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17D-038 (7)
BP-2022-0663 24 HIGH ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17D-038-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRA('TING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-0663 PERMISSION IS HEREBY GRANTED TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 5600 LLC CS-103061 Const.Class: Exp.Date:09/21/2022 Use Group: Owner: GANTZ ELSAESSER CAITLIN M &JEREMY D 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:06/07/2022 TO PERFORM THE FOLLOWING WORK: REPLACE METAL ROOF SECTION 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: 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: Fees Paid: $40.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner DocuSign Envelope ID:DEC862E6-26FE-47DB-8981-E167D398F85C r---/ E \� F � The ommonwealth of Massachusetts N B•ard Building Regulations and Standards OR. n '' 20�2 ,assa .tusetts State Building Code,780 CM MUNICIPALITY USE Nogr AMp;NS.NSpg P t Application attio-or oT Construct, ►o Fa Repair,Renovate Or Demolish a Revised.Mar 2011 h g on,,tt"Oo oOWs This Section For Official Use Only Building Permit Number: 13 .2—1- Cl 6 5 Date Applied: .- _ i,.I7Z's _.._ /1�Z 6-7-2 J0222 Building Official(Prim Name) Signature Date SECTION 1: SITE INFORMATION Li Property Address: 1.2 Assessors Map& Parcel Numbers l 24 High St. Florence 17D-038-OOl I.1 a Is this an accepted street?yes no Map Number Parcel Number i 1.3 Zoning Information: IA 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 ( Required Provided 1.6 Water Supply:(M.G.L e.40,554) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private❑ Zone: OutsideFlood Luny? Municipal 0 On site disposal system 0 Check if yes0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Jeremy Gantz Florence MA 01062 Name(Print) City,State,ZIP 24 High St. 773-870-8805 jeremydanielgantz@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building If Owner-Occupied 0 Repairs(s) I .Alteration(s) 0 Addition 0 r Demolition ❑ Accessory Bldg.❑ Number of Units Other (iSpecify: Roofing. Brief Description of Proposed Work2: Replace metal roof section only. Add_.insulation _ SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials)_ Official Use Only I.Building S 5,600.00 1, Building Permit Fee: S Indicate bow fee is determined: 2.Electrical i S ' O Standard City/Town Application Fee t -. 0 Total Project Cost'(Item 6)x multiplier x 3. Plumbing : S 2. Other Fees: S 4.Mechanical (NVA.C) ' S ' List: 5.Mechanical (Fire S Suppression) Total All Fees:/ Check No.1O0 0 Check Amount:40 Cash Amount:_ 6.Total Project Cost: S 5,600.00 ['Paid in Full D Outstanding Balance Due: DocuSign Envelope ID;DECB62E6-26€E-47D8-8981-E167D398F85C 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 I'older List CSL Type(see below)• U No.and Street Type Description Holyoke, ��040 U UnmArictcd(Buildings up to 35.000 el. A.) Citylrowa,State,ZIP R Restricted 182 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding 413-203-5888 peakperformanceroofinglIc@gmail.corrti SF Solid Fuel Burning Appliances Insulation Te shone _ Email address D Demolition 5,2 Registered Home Improvement Contractor (HIC) 183698 11/03/2023 Peak Performance Roofing LLC IIIC 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? Yea 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. Desuskined by: Jeremy Gantz ,IL► GaU ") 5/31/2022 Print Owner's Name(El tm 3e8'1,taha Date SECTION 7b:OWNER'OR ALTHORIZED 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 •, • ,/2/7 Z'?/ Print Owner's or Authorized Agent's Name(Electronic Si'/tore$ Date NOTES: I. 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 fiord under M.G.L.c. I42A.Other important information on the HIC Program cau be found at www.mass.t•ovioca Information on the Construction Supervisor License can be found at uw‘v.mass.2ovIdos 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basementiattics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of halUbaths Type of heating system Number of decks'porches Type of cooling system Enclosed tpen 3. ''Total Project Square Footage"may be substituted for"Total Project Cost" DocuSign Envelope ID:DCB62E6-26FE-47DB-8981-E167D398F85C City of Northampton r\, Massachusetts r : �plk DEPARTMENT OF BUILDING INSPECTIONS CH *f�' � ,A 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: James J. Flannery Date: (Lch2' Z2 "Z. Forize-n-extmiwafileif,Xexifiaele:e4e/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 4 2014F66r17 Office of t;onsumer Affairs E 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 ljt 1 LOVEFIELD ST. EASTHAMPTON,MA 01027 Undersecretary Not valid without signature Commonwealth of Massachusetts Division of Professional Licensure Construction Supervisor Board of Building Regulations and Standards Unrestricted-Buildings of any use group which contain Construction Super,Soo ;it) ✓ less than 35,000 cubic feet(991 cubic meters)of enclosed 1` space. CS-103061 Expires 091214>Pr._ JAMES J FLANNERY 1 WILLIAMS ST HOLYOKE MA 01040 Q Failure to possess a current edition of the Massachusetts Commissioner (v' State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.govldpl Laa .k.t-f a Z. a C iVQ O(1I+S WiJ Ca rc)S ACCPREP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) o5r1 z/zozl 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 NAME: Adina Edgett,CISR Webber&Grinnell PHONE (413)586-0111 FAX (A/c,No,Ext): (NC,No): (413)5 86-6481 8 North King Street E-MAIL aedgett@webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC A Northampton MA 01060 INSURER A: Admiral Ins Co/BRECK INSURED Plymouth Rock Assurance INSURER B: N 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 (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300'000 CLAIMS-MADE 1 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 GENII_AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 XI POLICY PRO- LOC 2,000,000 PRODUCTS-COMP/OP AGG $ OTHER. Employee Benefit $ 2,000,000 AUTOMOBILE LIABILITY GOMBMfED•SIN©tE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED )/ SCHEDULED PRC00001007091 06/27/2021 06/27/2022 BODILY INJURY(Per accident) $ AUTOS ONLY /% AUTOS XHIRED �/ 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 �(TPER OTH- AND EMPLOYERS'LIABILITY Y/N "I STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA R2WC202869 04/27/2022 04/27/2023 500,000 OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under '0D0 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 The Commonwealth of Massachusetts -- - --4» Department of Industrial Accidents —''>it; Office of investigations-"'.:-=11. 60/0 Washington Street`t= r' Boston,MA 02111 ei `'' www.mass.go v/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizatiotvindividuali: Peak Performance Roofing, LLC ---.- Address: 1 Lovefield St. City/State/Zip: Easthampton, MA 01027 Phone#: 413-203-5888 Are y u an employer? Cheek the appropriate box: Type of project(required): 1. I am a employer with 4 4. ❑ I am a general contractor and 1 employees(full and/or part-tirne).* have hired the sub-contractors b. [1] 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. ❑ 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.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself.[No workers'camp. right of exemption per MGL 12.gRoof repairs insurance required.]+ c. 152,11(4),and we have no employees.[No workers` 13.0 Other _. ._�. ._._ M._ 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 affidavit indicating they arc 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 shots ing the name of the sub-contractors and state whether or tun those entities hi' employees. lithe sub-contractors have emplov-•ecs.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 ln.urance Company Name::____�_ Policy tt or Self-ins.Lie.#: R2WC202869 Expiration Date: - 11.2(1,r Job Site Address: 2 ' I `i(i (.e.by, St City/State/Zip: Kt 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 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 a under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: ( Phone I Date: 41 2.41;7 413-203-5888 f • Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License it 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#: ___-- DocuSipn Envelope ID:DECB62E8-28FE-47DB-8981-E187D398F85C Peak Pkifommamlee Rooting LLC 1 Lovefield St. P 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# 10659 Jeremy Gantz DATE 05/02/2022 24 High St. Florence,MA 01062 jeremydanielgantz@gmail.c om 773-870-8805 DESCRIPTION Metal roof section only: 1. Remove the existing metal and drip edge 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 2" polyisocyanurate insulation with a top layer of 1/2" high density insulation board fastened to the roof with screws and plates 4. 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 5. Install synthetic underlayment on all remaining areas of the roof. 6.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: SLATE GRAY Note: For metal roofs that will receive solar,additional fasteners will be installed: clips 18"on center. 7.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 8.Remove the gutter during installation and re-install onto the fascia board 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 arc weather permitting; inclement weather will cause scheduling delays. DocuSign Envelope ID:DECB62E6-26FE-47DB-8981-E167D398F85C DESCRIPTION Standing Seam Metal =$4,200 Insulation=$1,400 TOTAL= $5,600.00 A one-third deposit of$1,800 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. 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 $5,6001$J OocuSigned by Accepted By ' (" 4) Accepted Date 5/31/2022 bb iF 2E Ji. A'ri