32A-146 (5) 24 MAIN ST BP-2019-1239
GIS#: COMMONWEALTH OF MASSACHUSETTS
MV-.Block:32A-146 CITY OF NORTHAMPTON
Lot:-00 1 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Category,ROOF BUILDING PERMIT
Permit# BP-2019-1239
Proiect# JS-2019-001998
Est.Cost: $4300.00
Fee:$100.00 PERMISSIONIS HEREBY GRANTED TO:
Const,Class: Contractor. License:
Use Group: JAMES FLANNERY 103061
Lot Siu(sp.R.): 1481.04 Owner: MOUSHABEK PROPERTIES INC
Zoning:CB(1001/ Applicant: JAMES FLANNERY
AT: 24 MAIN ST
Applicant Address: Pkone: Insurance:
1 LOVEFIELD ST (508)294-4052 WC
EASTHAMPTONMA01027 ISSUED ON.•51912019 0:00:00
TO PERFORM THE FOLLOWING WORK.REPLACE SKYLIGHTS, COAT ROOF REMOVE
MECHANICAL UNIT,REPAIRS
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: Qit 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 OccuDancv Signature:
FeeTvpe: Date Paid: Amount:
Building 5/920190:00:00 $100.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
File#BP-2019-1239
APPLICANT/CONTACT PERSON JAMES FLANNERY
ADDRESS/PHONE I LOVEFIELD ST EASTHAMPTON (309)2944052
PROPERTY LOCATION 24 MAIN ST
MAP32A PARCEL 146 001 ZONE CB(100V
THIS SECTION FOR OFFICIAL USE ONLY:
PERMIT APPLICATION CHECKLISZONING T
RM FILLED OUT
ENC REQUIRED DATE
Fee P '
Building Permit Filled
Fee Paid 'nsic
Tv000f nstructio : REPLACE SKYLIGHTS,COAT ROOMMOVE MECHANICAL
New Construction
Non Structural interior renovations
Addition to Existing
Accessory,Structure
Building Plans Included:
Owner/Statement or License 103061
3 sets of Plans/Plot Plan
THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON
INFORMATION PRESENTED:
✓_Approved_Additional permits required(see below)
PLANNING BOARD PERMIT REQUIRED UNDER:§
Intermediate Project: Site Plan AND/OR Special Permit With Site Plan
Major Project: Site Plan AND/OR Special Permit With Site Plan
ZONING BOARD PERMIT REQUIRED UNDER:§
Finding Special Permit Variance'
Received&Recorded at Registry of Deeds Proof Enclosed
_Other Permits Required:
_Curb Cut from DPW Water Availability Sewer Availability
_Septic Approval Board of Health Well Water Potability Board of Health
Permit from Conservation Commission Permit from CB Architecture Committee
Permit from Elm Street Commission Permit DPW Storm Water Management
_Demolition Delay
S H 1
Signature of Building Official Date
Note:Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning
requirements and obtain all required permits from Board of Health,Conservation Commission,Department
of public works and other applicable permit granting authorities.
•Variances are granted only to those applicants who meet the strict standards of MGL 40A.Contact Office of
Planning&Development for more information.
Version 1. Building Permit May 15, 2000
Department use only
City of Northampton Status or Permit:
Building Department Curb Cut/Driveway Permit
212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
Northampton, MA 01060 Two Sets of Structural Plans
phone 413-587-1240 Fax 413-587-1272 PIoUSite Plans
Other Specify
APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING 'n
SECTION 1 -SITE INFORMATION
1.1 Property Address: This section to be completed by office
Map N/! Lot NU Unit
24 Main St. zone Overlay District
Elm St District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORD:ED AGENT
2.1 Owner of Record:
MoVstiasEcK �110 �C ��
Name(Pmol Current Mailing Address:
r CMio.� sem'tIMA
y6 � N
o(�tlww�rl
Signature Telephone
2 Au ad Anent:
James J. Flannery 1 Lovefeld St., Easthampton MA 01027
Name(Pnnp Current Mailing Address:
413-203-5888
Signature Telephone
SECTION 3-EsTiMi CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by penrit applicant
1. Building $4,300.00 (a)Building Perms Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee OD
4. Mechanical(HVAC) l
5.Fire Protection
6. Total=(1 +2+3+4+5) _ $4,300.00 1 Check Number 9
This Section For Official Use Only
Building Permit Number Date
Issued
Signature:
Building Commissione1inspectcr of Buildings Date
Versionl.7 Commercial Building Permit May 15,2000
SECTION 4.CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 55,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations ❑ Existing Wall Signs ❑ Demolition Repairs 1:1 Additions ❑ Accessory Building
Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing l] Change of Use❑ Other❑
Brief Description ''Replace skylights, coal roof, remove obsolete mechanical unit, additional misc. repairs.
