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38A-023
BP-2022-0755 50 RUST AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38A-023-001 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-2022-0755 PERMISSIONISHEREBYGRANTED TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 8300 LLC CS-103061 Const.Class: Exp.Date:09/21/2022 Use Group: Owner: LEONARD MAGARET A Lot Size (sq.ft.) Zoning: URB Applicant: PEAK PERFORMANCE ROOFING LLI Applicant Address Phone: Insurance: I LOVEFIELD ST 413-203-5888 R2WC202869 EASTHAMPTON, MA 01027 ISSUED ON:06/24/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-ROOF, REPLACE 2 SKYLIGHTS 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 OFNORTHAMPTON UPON VIO ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: y2 . 'NT Fees Paid: S40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner DocuSign Envelope ID:8D06A1B0-C944-4786-A64E-1276FB7A86FB �-� The Commonwealth of Massachusetts 4/4/ �'✓ J :'!5!!0 : and Stanrds1ode780FATpair,Renovate Rests .Mar 2 11 One-or Two-Family Dwelling T°^'Mq-'FCTr This Section For Official Use Only aesol'`.s Building j?cmlit Number. (3I a a, — 7 Date Applied: • eU_r.3 5 .i/j /- (,, Z3-Zozz Building Official(Prim Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Pru erty Address: 1.2 Assessors Map& Parcel.1 ' b r 50 Rust Ave. A023-001 I.l a Is this an accepted strut?yes no Map Number Parcel Number 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 I Required Provided I 1.6 Water Supply:(M,G.l..c_40,654) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private C] Zone: Outside Flood"Lune? Cheek if yes❑ �luniupal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 ner'ofRecord: Margaret eonard Northampton, MA 01060 Name(Print) City,State,ZIP 50 Rust Ave. 413-478-7524 mleonard1960@comcast.net No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition 0 1 Accessory Bldg. 0 Number of Units I Other 0 Specify:, Brief Description of Proposed Work2: Strip and replace asphalt roofing on main house. Replace 2 existing skylights SECTION d:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I.Building S 8,300.00 1. Building Permit pee:$ Indicate bow fee is determined: 2.Electrical S 0 Standard CitydTown Application Fee U Total Project Costa(Item 6)x multiplier x 3. Plumbing S 2, Other Fees: S 4.Mechanical (I1VAC) I $ List: 5.Mechanical (Fire $ ,� Suppression) Total All F e `1f' Check Nb."a I Check Amount: So Cash Amount: 6.Total Project Cost: $ 8,300.00 0 Paid in Full 0 Outstanding Balance Due: DocuSign Envelope ID:8D08A1BO-C944-4786-A64E-1276FB7A86FB 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) lJ No.arid Street Type Description Holyoke, MA U Unrestricted($uildings up to 35,000 ca.ft.) R Restricted I&2 Family Dwelling City`l'own,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-203-5888 peakperformanceroofingllc@gmail.com I I Insulation Telephone Email address D Demolition 5.2 Registered Rome Improvement Contractor CHiC) 183698 11/03/2023 Peak Performance Roofing LLC l ilf:Rceistratioe Number Expiration Date HIC Company Name or HiC Registrant Name 1 Lovefield St. peakperformanceroofingllc@gmail.com Na.and Street Email address Easthampton, MA 01027 413-203-5888 City/Town,State,ZIP Telpohone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25(2(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 T,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. -Doc uSigned by: 6/20/2022 Margaret Leonard � dot Print Owner'a Nam:(Electriquc �t4de Date SECTION 7b:OWNFR1 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 Print Owner's' 'Auth aized Ageu s acne(Electronic Signature) 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 no: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.00v'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 ofhalf/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:8D06A1 B0-C944-4786-A64E-1276FB7A86FB � 7a4:11 ,, The City of Northampton ) �,�; Building Department 212 Main Street w•°R•'-°vv,01,, Northampton, Massachusetts 01060 Phone(413)587-1240 Fax(413) 587-1272 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOUTION 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 properly licensed waste disposal facility as defined by MGL c 111, s1 50A. The debris will be disposed of in; Location of Facility Valldy Recycling, 234 Easthampton Rd., Northampton MA 01060 413-587-4279 The debris will be transported by: Name of Hauler Aaron's Roll-Off Service Signature of Applicant: Date: `-f - U12 .has.` The Commonwealth of Massachusetts Department of Industrial Accidents ''=<<_: �,`= Office of Investigations ., 600 Washington Street _'r•—sea �, Boston,MA 02111 ' a'` www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibiy Name(BusinessiOhbaniaatioeflttdividual): 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): 1.i'LVI am a employer with___4 _ 4. n I am a general contractor and I 6. 