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32C-277 (6) BP-2023-0206 84 WILLIAMS ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-277-001 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-2023-0206 PERMISSION IS HEREBY GRANTED TO: Project# roof 2023 Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 4325 LLC CS-103061 Const.Class: Exp.Date: 09/21/2024 Use Group: Owner: CLARK RICKI D& MARCIA M ROE CLARK 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 PORCH ROOFS 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. (eivaiiv Signature: l Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner \� gJ, The Commonwealth of Massachuse>�Es FB " Board of Building Regulations and Standards a 1 2 FOR (,(�/ Massachusetts State Building Code,780, t,r �, ��c dM' '; U � Y Building Permit Application To Construct,Repair,Renovatg, ' h ali Revised Mar 2011 One-or Two-Family Dwelling ---.;�q oF�TioN0,, This Section For Official Use Only Building Permit Number: ► ,P,2 3- Zo 4 h Date Applied: 11:51\143 )21 • ,j. 16,7e( Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 l rty Afddress: r 5 s+ ^ ) t 1.2 Assessors Map&Parcel Numbers 1.1a Is this au accepted(�street?yes V no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private 0 Zone: — Outside Flood Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Name(Print) City,State,ZIP 4 Wi l(AlA5 - 40 cz,I 09e/2- -Yi tic act rK0cu>7,tc&. +— No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Altera'oa(�,$))0 Additi CI CIDemolition Accessory Bldg. 0 Number of Units Other Specify: ,f-I f U1 Brief Description of Pr Work':i pp`�t"IfLp CPi Ott -1 Did 61/1 rOCCS { SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ y ?. 1. Building Permit Fee: $ Indicate how fee is determined. !� ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All FT: 41. A. Check No.LO Check Amount: i Cash Amount: 6.Total Project Cost: $ . .� 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ImesJ i/NJMa�y License Number Expiration Date Name of CSL Holder / list CSL Type(see below) • No.and Street '/` Type Description fo X- AAA- 0 10 16 U Unrestricted(Buildings up to 35,000 cu ft.) �1 ��� ` "- R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding / ��� /^ SF Solid Fuel Burning Appliances feaerx{rfi 1/11 �e Kier 1,-'IY, I Insulation Telephone Email address ; /(p, p;\ D Demolition 5.2 Registered Home I rovement Contractor(� HIC Registration Number Expiration Date HIC C y Name HI t Reg ntfog ee_riDgmeiA6e Name ordo No{ n-S 1!4Y14/ 1�/1 al I l J �* 5 73g V U 7` Email address v Cityy//Tet own,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 this affidavit will result in the denial of the Issuan of the building permit. Signed Affidavit Attached? Yes ___..... No .0 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 to act on my behalf,in all matters relative to work authorized by this building permit application. '7 0/ ( '2--K— ( eeincA iCofsi9 ) 2I 1 145 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER1 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. 9(14MS J- NNAl II, • 0(015 ffint Owner's or Authorized Agent's Name(Electro 1 i' Sig • •) Date NOTES: 1. 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 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.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,fmished 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 Endosed Open — 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton t�tiG►,'isr,. «. A ' • Massachusetts h�� :.. !t� 1��r w 1` }� \ k DEPARTMENT OF BUILDING INSPECTIONS S .), k* 212 Main Street • Municipal Building yv� i7 Northampton, MA 01060 sfy; 0\. CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, 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, S 150A. The debris will be disposed of in: Location of Facility: "d 1 '' M (el ���� J A) The debris will be transported by: Name of Hauler: ANel\ I Signature of Applicant: ri(i-------3 V Date: /(, 0 Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston. Massachusetts 02118 Home improvement Contractor Registration Twe LLC PEAK PERFORMANCE ROOFING,LLC. RootW111110011 1 LOVEFIELO ST, Ewiroloot 1110112023 EA.STHAMPTON,MA 010V7 Update Address and Return Card. 10110 j P17 ���� / Owl/ CrnrCoRsumerrAffa(ra ie8t�si/nose gulatien HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPII4 IJC before the expiration date. if found return to: Reglgi�r 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 LOVEFIELO ST. EASTHAMPTON,MA 01027 Jnrierseaetary Not iaUd without signature Commonwealth of Massachusetts DWI saon of Professional Licensure Board of Building Reyuieuorig,end Standards uildt Construction anySupergrlp/ Unrestricted-Suitdings of use group Which contain .6✓' less than 35,000 cubic feet 1991 cubic meters)of enclosed space CS-1'73Q51 Expires 0 i2122124 JAMES J FLANNERY 1 WILLIAMS ST HOLYOKE MA 01040 (� /2 f failure to possess a current edition of the Massachusetts Commissioner /l/!_ State Building Code is cause for revocation of this license. For information about this license Call(617)727-3209 or visit wwwanass_govtdpl friotleave faskailLe `l`Z9 f;c12— 14 a-f r.ted Iddej G4-# 4 f&t � �a.fi � q/21 (Zoz { AC�RCP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) kaft.=---- 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 - --.