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23C-104 (9) 103 BLISS ST BP-2019-1438 GIS 4: COMMONWEALTH OF MASSACHUSETTS M=Block:23C- 104 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A) Ca[eeorv:ROOF BUILDING PERMIT permit BP-2019-1438 Pnd"t# JS-2019-002324 Est.Cost.$21275.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: JAMES FLANNERY 103061 Lot Size(sa.ft.): 80019.72 Owner: WILBY BRIAN&. LINDSEY Zoning: URA(100VWSP(100) Applicant: JAMES FLANNERY AT: 103 BLISS ST Applicant Address: Phone: Insurance: 1 LOVEFIELD ST (508)294-4052 WC EASTHAMPTONMA01027 ISSUED ON.•6119/2019 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: 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 Occuoancv Signature: FeeTvpe: Date Paid: Amount: Building 6119/20190:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck-Building Commissioner Depmnnent use only City of North mpL S sof h: i Building De rtmN 1 8 Cuvewey Parmnff. Aul212 Main tree 201 6 AvailetlMty Room 00 We rAN Avallaagty Northampton, A 11UILDINC INSPE "SiruCtimill Plane phone 413-587-1240 '^Acr NSB, lens Other SpecHy APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING BECTON t -SITE INFORMATION 6p, � " ��� 1.1 Prooerty Adi rne: This section to be completed by office 103 Bliss St. Map Ola G Lot Unit Zana Overlay Distrld Elm St District CB Distinct SECTION 2-PROPERTY OWNERSHIPIAUTHORIZZED AGENT 2A Owner of Racerd: Brian Wilby 103 Bliss St., Northampton MA 01060 NamyeJfrim) l^ l Current Mailing Address'. © - r�l?,/N• T 413-218-0430 Sig alure 2.2 Authorized Anent: James J. Flannery 1 Lovefield St., Easthampton MA 01027 Name(Pnm) Currem Meiling Address: 413-203-5888 signalure Teleprwne SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)tobe Official Use Only completed b permit a liwnt 1. Building $21,275.00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost o/ Consirucdon hom 6 3. Plumbing Building Permit Fee / m 6. Mechanical(HVAC) 5.Fire Protection 6. Total=(1 +2+3+4+5) $21275.00 Check Number O1b This Section For Official Use Only Building Permit Numbi Date Issued: Signature: G (8 Zo(9 Bufli ng Commisslonerllnspector of Buildings Data peakperformanceroofingllc gmail.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 5.DESCRIPTION OF PROPOSED WORK Icheck all applicable) Now House ❑ Addition ❑ Replacement Windows Alterallon(s) 0 Roofing Or Doors D Accessory Bldg. ❑ Demolition ❑ New Signs 10] Decks 1p Siding IOI Other ICI Brief Description of Proposed Strip & re-roof with standing Seam metal. Work: Alteration of esisting bedroom_Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement _Yes No Plans Attached Roll -Sheat a.N Now house and or addition to existing houslna.comDleb the hollowina: a. Use of building.One Family Two Family Olher 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 stones? L Method of heating? Fireplaces or Woodstoves Number of each_ g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction I. Is construction within 100 x.of"fiends?_Yes _No. Is construction within 100 yr. floodplain_Yes No J. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes_No. I. Septic Tank_ Cay Sewer private well City water Supply SECTION Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1. Brian Wilby as Owner of the subject property hereby authorize James J. Flannery/Peak Performance Roofing, LLC toon my hex,in al relative to work authorized by this building parmft appytion. If K Signature aeo� Dale James J. Flannery as OwnerfAuthorized 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 L'�"-74� Signature of Owneduilland Data SECTION S-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Nam.of ucente Homer: CS-103061 License Number James J. Flannery 09/21/2020 Address Expyaaon Date 1 Williams St., Holyoke MA 01040 Signelum Telephone 413-2 413-203-5888 9.Reolatered Home Improvement Contnbtw: Not Applicable ❑ Company Name Registration Number Peak Performance Roofing, LLC 183698 Address Expiration Data 1 Lovefield St., Easthampton MA 01027 Telephone 413-203-5888 11/03/2019 SECTION 10.WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.O.L.c.152,§25C(S)) Workers Compensation Insurance affidavit must be completed and submitted With this application. Failure to provide this affidavit rill result in the denial of the issuance of the building permit. Signed ANdevb Attached Yes....... d tip...... ❑ City of Northampton Massachusetts } i 1 nsPam� or esrrezac zsssaazoss f. 212 I i. Strut •Muninlpal Building = \ en:th n, er, 01060 +6 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 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: 103 Bliss St. (Please pdnt 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: Aaron's Roll-Off, 1 Loomis Way, Easthampton MA 01027 (Company Name and Address) Signature of Permit Applicant 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 ofMassaehusetts ® OffiDepartment of Industrial Accidents ce ofInvestigations 60000Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(Business/Organiraron/I dividual): Peak Performance Roofing, LLC Address: 1 Lovefield St. City/State/Zip: Easthampton, MA 01027 Phone#: 413-203-5888 Aa a employer?Check the appropriate box: VType of project(required): 1. am a employer with 4 4. ❑ I am a general contractor and I employees(full and/or part-time).• have hired the sub-contractors 6. E]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 m aci employees and have workers' y ur ty. 9. E] Building addition req workers'comp.insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 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.] •My applicant that checks box#1 must also fill out the section below showing Meir workers'compensation policy i immustion. t Homeowners who submit this affidavit indicating they am doing all work and then hire outside contractors must submit a new affidavit indicating such. tCommetors that check this box must attached an additional sheet showing the name of the sub-contoolors and suite whether or not those entities hoot employees. If the sub-contractors have employees,they must provide Meir workers comppolicy number. I am an employer that is providing workers'rompensauon insurance far my employees. Below is the policy and job site information. insuranceCompany Name: Berkshire Hathaway Guard Policy a or self-ins.Lie.#: R2WCO213152 3 Expiration Date: 4 /72020 Job Site Address: /03 81ijs `( k City/Slate/Zip: 0/'f! 00�0 Attach a copy of the workers'compensation pocky declaration page(showing the policy number and expiration date). Failure to seem coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to S 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 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 verification. 1 do hereby cen[fvqunder the v0ain.,and penaftfes of perjury thin the information Provided abpvetr ' true and correct Sianaturi '✓ p 7- Date: 41/ VZ1 Phone#: 413-203-5888 Official use only. Do not write in this area,to be completed by chy or lawn offrciaL 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 Policy Berkshire Hathaway AmGUARD Insurance Company - A Stock Co. `\� insurance Pol Renewal of R2WC943835 2 GUARD Companies NCCI No. [21873] Policy Information Page (AR) (I]Named Insured and Mailing Address Agency PEAK PERFORMANCE ROOFING LLC WEBBER B GRINNELL INSURANCE AGENCY, INC. 1 LOVEFIELD 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 policyapplies 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 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 $ 31,202 Total Surcharges/Assessments $ $1,181.00 Total Estimated Cost 3 383.00 INI aawk-USE xx Page- 1 - Information Page MW :R2WCO21353 WC 000001A Dee 01/01/2019 NANOrE Issuing Officer P.O.Box A-H, 16 S.River street,Wilkes-Barre, PA 18703-0020 • www.guard.com G9'1w �a�nareanurPa�lfi a�C� aaaac�ivaelt Office of Consumer Affairs and Business Regulation One Ashburton Place- Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: LLC 83898 PEAK PERFORMANCE ROOFING,LLC. Rep jrW=afiM 11/03 1 LOVEFIELD ST. F�iragdc 11/R1/2018 EASTHAMPTON,MA 01027 t"M A0dNMs OWNS RslNm card. OYr a n HOMEIMM0VEMEM COWRACYOR Reg1a0a1brN valid for kNdlNdNOWlvas anly TYPE:LLC mos Namnmunar dab. andatlraWmm: R9W� 111=219 OMdMConwnOWr Alfaka artl BUYlm Rsgulstlan 1®M 11pY2019 10 Park Plana-Su1b 5110 PEAK PERFORWNCE ROOFING,LLC. Bcsbn,MA 01116 /AL. FARTMAAPTON,s1A D1027 UnderseGreNry NO[V811d wLlhoW tlgtLBWro e commnwaalh of Maaaachusefts DNision of Pm/el ooml Lcensum Board of Building Regulations snd Standards Cplyrur,9gn SUFrrNaor . . . unrest ad-Bu1M0gs of any Uss WWP wflich cdlain CS-1071161 [xpirea: Qg/21/2020 less Nan]6,000 cU0 fast(991 cubic melee's)of enclosed space. WIFLANNERY 1 LL A 1 W s'1 IgLYOO(EY01�MA 01669 Commissioner Fa01xe to possess a current edi0m W Ne Massachusetl9 Stafe&tilling code is cwr 6sr rewcalm of Nis lcmse. For jr,,o o uon a Olia 9ct.Nse cal(111)727-3M d vis9--rrYd.90YMP1 P E K Peak Performance Roofing LLC Contract P E R F O R C E 1 Lovefield St Dare Contra Easthampton, MA 01029 5/31/2019 997 MA CS111103061 413-203-5888 peekxrfomienceroofing1W@gmeil.wm www.p Axrfo,mv nx,fingllc.com MABIC# 183698 Bill To Job Location Brian Wilby Brian Wilby 103 Bliss St. 103 Bliss St. Northampton,MA 01060 Northampton, MA 01060 413-218-0430 413-218-0430 bawilby@gmail.com bawilby@gmail.wm Description Total 1. Remove the existing roof shingles. Inspect the sheathing and replace up to 64 square feet of 1.225.00 rotted/deteriorated wood as needed at no added cost Any additional plywood will be$75 per sheet installed 2.At roof/sidewall transition,remove siding to allow for propert installation of flashing. Reinstall siding after flashing is completed. 2.Install 3'of Englen HT(High Temperature)ice&water shield at the eaves,and 3'at all rakes,ridges, sidewalis and penetrations wherever possible. https:/Avww.englertinc.comrimages/stories/documents/pweWht_underlayment.pdf 4. Install Englen symethic underlayment on remaining roof area. https 9/www.englertinc.com/images/stories/documents/panels/premium_underlaymentpdf 5. Install Englen 24 gauge metal roof panels,profile A 1300. httpsJ/www.englertim.wrW I-0/oC2%BI-mechanically-seamed-metal-rwf-systema I300.htmi 6.Seams will be double locked. 7.Clips will be spaced 24" on center on from side of house and lounge,and 12"on center in the rear. S.Drip edge will be installed on all eaves and rakes. 9.Ridge cap will be installed with vented Zenclosures. 10.All penetrations will be flashed according to Englen specifications. 11.Colorgard snow Dills will be installed on the front of the hoax and garage extending the entire length of the eaves. http://www.metalplmllc.wm/documents/metalpluscolorgard-bmhm.pdf Contractor Sipprume: Caslomer Signature: Dam: Total. Page 1 P E K Peak Performance Roofing LLC Contract P E R F O R C E I Lovefield St Dam Contmca Easthampton, MA 01027 5/31/2019 997 MA CS"103061 413-203-5889 pwkpertbrmanceroofingacQagmafl.mm www.peakpcdonruvaraofiogllc.mm MA BIC 8 183698 Bill To Job Location Brian Wilby Brian Wilby 103 Bliss St. 103 Bliss St. Northampton, MA 01060 Northampton, MA 01060 413-218-0430 413-218-0430 bawilby@gmail.com hawilby@gmail-corn Description Total Color choice: Charcoal Gray 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. Please use caution during the process and after dumpster removal;do not walk/drive on areas of potential roofing debris. Contractor will obtain building permit. Installations are weather permitting. Total cost(House&garage)=$21,275.00 A deposit of 1/2 is due prior to start of work,at contract signing. The balance shall be due upon completion. Accounts oustanding over 10 days post-completion subject to 2%finance charge,compounded monthly. Contractor Sigmtm,: Cusmner Sigmtum: Dare: Total: (e 19 $21,275.00 Page 2