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88 ROUND HILL RD BP-2020-0625 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24D-320 CITY OF NORTHAMPTON Lot:-000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: ROOF BUILDING PERMIT Permit# BP-2020-0625 Project# JS-2020-001051 Est.Cost:$17100.00 Fee: $126.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: JAMES FLANNERY 103061 Lot Size(sc.ft.): Owner: YALE HOUSE CONDOMINIUM Zoning. URC(100)/URA(0)// Applicant. JAMES FLANNERY AT: 88 ROUND HILL RD Applicant Address: Phone: Insurance: 1 LOVEFIELD ST (508) 294-4052 WC EASTHAMPTONMA01027 ISSUED ON.1111512019 0:00:00 TO PERFORM THE FOLLOWING WORK.-REMOVE AND REPLACE LOW SLOPE ROOF SECTION WITH TPO 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 11/15/2019 0:00:00 $126.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner DocuSign Envelope ID:A66B4B7B-95DF-4921-8275-956B238ED74A I/ ) /"}'-r) L_ Version 1.7 Commercial Building Permit May 15,2000 �C_ li�J f Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING a SECTION 1 -SITE INFORMATION cl �P � D r 0 `� v 1.1 Property Address: This section to be completed by office 88 Round Hill Rd. Map of j) Lot 0 Unit i Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Yale House Condominium c/o Anthony Gerzina 88 Round Hill Rd., Northampton MA 01060 Name(Print) Docu5lgned by: Current Mailing Address: Fa wu o'I " 1" 802-345-8473 Signature Telephone 2.2 Authorized Agent: James J. Flannery 1 Lovefield St., Easthampton MA 01027 Name(Print) 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 $1 100.00 (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 = 0 +2 +3 +4+5) $17,100.00 Check Number . This Section For Official Use Only Building Permit Number Date Issued Signature: Buildin Commissionerllnspector of Building Date DocuSign Envelope ID:A66B4B7B-95DF-4921-8275-956B238ED74A Version 1.7 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[Z] Change of Use❑ Other ❑ Brief Description Remove and replace low slope roof section with TPO. Of Proposed Work: SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 ❑ A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1B ❑ B Business ❑ 2A ❑ E Educational ❑ 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard ❑ 3A ❑ I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑ 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(sf) _ 1 St 15t q 2nd 2nd 3rd 3rd 4 4th th Total Area(sf) Total Proposed New Construction(sf) Total Height(ft) Total Height ft 7.Water Supply(M.G.L.c.40,§54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood ZoneE] Municipal © On site disposal system❑ DocuSign Envelope ID:A66B4B7B-95DF-4921-8275-956B238ED74A Versionl.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 Anthony Gerzina 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. DocuSi9neC by: 11/1/2019 Signature of Owner nit" 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 Signature of Owner/Ment Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: James J. Flannery CS-103061 License Number 1 Wk k1ilI b1S Si Holvoke. MA 01040 09/21/2020 Address Expiration Date 2t4�� 413-203-5888 Signature V V f 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 the denial of the issuance of the building permit. Signed Affidavit Attached Yes ✓❑ No❑ DocuSign Envelope ID:A66B4B7B-95DF-4921-8275-956B238ED74A 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: 88 Round Hill Rd. 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 11 1 1°I Date Signature of Permit Applicant From: , 2m � Q_Y of C4 �\G LL C, 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 of Massachusetts DI Department of Industrial Accidents Office of Investigations VJ 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 AVu an employer?Check the appropriate box: Type 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. El 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 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. 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 12.gRoof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.[1 Other 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.#: R2WCO21353 Expiration Date: 4/27/2020 _ ,VJob Site Address: J 1ic City/State/Zip: �oY he p-t��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 penal 'es of perjury that the information provided above is true and correct Signature: Date: q Phone#: 413-203-5888 Oficial use only. Do not write in this area, to be completed by city or town ofciaL 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#- 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//03/ 2021 EASTHAMPTON,MA 01027 Update Address and Retum Card. SCA 7 O 20N MI.7 Office of Consumer Affairs 8 Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. If found return to: Be91strafion Expiration Office of Consumer Affairs and Business Regulation 183698 11/03/2021 1000 Washington Street -Suite 