35-289 (14) 9 SYLVAN LN BP-2020-0163
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:35 -289 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-2020-0163
Proiect# JS-2020-000269
Est.Cost: $17450.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JAMES FLANNERY 103061
Lot Size(sq.ft.): 32713.56 Owner: FRIEDMAN PERRY
Zoning:- Applicant. JAMES FLANNERY
AT. 9 SYLVAN LN
Applicant Address: Phone: Insurance:
1 LOVEFIELD ST (508) 294-4052 WC
EASTHAMPTONMAO 1027 ISSUED ON:8/8/2019 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 Occupancy Signature:
FeeType: Date Paid: Amount:
Building 8/8/2019 0:00:00 $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
R-GO F
City of Northampton--- Status of Permit: Department use only
Building Department-
Curb Cut/Driveway Permit
A 212 Mail, Streif Sower/Septic Availability___
Roo 1001 Water/Well Availability
Northampton MA�101 OWE - -7 2019 T o Se of Structural Plans
phone 413-587-1240 Fax1413-587-1272 PI dSite Plans
— i r S eci
MFPT OF: ING INSPECT
N RT AMrION.MAOIUM
APPLICATION TO CONSTRUCT, ALT H A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address:
This section to be com71?
d by office
�
9 Sylvan Rd. Map 'J Lot Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Perry Friedman 9 Sylvan Rd., Florence MA 01062
Name(Pr i Current Mailing Address:
i
_ Telephone 413-347-2978
'Signature
2.2 Authorized Agent:
James J. Flannery 1 Lovefield St., Easthampton MA 01027
Name(Print) Current Mailing Address:
11-�YL 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 $17,450.00 (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee �l
4. Mechanical(HVAC) jV
5. Fire Protection
6. Total= 0 +2+ 3 +4 + 5) $17,450.00 Check Number
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature: 4 8- 1-2017
Building Commissioner/inspector of Buildings Date
pe a k p e rfo r m a n ce ro ofi n g I I c na gmail.com
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
E
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing
Or Doors 1:3
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding[0] Other[C]J
Brief Description of Proposed Strip & re-shingle roof.
Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a.-If New house and or addition to existing housing, complete the following:
a. Use of building : One Family Two Family Other_
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 stories?
f. 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 ft.of wetlands? 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 City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION -TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Perry Friedman _ as Owner of the subject
property
hereby authorize James J. Flannery / Peak Performance Roofing, LLC
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner �, 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 >
L rz� 150
Signature of Owner/Agent Date
8
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:--- CS-103061
License Number
James J. Flannery 09/21/2020
Address Expiration Date
Signature , Telephone
413-203-5888
9. Registered Home Improvement Contractor: Not Applicable ❑
Company Name Registration Number
Peak Performance Roofing, LLC 183698
Address Expiration Date
1 Lovefield St., Easthampton MA 01027 Telephone 413-203-5888 11/03/2019
SECTION 10-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 the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... I/ No...... ❑
The Commonwealth of Massachusetts
-- , Department of Industrial Accidents
Office of Investigations
'c 600 Washington Street
{ Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): Peak Performance Roofing, LLC
Address: 1 Lovefield St.
City/State/Zip: Easthampton, MA 01027 phone #: 413-203-5888
Are Vu an employer?Check the appropriate box: Type of project(required):
1.�/I 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.❑ 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 capacity. employees and have workers'
y p ty• 9. E] Building addition
[No workers'comp. insurance comp. insurance.:
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 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 122'Roof repairs
insurance required.]t c. 152, §1(4),and we have no
employees. [No workers' 13.0 Other
comp. insurance required.]
*Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
#Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information.
Berkshire Hathaway Guard
Insurance Company Name:
Policy#or Self-ins.Lic.#: R2WCO21353 Expiration Date: 4/27/2020
Flo
Job Site Address: C� �_;Iwc n RA City/State/Zip:[ l dek
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$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$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.
/do hereby certify under the Pains and penalties of perjury that the information provider/above is true and correct.
Signature: __ _ _ Date: SIT
Phone#:
413-203-5888
Official use only. Do not write in/Iris area, to be completed by city or town ofJiciaL
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#:
A Worker's Compensation and Employer's Liability Policy
v AmGUARD Insurance Company - A Stock Co.
