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25C-130 (6)
BP-P 022-0911 32 ELIZABETH ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-130-001 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-2022-091 1 PERMISSION ISHEREBYGRANTE I TO: Project# roof Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 10800 LLC CS-103061 Const.Class: Exp.Date:09/21/2022 Use Group: Owner: FISHER HARRY J JR& SEBERN F TR STEES 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:08/03/2022 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 VIOL TION OF ANY OF ITS RULES AND REGULATIONS. Signature: I ,2 � 1, Fees Paid: $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner DocuSrgn Envelope ID 6CA34E23-9E99-4C9A-98DA-EE5B9DF7B023 E-C / V - 2 The Commonwealth of Maesachits 0 Board of Building Regulation*and ud. ds AUG 202 M P Manna is State Budding Code, -°F Guy U Building Penn!Application To Coast: t,Repair.Renov Np 11)' *coke�o rd' 2011 One-or rwo-Pamity Dwelling A 0,06o Ns This Seoloe Far Official Use 'a 19itr; 4/ hate Aged, Et,J <S, i 8.3-Zo22 strum 1:MIT INFORMATION ,' F'r r Al1AT : 1.2-��Aav,tsMsrtr c' I`.;ri_rI \rruiitGaS Us Is du aa swirled sired?yes� t,,,_ Map Number Petrel ivtinket 1,3 Zeniths 1nfesmaeNin 14 Frosety Sinsonekwz— .... . ,a,rrd use Lai Ares(s 910 *rr a (1'f Island �: 1.5 B7tift Setbacks Fans Ywd a Yards gem Yawl ftemesid ._ . Provided Acquissil Proilitant ateattlreil Forrlied 14*rattree :N t3 L e.40,1 1,9 Flood Zeta iasteratuaieru LS Seersse Disposal Sy tn. Peale O Phyla*a Gila: -.-- .!l,o,�a,�d}� ? Madeira 0 Olt ache wane CI riled SWUM2: PROPERTY OW\I.RS Hip ' _ .. . .".a. (Qj�/jjw)"�.l.S_................ _uAe.-.:.....L:...a..`...r V?►ti - /U '• Cf' 44 )riv154rG4o4 cab end. iii Ewa Adder merles.3:DESCRIPTi(ON t)I, I RO}'OSZDWORKC2 obetek I*t that spoil New Construe:den 0 I Existing Bniiding© erruer od 0 $eptios(s) Aker ,tiorar(s) a 1 Additieti a Demolition Li Accessory£ildq,® Number o(Unirs __ t 0 i1 `_.w , �""`x- Brief'D serimion cfProposed Works-._. _ 434, , . .1— 4,1 w--- adulated Item Coats; OtOci l Vet Only (piker and Materials) h. _ I,Building $ I. B illiling Pend"Far: l ieaac how is , r 2. cal 5 l o f 0 S d Oiyl Towvn Apt Pee 0 Total Project Cos/Otani 01 s rtdtipb.r x f3,Plumbing S 2, Other Pam: $,�,.,,,_,—__ 4.Mechanical (}VAC) S list: 5.Mechanical (Fire f Suppressicmn Total All Fees: if up Check No.l(lcheric Amount l... Capri Minot _ .Total Project Cost slOigoo ©Paid*Pull aOalstandlagilidaoce DocuSign Envelope ID;6CA34E23-8E99-4C9A-98DA-EE5B9DF7B023 SECTION 5; CONSTRUCTION SERVICES 5.1 �Co//nssttr e Unease(CSL) doh f oSo k 1 1 14 elide wweifLicense Numi,ar tapir Date Nome eat,Holder List CSL Type(see below) 4 _, No.pd S ccr ; Type De ieription r 0 L( j/ it% t .tromestri Lhwrklags up us 33. ra.it,j !� 1 Nam/ 1�,'Family DWCilm • t:irv/r .State.ZIPIv1 Masonry 1 RC tooting Coveting N WS Window and nd Siding SF Slid Fuel taming A ypl 'fir / ✓�) OAS ii soe,ar. f Istailation u 1) Detnellfaa 5.2 Registered Rome Improvement Contractor IC) (Lf e$ t I/112/h 1 IUIC Registration Number aeration RIC Company tsrrme or I tIC Registrant Name yy No.sod Sueext'sf*** Etnsif WrenJ - _ City/Town,State,ZIP Tslsphone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.; 25C(6)) Workers Cnrttpensau m Insurance affidavit must be completed and submitted with thin application. Pansy'.to provide this affidavit will result in the denial of the Issuance of the building permit Signed Affidavit Attacked? Yes D No.. .. Cl SECTION 7a:OWNER AIJTRORIZA'i'I.t;IN TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorizj ItilieS S:RAW 6140144/1/0tc ..._ to �8� �i l�in ail matters relative so work authorized by this balding " applicationA s �,6. rt 7/26/2 JPir ssaaooss7a.. Piers 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 informatlao contained in this application is true and accurate to the best of my knowledge and understanding. eSh4lieS 3-• it/ 1 9W1HZ lint Owner's or Authorized Agent's (Electronic Signature) lik:MS 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(1flC)Fragrant),will eat have access to the arbitration program or guaranty fund under M.G.L.c, 142A. Other important infounatiou on the HIC Program can',it found at www.matmeov/oca Information on the Construction Supervisor License can be found at wwW‘113331‘201161 2. When substantial work is planned,provide the information below: Total floor area(sq,ft.) (including garage.finished basernera/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 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 Department of Industrial Accidents = Office of Investigations re,42.1th 600 Washington Street Boston,MA 02111 www.mass.gorldla Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print 1.