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31A-214 (2) BP- 022-1081 53 HARRISON AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31A-214-001 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-2022-1081 PERMISSIONIS HEREBY GRANTE I TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 16320 LLC CS-103061 Const.Class: Exp.Date:09/21/2022 Use Group: Owner: SHULMAN, SETH M. &REED, LAUR W. 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:09/01/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-SHINGLE 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 VIO ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: ' Q el or , X► • Ii5V Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner DocuSign Envelope ID:05CA6604-1903-47C3-80D5-6A3DFDAA51 F6 • The Commonwealth of Massachusetts 4 'f i= Board of Building Regulations and Standards FOR . q�,•' '' I ` Massachusetts State Building Code,780 CMR MUNICIPALITY USE Building Permit Application To Construct,Repair.Renovate Or Demolish a Revised Mar 2011 IOne- or Two-Family y Dwelling �. - < . This Section For Official Use Only i 1 Building Permit Number: 6� nQ d3� lt�Ol Date Applied: ! i‘t)i A-)71Z, /Z.Z q-/- 2' OZZ Building Official(Print Name) Signature Date SECTION I: SITE INFORMATION 1.1 Property Address: 53 Harrison Ave, 1.2 Assessors Map& Parcel Numbers Northampton 1.1a Is this an accepted street?yes no Map Number Parcel 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 I Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private 0 Zone: _ Outside Flood Zone? Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Laura Reed & Seth Northampton MA 01060 Shulman Name(Print) City,State,ZIP 53 Harrison Ave laurawreed@gmail.com, 413-582-7044/413-320-2070 sethshulrnanV mail Corn No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK?(check all that apply) New Construction 0 ( Existing Building 0 Owner-Occupied 0 I Repairs(s)XID Alteration(s) 0 Addition 0 Demolition ElI Accessory Bldg. 0 Number of Units I Other Specify: Roofing Brief Description of Proposed Work`: Strip & replace asphalt rooting SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building s 16320 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical i S I ❑Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing S 2. Other Fees: S 4.Mechanical (HVAC) j S List: 5.Mechanical (Fire $ Suppression) Total All Fees:S 6.Total Project Cost: g 16320 Check No"41 0 Check Amount: ""1,`� Amount'Cash Amot, 0 Paid in Full D Outstanding Balance Due: DocuSign Envelope ID:05CA6604-1903-47C3-80D5-6A3DFDAA51 F6 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 U List CSL Type(see below) No.and,StOlyOke, MA 01040 Type Description r� U Unrestricted(Buildings up to 35,000 cu. fl.) R Restricted 16:2 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 1 I Insulation Telephone Email address I D Demolition 5 '2 geaKverrormanoe Hooting, (HIC) 183698 11/03/2023 LLCM HIC Registration Number Expiration Date HIC f:gm8tn1�� ple, hiC Registrant Name peakperformanceroofingllc@gmail.com No.and Streets Easthampton,lUi MA 01027 413-203-5888 Email address Cityul'own,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) E 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 *l No ❑ i SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WI-IEN 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 ail matters relative to work authorized by this building permit application. a csttM .AAA�a,,,a, " "" 8/22/2022 not wver's Name(Electronic SireDee 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 e best of my latowledge and understanding. James J. Flannery el. 11 71,I Print Owner's or Authorized Agent's Name( ectro is Signature) 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 underM.G.L.c. 142A. Other important information on the HIC Program can be found at 1 w,,vw.mass.gov/oca Information on the Construction Supervisor License can be found at w<sw.mass.t ov'dgs 2. When substantial work is planned,provide the information below: Total floor area(sq. fr.) (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" 41, �1 , The City of Northampton Building Department � . 212 Main Street " 4,3'`�� Northampton, Massachusetts 01060 Phone (413) 587-1240 Fax (413) 587-1272 CONSTRUCTION DEBRIS _A 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. 4'1)9The debris will be disposed of in: I 'UQti £eLL.qt Location of Facility '`� v Vv1 A.) The debris will be transported by: • #7 Name of Haule Di/ 1 G"" " 1 1OIZ ' (/1 — .(i.-- -_,-, 1 ra/i?/2 Signature of Applicant: Date: The Commonwealth of Massachusetts Department of Industrial Accidents w i_= Office of Investigations '= 600 Washington Street ,.. , Boston,MA am 240, �„�'y www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print'Le lit Name musines )r$aniratiott;it, ividua.1): Peak Performance Roofing, LLC Address: 1 Lovefield St. City/State/Zip: Easthampton, MA 01027 Phone #: ___._ 413-203-5888 Are ypu an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 New i vnstantc titnt 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have R. Q Demolition working for me in any capacity. employees and have workers' [No workers'camp.insurance comp.inStn ntlee$ 9. Building . ,., required.) 5. 0 We are a corporation and its 10.0 Electrical , or additions 3.0 I am a homeowner doing all work officers have hired their 11.0 Plumbing . ,,„ or additions myself.[No workers'comp. right of exemption per MGL 12.V�Rswf repairs insurance required.] ' c.152,PO),and we have no employees.[No workers' 11E] Other comn.insurance 'Any applicant that checks box 8I must also fill out the section below showing Weir workers'cowcitsation policy information, itnntc:ow,ars who submit this affida%it indicating they are doing all work and then hire outside eontrac urn..must.ubmit a new affidavit hid "sotto;sus h, 'Contractors that check this box must attached an additional sheet!thawing the nine of the snb-eastnieion•and state whether or not those• ,ter,hose employees. If the 5ub-Contraciar5 have empiocc.-ihcy muse protiidc 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+f or Self-ins.Lie.ft: R2WC202869 Expiration�e: � Z1 iah�z5 Job Site Address: /�� l 1 1'L L` 1W/ _ ________—_City/State/Zip- M 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 he forwarded to the Office of Investigations of the DIA for insurance coverage verification. l do hereby certify under the pains and penalties of perjury that the information provided above is tree and correct. 'rqSim: (�� «� - Date: Teri phonelt: 413-210©-5888 1_ ----------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.Cityfl own Clerk 4.Electrical inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ---_-- 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 . SCA 1 0 2014-05/17 Off(ce7of Consumer A• Business Regulation Affairs& usiness Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. If found return to: Registration Exaiation 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. Fir EASTHAMPTON,MA 01027 Not valid without signature Undersecretary Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor Unrestricted-Buildings of any use group which contain •;onstruetior, Supervisor �� less than 35,000 cubic feet(991 cubic meters)of enclosed space. CS-103061 Expires: 09/211l . JAMES J FLANNERY • 1 WILLIAMS ST HOLYOKE MA 01040 n Q Failure to possess a current edition of the Massachusetts Commissioner �w State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.govldpl Lu-Q a 4. a C-hv.Q OY'I t Y1 • d42-1a1 w -\A ca rc.)5 • AC CERTIFICATE OF LIABILITY INSURANCE DATE ( o22Y) 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 CONTA 9 CT Adina Edgett, CISR NAME: Webber i Grinnell Ex.. (413)586-0111 FAX c413t5e4-e481 8 North Ring Street E-MAIL ADDRESS: aedgettewebberaadgrinaell.com INSURER(S) AFFORDING COVERAGE NAIC• Northampton MA 01060 INSURER A:Crum i Forster Specialty/BRECK INSURED INsuRER B:Plymouth Rock Assurance 14737 Peak Performance Roofing, LLC at48URERc:PfCAR- Berkshire Hathaway GUARD Attn: James Flannery INSURER D: 1 Lovefield Street INSURERE: Easthampton MA 01027 INSURERF: 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 POLIE Y 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. IISR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP airs LTA VIVO VD POLICY NUMBER (MDOIYYYY) I�llivoO YYYYI I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A CLAIMS-MADE Z OCCUR DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ 0L0089451 7/7/2022 7/7/2023 MED EXP(Any one person) $ 5,000 PERSONAL&ACM INJURY i $ 1,000,000 GEN'L AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE $ 2,000,000 z POLICY PRO- JECT LOC 1 PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER $ AUTOMOBILE LIABIUTY COMBINED SINGLE LIMIT S 1,000,000 (Ea accident) B ANY AUTO BODILY INJURY(Per person) S AUT ALLY ED v SCHHEEDULED PRC00001007091 6/27/2022 6/2T/2023 BODILY INJURY(Per academt) S z HIRED AUTOS Z NON-OWNED PROPERTY DAMAGE S — ^ AUTOS (Per aL,,dmit) Med,cal payments S 3,000 / UMBRELLA!JAB _ OCCUR EACH OCCURRENCE S — EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1 DED RETENTION S S WORKERS COMPENSATION I PER OTH, AND EMPLOYERS LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E-L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? I N/A C (Mandatory In NH) R214C342657 4/27/2022 4/27/2023 E.L.DISEASE-EA EMPLOYEE S 500,000 It yes.describe under James Flannery is excluded DESCRIPTION OF OPERATIONS belowYE.L.DISEASE-POLICY LBM' $ 500,000 1 1 1 , DESCRIPTION OF OPERATIONS/LOCATIONS/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 ANCELLED BEFORE Proof of Insurance THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELI ERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �`l W Grinnell, CPCL', CIC 11Y-- Z) y'-^--"► V;1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025,.U14on DocuSign Envelope ID 05CA6604-1903-47C3-80D5-6A3DFDAA51 F6 Peak Performance Roofing LLC 1 Lovefield St. Easthampton, MA 01027 413-203-5888 P E peakperformanceroofingllc@gmail.com PERFORMANCE ROOFING MA HIC #183698 MA CSL#103061 ADDRESS Laura Reed& Seth Shulman 53 Harrison Ave, Northampton 413-582-7044/413-320-2070 laurawreed@gmail.com sethshulman@gmail.com ESTIMATE# 10767 08/22/2022 JOB LOCATION 53 Harrison Ave. Northampton ACTIVITY DESCRIPTION QTY RATE AMOUNT Asphalt The contract itemizes the existing lower slope roof separately. See email for 1 16,320.00 16,320.00 Residential visual. 1. Remove the existing roofing shingles 2. Inspect the sheathing for any rot or deterioration. Any new plywood necessary will be $80 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: MAX DEFINITION COBBLESTONE GRAY httpsi/www.certainteed.com/residential-roofing/products/landmark-pro/ 7. Install Shingle Vent II 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 DocuSign Envelope ID:05CA6604-1903-47C3-80D5-6A3DFDAA51 F6 ACTIVITY DESCRIPTION QTY RATE AMOUNT 9. Apply Gaco Roof silicone coating to the existing low slope roof according to manufacturer's specifications. https://gaco.com/product/gacoroof/ 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.Installations are weather permitting; inclement weather will cause scheduling delays. Peak Performance Roofing will obtain the building permit. Warranty confirmation shall be provided upon final payment. Installation and manufacturer warranties are not in effect until Paid In Full. Includes CertainTeed Lifetime Limited Warranty (Transferable)with 10 year SureStart period. https://www.certainteed.com/resources/AsphaltWarranty_CTR3782_1912E.pdf COST SUMMARY: Main House Roof- LANDMARK PRO SHINGLES: $15,120 Low Slope section of roof: $1200 TOTAL: $16,320 A one-third deposit of$5,440 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. TOTAL $16,320.00 DocuSigned by: (�_�,_ 5� fi,nLL d p AKA.u, �ed 8/22/2022 Accepted By ' 73E00992D48F44B Accepted Date 8/22/2022 DocuSigned by: Sri,, 5 2 tuvd. du uA. . km& 73E00992D48F44B.