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25C-064 (3)
BP-2022-0595 274 BRIDGE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-064-001 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-2022-0595 PERMISSIONISHEREBYGRANTED TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 2675 LLC CS-103061 Const.Class: Exp.Date:09/21/2022 Use Group: Owner: WAGGONER HANNAH,PAM & KATHARINE J 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:05/25/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RESHINGLE 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: , • 't • )23-1 - i Fees Paid: $40.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner DocuSign Envelope ID:8288B2DC-5303-4DA5-94A0-1144A60C84A4 RECEIVE The Commonwealth of Massachusetts I MAY 2 5 022 R 1 Board of Building Regulations and Standards ALITY Massachusetts State Building Code,780f/vilk )1�illVl SE DEPT.OF BUILDING INZP CT Building Permit Application To Const act,Repair,Reel evate-OL'] lib ,nna eaMar 01J One- or Two-Family Dwelling This Section For Official Use Only Building Permit Number: QD" , �-' J ri 5 l Date Applied: KLUIr.J` .5 ///Z 5-25-7022, Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 274 Bridge St. 25C-064-001 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 Sicc Yards I Rear Yard • Required Provided Required Provided ' Required Provided 1.6 Water Supply:(M.O.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private❑ Zone: Outsid:Flood Lone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Lailye Weidman Northampton MA 01060 Name(Prim) City,State.ZIP 274 Bridge St. 774-994-0253 lailye.weidman@gmaii.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK(check all that apply) New Construction❑ Existing Building pi Owner-Occupied 0 Repairs(s) Alteration(s) 0 Addition ❑ Demolition 0 j Accessory Bldg.0 Number of Units Other Specify: Roofing. Brief Description of Proposed Work`! Strip and replace asphalt roof on sections only(see diagram) — SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item Official Use Only SLabor and Materials) 11.Building S 2,675.00 1. Building Permit Foe:S Indicate bow fee is determined: ❑Standard City/Town Application Fee Z.Electrical ! S ❑Total Project Costa(Item 6)x multiplier x 3. Plumbing S 12. Other Fees: S 4.Mechanical (11VAC) S List: 5.Mechanical (Fire T Suppression) Total All Fees: S Check Nd'�OScCheck Amount: IVO Cash Amount: 6.Toth Project Cost: S 2,675.00 0 Paid in Full 0 Outstanding Balance Due: DocuSign Envelope ID:828882DC-5303-4DA5-94A0-1144A60C84A4 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-103061 09/21/2022 James J. Flannery License Number ":xpiration Date Name of CSL Holder List CSL Type(see below) U No.and Street Type Description Holyoke, MA 01040 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted l&2 family Dwelling Cityrro n,State,ZIP M Masonry RC Roofing Covering WS Window and Siding 413-203-5888 SF Solid Fuel Burning Appliances peakperformanceroofingllc@gmail.com Ins-ulation Telephone Email address D Demolition 5.2 Registered Borne Improvement Contractor(HIC) 183698 1 1/03/2023 Peak Performance Roofing LLC 1i1C Registration Number Expiration Date HIC Company Name or HIC Registrant Name 1 Lovefield St. peakperformanceroofingllc@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 BUILDING PERMIT I.as Owner of the subject property,hereby authorize James J. Flannery/ Peak Performance Roofing LLC to act on my behalf in ail matters relative to work authorized by this building permit application. nocuSfgned by: Lailye Weidman 5/17/2022 Print Owner's Name(Electxuattahunak4 Date SECTION 7h: 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 the best of my knowledge and understanding. James J. Flannery I L J /2'62/1' Print Owner's or Authorized Agent's Nam,a . c 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(HIC)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.nov/oca Information on the Construction Supervisor License can be found at wwtv.mass.eov/dos 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:8288B2DC-5303-4DA5-94A0-1144A60C84A4 City of Northampton R Massachusetts i. ��e Lr. f�,, �. DEPARTMENT OF BUILDING INSPECTIONS a 4 ?`:ost r4 , 4 212 Main Street • Municipal Building .6 • Northampton, MA 01060 'rJ'y"" 3r,�40 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 Si nature of A licant: James J. Flannery Date: qf 17d�� g pp AC DATE(MM/DDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 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 PHONE (413)586-0111 FAX (413)586-6481 (A/C,No,Ext): (A/C,No): 8 North King Street E-MDRAILESS: aedgett@webberandgrinnell.com AD INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURER A: Admiral Ins Co/BRECK INSURED PlymouthRockAssurance INSURER B: 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 SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300,000 CLAIMS-MADE X1 OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A CA00003521803 07/07/2021 07/07/2022 