23C-025 (3) 517 RIVERSIDE DR BP-2019-1470
GIS 9: COMMONWEALTH OF MASSACHUSETTS
Map:Block:23C-025 CITY OF NORTHAMPTON
Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Buildina DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Catcww ROOF BUILDING PERMIT
Permit# BP-2019-1470
Project# JS-2019-002382
Est.Cosl:$16000.00
Fee:$104.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JAMES FLANNERY 103061
Lot Size(sa.ft.): 31101.84 Owner. NEWEY MARK D
Zoniruc URB(100y Applicant. JAMES FLANNERY
AT: 517 RIVERSIDE DR
Applicant Address: Phone: Insurance.
1 LOVEFIELD ST (508)294-4052 WC
EASTHAMPTONMA01027 ISSUED ON. 0.00:00
TO PERFORM THE FOLLOWING WORK.STRIP AND REROOF, REMOVE CHIMNEY AND
REPLACE 1 SKYLIGHT
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 62620190:00:00 $104.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
i
F 014/
(0140
DMuSign Envelope lD:12ACM18-DCED4MO-9822-7f—�"' /
_ Depanmen use only
City Of N he pton Latus of Permit:
.r Building ape megt,N 2 ) 2019 .1t ut/Dnveway Permit
212 M n S etJU r Septic Availability
t Roo 10 afar ell Availability
Northampt II DINT.INSPFsTlk is of Structural Plane
phone 413-587-124 —EaxA. 0 Plane
Omer Specify
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION 6 P—
/#-H
70
1.1 Prosenv Address: This section to be completed by office
i
517 Riverside Drive Map _ Lot 0.)!s Link
Zone Overlay District
Elm SL District CB Distinct
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
Mark Newey 517 Riverside Drive, Florence MA 01062
Name(Prim) pusan.s, commit tossing Address,
Te1epb"° 413.587-0935
LZ Authorized Agent;
James J. Flannery 1 Lovefield St., Easthampton MA 01027
sen»(RM) ,L g` � Current Making Address:
�.•.,•l 413-203-5888
swalum Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated cost(Dollars)to be Official Use Only
completed by pearnit applicant
1. Building $16,000.00 (a)Building Permit Fee
2. Etectdcal (b)Estimated Total Cost of
construction from 6
3. Plumbing Building Permit Fse
4. Machenical(HVAC)
5.Fire Protection
6. Total=(1 +2+3+4+5) $16000.00 Check Number
This Stolon For ORklel Use Only
Building Permit Numbor Date
Issued:
Signature: ' t-24-2019
Building Commen ionerllnspector of Buikings Dab
peakperformanceroofingllc I.gmail.com
EMAIL ADDRESS (REOUIRED; EITHER HOMEOWNER OR CONTRACTOR)
J
DocuSign Envelope ID.12AC2A18-DCED<2 0-9822-7A3BF6102EBA
SECTION 5.DESCRIPTION OF PROPOSED WORK(check all applicable)
New Nouse ❑ Addition ❑ Replacement Wlndowa Alterodon(e) Roofing
ar Doors D
Accessory Bldg. ❑ Demolition ❑ New Signs [p] Deck; IO Siding[OI Other[EA
Brief Description of Proposed Strip&re-roof. Remove inactive chimney to below roofline. Replace 1 skylight.
Work:
Alteration of existing bedroom_Yes_No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement _Yes No
Plans Attached Roll -Sheet
a.N Now house and or addition to existina housing.complete the following.
a. Use of building ,One Family Two Family Omer—_ _
b. Number of rooms in each femily,unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stones?
I. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
1. Is construction within 100 ft.of wetlands?_Yes _No. Is construction within 100 yr. noodplaln_Yes No
J. Depth of basement or cellar floor below finished grade
k. Will budding conform to the Building arta Zoning regulations? Yes No.
I. Septic Tank City Sewer Private well City water Supply
SECTION To-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I Mark Newey as Owner of the subject
Property
hereby authorize James J. Flannery/Peak Performance Roofing, LLC
to ad on my behae,in all matters relative to work authorized by this building permit application.
