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16C-025 (15)
209 SPRING ST COMMONWEALTH OF MASSACHUSETTS BP-2021-1783 Map:Block:Lot: 16C-025- 001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2021-1783 PERMISSION IS HEREBY GRANTED TO: Project# Contractor: License: Est.Cost: 8000 Const.Class: Exp.Date: Use Group: Owner: FRIGARD NATHAN E Lot Size(sq.ft.) Zoning: WSP Applicant: PEAK PERFORMANCE ROOFING LLC Applicant Address Phone: Insurance: 1 LOVEFIELD ST 4132035888 EASTHAMPTON, MA 01027 ISSUED ON:08/24/2021 TO PERFORM THE FOLLOWING WORK: ROOF FRONT OF UPPER BARN 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. Signature: I .52 ' 3-)Pa . w . Fees Paid: $100.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner DocuSign Envelope ID:D4350018-0FB7-4B96-8E14-147663755D05 Versionl.7 Commercial Building. Permit May 15, 2000 Department use only R ECEI VED --City of Northampton Status of Permit: Biuilding Department Curb Cut/Driveway Permit 4 212 Main Street Sewer/Septic Availability AUG 2 3 2021 Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans DEFTphon- 41 -587-1240 Fax 413-587-1272 Plot/Site Plans OF sill DING,INcPECTIoNs Other Specify RTH�AMPT �N "i'A01060 APPLICATION U6 , REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office 209 Spring St. Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Nathan Frigard 209 Spring St., Florence MA 01062 Name(Print) Current Mailing Address: .-DocuSigned by: D N Frila r/ 413-772-9197 Signature -nrs,rn,nnrr�rw�o D� Telephone 2.2 Authorized Agent: James J. Flannery/ Peak Performance Roofing LLC 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 $8,000.00 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) #i 0 5. Fire Protection 6. Total= (1 +2+3+4+5) $8,000.00 Check Number ?j51./ This Section For Official Use Only Building Permit Number 6, '�( �Q\' 4 / 7lf Date Issued Sign ure: ' m° ►r .\,, . ,( a� Il Build g Commissioner/Inspector of Building �, Date DocuSign Envelope ID: D4350018-0FB7-4B96-8E14-147663755D05 Versionl.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 El Exterior Alteration ❑ Existing Ground Sign❑ New Signs❑ Roofin•.i Change of Use❑ Other ❑ Brief Description (Front roof of upper barn only: Strip&re-roof in standing seam metal Of Proposed Work: SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ElA-2 ❑ El 1A � ❑ A-4 ❑ A-5 ❑ 1 B ❑ B Business ❑ 2A ❑ E Educational 0 2B I ❑ F Factory ❑ F-1 ❑ F-2 ❑ 2C ❑ H High Hazard 0 3A ❑ I Institutional ❑ I-1 ❑ 1-2 ❑ 1-3 ❑ 3B 0 M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A 0 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) 1st 1" 2nd 2nd 3 3rd rd 4th 4m 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 Zone Municipal On site disposal systems DocuSign Envelope ID:D4350018-0FB7-4B96-8E14-147663755D05 Versionl.7 Commercial Building Permit May 15,2000 SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES -FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable 12f Name(Registrant): Registration Number Address Expiration Date Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date 9.3 General Contractor Peak Performance Roofing, LLC Not Applicable [1:1 Company Name: James J. Flannery Responsible In Charge of Construction 1 Lovefield St.. Easthampton. MA 01027 Address p1-41--11 413-203-5888 Signature Telephone DocuSign Envelope ID:D4350018-OFB7-4B96-8E14-147663755D05 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 Nathan Frigard , 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: / 8/11/2021 Cam. F - Signature of Owner -0 L Date 8C41 EB7B8FDC4C9... 