48-006 (8) 140 LOUDVILLE RD BP-2020-0916
GIS#: COMMONWEALTH OF MASSACHUSETTS
MW:Block:48-006 CITY OF NORTHAMPTON
Lot:-001 I'ERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Categorv: ROOF BUILDING PERMIT
Permit# BP-2020-0916
Project# JS-2020-001557
Est.Cost:$13995.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JAMES FLANNERY 103061
Lot Size(sq. ft.): 12414.60 Owner. 'KOCH DEBORAH S
Zoning: Applicant: JAMES FLANNERY
AT. 140 LOUDVILLE RD
Applicant Address: Phone: Insurance:
1 LOVEFIELD ST (508) 294-4052 WC
EASTHAMPTONMA01027 ISSUED ON.2/12/2020 0.00:00
TO PERFORM THE FOLLOWING WORK.REPLACE FLAT ROOF SECTION WITH TPO
INSULATION
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 2/12/2020 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 Northamp#4n- tus f Permit:
Building Departl'f1 ,���Q CuTb Cu riveway Permit
r f 212 Main Street Se r/Seg` is Availability
Room 100 F 0 �eHAvailability
Northampton, MA 01060 n��'�N�1 '' ets of Structural Plans
phone 413-587-1240 Fax 413 �Aa `'O Plot/Site Plans_.
F �
Other 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
140 Loudville Rd, Northampton Map (<�( Lot Unit
Zone Overlay District
Elm St. District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Deborah Koch, Charles Dydek 140 Loudville Rd, Easthampton 01027
Name Print) Current Mailing Address:
413-586-2092
_ Telephone
ignature
2.2 Authorized Agent:
James J. Flannery 1 Lovefield St., Easthampton MA 01027
Name(Print) L/ v 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 $13,995.00 (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical (HVAC) C�
5. Fire Protection
6. Total = 0 +2 + 3 +4 + 5) $13,995.00 Check Number
This Section For Official Use Only
Building Permit Number: (��- ��� G� Date
Issued:
Signature: 04, �/)V
Building Comm issionerllnspector of Buildings Date
peakperformanceroofingllc na gmail.com
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
I
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing
Or Doors E]
Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [[] Siding [0] Other IQ
Brief Description of Proposed Replace flat roof section with TPO and Insulation
Work:
i
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 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
1 Deborah Koch / Charles Dydek 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
�` Y,
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 Holyoke, MA 01040 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 11/03/2021
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
6 SSS SSC
Massachusetts
.A g
z
� DEPARTMENT OF BUILDING INSPECTIONS Z
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:
140 Loudville Rd, Northampton
(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. 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 [J 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. ❑ 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.❑ Plumbing repairs or additions
myself o workers' com right of exemption per MGL
y [N p• 12.gRoof 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#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. Li,.#: R2WCO21353 Expiration Date: 4/27/2020
Job Site Address: Cud U 1 � �Q , City/State/Zip: ,1JC�(fiha ��'1`an c»Ol9 O
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 andpenalties ofperjury that the information provided above is true and correct.
Signature: Date: S)L)C)
Phone#:
413-203-5888
Official use only. Do not write in this area, to be completed by city or town ofciat
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
698
PEAK PERFORMANCE ROOFING,LLC. Registration: 11
1 LOVEFIELD ST. Expiration: 11//03/203/2
021
EASTHAMPTON,MA 01027
Update Address and Return Card.
SCA 1 O 20M-05!17
.Tr Y!riiuiiriuwo///r�. �✓ai-:•Jiro/r.�ir//;
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:
ggp Eggiration Office of Consumer Affairs and Business Regulation
183868 11/03/2021 1000 Washington Street -Suite 710
PEAK PERFORMANCE ROOFING.LLC. Boston,MA 02118
I
JAMES FLANNERY
1 LOVEFIELD ST. y
EASTHAMPTON,MA 01027 Undersecretary N1 valid without gnature
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(991 cubic meters)of enclosed
space.
CS-103061 Expires:09/21 i2020
JAMES J FLANNERY
1 WILLIAMS ST
HOLYOKE MA 01018
Failure to possess a current edition of the Massachusetts
State Building Code is cause for revocation of this license.
Commissioner For Information about this license
Call(617)727-3200 or visit www.rmss.gov/dpi
I
e
Worker's Compensation and Emakmaes Liability Polk y
Berkshire Hathaway AmQUARD�rrance Company-"St°"`Co.
Y Policy Number R2WCO21353
GUARDInsurance of R2WC943835
Companles Renevial NCCI No. 21873,
PoIIcV Ddbrn rdon Page(AR)
[13Nawrad Insured and Mailing Address Agency
PEAK PERFORMANCE ROOFING LLC WWEEBBER&GRINNELL INSURANCE AGENCY, INC.
LONEFIRD STREET 8 NORTH KING STREET
EASTHAWrON,MA 01027 Northampton, MA 01060
Agency Code: MAMAIN15
Federal Employer's ID 00-1191951 Insured is Limited Llabillty Co. (LLC)
[23 Policy Period
From April 27, 2019 to April 27, 2020, 12:01 AM,standard time at the insured's mailing address.
133 Coverage
A. Workers'Compensation Insurance-Part One of this policy applies to the Workers'Compensation
Law of the following stains: 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 WC200306B
D. This policy includes these endorsements and schedules:
See Extension of Information Page-Schedule of Forms
[43 Premlum
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 Eadntftd Policy Premium # 31,202
Tolal SurdmV s/Assessments $1,181.00
Total Estlmatad Cost $32.3111311.00
�QERNAL USE )OC Page- 1- Information Page
MGA :RZWCO21353 WC 000001A
DaW :04/01M19
MANOTE
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P E K Peak Performance Roofing LLC
Contract
P E R F O R C E I Lovefield St
NIKDate ConVact#
Easthampton, MA 01027 12/12/2019 1094
MA CS"103061 1 413-203-5888 peakperformanceroofmgllc@gmail.wm www.peakperformanceroofingllc.com
MA HIC# 183698
Bill To Job Location
Deborah Koch&Charlie Dydek Deborah Koch&Charlie Dydek
140 Loudville Rd. 140 Loudville Rd.
Easthampton, MA 01027 Northampton, MA 01060
H413-586-2092, C413-636-9907 H413-586-2092, C413-636-9907
kochworks@yahoo.com kochworks@yahoo.com
Description Total
Contract for the low slope upper roof only: 13,995.00
1.Remove existing roofing material
2.Replace the 1/2" Zip board with 5/8" CDX plywood.
3.Insulation by Foam USA: 3" fiberglass installed in rafter bays on sheet rock ceiling,then 7"closed cell
foam(R50)
4.Mechanically fasten 1/2"high density polyisocyanurate insulation with approved screws and plates.
5.Install Genflex full adhered TPO roof system in accordance with the manufacturer's specifications:
http://genflex.com/wp-content/uploads/2014/11/CB04_GenFlex-TPO-Brochure 1014_web.pdf
6.Fabricate and install .032 gauge aluminum drip edge on perimeters.
7.Warranty:Materials and labor shall be warrantied for 10 years by Genflex Roofing Systems and Peak
Performance Roofing LLC.
Property will be protected from damage at all times.All debris will be removed from premises.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. Installations are weather permitting.
Plywood replacement: $1,875
TPO Roof System: $6,620
Insulation by Foam USA: $5,500
Total=$13,995
An initial deposit of$500 will secure priority scheduling and lock in price protection for Spring 2020. The
balance of the deposit,$6400, shall be due prior to start of 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:
—(?r4��� Z" , $13,995.00