,,;,,, 'Berkshire Hathaway Policy Number R2WCO21353
yft Insurance Renewal of R2WC943835
Ps GUARDCompanies 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: MAMAIN15
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-WC2003066
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 $32,383.00
__..._.
INTERNAL U _SX Page - 1 - Information Page
MGA R2WCO21353 WC 000001A
Date 04/01/2019
MANOTE
Issuing Office: P.O. Box A-H, 16 S. River Street, Wilkes-Barre, PA 18703-0020 9 www.guard.com
Office of Consumer Affairs and Business Regulation
One Ashburton Place - Suite 1301
Boston, Massachusetts' 02106
Home Improvement Contractor Registration
Type: LLC
PEAK PERFORMANCE ROOFING,LLC. Registration: 183698
1 LOVEFIELD ST. Expiration: 11/03/2019
EASTHAMPTON,MA 01027
SCA 1 ZS1:+A-OSi17
Update Address and Return Card.
�
�/M�I+71N.WlHfINNJ�lP7 fl'�'dOi:IIIYiII.:9"✓�"
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only
TYPE:LLC before the expiration date. If found return to:
Registration EMration Office of Consumer Affairs and Business Regulation
183898 11/03/2019 10 Park Plaza-Suite 5170
PEAK PERFORMANCE ROOFING,LLC. Boston,MA 02116
JAMES FLANNERY
1 LOVEFIELD ST.
EASTHAMPT ON,MA 01027 Undersecretary t valid Without signature
® Camwnwealth of Massachusetts
Division of Professional Licensure
Board of Building Regulations and Standards
Construction Supervisor
Unrestricted-Buildings of any use group which contain
CS-103061 empires: Q9/2112020 loss than 36,000 cubic feet(991 cubic meters)of enclosed
space.
JAMES J FLANNERY
1 WILLIAMS ST
HOLYOKE MA 01040
Commissioner
Failure to possess a current edition of the Massachusetts
State Building Code is cause for revocation of this license.
For information about this license
Call(617)727-3200 or visit www.mass.gov/dpl
City of Northampton
Massachusetts
A c
DEPARTMENT OF BUILDING INSPECTIONS h
212 Main Street *Municipal Building yv� CDS
Northampton, MA 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:
9 Sylvan Rd.
(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)
1 � 1
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.
P E K Peak Performance Roofing LLC
Contract
PERF O R CE I Lovefield St Date Contract#
Easthampton, MA 01027 7/31/2019 %2
MA CSL#103061 1 413-203-5888 peakperformanceroofmgllc@gmail.com www.peakperformanceroofingllc.eom
MA HIC# 183698
Bill To Job Location
Perry Friedman Perry Friedman
9 Sylvan Rd. 9 Sylvan Rd.
Florence, MA 01062 Florence, MA 01062
413-347-2978 413-347-2978
perryfriedman@comcast.net perryfriedman@comcast.net
Description Total
This contract excludes porch roof on back of house. 17,450.00
1.Remove the existing roof shingles. Inspect the sheathing. We will provide up to 64 square feet of CDX
plywood if necessary at no cost.Any additional plywood will be$60 per sheet installed over roof boards. If
there is existing plywood that needs replacement,$75 per sheet applies.
2. Install six feet of ice and water shield at eaves and three feet in all valleys,around pipes and chimneys
3. Cover remaining roof with Certainteed"Roof Runner"synthetic underlayment
4.Install new 8"aluminum drip edge on all eaves and rake edges
5. Install architectural shingles by Certainteed(Landmark PRO 40yr)
https://www.certainteed.com/residential-roofing/products/landmark-pro/
Color Choice:
6. Install new Certainteed ridge vent on peaks of roof
7.Complete all necessary flashings including new lifetime heavy duty pipe boots and new base flashing
around chimney
Remove all debris from premises,and throughout the job,continue cleanup and keep the premises
undamaged. We are not responsible for dirt/febris that may fall into attic. Please use caution during the
process;do not walk/drive over areas of potential roofing debris. Contractor will obtain building permit.
Installations are weather permitting.
Total cost:Landmark PRO shingles=$17,450
A deposit of$8725 is due prior to start of work. The balance shall be due upon completion. Accounts
oustanding over 10 days past final invoice date are considered past due and subject to 2%finance charge,
compounded monthly.
Contractor Signature: Cus Signature: Date: Total
-(3v-4�-A ALJ S d-014JI $17,450.00