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25A-084 (7) BP-2022-0338 374BRIDGE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25A-084-00I 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-2022-0338 PERMISSION IS HEREBY GRANTED TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 3900 LLC CS-103061 Const.Class: Exp.Date:09/21/2022 Use Group: Owner: TRUSTEES HACUNDA PETER J& TERESA M, Lot Size (sq.ft.) Zoning: URB 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 SECTIONS OF ROOF 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: Fees Paid: $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner DocuSign Envelope ID:2DE181EA-A1A5-4D3B-AIB2-023F42C5CB9F ,�t „ The Commonwealth of Massachusetts Board of Building Regulations and Standards �PR ` 4 2022MCTMTTY l'ak,91:1 jiir Massachusetts State Building Code,_780 C • USE Revised Mar 2011 Building Permit Application To Construct,Repair.Renovate CQi';�,i�a1a- __. One- or Two-Family Dwelling ip'°^J.naA ocir ^s This Section For Official Use Only _I Building Permit Ntunber: aP..? --" S 3 Date Applied: t<Elii,L-) (Z) ,//,' y-q-2oz21 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel numbers 374 Bridge St. 25A-084-0Ol 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards I Rear Yard Required Provided Required Provided I Required Provided I 1.6 Water Supply:(M.G.L c.40,¢54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private 0 Zone: _ Outside Flood Zone? Municipal 0 On sit:disposal system 0 Check if yes0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Teresa Hacunda Northampton, MA 01060 Name(Print) City,State,ZIP 374 Bridge St. 508-241-4743 hacundatm@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction t] Existing Building le Owner-Occupied 0 Repairs(s) I I Alteration(s) 0 , Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units Other t7 specify: Roofing. Brief Description of Proposed Work`' strip and replace sections of roof and replace with standing seam metal (shed roof, door way and side roof) SECTION 4:ESTIMATED CONSTRUCTION COSTS Item r Estimated Costs: Official Use Only (Labor and Materials) 1.Building S 3,900.00 1. Building Permit Fee:S Indicate bow fee is determined: i O Standard City/Town Application Fee 2.Electrical ! S O Total Project Cost3(Item 6)x multiplier x 3. Plumbing S 2. Other Fees: S 4.Mechanical (}IVAC) I S List: 5.Mechanical (Fire $ Suppression) Total All Fes:S Jig I Check No.100 Check Amount Cash Aznonnt: 6.Total Project Cost: S 3,900 00 0 Paid in Full 0 Outstanding Balance Due: DocuSign Envelope ID:2DE181 EA-A1A5-4D3B-AIB2-023F42C5CB9F SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-103061 09/21/2022 James J. Flannery License Number Expiration Date Name of CSL Holder List CSL Type(see below) U No.and Street Type Description HOIyOI, MA 01040 u - Unrestricted(Buildings up to 35,000 c:t.ft.) R Restricted 1&.2 Family Dwelling City/Town.State,ZIP • 't Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Bruning Appliances 413 203 5888 peakperformanceroofingllc@gmailconr Insidation Telephone Email addre<_s D Demolition 5.2 Registered Home Improvement Contractor(H IC) 183698 11/03/2023 Peak Performance Roofing LLC HIC Registration Number Expiration Date HIC Company Name or I-tIC Registrant Name 1 Lovefield Si. peakpetformanceroofinglIc@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.§ 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 BUILDIN'G PERMIT T,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. • DocuSwted by: Teresa Hacunda r 3/31/2022 Print Owner's Nana:(Electrons 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 tbe information contained in this application is true and accurate to the best of my lotowledge and understanding. J272— Print James J. Flannery Owner's or Authorized Agent's Name(Electronic Signature) 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(-IIC)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 l ;vww.mass.gov/oca Information on the Construction Supervisor License can be fotind at umnv.mass.eov/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 halflbaths 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:2DE181EA-A1A5-4D3B-A1B2-023F42C5CB9F City of Northampton t rt Massachusetts - DEPARTMENT OF BUILDING INSPECTIONS S, N eiF � 212 Main Street • Municipal Building 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: JamesJ. Flannery Dater-1'' Acc)RrJP CERTIFICATE OF LIABILITY INSURANCE DATE(MWDO/YYYY) 03/14/2022 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 Alma Edgett.CISH NAME: Webber&Grinnell PHONE (413)586-0111 FAl( (413)586-6481 fA/C.No,Est): (A/C-Mot: 8 North King Street E-MAIL : aedgett@webberandgrinnell.com DDREINSURERS)AFFORDING COVERAGE NAIC e Northampton MA 01060 INSURER A: Admiral InsCo/BRECK INSURED INSURER e: 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 CONTRACTOR 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 TYPE OF INSURANCE ADOL SUER POLICY EFF POLICY EXP LTR1N4O WV POLICY NU$ ER (MWDD/YYYY) (MWDD/YYYY) UNITS X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE S 1,000,000 CLAIMS-MADE X OCCUR DAMAGE TO RENTED PREMISES IEa occurrence) f 300,000 MED EXP(Arun one Denson/ f 5,000 A CA00003521803 07/07/2021 107/07/2022 PERSONAL L ADV INJURY f 1,000.000 GENLAGGREGATE LIMIT APPLIES PER , GENERAL