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22B-013 (5) 45 MEADOW ST BP-2020-1143 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:22B-013 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-2020-1143 Project# JS-2020-001914 Est.Cost: $34998.00 Fee:$60.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: EAST COAST METAL ROOFING 101285 Lot Size(sq.ft.): 8712.00 Owner: LIERMAN LIZ Zoning:URB(76)/URA(24)/WP(15)/ Applicant: EAST COAST METAL ROOFING AT: 45 MEADOW ST Applicant Address: Phone: Insurance: 701 TREASURE ISLAND (508) 341-8339 O Liability WEBSTERMA01570 ISSUED ON.512012020 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# 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 5/20/2020 0:00:00 $60.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use only City of Northampton Status of Permit: Building Department Curb CuVDriveway Permit �. 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability y -.r Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION R E C 1.1 Property Address. I This section to be completed by office q SS M 2 o w -s f MAY 1 9 2MpP Lot 613 Unit Zone g Overlay District DEP7 (F GUME;S(.I^;c Nn��4„ qr EIIQQNN k►�rSt.�isfrld CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 11 2.1 Owner of Record: yS- lkec dokl AL /��oi�ncf IA4 0/062- Name(Print) Current Mailing Address: (P /7 - -5 i-l9 - (._o Z loci ,] eP 444,. .&a Telephone Signature 2.2 Authorized Agent: 7 o l 12a /— J4c.1 LeLI1`4✓S " 4'f*” N e Print) Current Mailing Address: rcp 5'0 8 - 3K1- f-.?35 Signature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 26 / q 1 (a) Building Permit Fee 2. Electrical l 1 (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total =(1 +2+ 3 +4 + 5) 3q, qq8 Check Number U p This Section For Official Use Only Building Permit Number: Date Issued: Signature: ` 5.z-ozo Building Commissioner/Inspector\of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning "Ibis column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DON'T KNOW ® YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT KNOW ® YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO ® DONT KNOW ® YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained ® , Date Issued: C. Do any signs exist on the property? YES ® NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES ® NO 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 1 acre? YES ® NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing Af Or Doors ❑ Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks Siding[O] Other[17] Brief Description of Proposed l Work: S-�•�d locr4 —'r,,j l4ll i c-e a4 A kb 6 keZl S'4i.-Cld .L r)XAe,// Ae—.1ia lec lr 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 I, C/,��SPf Lit✓h74�-, 3 +J4":[� '7"-e as Owner of the subject property hereby authorize E4 t+ Cocl X, / to act on my behalf, in all matters relative to work authorized by this bui ing permit application. Signature of Owner Date r✓ ' 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. l---e C-; 'r,fr —C Print - / Signature of Owner/Agent Date SECTION 8 -CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: / Not Applicable ❑ Name of License Holder: A ,'C./c 7TH- 1 Q-4 /O (a S-S License Number Z-11 ?- /(- Z o z Z Add/re�ss Expiration Date -31-0- e2?5 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ E-a1 00 < / /(y�j 7z Company Name Registration Number =-JIQ,-rl /2(,t live�4-+e-r , Ml O/ J 90 Cl- Zo Z Z Address Expiration Date Jf^?i ,f 1-CvOJ4 n4cl4 l R--ri , Lor07 Telephone 5O8-3/-(/-F�3� 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....... No...... ❑ City of Northampton •,�� +, sus__."• sc. Massachusetts ��� A- << C DEPART OF BUILDING INSPECTIONS 212 Main Street • Municipal Building yp CDS Northampton, MA 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 to four family homes. Prior to performing work on such homes,a contractor must 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 building"be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered Type of Work:�bU� Est. Cost: Address of Work: 114,ea Qot,,, SY-- y aT A4 O D Co Z Date of Permit Application: '5- Z - a o 2 0 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 UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES 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'— /Z—aozc.-, A, L e cti<< /eLq k ? 