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13-023 (4) 19 STONEWALL DR BP-2019-1373 GIS a: COMMONWEALTH OF MASSACHUSETTS MV-.Block: 13-023 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 4 BP-2019-1373 Protect 9 JS-2019-002212 Eat.Coat:$9500.00 Fee: $40.oo PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: ANTHONY ROBITAILLE 102453 Lot Size(sa.R.): 12806.64 Owner. KAN SUSAN Zoning: Applicant. ANTHONY ROBITAILLE AT. 19 STONEWALL DR Applicant Address: Phone: Insurance: P O BOX 892 (413)626-5296 WC ThorndikeMA01079 ISSUED ON:5/30/2019 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE 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 it 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 Sismalure: FeeType: Date Paid: Amount: Building 5/30/20190:00:00 840.00 212 Main Steel,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner . City of No ptOnREG'El °apaiq"B"'use°"" BUllding Depa an iuf ice m !, 212 Main Str et Curb C c n way pemld 100 MAY 3 0 rf ePtl Availability. Roam 2 ter NI ailability Northampton, 010 0 Two S of tructural Plans Phone 413-587-1240 Fa 41 pla NC IN NORTHRMP?ON.)d APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1-SITE INFORMATION 300'f q "/ 3 7 3 1.1 Property Address. This section to be completed by office Iq Sr0!/E WAIL DR NO HO. Map ? Lot Ua3 Unit Zone Overlay District Elm SL District CB District SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT 2.1 Owner of Record: SUSAN KAIV Iq SQO 5100LVAu O R NameProof 3"AM6s S; x-" ym Lt Telephone Signature 2.2 Authorized Apert: LOCAL BUILDING AND REMODELING ANnNnW Iso-a"N2 Name(Pont) Current Mailing Addres�RNC IKE,MA 01079 41342642% Bignalure Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed bpermit applicant 1. Building '506 (a)Building Permit Fee 2. Electrical _/// (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee J' . o 4. Mechanical(HVAC) („`/(_J S.Fire Protection 6. Total=(1 +2+3+4+5) a0 Check Number This Section For Official Use Only Date Building Permit Num r: Issued: a Signature: 5 -...T���nn -20Iq Bustling Commissioneronspeclor of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) feted. Permit Can Be Denkd Due To IncamPlete Information formation"a Be Come Required by Zoning Section 4. ZONING All Inproposed �1o,Holme m x filkd in FY FXleling if Building D-P"" ' Lot Size Fronts e Setbacks Front Side L R: L:_R:__ Rear Building Height Bldg.Square Footage Open Space Footage % - (Wa minus bids At paved #of'Parking Spaces Fill: volume&Loca'ioni A. Has a Special,Petmit/Variance/Finding ever been issued for/on the site? NO 0 .. .::, '-DOWT R1YOw 0 YES 0 IF YES, date IssulA; if IF YES: Was thL-00RMt'Pecorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book, Page and/or Document N B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO 0 IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO 0 IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading, excavation, or filling)over 1 acre or is it part of a common plan that will disturb over lam? YES 0 NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK Icheck all applicable) New House ❑ Addition ❑ Replacement Windows Altemtion[s) Q Roofing Or Doom O Accessory Bldg. E:3 Demolition ❑ New Signs [01 Decks [O Siding[0] Other[Qi BriefDescription of P opysed Work: SIUP pn,,7 , ] LAVfR- TCE�wA1ER- TFL1 S(1JLGkt Alteration of wasting bedroom_Yes_No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet Be. H New house and or addition to existina 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 Mere a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stones? f. Method of heating? Fireplaces or Woodstows 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 wihin 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 Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT S r I, as Owner of the subject rL property C hereby authorize C to act on my behalf,in all matters relative to work authorized by this building permit application. 0 v Signature of Wmer RFl Date I, N4 as Owner/Authorized Agent R reb de /�the statements and information on the foregoing application are true and accurate,to the best of my knowledge C and belief. 