32A-194 (2) BP-2022-0665
28 PHILLIPS PL COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32A-194-001 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-2022-0665 PERMISSION IS HEREBY GRANTED TO:
Project# ROOF Contractor: License:
PEAK PERFORMANCE ROOFING
Est. Cost: 19050 LLC CS-103061
Const.Class: Exp.Date:09/21/2022
Use Group: Owner: S WOLFE HAROLD L &FAYE
Lot Size (sq.ft.)
Zoning: URC Applicant: PEAK PERFORMANCE ROOFING LLC
Applicant Address Phone: Insurance:
1 LOVEFIELD ST 413-203-5888 R2WC202869
EASTHAMPTON, MA 01027
ISSUED ON:06/07/2022
TO PERFORM THE FOLLO WING WORK:
STRIP AND RE-SHINGLE
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: An
tV,,,,,„.. .S _ 55:617,
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
DocuSign Envelope ID:BOD4AEB4-786E-425D-970D-810FFF7798E6
RECEIVED i
1 J U N - 7 2022 The commonwealth of Massachusetts
Board
S o Building Regulations and Standards FOR
. / Malsac s State Building Code,780 CMR MUNICIPALITY
PT.OF I NG I PECTION USE
NORT� 3oAppli. lion To Construct,Repair,Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Pcimit Number: ?DP" })--CL CIS Date Applied:
•
.���Kv5S 6-7 ZUZ7
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
28 Phillips Place
1.1 a 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 Rcquircd Provided
1.6 Water Supply:(M.G.L c-40,654) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public U Private 0 Zone _ Outsidc Flood Lune? Municipal❑ On sit:disposal system 0
Check if yes0
SECTION 2: PROPERTY OWZERSRLP'
2.1 Own&of Record:
Harold Wolfe Northampton, MA 01060
--
Name(Print) City,State,ZIP
28 Phillips Place 413-221-3018 harold.wolfe@comcast.net
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK.2(check all that apply)
New Construction 0 I Existing Building 1r Owner-Occupied 0 Repairs(s) Alteration(s) 0 Addition ❑
Demolition ❑ ' Accessory Bldg.0 Number of Units J Other tiSpecity: Roofing.
Brief Description of Proposed Work`:
Strip and replace asphalt roof and flat sections. Gutter washing and painting. _
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item Official Use Only
(Labor and Materials)
1.Building S 19,050.00 1. Building Permit Fee:S Indicate how fee is determined:
2.Electrical S I LiStandard City/Town Application Fee
❑Total Project Cost3(Item 6)x multiplier x
3. Plumbing • S : 2. Other Fees: S
4. Mechanical (11VAC) S List:
5.Mechanical (Fire
Suppression) Total All Fees:S
6.Total Project Cost: S Check No.41O(j?Check Amount: Cash Amount:
19,050.00 Cl Paid in Full 0 Outstanding Balance Due:
DocuSign Envelope ID:BOD4AEB4-7B6E-425D-970D;81OFFF7798E6
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CS-103061 09/21/2022
James J. Flannery License Number Ti.xpirawm Date
Name of CSL Holder
List CSL Type(see below) U
No.and Street Type Description
Holyoke, MA 01040 tl Unrestricted(Buildings up to 35,000 ea.ft.)
R Restricted l&2 Family Dwcllins
Cttvll own,State,ZIP M Masoory
RC Roofing Covering
WS Window and Siding
413-203-5888 SF Solid Fuel Burning Appliances
peakperformanceroofingllc@gmail.cottr I Insulation
Telephone Email address D Demolition
51 Registered Home Improvement Contractor(HIC) 183698 1 1/03/2023
Peak Performance Roofing LLC
IIJC 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 LNSURANCE AFFIDAVIT(M.G.L.e.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 4/ No . 0
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.
oausignaa by:
Harold Wolfe �iytLL, �} 5/27/2022
gt
Print Owner's Narric.(F, q9gic _pture) Date
SECTION 7b:OWNERI 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 t,, • Z-d 2-2-
Pant Owner's or Authorized Agent's Name a ectr!,11,"c Signs e�
l 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(MC)Program),will not have access to the arbitration
program or guaranty fiord under M.G.L.c. 142A"Other important information on the HIC Program can be found at l
www.rnass.gov/oca Information on the Construction Supervisor License can be found at www.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 he substituted for"Total Project Cost"
The Commonwealth of Massachusetts
--;: Z Department of Industrial Accidents
== = Office of Investigations
- _ 600 Washington Street
_ �`'— Boston,MA 0211I
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (BusinessJOrganizationhlndividual): Peak Performance Roofing, LLC
Address: 1 Lovefield St.
City/State/Zip: Easthampton, MA 01027 Phone if: 413-203-5888
Are ypu an employer?Check the appropriate box:
1. I am a employer with__*el. ___ 4. n I am a general contractor and I Type of project(required):
d):
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. 0 Demolition
working for me in any capacity. employees and have workers'
t 9. ❑ Building addition
[No workers'comp.insurance comp.insurance. 10_ Electrical repairs or additions
required.] 5. [] We arc a corporation and its ❑ p"
3.❑ 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 MG1. 12.gRoof repairs
insurance required.]: c. 152,.1(4),and we have no
employees.[No workers' 13.0 Other..._w.....�,...,.._ ....._.,..: ._
comp.insurance required.]
