17D-067 (6) BP 022-1111
40 GARFIELD AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17D-067-001 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-2022-1111 PERMISSION'S HEREBY GRANTE I TO:
Project# 2022 ROOF Contractor: License:
PEAK PERFORMANCE ROOFING
Est. Cost: 11995 LLC CS-103061
Const.Class: Exp.Date:09/21/2022
Use Group: Owner: S FLETCHER,LENA
Lot Size(sq.ft.)
Zoning: URB Applicant: PEAK PERFORMANCE ROOFING LLC
Applicant Address Phone: Insurance:
1 LOVEFIELD ST 413-203-5888 R2WC342657
EASTHAMPTON, MA 01027
ISSUED ON:09/08/2022
TO PERFORM THE FOLLOWING WORK:
STRIP&REPLACE ASPHALT 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 Drive‘‘ay 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:
q
�►1►a 1.k:,. 4 • A 11...
I ' I
Fees Paid: $40.00
212Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
DocuSign Envelope ID: E0372FB9-4C31-42DA-9760-D8F520970A91
. erred, fx.,rmit
o A:::_. The Commonwealth of Massachusetts
a Board of Building Regulations and Standards FOR
r— 4 Massachusetts State Building Code,780 Ctullt MU ICIP TY
U
L Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised2011
' a.-r One-or Two-Family Dwelling
.:z
Ms y _ This Section For Official Use Only
r—^vCt$ui1di F ermit Number:Be-2'O^`2—j I I I Date Applied:
Zavii..Ja.:i ,/ 9-7 7oZz.
Building Official(Print Name) Signature Dare
SECTION 1:SITE INFORMATION
1.1 Property Address: 40 Garfield Ave, Florence 1.2 Assessors Map&Parcel Numbers
I'7 p—6(o7—O O l
l.la Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
ti
1.5 Building Setbacks(ft)
. a
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,654) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: Outside Flood Zone?
Public 0 Private❑ Check if a>❑ Municipal 0 On site disposal system 0
SECTION 2: PROPERTY OWPlERSHU''
2.1 Owner'of Record: Lena Fletcher Florence, MA 01062
Name(Print) 40 Garfield Ave City,Stale,ZIP
413-320-7747 IfletChe@umasS.edu
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION 01?PROPOSED WORK-(check all that apply)
New Construction❑ I Existing Building 0 Owner-Occupied 0 Repairs(sC] Alteration(s) 0 Addition 0
Demolition 0 1 Accessory Bldg.0 Number of Units Other Specify: Roofing _
Brief Description of Proposed Work: Strip & replace asphalt roofing
SECTION 4:ESTIMATED CONSTRUCTION COSTS
item Estimated Costs: Official Use Only
(Labor and Materials)
11.Building S 11,995 1. Building Permit Fee: $ LID Indicate bow fee is determined:
0 Standard City/Town Application Fee
2. Electrical I S I
0 Total Project Costa(Item 6)x multiplier x
3, Plumbing : S 2. Other Fees: S
4.Mechanical (NVAC) S ' List:
5.Mechanical (Fire S '2,---.' -
Suppression) Total All Fees;S 40 ' i,o
11 995 Check No.41' Check Amount: y ,— Cash Amount:
6.Total Project Cost: g it"0 Paid in Full 0 Outstanding Balance Due:
DocuSign Envelope ID: E0372FB9-4C31-42DA-9760-D8F520970A91
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License (CSL) L-103161 09/21/2022
James J. Flannery
' License Number xpirarion Date
Name ofCSL I Inkier U
List CSL Type(see below)
No.and t { Type Description
.Sil-foiyoke, MA 01040 e Unrestricted(Buildings up to 35.000 ca. ft.)
R Restricted 1S:2 Family Dwelling
Cityr l'own,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
413-203-5888 peakperformanceroofingllc@gmail.com SF Solid Fuel Burning Appliances
I Insulation
Te -.hone �t�xtEmail address D Demolition
5.2 Peak
eriormance`Hooting,,LL (HIC) 183698 11lO I202$
ITIC Rceistratmn Number Expiration Date
HIC{:r 6vn61i ae ,r jilC Registrant Name peakperformanceroofingllc@gmail.com
No.and Stree'IEaUUsthampton, MA 01027 413-203-5888 Email address
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C( )
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to
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
I.as Owner of the subject property,hereby authorize James J. Flannery / Peak Performance Roofing LLC
to act on my behalf.in all matters relative to work authorized by this building permit application.
/—Docu5gne0 Mr
( _,c741 8/29/2022
P-fst-O rkiNamc(Electronic Signature) Date
SECTION 7b:OWNER2 OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the infonf101
contained in this application is true and accurate to the e of my wledge and understanding.
James J. Flannery %. i
N1
Print Owner's or.'�utho%ed Agent's (Elect/ ••, Signature) Date
NOTES:
1. An Owner who obtains a budding 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 fiend under M.G.L.c. 142A.Other important information on the HIC Program can be found at k
www.mass.t'ovfoca Information on the Construction Supervisor License can be found at www.rnass.2ov/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 heating system - Number of decks/porches
Type of cooling system Enclosed Open
3. 'Total Project Square Footage"may be substituted for"Total Project Cost"
ACORE, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD"YYY)
kimv... 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 CONTACT Adina Edgett, CISR
NAME: g
Webber & Grinnell In„.,Ex0, (413)586-0111 FAX T
oic.hie): (41195e11 sau
8 North Ring Street kiss aedgett@webberandgrinnell.com
INSURER(S) AFFORDING COVERAGE MAC•
Northampton MA 01060 INSURERA:Crum & Forster Specialty/BRECR
INSURED INSURER B:Plymouth Rock Assurance 14737
Peak Performance Roofing, LLC INSURERC:NCAR— Berkshire Hathaway GUARD J
Attn: James Flannery INSURER O:
1 Lovefield Street INSURERS:
Easthampton MA 01027
INSURER F
COVERAGES CERTIFICATE NUMBER:Exp 06/23 REVISION NUMBERRj
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 VlIHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THETERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
LTR TYPE OF INSURANCE NSO WVD -----_— POLICY NUMBER POLICY EFF POLICY EXP
MIDO/YYYY) (MMIDD/YYYY) UMflS
Z COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
A CLAIMS MADE lid OCCUR DAMAGE TO RENTED 100,000
PREMISES(Ea occurrence), $
GL0099451 7/7/2022 7/7/2023 MED EXP(Any one person), S 5,000
PERSONAL&ADV INJURY S 1,000,000
GENL AGGREGATE LMAITAPPLJESPER: GENERAL AGGREGATE S 2,000,000
Z-1 POLICY I I JEFCT n LOC PRODUCTS-COMP/OP AGG S 2,000,000
1 OTHER S
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000
Ma ecdderel 1
B ANY AUTO BODILY INJURY(Per person) S
ALL OWNED SCHEDULED
AUTOS z AUTOS PRC00003007091 6/27/2022 6/27/2023 BODILY INJURY(Per accident) S
Z HIRED AUTOS Z NON-OWNED PROPERTY DAMAGE i $
__ AUTOS (Per accident)
Mediaepayments S 5,000
— UMBRELLA LIAR — OCCUR EACH OCCURRENCE S
EXCESS LIAB CLAIMS-MADE AGGREGATE S
DED RETENTION S S
WORKERS COMPENSATION ' Z PER IERH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT S 500,000
OFFICERAIEMBER EXCLUDED? Y N/A
C
(MendatorylnNH) R211[342657 4/27/2022 4/27/2023 E.LDISEASE-EA EMPLOYEE S 500,000
If yes.describe under
DESCRIPTION OF OPERATIONS below Janes Flannery is excluded E.L.DISEASE-POUCYLIM1T S 500,000
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
Proof of Insurance THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE '
W Grinnell, CPCU, CIC I/�-- c) "11(•,-4
1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INS025:2014o1
The Commonwealth of Massachusetts
Department of Industrial Accidents
T 7tif,-= Office of Investigations
`; = , 600 Washington Street
" '' ' Boston,MA 02111
www.mass.govlttlla
Workers' Compensation Insurance Affidavit:BSI+Contractors/Electricians/P1umhers
Applicant Information Please P L, 'bIY
Name (ISusines Organizationiinditiidual): Peak Performance Roofing, LLti'i
Address: 1 Lovefield St.
City/State/Zip: Easthampton, MA 01027 phi#: 413-203-5888
Are you an employer?Cheek the appropriate box: .Typo of project( red):
1.WI am a employer with .__4 4. 0 1 am a general contractor and 1 6. 0 New construction
employees(full and/or part-time).* have hired the sub-contractors
2.Li I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling
ship and have no employees These sub-contractors have 8. CI Demolition
working for me in any capacity. employees and have workers' 9. Buildirt
{No workers' comp.insurance comp.tinsuraace.t R
required_( 5. 0 We are a corporation and its 10.0 Electrical .,. , or additions
3.Cj I am a homeowner doing all work officers have exercised their 11.0 Plumbing . or additions
myself.[No workers" comp. right of exemption per MOL 12.MrRoof repairs
insurance required.] ' c. 152,11(4),and we have no
employees.iNo workers' 13.0 other „-., - --
- _ comp.insurance -U •I -1.1I
'Any applicant that checks box XI must also fill out the station below showing their waiters'comIxtisation policy information.
'Homeowners who submit this aft'ida%it indicating they are doing all work and then hive outside contractor:.ntu5t.submit u new affidavit ltdicutinr,%Itch.
`Contractors that check thin box must attached an additional sheet showing the name of the sub-cortrae'or,and mite whether of not those entities has.:
employees. If the sub-contractors have en pltnecx.they must pro.idc their worltl:rx'wntp.policy number
I am an employer that is providing workers'compensation insurance for my employees. Below is the polky and.fob site
information.
insurance Company Name; Berkshire Hathaway Guard Policy Nor Self-ins.Lic.1t: R2WC2028892,1LE
'
Job Site Address: / '\_.L2__." city/State/Tyr . , Abi.... --
,w,r I� 1
Attach a copy of the w motion polity declaration page(showing the policy number and .,i, ,tion date).
Failure to secure coverage as required under Section 25A of MGL c. 1S2 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 OlWii t 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: Data_i__31 /
Friona t
413-20C3-55888 SIt
Official use only_ Do not write in this area,to be completed by city or town official
City or Town: Perinit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.Cityffown Clerk 4.Electrical Inspector 5.Plumbing `tor
6.Other
Contact Person: Phone#:
•
Fewerneveamagio/..,0aeidiacie6i' ei4
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: 183608
1 LOVEFIELD ST. Expiration: 11/03/2023
• EASTHAMPTON, MA 01027
•
Update Address and Return Card.
SCA 1 A 2 #O6/17
OfK66"of Co^nsurr er�Anaairrss&nSuslness Regulatio
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 ( 1847)-1111/4--"I
1 LOVEFIELD ST.
EASTHAMPTON,MA 01027 Undersecretary Not valid without signature
Commonwealth of Massachusetts
gDivision of Professional Licensure Construction Supervisor
Board of Building Regulations and Standards Unrestricted•Buildings of any use group which contain
COrstruGtlOn Supervisor less than 35,000 cubic feet(991 cubic meters)of enclosed
d• space.
CS-103061 Expires 09121> ,
JAMES J FLANNERY e i
1 WILLIAMS ST
44
HOLYOKE MA 01040 : •
i2 Failure to possess a current edition of the Massachusetts
Commissioner l��-•-� State Building Code is cause for revocation of this license.
For information about this license
Call(617)727-3200 or visit www.mass.govldpl
•
1 L( Q.0 $ a 0-Ats on (0Z •
di..1a.1 W In Ca Y S
w1wA-/tA
(17
c,c‹- die4g • .
rt7a The City of Nutthaam.pton
, � _. Building Department
t.._;, ,4„,4
� ,„ 212 Main Street
`'" IN
°4u_osisto' 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
properly licensed waste disposal facility as defined by MGL c 111; s150A.
The debris will be disposed of in; 641.0.0I_(((j d 14.
7)
0
fi
O ,k��/
Location 0Faeility dlfV
N\-----
The debris will be transported by:
k
Name of Haulm � 1 \ -S Y VY
111
Signature of Applicant: Date
DocuSign Envelope ID: E0372FB9-4C31-42DA-9760-D8F520970A91
Peak Performance Roofing LLC A
1 Lovefield St.
Easthampton, MA 01027
413-203-5888 P E
peakperformanceroofingllc@gmail.com P E R F O R , �_ ►,� KC E
ROOFING
MA HIC#183693 M CSL#103061
--)DRESS
Lena Fletcher
40 Garfield Ave, Florence
413-320-7747
Ifletche@umass.edu
FSTIMATF#
10772 08/26/2022
JOB LOCATION
40 Garfield Ave. Florence
h� v i r DESCRIPTION QTY RATE AMOUNT
Asphalt 1. Remove the existing roofing shingles 1 11,995.00 11,995.00
Residential
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: Max Definition Weathered Wood
https://www.certainteed.com/residential-roofing/products/landmark-pro/
7. Install Shingle Vent II 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
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.
DocuSign Envelope ID:E0372FB9-4C31-42DA-9760-D8F520970A91
ACTIVITY DESCRIPTION
Please use reasonable caution during the installation process: do not walk or
drive under active work or on areas of potential roofing debris. Installations are
weather permitting; inclement weather will cause scheduling delays.
Peak Performance Roofing will obtain the building permit.
Warranty confirmation shall be provided upon final payment. Installation and
manufacturer warranties are not in effect until Paid In Full.
Includes CertainTeed Lifetime Limited Warranty (Transferable)with 10 year
SureStart period.
https://www.certainteed.com/resources/Asphalt W arrantyCTR37821912_E.pdf
Total: $11,995
A one-third deposit of$3998 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.
TOTAL $11 ,995.00
fe DocuSigned by:
/ �_ 8/29/2022
Accepted By ` C2CAAF3C4D3F4D7 Accepted Date