17C-079 (5) BP-2022-1477
37 HIGH ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17C-079-001 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-2022-1477 PERMISSION IS HEREBY GRANTED TO:
Project# ROOF Contractor: License:
PEAK PERFORMANCE ROOFING
Est. Cost: 11750 LLC CS-103061
Const.Class: Exp.Date: 09/21/2024
Use Group: Owner: NYE MELISSA L
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: 11/15/2022
TO PERFORM THE FOLLOWING WORK:
STRIP AND RE-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 VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
.A - AIT
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
fECEIVE
/ t).
NOV 1 4 2022
�T IiF'PF ne r.i a nicK ,rycr c 4oNE i
The Cor14Miii iltfpit UMt usetts
t�hk Bcwd of Building Regulations and Stundanls FOR
j' Msssatclnsens State building Cede,780 CMR mul.nCTPAL17
USE
Buildings Permit Arplication To Construct,Repair.Renovate Or Dem iii.h a Revised Mar 2011 •
One-or Twr .FamtlpDwelling
LLAA This Suction For Official vso Only
Building Pc sit Number. a"'A.L' i t./ Dun Applied:
Kt:F �
ulr.) /.”) //"� ii IS'ZOZ.Z
Hui'M.o.*Official(Print Name) Signature Dare
1:SITEiN}Olt1.7ATlON . .
! I AaIs this ao
1.1 I'rnt+erty Andres::
37 High St, Florence 1.2 Assessors Map&Parcel Numbers
er;Q
I ?C.
accepted strew yes no Mapldnmbec PucelNmLe1
1.3 Zoning ln
1.4 Property Dimensions:
Zoning District Proposed Use Lot Area
(a9 R) Fro-ttaee(h)
1.S Budding Setbacks(ft)
r7i
Front Yard Side Yards
Rear Yard
Reg° Provided Required e9' Provided RcGcir:.d I ProeIdad
1.6 Water Supply:(M.G.L c.40,154) 1.7 Flood Zone Information: 1.8 Sewage Dis t
I1b1x O Private O Zone: — Outside Flood Zone? a pens)System:
Check ifyesO Municipal 0 On Inc disposal mete O
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owners of Record:Melissa Nye Florence, MA
?s (Prsa 37 High St. City,State,ZIP
413-896-9814 melissa5184@yahoo_corn
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED 1VORK2(check all that apply)
New Construction 0 Existing Building 0 I Owner-Occupied 0 I Repairs(s) O Alteration(s) 0 I A.aduioa O
Demolition 0 Accessory Bldg.0 Jt Number of Units Other Specify-. ROOtmg
Brief Description of Proposed Work2: strip and replace asj taRTObT O71 rtouse.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
I.Building s 11750 1. Building Permit Far S 'miieate how fee is determined:
2.Elec.-vital S ❑Standard Citytlowa Application Fee
. O Total Project Costs Qtern 6)x multiplier x
3.northing 5 2. Other Fees: S
4.Mechanical (1IVAC) S List:
S.Mechanical (Firs
S f u Total AU Fee •rcsalon) 11750 Check No. 1U Check Amount. 1`hCash Amount:
6.Total Project Cott: S 0 Paid in Full 0 Outstanding Balance Due:
alCamScanner
•Frnah St tY1,�cx1111N-1111r ttNVIC►.o
cat ft U 1 ,. Urea t(CI L) —CSC-i0386i 6�IZ i/ZQ1�t"
James J. Flannery M,�,w,�,�„ r.ertr,rtlmr limo
-- I l aM Oil Tyne(nee Wow)
No `1 Ins Description
aM� o►►e. MA 01040 U 'Alwyn icteJIRtelthrip of to I .ono ra )
R Reernc+el I12 Family Dweflsng
ew1own Swop :11' M Ma
RC �RoofnpC'ovwmf
WS W tatinw NW siding �..
413-?03 r5888 r'^a .00m SP Solid het laming Appliances
I 1n.ulawar
`•:-w w+N-w. fteal0/ress D•
r mnli•i:a
5-7 eiMe rrt�t e"Ing1`ri-6."L`t`''" c) 183698 11/03/2023
tc��i�.` y I11C itcgntratxm Nur,hcr txnran.o Date
qt` ithIiU Red, rant Name peakperformanceroofingllc gma,l tom
`tree Easthampton, MA 01027 413-203-5888 E71a11 arktret%
Sate}ZIT Telephone
]+TC'fOA b:WORMERS'COMPENSATION LNSURA..CE AFFIDAVIT(M.G.L c. 152.§ 25C(6))
a•o:taa
COasae:isa:xxt lrsuaraCe affidavit must be completed and strhmired with this arPl,rannn. Failure id provide
tzs aar.,daszt•..9 result i:th.e denial of the issuance of the building permit.
Sid A_5sdavt.AascSy_'? Yes " 9 No O
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
James J. Flannery/Peak Performance Roofing uC!
•ar Ota+se of thee1ib1ec pyhereb al ho it
L.:as at ray behalf,in all erawrrs relative to work euthorlud by this bwldirg permit application.
T ,M
F.r O.taa'►'ra6IClsiaeTaegie ;+red Date
SECTION lb:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering say misuse be ow,I hereby attest under the pains and penalties of perjury that all of the infonrtation
L ,tawned in dsn application is sue and accu le to st of my 'sledge and understanding.
James J. Flannery
Yrar Cned r # ' arn...a At►les Nude a Siptaare) 1/ I Dais
NOTES;
I As.("woes who oW.a.ne a Folding petrtul to du I.it/her owls work,or an owner w ho hires an tuucgistcrext contracsrr
One regprared in the Home Improven.enl Contractor(IfIC)Program),will not have access to the arbitration
purism or piksiney LIDd under MU L.t. I42A.Other impotunt information on the NIC Program can be found at
www rnrm rfw'o-i Information oa the Cotutruniton Supervisor Lictase can be found et wwiv trlars :v',j
c '
w
I t Lea suosurl work is placard,pvvst>S&dos information felon.
Total poor wee(q h) (Including ptsge,finished base mentattics,docks or pa)
Gros living arse(aq.h) I labttabit room count
tivto,er of(deviates Nwntret of ba:diooms
l en es C f MMowns Number of half/baths
Type of►shrimp systems • Numbers(decks/porrbes
Type of waists wawa Fackoas l Open
3. 'Tr.taI Project Square Favast-miry be submitted ke'lop)Proiers Coal"
MINIM
CamScanner
.;1 The Commonwealth of Massachusetts
Department of Industrial Accidents
x[+ Office of Investigations
• =7.411--_ 600 Washington Street
=1. j Boston,MA 02111
www.mass.gov/dia
Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (ausinesslOrganization/lndividual): Peak Performance Roofing, LLC
Address: 1 Lovefield St.
City/State/Zip: Easthampton, MA 01027 Phone #: 413-203-5888
Are ypn an employer?Check the appropriate box: Type of project(required):
1.WI am a employer with_ 4 4. [] I am a general contractor and I 6. 0 New consmsctI* c
employees(full and/or part-time).* have hired the sub-contractors
2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling
ship and have no employees These subcontractors have S. 0 Demolition
working for me in any capacity. employees and have workers' 9. 0 Building addition
[No workers'comp.insurance comp.insurance.
required.] 5. 0 We arc a corporation and its 10.0 Electrical repairs or additions
3.0 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 MGL 12.gRoof repairs
insurance required.] ` c. 152,111(4),and we have no
employees.[No workers' 13.0 Other —
comp.insurance rewired
`Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all wink 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-cnatmctors and state whether or not those entities base
employees. If the sub-contractors hate eroployces.they roust proside their workers'comp.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 Name:
Berkshire Hathaway Guard
Policy N or Self-ins.Lic./: R2WC202869 Expiration Date:.,,_.,04/27/20 3
rt
Job Site Address:
1411 h l v' — R(iy,,,Ac,e City/State/Zipr W
Attach a copy of the workers'compensation policy declaration page(showing the policy number and alien date).
