11C-049 BP-2023-0470
4 WARNER ROW COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
11C-049-001 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-2023-0470 PERMISSION IS HEREBY GRANTED TO:
Project# ROOF 2023 Contractor: License:
PEAK PERFORMANCE ROOFING
Est. Cost: 11190 LLC CS-103061
Const.Class: Exp.Date: 09/21/2024
Use Group: Owner: SAILER GILL PENNY A&CAROLYN
Lot Size (sq.ft.)
Zoning: URA Applicant: PEAK PERFORMANCE ROOFING LLC
Applicant Address Phone: Insurance:
1 LOVEFIELD ST 413-203-5888 R2WC342657
EASTHAMPTON, MA 01027
ISSUED ON: 04/19/2023
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:
• 1 2 , � •
1
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
DocuSign Envelope ID:35D43725-07A7-4E22-9028-993BFC0C5197 . .---
APR
1 B
The Commonwealth of Massachusetts_ cu
.rs. t. Board of Building Regulations and Standards', FOR
,'� , ,n MUNICIPALITY
,, , Massachusetts State Building Code, 780 CIVIR' ,-
.f USE
Building Permit Application To Construct,Repair.Renovate Or Deinolisl31o'''' evisedMar 2011
One- or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: .54 3"" 2/7 v Date Applied:
l z--ti„0 tn: //2 LI- I c 2(25
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
4 Warner Row, Leeds
1.1 a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards 1 Rear Yard
Required Provided Required Provided I Required Provided
1.6 Water Supply:(M.O.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public D Private 0 —Zone: Outside Flood Zone? Municipal 0 On site disposal system 0
C'neck ifyesO
SECTION 2: PROPERTY OWNERSBIP'
2.1 Owner'o Recgqrd: Leeds, MA
Carolyh i eq-Sailer
Name(Pant) City,State.ZIP
Cooksteroo@gmail.com
4 Warner Row (413) 687 3155
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition Cl , Accessory Bldg.0 Number of Units 1 Other Specify: Rooting
Brief Description of Proposed Works: Strip and replace asph ita `roof.
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use On]'
(Labor and Materials)
I.Building S 11190 1. Building Permit Fee:$ Indicate bow fee is determined:
2.Electrical S ❑Standard CitytTown Application Fee
❑Total Project Cost'(Item 6)x multiplier x
1 3.Plumbing S i 2. Other Fees: S
4.Mechanical (BVAC) j S List:
5.Mechanical (Fire $ Total All Fees:S
Suppression)
I Check No.H`{'� )Check Amount: Cash Amount:
i 6.Total Project Cost: $ 11190
0 Paid in Full 0 Outstanding Balance Due:
DocuSign Envelope ID:35D43725-07A7-4E22-9028-993BFC0C5197
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 U
List CSL Type(see below)
No.and tr t Type Description
ho°yoke, MA 01040 U Unrestricted(Buildings up to 35,000 ca. ft,)
R Restricted I&2 Family Dwelling
Cityrrown,State,ZIP tvi Masonry
RC Roofing Covering
WS Window and Siding
413-203-5888 peakperformanceroofingllc@gmail.com SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D_ Demolition
5.2 Ije'K l eriormantexKooti Contractor, LU. (u1C) 183698 11/03/2023
HIC Registration Number Expiration Date
HIC ompVe lel� j11C Registrant Name peakperformanceroofingllc@gmail.com
No.and Street Easthampton, MA 01027 413-203-5888 Email address
City/Town,State,ZIP Telephone
SECTION 6:WORK1JRS'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 AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR 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.
o�., 4/6/2023
Prior iWder'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 perjury that all of the information
} contained in this application is true and accurate to the best of my Iotowledge and understanding.
James J. Flannery
4/6/2023
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(IfCC)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 1
www.mass.eov,oca Information on the Construction Supervisor License can be found at www.mass.aov'dps
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 hearing system ` Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
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: 4 Warner Row, Leeds
The debris will be transported by: Aaron's 24/7 Towing and Roll-On
The debris will be received by: Valley Recycling
Building permit number:
Name of Permit Applicant Peak Performance Roofing LLC/James Flannery
4/3/2023 James Flannery
Date Signature of Permit Applicant
The Commonwealth of Massachusetts
► =_ s l 1, Department of Industrial Accidents
=_;gel_ 1 Congress Street,Suite 100
:_ L=_ Boston,MA 02114-2017
www mass.gov/dia
-IN.. Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): PEAK PERFORMANCE ROOFING, LLC
Address: 1 LOVEFIELD STREET
City/State/Zip:EASTHAMPTON, MA 01027 Phone #:413-203-5888
Are you an employer?Check the appropriate box: Type of project(required):
1.0I am a employer with 4 employees(full and/or part-time).* 7. ❑New construction
2.❑I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling
any capacity.[No workers'comp.insurance required.]
9. ❑Demolition
3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t
10 0 Building addition
4❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees. 12.❑Plumbing repairs or additions
❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.ISI Roof repairs
These sub-contractors have employees and have workers'comp.insurance.:
6 ElWe are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other
152,§1(4),and we have no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 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 contractors must submit a new affidavit indicating such.
:Contractors that check 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 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:4 Warner Row City/State/Zip: Leeds, MA
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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$250.00 a
day against the violator.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: James J Flannery Date: 4/12/2023
Phone#:413-203-5888
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):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
DocuSign Envelope ID:35D43725-07A7-4E22-9028-993BFC0C5197
Peak Performance Roofing LLC
1 Lovefield St.
Easthampton, MA 01027P E K.
413-203-5888 cc
peakperformanceroofingllc@gmail.com P E R F 0 R C E
ROOFING
MA HIC #183698 MA CSL#103061
DRESS
Carolyn Sailer
4 Warner Row
Leeds
Cooksteroo@gmail.com
(413) 687-3155
ESTIMATE# DATE
10924 04/06/2023
JOB LOCATION
4 Warner Row, Leeds
ACTIVITY DESCRIPTION ,, AMOUNT
Asphalt 1. Remove the existing roofing shingles. 1 11,190.00 11,190.00
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: MOIRE BLACK
http://www.certainteed.com/residential-roofing/products/landmark/
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.
9. Install customer-provided bathroom vent into the roof. NOTE: Third party, such
as electrician, would have to connect the vent to interior of home.
DocuSign Envelope ID:35D43725-07A7-4E22-9028-993BFC0C5197
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 LLC 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: $11,190
A one-third deposit of$3730 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 $1 1,190 00
r-----DocuSigned by:
( 4 S. 4/6/2023
c317ECE475FF47c
Accepted By ... Accepted Date