23C-048 (2) BP-2022-1136
38 WILLOW ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23C-048-001 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-2022-1136 PERMISSIONIS HEREBY GRANTEI TO:
Project# ROOF Contractor: License:
PEAK PERFORMANCE ROOFING
Est. Cost: 2100 LLC CS-103061
Const.Class: Exp.Date:09/21/2022
Use Group: Owner: M CABLE MARVIN &JANA
Lot Size (sq.ft.)
Zoning: WP/WSP Applicant: PEAK PERFORMANCE ROOFING LL•
Applicant Address Phone: Insurance:
I LOVEFIELD ST 413-203-5888 R2WC342657
EASTHAMPTON, MA 01027
ISSUED ON:09/12/2022
•
TO PERFORM THE FOLLOWING 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 VIO ATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: n
(. `�, )( 'I
• yyUU ,k.
Fees Paid: $50.00
212Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
uocuign tnveiope uu.Jtili4/umu-L ID/-4 I -001WV-U44443 !cHw /
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, The Commonwealth of Massac•" ,.,.u. 1
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Board of Building Regulations and I a ,0� 7 �0� FO
`� Massachusetts State Building Code,780 -,,(,,,,., co, ITY
Building Permit Application To Construct,Repair.Renovate Orbei ini 7. evil Al 2011
One-or Two-Family Dwelling s
This Section For Official Use Only l
Build ,Permit Number: 8P-)-)- — i t 24/./72
Date Applied:
! hEvit 9-/7'ZoZ
Building Official(Prim Name) Signature Dare
SECTION 1:SITE INFORMATION
1.1 Property Address: 38 Willow Street, 1.2 Assessors Map&Parcel Numbers
Florence a 3 C Qq 9
i 1.1 a Is this an accepted street?yes no Map Number Parcel Number
i 1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard t
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,g54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: — Outside Flood Zone? Municipal❑ On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record: Jana Cable Florence, MA 01062
Name(Print) 38 Willow Street City,State.ZIP
937-657-0790 cable.janaQgmail.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) J Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg.❑ Number of Units I Other i specify Roofing
Brief Description of Proposed Work': Strip & replace metal roof on shed only
1
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
I.Building S 2100 1. Building Permit Fee:S Indicate bow fee is determined:
2.Electrical S CIStandard CityITown Application Fee
0 Total Project Cost'(Item 6)x multiplier x
3.Plumbing 1 S 2. Other Fees: S
4.Mechanical (BVAC) S List
S.Mechanical (Fire s
Suppression) Total All Fees: l'Y1
Check No.4 l� Check Amount b`)Cash Amount
6.Total Project Cost: S 2100 0 Paid in Full 0 Outstanding Balance Due:
uo a Igr1 Cnvelope ru.31..1.4/UHU-L 16/-4-I UU-00HU-U44440t3I°HU
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) j CSL-103061 09/21/2022
James J. Flannery
License Number Expiration Date
Name of CSL Holder U
List CSL Type(see below)
No.aodh atrw
o yoke, MA 01040 ' Type
Unrestricted(Buildings Description 3S,Oo l Cs.ft.)
R Restricted 1.12 Family Dwelling
City/Town.State,ZIP
M Masonry
RC Roofing Covering
WS Window and Siding
413-203-5888 peakperformanceroofinglIc@gmail.com. SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Ie ttte�derIome I meererftnCg,LL rr(MC) i 83698 11/03/2023
orma
HIC Registration Number Expiration Date
HIC fIrratraygya sitI-UC Registrant Name peakperformanceroofinglIc@gmaiLcom
N°.and Street Easthampton, MA 01027 413-203-5888 Email address
= City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§ 25C(6L)
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 0
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.
Jana Cable (t� 9/7/2022
Print Owner's Name l(E�lecti inignature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and ties of perjury that all of the information
contained in this application is true and accurate to the best of y knowledge and understanding.
James J. Flannery 9 a 1149)—
Print Owner's or Authorized Agent's e(Electronic Si ) Date
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 information on the HIC Program can be found at ,
www.mass.nov/oca Information on the Construction Supervisor License can be found at www.mass.gov/d s
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 Xtunber of half/baths
Type of heating system ' Number of deck s/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
Uocuslgn Envelope IL):3UU4/UAU-211:S/-41U9-88AU-U4444bE31tSAU
Peak Performance Roofing LLC
1 Lovefield St. '
Easthampton, MA 01027
413-203-5888 P E
peakperformanceroofingllc@gmail.com P E R F 0 R C E
ROOFING
MA HIC #183698 IVA CSL#103061
ADDRESS
Jana Cable
38 Willow Street, Florence
937-657-0790
cable_jana@gmail.com
ESTIMATE# DATE
10783 09/07/2022
JOB LOCATION
38 Willow Street, Florence
ACTIVITY DESCRIPTION QTY RATE AMOUNT
Metal Residential This contact is for the Shed Roof ONLY. 1 2,100.00 2,100.00
1. Remove the existing roof materials
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. Screw 1 x4 battens to the rafters.
