36-236 (2) 25 DIAMOND CT BP-2021-1424
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:36-236 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-2021-1424
Project# JS-2021-002365
Est.Cost: $17500.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: NRB EXTERIORS INC 99565
Lot Size(sq. ft.): 130244.40 Owner: MURPHY JEFFREY S
Zoning: Applicant: NRB EXTERIORS INC
AT: 25 DIAMOND CT
Applicant Address: Phone: Insurance:
510 NEW LUDLOW RD (413) 563-6354 WC
SOUTH HADLEYMA01075 ISSUED ON:6/1/20210:00:00
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.
` 11 - (N515-
Certificate of Occupancy Signature: ' �J
FeeType: late Paid: Amount:
Building 6/1/2021 0:00:00 $40.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
P wtr ��\
NckN.N,
/' *qy o°4�:.
eris
The Commonwealth of Massachusetts:'Io°� �� ��`
j.0, ' Board of Building Regulations and Standards <Tigo,,t, L<7 OR
T Massachusetts State Building Code, 780 CMR ,'o,,, CIPALITY
`� ,/,,SQF USE
Building Permit Application To Construct,Repair, Renovate Or DemN h'� oiq evised Mar 2011
One-or Two-Family Dwelling s
This Section For Official Use Only
Building ermit Number: ( - qy7/-f Date Applied:
U,� vas /� 1, -I.20z/
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
?.S" DIc,,i,j ,d li
1.1a 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 Cl Private❑ Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP[
2.1 Own re of RcordA.,e“ : A.
4.11
Name(Print) r City,State,ZIP
p, - �'� -_--- 7 7 b , b y- `�)--
N.and Street --� Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) ❑ Addition 0
Demolition ❑ Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work: ` e,,,.t c::„� Pycj f r .i1 1' v 1., ((Jf , -'/
L.I'2�' ei j . 1 f �i+�•4 ,J,�.^ i z 1 i
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 $ CI Standard City/Town Application Fee
- 0 Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ _ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: 440
` '+, ` ��� Check N°. '�() Check Amount: Cash Amount:
6. Total Project Cost: $r 77 cW,W ❑Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) c q
.L e.1(,4 1 a�-+ i Lime Number Expiration Date
Name of CSL Holder r
(� W w L 4, List CSL Type(see below)
No.and Street Type Description
U T\ J '`.� O i J .i _ U Unrestricted(Buildings up to 35,000 cu.ft.)
? " R Restricted 18E2 Family Dwelling
City/Town,State,ZIP ,--M ' Masonry
RC Roofing Covering
Window and Siding
�,� �03 SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) / (' 7 9(
1`� "J "e K7� /' ' ^ - HIC Registration 4Number Ex on to
HIC Company N3ttte or HIC,�tegist{apt Name
i� .wd Street
L 7 ce 5 G? Email address
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 ,rC] No .O
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject pry :� ,hereby authorize a -K� . �-s , /ZC
to act on my behalf,in all matt;f relat ve to work auth iz y this building permit application.
1
Print Owner's Name(Electronic S gn,/, ) 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 ication is true and accurate to the best of my knowledge and understanding.
Print Owner's or Authorized Agent'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"
City of Northampton
yes.- sc
Massachusetts �Qa
DEPARTMENT OF BUILDING INSPECTIONSe.
212 Main Street • Municipal Building yv'; ��
rsud i J �..,
Northampton,Northampton, MAMA01060 0C-.. .
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: 6/to S
The debris will be transported by:
Name of Hauler: '( /4 4"I ct `1 �
Signature of Applicant:_,`' Date:
:A
'"` . The Commonwealth of Alassachusetts
i, M� --, Department of Industrial Accidents
--;"', I Congress Street,Suite 100
�#14.4._
,17 '`1'' Boston, .VA 02114-2017
r,, '` wws mass.goWdia
Huskers'Compensation InsuranceAAidatit:Buildersrt'ontractorsiEketricians Plumbers.
to 1st:FILED WYTNTHE PE:RMI IING Al iti)R1i1.
