32A-189 BP ► 022-1246
37 POMEROY TERR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32A-189-001 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-2022-1246 PERMISSIONIS HEREBY GRANTED TO:
Project# ROOF Contractor: License:
PEAK PERFORMANCE ROOFING
Est. Cost: ' 3300 LLC CS-103061
Const.Class: Exp.Date:09/21/2024
Use Group: Owner: CAPPELLO CHRISTOPHER P
Lot Size (sq.ft.)
Zoning: URC Applicant: PEAK PERFORMANCE ROOFING LLC
Applicant Address Phone: Insurance:
I LOVEFIELD ST 413-203-5888 R2WC342657
EASTHAMPTON, MA 01027
ISSUED ON:09/30/2022
TO PERFORM THE FOLLOWING WORK:
STRIP AND RE-ROOF PORCH 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 VIO ATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
i >2 . 3:))5J37,7
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
DocuSign Envelope ID:CEOBAD13-E9FE-406E-8545-728B96ED8DEF
11, EP 2 9 e Commonwealth of Massachusetts
2022 Bo: .. of Building Regulations and Standards FOR
1. MUNICIPALITY
ta {4. �, Mas-achusetts State Building Code,780 CMR USE
euttni_ �r��jg�'
THAitc � lY'tftQ6 191 Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2O11
One- or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: 4 ' —14 , Date Applied:
4 ti I&...) '(7)..,-_, .17 - q-a) ZOzz.
Building Official(Print Name) Signature Date
SECTION l: SITE INFORMATION
1.1 Property Address: 37 Pomeroy Terrace, 1.2 Assessors Map& Parcel lumber
Northampton 32,9- i
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)
1. Building Setbacks(ft)
Front Yard Side Yards I Rear Yard
Required Provided Required Provided I Required 1 Provided
I
1.6 Water Supply:(M.G.L c.40,654) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 private 0 Zone: Outside Flood Zone?
Check if ycsD Municipal❑ On site disposal system 0
SECTION 2: PROPERTY OWNERSHIP' ',
2.1 Owner'of Record: Hobie Iselin Northampton, MA 01062
Name(Print) 37 PomeroyTerrace City,State.ZIP
413-237-3205 hiselin1952@gmail.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORIO(check all that apply)
New Construction❑ Existing Building O Owner-Occupied 0 I Repairs(s)x❑ Alteration(s) 0 Addition 0
Demolition ID1 Accessory Bldg.❑ Number of Units Other specify: Roofing
Brief Description of Proposed Work2: Strip-& replace Hat roof on porch
— i
SECTION 4:ESTIMATED CONSTRUCTION COSTS
ItemI Estimated Costs:
(Labor and Materials) O cial Use Only
I.Building s 3300 1. Building Permit Fee: $ Indicate how fee is determined:
CIStandard City/Town Application Fee
2.Electrical ! S
❑Total Project Costa(Item 6)x multiplier x
3.Plumbing S 2. Other Fees: S
4.Mechanical (FIVAC) + S List:
5.Mechanical (Fire s
Suppression) Total All Fees:S f U
6.Total Project Cost: 3300 Check No.l fo Check Amount: Cash Amount:
El Paid in Full 0 Outstanding Balance Due:,�
DocuSign Envelope ID:CEOBAD13-E9FE-406E-8545-728B96ED8DEF
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) CSL-10306
James J. Flannery 7.6 zy
License Number xpiration Date
Name of CSL Holder U
List CSL Type(see below)
No.and 'r t Type Description
Ffoiyoke, MA 01040 _ U Unrestricted Buildings up to 35.000 ca. f.)
R Restricted 12 Family Dwelling
City/Town,State.ZIP _ 1 Masonry
RC Roofing Covering
WS Window and Siding
413-203-5888 peakperformanceroofingllc@gmaii.corn SF Solid Fuel Burning Appliances
1 I Insulation _
Telephone Email address D Demolition
— Contractor(H(C) 183698 11/03/2023
i IICC Rce_istration Number l,xniration Date
HIG{Inuanv ai;ne gsr{IC Registrant Name peakperformanceroofingllc@gmail.com
ovetiela
No.nand Slreet Easthampton, MA 01027 413-203-5888 Email address
City/Town, State,ZJP Telephone
SECTION 6: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 1
f this affidavit will result in the denial of the Issuance of the building permit.
Si pied Affidavit Attached? Yes 56I No . ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I.as Owner oftbe 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.
Hobie Iselin „ sQ 9/20/2022 (�/�12,0),2_,
l
Print Owner's Name( ccuvru"`c'3'i;pteture) Date r
SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION
13y 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 knowledge and understanding.