4. Install synthetic underlayment over the surface of the
roof
5. Install 29 gauge Fabral Grand Rib metal roof system
using approved screws
https://fabral.com/post-frame/panel-systems/exposed-
fastener/g randrib-3/
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. Installations are
weather permitting; inclement weather will cause
scheduling delays.
DocuSign Envelope ID:3CC47DAD-21B7-41C9-88A0-044445E318A0
ACT;V TY DESCRIPTION O€T Y RATE AMOUNT
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.
Total:$2100
A one-third deposit of$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.
TOTAL 100s 00
r—DocuSigned by:
9/7/2022
—OE72FF3CE2524919._
Accepted By Accepted Date
ors .4, The City of Northampton
Building Department
212 Main Street
01P"'Lg�"�'� 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.
\4 The debris will be disposed of in: 1,I y. .--P----,cc,i L'- o
N (Location of Facility \ J \ a kk-c0-A-AATTO i
The debris will be transported by:
`� � I ,-1
Name of HaulerArNcb his v ` 1 �1,p .nei -0 0
Signature of Applicant: Date: °I C100
Ctri?/ ?011eaA/.
0 /'free -
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. —�
5<:1+1 a 2OM fa17
t> of Corstmier Affairs&n s fnese Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE.LLC before the expiration date. If found return to:
Registration Exptra g! Office of Consumer Affairs and Business Regulation
183698 11/03/2023 1000 Washington Street -Suite 710
PEAK PERFORMANCE ROOFING,LLC- Boston,MA 02118
JAM S FLANNERY
S RY r����
1 LOVEFIELD ST. Low" "'%.! v // _--^-
EAS7I•IAMPTON,MA 01027 Not Valid without signature
Undersecretary
Commonwealth of Massachusetts
Division of Professional Licensure Construction Su ,r
Board of Building Regulations and Standards Unrestricted-Buildings of any use group which contain
_- less than 33,000 cubic feet(991 cubic meters)of enclosed
aI' space.
CS-103061 Expires.09t21tt
JAMES J FLANNERY
1 WILLIAMS ST
HOLYOKE MA 01040 1.
rF�
Q Failure to possess a current edition of the Massachusetts
Commissioner It�'L°1i State Building Code is cause for revocation of this license.
For information about this license
Call(617)727-3200 or visit www.mass_govidpi
c S
•
ACC)Rf3 CERTIFICATE OF LIABILITY INSURANCE DATE(LIINDD/YYYY)
I44.....----- 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).
CNTACT
"rRODUCEP �, NAOt,1E: Adina Edgett, CISR
y nebber & Grinnell 10.CNNo Est: (413)586-0111 FAx r° 1413(586-66a1
i(AA. l
:S North King Street ADDRESS:aedgettewebberandgrinnell.com
WSURER(S)AFFORDING COVERAGE _--- NANO I .__.
Nortba^pton MA 01060 NSURERA,Crum & Forster Specialty/BRECK
INSURED NSURERs:Plymouth Rock Assurance i 14737
— 1
Peak Performance Roofing, LLC INSURERc:WCAR- Berkshire Hathaway GUARD
Attn: James Flannery NSURER D:
--i
1 Lovefield Street INSURER S:
Easthampton MA 01027 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 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.OMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSRL� ADTYPE OF INSURANCE NASD LIINYD POLICY NUMBER AIMIOOVYYYYI ( 10GIYYYY) LAIRS
Z COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
DAMAGE TO RENTED ,-- 100,O00
A 1 CLAIMS-MADE I Z i OCCUR PREMLSES(Ea occ rre cek S
GL00894S1 7/7/2022 7n/2023 MD EXP(Any one person) S 5•000
I PERSONAL 6*Dv mum/ S 1,000,000
GENT_AGGREGATE MIR APPLIES PER: GENERAL AGGREGATE S 2,000,000
X POLICY PRO-JECT LOC PRODUCTS-COWAN.AG& S 2,000,000
OTHER- S
_ _
AUTOMOBILE LIABILITY COMBINED
SINGLE T S 1,000,000
1 (Ea ambient)
B ANY AUTO BODILY NJl1RY(Per person? S
ALL OWNED x SCHEDULED PRC00001007091 6/37/2022 6/27/2023 BODILY INJURY
(Per a0ern) S
AUTOS AUTOS PROPERTY
DAMAGE
z FARED AUTOS z AUTOS ED (Per acadeti - S
^— i Neck:wrments S 5,000
UMBRELLA LU1B _ OCCUR EACH OCCURRENCE S
EXCESS LIAB CLAIMS-MADE AGGREGATE S
DED , RETENTION S S
WORKERS COMPENSATION X PAND STATUTE I ER
10TH-
lAEMPLOYERS'LIABILfrY Y/N
ANY PROPRIETOR:PARTNEFL'EXECUTNE EL EACH ACCIDENT S 500,000
OFFICER:NEMER EXCLUDED? (I II NIA
C I(Ilarrdatory In NH) R2NC342657 4/27/2022 4/27/2023 EL DBE-EA EMPLOYEE S 500,000
j II yes.describe larder
DESCRIPTION OF OPERATIONS bebw .Taxes Flannery is excluded EL DISEASE-POLICY LOAT S 500,000
f I I
I1
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101.Addllionel Remarks Schedule.may be attached it more space is rectuiredl
1
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 Gr nne11, CPCU, CIC
' i
1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INS025:212140,
,; The Commonwealth of Massachusetts
..t
.,,- _ .�sineiU offindustrial Accidents
.. '3 Office o Jnt+estigutions
47.;�r. 600Washington Street
f Boston,MA 02111
=1 www.mass.govldia
Workers' Compensation Insurance Affidavit: Bail+dens/Ctntractors/Electricia s/Plumbers
Annlicant Information Please Print Legibly
Name fBusiness/Orgariizatinniindivirfualf: Peak Performance Roofing. LLC
Address: 1 Lovefeld St.
City/State/Zip: Easthampton, MA 01027 Phone#: 413-203-5888
Are 3;as an employer?Check the apprupi late box; [
Type of project(reqUa'et3 :
1. I am a employer with 4 4. 0 1 am a general contractor and I 1
employees(full and/or part-time).
have hired the sub—co radDr; 6. ±i New construct
2_(] i am a sole proprietor or partner- listed on the attached sheet. 7. i1 Remodeling
ship and have no employees These sub-contractors have 8_ r! Demdition
working far me in any capacity. employees and have workers' 9 Li Building .f•'
iNo workers'coma.insurance comp_insurance
reqaired_[ 5. 0 We are a corporation and its 1011 Flectricai r t- . or additions
ID I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repass or additions
myself.[No workers comp_ right of exemption per MGL I2_VIRoof repairs
insurance required.]` c.152,§1(4),and we have no
employees.[No workers- 13.0 Other
comp-insurance required.]
l
4Any applicant that cheeks box#1 oust also fill out the section below:glowing their workers'compensation policy information.
'Honoow'ners who sabniit this affidavit indicating the)are doing all work and then hire outside eontrtctor>must submit.t new affidavit indicating such.
'Contractors that check this bon must attached an additional sheet shoes ing the crux_of the sub-contractors and stale whether c r not thoe cetitics have
employees. If the sub-contractor;;give ctnplu)ees.the}mast pro,.idc their workers'cornp.poke)number.
I Burn an employer Met is providing workers'compensation insttrnnce for my employees_ Below is the policy mart*rite
infortmnion.
Berkshire Hathaway Guard
insurance Company Name: »_. - ••••....,...,a,,.4.__.... ......A.-,..-n,._-.................
Policy it or Self-ins.Lie.#: j2WC202669 _ �..,..,..o A ,. _ Expiration Date: i Z1 D-Q.a3
1 \
Job Site Address: -3g �1 N•\,'1r• SV - City/State/Zipo'cC Ct e 010 6 Z-
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 SI.500.00 and/or one-year itiiptisonment.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
I do hereby Geri fy under the pains and penalties of pedury that the information provided above is true aced eared.
`Ji�aLtQe' + ,,. f ,t • Date: ri l
q_ ada
Phone tt- 413-203-5888 J u i
Official use only_ Do not writs in this area to be completed by city or town official. l
t
• City or Town: Permit/License g j
Issuing Authority(circle one): 3(
I.Beard of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.numbing'inspector
6.Other
IContact Person: Phone it: