32C-343 (12) BP-2023-0161
27 BREWSTER CT COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32C-343-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit # BP-2023-0161 PERMISSION IS HEREBY GRANTED TO:
Project# ROOF 2023 Contractor: License:
PEAK PERFORMANCE ROOFING
Est. Cost: 15890 LLC CS-I03061
Const.Class: Exp.Date: 09/21/2024
Use Group: Owner: STANDICK TRUST
Lot Size (sq.ft.)
Zoning: CB Applicant: PEAK PERFORMANCE ROOFING LLC
Applicant Address Phone: Insurance:
1 LOVEFIELD ST 413-203-5888 R2WC342657
EASTHAMPTON, MA 01027
ISSUED ON: 02/09/2023
TO PERFORM THE FOLLOWING WORK:
STRIP AND RE-ROOF
POST THIS CARD SO IT IS VISIBLE FROM T:HE 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:
• r pi
Fees Paid: $112.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
DocuSign Envelope ID: 19D945F7-2875-499A-97B3-C2006CECB7C9
Versionl.7 Commercial Building Permit May 15,20(X)
--`�~-�. Department use only
CE j City of Northampton Status of Permit:
L ! Building Department Curb Cut/Driveway Permit
FEB 212 Main Street Sewer/Septic Availability
9 2023 / Room 100 Water/VVell Availability
Northampton, MA 01060 Two Sets of Structural Plans
r) ti..
r:CRT�/ oloh/NSp• ,C �'p` one 413-587-1240 Fax 413-587-1272 Plot/Site Plans
M4 Other Specify
APPLICATION TO CONSTRUCT, REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF, OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
This section to be completed by office
1.1 Property Address
Map 1-)) Lot _5 13 Unit
27 Brewster Court, Northampton
Zone Overlay District
Elm St. District CB District
SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
Standick Trust/Attn: Kari S. Knapp PO Box 797, Northampton, MA 01061
Name(Print) Current Mailing Address:
Do7Siyned by:
413-584-0200
na ur 1,si " AATT Telephone
2.2 Authorized Agent:
James J. Flannery/ Peak Performance Roofing LLC 1 Lovefield St., Easthampton MA 01027
Name(Print) Current Mailing Address:
413-203-5888
�aYv,eSrek'y
Signature _ Telephone
SECTION 3- ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building $15,890 (a) Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from (6)
3. Plumbing Building Permit Fee
4. Mechanical (HVAC)
5. Fire Protection
6. Total =(1 +2+ 3+4 + 5) $15,890 Check Number y." L®
This Section For Official Use Only
Building Permit Number Date
e 3 .. ( Issued
Signature: / /Z
Building Commissioner/Inspector of Buildings Date
DocuSign Envelope ID: 19D945F7-2875-499A-97B3-C2006CECB7C9
\ersion 1.7 Commercial Building Permit May 15,2000
SECTION 4-CONSTRUCTION SERVICES FOR PROJECTS LESS THAN 35,000
CUBIC FEET OF ENCLOSED SPACE
Interior Alterations 0 Existing Wall Signs El Demolition❑ Repairs El Additions 0 Accessory Building 0
Exterior Alteration 0 Existing Ground Sign❑ New Signs❑ Roofing 0 Change of Use El Other 0
Brief Description Strip and replace asphalt roof
Of Proposed Work:
SECTION 5- USE GROUP AND CONSTRUCTION TYPE
USE GROUP(Check as applicable) CONSTRUCTION TYPE
A Assembly El A-1 ❑ A-2 ❑ A-3 ❑ 1A I ❑
A-4 ❑ A-5 ❑ 1 B ❑
B Business ❑ 2A ❑
E Educational El 2B I ❑
F Factory El F-1 ❑ F-2 ❑ 2C El
H High Hazard El 3A ❑
I Institutional ❑ 1-1 ❑ 1-2 ❑ 1-3 ❑ 3B ❑
M Mercantile ❑ 4 El
R Residential El R-1 ❑ R-2 El R-3 ❑ 5A ❑
S Storage ❑ S-1 ❑ S-2 ❑ 5B [ ❑
U Utility El Specify:
M Mixed Use El Specify.
