24A-199 (5) 36 MURPHY TER BP-2020-1044
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 24A- 199 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-2020-1044
Project# JS-2020-001772
Est. Cost: $9300.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: JAMES FLANNERY 103061
Lot Size(sq.ft.): 9365.40 Owner: Michael Byrne
Zoning: URB(100)/ Applicant: JAMES FLANNERY
AT: 36 MURPHY TER
Applicant Address: Phone: Insurance:
1 LOVEFIELD ST (508) 294-4052 WC
EASTHAMPTONMA01027 ISSUED ON:3/30/2020 0:00:00
TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF, NOT INCLUDING
DETACHED GARAGE
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 Occupant' Signature:
FeeType: Date Paid: Amount:
Building 3/30/2020 0:00:00 $40.00
212 Main Street, Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
DocuSign Envelope ID:435979EE-2582-4638-8068-BBCC63EFOA7F ,
Department use only
City of Northampton./ `\�\ Status of Permit:
Building Department `.� urb Cut/Driveway Permit
t. 212 Main Str@6t X99 a r/Septic Availability
Room 106,111-1 �O ''�A&Mell Availability
Northampton, IV1 Q� Fthter
ets of�Structural Plans
,. phone 413-587-1240 Fax -127 ��0 5t/Site Pfans
in`c ;cify
APPLICATION TO CONSTRUCT,ALTER, REPAIR, REQ R DE LISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION `
This section to be completed by office
1.1 Property Address:
Map�� Lot Unit
-
36 Murphy Terrace
Zone Overlay District
Eim St.District CB District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
Michael Byrne 36 Murphy Terrace,Northampton MA 01060
Name(Print) Current Mailing Address:
0Docu""""6y:
Telephone 781-325-5260
Signature�j�.
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 $9,300.00 (a)Building Permit Fee
2. Electrical (b)Estimated Total Cost of
Construction from 6)
3. Plumbing Building Permit Fee 4�d
4. Mechanical(HVAC)
5.Fire Protection
6, Total =0 +2+3-+4+5) $9 300.00 1 Check Number o
This Section For Official Use Only
/1,Q��O Date
Building Permit Number' V Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
peakperformanceroofinglpeakperformanceroofingl Ic�gmail.com
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
DocuSign Envelope ID:435979EE-2582-4638-80BB-BBCC63EFOA7F
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition Replacement Windows Alteration(s) Roofing
Or Doors ❑
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks ([] Siding[O] Other[0]
Brief Description of Proposed Strip &re-shingle asphalt roof. (Excludes detached garage.)
Work:
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.
athrooms __ ____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
I, Michael Byrne as Owner of the subject
property
James J. Flannery/ Peak Performance Roofing, LLC
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
DocuSigned by: 3/24/2020
Signature of Owner Date
James J. Flannery as Owner/Authorized
1,
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 � �/ 2-0
(r�
Signature of Owner/Agent Date
DocuSign Envelope ID:435979EE-2582-4638-80B8-BBCC63EFOA7F
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
CS-103061
Name of License Holder: -- . License Number
James J. Flannery 09/21/2020
Expiration Date
Address
1 WINamS Sty Holyoke MA 01040
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....... K/ No....- ❑
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Cor►tractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Businessiorganizationnndividual): Peak Performance Roofing, LLC
Address: 1 Lovefield St.
City/State/Zip: Easthampton, MA 01027 Phone #: 413-203-5888
Are y u an employer? Check the appropriate box: Type of project(required):
1.
Are
a employer with 4 _— 4. ❑ 1 am a general contractor and I 6 [] New construction
employees(full and/or part-time).* have hired the sub-contractors
listed on the attached sheet. 7. E] Remodeling
2.F1 I am a sole proprietor or partner- These sub-contractors have g. El Demolition
ship and have no employees
working for me in any capacity. employees and have workers' 9 ❑ Building addition
workers' com comp. insurance.$
[No P� insurance 10.0 Electrical repairs or additions
required.] 5. ❑ We are a corporation and its
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#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.
TContractors 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:
3(� X1'1 u +✓r►��C 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 and penalties of perjury that the information provided above is true and correct.
/ Date 3LZ S
Sig-nature:
413-203-5888
Phone
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
Phone#:
Contact Person: --
Berkshire Hathaway A"'a'"aD�1O°°o'er"PefficV Number -A�`CO21Co.
GUARDInsurance of R21AfC'94�'�s
Companies MW No. [21m)
PoNV Ddo nedw Pap(Alt)
[1]Nmftd Lrsuxad and NeShM Addrafas AgQRCV
p6111c PERFU MANX ROOFING LLC WEA fig GRDNELL U SURANCE AGENCY,Dir—
i uoVEFOu STREET 8 NORTH KDOG SfRMT
EAS K%MPH N,MA 01027 Northampton,MA 01060
Agerxy Oodle: MANAV415
Federal Employees rD 0o-1191951 Insur+ad In Umlted Uabillty Co.(LLC)
[23 Isom AprN ,2072 19 to April 27,2020, 12:01 AM,standard drne at the InSixed's MWWV address.
