32A-117 94 MARKET ST BP-2020-0254
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 32A- 117 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-2020-0254
Proiect# JS-2020-0004381
Est.Cost:$8900.00
Fee:$40.00 PERMISSION IS HER EBYY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JAMES FLANNERY 103061
Lot Size(sq.ft.): 4356.00 Owner: SANFORD DAVID W&MARY C YUN
Zoning:URC(100)/ Applicant. JAMES FLANNERY
AT. 94 MARKET ST
Applicant Address: Phone: Insurance:
I LOVEFIELD ST (508) 294-4052 WC
EASTHAMPTONMA01027 ISSUED ON:8/28/2019 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF
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POST THIS CARD'SO IT IS'VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
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Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final-
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
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Rough: Oil: Insulation:
Final: Smoked Finial:
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THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy signature:
FeeType: �'Date Paid: Amount:
Building 8/28/21 19 0:00:00 $40.00
2,12 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
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1 Department use only
✓''�-�`. City of orth mA �i/ S of Permit. i
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Buildin De artment ® Cur �CuttDriveway'Permit
2112 ain Sti,MG 28 2019 Se er/Septic Availability
00 100 .. .�
W ter/Well Availability "
p Northlaptdp. o Sets ofi"Structural Plans.-
phone
lans phone 413-587-1 > -' its ot/Site Plans
r
Mq O10600 S bier, Specify,..
APPLICATION TO CONSTRUCT,ALTER,REPAIR;RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: ! Thi section to be completed by office
✓t� Lot
94 Market St. Map Unit
Zone jOverlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
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2.1 Owner of Record:
Mary Yun 94 Market St., Northampton MA 01060
Name(Print) Current Mailing Address:
Telephone marypri.architect@gmail.com
Signature
2.2 Authorized Agent: I
James J. Flannery 1 Lovefield St., Easthampton MA 01027
Name(Print) � � Current Mailing Address:
413-203-5888
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be I Official Use Only
completed by permit applicant
1. Building $8,900.00 (a)Building Permit Feel
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
V
4. Mechanical(HVAC)
5.Fire Protection or
6. Total=0 +2+3+4+5) $8,900.00 Check Number
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature: `g
f
Building Commissioner/inspector of Buildings Date
peakperforma 1ceroofingllC gmail.com
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s)I ❑ Roofing
Or Doors
Accessory Bldg. ❑ D'emolitio ❑ New Signs [[ ] Decks [M Siding[[31' Other[O]
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Brief
Work:Description of Proposed Strip & re-shingle sections of roof(sections A,B,C. See diagram)
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Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
47,If...New hoUse•and`or atld tion to existtnp housing; completeahe followin�a:
a. Use of building:One Family Two Family Other
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b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new Ionstruction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft.of wet Ilands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Buildirjg and Zoning regulations? -Yes-No.
I. Septic Tank City Sewer i Private well City water Supply
SECTION 76-OWNER AUTHORIZATGION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I Mary Yun
as Owner of the subject
property
hereby authorize James J. FlanTry/ Peak Performance Roofing, LLC
to act on my behalf, in all matters relative to work authorized by this building permit application.
`m 08/22/19
Sign atur of qWner Date
I James J. Flannery
,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.
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James J. Flannery
Print Name
Signature of Owner/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: p' CS-103061
License Number
James J. Flannery 09/21/2020
Address 11 Holyoke, MA 01040 Expiration Date
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Signature Telephone
413-203-5888
9:Re istered Nnrr a Improvement Contractor: Not Applicable ❑
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Company Name Registration Number
Peak Performance Roofing, LLC � 183698.
Address Expiration Date
1 Lovefield St., Easthampton MA 01027 Telephone 413-203-5888 111/03/2019
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SECTION 10 WORKERS COMPENSATION INSURANCE AFFIDAVIT(M,G.L.c.152,§25 O)
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.,..... K/ No...... Cl
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_ City of Northampton i
Massachusetts tee? -
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°i DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street •Municipal Building yv�Mu per•
`y Northampton, MA 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.
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The debris from construction work being performed at:
94 Market St.
(Please print house number and street name)
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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:
Aaron's Roll-Off, 1 Loomis Way, Easthampton MA 01027 -
(Company Name and Address)
lirz21
Signature of Permit Appli ant 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 t the location where the debris will be disposed.
it "
The.Commonwealth of Massachusetts
Department of Industrial Accidents
Ofce'of Invesdgadons
kv 600 Washington Street
Boston,MA 02111
www massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Indi 'dual): Peak Performance Roofing, LLC
Address:
1 Lovefield St.
City/State/Zip: Easthampton, MA 01027 phone#: 413-203 5888
Are Vu an employer?Check the�appropriate box: Type of project(required):
1.VI am a employer with 4 4. ❑ I am a general contractor and I 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
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'
[No workers' comp. insurance comp.insurance.$ � 9. Building addition
10. Electrical repairs or additions
required.] 5. ❑ We are a corporation and its ❑
3.❑ I am a homeowner doing all�ork officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' .comP right of exemption per MGL
i 12.gRoof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers13.❑ Other
comp.insurance required.]
*Any applicant that checks box#I must also 511 out the section below showing their workers'compensation policy information.
t Homeowner,who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp,policy number.
I am an employer that is providingorkersI compensation insurance for my employees. Below is the policy and job site
Information. 7
Insurance Company Name: Berkshire Hathaway Guard
Policy#or Self-ins.Lic.#: RMI, 021353 Expiration Date: 4/27/2020
Job Site Address:_ ftr I' � Ci /State/Zi A� IKyq
ri r: , or Y'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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
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 penal Is of perjury that the information provided ab ve ' true and correct
Signature: Date: I ZZ �7
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#:
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A Worker's Compensation and Employer's Liability Policy
Berkshire Hathaway AmGUAtRD Insurance Company-A stock Co.
Y Policy Number R2WCO21353
GUARDInsurance Renewal of R2WC943835
Companles NCCI No. [21873]
Pollcy Information Page(AR)
[13 Named Insured and Mailing Address Agency
PEAK PERFORMANCE ROOFING LLC WEBBER A GRINNELL INSURANCE AGENCY,INC.
1 LOVEFIELD STREET 8 NORTH KING STREET
EASTHAMPTON,MA 01027 Northampton, MA 01060
Agency Code: MAMAINI5
Federal Employer's ID 00-1191951 Ensured is Limited Liability Co. (LLC)
[z] Policy Period
From April 27, 2019 to April 27,2020, 12:01 AM,standard time at the insured's mailing address.
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[3] Coverage
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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. Tlie 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 Fortes
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[4] Premium `
The Premium Basis a id,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
MGA R2wCO21353 WC 000001A
Date :04/01/2019
MANOTE
Issuing Office:P.O.Box A-H,16 S.River Street,Wilkes-Barre,PA 18703-0020•www.guardA0m
.9�0 �I F, I
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Office of Consumer Affairs and Business Regulation
One Ashburton Place- Suite 1301
Boston, AAassachusetts 02108
Home Improvement°Cohtrabtor Registration
Type: LLC
PEAK PERFORMANCE ROOFING,LLC. Registration: 183898
1 LOVEFIELD ST.
� 11/Q3/2019
EASTHAMPTON,MA 01027
Update Address and Retum Card.
SCA 1 2CM-05117
0111co of Consumer Affdrs&Bwdness Regoatlon
HOME IMPROVEMENT CONTRACTOR Registration Valid for individual use only
TYPE:LLC before the intpiration date. If found return to:
R2gliftMEM , Enlration OMce of Consumer Affairs and Business Regulation
1 mus - 11/03/2019 10 Park Plaza-Sufte 5170
PEAK PERFORMANCEAOOFlNO,L.L.C. Boston,MA 02116
JAMES FLANNERY'
1,LOVEFIELD ST. ;
EASTHAMPTON.MA 01027 Unders0Creh" t wild without signature
Commonwealth of Massachusetts
Division of Professional L"`ensure
Board of Building Regulations a d Standards
C311. i1gts & or Construction Supervisor
Unrestricted-Buildings of any use group which contain
CS-103061Eitpires:(11912112020lass than 36,000 cubic feet(99 cubimeters)of enclosed
space.
JAMES J FLAiYNERY r ,^,
1 WR.UAMS ST
HOLYOKE MA 101M
Commissioner Failure to possess a current edi6ion of the Massachusetts
Stan Budding Code is cause for revocation of this license.
For information about this license
can(617)727.3200 or,visit www nwss.gov/dpi
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Contract
Peak Performance Roofing LLC
v*P EK
1 Lovefield St Date Contract#
P���RF � R CE
Easthainpton, MA 01027 8/20/2019 977
MA CSL#103061 �
MA CSL# 18361 413-203-51888' peakperforinanceroofingllc@gmail.com gmail.com www.peakperformanceroofinglic.com
Bill To Job Location
Mary C. Yun Mary C. Yun
94 Market St. 94 Market St.
Northampton,MA 01060 Northampton, MA 01060
maryyun.architect@gmail.c 'm maryyun.architect@gmail.com
Description Total
Sections A,B,C: 8,900.00
1.Remove the existing roof material.
2.Inspect plywood sheathing for rot or deterioration
3.Replace up to 64 square feet of CDX plywood if necessary at no cost. Any additional plywood will be$75
per sheet installed.
4. Install feet of ice and water shield at eaves and three feet around pipes.
5. Cover remaining roof with ertainteed"Roof Runner" synthetic underlayment.l
6. Install new 8" aluminum drip edge on all eaves and rake edges.
7.Install architectural shingles)by Certainteed(Landmark 30yr)
http://www.certainteed.com/residential-roofing/products/landmark/
Color Choice: T
8. Install new ridge vent of peaks of roof.
9. Complete all necessary flashings including new pipe boots.
10.Relocate bathroom fan vent to north side of roof.
1. Includes replacement of Haldiplank siding at roof/wall intersections of sections
f B, C to wall of A
Remove all,debris from prerm es,and throughout the job,continue cleanup and keep the premises
undamaged. We are not responsible for debris that may fall into attic. Please use caution during the process;
do not walk/drive under areas bf active work, or.on areas of potential roofing debris. Contractor will obtain
building permit. Installations re weather permitting.
$8,900.00
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A deposit of$4,450.00 is due at contract signing. The balance shall be due upon completion. Accounts.
outstanding over 14 days past mal invoice date subject to 2%finance charge,compounded monthly.
Contractor Signature: Custo r Signatur : ate: I Total
W-4� � $8,900.00
S ky M ea S u relm Roof LU�j Order. I.D.:
94 Market St, Northampton, MA 01060 487292
Labels Diagram
Structure 1 g
-- --- -- --- ----
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El
b.
Facets are labeled from largest to smallest beginning with the letter A
SkyMeasureTm by Corelogic° 12