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31B-231 (8) BP-2022-0739 57 GOTHIC ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 3 I B-231-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP 2022 0739 PERMISSION IS HEREBY GRANTED TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 13750 LLC CS-103061 Const.Class: Exp.Date:09/21/2022 Use Group: Owner: SAMUEL B.STEPHEN B. &JULIA C. WHITNEY Lot Size (sq.ft.) Zoning: CB Applicant: PEAK PERFORMANCE ROOFING LL• Applicant Address Phone: Insurance: 1 LOVEFIELD ST 413-203-5888 R2WC202869 EASTHAMPTON, MA 01027 ISSUED ON:06/27/2022 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: ' I . Is Fees Paid: $100.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner 1,1 A-r %NOT vi . 1 • • \ • • • • , • vocuzign tnveiope IV DA3eJUJt3-DEE0-4GZ8-eOC2-925BOFEE2DE5 Versionl.7 Commercial Building Permit May 15.2000 Department use only City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability �� Room 100 Water/Well Availability_ Rr _ "OT 6 NQtamptOn, MA 01060 Two Sets of Structural Plans 69r e�� ? hon 413-7587-1240 Fax 413-587-1272 Plot/Site Plans h'q Chi � � - --- "r��, Other Specify APPLICA • t'O; STRUCT, REPAIR, RENOVATE,CHANGE THE USE OR OCCUPANCY OF,OR DEMOLISH ANY BUILDING '1/6, OTHER THAN A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address. This section to be completed by office Map 3 1 Lot c-3 Unit 57 Gothic Street., Northampton Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Steve Whitney 57 Gothic Street., Northampton MA 01060 Name(Print) Current Mailing Address: --OocuSlgncd by: ( I I - 808-651-3509 O Signature � ktiI�.yr Telephone --0004d0i C33c 14:.YJ — 2.2 Authorized Agent: James J. Flannery/Peak Performance Roofing LLC 1 Lovefield St., Easthampton MA 01027 Name(Print) Current Mailing Address 413-203-5888 Signature — — - - --- Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $13,750.00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC)5. Fire Protection C.IC # 9 0 o Q 6. Total = (1 +2+3+4 +5) $13,750.00 Check Number y a 74ff 44-70 This Section For Official Use Only Building Permit Number Date I Issued 60- P�r 1 Signature „1.\, r 1 it 7/ate Building Cpmmissloner/Inspector of Buildings I+ Date DocuSign Envelope ID:0A35707B-DEE0-4C28-90C2-926BOFEE2DE5 Version 1.7 Commercial Building Permit May 15.20(X) SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000 CUBIC FEET OF ENCLOSED SPACE Interior Alterations ❑ Existing Wall Signs ❑ Demolition LI Repairs El Additions ❑ Accessory Building❑ Exterior Alteration ❑ Existing Ground Sign ❑ New Signs ❑ Roofing0 Change of Use❑ Other ❑ Brief Description Strip and replace asphalt roof Of Proposed Work: SECTION 5-USE GROUP AND CONSTRUCTION TYPE USE GROUP(Check as applicable) CONSTRUCTION TYPE A Assembly ❑ A-1 ❑ A-2 El A-3 ❑ 1A ❑ A-4 ❑ A-5 ❑ 1 B ❑ B Business ® 2A 1 I ❑ E Educational ❑ 26 I 0 F Factory ❑ F-1 ❑ F-2 ❑ 2C I ❑ H High Hazard ❑ 3A I} ❑ I Institutional ❑ I-1 0 1-2 0 1-3 ❑ 3B ❑ M Mercantile ❑ 4 ❑ R Residential ❑ R-1 ❑ R-2 ❑ R-3 ❑ 5A ❑ S Storage ❑ Si- ❑ S-2 ❑ 56 ❑ U Utility ❑ Specify: M Mixed Use ❑ Specify: S Special Use ❑ Specify: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34): SECTION 6 BUILDING HEIGHT AND AREA BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE US ONLY Floor Area per Floor(sf) 1a1 1M 2nd 2nd 3 d 3,d 4"' Total Area (sf) Total Proposed New Construction (sf) Total Height(ft) Total Height ft j 7. Water Supply(M.G.L.c.40, §54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone El l Municipal ® On site disposal system DocuSign Envelope ID:0A35707B-DEE0-4C28-90C2-926B0FEE2DE5 Version I.7 Commercial Building Permit May 15.200) SECTION 9-PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F.OF ENCLOSED SPACE) 9.1 Registered Architect: Not Applicable Ur Name(Registrant): Registration Number - Address _____----_ -- Expiration Date ._ `_._..__._.__.._-._.__.___ ____. Signature Telephone 9.2 Registered Professional Engineer(s): Name Area of Responsibility T—__ __ ______ Address Registration Number Signature Telephone Expiration Date ----- Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date Name Area of Responsibility Address Registration Number Signature Telephone Expiration Date • Name Area of Responsibility Address Registration Number _ _________.___._____.. Signature Telephone Expiration Date 9.3 General Contractor Peak Performance Roofing, LLC Not Applicable m Company Name: James J. Flannery Responsible In Charge of Construction 1 Lovefield St.. Easthampton. MA 01027 Address 413-203-5888 • Signature ��"� Telephone DocuSign Envelope ID:0A35707B-DEE0-4C28-90C2-926BOFEE2DE5 Version1,7 Commercial Building Permit May 15,2000 SECTION 10-STRUCTURAL PEER REVIEW(780 CUR 110.11) Independent Structural Engineering Structural Peer Review Required Yes El No [33/ SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Steve Whitney , as Owner of the subject property James J. Flannery / Peak Performance Roofing, LLC hereby authorize to act on mY beh�ff, in all matters relative to work authorized by this building permit application. {( ..puc S�yned 1 Sl� 6/3/2022 Sin 1, "J4' isr. Date James J. Flannery as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. James J. Flannery Print Name Signature of Owner/Agent Date SECTION 12-CONSTRUCTION SERVICES 10.1 Licensed Construction Supervisor: Not Applicable 0 name of License Holder: James J. Flannery CS-103061 License Number Holyoke, MA 01040 09/21/2022 Adder Expiration Date 413-203-5888 Signature Telephone SECTION 13-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 bui ing permit. Signed Affidavit Attached Yes No El DocuSign Envelope ID:0A35707B-DEE0-4C28-90C2-926B0FEE2DE5 City of Northampton 212 Main Street, Northampton,MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 151A. Address of the work: 57 Gothic St., Northampton The debris will be transported by: Aaron s 24/7 & Roll Off The debris will be received by: Valley Recycling, 234 Easthampton Rd., Northampton MA 01060 Building permit number: Name of Permit Applicant James J. Flannery, Peak Performance Roofing, LLC ri" ---m Date Signature of Permit Applicant .'.Z The Commonwealth of Massachusetts T - Department of Industrial Accidents "' ` �[+- Office of Investigations i 600 Washington Street '� '" ,_ Boston,MA 02111 www.mass.govldia 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 #: 413-203-5888 Are Ion an employer?Check the appropriate box: Type of project(required): 1.MI am a employer with_ 4. i I I am a general contractor and 1 6. ❑ hew 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. [1] Remodeling ship and have no employees These subcontractors have g. fl Demolition working for me in any capacity-. employees and have workers' ❑ Building addition [No workers-comp.insurance comp.utsurance:T required.] 5. ❑ We are a corporation and its 10.0 Electrical .. , • or additions 3.1 I I am a homeowner doing all work officers have exercised their 11.0 Plumbing . r. or additions myself.(No workers' comp. right of exemption per MGL 12 gR oof repairs insurance required.) c. 152,>i f(4),and we have no employees.[No workers' 13.0 Other comp.insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers compensation policy information. 'Homeowners who submit this affidavit indicating they are doting all work and then hire outside contractor*mum submit a new affidavit indicating such, 'Contractors that check this box must attached an additional sheet show tug the name of the sub-contractors and state whether or nut those entities hare: employees. lithe sub-contractors have eniplovecs 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. Insurance Company Name: Berkshire Hathaway Guard Policy#or Self-ins.Lie.if: R2WC202869 _ Expiration Date:, _ Dates, I Z , i'.7 Job Site Address: 01 eS • ` C' 5Trf " City/State/Zipr IJ"°" ' 010(06 .5; 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$I 500.00 and/or one-year into isonment.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.1;. Date; v � � . 413-203-5888 •` 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): L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ACc CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) �� 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 Ext): (413)586-0111 FAX No): (413)586-6481 8 North King Street ADE-MAILESS: aedgett@webberandgrinnell.com DR INSURER(S)AFFORDING COVERAGE NAIC# Northampton MA 01060 INSURERA: 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 SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 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 GENTAGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 2,000,000 XI POLICY PRO- 2000,000 JECT LOC PRODUCTS-COMP/OP AGG $ , OTHER. Employee Benefit $ 2,000,000 AUTOMOBILE LIABILITY GOMBlt'SINOkE 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 �/ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY X AUTOS ONLY (Per accident) Medical payments $ 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ - EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OTT- AND EMPLOYERS'LIABIUTY YIN /\ 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 $ 500000 WC:James Flannery is excluded DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it 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 I V ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 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 20M.05/17 Office of Consumer Affairs& usiness 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 1 LOVEFIELD ST. Gib 9 r/;'%i•gG/� % J�/ EASTHAMPTON,MA 01027 Undersecretary Not valid 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 ;onstruction Supervisor less than 35,000 cubic feet(991 cubic meters)of enclosed g.0 ��` space. CS-103061 Expires: 09/21›2‹, JAMES J FLANNERY • 1 WILLIAMS STc.111) HOLYOKE MA 01040 , Failure to possess a current edition of the Massachusetts Commissioner (C 4 - State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.govrdpl R a.ksttA k 8 a c.VALQ OY\I(Ile • �i-&-k.O- d.a_1(1tj t,Lit \n Carc)5 DocuSipn Envelope ID:0A35707B-DEEO-4C28-90C2-926B0FEE2DE5 Peak Perfonnance 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 CONTRACT S 10693 Steve Whitney DATE 06/03/2022 57 Gothic Street Northampton,MA 01060 808-651-3509 kauaitime@gmail.com JOB l[ACAT ION 57 Gothic St. Northampton DESCRIPTION -This contract is for the entire roof. 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 PEWTERWOOD 7. Install CertainTeed Flintlastic two-ply roof system on low slope portions. https://www.certainteed.com/commercial-roofing/products/flintlastic-sa-cap/ 8. Install Shingle Vent 11 ridge vent on peaks of roof(where applicable) https://www.certainteed.com/residential-roofing/products/certainteed-ridge-vent-12-filtered/ 9.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_Warranty_CTR3782_1912_E.pdf DocuSign Envelope ID:0A35707B-DEE0-4C28-90C2-926BOFEE2DE5 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=$13,750 A one-third deposit of$4,500 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 $13,750.00 Accepted By �°oc"'�"i1b': Accepted Date 6/3/2022 \--CODHOFC39E7459.,: