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49-015 (3)
BP-2022-0563 984 PARK HILL RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 49-015-001 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-2022-0563 PERMISSIONIS HEREBY GRANTED TO: Project# ROOF Contractor: License: NEXTGEN CONSTRUCTION Est. Cost: 9988 SERVICES INC 098654 Const.Class: Exp.Date:(18/19/2023 Use Group: Owner: R BUSHEY MATTHEW Lot Size (sq.ft.) Zoning: WSP Applicant: NEXTGEN CONSTRUCTION SERVICES INC Applicant Address Phone: Insurance: 1 ARCH RD (413)579-5798 VWC-1 00-6023 1 1 8 WESTFIELD, MA 01085 ISSUED ON:05/19/2022 TO PERFORM THE FOLLOWING WORK: REPAIR 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: 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: I . jv• )2 Fees Paid: $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner l'he Commonwealth of Massachusetts B d of Building Regulations and Standards FOR 1 M sachusetts State Building Code, 780 CMR MUNICIPALITY zQzz USE Building P- t ppliration To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 owl 'One-�MSa One-or Two-Family Dwelling VI, 70N'MA CTi0NS o,oso jj��Thi Section For Official Use Only _ Building Permit Number: lD 4).3-- SU.> Date Applied: ewe ' 2.5 , 2 5-Ici2O2Z Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 984 Park Hill Rd. y¢ 41,6- 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 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Matt Bushey Florence,MA oio62 Name(Print) City,State,ZIP 984 Park Hill Rd. 413-923-7171 matthewbushy65©gmail.com 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) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed work': Repair 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 $ 9988.78 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 r{ Suppression) Total All Fe#j$ j*, l Check No. I Check Amount: 'mil Cash Amount: 6.Total Project Cost: $ 9988.78 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-o98654 08/19/2023 Rene Gauthier License Number Expiration Date Name of CSL Holder i Arch Road Suite 11 List CSL Type(see below) U No.and Street Type Description Westfield,MA 01085 -_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 413-579-5798 info@nextgen413.net I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 196063 06/27/2023 NextGen Construction Service Inc. HIC Registration limber 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 .0 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 g,c ', 05/13/2022 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 05/13/2022 Print Owner's or Authorized Agent's Name(Electronic Signature) I)ate g 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 SAS 'S/,'•. ?• Massachusetts 47 11.q. DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building yJti � Northampton, MA 01060 f!`Y 1,�\-v,O 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 ol040 The debris will be transported by: Name of Hauler: NextGen Construction Service Inc. Signature of Applicant: 4e-fg` 77 Date: 05/13/2022 The Commonwealth of Massachusetts hL=t Department of Industrial Accidents ,= I Congress Street,Suite 100 - Boston,MA 02114-2017 41.0�' www.mass.gov/dia 11 others'Compensation Insurance Affidavit:Builders/Contractors1Ekctricians Plumbers. 'fO BE EMU)WITH Till. t'ERM17TINGAUI'IIUW7 Y. Applicant Information Please Print Leeibls Name(13us l.NextGen Construction Service Inc. Address: 1 Arch Road Suite ii City/State/Zip: Westfield,MA o1o85 Phone 0: 413-579-5798 Ate yen an employee'(heck the appropriate(wet: Type of Project(required): 1.J ttrnaatryrhryor with 13 employee,Chill and cat part-tine').• 7. Nev,construction 2E3 mina sok ptupr etc'Un padnershnp and bay.:no employee,w t.rkntr for inc in S. 0 Remodeling any eaprdity.INu workers'comp.insurance requited.) 9. Q Demolition 301 ant a honrenwner dump all work myself..((No workers'comp.car urance required.l` 100 Building addition I.Q I am a homeowner and will be hiring contractors to conduct all work on my property- I will enmity!that all cindiaotem either have winker,'compensation uuurance or are rill' 11.0 Electrical repairs or additions pro.Vnetoh with no empioyees. 12.0 Pllmtbing repairs or additions 50 I am a Fortcral e onUactur and I have hard the suleeo tractun lr.tcd on the attrehcd,lr<et- 3.121Roofrepttmra liter.uhrorntraowrs hate en gtluycc't and have worker..,'roans.insurance. 