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17D-021 (16) BP-2024-1285 105 STRAW AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17D-021-001 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-2024-1285 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2024 Contractor: License: PEAK PERFORMANCE ROOFING Est.Cost: 8865 LLC CS-103061 Const.Class: Exp.Date:09/21/2026 Use Group: Owner: WILLEM SYSTMA Lot Size (sq.ft.) Zoning: URB Applicant: I'I:AK PERFORMANCE ROOFING LLC Applicant Address Phone: insurance: 1 LOVEFIELD ST 413-203-5888 R2WC493286 EASTHAMPTON, MA 01027 ISSUED ON: 10/03/2024 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: /4/"P Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Buildine Commissioner Docusign Envelope ID:79707CFA-2EA5-45CA-BCF1-CD5EA2964550 �\C C oej \1 The Commonwealth of Massachusetts 2 , 4°� 't Board of Building Regulations and andar`ds. 2Q FOR �l Massachusetts State Building Code, �il'i":�,.,,, CII' ITY .,. n . U Building Permit Application To Construct,Repair.Renovate r "^tf5 , iscd ar 2011 One- or Two-Family Family Dwelling 4 ij'c;;, - This Section For Official Use Only Building Permit Number. 4 iy-"/d P Date Applied: Si-ve '' '' nv SDK /v.--2.y Building Official(Print Name) S _ ature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 105 STRAW AVE., FLORENCE / 20 ..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 Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) f Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: Outside Flood Zone? — Municipal D On site disposal system 0 Check ifycs0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Amanda Sidman & Will Sytsma Northampton Name(Print) City,State.ZIP 105 STRAW AVE 814-812-2333 A.sidman4789@gmail.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 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Works: Strip and replace asphalt roof . on house. I SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only' (Labor and Materials) 1.Building S 8865 1. Building Permit Fee: $ Indicate bow fee is determined: 2.Electrical S 0 Standard City/Town Application Fee 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing 1 $ 2. Other Fees: S 4.Mechanical (IIVAC) 1 S List: 5.Mechanical (Fire $ .{�( Suppression) Total All Fee l^ tp Check No.411 0 Check Amount: Cash Amount: 6.Total Project Cost: $ 8865 0 Paid in Full 0 Outstanding Balance Due: Docusign Envelope ID:79707CFA-2EA5-45CA-BCF1-CD5EA2964550 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS-103061 09/21/2026 James Flannery ( License Number Expiration Date Name of CSL Holder ? U List CSL Type(see below) 1 Lovefield St.No.and Street Type Description U Unrestricted(Buildings up to 35,000 c;t.ft.) Easthampton. MA 01027 R Restricted t&:2 Family Dwelling Cityffown,State,ZIP •I M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 413-203-5888 peakperformanceroofinglIc@gmail.com 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(FfIC) 183698 11/03/2025 James Flannery/ Peak Performance Roofing LLC EIIC Registration Number Expiration Date HIC Company mg or HiC Registrant Name 1 Lovefield St. peakperformanceroofingllc@gmail.com No.and Street Email address Easthampton, MA 01027 413-203-5888 City/Town,State,.ZIP Telephone SECTION 5: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 O SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,herebyauthorizeJames Flannery/Peak Performance Roofing LLC to act on my behalf,in all matters relative to work authorized by this building permit application. 9/27/2024 rani wner's Name(Electronic 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 knowledge and understanding. James Flannery )sawei Rar.nert 9/24/2024 IPrint 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(HIC)Program),will not have access to the arbitration program or guaranty find under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.ttovioca Information on the Construction Supervisor License can be found at www.mass.gov/dps 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" The Commonwealth of Massachusetts It• _ — . Department of Industrial Accidents r 1 1 1 Congress Street,Suite 100 - T Boston, MA 02114-2017 • ,44 www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):PEAK PERFORMANCE ROOFING, LLC Address: 1 LOVEFIELD STREET City/State/Zip:EASTHAMPTON, MA 01027 Phone #:413-203-5888 Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with 4 employees(full and/or part-time)." 7. New construction '_.❑1 am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.El I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 10 p Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or arc sole 1 1.Q Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.IN Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.�We are a corporation and its officers have exercised their right of exemption per MGL c. 14.00ther 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that cheeks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they arc 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. Insurance Company Name: Crum&Forster Specialty Insurance Company Policy#or Self-ins.Lic.#:R2WC551056 Expiration Date:04/27/2025 Job Site Address: 105 Straw Ave, Florence City/State/Zip: FLORENCE, MA Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.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: James J Flannery Date: 9/27/2024 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#: 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: 105 Straw Ave, Florence The debris will be transported by: Aaron's 24/7 Towing and Roll-On The debris will be received by: Valley Recycling Building permit number: Name of Permit Applicant Peak Performance Roofing LLC/James Flannery 27 2024 James Flannery Date Signature of Permit Applicant AC(-- RL'b CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 111......----- 06/28/2024 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 Edged Alera Group,Inc. PHONE Eel) (413)586-0111 FAX No): (413)586-6481 8 North King Street E-MAIL adina.edgett@aleragroup.com ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC I Northampton MA 01060 INSURER A: Crum&Forster Specialty Insurance Company INSURED INSURER B: Safety CAR Peak Performance Roofing,LLC INSURER C: WCAR-Guard Attn:James Flannery INSURER D: 1 Lovefield Street INSURER E: Easthampton MA 01027 INSURER F: COVERAGES CERTIFICATE NUMBER: Exp 07/25 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 ADOL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE E OCCUR PREMISES(Ea occurrence) $DAMAGE 10 RENTED 100,000 - MED EXP(Any one person) S 5'� A GL/TBD 07/07/2024 07/07/2025 PERSONAL 8 ADV INJURY $ 1.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY n JE° 0 LOC PRODUCTS-COMP/OP AGG S 2.000,000 OTHER: S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ - B OWNED SCHEDULED 5935522/NYR 06/27/2024 06/27/2025 BODILY INJURY(Per accident) S AUTOS ONLY X AUTOS HIRED N/ NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY AUTOS ONLY (Per accident) Medical payments S 5,000 UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE (Y/N E.L.EACH ACCIDENT S 500,000 C OFFICERAA EMBER EXCLUDED? I ' 1 N/A R2WC551056 04/27/2024 04/27/2025 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE S 500,000 If yes.describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS i 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 ICY .' 7.4 O' I 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ® Commonwealth of Massachusetts Construction Supervisor Division of Occupational Licensure Unrestricted-Buildings of any use group which contain less than Board of Building Regulations and Standards 35,000 cubic feet(991 cubic meters)of enclosed space. Constki ok4iipprvisor r CS-103061 Expires:09/21/2026 JAMES J FLQNNERY .t 1 LOVEFIELf3 ST EASTHAMPTON MA 01027 If 1::',' O /)1,Lt'.t:1�� Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commissioner 9 i//.s--. Contact OPSI:(617)727-3200 or visit www.mass.gov/dpllopsi Docusign Envelope ID:79707CFA-2EA5-45CA-BCF1-CD5EA2964550 Peak Performance Roofing LLC 1 Lovefield St. P E Easthampton, MA 01027 413-203-5888 PERFOR CE peakperformanceroofingllc@gmail.com ROOFING MA HIC#183698 MA CSL#103061 Contract ADDRESS CONTRACT# 11307 Amanda Sidman & Will DATE 09/24/2024 Sytsma 105 Straw Ave. Florence 814-812-2333 A.sidman4789@gmail.com JOB LOCATION 105 Straw Ave., Florence DESCRIPTION EXCLUDE FLAT AREAS SEE #8 FOR IMPORTANT DETAILS Peak Performance Roofing will provide the labor and materials to perform the following: 1. Remove existing materials from the roof area. 2. Inspect sheathing for compromised areas. Install plywood as needed at+$60 sheet or$6/ft for board replacement. 3. Install Ice/Water Shield (6 feet on eaves, 3 feet in valleys/around penetrations). 