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31B-039 (7)
BP-2022-1297 39 SUMMER ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 3 I B-039-001 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-I297 PERMISSION IS HEREBYGRANTE'I TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 4550 LLC CS-103061 Const.Class: Exp.Date:09/21/2024 Use Group: Owner: MURRAY JENNIFER 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:10/11/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-ROOF GARAGE 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: HiL _52 (pi • Fees Paid: S40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner DocuSign Envelope ID:3511 CA8D-C66E-406F-AF1 B-0B45B99CD008 REQ IVIN D y The Commonwealth of Massachusetts FOR Board of Building Regulations and Standarc ire CT 1 1 2022 CIPALITY Massachusetts State Building Codi,780.Cl USE Building Permit Application To Construct,Repai'.Renovate Or Demolish a Revliud Mar 20!) One- or Two-Family Dwe ling DEPT.OF BUILDING INSPECTIC NS I "'07-TI IAMPTpM,NW.,.150 This Section For Official Use i ly • Building Pcrnvt Number. '` ( Date Applied: (LC-VIiJ . �S //li — /(/ n"ZJZG Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 39 Summer St., 1.2 Assessors Map& Parcel Numbers , Northampton 3 I , ©3q 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: IA Property Dimensions: Zoning District Proposed Usc Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards I Rear Yard Required Provided Required Pmvidcd Required I Provided r t 1.6 Water Supply:(M.G.L c.40,554) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private CI Outside Flood Zone? Municipal 0 On sit:disposal system ❑ Check ifyei❑ SECTION 2: PROPERTY OWNERSHIP' 2,1 Owner'of Record: Jennifer Murray Northampton, MA 01062 Name(Prim 39 Summer St., Northampton City,State.ZIP (646)489-5693 jenmurray786@yahoo.co No.and Street Telephone m Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'-(check all that apply) New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s)X0 Alteration(s) 0 Addition Demolition 0 i Accessory Bldg.❑ Number of Units Other 'G Specify: Hooting Brier-Description of Proposed Work`: Strip & replace asphalt roof on garage. SECTION 4:ESTIMATED CONSTRUCTION COSTS item Estimated Costs: Official Use Only (Labor and Materials) 1.Building s 4550 1. Building Permit Fee: S indicate bow fee is determined: 2.Electrical i S 0 Standard CityiTown Application Fee 0 Total Project Wit'(Item 6)x multiplier x 3. Plumbing S 2. Other Fees: S 4. Mechanical (.11VAC) S List: 5.Mechanicaln (Fire Suppression) Total All Feel 4550 Check No. (3 Check Amount: Cash Amount: 6.Total Project Cost: $ ❑Paid in Full 0 Outstanding Balance Due: DocuSign Envelope ID:3511CA8D-C66E-406F-AF1B-0B45B99CD008 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ' CSL-103061 09/21/2024 James J. Flannery License Number xpirarion Date Name of CSL Holder U List CSL Type(sec below) \c.and r t Type Description FToiyoke, MA 01040 ( U Unrestricted(Buildings up to 35,000 cx. ft.) t R Restricted 1&2 Family Dwcllina_ City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding 413-203-5888 peakperformanceroofingllc@gmail.comi SF Solid Fuel Burning Appliances I Insulation Telephone Email — Emailtardadcrress D Demolition 5.2 P 'dK Herlormante`Hooting, LLl,`'r(HIC) 183698 11/03/2023 I IIC ke^_istration:Number i�xniration late HIC{:rtnc3v6 elm r�r,-tJC Registrant Name peakperformanceroofingllc@gmail.com No.andLStreet 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(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide i this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 'suC1 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. Jennifer Murray —°m—t, L m^i it MrAvre 10/3/2022 Print Owner's Nam:(Electr °53ft5tDate 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 0/ / -oLi' Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: i 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 fund under M.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 wnnv.mass.Qovldps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basementiattics,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 600 Washington Street Boston,MA 02111 www.mass.go'/dia Workers' Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (BusinessiOrganization/lndividua1): Peak Performance Roofing. LLCM Address: 1 Lovefiefd St. City/State/Zip: Easthampton, MA 01027 Phone#: 413-203-5888 Are ypu an employer?Check the appropriate box: Type of project(required): .� _ n 1.WI am a employer with 4 4. {1 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6_ [ New construction 2.D I am a sole proprietor or partner- listed on the attached sheet. 7. El Remodeling ship and have no employees These sub-contractors have 8, 0 Demolition working for me in any capacity. employees and have workers' Building addition [No workers'comp.insuran e comp.insurance. required.i 5. I I We arc a corporation and its 10.0.Electrical repairs or additions- 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGi. 12. Roof repairs insurance required.] r c. 152,*1(4),and we have no employees.(No workers' 13.0 Other...,_ comp.insurance required.] .Any applicant that checks box N r must also till out the section below showing their worker compensation policy information. Homeowners who submit this affidavit indicating they are doing;all work and then hire outside contractors must submit a new affidavit iudicuting such. 'Contractors that check t.'cis box roost attached an additional sheet Stu,wbag the naem of the sub-contractors and mate whether or nut thirst entities base employees. ft the sub-contractors have employees.they roust provide their workers'comp.policy nt tutx�:. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and,job site information. Berkshire Hathaway Guard Insurance Company Name: Policy ft or Self-ins.Lic.#: R2WC2O2869 Expiration Daite:_._04/27/20 3 Job Site Address:, Q s"` A.0 -' t City/State/Zip 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$1>00.00 and/or one-year inapt isonment,as well as civil penalties in the form of a STOP WORK i ' I I_;R and a fire; of up to S250 04 a day against the violator, Be advised that a copy of this statement may be forwarded to the • 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: .. Date; / 0 LL2Zs . .. Phone#: 413-203-5888 <)1*"?}Ht Official use only. Do not write in this area,to he completed by city or town officiali City or Town: Permit/License It 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 it: ___ 1, F/y77,/,ZLwavezi e/ 'G'l ae.)rJi// i 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 Ezp 1 LOVEFIELD ST. uation 11/03/2023 EASTHAMPTON,MA 01027 Update Address and Return Ea 1 O 70040r47 Olficee of Consumer Affairs S Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. If found return to: Regisyation 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 1 LOVEFIELD ST. .i%• EASTHAMPTON,MA 01027 Not valid without signature Undersecretary Commonwealth of Massachusetts Division of Professional Licensure Construction Supervisor Board of Budding Regulations and Standards Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(891 cubic meters)of enclosed space CS-103061 Expires 0f i2lJVSV2.4. JAMES J F L AN NERY 1 WILLIAMS ST //`•/4 HOLYOKE MA 01040 Failure to possess a current edition of the Massachusetts Commissioner l!/te^` State Building Code is cause for revocation of this license. For information about this license Call(817)727-3Z00 or visit www.rnass.govrdpl iorfri-ove L ' �-i ' /z I;°Zz- f-ftcc, s1" add d4/1,e of-ob a ie. octal g 121 (20� A )RL CERTIFICATE OF LIABILITY INSURANCE DATE IM /2022Y) 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 1 aONo.Ext1: (413)586-0111 No). 1�u)eee-eau 8 North King Street EMAIL aedgett@webberandgrinaell.com ADDRESS: INSURERIS) AFFORDING COVERAGE I, NAIC r Northampton MA 01060 INSURER A:Crum & Forster Specialty/BRECK INSURED INSUREFIB_Plymouth Rock Assurance 14737 Peak Performance Roofing, LLC INSURER C:NCAR- Berkshire Hathaway GUARD Attn: James Flannery INSURER D. 1 Lovefield Street INSURERS: 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. , INSR TYPE OF INSURANCE ADM SUER POLICY EFF POLICY EXP IN LIMITS LTR SD WVD POLICY MAU ER IYWpD/VYYY) tM S/00/YYYY) , X COMMERCIAL GENERAL LIABIUTY 1,000,000 EACH OCCURRENCE 5 TO A CLAIMS-MADE n OCCUR PRREMI3ESRO iE 1 RENTED 100,GOO a fxclFFranc IGL0089451 7/7/2022 7/7/2023 MED EXP(Any one person) S 5,000 PERSONAL&AOV INJURY $ 1,000,000 GEM_AGGREGATE LMfIT APPLIES PER: OENERALAGGREGATE S 2,000,000 PRO- X POLICY J LOC PRODUCTS•COMP/OPAGG S 2,000,000 OTHER S AUTOMOBILE UABIUTY 1 Ma tED SM14LE LIMIT S 1,00 0,000 B ANY AU I O SODO.Y INJURY(Per person) S ALL OWNED SCHEDULED l AUTOS z AUTOS PRC00001007091 4/27/2022 4/27/20211 BODILY INJURY(Per eootw11l) $ X HIRED AUTOS Y NON-OWNED PROPERTY DAMAGE $ AUTOS (Pa eeefderM) Nadu prene+da S 5,000 • UMBRELLA LIAB — OCCUR EACH OCCURRENCE f EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION =�A71jTe T I g AND EMPLOYERS'LIABILITY Y/N ANY PROP thETOWvpARTNEFLEXECUTME EL EACH ACCIDENT f 500,000 OFF EXCLUDED? Z N/A C (Mandatory In NH) R2WC342657 4/27/2022 4/27/2022 ELDISEASE-EAEMPLCYEE $ 500,000 it yss,descONOFer James Flanneryis excluded r l E.L.DISEASE-POLICVLMIEI $ 500,0001 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES IACORD 101.Additional Remarks Schedule.may be attached it 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 01:._. J `(,— e, 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 : 14;1 a, The City of Northampton Building Department • 212 Main Street -45v4►fo itR �'. 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, si 50A. ifOrAp The debris will be disposed of in Vt't Location of FacilityAJOP'5('k144U/9/24") The debris will be transported by: Name of Hauler APVi/t S v61/(V1 MAIAI 1-4 Signature of Applicant: Date: 7� ��/ DocuSign Envelope ID.3511 CA8D-C66E-406F-AF1 B-0B45B99CD008 Peak Performance Roofing LLC 1 Lovefield St. Easthampton, MA 01027 413-203-5888 P E peakperformanceroofingllc@gmail.com PERFORMANCE ROOFING MA HIC #183698 MA CSL#103061 ''-)DRESS Jennifer Murray 39 Summer St. Northampton (646) 489-5693 jenmurray786@yahoo.com ESTIMATE# 10809 10/03/2022 JOB LOCATION 39 Summer St. Northampton ACTIVITY DESCRIPTION QTY RATE AMOUNT Asphalt This contract is for the GARAGE ONLY. 1 4,550.00 4,550.00 Residential 1. Remove the existing roofing shingles 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 synthetic underlayment on the surface of the roof 5. Install new 8" aluminum drip edge on all eaves and rake edges 6. Install architectural shingles by CertainTeed: LANDMARK: MOIRE BLACK http://www.certainteed.com/residential-roofing/products/landmark/ 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/ 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. Peak Performance Roofing will obtain the building permit. DocuSign Envelope ID:3511 CARD-C66E-406F-AF1 B-0B45B99CD008 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 Warranty_CTR3782 1912_E.pdf Total: $4550 A one-third deposit of$1516 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 $4,550.00 DocuSigned by: jilA &i y' MIAYYa+� 10/3/2022 `-2CC3C93E 180C496 Accepted By Accepted Date