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38B-239 (6)
26 OLIVE ST BP-2019-0999 GIS 4: COMMONWEALTH OF MASSACHUSETTS Map:Block: 38B-239 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 4 BP-2019-0999 Project JS-2019-001645 Est.Cost:$4650.00 gee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group JAMES FLANNERY 103061 Lot Size(so. ft.): 11935.44 Owner: SCHLICHTING KERRY Zoom URB 100 Applicant: JAMES FLANNERY AT.• 26 OLIVE ST AppltcantAddress: Phone: Insurance: I LOVEFIELD ST (508) 294-4052 WC EASTHAMPTONMA01027 ISSUED ON.3/13/2019 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE HALF OF GARAGE 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: Housed Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: -ft 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 sle m FeeType: Date Paid: Amount: Building 3/I320190:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck-Building Commissioner RECEiVED� 1( D ww or N �a on d irnnr,rNSPE n Cap Palms MP20r<.MPO} �n W...al.� Room t ^^, ^�.,. Northampton,MA flt99Mtdesmaw19twt phone 413587-1240 Faz 413-597-12T2 Fr'00 PUaa APKr:ATRONT000M%TR=,ALTER,REPAIR,REWVATEOR DMWLWA OOMMO/]RT OFAIWYMULM �TEIRI-RTE 9IFO TE1R W- (a l l n rBaaauaa a uta: � XLj tot UI9L 26 Olive St. I.oea PtM11y OIWtt{� as OL IYNrL 0I er.rrx 82CM2-PROPUM AUifOMMAGENT td ' Ryan Hoskin & Kerry Schlichting 26 Olive St., Northampton MA 01060 OWnmlM..,IA& ° TNepr 203-610-3335 14MES 5 kAIVA10Y ! LOVRtreld S-f, CAgAA ION MA mm"memo Y13 - ao3- 588 Tesanma dMe, Etarwaeca.ttDalort)mb. 001CMU .o* t. &dtln0 4650-00 (a)&"V Parr*In 2. ElscVksd (b) Tow com at 3. PIWT"m EWNYr9 PamtltFN i`h 4. MKhg* (WAC) 4�7 6. TatW= 1+2+3+4+5 4650.00 ChacK Nimpar TW 8eclba Far Oi11e4t RW DIM 9ddnEPpmR Maser IiNelld: f 3- )3-ZoR9 9d,tw cawrr�tee�*r a autenys �P.riKI�FoR►nANCERDOFIN(rU-C 6/n Hlc, CvM EMAIL ADDRESS(REQUIRED;ERHER HOMEOWNER ox CONTRACTOR) Naw Neu.. p 4AdAftn =OAROMMINKS) RM" Lj AeCmyMOi. ❑ do jp 8ieaq g:71 glw[q BMWDW=OmOf 'OPO"e Strip and replace shingles, half of garage only. Waft AYrwjm of reefing bedroom_Y"_NO AdNep new bedn wn Y" NO AdMdW Plem A%w od PW RO'w"E'g umHehed b"emsm __Vee _No 0e.N Hm ammo OW or wddWom M eRIENRO howska LbOwho the bolog m: s. U"MbuANrrp:OMFilly Two FemiN OPIer b. Nwdw of mom in eeM fm*lTel: Number of&IMoonr o. Is IM'a a grape aft~ a. P(OPOON ftmw I Page M new mnUMM 1. ebm e. Nufter MNwies? f. Mod of M~ FeepeaewWoodwo"a Numbwot own_ g. Enew coneerndon ow"Moo Wnd)Kdr EnSW WWNW=fDrM 2W~ h. Type of MOWCtlwl L Is otMruceon wkNn f Mwo#mx%?_Y" __No. lemnmuctIonwOM100yr. modpMn_Y" No j. Depth of w Conorpow Owow Ar'WWW@ds k. VAR ceumnn m IM Bukdklp end ZeNnp rw%Aadons9 _Y"_No. L Tmk_ Cky Sewer_ PdeW well_ Cftmieraupdy_ SECTADN7e-OM MAUTNOWATION-TOECORWLE7m NDN CWVNI if ADM OR COWORACTOR APPLES FO'ttwmv= nOwrwofthesubjed Property rlmE3 T FLA NA)QZY D&A PEAK PERFOAm4NCE AODFll)6 LU © tbad my IO by this buDft pwMrep{diCIUM. 3 8 /5 r ore j, 7ArnES �. i TIe F1,ANmazy mOMwr/AWhoraed Agent hereby dwlem aaaneas and IMamapm m the rwegdng eppkNUW we Mm and eaunne,M the best Of My MMWW F all boWr. good under Tw Pone;and Penodwe of WjwY. -JAr/WS U. FLAlVNEAk/ d DNe SECTION 6-CONSTRUCTION SERVICES 6.1 Lpnaed GaneWction Sum Not Applicable O Nano Of License HONW: -JAMES J FI-AAWERY OS - 103012/ 1-cerne Number iuilliams 5f,� /{o/yoke rnXl OlDyO 9/a/� o Addleas Elyimlbn Date y13- 203 — 58�� 6lgllebue Telephone Not Applicable D PERK PE2Fo2ry1ld/VGE RvoF/(u6-, LLC /�3 (o �I�') Comlmnv Nemo Registretio Number i Lovir4i-o ) 54, Fa s_ f coni YEA aiDa} 1, 7;77Zo /9 Address (L/13) EXpirshon Date Telephone SECTICM 10.WORKERS'COMPENSATION INSURANCE AFFIDAVIT(MAL c 162,g 26C(6)) Workers Compensation Ineuren-affidavit must be completed and submiead with We epplicabon. Failure to protide Mb amdw t will reeutt m the