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 % • S/6/7-1 Signature of Owner/Age 1 Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: James J. Flannery CS-103061 License Number to-0 0-015 Holyoke. MA 01040 09/21/2022 Address Expiration Date 413-203-5888 Signature r7)-HTelephone 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 bui ing permit. Signed Affidavit Attached Yes No In DocuSign Envelope ID:D4350018-0FB7-4B96-8E14-147663755D05 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: 209 Spring St., Florence The debris will be transported by: Aaron's Roll-Off Service, 1 Loomis Way, Easthampton The debris will be received by: Valley Recycling, 234 Easthampton Rd., Northampton MA 01060 Building permit number: Name of Permit Applicant James J. Flannery, Peak Performance Roofing, LLC g 2/ C1 Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents lea aim ` ._ Office of Investigations =x;= 600 Washington Street -<OW I' 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 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. ❑ 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.t 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 1 1.❑ 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' 13.0 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. Insurance Company Name: Berkshire Hathaway Guard Policy#or Self-ins. Lic.#: R2WC202869 Expiration Date: 4/27/2022 Job Site Address: a t9 q Sre--143 St City/State/Zip: P/Oy,QnU O/COZ 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. Signature: Date: el r/� Phone#: 413-203-5888 I' 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#: 4. Worker's Compensation and Employer's Liability Policy /Berkshire Hathaway AmGUARD Insurance Company- A Stock Co. ��h Y Policy Number R2WC202869 f�'G UA RD Insurance Renewal of R2WC130849 'eA Companies NCCI No. [21873] Policy Information Page (AR) [1]Named Insured and Mailing Address Agency PEAK PERFORMANCE ROOFING LLC WEBBER&GRINNELL INSURANCE AGENCY, INC. 1 Lovefield St 8 NORTH KING STREET Easthampton, MA 01027 Northampton, MA 01060 Agency Code: MAMAIN15 Federal Employer's ID XX-XXX1951 Insured is Limited Liability Co. (LLC) [2] Policy Period From April 27, 2021 to April 27, 2022, 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. 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 $500,000 Bodily Injury by Disease - each employee $500,000 ¢ 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) i gn L . 1 ffT✓�-�^.T(+°5?+iF+...A---.ice .�✓«za:..RS.'wIWM(2' sk'uN^3P^A..�lYer+wa°.'.Su3 wA u'xww]a. �Hfuva�G✓z YmN9vaaa^e�'aY� l Total Estimated Policy Premium $ 27,082 1 Total Surcharges/Assessments $ $926.00 Total Estimated Cost $ 28 008 00 INTERNAL USE XX Page 1 - Information Page MGA : R2WC202869 WC 000001A Date :03/23/2021 MANOTE Issuing Office: P.O. Box AH,39 Public Square,Wilkes-Barre, PA 18703-0020 •www.guard.com A��o® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 05/12/2021 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Adina Edgett,CISR NAME: Webber&Grinnell (PAHiONNE,Extl: FAX(413)586-0111 F No): (413)586-6481 8 North King Street ADDRESS: aedgett@webberandgrinnell.com INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURERA: Admiral Ins Co/BRECK INSURED INSURER B: Plymouth Rock Assurance Peak Performance Roofing,LLC INSURER C: WCAR-Berkshire Hathaway GUARD Attn:James Flannery INSURER D: 1 Lovefield Street INSURER E: Easthampton MA 01027 INSURER F: COVERAGES CERTIFICATE NUMBER: Exp 06/2022 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE RETE CLAIMS-MADE X OCCUR PREMISESO(Ea occur ence) $ 300,000 MED EXP(Any one person) $ 5,000 A CA00003521803 07/07/2021 07/07/2022 PERSONAL xADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO JECT LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: Employee Benefit $ 2,000,000 AUTOMOBILE LIABILITY GOMBENEEYSINoLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED PR000001007091 06/27/2021 06/27/2022 BODILY INJURY(Per accident) $ _ AUTOS ONLY _ AUTOS XHIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY X AUTOS ONLY (Per accident) Medical payments $ 5,000 UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X STATUTE EOTH AND EMPLOYERS'LIABILITY Y/N 500 000 0 ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA R2WC202869 04/27/2021 04/27/2022 E.L.EACH ACCIDENT $ , OFFICER/MEMBER EXCLUDED. 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ WC:James Flannery is excluded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration • Type: LLC Registration: 183698 PEAK PERFORMANCE ROOFING,LLC. Expiration: 11/03/2021 1 LOVEFIELD ST. EASTHAMPTON,MA 01027 Update Address and Return Card. CA 1 0 20M-05/17 .Tf /ry/N4/".4/•f/144%I /'�. IIp-iirre.4.ie/4 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: Registration expiration 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 1 LOVEFIELD Si. �� , � "� EASTHAMPTON,MA 0'i027 Not valid without gnature Undersecretary I ® Commonwealth of Massachusetts Division of Professional Lccensure • Construction Supervisor Board of Building Regulations and Standards Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed • ;Y� space. CS-103061 Expires:09/21/20 , JAMES J FLANNERY p 1 WIWAMS ST uwi, HOLYOKE MA 01040 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.mass.gov/dpl f c/ .l. .1.UV ca L v.� V � DocuSign Envelope ID: D4350018-0FB7-4B96-8E14-147663755D05 Peak Performance Roofing LLC 1 Lovefield St. P E K Easthampton, MA 01027 413-203-5888 P E R F O R CE peakperformanceroofingllc@gmail.com ROOFING MA HIC#183698 MA CSL#103061 Contract ADDRESS (� ✓ Y. CONTRACT# 10424 Crimson&Clover Farm DATE 07/30/2021 Attn: Nathan Frigard 209 Spring St. Florence,MA 01062 N 413-772-9197 0 413-570-0337 crimsonandcloverfarm@gma il.com JOB LOCATION 209 Spring St., Florence DESCRIPTION FRONT ROOF OF THE UPPER BARN: 1. Remove the existing roof materials 2. Inspect the sheathing for any rot or deterioration. We will provide up to 64 square feet of plywood at no cost. Any additional plywood will be $95 per sheet installed(wood prices subject to change) 3. Install 3'of CertainTeed Winterguard HT(High Temperature)ice &water shield at the eaves, and any applicable valleys. 2'at any applicable transitions/chimneys/skylights 4. Install synthetic underlayment on all remaining areas of the roof. 5. Install 24-gauge standing seam metal roof system. 16" wide panels with 1.5" mechanical lock seams. Brand: Sheffield or equal https://sheffieldmetals.com/products/metal-coils-sheets/ Color Choice: Galvalume Note: For metal roofs that will receive solar, additional fasteners will be installed: clips 18"on center. 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. https://www.standingseamroofvent.com/roof-vent- products Remove all exterior debris from premises, and throughout the job, continue cleanup and keep the premises undamaged. We are not responsible for debris that may fall into the attic/interior. Peak Performance Roofing will obtain the building permit. Please use reasonable caution during the installation: do not walk/drive under active work, or on areas of potential roofing debris. Installations are weather permitting; inclement weather will cause scheduling delays. DocuSign Envelope ID. D4350018-0FB7-4B96-8E14-147663755D05 DESCRIPTION Total=$8,000.00 A 1/3 deposit of$2,600 will secure contract/material order/building permit/priority scheduling. The balance shall be due Upon Completion. Accounts outstanding over 30 days subject to 2%finance charge,compounded monthly. Optional: Colorgard snow rails. Additional $30 per linear foot installed. Recommended for any areas where protecting people/vehicles/plantings/animals/gutters from sliding snow is a concern. Snow rails are installed last, or can be added at a later date. http://www.metalplusllc.com/documents/metalplus-colorgard-brochure.pdf TOTAL $8,000.00 Accepted By DocuSlgned by: Accepted Date 8/11/2021 8C41EB7B8FDC4C9...