11C-042 12 WARNERS ROW BP-2020-0554
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: I IC-042 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-2020-0554
Proiect# JS-2020-000956
Est.Cost: $10400.00
Fee: $40.00 PERMISSION IS HEREB Y GRANTED TO:
Const.Class: Contractor: License:
Use Group: JAMES FLANNERY 103061
Lot Size(sg. ft.): 16291.44 Owner: YOSHEN VICTORIA
tonin : URA tool/ Applicant: JAMES FLANNERY
AT. 12 WARNERS ROW
Applicant Address: Phone: Insurance:
1 LOVEFIELD ST (508) 294-4052 WC
EASTHAMPTONMA01027 ISSUED ON.1013112019 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 10/31/2019 0:00:00 $40.00
212 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
Department use only
City of Northimpt -Status of Permit:
Building Department (,ut/Driveway Permit
212 Maf6 S et �Cl � � /Septic Availability
` Roc4T11 aT `�0 W r/We Availability
Northampton X19 T o Set of Structural Plans
phone 413-587-1240 Fax �; 2 lot/Si Plans
r_ 0 gspF�T s Othe Specify
APPLICATION TO CONSTRUCT, ALTER, REPAIR, REN OV a OR DE OLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
,�P-zo-SsS�
1.1 Property Address:
This section to be competed by office
12 Warner Row Map_ l Lot _Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
� �&- 0� f �� �� �� U� �Z l��i�Paxu
Name(Print) Curr t M iling Adgwsj�L
Telephone
ignature
2.2 Authorized Agent:
James J. Flannery 1 Lovefield St., Easthampton MA 01027
Name(Print) _ , Current Mailing Address:
Ufa- �U 413-203-5888
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building $10,400.00 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee 7�
4. Mechanical(HVAC) `�[ �j
5. Fire Protection v
6. Total= 0 +2+ 3+4 + 5) $10,400.00 Check Number
This Section For Official Use Only
Building Permit Number: DateIssued:
Signature: b JI
Building Commissioner/Inspector of Buildings Date
peakperformanceroofingllc Cad gmail.com
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House E] Addition ❑ Replacement Windows Alterations) Roofing
Or Doorsr7l
ff
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [[] Siding[p) Other[Q
Brief Description of Proposed Strip & install EPDM rocfing and certainteed shingles
Work:
Alteration of existing bedroom Yes No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
sa._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 baseme r cellar floor below finished grade
k. Will build conform to the Building and Zoning regulations? Yes No .
I. S,epfic Tank City Sewer Private well City water Supply
Z
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
as Owilow of the subject
property
hereby authorize James J. Flannery / Peak Performance Roofing, LLC
jift to act pp my behalf, in.alj.matters relative to work authorized by this building permit application.
Signature M2'�
DateIF
James J. Flannery
I� , 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 'rr\\
_---- V (_�S — I
Signature of Owner/Agent Date
e
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder.----- CS-1 03061
License Number
James J. Flannery 09/21/2020
Address Holyoke, MA 01040 Expiration Date
Signature c Telephone
`� - 413-203-5888
9.Registered Home Improvement Contractor: Not Applicable O
Company Name Registration Number
Peak Performance Roofing, LLC 183698
Address Expiration Date
1 Lovefield St., Easthampton MA 01027 413-203-5888
Telephone
03 Zak
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...... ❑
City of Northampton
y.'s S/c
" Massachusetts
R' �G
A i.
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street •Municipal Building �Jy 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:
12 Warner Row, Leeds
(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.
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
Type: LLC
PEAK PERFORMANCE ROOFING,LLC. Registration: 1
1 LOVEFIELD ST. Expiration: 111/03/103/
2021
EASTHAMPTON,MA 01027
Update Address and Return Card.
SCA 1 O 20M-M17
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:
R2gistratioII Expiration Office of Consumer Affairs and Business Regulation
183888 11/03/2021 1000 Washington Street -Suite 710
PEAK PERFORMANCE ROOFING,LLC, Boston,MA 02118
I
i
JAMES FLANNERY
1 LOVEF!ELD ST. �
EASTHAMPTON,MA 01027 Undersecretary No valid without gnature
Commonwealth of Massachusetts r
Division of Professional Licen$ure Construction Supervisor
Board of Building Regulations and Standards Unrestricted-Buildings of any use group which contain
less than 35,000 cubic feet(991 cubic meters)of enclosed
space.
CS-103061 Expires.: 09121x2020
JAMES J FLANNERY
1 WILLIAMS ST
HOLYOKE MA 01040
Failure to possess a current edition of the Massachusetts
r State Building Code is cause for revocation of this license.