(14itilv Name tHusisess/Organizationlhanideal):_Peak Performance Roofing, LIC Address: 1 Lovefield St City/State/Zip: Easthampton, MA 01027 Phone 413-203-5888 Aawpsu an employer?Cheek the appropriate boa: Trygovrojnett •: 1.871 am a employer with 4 4. 0 I am a general contractor and 6. New construction employees(full and/or pan-time).* have hired the sub-contractors 2.0 1 am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have S. 0 Demolition working for me in any capacity. employees and have workers' 9. Building addition (No workers'comp.insurance corm.insurance.* required.] 5. 0 We are a corporation and its 10.0 Electrical meths or additions 3.01 am a homeowner doing all wort officers have exercised their 11.0 Plumbing repairs or additions myself.(No workers'comp. right of exemption per hiGL 12.FfRoof repairs insurance required )' e.152,;1(4),and we have no 13,0 Other employees.(No workers' comp.insurance requhedj !Any applicant that cbccksboz It musi also fill out the maks below 1160116116 their workers composed's'policy information, 1 Homeowners wbo submit this affidavit indicating they am,doing all wok and then hire mini&cantractors most submit a new affidavit indicating such, *Continctors that check this box must anacht:d ara gal showing the name oldie sub-coatractors and stoic whether or not those Mines have employees. If the vub contractor",hsvc chtpluces they mai provide dark woken'comp.pokey number. I am an employer that is providing workers'compensation hosuremee for my employees. Below lithe policy end job SW Information. Berkshire Hathaway Guard Insurance Company Name; Policy it or Self-ins.Lie.S R2WC202869 Expiration Date: 04/27/2023 Job Site Address: 52,-234 ,s2x//, 7-et stiti /4/1 chystatezi1,„ Attach a copy of the workers'compensadon policy declaredest pew(Awing the policy number and expiration date). Failure to secure coverage as required under Section 25A of IIIGL e.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 cia STOP WORK ORDER and a(me of up to$250.00 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 ander the pains and penalties of perjury that the Information provided above is true and comet, Signanne: 413-203-5888 Phone it: Official use only. Do not wile in this area,to be compiled by city or town official. City or Town: Permit/License S 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 S: __ 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 16 20M.06/17 Office of Consuun er Arnir/s&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 ST.Y 91- EASTHAMPTON,1 LOVEFIELD ST. �� ,,r+�;% '-�Gtr<k MA 01027 Not valid without signature Undersecretary ® Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor Unrestricted-Buildings of any use group which contain Construction SupC'. '(-y+ • less than 35,000 cubic feet(991 cubic meters)of enclosed 7 space. CS-103061 Expires: 09/211 . JAMES J FLANNERY 1 WILLIAMS ST (1. 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.govldpl 'R Llrulw.e 8 a CAWS Onrl I it. - �i-akJ� tAitickA Cards ACORL7' CERTIFICATE OF LIABILITY INSURANCE DATE IMM/00/YYYYI `----- 7/21/2022 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 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 I CONTACT Adina Edgett, CISR Webber & Grinnell PHONE (413)586-0111 413)586-0111 FAX -''�" W Ed];C.N0.E ; (A/C 1419i t4111606 i4u 1 8 North King Street EMAIL ADDRESS aedgettQwebberaadgrinnell.com 1 INSUREHfS)AFFORDING COVERAGE NAIL a Northampton MA 01060 LINSUR1MAICrum & Forster Specialty/BRECK INSURED I INSURER a;Plymouth Rock Assurance 24737 Peak Performance Roofing, LLC INSURERC;MCAR- Berkshire Rathawax_GUARD Attn: James Flannery INSURER 1 Lovef ield Street INSURER E 1 Easthampton MA 01027 I INSURER F: COVERAGES CERTIFICATE NUMBER:Exp 06/23 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLIIYPERIOD 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 INSRT AODLrSUBR POLICY EFT POLICY EXP LTR TYPE OF INSURANCE *LSD WVD POLICY NUMBER IMM/DD/YYYYI IMM/DU/YYYYI LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1 S 1,000,000 }_._., 1. A CLAIMS-woe I OCCUR l rr TCJ I I i t h 100,000 ---''''..... Htd.IAI its L.1 ;:!'n45, _...... `y GL0089451 7/7/2022 7/7/2043 map exI Wry one pawn) E 5,000 —., PONAONAf,I AOV MUMrr 1,000,000 r<E/11AiNIMINATE WAIT WW1 PEW actsammidsmeamg 4 2,000,000 Xi► um,Q JEL"f Q(.00 2,000,000 Ifi000C s-commoP ART} * OTHER I I AUTOMOBILE UABILITY E I.W Qa 71 1,000,000 B AN/AU/0 WOOLY 04,111011Y(IN parsore l ALL Adll rh OWNED I SCHEDULED PRC00001007091 6/27/2022 6/27/2023 BOOtV IN,WRY(IMetoess) 1 ti AUTOQRT ti _x HIiEDAUTO$ x 1 F[I IACC IIICJAMA(�C' Haunt reynwnb f 5,000 UMBRELLA LIAR OCCUR i EACH O('.CUIYMENCk f EXCESS LIAB d AIMS-MAOE A[K3RECOATE _!j ., MD Fit I ENTgN WORKERS COMPENSATION AND EMPLOYERS'LIABILITY WA X ;MUMw , — ANY PI4OPH1L rr/I,,I-AH1NErLEXECU7 NE I EL.,EACH ACCIDENT # 500,000 C I Off ICERNAEMBLI,EXCLUDED? N/A (Mandatory In NH) Iti2lNf242S57 4/27/2022 4/27/2023 EI DISE4GE•EII EMIwn% $ 500,000 ,I„ aescribe u, e/ .-. r.NIT'toONOF OPERATIONS below +*UM• 1r1MMR7 is excluded E.L.DISEASE.►ALICY L1Mf' $ Soo,o00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES IACORD 101.Additional Remarks Schedule.may be attached K ilea spear is Required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof of Insurance THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �J W Grinnell, CPCU, CIC t. ,) 't-=--- 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 . 7 DocuSgn Envelope ID.6CA34E23-9E99-4C9A-98DA-EE5B9DF78023 Peak Perforamace Roofing LLC I Loveftaeld 3L P E K Easthampton,MA 01027 413-203-5888 P E R F O R - .':;; C E pcakpcsfonnanccroofinglIc0 Email.com R • OFING MA Ha 0143b96 MA C +14�3f7tr1 Contract ADDRESS CONTRACT 11(1752 John Fisher DATE 07 •e 2 32-34 Elizabeth St, Northampton,MA (413)535-5999 hjohashrOaol.com JOB LOCATION 32-34 Elizabeth St Northampton() DESC*WP ION I,Remove the existing roofing shingles 2. IrisIrtsw.ct t e sheathing for any rot or deterioration Any new plywood ne.cessaty will be SKOJ per sheet insta1W,Any new roofing boards will be S ) per loot installed,(Wed prices subject(*change based on market fluctuations) 3,Install six feet of ice and water shield on caves,three feet in any valleys,and three feet around all penetrations 4.Cover remaining roof with synthetic tendertayrnent 5,Install new 8" aluminum drip edhc on all caves end rake edges b, architectural shingles by CcrtainTeed Landmark PRO: Max Definition awn Shake lid://www.ccrtairneed.csenhesidet i -pro/ 7, Install Shingle Vert 11 tidge vent on peaks of roof{where applicable) https://www,Maizeteedoce ltrcacidentiad-reran /pr<x ucta/ tainocd-r'idge- +ent-12 ltemed/ fi.Complete all necessary fleshings including new LIFETIME pipe boots and base flashing , nd chimney Rem( ve ail debris(torn premises,and throttcliout the job,continue cleanup and keep the undamaged. We are not responsible for debris that may fall into the attic. Please use reasonable caution during the installation process:do not walk or drive under active wok,or on areas of potential roofing debris,Installations arc weather permitting;inclement weather w' l cause scheduling delays. DocuSign Envelope ID.6CA34E23-9E99-4C9A-98DA-EE5B9DF7B023 i)ESCRJpTioN A one-third deposit of$3,600 will s t eonlittetopennitting,material corder,aft,J priority sch Tulin$. I lie balance shall he due upon completion,within 10 days of invoice, Accounts outstanding er 30 days ubjcc:t to 2%finance charge montl . Estimate i valid fora minimum of 30 days.A deposit of 1/3 is due at contract signing. Total: $10,500 Includes Cea'tainTced Lifetime Limited Warranty(Transferable)with .10 year SureStart period h .//rwww.certainteed o tres urees/Aaphah:W my CTE37$2_1912„E.pdf Optional:Certainlced 4-Star Extended Warranty(Tr fe le)=Add$1500 hups://cenainteed-shcrwpad.com/share/Fulf/oUnUwAfv0558w1E7P/0 TOTAL $ 4,800400 DocuSiyn.d by SLIA, Stu" 7/26/202.2 '--iowiimiiikatnE4 Accepted By Accepted Date