35-136 (2) 28 WESTWOOD TER BP-2020-0959
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 35- 136 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-2020-0959
Project# JS-2020-001636
Est.Cost: $6200.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor., License:
Use Group: JAMES FLANNERY 103061
Lot Size(sg.ft.): 10105.92 Owner: EDWARD G MORRISSEY
Zoning:- Applicant. JAMES FLANNERY
AT. 28 WESTWOOD TER
Applicant Address: Phone: Insurance:
1 LOVEFIELD ST (508) 294-4052. WC
EASTHAMPTONMA01027 ISSUED ON:2/27/2020 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:
Rough Frame:
Gas: Fire Department 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 signature:
FeeTyoe: Date Paid: Amount:
Building 2/27/2020 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
Department use only
City of Northampton *- §tatus of Permit:
Building Department Qto"ut/Driveway Permit
212 Main Street �B 0r/Septic Availability
Room 100 S WatefjWell AJailability
Northampton, MA 01 ���� TwOets of Structural Plans
phone 413-587-1240 Fax 41 ; P16t/Site Plans
Other pecify
>
APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOV4F%i=-OkDE LISH A ONE OR TWO FAMILY DWELLING
/
SECTION 1 -SITE INFORMATION
1.1 Property Address. This section to be completed by office
Map Lot Unit
28 Westwood Terrace, Florence
Zone Overlay District
Elm St District CS District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
r�7u�c 28 Lib,wCYJ�
(Prirrt}f
Telephomigig
ignature
2.2 Authorized Agent:
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 Official Use Only
completed by permit applicant
1. Building $6,200.00 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection
6. Total=0 +2 +3+4 +5) $6,200.00 Check Number 42
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
peakperformanceroofingllc na gmail.com
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows I Ei
Alteration(s) Roofing E4 I
Or Doors D
Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [[] Siding[O] Other[Q
Brief Description of Proposed
Work: Strip and replace architectural shingles
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a.-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
as Owner of the subject
property
James J. Flannery / Peak Performance Roofing, LLC
hereby authorize
to act on m half, in all matters relative to work authorized by this building permit application.
Signature of Owners ' 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
s
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of Llcense Holder: CS-103061
License Number
James J. Flannery 09/21/2020
Address Expiration Date
I
will murs&,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 11/03/2021
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
w` Massachusetts
t A * c
lM �
DEPARTMENT OF BUILDING INSPECTIONS r,
212 Main Street •Municipal Building
Northampton, MA 01060 rfM `�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:
28 Westwood Terrace, Florence
(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)
2
Signature of Permit Applicant o O ner 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
600 Washington Street
Boston, MA 02111
www.mass.govfdia
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
Are ypu an employer?Check the appropriate box: Type of project(required):
1.� 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 8. ❑ Demolition
workingfor me in an capacity. employees and have workers'
Y P h'• 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.1
required.] 5. ❑ We are a corporation and its 10.0 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: C��Q� IL � (kc G City/State/Zip: O 1 ()LQg�
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: Date: a
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#:
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
Expiration: 11/03/2021
1 LOVEFIELD ST.
EASTHAMPTON,MA 01027
Update Address and Return Card.
SCA t O 20M-W17
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:
RtigistrMan EgW alb Office of Consumer Affairs and Business Regulation
183688 11/03/2021 1000 Washington Street -Suite 710
PEAK PERFORMANCE ROOFING,LLC. Boston,MA 02118
JAMES FLANNERY
1 LOVEFIELD ST. "-4
EASTHAMPTON,MA 01027 Undersecretary No valid withoutgnature
i
Commonwealth of Massachusetts
Division of Professional Licensure Construction Supervisor
Board of Building Regulations and Standards Unrestricted-Buildings of any use group which contain
. . „ ,• µ,- less than 36,000 cubic feet(991 cubic meters)of enclosed
space.
CS-103061 Etpinlaz 09/21/2020
JAMES J FLANNERY
1 WILLIAMS ST
HOLYOKE MA 010"
Failure to possess a current edition of the Massachusetts
State Building code is cause for revocation of this license.
Commissioner For information about Ods license
Call(617)727-3200 or visit www.rnass.gov/dpi
a
World's Comoansatlon and EmolovWs Liability PaRm
Berkshire Hathawa AniGUMW�"'anceCompany-"StoftCo.
Y Policy Number R2WCO21353
GUARDInsurance Renewal of R2WC94383
Companies NCCI No. [218731
Polity ndbrmstIon Page(AR)
1]Nomad Insured and Mailing Address Agency
PEAK PERFORMANCE ROOFING LLC WEBBER&GRINNELL INSURANCE AGENCY,INC. C
1 LDVEFIEU)STREET 8 NORTH KING STREET I€
EASTHAMPTON,MA 01027 Northampton, MA 01060
Agency Code: MAMAIN15
Federal Employer's ID 00-1191951 Insured is Limited Liability Co. (LLC)
[23 sky Period
From April 27, 2019 to April 27, 2020, 12:01 AM,standard time at the Insured's mailing address.
N
[3] Coverage
I
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 Emit $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
. '1
[43 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 11
audit. (Continued on another page)
Total Estimated Pocky Premium $ 31,202
Total Surcharges/Assessments $ $1,181.00
Total Estimated cost
HIrrERN IL USE h0( Page-1- Ir ftwffw ion Par
MGA :RZWCD21353 WC 000001A
Date :04/01/2019
MANOTE
Ismdno OMloe:P.O.fox A-11,16 S.Rhw Sbw*,Wilkes-00rM PA 18703-0020•www4mrd.com
Peak Performance Roofing LLC
1 Lov P ELmj�
Easthamptmpt on,, MA 01027
413-203-5888 PERF O R
peakperformanceroofmgllc@gmail.com • •
MA HIC#183698 MA CS 103061
Contract
ADDRESS CONTRACT# 10028
Rob Ansaldo DATE 02/18/2020
28 Westwood Terrace
Florence, MA 01060
ransaldo@yahoo.com
413-570-0762
JOB LOCATION
28 Westwood Terrace, Florence
le 6- ",1- or- w"
DESCRIPTION ION AMOUNT
1. Remove the existing roofing shingles 6,200.00
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 around pipes
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(please choose) (Landmark 30yr)
hup://www.certainteed.com/residential-roofing/products/landmark/
Color Choice: S; �}
7. Install rolled ridge vent on peaks of roof on main house only,not the garage.
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 roofmg debris. Contractor will obtain building permit if necessary.
Installations are weather permitting. Long periods of inclement weather will cause scheduling
delays.
j DM RMnON AMOUNT
Total: $6,200.00
Front of house only: Landmark shingles=$3,050
Detached garage: Landmark shingles=$3,150
A deposit of$3,100 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.
TOTAL $6400.00
Accepted By Accepted Date
k �