AGGREGATE f 2,000,000 PRO- X POLICY JECT LOC I PRODUCTS-COMP/OP AGO $ "W." OTHER Employee Benefit I f 2,000,000 AUTOMOBILE LIABILITY SOMBMVEf391NO E LIMIT $ 1,000,000 IEd aG4�de^1} ANY AUTO BODILY INJURY(Per person) S B OWNED 'Ner 1 tEO PRC00001007091 06/27/2021 06/27/2022 BODILY INJURY(Per au dentt S AUTOS ONLY AUTOS AUTOS X HIRED X NON-OWNED j PROPERTY DAMAGE AUTOS ONLY /� AUTOS ONLY i Be,acc,derti Medical payments f 5,000 UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE f DEO RETENTION S S WORKERS COMPENSATION y01 PER OTH- ANDEMPLOYERS LIABILITY Y/N "-mil STATUTE ER C ANY PROPRIE10I-LPARTNEIL/EXECUTIVE N/A 0 /272021 04/27/2022 OFFICERlMEMBLR EXCLUDED? Y R2WC202869 4 / El.EACH ACCIDENT f 500,000 (Mandatory In NH) I E.L.DISEASE-EA EMPLOYEE $ 500"° Ii res.descnbe under DESCRIPTION OF OPERATIONS below j ! E.L.DISEASE-POLICY LIMIT f 5°°•°°° j I WC:James Flannery is excluded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached if more space is repaired) NSA dba Move In Self Storage is listed as Additional Insured with respects to General Liability as per the terms and conditions of the policy. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN NSA dba Move In Self Storage ACCORDANCE WITH THE POLICY PROVISIONS. Move In Self Storage AUTHORIZED REPRESENTATIVE 10 Bentzel Mill Rd York PA 17404 rt 1/ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts Department of Industrial Accidents _., °'_ Office of Investigations z '�'_ 600 Washington Street = 1=-� • — ,:,t Boston,MA 02111 #'=`,,-," www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organication;individuab: Peak Performance Roofing, LLC ___J_ Address: 1 Lovefield St. City/State/Zip: Easthampton, MA 01027 Phone #: 413-203-5888 Are v u an employer? Check the appropriate box: Type of project(required): 1. 1LiJ 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. El 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. D Demolition working for me in any capacity. employees and have workers' 9. ID Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.gRoof repairs insurance required] ' c. 152.*1(4),and we have no employees.[No workers' 13.❑ Other _-- --- comp.insurance required.[ "Any applicant that checks box#1 must also till out the section below showing their workers'compensation policy information. 'Homeowners who submit this afftdav it indicating they are doing all work and then him 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 pulley and job site information. Insurance Company Name: Berkshire Hathaway Guard Policy #or Self-ins.Lic.#: R2WC202869 Expiration Date: 4/27/2022 Job Site Address: Si-yif _City/State/Zip✓ /Pr , �f 0 60 Attach a copy of the workers'compensation policy declaration page(showing the policy number an 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 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: Date: il /22 Phone #: 413-203-5888 171H1 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.Cityrfown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: c!ie C/ommowe ea evX-a..uarje:er,4e �A' - 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 LOVEFIELD ST, Expiration: 11/03/2023 EASTHAMPTON,MA 01027 Update Address and Return Card. SCA 1 8 2014-05/17 T� /...,�.......•.../�/. r/. //,,i ..i,..;a/.; Offfoe 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 Eispiration Office of Consumer Affairs and Business Regulation 183698 11/03/2023 1000 Washington Street -Suite 710 PEAK PERFORMANCE ROOFING.LLC Boston,MA 02118 JAMES FLANNERY ri41-;--11 ;(1 1 LOVEFIELD ST. EASTHAMPTON,MA 01027 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Professional Licensure Construction Board of Budding Regulations and Standards Unrestricted-Buildingss Supervisor o of any use group which contain ;ons:ruction Supervisor less than 36,000 cubic feet(991 cubic meters)of enclosed ao A D, space. CS-103061 !*pires:09t2113121 . JAMES J FLANNERY 1 WILLIAMS ST HOLYOKE MA 01040 f� Failure to possess a current edition of the Massachusetts /V" "�o_" State Building Code is cause for revocation of this license. Commissioner For information about this license Call(617)727-3200 or visit www.mass.govidpl ig iota.u d 8 ca Jae. crL1eLl win Cans DocuSign Envelope ID:2DE181 EA-A1A5-4D3B-A1B2-023F42C5CB9F Peak Performance Roofing LLC 1 Lovefield St. P E K Easthampton,MA 01027 413-203-5888 P E R F O R CE C E peakperformanceroofingllc@gmail.com ROOFING MA HIC#183698 MA CSL#10306 Contract ADDRESS CONTRACT# 10624 Teresa Hacunda DATE 03/31/2022 374 Bridge St. Northampton,MA 01060 508-241-4743 hacundatm@gmail.com DESCRIPTION 1.Remove the existing roof materials 2. Inspect the sheathing for any rot or deterioration.Any new plywood necessary will be S80 per sheet installed.Any new roofing boards will be $6 per foot installed. (Wood prices subject to change based on market fluctuations) 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/learning-center/profile/smi-1-5-mechanical-seam/ Color Choice: Medium Bronze 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 AMC.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. Shed Roof: Metal Doorway Roof: Metal Side Roof: Metal TOTAL=$3,900.00 A one-third deposit of Si,300 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. TOTAL $31900.00 Accepted By DocuSrynedby Accepted Date 3/31/2022 fi YL Sa R-az14Ala.