S Special Use ❑ Specify:
COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATIONS, ADDITIONS AND/OR CHANGE IN USE
Existing Use Group: Proposed Use Group:
Existing Hazard Index 780 CMR 34): Proposed Hazard Index 780 CMR 34):
SECTION 6 BUILDING HEIGHT AND AREA
BUILDING AREA EXISTING PROPOSED NEW CONSTRUCTION OFFICE USE ONLY
Floor Area per Floor(sf)
1 st 1st
2nd 2nd
3rd 3rd
4th 4tn
Total Area (sf) Total Proposed New Construction (sf)
Total Height(ft)
Total Height ft
7. Water Supply(M.G.L. c. 40, §54) 7.1 Flood Zone Information: 7.3 Sewage Disposal System:
Public ❑ Private ❑ Zone Outside Flood ZoneD Municipal ❑ On site disposal system
DocuSign Envelope ID: 19D945F7-2875-499A-97B3-C2006CECB7C9
Versionl.7 Commercial Building Permit May 15,2000
8. NORTHAMPTON ZONING
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: R:
Rear
Building Height
Bldg.Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
(volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO I X DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO I DON'T KNOW I YESnl
IF YES: enter Book Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NOI I DONT KNOW YES I
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on the property? YES NO I�
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ? YE J NOI
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing, gradin excavation, or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES I NO
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
DocuSign Envelope ID: 19D945F7-2875-499A-97B3-C2006CECB7C9
Versionl.7 Commercial Building Permit May 15,2000
SECTION 9- PROFESSIONAL DESIGN AND CONSTRUCTION SERVICES-FOR BUILDINGS AND STRUCTURES SUBJECT TO
CONSTRUCTION CONTROL PURSUANT TO 780 CMR 116(CONTAINING MORE THAN 35,000 C.F. OF ENCLOSED SPACE)
9.1 Registered Architect:
Not Applicable 1r
Name(Registrant):
Registration Number
Address
Expiration Date
Signature Telephone
9.2 Registered Professional Engineer(s):
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
Name Area of Responsibility
Address Registration Number
Signature Telephone Expiration Date
9.3 General Contractor
Peak Performance Roofing, LLC Not Applicable
El
Company Name:
James J. Flannery
Responsible In Charge of Construction
1 Lovefield St., Easthampton, MA 01027
Address
""'e5, Roll `fi 413-203-5888
Signature Telephone
DocuSign Envelope ID: 19D945F7-2875-499A-97B3-C2006CECB7C9
Version1.7 Commercial Building Permit May 15,2000
SECTION 10-STRUCTURAL PEER REVIEW(780 CMR 110.11)
Independent Structural Engineering Structural Peer Review Required Yes ❑ No Q1/
SECTION 11 -OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
Standick Trust e% Kari S Knapp as Owner of the subject property
James J. Flannery / Peak Performance Roofing, LLC
hereby authorize to
act on my behalf, in all matters relative to work authorized by this building permit application.
r---o«�s9�canv 2/3/2023
oiJr�otr Date
iE72205114t 0e4O6
James J. Flannery , as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
James J. Flannery
Print Name
ytisAR,S, Rarreri. 02/02/23
Signature of Owner/Agent Date
SECTION 12-CONSTRUCTION SERVICES
10.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder James J. Flannery CS-103061
License Number
Holyoke, MA 01040 09/21/2024
Address Expiration Date
413-203-5888
Signature Telephone
SECTION 13-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 bui ing permit
Signed Affidavit Attached Yes No❑
DocuSign Envelope ID: 19D945F7-2875-499A-97B3-C2006CECB7C9
City of Northampton 212 Main Street,Northampton,MA 01060
Solid Waste Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as
a condition of the building permit all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly
licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
Address of the work: 27 Brewster Court, Northampton
The debris will be transported by: Aaron's 24/7 & Roll-Off
Valley Recycling, 234 Easthampton Rd., Northampton MA 01060
The debris will be received by:
Building permit number:
Name of Permit Applicant James J. Flannery, Peak Performance Roofing, LLC
02/02/2023 awe:, narrvr
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
Department of Industrial Accidents
11'6_:"'( , Office of Investigations
�'�' _ " 600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/individual): Peak Performance Roofing. LLC
Address: 1 Lovefield St.
City/State/Zip: Easthampton, MA 01027 Phone #: 413-203-5888
Are y u an employer?Cheek the appropriate box:
Type of project(required):
1. I am a employer with...4 4. ❑ I am a general contractor and 1
employees(full and/or part-time).*
have hired the sub-contractors 6. El New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ri 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.
required.] 5. ❑ We arc a corporation and its I0.E Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.1j Plumbing repairs or additions
myself. [No workers'comp. right of exemption per MGL 12.V�Roof repairs
insurance required.[T c. 152.§1(4),and we have no
employees.[No workers' 13.0 Other
comp.insurance required.]
`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 arc doing all work and then hire outside contractors must submit a new affidavit indicating such.
'Contractors that cheek this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the subcontractors have 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 job site
information.
Insurance Company Name._Berkshire Hathaway Guard
Policy#or Self ins.Lic.#: R2WC202869 Expiration Date: 04/27/2023
f�
Job Site Address: l6reA,L*t7 City/StatelZip: i �� /V� —
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 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 is true and correct.
Signature: �"�'�' Date: ...,745..1 %�
Phone#:
413-203-5888 �/ V
Official use only. no not write in this area,to be completed by city or town official.
