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17C-061 (8)
BP-' 022-1415 181 CHESTNUT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17C-061-001 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-2022-1415 PERMISSION IS HEREBY GRANT, D TO: Project# ROOF Contractor: License: PEAK PERFORMANCE ROOFING Est. Cost: 14535 LLC CS-103061 Const.Class: Exp.Date: 09/21/2024 HOLLENDER GABRIELL E&CATAL NA Use Group: Owner: BESTARD ROTGER Lot Size (sq.ft.) Zoning: URA Applicant: PEAK PERFORMANCE ROOFING LL Applicant Address Phone: Insurance: 1 LOVEFIELD ST 413-203-5888 R2WC342657 EASTHAMPTON, MA 01027 ISSUED ON: 11/01/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-SHINGLE 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 VIO ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Atk1 1N1 r Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner DocuSign Envelope ID:DF27A109-051D-405A-8969-001B38A3405A .r / cFi The Commonwealth of Massac `/"� t7 // Board of Building Regulations anS .+ N v r CIF II,Y Massachusetts State Building Code,7: ►' Building Permit Application To Construct,Repair,Reno 9 .), • •fish a :red , 2011 One-or Two-Family Dwelling T oti/4,sA This Section For Official Use Only Building Permit Number. 46 iO-X]-/ -/i S Date Applied: /Gtuto.-.) 455 /�� l i- i-26ZZ Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 181 Chestnut Street, 1.2 Assessors Map& Parcel Numbers Florence /7 a— ©( I 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 Arca(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.G.L c.49,554) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: .1 Public❑ Private 0 Zone: Outside Flood"Gone? Municipal 0 Un site disposal system U Checli if yes17 SECTION 2: PROPERTY OW'NERSHIP' 2.1 Owner'of Record:Gabrielle Hollender Florence, MA same(Paint) 181 Chestnut Street city,share.ZIP ghollender@gmail.com, 413-584-0848 ph 148 @ aol.com 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 I Alteration(s) ❑ Addition 0 Demolition CI Accessory Bldg.❑ Number of Units Other 47 specify: Roofing Brief Description of Proposed wore Strip and replace asp a roo on house. emor SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building S 14535 1. Building Permit Fee:S Indicate how fee is determined: ' 2,Electrical 1 S 0 Standard City/Town Application Fee O Total Project Costa(item 6)x multiplier x 3.Plumbing S 2. Other Fees: S 4.Mechanical (I-IVAC) S List: 5.Mechanical (Fire S Suppression) Total All Fees:S _ (� 14535 Check No. y eck Amount: /V Cash Amount: 6.Total Project Cost: S 0 Paid in Full El Outstanding Balance Due: DocuSign Envelope ID:DF27A109-051D-405A-8989-001B38A3405A SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ' - CSL-103061 09/21 2 2 James J. Flannery License Number Expiration Date Name of CSL Holder U List CSL Type(see below) No.andrect Type Description Holyoke, MA 01040 U Unrestricted(Buildings up w 35,000 ca. ft.) R Restricted I L2 Family Dwelling Cityrt own,State,ZIP M Masonry RC Roofing Covering WS Window and Siding 413-203-5888 peakperformanceroofingllc@gmaiI.corn SF Solid Fuel Burning Appliances i Insulation _ Telephone Email address D Demolition 5.2 �e�ak er ormance oo ing, LLI.r(HiG) 183698 11/03V2023 I IIC Rceistration Number antra Date HIC myatty finya e tTC Registram Name peakperformanceroofingllc@gmai.com No.and Street Eea rCslt hampton, MA 01027 413-203-5888 Email address City/Town, State,ZIP Telephone 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? Yeai No O 1 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT J,as Owner of the subjectherebyauthorize James J. Flannery/ Peak Performance Roofing LLC property, to act on my behalf,in all matters relative to work authorized by this budding permit application. �o«...alteiltiA1ty 10/24/2022 Print Owner's Name(Electronic Signature) p� SECTION 7b:OWNER1 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 rue and accurate to the best of my knowledge and understanding. James J. Flannery 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(HJC)Program),will riot 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 www.mass.gov/oca Information on the Construction Supervisor License can be found at ww'tv,mass.£ov/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 heating system - Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" , .�. ti4/9 ialeet///. e>liA 14 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; 1 1 LOVEFIELD ST Exprabori; 11IID10023 EASTHAMPTON,MA 01027 Update Address and Return C.rd. SCA a0 yj 7 Offic of Consumer Affairs a us-Mess Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:LLC before the expiration date. if found return to: Regiskion EEptralt•ion Office of Consumer Affairs and Business Regulation 183698 11/03/2023 1000 Washington Street Suite 710 PEAK PERFORMANCE ROOFING.LLC Boston,MA 02118 1. JAMES FLANNERY � M I 1 LOVEFIELD ST. ,` .ii::r;•w i.=% r" EASTHAMPTON,MA 01027 Undersecretary Not valid without signature ® .. Ccmmonwedlth of Massachusetts . ...._ . Division of Professional Licensure Construction Supervisor Board of Building Reyufdtwns and StanrfdrUa Unrestricted-Buildings of any use group which contain iess than 35,000 cubic feet(991 cubic meters)of enclosed space CS-103061 Expires 09/2IJZ Z.4 JAMES J FLANNERY 1 WILLIAMS ST HOLYOKE MA 01040 ` I Failure to possess a current edition of the Massachusetts Commissioner C-4L State Building Code is cause for revocation of this license. For information about this license Call(817)727-3Z00 or visit www.tnass.gov/dpl frioochtm . ai 61127 (;Ou i e-" ru,rd lee‘ce,a c4-146 a ilfrt. Ocif671(4-1) (4/1 q/ i ( ôLL - ACC.RO CERTIFICATE OF LIABILITY INSURANCE DAM 2114/ 'YY 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 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 I NO 1EACT Adina Edgett, CISR { Webber 5 Grinnell jNC."NQ.ExO. (413)586-0111 I FAX (p.c.„jf, (411 lsaa su1 8 North King Street nloaless aedgett@webberandgrinnell.com I INSURERIS)AFFOFWWG COVERAGE -Ir- NAIC• Northampton MA 01060 INSURER A:CrUm & Forster Specialty/BRECK !i INSURED INSURER B:Plymouth Rock Assurance 114737 _ 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: I COVERAGES CERTIFICATE NUMBER:Exp 06/23 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. IR r TYPE OF INSURANCE , g K EF F y POLICY NUMBER Y , POLICY EXP LTR I I YYYY1 LIARS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAE TO RENTED . A i--- I CLAIMS-MADE IX I OCCUR PREMISES�Ma oc 1 S 100,000 0L0089451 7/7/2022 7/7/2023 MED EXP(Any Dm parson) S 5,000 PERSONAL$/WV INJURY S 1,000,000 OENLAOGREOATE UMIT APPLIES PER: ! GENERAL AGGREGATE $ 2,000,000 I I POLICY El gig LOC �~ PRODUCTS•COMP/OP Auq_ $ 2,000,000 WHEN $ AUTOMOBILE LIABILliy COM&NEO SINGLE UNIT $ 1,000,000 Ma sc.cklonn B ANY AUTO BODILY INJURY(Poi pamor0 S ALL OWNED SCHEDULED PRC00001007091 4/27/2022 6/27/2023 BODILY INJURY(Per accld.sr) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PR PERTY DAMAGE S AUTOS IPm sICCIder10 Mader paynwly I S 5,000 UMBRELLAUAB OCCUR EACH OCCURRENCE $ . EXCESSI.IAB ®. CLAIMS-MADE AGGREGATE f DED RETENTION I S WORKERS COMPENSATION XE ` AND EMPLOYERS'LIABILITYN Y/ _ — ANY PROPRIE TOR'PARrNEWEXECUTNE E.L.EACH ACCIDENT $ 500,000 I OFFICER/MEMBER EXCLUDED? n N/A I C 1(Mandatory lnNH) R2WC342657 4/27/2022 4/27/2023 E.L.DISEASE•EA EMPLOYEE $ 500,000, II yes Describe under DESCRIPTION OF OPERATIONS below ,lames Flannery is excluded E.L.DISEASE•►OUCY LINT $ 500,000 DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101.Additional Remarks Schedule.may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELED WORE Proof of Insurance THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE �J 1�. W Grinnell, CPCU, CIC i.IL -) Syr?LL4/ © 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025 IZIN The Commonwealth of Massachusetts - ,..,_ Department of Industrial Accidents w :-. Office of Investigations Ei 600 Washington Street Boston,MA 02111 www,mass.govldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electric"• $ ' :$., $ • . Applicant Information Please Print ' Name (Business/Orginizati vidttal): Peak Performance Roofing, LLC Address: 1 Lovefield St. j City/State/Zip: Easthampton, MA 01027 Phone#: 413-203-5888 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with_ 4 4. 11 I am a general contractor and I 6_ ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [,] Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers'comp.insurance comp.insurance. required.] 5. ❑ We arc a corporation and its 10.❑Eiectnieal • .' s or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing r r or additions myself.[No workers"comp. right of exemption per MGL 12.[l/7Roof repairs insurance required.) ` t.. 152,if 1(4),and we have no employees.[No workers' 13.0 Other _-,___.,, w_ comp_insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers"compensation policy inlarsrtaiion. — Homeowners who submit this atftdasit indicating they arc doing all work and then hire outside contractors must submit a new affidavit' . sting such, 'Contractors that cheek 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 tmploveel..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 I or Self-ins.Lic.I: R2WC202869 _ Expiration Date: �04/27/20 3 . .. Job Site Address: i "6 I (A --t— City/StatelZip:��l l/`l/ 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,,erlaltics of a fine up to S1.500.00 and/or one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a line of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the(Mice 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. Sigi re: Dale: 1 villiZi9_ 2.�} Phone t 413-203-5888 � /_ Official use only. Do not write in this area,to he completed by city or town official. City or Town: Permit/License it Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityll'own Clerk 4.Electrical Inspector 5.Plumbing for 6.Other Contact Person: Phone#: .6o1Proy, The City of No thampton `� `1 Building Department � _ .°ate 212 Main Street , os,�r_o s�.E‘�1 Northampton. Massachusetts 01060 Phone (413) 58%-1240 Fax (413) 587-1272 CONSTRUCTION DEBRIS AFFIDAVIT (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: Ve-WPA/N d./(1--K-1-) Location of Facility /V b The debris will be transported by: Name of Hauler 1(fty-S / "2 / —7 Signature of Applicant: „� Date: f DocuSign Envelope ID:DF27A109-051D-405A-8969-001B38A3405A Peak Performance Roofing LLC 1 Lovefield St. Easthampton, MA 01027p E 411k K 413-203-5888 peakperformanceroofingllc@gmail.com PERFORMANCE ROOFING MA HIC #183698 MA CSL#103061 Gabrielle Hollender 181 Chestnut Street, Florence 413-584-0848 ghollender@gmail.com, ph148@aol.corn ESTIMATE# 10828 10/24/2022 JOB LOCATION 181 Chestnut Street, Florence ACTIVITY DESCRIPTION QTY RATE AMOUNT Asphalt This contract DOES NOT INCLUDE the small, flat sunroom. 1 14,535.00 14,535.00 Residential 1. Remove the existing roofing shingles. 2. Install half inch CDX plywood over the whole surface of the roof. 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 Certain Teed: Landmark PRO: MAX DEF CHARCOAL BLACK https://www.certainteed.comiresidential-roofing/products/landmark-prol 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. 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. DocuSign Envelope ID:DF27A109-051D-405A-8969-001B38A3405A ACTIVITY DESCRIPTION QTY RATE AMOUNT 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 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: $14,535 A one-third deposit of $4845 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 $14,535.00 by: LaetiyiR,Lt, (}6I,L,t,tt,,,r 10/24/2022 Accepted By op66gF132A)B434 Accepted Date