Of Proposed Work:
SECTION 5-USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑
A-4 ❑ A-5 ❑ IS ❑
B Business ❑ 2A ❑
E Educational ❑ 2B ❑
F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑
H High Hazard ❑ 3A ❑
Institutional ❑ 1-1 ❑ 1-2 ❑ IJ ❑ 3B ❑
M Mercantile ❑ 4 ❑
R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ SA ❑
s Storage ❑ S-1 ❑ B-2 ❑ 5B ❑
U Utility ❑ Specify
M Mixed Use ❑ Specify:
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION a BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
1 1.
2m
2�a
3'd 3rd
4in
4°
Total Area(sy Total Proposed New Construction(sn
Total Height(ft) ..._
Total Height ft
7.Water Supply(M.G.L.a 40,$54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ I Zone Outside Flood Zone[] Municipal 13 On site disposal system[]
Versionl.7 Commercial Building Permit May 15,2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be Nd in by
Building Depomnent
Lot Size
Frontage
Setbacks Front _
Side L: R: L: R:
Rear
Building Height
Bldg.Square Footage
Open Space Footage
(La arw minm bldg&paved
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO = DONT KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO ® DONT KNOW= YES=
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? N0= DONT KNOW= YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ® Obtained M , Date Issued:
C. Do any signs exist on the property? YES NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YE=1 NO�
IF YES, describe size, type and location:
E. Will the construction activity disturbGearing,grading excavation,or filling)over 1 acre or is it pan of a common plan
that will disturb over 1 acre? YES NO
IF YES,Men a Northampton Storm Water Management Permit from the DPW is required.
Version l.7 Commercial Building Permit May 15,2000
SECTION 9.PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 11$(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable 13
Name(Registrant):
Registration Number
Address
Expiratim Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Dale
9.3 General Contractor
Peak Performance Roofing, LLC Not Applicable m
Company Name:
James J. Flannery
Responsible In Charge of Construction
1 Lovefield St.. Easthampton. MA 91027
Address
413-203-5888
Signature .a v fir Telephone
T ,, ` .
Versionl.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(760 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes ❑ No ❑
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS
��AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, Q+1711\eL S . r�\13 USN��C—CK as Owner of the subject property
James J. Flannery / Peak Performance Roofing, LLC
hereby authorize to
act on my behalf,in all m iva to work authorized by this building permit application.
S 3 ZD1
re of Omer Da e
James J. Flannery
I, ,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.
James J. Flannery
Print Name
Signature of O ,Or/Agelft Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: James J. Flannery CS-103061
License Number
1 Williams.St.. Holvoke. MA 01040 09/21/2020
Address Expiration Data
413-203-5888
Signature �� Telephone
SECTION 13-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❑
n ��
�� ��_ � ��
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste 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.
Address of the work: 24 Main St.
The debris will be transported by: Aaron's Roll-off Service, 1 Loomis way, Easthampton
The debris will be received by:
Building permit number:
Name of Permit Applicant James J. Flannery, Peak Performance Roofing, LLC
Date Signature of Permit Applicant
From: Jaws J • �litnn e,�S/, �� / e��0(MLClIl� JC��
S-f-
Gas�ha,-r��v !I'1:f1 oioa�
To:
Louis Hasbrouck
Building Commissioner
City of Northampton
212 Main Street
Northampton, MA 01060
The Massachusetts Building Code,section 107.1 allows for an exclusion from requirements for
construction control In certain situations.In accordance with code section 104.10,1 request that you
gram a modification to waive the requirement for construction control of the project at
ay i�'l,9�N Sf /Uo✓l�-l�a ��fvn� ��tf� oiolo�
because the work is of a minor nature,will not affect structural elements, health,accessibility,life or fire
safety,and will be done in accordance with the prescriptive requirements of the code.
Thank you for your consideration.
Respectfully, /
y13 °Z/ 9
The.Commonwealth of Massachusetts
Department of Industrial Accidents
OJTice of Investigations
600 Washington Street
Boston, MA 02111
www.mass.golvdia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Basinesa/Orgmimtienaadi�id.1): Peak Performance Roofing, LLC
Address: 1 Lovefield St.
City/State/Zip: Easthampton, MA 01027 Phone #: 413-203-5888
Are u as employer?Check the appropriate box: Type of project(required):
1. I am a employer with 4 4. ❑ 1 am a general contractor and 1
employees(full and/or part-time)." have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers'
co nuummce? 9. El
addition
rworkers' comp.insurance mP
reqrequired.) 5. ❑ We are a corporation and its 10.E] Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised thew 11.[]ir!Plumbing repairs or additions
myself [No workers'comp. right of exemption per MGL 12.uv Roof repairs
insurance required.]t c. 152,§1(4),and we have no
employees.[No workers' 13.❑ Other
wrap.insurance required]
*Any applicant that checks box#1 sant also all out the section blow showing their wohere compensation policy information.
t Hameowueni who submit this affidavit indicating they are doing all work and than hire outside contractors most submit a new affidavit indicating such.
tCwtrumrs dist check this box must attached an additional sheet showing the now of the sub<ommerom and state whether or not those eatitim have
employees. Ifo the submntracters have enTloyees,they must provide their workers'comp.policy number_
lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Berkshire Hathaway Guard
Pohcy#or Self-ins.Litc.t#: R2WCO211353 Expiration Date: 4'127/2020
Job Site Address: 2 / Ma � S1- City/State/Zip: A/0lY�i� �
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration dots).
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$1,500.00 and/or ono-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fare
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 thepains aadpenal 'es o,(perjury that the information provided above ' true and correcit
Si®ature: Datc: of/3 D ±
Phone#: 413-203-5888
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
■ Worker's Compensation and Employer's Liability Policy
Berkshire Hathaway AmGUARD Insurance Company- A Stock Co.
♦ 7 Policy Number R2WCO21353
GUARDInsuranceof R2WC943835
Companes Renew NCCI No. [21873]
Policy Information Page (AR)
[11 Named Insured and Mailing Address - Agency
PEAK PERFORMANCE ROOFING LLC WEBBER A GRINNELL INSURANCE AGENCY, INC.
1 WVEFIELD STREET 8 NORTH KING STREET
EASTHAMPTON,MA 01027 Northampton, MA 01060
Agency Code: MAMAINIS
Federal Employer's ID 00-1191951 Insured Is Limited Liability Co. (LLC)
[2] Policy Period
From April 27, 2019 to April 27, 2020, 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 Endorsement-WC200306B
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 $ 31,202
Total Surcharges/Assessments $ $1,181.00
Total Estimated Cost $32,383.00
INTERNAL USE XX Page- 1 - Information Page
MW : R2W0021353 WC 000001A
Date :09/01/2019
MANOTE
Issuing Office: P.O. Bax A-H, 16 S.River Street, Wilkes-Barre, PA 18703-0020 a www.quard.mm
cfiea�n-monu7ecce oC'lGaalacfiuoe
Office of Consumer Affairs and Business Regulation
One Ashburton Place - Suite 1301
Boston, Massachusetts 02108
Home Improvement Contractor Registration
Type: LLC
PEAK PERFORMANCE ROOFING,LLC. Reg iiindi : 10.9018
1 LOVEFIELD ST. E>gtlra9on. 11J03/2019
EASTHAMPTON,MA 01027
1✓p11eMAdds WWRs9nn CYd.
w+ O xumnr
On -1of15IMPR Inti■9uYnsr Ralpeebn
IgME lYPf10TYPEMCDIRRGCTOR Rsgistrslbn vaiMfe lnJ. N*,usl 4u
TYPE:LLC ma,Ma erplrelbn dais. 9 fountl realm to:
R9td� FJ� (MIA of Cgeune ABa9s Mtl BUBIrba6 Regulatlon
11319 11pyA19 10 Park PORa-Su1M 5170
PEAK PERFORMANCE ROOFING,LLC. Baalon,MA 01118 'A{�
JAMES FIANNEfn `�F.LL -- I 1 Y
1 LOVEFIELO ST. --{/
FJSTHAMPTON,MA 01027 Undersecretary NO[Y/q NNN)Ut tlgMtlRO
Cosngnsnuin of Massachusetts
Oisisiorl iA Professional Lcensum
e0ard of Building RegMalims and Slandsrds
C9dings of 81 Uw W'or
. . _ IlnrnhldrN-BUIMlhgs of 81W ufa group sMieh eotiaM
CS-ID3061 FAPIIM:QW2112020 less than 341,000 euhiC f sA(991 cubic Irides)of endosed
space.
a� s
JAMES J FLANNERY
L
I WILLIAMS ST
HOLYOKE MA 010410
Commissioner CL /4r Failure to Possess a Current ediean Oldie"i"S"huselts
Slap Building Code is cause f finnXii Ion of M's 0c w
For Infonrn~ahnrd Vik,license
"1(917)12741190 or sisR v .miss-9-/di"
PE K Peak Performance Roofing LLC
Contract
P E R F O R C E 1 Lovefield St Dam c°nt ad0
Easthampton, MA 01027 4/232019 830
MA CSL#107061 413-203-5888 xalcWOm w,cmofingllC@Wnail.Wm www.peakperfomrmrccmolurgllc.com
MA NIC 0 183698
Bill To Job Location
Gabriel Moushabeck Gabriel Moushabeck
413-374-3238 24 Main St.
booklinker@gmail.com Northampton, MA 01060
413-374-3238
booklinker@gmail.com
Description Total
1.Remove the obsolete mechanical unit. 4,300.00
2.Remove the two-by-four diverters and make necessary repairs on the roof where they were fastened.
3.Apply roof cement and fabric on the wall cap and on any areas that need repairs.
4.Replace the existing skylights with Velux curb mounted dome skylights.
5.Apply Henry fibmd aluminum roof coating.
Property will be protected at all times to prevent any damage.All debris will be removed from the premises.Installations
are weather permitting. Contractor will obtain building permit.
Labor guaranteed for 10 years.
$4300.00
A deposit of$2150 is due a contract signing.The balance shall be due upon completion. Accounts outstanding over 10
days post completion subject to 20/6 finance charge monthly.
Total:
Contractor Signalurc: Customer Sig f Dant
130 2019 $4.300.00