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29-277 (6) BP- 022-1312 335 BROOKSIDE CIR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-277-001 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-2022-1312 PERMISSION IS HEREBY GRANT ID TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 7125 LLC CS-103061 Const.Class: ' Exp.Date: 09/21/2024 Use Group: Owner: M LAPLANTE ROYAL W & KAREN Lot Size (sq.ft.) Zoning: URA Applicant: PEAK PERFORMANCE ROOFING LLC Applicant Address Phone: Insurance: 1 LOVEFIELD ST 413-203-5888 R2WC342657 EASTHAMPTON, MA 01027 ISSUED ON: 10/13/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-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 VIO ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 3-11 • Fees Paid: S40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner DocuSign Envelope ID:31A2FB8D-63FC-4642-B838-EDFBDDADE1C5 �c OC/. /✓ ` y, The Commonwealth of Z. . etts 7 UOR Board of Building Regulations'aind '• ds Massachusetts State Building Code,i t e�.' r 0(� �'� TY •4ij)/4' USE Building Permit Application To Construct,Repair,Reno : " I ' a?�; ': 1 a ' ed Mar 2011 One-or Two-Family Dwelling '4 o, 1, 004,4, This Section For Official Use Only / . Building ermit Number. £O 42'- • /3/L Date Applied: Eui�/ Z5 1/ lU i3 zvz Building Official(Prim Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 335 Brookside Circle, 1.2 Assessors Map&Parcel Numbers Florence Z 1.1a Is this an accepted street?yes no Map Nuum er Parcel Nu bb, 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Usc Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards l Rear Yard Required Provided Required Provided I Acquired Provid¢d 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private Zone: — Outside Flood Zone? Check ifyrsD MunicipalDn site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Larry LaPlante Florence, MA Name(Print) 335 Brookside Circle City,State.ZIP Iblaplante95@gmail.com 413-230-8286 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction o 1 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition ❑ Accessory Bldg.Cl Number of Units Other Ti Specify: Roofing Brief Description of Proposed Work2: Strip and replace asphalt roof on house. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Offi (Labor and Materials) dial Use Only 1 1.Building S 7125 1. Building Permit Fee: $ Indicate how fee is determined: ' 2.Electrical S O Standard Citylfown Application Fez D Total Project Cost3(Item 6)x multiplier x 1 3. Plumbing S 2. Other Fees; S 4.Mechanical (IIVAC) 1 S List; 5.Mechanical (Fire $ Suppression) Total All Fees:S L-M 7125 Check No. q(q Check Amount: Cash Amount; 6.Total Project Cost: S O Paid in Fu7) 0 Outstanding Balance Due: DocuSign Envelope ID:31A2FB8D-63FC-4642-B838-EDFBDDADE1C5 SECTION 5: CONSTRUCTION SERVICES 5.1 C'onstruction Supervisor License(CSL) —CSL-103061 09/21/2024 James J. Flannery License Number Expiration Date Name o`CSI_Holder �f List CSL Type(see below) �:o and r t Type Description Holyoke, MA 01040 rJ Unrestricted(Buildings up to 35,000 cu.a.) R Restricted l&2 Family Dwelling City own.State,ZIP M Masonry RC Roofing Covering WS Window and Siding 413-203-5888 peakperformanceroofinglIc@gmail.com SF Solid Fuel Burning Appliances Insulation Telephone Email address D_ Demolition 5'2l-'d K Heriormance`Hooting°LL(..J. icy 183698 11/03112023 �,; TIC Registration Number Expiration Date HIC{:r�mm lel'Ia (sjimC Registrant Name peakperformanceroofinglic@gmail.com No.and Sueet Easthampton, MA 01027 413-203-5888 Email address City/Town,State,ZIP Telephone t SECTION 6:WORKERS'COMPENSATIONi INSURANCE AFFIDAVIT(M.G.L.e.152.IF 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, James J. Flannery/ Peak Performance Roofing LLC hereby authorize to act on my behalf.in ail matters relative to work authorized by this building permit application. 1,,,,_ A.1410 0- 10/6/2022 Mari 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 r/*fa< Print Owner's or Authorized Agent's Name(Electronic 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 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 www.mass.tov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or perch) 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 N umber of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" ORt)"A CERTIFICATE OF LIABILITY INSURANCE DATE IMM/DD/YYYY) Ilarw--- 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 Miva EQ ett, CISR NAME: $ Webber S Grinnell PHONEo.Exll: (413)586-0111 FAX yvc,mit Islf/sss-sus WC.N E-MAIL 8 North King Street aedgett2webberandgrinnell.coi ADDRESS _INSURERjSZAFFORDING COVERAGE NAIC a _— No rt hampton MA 01060 INSURER A.Crum 6 Forster Specialty/BRECK INSURED INSURER B:Plymouth Rock Assurance 14737 Peak Performance Roofing, LLC INSURER C:WCAR- Berksbire Rat haway GUARD • Attn: James Flannery INSURERD 1 Lovefield Street INSURERE Easthampton MA 01027 INSURER F: I 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 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 ADM SUBR POLICY OFF POLICY EXP LTR TYPE OF INSURANCE INSD WVO POLICY NUMBER IMM/DD/YYVY) (MM/DDYYYYYT LIMITS % COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 A 1 CLAIMS-MADE 1.-.R i OCCUR DAMAGE TO RENTED S 100,000 PREMISES 1Ea accurrenc.t ' 0E0089451 7/9/2022 7/7/2023 MED EXP Any one Inman) $ 5,000 PERSONAL$ADV INJURY $ 1,000,000 GENt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE _ $ 2,000,000 X POLICY n JJJ LOC PRODUCTS•COMP/OP AGG $ 2,000,000 OTHER S AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT CEf worn.) f 1,000,000 B ANY AUTO BODILY INJURY(Per pease) $ ' ALL OWNED i SCHEDULED PRC00001007091 6/27/2022 6/27/2023 BODILY INJURY(Par exd/Os1I) $ AUTOS AUTOS a NON-OWNED PROPERTY DAMAGE I HIRED AUTOS X AUTOS (Par scclderllt $ Mediae payments - _-�$ 5,000 • UAB _ OCCUR EACH OCCURRENCE $ ~— EXCESS UAB CLAIMS-MADE AGGREGATE ,S OED RETENT ON S $ WORKERS COMPENSATION I 1 z (fTATl1TE ' „ell AND EMPLOYERS'LIABILITY YIN I J ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? I N/A C (MOndetory in NH) R2WC342657 4/27/2022 4/27/2023 E.LDISEASE-EAEMPLOY!E $ 500,000 H yes.describe Linder DESCRIPTION OF OPERATIONS below James Flannery is excluded EL.DISEASE•P000VLImT $ 500,000 l DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES IACORD 101,Additional Remarks Schedule.may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof of Insurance THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �J ,1, W Grinnell, CPCU, CZC F.a_ Z f,..1 © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 . sOk Ui' ianet ai 'l �/// G�../XCl ek/7%/, 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: 183688 1 LOVEFIELD ST. Expiration 11/03/2023 EASTHAMPTON,MA 01027 Update Address and Return Cord, lA f J yJ ►17 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: 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 FLANNLRY ''r ✓�� ) Y�I 1 LOVEt iELD ST. EASTHAMPTON,MA 01027 Undersecretary Not valid without signature Commonwealth of Massa clwseits Division of Professional Licensur,e Construction Supervisor Board of Building Regulations And St9$ (Us Unrestricted-Buildings of any use group which contain ;& .'ir+:iG" ti ; v.Y✓' less than 35,000 cubic feet t991 cubic meters)of enclosed space. CS-103061 Expires 09i21JZ1.4 JAMESJFLANNERY f WILLIAMS ST HOLYOKE MA 01040 CAL ! Failure to possess a current edition of the Massachusetts Commissioner State Building Code is cause for revocation of this license. For information about this license Call(517)7Z7-3209 or visit www.mass.govfdpl jAffil 1)'e te. fbriQ PL& cilZ7 Httc? r.. ttd d4/f i C4-146 The Commonwealth of Massachusetts Department of Industrial Accidents ari.114111, _ ._= Office of Investigations 4 ' "" 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 Lovefieid 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. [j I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. 0 New construction 2.[] I am a sole proprietor or partner- listed on the attached sheet. 7. U Remodeling ship and have no employees These sub-contractors have 8. El Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition (No workers'comp.insurance comp.insurance. required_] 5. [l we are a corporation and its 10_[]Electrical repairs or additions 3.[] I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself.(No workers'comp. right of exemption per MGL 12.[l�I2oaf repairs insurance required.] ' c. 152,*1(4),and we have no employees.[No workers' 13.0 Other —_ comp.insurance required.] *Any applicant that checks box NI mutt also fill out the section below showing their workers'compensation policy intvrmation. 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 stale whether or not those entities have employees. If the sub-contractors have employees_they(nest 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 /t or Self-ins.Lic.#: R2WC202869 Expiration Dom: 04/2�7//20023 y Job Site Address: 1 ✓ ' 6roolc5tp62...- C4 lam& r.�4" City/State/Zipl'—4, *4 1 —" 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 S 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. 1 do hereby certify under the pains and penalties of pedury that the information provided above is true and correct. Ste: ,,j,1 ;n, (a/ i2j1/ phone ty: 413-203-.5888 j Official use only. Do not write in this area,to he completed by city or town official. City or Town: Permit/License I/ 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#: DocuSign Envelope ID:31A2FB8D-63FC-4642-B838-EDFBDDADE1C5 Peak Performance Roofing LLC 1 Lovefield St. Easthampton, MA 01027 413-203-5888 P E peakperformanceroofingllc@gmail.com PERFORMANCE ROOFING MA HIC 11183698 MA CSL#103061 ADDRESS Larry LaPlante 335 Brookside Circle Florence, MA 413-230-8286 Iblaplante95@gmail.com ESTIMATE# 10816 10/06/2022 JOB LOCATION 335 Brookside Circle ACTIVITY DESCRIPTION QTY RATE AMOUNT Asphalt HOUSE ONLY. The contract does NOT include the detached garage. 1 ',125.00 7,125.00 Residential 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 DEF CHARCOAL BLACK https://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. Remove all debris from premises, and throughout the job, continue cleanup and keep the premises undamaged. WE ARE NOT RESPONSIBLE FOR DEBRIS DocuSign Envelope ID.31A2FB8D-63FC-4642-B838-EDFBDDADE1C5 ACTIVITY >ESCRIPTION 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 budding 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/Asphalt_Warranty_CTR37821912_E.pdf Total: $7125 A one-third deposit of$2375 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 $7,125.00 DocuSigned by14, : ,.,�1 CV- °``'I 10/6/2022 Accepted By �C10E8F852F28489 Accepted Date ��� y ' k`,, The City of�'�iorthampton =fit Building Department 'ta_ — 4 212 Main Street ` p • J9"' s"`�'' Northampton Massachuntts 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; s1 5OA. The debris will be disposed of in: ( . Location of Facility 'V The debris will be transported by: Name of Hauler AlArrn 2)1/") Signature of Applicant: Vf-' 11c1. Date: (p7/WI (0( 7