4. Apply Synthetic Underlayment to remaining roof areas. 5. Install 8" aluminum drip edge to all eaves and rakes. 6. Install architectural shingles by CertainTeed: Landmark PRO Shingles COLOR: TBD 7. Install Shingle Ridge Vent II in designated areas. 8. Complete all necessary flashing, including an assessment of all areas including the flat sections—to determine if additional flashing is needed. Install new base flashing for the chimney on the flat roof. 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. Docusign Envelope ID:79707CFA-2EA5-45CA-BCF1-CD5EA2964550 DESCRIPTION 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_Wanranty_CTR3782_1912_E.pdf Total: $8865 A one-third deposit of$2955 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. DISCLAIMERS 1) LEAKING CHIMNEY Peak Performance Roofing takes measures to prevent water penetration at the chimney-roof connection by installing high-quality flashing. However, leaks that stem from the chimney structure itself,particularly in adverse weather conditions like diagonal, wind-driven rain are not covered under our 5-YEAR labor warranty. Homeowners are encouraged to arrange for ongoing chimney care and repair with a certified mason. 2)PROJECT MAP IT Upon signing, you consent to have your project included on our public work map after completion. This project entry will only be used to aid future customers in their decision-making process. Only non- sensitive,public information will be shown. Please inform us if you would like to opt out. Thank you for choosing Peak Performance Roofing! TOTAL $8,865.00 DocuSigned by: Lgimtuitetzt 5i , 9/27/2024 A23E:A5923214:E Accepted By Accepted Date Docusign Envelope ID:79707CFA-2EA5-45CA-BCF1-CD5EA2964550 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. Docusign Envelope ID:79707CFA-2EA5-45CA-BCF1-CD5EA2964550 What if I have an urgent question? If you have an urgent issue outside of regular office hours, call or text your project manager directly on his cell. Unforeseen Issues: Once we remove the existing roofing, we can inspect the underlying sheathing. Your contract states we will replace a small amount of plywood at no additional cost if needed. If more serious issues are found, the project manager will contact you to explain. There may need to be an upcharge on the final bill, consistent with the per sheet or square foot amount quoted in your estimate. Cleanup: No way around it, roofing is messy work. Rest assured that when the job is done, we will pickup all debris and do magnetic sweeps. Since we may work until dark, the main crew may need to leave before cleaning up, or if the job ends midday, they may leave to start another job. Another staff person will come later or the next day for more cleaning. There are materials left over, Did I get charged for those? Your job is priced according to the measurements, We always bring extra material for the jobsite, just to be safe. You were not charged for those and we will be collecting them. One of our staff will pick up the extra material after the installation crew is gone, usually within 1-2 days. When will the dumpster be removed? The dumpster is usually removed the next business day after the main crew has finished. Weekends or holidays may delay pickup. The dumpster company should check for any debris after removal, but please do a visual check before walking or driving over the area where the dumpster was located. If you see any debris there, please let us know. The job is done but I have concerns, what should I do? Please be aware that even after the main installation crew has left, that doesn't mean our job is done. The project manager will be coming by as soon as possible to do a final inspection, and a staff person will come by to do a final sweep, and pickup leftover items. Depending on our schedule, all of the final touchups, cleaning & pickups are usually completed in about 1-3 days after main installation is complete. If you have any other questions, please let us know. Thank you for choosing Peak Performance Roofing! We will do our very best to make this major home improvement a smooth experience for you! pDocuSigned by: QKtettRjCt. S-1441ltt4 9/27/2024 —A23EDA59932'4DE PE K 1 Lovefield St., Easthampton MA 01027 P E R F O R C 413-203-5888 M-F 9am-4pm ROOFING peakperformanceroofingllc@gmail.com