0 1Kew construction employees(full and/or part-time).* have hired the sub-contractors 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' Building addition [No workers'comp.insurance comp.insurance. required.] 3. ❑ We arc a corporation and its 10o Electrical repairs or Additions 3.Ell am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. right ofexemption per MGL y [No workers' comp_ 12.gRoof"repairs insurance required.]: c. 152,*1(4),and we have no . employees.[No workers' 13.[] Other..__ ___ ._ __..._r _ 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 are doing all work and then hire outside contraeton.must submit a new affidavit indicating such, `Contractors that check this box must attached an additional sheet slum ing the name of the sub-contractors and state whether or not ttxrc entities have employees. lithe 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:.- �j Policy#or Self-ins.Lic.#: R2WC202869__.� Expiration Date: - f w v/ ki Job Site Address: rA4St 1 City/Stateltpr. 1 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 S1.500.00 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 Offio:i_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: 2 0(i _ - 413-203-5888 Phone#: ____. _ . .. ..._. ---minum.H 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.Citylfown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone it: AFRO® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIY`/YY) o5/12/2021 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 POUCIES 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 ,Exfl: FAX(413)586-0111 F No): (413)586-6481 8 North King Street E-MAIL aedgett@webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURER A: Admiral Ins Co/BRECK INSURED INSURER B: 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 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 POUCY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ 1,000,000 MAGE TO D CLAIMS-MADE XI OCCUR PREM PREMISES(Ea occurrence) $ 300'000 MED EXP(Any one person) $ 5,000 A CA00003521803 07/07/2021 07/07/2022 PERSONAL&ADV INJURY $ 1'0,0 GENIIAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2•000,000 X�POLICY 1-1 JEa I-I LOC PRODUCTS-COMP/OP AGG $ 2'��'�� OTHER: Employee Benefit $ 2,000,000 AUTOMOBILE LIABILITY SOMBINEekSINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B ^ OWNED /�XI SCHEDULED PRCWW1007091 06/27/2021 06/27/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS X HIRED N.I 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 ....el PER OTH- AND EMPLOYERS'LIABIUTY Y/N /.J STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE Y N/A R2WC202869 04/27/2022 04/27/2023 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 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 ff i I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:8D06A1B0-C944-4786-A64E-1276FB7A86FB Peak Performance Roofing LLC 1 Lovefield St. P E Easthampton, MA 01027 413-203-5888 PERFOR _ CE peakperformanceroofingllc@gmail.com ROOFING MA HIC#183698 MA CSL#103061 Contract ADDRESS CON'IBACr# 10707 Margaret Leonard DATE 06/10/2022 50 Rust Ave., Northampton,MA 01060 413-478-7524 mleonard1960@comeast.net JOB LOCATION 50 Rust Ave.,Northampton DESCRIPTION This contract is for the Main House Roof only.Excludes the roof of the addition and low slope roof over the front porch.See diagram. 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 roofmg 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 WEATHERED WOOD 7.Install Shingle Vent ll ridge vent on peaks of roof(where applicable) https://www.certainteed.com/residential-roofing/products/certainteed-ridge-vent-12-filtered/ 8.Complete all necessary flashings including new LIFETIME pipe boots and base flashing around chimney 9.Replace (2)existing skylights with new Velux manual venting skylights. * Peak Performance Roofing is not responsible for any interior funish/trim work* Includes CertainTeed Lifetime Limited Warranty(Transferable)with 10 year SureStart period. https://www.certainteed.com/resources/Asphalt_Warranty_CTR3782_1912_E.pdf DocuSign Envelope ID:8D06A1 BO-C944-4786-A64E-1276FB7A86FB 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 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.Instal s are weather permitting;inclement weather will cause scheduling delays. Landmark PRO shingles=$5,000 Smaller Skylight: Manual Venting=$1,200 Larger Skylight: Manual Venting=$2,100 TOTAL COST=$8,300.00 A one-third deposit of$2,700 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 $8,300.00 Accepted By Ioocts1onoci by: 6/20/2022 Accepted Date (ti et L^--"'1 b2,y41.:A3E44 1 DocuSign Enve oce ID: 8D06A1 B0-C944-4786-A64E-1276FB7A86FB r--DS ittb Tti 9