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25C-173 (6)
125 NORTH ST BP-2019-0780 GIs#: COMMONWEALTH OF MASSACHUSETTS MR.-Block:25C- 173 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:ROOF BUILDING PERMIT Permit# BP-2019-0780 Project# JS-2019-001287 Est.Cost: $8200.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: JAMES FLANNERY 103061 Lot Size(sq. ft.): 6098.40 Owner: SIRECI STEPHEN G& Zoning:URC(100)/ Applicant: JAMES FLANNERY AT. 125 NORTH ST Applicant Address: Phone: Insurance: I LOVEFIELD ST (508)294-4052 WC EASTHAMPTON MA01 027 ISSUED ON:1/7/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE PORCH ROOF & 2 SLOPES 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: Driveway Final: Final: Final: Rough Frame:. Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Sisnature: FeeTyae: Date Paid: Amount: Building 1/7/2019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner Lj N City of Northa npto Building Depa tme _ 212 Main St eet JAN 7 20 ' Room 10 Northampton, M 01 oTrunoioN�r�na -- - .m phone 413-587-1240 F Poll APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION �• d 17 a 1.1 Property Address: This section to be completed by office 12-5 IVOgt-h 5 -. Map Lot i�3 UnI Zone Ove ft District faun St.Dh1 t CB owmq SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: S fe Pik,z tj ., r-12 i /2s AIO)Q th -5t No t-4l1a rnp�6" /"A Name(P' Current Mailing Address: 8�b Signature Telephone 2.2 Authorized Adient: r IRMES T. F LAIVNV FA Sf, Fa a rnp1a1v Name(Print) Current Mailing Address: Dt44".�& X13 - 063 - 5-2? Signature v Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 2 on, bb (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5.Fire Protection 6. Total=(1 +2+3+4+5) g2 0Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissionerllnspector of Buildings Date y2AK p�l2Fo►ern�4�vc_�RooFlivG-1.t� � �m�}i c. �J� EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION&DESCRIPTION OF PROPOSED WORK(gWk all applicable) New House Q Addition Q Replacement Windows Aitsratfon(s) Q Roofing Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks 10 Siding jl©) Other Gal Work �ofProposed 3- Rip + " -roof i t?Kc ' + Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a.N NOW hartM M or ate! 6 * 1 g IMMM&diets the 10HOMM: a. Use of building:One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dirr erasions a. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g- Energy Conservation Compliance. ^`` Masscheck Energy Compliance form attached? h. Type of construction i. is construction within 100„ff:d ratiands? Yes No. Is construction within 100 yr. floodplain Yes No j. Dept=ding"7orrn or cellar floor below finished grade k. Will to the Building and Zoning regulations? Yes No. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I S 7E p 14E N S ! 1°.&C 1 as Owner of the subject property hereby authorize Rmr-S ", FGRNJU�rzy 276.4 P&M PERFOR)' ONCE RODRID6 u to act on my I h i II matters relative to work authorized by this building permit application. J . I Signature of QWw date i, JQm FS 'J, r-IA N A)E79 as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. .";TAMES '3. FLANME9 V Print Name 2-1'2 t /� Signature of Owner/Agent Bate SECTION 8-CONSTRUCTION SERVICES 8.1 licensed Construction Supervisor: Not Applicable ❑ Name o,r license Number Willram:5 5f, llo/yokg M4 016W 9Zal za _ Address IExpiration Date L113 - dL03 - 5-4? signature Telephone 1111661166w"Home -m ont Contractw. Not Applicable ❑ p aK Pf-X-F6RM,9 v r* 2vo lru -, LL /,?3 (a 9 S' Company Name Registratio Number Address V /y j 3) Expiration Date Telephone A 3-5 SECTION 10-WORKERS,COMPENSATION INSURANCE AFFIDAVIT(M.G.L c.162,§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....... M No...... ❑ City of Northampton Massachusetts .`'`4 DEPARIMCNr OF BVXLDXM INSPECTIONS 212 Main Street •Municipal Building Northampton, MA 01060 Debris 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. The debris from construction work being performed at: (Please print house number and street name) Is to be disposed of at: (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Q.... ...... >tJ 21 Sign re dY Permit Agplicant or Ownef Dat If, for any reason, the debris will not be disposed of as indicated,the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Flectricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Peak Performance Roofing, LLC Address: 1 Lovefield St. City/State/Zip: Easthampton, MA 01027 Phone#: 413-203-5888 Are Vu an employer?Check the appropriate box: Type of project(required): 1,E; l am a employer with 4 4. ❑ 1 am a general contractor and I employees lfull and/or part-time). * have hired the sub-contractors l' E] New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' 9. E] Building addition [No workers' comp. insurance comp. insurance.♦ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I. Plumbing repairs or additions myself. No workers' comp. right of exemption per MGL y [ t p c. 152,§1(4),and we have no 12.[�Roofrepairs insurance required.] employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#l 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 affida%it 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. I the sub-contractors have employees.they must pro%ide 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 Seif--ins. Lic.