The URL can be used to link to this page

17D-066 (5) 38 GARFIELD AVE BP-2019-0681 GIS#: COMMONWEALTH OF MASSACHUSETTS MaW. Iok: 17D 310 -066 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:ROOF BUILDING PERMIT Permit# BP-2019-0681 Project# JS-2019-001113 Est, ost:IQ$50.00 Egg: -00 PERMISSION IS HEREB Y GRANTED TO: Const.Class: Contractor: License: us® uJAMES F`LANNERY 1010§1 Lot Size(sa.ft.): 7797.24 Owner: CQTF PHILIP T&NICOLE A L'HEUREUX Zoning:URB(100)/ Applicant: JAMES F LAN N E RY AT. 38 GARFIELD AVE Applicant Address: Phone: Insurance: 1 LOVEFIELD ST (508) 294-4052 WC EASTHAMPTONMA01027 ISSUED ON:12/10/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF - EXCLUDES NEW CONSTRUCTION ON BACK OF HOUSE 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: Driveway Final: Final: Final; Rough Frame: Gas: F,ire r men Fireplace/Chimney: Rough: Qil: Insulation: Final: Smol- Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occugancy Signature: FeeTyFe: _ Date Paid:_ Am.2j11lt: Building 12/10/2018 0:00:00 540.00 212 Main Street,Phone(413)587-1240,Fax:(413)587.1272 Louis Hasbrouck—Building Commissioner taws City of Northampton P40* lip Building Department taCuitelwalfll" 212 Main Street 8eteptl� Room 100 wanfdi A Northampton, MA 01060 Twar Soft'Of S1101111111111101111 phone 413-587-1240 Fax 413-587-1272 pb APPLICATION TO CONSTRUCT,ALT R,R I OLI H A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION D E C 6 2018 1.1 Pm"rty Address: This section to be completed by ofAce 39 G� l �V DEPT OF SUI I DIN(Mi(OPECTIONS DLot unit T , NOnTHAMPTON.MA 0106 Zone Overlay District Elm 8i Dishlct CS Rock SECTION 2-PROPERTY OWNER HIP/AUTHORIZED AGENT 2.1 Owner of Record: /v;em%� L 'l7evreU C 39 66-r1�-e)� IqV� , �1br2r1�� M11 Name(print) Current Mailing Address: b/0&Z Telephone 9 a o a y& _ 93 :77 2.2 Authorized Agent: IRmES T, r-L/91VNbtR y l Loy��I/c7� Sf, �as�1�arnpfONlylIq Name(Print) Current Mailing Address: 0�0 ai Y13 - a03 - SF? 8 Sigriature Telephone EC - 3 TED C UCTI N C Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building r / ¢ bO (a)Building Permit Fee 2. Electrical / O (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection 6. Total=(1 +2+3+4+5) d © Check Number - This Section For Official Use Only Building Permit Number Date Issued: Signature: 011T Z-4 A Budding Comm /Inspector of Buildings Date p2AKPER FOR M"CC A06F1NG-1-1-C (C-0 G rntg1l - colt? EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION b-DESCRIPTION OF PROPOSED WORK(check all aaolicable) New House ❑ Addition ❑ Replacement Windows I Alterations) ❑ Roofing Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [01 Decks [M Siding[p] Other[CQ Brief Description of Proposed �nC 1� f�� kt/v&S /WLJ CQY)STw�_" Work: S+�i e-f R.2-/fib L ( CI � �u cu .��c�r,�or�cl , 61V5 bQ 0-1c Alteration of existing bedroom-yes No Adding new bedroom Yes -No �� Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet f a. Use of building:One Family!! _! Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached?�� d. Proposed Square footage of nel A construction. , bimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is cons truction within ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth nt or cellar floor below finished grade k. Wil ilding conform to the Building and Zoning regulations? Yes No. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AU TKMI-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I"iA (' r✓x r CM nett, the subject property herebyauthorize JAmFs FL'4NAJ&1Zy ma PE14K PERFoRm/--Nee R00FW- 6 LL to act on my behalf,in all MAWiviVotive to work authorized by this building permit application. V `tete I JiMES �, r-IAN A)EAY as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. F4ANAI R y Print Name Z 3 Signature of Owner/Agent Dat SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Su ieor: –T' Not Applicable [3Namo of Ucenso HoP L,q1VN,G7,4Q, f^ J� — 1030&1 License Number l Gyd ams 5f, , //o%o�sp m�4 D10�/D _ 9l2/Za 0 Addrew Expiration Date y�3- ao3 ® 5-8 o�,S� Signature Telephone Not Applicable ❑ ERK Pt-R r-6P- i /V GF 2�OFl,�t�6—, LLC /?3 6 9 Company NameRegistrati0 Number Lov.��'►'�Jd 5-�, s�harn,��i� 1'y114 ?�/I 2►� il�a3 �Zo /� Address V Expiration Date Telephone 20-5.02 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.162,§26C(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....... i No...... ❑ City of Northampton Massachusetts N • DEPARTdIEff OF BUILDING INSPECTIONS �S 212 Main Street •Municipal Building + 1" Northampton, NA 01060 ` Debtis 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. The debris from construction work being performed at: 3 ,? Cap . J f/-C - (Please print house number and street name) Is to be disposed of at: (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: 'am ,air s I�o//-4 -� l (Company Name and Address) D> a �z 3� Signa re o Permit Al6pi I cant or Owner Date If,for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as the location where the debris will be disposed. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Flectricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Peak Performance Roofing, LLC Address: 1 Lovefleld St. City/State/Zip: Easthampton, MA 01027 Phone #: 413-203-5888 Are u an employer?Check t e appropriate box: Type of project(required): 1. Are a employer with 4 4. ❑ I am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors �' E] New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employee: These sub-contractors have g. ❑ Demolition workingfor me in any capacity. employees and have workers' y P 9. ❑ Building addition [No workers' comp. insurance comp. insurance.* required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions q ) 3.❑ I am a homeowner doing all work officers have exercised their 1 l.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL l2.[/ Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] `"Any applicant that checks box#I must also till out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work anti then hire outside contrrctors 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. BerRshire Hathaway Guard Insurance Company Name: Policy#or Self-ins. Lic.#: R2 C943835 Expiration Date: 4/27/2019 Job Site Address: 3City/State/Zip: bV 'Ie(` 04 /6lO2 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requi ed 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$250.00 a day against the iolator. Be advised that 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 pain, and penalties of perjury that the information provided above is true and correct. Signature: Date:..... 3 Ph ne#: 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. Buildin Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Worker's Com and Ern , mes Liability Palicn Berkshire Hathaway ""'G"""D='�"��„ ,u,ell "_ 5 GUARDCompanies NGCit Na[21873] PWw Inftrmathm ftge(AR) [1]Narned Insured and INMUng Address Agency PEAK PERFORMANCE ROOFING LLL WEBBER&GRINNELL INSURANCE AGENCY,INC. 1 LONEFIEID STREET 8 NORTH KING STREET EASTHAM PTON,MAR 01027 Noftampton, MIA 01060 Agency Code: MAMAINIS Federal Employeen ID 00-1191951 Inarred In Limited liability Co. (U-C) [2] Polkay Period From April 27, 2018 to April 27,2019, 12:01 AN,standard time at the insured's mailing address. [3] coverage A. Workers'Compensation Insurance-Part One of this policy applies to the Workers'Compensation Law of the fbliovAng states: Massachusetts B. Employer's Liability Insurance-Part Two of this pocky applies to work in each of the states listed In item[3]A. The limits of our liability under Part Two are: Bodily Injury by Accident-each accident $1001000 Bodily Injury by Disease-each employee $1001000 Bodily INury by Disease-policy limit $5001000 C. Refer to Residual Market Limited Other States Insurance WC2W306B Endorsement- D. This policy indudes these endorsements and schedules: See Extension of Information Page-Schedule of Forms [41 Premien The Premium Basis a ,therefore,the premium will be determined by our Manual of Rules, t siflcatlons,Rates,and Rating Plans. All required information is subject to verMcation and change by audit. (Cont!rnied on another page) E tlnraNed Poliq/ m 13,650 xChar+ges/AMaM an 1 $ 806.00 tkna w Gast 256.00 IIrTFR w usE me page- 1- Infbrm~Pape MGA :RZWC943835 WC 000001► Date :04/04/2018 MANOrTE ILwring Oflicr P.O#sm A-tt,16 S.Riva 8trea%11M.— SM ne.PA 18703-0020•www.WuwdAa P-TIM C"00e of Consumer Affairs and Business Regulation One Ashburton Place- Suite 1301 Boston, Massachusetts' 02108 Home Improvement Contractor Registration Type: LLC PEAK PERFORMANCE ROOFING.LLC. Registration 183 698 1 LOVEFIELD ST. E)OmUon: 11/03/2019 EASTHAMPTON,MA 01027 Update Address and Ratum Card. SCA I q 2ou-WI7 iivv low'w�+xar�+a/!l� "I(aua.,�atrr/ Office of Consumer ARM s i Businea Re julation HOME IMPROVEMENT CONT OR Registration valid for MdivkkW use only bela a the expiration daft. If found reftm to: Ste:LLCzwkift Ofsa of Consunier Afhirs and Business Regulation 183M 11/03/2011, 10 Park Plaza-Suib 5170 PEAK PERFORMANCE ROOFM,L.L.C. Boston,MA 02116 JAMES FLANNERY r` �A1C 1 LOVEFIELD ST. L—I� EASTHAMPTON.MA 01027 Undersecretary Valyl Without signa re Cornmomgealth of Massa husetts Division of Professional L censure Board of Building Regulations J nd Standards Construction Supervisor Unrestricted-Buildings of any use group which contain CS-103061 4apires:QW21=20 loss than 56,000 cubic feet(991 cubic meters)of enclosed space JAMES J FLANNERy 1 WILUAMS ST NOLYOKE MA OJON Commissioner v"! Failure to possess a current edition of the Mas=4msaas State Building code is cause for revocation of thb peense. For infornnttion about this■cense Call(sin 727.3200 or visit www.mass.govidl3l PE Peak Performance Roofing LLC Contract P E R F O R CE I Lovefield St Date Contract# Easthampton, MA 01027 12/3/2018 722 MA CSL#103061 1 413-203-5888 peakperformanceroofingllc@gmail.com www.peakperformanceroofingllc.com MA HIC# 183698 Bill To Job Location Nicole L'heureux Nicole L'heureux 38 Garfield Ave. 38 Garfield Ave. Florence,MA 01062 Florence, MA 01062 920-246-9379 920-246-9379 nalheureux@hotmail.com nalheureux@hotmail.com Description Total -Excludes new construction on back of house- ��' .' p 10,850.00 1.Remove the existing roof shinglis and install 1/2 inch CDX plywood over boards QA� 2.Install six feet of ice and water shield at eaves and valleys 3.Cover remaining roof with Certainteed"Roof Runner"synthetic underlayment 4.Install 8"aluminum drip edge on eaves and rake edges 5.Install architectural shingles by Certainteed(Landmark PRO)40yr rated https://www.certainteed.com/residential-roofing/products/landmark-pro/ Color Choice: 6.Install ridge vent 7.Complete all necessary flashin including new pipe boots and new base flashing on chimney Remove all debris from premises,and throughout the job,continue cleanup and keep the premises undamaged. Installations are weather permitting.Contractor will obtain building permit. (Landmark PRO shingles)=$8,55 Install new plywood:Add$2,300 Total cost=$10,850 A deposit of$5425 is due at con t signing. The balance shall be due upon completion. Accounts past due 14+days subject to 20/a finance charge moly. *We are not responsible for dirt/deb s that may fall into attic.Please check for debris after dumpster is removed.* Contractor Signature: Customer Signature: Date- t2-(3 ate: Total: t 2-(3 f $10,850.00