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32C-250 (9) B -2022-0866 52 HOLYOKE ST COMMONWEALTH OF MASSACHUSETTS • Map:Block:Lot: 32C-250-001 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-2022-0866 PERMISSIONIS HEREBY GRANT I TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est.Cost: 2500 LLC CS-103061 Const.Class: Exp.Date:09/21/2022 Use Group: Owner: RICHARDS ADAM JAMES M & HAN AH Lot Size (sq.ft.) Zoning: URC Applicant: RICHARDS ADAM JAMES M &HA •H Applicant Address Phone: Insurance: 32 SHATTUCK ST GREENFIELD, MA 01301 ISSUED ON:07/21/2022 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 VIOL,. TION OF ANY OF ITS RULES AND REGULATIONS. Signature: i i • • >9 r + ' • Fees Paid: S40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner /91 AkkiChb ../ ,.. The Commonwealth of Massac,usett e ' • '"' , Borird of Building Regulations iirl* Sta. c i FO' Code lni B Massachusetts <9420 ' CI LITY State uin2 , ... *‘ Building Permit Appiie4on To Construct.Repair.R ern-Ara . *.i ' li a 'cvisc 1-20 i One-or Two-Fanilly Dwelling o4.6, c 1, ._ This Section For Official 1/se Only oso vs, Building Permit Number: 69- .2.2-IQ CI Date Applied: 1 i al ' ; k../ • 1.7/ 11/9;1'! Building Official(Print Narnr) 1 Signature Da r. - — _ SECTION 1:Sll'E INFORMATION Li T'roperty Address: 1.2 Assessors Map&Pared Numbers 52 Holyoke Street Lia Is this an accepted sisccl?yi.-, la) Map Number Parcel Numbel E3 Zoning Infortu-ition: 1_4 Property Dimensions: Zoning District Proposed[Jac I Lot Area(sq ft/ Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards 1 Rear Yard i- Required Provlecd Required Provided Required Providad I 1.6 Water Supply:(Ivi.ti.l.c•40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 lime: Outside Flood Zon& mu.i.pdr3 On sit.,disposal sysitim 0 Cheek if yes.° SECTION 2: PROPERTY O'WNERSIIIP' 2./ Own&of itecord: Max Adam Northampton, MA 01060 . - Natuv(Print) Cif),State.ZIP 413-210-1030 maxadam@gmail.com K:AVtitalArtIke-Street - 'telephone — Email Address — — SECTION 3:DESCRIPTION OF PROPOSED WORK2(checkzall that apply) New Construction 0 I Existing Building 0 Owner-Occupied 0Repairs(s)IA': I Alter/141011(s) Addi ion o ' I - 0 J -1 r-i , Di., ri V 1,, r T I Other D specifr Demolition 1.-J : Accessory A,I Li F. L.I 1,urri,,---t-oi Jails --- Brief-Description of Proposed Work' strip and replace asphalt roofing on main house. InStall Certainteed shingles, drip edge, ridge vents, flas_hinq. ......... _ SCCTION 4:ES 11.MATED CONSTRUCTION COSTS Estimated Costs: Item Official Use Only (Labor and Materials) Li.Building S 2500 I. Building Permit Fee:$ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical , ,S, — . O Total Project Cost'(item 6)x multiplier x 3.Plumbing S 2. Other Fees; S _- 4.Mechanical (liVAC) i s List;_______ 5.Mechanical (Fire I Suppression) Total MI Fees; Check No. Li/OWneck Amount: _Cash Antount: 6.Total Project cost: $ 2500 r3 Paid.in Full 0 Qutstancling Balance Due: — DocuSign Envelope ID:0B083BB3-EE01-4A51-815C-27EF99049169 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CM) CS-103061 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 r-,--- U --4 Unrestricted Buildings up to 35.000 cu. ft.) R Restricted 18:2 Family Dwellut City Town,State,ZIP M Masonry RC Roofing Covering ^ WS Window and Siding a,—.1__ SF Solid Fuel flaming Appliances 413-203-5888 peakperformanceroofinglic@gmail.com I Ins-ulauon Telephone Email adclress j D Demolition 5.2 Registered Rome Improvement Contractor(H IC) 183698 11/03/2023 Peak Performance Roofing LLC IiiC Registration Number Expiration Date HIC Company Name or I-tIC 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.c.152.