24D-222 (2) BP-2023-0196
31 PERKINS AVE COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
24D-222-001 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-2023-0196 PERMISSION IS HEREBY GRANTED TO:
Project# ROOF 2023 Contractor: License:
PEAK PERFORMANCE ROOFING
Est. Cost: 10450 LLC CS-103061
Const.Class: Exp.Date: 09/21/2024
Use Group: Owner: WIMBERGER, LOUISA & GLICKMAN, MARSHALL
Lot Size (sq.ft.)
Zoning: URC Applicant: PEAK PERFORMANCE ROOFING LLC
Applicant Address Phone: Insurance:
1 LOVEFIELD ST 413-203-5888 R2WC342657
EASTHAMPTON, MA 01027
ISSUED ON: 02/21/2023
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: 3
inr4L
1i'
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
DocuSign Envelope ID:A80E5345-505C-415E-B5D8-4C3EE222A997 /
11
/ / , 4i
,.,
The Commonwealth
of
/, FO1
,r Board of Building Regulations d.3 1 r, 4.42 IV�Ul�CIPAI.iTY
Massachusetts State Building Code,'18Q' J
' _s ,\yq ilk i USE
Building Permit Application To Construct,Repair.Renovate + • ' , a i.RevifadMar2011
One- or Two-Family Dwelling •41 l'PC7ir, i
This Section For Official Usr Only
Building PermitNumhor. P7P___1' — i Date Applied:
al
Building Official(Print Namr) Signature
____` SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Man&Parcel Numbers
31 Perkins Ave., Northampton ...H y...2.,.
1.Ia 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 Budding Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided ( Required Provided
1.6 Water Supply:(M.6.1_c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: _ Outside Flood Lune'1 Municipal 0 On site disposal system 0
C.hack ifyes0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of c rd: Northampton, MA
Louisa Wtimoerger
Name(Print) City State..ZIP
31 Perkins Ave. 434-242-9989 weehah@aol.com
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction o [Existing Building 0 Owner-Occupied 0 I Repairs(s) 0 Alteration(s) O ( Addition 0
Demolition 0 ' Accessory Bldg. CI Number of Units I Other 'EI Specify: Hooting
Brief Description of Proposed Work`: Strip and replace asp-halt roof.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:
Offi
(Labor and Materials) cial Use Only
1.Building s 10450 1. Building Permit Fee:S Indicate how fee is determined:
•
l ❑ Standard City/Town Application Fee
2.Electrical I S ❑Total Project Cost;(Item 6)x multiplier x
3. Plumbing S 2. Other Fees: S
4.Mechanical (IlVAC) S ' List;
5.Mechanical (Fire S
Suppression) Total All Pees°
Check Noi f t I k Amount: 40 Cash Amount: _
6,Total Project Cost: S 10450 El Paid in Full 0 Outstanding Balance Due:
DocuSign Envelope ID:A80E5345-505C-415E-B5D8-4C3EE222A997
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) -1 Ej� 09/21/2024
James J. Flannery
License Number Expiration late
Name of CSL Holder (�
List CSL Type(see below)
No.and r t Type Description
Holyoke, MA 01040
IhirrAticted(Buildings up to 35,E
R Restricted 18..2 i amity Dwellini
Cityrl.oan,State,ZIP M Masonry
RC Roofing Covering y
WS Window and Siding
413-203-5888 peakperformanceroofingllc@gmail.com SF Solid Fuel Bruning Appliances
I Insulation
Telephone Lmiul address D Demolition
ss AAMEIReNTIRErrnuallitntrEtr ono 183698 11/03/2023
IIIC Registration Number I:xnration Date
tiIC Regzctr,intNerve peakperformanceroofingllc@gmail.corn
No.and StreetEasthampton, MA 01027 413-203-5888 Email address
City/Town,State,ZIP Telephone
SECTION b;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 0
SECTION 7a: OWNER AUTHORIZA ION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES TOR 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.
clai 44ku, 1/27/2023
I't t ft*Itler's Name(Electronic Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perj ury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding. ,
James J. Flannery
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or en owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will nor 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 www.mass.cov/dos
2. 'When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Crross 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"
DocuSign Envelope ID:A80E5345-505C-415E-B5D8-4C3EE222A997
Peak Performance Roofing LLC
1 Lovefield St.
Easthampton, MA 01027 P E K
413-203-5888
peakperformanceroofinglIc@gmail.com P E R F O R M A C E
- ROOFING
MA HIC #183698 MA CSL#103061
ADDRESS
Louisa Wimberger
31 Perkins Ave
Northampton
434-242-9989
weehah@aol.com
ESTIMATE# DATE
10888 01/23/2023
JOB LOCATION
31 Perkins Ave., Northampton
ACTIVITY DESCRIPTION QTY RATE AMOUNT
Asphalt 1. Remove the existing roofing shingles. 1 10.450.00 10.450.00
Residential
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 MOIRE BLACK
https://www.certai nteed.com/residential-roofing/prod ucts/landmark-pro/
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:A80E5345-505C-415E-B5D8-4C3EE222A997
ACTIVITY DESCRIPTION
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/resourcesiAsphalt Warranty CTR3782 1912 E.pdf
Total: $10,450
A one-third deposit of $3.483 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 $10,450.00
c—OocuSigned by:
(sa etititrv, 1/27/2023
Accepted By `-0626FA8F3CS 4f8 0 Accepted Date
The Commonwealth of Massachusetts
Department of industrial Accidents
Office of Investigations
== '_ r 600 Washington Street
t
y-t= '77,
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Rusiness/Organizationllndividual): Peak Performance Roofing, LLC
Address: 1 Lovefieid St.
