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23D-093 (4) 26 NUTTING AVE BP-2020-1078 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23D-093 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-2020-1078 Proiect# JS-2020-001823 Est. Cost: $3950.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JAMES FLANNERY 103061 Lot Size(sg.ft.): 13808.52 Owner: SPENCER NORMAN A Zoning: URB(100)/ Applicant. JAMES FLANNERY AT. 26 NUTTING AVE Applicant Address: Phone: Insurance: 1 LOVEFIELD ST (508) 294-4052 WC EASTHAMPTONMA01027 ISSUED ON.412212020 0:00:00 TO PERFORM THE FOLLOWING WORK.-STRIP & SHINGLE ROOF ON DETACHED GARAGE 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 signature: FeeType: Date Paid: Amount: Building 4/22/2020 0:00:00 $40.00 212 Main Street,Phone(413)587-1240;Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner DocuSign Envelope ID:EC34124F-62CA-4816-AC29-073670C9FD76 :P-COF! Department use only City of Northampton r, r 3 Status of Permit: \ >�{ Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability 3 1�I j Room 100 W'aterJWeN Availability Northampton, MA 01060 �?(y' wo Sets of Structural Plans phone 413-587-1240 Fax 413-587_-1272 Plot/Site Plans - Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OIC DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION _ This section to be completed by office 1.1 Property Address. Map__12__y Lot Unit_ 26 Nutting Ave Zone Overlay District E!:il S .D;i'tr ct CE Distric* __,- SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Norman Spencer 26 Nutting Ave, Northampton MA 01060 Name(Print) Current Mailing Address: DocuSigned by: a Telephone 413-587-0801 Signature 2.2 Authorized Agent: James J. Flannery 1 Lovefield St., Easthampton MA 01027 Name(Print) Current Mailing Address: >11413-203-5888 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only =completed by permit applicant 1. Building $3,950.00 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of ! Con;.tructicrl from (6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) (� 5. Fire Protection 6. Total= (1 +2+3+4 + 5) $3,950.00 Check Number l �� ate -7Thihis Section For Official Use Clint Building Permit Number: P• X -1U / d __ �s�ed: "� �' /� j/ r A An Signature: Building Commissionerlinspector of Buildings Date peakperformanceroofingllc (@ gmail.com EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) _. .. � .. .. ,.,;_ �: .. � 4 .. 1 _ M .. � .. .... .... _. .. .. t � � ... � 3. '...4' .�. ,. ls. .._.... .... .. 1 i, _! ! r < � � _ 1 .. -�• ' i .r �''.• .. � :.. . n.. f �.. .�l DocuSign Envelope ID:EC34124F-62CA-4816-AC29-073670C9FD76 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing Or Doors I] Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [M Siding[O] Other[ol Brief Description of Proposed Strip & re-shingle asphalt roof on detached garage Work: Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a.If New house and or addition to existing housing, complete the following: 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. Dimensions e. 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 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain__Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes.-----,.,..No . I. 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 Norman Spencer I ,as Owner of the subject property James J. Flannery/ Peak Performance Roofing, LLC hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Docusqned by: 4/13/2020 a Signature of Owner Date 1, James J. Flannery 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. James J. Flannery Print Name � I 1 5I Signature of Owner/Agent {j`�' Date !N 4N 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/Electricians/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 you an employer?Check the appropriate box: Type of project(required): 1.R I am a employer with 4 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. EJ New construction 2.El I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g• ❑ Demolition workingfor me in an capacity. employees and have workers' Y P h'• 9. ❑ Building addition. [No workers' comp. insurance comp. insurance. required.]' 5. ❑ We are a corporation and its 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.VRoof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other 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. Berkshire Hathaway Guard Insurance Company Name: Policy#or Self-ins.Lic.#: R2WCO21353 Expiration Date: 4/27/2020 Job Site Address. a(0 Ny Q � City/State/Zip: Nor mk,,.b I V1 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 provided above is true and correct Signature: _ Date: S 2�2D 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#: Workses CompansafJon and Employer's UM biliity Poilicv Berkshire Hathaway "°GUARD Insurance Company-A Stoll`Co. Y Policy Number R2WCO21353 GUARDInsurance Renewal of R2WC943835 Companies NCCI No. [21873] B ] Policy Inbrnmatlon Page(AR) [1]Namad Insured and Mailing Address Agency PEAK PERFORMANCE ROOFING LLC WEBBER&GRINNELL INSURANCE AGENCY,INC. I LDVEFMW STREET 8 NORTH KING STREET EASTHAMPTON,MA 01027 Northampton, MA 01060 Agency Code: MAMAIN15 Federal Employer's ID 00-1191951 Insured Is Limited Liability Co. (LLC) [2] Policy Period From April 27, 2019 to April 27, 2020, 12:01 AM,standard time at the insured's mailing address. 