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30B-073 (20) 134 RIVERSIDE DR BP-2019-0770 GIs#: COMMONWEALTH OF MASSACHUSETTS Map-.Block: 30B-073 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-2019-0770 Project# JS-2019-001270 Est.Cost: $4300.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: JAMES FLANNERY 103061 Lot Size(sq.ft.): 22389.84 Owner: MCKITRICK MARY C&VERNON H FATH Zoning URB(100)/ Applicant: JAMES FLANNERY AT. 134 RIVERSIDE DR Applicant Address: Phone: Insurance: 1 LOVEFIELD ST (508) 294-4052 WC EASTHAMPTONMA01027 ISSUED ON:1/7/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE REAR MAIN ROOF 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 1/7/2019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner 2�V T,,,n City of Northampton ;,Building Department 212 Main Street Room 100 Northampton, MA 01060 Phone 413-587-1240 Fax 413-587-1272 UCA rTOti1 TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR JW FAMILY DWELLMIG BEC •SITE IWORMATION (I�i '7'70 1.1 empertv_AeIs! Thyl section to bs conM3kA*d}, by office 13qt a �" C p v m.. M.p �.d1 �. t.ot d J Unu zom owray I3rict lint ft t wct ce waftsd SWWM3-PROMw 0MmsHiPIAUTH0mmc)A"NT Ll Owner of gj,,;:4: 14 Ky /,,I c r C 13' �t.r e .DIS i v- :._- None(Prw) Current Maung Address: 5-0 2.2 Ailthorkscl Agge t: sofI"ES T F091Vl FP Y I LoyR l '�, 67,1 S�k a rnp/cN 1�1 NOM(Print) Current Mailing Address: ©� L113 - PLO 3- 5-YR swellum Telephone Item Estimated Cost(lk#ars)to be Official use Canty completed b it aMcent 1. Bullingr 1 �}^ (a)Building Permit Fee 2. ElecWAI 7 (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee -!v 4. Mechanical(HVAC) 5.Firs Protection _ 6. Taal=(1 +2+3+4+5) q1 Check Number This Section For OlRiclal Use Only oate BuiltYng Permit Numir Issued: Slylature: 9 Building conmlesioner/Inspomr of Bu kkw Date p,eAKPliFAFOlet"hW(€AOOFIA16-aC a K-m i4i 1, 600 ��EMAIL ADDRESS(REQUIRED; EITHER HOMED ER OR CONTRACTOR) WMW 66 Dt=,BCRIPTtt'!H OF PROMSEa WORK(check ag apW Ale) New House Addition D Replacement Windows Aftieration(s) ❑ Roofing Or Doors 13 Accessory Bid., El DOM 011tion ❑ Now Signs [01 Decks [Q Siding[r3I Other[1l Brief Description of Proposedc+ / f 1 Aitration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plane Attached Rolf -Sheet ` �illi�>dI�tU1l1�S il�B a. Use of building:One Family li�ka1O- I wo Famly� b. Number of rooms in each family unit,--_ Number of Bathrooms � c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of haat+ng? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of constnlction i. Is construction within 100 ft,gf wetlands? Yes No. Is construction within 100 yr. floodplain Yse No i. depth of basemen csDar ff wr below finished grade k. Will bui conform to the Building and Zoning regulations? —_____Yes No. 1. .Tank._... ._ City Sower... Private well_w___,__ City water Supply f SECTION?a-UffiiZllt AUT14OR17ATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMrI as Owner of the subjed property hereby authorize JAM" -', F i-,41V J G6?,y 2)3.4 P&M P E R F O R M14N CF R D o OU C Lt to act on ray beha4,in ail matters reiativu to work authokzed by this building permit application. 0 of Date 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. Wture of Owneri/Vera bate SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of uaensa Notdor: �A/)')�S P LJ9/V/1J Eft y C S — l O 30 jy/ License Number / Lyi/lr a m s S-f, , /-/o/yokQ rn q D/D 4/o _ 9/.a/ ZZO Address I Expiration Date 1113 - a63 --- 5-9�4 Signature Telephone 9.16wdeftfad Meow Laa raver wt Contractor. Not Applicable ❑ P6,49 PSR Fo12ry�RN GF 2v oFI�UG-, LLC /?3 6 q Company Name Registratio Number "Vf _A1d ��. �"a s�-harn,�� 1�'!A vii _111g312-01,7 Address /y j 3 Expiration Date Telephone x013-5_19 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....... No...... ❑ City of Northampton Massachusetts DEPARTJOW OF BUILDING ZNSPECTZONS t' 212 Main Street *Municipal Building }" 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: /3 � � V,e rs ,Dir� Vg— (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: lmon-S' Boll 0�;/ / Goom�s �as��i�trn��N P719 (Company Name and Address) 0 a lZ 2 S 8 Sign re oY Permit Afplicant or Owher D to 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/lndividual): Peak Performance Roofing, LLC Address: 1 Lovefield St. City/State/Zip: Easthampton, MA 01027 Phone #: 413-203-5888 Are Vu an employer?Check the appropriate box: Type of project(required): 1.E I am a employer with 4 4. ❑ 1 am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors l' ❑ New construction 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 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 I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.yRoof 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 a I must also fill out the section below showing their workers'compensation policy information. 'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new afiida%it 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 fur my employees. Below is the policy and job site information. Berkshire Hathaway Guard Insurance Company Name: Policy#or Self-ins. Lic.#: R2WC94/3835 Expiration Date: 4/27/2019L Job Site Address: /J? / /6lo-t?rsi( t a)Pet U-� City/State/7.ip: PCr9AknP/ODU ` t# o/Gi 10 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: Data......_. 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 "ni6"ARD InstuPoli Company�w5 GUARDCompanies �� i8 3; Pam,Indormatlon Pana(AR) [1]Named lnawred and Mailing Address Agency PEAK PERFORMANCE ROOFING LLC WEBBER&GRINNELL INSURANCE AGENCY,INC. 1 LONEFUlD STREET 8 NORTH ICING STREET EASTHAMPTON,MA 01027 Northampton, MA 01060 Agency Code: MANAINIS Federal Employer's ID 00-1191951 Insured In Limited Liability Co. (LLC) [2] Policy Period From April 27, 2018 too April 27,2019, 12:01 AM,standard time at the insured's mailing address. [3] CmAwage A. Workers'Compensation Insurance-Part One of this policy applies to the Workers'Compensation Law of the following states: Massachusetts B. Employer's 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 Aoddent-each accident $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 WC200306B ErMorsemerrt- D. This policy includes these endorsements and schedules: See Extension of Information Page-Schedule of Forms [4] Premium The Premium Basis and,therefore,the premium will be determined by our Manual of Rules, Classifications,Rates,and Rating Plans. All required information is subject to verification and change by audlt (Contirhued on another Rage) TeW Htlnmdad Poltry Pnhhmlam $ 73,650 Tata)SurdRarOas/4 In 606.00 Total bdamb d Cost 6 14625&00 111091AL hhsE her Page- 1- InknToban Pape Mcg :R2WC943835 WC 000001A D.be :04/04/2018 McNOTE Lwdhhg Offlm P.O.acct A-H,18 a.Khat M--t. PA 1e70D-0020 a now,guard nm Office of Consumer Affairs and Business Regulation One Ashburton Place- Suite 1301 Boston, Massachusath 02108 Home Improvement Contractor Registrafion Type• LLC Registration: 183M PEAK PERFORMANCE ROOFING,LLC. Expiration: 11103=19 1 LOVEFELD ST. EASTHAMPTON,MA 01027 Update Address and Retum Card. SCA, a 20Ar MI? 0ffbe of Consuaw Affirs a Business Reputation valid far IrxNviduM use Doty HOME IMPROVEMENT CONTRACTOR Reglslnreddon TYPE:LLC bola the sq*ation deft. If found ratum to: 21901111111111111 901111:111111M OMq of Con urner Attire and Budnew Regulett m 1 10 Park Plaza-Suib 5170 PEAK PERFORMANCE ROoFtNO.LLC. Ian,MA 02116 JAMES FLANNERY 1 LOVEFIELD ST. t V�Id Mf)tho6 f signature EASTHAMPTON,MA 01027 Undersecretary Commonwealth of Massachusetts Division of Professional Licensure Board of Building R*Wations and Standards sin Su or unrestricted-Buildings a"Wo Con upwhichcoitalo CS-103061 Eaitpires:Qpi21/2020 *as than 35,000 cubic f�ecuW ��)of endowo ,TAMES J FLANNOtY 1 WILUAMS ST HOLYOKE INA 01040 Commissioner Failure to possess a current edltioe of the M State MuikEn9 Code is cause for revocow of this 11COWe. For Inlbrffretion abocrt this Ncense CaN(617)727-320 or visit www.masagavidW Peak Performance Roofing LLC Contract %FO K Date Contract# P E R C E I Lovefield St � Easthampton, NIA 01027 12/28/2018 739 MA CSL#103061 413-203-5888 peakperformanceroofingllc@gmail.com www.peakperfonnanceroofingllc.com MA HIC# 183698 Bill To Job Location Mary McKitrick Mary McKitrick 134 Riverside Drive 134 Riverside Drive Florence,MA 01062 Florence,MA 01062 212-865-5041 212-865-5041 marymckitrick@gmail.com marymckitrick@gmail.com Description Total Rear of main house only-Asphalt Shingle Option 4,300.00 1.Remove the existing roof shingles and inspect sheathing or boards 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;additionally at any applicable valleys/transitions/chimneys/skylights 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.con/res''iderrntial-roofingtprodu/!cts/landmark-pro/ Color choice: 76- M a C � 't �/'�rzj;z -u- 7.Install ridge vent 8.Complete any&all necessary flashings including new pipe boots $4300.00 Property will be protected at all times to prevent any damage to the home or plantings.We are not responsible for dirt/debris that may fall into attic.All exterior debris will be removed from the premises.Contractor will obtain building permit. Installations are weather permitting. A deposit of$2150 is due at contract signing. The balance is 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: $4,300.00