Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
24C-050 (4)
BP 022-1271 35 WOODLAWN AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24C-050-001 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-2022-1271 PERMISSION'S HEREBY GRANTE'I TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 4000 LLC CS-103061 Const.Class: Exp.Date:09/21/2024 Use Group: Owner: LELLO SMITH L DAVID &DENISE Lot Size (sq.ft.) Zoning: URA Applicant: PEAK PERFORMANCE ROOFING LL• Applicant Address Phone: Insurance: 1 LOVEFIELD ST 413-203-5888 R2WC342657 EASTHAMPTON, MA 01027 ISSUED ON: 10/04/2022 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: yk9��P Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner DocuSign Envelope ID:4F57B1B2-A191-4CCB-A9BA-596136FE37DA J-07Gu/ f,, i The Commonwealth of Massac,l usett Or/. - .a Board of Building Regulations a t(d S�,^ ards .� ?TY,, Massachusetts State Building Coded 7 ,.r 1 do '-© (ve U Building Permit Application To Construct,Repair,Rego light evisc Mar 2011 ir One- or Two-Family Dwelling TON'��s This Section For Official IJse Only o'll °�o�)449 Building Permit Number. 6/1"))A-j�l 7/ Date Applied: . HV' l T , �/ 4____Xl- , Building Official(PrintName) Signature V + SECTION 1:SITE INFORMATION 1.1 Property Address: 35 Woodlawn Ave. 1.2 Assessors Map& Parcel Numbers l.1a 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) 1.5 Building Setbacks(ft) f Front Yard Side Yards I Rear Yard Required Provided Required Provided I Required Provided 1.6 Water Supply:(M.G.L e.49,b54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: Outside Flood Lone? Public 0 Private 0 Check iCyc;❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Denise Lello Northampton, MA 01062 Nara`(Pent) 35 Woodlawn Ave. City,State,ZIP lelloden@gmail.com 413-362-0102 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ I Existing Building 0 Owner-Occupied 0 I Repairs(s)XJ Alteration(s) 0 Addition 0 t Demolition 0 ' accessory Bldg. 0 Number of Units Other specify: Hoofing Brief Description of Proposed Work`: Strip & replace tfat roof. SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building s 4000 1. Building Permit Fee: $ Indicate how fee is determined: ' 2.Electrical i S ❑Standard City/Town Application Fee 0 Total Project Co tt3(Item 6)x multiplier x 3.Plumbing S 2. Other Pees: S 4.Mechanical (HVAC) i $ ' List: 5.Mechanical (Fire Suppression) _ s Total All Fees, A* �Il 4000 Check No.3.�t' -'+ Check Amount: Cash Amount; 6. Total Project Cost: S ❑Paid in Full 0 Outstanding Balance Due: DocuSign Envelope ID:4F57B1 B2-A191-4CCB-A9BA-596136FE37DA SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) L-1 /21/2 James J. Flannery License Number ::xpiration Date Name of CSL Holder U List CSL Type(sec below) and r' Type Description Holyoke, MA 01040 ------ U Unrestricted(Buildings up W 35.000 ct- ft.i R Restricted I&2 Family Dwelling CitvfI'own,State,ZIP NI Masonry RC Roofing Covering WS Window and Siding 413-203-5888 peakperformanceroofingllc@gmail.com SF Solid Fuel Burning Appliances I Insulation Telephone _ Email address1 D Demolition 5.2I-'tK Kerformante`Hooti g, LL °r(HIC) 183698 11/03/2023 t' K F' MC.registration Number }i oiration late o HIC f:ring Navie C Registrant Name peakperformanceroofinglic@gmail-corn riela No, and Street Easthampton, MA 01027 413-203-5888 Email address City/Town, State,ZIP Telephone SECTION ti: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 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 T,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. Denise Lello 9/26/2022 Print Owner's Name(Elebt eiislriure) 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 knowledge and understanding. James J. Flannery 112-) ( 261- Print Owner's or Authorized Agent's Name(Electronic Signature) Date .. • NOTES: I. 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'V1.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at w ww.mass.2ov!dns 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" ACCo CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YVYY) �� 05/12/2021 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,Ext): (AlC,No): 8 North King Street E-MAIL aedgett@webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE __ NAIC__# Northampton MA 01060 INSURER A: Admiral Ins Co/BRECK INSURED INSURER B: Plymouth Rock Assurance 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 DESCRIBED HEREIN IS SUBJECT TO ALL THE TER4uIS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD wVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LiflITS X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ DAMAGE TO RENTED 300'000 CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) 