PERSONAL&ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE $ 2'000'000 XI PRO- JECT LOC PRODUCTS $ 2,OOQ000 POLICY OTHER. Employee Benefit $ 2,000,000 AUTOMOBILE LIABILITY GOP(BINEB,31N©EE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED PRC00001007091 06/27/2021 06/27/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XHIRED S/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) Medical payments $ 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION V PER OTH- AND EMPLOYERS'LIABILITY YIN /� STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE Y N/A RZWC202869 04/27/2022 04127/2023500,000 OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 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 lI /tt, ep c ..:�.J ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD k` The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations y'{ • , 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: BuilderslContractors/ElectricianslPlumbers 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): I. I am a employer with 4 4. ri I am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors 6. [1] New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. i Remodeling ship and have no employees These sub-contractors have 8. E Demolition working for me in any capacity. employees and have workers' 9. © Building addition [No workers'comp.insurance comp.insurance_( required.] 5. (] We arc a corporation and its 10.0 Electrical repairs or additions 3.[11 I 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 insurance required.] ' c. 152,*1(4).and we have no 1 . [Vf Roof repairs employees.[No workers' I3.LJ Other_____ _ comp.insurance required_] Any applicant that checks box#1 must also fill out the section bekiw 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 hayc employees,. If the sub-contractors have employers_they must provide their workers'comp.policy number. 1 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:_, q1211 7 Policy ft or Self in .Lie.ti: R2WC20286� Expiration Date: OL Job Site Address: O� --— City/State/Zip:!" - M 6/6426 Attach a co py 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 S1500.00 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: Phone#: r� Date: �/� 7?4/� . 413-203-5888 Y� Official use only. Do not write in this area,to be completed by cite or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityffown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone.#: gZ FGm/72t!wC/mall ey/L gez idelaa+2lezeJ•to. 4 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 a 2014.05/17 Offfcofrnsume►i. r/// bf{airs h 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 11/03/2023 1000 Washington Street -Suite 710 PEAK PERFORMANCE ROOFING.LLC Boston,MA 02118 JAMES FLANNERY 9 1 LOVEFIELD ST. EASTHAMPTON,MA 01027 Not valid without signature Undersecretary Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space. CS-103061 Expires: 09/21 JAMES J FLANNERY 1 WILLIAMS STrft° HOLYOKE MA 01040 Failure to possess a current edition of the Massachusetts Commissioner State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.govidpl °KUM $ a CiV.Q O(I i( Q • AL113..1 w0-1n Ca v'c,)S . 1 DocuSign Envelope ID:8288B2DC-5303-4DA5-94A0-1144A60C84A4 Peak.Performance Roofing LLC 1 Lovefield St. P Easthampton,MA 01027 413-203-5888 PERFOR CE peakperformanceroofingllc@gmail.com ROOFING MA HIC#183698 MA CSL#103061 Contract ADDRESS CONTRACT# 10679 Lailye Weidman& Ryan DATE 05/17/2022 Pryor 274 Bridge St., Northampton,MA 01060 lailye.weidman@gmail.com ryanpryor4@gmail.com L: 774-994-0253 R: 646-675-0371 .JOB LOCATION 274 Bridge St.,Northampton DESCRIPTION -This contract is only for specific portions of the house.See diagram.- 1.Remove the existing roofing shingles 2. Install synthetic underlayment on locations needed. 3.Install architectural shingles by CertainTeed(Landmark PRO) https://www.certainteed.com/residential-roofing/products/landmark-pro/ Color Choice: MAX DEFINITION COLONIAL SLATE 4. Install CertainTeed Flintlastic two-ply roof system on low slope sections. https://www.certainteed.comlcommercial-roofing/products/flintlastic-sa-cap/ 5.Complete all necessary flashings. Includes CertainTeed Lifetime Limited Warranty (Transferable) with 10 year SureStart period. https://www.certainteed.com/resources/Asphalt_Warranty_C1R3782_1912_E.pdf 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=$2,675 A one-third deposit of$890 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. DocuSign Envelope ID:8288B2DC-5303-4DA5-94A0-1144A60C84A4 t>ESCRIPTION Warranty confirmation shall be provided upon final payment. Installation and manufacturer warranties are not in effect until Paid In Full. TOTAL $2,675.00 DocuSigned by: Accepted By Gale / Accepted Date 5/17/2022 'V. -AEOVA4E`EUGtC4 DocuSign Envelope ID. 8288B2DC-5303-4DA5-94A0-1144A60C84A4 ,,,.... ',.N __ _____ %., _ ., z__'III ,... 2{J , -,.. \ A 20! \\ 'lb .? \ N--- , 1 292 -........ . _ 162 , ; 33 , , . , 432 74 1 74 1/401 dill 20 1411012, 11t9:M :'--W