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32A-097 (11) 3 MARKET ST BP-2019-1313 GIS#: COMMONWEALTH OF MASSACHUSETTS a :BI k: 32A-097 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A) Category ROOF BUILDING PERMIT Permit# BP-2019-1313 Proiect# JS-2019-002121 Est Cosr.,�S�13o0.00 Fee $224,00 PERMISSION IS HEREBY GRANTED TO: const.Class: Contractor: License: Use Group JAMES FLANNERY 103061 Lott Size(;g.ft.): 3876.84 Owner. BROWN E PAUL TRUSTEE zonine CB000)! Applicant. JAMES FLANNERY AT. 3 MARKET ST Applicant Address: Phone: Insurance: 1 LOVEFIELD ST _ (508) 294-4052 WC EASTHAMPTONMA01027 ISSUED ON:5/21/2019 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; QIL 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 5/21/2019 0:00:00 $224.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner DowSign Envelope to 0AB5AD73-DW1-439D-8195-97F598D0159C B — F Version 1.7 Commercial Building Permit May 15,2000 Department use only City of Northampton Status of Permit: Building Department Curb CugDriveway Permit - 212 Main Street Sevssr/SepBc Availability Room 100 WsterrWeM Availiltrlity Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 PkitlSite Plain Omer Spedfy APPLICATION TO CONSTRUCT,REPAIR,RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 7 -SITE INFORMATIO PIP gp_t 9-/3 t 3 7.1 Property Address: This section to be eomalefetl by office MAY 1 M 3�.n Lot Qg7 unit 3 Market St. X019 Z e Overlay D DEPT OF Flue INSPFCTIONS EI St Distinct CB Dletrict SECTION 2-PROPERTY OWNERSHIPIAUTH 2.1 Owner of Record: Paul Brown 81 Waikai St.,Wailes HI 96753 Name(Prot) mo,ay.dty: Current Mailing Atltlress'. 81 waikai st [( Signature Telephone /1.3— 3-.30 — ��ST 2.2 Authorized Agent: James J. Flannery 1 Lovefield St., Easthampton MA 01027 Name(Pint) Current Mailing Address: 413-203-5888 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $31,300.00 (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) ----$31,300.00 Check Number _ This Section For Official Use Only Building Permit Number Date Issued Signature: — 5 -2i - zol9 Builtling Commissionerllmpector of Buildings Date Version l.7 Commercial Building Permit May 15,2000 SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition Repairs❑ Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofing El Change of Use❑ Other❑ Brief Description Remove existing roof materials. Mechanically fasten 2 layers of 2.5'polyisocyanumte insulation. Of Proposed Work: Install fully adhered TPO roof system. New drip edge. SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 p A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ 1-1 ❑ I-2 ❑ 1-3 ❑ 36 M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ S-1 ❑ S-2 ❑ 5B ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY Floor Area per Floor(sq 1. 2 2n° 'a 3b V 4m 4m Total Area(sf) Total Proposed New Construction(at) Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,4 54) 7.1 Flood Zone Information: 7.3 Sewags Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone❑ Municipal On site disposal system❑ DocuSign Envelope By OA85AD73-0061-639D-8195-97F598D0159C Versici Commercial Building Permit May 15,2000 8. NORTHAMPTON ZONING Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: - U R: Rear Building Height Bldg. Square Footage % Open Space Footage (Lot area minus bldg&paved ,kin ft of Parkin _Sjraces Fill: volume ffi Incation A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO = DON'T KNOW YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT KNOW© YES= IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? N0= DON'T KNOi YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained = Obtained , Date Issued: C. Do any signs exist on the property? YES NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YEf= NO IF YES, describe size, type and location: E Will the construction activity disturbclearing,grading excavation,or filling)over t acre at is it part of a common plan that will disturb over 1 acre? YES NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. DowSign Envelope ID:DABSAD73-DO81-4390-8195-97F598D0159C Versionl.7 Commercial Building Permit May 15,2000 SECTION 9.PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 36,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable 13 Name(Registrant)- Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registratton Number Signature Telephone Expiration Data Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Peak Performance Roofing, LLC Not Applicable m Company Name: James J. Flannery Responsible In Charge of Construction '1 Lovefield St.. Easthamoton. MA 01027 Address 413-203-5888 Signature Telephone DocuSign Envelope ID.0AD5AD73-D061-439D-8195-97F598D0159C Version 1.7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11) Independent Structural Engineering Structural Peer Review Required Yes ❑ No SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Paul Brown I, ,as Owner of the subject property James J. Flannery / Peak Performance Roofing, LLC hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. �o«os's^^a q.'. 5/7/2019 I YAa PNdWbL Signature of Owner wcwersararee+.. Date James J. Flannery 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 J. Flannery Print Name 't)1,4--4 �i3 19 Signature of OvnerlAg —T�f Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Suberidia, Not Applicable ❑ Name of Lkense Halder:_James J. Flannery CS-103061 License Number 11 Williams St.. Holvoke. MA 01040 09/21/2020 Address n Expiration Data cry 027 ,, 413-203-5888 Signature ����JJ�- Telephone SECTION 13-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 tha tlenial of the issuance of the building permit. Signed Affidavit Attached Yes ❑ No❑ DOLOSIgn Envelope ID:DAB5ADl3-DWI-439D-8195-9]F598DD159C City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste 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. Address of the work: 3 Market St. The debris will be transported by: Aaron's Roll-Off Service, 1 Loomis Way, Easthampton The debris will be received by: Building permit number: Name of Permit Applicant James J. Flannery, Peak Performance Roofing, LLC /1//2 V Date Signature of Permit Applicant From: / QQk, PaArmQnLQ I Love ��Id 5F EasFl�avn�EN /�rA MDR U(3 2D3 - 58S� To: Louis Hasbrouck Building Commissioner City of Northampton 212 Main Street Northampton, MA 01060 The Massachusetts Building Code,section 107.1 allows for an exclusion from requirements for construction control in certain situations. In accordance with code section 104.10,1 request that you grant a modification to waive the requirement for construction control of the project at because the work is of a minor nature, will not affect structural elements, health, accessibility, life or fire safety,and will be done in accordance with the prescriptive requirements of the code. Thank you for your consideration. Respectfully, The.Commonwealth ofMassachusefts Department of Industrial Accidents Off ice of Investigations 600 Washington Street Boston, MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit: BuOders/Contractors/Electricians/Plumbers Applicant Information Please Print Lemibly Name(Baaineaa/otganizatiat✓mdividnaq: Peak Performance Roofing LLC Address: 1 Lovefield St. City/State/Zip: Easthampton, MA 01027 phone#: 413-203-5888 A,rree,7ypa an employer?Check the appropriate box: Type of project(required): 1.pd I em a employer with 4 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).' have hired the subcontractors 2.❑ I 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 ci employes and have workers' Y uran b 9. ❑ Building addition req workers' comp. nascence comp.insurance.:corpral required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised the 11.❑Plumbing repairs or additions myself.[No workets'comp. right of exemption per MGL 12 Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.❑ Other comp.insurance required] *Any applicmt thatchecks box#1 smut also fill out the section below showing dwnwmkm'compcnumov policy information. t Homeowoas who submit this affidavit indicating they are doing as wade and then hire outside contmemu must submit a new aff&vu indicating such tConnactom that check this box must attached an additional sheet showing the name of the sub<ootacmra and este whether or not those eatifies have employees. If the subcoo0aclas have employee,they must pmvide tau workma'comp policy number. I am an empnployer"is pro /ding workers'rnmpenradon insurance for my employees. Below is are policyand job site information. Insurance Company Name: Berkshire Hathaway Guard Policy#or self-ins.Lic.#: R,,2/�W,,CL021353 Expiration Data: 41I//27/2020// Job site Address: 3 M&KkLL - Sf City/State/Zip: AA(4tpiy(�/Dlu 0/OlaO 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 fire up to$1,5011.00 and/or one-yea 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 pe of pfelrjury diel the Information providedw is hue and correct signature' Tj' -7f 1Ll Date r / Phone#: 413-203-5888 OBlcial we only. Do not write in this area,to be completed by city or town of edit City or Town: Permit/Liceme# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityrrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#' Worker's Compensation and Employer's Liability Poli" 43835 Berkshire 2 I'18thd Wd AmGUARD Insurance Company- A Stock Co. Hathaway Policy Number R2WCO21353 AlG U A R DCompanies RenewalNCCI No.[21873] Policy Information Page(AR) [I]Named Insured and Mailing Address Agency PEAK PERFORMANCE ROOFING LLC WEBBER&GRINNELL INSURANCE AGENCY, INC. 1 LOVEFIEID STREET 8 NORTH KING STREET EASTHAMPrON, MA 01027 Northampton, MA 01060 Agency Code: MAMAINIS Federal Employer's ID 00-1191951 Insured is Limited Liability Co. (LLC) [2] Policy Period From April 27, 2019 to April 27, 2020, 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 Endorsement-WC200306B D. 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, Classifications, Rates, and Rating Plans. All required information is subject to verification and change by audit. (Continued on another page) Total Estimated Policy Premium $ 31,202 Total Surcharges/Assessments $ $1,181.00 Total Estimated Cost 383.00 INTERNAL USE xK Page- 1 - Information Page MW : R Wra21353 WC 000001A Date :09/01/2019 MANOTE Isauing Office:P.O.Box A-M,16 S.rover street,Wilkes-Barre,PA 18703-0020 r Www.suard.cem ��e cpainmanu�ea� o�C��,+zaaac>l�uute� Office of Consumer Affairs and Business Regulation One Ashburton Piece- Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: LLC PEAK PERFORMANCE ROOFING,U.C. ReyerlrMM 1830M 1 LOVEFELD ST. - EL�MeOon: 11A13(2010 EASTHAMPTON.MA 01027 ULgab Address WW Rsam Card. aGt O a6�oatr Of w a CaawLr AMRa a Sart Rasaesan HOME WRmYELENT CONTRACTOR Ra6lMatlm wMbrlMrWrltromly TYPE:LLC halos NLa aLPuabn dab. NMMa fa W: (am Ei� 10Park WMG-SorANaka ra SUYLLaN RapaaOon 189N6 11A19fA19 10 Park Pim-SWM 6170 PFM(PERFORMANCE ROORNG.LLC, Eoren,W1021" JAMES FIANNERY I LOVERERD ST. EASTHA4PTON.MA 01027 VIIdB1aBCIBMfy MR valid withO1R aignSNlrO CaasonWmft of Massachosah .. DNiaion a Profess O MI Licanswe Do d of MMdMg Raaulafons and Standards --s-` -vr geps.. SUPWACCC u'"UIC ad-NWMYL6s or any use SrouPfYldah comoan CS-103061 EAPiraa:0p/212020 Iasathm36,ON cubic faa(Mcublemaafs)denclosd SIM00- JAMFS J FLANNERY 4 tVALLUM Q HOLYOtE MA OWN Commissioner CL Fa6mmPowFFa OLnNN6tl111an d1heMNNddMMls ElateRWIdILRSCant"Mm Tor itiGSl6n80 6Cr1l. FaiNwrn•IMO apatlMa fieaf W Cr Us1n 727dZ00 a aNSwwwJnas-SaddN DocuSign Bmelope ID:OABSAD79-13081J 913-8195-97F596DO159D Contract EK Peak Performance Roofing LLC P E R F O R (� E 1 Lovefield St Dae Contra M Easthampton, MA 01027 15/7/2019 948 MA CSW 103061 413-203-5888 peakperfommnmmofingllc@gmail. m ..peakperfomumcemofiogllc.com MA HIC 0 153698 Bill To Job Location Paul Brown Attn:Jeff DiCarlo 81 Waikai St. 3 Market St. Wailea,HI 96753 Northampton, MA 01060 Epbthroe@aol.com 413-530-9554 jeffdicarlo@wl.com Description Total Roofreplacement with TPO: 31,300.00 1.Remove the existing roof materials.Inspect the sheathing. 2.Replace up to 100 sq ft ofrofted deteriorated sheathing as needed,included in estimate. Additional deck replacement will be billed on a time and materials basis with labor cost at$75 per hr. 3.Fasten pressure treated 2x6 on perimeter to equal height ofthe insulation. 4.Mechanically fasten 2 layers of 2.S'polyisocyanurate insulation with approved screws and plates. S.Install Genflex 7PO fully adhered roof system,all details per Genflex specifications. http://genflex.wm/wp-cantent/uploads/2014/11/CB 04_C,f lex-T?&Bmchure_1014_web.pdf 6.Fabricate and install.032 gauge bronze aluminum drip edge on perimeter. property will be protected at all times to prevent any damage. All debris will be removed from the premises.Contractor will obtain building permit.Installations are weather permitting. Tom]cost=$31,300.00 A deposit of 45%is due at contract signing. 45%shall be due upon substantial completion. The balance shall be due following approved inspection by building commissioner. Contractor Signature: Customer Signature: o�v.ah: Date: 5/7/2019 Total' [a 6 WW 531,300.00 oYdrr MFF l...