City/State/Zip: Easthampton, MA 01027 Phone #: 413-203-5888
Are y u an employer?Check the appropriate box:
1.L�f I am a employer with 4 4. ❑ I am a general contractor and I Type of project(required):
employees(full and/or part-time).* have hired the sub-contractors b. 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'
INu workers' comp.insurance comp.insurance.
9. ❑ Building addition
f
required.] 5. ❑ 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 MGL
12.[ Roof repairs
insurance required.)' c. 152,§1(4),and we have no
employees.(No workers' 13.❑ Other._ —_.___-
comp.insurance required.]
`Any applicant that checks box#1 must also fill out tlx:section below showing their workers'compensation policy information.
Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sob-contractors and state whether or not those entities have
employees. If the sub-contractors 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
Job Site Address: -------__-__ --__---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$1 500.00 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___.._...
Phone H: Date: ( It2-'°
413-203-5888 . 11fri .3.--"3
Official use only. Do 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�C)Rt CERTIFICATE OF LIABILITY INSURANCE 0/„Z1/ o z"
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 HaCT Adiva Edgett, CISR
Webber & Grinnell PION! (413)586-0111 TFAX
(A/C.NO.ExD; 1(A/C,NO). Ie1lISa6 64e1
8 North King Street E-MAIL ADDRESS: sedgettSwebberaadgrinnell.coltM
INSURER(S)AFFORDING COVERAGE NAIC/
Northampton HA 01060 INSURER A:CrUm & Forster Specialty/BRECK
INSURED INSURER B:P1ysouth Rock Assurance 14737
Peak Performance Roofing, LLC INSURER C:MGM— BOrkshire Hathaway GUARD
Attn: James Flannery INSURER D
1 Lovefield Street INSURERE:
Easthampton MA 01027 -INSURERF:
COVERAGES CERTIFICATE NUMBER:sip 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,
ILTRR Ns- ADOL SUM Y Cm
TYPE OF INSURANCE INSO y/YD POLICY NUMBER �yY! ( » LIMITS
X COMMERCIAL GENERAL UAMIUtY EACH OCCURRENCE $ 1,000,000
A CLAIMS-MADE ® PREMM GE OCCUR PAM TO RENTED ISES IE&occurrence, f 100,000
^- 0LOos9451 7/7/2022 7/7/2023 MED EXP(Any one person) S 5,000
PERSONAL &ADV INJURY $ 1,000,000
—
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000
Y POLICY I PRO-
JECT LOC PRODUCTS.COMP/OP AOCI S 2,000,000
OTHER $
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000
IEa&cadent
B ANY AUTO BODILY INJURY IPer person) S
ALL OWNED * SCHEDULED PR0000010070,1 6/27/2022 6/27/2027 BODILY INJURY(Per accident) $
AUTOS AUTOS
X HIRED AUTOS Z AUTOS
NON-OWNED IPer acr PROPERTY
DAMAGE
E f
Medical payment $ 5,000
UMBRELLA UAO OCCUR EACH OCCURRENCE S
EXCESS LIAR CLANS-MADE AGGREGATE S
DE() RETENTION S 5
WORKERS COMPENSATION Z $ST TUTE ER
AND EMPLOYERS'LIABILITY Y/N
ANY PHOIFI t:ort:tARTNEH/EXECUTIVE E.L EACH ACCIDENT $ 500,000
OFFICEN.MLMBEH ExCLUDED'' y 1 N/A
C (Mandatory in NH) 11.2eC342657 4/27/2022 4/27/2023 El. DISEASE•EA EMPLOYEE $ 500,000
It Yea dedt:nbe under James tlaoaer is excluded
DE8C RIP TION OF OPERATIONS below 7E.L.DISEASE-POLICY LIMIT S 500,000
I
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
4,1 Grinnell, CPCU, CIC
1
c)1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD
INS025
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,
OW e�of CorisumerAnalrs%a 19usiness Regulation
HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only
TYPE:LLC, before the expiration date. if found return to:
Regisjtion 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 FLANNERY1LOV
1 LdVEFIFa.D ST,
EASTHAMPTON,MA 01027 UndersecretaryNot valid without signature
®_.. Commonwealth of Massachusetts
Division of Professional Licensurr
Board of Budding Regulations and Standards Constructiongroup-Buildingss of any use Supervisor
group which contain
'1:i:d4P.Supo,v ham' less than 35,000 cubic feet(991 cubic meters)of enclosed
space.
CS-103061 Expires O9i4J2024
JAMES J FLANNERY
1 WILLIAMS ST
HOLYOKE MA 01040
r�,��? Failure to possess a current edition of the Massachusetts
Commissioner
�/'y /�•G� State Building Code is cause for revocation of this license.
For information about this license
Call(617)727-3200 or visit www.mass.govtdpi
frrOta 1M a. .0_,r/r.t -ip,-e, f(Z9
H145 14 e V Cd eed,e G�
i r4.:5 G, � /2/ (? 2L
DEBRIS AFFIDAVIT
As a result of the provisions of MGL C. 40, § 54, I acknowledge that as a condition of
this 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, § 150A.
I certify that I will notify the Building Commissioner of any change in the location of
the solid waste disposal facility to be used within 72 hours.
/1) e)5-
P1.'
Date Signature of Permit Applicant
Print or type the following information:
TJ %i7s �J Ilk (A(Ae (A (
Name of Permit Applicant
AL � Ll
Firm Name (if applicable)
C-y('n c MI
Address
The debris will be disposed of:
Le7e/q
Facility
0,1.0 11) �
Address