13l Coverage A. Workers'Compensation Insurance-Part One of this policy applies to the Workers'Compensation Law of the fallowing states: Massachusetts B. Employers Liability Insurance- Part TWo of this policy applies to work in each of the states listed In Item [31A. The limits of our liability under Part-TWo are: Bodily Injury by Accident-each accident $100,000 Bodily Injury by Disease-each employee $100,000 Bodily Injury by Disease-policy limit $500,000 C. Refer to Residual Market Limited Other States Insurance Endorsement-WC200306B D. This policy Includes these endorsements and schedules: See Extension of Information Page-Schedule of Forms [4] Premium The Premium Basis and,therefore,the premium will be determined by our Manual of Rules, Classifications, Rates,and Rating Pians. All required information is subject to verification and change by audit. (Continued on another page) TOW Estimated Policy Premium # 31,202 Total Surcherpes/Assessment #, $1,181.00 Total Estimated Cost .00 Il[LERNAL USE xx Page- 1 - Inftwnwom Pepe MGA :R2WCD21353 WC 000001A Date :04/01/2019 MANOTE Issuing Oflles: P.O.Sox A-H,16 S.Rives Street,WINU*-Sarre,PA 18703-0020 0 wwW.OusrdA=n Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLC PEAK PERFORMANCE ROOFING,LLC. Registration: 183698 1 L OVEFIELD ST. Eviration: 11/03/2021 EASTHAMPTON,MA 01027 Update Address and Return Card. SCA 1 O 20M-W17 Office of Comumer Affairs 0 Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the wMiration date. If found return to: Bil9LstimMan Et ration Office of Consumer Affairs and Business Regulation 1831118 11/03/2021 1000 Washington Street -Suite 710 PEAK PERFORMANCE ROOFING,LLC. Boston,MA 02118 JAMES FLANNERY J 1 LOVEFIELD ST. wrt' EASTHAMPTON,MA 01027 undersecretary NJ valid without Ignature ® Commonwealth of Massachusetts -- Division of Professional Licensure Construction Supervisor Board of Building Regulations and Standards Unrestricted-Buildings of any use group which contain less than 36,000 cubic feet(981 cubic meters)of enclosed space. CS-103061 Wirm=214020 JAMES J FL.ANNERY 1 WILLIAMS ST HOLYOKE MA 01048 / Failure to possess a current edition of the Massachusetts l/'L"`' State Building Code is cause for revocation of this license. Commissioner For information about}his license Call(617)727-3200 or visit www.mass.gov/dpi DocuSign Envelope ID:EC34124F-62CA-4816-AC29-073670C9FD76 Peak Performance Roofing LLC 1 Lovefield St. PE �� Easthampton, MA 01027 413-203-5888 P E R F O R CE peakperformanceroofingllc@gmail.com • • MA HIC#183698 MA CSL#103061 Contract ADDRESS CONTRACT# 10067 Norman Spencer DATE 04/08/2020 26 Nutting Ave Northampton,MA 01060 normspen@juno.com 413-587-0801 JOB LOCATION 26 Nutting Ave,Northampton DESCRIPTION AMOUNT -This contract is for the detached garage and excludes one of the newly shingles slopes. 3,950.00 Includes basement entry roof- (l.) Remove the existing roofing shingles (2.)Inspect the plywood for any rot or deterioration. We will provide up to 64 square feet of plywood at no cost. Any additional plywood will be $75 per sheet installed (3.) Cover entire roof with synthetic underlayment (4.) Install new 8" aluminum drip edge on all eaves and rake edges (5.)Install architectural shingles by Certainteed(Landmark) http://www.certainteed.com/residential-roofing/products/1 andm ark/ Color Choice: Moire Black 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. Please use caution during the process; do not walk/drive under active work or on areas of potential roofing debris. Contractor will obtain building permit. Installations are weather permitting. Long periods of inclement weather will cause scheduling delays. Total: Landmark shingles=$3,950 A deposit of$1,975 is due at contract signing. The balance shall be due upon completion. Accounts outstanding over 10 days past final invoice date subject to 2% finance charge, compounded monthly. TOTAL $39950.00 Accepted By Docusigned by: Accepted Date 4/13/2020 �CW627MB134E5... . , aY��+..{,r�� r�, F r,�i�� b# "rm',� � l' 'moi:' '"'` `� � y ,+ � 7 4 -'PN!� •ti'•:.+,1� a?!.� ^�,''� X .., 4"• ',.V+,. *fit•, a�ea�,.2��.� ;"F yr,,.,M �L� , 1 t' ,� �• �"',A,,'�"'i ,t.r � �" r r !'.•�� .� y{` ,� ` � I .fes!a s ,�-'_ f"' ;" 5Y°r irr• � ;. `, � it,.) ... r a �i. I}, �) +A ar4� �'Nl'FY4 � 'r' y , a a t �4 s. k t_ ry.��il,� 'N ,�� _ .. .. �,._. .. -' 1 ...rY .. �... ti. •- ,. � ,. '� DocuSign Envelope ID:EC34124F-62CA-4816-AC29-073670C9FD76 City of Northampton �,✓p Massachusetts « DEPARTMENT OF BUILDING INSPECTIONS 2 212 Main Street •Municipal Building Northampton, MA 01060 vi FJW �`1�Co 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: 26 Nutting Ave, Northampton (Please pr;nt h-luse number and street r.ame) 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: Aaron's Roll-Off, 1 Loomis Way, Easthampton MA 01027 (Company Name and Address) � 1s U-�V Signature of Permit Applicant or Owner Date 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. DocuSign Envelope ID:EC34124F-62CA-4816-AC29-073670C9FD76 SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ CS-103061 Name of License Holder: - License Number James J. Flannery 09/21/2020 Acdress Expiration.Date I lui��ill►115 S Holyoke MA 01040 Signature Telephone 413-203-5888 9 Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number Peak Performance Roofing, LLC 183698 Address Expiration Date 1 Lovefield St., Easthampton MA 01027 Telephone 413-203-5888 11/03/2021 SECTION 10-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....... L/ No...... ❑