Cs] cararr"S
X MbrkeW Cfl jpwmaw Insurance-Fart one of this poky aX"to the wbriwW cbmperrsatlon
Len►of the foRowing stsCes: Massochusettr.
B. &Mbyees Uabl W Insurance- Part Two of this polky appNes to work In each of the states listed
In Item[3]A. The limits of our NabEty under Part-Two are:
b*uY by mit-eo6 aoiderd $100,000
Bodily Injury by Disease-eadi employee $100,000
Bodily Irllury by Disease-Poiky 1Mtt i5W.DO
C. Relbr tD Residual Market limited Other States Insurance EruWwnent-WCZW306B
D. This policy indudes these endorseffumts and scheduks:
See bmu a w of Information Page-Schedule of Forms
[4] P M"k m
The Prernlum Basis and,therefore,the prerNun will be determined by our Manual of Rules,
C3sssiflcab -%, Rates,and Rating Planes. All required infnrrrration is subject to verlkzMon and charge by
audit. (Coniinued on anc4w ice)
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Office of Consumer Affairs and Business Regulation
1000 Washington Street- Suite 710
Boston, Massachusetts 02118
Home Improvemerd Contractor Registration
Types LLC
1838®8
P&X PERFORIAMCE ROOFING,L.L.C. E�: 110=1
1 LDVEFIELD ST.
EASTHAMPTON.MA 01027 —
L#Kh"Address and Return Card.
SCR 1 O 21��4jjRJn�
Office of coruuenrAftalo i Bunk—ReguYEW kdivkkW use only
HOME WPROVEYENTCONTRACTOR Registration
TYPE:LLC before the wq*ation data. r loud Tatum to:
R Office of Conmww Atfs"and Busies Regulation
133M 11ID3=1 1000 Washington Street -Suite 710
PEAK PERFORalVOM/9f)OFING,tic. Boston,MA 02118
JAMES FtANNERY
1 LOVERELn ST. '" . valld without gnmirs
EASTHAMPTON,MA 01027 U� !
Comnwnwealth of Massachusetts r ■
® Cortetrudio.t supervisor
Division of Professional Licenwre Unrestricted-Buildings of any tm group which contain
Board of Building Regulations and Standards less than 36.000 cubic feet(!Y7 cubic maters)of enclosed
_-• - space.
CS-103061 Upirm M21M20
JAWS J FLANNERY
1 WILLIAMS ST
HOLYMM MA 9019416
Faicre to possess a current edition of the Massachusdis
State BLd rnm Code is cause tar revocation of this license_
Commissioner Far iMO�On'abort Oft SCUM
car(917)727-3290 a visit wwwAnaLgovidpi
DocuSign Envelope ID:435979EE-2582-4638-80B8-BBCC63EFOA7F
Peak Performance Roofing LLC
1 Lovefield St. PE Is Easthampton,MA 01027 PERF 4 R
413-203-5888
peakperformanceroofingllc@gmail.com
MA HIC III83698 MA CSL#103061
Contract
ADDRESS CONTRACT 4 10060
Michael Byrne DATE 03/23/2020
36 Murphy Terrace.
Northampton,MA 01060
781-325-5260
michael.byrne28@gmail.co
in
DESCRIPTION AMOUNT
*Excludes detached garage.* 9,300.00
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
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/products/landmark/
Color Choice: Best match to garage(TBD)
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. Contractor will obtain building permit. Installations are weather permitting.
Please use caution during the process: do not walk/drive under active work,or on areas of
potential roofing debris. PRECAUTIONS DURING COVID-19 OUTBREAK: Please
refrain from direct interactions with the crew. Your project manager will be available by cell
during the installation process.
DocuSign Envelope ID:435979EE-2582-4638-8068-BBCC63EFOA7F
DESCRIPTION AMOUNT
Total: Landmark shingles=$9,300
A deposit of$4650 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 K1300.00
Accepted B oocusigned by: Accepted Date 3/24/2020
P y CM iJ,a�t,l,
54 E696E27FEB4CA_.
DocuSign Envelope ID:435979EE-2582-4638-8088-BBCC63EFOA7F
City of Northampton
.�.
Massachusetts
6N
DEPARTMENT OF BUILDING INSPECTIONS Z �-
212 Main Street •Municipal Building
\� Northampton, MA 01060
p_ Debris Disposal Af f idavit
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:
36 Murphy Terrace
(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)
ZS �
Signature of Permit Applicant or wner 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.