Loading...
12C-058 (3) BP-2023-0295 28 HAROLD ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 12C-058-001 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-2023-0295 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2023 Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 7560 LLC CS-103061 Const.Class: Exp.Date:09/21/2024 Use Group: Owner: MEHRMAN SHARON C& SARAH T DUNTON Lot Size(sq.ft.) Zoning: RI/WSP Applicant: PEAK PERFORMANCE ROOFING LLC Applicant Address Phone: Insurance: 1 LOVEFIELD ST 413-203-5888 R2WC342657 EASTHAMPTON, MA 01027 ISSUED ON: 03/10/2023 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. Signature: • ,2 . (N5- Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner p 1- / / <, 9/ / ,, The'Commonwealth of Massachusetts ? oard-of Building Regulations and Standards FOR �' `�,,, f Massachusetts State Building Code,780 CMR MUNICIPALITY ,, USE ,/Y P rmit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 °ko00;Gn(`; f' One-or Two-Family Dwelling This Section For Official Use Only i Buil ' Permit Number. �D P"of .3" al 9'S Date Applied: ' i cUtt,J%53 //�2 3-9-ZOZ" Building Official(Print Name) Signature Dam ' SECTION 1:SITE INFORMATION 1.1 Pro erty Address: 1.2 Assessors Map&Parcel Numbers 20 Harold Street, Florence 11.1 a Is this an accepted street?yes no Map Number Parcel Number i 1.3 Zoning Information: 1.4 Property Dimensions: I Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) t Front Yard Side Yards Rear Yard Required Provided Required Provided Required Pioridcd 1.6 Water Supply:(M.G.L c.40,i54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes13 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner' f R cord: Florence, MA Sharon Me irman Name(Prim) City,State.ZIP 28 Harold Street 413-587-0817 scmfumiture@gmail.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.0 Number of Units I Other s Specify: Noofmg Brief Description of Proposed Work1: Strip and replace aspnal on porch roofs. I SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building S 7560 1. Building Permit Fee:S Indicate how fee is determined: 2.Electrical 5 ❑Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing S 2. Other Fees: S 4.Mechanical (HVAC) S List: S.Mechanical (Fire S Total All Fees:A4 Suppression) j,O j� Check No."1( Check Amount �l/ Cash Amount 6.Total Project Cost: $ 7560 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSL-103061 09/21/2024 James J. Flannery License Number Expiration Date Name of CSL Holder �f List CSL Type(see below) No.and.Srr t Type Description hoiyoke, MA 01040 �J Unrestricted(Buildings up to 35.000 cu. fi.) R Restricted I&2 Family Dwelling Citvrronm,State,ZIP M Masonry RC Roofing Covering WS Window and Siding 413-203-5888 peakperformanceroofinglIc©gmail.comi SF Solid Fuel Bruning Appliances I Insulation Telephone Email address D I Demolition 5.2 ilVai stK VerHormante lemming, LLU. (HIC) 183698 11/03/2023 tIIC Registration Number Expiration Date HiC :tm&vagirtde t tlC Registrant Name peakperformanceroofingllc@gmail.com No.and Street 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)) IWorkers 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 '61 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 LLC 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. Sharon Mehrman (see contract for signature) 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. James J. Flannery i '�L�ZvLL 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 an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(ICC)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.nov oca Information on the Construction Supervisor License can be found at ww v.mass.gov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.fr.) (including garage,finished 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 Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" DocuSgn Enveope ID D802730t-t tcz-41tu-niAts-t i ovu 1 w+400) Peak Performance Roofing LLC 1 Lovefield St. Easthampton, MA 01027 413-203-5888 PE K peakperformanceroofinglic@gmail.com P E R F 0 R C E ROOFING MA HIC#183698 MA CSL#103061 ADDRESS Sharon Mehrman 28 Harold Street Florence scmtumiture@gmail.com 413-587-0817 EST:M4TE* DATE 10879 01/12/2023 1 JOB LOCATION 28 Harold St., Florence DESCRIPTION ..-,......,.--..-.. ......__ .._...,_._...._... OTY RATE AP.1CUi4T Asphalt 1. Remove the existing roofing shingles. 1 7,560.00 7,560.00 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:COLOR TBD httpsi/www.certainteed.com/residential-roofing/products/landmark-pro/ 7.Complete all necessary flashings including the replacement of existing step- flashing between the shed dormer and the roof and new LIFETIME pipe boots. 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. DocuSgn Envelope 10 C802 FEC2 1 FDB3A8 E15001K 465S ACTIViri DE`ci; '1 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. httpsJ/www.certainteed.com'resources'Asphalt Warranty_CT R3782.1912 E.pdf Total: $7560 A one-third deposit of$2520 will secure contract, permitting, material order, and pnonty scheduling. The balance shall bu duo upon completion. within 10 days of invoice Accounts outstanding over 30 days subject to2'e finance charge monthly. TOTAL $7,560.00 Accepted By AcceptedDate/ The Commonwealth of Massachusetts Department of Industrial Accidents —01 t+- Office of Investigations 600 Washington Street Boston,MA 02111 --..ett-v 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 Lovefietd St. City/State/Zip: Easthampton, MA 01027 Phone#: 413-203-5888 Are ypu an employer?Cheek the appropriate box: Type of project(rewired): 1. I am a employer with 4 4. fl I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. fl Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers'comp.insurance comp.insurance. required.] 