly
Name(Business/Ortartuatior✓Individuab: NextGen Contructlon Services Inc
Address: 301 N. Elm St. STE. 2
City/State/Zip: Westfield, MA 01085 Phone#: 413-579-5798
Art you un employer'Greek the approptlute box: Type of project(required):
I.Q l am a employer with 5 employees(full anal pan4jam, 7. New,construction
2.❑I am a sole proprietor or partnership and have no employees working for me in Remodeling
my
any capuciry.[No workers'romp.insurance required.(
9. ❑Demolition
3,❑I am a homeowner doing all work myself[No workers'wrap.inswance required.]t
❑
/.❑I em a hunaer and will be ruing contractors m conduct all work on my Progeny. I will Building addition
10
amore does all
wconpaClors either have workers compensarion insurance or are sole 11.❑Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
5❑I am n grommi comment and I have hired the sub-contreclors listed on Ne anached shat. 13.OROOf f¢pe1B
These sub-smarmtors have employees and have workers'comp.insurance!
6.❑We me a coryomion and its offices have exeroised their right ofexemption per MGL c. 14.❑Other
152,¢I(4),and we have an employces.Mo workers'camp.insurance required]
`Any applicant that checks box#I most also fill ma the section below showing their workers'compensation relic,information.
I Homeowners who submit this of&,,t indicating they are doing all work and then hire outside contractors most submit a new affidavit indicating such.
ZConnacmrs that check this I ox most matched an additional shat showing the nano of the sur-corroders and state is hedier or not those entaia,have
employees. If the sub-contmetors have employees,they must provide their workerscom,.policy number.
I am m en rloyer thin is providing rrorhers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Aim Mutual
Policy k or Self-ins.Lic.#: VWC-100-8023118-2018A Expiration Date: 07/14/2019
Job site Address: 25 Phillips Place City/stateizip: Northampton MA 01O(50
Attach a copy of the workers'compepsation policy declaration page(showing the policy number and eapirWon date).
Failure:to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby ceOnify under the ppaainsswand penahies of perjury that the information provided above is true and correct
Simatu a 4Nw��S /d Date: 5/10/2019
Phone 4: 413-579-5798
Official use only. Do not write in this area,to be complefedby city or town ofjtciat
City or Town: Permit/License#
Issuing Authority(eircle one):
1. Board of Health 2.Building Department 3.CitylTown Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
e Cpm.onvsaMa ul slassKlwsalls
O'� ,al Prd X:l Lc nsum
Guard of n'g Requlallans and SrandRdt
9 on4traa4Mnn SOpw~1
CS 498654 Eap w 06+1912019
RENE E GAUTHIER,JR
Q PEOUOT RD
' SOUfNAWTON (M/A�(OtO73�ll
(.'OTT14HOMf �/
Ogrsr C4wpllarrw•rYrq
■I
NOrE P11dl�OONIMCIML�OR
Trwcnwer
Wn
�awrm+a
RENEGWFHM +
RENE GAUTNIER
62 PEOUOT RO « '—
SOUTNAMPTON.MA 0'076
Undmawngwy
CERTIFICATE OF LIABILITY INSURANCE
oarmla
TMS CEF ICAT_' lS IBS:/ED AS A NATTER OF LNFORMATIO� ONLY AND CONFERS NO R:GHTS UPON THE CERTIFICATE HOLDER. T Mf
CERTIFICATE DOES NO' A'.IRMA-V$Y OR NEGAT�Va- Y AMEND, E . NO OR ALTER Tt# COVERAGE AFFORDED SY THE POLICIES
SEL0'N THIS CERT.FICAIc OF INSURANCE DOCS NOT CONST11L-TE A CONTMCT BETWEEN THE ISSUING INSURENS), AUTHORIZED
REPRESENTATIVE OR PRODUCER AND THE CFRTIFICATE HOLDM,
IMPORTANT. I!Ilse cerBfKale NeI6pI it r. ADDITIONAL INBJRED.CIa PdKYIKi)must have ADLVTONAL 1N9URED pravlslgli a W andorsa0
If SUBROGAY,ON IS WAVED s Eject;o Ura trms ens <MEttiont d(fie"KY_Certain points may rasuva n tn0arsemeM. A stalserenr m
TP.M cerNficem.does not confer - N! 'o ll,-c Wlif+cala fiolMr n INIU o(su[E lmda vgmmNtl
wn:su:¢ .shiny Bmtllu
Boxhw Imura.Mmxr lnc `:it,. (t13)SlQB711 --- Iw'�rr lh a1sS60oao_
7250}amp surestChopped, inleranoamn __
eaulpuq'.eNmrS.__ 1 MAK,'
_. _._.. MA 01020 . inguen NbYJanEtrom" 00000
weer«m ._ ... rca�Paa C.lownnee OXRNM .. .. 3434_
Noctw CaMruLtimselviatlpc np lVll< Am Muluall so-0o, -- 0073
.
82aquat RB IIS 1!m
MA 01073
COVERAGES CERTIFICATE NtAABER- REVTSIONNLUSER:
TMS S TO CERTIFY TMAT ME POUCCS OF a:CURANCE LISTED BEO%V NAVE BEEN ISSUED TO TME 1NSURFs'1 N14ED ASOJE FOR TME POLJCY P OD
INDCATYO. NOTWFtMBTAMDNO ANY REMVMMNT. TERM CA CONDITION OF ANY CONING[ OR�OOf.JMt MT1I RESPBCT TO WMCM INS
CBRTIFiCATE WY K ISSM OR WY PYTRAN.Tia SINIRAHR AFFOPOW BY TME POLICIES BEs allustD MEREN S WEECT TO ALL THE TEIUAS.
EXCLUSIONSYO CONOTTXM OF SUCH PCUCQ.LERfSi1101M MYMVE Bins PBMXCMD BY PM tA.AMi
.. .. . . ._. . ....._._..._. ., fid
T Try o=MBwNKt I. vPvpr nn
',X7LOAMUCw.10A0Y.LMaWry ' escN o<OMSIR a 1.000.000
OWACe rclmas" _—
�.. . ;c,wtawa �x�em� • Sssw'r�o.., .s 100.000
uu+t*'•eMr.-I++sI 's 5000
A I N N WMI1LRe< 1m62018ItOn620!91I
MMsw..a Nry xl.Av+' s 1.ODOMp
�G_U:i MWi�� .+isI lAMpBNITy�(iP[II. -_ /[' r.AIN 2AMWD
X t91CT1...J 1 1__I I X ivewo ccs WNFOF s 2.OMWD
a
IALTYAeonLSUN.fi" j _I_ I I,ODO.mO
f1 �MTILrO -I IpNaT.:.YrtYrcM wsl t
E w�abir I 1 N INW-082160YM1B�1Q017101E
wW60M:r AVNN. I PemI
1 s
IAMtMcw aCOat IAOI_
@oL1R1LV I sr ._Is_
amu"NSAvv M.
rtlppaalgLF.c,inm.. v I rX�
C � ; 'z ew.� -xC.Lm. IN .' N .V11C1WW2311B201SA mnYJ0lB mnYAroIS:MqI 's
ODO
IOMOO
II La wY.W%KY eMf aI,ODO.D00
I
BdOeFI1CM Q OFMiRM LOCI.'N'.1$ 1TNNT t5 ./JSIm)Inf a.I[ . —1111.i�r�wrr.r
i, TF 401 QFR CANCELLATION
WOULD ANY OF 1MEAVWNM CBSCfti®"-L Bk GNCBLIE aEF
TME py UR l DATE THMOF, NOTI" WILL BE L41NEa— IN
ACCcwt1AMCEt TMS MLICY PROJ!°30MB
.L'Nlvr->N�rue�aNTn—ns/T _—f
N 1 ✓ —
FM: 150BIS301T1< O IM4015 ACORD CORPORATION. AIV nEEts reserves
A CORO 25(20ts'07) T". ACORDnwtans logo otragrettreb maks 01ACORD
NextGen Construction Services, Inc..
CONTRACTING AGREEMENT
This agreement("Agreement")is made this 29th day of April,2019between NextGen Construction Services,
loc.,henceforth known as"Contractor,"and Colin Hoffmeister henceforth known as"Owner."
Pursuant to the work described the Contractor and Owner agree to the following:
The Contractor and Owner agree that the following work will he done on 25 Phillips Place Northampton, MA
01060see attached estimate for the scope: Estimate#1145
Section 2
The Contractor and Owner agree that the work detailed above for on attached sheet) will be completed according to
the following timeline:
`lPt 1pYMC otdt,�aE 1S tN
Work start:s-za19 � T' '995- Jd (9p1 rdNl (j'�' tht
Work Completion:S1111M
Any delays that arise during the course of the work most be discussed with Owner immediately.
Section 3 Payment
Owner agrees to pay the Contractor a total � payable in the following manner:
$5000.00 Deposit The balance is due uthe day of completion
0000 Changes/Power Supply
Should there be any changes made by the Owner,there may be additional costs which are added to the price based on
labor and materials,etc.
Owner agrees to provide a source of power at no additional expense to the contractor.Should a source of power not be
available,the contractor may provide a generator to provide required power at an additional expense to the owner.
Contractor agrees and has permission to secure any permits necessary so that this work will be done within the
parameters of the laws of Massachusetts.Contractor agrees that any fees for these permits are already included in the
total amount charged to the Owner.
Section 6 Subcontractors
Owner agrees that the Contractor may hire subcontractors at his discretion,the Contractor agrees that the payment for
said subcontractors is entirely the Contractor's responsibility.Owner is not in any way liable for a subcontractor's missed
�D
C
Owner agrees to maintain the appropriate insurance on the property. Contractor agrees to maintain an insurance policy
that covers them,any employees or subcontractors,their equipment,and any damage caused by the work.
Owner agrees to take necessary precautions to protect their personal property,and further understands that as a result
of vibrations being caused by work being done can cause wallhangings and items on shelves to shift and fall,and
contractor shall not be liable for any damages as a e
a call
Contractor agrees that any debris equipment,etc.will be removed from[he pcompletion of the job.The
location will be returned to the state in which it was found prior to the work,excepting,of course,the changes made as
a result of the work.
Invalidity or unenforceability of one or more provisions of this Agreement shall not affect any other provision of this
Agreement.
Contractor and Owner acknowledge that this Agreement is subject to the laws and regulations of the Commonwealth
of Massachusetts.
C ' eiK
Owner N e NextOen Construction Services, Inc.
ne Sig tur
NextGen Construction Service Inc. OwnedOpemtor
62 Pequot Rd Rene Gauthier `
Southampton,MA 01073 (413)455-5580 MIEN(413)455-5580 nex1gsncon413@gmaiLwm
www.oeatoeM13 riot qt
CS#098854 Me REG#176989
Colin HoNmeister Estimate# E-1145
Job Ill 126 -Hoffinelster roof _
25 Phillips Place Dab 427/2019
Northampton, MA 01060 - --
team Description City Price Amount
Job prep for roofing Protect the property from damage.Protect windows, 1.00 $500.00 $500.00
siding and landscapes by using plywood,Tarps,and
a revolutionary piece of equipment called the roofing
buggy(Equipter RB4000)
Removal of Shingles Remove existing l layer of shingles,edge metal, 1.00 $3,720.00 $3,720.00
and undedayment off the house and Me dant.(if
additional layers of roofing are found Mere will be a
540 per layer per square charge)
Skylights We will replace all 4 fixed skylights with new Velux 4.00 $850.00 $2,600.00
CO6 fixed skylights w/paint ready extension iambs
and install all new flashing kgs(kdenor finishes not
included)
Additional roofing layer This charge is for each additional layer per square 630.00 $0.40 $252.00
fool.
Application of roof system *Install two rows(6)of GAF Weather Watch Ice and 1.00 $9,450.00 $9,450.00
water darner at the eves of Me house*Install GAF
Weather Watch im and water barrier in all valleys,
around all roof penetrations,around chimneys,and
wherever a roof line mets a siding wall*nstall GAF
Tiger Paw synthetic shingle undenaymnt on roof
sheathing wherever the roof isn't protected by ice
and water barrier Nnstall new 8'white dnp edge
metal elnstall 30 year GAF Timberline HD shingles
to the manufacturers specthcations*Install GAF
matching cap shingles eWe will Replace pipe boots.
And damaged roof vents(d any sheets of plywood
need to be replaced there will be an additional
change of$45-per sheet)
Clean up We will dean up all construction debris and dispose 1.00 $700.00 $700.00
of a in a proper landfill,We will con a magnet over
your lawn to ensure that we don't miss any nails.
Warranty At NexlGen we are Certified GAF Installers sc we 1.00 $0.00 $0.00
can offer a 50 year manufactures warranty
Sub TOW $17,122.00
Tohl — —_ $17.222.00
SPECIAL INSTRUCTIONS
House and barn inUuded in this puo0e
Thank you for the opportunity 0 bid on your root replsoement.We look forward to working with youl