#: R2WC943835 _ Expiration Date: 4/27/2019 Job Site Address: 125- MM16-h -ft City/State/Zip: Aja"aiu 6��0 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$250.00 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 providedabove i true and correct Signature: _... Date: /2 -7 - V V )f _.__ . Phone#: 413-203-5888 Oficial 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#: Berkshire Hathaway A"'�"""'t'D I"'" „�„ 5 GUARDCompanies Z��873; [1]Named Insured and Mailing Address Agency PEAK PERFORMANCE ROOFING LLC WEBBER&GRINNELL INSURANCE AGENCY,INC. 1 LONE°IE.D STREET 8 NORTH KING STREET EASTHAMIPTON,MIA 01027 Northampton, MA 01060 Agency Cade: MAPWNI5 Federal Employer's ID 00-1191951 Insured In Umited Uability Co. (ULC) [2] P011ry Period From April 27, 2018 to April 27, 2019, 12:01 AM,standard time at the Insured's mailing address. [3] Coverage A. WorkeW Compensation Insurance-Part One of this policy applies to the Workers'Compensation Law of the following states: Massachusetts B. Employer's Liability Insurance-Part Two of this policy applies to work in each of the states listed In item[3]A. The limits of our liability under Part Two are: Bodily Injury by Accident-each accident $100,000 Bodily Injury by Disease-each employee $1001000 Bodily Injury by Disease-policy limit $500,000 C. Refer to Residual Market Limited Other States Insurance WC200306B Endorsement- D. ndorsementD. This policy includes these endorsements and schedules: See Extension of Information Page-Schedule or Forms [4] Premium The Premium Basis and,therefore,the premium will be determined by our Manual of Rules, C Mcations,Rates,and Rating Plans. All required Information is subject to verification and change by audlL (Continued on another Rage) Total Esdnmbsd Polio/Premium 13,650 Total Svndranaas/A Is 606.00 Total Endmated Cost 8 i 256.00 DIh13WALUSE hoc Page- 1- Intormatlon Page MGA :R2WC943835 WC 000001A Dom :04/04/2018 MANORS zmnwft ONlxm P.O.east A-H,16 S.River 8bvn%VANNO-Rawe,PA 18703-0020•www.0eard corn 6�14 n�� Office of Consumer Affairs and Business Regulation One Ashburton Place- Suite 1301 Boston, Massachusetts' 02108 Home Improvement Contractor Registration Type: LLC PEAK PERFORMANCE ROOFING,LLC. Reostration: 183696 1 LOVEFIELD ST. Expiration: 11/03/2019 EASTHAMPTON,MA 01027 scn, a zaUWn Update Addnxss and Return Card. Of a of Consumer Mairs i Businme Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for NmdNldual use only TYPE:LLC hefore the expiratkm data. B found return to: 131191111101dixt E1@lrlWlm Office of Consumer Affairs and Business Regulation 111311/16 1 U0=19 10 Park Plaza-Suits 5170 PEAK PERFORMANCE ROOFING,LLC. Boston,MA 02116 JAMES FLANNERY 1 LOVEFIELD ST. EASTHAMPTON.MA 01027 Undersecretary t Void Without Signature ConvnonweaMh of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor Unrestricted-Buildings of any use group which contain CS-103061 IEspires:QW2112020 kss than 36,000 cubic feet(001 cubic meters)of enciosed space. JAMES J FUWN4tY 1 W1L LU MS ST HOLYOKE MA 09040 Commissioner CL A Failure to possess a cumett edition of the MUS06husetia State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.maZ54Wv/dpl Contract PER K Peak Performance Roofing LLC — P E R F O R E 1 Lovefield St Data Contract# Easthampton, MA 01027 12/21/2018 738 MA CSU 103061 1 413-203-5888 peakperformanceroofingllc@gmail.com www.peakperformanceruofmgllc.com MA HIC# 183698 Bill To Job Location Steve Sired Steve Sireci 125 North St. 125 North St. Northampton,MA 01060 Northampton,MA 01060 sireci@outlook.com sireci@outlook.com Ph# � X113_(045_ `-►'121 Description Total For Section K,I,and porch. See diagram attached. 8,200.00 1.Remove the existing roof material and inspect sheathing or boards 2.Replace up to 64 square feet of plywood if necessary at no cost.Any additional plywood will be$60 per sheet installed 3.Install six feet of ice and water shield at eaves and valleys 4.Cover remaining roof with Certainteed'Roof Runner"synthetic underlayment 5.Install 8"aluminum drip edge on eaves and rake edges 6.Install architectural shingles by Certainteed(Landmark)30yr rated https://www.certainteed.com/residential-roofing/products/landmark/ Color Choice: (� 7.Install ridge vent 8.Install new Flintlastic SA rolled roofing by Certainteed on low slope porch roof 9.Complete all necessary flashings including new pipe boots Remove all debris from premises,and throughout the job,continue cleanup and keep the premises undamaged. Contractor will obtain building permit.Installations are weather permitting. Porch roof--$2,950 Slope"K" =$3,450 Slope"I"=$1,800 Total cost=$8,200 A deposit of$4100 is due at contract signing. The balance shall be due upon completion. Accounts past due 14+days subject to 2%finance charge monthly. *We are not responsible for dirt/debris that may fall into attic.Please check for debris after dumpster is removed.* Total: Contractor Signature: Cu r Signature: Date:' kl9 $8,200.00 x/201 S FullSizeRenderjpg -D H L ! 'K X 1 1 A 1 t 1 C G F w S hitps://mail.google.com/maiVu/0/#search/sires/FMfcgxwBTjvNGnSctZVIxLsSUnDcfDq?projector=l 1/1