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31A-113 (2) 50 VERNON ST BP-2020-0463 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:31A- 113 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-2020-0463 Project# JS-2020-000784 Est.Cost:$9150.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: JAMES FLANNERY 103061 Lot Size(sq.ft.): 11238.48 Owner: BYG BARTON&JAN WHITAKER zoning: URB(100)/ Applicant: JAMES FLANNERY AT: 50 VERNON ST Applicant Address: Phone: Insurance: 1 LOVEFIELD ST (508) 294-4052 WC EASTHAMPTONMA01027 ISSUED ON.101912019 0:00:00 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: i Rough Frame: Gas: Fire Diaartment 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. Certificate of Occupancy Sip-nature: FeeType: Date Paid: Amount: Building 10/92019 0:00:00 $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner IL Department use only —" City of Northampt6rT"_Q CM safesrmit: Building Department Cut/ iveway Permit 212 Main$treetOC'T _ Se r/Se tic Availability I Room/100 2019 W er/W 11 Availability Northampton, M T Set of Structural Plans phone 413-587-1240 Fax 41, 7tn P t/Sit Plans Aon ' JCpF TON.�.1An-060 er ecify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 60a_ 0-10' q(1 3 1.1 Property Address. This section to be completed by office 50 Vernon St Map ( — Lot Unit (� Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Jan Whitaker & Barton Byg 50 Vernon St, Northampton 01060 Name(PYint)- � Current Mailing Address: i Telephone 413-585-9576 Signature 2.2 Authorized Agent: James J. Flannery 1 Lovefield St., Easthampton MA 01027 Name(Punt) � Current Mailing Address: 413-203-5888 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $9,150.00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) �O 5. Fire Protection 6. Total= (1 +2+ 3+4 + 5) $9,150.00 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: C Building Commissioner/Inspector of Buildings Date peakperformanceroofingllc�gmail.com.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding[01 Other[E1 Brief Description of Proposed Strip & re-shingle roof Work: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa. If New house and or addition to existing housing, Complete the following: a. Use of building : One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. 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 wetlands? 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 Building and Zoning regulations? Yes No . I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Jan Whitaker , Barton Byg as Owner of the subject property -- hereby authorize ---- James J. Flannery / Peak Performance Roofing, LLC 0 to act obeyhalf, in I matters relaf've work authorized by this building permit appf tion C I Signature of Owner V Date 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 Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: CS-103061 License Number James J. Flannery 09/21/2020 Address Expiration Date Holyoke, MA 01040 Signature Telephone 413-203-5888 9. Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number Peak Performance Roofing, LLC 183698 Address Expiration Date 1 Lovefield St., Easthampton MA 01027 Telephone 413-203-5888 11/03/2019 SECTION 10-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....... l/ No...... ❑ City of Northampton MassachusettsWK c /i DEPARTMENT OF BUILDING INSPECTIONS Z 212 Main Street *Municipal Building Northampton, MA 01060 rfhjy \\J 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: 50 Vernon Street (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: Aaron's Roll-Off, 1 Loomis Way, Easthampton MA 01027 (Company Name and Address) Signature of Permit Applicant 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 kv 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Peak Performance Roofing, LLC Address: 1 Lovefield St. City/State/Zip: Easthampton, MA 01027 Phone #: 413-203-5888 Ayu an employer?Check the appropriate box: Type of project(required): 1. 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 g. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12. Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners 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 providing workers'compensation insurance for my employees. Below is the policy and job site information. Berkshire Hathaway Guard Insurance Company Name: Policy#or Self-ins. Lic.