17C-095 (13) 136 CHESTNUT ST BP-2021-1073
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 17C-095 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ROOF BUILDING PERMIT
Permit# BP-2021-1073
Project# JS-2021-001817
Est.Cost:$13800.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: NRB EXTERIORS INC 99565
Lot Size(sq.ft.): 11499.84 Owner: BALDI BRIAN
Zoning: URB(100)/URA(0)/ Applicant: NRB EXTERIORS INC
AT: 136 CHESTNUT ST
Applicant Address: Phone: Insurance:
510 NEW LUDLOW RD (413) 563-6354 WC
SOUTH HADLEYMA01075 ISSUED ON:3/29/2021 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: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
•Final: Final:
Rough Frame:
Gas: Fire Department 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 Occupancy Signature: ► • ' I 0
FeeTvpe: Date Paid: Amount:
Building 3/29/2021 0:00:00 $40.00
212 Main Street, Phone(413)587-1240, Fax:(4.13)587-1272
Louis Hasbrouck—Building Commissioner
i" c'eA,
, /4.
,-) . <76 The ommonwealth of Massachusetts
P `2 , and Building Regulations and Standards FOR
' , q '/o,,, ass husetts State Building Code, 780 CMR MUNICIPALITY
T y,,N USE
it plication To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
ktsPirst One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: 7/7 a I'10,.; Date Applied:
KEVI,L)&0-->') ,I // 3-Zq.zo2,
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers ��
I.la 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
t
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'
24,Owner'of ord it
Name(Print) City,State,ZIP
t3 L c ,mot.+- S* Cli aOt(-36S-G
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) ❑ Addition ❑
Demolition 0 Accessory Bldg. 0 _ Number of Units Other 0 Specify:
Brief Description of Proposed Work': a..e Un v.-L ice,t,, L ,(-
UV t v✓ (30 'Vs i k p,-, et 4 l A r.ic s-re ( .
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
(Labor and Materials) Official Use Only
1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ 0 Standard City/Town Application Fee
f7 Total Project Cast3(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:
qq��, Check No? Check Amoun* Cash Amount:
6.Total Project Cost: i $ 3l/� �W 1 p Paid in Pull Li Outstanding Balance Due:
. SECTION S: CONSTRUCTION SERVICES
s t f_'elnefructinn Supervisor License(CSL) et?C'( 5 ->g J./
tt t {� n � l �
t t'vJ1 c(S 1'� 1,3/,,�2/ License Number Expiration Date
Name of CSL Holder
5 Q ! List CSL Type(see below)___2t0•1
N nd Street Type Description
j I ( t1 U Unrestricted(Buiidinp up to 35,000 eu.fl.)
lk ' km 1 ' R Restricted tetz heartily uwetiing
City/Town,Stale,ZiP M Masonry
RC Roofing Covering _
WS Window and Siding
{? JID�'G3 SF Solid Fuel Burning Appliances
I 1Insulation
Telephone ` tarsi)adIess t u , +:zu ittizr.
5.2 Registered Home Improvement Contractor(HIC)
0(2 4c4V'( i'"' - HIC Registration Number Expiration Date
HIC Company Name pr III egistrant ame
�l p t.. e ' ��J I-- ! .
No..and Street `t,� e r t.t? 11 j .+t ? Email address
City wn,State,ZIP 7eieehone I
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 1S2.1 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 Cr' No D
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 4k) ( 142 ' .?C4"Q''r Ors i authorized �
to act on my khan',in id' ii 'r' e'w:ivc to work ''''author^"a by�'::t;buildingg permit apptinAttnn.
k 7) , .Y7 _,)
Print Owner's Name ectronic 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 ' lication is true and accurate to the best of my knowledge and understanding.
versa or Authorized Agent's Name(Electronic Signature) Date
Norm c.
I. 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 ZS1 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.aov/oce Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
a; I hed hesemerthett s vlMke nr porch)
Total floor area(sq.ft.) (irt'.•tit:,;,ffi�t..:.b;.,..::.w.,.,. .
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
Oµ,HA/A,,.
y 4' Massachusetts . , S :
��. '
,d i 1 0 'g', DEPARTMENT OF BUILDING INSPECTIONS
. °'.-�` 212 Main Street • Municipal Building ,�/ r
\ � Nnrthamptnn MA 01O fl ss.„ �.1
CONST.RUCTION DEBRIS A ri1 ANII
(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: (a> /( �et c 4 �: " r 6i
y � � s lid //t!
