31A-109 (4) 76 VERNON ST BP-2020-0885
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:3 1 A- 109 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-2020-0885
Project# JS-2020-001509
Est.Cost: $7600.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JAMES FLANNERY 103061
Lot Size(sq.ft.): 6054.84 Owner: BUFORD WILLIAM
Zoning: URB(100)/ Applicant. JAMES FLANNERY
AT. 76 VERNON ST
Applicant Address: Phone: Insurance:
1 LOVEFIELD ST (508).294-4052 W_ C
EASTHAMPTONMA01027 ISSUED ON:2/3/2020 0:00:00
TO PERFORM THE FOLLOWING WORK:STRIP & RE- ROOF WITH METAL
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 2/3/2020 0:00:00 $40.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
DocuSign Envelope ID:33CC8F58 9DA8-4926-AA62-09E329E 840
Department use only
City of Northampton `601i?ennit:
Building Department FFA Cu . ut/Drl"way Permit —
j A 212 Main Str ' 13 Se r/SeVic Availability
Room 100 1 i o� W terlW ii Availability
n:. � ii Din
Northampton, MA 01b it. vr, T o Se of Structural Plans
phone 413-587-1240 Fax 413-5 1 CT,o lot/S a Plans
°s0 the Specify
APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address:
This section to be completed by office
/�
76 Vernon St Map ✓�! 1t Lot !V / Unit
Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Will Buford 21 Bayberry Lane, Florence, MA 01062
Name(Print) Docu Signed by: Current Mailing Address.
_, Telephone 914-588-7480
Signature
2.2 Authorized Agent:
James J. Flannery 1 Lovefield St., Easthampton MA 01027
Name(Pant) � 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 $7,600.00 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee �( A
4. Mechanical(HVAC)
5.Fire Protection
6. Total= 0 +2 +3+4 + 5) $7,600.00 Check Number p�
� 9 This Section For Official Use Only
Building Permit Number: '1L7n J' 'V J O �� Date
Issued:
Signature: a
v
Building Commissioner/lnspector of Buildings Date
peakperformanceroofingllc na gmail.com
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
3
DocuSign Envelope ID:33CC8F58-9DA8-4926-AA62-09E329E8D840
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing
Or Doors 171
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding [OJ Other[ED]
Brief Description of Proposed Strip shingles & install metal roofing
Work:
Alteration of existing bedroom Yes _No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a.2 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
Will Buford
1. , 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.
DocuSigned by: 11/1/2019
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
Signature of Owner/Agent Date
DocuSign Envelope ID:33CC8F58-9DA8-4926-AA62-09E329E8D840
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
Holyoke, MA 01040
\ Wig\�' am ��rQQ-\ _
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 11/03/21.9
t.A1Z.j
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...... ❑
DocuSign Envelope ID:33CC8F58-9DA8-4926-AA62-09E329E8D840
City of Northampton
Massachusetts �`? '<e
t A c
i.\ g
N
DEPARTMENT OF BUILDING INSPECTIONS S r
212 Main Street •Municipal Building
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:
76 Vernon 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 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 of Massachusetts
Department of Industrial Accidents
Office'of Investigations
600 Washington Street
Boston, MA 02111
www.mass.govfdia
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 ypu an employer?Check the appropriate box: Type of project(required):
1.t� 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• 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 8. ❑ Demolition
workingfor me in an capacity. employees and have workers'
Y9. ❑ Building addition
[No workers' comp. insurance comp. insurance.1
required.] 5. ❑ We are a corporation and its 10.El Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.F1 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
employees. [No workers' 13.❑ 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
Job Site Address: mel)lu V0117,61) S-6 City/State/Zip:
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 andpenal 'es ofperjury that the information provided above ' true and correct.
Signature: Date: I
2�
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#:
Wor kees Comoansatton and Emoloa es LiabiiRv Policy
Berkshire Hathaway AnAUMD Ir�rrance Company-A Stoll`Co.
Y Policy Number R2WCO21353
GUARD Insurance Renewal of R2WC943835
Companies NCCI No. [21873]
i(
Policy 1nformatlon Page(AR)
[1]Named Insured and Nailing Address Agency
PEAK PERFORMANCE ROOFING WC WEBBER&GRINNELL INSURANCE AGENCY, INC.
1 LAVEFIELD 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 Perlod
From April 27, 2019 to April 27, 2020, 12:01 AM,standard time at the insured's mailing address.
