32A-176 (4) I
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66 BRIDGE ST I BP-2020-0965
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GIs#: COMMONWEALTH OF 1V'IASSACHUSETTS
Map:Block: 32A- 176 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: REPAIR BUILDING PERMIT
Permit# BP-2020-0965
Project# JS-2020-001642
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Est.Cost: $11000.00
Fee: $100.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: - License:
Use Group: JAMES FLANNERY 103061
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Lot Size(sq.ft.): 30143.52 Owner: NORTHAMPTON HISTORICAL SOCIETY THE
Zoning: URC(100)/ Applicant: JAMES FLAN'NERY
AT. 66 BRIDGE ST
Applicant Address: Phone: Insurance:
1 LOVEFIELD ST (508) 294-4052 I WC
EASTHAMPTONMA01027 ISSUED ON:2/28/2020 0:00:00
TO PERFORM THE FOLLOWING WORK.-SLATE.REPAIRS, NEW CHIMNEY FLASHING,
SNOW GUARDS. REPLACE PORCH ROOF WITH METAL
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:
Rough: Oil: Insulation:
Final: Smoke: Final:
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THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
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Certificate of Occupancy Signature:
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FeeTvpe: Date Paid: Amount:
Building 2/28/2020 0:00:00 $100.00
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212 Main Street,Phone(413)587-1240,Fax:(413)58711272
Louis Hasbrouck—Building Commissioner
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Clepartment use only
City of Northamp on ,� tatus of Pemiii
+ m Building DrSpart enk utlpnvev�ray Perrtait
21-2 M n S eet �8 ��, er/Se�ac Availability �rv ,
n ' Rdoi c�Q�� er Ih.Ava3lability
Northampton, wo S sof Struotural Plans
phone 413-587-1240 Fax }� Plot! ite Plans
Mq o,o ro Ot r Speclfy�_ .
APPLICATION TO CONSTRUCT,ALTER,REPAIR;RENOVA R D MOLISH A ONE OR TWO FAMILY DWELLING
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SECTION 1 -SITE-INFORMATION
°This'sectiont W,be completed'by office
1.1 Property Address:
Map L t` / Unit
60,
,66 Bridge.St. ("Shepherd House'-),
Zone ;OveMayDistrict '
Elms-St District f' CS District •
SECTION 27".PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
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Northampton Historical Society (Attn: Laurie Sanders) 46 Bridge St.,Northampton MA 01060
Name(Print)`: Current Mailing Address:
11.413-584-6011
l fG Telephone
Sigrt
2.2 Authorized Agent:
James J. Flannery 1 Lovefield St., Easthampton MA 01027
Name•(Print) Current Mailing Address:
w
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413-203-5888
Signature Telephone
SECTIONS ESTIMATED CONSTRUCTION COSTS
Item- Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building • $11,000.00 (a)Buildin Permit Fed
g
2. Electrical
(b)Estimated Total Cost of
Construction from f 6
3. Plumbing Building"Permit Fee
4. Mechanical(HVAC) JI
5.^Fire~Protection
6. Total=0 +2+3+4+5) $11,000.00 Check Number
This Section 6r Official Use Onl f
�P� 9_/� Dsped:
Building Permit°Number o� �G
r
Signature:
Building Commissioner/hispector of Buildings Date
peakperformanceroofingllc cp gmail.com
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
• - f
SECTION S.DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing
Or Doors 0
Accessory Bldg. ❑ Demolition ❑ New Signs [fes] Decks [Q I Siding[C]] Other[Q
Brief D ription of.Proposed
Work: (ate repairs, new chimney flashings, snow guards.Replace porch roof with standing seam metal.
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll Sheet
6aA(.Newhouse and or.addition to existing.housing,comalete the following:
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a. Use of building:One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms i
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
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
Laurie Sanders of Northampton Historical Society authorized agent
property ,as Oww of the subject
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James J. Flannery/ Peak Performance Roofing, LLC
hereby authorize
to act on my behalf,'in all matters relative to work authorized by this building permit application.
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ignatuce�iztQ�+�s$ TA!
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.
James J: Flannery
Print Name
a a�
Signature of Owner/Agent Date
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SECTION 8-CONSTRUCTION SERVICES
81 Licensed Construction Supervisor: I Not Applicable 0
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 imar6veme61Contractor: 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....... IGS No...... ❑
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City of Northampton
Massachusetts
G
�d DEPARTMENT OF BUILDING INSPECTIONS
yam,
212 Main Street *Municipal Building �C
Northampton, MA 01060
Debris Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as al 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:
66 Bridge St.
(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: j
Aaron's Roll-Off, 1 Loomis Way, Easthampton MA 01027
(Company Name and Address)
2
z�( I �
Signature of Permit Applicant or 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.
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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 ypn an employer?Check the appropriate bog: Type of project(required):
1.0/I am a employer with 4 4. ❑ I am a general contractor and I 6 ❑New construction
employees(fill 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
workingfor me in an capacity. employees and have workers'
Y p tY• $ 9. E] Building addition
[No workers''comp. insurance comp insurance. 10.El Electrical repairs or additions
required.] 5. ❑ We are a corporation and its 11
3.El 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.
Insurance Company Name: Berkshire Hathaway Guard
Policy,#or Self-ins.Lic.#: R2WCO21353 Expiration Date: 4/27/2020
Job Site Address:_ �, d �v�Q, ULU Vir 1 City/State/Zip: (` l r 01 O c4C
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 forma 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 andpenal 'es of perjury that the information provided above is true and correct
Signature: Date: 2- 2-OK0
Phone#: 413-203-5888
Official use only. Do not write in this area,to be completed by city or town ofciaL
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 C,ofltractor Registration
Registration: 183698
PEAK PERFORMANCE ROOFING,LLC. Expiration: 11/03/2021
T LOVEFIELD ST.
EASTHAMPTON,AAA 01027
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�lpdate Address and Return Card.
SCA t:o aero
Office of ConsumsrAffeks&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for•Individual use only
TYPE:LLC before the expiration date. 9 found return to:
11Coration Office of Consumer Affairs and Business Regulation
i>13E 11/=021 1000 Washington Street -Suite 710
PEAK PERFORAAP►NC76MNG,LLC. Boston,MA 02110
JAMES FLANNERY
1 LOVEFIELD ST. ,�
EASTHAMPTON,MA 01027 , Undersecretary NJ
valid Without gnature
Commonwealth of Massachusetts
Division ofProfessional Licenxura . " Constriction Supervisor
Board of Building Regulations and Standards Unrestr7cted- Wings of any use group which contain
bnsts less than 56,000 cubic feet(881 cubic meters)of enclosed
space.
CS403061
F c ires.:09/2112020
JAKI ES TFLAl11NERY .
I WIL DAMS Sr,
HOLYMM MA 010 0
Failure to possess a current exon ofthe Massadwsetts
CzALI State Bwkiing code is cause for revocation of this rrcense.
Cofnnrisaicner For inMrrrration about fids license
Call(617)TV-3200 or visit www mass govidpi
Worker's Como®nsetton and EmoloTrar's Liability Poilr
Berkshire Hathaway AmGUARD'Insurance Company-A-SUN*Co.
y Policy Number R2WCO21353
Insurance Renewal of R2WC943695
P,�mpanies K=No. [21673]
Paltry LcMneadon Page(AR)
[ 3Nsined Insured and Nailing Address AgencT
PEAK PEUVPJ ANCE ROOFING LLC. WEBBER.&GRINNELL INSURANCE AGENCY,INC.
1 LOVEFIHD STREET S NORTH KING STREET
EASrHAMPTOK MA 01027 Northampton,MAf 01060
Ageniy Code: MAMAINIS
Federal'Employa o ID 00-1191951 Insured is Limited Liability Co.(LLC)
[23 Policy Period
From April 27,2019 to April 27,2020, 12:01 AM,standard time at the insureds 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 $5001000
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
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[4] Premium
The Premium Basis and,therefore,the premium will be determined by our Manual of Rules,
Classifications,Rates,and Rating Plans. All requiredJWbrnation is subject to verification and change by
audit. (Continued on another page)
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7bta1 Esdmew Pollry Premium $ 31,202
TOM Sunt arWJA�men1, $1,181.00
Tela)Estimated Cost AO
ININIURL USE XX Page-1- Iniforrnatim Page
MRA :RZWCO21353 WC 000001A
DW :04/01/2019
MANOrE
Loving 011100:P.O.Bou A-%16 L River street,Wilkes-Marne,PA 187,09-0020 0 www guwd aom
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Peak Perfornmee Roofing LLC
1 Lovefield St.
Easthampton,MA 01027 PERF
413-203-5888 ! • •
peakperformanceroofingllc@gmail.com
Contract
ADDRESS CONTRACT# 1099
Historic Northampton DATE12/13/2019
Attn: Laurie Sanders
46 Bridge St
Northampton,MA 01060
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JOB LOCATION
Shepherd House, 66 Bridge St.
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I. Replace existing snow guards in the front with 3-pipe snow guard system(stainless steel 11,000.00
base plates and aluminum pipes).
2.Repair and replace slates as needed
3. Install new copper flashing around the 2 chimneys
$7,300.00 �L.S
4.Porch roof Remove existing roof and replace with Englert 24 gauge standing seam metal
roofsystem. 16"wide panels with 1.5"mechanical lock seams.
https://www.englertinc.com/1%C2%BD-mechanically-seamed-metal-roof-I system-
al300.htm1 Color Choice: "&1
5. Porch roof. Install 10'section of gutter over the stairway.
$3,700.00
TOTAL: $11,000.00
Remove all debris and keep premises clean and undamaged. Please use reasonable caution
during installation;do not walk or drive under active work,or on areas of potential roofing
debris. Contractor will obtain building permit. Installations are weather permitting.
A deposit of$5,500.00 is due at contract signing/prior to start of work. The;balance shall be
due upon completion. Accounts outstanding over 30 days past final invoice,date subject to
2%finance charge,compounded monthly.
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TOTAL - $119000.00
Accepted By Accepted Date
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