daniel of the imuence of 1118 leu—ildi/ng pemlit. Signed Affidavk Attached Yes....... M No...... ❑ City of Northampton Massachusetts t' DWaalsosrr or 9UxWxM Sa3FSQZosa 212 in St t •wninipal euilE w aorthn ton, b 01060 Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, 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: StL (Please print house number and street name) Is to be disposed of at: (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: ,4mons 611-og, / Loomis c ) , trasftiampl6N M)q (Company Name and Address) a 671� 3/S/Y Sign re Pemrit Aillplicant 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 Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 91 600 Washington Street Boston, MA 02111 wn'w.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/F.lectricians/Plumbers Applicant Information Please Print Leeibiv Name(Business/organizahon/Indn;duao: Peak Performance Roofing LLC Address: 1 Lovefield St. City/State/Zip: Easthampton, MA 01027 Phone IT: 413-203-588B Arte�°u an employer?Check the appropriate box: Type of project(required): 1.f�'I am a employer with 4 4. ❑ 1 am a general contractor and I 6 ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2,❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for mein any capacity. employees and have workers9 ❑ Building addition [No workers' comp,insurance comp. insurance.• required.] 5. ❑ We are a corporation and its 10.F] Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I1.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12 Roof repairs insurance required.]f a 152, §1(4),and we have no employees. [No workers 13.0 Other comp. insurance required.] ^any applicant that checks box#1 muss also fill out The wetion below showing their workers'compensation policy informal inn. t Hommxners xhu s.hour an,agar a indicating they are doing all work nol then hire outside enotn etors most submit a new afrdns it indicting such. �Conuactors that cheek this bas most oundied an additional sheet showing the name of the soh<ontracoi and state whether or not Those emitics have employees. Iftbe.ruMcorurevn have employees,they mustpmride their workers'coop,policy number I am an employer that ix providing worherv'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Berkshire Hathaway Guard Policy#or Self-ins. Li,.It: R2WC94ek-3835 _ _ _ Expiration Date: 4/2712019 L _ Job Site Address: .26 nk via •maCity/Slate/Zip: kDYAQ{'YCp7ruU r1'0/ —"---� Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S1,500.01)and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fore of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penahies trf pelr1jury that the information provided aave is true and correct. Signature: ... f �"_�(k� Date;. Phone# 413-203-5688 i f Oficial use only. Do not write in this area,to be completed by city or town oj9eiat City or To": Permit/License d Issuing Authority(circle one): 1. Board of Health L Building Department 3. Cityffown Clerk 4.Electrical Inspector S. Plumbing Inspector 6.Other Contact Person: Phone#: Alrker's Compensation and Employer's Liability Policy erkshire Hathaway AmGUARD Insurance Company - A Stock Co. 11187 Y Policy Number R2WC943835 Insurance G U A R DCompanies RenewaNCCI No.l of [21873] Policy Information Page(AR) [1]Named Insured and Mailing Address _ Agency PEAK PERFORMANCE ROOFING LLC WEBBER&GRINNELL INSURANCE AGENCY, INC. I LOVEFIEID STREET 8 NORTH KING STREET EASTHAMPTON, MA 01027 Northampton, MA 01060 Agency Code: MAMAIN15 Federal Employer's ID 00-1191951 Insured is Limited Liability Co. (LLC) [2] Policy Period From April 27, 2018 to April 27, 2019, 12:01 AM, standard time at the Insured's mailing address. [3] Coverage A Workers' Compensation Insurance- Part One of this policy applies to the Workers' Compensation Law of the following