City or Town: Permit/License#
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#:
A w CERTIFICATE OF LIABILITY INSURANCE 01,EISVD o z'i
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 Arline Edgett, CISR
Webber & Grinnell IA/c. o.EMI: (41.3)506-0111 No): (/13)554-6441
8 North Ring Street E-MAIL AGGRESS: aedgettOwebheraadgrinaell.cos
INSURER(Sj AFFORDING COVERAGE NAIL e
Northampton Nil 01060 INSURERA:CrUZA & Forster Specialty/BRECK
INSURED INSURER B:Plymouth Rock Assurance , 14737
Peak Performance Roofing, LLC INSURER c:WAR— Berkshire Hathaway GUARD
Attn: James Flannery INSURER0;
1 Lovefield Street INSURER E:
Easthampton MA 01027 INSURER F. _
COVERAGES CERTIFICATE NUMBER: 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.
I TYPE OF INSURANCE INWD MVO POLICY NUMBER (RSI)0/YYY
P POLICY ISCP
& Y) (m M?)O/YYY) LBNws
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
A CLAIMS-MADE alPREId OCCUR PEMGE TO RENTED 100,PREMISES(Ea deetere)teet I
cL0089451 7/7/2022 7/7/2023 MED EXP)Any one perean) $ 5,000
—
PERSONAL&ADV INJURY $ 1,000,000
—
GEN'L AGGREGATE LIMITAPPLIES PER. GENERAL AGGREGATE $ 2,000,000
I POLICY ('i PRO ri-
___. I 1 JECT LOC PRODUCTS•COMP/OP AGO i 2,000,000
OTHER $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 6 1,000,000
(Ea ecodentl
ANY AUTO BODILY INJURY IPer person) $
B ALL OWNED SCHEDULED
AUTOS x AUTOS PRC0o001007D91 6/27/2022 6/27/2023 BODILY INJURY IPer student) 6
X HIRED AUTOS iC NON-OWNED PROPERTY DAMAGE $
AUTOS IPer accident]
Medsal payments $ 5,000
UMBRELLA LIMO OCCUR EACH OCCURRENCE 6
—EXCEBC LIAO
CLAIMS-MADE AGGREGATE 6
DEC) RETENTION$ 5
WORKERS COMPENSATION Y PER OTH-
AND EMPLOYERS'LIABILITY Y/N STATUTE ER
ANY PROPRIETORIPARTNER/EXECUTIVE E.L EACH ACCIDENT $ 500,000
OFFICERniNEMBER EXCLUDED/ a N/A
C
(MandetorcInNH) 111MC341667 4/27/2022 4/27/2023 EL DISEASE-EA EMPLOYEE - S00,000
II Yea,deserts under Janos flaw/err le excluded
DESCRIPTION OF OPERATIONS Delpw E L DISEASE-POLICY LIMIT S 500,000
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
- a
`I 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INS025 . 1.,
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: 183695
1 LOVEF1ELD ST. Expiration: 11/03/2023
EASTHAMPTON,MA 01027
Update Address and Return Card.
SCA/ 0 201‘44.3/17
ol6ce of Consumer Affairs&Business Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:LLC before the expiration date. If found return to:
Regis t EApirairpn Office of Consumer Affairs and Business Regulation
183698 11/03/2023 1000 Washington Street -Suite 710
PEAK PERFORMANCE ROOFING.LLC, Boston,MA 02118
JAMESFLANNERY
1LOVEFIELD ST, ��i,x,,*'�!ice4"`h.
EASTHAMPTON,MA 01027 Not valid without signature
Undersecretary
® Commonwealth of Massachusetts
Division of Professional Licensure
Board of Budding Regulations and Standards Construction Supervisor
Unrestricted-Buildings of any use group which contain
:CISc'i,iction fiU:10rv,sor less than 35,000 cubic feet(991 cubic meters)of enclosed
space
Cs-103061 Expires 09/4JW2.4
JAMES J FLANNERY
1 WILLIAMS ST
HOLYOKE MA 01040
n �1 f Failure to possess a current edition of the Massachusetts
Commissioner
y State Building Code is cause for revocation of this license.
For information about this license
Call(617)727-3200 or visit www.mass-govidpi
ftiue & c 1Z9 z02
H , /4 e-fi K.ied uitodcfziC4
5 `_ r t2t q/21 (2o
DocuSign Envelope ID: 19D945F7-2875-499A-97B3-C2006CECB7C9
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 MA CSL#103061
Standick Trust
ATTN: Kari S. Knapp
413-584-0200
standicktrust@verizon.net
FT1►,AATC+�
10892 02/01/2023
JOB LOCATION
27 Brewster Court. Northampton
AC;i!VI I Y DESCRIPI ION „i r r AMOUNT
Asphalt 27 Brewster Court, Northampton 1 15.890.00 15,890.00
Commercial
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 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 PRO: MAX DEF COLONIAL SLATE
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/
8. Complete all necessary flashings including new LIFETIME pipe boots and
base flashing around chimney.
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/INTERIOR.
DocuSign Envelope ID: 19D945F7-2875-499A-97B3-C2006CECB7C9
ACTIVITY DESCRIPTION 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 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=$15.890
NOTE: Estimated amount if full plywood replacement is needed= +$6000
A one-third deposit of $5330 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 $15,890.00
II-DocuSgned by:
�t S 6.4r2 2/3/2023
Accepted By \--- 1 I22,bo06uF14Dfi Accepted Date