Anolicant Information Please Print Lejbls
Name(Busenessi rgaruzatwalladtvduall: P 1`15 --k yC 4-( , S' > j ., ( . —_
Address: .770 ti 1 t v L -1 J (0.., ✓ J •
City/State/Zip: Su )1-i c J L..., it"l\ _ . Phone#: 3 - v C`4/
jAm easpi ya�rr?Cheek is t appropriate has:
Type of project(required):I I ant a emptuy.ar with_,._,73 _employees(full ander tart-time I• New®I�tew construction
2E3 1 am a auk proprietor or premiership and have no employees wurkotg farmed 1t a Remodeling
any capacity.{No workers`comp.insurance required.j ....
+ 9. 0 Demolition
30 I am a hum.soinet doing all work myself.{Nu workers*mew iirurrrrret nagpionti
4.0 I ant a hannowaer and will he hraarg cwrwr �turs to conduct aft stork on my properly. I wt� 10 Building addition
ensure that all eontractun either hate workers'tom ensan sn insurmcte or are wale i la Electrical repairs or additions
propnetors wean oo employees.
12.0 Plumbing repairs or additions
50 I am a general cormaetor and I have hoed the sub.contracton listed on the attached shed
these sub-contractors lase employees and has a workers'comp.t:e:,urance.: 13.E Rout repairs
h.0 Vt'e are a corporation and its officers hate exercised their righttit..em Wit_per it_c. 14.0 Other
152.§114).and we hate no employees. No workers•comp.nnwrarx;e feyutred.1
'Any applicant that checks boa a must alto fill out the section below shiw ing then Aurken'conrprera.*ion policy information
lknnowsnem who aii,nut this atYrdaart indicating they arc doing all work and then hire outside contractors mini submit a new affraat it indicating sucti.
t untrartars that cheek this bus must attached an adchtsorwi shot show in the name ut the su curveaetors and date whether or nut those entities hate
ernp6r.ee> It tlx:sub eonira.t.xw bate enrp'iuteca.diet must prat rde tku.v workers'.trip pubes number
i am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
infnrynatian.Insurance Company Name: 4 ;l•.i/,� Last/Lt^ —
Palley#or Self-ins.Lic.#: L., Z Z es `7 I- S"27(.x ) I Expiration Date: ` 1 ? _ ) . -
Job Site Address: ) 7 0;G--. 4)— v' J-1. CitytState.'Zip: /t1�`/ 4 t^c-,-s.t'7fr"L-..,
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 fate up to Si.500.00
and/or one-year imp rolonnurnt.as well as eis it 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 1)IA for insurance
cos erage verification.
I do hereby certify
�,�uynder e pains and penalties of perjure that the in/ormatirn provided above is true and correct.
Signature: ----C/ Rite. 1
Phone#: S C,"1 - ( 3 S`'
Official ante only: Do not write in this area,to he completed by city or town official
,
City or Town: PermWlicense*`
r issuing authority(circle one):
I. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical inspector S.Plumbing Inspector
6.tither
' ('outset Person: Phone#:
• ti
"---"%e ( 90/171/111,042tveeta (y0/1/41,o,O,Ctehl/Jel6
C
Office of Consumer Affairs and Business Regulation
1000 Washington Street- Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
Type: Corporation
NRB EXTERIORS INC n N Registration: 147961
510 NEW LUDLOW RD Expiration: 08/22/2021
SOUTH HADLEY,MA 01075 �,
{
Update Address and Return Card.
SCA 1 $ 20M-05117
(YAr l('AIX111A11MPS 1 nir`llnt.iodeesr!!.t
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:
Aegistraiwri F.xyiratioq Office of Consumer Affairs and Business Regulation
147961 08/22/2021 1000 Washington Street -Suite 710
NRB EXTERIORS ING ='^ Boston,MA 02118
NICHOLAS R.BERNIER
510 NEW LUDLOW RD i�.,...a'c 4Gf0,4,"
SOUTH HADLEY,MA 01075 Undersecretary Not valid without signature
S
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
Construction Supervisor Specialty
CSSL-099565 Aires: 05/28/2020
NICHOLAS R BERNIER
510 NEW LUDLOW RD " ^ ,
SOUTH HADLEY AAA 01076 'i a
Commissioner
_ ` F
- f
oo Pr�os413.connr
(Owner)
. MRoofPros@comcast.net
Proposal sub ) ted to: '
...• N-C' Iv\ kok,ir Phone# h: �� �, -� �' ��- �.S"���
Street �� Special requirements f
";` S',AN l,�A. e14 Ic+c,e 3 v/.) Sky /,5 41,¢ t t- , ) k !/'V- ,•")
City, st �te, zip code V i ‘ ,-,?,. r, ,, ,...; S
L1/4 y 1 i t f
Proposal to furnish and install the following i�i`) -'�`��6 /I".,..,,c, ,.. lie
` ace ("�
0 Re-roof "Tear-off ❑ Gutters
We shall acquire necessary permits for all work y 7�0) S 0 f CI i, • '
Complete Roof Preparation Err f-f / `� r�-z
Home's exterior to be protected by tarps and plywood _____
Cr Shrubs, landscaping, trees to be protected, roofers buggy used
0/ Entire existing roofing materials to be removed to existing decking, including flashing, etc.
( /Site to be cleaned on a daily basis with roll magnet, debris to be removed at project completion by dumpster
V Deteriorated existing decking to be replaced at$6fi per sheet of plywood
Complete CertainTeed Integrity Roof System
"Install Winterguard ice & water barrier along bottom 0 3 ft. of all roofs,aicit.
27 Install Winterguard ice& water barrier around penetrations, in valleys and all critical areas
(a`, Install CertainTeed Synthetic underlayment to entire decking
1:4 Install 8" perimeter metal flashing to all edges of all roofs,. white 0 brown 7 '""` "' '
['' Install SwiftStart starter shingle to bottom and rake edges of all roofs
Er Install CertainTeed shingles to manufacturers specifications, 0 6 nailst nails
Z.
ClInstall CertainTeed PVC ridge vent to all peaks in heated areas "���
InstalI Shadow Ridge to all hips and ridges, over ridge vent where applicable PP
❑Y Install new lead counter flashing to chimney ( J‘,Y 111 �,�t S
[ New flashing installed where necessary r
[r Install new pipe flashing to waste vent stacks >J
�,/ \\ ) )S U '
Warranty options
C We guarantee our labor/workmanship for 20 years
pgrade CertainTeed 4-Star Sure Start Plus, 50-year nonprorated coverage I
R' CertainTeed Landmark-color: g
0 3-tab
0 CertainTeed Landmark Pro-color
We propose hereby to furnish materials and labor-complete in accordance with above specifications for the sum of:Total Due $ / 7, .rt)AS
ACCEPTANCE OF PROPOSAL:The above prices,specifications and conditions are - 1/3 Down Payment $ `7000 ,.'0
satisfactory and are hereby accepted.You ar authorized to do wor s s•ecified.
Payment will be 1/3 down at start of job,an elan due upon co le 1 n. Balance due
/� upon completion /L> 3-0:.-0.. c�3
Date: 142a Signature: /
Date: I' (7 ( Estimator:(Print ame) l 3{ l -
-
(Sign Name)
Eatim �y days from above
otee aro honotvd for thirty �_:
date
kTTENTION HOMEOWNERS: P ease 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
lebris or dust in the attic or storage areas.
R CERTIFICATE OF LIABILITY INSURANCE arras pssoawYq
0E0E2021
THIS CERTIFICATE IS ISSUED Ai A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS tWON THE CERTIRICATE 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 INSURERS), AUTHORED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IIIPORTANT: If the osrEllsate holder Is an ADDITIONAL.INSURED,the pollcy(Iss)must be endorsed. B SUBROGATION IS WAIVED,seWeat to
the terms and conditions of the policy,detain ponds*may requhe an sndonannettL A statement on this cerWAcate doss not confer rights to the
csrttkcatt holder in lieu of such ems).
