43-146 (3) BP 022-0972
173GREENLEAF DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
43-146-001 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-2022-0972 PERMISSION IS HEREBYGRANTE/ TO:
Project# roof/skylight Contractor: License:
PEAK. PERFORMANCE ROOFING
Est. Cost: 26550 LLC CS-103061
Const.Class: Exp.Date:09/21/2022
Use Group: Owner: KAITLYN PATRICK ERIC&
Lot Size (sq.ft.)
Zoning: WSP Applicant: PEAK PERFORMANCE ROOFING LLC
Applicant Address Phone: Insurance:
1 LOVEFIELD ST 413-203-5888 R2WC202869
EASTHAMPTON, MA 01027
ISSUED ON:08/12/2022
TO PERFORM THE FOLLOWING WORK:
STRIP AND RE-SHINGLE ROOF, REPLACE SKYLIGHTS
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 VIOL• TION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: I
>2 41-11777---���� _ Sri
Fees Paid: $80.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
DocuSign Envelope ID:6126DD6D-8D4F-43A6-8516-9E868996D48F
Vb-e
The Commonwealth of MasSach s )�
\ Board of Building Regulations and S rid Q�� 1 �022 FO ALITY
Massachusetts State BuildinAZ1g Cbde,, 0 CMR USE
nr,r
Building Permit Application To Construct,Reipair,Renn�r R ised Mar 2011
One- or Two Family Dwe1Gng-�— MPT 1.07O60cNs
This Section For Official Use Only
Building Permit Number: 15P 1)--q 7)- Date Applied:
ZkAik.) �s j/ 7 8-1Z-�ZZ
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 173 Greenleaf Dr. 1.2 Assessyls3ap&Parcel Numbers
44 Le
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
I -
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,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record: Eric Patrick Northampton, MA
Name(Print) 173 Greenleaf Dr. City,State,ZIP
413-695-4201 ericmpatrick@gmail.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s)kl Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg.0 Number of Units other 'i Specify Hoofing
Brief Description of Proposed Work2: Strip & replace asphalt rooting, replace skylights
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building S 26,550 1. Building Permit Fee: $ Indicate bow fee is determined:
2.Electrical g 0 Standard City/Town Application Fee
1 ❑Total Project Cost'(Item 6)x multiplier x
3.Plumbing S 2. Other Fees: S
4.Mechanical (1•IVAC) S List:
5.Mechanical (Fire
Suppression) Total All F`FTs:S
26,550 Check No.'1 Check Amount Cash Amount
6.Total Project Cost: $ ❑Paid in Full El Outstanding Balance Due:
DocuSign Envelope ID:6126DD6D-8D4F-43A6-8516-9E86B996D48F
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CSL-103061 09/21/2022
James J. Flannery
License Number Expiration Date
Name of CSL Holder (,f
List CSL Type(see below)
No.and t Type Description
Io�yoke, MA 01040 U Unrestricted(Buildings up to 35,000 cu. ft.)
R Restricted 1&2 Family Dwelling
Cityfrown,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
413-203-5888 peakperformanceroofinglIc@gmail.com SF Solid Fuel Burning Appliances
Insulation
Telephonephe g Email address D Demolition
5.2 l'eak enormance`Hooting, LL(..°r(HIC) 183698 11/03✓2023
�, FEC Registration Number Expiration Date
H1Cfreo lglU t1-IIC Registrant Name peakperformanceroofingllc@gmai.corn
No.8nd Street Easthampton, MA 01027 413-203-5888 Email address
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 No 0
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subjectherebyauthorize James J. Flannery/ Peak Performance Roofing LLC
property,
]
to act on my behalf,in all matters relative to work authorized by this building permit application.
Cfric P 8/8/2022
Pnnilrva s Name(Electronic Signature) 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 11, JZo —
Print Owner's or Authorized A ent's Nam- 0 a .. c Si e Date
S �
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(Ii1C)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
www.mass.gov/oca Information on the Construction Supervisor License can be found at u w v.mass.gov/dubs
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"
Agerat 4 The City of Naithampton
Building Department
212 Main Street
"' f Northampton, Massachusetts 01060
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 this work shall be disposed of in a
properly licensed waste disposal facility as defined by MGL c 111, s150A.