states: Massachusetts B. Employer's Liability Insurance - Part Two of this policy applies to work in each of the states listed in item [3]A. The limits of our liability under Part Two are: Bodily Injury by Accident- each accident $100,000 Bodily Injury by Disease -each employee $100,000 Bodily Injury by Disease - policy limit $500,000 C, Refer to Residual Market Limited Other States Insurance WC200306B Endorsement- D. This policy includes these endorsements and schedules: See Extension of Information Page - Schedule of Forms [4] Premium The Premium Basis and,therefore,the premium will be determined by our Manual of Rules, Classifications, Rates, and Rating Plans. All required information is subject to verification and change by audit. (Continued on another page) Total Estimated Policy Premium ; 13,650 Total Surcharges/Assessments $ 606.00 Total Estimated Cost 1 14 256.00 INIERNAL USE xx Page - 1 - - Infornation Page MGA :R2WC943835 WC 000001A Date :04/04/2018 MANOTE Issuing grace: P.O.Box A-N, 16 S. River Street,Wllkes-Barre,PA 18703-0020 0 W Ww.gueN.cam Office of Consumer Affairs and Business Regulation One Ashburton Place-Suite 1301 Boston, Massachusetts 02100 Home Improvement Contractor Registration Type LLC PEAK PERFORMANCE ROOFING.LLC. - man: 188BBB 1 LOVEFIELO ST. - E1pim0dl: 11/IXy2019 EASTHAMPrON,MA 01027 tpdu.Addfw and Holum Card, out O astov 7 Oldaa MME•9saw Ra IOMEIMPROVEYENCONTRACTOR behou+the NMfrdaft,RYd wady TYPE:LLC CafomtlE.miumor dab. N d Sued ben o afl� seas CofwrrrMfees and auaRl..s R.pdatlm 1886fB 11My2019 IO PTR Pim-&ar 6170 PEAK PERFORWPICE WORM.U.C. BeaM%YA 01116 JAMES FLANNERY 1 LOVEFIELD ST. �v'T EASTHAMPTON.MA 01027 WNhoYI dgnahAB Cwnomamn of Msrsaa0usaffa19 .. DMsion of Professional L"a:an.uE Soars of Sump Regulations and Stona"s CsOfcn supoollaw IR.esRlcMd.SUNIMkgsYpsdanyw¢oupwlish eofdaM CS-103061 F.Spires:40!11/2020 ps.thm3g 0oeuhicl-4P6leWcme[rs)drendond afrrE. JAMES JFLARRIBIr tfOLY01{E MA MtMO Commhflionar Fa818a to pow.s a comma adMm acne Mu.dwwaa tare adldina Coda in esus for mwerim d'a"flout a. For IfdamYSen d and tldaee.lr. can 1.171727-186- V1011 m cm....9a'Mw PE K Peak Performance Roofing LLC Date Conrad# Contract I Lovefield St Easthampton, MAO P E R F O R C E ]027 zn_oco19 n9 MA CS"103061 .113-203-5888 pcakperronnancemnfinglica lumaleom cww. eakperformancerwlingllc.com MA HIC it 183698 Bill To Job Location Kerry Schlichting & Ryan Hoskin Kerry Schlichting &Ryan Hoskin 26 Olive St. 26 Olive St. Northampton. MA 01060 Northampton, MA 01060 kerry.schlichtingrgmail.com kerry.schlichtingr�gmail.com rhoskin03(&_glnail.corn 203-610-3335 rhoskin013a.gmail-com 203-610-3335 Description Total 112 of garage only(solar slope): 4.650.00 1.Retrace the existing roof shingles. Inspect the sheathing. We will provide up to 64 square feet of CDC plywood if necessary at no cost. Any additional plywood will be$75 per sheet installed. 2.Cover entire roofwith Ceminteed"Roof Runner"synthetic underlaymem 3.Install new 8"aluminum drip edge on all eaves and rake edges J.Install architectural shingles by Certainteed (Landmark 30yr) hnp>'iwww.cenainteed.eom'residential-roafingpmductsilwdniark/ Color Choice:Pewterwood 5. Install new Cenainteed ridge vent on peaks of roof 6.Complete all necessary flashings Remove all debris from premises,and throughout the job,coNinw cleanup and keep the premises undamaged. Contractor will obtain building permit. Total cost $4,650 A deposit of$2,325 is due at contract signing. The balance shall be due upon completion. Accounts past due 14*days subject to 2%finance charge monthly. 'We are not responsible for dirtidebris that may fall into attic.Ncaw check for debris after dumpster is removed.` Total: Connector$igpewra: C r Sign urea- Date: r1�'^^.If ((/////_� 3/q11 q $4,650.00 T T