Commissioner For information about this license
Call(617)727-3200 or visit www.nass.gov/dpi
Worker's Compensation and Employer's Liability Policy
Berkshire Hathawa ""'GUARD Insurance Company-A Stock Co.
Y Policy Number R2WCO21353
if,
UARD Insurance Renewal of R2WC943835
GCompanles NCCI No. [21873]
Polity Inftnnation Page(AR)
[1]Named Insured and Mailing Address Agency
PEAK PERFORMANCE ROOFING LLC WEBBER&GRINNELL INSURANCE AGENCY, INC.
LOVEFIELD STREET 8 NORTH KING STREET
EASTHAMPTON,MA 01027 Northampton, MA 01060
Agency Code: MAMAINIS
Federal Employer's ID 00-1191951 Insured Is Limited Uability 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
I
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 Flans. All required information is subject to verification and change by
audit. (Continued on another page)
Toth Estlmatsd Policy Premium * 31,202
Total Surcharges/Assessrrrents , $1,181.00
Total Esdnuftd Cost .00
�Q1�IAl USE XX Page- i - Inf newton Page
MGA :R2WCO21353
Dake :04/01M19
WC OOOOOlA
MANWE
IMuNp Office: P.O.Box A-N,16 S.Over Street,MIINres-Klsrne,PA 18703-0020 a wwvr4uardAvrn
I flu TL vine uff Pvc"9111 UJ �RuoJul,�cuJeLLJ
Department of Industrial Accidents
` Office of Investigations
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 M 413-203-5888
Awain
u an employer?Check the appropriate box: Type of project(required):
I
. 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
_.❑ 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'
[No workers'comp.insurance comp.insurance.# 9. E]Building addition
required.] 5. ❑ We are a corporation and its 10.EJ 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 12.gRoof repairs
insurance required.]t c. 152,§1(4),and we have no 13.❑ Other
employees. [No workers'
comp.insurance required.]
*Any applicant that checks box#1 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.#: R2WC943835 Expiration Date: 4/27/2019
Job Site Address: 1; t�Y 9-0-0 City/State/Zip: LQ 6 C, ")n
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.
I do hereby certify under the pains and a aloes of erjury that the information provided above is true and correct.
Signature: Date:
Phone#:
413-203-5888
Official 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.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
Peak Performance Roofing LLC Contract
PE � fiDate Contract#
P E R F O R C E 1 Lovefield St
Easthampton, MA 01027 10/23/2019 1059
MA CS"103061 1 413-203-5888 peakperfonnanceroofingllc@gmail.com www.pcakperfortnanceroofingllc.com
MA HIC# 183698
Bill To Job Location
4iaeham ft+i9+e \ACV01>—" q6&iWN RwhW4 BeiEislc U'WT-M2 k YOS
12 Warner Row 12 Warner Row
Leeds,MA 01053 Leeds, MA 01053
q)s �qS °lt - 41�; 05'811T
richdelisle@gmail.com richdelisle@gmail.com bmico[ O.S eN ey C,f3x/l
Description t Total
-We will not be responsible for interior work needed with the solar tube. We will install the exterior portion 10,400.00
of skylight only--Please note, installation of snow rails are$30 per lineal ft.-
1.Remove the existing roofing shingles
2. Inspect sheathing for rot or deterioration. Install up to 64 square feet of plywood at no cost.Any additional
plywood will be$75 per sheet installed
3.Install six feet of ice and water shield on eaves and three feet around pipes and chimneys
4.Cover remaining roof with synthetic underlayment
5. Install new 8"aluminum drip edge on all eaves and rake edges
6. Install architectural shingles by Certainteed
(Landmark PRO 40yr)https;//www.ce amtced.com/residential-roofing/products/landmark-pro/
Color Choice: "Ielnwr, R ' el
7. Install ridge vent on peaks of roof
8.Install 1/2 inch high density polyisocyanurate insulation on low slope roof using approved screws and
plates
9.Install .060 EPDM rubber on low slope roof
10. Complete all necessary flashings including new pipe boots
Remove all debris from premises, and throughout the job, continue cleanup and keep the premises
undamaged. We are not responsible for debris that may fall into attic.Please use caution during the process;
do not walk/drive under active work or on areas of potential roofing debris.Contractor will obtain building
permit if necessary. Installations are weather permitting.
Main house(Front+back):Landmark PRO shingles=$4,150
Addition:Landmark PRO shingles=$2,350
Option:Remove existing decking and replace-41,500
Addition: EPDM rubber--$2,400
Total: $10,400
A deposit of$5,200 is due prior to the beginning of the job.The balance shall be due upon completion.
Accounts outstanding over 10 days past final invoice date subject to 2%finance charge,compounded
monthly.
Contractor Signature: Customer Signature: Date: Total:
�v � 19 $10,400.00