James J. Flannery C�( 1J1 7,di2—
Print owner's or Authorized A`eues Name(Electronic Signature) 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(HJC)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 1
.�ww.mass.eov/oca Information on the Construction Supervisor License can be found at ww v.mass.eov/dn
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 ofhaif/baths
Type of heating system - Number of&Him'porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
t K70,12#07Z0i Mlieagi 4.,09"ae►eil/7��//�[.(,s4€14
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 4 2011.05r17
( for n s�sgulin8f onsumer Affairs& 05feReat
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:LLC before the expiration date. If found return to:
Registration gxpiregon 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. !�y o•,_. ; �:! (i
e-
EASTHAMPTON,MA 01027 Undersecretary Not valid without signature
Commonwealth of Massachusetts
Division of Professional Licensure Construction Supervisor
Board of Building Regulations and Standards Unrestricted-Buildings of any use group which contain
.;' ,1strixtio^ Sulu^v;ao� less than 35,000 cubic feet(991 cubic meters)of enclosed
^�? j, s space.
CS-103061 Expires 09/21L1 .„
JAMES J FLANNERY
1 WILLIAMS ST
HOLYOKE MA 01040
„ fJ Failure to possess a current edition of the Massachusetts
Commissioner (v", ! State Building Code is cause for revocation of this license.
For information about this license
Call(617)727-3200 or visit www.mass.govidpl
1LWI.ad 8 6( ,VQ 061iOZ -
S.1-a-VJn. cliAa Lott-VI Cards
ACC------.
CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDWYYY)
th...------ 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 1 CONTA gCT Adina Edgett, CISR
NAME: _
Webber & Grinnell wCNNo : (413)586-0111 -1 Njac,
4- t4131s44-44s1
8 North King Street ADDREE-MAIL SS: aedgettl?webberandgrinnell.com
INSURER(S) AFFORDING COVERAGE NAIC it
Northampton MA 01060 INSURER A:Crum & Forster Specialty/BRECIR
INSURED INSURER B:Plymouth Rock Assurance 14737
Peak Performance Roofing, LLC INSURERc:WCAR- Berkshire Hathaway GUARD
Attn: James Flannery INSURER D
1 Lovefield Street INSURER E:
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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IICY EXP
L A N (
RT m TYPE OF INSURANCE t1SD WVD POLICY NUMBER NVDOM YYY) CMFF OLMIDWYYYY) UltITTS
K COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000
GE TO RENTED '
A CLAIMS-MADE Z OCCUR PREMISES(Ea occurrence) $ 100,000
01.0089451 7/7/2022 7/7/2023 MED EXP(Any ore person) $ 5,000
PERSONAL 6 ADV INJURY $ 1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000
X POLICY PRO JECT LOC S PRODUCTS-COMP/OP AGO S 2,000,000
1 OTHER $
AUTOMOBILE LABILITY COMBINED SINGLE LIMIT S 1,000,000
(Ea accident)
B ANY AUTO BODILY INJURY(Per person( S
�^ ALL OWNED X SCHEDULED PRC00001007091 6/27/2022 6/27/2023 BODILY INJURY(Per accident) S
AUTOS AUTOS
N-O PROPERTY DAMAGE
x HIRED AUTOS Z AUTOSJ NON-OWNED I
(Per accident) S
Medical payments S S,000
UMBRELLA LIAB OCCUR EACH OCCURRENCE S
EXCESS LIAB — CLAIMS-MADE AGGREGATE S
DED RETENTION$ S
WORKERS COMPENSATION z I PER ERH'
AND EMPLOYERS'LIABILITY V/N STATUTE ER
ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ S00,000
OFFICER/MEMBER EXCLUDED? y N/A
C (MrsndatorylnNH) R2WC342657 4/27/2022 4/27/2023 EL DISEASE-EA EMPLOYEE $ 500,000
If yes.describe under
DESCRIPTION OF OPERATIONS below James Flannery Is excluded EL DISEASE-POLICY LIMIT $ 500,000
I
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 F)L.. � y'.(!
I
1988-2014 ACORD CORPORATION All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INS025.2c14ui
The Commonwealth of Massachusetts
;, .--- Department of Industrial Accidents
= •-_, Office of investigations
- 600 Washington Street
Boston,MA 02111
K.dririYwww.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print,ILegibiy
Name (Business/Organization/Individual): Peak Performance Roofing, LLC
Address: 1 Lovefield St.
City/State/Zip: Easthampton, MA 01027 phone #: 41 3-203-5888
Are ypu an employer? Check the appropriate box:
Type of project(required):�
1. I am a employer with 4 4. [} 1 am a general contractor and 1
employees(full and/or par
t-time).** have hired the sub-contractors 6. El New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7• 0 Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. employees and have workers' .9 Building addition
[No workers'comp.insurance comp,insurance t ❑
required.] 5. [1 We arc a corporation and its 10 0 Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised their 11.O Plumbing repairs or additions
myself.[No workers comp. of exemption 1 MGL 12. f'repairs
insurance required.] : c.152,111(4),and we have no
employees.[No workers' 13.0 Other ._-
comp.insurance required.]
*Any applicant that checks box it must also fill out the section below showing their worker, compensation policy information.
Homeowners who submit this affidaiit indicating they are doinr all went.and then hire outride cc:mtramon.must submit a new affidavit indicating such.
