17D-024 (4) 89 STRAW AVE BP-2019-0981
GIs#: COMMONWEALTH OF MASSACHUSETTS
Mau:Block: 17D-024 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-2019-0981
Project JS-2019-001613
Est Cost $10350.00
Fee: $40.60 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: JAMES FLANNERY 103061
Lot Size(sg.ft.): 10541.52 Owner: SPENCE ALICIA
Zoning' URB(100)/ Applicant. JAMES FLANNERY
AT. 89 STRAW AVE
Applicant Address: Phone: Insurance:
I LOVEFIELD ST (508) 294-4052 WC
EASTHAMPTONMA01027 ISSUED ON:3/11/2019 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: 001: 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:
FeeTvpe: Date Paid: Amount:
Building 3/11/20190:00:00 $40.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
DowSigo Envelope ID:1428926D-DCF24518-88F8-35EOOF2C7142
tlePererrare uae only of Nonhampton BYYedPwi
Building Department CurbppplWeeyperell
212 Main Street
Room 100 WOW~
NorthaMpton, MA 01060 T"aftolBgt - -PSi
phone 413587-1240 Fax 413-587-1272 HOYeb Pere
OCerSpoi
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE
/1OR TWO
AMLYQDWELLING
SECTION 1-SITE INFORMATION
1.1 Properly Adenine: ThI& to M uorrrrPhead by oMa
NAA X019
SPEC
SECTION 2-PROPERTY OWNERSHIPU IWO AdINWAMPTON MA01M
2.1 owner of Record:
At;6A SpeAreE lbs 07esfrout SE Drente rnR
Nama(Pn,d)r1e04nea cw,enhNong Add .
9GVO�(ueY
14/k �"! T°NWnPx tf/3 9c7 3 /�s"3
gmlum�oewa,nre...
2.2 Audxwknd Aaws;
;SftnES T F4-I1VNERy l LoVR-Ae/d Y-t, EagMamptoaMR
Name(Prl Cumml McNlp Aodesa:
Y13 - P03 - 5-9'? ,?
sinceee Telephone
SECTION 2-ESTWAMO CONSTRUCTION COSTS
Item Entered!Cost(Dollars)to be ol5eim use olds
completed by pooroft Kenn
1. euieing C r; (a)Bulldkq Permit Fee
.SG
2. Elect ical (b)Estimated Total Coat of
cahnmtcamh son, a
3. Plumbing Building Permit Fee O
4. MCUIanical(HVAC)
3.Flop PreMdlon
6. Total= 1 +2+3+4+5) Coo Check Number
This Section For OmciN Use Only
Buldina Perms Number: Dab
hawed:
Solution: 3 -8'20)9
aldeap Wmnxaalwhw/xNpecNr of Suadnga owe
➢e4KpereForernM C6-AOOFliv(r4-t-C ® 6/nHll- W ?
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
DecuSign Envelope ID: 1428926D-DCF24518-88F8-35EOOF2C7i42
BECTON F DE70D�clllllorr
PROPOAED WORK tcbm*_ opposable)
New Houu Mm Rpecsmem Windows Albratien)s) Ej Roofing
Sr Does ❑
AeaesorySMg. ❑ Naw Signa [OI Docks IQ Being X31 Other M
Work,Description Of Proposed # 11� f lYt-S�Ii»g�Q. / p�aCL Z ter. n
Alwadon of eristing bedroom_Yes_No Adding new bedroom_Yea _No
AttachedNa^epw Renovating unfinished basemem Yes No
Perm Att Chad RON -Sheet
r Mlerr UeDRe alae ex WdItlM m aldgNw hoL_1112 99momm the
g. Uae of bukk g:Otte Family Tera Family Other
b. Number W rooms in each family unit: Number of Bathrooms
c. Is there a garage Noodled?
d. Proposed Square footage of rew mnsbuction. Dim9relons
e. Number of stories?
I. Method of haemo? Fireplaces or WWdstevea Number of each_
g. Energy Conservation Compliance. Naesclwek Energy Cor plyncs form attached?
In Type of Wrabli en
I. is oonswcgon wimin 1DOfl.of watiends?_Yea _No. is con shruction within 100 yr. "join_Vec_NO
I. Depth of esee entx malar floor babe finished grade
it. Will builifirilittilmildron to the Building and Zoning regulations? Yea No.
