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06-018 (11) BP-2023-0960 80 LEONARD ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 06-018-001 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-2023-0960 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2023 Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 9875 LLC CS-103061 Const.Class: Exp.Date: 09/21/2024 Use Group: Owner: L MATREGRANO RALPH R &NANCY 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: 07/24/2023 TO PERFORM THE FOLLOWING WORK: STRIP AND REROOF 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: Q Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner DocuSign Envelope ID:75C370CC-C79E-410A-B616-DBA64E7B575A /fr '46 1 ., The Commonwealth of Massa, use c°i FO• 4A tti it Board of Building Regulations a•• St Massachusetts State Building Code, ;! 42)/030 <2042a r ALITY W E 44,1 .4,/ Building Permit Application To Construct,Repair,Renovate ter w.,04s. '- a Revis;;Mar 2011 One- or Two-Family Dwelling 041,1` 7°604(s, This Section For Official Use Only Buildin Permit Number: 417—'01 3'q(11/ Date Applied: _g, )( Euil—) &:), l/:4Z 7-Di-Zeo3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 80 Leonard St, Leeds i 1.1 a Is this an accepted street?yes no Map Number Parcel Number I 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 I Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.t.c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: Outside Flood Zone? Public 0 Private El _____ Municipal 0 On site disposal system 0 Check if yes0 SECTION 2: PROPERTY OWNERSHIP1 2.1 8aminpe15110treergilr'ano Leeds, MA rrmjrcomcast.net I Name(Print) City,Stale ZIP 80 Leonard St. 413-575- 152 No.and Street Telephone 1 Email Address _ SECTION 3:DESCRIPTION OF PROPOSED WORK2(c.beck aU that appl)) New Construction Cl Existing Building 0 Owner-Occupied El I Repairs(s) 0 Alteration(s) CI Addition 0 Demolition El I Accessory Bldg.0 Number of Units Other Specify: Rooting Brief Description of Proposed Workl: STRIP AND RFPI ACF ASPAHI T ROOF. SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item (Labor and Materials) Official Use Only I.Building S 9875 1. Building Permit Fee: $ Indicate how fee is determined: ' 0 Standard City/Town Application Fee 2.Electrical $ 0 Total Project Cost'(Item 6)x multiplier x I 3.Plumbing $ 2. Other Fees: S 4.Mechanical (1-1VAC) $ List 5.Mechanical (Fire -s 41 1 i $ Suppression) Total All Ftp k)6 0 Check No. check; mo .q: Cash Amount: 6.Total Project Cost: S 9875 o Paid in Full 0 Outstanding Balance Due: DocuSign Envelope ID:75C370CC-C79E-410A-B616-DBA64E7B575A A rV TY RF.RRORPIKR,,iO ',( R MCy^ 77 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: $9875 A one-third deposit of$3291 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 $99875 00 l^—DocuSigned by: rdfbv n�„ir Q,� 7/17/2023 '•.—"66FF0D72B3D�0004aD..'� Accepted By Accepted Date DocuSign Envelope ID:75C370CC-C79E-410A-B616-DBA64E7B575A SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 2 James J. Flannery License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and.S.treat ; Type Description hoiyoke, MA 01040 u Unrestricted(Buildings up to 35,000 cit. ft.) R Restricted 1&2 Family Dwellin Cityrrown,State,ZIP M Masonry RC Roofing Coveting WS Window and Siding 413-203-5888 peakperformanceroofinglIc@gmail.comL SF Solid Fuel Burning Appliances I Insulation Telephone Email address J D Demolition 5.2 Zeilistexed Home Imnroimment Contractor(HI Heal( Ferrormante Kooting, LLu. 183698 11/03/2023 IC Registration Number Expiration Date HIC SIC Registrant Name I LOVetiela peakperformanceroofinglIc©gmail.com No.and Snent Easthampton, MA 01027 413-203-5888 Email address Cityfrown,State,ZIP Telephone 1 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 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 James J. Flanney/ 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. ,—DocuSigned by 7/17/2023 lectronic 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 imowl5dge and understanding. James J. Flannery ,-a.r..es Ralkw-w 7/9/2023 Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: I. 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 prop-am or guaranty fund under M.G.L.c. 142A Other important information on the HIC Program can be found at www.mass.siov/oca Information on the Construction Supervisor License can be found at www.mass.govidps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (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" DocuSign Envelope ID:75C370CC-C79E-410A-B616-DBA64E7B575A The Roofing Process : What to Expect When will my roof be scheduled? Once the contract, deposit, and building permit are all in place, we can proceed with installing your roof. Roofing is hazardous and the safety of our crew is a priority. We must work around the weather forecast; here in New England, this means we can't plan our schedule very far in advance, and can't promise specific installation dates. Long stretches of inclement weather will cause delays. We appreciate your flexibility and patience in our dealings with Mother Nature! Your project manager will contact you a few days before they wish to proceed. Our crews are hardworking and efficient; most residential installations take only 1-2 days to install. Do I need to do anything to prepare? As noted on your contract, we are not responsible for dirt/debris that may fall into the attic. Depending on the condition of the plywood, you may see little to no debris, or it could be more substantial. If you store items in the attic, we recommend covering with plastic sheeting. Do I need to notify my neighbors? If your home is extremely close to other homes or driveways, there's a possibility we may need to be on their property temporarily to lay protection or collect debris. In this case, yes, please notify your neighbors. Otherwise, it is a courtesy. Your neighbors will likely appreciate