#: R2WCO21353 Expiration Date: 4/27/2020 Job Site Address: �C1 Q.Y nt�1�1 S - City/State/Zip: A�GM 6I0Io[3 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 penalties of perjury that the information provided above is true and correct Signature: (�*4�� Date: �l 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): I.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Worker's Comoensetion and Emokwees Ulablift Poll" Berkshire Hathaway Am6UARD Insurance Company_A Stw*Co. Policy Number R2WCO213S3 GUARDInsurance Renewal of RMC943A35 Companies NCCI No. [21873] Polk.►Ddbnnstlon Pape(AR) [1]Named Insured and Mailing Addr+ass Agency PEAK PERFORMANCE ROOFING ULC WEBBER&GRINNELL INSURANCE AGENCY, INC. 1 LOVEFIBD STREEr S NORTH KING STREET EIASn MFM,MA 01027 Northampton, MA 01060 Agency Code: MAMAINIS Federal Employers IID 00-1191951 Insured is Limited Liability Co. (LLC) [2] Polity 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, Chmsificatlons, Rates,and Rating Plans. All required information is subject to verification and change by audit. (Continued on another page) Total Estimated Policy Promium $ 31,202 Total Su charger/Assessments $ $1,181.00 Total Estimated Cost 6 $32.383-00 IinmuL4L USE XX Page- 1- Information Page MGA :RZWCO21353 WC 000001A Daft :04/01/2019 MANOTE Irrulnp 011loe:P.O.sox A-K 16 S.River Street,Vllll f-aarre,PA 18705-0020 0 www.pufar IA*1n �/(/V L�V��(///C/L��C�C/C/L(/VL/G' C/�✓��I��%GG:'/'CJG�✓ Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLC PEAK PERFORMANCE ROOFING,LLC. Registration: 183698 1 LOVEFIELD ST. Expiration: 11/03/2021 EASTHAMPTON,MA 01027 i Update Address and Return Card. SCA 1 8 20W,-05/17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:LLC before the expiration date. If found return to: R@gJgtridjo Expiration Office of Consumer Affairs and Business Regulation 183698 11/03/2021 1000 Washington Street -Suite 710 PEAK PERFORMANCE ROOFING,LLC, Boston,MA 02118 I JAMES FLANNERY 1 LOVEFIELD ST. ,r.w EASTHAMPTON,MA 01027 Undersecretary N1 valid withoutgnature 1 Commonwealth of Massachusetts19 Division of Professional Licemiure Construction Supervisor Board of Building Regulations and Standards Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. CS-103061 Expires: 09121 x2020 JAMES J FLANNERY 1 WILLIAMS ST HOLYOKE MA 01010 Failure to possess a current edition of the Massachusetts /v' '/e" State Building Code is cause for revocation of this license. Commissioner For information about this license Call(617)727-3200 or visit www.rnass.gov/dpi P E K Peak Performance Roofing LLC Contract P E R F O R CE I Lovefield St Date Contrail# uALIAle Easthampton, MA 01027 10/7/2019 1039 MA CS"103061 1 413-203-5888 peakperformanceroofingllc@gmail.com www.peakperformanceroofingllc.com MA HIC# 183698 Bill To Job Location Jan Whitaker&Barton Byg Jan Whitaker&Barton Byg 50 Vernon Street 50 Vernon Street Northampton,MA 01060 Northampton, MA 01060 413-585-9576 413-585-9576 janwhitaker@verizon.net janwhitaker@verizon.net Description Total 1.Remove the existing roofing shingles 9,150.00 2. Inspect the plywood for any rot or deterioration. We will provide up to 64 square feet of plywood at no cost.Any additional plywood will be$75 per sheet installed 3.Install six feet of ice and water shield on eaves and three feet in valleys/around pipes and chimneys 4.Cover remaining roof with synthetic underlayment 5. Install new 8"aluminum drip edge on all eaves and rake edges 6.Install architectural shingles by Certainteed(Landmark PRO 40yr) https://www.certainteed.com/residential-roofing/products/landmark-pro/ Color Choice: 7.Install ridge vent on peaks of roof 8.Complete all necessary flashings including new pipe boots Remove all debris from premises,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 active work or on areas of potential roofing debri Contractor will obtain building permit. Installations are weather permitting. . Landmark PRO shingles=$9,150 �� (A L 7 P' Includes Certainteed 4-Star Warranty(50yr) f https://certainteed.showpad.com/share/Fuj WoUnUwAfvG558w 1 E7P/0 A deposit of$4,575 is due prior to the beginning of the job. The balance shall be due upon completion. Accounts outstanding over 10 days past final invoice date subject to 2%finance charge,compounded monthly. Contractor Signature: haste Si�gn/a�tu Date: Total /`� $9,150.00