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17A-246 (3) 90 LAKE ST BP-2020-0856 GIS#: COMMONWEALTH OF MASSACHUSETTS MV.Block: 17A-246 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-2020-0856 Proiect# JS-2020-000722 Est.Cost: $3150.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JAMES FLANNERY 103061 Lot Size(sg.ft.): 16988.40 Owner. RANAUDO FREDERICK D Zoning: URB(100)/ Applicant. JAMES FLANNERY AT. 90 LAKE ST Applicant Address: Phone: Insurance: I LOVEFIELD ST. (508) 294-4052 WC EASTHAMPTONMA01027 ISSUED ON.1/28/2020 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE ROOF ON DRIVEWAY SIDE OF MAIN ROOF ONLY 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: FeeTvpe: Date Paid: Amount: Building 1/28/2020 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 Northampton/ -Permit: Building Departmet/tt '-144t CuDriveway Permit 212 Main Str a 6 c�Q Sewer eptic,/Availability ? ! Room 100 , bp0grU at dwell!ql vailability Northampton, MA 01 If/-) �, T Sets fStructural Plans phone 413-587-1240 Fax 413-58 - o os�� t/Sit lans her pecify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEM LISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office `� Map Lot v, 6 Unit 90 Lake Street Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Fred Ranaudo 90 Lake St, Florence MA Name(Print) Current Mailing Address: 413-585-9073 Telephone Signature 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 com leted b permit ap licant 1. Building $3,150.00 (a)Building Permit Fee 2. Electrical (b)Estimated T otai Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) �� 5. Fire Protection 6. Total = (1 +2+3+4+5) $3,150.00 Check Number This Section For Official Use Only —�0.� � Building Permit Number: Date--- Issued: Signature: ) o� lu Building Commissioner/Inspector of Buildings Date peakperformanceroofingllc Ca gmail.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) a SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alterations) Roofing Or Doors (] Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding[o] Other[O] Brief Description of Proposed Work: Strip existing material on driveway side of main roof only, replace with new shingles 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 I.. 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 Fred Ranaudo I, 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. nature of Owner D tTa e 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 ✓ � J Signature of Owner/Agent Date 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 1 Williams St., Holyoke MA 01040 Signature Telephone � t 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 11/03/202] I 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....... L No...... ❑ City of Northampton Massachusetts G iv 3 DEPARTMENT OF BUILDING INSPECTIONS y \ ` 212 Main Street •Municipal Building v� JCs Northampton, MA 01060 fdW \1 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: 90 Lake Street (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 dcaner 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 of Massachusetts Department of Industrial Accidents Office of Investigations UIP 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 It: 413-203-5888 Are u an employer?Check the appropriate box: Type of project(required): 1.L� 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. 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 working for me in any capacity. employees and have workers' 9. Buildin addition [No workers' comp. insurance comp. insurance.t g 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.VRoof 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 41 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.M. R2WCO21353 Expiration Date: 4/27/2020 Job Site Address: /6 (��i �L' City/State/Zip: (! b 00 /« M19 19 1M4Y10'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$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 7over a and correct Si ature: Date: -26 Phone#: 413-203-5888 r-4 Official use only. Do not write in this area, to be completed by city or town of iciaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#• Wor kmes Cormpimi tlo and ErngkNnes Liabil jjPolicy Berkshire Hathaway AnWILI RD=°arrance Company-A Stock Co. Policy Number R2WCO21353 Insurance RenevirGUARDCompanies aNCCz o. [2�187of 3] Poilry Infonnallon Page(AR) i]Named Insured and Mailing Address Agency PEAK PERFORMANCE ROOFING LLC WEBBER 8 GRINNELL INSURANCE AGENCY,INC. LOVEFIEID 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. 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 [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 PoNcy Premium * 31,202 Total Sum/Assessments # $1,181.00 Total Estimated Cost $32.383.00 wrFw_ui USE XX Page- 1 - Irdbrnmoon Pape M('l1 :RZWCD21353 04/01/2019 Dabs : WC OOOODIA MANORS ><swdrrg office:P.O.soot A-H,16 S.ewer street,Wine H%rr ,PA 16703-0020 0 www4UWdA=n 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: 183698 1 LOVEFIELD ST. Expiration• 11/03/2021 EASTHAMPTON,MA 01027 Update Address and Return Card. scA 1 O 20M-W17 .Til, S:MIN/M/!0/Y1O���!� /Ln�in/s.,tr✓/.� Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. K found retum to: R291stratlan Location Office of Consumer Affairs and Business Regulation 183668 11/03/2021 1000 Washington Street -Suite 710 PEAK PERFORMANCE ROOFING,LLC. Boston,MA 02118 JAMES FLANNERY 1 LOVEFIELD ST. f""�a, EASTHAMPTON,MA 01027 Undersecretary NJ valid withoutgnature i Commonwealth of Massachusetts Division of Professional Licensure Construction Supervisor Board of Building Regulations and Standards Unrestricted-Buildings of any use group which contain -i''*r' �:; less than 35,000 cubic feet(881 cubic meters)of enclosed space. CS-103061 FApir0st OW21MM JAMES J FLANNERY 1 WOIJAMS ST HOLYOKE MA 01W8 "*�" Failure to possess a current edition of the Massactwsetts ALI State Building Code is cause for revocation of this license. Commissioner For information about Ods license Call(617)727-3200 or visit www.mass gov/dpi • Peak Performance Roofing LLC 1 Lovefield St. PEIRFOR C Easthampton,MA 01027 413-203-5888 peakperformanceroofingllc@gmail.com Contract ADDRESS CONTRACT# 10012 Ranaudo,Fred DATE 01/13/2020 90 Lake St,Florence fdranaudo@gmail.com 413-585-9073 JOB LOCATION 90 Lake St,Florence DESCRIPTION AMOUNT -This contract is for half of the main roof only(driveway side)- 3,150.00 1.Remove the existing roofing shingles 2. Inspect the plywood for any rot or deterioration. We will provide 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, chimney and skylight 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) http://www.certainteed.com/residential-roofing/productsAandmark/ Color Choice: Resawn Shake 7. Install ridge vent on peak of roof 8. 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 roofing process; do not walk/drive under active work or on areas of potential roofing debris. Contractor will obtain building permit. Installations are weather permitting. Long periods of inclement weather will cause scheduling delays. **The existing skylight will not be changed. We are not responsible forany leaking related to that skylight** 19 12J-) Contractor Signature Date DESCRIPTION AMOUNT Total: $3,150.00 A deposit of$1,575.00 is due at contract signing. The balance shall be due upon completion. Accounts outstanding over 10 days past final invoice date subject to 2%finance charge, compounded monthly. TOTAL $35150.00 ��"� Accepted A2 Accepted By .,e,� Date Cr6w Contractor Signature Date