PnoouoeR I-•Aar Dena Sawicki
AMHERST INSURANCE AGENCY INC ,+:I: (41L258.6666 I rO.NAL.
- com
PO BOX 48 INOWEIRBAPEEP00,1041luie NAILS
AMHERST MA 01004 wipe A r AMERHCAN ZUFdCH INSURANCE COMPANY 40142
assume INI NMR$;
N R B EXTERIORS INC mum c=
alsuess0=
7 PHILIP CIRCLE "MAW I
1 GRANBY MA 01033 anlalaart
COVERAGES CERTIFICATE NUMBER: 829231 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OP INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTMRNNG ANY REQUIREMENT,TERM OR COMMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY SE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCMEED HEREIN IS SUBJECT TO ALL TIE TERMS.
EXCLUSIONS AND CONDITIONS OP SUCH POLICES.LI ARB SHOWN MAY HAVE WEN REDUCED BY PAID CLAIMS.
OM
in mice wsuilmsa =r Kurt MINK AliNgs-AtiMi. WITS
CONNISICOU.M ISR&MINIM $
-CLASSWAADE El OCCUR albaw $
Mao Co(Any w we pow) $ •
_._. WA PlaleoNAL a A v INJURY $ .
C ILNR.AOORSGA1'I LW APPt* PA
S R: O A iTE ,..$ ,
Pow, 0 LOC PRODUCTS•CO TOPROO $ J
_—I 1 Met t
AIITOIIosa a LtAss irY 'ligm= E La" $
_ ANY AUTO SOOTY INJURY far / $
...... Phis WNI10 —..._SCRIOULED WA ODDLY NyJUpR�Yy(Pic.oddes0 $
_„•, tMBDAUrOe Y _ AUTOe i iPriOq�eW Il H
L J _ s
UMe1MUAUM occuR GAO N oDo4sulalca s
MOSS WA ,cxA_,_ NIA AooRaa►Ta $
'� I I MaYgoON$ _ $
AMC eru0YmRrLMUIUTY X r PaRTA 1 taii-
A eToll it ECUTrva grow ow, SZsUBOF6676b821 0211E2021 02/1312022 •E.t1Er4H►A us s 100.000
.uus ask-ILA aaaw+.ovea$ 10000
WI wr.r c OPIRAT1OP Mow - I Ilk a 1.DNEAIN-POLICY LAST $ 500,000
N/A
Ossona toss at oPINAININe r LOCATIONS rMMUS lacoen tat.AMIS,sal Runde hMdda.NAV iso MINIM/Irwin wo w Ice. s 11
Workers'ConylansaUon boodle will be paid to MasaohusNb employees only.Pursuant to Endwrasmenl WC 20 03 06 B,no authottri5on III given to pay
delta for benefits to employees in stabs other that Massachusetts if the insured has.or has hind those employees outside of Masachuasts.
This cefNcate of issuance shows In.policy in fats on the dale Val Ills ari/cate twos issued(tmisss the tumb sSon dale on the above policy precedes the
issue date of this male*of Moutarlos). The status of this coverage can be monNored daily by accessing the Proof of Coverage-Coverage Verdioatlon
Search tool at www.msss
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OP THE ABOVE DESCRIBED POWER BS CANCELLED WORE
THE EXPIRATION DATE THEREOF, NOTICE YELL. SE DELIVERS) iN
Certain Teed Select ShingleMaster ACCORDANCE EMI THE FOUCY PROVISION..
PO Sax 20126 AUTROPSINDRIPRISIWTAINE
t Leigh Valley MP 16U U2.0126 1 '-`)--" L�
1 DMM M. .CPCU.Vice President-Residual Medan-WCRIBMA
•10884014 ACORD CORPORATION. Ali rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD