22B-028 17 CORTICELLI ST BP-2019-0954
GIs s: COMMONWEALTH OF MASSACHUSETTS
Map.Block:22B-028 CITY OF NORTHAMPTON
Lot -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildinq DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Catenorv: ROOF BUILDING PERMIT
Permits BP-2019-0954
Projects JS-2019-001590
Est.Cost:$22800.00
Fee: S40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor., License:
Use Group JAMES FLANNERY 103061
Lot Siae(sa. B.): 12022.56 Owner: WITT MARY E
Zonine: URB(100)/ Applicant: JAMES FLANNERY
AT. 17 CORTICELLI ST
Applicant Address: Phone: Insurance:
I LOVERELD ST ,(508) 294-4052 WC
EASTHAMPTON MA01 027 ISSUED ON.3/6/2019 0.00:00
TO PERFORM THE FOLLOWING WORK:STRIP AND REPLACE WITH STANDING SEAM
METAL
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:
Drwe"y 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 Sh tore:
FeeTVpe: Date Paid: Amount
Building 3/6/2019 0:00:00 $40.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
a»atb.
City of North root n` OF
Building Dep t NAA
212 Main t AWIaOb -
Room 1 0 a� �,,
Northampton, A040WI, o11 GINS
phone 413-587-1240 "' �T"P'•"riaN.rnn
Otlmrepeoly . ...
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
RECTION 1-SITE INFORMATION _tq qjY
1.1 Prooarte Addrna: This taction to be eotlplei by onise
/-7 IAP ' 3 Lot Oyu Urk—
zone oe.dry Dleahe�_
Elm SL Dlwkl CS Dhblcl _
SECTION 2-PROPERTY DWNERSHIPIAUTNORWED AGENT
2.1 Owner of Record:
MA1"y With l� Cc,rf 'epl� St Flore✓ICQ �y12
Name(PN) Current Meaty Ad4yee: 0/6& Z
C
sretawy rdephmny L-113 - S:75-
2.2
-113 - 5:75-2.2 ArMorired Anam:
76tnES 3 Fcr�ivv�Ry i �ov¢� e/d St, EaslllarnPto/uMR
Name(Pnrd) Current Malang Address:
via - ao3- s8as
Sigt Telephony
SECTION 2-ESTROATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
consoatec!by imeanit applicant
L Building (a)Building Permit Fee
2. Elecbical (b)Estimated Total Coat of
Construction from S
3. Plumbing Bidding Ptmtlt Fee /410 4. Mechanical(WAC) 4
5.Fire Protection
e. Total=(1 +2+3+4+5) of Check Number
This Section Fw Official Use Only
Building Permit Number. Data
IsMMtl:
Signaabaa: ZL
'3 - 6- Z019
timing CommissionerAropector of SWOW Data
P2AK/2�RFoleTngNCER00F/Niru-C� �111H1<. C'.p/"/
EMAIL ADDRESS(REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
DocuSign Envelope ID:C9CODECF-A12049C3-88D -87E53A1BB6A5
f`WM G DESCRIPTION OF PROPOSED WORK 7ReW�MWWfaves
call
New Nowa ❑ Addition ❑ ANentin(s) ❑ Roo"
AeceeseryBldg. ❑ Osmolition ❑ (Deka [Q Bidding X:3] Other[
WorkBrief nofPrdposad 1Ri ' *��,1(�(n (!.till 51 d Lid' 1 nQ�n 192.17 .
Rau somal cni /trot
Alt Narrative of @Will"bedroom_Yea_No Adding new bedroom Yea �
No i
Plena Attached Roll -Shen Renovating unfinished Meemerd Yea No
am a Now Sown,ane or n,AdlBon to OXI§th a hoLig.... .yogim the ealowlson:
a. Use of building:One Family Two Family Other
b. Number of rooms in each family unit Number of Bathrooms
G le there a garage atieged?
it. Proposed SQuare footage of new comtruction.�,.,,,Dimensions
e. Number of stories? r
I. Method of Meting? �� / Fimplem,or Woodetoves Number of aeon_
g. Energy Comervason Compliance. Meacherlr Enol Compliance form attached?
h. Type of oonsimclial
i. Is construction within 101yfl:of walk nds?_Yes _No. Is oonawcdon within 100 yr. floodplain_Yes_No
j. DePrb d Weement"«oNlar soon Chow aniated grade
k. Win builg ing conform to the Building and Zoning regulations? Yes NO.
I. Saptio Tank_ CillySeeal Private well_ City water Supply
SECTION To-MNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLES FOR BUILDING PERMIT
so Owner of de subject
Property
JAMES 7. cL*4NNF/2j/ D6A PERK PSRFoRM19-WF RODFW6 u
ad.in as Mallen ralathm to work autnorba d by this budding permit applicator(.
erssreooarsnasr..
2/28/2019
or owrar
'JAMES U. FLAN/VERY as OwnerfAmhofted
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 de pain and parishes,of perjury.
TAMES ', FLANAIIEPI
Prkd Name
2 3L
Signature of Cow/Agent Dae
SECTION S-CONSTRUCTION SERVICES
S.1 LIOMOW ClN stnm:u n Supervloor: Nut Applicable ❑
Nlnwo/ulame Molder: -JgMES .T, [=L19/VNE2y (IS — /03010/
License Number
Williams 51, , f o/LrokQ rnJ<1 OloyD 9 /a11a0
Ad&M E]pImfidl Dale
L/13- a03 - 588
slgrlNum Telephone
NW Applieede ❑
PERK PEP-r-bRmHNGE RvOF//Ufr, GCC 1P369S-
Commrly Name Regishatio Number
1 6-ovpc'�Ic� 5ft Fctsfharr�}oN nIA a/Dai /rQum1,-,
Address ('�)3) EXPITOom Data
Telephone 103-5I FF
SECTION 70.WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.O.L
Workem Compensation Insurance affidavit must be completed and submmed V.itn Mie application.Failure to pnMds this IrmdaNt will ream
in M0 denial of Me ieawrim of the bu_/ilding permit.
Signed Affidavit Attached Tea....... yr No...... ❑
City of Northampton
Massachusetts G.
tXPAs2aapS or aUZ=W; 2NrraCTlOHa
212 even eget •M xmpal quil6 nq '
M. the t.n, M\ 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 property licensed solid waste disposal facility,as defined by MGL c 111, S 150A.
The debris from construction work being('performed at:
l
l7 Cor- U/ I 4EI6U-0C-0—
(Please print house number and street name)
Is to be disposed of at:
(Please prim name and location of facilely)
Or will be disposed of in a dumpster onsite rented or leased from:
t4ar2ons Ro/%oF�; t,omis wac��astham��n� P719
(Company Name and Address)
Signal re a Permitplicant 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 01111
www mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Busine.srcasani=atioMndividaan: Peak Performance Roofing LLC
Address: 1 Lovefield St.
City/State/Zip: Easthampton, MA 01027 Phone#: 413-203-5888
Areevv u an employer?Check the appropriate box: Type of project(required):
I.pl 1 am a employer with 4 4. ❑ I am a general contractor and 1 6 E] New construction
employees(full and/or pan-tinm)." hate hired the sub-conuactors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have S. ❑ Demolition
working for me in any capacity. employees and have workers' 9 ❑ Building addition
[No workers'comp.insurance comp. insurance.'
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.[3 1 am a homeowner doing all work officers have exercised their 11.�r❑y Plumbing repairs or additions
myself.f No workers' comp. right of exemption per MGL 12 u Roof repairs
insurance required.] t c. 152, §1(4).and we have no
employees. [No workers' 13.0 Other
comp. insurance required.]
*:%ny applicant that checks Fox at must also fill math:section hclne Amvinp their wma,is'emn,cnsntinn policy inrormatum,
t Homamners
he suhmn this amdmut i W ieating they are Jump all cork and then hire outside cuntr cm+n must submit a neo amdm it indicating such.
-Contractors that check this Mn most attached an additional sheet shooing the name of the sub-contractors and state whether or not those entities have
employee.. Ifthesubcnmracmm hewn empinyeo.�hey mus pros ide their oorka>crimp.puliq numher.
I am an employer that is providing arorhers'emopensulion insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Berkshire Hathaway Guard
Policy 4 or Self-ins.Li,.#: �lR2W/C943835 1 Expiration Date: 4/27/2019
/ _
Job Sim Address: f-Ory-r C"Q�G( S7 City/State/Zip: r1bf2yl[f7 InIl 0/6oR
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 51.500.00 anNor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to 5250.00 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 cerificalion.
I do hereby certify under the pains and penaldes trf perjury that the information provided p ovr is true and correct.
Siunsturc: I "_ �[[� Date:
Phone#: 413-203-5888
Official uxt 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#:
Worker's Compensation and Employer's Liability Polknr
Berkshire Hathaway AmGUARD Insurance Company -A Stock Co.
Y Policy Number RZWC943835
Insurance 11187
, G UARD Compan es Renew N CI No.l of [218 3]
Policy Information Page (AR)
[13Named Insured and Mailing Address _ Agency
PEAK PERFORMANCE ROOFING LLC WEBBER&GRINNELL INSURANCE AGENCY, INC.
1 LOVEFIEUI STREET 8 NORTH KING STREET
EASIHAMPrON, MA 01027 Northampton, MA 01060
Agency Code: MAMAIN15
Federal Employer's ID 00-1191951 Insured is Limited Liability Co. (LLC)
[2] Policy 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 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 Accident-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
Endorsement-
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
audit. (Continued on another page) -
Total Estimated Policy Premium $ 13,650
Total Surcharges/Assessments $ 606.00
Total Estimated Cost S 14 256.00
ImERNAL u$E xx Page- 1 - - Information Page
MGA : UWC943835 WC 000001A
Date : 04/04/2018
MANOTE
Issuing Omce: P.O.Box A-H, 16 S. River Street,Wilkin-Barra,PA 18703-0020 0 www.guard.Com
CJ�?e (Pa�nonanwea a�C-iacftuae `a
Office of Consumer Affairs and Business Regulation
One Ashburton Place-Suite 1301
Boston, Massachusetts 02106
Home Improvement Contractor Registration
Type: LLC
183000
PEAK PERFORMANCE ROOFING.LLC. Expladim 11MMO19
1 LOVEFELD ST.
EASTHAMPrON,MA 01027
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JAMES FLANNERY
1 ST. ��ro
EASTIWSTHAM JPTON,MA 01021 D1ldele00mtalY 96t valid RRMWIR -
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JAMES J FLANNERY
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P E K Peak Performance Roofing LLC
Contract
P E R F O - C E 1 Lovefield St Data �nnae10
Easthampton, MA 01027 znanol9 7az
MA CSUI 103061
3698 413-203-5888
MA HIC# 18t�afion"snrer0O0"ellc(o)gmvl.com www.peskpu6muocemofingOc.mm
Bill To Job Location
Mary Witt Mary Witt
17 Corticelli SC 17 Corticelli St.
Florence,MA 01062 Florence,MA 01062
413-575-5135 413-575-5135
mewin@gmail.com mewitt@gmail.com
Description Total
1.Remove the existing roof materials 22,800.00
2.Inspect the sheathing.Replacement of up to 100 square feet of rotted/deteriorated sheathing is included in scope of
work.Additional deck replacement will be billed on a time and materials basis with labor cost at$75 per hr
3.Install 3'ofCertainTeed W interguard HT(High Temperature)ice&water shield at the eaves and any applicable
valleys,and Tat any applicable roo0wall transitions,chimmeys,skylights
4.Install synthetic underlayment on all remaining areas of roof.
5.Install Englen 24 gauge standing seam metal roof system.Panels will be 16"wide with 1.5"mechanical lock scams.
httpaJ/www.englertint.con/1-"/ 2V/o mechmically-seamed.mem(-roof-system-a1300.html
6.Ensure the sheathing is cut at the ridge to allow for proper exhaust ventilation.Install vented"i'enclosures and fasten
ridge cap to"z"en((cllosures. /' /�
Color Choice: 'f/ /] 1 (/r'Cie.�'I
Estimate includesichof a any'lif fs 24 5 colors. Englert"Premium"palm coatings(Mill Finish,Metallic
Copper,Champagne,Prewsathered Galvalume)are special order and have an uprhsrge.
Property will be protected at all times to prevent any damage to the home or plantings.Weare not responsible for
dirt/debris that may fall into attic.All exterior debris will be removed from the premises.Connector will obtain building
permit Installations are weather installations.
Total cost=It 22,800. A deposit of$7,600 is due at contract signing. Progress payment of$7,600 is due at 50%
completion. The balance shall he due upon completion. Past due accounts subject to 2% finance charge monthly.
Optional: Colorgard snow rails.$30 per linear foot installed.Recommended for aaggy areas�vIt protecting
people/plantings/animals/guaers from falling scow is a concern. c: el�.^t', It f-'F��
http!/www.sotWplmllc.com/documents/mzWplus-colorgwd-bmdm.pdf
The contractor bas explained"oil "to me.I understand that some oil canning is an inherent characteristic of
metal roofing. Cusmmer(nidal M
-We are not responsible for dirt/debris th y fell into attic.Please check for debris atter dumpuer is removed.* Total:
Contractor sign?" Customer Signature: Date:
r ( `Z 2 $22,800.00
t
wuoia'I cnvmope IV Ua UUt,GF-Al2U<9L3-MD4-87E63A1BB6A5
P EK Peak Performance Roofing LLC
Contract
P E R F O R C E 1 Lovefield St Data contIM Aiaaa
Easthampton, MA 01027 J28r019 ran
MA CSL#103061 413.203-5888 peakpMornmenwfngllougmvLcom www.peakperfrmumcerooftngllcmm
MA HIC# 183698
B81 To Job Location
Mary Witt Mary Witt
17 Corticelli St. 17 Corticelli St.
Florence, MA 01062 Florence, MA 01062
413-575-5135 413-575-5135
mewittr�gtnaii.com mewittngmail.com
Description Total
Addendum to Contract#782 dated 2/28/19 0.00
Flm sections of main roof.
1.Remove existing roofing materials.
2.Inspect the sheathing. Replacement of up to 100 square feet of rotted'deerioreud sheathing(for entirety of main
house including all roofing slopes)is included in scope of work. Additional deck replacement will be billed on a time
and materials basis with labor cost m$75 per hr.
3.Install V2"high density polyisocyanumte insulation board
4.Install mechanically attached Genflex TPO
http:/Igcnfcx.mm/wp-content/uploads'2014/I I ICB04—GenFlex-TPO-Brochure_I014_web.pdf
Sheathing Clause: if it is determined that new plywood must be installed over the boards on the entire main roof,add
$3.600. Otherwise,sheathing repair can be performed as needed(see Line#2).
'Weare not responsible for dinidebris that may fall into uric.Pleas, for debris after dumpster is removed!
Total:
Contwor SigMtture: Customer Signa c 0"yl Date:zizgizo39
axsslmwrsusr... $0.00