'f Signed under the pains and penalties of perjury. ATnHM WITAUK Print Name I �� rHMA/�rNr ent Sgnature of Cf�+er/ enl Dale SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor; W Not Applicable 13Name ofLicense Holder // Wrloo ngy44trIL (9- 102.453 joemse Number/ BULD9/0 AND REMODELING 3 P.O.BOX 893 Address THORRDN[,MA 91879 Expiration Date NSi19i296 Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ IVU7 Company Nam LOCAL Registration Number BUILDING AND REMODELING V.12--) 7-2 )9 Address P.O.BOX892 Expiration Date TIDRNDIRE,MA o1979 •ei M9 R'N8 Telephone SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.C.152,§23C(8)) Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit volt result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... 10 No...... ❑ City of Northampton Massachusetts DSPARTMBNT OF BUILDING ZNSBBOTZONS �2 �. 313 Main Strut a Mninipal building : Nnrthu ten, ! 01060 AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one in four family homes. Prior to performing work on such homes,a contractor most be registered as a Home Improvement Contractor("HIC"). M.G.L.Chapter 142A requires that the"reconstruction, alteration,renovation,repair,modernization, conversion, improvement,removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or budding'be done by registered contractors. Note.If the homeowner has contracted nith a corporation or LLC,that entity must be registered Type of Work: R 00 F �,r Est.Cost: Address of work /'7 ;70 NGh �vp 6L Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,000.00 _Owner obtaining own permit(explain): _Building not owner-occupied Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND TINDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBIIATES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: 5-30-f9 /JPft00A R&#rT4{1( E [ 6 ?4S7 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton Massachusetts TIOKF D212 Min S OF B. Municipal al Building (c y 212 Min Stub • lWnioipel Builtling Northw¢Cen, !A 01060 �0 Massachusetts Residential Building Code Section 110.R5.1.2 Homeowner: Person (s)who own a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Section 110.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s) for hire to do such work,then such homeowner shall act as supervisor. Such homeowner shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. City of Northampton Massachusetts D&PANTNCNT OF BOI=O ZNSPECTXON5 212 Nsin Btae.t •Mu.' al Building NorNa ton, N 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: I q 57vIJ W04 V (Please print house number and street name) Is to be disposed of at: 1V E wg51C Fl6AWAIN (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: /yr M. 7( ,n6Aw4m (Company Name and AAddress) Sign Permit Appl�nt4 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. The Commonwealth ofMassachusefts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Wil.rken'Compensation Insurance ARdavil:Builden/Coufractor&M"tricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Orgmizaliom[ndividua0: Address: City/State/Zip: Phone#: Are yon an unptoyer^Chea the appropriate boa: Type of project(required): 1. a�loyer wiw emplo6Rslfull aoNor Me-nmel' 7. []New construction 2�i em a sole pre raturor pn wership ardl ave no employees working forme m g, ❑Remodeling any capacity.[No workers'comp.insurance assumed] 3.❑t an a homeowner mina an work myself[No workers'come_wo mer minimal 1 9. ❑Demolition 4.❑l am a homeowner and will be hiring coao-acmn m condmt an work an my property. I will 10❑Building addition mane weal caavacmrs either have worker'compmvtbn msumnea or an,sole 11.❑Electrical repairs or additions pro,menom whh w employees_ I2.[]Plumbing repairs or additions 3.❑Iran.general wnases h and 1 have hiredlthe h sub-c rlmor,ors tismd on da amcmd snot 13. Roof repairs These subconuactors have employees amt have workers comp_imurmcei ❑ p 6.❑W'e meaempomsestanditsalficers havecoos iniweirrightofesempmon per MGL c. 14.❑Other 152,§7(4),and we lave w employes[No wmkers'comp.wsumnea requirW.] •Any applicant we checks hos m must also fig og he me&i below showing weir workers'compensation policy submit aanew n Bomrowmth who submit wit nomit at indicating way are doing all work de, wen hire outside contractors must m whether a new affidavit indiutsnh such. empLoyeew we check wit bon must eemplo an eddiii.mnl then showing de,mere of n,spohey number eat care wbewm or not wpsa rntities have employees. If dre subwnlrwrors have emPlaYau,way must provide caner workers'come-policy numM. I am an employer that is providing workers'compensation insurance for my employees. Below a the policy andjob.site information. Insurance Company Name: 13 fA1?Y 1 14I614L Policy#or Self-ins.Lic.