36-210 (4) BP-2022-0336
17 BIRCH LANE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:'
36-210-001 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-2022-0336 PERMISSION IS HEREBY GRANTED TO:
Project# ROOF Contractor: License:
PEAK PERFORMANCE ROOFING
Est. Cost: 15700 LLC CS-103061
Const.Class: Exp.Date:09/21/2022
Use Group: Owner: L SHEPARD MARK R &CYNTHIA
Lot Size (sq.ft.)
Zoning: SR Applicant: PEAK PERFORMANCE ROOFING LLC
Applicant Address Phone: Insurance:
1 LOVEFIELD ST 413-203-5888 R2WC202869
EASTHAMPTON, MA 01027
ISSUED ON:04/05/2022
TO PERFORM THE FOLLOWING WORK:
STRIP AND REPLACE ROOF AND REMOVE 2 SKYLIGHTS AND ROOF OVER
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:
Gas: Final: Final: Rough Frame:
Rough: Fire Department Driveway Final: Fireplace/Chimney:
Final: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
)2 9-g
• J . 1 •
I
Fees Paid: $40.00
212 Main Street, Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
DocuSign Envelope ID:84AD626443F3-40EF-AFD4-6FD5A71A810E //y _ ^^`
4PR _ 4 i, jYf
The Commonwealth of Massachusetts 2r722 / FOR
ufrifl
Board of Building Regulations and Staid imuulG7PALITY
Massachusetts State Building Code,780, +; USE
Building Permit Application To Construct,Repair.Renovate O �0N. Revised Mar 2011
One-or mow-Family Dwelling -- _-;
This Section For Official Use Only
Building 40,0
ermit Number. ,g19^,-).-- 3��L Date Applied:
r ►/c,53 /// - W-Z2 Z
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
17 Birch Lane Florence 36-210-001
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 14 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Bolding Setbacks(It)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,'54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone- --- Outside Flood Zwie? Mmmic'pal 0 On site disposal system 0
Check if yes0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Mark Shepard Florence, MA 01062
Name(Print) city,State,ZIP
17 Birch Lane 413-478-1604 shep1918@comcest.net
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK?(cheek all that apply)
New Construction 0 Existing Building I Owner-Occupied 0 Repairs(s) I I Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg.0 Number of Units Other t''Specitp: Roofing.
Brief Description of Proposed Work:
strip and replace asphalt roof. Remove 2 existing skylights on the garage and roof
over
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
(Labor and Materials) Official Use Only
1.Building S 15,700.00 1. Building Permit Fee:S Indicate how fee is detertnined:
l
2.Electrical S I Standard City/Town Application Fee
0 Total Project Cost3(Item 6)x multiplier x
3.Plumbing i S 2. Other Fees: S
4.Mechanical (HVAC) S List;
5.Mechanical (Fire
Suppression) Total AU Fees:�� 4`7"
Check No.✓ Amount Cash Amount:
6.Total Project Cost: S 15,700.00 0 Paid in Full 0 Outstanding Balance Due:
DocuSign Envelope ID:84AD6260-43F3-40EF-AFD4-6FD5A71A610E
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS-103061 09/21/2022
James J. Flannery License Number 7.xpirarion Date
Name of CSL Holder
List CSL Type(see below) U
No.and Street Type Description
Holyoke, MA 01040 U Unrestricted(Buildings up to35.000 cu.ft.)
R Restricted l&2 Family Dwelling
City Town.State,ZIP I M Masonry
RC Roofing Covering
WS Window and Siding
413-203-5888 SF Solid Fuel Burning Appliances
peakperformanceroofingllc@gmail.corn Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(H IC) 183698 11/03/2023
Peak Performance Roofing LLC IBC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
1 Lovefield St. peakperformanceroofinglic@gmail.com
No,and Street Email address
Easthampton, MA 01027 413-203-5888
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M..G.L.c.152.f 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 No . ❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
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.
.-oocuSi dby 3/24/2022
Mark Shepard ( s ��c _
Print Owner's Name(EIec�2gif4i gear _ Date
SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
} James J. Flannery Print Owner's or Authorized Agent's Name(Electronic Signature) 1 Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work.,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HJC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.00v!dns
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq. ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
DocuSign Envelope ID:84AD6260-43F3-40EF-AFD4-6FD5A71A610E
City of Northampton
Massachusetts ,?_ #_ C4
L ' ' yM .
t3, i (k DEPARTMENT OF BUILDING INSPECTIONS `,
�. 212 Main Street • Municipal Building may/
y Northampton, MA 01060
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of
in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility:Valley Recycling, 234 Easthampton Rd., Northampton MA 01060 413-587-4279
The debris will be transported by:
Name of Hauler: Aaron's Roll-Off Service 413-529-1100
Signature of Applicant: James J. Flannery Date: 9'2.6-P-a-
to The Commonwealth of Massachusetts
Department of Industrial Accidents
krt
4 Office of Investigations
-.,, 600 Washington Street
'`7 Boston,MA 02111
www.mass.govldia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/lndividual): Peak Performance Roofing, LLC
Address: 1 Lovefield St.
City/State/Zip: Easthampton, MA 01027 Phone ii: 413-203-5888
Are y.ou an employer?Check the appropriate box: Type of project(required):
1.�W I am a employer with 4 4. n I am a general contractor and I b. ❑ New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [1] Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. employees and have workers'
insurance? 9. ❑ Building addition
comp.[No workers'comp.insurance
required.] 5. [1] We are a corporation and its 10.❑ Electrical repairs or additions
3.n I am a homeowner doing all work officers have exercised their 11.11 Plumbing repairs or additions
myself.[No workers' comp. right of exemption per MGL
c. 152, 1 4 12.gRoof repairs
insurance required.] ' O,and we have no
employees.[No workers' 13.1-1 Other
comp.insurance required.]
"Any applicant that checks box NI must also fill out the section below showing their workers'compensation policy information.
'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.Lie.#: R2WC202869 Expiration Date: 4/27/2022
Job Site Address: I ["��r I Lttike.2 City/State/Zip: Wr b I
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$1500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to S250.00 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: i /-Date: ?Al
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.CitvtTown Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
DocuSign Envelope ID:84AD6260-43F3-40EF-AFD4-6FD5A71A610E
Peak Perfmmaace Roofing LLC
1 Lovefield St. P E
Easthampton,MA 01027
413-203-5888 P E R F O R CE
peakperfonnanceroofingllc@gmail.com ROOFING
MA HIC#183698 MA CSL#103061
Contract
ADDRESS CONTRACT# 10612
Mark Shepard DATE 03/23/2022
17 Birch Lane.
Florence,MA
413-478-1604
shep 1918 @ comcast.net
JOB LOCATION
17 Birch Lane. Florence
DES
1.Remove the existing roofing shingles.
2.Inspect the sheathing for any rot or deterioration.Any new plywood necessary will be $80 per sheet
installed.Any new roofing boards will be$6 per foot installed. (Wood prices subject to change based on
market fluctuations)
3.Remove the two skylights in the rear of the garage.Install framing as needed and plywood on the
opening.Cover plywood with ice and water shield
4.Install six feet of ice and water shield on eaves,three feet in any valleys,and three feet around all
penetrations.Rear upper slope and rear porch will be covered completely with ice and water shield
5.Cover remaining roof with synthetic underlayment
6.Install new 8" aluminum drip edge on all eaves and rake edges
7.Install architectural shingles by CertainTeed(Landmark PRO)
https://www.certainteed.com/residential-roofing/products/landmark-pro/
Color Choice: MAX DEFINITION WEATHERED WOOD
8.Install Shingle Vent 11 ridge vent on peaks of roof(where applicable)
http://www.airvent.com/index.php/products/exhaust-vents/ridge-vents/shinglevent2
9.Complete all necessary flashings including new LIFETIME pipe boots and base flashing around
chimney
10.Fabricate and install Royal Brown aluminum roof/wall flashing on the rear apron roof continuing
across porch
Includes CertainTeed Lifetime Limited Warranty(Transferable)with 10 year SureStart period.
https://www.certainteed.com/resources/Asphalt_Warranty_CTR3782_1912_E.pdf
DocuSign Envelope ID:84AD6260-43F3-40EF-AFD4-6FDSA71A610E
DESCRIPTION
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 reasonable caution during the installation process: do not walk or drive under active work,or on areas
of potential roofing debris.Peak Performance Roofing will obtain the building permit.Installations are
weather permitting; inclement weather will cause scheduling delays.
Total: Landmark PRO shingles=$15,700
Expected Installation: Spring 2022. A one-third deposit of$5,200 will secure contract,permitting,
material order,and priority scheduling.
The balance shall be due upon completion,within 10 days of invoice. Accounts outstanding over 30 days
subject to 2% finance charge monthly.
Warranty confirmation shall be provided upon final payment. Installation and manufacturer warranties
are not in effect until Paid In Full.
TOTAL $15,700.00
DocuSigrd by
Accepted By Accepted Date 3/24/2022
85=6014857984CE..
DocuSign Envelope ID:84AD6260-43F3-40EF-AFD4-6FD5A71A610E
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Wu&v wsu. MY Ills ALLArtav 13E scow ?
Your town must first process & approve the building permit (this can take 1-4 weeks, depending on the town.) We can't
promise specific installation dates because there are several variables, the biggest being the weather. The safety of
our crew is a priority; we can't install during rain, wind, or temperature extremes. Long stretches of inclement weather
will cause delays for everyone. Once installation begins, our goal is to minimize disruption to you with an efficient
installation. Our hardworking crew completes most residential installations in only 1-2 days.