The debris will be transported by:
Name of Hauler: (4 c o cu, ,f--e / /lc, ( ti.17
Signature of Applicant: �— Date: ? )? —j
ACCORD CERTIFICATE OF LIABILITY INSURANCE °"��
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 POUCIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: tf the certificate holder Is an ADDITIONAL INSURED,the policy(tes)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 endorssmsnt(ss
PRODUCER Migc Denise Sawicki
Amherst Insurance Agency Inc 41, Ea (413)253-5555 ` (413)256-8354
20 Gatehouse Rd. -r ther s.
P.O.Box 48
DisuhEIRs/nffohDINo COVERAGE RAC r
Amherst MA 01002 pjewsERA, Russell Bond&Co Inc
DiSURED issuRBRe: Preferred Mutual 15024 1
N R B Exteriors Inc. INSURER C:
7 Philip Circle INSURER D:
INSURER E:
Granby MA 01033 INlt>RER F: .
COVERAGES CERTIFICATE NUMBER: CL212303459 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 WMICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU.THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IL�TRR TYPE OF INSURANCE •• Y EFE -POTICY EiP
-94/3 j m) POLICY NUMBER (MM YYYY) IMMrDD(YYYn , UNITS
4 COMMERCIAL GENERALUABIUIY EACH OCCURRENCE s '000
CLAIMS-MADE ®OCCUR PREMISES S 10D,000
MSD EXP tAny oneservenn) $ 5.000
A ■ 101G1008936303 12/23/2020 12123/2021 pets0HAL anAr1N Ij)Ry $ 500,000
GENIAGGREGATE UNIT APPLIES PER: GENERAL AGGREGATE S 1,000,000
POLICY Q jrcy 0 LOC PRODUCTS-COMPlOPAGG S 1.000.000
OTHER: Employee Benefits S
AUTOMOBILE LIABIUTY -(COMBINED StROLE EA UNIT s
■ ANY AUTO GODLY INJURY Mar person) S 20.000OWNED ~
B i�� AUTOS ONLY X PCA0100300761 03/15/2021 03/15/2022 BODILY INJURY(Pr=lane S 40.000
IMHIRED X s
AUTOS ONLY
APOTC S
uM1 LLA UAS
OCCUR EACH OCCURRENCE s
Excess UAe C ARASAIADE AGGREGATE $
- WORKERS oM essAATIONABIU 1 7 - - " —PER
r r `
ANO EMPLOYERS*UTY Y I M
ANY PROPRIETORIPA.RTNERE)ECJTNE ❑ PI r A E.L EACH ACCIDENT S
OFFICER(MEUSER fx0 t+nEn9
(Itandstory tn NNHI E.L.DISEASE-EA EMPLOYEE S
If yes,deices:,under
DESCRIPTION OF OPERATIONS baker _ E.L.f AR LIMIT
S
DESCRIPTION OF 0/ERA710101/LOCATIONS r SEMOCLES(ACORD 101,Adrtbbnsl Rambo$ e.:45e.may be attached n mere seecs Is to on*
CERTIFICATE HOLDER _CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN
Certain Teed Select ShingleMaster ACCORDANCE WITH THE POLICY PROVISIONS.
PO Box 20126
_`igh 4 AUTHORIZED REPRESENTATIVE
\ /
I J ^��. i-(JLI Gk., 1
0198E-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name end logo ere registered marks of ACORD
Fully Licensed and Insured L,�s , ace,*
510 New Ludlow Rd.
' ' MA Reg#20-2015718 �� South Hadley,MA 01075
MA Lic#: 147961
�lA CSL#:99565 ' ''T k
Cell:413-563-6354
�,es_ Office:413-707-ROGF(7663)
41; ;� 413-707-ROOF (7663) Fax:413-467-9748
1�.+•,,_J„�� SHINGLE RUBBER
�T�� GUTTERS NICHOLAS BERNIER
ima
RoofPros4ll3.com (Owner)
RoofProsCcomcast.net
Proposal submitted to: Phone# h:0;- )t:y - (-, 5 L c:
Lpi r r-`+" e" 01,` Special requirements
Street
i3L c (,..e.,ci.,,, y % -r
City,state,zip code 1/1�t ( DX.
X yM S }c f fie t^ 40,6
Proposal to furnish and install the following _
❑ Re-roof [+ ear-oft' ❑ Gutters keiIZ42
We shall acquire necessary permits for all work ff
3
Complete Roof Preparation T rGtiNbb2 CG,yn �L�
1W Home's exterior to be protected by tarps and plywood
[' Shrubs, landscaping.trees to be protected,roofers buggy used
" Entire existing roofing materials to be removed to existing decking,including flashing,etc.
[l Site to be cleaned on a daily basis with roll magnet,debris to be removed at project completion by dumpster
rjr Deteriorated existing decking to be replaced at, O per sheet of plywood (i4 cb.,(
Complete CertainTeed Integrity Roof System
le Install Winterguard ice&water barrier along bottom ❑ 3 ft.of all roofs,I3/6-ft.
r Install Winterguard ice&water barrier around penetrations,in valleys and all critical areas
[Install CertainTeed Synthetic underlayment to entire decking
(T Install 8"perimeter metal flashing to all edges of all roofs,El-White ❑brown
Install SwittStart starter shingle to bottom and rake edges of all roofs
[}--- Install CertainTeed shingles to manufacturers specifications,❑6 nails ❑4 nails
Vz-lnstall CertainTeed PVC ridge vent to all peaks in heated areas
Install Shadow Ridge to all hips and ridges,over ridge vent where applicable
" Install new lead counter flashing to chimney
9New flashing installed where necessary
IA/install new pipe flashing to waste vent stacks
Warranty options
LAY We guarantee our labor/workmanship for 20 years
❑ rtade CertainTeed 4-Star S 50-ye r nonprora erage
CeainTeed Landmark-col : MO;re Sic 3-tab
❑ CertainTeed Landmark Pro-co or
We propose hereby to furnish materials and labor-complete in accordance with above specifications for the sum of:Total Due 5 t/Si Sc-)J•0 J
ACCEPTANCE OF PROPOSAL:The above prices,specili tions and conditions are - 1/3 Down Payment $ 3,O Jo . 0 O
satisfactory and are hereby accepted.You are uutho ' d d ork as specified. Balance due
Payment will be 1/3 down at start of job,and bale on completion.
I51
upon completion $ /U,0�?0 ,� Jt}
Date: 2 I
Signature: l Ltd
Date: )---1)--)'( Estimator:(Print Name) f" ' ' (,-utb*) f '^''/ (Sign Name) _
Estimates are honored for thirty(30)days from above date
ATTENTION HOMEOWNERS:Please cover all personal belongings in the attic,garage or storage areas due to the
possibility of roofing debris or dust in through cracks of the wood.NRB Exteriors Inc.will not be responsible for
debris or dust in the attic or storage areas.
A Finance Charge of I :_",%monthly(ANNUAL PERCENTAGE RATE OF 18%)will be added to the unpaid portion of the balance due.I
agree to pay and for guarantees:paymc . charges.In the event of default of payment,I agree to pay reasonable Attorney's fees and
court costs.This agreement does no - ute a release of liability.By my signature below,acknowledges an agreement of the above is
hereby made.
Signature:
Q Ali Wo �����C
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
Type: Corporation
,3w Registration: 147961
NRE1 E;<TEnivna;No # ''_ - Expiration: 08/22/2021
510 NEW LUDLOW RD
SOUTH HADLEY,MA 01075ti
'`r .....=x:,t 1,-.:.7.--7TM :,,,...
r 4p
Update Address and Return Card.
SCA 1 p 20M-05/17M- /
r:'jie�oWINni rnw/t Or.'7laki YeAir,.N!(s
Office of Consumer Affairs a&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:Corporation before the expiration date. If found return to:
nayiuiraiwrt r. ruduurt UTUCS or i,onsumer Arrarrs arm ousiness Megulauon
147961 08/22/2021 1000 Washington Street -Suite 710
NRB EXTERIORS INC Boston,MA 02118
NICHOLAS R.BERNIER
510 NEW LUDLOW RD ,.R'a.,'aGa"
wvTn fl Lc I,ivir� u i v7 i
Undersecretary ��..a�.,n,r ur.....a..r......a.....
�.Y.VY•
C�yronweaith of Massachusetts
ensure
ulations and Standards
Division of professional Lw
U' Board of Building Reg for Specialty
Construction SUPe
_ p5128t2020
empires:
_...
CSSL-04
HOLAS R B,suiERNIER ERNIERglik
pac610 NEW LUDL
SOUTH IIADL 1 ' 010 6
Commissioner �_.--- --'"—