`Contractors that check this box Inuit attached an additional sheet shoes ing the flame of the sub-wntractors and;late whether or not those entities bate
employees. If the bob-contractors has c employees-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 lob site
information.
Berkshire Hathaway Guard
insurance Company Name:
Policy#or Self-ins.Lie..#: R2WC202868 ExpirationDate: 04/27/2023
Job Site Address: City/State
Attach a copy of the workers'compensation policy declaration page(showing the pow number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal dallies of a
fine up to S1.500.00 and/or one-year imprisonment.as well as civil penalties in the fonts of a STOP WORK O ER 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 ice of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjtay that the information provided above is true and correct,
Signature: 19:1Date:7/ 2,../ .)/t/ /C/
Phoned:
413-203-5888 l[
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License# - T
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.Citylrown Clerk 4.Electrical Inspector 5.Plumbing 1pspector
b.Other
Contact Person: , Phone#:
•
tZ r lIwzinev€ reel i e
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 LOVEFIELO ST, Expiration' 11/03/2023
EASTHAMPTON,MA 01027
Update Address and Return Card.
SCA r el 204,tv,7
Office%r/ivivir�iir�•��i///i`����J�/��iiiai�iYiiair//.t
Cortsrrrner i BusfnVas Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:LLC
before the expiration date. if found return to:
Registration Exniraion Office of Consumer Affairs and Business Regulation
183598 11/03/2023 1000 Washington Street -Suite 710
PEAK PERFORMANCE ROOFING,ILC. Bostofl,MA 02118
JAMES FLANNERY
1 LOVEFIELO ST. cd..or w✓/L 411/1(77
EASTHAMPTON,MA 01027 Not valid Without sI nature
Undersecretary 9
® `Corrinonweelth of Massachusetts
Division of Processional Lttansura
Board of Building Regulations and Standards Construction Supervisor
Unrestricted-Buildings of any use group which contain
tf r",'%:•.-ikf' a0A1 less than 35.000 cubic feet It91 cutNc met¢rs)of enclosed
space.
CS-103061
Expires'09t21iNIti‹,
JAMES J FLANNERY
i WILLJAMS ST
1:11)
HOLYOKE MA 01040
/�, Failure to possess a current edition of the Massachusetts
Commissio Ch
�+�*� State Building Code is cause for revocation of this license.
For information about this license
Cali(617)7V7-3200 or vise www.tna liov/dpl
t $ ('l C V11 Ofil i V . •
eta- :�. c�t�.tt�c uJ f t C��'d s
Licensee Details
Demographic Information
Full Name: JAMES J FLANNERY
Owner Name:
License Address Information
City: Easthampton
State: MA
Zipcode: 01027
Country: United States
License Information
License No: CS-103061 License Type: Construction Supervisor
Profession: Building Licenses Date of Last Renewal: 9/29/2022
Issue Date: 8/26/2009 Expiration Date: 9/21/2024
License Status: Active Today's Date: 9/30/2022
Secondary License Type:
Doing Business As: Peak Performance Roofing LLC
Status Change Reason: License Renewal
Prerequisite Information
No Prerequisite Information
No Available Documents
DocuSign Envelope ID:CEOBAD13-E9FE-406E-8545-728B96ED8DEF
Peak Performance Roofing LLC
1 Lovefield St.
Easthampton, MA 01027
413-203-5888 P E
peakperformanceroofinglIc@gmail.com P E R F O R ANC E
ROOFING
MA HIC #183698 M CSL#103061
`7DREr'
Noble Iselin
37 Pomeroy Terrace, Northampton
413-237-3205
hiselin1952@gmail.com
ESTIMATE#
10793 09/20/2022
JOB LOCATION
37 Pomeroy Terrace, Northampton
ACTIVITY DESCRIPTION QTY RATE AMOUNT
Flat Roofing This estimate is for the FLAT PORCH ROOF ONLY. 1 3,300.00 3,300.00
Residential
1. Remove the existing roof materials right down to the
deck.
2. Wood deck replacement will be billed on a time and
materials basis with labor cost at$75 per hr.
3. Fasten 1/2" x 6" CDX Plywood Nailer on the
perimeter to equal height of the insulation.
4. Mechanically fasten " HD polyisocyanurate
insulation with approved screws and plates.
5. Install Genflex TPO fully adhered roof system, all
details per Genflex specifications.
http://genflex.com/wp-
content/upl oads/2014/11/CB04_Gen Flex-TPO-
Broc h u re 1014_web.pd f
6. Fabricate and install .032 gauge bronze aluminum
drip edge on perimeter.
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
DocuSign Envelope ID:CEOBAD13-E9FE-406E-8545-728B96ED8DEF
ACTIVIT )FSCRIPTIOr. QTY RATE AMOUNT
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.
Total: $3300
A one-third deposit of$1100 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 $3,300.00
DocuSigned by
9/20/2022
Accepted By °��""` �" ` Accepted Date