Do 1 NEED TeiDO ANyM1N4 7b ~PAW
As noted on your contract, we are not responsible for debris that may fall into the attic/interior. We do not go
inside your home to lay tarps or clean inside the attic. Depending on the condition of the plywood, there may be little to
no debris, or it could be more substantial. If you store items in the attic, we recommend covering with tarps or plastic
sheeting. If you need help with attic cleanup, we suggest the cleaning and handyman service "Whatever You Need" in
Northampton. 413-586-0678 www.whateveryouneed.biz
Do 3 NEED lb MITIFY MY aowasoes?
If your home is extremely close to other homes or driveways, we may need to be on their property temporarily to lay
protection or collect debris. If so, yes, please notify your neighbors ahead of time. Otherwise, it is a courtesy. Your
neighbors will likely appreciate a heads up that there will be some noise & increased traffic.
MsrECAL BEL.tVEtY
Materials are usually delivered separately by a supply house. Materials often arrive the day before the scheduled
installation. Materials are usually not large (only the size of a pallet), so it is unlikely that vehicles would need to be
moved at this point. You need not be home to receive it, and no specific time will be given. Refusal of early delivery will
incur a re-delivery fee.
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The dumpster will almost arrive the morning of, but in rare cases may need to arrive a day early (such as for a
weekend installation) and vehicles may need to be moved at that point. We would notify you if the dumpster needs to
arrive before installation day. Refusal of early delivery will incur a re-delivery fee. Do not add any additional items into
the dumpster; it is intended specifically for roofing debris ONLY at the transfer facility.
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On the day of installation, we ask that you move all vehicles out of all driveways, and away from the house, by lam.
This is to avoid any damage to your vehicles, keep you from getting blocked in, and for our access.
How E 4*LY WIL..L. rev sorer?
Usually the crew will begin arriving approximately 7:00 - 7:30am. They may work until nightfall if needed. We aim to
have the installation completed as quickly as possible to minimize disruption to you and your neighbors.
Do NW NEED ELEcrtIcAL sEevICE?
It can be helpful to have an exterior outlet available, yes. If you don't have an exterior outlet, we may need to ask to
access an interior outlet. If the property is vacant and no electrical service is available, please let us know so we can
plan ahead to charge batteries and bring generators.
Customer Initials: ros
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DocuSign Envelope ID:84AD6260-43F3-40EF-AFD4-6FD5A71A610E
Do 1 mom VI E $46 E?
If you are having skylights installed, we will need brief interior access. If you don't have an exterior outlet available, we
may ask to access an interior outlet. Otherwise, it's up to you. Some customers like to keep an eye on what's going
on. Others would rather not be home because of the noise. Be aware that roofing is loud (banging, nail guns,
compressors, etc) so you may wish to make arrangements for residents, tenants, or pets.
sAreinf
Please use reasonable caution. Do not plan on outdoor activities while we are working. Do not walk or drive
underneath areas of active work, or on areas with potential roofing debris. If you must walk or drive under an active
work area, alert the crew or supervisor. Keep children inside. Keep pets inside, or on a leash away from active work.
Once we remove the existing roofing, we can inspect what's underneath. We will replace rotted plywood/sheathing as
necessary as per your contract. If any serious problems are found, the project manager will contact you. There may
need to be an upcharge on the final bill if additional issues are found that should be corrected.
CLEANUP
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No way around it, roofing is messy work. Rest assured that when the job is done, we will pick up all debris and do
magnetic sweeps. Since we may work until dark, the main crew may have to leave before a complete cleanup can be
completed, or if the job ends midday, they may leave to start another job. If the main crew must leave before all
cleaning is complete, a staff person will return for more cleaning later or on another day soon after. If your installation
takes place when there is snow on the ground, we may need to return for another sweep once everything has melted.
In this case, please alert us once your yard is completely clear of snow so we may return for more cleaning.
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Your job is accurately priced according to the measurements, but we always bring extra materials, just in case. You
were not charged for these overage materials, and we will be collecting them. A staff person may need to pick up
extra materials after the main crew is finished, usually within a few business days.
WHEN WILL ME B $PS E* SE OVED?
The dumpster will be picked up the next business day after the main crew has finished. Weekends or holidays may
delay pickup. The dumpster company should check for any debris left behind/underneath as they pick it up, but for
safety please do a visual check before walking or driving over the area where the dumpster was located.
"e 3sa rspow4 our I E CONCURS?
Even after the main installation crew has left, that doesn't necessarily mean our job is done.Any final touch
ups/cleaning/pickups still needed are usually completed within a few business days. The office will not send the final
bill until receiving confirmation from the project manager that all is complete. If you receive the invoice and you feel
something was missed, please contact us. If the job is substantially complete, but a touchup still needs to be
coordinated with you or another contractor at a later date, we may send the bill, minus a holdback amount contingent
upon the completion of the punchlist item(s).
MANX YOU AU cskuniii4 Posse PE FORM*A1cE , SaW6
We will do our very best to make this major home improvement a smooth experience for you!
Customer Initials: /fit S