31A-201 (5) BP-2024-0491
40 WASHINGTON AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
31A-201-001 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-2024-0491 PERMISSION IS HEREBY GRANTED TO:
Project# ROOF 2024 Contractor: License:
PEAK PERFORMANCE ROOFING
Est. Cost: 12200 LLC CS-103061
Const.Class: Exp.Date: 09/21/2024
Use Group: Owner: GIRARD,WILLIAM M. &DOHERTY, BLAKE E.
Lot Size (sq.ft.)
Zoning: URB Applicant: PEAK PERFORMANCE ROOFING LLC
Applicant Address Phone: Insurance:
1 LOVEFIELD ST 413-203-5888 R2WC342657
EASTHAMPTON, MA 01027
ISSUED ON: 04/24/2024
TO PERFORM THE FOLLOWING WORK:
STRIP AND REROOF
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: 6'2.
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
DocuSign Envelope ID:3C18E124-8407-4C36-9A1B-97D1367A6434
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I "'• , The Commonwealth of Matsachvisetts
I:4 it Board of Building Regulation g and'St s
FOR
780-44+C:W//vr..;
Massachusetts State Building Code,
/ MUNICRALITY
/ USE
Building Permit Application To Construct,Repair,Renovate-6034pt ifevised Mar 2011
.-----...06o
One- or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: ( 2' )v-4/1/ Date Applied:
cilli 1._) iZ, /1 Li-zii-gozif
Building Official(Print Name) Signature Dare i
SECTION I: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
40 Washington Ave.
1 1.1a Is this an accepted street?yes DO 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
I Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(114.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: Outside Flood Zone?
Public 0 Private 0 _____ Municipal 0 On site disposal system 0
Cheek if yesr3
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Blake Doherty Northampton
Name(Prim) City,State.ZIP
40 Washington Ave. +1 (973) 459-1995 blakedoherty@gmail.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
...
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg.0 Number of Units I Other 0 Specify:
Brief Description of Proposed Work2: Strip and rep1ãasphaIt
Install EPDM on low slope areas.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item Official Use Only
(Labor and Materials)
1.Building S 12200 1. Building Permit Fee: $ Indicate bow fee is determined:
0Standard City/Town Application Fee
2.Electrical S
0Total Project Costa(Item 6)x multiplier x
1 3.Plumbing I s 2. Other Fees: S
4.Mechanical (IIVAC) I $ List:
5.Mechanical (Fire
$Suppression) Total All Feesji3O
Check No. i4G1 check Amount:1/14° Cash Amount:
1 6,Total Project Cost: $ 12200 0 Paid in Full 0 Outstanding Balance Due:
1
DocuSign Envelope ID:3C18E124-8407-4C36-9A1 B-97D1367A6434
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS-103061 09/21/2024
James Flannery License Number Expiration Date
Name of CSL Holder i U
1 Lovefield St. List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 33,000 cut.ft.)
Easthampton, MA 01027 f R Restricted l&2 Family Dwelling
City(I own,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
413-203-5888 peakperformanceroofinglIc@gmail.com I Insulation
Telephone Email address i D Demolition
5.2 Registered Home Improvement Contractor(HIC) 183698 11/03/2025
James Flannery/ Peak Performance Roofing LLC HIC Registration Number Expiration Date
HIC Compmy"a e or WC Registrant Name
1 LovefieId St. peakperformanceroofinglIc@gmail.com
No.and Street Email address
Easthampton, MA 01027 413-203-5888
R City; own,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 Nite No 0
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorizeJames Flannery/Peak Performance Roofing LLC
to act on my behalf,in all matters relative to work authorized by this building permit application.
4/12/2024
FtriiiT wner'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 Flannery ��"�� Fant'.ar,Lt 4/8/2024
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.trov/oca Information on the Construction Supervisor License can be found at www.mass.nov!dps
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"
The Commonwealth of Massachusetts
=' t.— 1. Department of Industrial Accidents
,� 1 Congress Street, Suite 100
_ �- Boston, MA 02114-2017
�� �' wwmass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): PEAK PERFORMANCE ROOFING, LLC
Address: 1 LOVEFIELD STREET
City/State/Zip:EASTHAMPTON, MA 01027 Phone #:413-203-5888
Are you an employer?Check the appropriate box: Type of project(required):
1.❑✓ I am a employer with 4 employees(full and/or part-time).* 7. ❑New construction
2.1:I I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling
any capacity.[No workers'comp.insurance required.]
3.0 I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
9. El Demolition
10 ❑Building addition
4 ❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.MI Roof repairs
These sub-contractors have employees and have workers'comp.insurance.t
6❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
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 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#or Self-ins.Lic.#: R2WC202869 Expiration Date:04/27/2024
Job Site Address:40 WASHINGTON AVE. City/State/Zip:NORTHAMPTON, MA
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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$250.00 a
day against the violator.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: James J Flannery Date: 4/18/2024
Phone#: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):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
City of Northampton 212 Main Street, Northampton, MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111 , S 150A.
Address of the work: 40 WASHINGTON AVE.
The debris will be transported by: Aaron's 24/7 Towing and Roll-On
The debris will be received by: Valley Recycling
Building permit number:
Name of Permit Applicant Peak Performance Roofing LLC/James Flannery
4/18/2024 James Flannery
Date Signature of Permit Applicant
DocuSign Envelope ID:33695E89-DFD0-48A9-A7EC-853CCE9612BA
Peak Performance Roofing LLC
1 Lovefield St. P E K
Easthampton, MA 01027
413-203-5888 P E R F O R CE
peakperformanceroofingllc@gmail.com ROOFING
MA HIC#183698 MA CSL#103061
Contract
ADDRESS CONTRACT# 11231
Tristan Evans Construction DATE 04/08/2024
ATTN: Gabe LaPollo
61 Pleasant Street
Greenfield 01301
glapollo77@gmail.com
JOB LOCATION
40 Washington Ave,Northampton
DESCRIPTION
Peak Performance Roofing will provide the labor and materials to perform the following:
MAIN ROOF
1. Remove existing materials from the roof area.
2. Inspect sheathing for compromised areas; replace as needed. (If new plywood is necessary:
+$60/sheet*** or$6/foot)
3. Install ice/water shield(6 feet on eaves, 3 feet in valleys/around penetrations).
4. Apply synthetic underlayment to remaining roof areas.
5. Install 8" aluminum drip edge to all eaves and rakes.
6. Install architectural shingles by IKO CAMBRIDGE:
COLOR: DUAL GRAY(to match the rear portion of the house)
7. Install Shingle Vent II Ridge Vent on suitable peaks.
8. Complete all necessary flashings, including LIFETIME pipe boots and chimney base.
LOW SLOPE AREAS
1. Install half-inch high density roof insulation with approved screws and plates.
2.Install fully adhered EPDM roof system with all necessary flashing.
DocuSign Envelope ID: 33695E89-DFD0-48A9-A7EC-853CCE9612BA
DESCRI PTION
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/INTERIOR.
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 LLC will obtain the building permit.
Total: $12,200
A one-third deposit of$4066 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.
DISCLAIMERS
1) LEAKING CHIMNEY
Peak Performance Roofing takes measures to prevent water penetration at the chimney-roof connection by
installing high-quality flashing. However, leaks that stem from the chimney structure itself, particularly in
adverse weather conditions like diagonal,wind-driven rain are not covered under our 5-YEAR labor
warranty. Homeowners are encouraged to arrange for ongoing chimney care and repair with a certified
mason.
2)PROJECT MAP IT
Upon signing, you consent to have your project included on our public work map after completion. This
project entry will only be used to aid future customers in their decision-making process. Only non-
sensitive,public information will be shown. Please inform us if you would like to opt out.
Thank you for choosing Peak Performance Roofing!
TOTAL $12,200.00
DocuSigned by: "�
tVisf o.IA, fvtt' s COIA,Sly A �L lOiA, 4/11/2024
l-1522AFF5F01241A...
Accepted By Accepted Date