#: WC53Is3lglocOZip Expiation Date: Job Site Address:1q 5W WddL City/Smte/Zip: 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,p25A 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 herebyceW he and ebabies of perjury that the information provided above is nue and correct Signature: /{ t Date Phone#: L1136LG 5280 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 Counsel Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined w"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer,or the receiver or tmstee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also stales that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes thin apply to your situation and,if necessary,supply sub-contractor(s)motels),addresses)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised thin this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the aBdaviL The affidavit should he returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under`Yob Site Address"the applicant should write"all locations in_(city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit mus[be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and has number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. #617-727-4900 ext 7406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 02-23-15 www.mass.gov/dia Coup A`?a CERTIFICATE OF LIABILITY INSURANCE F 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 ISWNG V=RER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THECERTFICATE HOLDER. IMPORTANT: N the cealrate hdda he an ADDITIONAL!INSURED,the~i es)rust a a aken ed. R SUBROGATION IS WAIVED.subject to the terns and conditions of the policy,cedar polities in"raplbe an erWus®aM. A ssiarrab G it"emwb does not lRMe righs to the certificae holder in lieu of such a Mooucm r Psis GAUDETTE INSURANCE AGENCY INC Ww�ade PM2344M lialf EavIA ONE PLUMMERS CORNER ANgrpMC09tA6E sAba WHI'fINSVBIE MA 0158$ Wita tA: W MSCORP 33600 es. asoRExa: ANTHONY ROBITAILLE aaaerc: __ DBA LOCAL BUILDING 8 REMODELING aeuRao: PO BOJ(M smNeR E: THORNDIKE MA 01079 larsearea, COVERAGES CERTIFICATE NUMBER: 332858 REVISION NUMBER: THIS IS TO CERTIFY THAT THE PDLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NSTatm NAI®ABOVE FOR THE Pl%1LY PERIOD INDICATED. MaY B IS S&ED G ANY REIXIRELCNT,TERM OR COFA1,1,10N OF ANY CON1,RAC1,OR OTHER D HER BR VAIH RESPECT TO THE T THIS CERTIFICATE MAY BE ISSUED OR MAY PERTADL THE NSURANCE AFTOROEU BY THE PgICIEs DESCRISED HEREIN IS SIIBECT TO ALL THE TERNS, EKC W 3gN3 AIe)COMORgNS OF SUCH Pl1LX.ES HATS SIOM!MAY HAVE 8EB1 REIKICED BY PIeD(SAe6 im T\rEaFSNw.� I�YM� raA:r6s wr.7NP 1� wltuu69aKullanr FwolamWElTEE 5 oNMek1DE ❑OCDR i a®fMi aaaaW f WA EersoNraaAwNutr f ($ILAIX#flAT6WlATE919[ f�blALla6BMlE f —❑.B ❑Lee PM011me-MPUP.fiB f 01,18, i ANgagYEIMYIM1 mlaransxclE f RµyAtnO imLYNurpsp®y i AIMS eomsID WA asar NnMYmaeMag f — canoe Marne ' s deacear. taasaawuAe gorse , EACRoonwmTter : ....... 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TbesWusaNis eovaa9e rel Oe mvWaetl dally Mao�sngma Proofd Carerege-(aerxde verpiouu,s®dl bolo www.mazz Sole in epriebt Mss rierelNffidmueuga CERTIFICATE HOLDER CANCELLATION BImtADANY0PTIEA DESC�fVMGEgBEGINCNIIDBEILRE TIME EIPmAl10N GTE RBMOF, NOT= TILL SHE OHlY61® a Jim Taylor ACCORDANCEI mnlErgu YPRDasDIIS 256 Main Street AY110�0REgIF�MAINE NewLaWon NH xx parka M.Crow .(VCU,Yrs Presi&M-Re ual Market-WCRIBMA ©19W201{ACORD CORPORATION. All rights reserved. ACORD 25(2010/01) The ACORD name and logo are registered marks of ACORD Local Building and Remodeling Anthony RobitaBle Contact Information: MA License#102453 P.O.Box 892 Cell:(413)626-5296 MA Reg.#169957 Thorndike,MA 01079 Fax:(413)289-9611 Cr Reg.