Failure to secure coverage as required under Section 25A of MGT.c. 152 can lead to the imposition of criminal penalties of a
fine up to$1.500.00 and/or one-year imprisonment.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 imbue and correct.
Signature: W . Date: 1 L Jt / 2 Z
Phone#:
413-203-5888 riii4-4"/Si4
Official use only_ Do not write in this area,to be completed by city or town official.
City or Town: Permit/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 I:
,44:74:JoR171 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY)
� --- 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 Ed ett CISR �~
NAME: q
Webber & Grinnell PHONE 586-0111 413
INC.No.ExO: f ) f I Mime-suss
8 North King Street E-MAIL aedgfttewebberaadgrimnell.cou
ADDRESS:
INSUREIRSLAFFOROING COVERAGE MAIL
Northampton MA 01060 -- INSURER A.Crtla S Porster Specialty/BRECR
INSURED „INSURER B:Plymouth Rock Assurance 14737
Peak Performance Roofing, LLC INsuRERC:IICAR- Berkshire Hathaway GUI
Attn: James Flannery INSURERO:
1 Lovefield Street INSURERE-
Easthampton MA 01027 INSURERF:
COVERAGES CERTIFICATE NUMBER:B;p 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 SUN POLICY EFF POLICY UP LIMITS
LTT! IMSD vivo POLICY NUMBER (MWD0/YYYY) ( V� YYYYt
x COMMERCIAL GENERAL LIABILITY --- 1,000,000
EACH OCCURRENCE $
A CLAIMS-MADE I OCCUR DAMAGE TO RENTED S 100,000
PREMISES lEs occurrenoccurrence)aurme)
—
c1.0089451 7/7/2022 7/T/2022 MED EXP(Arry one Plow) $ 5,000
PERSONAL 6 AAV INJURY $
1,000,000
GEM.AGGREGATE UMITAPPUESPER. GENERAL AGGREGATE S 2,000,000
IPOUCY n JECTO LOC I PRODUCTS-COMP/OPAOG ; 2,000,000
PR
OTHER: S
AUTOMOBILE UABI1JY ' COMBINED SINGLE LIMIT '
$ 1,000,000
(Es emrderel
B ANY AU IO 1 BOOILY INJURY(Per panel) $ '
ALL OWNED SCHEDULED
AUTOS AUTOS PRC00001007091 6/27/2022 6/27/2023 BODILY INJURY(Per/CCWe�It) $
z HIRED AUTOS S NON-OWNED PROPERTY DAMAGE ;
AUTOS (Per accident)
Madam Pyynynp S 5,000
UMBRELLA LUUI OCCUR EACH OCCURRENCE S
EXCESS UAB CLAIMS-MADE AGGREGATE $
I LIED RETENTION$ ;
WORKERS COMPENSATION 1 PER OTH%
AND EMPLOYERS'LIABILITY Y/N '� 1 STATUTE I ER
ANY PROPRIETOR/PARTNER/EXECUTNE EL EACH ACCIDENT $ 500,000
OFFICER/MEMBER EXCLUDED? K N/A
C
(Mandatory In NH) R2NC342657 4/27/2022 4/27/2023 EL DISEASE-EA EMPLOYEE $ 500,000
Il yes.descrbe under
OESCHIPOION OF OPERATIONS below Jeer Flannery /e excluded E.L.DISEASE-POLICY LIMIT $ 500,000
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, CZC �(Y_ .tr,u-�►
1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INS025
O/97,/7l041-1 �'E22�e!ff/I G/ teudeIfli"/â
Office of Consumer Affairs and Business Regulation
1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
'TYPO: LLC
PEAK PERFORMANCE ROOFING,LLC. igistratiovt; maws
1 LOVEFIELD ST. ExpIrabOrn 111 1I2A2i
EASTHAMPTON,MA 01027
Update Address and Retu11,•_.
f�C#f 41 7f7
ofKC rorCConsumer a{fiirs 6`Business'Reel/
lipg4
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:LLC before the expiration date. If found return to:
Regis yation Expiration Office of Consumer Affairs and Business Regulation •
18369E 11/03/2023 1000 Washington Street -Suite 710
PEAK PERFORMANCE ROOFING LLC Boston,MA 02118
JAMES FLANNERY ,j ` .
