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38B-258 (5)
BP-2022-0842 61 OLIVE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38B-258-001 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-2022-0842 PERMISSIONIS HEREBY GRANTED TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 21900 LLC CS-103061 Const.Class: Exp.Date:09/21/2022 Use Group: Owner: SLOANE PETERSON KATHERINE Lot Size (sq.ft.) Zoning: URB Applicant: PEAK PERFORMANCE ROOFING LLC Applicant Address Phone: Insurance: 1 LOVEFIELD ST 413-203-5888 R2WC202869 EASTHAMPTON, MA 01027 ISSUED ON:07/19/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-SHINGLE, SKYLIGHT 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: . 32041F Fees Paid: $80.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner The r, wesith of Ma`sachte 5 CE"V WI' Board of Buikiir.y Regulations and St-War.' r-� `'�� Massachuecz;, State Building Code, 'i C' [.MtAti1,t JPAI-t J Y Iii, I .JSL. Bwtding Permit "A.�rplication To Construct. Rcpreir.. CIO) atc /"#Ytelt;$Ii .p� ej i Moir ()lI One. of Two Pan*Dwclli y �C .� _�...._ era ,,��;,,,, _� .._.. This Section Far Official 1,L . : 0 -uIco, r. B Penni*. - I Tzar "+jiliiird: oly Mq 0 crioNs J3trrlriat�Motel aria Fi me) y , inure I - / rfi� n� __..�. SECTION 1: Klfl 1 n4FOR Mw f4 _Alit 1.1 Parry Miele: 1Z A3 ^fiary rSc ly'urrrl ''+ ib�l'y 1 i Is Is this an accepted sued?ye,. so MapA`urrcE,*r Frei Muu> ct .__r_-._. 1.3 Zoning L ferstottlon: �_ I A Property Dimes'do riti: i Lxi:ri t District Proposed Use Lad AMU(fig11) Renato(In(In 1.5 building Setbacks(ff) Front Yard Sale Yrd► Roe Yard Itecaitrnd Provided ' - Provided itcttuiread I�+evr0e4d Imo► t�trr y=4ut,r'i I.c740,fs4) 1.7 Flood Use Iafera etaou: 1.$Sewage DispossitJ fiyearia: — Pettit(Ci Privatel law .... 4J�t/ida PIno Ltusry awl ifr;!7 Mum 0 Oil fit..utspoial system 0 SECTION 2: PROPERTY OWNJ RSHJY' t. (IA of It ran . __ 11 k M'. OI_ Dom _ t:'rtat 1. k. _ 1._:..o.seid 4tsrart 1aicpiw m . - i-:wiit fiaide�► SECTION 3:D.Z (RJ PTJON 011?KOPOM V WOMKI(cbeeIi llc. that soplyj ' INew 47:4Instrticsion© Existing Build inz Ei I jOwnel.Occo *d Q 1 J rrs(s) 1j ,l'--I a itotge) a ' • , , Ci 1 Demolition CI Ac,cci,uir1 kirk, U i, Number of liana Othtci C1 - - P,rtef Dcscr ion cif 1'rn ar:(I W„4 4 /.ai �__ .. pAlitil,„. le SWAITO 4: F.5TIMATLI)f:t)NsTR{UiCTION (:t/s1S Estimated Costs: I Item (l.,abgr drd Materials) Official the Onl'- 11, Building _..� $/#50 l fiuilt?ine t rrmrmit Fee: S Italic Air:how fee I d,tteirst�iti�id i - ' L1 Standard City/Town Application Pt 2 J iectnul l___._.. __._..,- - - , _ _ L.!Total J'i o j et Ccm}atom ti J x multiplier . 3.?luimbing ..... 1, Other Peer S ---- - 4. Mechanic:I (HVA(;1 $ Use S. Mechanical (Fire _- - _ - — Check NOM lQ / Chock Ammar. Col A• •wit. 1 F. Total Prciject (', 1/I1 ` Si P,�in Full 0Out Iand:n Balance Due:. I DocuSagn Envelope ID.E6BF9C2D-E876-40E0-9F00-1B2F596D483D _ SECTION 5: CONSTBUCI704 SERVICES 1 5.1 Constrnetisb Supervisor License(CSL) - 1 License NumberFixytrarlon Ow Nsme of CSL Holder _ 1 List CSL Type(see below) 14 Ya. 'trecr ` Type 0 i / N—' u Unrestricted(�ed1 up to 35,*' ca.it.) Ctty/i'ottm. ZIP R Restricted t n2 Family Ding iag i M Mime RC T"`ma Coverinje WS Window and Siding y M. 'I 6 . lb t SF SOWF>�s Sliming A ta.o�r 7 `� v ', ,.. _ . A E 1 is tion Telephone Email address •,.rr�- • - D Demolition 5.2 R No she Impror C ctor , . _I.!, 3q?5 if.#51/2-6)-• EtI Hi �r C RegistrationRegistrationNumberNumber uptown Date y� nt a it Name f dal tt+� i E,rte ai`V/44.4411' own,Stale,ZIP Umlaut; = 1 iil SECTION 6:WORKERS'COMPILNSATIOM INSURANCE AFFIDAVIT(ht.G.L.e.152.#25C(6) Workers Compensation leaurance afftdsvit 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 0 SEC11ON 7a:OWNER AUTRORL7A110N TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1.as Owner of the subject property,hereby authorize4 • ghililptliffit1;in all matters relative to work authorized by this btnidcapplication, it TWMMO 7/1,i/2o22 s Name(Electronic Signature, • • Dine' SECTION 711:OWNER'OR AUTHORIZED A t:ENT DF.(;i.:%TtATION By entering my name below,I hereby attest under the pains and penalties of'perjury that ail of the information contained in this application is true and accurate td the beat of my knowledge and understanding / Y'ai • " Hint Owner's m Authorized Mina's�(Deenn&Signature) pate 1...,.......� sly . MOTES: 1. An Owner who obtains a building permit to do his/ber own work,or an owner who hires an ttttregisteted eaantractor - (not registered in the Home improvement Contractor(HIC)Program),will AM have access to the arbiuraon program or guaranty fixed under M.G.L.c. 142A.Odteal impatient infor uatiou on the HIC Program cat in Found at I krww.rrress zov/pca Information on the Construction Supervisor License can be found at ww iscsnass,¢ v/ 2. When substantial wotic is planned,provide the information bellow: Total floor area(sq.fr.) (inchefing garage,finished baseaoem/attics,decks x porch) Oross living area(sq.ft.) Habitable room count Number of fireplaces _ 'J " 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"any be substituted for'Total Project Cost" 4`.. ,a},,, The City of Na�tham_pton > ``\ Building Department ,i,..,��, , �.., 212 Main S beet °Avi°aul'A. Northampton, Massachusetts 01080 Phone(413)587-1240 Fax(413) 587-1272 CONSTRUCTION DEBRIS AFFIDAVIT (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 thiswork shall be disposed of in a. properly licensed waste disposal facility as defined by MIGI,C111; s150A. The debriswill be disposed of in: J,4j 61 I. UCj 't '1vi' Location of Facility ' ' S - 1A14\-411441+)/Y1-'1 The debris will be transported by: 1 -21(/) Name of Hauler13){4 ((---tilL- Signature of Applicant: / Date: 1 ' ,. The Commonwealth of Massachusetts ,,.., = Department of Industrial Accidents P.=: - ` Office of Investigations '4;4...... 600 Washington Street ,, �-. Boston,MA win�; ' . www.mass gov/dfa Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information . ( Print Legibly Name (Business/Organization/Individual): Peak Performance Roofing, LLC ._. . , Address: 1 Lovefield St. City/State/Zip: Eatsthampkin, MA 01027 ph+�ne#: 413-203-5888 Are ypu an employer'. Check the appropriate boa Type or project(required). l. I am a employer with 4 4. it I am a general contractor and I employees part-time).* have hired the sub-contractors b. ❑ New constructionla ees(full and/or 2.❑ I am a sole proprietor or partner- listed can the attached sheet. 7. U( Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' t g. ❑Building ad. . . , [No workers' comp,insurance comp,ranee. required.] 5. 0 We arc a corporation and its 10.0 Electrical r or additions 3.❑ .I am a homeowner doing all work officers have exercised their 11. J Plumbing • ; , or additions myself.[No workers'comp. right of exemption per Moil. 12.tgRoof repay insurance required.)t c. 152.11(4),and we have no employees.trio workers' 13.❑ Other __.._.._. comp.insurance required.] °i\ny applicant that checks box#1 must also fill out the section below shtr#rins their worker. compensaiiiin policy intormalion. t litttse:owners who submit this affda}it indicating they are doing all wort and than bier outside tontracturs must submit a new aitidtisit indicating such, 'Contractors that check this box must itcarhed an additional sheet stooksing,the name atilt:sub-contractors and;tat..•whether yr not tiara:entities has, employees. If the sub-contractors hate emplovices_they rroo pro titic their workers'comp_policy number. 4 --t 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Co Berkshire Hathaway Guard trtpany Name: / 2 Policy a or Self-ins.Lac.it: R2wc202669 Expiration Hate: Z1 / f,�,� Job Site Address: (_ °�t S city�stat t....4.,f '11` ___M`—old Attach a copy of the workers'compensation policy declaration page(showing the poxes number and expiration data). Failure to secure coverage as required under Section 25A of MUL e.1S2 can lead to the imposition of criminal penalties of a fine up to Si.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a line 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. .1 do hereby certify under the pains and penalties of perjury that the inforieurtion provided above is true and correct. Signature:, '11 L ' / 2t/ aia-zoo-sees Official use only. Do not write in this area,to be eon:pined by city or town official. City or Tossii• PermitJLieense# 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#: .�....-____ , __ _ �oR1®A CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) o5/12 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 CONTACT Adina Edgett,CISR NAME: Webber&Grinnell PHONE (413)586-0111 FAX (413)586 6481 (A/C.No.Ext): (NC,Ho): 8 North King Street E-MAIL aedgett@webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC 0 Northampton MA 01060 INSURER A: Admiral Ins Co/BRECK INSURED INSURER B: Plymouth Rock Assurance Peak Performance Roofing,LLC INSURER C: WVCAR-Berkshire Hathaway GUARD Attn:James Flannery INSURER D: 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 3 CLAIMS-MADE XI OCCUR PREMISES(Ea occurrence) $ �'� MED EXP(Any one person) $ 5,000 A CA00003521803 07/07/2021 07/07/2022 PERSONAL&ADV INJURY $ 1'0,0 GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'�'� XIPOLICY n 70. n LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Employee Benefit $ 2,000,000 AUTOMOBILE LIABILITY B®MBINMB-SING E LIMIT $ 1,000,000 (Ea accident) , ANY AUTO BODILY INJURY(Per person) $ B OWNED x SCHEDULED PRC00001007091 06/27/2021 06/27/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS V HIRED •,I NON-OWNED PROPERTY DAMAGE $ _ AUTOS ONLY /`iii AUTOS ONLY (Per accident) Medical payments $ 5,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION e PEROTH STATUTE ER AND EMPLOYERS'LIABIUTY Y I N C ANY PROPRIETOR/PARTNER/EXECUTIVE n OFFICER/MEMBER EXCLUDED? N IA R2WC202869 04/27/2022 04/27/2023 E.L.EACH ACCIDENT $ 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500.000 _ _ If yes,describe under r -� DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ WC:James Flannery is excluded 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 lip-Drips ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD • 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 Q 201M436/17 ie rem/�eii ///of. //,�ii trri/�i��//,i of oneurner is& uslness Regutatfon 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 1 FLANNERY LOVEFIELD 1 LOVEFIELDLD ST .i; '!o-t (((fff JJJ 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 nsiriiGt1Orii Supe . less than 35,000 cubic feet(991 cubic meters)of enclosed 3. space. CS-103061 Expires: 09/21›1‹` JAMES J FLANNERY 1 WILLIAMS ST HOLYOKE MA 01040 Failure to possess a current edition of the Massachusetts Commissioner ��•c:-` State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass_govldp1 'Rdln.9 .4.x4 . a C 1VQ 061 J e - S4-a-k-L cl416_1 uJU Ca f S DocuSign Envelope ID.E6BF9C2D-E876-40E0-9F00-1B2F5960483D EP Performance Roof IAA: 1 l�cwefield St. P' ' K a�s$MAOaU27 PERFOR ,.. NCE peakperlonnancu Fmgik@gmail.com R 0 • FIN MA HIC NJ$3693 A C141103061 Contract Ammo CONTRACT a 1 t 31 Kathy Peterson DATE 07 r 61 Olive Street Northampton,MA 01060 734-709-2774 kathy.s.peteracrn gmsil.com JOB IOCATlON 61 Olive Street,Northampton DESCRIPTION i.Remove the existing roof materials 2. Inspect the sheathing for any rot or deterioration.Any new plywood necessary will be$ 00 per sheet installed.Any new roofing boards will be$6 per foot installed.(Wood prices subject to ch ge based on market fluctuations) 3.Install 3'of CertainTeed Winterguard HT(High Temperature)ice& water shield at the ayes,and any applicable valleys. 2'at any applicable transitions/chinnaeys/skylights 4.Install synthetic underlayment on all remaining areas of the roof. 5,Install 24-gauge standing scam metal roof system. 16"wide panels with 1.5' mechanical seams. Brand: Sheffield or equal hupsa/tificldrnetals.roniicarninkcentcr/profalc/smi-l-5- .1 ical-seam/ Color Choice: CHARCOAL ORn 6.Ensure the sheathing is cut at the ridge to allow for proper exhaust ventilation.Install v- , "z" enclosures and fasten ridge cap to"z"enclosures.hops://www.standingseatrrrroofvent.corn/ • vent- products 1 7.Complete all necessary (lashings including new LIFETIME pipe boot and hale 1lasiii g around chimney Remove all debris from premises,and throughout the job,continue cleanup and i the s undamaged.WE ARE NOT RESPONSIBLE FOR DEBRIS THAT MAY FALL TO A .Please use reasonable caution during the installation process:do not walk or drive under active w , on areas of potential roofing debris.Peak Performance Roofing will obtain the building permit.Instal ions arc weather permitting;inclement weather will cause scheduling delays. 1 Total =$1 9,600 DESCRIPTION Velux Manual Venting Skylight=$2300 TOTAL = 21,900 A one-third deposit of$7300 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. r o«s H„�a�r TOTAL $21,900.00 poursow /11/2022 Accepted By Accepted Date