[3] Coverne
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,
Classlflcations, Rates, and Rating Plans. All required infDrmation is subject to verification and change by
audit. (Continued on another page)
Total Es mated Polity Premium $ 31,202
Total surcharges/Aaaassmenu $ $1,181.00
TOW Endinsted Cost 383.00
DRUMAL USE XX Page- 1- Infonnauan Page
MGA :RZWCO21353 WC 000001A
DOB :04/01/2019
MMOTE
Ismhing OMca,.P.O.aex A41,16 S.River Sbug,W1Nws-0an+ 6 PA 18709-0020 0 www.swrdAwn
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 LOVERELD ST. W �• 11/03/2021
EASTHAMPTON.MA 01027
Update Address and Return Card.
SC A t 0 2OM-MI7
Office of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:LLC before the wq)lration date. If found return to:
Regi 13th EMrstion Office of Consumer Affairs and Business Regulation
183698 11/03/2021 1000 Washington Street -Suite 710
PEAK PERFORMANCE ROOFING,LLC. Boston,MA 02118
JAMES FLANNERY J
1 LOVEFIELD ST. .�'� s6fw�k
EASTHAMPTON,MA 01027 Undersecretary No 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
less than 36,000 cubic feet(891 cubic meters)of enclosed
space.
,s,:=21rAn
JAMS J FtANNERY -
1 WILLIAMS ST
HOLYOKE MA 010/0
Failure to possess a current edition of the Massadmsetts
COL State Building Code is cause for revocation of this license.
Commissioner For information about this ficense
Call(617)727-3200 or visit www.mass.gov1dpl
DocuSign Envelope ID:33CC8F58-9DA8-4926-AA62-09E329E8D840
Contract
EEKPeak Performance Roofing LLC
P E R F O R C E 1 Lovefield St Date Contract#
9 Easthampton, MA 01027 10/30/2019 1073
MA CSL#103061 413-203-5888 peakperformanceroofmgllc@gmail.com www.peakperformanceroofinglic.com
MA HIC# 183698
Bill To Job Location
Huey& Will Buford Huey& Will Buford
76 Vernon St. 76 Vernon St.
Northampton, MA 01060 Northampton, MA 01060
413-335-0575 413-335-0575
will.buford@gmail.com will.buford@gmail.com
Description Total
1. Remove the existing roof materials f ,S Wt,4 S a, / (-,oO r? 7,600.00
2.Install new 1/2" inch CDX plywood wood over boards C1 C 0�J
3.Install 3'of CertainTeed Winterguard HT(High Temperature)ice&water shield at the eaves,and any
applicable valleys. Tat any applicable transitions/chimneys/skylights
4.Install synthetic underlayment on all remaining areas of roof.
5.Install Englert 24 gauge standing seam metal roof. 16" wide panels with 1.5"mechanical lock seams.
https://www.englertinc.com/l%C2%BD-mechanically-seamed-metal-roof-system-al300.html
Color Choice:
Estimate includes choice of any of Englert's 24 standard colors. Englert"Premium"paint coatings(Mill
Finish,Metallic Copper,Champagne,Preweathered Galvalume)are special order and have an upcharge.
6.Ensure the sheathing is cut at the ridge to allow for proper exhaust ventilation.Install vented"z" enclosures
and fasten ridge cap to"z" enclosures.
Property will be protected at all times to prevent any damage to the home or plantings. 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.Estimate is valid for 90 days.
Total cost=$7600
Expected installation: Winter 2019-2020,or Spring 2020(weather dependent)
An initial deposit of$500 is due to hold your place in the job queue and lock in price protection. The balance
of the deposit($3300)shall be due when a tentative installation timeframe has been determined and your
chosen material will be ordered (2-3 week lead time). The balance shall be due upon completion. Accounts
outstanding over 10 days past final invoice date subject to 2%finance charge,compounded monthly.
Optional: Colorgard snow rails. $30 per linear foot installed. Recommended for any areas where protecting
people/vehicles/plantings/animals/gutters from sliding snow is a concern.
http://www.metalplusl lc.com/documents/metalplus-colorgard-brochure.pdf
Contractor Signature: Customer Signature: oocus 9ned by, Date: 11/1/2019 Total:
Coil, bv�4 $7,600.00
F355F40C93FE42B...