__. Mine� ina Edgett, CISR Webber & Grinnell PHONE (413)586-0111 FAX we."I: (4t )SH4ux 8 North King Street E-MAIL aedgettewebborendgrinnell.com ADDRESS: NISURER(S) AFFOROINGCOVERAGE NAIC a Northampton MA 01060 ,IN URERA:Cruw i Forster Sgecie1ty/BRECK INSURED INSURER B:PS Y1soMth Rock Assurance 14737 Peak Performance Roofing, LLC INSURER C:MAR- Berkshire Hathaway GUARD _ , Attn: James Flannery ,INSURER 0. 1 Lovefield Street INSURERE. Easthampton MA 01027 IINSURERF: COVERAGES CERTIFICATE NUMBERt!xp 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. MR ADM SUER POLICY EFP—POLICY EXP us TYPE OF INSURANCE INSD WVD POLICY NUMBER UNITS ... (MM/DO/YYYY) (MM/DO/YYY`n X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ ACLAIMS-MADE Q OCCUR DAMAGE TO RENTED 200,000 PREMISES iE.ancuntksl $ CL0089451 7/7/2022 7/7/2022 MID EXP(Any one pNfQ1) $ 5,000 ,_ PERSONAL a ADv INJURY $ 1,000,01N)GENt AGGREGATE UNIT.APPLIESPER: GENERAL AGGREGATE $ 2,000,000 �Fig LOC PRODUCTS-COMP/OP AGO 3 2,000,000 OTHER; a AIROMOSILE UAIIUTY CCI QED SINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per penal) 3 _ B ALL OWNED AUTOSSCHEDULED PaC00002007091 0/27/2022 1/27/2023 BODILY INJURY(Per secIde ) I Z HIRED AUTOS - 0O8 NED PROPERTYDAMAGE $ M.Aotl psymrM I 0,000 UIMEIIAUAO OCCUR EACH OCCURRENCE I `^ EXCESS LAAS CLAIMS-MADE AGGREGATE $ DEO RETENTION 1 i S WORKERS COMPENSATION I_ ;MUTE _._IER AND EMPLOYERS'LVIBILITY Y/N _. ANY PROPRIETORNARTNER(EXECUTNE EL EACH ACCIDENT $ 500,000 OPPICERAIEMBER EXCLUDED? X�N/A C Illa.kaory M 0y >f21EC342$S7 4/27/2022 4/27/2022 EL DISEASE•EA EMPLOYEE $ 500,000 M ultlar Janos 1lsassry 1s asalsa44 DESCRIPTION OF OPERATIONS baba EL DISEASE•POLICY LMOT S 500,000 I 1 i 1 _ DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORO 101.Addttiooal Remarks Schedule.may be attached it more space la mamma ) 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 c; 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 L,,,,y,i The Commonwealth of Massachusetts Department of Industrial Accidents `' Office of investigations S'=�= 600 Washington Street ,y ..=::41- Boston,MA 02111 n t www,mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information . . Please Print Legibly Name(Eusinesv/Organnizationandividual): Peak Performance Roofing, LLC _ Address: 1 Lovefield St. City/State/Zip: Easthampton, MA 01027 Phone #: 413-203-5888 Are pu an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 4 4. (1 I atn a general contractor and I employees(full and/or part-time)* have hired the sub-contractors t' '')nstrttc tiott 7,0 I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These sub-contractors have 8, 0 Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers'comp.insurance comp.insurance. t required.] 5. E] We arc a corporation and its 10.0 Electrical repairs or additions 3.E} I am a homeowner doing all work officers have exercised their ILO.O Plumbing repairs or additions myself.[No workers' comp. right of exemption per MCL 12.(lRoaf repairs insurance required.) ' c. 152,111(4),and we have no employees.[No workers' 13.❑ Other _ comp.insurance required.] *Any applicant that checks box XI must also fill out the section below showing their workers"compensation policy information. t homeowners who submit this affidavit indicating they are doing all work and then hire outside eontracto s must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional*beet Mussing the name of the sub-contractors and state whether or not those entities have employers. if the sub-contractors have employers.they must provide their workers'contp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name; Hathaway Guard Policy#or Self-ins.Lic.it: R2WC202869 LL-_4 Expiration Date: 04/27/20 3 Job Site Address: _-_-_ City/State/Zipr,,,_ 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 MCL 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: � l>sue: .._._�.�.. Phone413-203-5888 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: DocuSign Envelope ID:6F5DD86C-2E6D-4FFA-9762-A4F7A17252E6 Peak Performance Roofing LLC 1 Lovefield St. Easthampton, MA 01027 413-203-5888 P E peakperformanceroofingllc@gmail.com PERFORMANCE ROOFING MA HIC 4183698 MA CSL4103061 Rick Clark 84 Williams St. Northampton rickiclark@comcast.net 413-531-0992 ESTIMATE# 10898 02/16/2023 JOB LOCATION 84 Williams St., Northampton ACTIVITY DESCRIPTION QTY RATE AMOUN Asphalt This contract is for the two porch roof areas at the back of the house ONLY. See 1 4,325.00 4,325.00 Residential email for visuals. 1. Remove the existing roofing materials. 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 ice and water shield on both roof surfaces. 4. Install new 8" aluminum drip edge on all eaves and rake edges. 5. Install architectural shingles by CertainTeed: Landmark: Hunter Green http://www.certainteed.com/residential-roofing/products/landmark) 6. Remove and reinstall siding for proper flashing. 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. 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:6F5DD86C-2E6D-4FFA-9762-A4F7A17252E6 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: $4325 A one-third deposit of $1441 will secure contract, permitting. material order, and priority scheduling. TOTAL $4,325.00 OocuSlgned by: c 2/16/2023 Accepted By C7r-01:l 574As1saB© Accepted Date