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32A-221 (8) 83 POMEROY TER BP-2020-1032 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32A-221 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category: ROOF BUILDING PERMIT Permit# BP-2020-1032 Project# JS-2020-001743 Est.Cost: $6800.00 Fee: $100.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: JAMES FLANNERY 103061 Lot Size(sa.ft.): 13198_.68 Owner: HENSON DEB Zoning: URC(100)/ Applicant. JAMES FLANNERY AT: 83 POMEROY TER Applicant Address: Phone: Insurance: 1 LOVEFIELD ST (508) 294-4052 WC EASTHAMPTONMA01027 ISSUED ON:3/16/2020 0:00:00 TO PERFORM THE FOLLOWING WORK.-APPLY FIBERED ROOF COATING TO 2 LOW SLOPE SECTIONS 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: Ronigil Framc: 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: FeeType: Date Paid: Amount: Building 3/16020 0:00:00 $100.00 1212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner c UMME KC I ftv Nt Rm T Is DocuSign Envelope ID:339CF05A-8289-4070-BA84-EE1721367230 ` Department use only City of Northampton '� /�.� Status of Permit: w Building Department I�i Curb Cut/Driveway Permit A 212 Main Street AR SewerfSeptic.Availability_ a Room 100; b. Watet/Well Availability Northampton, M,01Q 0 ��'C Twd Sets of Structural Plans phone 413-587-1240 Fax 4t3,5 , 72 Plot/Site-Plans Other Specify ti. APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR&MOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address. 1 Map Lot C�c;� Unit 83 Pomeroy Terrace Zone _Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIPlAUTHORIZED AGENT 2.1 Owner of Record: Deborah Henson 83 Pomeroy Terrace, Northampton MA Ol 060 x �y ,F Name(Print) Do��s�9ned b�yL Current Mailing Address: 504-232-8884 t wra. C1UA,Sm Telephone 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 $6,800.00 (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 Vq 6. Total=0 +2+3+4 +5) $6,800.00 Check Number This Section For Official Use Only Building Permit Number: bp' 0— !//U Date Issued: Signature: `3 CD rc� ju Building Commissioner/Inspector of Buildings Date peakperformanceroofinglic na gmail.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) DocuSign Envelope ID:339CF05A-8289-4070-BA84-EE1721367230 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing Or Doors l] 1 - Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks Siding[O] Other[O) Brief Description of Proposed Apply fibered roof coating to two low slope sections (lower ledge, and uppermost 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 . 1. 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 Deborah Henson 1, ,as Owner of the subject property hereby authorize James J. Flannery / Peak Performance Roofing, LLC to act on my behalf, in all matters relative to work authorized by this building permit application. oocus 9nea bY: 3/11/2020 Signature of Owner Date 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 3/11 iz C, Signature of Owner/Agent Date i DocuSign Envelope ID:339CF05A-8289-4070-BA84-EE1721367230 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 wilbou is .Sf I 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 i 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....... No...... ❑ DocuSign Envelope ID:339CF05A-8289-4070-BA84-EE1721367230 City of Northampton •° Massachusetts tea? <e A c K t� DEPARTMENT OF BUILDING INSPECTIONS M 212 Main Street •Municipal Building 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. The debris from construction work being performed at: 83 Pomeroy Terrace (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) '3 /11 /2-0, Signature of Permit Applicant or Owner Da e 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. i The Commonwealth of Massachusetts r Department of Industrial Accidents Office of Investigations F++ 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 Areypu an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4 4. ❑ I am a general contractor and I 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 S. [] Demolition workingfor me in an capacity. employees and have workers' Y P tY 9. ❑ Buildin9 addition [No workers' comp. insurance comp. insurance.1 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 o workers' comp. right of exemption per MGL 12 y [N p V[r 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. lContractors 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. Belo iv is the policy and job site information. IBerkshire Hathaway Guard Insurance Company Name: Policy#or Self-ins.Lic.#: R2WCO21353 Expiration Date: 4/2/7/2020,�(,,� Job Site Address: 03 CJ21— City/State/Zip: D 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 thepains andpenalties ofperjury that the in formation provided above is true and correct. Signature: Date: 3 11 2-0 Phone#: 413-203-5888 Official use only. Do not write in this area, to be completed b1,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#: Berkshire Hathaway 6 ArnGUA1tD Inimumnce`°n*nnV-A Policy Nwnb �1c Co. er R2WCO218'S3 GUARDQmpenlesIRenewal of N �] Poucy irMbnrrstion Page(AR) [1]Narhad Inwrsd and NoUbg Address Agarcy PEAK PERFORMANCE ROOFING LLC WEARER&GRINNrELL INSURANCE AGENCY,INC- 18 STREET 8 NORTH KING STREET EASTHAMFFON,NA 01027 Northampton,MA 01060 Agency Code: MANAINI5 Federal Ernployses ID 00-1191951 insured Is Limited Liability Co. (LLC) [2] Polley Parlod From April 27, 2019 to April 27,2020, 12:01 AM,standard time at the insured's mailing addrem. [3] Cov er"s A. Workers'Compensation Insurance-Part One of this policy applies to the Workers'Compensation Law of the following states: Massachusetts B. Employee's Liability Insurance-Part Taro of this policy applies to work in each of the stamps 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 Omit $500,000 C. Refer to Residual Market Limited Other States Insurance Endorsement WC2003068 D. This policy includes these endorsements and schedules: See Extension of Information Page-Schedule of Forms [4] Pl nrium The Premium Basis and,therefore,the premium will be determined by our Manual of Rules, Classiflcatlons,Rates,and Rating Plans. Ali required information is subject to verification and charge by audit. (Continued on another page) Total Edintal ai Policy Pre mhnn 31,202 TOW! Aw+ow/Asaenomanb sE $1,181.00 Tod Esdmm tad Coat 6 $32.383AO sr�lAl.l1SE hOr Page-1- IMbrmatron Pop MGA :R2wCO2L= WC 000001A We :04/018019 MANM Issuing ORIM-P.O.Boor A-R.16 S.Rhrer SbU*.MII&W finer PA 18703.0020 a wwwAwndwom 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: 183696 1 LOVEFIELD ST. Expiration: 11/03/2021 EASTHAMPTON,MA 01027 Update Address and Return Card. SCA 1 0 2lMiA-05/17 .Ti• �iviviinnav��//j�� oi�i�is�1/,i 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: Registnition EMrldion Office of Consumer Affairs and Business Regulation 183698 11/03/2021 1000 Washington Street -Suite 710 PEAK PERFORMANCE ROOFING,LLC. Boston,MA 02118 JAMES FLANNERY 1 LOVERELD ST. rw./1'C c�Iwr ls" EASTHAMPTON,MA 01027 undersecretary No valid Without gnature Commonwealth of Massachusetts Division of Professional Licensure Construction Supervisor Board of Building Regulations and Standards Unrestricted-Buildings of any use group which contain less than 36,000 cubic feet(881 cubic meters)of enclosed space. CS-103061 •0li/21=20 JAMES J FLANNERY 1 WM.LIAMS ST HOLYOKE MA 01068 M Failure to possess a current edition of the Massachusetts C.4/v_ State Building Code is cause for revocation of this license. Commissioner For information about this license Call(617)727-3200 or visit www.mass•gov/dpl DocuSign Envelope ID:339CF05A-82894070-BA84-EE1721367230 Peak Performance Roofing LLC 1 Lovefield St. PE K Easthampton,MA 01027 P E R F O R C E 413-203-5888 peakperformanceroofingllc@gmail.com • • LJILZA MA NIC#183698 MA CSL#103061 Contract ADDRESS CONTRACT# 10051 Deb Henson DATE 03/10/2020 83 Pomeroy Terrace Northampton,MA 01060 debhenson.law@gmail.com (504)232-8884 x s#ut v DESCRIPTION .,..ter .. . .. .. IMP :nk AMOUNT .w ..:.,. SECTION B ("ledge" on driveway side): $2100.00 6,800.00 1. Clean all loose dirt and debris off of the roof surface 2.Remove the existing drip edge and install new bronze aluminum drip edge 3.Apply asphalt primer to the drip edge. 4.Apply Karnak roof cement and fabric over the drip edge flange. 4.Applied Karnak 71 fibered roof coating to the roof surface Includes lift rental to get safely to the work area. RIDGE CAPS: Fabricate and install bronze aluminum ridge caps on small dormers - $800 RECOATING UPPER MOST ROOF (Sections AR,AX,AM,Al,AW,AZ): $3900 1. Scrape off loose/flaking materials. 2. Fasten metal as needed 3. Install drip edge on perimeter 4.Apply roof cement and fabric on flange of drip edge. 5.Apply HENRY fibered aluminum coating. Remove all debris from premises, and throughout the job, continue cleanup and keep the premises undamaged. Contractor will obtain building permit. Installations are weather permitting. TOTAL:.$6800.00 A deposit of$3400.00 is d' a at contract signing. The balance shall be due upon completion. Accounts outstanding ove X10 days past final invoice date subject to 2%finance charge. TOTAL $69800.00 Accepted By DocuSigned by: Accepted Date 3/11/2020 EvF23E38D2D7964B3 CbW4. Rt�sew 83 Pomeroy Ter, Northampton, MA 01060-3303 February 25, 2020 Notes Diagram Roof facets are labeled from smallest to largest(A to Z)for easy reference.Total Roof Facets= 53 AY AO AR R pY AAWX S BA A ` X A � P AS Z ►i,, � .. T AAf A AC N A � � AG AE AN ALI AH AEF AD AT AV E As N R W r S Report: 32771628 (c,2008-2020 Ea*View Tedmolog ,Inc-and PktmWjy IrRernabo0al Corp. al Rj"Reserve-Covered by one w more of U.S.Patent NOS.8,078,436;8,145,578; E""��.�•.:u-» Claim: N/A 8,170,840;8,209,152;8,515,125;8,938,090;8,818,770;8,542,880;9,244,589;9,329,749.Other Patents Perdlq. New Castle Building Products Page 2