I. Sop c Tams__ Cilysevel Ponds well__ Cay water Supply
SECTION 78-OWNER AUTHOR¢ATION-TO BE COMPLETED WHEN
OYIMM AGENT OR CONTR/1CTOOU
R APPLM FOR RDINO PERMIT
t AtP'e; ifq SpEl irE .as Geer of the 9abM
Drop"
herebyauthones JAMES T FLANNQ2Y 7)64 PERK PERFORM14NL6 R0oF/iu6 tl
0,� e all matters retetive to work auttwood by this building pameltepplication.
3/4/2019
bee,
UpmES U, F-&ANNERY asOwnerlAuthonzed
Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the beat of my knMAecge
end belief.
Signed under the pains and penalties of perjury.
JAMES T F4AA1 ) 9Y-
PMaNeme
3y l�
Sigal of O~Atrerrl V V j Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Lkenaed Cmatrucd m Suoervletu: Not Applicable O
Name of Liam.NdWar: -jaing S PZ-,9AWD�y 09 - /030101
Liaree Numbx
l 1u;//rams 5f,/ l� lyokv miq O10�/0 9�a/Id0
A +a ExpWlon Date
1113- 0113 - sYJS
Blgretam Telephone
MISS Cgn&aatpr. Not Applicable ❑
PEAK PERFoR/hHNCE 906F11y6-, GLC 1?36
Cpmmm Nuns Regisbsee Number
Lovr-ri-orj 5f, Fasfharnp�onl YYIA a�Da� // 7;3 /2.0 /9
Address /y�3 Expiration Date
Telephone o1D3-5,?YF
SECTION 10.WORKERS'COMPENSATION INSURANCE AFFIDAVIT(N.G.L.c.162,$16C(BU
Women Compensation Insunrnce affidavit must be completed and submitted with thia appli m.Failure to protide this amdmdt will IeBUR
in the denial of the issuance of the building permit.
Signed Af clavi/Adached Yes....... IV No...... ❑
City of Northampton
Massachusetts 1
uWARMAUT or sNI=w INSPEMrxW
212 tY Btcaat •Wnlcipal 5u 1 w
aaiMaaptan' b 01060
Debris Disposal Affidavit
In accordance of the provisions of MGL c 40, 554, I acknowledge that as a condition of the building
permit all debris resul ing 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 fromconstruction work being performed at:
F9 S /_ A.P rl'or"one�-4
(Please print house number and street name)
Is to be disposed of at:
(Please prim name and location of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
14mon� Rol/-ompany 69' / Om;s way, �asfhampr�o�oa
at�� AdQ
ermit 3/y�9
Sign re Pplicant 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.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/ContractorsMectricians/Plumbers
_Applicant Information Please Print Legibly
Name tEasineaaror,aniaa un maiviaaau: Peak Performance Roofing, LLC
Address: 1 Lovefield St.
City/State/Zip: Easthampton, MA 01027 Phone#: 413-203-5888
Are)ms an employer?Check the appropriate box: Type of project(required):
1191 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
'.❑ 1 am a sole proprietor or partner- listed on the attache)sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
workingfor me in any capacity. employees and have worker'
Y9. ❑ Building addition
workers' comp. insurance comra
p. insunces
req
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 I1.❑ Plumbing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12 &f Roof repairs
insurance required.] c. 152,F 1(4).and we have no
employees. [No workers' 13.0 Other_
comp.insurance required.]
'Any applicant din checks has dl muu also fill ourthe section helmv showing their workers'earn ennarion policy infbrma.ian.
I Hmm�mnrrs who submit di am&sit indica....they arc Join,all wink en,l then hire oudide contranurs muu whmit u rex aRJari.inJiatin,such.
{ontruamn that cheek this box then attached a additional shun shoxin..he name of the seh-eentnimrs and smtc whether or nut those entities harc
emi ithe sub-conhvrton have empinyen..hey mu.t provide their xurken'compi pallet'numher.
I am an employer that is providing nrorken'compensation insurance jar my employees. Below is the policy and job site
information.
Insurance Company Name: Berkshire Hathaway Guard
Policy#or Self-ins. Lie.#: < nn
/zR2/WC943835 _ _ Expiration Date: 4/27/2019 _
Job Site Address: �� .5VRCU Iy r— City/State/Zip: F10/Qd?6P G YlF7 O/C ji a
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$I,Aak00 and/or one-year imprisonment,as well as civil penalties in the form of 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 penaldn tofla rjlury that the information provided a one 'is true and correct
Sumaturc Date: 33Y1/9
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.CitylTovyn Clerk 4.Electrical Inspector S. Plumbing inspector
6.Other
Contact Person: Phone#:
Worker's Compensation and Employer's Liability Policy
Berkshire Hathaway AmGUARD Insurance Company - A Stock Co.