*Any applicant that checks box Si mug also fill out the section below showing their worker:"compensation policy irticrrmation.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractor>must submit a new attidasit 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 Katie
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.Lie.#:_ R2WC2O2869 _ ExpirationDate: �2:7(241/5
Job Site Address: U e 1 l l ( rc_D r`G.L. t_.-L� —— City/State/Zipr_A.LACIAr
tf-I J►� -
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 NIGL 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.
if
Signature: ' ( Date:
Phone S:
413-203-5888 � 1 _ .._..._..
^
Official use only. Do not write in this area,to be completed by city or town official. µ
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#:
DocuSign Envelope ID:BOD4AEB4-7B6E-425D-970D-810FFF7798E6
City of Northampton
r
;rTair�� , $
i
Massachusetts '<<G
Olfr*
k t
DEPARTMENT OF BUILDING INSPECTIONS
ti . 212 Main Street • Municipal Builai.nq
a dr
t_i
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
Si nature of A licant: James J. Flannery Date: S,I 2 Z1ZV
g Pp
ACo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/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 PHONE (413)586-0111 FAX (413)586-6481
(A/C,No,Ext): (A/C,No):
8 North King Street Mks,. aedgett@webberandgrinnell.com
ADDR
INSURER(S)AFFORDING COVERAGE NAIC#
Northampton MA 01060 INSURER A: Admiral Ins Co/BRECK
INSURED Plymouth Rock Assurance
INSURER B: ry
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
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
CLAIMS-MADE XI OCCUR DAMAGE TO RENTED 300,000
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 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 GEMBINHYBINOkE LIMIT $ 1,000,000
(Ea accident)
ANY AUTO BODILY INJURY(Per person) $
g OWNED X SCHEDULED PRC00001007091 06/27/2021 06/27/2022 BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS
XHIRED v 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 X STATUTE EORH
AND EMPLOYERS'LIABILITY Y/N
C ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA R2WC202869 04/27/2022 04127/2023 500,000
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 I LOCATIONS I 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
IJ 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
WommeweitteWilefiXez,4-iia€461e/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.
see 1 0 2014-05/17
Offi of Consumer Atfairss&Business Reg lation�
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:LLC before the expiration date. If found return to:
Regis a_tiQp Expiration Office of Consumer Affairs and Business Regulation
183698 1 1/03/2023 1000 Washington Street Suite 710
PEAK PERFORMANCE ROOFING,LLC Boston,MA 02118
JAMES FLANNERY / vJJ`�(�1
1 LOVEFIELD ST. ,,r,,.K&;'
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
Construction Supew;aar � + less than 35,000 cubic feet(991 cubic meters)of enclosed
0 may` space.
CS-103061 Expires: 09I21i,2 „
JAMES J FLANNERY
1 WILLIAMS ST
HOLYOKE MA 01040
/� Failure to possess a current edition of the Massachusetts
Commissionerch
��i�r State Building Code is cause for revocation of this license.
For information about this license
Call(617)727-3200 or visit www.mass.gov)dpl
'R Lap.Lko a 8 a CA-vQ 0(11 i Y�
Si-ekL. c datj u5JAA CarcS
DocuSign Envelope ID:BOD4AEB4-786E-0250-970D-810FFF7798E6
Peak 1' ifomiance Roofing LLC
1 Lovefield St.
P E
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 CONTRACT* 10687
Harold Wolfe DATE 05/27/2022
28 Phillips Place,
Northampton,MA 01060
413-221-3018
harold.wolfe @comcast.net
JOB LOCATION
28 Phillips Place,Northampton
DESCRIPTION
1.Remove the existing roofing shingles
2. Inspect the sheathing for any rot or deterioration. Any new plywood necessary will be $100 per sheet
installed.Any new roofing boards will be$6 per foot installed. (Wood prices subject to change based on
market fluctuations)
3.Install six feet of ice and water shield on eaves,three feet in any valleys,and three feet around all
penetrations
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 PRO)
https://www.certainteed.com/residential-roofing/products/landmark-pro/
Color Choice: MAX DEFINITION COBBLESTONE GRAY
7.Power wash flat roof surfaces as needed and apply GacoRoof coating according to manufacturer's
specifications.
https://gaco.com/product/gacoroof/
8.Wash the inside of gutters and paint them with the silicone.
9.Install Shingle Vent 11 ridge vent on peaks of roof(where applicable)
https://www.certainteed.com/residential-roofing/products/certainteed-ridge-vent-12-filtered/
10.Complete all necessary flashings including new LIFETIME pipe boots and base flashing around
chimney
Includes CertainTeed Lifetime Limited Warranty (Transferable)with 10 year SureStart period.
https://www.certainteed.com/resources/Asphalt_War anty_CTR3782_1912_E.pdf
DocuSign Envelope ID:BOD4AEB4-786E-425D-9700-810FFF7798E6
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.
Landmark PRO shingles=$15,175
Total for Flat Sections=$2,975
Gutter Washing/Painting=$900
TOTAL=$19,050
A one-third deposit of$6,350 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 $19,050.00
,—oocusgnod by:
Accepted By ultra Wttft. Accepted Date 5/27/2022
`—E`r]6242 t':%C4Dd