60 we an a e01puratiea11 and its utfire oir r.hay c v nacd their nrht of ctcmpuon gars \t(il_c. 14.0 Otber l t_'. III).and we have no empluyccs.'Nu worker,'currnp-insult AMC rngwre J *Any anthem'that checks but#1 mra+t also fill out the section bdene showing then worker,'eoingee-n ateo n policy information. ▪llomeownrn who submit this affidavit indicating they arc ehrnr all work and then hue out.rdc em:w.rs must milling a new atTwlavit radieating such. ;('enl,acturs that check this but must attached an witleteunal short show tier der name 01 tlw'sole cogatact..n and state whetlkt or nut those audit,hat employee,. It the sub-cyrntractor,eta.c curitl..ycti>.they rnu>t pra.yide ihctt worker.".seep poise,nunitsct. I am an employer that is providing workers'compensation insurance for n!r employees. Below is the policy and job site information. Insurance('campers Name: Aim Mutual Insurance Co Policy#or Selt=ins.Lie.#:VWC-too-6o23118 zo21A Expiration Date:07/14/2022 Job Site Address: 984 Park Hill Rd City/State.Zip:Florence,MAolo62 Attach a copy of the workers'compensation paltry declaration page(showing the policy number and es piration 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 andior one-year imprisonment,as well as civil penalties in the form ofa 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 certil'under the painsns and penalties of perjury that the information provided above is true and correct. Signature: �4E ��— Date 05/13/2022 Phone 413-579-5798 Official use only. Do not write in this area,to be completed by efts'or town official City or Town: Permit/License# Issuing:1uthority(circle one): I.Board of Health 2.Building Department 3.('ite,Tiown Clerk 4.Ekctrical Inspector 5. Plumbing inspector • 6.Other Contact Person: Phone#: AC�® DATEIMMIDDIYYYYJ CERTIFICATE OF LIABILITY INSURANCE 11/16/2021 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 Jeffrey Brochu NAMEBrochu Insurance Agency Inc PH FAX Extl: (413)536-3311 Alc.Not: (413)536-0900 725 Grattan Street A D IL SS: Jeff()a brachuinsurance.ccm INSURER(S)AFFORDING COVERAGE NAIC M Chicopee MA 01020 INSURER A: Atlantic Casualty Insurance Company 00000 INSURED INSURER B; Commerce Insurance Company 34754 Nextgen Construction Service Inc INSURER C: Aim Mutual Insurance Co 0075 82 Pequot Rd INSURER D: Liberty Mutual INSURER E: Southampton MA 01073 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTRIN n wvn POLICY NUMBER fMMIDDIYYYYI (MMIDD/YYYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A N N L307001468 10/16/2021 10/16/2022 PERSONAL A.ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea ecedenq ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED B AUTOS ONLY AUTOS N N RPL082 10/04/2021 i 10/042022 BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE _ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE X ER ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? Y N/A N VWC 100 6023118-2021-A 07/142021 07/142022 (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 INLAND MARINE j RENTED/LEASED $100,000 D N N BM061631762 06/26/2021 06/26/2022 EQUIPMENT Replacement Cost DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule.may be attached if more space is required) Construction&Remodeling:Additional Insured&Waiver of Subrogation Blanket."Automatic Status"additional insured is provided automatically when requiree in written contract or construction agreement General Liability applies for use of equipment rented from certificate holder CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Nextgen Construction Service Inc ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Fax: Email: ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts \ IF Division of Professional Li/censure Board of Building Regulations and Standards Construri t Ustyisor CS-098654 # Edtpirtts:08J19l2023 RENE E GAUTHI•J- ,a, !_ .. • 82 PEQUOT RD g 4 SOUTHAMPTC* MA. Commissioner Q�q�t fi. OCeeetJ.f&. Construction Supervisor Unrestricted -Buildings of any use group which contain Tess than 36,000 cubic feet (991 cubic meters) of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call (617)727-3200 or visit www.mass.govidpl THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration .....Y._tit ... -_ t- . -4 Type Corporation NEXTGEN CONSTRUCTION SERVICE INC. Registration 6/27/2 1 ARCH ROAD r Expiration: 06/27/2023 1r� SUITE 11 �..