§ 25C(6)) 1 f Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide j this affidavit will result in the denial oft the issuance of the building permit. Signed Affidavit Attached? Yes 15, No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUELDTNG PERMIT ....or cussgned by 1,a ( n r oitt subject property, hereby authorize James J. Flannery/Peak Performance Roofing, LLC to t ortiy.:E,F • .)in all matters relative to work authorized by this building permit application7/11/2022 Print Owner's:Name(Electronic Signature) Date SECTION 7b: OWNER' 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 larowledge and understanding. Print Owner's or Authorized,9 'itbe(Dec "h Signature) ate 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 not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important iaforruatiou on the HIC Program can be found at i '. w.mass.<2.ov1oca Information on the Construction Supervisor License can be found at www.mass.govldus 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks orporch) Gross living area(sq. ft.) habitable room count Number of fireplaces Number of bedrooms Number of bathrooms_ _ Number on-tali/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" . The Commonwealth of Massachusetts r- - Department of Industrial Accidents t `:` •Y- Office of Investigations _ 600 Washington Street �; "=!= Boston,,MA 02111 www.mass.gov/disa Workers' Compensation Insurance Affidavit: Builders,!Contractors/Electricians/Plumhers Applicant Information _ Please Print Lej ibis Name(Business/Organization/Individual): Peak Performance Roofing, LLC Address: 1 Lovefield St. City/State/Zip: Easthampton, MA 01027 Phone #: 413-2°3-5888 Are ypu an employer?Check the appropriate box: Type or project( . -, . 1. I am a employer with 4 4. [] I am a general contractor and I 6. 0 New construction employees(full and/or part-time).* have hired the sub-contzacctarrs 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ .Remolding ship and have no employees These sub-contractors have 8• 0 Demolition working for me in any capacity. employees and have workers' ninsurance.* 9. 0 Building addition c [No workers'comp,insurance •, required.' 5. 0 We are a corporation and its 10.0 Eiectric:al rep '' or additions 3.(� I am a homeowner doing all work officers have exercised their 11.D Plumbing or additions myself.[No workers'comp. right of exemption per MOL 12.[/ Rcwf minks insurance required.' f c. 152,.1(4),and we have no employees.(No workers' 13.❑ Other comp.insurance requued 1 ap s . w _ compensation Any Grant that checks box A+l must also fill out the swim Wins ahtv+�tn !heat workers' rxt !icy information. Homeowners who subtnrt this,affidasrt indicatin are doinv all went_and then him outside contractor- nw, ..ubrnit a new affidavit Inttdcatint'ausiz `Cuntractars that chccl.L'rt_,box must attached an additional shut*hawing the name of the sub.•contrvc:ors and itatc whether or not thxt-•e entitle:has ctnpioyees. If the.ub-t:anrracior,hate:ctnpiuyeey-they must prosidc their workers'cutup.policy nurnbcr. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. insurance a Company Name: Berkshire Hathaway Guard /f� Policy !i or Self-ins.Lie.#: R2WC202869 _ Expiration ire:, 1'/ t/� 7 / Job Site Address: / 1-)......, , L )� 4-Affit... �� AA t G(. City/State/Zip- ____ - Attach a copy of the workers'compensation policy declaration p e(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 SWOP W( • I lit 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 Of ice of Investigations of the DIA for insurance coverage verification. 1 do hereby certify under the pains and penalties off that the infonnatian provided above is true and witch. Signature: Date.;___Ifa, lat) 2 413-203-5888 14itt-111' _ Official use only. Do art 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.CltyiTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: A�ORL1 CERTIFICATE OF LIABILITY INSURANCE DATE A E(MMID0fYYY) 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,Eat): (A/C,No): 8 North King Street E-MAIL aedgett@webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC t Northampton MA 01060 INSURERA: AdmirallnsCo/BRECK 1 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 DESCRIRF()HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBH- POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'CNXi'" CLAIMS-MADE I OCCUR DAMAGE TO RENTED300 PREMISES(Ea occurrence) $ '000 MED EXP(Any one person) $ 5•000 A CA00003521803 07/07/2021 07/07/2022 PERSONAL&ADV INJURY $ 1.000,000 Galt AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 POLICY n JECaT n LOCXI PRODUCTS-COMP/OPAGO $ 2,000,000 OTHER: Employee Benefit $ 2,000,000 AUTOMOBILE LIABILITY SOMBMIHY8INDIE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED V/� SCHEDULED PRC00001007091 06/27/2021 06/27/2022 BODILY INJURY(Pei accident) $ AUTOS ONLY AUTOS X HIRED %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 VI PER OTHf AND EMPLOYERS LIABILITY Y I N /%1 STATUTE ER C ANY PROPRIETOR/PARTNER/EXECUTIVE �. N!A R2WC2O2$69 04/27/2022 04/27/2023 E.L.EACH ACCIDENT $ �'� OFFICER/MEMBER EXCLUDED? (Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ ` °,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B'" 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 J� I �� i.� � , ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Warixenetweveal0 el/,&-mseAadeaei4- 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 d 2l4/17 o17r suer nsJgOfic f�onrr Aa re 83usiesReulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. If found return to: Registration Expiron 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. EASTHAMPTON,MA 01027 Undersecretary Not slid without signature Commonwealth of Massachusetts Division of Professional Licensure Construction Supervisor Board of Budding Regulations and Standards Unrestricted-Buildings of any use group which contain Construction,Super'•oslot • -, less than 35,000 cubic feet(991 cubic meters)of enclosed space. CS-103061 Expires: 09121 JAMES J FLANNERY 1 WILLIAMS ST HOLYOKE MA 01040 Failure to possess a current edition of the Massachusetts Commissioner State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass_govldpt 'R:a,1nQw.0 C! C i .Q 0,11 i Y1.. • Si-aAitt., dz\a.y uiut\n CaY5 torte-- The City of Northampton Building Department 212 Main Street 44r. Northampton, Massachusetts 01060 Phone(413) 587-1240 Fax(413) 587-1272 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOL 1TION 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, s350A. The debris will be disposed of in: v (L1 Location of Facility tioxlkwfolifr- The debris will be transported by: Name of Hauler (�� 4) / " ""' 7 Cril 1(44/ v, Signature of Applicant: Date: 111` �� DocuSign Envelope ID 0B083883-EE01-4A51-B15C-27EF99049169 Peak Pezfonnance Roofing LLC I Lovefield St. P E Easthampton, MA 01027 413-203-5888 PERFOR _ CE peakperformanceroofinglfc@gmaii.com ROOFING MA HIC#183698 MA CS11103061 Contract ADDRESS CONTRACT# 10711 Max Adam DATE 06/12/2022 52 Holyoke Street Northampton,MA 01060 413-210-1030 maxadam@gmail.com DESCRIPTION This contract is for one single addition roof on the south side of the house. We hereby propose to provide the labor and materials for the completion of the following w : 1. Remove the existing roofing shingles. 2. Inspect the sheathing for any rot or deterioration.Any new plywood necessary will be$80 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 COLOR CHOICE: COLONIAL SLATE https://www.certainteed.com/residential-roofing/products/landmark-pro/ 7. Install Shingle Vent 11 ridge vent on peaks of roof(where applicable) https://www.certainteed.com/res idential-roofing/products/crtainteed-ridge-vent-12-E1lered/ 8. Complete all necessary fleshings including new LIFETIME pipe boots,base flashing around chimney, and new step flashing at the roof-to-wall transition,lnstall new step flashing at the roof-to-wall transition Total: Landmark PRO shingles=$2500 Includes CertainTeed Lifetime Limited Warranty (Transferable)with 10 year SureStart period. https://www.certainteed.com/resources/Asphalt_Warranty C R3782_1912_E.pdf 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 DocuSign Envelope ID:0B083BB3-EE01-4A51-B15C-27EF99049169 DESCRIPTION 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 =$2,500 A one-third deposit of S833 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. 13°`us 'e'"y• ,,� TOTAL 7/11/2022 as a&_ .:44413. Accepted By Accepted Date