5. [1 We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.D Plumbing repairs or additions myself.[No workers'cutup. right of exemption per MGL 12 ['Roof repairs insurance required.) ` c. 152,#1(4),and we have no 13. Other employees.[No workers" 0 _ G _ comp.insurance required] *Any applicant that checks box if I must also fill out the section below showing their workers'compensation policy information. HOnttY9wnl'r5 who submit this affidavit indicating they are doing all work and men hire outside crmtractors must submit a new affidavit iits such "Contractors that check this box must attached an additional sheet shoe,ink the nacre of the sub-contractors and state whether or not those ' hare employees. If the sub-contractors have ci ph,yces.they must pros idc time t orkcrs'comp.police number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and,job site information. Insurance c Berkshire Hathaway Guard tmipany Lame: . , Policy s or Self-ins.Lie.t►: R2WC202869 Expiration Date: 04/27/2023 L� Job Site Address: Z 4 \ j\ . , k"`, { c , 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.l0 and/or one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a line 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. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: l Date: (, 12, ' Z Phone 413-203-5888 J �� Official use only. Do not write in this area,to be completed by city or town official. 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 b.Other Contact Person: Phone it: �A.Amo , The City ofNaxthampton ti,,t' R <�,A ���: t Building Department .c , ,,� 212 Main Street %Ru:D Sn:o>, Northampton, Massachusetts 0106E Phone(413) 58 7-1240 Fax (413) 587-1272 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVAT ION PROJECTS) In accordance with the provisions of MGL c40, $54, 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, s160A. The debris will be disposed of in: +(lvl_ C C C. 0 L"\Location of Facility3 1 1\ �6 j - h_MD N i The debris will be transported by: Name of Hauler �� �V ' o'���3 a\� — V Signature of Applicant: / t2, Date:_�l oZ-2,------- ACoRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DEVYYYY) °IN..-- 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 I CONTACTE Adia4g ett, CISR NAM : al R, Webber & Grinnell g13)see-bael PHONE (419)5$6-0111 PAX fAJG.No.ExO: (*.CAM: 8 North King Street E-MAIL aedgett2webberandgrinnell.com ADDRESS: _ INSURER(S) AFFORDING COVERAGE li NAIC J Northampton MA 01060 INSURER A:Crum & Forster Specialty/BRECK INSURED INSURER B:Plymouth Rock Assurance ' 14737 Peak Performance Roofing, LLC INSURER C:WCAR— Berkshire Hathaway GUARD Attn: James Flannery INSURER0: 1 Lovefield Street INSURER E: Easthampton HA 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. ._.—___..T I R ADDI SUBR ' POLICY EFF LT TYPE OF INSURANCE POLICY LIMITS LTR INSD WVO POLICY NUMBER {MM/DDIYYYYI (�MVW DYYTYYYt X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE S DAMAGE-TO RENTED 100,000 A CLAIMS-MADE U OCCUR PREMISES(Es occurrence) r S OLOO$0431 1 7/7/2022 7/7/2023 mED exP y onomoan) $ 5,000. PERSONAL i ADV INJURY $ 1,000,000 GENLAGGREGATE Ls11T APPLES PER: GENERAL AGGREGATE 1 $ 2,00 0,000 •POLICY n JP14124 n LOC PRODUCTS•COMP/OP AGd f 2,000,000 OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE UMtT $ 1,000,000 ANY AtJ 10 BODILY INJURY(Par persof) $ B ALL OWNED : it 'SCHEDULED AUTOS E AUTOS FRC00001007091 6/27/2022 6/27/2023 BODILY INJURY(Parsodtl•310 $ NON-OWNED PROPERTY DAMAGE f X HIRED AUTOS AUTOS iFer 4c41dev) M4delipslAW* • $ 5,000 UMBRELLALIAB OCCUR • EACH OCCURRENCE $ • EXCESS LIAR CLAIMS-MADE AGGREGATE f LIEU RE TENT ON b f WORKERS COMPENSATION I PER I 1 01 AND EMPLOYERS'LIABILITY Y/N STATUTE i i ER ANY f'HOPH ETOH;I'ARrNEH:EXECUTIVE EL EACH ACCIDENT $ 500,000 OFFICER:MEMBER EXCLUDED' Y N/A C (Mandatory in NH) R2WC342657 4/27/2022 4/27/2023 EL DISEASE•EA EMPLOYEE $ SOO,000 •II ves oescnbe urger U`_SCIiiIPTION OF OPERA!IONS seIc.A. James Flannery is excluded E.L.DISEASE-POLICYLMOT $ $00,000 1 • DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 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 h Grinnell, CPCC, CIC b - ',1-' -al ' 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. U,C PEAK PERFORMANCE ROOFING,LLC. Registration; 1* 1 LOVEFIELD ST_ Expirat,on; 11ADi EASTHAMPTON.MA 01027 Update Address and Return Card. WAS 4 211049n7 / ofcR f Consumes- +,rgusinei s'hogutaiion HOME IMPROVE CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. If found return to: RegiApation 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 / t 1MY{ 1 LOVEFIELD ST. s4.17 f .-f J ) FjpTON,MA C 1027 Not valid without signature Undersecretary 9 Commonwealth of Massachusetts Division of Professional Licensure C,onstrUcytpn visor Board of Building Reyutatlons and 5laridarr)s Unrestricted-Buildings of any use group which contain less than 35,000 cubic feet(991 cubic meters)of enclosed space CS-103061 Expires (l9121.a. 2.4 JAMES J FLANNERY 1 WILLIAMS STr41 HOLYOKE MA 01040 CAL ,4 Failure to possess a current edition of the Massachusetts Commissioner �/'t, State Building Code is cause for revocation of this license. For information about this license Call 1817)727-3200 or visa www.mass.govidpl 46110011M GliZ91 Zoz— tfLcc, i tf-f r:ttra, ufeeceei Gf-ob a 09girafic c7/2/ (2,6L