30B-050 195 RIVERSIDE DR BP-2019-0737
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 30B-050 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Categor:ROOF BUILDING PERMIT
Permit# BP-2019-0737
Proiect# JS-2019-001212
Est.Cost:$3850.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JAMES FLANNERY 103061
Lot Size(sg. ft.): 2308.68 Owner: GRENAT CHRISTA&CARMEN GRENAT AND JOSEPH&CARMEN
GRENAT
Zoning:URB(100)/ Applicant: JAMES FLANNERY
AT. 195 RIVERSIDE DR
Applicant Address: Phone: Insurance:
1 LOVEFIELD ST (508) 294-4052 WC
EASTHAMPTON MA01 027 ISSUED ON:12/21/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF ON PORCH ROOF ON
BACK OF HOUSE ONLY
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: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature:
FeeType: Date Paid: Amount:
Building 12/21/2018 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
,
City of Northamptonsofl
IAWBuilding Department Its
A 212 Main Street
a Room 100 WMfs"Ar
Northampton, MA 01060 I
phone 413-587-1240 F
REGEN
APPLICATION TO CONSTRUCT,ALTER, EP R,RENOVATE OR DEMOLISH J ONE OR TWO FAMILY DWELLING
DEC 2 1 2018 600— 1 q,?3 .,
SECTION 1-SITE INFORMATION
1.1 ProoertvAddross: DEPT OF BUILDING INSPECTIONSs$ y ofo"
Lot M. oti/`J
NORTHAMPTON.SAA 01060 )(/
Zone Overlay District
Elm 8t DlstrIct CB
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
r�h��sfa Cr�a� l9� �►' ��rs�c�� /-7�t2i
Name(P. Current Mailing Address: N6r _h�
2 unw)lnv In9 a111)K70
Telephone ✓ _ ,3�_ D 3S a
Signature
2.2 Authorized Anent:
-JAIMES T, r-t-'INN6A y l Love :e/c� Sf, �"a s�-�arnpfr�N M�4
Name(Print) Current Mailing Address: �IQ
sht44. � Y13 - ao 3 - 5_4?
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building 3?5-D pa (a)Building Permit Fee
2. Electrical G� (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) J 957D, Check Number
This Section For Official Use Only
Building Permit Number Date
Issued:
Signature: I Z-Z 1-IfI
Building Commissioner/Inspector of Buildings Date
Pe4KP,F9Fo,e/MIN C,CA00P&C-mac (cl 6:m 6i 4 D
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all aioollcable)
New House ❑ Addition E] Replacement Windows Alteratlon(s) ❑ Roofing
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [[] Siding[C]] Other[C:0
Brief of Proposed SAF?i p �- f�IQ CQ. e0KC/-? l<d Uf- o k)LV ON 'bg Cdl 4�
h a-vs�
Alteration of eiasting bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
ow Ifftim hom mW or WON N 12=h)0.hI>�fl.Cot1r Vilift 11M following:
a. Use of budding:One Family Two Family Other
b. Number of rooms in each family unit Number of Bathrooms �y
c. Is there a garage attached? '
d. Proposed Square footage of new construction. Dimgnsfons
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 construction within 100 . f wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of base or cellar floor below finished grade
k. Will bui ' conform to the Building and Zoning regulations? Yes No.
I. ptic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, C P/q / STA 6 R�/h 9 7 as Owner of the subject
property
herebyauthorize J'AmES J-, FL4NIU1P/2y /74'�4 PF/4K 19TRF0RmI4NcF R0DR;1)6 L[
totoa t behalf,in all matters rel ' Pto work authorized by this building permit application.
I2-/1, 18
Signature of Owner Date
I JAMES T PLAA ERY 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.
—JAMES 7. FLANME9 Y
Print Name
12-
5r�
X
Signature of Owner/Agent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed
ConsuctlonSupervisor: Not Applicable ❑
Nameof Llwnse Holder: -VAmEJ S —L49AWE-l 'y C J — / o
3 o W
License Number
l GUiIl�arns 5-f, , �o%okQ rn,4 OJDy6 9ZalZ'Zo
Address
Expiration Date
y13 - 963 -- 5-J?�g
Signature Telephone
I �ri���
Not Applicable 13PERK PfX FoRmR/V CE 20of/tiG, LLC /P 3 6 9 S
Company Name
Registratio Number
I "ver;-Qlcl 5-,f�, Qsfharn,��n4 1'YIA a/��� /I7;3)zo /l
Address IF V
(y13Expiration Date
Telephone A 0-57
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152, 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....... MO" No...... ❑
City of Northampton
Massachusetts
DEPAR228W7 OF BUILDING INSPECTIONS
4R t
212 Main Street •Municipal Building �s ►�
Northampton, MA 01060 ""
Debris 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:
195- Ri vers d-e 1.rz; ve,
(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:
�49
(Company Name and Address)
Sign re of Permit A plicant or Owner Dat
If,for any reason, the debris will not be disposed of as indicated,the Applicant or Owner shall notify the
Building Department as to the location where the debris will be disposed.
P E K Peak Performance Roofing LLC
Contract
P E R F O R C E I Lovefield St Date contrail#
Easthampton, MA 01027 12/18/2018 736
MA CS"103061 1 413-203-5888 peakperformanceroofingllc@gmaiLcom www.peakperfonnanceroofi*lc.com
MA HIC# 183698
Bill To Job Location
Christa Grenat Christa Grenat
195 Riverside Dr. 195 Riverside Dr.
Northampton,MA 01060 Northampton, MA 01060
cgrenatl@gmail.com cgrenatl@gmail.com
413-237-0352 413-237-0352
Description Total
Porch roof only on backside of house- 3,850.00
1.Remove the existing roof shingles
2.Install new 1/2 inch CDX plywood over boards
3.Install six feet of ice and water shield at eaves
4.Cover remaining roof with Certainteed"Roof Runner"synthetic underlayment
5.Install 8"aluminum drip edge on eaves and rake edges
6.Install architectural shingles by Certainteed(Landmark)30yr rated
https://www.certainteed.com/r'essidential-roofing/products/landmark/
Color Choice: Pe up re r
7.Complete all necessary flashings
Remove all debris from premises,and throughout the job,continue cleanup and keep the premises undamaged.
Contractor will obtain building permit. Installations are weather permitting. .
Total cost:$3,850
A deposit of$1925 is due prior to the beginning of the job.The balance shall be due upon completion. Accounts past
due 14+days subject to 2%finance charge monthly.
*We are not responsible for dirt/debris that may fall into attic.Please check for debris after dumpster is removed.*
Total:
Contractor Signature: Customer Signature: Date:
L?r4��� $3,850.00
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 Lovefield St.
City/State/Zip: Easthampton, MA 01027 Phone #: 413-203-5888
Are Vou an employer?Check the appropriate box: Type of project(required):
1.p� I am a employer with 4 4• ❑ I am a general contractor and 1 6. ❑ New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
workingfor me in an •capacity. employees and have workers'
Y p Y• 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.+'
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.911oof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.E] Other
comp. insurance required.]
*Any applicant that checks box tr I 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 fur my employees. Below is the policy and job site
information.
Berkshire Hathaway Guard
Insurance Company Name:
Policy#or Self-ins.Lic.#: R2WC943835 Expiration Date: 4/27/2019
Job Site Address: r/5 t�l�'.ory b Dov-z, City/State/Zip: NbY��1Q.�'Y�jC7 oln6e
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$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.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature: _ Date.__.... 9
zg
Phone#• 413-203-5888
Oficial 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#:
Berkshire Hathaway ""'�""'�D="'" ", N";', wc «5
GUARDICnompane Renewid=No 1873;
PaftT inftromdfon PaW(AR)
[i]Nawed Insured and NaNing Addremi; Age/
PEAK PERFORMANCE ROOFING LLC WEBBER&GRINNER INSURANCE AGENCY,INC.
1 LOVEFEELD STREET 8 NORTH IQNG STREET
EASTHAMPTON,MA 01027 Northampton, MA 01060
Agency Code: MAMAIKS
Federal Employer's ID 00-1191951 Insured Is Limited Liability Co. (Li.C)
[2] POW Pernod
From April 27, 2018 to April 27,2019, 12:01 AM,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 following states: Massachusetts
B. Employes Liability Insurance-Part Two of this policy applies to work in each of the states listed
In item[3]A. The limits of our liability under Part Tiro are:
Bodily Injury by Accident-each accident $100,000
Bodily Injury by Disease-each employee $1001000
Bodily Injury by Disease-policy limit $500,000
C. Refer to Residual Market Limited Other States Insurance WC200306B
D. This This policy includes these endorsements and schedules:
See Extension of Information Page-Schedule of Forms
[4] Pramiuw
The Premium Basis and,therefore,the premium wilt be determined by our Manual of Rules,
CSsMcatlons,Rates,and Rating Plans. All required information is subject to verification and change by
audit. (Cont!nued on another page)
ToW Htsimated PoNcV Pramlum $ 13,650
Total Sm+ds/AwMmarrts 606.00
Total Estlmaihad cost 4 14625&00
R[I13RIA-USE XX Page- 1- Infbrrn om Pape
MGA :R2WC943835 WC 000001A
Drbe :04/04x2018
MANOTE
Lwring Oilloa P.O.soot A-H,10 S.Nvu sft--k WI11isew-11W r%PA 16703-0020•hen 4wrd.aom
P911-M
Office 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. 183698
1 LOVEFIELD ST. Expiration: 11/03/2019
EASTHAMPTON,MA 01027
Update Address and Rebim Card.
SCA 1 8 2OM-ON17
Office of Consaaw Alldrs i Busing Regulation
NOME IMPROVEMENT CONTRACTOR Replstratlon valid for Individual use only
TYPE:LLC before the eviration date. If found return to:
Bll191111110M Et1l[11111W Wm of Cons mw Affairs end Business Regulation
iamiii8 11/03/2019 10 Park Plaza-Sint 5170
PEAK PERFORMANCE ROOFING,LLC. Boston,MA 02116
JAMES FLANNERY LGG ---
1 LOVEFIELD ST.
EASTHAMPTON.MA 01027 UnClersecrenry t lfeiiti Without Sigrulture
Commonwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
Construction Supervisor
Unrestricted-Buildings of any use group which contain
CS-103061 ftpire s:09/21/2020 less than 56,000 cubic feet(691 cubic meters)of enclosed
space
w �
JAMES J FLANNERY
1 WILLIAMS ST
HOLYOKE MA 01W0
CommV""issioner FaNure to possess a current edition Of the[1llassaciwsetts
State hiding Code is cause for revocation of this icense.
For information about this licerrss
Cam(617)727-3200 or visit www.rnassgov/dpl