The debris will be disposed of in: /" `
Location of Facility i ) 7 "' `
The debris will be transported by:
1/19) da-610-
Name of Hauler )/(/
Signature of Applicant: Date: S I �/
iiik The Commonwealth of Massachusetts
_,, Department of Industrial A€cWents
•�'w".lit" `` Office of investigations
r,=, 600 Washington Street
-. -,7,-- Boston,MA 02111
' .—,.ti``' www.mass,govldia
Workers' Compensation Insurance davit:Bidder Costractora/Electricians/1iumbers
Applicant Information - _T-_____ Please PrintT t"c i!
Name($usiaessrorranization/i dividuali: Peak Performance Rooting, UST
Address: 1 Lovefield St.
Ci /State/Zt : Easthampton, MA 01027 Phone#; 413-203-5888
Are vars an tensp1eyer?Check the appropriate box: 1yPe de Prided(required):
1. am a employer with 4 4. 01 am a general contractor and 1
employees(full and/or part-time).* have hired the 6. 0 New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling
ship and have no employees These sub-contractors have B. 0 Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addluon
INo workers'comp.insurance comp.insmmace.
required" 5. 0 We are a corporation and its 10.0 Electrical repairs or additions
3.❑ 1 am a homeowner doing all wort: officers have exercised their 11.0 Plumbing repairs or additions
myself.(No workers'camp. right of exemption per MGL 12.111f1ioof repairs
insurance requited,)' c. 152,S1(4),and we have no 13,Q Other
employees.(No workers'
comp.insurance required.]
`Any 9ppticaot that checks box sl muse also fill out the section below showing their workers'eampeeriskw Palley iofotmttthon,
t Homeowhraen who submit this affidavit oohs AAMY t c are doing all work and then hire outside eaosanors worst admit a new affidavit indicating welt.
`-Contractors that check this box must auacix4 AO aid it. ►al .hcct showing the same of the sob-doctors and state whether or not those Oita%have
employees. U the sub-cr,nuactor%have ea iv.cc the) trill provide their wafters'cone.pansy number,
I am an employer that is providing workers'compensation mulls nee for my employees. Below is the polity id job site
information.
Insurance Company Name; Berkshire Hathaway Guard
Policy it or Self-ins.Lie,S: R2WC202869 Expiration Date: . .04 7/2023
i'1 k4j- n Le- JV '
Job Site Address:__ _ City/ststde/zip: ,..
Attach a copy of the workers'compensation policy declaration page(awbs the policy number and esplredas 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 S 1.500.00 and/or one-yew 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.
A
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
SIgriature: l)vtt• ( o 13 Je 2)51/7---
Phone/P.
413-203-5888 Sit
/
Official use only. DO not write in this area,to be Muted by city or town of
City or Town: PertnWLieeos-It_
Issuing Authority(circle one):
1.Board of Health 2. Building Department 3.Cttylfown Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: ---._ Phone rs �.
.0k Fromeizet,eleotwd/i et",OlarieJezeIke4e/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,UC. Registration. 183698
1 LOVEFIELD ST. Expiration 11/03/2023
EASTHAMPTON, MA 01027
Update Address and Return Card,
SCA/ d 2061414117
OM' of Consum r AfFairss&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
Construction Supervisor
Board of Budding Regulations and Standards
Unrestricted-Buildings of any use group which contain
'1c strlsetion Suoo-V,nior less than 35,000 cubic feet(991 cubic meters)of enclosed
n:21 3. space.
CS-103061 Expires 09/21z
JAMES J FLANNERY
1 WILLIAMS ST
HOLYOKE MA 01040 a,
�, Q }/� Failure to possess a current edition of the Massachusetts
Commissioner jv /��_ �' State Building Code is cause for revocation of this license.
For information about this license
Call(617)727-3200 or visit www.mass.govldpl
,86.3 u to Ca l S
CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDM YV)
7/21/2022
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 Adina Edgett, CISR
NAME- g
Webber & Grinnell (APHNONEo 6ctl (413)586-0111 FAX
(A)C.No): 413)5E6-64ai
/C.
8 North King Street E-MAIL aedgettewebberandgrinnell.com
ADDRESS:
INSURER(S) AFFORDING COVERAGE NA IC#
Northampton MA 01060 INSURER A:CrUm & Forster Specialty/BRECK
INSURED INSURER B:Plymouth Rock Assurance 14737
Peak Performance Roofing, LLC INsunERc:WCAR- Berkshire Hathaway GUARD
Attn: James Flannery INSURERD,
1 Lovefield Street INSURERE
Easthampton MA 01027 INSURER F:
COVERAGES CERTIFICATE NUMBER:Exp 06/23 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 BYTHE 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 SUER POLICY EFF POLICY EXP 1�
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) Li firrs
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE I $ 1,000,000
A CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES PREMISES (Ea occurrence( $
0L0089451 7/7/2022 7/7/2023 MED EXP(Any one person) $ 5,000
PERSONAL 8.ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000
X POLICY n PRO- [] LOC PRODUCTS-COMP/OPAGG $ 2,000,000
JECT
OTHER $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000
(Ea accident)
B ANY AUTO BODILY INJURY (Per person) $
ALL OWNED %SCHEDULED PRC00001007091 6/27/2022 6/27/2023 BODILY INJURY(Per accident) $
AUTOS AUTOS
NON-OWNED PROPERTY DAMAGE
X HIRED AUTOS X AUTOS (Per accident) $
Medical payments $ 5,000
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
,
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION X I STATUTE I I OERH
AND EMPLOYERS LIABILITY Y/N
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000
OFF CER/MEMBER EXCLUDED? Y N/A
C (Mandatory in NH) R2WC342657 4/27/2022 4/27/2023 E.L.DISEASE-EA EMPLOYEE $ 500,000
It yes.describe under
DESCRIPTION OF OPERATIONS below James Flannery is excluded E.L.DISEASE-POLICY LIMIT $ 500,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101.Additional Remarks Schedule.may be attached it more space is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CWNCELLED BEFORE
Proof of Insurance THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
W Grinnell, CPCU, CIC /j I ,
I
J 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INS025(201401)
DocuSign Envelope ID:6126DD6D-8D4F-43A6-8516-9E86B996D48F
Peak Performance Roofing LLC
1 Lovefield St. P E
Easthampton, MA 01027
413-203-5888 P E R F O R CE
peakperformanceroofingllc@gmail.com ROOFING
MA HIC#183698 MA C'L#103061
Contract
ADDRESS CONTRACT 10745
Eric Patrick DATE 07/29/2022
173 Greenleaf Dr.
Northampton, MA
413-695-4201
ericmpatrick@gmail.com
JOB LOCATION
173 Greenleaf Dr. Northampton
DESCRIPTION
1. Remove the existing roofing shingles
2. Inspect the plywood for any rot or deterioration. We will provide up to 64 square feet of plywood at no
cost. Any additional plywood will be $95 per sheet installed (wood prices subject to change)Remove and
replace approximately 20' of damaged rake edge trim with new lx6 primed pine
3. Install six feet of ice and water shield on eaves, three feet in any valleys, and three feet around all
penetrations. Cover entire "shed dormer" located at the back of the house with ice and water shield
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: MAX DEF PEWTERWOOD
https://www.certainteed.com/residential-roofing/products/landmark-pro/
7. Install Shingle Vent 11 ridge vent on peaks of roof
http://www.airvent.com/index.php/products/exhaust-vents/ridge-vents/shinglevent2
8. Complete all necessary flashings including new LIFETIME pipe boots and base flashing ar nd
chimney
9. VELUX SKYLIGHTS: TOTAL 4
(3)Manual venting: $1800 each = $5400
(1)Fixed, non-venting: $1500
(2) Blinds: $400 each= $800/Color: white
*Federal tax credit available for solar products. http://www.veluxusa.com/help/tax-credit
Remove all debris from premises, and throughout the job, continue cleanup and keep the prem ses
DocuSign Envelope ID:6126DD6D-8D4F-43A6-8516-9E86B996D48F
DESCRIPTION
undamaged. WE ARE NOT RESPONSIBLE FOR DEBRIS THAT MAY FALL INTO THE TTIC.
Please use reasonable caution during the installation process: do not walk or drive under active work or on
areas of potential roofing debris. Installations are weather permitting; inclement weather will 'ause
scheduling delays.
COST SUMMARY:
Landmark PRO shingles=$18,450
Skylights/Blinds= $7,700
Increasing costs of materials/dumpster: $400
TOTAL: $26,550
A one-third deposit of$8,850 will secure contract, permitting, material order, and priority sch, during.
The balance shall be due upon completion, within 10 days of invoice. Accounts outstanding over 30 days
subject to 2%finance charge monthly.
Includes CertainTeed Lifetime Limited Warranty (Transferable)with 10 year SureStart period.
https://www.certainteed.com/resources/Asphalt Warranty__CTR3782 1912_E.pdf
TOTAL $ 46,550.00
�DocuSigned by:
G Patrick 8/8/2022
`-1C17F1C297E642D
Accepted By ...
Accepted Date