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BP-2022-0483 329 ROCKY HILL RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 37-123-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-0483 PERMISSIONIS HEREBY GRANTED TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 17500 LLC CS-103061 Const.Class: Exp. Date:09/21/2022 Use Group: Owner: GROVER SOOD VIKRAM &RUCHI Lot Size (sq.ft.) Zoning: SR Applicant: PEAK PERFORMANCE ROOFING LLC Applicant Address Phone: Insurance: 1 LOVEFIELD ST 413-203-5888 R2WC202869 EASTHAMPTON, MA 01027 ISSUED ON:05/04/2022 TO PERFORM THE FOLLOWING WORK: NEW 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: • �� . '1 • 0 Fees Paid: $40.O0 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner DocuSign Envelope ID:2740C9BC-922D-42A8-A2FF-632A8E4F21F3 / i /6k, ,,,c g, The Commonwealth of Massachusetts., .� � . ' Board of Building Regulations and Stan FOR1 I Massachusetts State Building Code,78O 6 '%n--., q�� MUNICIPALITY f ,USE Building Permit Application To Construct,Repair,Renovate i;0410,a, Revised Mar 201) One-or Two-Family Dwelling °o6�%y� This Section For Official Use Only Buil ' Permit Number 9- }1 't 5 3 Date Applied: l [Wii `Kos ./. /l 6-2-1-2OZZ Building Official(Print Name) Signature Date SECTION I:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel ► . . • 329 Rocky Hill Rd. Florence 37 -123-001 1.1a Is this an accepted street?yes no Map Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,g54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Check if yesD Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Vikram Sood Florence MA 01062 Name(Print) City,State,ZIP 329 Rocky Hill Rd. Florence 413-427-4757 sd.vikram@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction El Existing Building Er Owner-Occupied 0 Repairs(s) le- Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other l! Specify: Roofing. Brief Description of Proposed Work2: Strip and replace asphalt shingles SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1.Building S 17,500 00 1. Building Permit Fee:$ Indicate bow fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing i S 2. Other Fees: S 4.Mechanical (11VAC) $ List: 5.Mechanical (Fire S Suppression) Total All Fees:$ Check No* Check Amount k0 Cash Amount. 6.Total Project Cost: S 17,500 00 0 Paid in Full 0 Outstanding Balance Due: DocuSign Envelope ID:2740C9BC-922D-42A8-A2FF-632A8E4F21F3 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) CS-103061 09/21/2022 James J. Flannery License Number Expiration Date Name o`'CSL Holder List CSL Type(see below) U No.and Street Type Description Holyoke MA 01040 U Unrestricted(Buildings up to 35,000 ca. ft.) R Restricted 1 f.2 Family Dwelling City/Town,State,ZIP • M Masonry RC Roofing Covering WS Window and Siding 413-203-5888 peakperformanceroofingllc@gmail.com; SF Solid Fuel Burning Appliances II I Insulation Telephone Email address t D Demolition 5.2 Registered Home Improvement Contractor(HIC) 183698 11/03/2023 Peak Performance Roofing LLC inc Registration Number Expiration Date HIC Company Name or HIC Rezistrant Name 1 Lovefield Si. peakperformanceroofingllc@gmail.com No.and Street Email address Easthampton, MA 01027 413-203-5888 City/Town, State,ZIP Telephone SECTION 6: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 f( No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CON1 RACTOR 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 ail matters relative to work authorized by this building permit application. —oacus 9nea by: 4/20/2022 Vikram Sood .A ra.wt Sood. Print Owner's Name(Eledtuittc i sp),,,q 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 latowledge and understanding. James J. Flannery I�� V�� Print Owner's or Authorized Agent's Name(Electronic Signature) rl ate Sn ) NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (riot 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 1 ''w.rnass.”ovioca Information on the Construction Supervisor License can be found at www.mass.gov/clos 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:2740C9BC-922D-42A8-A2FF-632A8E4F21F3 City of Northampton :ty'rn-r„,, s sic Massachusetts '<< t` i ` DEPARTMENT OF BUILDING INSPECTIONS .,4,10 r c. c212 Main Street • Municipal Building --�ir Northampton, MA 01060 j.NWx` CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility:Valley Recycling, 234 Easthampton Rd., Northampton MA 01060 413-587-4279 The debris will be transported by: Name of Hauler: Aaron's Roll-Off Service 413-529-1100 Signature of Applicant: James J. Flannery Date: 1 Yl The Commonwealth of Massachusetts r---= Department of Industrial Accidents iit.;= Office of Investigations 600 Washington Street ..ck . '1" ,r. Boston,MA 02111 www.mass_govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (13usinessiOrganizationhIndividual): Peak Performance Roofing, LLC Address: 1 Lovefield St. City/State/Zip: Easthampton, MA 01027 Phone #; 413-203-5888 Are y u an employer?Check the appropriate box: Type of project(required): 1. am a employer with 4 ___ 4. 1 I I am a general contractor and 1 employees(full andfor part-time).* have hired the sub contractors b- ❑ 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 8. E1 Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp.insurance= required_] 5. (] We arc a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I 1.0 Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12 [/'Roof repairs insurance required.}' 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. '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 It or Self-ins.Lic.#: R2WC202869 _� _�_ Expiration Date:� /7 Z12 Job Site Address: 3 j 2— � ��/�� All � City/State/Zip. �r4 ��li 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 S250.00 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: $ t1 i' Dat ' ____ 1i/2- .. Phony : 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#: ACCORD CERTIFICATE OF LIABILITY INSURANCE DATE(MFbDD/VYVYI J 05/12/2021 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 have ADDITIONAL INSURED provisions or 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 COO FACT Adina Edgett,CISR Webber&Grinnell PHONE (413)586-0111 FAX (413)586-6481 INC.No.Ent): IA/C.No): 8 North King Street EMAIL oAEss: aedgett@webberandgrinnell.com INSURER(S)AFFORDING COVERAGE NAIC Northampton MA 01080 INSURER A: Admiral Ins Co/BRECK INSURED Plymouth Rock Assurance INSURER 8: Peak Performance Roofing,LLC INSURER C: WCAR-Berkshire Hathaway GUARD Attn:James Flannery INSURER 0: 1 Lovefield Street INSURER E Easthampton MA 01027 INSURER F COVERAGES CERTIFICATE NUMBER: Exp 06/2022 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO 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 LTR TYPE OF INSURANCE NDOL WTO POLICY NUMBER BFC POLICY EFF POLICY EXP{NHNV LIMITS _ DD/VYYY) (MM+DD/YYVY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1'000'000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED 300,000 PREMISES(Ea occurrence) $ MED EXP(Any one:person) S 5,000 A CA00003521803 07/07/2021 07/07/2022 PERSONAL a ADV INJURY S 1,DOQ000 GENt AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE S 2,000'000 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG S OTHER Employee Benefit S 2.000,000 AUTOMOBILE UABILITY G(ih1BINEf1SINGLE LIMIT S 1,000,000 (Ea acodent) ANY AUTO BODILY INJURY(Per person) $ B OWNED v SCHEDULED PRC00001007091 06/27/2021 06/27/2022 BODILY INJURY(Per acodeni) $ AUTOS ONLY AUTOS X HIRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY AUTOS ONLY (Per accident) Medical payments S 5,000 UMBRELLA UM, OCCUR EACH OCCURRENCE S EXCESS LIAB CLAIMS-MADE AGGREGATE S DED RETENTION S S WORKERS COMPENSATION sel PER OTH AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETORJPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? Y N/A R2WC202869 04/27/2022 04/27/2023 E.L EACH ACCIDENT S 500,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 M yes.describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 WC:James Flannery is excluded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule.may be attached I 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 s, • ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • `R"- Km/new eimadi 6/..-gere6se./4- 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: 11/03/2023 EASTHAMPTON, MA 01027 Update Address and Return Card. SCA 1 O 201.4.06/17 /47i.iiir/uir//v • OQfee of onsumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 183698 11/03/2023 1000 Washington Street -Suite 710 PEAK PERFORMANCE ROOFING.LLC Boston,MA 02118 JAMES FLANNERY 1 LOVEFIELD ST. EASTHAMPTON,MA 01027 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor Unrestricted-Buildings of any use group which contain Construction Supervisor less than 35,000 cubic feet(991 cubic meters)of enclosed space. CS-103061 Expires: 09/211 2 . JAMES J FLANNERY 1 WILLIAMS ST HOLYOKE MA 01040 Q Failure to possess a current edition of the Massachusetts Commissioner �4— //•�� State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpl .Q ac/.GU—c;a 8 a c-kva Oy (tl v . S cx.QA6_1 LUL A C? \''C) S DocuSign Envelope ID:2740C9BC-922D-42A8-A2FF-632A8E4F21F3 Peak Performance Roofing LLC 1 Lovefield St. P E K Easthampton,MA 01027 413-203-5888 P E R F O R CE peakperformanceroofmgllc@gmail.com ROOFING MA HIC#183698 MA CSL#103061 Contract ADDRESS CONTRACT# 10651 Vikram Sood DATE 04/20/2022 329 Rocky Hill Rd. Florence,MA 01062 (413)427-4757 sd.vikram@gmail.com DESCRIPTION 1.Remove the existing roofing shingles 2. Inspect the sheathing for any rot or deterioration.Any new plywood necessary will be $100 per sheet installed.Any new roofing boards will be $6 per foot installed. (Wood prices subject to change based on market fluctuations) 3. Install six feet of ice and water shield on eaves,three feet in any valleys,and three feet around all penetrations 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/residential-roofing/products/landmark-pro/ Color Choice: MAX DEFINITION WEATHERED WOOD 7.Install Shingle Vent 11 ridge vent on peaks of roof(where applicable) https://www.certainteed.com/residential-roofing/products/certainteed-ridge-vent-12-filtered/ 8. Complete all necessary flashings including new LIFETIME pipe boots and base flashing around chimney Includes CertainTeed Lifetime Limited Warranty (Transferable) with 10 year SureStart period. https://www.certainteed.com/resources/Asphalt_Warranty_CTR3782_1912_E.pdf 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 reasonable caution during the installation process: do not walk or drive under active work,or on areas of potential roofing debris.Peak Performance Roofing will obtain the building permit. Installations are weather permitting; inclement weather will cause scheduling delays. Total: Landmark PRO shingles=$17,500 DocuSign Envelope ID:2740C9BC-922D-42A8-A2FF-632A8E4F21F3 DESCRIPTION A one-third deposit of$5,800 will secure contract,permitting,material order,and priority scheduling. The balance shall be due upon completion,within 10 days of invoice. Accounts outstanding over 30 days subject to 2% finance charge monthly. Warranty confirmation shall be provided upon final payment. Installation and manufacturer warranties are not in effect until Paid In Full. TOTAL $17,500.00 Accepted By °ocuSfpn`dDy Accepted Date 4/20/2022 Utftuti SDDet \---EDCFFF364D55454...