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31A-126 (9)
6 JEWETT ST BP-2021-0076 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:3 1 A- 126 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-2021-0076 Project# JS-2021-000118 Est.Cost: $15600.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO.- Const. O.const.Class: Contractor: License: Use Group: JAMES FLANNERY 103061 Lot Size(sq.ft.): 8058.60_ Owner: COHEN BATYA&NICOLE HAMER Zoning: URB000)/ Applicant: JAMES FLANNERY AT. 6 JEWETT ST Applicant Address: Phone: Insurance: I LOVEFIELD ST (508) 294-4052 W(' EASTHAMPTONMA01027 ISSUED ON.7/21/2020 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: FeeType: Date Paid: Amount: Building 7/21/2020 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner D cu�ign En9441D-A2C0-4BAE-A19E-6916CB94069F z9 o � L Tc C a3 r The Commonwealth of Massachusetts DG) Board of Building Regulations and Standards FOR oMassachusetts State Building Cade,780 CMR MUNICIPALITY oCD USE Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mai-2011 One-or 7tivo-Fancily Dwelling w This Section For Official Use Only twit Number: to Applied: EU11.E 55 7•-zj-ZOzo Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2essor Map&&Parcel Numbers 6 Jewett St. 4 / , ( "` 31A-126-001 1.1 a Is this an accepted street?yes no Map umb r Parcel Number 1.3 Zoning Information: 11.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided ReqWred Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSIIW 2.1 Owner'of Record: Batya Cohen & Nicole Hamer Northampton, MA 01060 Name(Print) City,State,ZIP 6 Jewett St. 312-607-0043 batyac@yahoo.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK--(check all that apple) New Construction❑ Existing Building Owner-Occupied ❑ Repairs(s) Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units I Other er Specify: Roofing. Brief Description of Proposed Work': Strip& re-shingle asphalt roof, including new plywood SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 15,600.00 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: O Check No✓i} :Check Amou Cash Amount: 6.Total Project Cost: $ 15,600.00 0 Paid in Full 0 Outstanding Balance Due: DocuSign Envelope ID:CC3C14lD-A2C0-4BAE-A19E-6916CB94069F SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-103061 09/21/2020 James J. Flannery License Number Expiration Date Name of CSL Holder List CSL Type(see below) U � W i!t!r'ct.r►�5 .� No.and Street Type Description Holyoke, MA 01040 U Unrestricted(Buildings u to 35,000 cu.ft.) y R Restricted 1&2 Family Dwelling City/Town.State,ZIP M Masonry RC Roofing Covering WS Window and Siding 413-203-5888 SF Solid Fuel Burning Appliances peakperformanceroofingllc@gmail.co 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 183698 11/03/2021 Peak Performance Roofing LLC HIC Resistration Number Expiration Date HIC Company Name or HIC Registrant Name 1 Lovefield St. peakperformanceroofingllc@gmail.com No.and Street Easthampton, MA 01027 413-203-5888 Email address Ci /Town,State,ZIP Telephone SECTION b: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...........❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,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. DOCUSigned by: Batya Cohen fZ. u.w ]�17/11/2020 Print Owner's Name(Electronic Signature) 195D16ECAB294AB Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. James J. Flannery ---b //2,b ao Print Owner's or Authorized Agent's Name(El oni ignature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at v.m,w.mass.cov/oca Information on the Construction Supervisor License can be found at www.mass.aov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" DocuSign Envelope ID:CC3C141D-AKO-46AE-A19E-6916CB94069F The City of Northampton IV- Building Department 212 Main Street rr r._r yay. Northampton, Massachusetts 01060 Phone (413) 587-1240 Fax (413) 587-1272 CONSTRUCTION DEBRIS AFFID Ati71T (FOR ALL DEMOLITION AND RENOVAT ION PROJECTS) In accordance with the provisions of MGL c40, s54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a property licensed waste disposal facility as defined by MGL c 111, sl 50A. The debris will be disposed of in: dumpster Location of Facility The debris will be transported by: Name of Hauler Aaron's Roll Off, 1 Loomis Way, Easthampton MA 01027 Signature of Applicant:_ —Date: / Lzo Z'D The Commonwealth of Massachusetts ' Department of Industrial Accidents Office of Investigations ' 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 Are you an employer? Check the appropriate box: Type of project(required): 1.L11i I 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. msurance.T 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.gRoof 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.#: R2WC130849 Expiration Date: 4/27/2021 Job Site Address: IQ W.Q t S 7 r City/State/Zip: O ley'►' 0_ I oA-) 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 information provided ab ve is true and correct. Si nature: Date: W 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#: R Worker's Compensation and EmWover's Liability Policy �/Berkshire HathawayAmGUARD Insurance Company - A Stock Co. ♦ Policy Number R2WC130849 GUARDInsurance Renewal of R2WCO21353 Companies NCCI No. [21873] Policy Information Page (AR) [1]Named Insured and Mailing Address Agency PEAK PERFORMANCE ROOFING LLC WEBBER & GRINNELL INSURANCE AGENCY, INC. 1 LOVEFIELD STREET 8 NORTH KING STREET EASTHAMPTON, MA 01027 Northampton, MA 01060 Agency Code: MAMAINI5 Federal Employer's ID XX-XXX1951 Insured is Limited Liability Co. (LLC) [2] Policy Period From April 27, 2020 to April 27, 2021, 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, Classifications, Rates, and Rating Plans. All required information is subject to verification and change by audit. (Continued on another page) Total Estimated Policy Premium $ 25,108 Total Surcharges/Assessments $ $867.00 Total Estimated Cost $25,975.00 INTERNAL USE XX Page - 1 - Information Page MGA : R2WC130849 WC 000001A Date : 04/07/2020 MANOTE Issuing Office: P.O. Box A-H, 39 Public Square, Wilkes-Barre, PA 18703-0020 9 www.guard.com TE A�® CERTIFICATE OF LIABILITY INSURANCE DA7/(10/20 0) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Adina Edgett Webber S Grinnell PHONrE E: (813)586-0111 ac No: (913)596-6981 8 North King Street AIL ADDRESS: aedgett@webberandgrinnell.com INSURERS AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURER A:Admiral Ins CO/BRECK INSURED INSURER B:Plymouth Rock Assurance Peak Performance Roofing, LLC INSURERC:WCAR- Berkshire Hathaway GUARD Attn: James Flannery INSURER D: 1 Lovefield Street INSURER E: Easthampton MA 01027 INSURER F: COVERAGES CERTIFICATE NUMBER:Exp 04/21 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 10 THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMBS LTR POLICY NUMBER MMIDDIYYYY MM/DDNYYY X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE RNTE1 A CLAIMS-MADE a OCCUR PREM SES(E.Eoccurrence) $ 300,000 CA00003521802 7/7/2020 7/7/2021 MED EXP(Any one person) $ 5,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JEa LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: Employee Benefit Coverage Form $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident BANYAUTO BODILY INJURY(Per person) $ 20,000 ALL OWNED X SCHEDULED PRC00001007091 6/27/2020 6/27/2021 BODILY INJURY(Per accident) $ 40,000 AUTOS AUTOS X HIRED AUTOS X NON-OWNED Parr a.,ZDAMAGE $ AUTOS I Medical payments $ 5,000 UMBRELLALIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTEI ER ANY PROPRIETOR/PARTNER/EXECUTIVE NIA R2WC130849 E.L.EACH ACCIDENT $ 100,000 OFFICER/MEMBER EXCLUDED? C (Mandatory In NH) James Flannery is excluded 4/27/2020 4/27/2021 E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below from WC coverage. E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE W Grinnell, CPCU, CIC ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD INS025(201401) 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 1 10 20M-05117 ./fir' �rnrii�Nri�•t✓r�/�T P�./��i�-:-i��r�i�-Jr�%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: Re�oistration Expiration Office of Consumer Affairs and Business Regulation 183596 11/03/2021 1000 Washington Street -Suite 710 PEAK PERFORMANCE ROOFING,LLC. Boston,MA 02118 JAMES FLANNERY 1 LOVEFIELD ST. EASTHAMPTON,MA 01027 1 Undersecretary N0'valid without 'gnature , Cammonwealth of Massachusetts 10 Division of Professional Licensure 1 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.: 09121x2020 JAMES J FLANNERY 1 WILLIAMS ST HOLYOKE MA 01040 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commissioner C4 For information about this license Call(617)727-3200 or visit www.mass.gov/dpi DocuSign Envelope ID:CC3C141D-A2C0-4BAE-A19E-6916CB94069F Peak Performance Roofing LLC 1 Lovefield St. PE K Easthampton,MA 01027 413-203-5888 PER F O R CE peakperformanceroofingllc@gmail.com • • LIALq MA HIC#183698 MA CSL#103061 Contract ADDRESS CONTRACT# 10141 Batya Cohen&Nicole DATE 07/09/2020 Hamer 6 Jewett St. Northampton, MA 01060 312-607-0043 312-282-2025 batyac@yahoo.com nhamer@yahoo.com DESCRIPTION AMOUNT 1. Remove the existing roofing shingles 15,600.00 2. Install new 1/2 inch CDX plywood over boards on entire roof 3. Install six feet of ice and water shield on eaves and three feet in valleys/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(Landmark PRO) https://www.certainteed.com/res identi al-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 debris. Contractor will obtain building permit. Installations are weather permitting. Long periods of inclement weather will cause scheduling delays. DocuSign Envelope ID:CC3C141D-A2C0-4BAE-A19E-6916CB94069F DESCRIPTION AMOUNT Summary: Landmark PRO shingles=$14,950 Certainteed 4-Star Warranty(50yr)=$650 https:Hcertainteed.showpad.com/share/FujWoUnUwAfvG558wl E7P/0 Total Cost=$15,600.00 An initial deposit of$500 will secure contract/building permit/priority scheduling for Summer 2020. A deposit of$7,300 shall be due prior to material delivery order. The balance shall be due Upon Completion. Accounts outstanding over 10 days past final invoice date subject to 2% finance charge,compounded monthly. TOTAL $159600.00 Accepted By Dotusigned by: Accepted Date 7/11/2020 LE?4r' Co" MD16ECABMAB...