� WESTFIELD, MA 01085 _ fir, `ram Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs 8 Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Corporation Office of Consumer Affairs and Business Regulation Real p EApa_ratiOn 1000 Washington Street -Suite 710 196063 06/27/2023 Boston, MA 02118 NEXTGEN CONSTRUCTION SERVICE INC. RENE E.GAUTHIER 82 PEQUOT ROAD y ,,,..oe,.t •ZG4,.4 SOUTHAMPTON, MA 01073 Undersecretary Not valid without signature ESTIMATE NextGen Construction Service Inc./NextGen Roofing Matt Talbot 1 Arch Rd, matt@nextgen413.net I Suite 11 Westfield, MA 01085 N EXTG EN (413)579-5798 ROOFING www.nextgen413.net '+\ CS#098654 MA HIC#196063 CT HIC#0663014 Matt Bushey Estimate# E-3952 Job#J-3632-Matt Bushey 984 Park Hill RD Date 4/28/2022 Florence,MA 01062 Item Description Qty Amount Shingle roof removal Removal of single layer of roofing material, underlayment, 13.50 $938.25 and edge metal. (price per square) GAF Tiger Paw Quantity per 10 sq roll 1.00 $246.70 WeatherWatch®Leak Barrier--X GAF WeatherWatch®Ice&Water Leak Barrier-Mineral 4.00 $467.12 Surfaced-2 SQ. Roll is installed 6' up from all the eves, in the valleys. around all roof penetrations, and where ever a wall meets the roof. .019 x 10'F8 Premium Painte-X TRI-BUILT.019"x 10'F8 Premium Painted Aluminum 20.00 $572.60 Drip Edge White will be installed on the entire perimeter of the roof Generic 1-1/4 Coil Roofing N-X 1.00 $101.79 Pro-Start®Eave/Rake Starter-X GAF Pro-Start®Eave/Rake Starter Strip Shingles(105 2.00 $182.52 lineal feet) Document ID: 5DE27F53-52FC-4141-81D6-DOBE1A5A5A7A Page 1 of 3 Item Description Qty Amount GAF Timberline®HDZTM Shingles GAF is the largest and best shingle manufacturer in North 44.00 $2,181.52 America.Timberline®HDZ Shingles offer just the right combination of beauty, performance, and reliability-and are the best value in roofing today. America's#1-Selling Shingle just got better! Dimensional Look: Features GAF proprietary color blends and enhanced shadow effect for a genuine wood-shake look. High Performance: Designed with Advanced Protection® Shingle Technology. 25 year StainGuard®Algae Protection: Helps ensure the beauty of your roof against unsightly blue-green algae.2 Highest Roofing Fire Rating: UL Class A, Listed to ANSI/UL 790. WindProvenTM Warranty:When installed by a Master Elite company. LayerLockTM Technology: Proprietary technology mechanically fuses the common bond between overlapping shingle layers. Up to 99.9%nailing accuracy:The StrikeZoneTM nailing area is so easy to hit that a roofer placed 999 out of 1,000 nails correctly in our test. Stays in Place: Our legendary Dura Grip TM sealant pairs with the smooth microgranule surface of the StrikeZoneTM nailing area for fast tack.Then, an asphalt-to-asphalt monolithic bond cures for durability, strength, and exceptional wind uplift performance. 11.5 x 4'Cobra®Snow Countr—X GAF 11.5"x 4'Cobra®Snow Country Roof Ridge 9.00 $179.01 Exhaust Vent Seal-A-Ridge®Ridge Cap Shing—X GAF Seal-A-Ridge®Ridge Cap Shingles(coverage 20') 3.00 $266.46 Chimney flashing Grind out the old flashing and re-flash the chimney 1.00 $575.15 properly with new lead counter flashing. (price for chimney up to 36"x 36" EverBoot Pipe jack 50 yr+pipe boot installed 2.00 $296.54 GAf system install Installation of shingles, underlayment and edge metal 13.50 $3,363.12 (price per square) Roofing disposal Charge for hauling construction debris to the recycling 2.00 $548.00 facility.This charge is per 10 square of roofing with a minimum charge of$548 System Plus Warranty As GAF Master Elite installers we can offer the factory 1.00 $70.00 backed GAF System Plus warranty.This warranty covers the material for 50 years and our labor warranty for 10 years. Sub Total $9,988.78 Total $9,988.78 Document ID: 5DE27F53-52FC-4141-81 D6-D0BE1 A5A5A7A Page 2 of 3 ADDITIONAL NOTES Thank you for the opportunity to to install our premium roofing system on your home. We look forward to working with you! `THIS IS A ESTIMATE BASED ON A VISUAL INSPECTION AND DOES NOT REFLECT THE ACTUAL PRICE OF THE FINAL PROJECT. IF ANY ADDITIONAL WORK IS NECESSARY DUE TO WOOD DECAY .ADDITIONAL LAYERS OF SHINGLES OR WORK IS NEEDED TO BRING CONSTRUCTION UP TO CODE. HOMEOWNER WILL BE NOTIFIED OF A CHANGE ORDER. CHANGE ORDERS ARE TO BE Approved BY HOMEOWNER PRIOR TO JOB CONTINUING.' 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