5 MED EXP(Any one person) 5 5,000 A CA00003521803 07/07/2021 07/07/2022 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2'OOD'000 JECOT- LOC PRODUCTS-COMP/OP $ 2,000,000 X POLICY OTHER Employee Benefit —I $ 2,000,000 AUTOMOBILE LIABILITY GOMBIN 9-SINO E LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED Ne SCHEDULED PRC00001007091 06/27/2021 06/27/2022 BODILY INJURY(Per accident) $ AUTOS ONLY /... AUTOS X /HIRED \ NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) Medical payments 5 5,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ ' $ WORKERS COMPENSATION NA PER ERA AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 C OFFICER/MEMBER EXCLUDED? Y N/A R2WC202869 04/27/2022 04/27/2023 (Mandatory in NH) E.L.DISEASE-EA EMPLOY E $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ WC:James Flannery is excluded DESCRIPTION OF OPERATIONS!LOCATIONS I 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 CO 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts �, Department of Industrial Accidents 771t.•=. Office of investigations =_'�` 600 Washington Street ., ��"'_,., Boston,MA 02111 'W www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/ContractorsfElectricians/Plumbers Applicant Information _ Please Print Legibly Name (BusinessrOrganizationlindividual): Peak performance Roofing, LLC Address: 1 Lovefield St. Easthampton, MA 01027 413-203-5888 City/State/Zip: Phone#: Are ypu an employer? Check the appropriate box: Type of project(required): 1.WI am a employer with _ 4 4. n I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. U Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. 0Building addition [No workers-comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing re '' or additions myself.[No workers' comp. right of exemption per MGL 12.gRooi'repairs insurance required.) ` c. 152,111(4),and we have no employees.(No workers` 13.0 Other . ... comp.insurance required] e "Any applicant that checks box#1 must also fill out the section below showing their worker.:compensation policy information. ' Homeowners who submit this affidavit indicating they arc doing ail n.oak and then hire outside contractors must.submit a new affidavit indicating such `Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not tho a entities base employees. if the sub-contractors have emplo'sees_they rmwft prutidc their workers'Lump.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and,job site Information. Insurance Company Dame: Berkshire Hathaway Guard Policy li or Self-ins.Lie.5: R2WWC202889 Expiration Date: 04/27/2023 , Job Site Address: ) 10006 LG (_ /(2 City/State/Zip 0/ 0(00 • Attach a copy of the workers'compensation policy declaration page(shoeing 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 SOU.00 and/or one-year ituptisonment.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 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Si nature: '� 4 'i �1 1 Z g.. _. i � Date: /�L17/ Phnnc t 413-203-5888 Official use only. Do not write in this area,to be completed by city or town official. City or Town: 1'ermlt/Lieense# 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#: DocuSign Envelope ID:4F57B1 B2-A191-4CCB-A9BA-596136FE37DA Peak Performance Roofing LLC 1 Lovefield St. Easthampton, MA 01027 413-203-5888 p E peakperformanceroofingllc@gmail.com P E R F O R '' A N C E ROOFING MA HIC #183698 MA CSL11103061. ADDRESS Denise Lello 35 Woodlawn Ave Northampton 413-362-0102 lelloden@gmail.com 10799 09/26/2022 JOB LOCATION 35 Woodlawn Ave, Northampton ACTIVITY DESCRIPTION QTY RATE AMOUNT Rat Roofing 1. Remove the existing roof materials right down to the 1 4,000.00 4,000.00 Residential deck. 2. Wood deck replacement will be billed on a time and materials basis with labor cost at$75 per hr. 3. Fasten pressure treated 2x6 on perimeter to equal height of the insulation. 4. Mechanically fasten 2" HD polyisocyanurate insulation with approved screws and plates. 5. Increase size of wood on perimeter to match the height of the insulation. 6. Install Gray Genflex TPO fully adhered roof system, all details per Genflex specifications. http://genflex.com/wp- content/uploads/2014/11/CB04 GenFlex-TP0- B roch u re1014web.pdf 7. 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 OR AREA BELOW ROOF. DocuSign Envelope ID:4F57B1 B2-A191-4CCB-A9BA-596136FE37DA ACTIVITY DESCRIPTION QTY RATE AMOUNT 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 I not in effect until Paid In Full. Total: $4000 A one-third deposit of$1333 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 $4,000.00 ,000.00 DocuSigned LVuus UO 9/26/2022 Accepted By 764190MIEBF462... Accepted Date