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16C-034 (4) BP-2022-0843 394 SPRING ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 16C-034-001 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-2022-0843 PERMISSION ISHEREBYGRANTEI TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 16250 LLC CS-103061 Const.Class: Exp. Date:09/21/2022 Use Group: Owner: BLYTH BLYTH PHILIP F&MARTA P BIRD Lot Size (sq.ft.) Zoning: URA/WSP Applicant: PEAK PERFORMANCE ROOFING LL Applicant Address Phone: Insurance: 1 LOVEFIELD ST 413-203-5888 R2WC202869 EASTHAMPTON, MA 01027 ISSUED ON:07/19/2022 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 VIOL• TION OF ANY OF ITS RULES AND REGULATIONS. Signature: I )21 Irk l � Fees Paid: $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner DocuSign Envelope ID:865E6CB7-B347-4ADB BOBF-1D011968D807 The Commonwealth of , - t Board of Building Regulations and , • JUi 18 i PD Massachusetts State Building Code, SO iv- , 2('^9 j L)7'X l bFP Building Permit Application To Construct,Repair.Renu ' , - ' . a Revised 2011 One-or Am-Family Dwelling ti�MpronG,,$Pt - This Section For Official Use bnit Building Permit Number S P-A1.- ly j _ I Date Applied:_4(tpli&A - _ _ � as luslideg Official Naas Signature SECTION 1;SITE INFORMATION IA P 1• aress:lAi ' 1,2 Asrsso�Map k Pttrod rtim�t�,MapNumber Parcel Mamba 1 l.la Is tb"� as accepted street?yes �� 1.3 ZoningIaforrmation: IA PropertyDiniensions: Awing District Proposed Use Lin Ares(sq ft) Prortitgs(*) 1.5 Building Setbacks(f t) Front Yard Side Yards Rear Yard Requited Pnwided Required Provided Required Provideld 14 Water Supple:(M.G.L e.40.134) 1.7 Flood Zone laforasattos: 1.S Sewage Disposal*comp: Public 0 Private O Zane — Outside Placed 2uas7 Mualeipsi 0 On sit:dispon i wakes O Check ifyes0 SECTION 2: PROPERTY OWNERSHIP' "vor al* (toot& 144- Nsaat ) City,State,zit''511,4)Vilf ‘1.14.11441n, weirtiy,01 ovNigovi No,sped l ere Httiltli MaCH SECTION 3:DESCRIPTION OP PROPOSED WORKS(dteck all atat apply) - New Construction 0 Existing Building 0 Owner-Occupied 0 1 Repairs(s)Wi Alteration(s) 0 rAddi,in Cl Demolition 0 s Accessory Bldg.0 Number o(Ualta Other 0 Specify:if-fortf Brief Dcsctipti• i of Proposed Work' I .,a ! '. ' /� . , I r. , „ '.A !i 1`, .. - -- ,. r 0 d irk! ..rw,��+r.1++/1►r SECTION 4:EMTIMA r r CONSTRUCTION COSTS Item Estimated Costs; cial Use 4tt►1y (Labor and Materials) I.Building s LL 1. Building Permit Foe S Indicate bow tee is dt fined: Z.Electrical S 1`� 0Standard Citylrown Application Pee 0 Total Project Cost.'(horn 6)x multiplier x 3,Plumbing ` S ; 2. Other Pees: S r--- a.Mechanical (I3VAC) S . List:,„ S.Mechanical (Fire s Total All P Suppression) ett Cost: S , f/� Check No. VCheck Amount lo Cash Amount: 6.Total Proj _ ' {D1 i/7V is Paid in CO Outstanding Balance Due; ..,,,,,_„ DocuSIgn Envelope ID:865E8C87-8347-4A003-BOBF-1D011988D807 SECTION 5: CONSTRUCTION SERVICES 5.i �on `CSL) _C% ram qI 2c l�- JAN T 1ZANj ac Neer 'Expiration Dice Name o•CSL}colder List CSL Type(see heloul y / _ No. tree t Type Description Fv0 �/�..� _ fJ Lkue tretvxl(Raikiin pa etie I5,IXiO t It.) It Restricted 1d&2 fanny Dwc lint Cleyrrown. "gate.ZIP E hi Ma, . 3 RC Roofing Caveriaatx . I WS Window and Siding itr)) 1,(4. 4-t {3 SF Solid B:unin Appliances Telephone D Demolition 5.2 Regider Home Improvenii t r is o 4 3 ii s 2-35P }'� MC Registration Number Expwd Date HICeCo�t -OY(/11L R Nmrr l,4%1�' G ice'` M� (�v,�1 1 a0 2 l Email City/Town,State,ZIP Telephone _ SECTION 6:WORKERS'COMI'E►SAT1ON INSURANCE AFFIDAVIT(MALL.c.1S2,f 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will resuk in the denial of the Issuance of the building permit. Signed Affidavit Auacbed? Yes 0 Na 0 SECTION 7a:OWNER AUTHORJZATION TO BE COMPUTES)WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT �j� 4 1,as Owner of the subject property,hereby authorizt,� �,f �1 1Q r� y` -t►-4'—If.in all matters relative to work authorized by this building emit application. 7/6/2022• iA2O27Fe74eue:2 Prim Owner's Namr(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION _ _ ._ DECLARATION By entering my name below.I hereby attest tinder the pains and penalties of perjury that all of the information contained in this application is try and accurate to the se of my knowledge and understanding. 