1 LOVEFIELD ST. CWy,�WYf.f/�tf
EASTHAMPTON,MA 01027 Undersecretary Not valid without signature
Cornrnorrwealth of Massachusetts117
Division of Professional Licensure Construction Supervisor
Board of Budding Regutatcons and Standards Unrestricted-Buildings of any use group which contain
-�' less than 35,000 cubic feet(991 cubic meters)of enclosed
space.
CS-103061 Expires *09/2U22.4
JAMES J FLANNERY
1 WILLIAMS ST
HOLYOKE MA 01040
/%. Failure to possess a current edition of the Massachusetts
Commissioner State Building Code is cause for revocation of this license.
For information about this license
Call 1617)727-3209 or visit www.mass.gov/dpl
44)01 . 11) Z9 (;ou
ffritC, 0-1— Ku;d lee‘cezot C4-01"
a 5 ie. 1 ra-) Wt q/21 (2 0L
l:, The City of Northampton
_s 4 Building Department
1,� 212 Main Street
°4hr fn__04_
Northampton, Massachusetts 01060
Phone (413) 58%-1240
Fax (413) 587-1272
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION 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: VVCIi Le-'6761"a-
.
Location of Facility A f\(1 J� >1 / i/'_
/ v
�f L�1�
The debris will be transported by:
Name of HauleriKA-{0A(
Signature of Applicant: Date: I ( (2 1-1/Z/
,<Ir� (')J f {,11/
l ,114t �e CO .
pewk PPc1OI Mnce Ao!00ri LLC l'
1 L c'v& b S1.
Easthampton.MA 01027 p E K
413.203;5600
paakporlonnanowootinpfsoftmail oom P E R F Q R _ C E
ROOFING
MANIC 0183698 MAC $103061
..0.wt.s
POP SSA f4y
,trl.7 High St, Bone^to
413-$ -a814
!-wtrssa5l$4@yahoo,com
ts-AAA-t ,s DATE
t4632 1025/2022
JOB LOCATION
37 KO Si, Florence
SCR'PTPON QTY RATE
As;:lhaatt This crorsact EXCLUDES the lower pitched porch roof area at the back of the 1 11.750.CO 11,750.CC
Ressidineel house. See email for visual.
1. Remove the existing roofing shingles.
2. Insa ed the sheathing for any rot or deterioration.Any new plywood necessary
w.:1 be S80 per sheet installed. Any new roofing boards will be$6 per foot
installed. (Wood prices subject to change based on market fluctuations).
3. Instal 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: MOIRE BLACK
►i*-p,J/ffww.certainteed.com/residential-roofing/products/Iandmark/
7, Install ;,t,:ng'e Vent II ridge vent on peaks of roof(where applicable).
Pmp /w fw.(l rtatr,teed.com/residential roofing/products/certainteed-ridge•vent-
12dlltMedl
0.Complete aII necessary fleshings Including new LIFETIME pipe boots and
base fasting around ih,mney.
opI amScanner
r �
it ., ,,t ,: a, „ ()re ttllrF- AMrJI T
'9.Aemave and dlsp'se of inactive satellite dishes.
'10. Remove and reinstall gullets only in areas installed beneath existing
materials.
Rernove 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.
Pease use reasonable caution during the installation process:do not walk or
dr ve 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.
hrpswwww.certainteed.com/resources/Asphalt_Warranty_CTR3782_1 91 2_E pdf
Total:$$11,750
A one-third deposit of$3916 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 ,750.00
A" Piird 81 Accepted Date
alI amScanner