710 PEAK PERFORMANCE ROOFING,LLC. Boston,MA 02118 i JAMES FLANNERY 1 LOVEFIELD ST. � EASTHAMPTON,MA 01027 undersecretary No valid without gnature v Commonwealth of Massachusetts --�. Division of Professional Licensure Construction Supervisor Board of Building Regulations and Standards Unrestricted-Buildings of any use group which contain r tTM less than 36,000 cubic feet(991 cubic meters)of enclosed space. CS-103061 Expires: i79t21E2020 JAMES J FLANNERY 1 WILLIAMS ST HOLYOKE MA 01010 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.mass.gov/dpl Workees Comeensetlon and Em06MANi'a Liability Pam Berkshire Hathawa AmGUARD Xr rsnce Company_A Sim*Co. Y Polly/Number R2WCO213S3 GUARDInsurance Renewal of R2WC943A3S Companies N1=No. [21873] 1( Policy Ddlonmoon P"e(AR) [1]Nsnwd insured and Mailing Address Agency PEAK PERFORMANCE ROOFING LLC WEBBER&GRINNELL INSURANCE AGENCY, INC. LOVEFI9A STREET S NORTH KING STREET EASiHAMPTON,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. Cj [3] Coverage I A. Workers'Compensation Insurance-Part One of this policy applies 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 3 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, f Classifications, Rages,and Rating Plans. All required information is subject to verification and change by audit. (Continued on another page) Total Estimated Polity Premium 31,202 Total Surd arges/Assasamenb * $1,181.00 Total Estimated Cost .00 VIiERJUL LEE XX Page- 1- Information Page M6p :Rzwo021353 wC 000001► Date :04/01/2019 MANM Issuing 011los:P.O.sour A-N,16 S.River Sfaest,WlNrer-OMra,PA 18703-0020®www.guwd.00m DocuSign Envelope ID:A66B4B7B-95DF-4921-8275-956B238ED74A Contract PE LICE Peak Performance Roofing LLC P E R F O R 1 Lovefield St Date Contract# Easthampton, MA 01027 10/16/2019 IOIs MA CSL#103061 1 413-203-5888 peakperformanceroofingllc@gmail.com www.peakperfortnanceroofingllc.com MA HIC# 183698 Bill To Job Location Yale House Condominium Anthony Gerzina 88 Round Hill Rd 88 Round Hill Rd Northampton,MA 01060 Northampton, MA 01060 802-345-8473 anthonyg15@comcast.net Description Total Low-slope roof replacement at 88 Round Hill Rd.,Northampton: 17,100.00 1.Dismantle roof deck(owner responsible for removing plantings and furniture) 2.Remove the existing roof materials down to the sheathing. 3.Rotted or deteriorated plywood will be replaced as needed. Replacement of up to 64 square feet of rotted/deteriorated sheathing/deck(plywood or boards)is included in scope of work. If additional sheathing replacement is necessary, it will be billed on a time and materials basis with labor cost at$75 per hr. 4. Remove roof shingles on the four adjacent mansard sections of steep roof. 5.Mechanically fasten 1/2 inch high-density polyisocyanurate board using approved screws and plates. 6. Install Genflex TPO fully adhered roof system: littp://genflex.com/wp-content/uploads/2014/1 I/CB04_GenFlex-TPO-Brochure_1014_web.pdf Color Choice: TAN 7.For proper ventilation, install venting at the soffit and 2 turbine vents on the low-slope roof,one on each side of the deck. 8.Install ice and water shield on the mansard sections. 9. Install 30-year shingles to match the color of the main roof shingles. All necessary flashing will be completed on the sides of the dormers and skylights. 10. Reinstall the existing deck on Genflex walkway mat.Rotted or deteriorated portions of deck, railings etc. will be replaced as needed and build on a time and materials basis. (continued on next page) Contractor Signature: Customer Signature: Docusignea by: Date: Total: 11/1/2019 Q1� ��t,Y'�jilna Page 1 DocuSign Envelope ID:A66B4B7B-95DF-4921-8275-956B238ED74A Peak Performance Roofing LLC Contract P E Date Contract# P E R F O R C E 1 Lovefield St a Easthampton, MA 01027 10n6i2019 1048 MA CSL# 103061 413-203-5888 peakperformanceroofingllc@gmail.com www.peakperformanceroofmgllc.com MA HIC# 183698 Bill To Job Location Yale House Condominium Anthony Gerzina 88 Round Hill Rd 88 Round Hill Rd Northampton,MA 0 1060 Northampton, MA 01060 802-345-8473 anthonyg15@comcast.net Description Total 10/20 warranty: 10 year labor and workmanship guarantee by Peak Performance Roofing LLC. 20 year materials warranty by manufacturer. Property will be protected at all times to prevent any damage. We are not responsible for dirt/debris that may fall into attic. All exterior debris will be removed from the premises.Contractor will obtain building permit. Installations are weather permitting; long streches of inclement weather will cause delay. $17,100.00 A deposit of 1/3 ($5700)is due at contract signing. A progress payment of 1/3 ($5700)is due at 50% completion. The balance shall be due upon completion. Accounts outstanding over 30 days past final invoice date subject to 2%finance charge,compounded monthly. Contractor Si a re: Customer Signature: ooeusignea by: Date: Total: 11/1/2019 rty-N-1� S17,100.00 Page 2