#615780 HOMEOWNER INFORMATION CONTRACTOR INFORMATION Name Company Name Susan Kan Local Building and Remodeling Work Performed Address Contractor/Owner Name 19 Stonewall Dr. Anthony Robitaille City/Town State tip Business Street Address Northampton MA 01060 P.O.Box 592,4212 Church Street E-Mail Address City/To" State Zip susankando@outlook.com Thorndike MA 01079 Contact Information Business Phone 1(413)348-6635 1(413)626-5296 Contractor Reebtration# 169957 Date MA CSL# April 17,2019 102453 Work Contract Roof Work:(Entire back slope of the roof&the remaining front slope of the roof) • Strip existing layers of roofing • Install 311. of ice and water on valleys • Install 6 ft. of ice and water on eaves • Install ice and water around chimneys&all wall to roof flashing • Install new lead on lower part of the bigger chimney&the chimney on the back slope of main roof • Install fiber glass reinforced underlayment • Install new step flashing • Install new white drip edge • Install new pipe flashings • Install new ridge vent Install IKO architectural shingles-> Color:Harvard Slate • Build a cricket behind the big chimney on the lower roof • Custom make aluminum panels on the side wall that connects the main house to the lower roof& paint to match the siding • Remove the gable vent on the left side of the main house • Install a smaller gable vent&paint to match the siding • Replace 2 existing loft. gutter on the front&back entryway of the house with a new 6in. commercial size gutter • Sheathing will be done on the roof of the bay window • Fix broken piece of siding on the front of the house Local Building and Remodeling AAluou,Raldtxlflc Coataet mfiicaauoR� MA U.ne e10"S3 P.O.Bar 892 ceu:(473)62632% MA Re,0I6 S7 ,,.,Mdlke.MA 01079 Fax:f413t269-9611 Cr Rea 041%780 • A ridge vent will be installed on me hrer7ewav&the Wage • Clean up and haul away dehri. Note: If any plywood replacement is needed, it will he an additional charge of 52.25 per sq,A., with a 32sq.ft. minimum. TOTAL CONTRACT PRICE AND PAYMENT SCHEDULE , The contractor agrees to perform the work specified above for the SUM_oG S9,509.00(Nine Thousand Five Hundred Dollars) -S3,$II0.011_is due on or before the start date of the ra.fwork Received nn: __ _ -55700.00 is due upon completion of roof work Received on: "Ifyou agree to the work and pricing listed /above.please sign in the designated spots below` Customers' Signature: X 7h"r - Date: SSr4119 Contractor Signature:,Cive&I __.Date: Se'-2-/ y "*Please make all payments payable to Local Builders" The Tollowfng schedule will be adhered ro unless circumstances beyond the contractor,control urhe including weather or unexpected problems with other jobs. Scheduled to Begin: _ Expected Date of Completion: c - Reguir The following building permits are required. It is the obligation of the contractor to secure such permits as the homeowners' agent: Building Permit I Susan Kan authorize Local Building and Remodeling to act as my agent to secure all necessary permits to carry out '. aft work stated in this contract. Warranty A 30-year warranty will he provided on material for the roof,this is backed by the manufacturing company. A 10-year warranty will be provided by Local Building on all Labor. Local Building and Remodeling Anthony Robitaille Contact Information: MA License#102453 P.O.Box 892 CeB:(413)626-5296 MA Reg.#169957 Thorndike,MA 01079 Fax:(413)289-9611 Cr Reg.#615780 -Extra care will be taken to protect shrubbery and plants but we cannot guarantee against damage due to the nature of the work performed. -Property is to be swept with commercial grade magnets to remove any excess debris. -Local Building will remove and reinstall any satellite dish(if applicable),however,the homeowner is responsible for any fine tuning needed,or any charges that come along with it. -Local Building MAY provide a dumpster and it would be put in the driveway for this job; this would be included in the total cost. Proper precautions will be taken, i.e. planks under dumpster to prevent damage but we cannot guarantee against any damage caused due to the weather and materials composing the driveway. "If you agree to the work and pricing listed above, please sign the original copy of the contract in the designated areas" Office of Consumer Affairs and Business Regulation a. a o One Ashburton Place - Suite 1301 o m Boston, Massachusetts 02108 , Eli Home ImprovementCorltractor Registration I Type: Individual RG9IWaV0n: 188857 N S ANTHONY ROBITAILLE _'t r EaPira6on: 06/22/2018 P.O. BOX 892 - THORNDIKE, MA 01079 o d" a H Update AGMwa W tNum wd. �Q'