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38B-064 (2) • BP-2022-0740 257 SOUTH ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38B-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-2022-0740 PERMISSIONIS HEREBY GRANTED TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 8300 LLC CS-103061 Const.Class: Exp.Date:09/21/2022 Use Group: Owner: DANIEL MADSEN 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:06/22/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-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: >9Cg''a • Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner DocuSign Envelope ID:B919543C-8552-477F-9FC7-118CCE259E26 8� The Commonwealth of Massachusetts A:Ev4 , Bo d of Building Regulations and Standards P�IAL 2 any Ma sachuserts State Building Code,780 CMx MUNIUSE lTY °fz of Building P pplication To Construct,Repair.Renovate Or Demolish a Rcvtred Mar2011 N29TN McD1Nc nvs One-or Two-Family Dwelling a Mg i0611UNs This Section For Official Use Only Building omit Num ./9- .2• ' 1'f0 ate A lied: EUio 42.„ A / -6•22 2022 Building Official(Print Name) Signature Date W SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 As ss rs Map&Parcel Numbers 26-7 South 00 c f 1.1a this an accepted street?yes no Map Number Parcel Number heel. . 1.3 ntng Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Ares(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard I Side Yards I Rear Yard Required Provided Required Provided I Required I Provided 1.6 Water Supply:(M.c.i.L c.40,g54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Northampton, MA 01060 Naa Pltia$ Madsen City,State,ZIP 413-210-2370 dfmadsen@gmail.com Nu.47Sglek ltl l St Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 I Existing Building 0 Owner-Occupied O Repairs(s) El Alterations) 0 Addition CI Demolition '❑ Accessory Bldg.0 Number of Units I Other 0 Specify: Brief Description of Proposed[Fork`: strip and replace asphalt roofing on main house. Install _metal roofing on main house and porch T SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building S 8 300.00 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical i S - 0 Standard City/Town Application Fee LI Total Project Cost3(Item 6)x multiplier x 1 3. Plumbing S i 2. Other Fees: S 4.Mechanical (HVAC) I S ` List: S.Mechanical ( ine S Suppression) Total All Fees:ic A (,�n 6.Total Protect Cost: g 8,300.00 ' Check No.y031;heck Amount. I v Cash Amount: 0 Paid in Full 0 Outstanding Balance Due: DocuSign Envelope ID:B919543C-8552-477F-9FC7-118CCE259E26 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-103081 09/21/2022 James J. Flannery License Number Expiration Date Name of CSL Holder U List CSL Type(see below) No.and Street Type Description Holyoke, MA U Unrestricted(Buildings up to 35.000 c;t.ft.) R. Restricted i 8r.2 Family Dwelling City/Town, - - - own cafe.ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-203-5888 peakperformanceroofinglic@gmail.com I Insulation Telephone Email address D Demolition 5.2 Registered F;iome Improvement Contractor(I-IiC) 183698 11/03/2023 Peak Performance Roofing LLC NIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 1 Lovefield St. peakperformanceroofingilc@gmaii.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 19( No . ❑ A SECTION 72:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT ,—oocu5gnedby: I,�s0,cr of t e subject property,hereby authorize James J. Flannery/Peak Perfor� rt�e2ll9 Ping, LLC tW ail matters relative to work authorized by this building permit application, R '‘.--/OCAFF13F448457 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNERS 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. (9 [3; Print Owner or A onized A s Name(Electronic Signature) 11(.47 Date NOTES: 11. 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.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 beating 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 B919543C-8552-477F-9FC7-118CCE259E26 The Roofing Process : What to Expect When will my roof be scheduled? Once the contract, deposit, and building permit are all in place, we can proceed with installing your roof. Roofing is hazardous and the safety of our crew is a priority. We must work around the weather forecast; here in New England, this means we can't plan our schedule very far in advance, and can't promise specific installation dates. Long stretches of inclement weather will cause delays. We appreciate your flexibility and patience in our dealings with Mother Nature! Your project manager will contact you a few days before they wish to proceed. Our crews are hardworking and efficient; most residential installations take only 1-2 days to install. Do I need to do anything to prepare? As noted on your contract, we are not responsible for dirt/debris that may fall into the attic. Depending on the condition of the plywood, you may see little to no debris, or it could be more substantial. If you store items in the attic. we recommend covering with plastic sheeting. Do I need to notify my neighbors? If your home is extremely close to other homes or driveways, there's a possibility we may need to be on their property temporarily to lay protection or collect debris. In this case, yes, please notify your neighbors. Otherwise, it is a courtesy. Your neighbors will likely appreciate notification of the noise/traffic. Materials and Dumpster Delivery: The materials and dumpster may arrive the day before the scheduled installation (especially if your installation is taking place on a weekend). Depending on your home's layout and driveway(s), we may need vehicles moved at this point. Parking: On the day of the installation, we ask that you move ALL vehicles out of ALL driveways, and away from the house, to avoid any damage, and for our access. How early will you start? Our crews will begin as early as 7.30am. They will work a long day, often until dark if necessary. We aim to have the installation completed in as few days as possible to minimize disruption to you and your neighbors. Do I need to be home? 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, etc) so you may need to make arrangements for residents, tenants or pets. Please do not plan on outdoor activities while we are working, for safety's sake. Please keep pets inside, or on a leash away from the roofing activities. DocuSign Envelope ID:B919543C-8552-477F-9FC7-118CCE259E26 What if I have an urgent question? If you have an urgent issue outside of regular office hours, call or text your project manager directly on his cell. Unforeseen Issues: Once we remove the existing roofing, we can inspect the underlying sheathing. Your contract states we will replace a small amount of plywood at no additional cost if needed. If more serious issues are found, the project manager will contact you to explain. There may need to be an upcharge on the final bill, consistent with the per sheet or square foot amount quoted in your estimate. Cleanup: No way around it, roofing is messy work. Rest assured that when the job is done, we will pickup all debris and do magnetic sweeps. Since we may work until dark, the main crew may need to leave before cleaning up, or if the job ends midday, they may leave to start another job. Another staff person will come later or the next day for more cleaning. There are materials left over. Did I get charged for those? Your job is priced according to the measurements. We always bring extra material for the jobsite, just to be safe. You were not charged for those and we will be collecting them. One of our staff will pick up the extra material after the installation crew is gone, usually within 1-2 days. When will the dumpster be removed? The dumpster is usually removed the next business day after the main crew has finished. Weekends or holidays may delay pickup. The dumpster company should check for any debris after removal, but please do a visual check before walking or driving over the area where the dumpster was located. If you see any debris there, please let us know. The job is done but I have concerns, what should I do? Please be aware that even after the main installation crew has left, that doesn't mean our job is done. The project manager will be coming by as soon as possible to do a final inspection, and a staff person will come by to do a final sweep, and pickup leftover items. Depending on our schedule, all of the final touchups, cleaning & pickups are usually completed in about 1-3 days after main installation is complete. If you have any other questions, please let us know. Thank you for choosing Peak Performance Roofing! We will do our very best to make this major home improvement a smooth experience for you! PE K 1 Lovefield St., Easthampton MA 01027 PERFORMANCE 413-203-5888 M-F 9am-4pm ROOFING peakperformanceroofinglIc@gmail.com The Commonwealth of Massachusetts Department of Industrial Accidents •—; Office of investigations 600 Washington Street '=1.1 Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Peak Performance Roofing. LLC Address: 1 Lovefieid St. City/State/Zip: Easthampton, MA 01027 Phone#: 4/3-203-5888 Are ypu an employer?Check the appropriate box: Type 1. f am a employer with 4 4. f i I am a general contractor and I of project(required): employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2.❑ I ant a sole proprietor or partner- listed On the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' 9. [f Building addition [No workers-comp.insurance comp.insurance. 10. Electrical repairs or additions required.[ 5. [] We arc a corporation and its ❑ ep 3.❑ I am a homeowner doing all work officers have exercised their I LI I Plumbing repairs or additions myself.[No workers'comp_ right of exemption per MGL 12.[I f Roof repairs insurance required.]' c. 152.§1(4),and we have no employees. [No workers' 13.❑ other__ . comp.insurance required_/ 'Any applicant that checks box Act must also fill ow the section below showing their workers'couips.usation policy information. t Homeowners who submit this affidavit indicating they arc doing all wick and then hire outside contractons must submit a new affidavit indicating such. `Contractors that check this box roust attached an additional sheet showing the name of the sub-contractors and state whether or not those entities base employees. If the sub-contractors have employees.they must proside their workers'comp.polies number. 1 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 li or Self-ins.Lic.#: R2WC202869 Expiration Date: I /mil/3- Job Site Address: I 7 t f /\ ) City/State/Zip:_ 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$1.00 00 andior 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. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct, Signature: Date: l to ' ( � 2/7/ 413-203-5888 Phone#: 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.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone It: 1 ACRD® CERTIFICATE OF LIABILITY INSURANCE DAI MMIDD01r'YYY) 21 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,Ent): (A/C,No): 8 North King Street E-MAIL aedgett@webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC S Northampton MA 01060 INSURER A: Admiral Ins Co/BRECK INSURED Plymouth Rock Assurance 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 LTR ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS TYPE OF INSURANCE INSD WVD (MMIDDIYYYY) (MMIDD/YYYY) X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300 PREMISES(Ea occurrence) $ '� CLAIMS-MADE XI MED EXP(Any one person) $ 5,000 A CA00003521803 07/07/2021 07/07/2022 PERSONAL&ADV INJURY $ 1,0•0 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 XI POLICY n PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Employee Benefit $ 2,000,000 AUTOMOBILE LIABILITY COMBINEL 31N0LE 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 X HIRED 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 I RETENTION$ $ WORKERS COMPENSATION III PER OTH- AND EMPLOYERS'LIABIUTY YIN STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE Y N/A R2WC202869 04/27/2022 04/27/2023 OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ ' (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ r ,000 If yes,describe under ' DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ '000 WC:James Flannery is excluded DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,AddItlanal 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 1 /ram ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD UIl7�.en+0weife / C „&aeJei r!'lteei�ep/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 0 2 14-05117 / offfe�"of Co��s i�me►k�a�tr/s/8rt3ustness'Rogut vathm 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 y' I (h 1 LOVEFIELD ST. i (((ffffff y EASTHAMPTON,MA 01027 Undersecretary Not v lid without signature ® Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor Unrestricted-Buildings of any use group which contain •.:011s:ri;C:Ci071 aOA3, less than 35,000 cubic feet(991 cubic meters)of enclosed space. CS-103061 Expires 091214 ( JAMES J FLANNERY 1 WILLIAMS ST HOLYOKE MA 01040 Failure to possess a current edition of the Massachusetts CommissionerCL 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 Li19W4a $ aCAWS 0111ivt- • wukA Ca rc)S 0 ,r The ty o Nthhampton 1f Building Department Of.-1 ,��,,��� �,..,-77-11 212 Main Street Northampton, Massachusetts 01060 Phone(413) 587-1240 Fax (413) 587-1272 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVAT ION PROJECTS) In accordance with the provisions of MGL c40, s54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a property licensed waste disposal facility as defined by MGL c 111, s150A. The debris will be disposed of in: I/f1f� L / /\ JA' �6 L.ocaion of Facility 2, (t ocril k f 0 1JC4td ,L/1 The debris will be transported by: V (7) 0?1/(-1/1-e--e Name of Hauler Lf12 21 1Ii1 Signature of Applicant: Date: DocuSign Envelope ID:B919543C-8552-477F-9FC7-118CCE259E26 Peak Peiformlance 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# 10713 Daniel Madsen DATE 06/13/2022 257 South Street Northampton,MA 01060 413-210-2370 dfmadsen@gmail.com JOB LOCATION 257 South Street DESCRIPTION We hereby propose to provide the labor and materials for the completion of the following work: MAIN ROOF-HOUSE 1.Remove the existing roof materials down to the wood sheathing.Fasten 1 x4 battens to the roof rafters with 3 inch coated framing nails. 2.Install LIGHT GREY 29 gauge FABRAL GRANDRIB roof system including all essential accessories. Apply butyl tape in all seams and on flashing edges FRONT PORCH ROOF 1.Remove the existing roof materials down to the wood sheathing. 2.Install BLACK MATTE 24 gauge 16 in wide Sheffield standing seam roof panels with mechanical lock seams. Brand: Sheffield or equal https://sheffieldmetals.com/learning-center/profile/smi-1-5-mechanical-seam/ 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 = $8,300 A one-third deposit of$2766 will secure contract,permitting,material order,and priority scheduling. DocuSign Envelope ID:B919543C-8552-477F-9FC7-118CCE259E26 DESCRIPTION The balance shall be due upon completion,within 10 days of invoice. Accounts outstanding over 30 days subject to 2% finance charge monthly. TOTAL QocuS gnee ay: �tiu itL 61449 u. 76CAP i3 448457 . 6/15/2022 Accepted By Accepted Date