1 ,ii v '3 , Ne&44 �• __ UPI/ Print Own ,or Arrtborired Agaves (Elects Signature) - e I. An Owner who obtains a building peanut to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will gnat have access to the arbingniotb program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at • www,massInvioca Information on the Construction Supervisor License can be found at wvvty masss. ov/dt } 2. When substantial worts is planned,provide the information below: — 3 Total floor area(sq,ft.) (including garage,finished basemerst/attics,decks or porch) Gross living area(sq.ft.) Habitable room count _ Number of fireplaces Number of bedrooms Number of bathrooms Number ofhelf/battrs Type of heating system ' Number of decks/porches Type of cooling system Enclosed Open 3, 'Total Project Square Footage"may be substituted for"Total Projeci Cost" •.p• t- s , 'tiff The City of Northamp ton .-tz,--.0„ . V` Building Department ��," �� 212 Main Street %ra+9R1 o 3'0°1' Northampton, Massachusetts 01060 Phone(413) 587-1240 Fax(413) 587-1272 CONSTRUCTION DEBRIS AFFIDAVIT FIDAVIT (FOR ALL DEMOLITION AND RENOVAT ION PROJECTS) In accordance with the provisions of MGL c40, s54, 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, s150A. The debris will be disposed of in: , � I akl . Location of Facility e,6114A4// Sr _A) L a44 The debris will be transported by: Name of HaulerAK t TONI Signature of Applicant: ri4211 Date: i `, r."k UGwom,ewoe 7% e/ f4a e,lf f 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 LOVEFIELD ST. Expiration: 11/03/2023 • EASTHAMPTON,MA 01027 Update Address and Return Card. SCA/ 0 2 06/17 Orlfea of Cornsomef iAffairs 38uslness Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:LLC before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 183698 11/03/2023 1000 Washington Street -Suite 710 PEAK PERFORMANCE ROOFING.LLC Boston,MA 02118 1 FL ST. LOVEFIELD 1 LOVEFIELDLD ST. EASTHAMPTON,MA 01027 Undersecretary Not valid without signature Yz Commonwealth of Massachusetts 10/ Division of Professional Licensure Construction Supervisor Board of Building Regulations and Standards Unrestricted-Buildings of any use group which contain :onstruction SuferwaJr less than 35,000 cubic feet(991 cubic meters)of enclosed space. CS-103061 Expires' 09121t JAMES J FLANNERY • 1 WILLIAMS ST HOLYOKE MA 01040 Q ✓Z Failure to possess a current edition of the Massachusetts Commissioner CI"— State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpl 'Rst irtQw.4 d a c1v. O6I I Ye- • A�RD® CERTIFICATE OF LIABILITY INSURANCE DATE(MM1DD/YYY1) 05/12/2021 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: Webber&Grinnell PHONE Ext): (413)586-0111 FAX No): (413)586-6481 8 North King Street E-MAIL aedgett@webberandgrinnell.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC S Northampton MA 01060 INSURER A: Admiral Ins Co/BRECK INSURED INSURER B: Plymouth Rock Assurance 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 06/2022 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POUCY NUMBER (MM/DD/YYYY) (MWDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1'�'� 300 CLAIMS-MADE XI OCCUR PREMISES(Ea' GE TOENTED occurrence) $ '000 MED EXP(Any one person) $ 5,000 A CA00003521803 ' 07/07/2021 07/07/2022 PERSONAL&ADV INJURY $ 1'0'0 GENT_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2'000'000 XIPOLICY 1-1 JEa LOC PRODUCTS-COMP/OP AGG $ 2'000'0 OTHER: Employee Benefit $ 2,000,000 AUTOMOBILE UABIUTY SONBNMt33SINBlE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ B OWNED X SCHEDULED PRC00001007091 06/27/2021 06/27/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XHIRED Ng, NON OWNED PROPERTY DAMAGE $ AUTOS ONLY /.... AUTOS ONLY (Per accident) Medical payments $ 5,000 UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE `$ DED RETENTION$ $ WORKERS COMPENSATION X PEASTTUTE 0TH- ER AND EMPLOYERS'LIABILITY Y/N C ANY PROPRIE BER EXCLUDED?R/PARTNERJEXECUTIVE [1 OFFICER/MEMB N I A R2WC202869 04/27/2022 04/27/2023 E.L.EACH ACCIDENT $ 500'000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 509'000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500.000 WC:James Flannery is excluded DESCRIPTION OF OPERATIONS I LOCATIONS I 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 POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts L Department of Industrial Accidents ►c at Office of Investigations } 4 , 600 Washington Street '—' Boston,MA 02111 �; . . ♦ www.mascgorldia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name tHusiness.lOrganizationfindividuai Peak Performance Roofing, LLC Address: 1 Lovefield St. Cit !State/Zip: Fasthampton, MA 01027 Phone #: 413-203-5888 Are pm an employer? Check the appropriate box: Type of project(required): 1.VI am a employer with 4 4. n 1 am a general contractor and 1 employees(full and/orport-tune): have hired the sub-contractors b. El New construction 2.[1 I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance con,.insurance. * 9. Li Building addition required.] 5. [] We are a corporation and its 10.0 Electrical or additions 3.0 I am a homeowner doing all work oft have exercised their i i 0 plumbing or additions myself.[No workers' comp. right of exemption per MOL 12.gRoof repairs insurance required.] r e. 152,.1(4),and we have no 13.(-]()tiros employees.(No workers' ccnnp_insurance required 'Anp applicant that checks box X t muse afro fill ou the s cuc,n WOW ahtrwine tiuir workers'cootpctaation policy information. 'Homeowners who submit this attidasit indicating thes are doing all work arid met;hire outside contractors must submit a new attidasit !sett, 'Contractors that check this box reknit attached an;alditioa jl sleet s►wwing the Striate of tilt'sub.-conth torn and uGeu whethcr ur not rho-, r r=titles has employees. It the sub-contractors have ei plowces.the, mum firm,hie their workers'Bump.polies member. 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 s or Self-ins.Lie,s:_ R2WC20286 9 Expiration Date 2. Job Site Address: �' r��� City/$tate,zip Attach a copy of the workers'compensation policy declaration page(sliming 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 imp!isonment.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: , Lo Ti Phone#: 413-203-58B8 J Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit1License issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityll own Clerk 4.Electrical Inspector 5.Plumbing Inspector- - 6.Other Contact Person: �.._ u__ ('hone#: ___,_.--___- r • ."` ♦ •.. • t • t .e• ~' ' 1• I. I. s • ' e t DocuSign Envelope ID 865E6CB7-B347-4ADB BOBF-1D011968D807 Peak Pledosmwce Roofing LI,C 1 Lovefield St. P E K Easthampton,MA 01027 413-203-5888 pERFO R ..�..� CEpeakperfonnanceroofingilc@gmail.com R • OFING MA MC st183693 MAC ff1O3O6l Contract ADDRESS coin IAt'.T P 10728 Marta Blyth DATE 07 Al 2 394 Spring St. Florence,MA 646-919-6000 nutria.blythe'small coin Xl6 LAC.A17i0N 394 Spring St.Florence.MA DESCRIPTION This estimate is for a full replacement of the house roof 1.Remove the existing roofing shingles 2.Inspect the sheathing for any rot or deterioration.Any new plywood necessary will be$100 . , sheet installed.Any new roofing boards will be$6 per font 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)https://www.certainteed.com/residential-raafing/produrts/landmark-pro/ COLOR CHOICE:MAX DEF PEWTERWC)OD 7.Install Shingle Vent 11 ridge vent on peaks of roof(where applicable) https://www,certainteed.cam/residential-roofing/productsJcertainteed-ridge-vent-12-filtered/ 8.Complete all necessary'lashings including new LIFETIME pipe boots and base flashing • nd chimney and dormer Total: Landmark PRO shingles=$16,250 Includes CertainTeed Lifetime Limited Warranty (Transferable)with 10 year SureStan period, https://www.certainteed.com/resourres/Asphalt_Wwranty CTR3782_1912.. ?.pdf DocuSign Envelope ID:885E5C87-3347-4ADB-BOBF-1 D011968D807 DESCRIPTION httpsa/certainteed.showpad.com/share/FujWoUnUwAfvG558w 1 E7P/0 Remove all debris from premises,and throughout the job,continue cleanup and keep the pr s undamaged. WE ARE NOT RESPONSIBLE FOR DEBRIS THAT MAY FALL INTO ATTIC.Please use $ <ble caution during the installation process: do not walk or drive under active work,or on areas of - ial roofing debris.Peak Performance Roofing will obtain the building permit.Installations are we- r permitting;inclement weather will cause scheduling delays. Total= 16,250 A one-third deposit of$5,416 will secure contract,permitting,material order,and priority sc uling. The balance shall be due upon completion,within 10 days of invoice. Accounts outstanding er 30 days subject to 2% finance charge monthly. Warranty confirmation shall be provided upon final payment. Installation and manufacturer w ties are not in effect until Paid In Full. ,_.-DocuS4t by TOTAL $16,250.00 e.—s,�_xrrer�u.sc� 7/6/2022 Accepted By Accepted Date