24D-284 (2) 186 CRESCENT ST BP-2019-0748
GIs#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:24D-284 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cate oU: ROOF BUILDING PERMIT
Permit# BP-2019-0748
Project# JS-2019-001231
Est. Cost: $10450.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Groin JAMES FLANNERY 103061
Lot Size(sa.ft.): 5270.76 Owner: ATELA PAU
Zoning:URB(99)/URA(I)/ Applicant. JAMES FLANNERY
AT. 186 CRESCENT ST
Applicant Address: Phone: Insurance:
1 LOVEFIELD ST (508) 294-4052 WC
EASTHAMPTONMA01027 ISSUED ON:12/26/2018 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE 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:
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 12/26/2018 0:00:00 $40.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
rtes ojf ,
City of North, pto of ,
y_ Building Depa me t .
212 Main St eet DEC 2 6 20
Room 10
Northampton, M 01 of auiLuwc lNs
phone 413-587-1240 F - ? TON °�
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION &P.- 1q, -7q f
1.1
This section to be corn~by office
Property Address: ) Qc/�
Map � 1 � Lot d� ZS J UMt
Zone Overlay District
Elim St. CB
2.1 Owner of Record:
4 Name(Pri ) Current Mailing Address:
3 f Telephone !/3
L. P
IRMES T, f-1-I91V/V IF12 y l LovR �/� Sf, �Q s�l�arnp�nN M�4
Name(Print) Current Mailing Address: �JQ
61 X13 - d63 r SF? ?
Signature jj V Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Of ial Use Only
completed by permit applicant
1. Building /o f -150, 6,0
o (a)Building Permit Fee
2. Electrical / (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) / r V5V, Check Number
This Section For Official Use Only
Builth Permit Number. Date
� issued:
Signature:
Building CommissioneNlnspector of Buildings pate
p2�9Kp�/2Forern�,ycE'>'et►oF/ivG-u-� � �m/�i�. tel`?
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all ancligg ft
New House Addition ❑ Replacement Windows Alteration(*) ❑ Roofing
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding Other[IZQ
Brief WorkDescription of Proposed S 4 R re —s h i r21
Alteration of epsting bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
Ge.It W 11100"AtYf Or SMUM 110 SX hOUSIM,COMONA10 ft fQ1100111kM:
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 new construction. Di sions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
7____
g. Energy Conservation Compliance._ Masscheck Energy Compliance form attached?
h. Type of construction 1 //
I. Is construction within 10 .of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basem or cellar floor below finished grade
k. Will buil ' g conform to the Building and Zoning regulations? Yes No.
1. 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
VIM E G A a subject
property
hereby authorize J-4ME-5 _;J', FLH41V/U&/2)/ D64 PE/4K PERFORM/-INCE 40DR/N6 Ll
k to act on my behalf,in all rs relative to, au rized by this building permit application.
�.
c' �= 12117 l
I,
JAMES ES T r-1AN A)EA1 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 �S. F4A1VAJ F9 y
Prird Name
Signature of Owner/AgentDate
SECTION 6-CONSTRUCTION SERVICES
6.1 Licensed Construction—STunenrisor: —�- Not Applicable ❑
Name of Ucensa No : -�J
lder: _-JAMES �J, P t-AnV ry&f 2 y 09 — /o,3o&/
License Number
iyillrams Sf, , /JO/yoke M)4 016L 9/a/ZZd
Adder Expiration Date
y/3 - a113 -- 5,?S k
Signature Telephone
4�21
Not Applicable ❑
P64X Pf-P Fe)PM)9 V GF 2yOFJtiG LLC 1?3 6 g�''
Company Name Registratio Number
�,1 -�Icl 5f, FQ s ma-mp�n! YY1A ?�/�� 11 0-.0 20 /y'
Address w
(y)3Expiration Date
Telephone 24>3-57 EY
SECTION 10-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....... WinNo...... ❑
City of Northampton
Massachusettsr
EWARTMMYT OF BUILDING INSPECTIONS ti s
212 Main Street a Municipal Building
Northampton, M7► 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:
/ S6 Crp S u h-6 St
(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:
401/-oiq / IWmis LU , rase;Qrnjvl6u M19
(Company Name and Address)
Sign re 6Y Permit A plicant 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 to 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 Lovefield St.
City/State/Zip: Easthampton, MA 01027 Phone#: 413-203-5888
Are Pu an employer?Check the appropriate box: Type of project(required):
1.EY I am a employer with 4 4. ❑ I am a general contractor and I 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 any ea capacity. employees and have workers'
P 9. ❑ Building addition
[No workers' camp. 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' camp. right of exemption per MGL 12.gRoof 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#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners"ho 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 pro%ide their workers'comp.policy number.
1 am an employer that is providing workers'compensation insurance for 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 ,,�,,
D
Job Site Address: ��� �Y-�PC�n� S� C'ity/State/Zip: A"r�)b /�
k) t� /0100
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: �2
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#:
Berkshire Hathaway ""' "ARD I""' Co.
GUARDCmpne =No.C1873;
Pollcy InMnn tslon Pa"(AR)
[i]Named Insured and Mailing/Address Agency
PEAK PERFORMANCE ROOFING LLC WEBBER&GRINNELL INSURANCE AGENCY,INC.
1 LOVEFIB.D STREET 8 NORTH KING STREET
EASTHAMPTON,MIA 01027 Northampton, MA 01060
Agency Code: MA11AINI5
Federal Employees ID 00-1191951 Insured Is Limited Liability Co. (LLC)
[2] P6lkV Period
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 Ons of this policy applies to the Workers'Compensation
Lew of the following states: Massachusetts
B. Employers 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 Two are:
Bodily Injury by Accident-each acddent $100,000
Bodily Injury by Disease-each employee $100,000
Bodily Injury by Disease-policy limit $500,000
C. Refer to Residual Market Limited Other States Insurance WC2003065
D. This This policy includes these endorsements and schedules:
See Extension of Information Page-Schedule of Fortes
[4] Premium
The Premium Basis and,therefore,the premium will be determined by our Manual of Rules,
Cla�iflcatlons,Rates,and Rating Plans. All required information is subject to verification and change by
audlt (Continued on another page)
Total Esdiavel ed Polka Pnenriurn $ 13,650
Total /Assessments $ 606.00
Toll EstlmsI cost 6 14625&00
nffawL use roc
Page- 1 Infbffnatlon Page
-
NGA :R2VX34=5 WC 000001A
Drft :04/0V2018
MANOTE
Zawirp Office:P.O.soot A-H,16 s.River sheat.WNloas-iserr4 PA 1e7e3-0020 a www.svmrd aom
C��te 4�n�n:dn�►�ela�� C�2��,z�c�iu�ea�a-
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. Reo : 183696
1 LOVEFIELD ST. E=> On: 11/03/2019
EASTHAMPTON,MA 01027
Update Address and Return Coni.
SCAT 8 20M-W17
_7
7k Yfnsrw enwW0114 Ilaua.�u rh:'
OMiw of consuawr avers i Busine Rsgublion
HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only
TYPE:LLC before the arptratlon date. B found return to:
Hl911l[11110 EMUMM OM=of Conegan r Affalm and Business Regulallon
lams 11/)312019 10 Park Plaza-Suft 5170
PEAK PERFORMANCE ROOFING,U.C. Boston,MA 02116
JAMES FLANNERY
1 LOVEFIELD ST. r
EASTHAMPTON.MA 01027 Undersecretary
Valid WJNIOYt dsigneWre
Corrmonwealth of Massachusetts
Division of Professional Licensure
Board of Building Reg"ons and Standards
Construction Supervisor
Unrestricted-Buildings of any use group which contain
CS-103061 less than 36,000 cubic feet(901 cubic meters)of enclosed
pines:
49/21/2020 fie.
JAMES J FLANNERY
1 WN.uAMS ST
HOLYOKE MA 01060
V"'�
Commissioner Failure to possess a current edition of the Ma::adruselb
State Building Code is cause for revocation of this license.
For information about this license
Call(017)727-3200 or visit www mass-9ovfdp
P E K Peak Performance Rooring LLC
Contract
P E R F O R C E 1 Lovefield St Date contract#
• • Eastha.Ynpton, MA 01027 11/14/2018 718
MA CSU 103061 1 413-203-5888 peakperformanceroofingllc@gmail.com www.peakperformanceroofinglic.com
MA HIC# 183698
Bill To Job Location
Quang Bao Quang Bao
186 Crescent St. 186 Crescent St.
Northampton,MA 01060 Northampton,MA 01060
646-286-1234 646-286-1234
pgllcma@gmail.com pgllcma@gmail.com
Description Total
1.Remove the existing roof shingles and inspect sheathing or boards 10,450.00
2.Replace up to 64 square feet of plywood if necessary at no cost.Any additional plywood will be$60 per sheet
installed
3.Install six feet of ice and water shield at eaves and 12"around roof/wall intersections
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 PRO)40yr rated
https://www.certainteed.com/residential-roofing/products/landmark-pro/
Color-Choice:
7.Install ridge vent
8.Complete all necessary flashings 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.
Contractor will obtain building permit.
Initial deposit=$500. Balance of deposit$4725 is due prior to building permit application/start of work.
Balance shall be due upon completion. Accounts past due 14+days post completion subject to 2%finance charge
monthly.
*Price subject to material supply increase between November 2018 and Spring 2019. If necessary,any cost adjustments
will be declared before start of work and a new contract furnished. If homeowner does not agree to materials cost
adjustment,contract with be voided and$500 initial deposit refunded.
Estimated Installation:.Spring 2019. Installations are weather permitting.
*We are not responsible for dirt/debris that may fall into attic.Please check for debris after dumpster is removed.* Total:
Contractor Signature: Atomer Signat> Date:
»> $10,450.00