Y Policy Number RZWC943835
Insurance 1 1187
,tIfGUARD Companies RenewNCCINo.al of [218 31
Policy Information Page (AR)
[1]Named Insured and Mailing Address Agency
PEAK PERFORMANCE ROOFING LLC WEBBER&GRINNELL INSURANCE AGENCY, INC.
1 LOVEFIELD=EET 8 NORTH KING STREET
EASTHAMPFON, 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,
Classifirations, 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 14 256.00
INIERNAI USE xx Page- 1 - Information Page
MGA : UWC943835 WC 000001A
Dae : 04/04/2018
MANOTE
Issuing Office:P.O. Box A-H,16 S.River Street,Wilkes-Barre,PA 18703-0020 v www.guard.com
Office of Consumer Affairs and Business Regulation
One Ashburton Place-Suite 1301
Boston, Massachusetts 02108
Home Improvement Contractor Registration
7ypx LLC
PEAK PERFORMANCE ROOFING,LLC. 189808
1 LOVEFELD ST. - Bipkabw 11A79201g
EASTHAMPfON.MA 01027
Ipaab AdMuland RaWm Can.
sat O totwsn
Ltrna a Lbnmatr A6dra a autara R.ww.t
NOPE IMPROTYPENf CONTRACTOR RpNbthen WMNk e. Illandady
inr:LLC e.ku a»aPww.En er.. R awa ndmm:
9aWLom 111=219 Park
Plm umar 5170 tluskwss Rsp6stldt
1B9M9 11pY10/9 to Park Pkaa-Su1M 5770
PEAR PERFORMANCE ROOFING.LLL, NA 02116
JAWS FLANNERY
1 LOVERELD ST.
EASTHAMPTON,MA 01027 MnOefaeuetKy valid wMviW gnv1ura
CptwtmaaBh of MawchuM ats ..
DMabn Of Protesaonai L canure
Botld of Bung RardaA and Stataards
C°Adnacdo^
SupwAw
Mnreaeiaad.Buadkw of ally use lamp which cors+kt
CS-107061 Eapires:QW212020 Maathan 36,w cubic Na(N1 CUNC mal"ofanduttad
row.
A
AArAEB A FLANraBtr
xOLraKE MA x/6�66� _ .
Canmhsio Cj— � Falun n prows a MFM wism+the MaaaaGmaAa
S4as&Meg Coda is lar nlrocaaott arab 6r01M.
Fn bdaltttaim about Mds anma
cam p M 727-UN nvMVvWNAnwgnNP7
DocuSign Envelope ID:14289280-DCF24518-88F8-35EOOF2C7142
Contract
PE K Peak Performance Roofing LLC
PERF O R C E I Lovdiield St Deals Contra#
Easthampton, MA 01027 31V2019 las
MA CSUI 103061 413-203-5888 pcakperfomunecmefingllea gmail.com www.peakperfnmanucroofinglic.cona
MA HIC# 0183698
Bill To Job Location
Alicia Spence Jaime Callan
165 Chestnut St 89 Straw Ave.
Florence,MA 01062 Florence, MA 01062
spencealicia@gmail.com 413-923-1553
rbdesign151@gmail.com
Deacrolion Total
I.Remove the existing roof shingles and inspect sheathing or boards 10.350.00
2. Replace up to 64 square feet ofCDX plywood if necessary at no cost.Any additional plywood will be$60 per sheet
installed over roofboards.Ifthere is existing plywood that needs replacement,$75 per sheet applies
3.Install sin feet of ice and water shield at eaves and three feet in all valleys,around pipes,chimneys,and skylights
4.Cover remaining roof with Certainleed"Roof Rummer"synthetic undertayment
5.Install new skylight supplied by customer
6.lnstall new 8"aluminum drip edge on all eaves and rake edges
7.Install architectural shingles by Certaimeed
(Landmark 30yr)kp:llw -cedainteed.mum residential-=fing/productO ndmark/
Color Choice:
S.Complete all necessary flashings including Clew lifetime heavy duty pipe boots and new base flashing around chimney
Rermve all debris from premises.and throughout the job,continue cleanup and keep the premises undamaged.
Contractor will obtain building permit. Installations areweather permitting.
Landmark shingles--$10,200
Skylight installation=$150
'local cost=$19,330
A deposit of$5175 is due at contact signing. The balance shall be due upon completion. Accounts past due 14+days
subject to 2%fiance charge monthly.
*We are not responsible for dirt/dchds the rosy fall into Mie Please check for debris after dumpster is removed.•
Total:
Connector S Cus"MrtOR. 3/4/2019
m $10,350.00