oxuegmep:
IA
6/18/2019
signatem of owror I Dole
James J. Flannery ,as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are two and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
James J. Flannery
Print Nome
I- I"- -7L 6Ib /g
Signature,of OwneNAgenl Date
DocuSign Envelope ID:12AC2 18-DCED42A0-9922-7A38FBIMEBA
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of uunse Hower CS-103061
License Number
James J. Flannery 09/21/2020
Address E.WMim Date
1 Williams St., Holyoke MA 01040
Signature Telephone
413-203-5888
8.Realsterad Nome Improvement Contractor: Not Applicable O
Company Name Registration Number
Peak Performance Roofing, LLC 183698
Address Expiration Date
1 Lovefteld St., Easthampton MA 01027 Te ephone 413-203-5888 11/03/2019
SECTION 10.WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.O.L c.152,S 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this eMdevit Wit result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... II/ No...... ❑
DocuSign Envelop ID'. 12AC2A18-DCED42A0-98224A3BFB102E8A
_ City of Northampton
Massachusetts '4
r i
D &R1f@1'Z OF BUZLDZBO ZBSFSCZZOBS
112 wan accwt •Bunleipal 6ulldinq C�
Rocthupcon, w 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:
517 Riverside Drive
(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:
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 ofMassachuseas
Department of Industrial Accidents
Ofj-ice of Investigations
600 Washington Street
Boston,MA 01111
www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/OrgmizatioMlMividuaq: Peak Performance Roofing, LLC _
Address: 1 Lovefield St.
City/State/Zip: Easthampton, MA 01027 Phone#: 413-203-5888
An o au employer?Check the appropriate box: Type of project(required):
I am a employer with 4 4. ❑ I am a general contractor and I 6. E] New construction
employees(full and/or part-time).* have hired the sub-contractors
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
working for me in any capacity. employees and have workers' 9 ❑ Building addition
[No workers'comp.insurance comp.insurance.=
required.] 5. ❑ Weare a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I l.❑ Plumbing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12 LgRoof repairs
insurance required.] c. 152, §I(4),and we have no
employees.[No workers' 13.0 Met
comp.insurance required.]
*My applicant that checks box fl l must short out Ne section below showing their workers'compensation policy information.
t Homeowners who submit this amdavit indicating they arc doing all work and then him outside contractors must submit o new affidavit indicating such.
tContmetora that check this bnx must attached an additional sheet showing the come of the sub-eonuactms and state whether or not those entities have
employees. If the sub-contmct,rs have employees,they must provide their workers'emnp.polity number.
1 am an employer that is providing workers'compensation insurance for my employers. Below is the policy and job she
Information.
Insurance Company Name: Berkshire Hathaway Guard
Policy#or Self-ins.Lie.#: R2WCO21353 Expiration Date:!4/27/2020
Job Site Address: S/1' IS II/.Pf7Ib �I'i V� City/State/Zip: tl'!b/
00�� z
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 and/or one-year imprisonment,as well as civil penalties in the fonts 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 cerdfp under the Mains and penalties of perjury that the information provided abgve u¢ e and correct
Sianature� 'J 0 1� Date: &4M
Phone#'
413-203-5888
Official use only. Do nor 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/To"Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone If:
Worker's Compensation and Employer's Liability Policy
Berkshire Hathaway AmGUARD Insurance Company- A Stock Co.
Y Policy Number R21NCO213S3
GUARDInsurance Renewal of RZWC94383S
Companies NCCI No. [21873]
Policy Information Page(AR)
[1]Named Insured and Mailing Address Agency
PEAK PERFORMANCE ROOFING LLC WEBBER&GRINNELL INSURANCE AGENCY, INC.
1 LOVEFIELD STREET 8 NORTH KING STREET
EASTHAMPTON, MA 01027 Northampton, MA 01060
Agency Code: MAMAINI5
Federal Employer's 20 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. Workeri Compensatlon Insurance - Part One of this policyapplies to the Workers'Compensation
Law of the following states: Massachusetts
B. Employers 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
f [4] Premium
IIII 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 $32,383.00
INTERNAL USE xx Page - 1 - Information Page
MGN :R2wCO21393 WC 000001A
Det. 00/01/2019
MANOTE
Issuing Office: P.O. Box A-M, 16 S. River Street,Wilkes-Barre, PA 19703-0020 a wwsv.guar8.com
Vfie �a�n�no�nuk�at/t1 �civGaQaac�iccae�T,a
Office of Consumer Affairs and Business Regulation
One Ashburton Place- Suite 1301
Boston, Massachusetts 02108
Home Improvement Contractor Registration
Type: LLC
PEAK PERFORMANCE ROOFING,LLC. Registration. 183898
1 LOVERELD ST. F)Ofation: 11/0312019
EASTWVdPTON,MA 01027
Upolb Address and Rdurn COIL
srwn O Xa over
pll14a C9nsaner MWIE a 00011`11AeaaYtlen
IIDYEIMPRDYEMEMCONTRACTIr Registration,Mrots nvdd far lMltlualwanry
LL
TYPE: C bsbn aaplydbn ffidn S IerOd meaner e
11AW Q 10Park Grew AMtisard BMMws Repulatien
159x5 ItAlYA19 10 PMk Pira-SWY 5170
PEAK PERFORMANCE ROOFING,LLC. Bandon,MA =16
JAMES FIANNERY —
i WWRELD ST.
E7STFIAMP1`0N,MA 01027 Undersecretary valid without Signature
e Carernnsveaeb of Massachusetts
Division of Prohssional Lcenwre
Board of BuiMin9 Re9elMims and Standards
Conalwstion Supervisor
Uw",,c rd-BullObres of a"use Woop which contain
CS-1030E7 Expires: (10/2112020 less than 36,000 cubic led psi cubic meters)of enclosed
JAMES J FLANNERY
1 W111JAMS ST
NOLYOKE MA 01010
Commissioner FaRae to Possess a anent edition of the Maamchuaetls
Slate Building Code is corse/or revocation of this Kansa.
For infornrl'an sbeul mit license
Cap(517)72741200 or vis0 ww ---`l1ovdPl
DocuSign Enelope ID:12AC2A18-0CED42A0-98224A3BFB102E8A
Contract
PE K Peak Performance Roofing LLC
Conincil
PERF O R C E I Lovefield St Date
Easthampton, MA 01027 6/102019 910
MA CSU" 103061 413-203-5888 peakperfomunmroofingllc®gmuLcom w .peakperformmcemofingllc.mm
MA BIC a 183698
Bill To Job Location
Mark Newey Mark Newey
517 Riverside Dr. 517 Riverside Dr.
Florence,MA 01062 Florence,MA 01062
413-587-0935 413-587-0935
markncwcy@yaboo.com matimewey@yahoo.com
Description Total
1.Remove the existing roof shingles 16.000bO
2.Remove the existing sheathing materials. Replace with new CDX plywood on entire house.
3.Remove existing chimney past roofline.
4.Remove and replace skylight with new Velux skylight(manual vent,solar powered room darkening blinds
in may)
5.Install six feet of ice and water shield at eaves and three feet in all valleys,around pipes and chimneys.
Cover entire porch roofs with ice and water shield.
6.Cover remaining roof with Certainteed"Roof Runner"synthetic underlayment
7.Install new 8"aluminum drip edge on all eaves and rake edges
8.Install architectural shingles by Certainteed (Landmark PRO 40yr)
httpsJ/www.ccrta/Iintteed.wmhesidw ial-rmfmg/proodd�ucts/lmd muk-prro/
Color Choice: / X ,an 1 01U b ran -rk (�►zt_(!
9.Install new Certainteed ridge vent on peaks of roof /
10.Complete all necessary Flashings including new pipe boots and new base flashing around chimney
Remove all debris from premises,and throughout the job,continue cleanup and keep the premises
undamaged.Weare not responsible for debris that may fall into attic. Please use caution during the process
and after dumpster is removed;do not walk/drive over areas of potential roofing debris.Contractor will obtain
building permit.Installations are weather permitting.
Contrncmr 'y3fmm: Curiomer Signatuv:: [°°�''�"q,. Datc: 6/18/2019 Total:
4 11
messewsri+m
Pagel
y�,
DoruSign Envelope In 12AC2A19 DCED42A0-9822-7A3BFB102E9A
Contract
MF E K Peak Performance Roofing LLC
P E R C E 1 Lovefield St Date Contrectlt
Easthampton, MA 01027 6/10/2019 910
MA CSL*107061 <13-203-5999
MA MCO
183698 pealrl><rf.mm«�rn�9nn®y,�.a«m ....,..pe.Ap�.r«ter glen.«m
Bill To Job Location
Mark Newey Mark Newey
517 Riverside Dr. 517 Riverside Dr.
Florence, MA 01062 Florence,MA 01062
413-587-0935 413-587-0935
markncwcy@yahw.wm marknewey@yahm.com
Descnption Total
Cost Summary:
Landmark PRO shingles=$10,900
New plywood on entire house= $3,300
Remove existing chimney past rwtline=$300
Remove and replace skylight with new Velux skylight(manual vent,solar powered room darkening blinds in
gray)—$1500
Total cost=$16,000
A deposit of$8000 is due at contract signing. The balance shall be due upon completion. Accounts
outstanding over 10 days post-completion subject to 2%finance charge,compounded monthly.
Connector Sign Customer Signemre:� rti.; Dam: 6/18/2019 Total.
MOA
:sea9nsurwrm.. $16,000.00
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