notification of the noise/traffic. Materials and Dumpster Delivery: The materials and dumpster may arrive the day before the scheduled installation (especially if your installation is taking place on a weekend). Depending on your home's layout and driveway(s), we may need vehicles moved at this point. Parking: On the day of the installation, we ask that you move ALL vehicles out of ALL driveways, and away from the house, to avoid any damage, and for our access. How early will you start? Our crews will begin as early as 7.30am. They will work a long day, often until dark if necessary. We aim to have the installation completed in as few days as possible to minimize disruption to you and your neighbors. Do I need to be home? It's up to you. Some customers like to keep an eye on what's going on. Others would rather not be home because of the noise. Be aware that roofing is loud (banging, nail guns, etc) so you may need to make arrangements for residents, tenants or pets. Please do not plan on outdoor activities while we are working, for safety's sake. Please keep pets inside, or on a leash away from the roofing activities. DATE(MM/DD/YYYY) ACORD CERTIFICATE OF LIABILITY INSURANCE 07/12/2023 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 have ADDITIONAL INSURED provisions or 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 Adina Edgett,CISR NAME: Alera Group,Inc. PHONE (413)586-0111 FAX (413)586-6481 (A/C,No,Ext): (A/C,No): Webber&Grinnell Division E-MAIL aedgett©webberandgrinnell.com ADDRESS: 8 North King Street INSURER(S)AFFORDING COVERAGE NAIC# 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 INSURER D: 1 Lovefield Street INSURER E Easthampton MA 01027 INSURER F: COVERAGES CERTIFICATE NUMBER: Exp 07/24 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD, POLICY NUMBER (MM/DD/YYYY) I(MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000'000 CLAIMS-MADE X OCCUR PREMISES(a of ccu rrence) $ 100,000 _ MED EXP(Any one person) $ 5,000 A GL0098368/NYR 07/07/2023 07/07/2024 PERSONAL&ADVINJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY n PRO- n2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED x SCHEDULED PRC00001007091 06/27/2023 06/27/2024 BODILY INJURY(Per accident) $ AUTOS ONLY /� AUTOS X HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY X AUTOS ONLY (Per accident) - _ Medical payments $ 5,000 UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION $ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N 500'000 C ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA R2WC493286 04/27/2023 04/27/2024 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes.describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 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 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD DocuSign Envelope ID:75C370CC-C79E-410A-B616-DBA64E7B575A Peak Performance Roofing LLC 1 Lovefield St. Easthampton, MA 01027 413-203-5888 P E K peakperformanceroofingllc@gmail.com P E R F 0 R C E ROOFING MA HIC #183698 MA CSL#103061 ADDRESS Ralph Matregrano 80 Leonard St. Leeds 413-575-2152 rrmjr@comcast.net ESTIMATE# DATE 11002 07/09/2023 JOB LOCATION 80 Leonard St., Leeds ACTIVITY DESCRIPTION CITY RATE AMOUNT Asphalt MAIN HOUSE ONLY 1 9,875.00 9,875.00 Residential Peak Performance Roofing will provide the labor and materials to perform the following: 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 https://www.certainteed.com/residential-roofing/products/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. 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: 80 Leonard St., Leeds The debris will be transported by: Aaron's 24/7 rowing and Roll-On The debris will be received by: Valley Recycling Building permit number: Name of Permit Applicant Peak Performance Roofing LLC/ James Flannery 7/17/2023 , 0141,,es ff ^ Date Signature of Permit Applicant The Commonwealth of Massachusetts Department of Industrial Accidents Office of investigations 1 ..t. .4. 600 Washington Street Boston,MA 02111 www.tnass.govIdia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/individual): Peak Performance Roofing, LLC . 1 Address: Lovefield St. Easthampton, MA 01027 413-203-5888 City/State/Zip: Phone #: 1 _ Are y,ou an employer? Check the appropriate box: Type of project(required): I.WI am a employer with 4 4. I 1 I am a general contractor and 1 6. El New construction employees(full and/or part-time).* have hired the sub-contractors 2.1-1 I am a sole proprietor or partner- listed on the attached sheet. 7. rl Remodeling ship and have no employees These sub-contractors have 8, D Demolition . working for me in any capacity. employees and have workers' 9. 0 Building addition No workers'comp.insurance comp.insurance.* required.1 5. El We are a corporation and its 10.E1 Electrical repairs or additions 3.L I am a homeowner doing all work officers have exercised their 11.11 Plumbing repairs or additions right of exemption per MGL myself. [No workers' comp. 12.gRoof repairs insurance required.) + c. 152.§1(4),and we have no 1 employees.[No workers' 13.1- Other comp.insurance required.] 1 ______ i'An>applicant that checks box#1 must also fill out the section below showing their v,orkers compensation policy information. Homeowners who submit this affidavit indicating they arc doing all work and then him 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, lithe 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. Berkshire Hathaway Guard Insurance Company Name: Policy II or Self-ins.Lie.#: R2WC202869 Expiration Date: 04/27/2024 80 Leonard St. . LEEDS , MA Job Site Address: City/StaterZip!,. 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$1500.00 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. ' I Signature: ;742,......v.iir),..„,i , , Date: 07/17/2023 ::./ 0 'A- .) ' 413-203-5888 - i Phone#:_,, 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 #: , .