2 Date Contractor Yarne a 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 fMassachusetts DEPARTMENT OF BUILDING INSPECTIONS y i p 212 Main Street •Municipal Building Fr Northampton, MA 01060 f "...• .�`�C 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: �l5 Ale 6,a C.>1"' S-- (Please print house number and street name) Is to be disposed of at: Un'`je4 frij(ull 1111R61a (Please print name and location of f / Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Addre s) 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. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street " Boston, MA 02111 www mass. ov/dia . _ g Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): East Coast Metal Roofing Address: 701 Treasure Island Rd City/State/Zip: Webster, MA 01570 Phone #: 508-341-8339 Are you an employer?Check the appropriate box: Type of project(required): 1.Q I am a employer with 4. ® I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 2.Q I am a sole proprietor or partner- listed on the attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have 8. Q Demolition workingfor me in an capacity. employees and have workers' Y P h'• $ 9. ❑ Building addition [No workers'comp. insurance comp.insurance. 10.❑ Electrical repairs or additions required.] 5. Q We are a corporation and its 3.Q I am a homeowner doing all work officers have exercised their I I.Q Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.0 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. tContractors 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: Beacon Mutual Insurance Policy#or Self-ins.Lic.#:0000076113 Expiration Date: 3/16/2021 Job Site Address: yr /4e q d Q c.. %S-YL- City/State/Zip: Flo•-e&c[. AA �o 2— Attach 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 here rd under the pains and penalties of perjury that the information provided above is true and correct. Si nature: Date: — O v Phone M 508-341-8339 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#: Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construct 'qtw AA' -apr Specialty CSSL-101285 w (' r-Xpires: 0211112022 NICK TERLETSKIy 41 EDGEWOOD AVENUE�i CRANSTON R1),.02905 J ��! t Commissioner -- -- Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, M s chusetts 02118 Home lmproveme tractor Registration Type: Corporation EAST COAST METAL ROOFING,LLC Registration: 184472 701 TREASURE ISLAND RD w Expiration: 01/19/2022 e 1 WEBSTER,MA 01570 o J V N � Q 7C'O y`ow . '1� Sy0 SCA t o 20161-05WUpdate Address and Rettim 0" Office of Consumer Affairs 3 Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYP-V'Corooration before the expiration date. it found return to: r f- -. Expiration Office of Consumer Affairs and Business Regulation _ -- 01/19/2022 1000 Washington Street-Suite 710 EAST COAST 0-I] LLC Boston,MA 02118 PAUL LECHIARA _- J 701 TREASURE IS D WEBSTER.MA 01570 Undersecretary Not valid withl5ut signature EASTCOAST East Coast Metal Roofing, LLC. METAL R 701 Treasure Island Rd,Webster, MA 09 570 Tel: 844-611-3267 i eastcoastmetalroofing.com i i REQUIRED PERMITS Registered Home Improvement Contractor MA #184472 Registered Home Improvement Contractor CT #HIC.0644642 Rhode island Registration #40663 I Homeowner Information Name: Address: /Al"OW City: re-.-.c Q_ zip: a / 02. Phone: (e «" -15 L(9 • (4 2-- Cog Required Permits: The following building permits are required and will be secured by the contractor as the homeowner's agent and I/We as Owners of the subject property, hereby authorize East Coast Metal Roofing, LLC. to act on my/our behalf,, in all matters reiative to work authorized by the buiiding permit application: 04�� r/-6 /2-e)2-C:, Owl ier`. Sit Lure Date Owner's Signature Date AwnPrs whn seCUre their own }permits will by excitided from the Gkiaranty Fund provision of the MGL Chapter 142A This permit notice forms a part of the Purchase and Installation Contract of the same date. CERTIFICATE OF LIABILITY INSURANCE °"�`M � oa/o1/202 "Y) rzozo 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,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 Kevin Pires Platinum Insurance Agency,Inc. PHONE 401 272-5900 FrX 401 272-5901 1990 Pawtucket Avenue EMAIL kpires@platinumins.com East Providence,RI 02914 INSURER(SI AFFORDING COVERAGE NAIL i Phone 401 272-5900 Fax 401 272-5901 INSURER A: Western World Insurance Company INSURED INSURER S: RGSW,LLC. INSURERC: 41 Edgewood Avenue INsuRER o: Beacon Mutual Insurance Company INSURER E: Cranston RI 02905 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ADDLSTYPE OF INSURANCE NBR POLICY NUMBER MYIDDY EFF MPOMILDI D/EXP LIMITS LTR © COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 ❑ CLAIMS-MADE © OCCUR GE T PREMISES SESOEa ocw ante $ 50,000.00 ❑ MED EXP(Any oneperson) $ 5,000.00 A ❑ NPP8613191 04/05/2020 04/05/2021 PERSONAL&ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000 000.00 ©POLICY ❑ JE O ❑ LOC PRODUCTS-COMP/OP AGG $ 2,000,000.00 ❑ OTHER S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ a accident) ❑ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED ❑ AUTOS ONLY ❑AUTOS BODILY INJURY(Par accident) S HIRED ❑ NON-OWNED PROPER TY DAMAGE $ ❑AUTOS ONLY AUTOS ONLY Per c d ❑ ❑ $ ❑ UMBRELLA UAB ❑OCCUR EACH OCCURRENCE S ❑ EXCESS LIAB ❑GLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION STEPTUTE OTH- AND EMPLOYERS'LLABILn'Y YIN ANY PROPRIETORIPARTNERIEXECUn E.L.EACH ACCIDENT $ 100,000 D OFFICERIMEMBER EXCLUDED? �N I A 0000076113 03/16/2020 03/16/2021 (Mandatoryin NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS belowE.L.DISEASE-POLICY LIMIT $ 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if mon space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE East Coast Metal Roofing THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN 701 Treasure Island Road ACCORDANCE WITH THE POLICY PROVISIONS. Webster,MA 01570 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016103)QF The ACORD name and logo are registered marks of ACORD EAST COAST EAST COAST METAL ROOFING,LLC 701 Treasure Island Rd,Webster,MA 01570 METAL ROOFING Customer Contact alRoo611 com -bafteLt Visit our website at:EasttoastMetaiRoofing.com NAME_ --- �Me��nr�l �.l�r�G�ll gar _ ("Purchaser) JOB ADDRESS cry , hive ("Premises") CITY/TOWN J ZIP CODE MAILING ADDRESS ZIP CODE HOME PHONE E-MAII WIN'QIOfktLftI,aM CONTACT NAME WORK CELL The Purchaser is the registered owner of the Premises and hereby contracts with East Coast Metal Roofing,I.I.C.(the'Contractor*)authorizing the Contractor to furnish all necessary materials and labor to install,construct and place the Improvements according to the following specifications, terms and conditions(the"Specifications)on or at the Premises: PROFIL(SHIN E/SLATE/RUBBER/PVC COLOR C)I r,—C—4 cin � Home improvement Contractor Rein x194472 1t�c-.P-�n�e3.�1� ra�c �_mak_ae�d(-w�l}l�te.��.�.�sus�Mc����►�.q� AA Sa���-Duec,,-nn-itx�-¢Lad,-s►rk con¢�lt� s ins ia,..��m(,a�-4�nei-� ? - _�.t��'ttt> ���_�iva�i�'-�o�r�twc�s.C-Asn-Ci1l�4.ut.S-$cea�eo,)oLa.-u --QcRI�,�= — M ADDMO &SPECIFICATIONS /`J yS�tM0N k ofVICJ iC' . YES NO ROOFING MATERIAL YES NO ROOFING MATERIAL Rubber/PVC Low Slope Roofing Color (J Y� _ Supply adequate electrical power — Flash Skylights 0 )L _ Work with the Contractor to fix damage uncovered �� 11 during installation at a cost agreed to by the parties. Flash Vents e 1C a Plywood/br rot repair min charge$2.50 sq Jt _ Ridge Vent- KenAV—" _ Respect the work site. In the interests of everyone's safety,Purchaser will not use or borrow Contractors _ Underlayment } equipment or tools and will not access or interfere with the project during installation. Skilled professionals — Snowguards a IS should be hired for any work that requires access to or traversing your roof. ROOF REMOVAL LOCATION FOR DELIVERY _ Strip existing roof(M of layerso—) �n` oc ne;yel-, _ Haul away roof debris and pay refuse fees. Start Date* Cl-t(a t. itC of Cn, ntr1J>�t�,�r ► _ _ Supply 1/2"plywood Substantial Completion Date* 1 P J—LY'r161 _ --- LOCATION FOR BIN: 'W"14 circumsunces we briow the Cwtranors contra. THIS CONTRACT INCLUDES THE ALUMINUM SHINGLE COMPANY LIFETIME LIMITED WARRANTY,50 YEAR TRANSFERABLE,NON-PRORATED FOR MATERIALS MANUFACTURED BY THE ALUMINUM SHINGLE COMPANY,PLUS 10-YEAR LIMITED LABOR WARRANTY PROVIDED BY EAST COAST METAL ROOFING. SPECIAL INSTRUCTIONS Contract Price S 3yIq --� Sales Tax $ RYx Financing Requested YES Total Contract Price $ 34518 Interest Rate 3.5%to 10.5% ` Less 1/3 Down Payment $ to Payment $ I( C6L Payment not exceed f g y - - - ----- - Total Balance on Completion $ l l L41a MAKE ALL CHECKS P YABLE TO-EAST COAST METAL ROOFING,LLC. You cosy csncW this agreement If It has been signed by a party thereto at a place other then an address of the salter,which may be his maln offf-of branch thereof,provided you notify tM seller In writing at his main office or branch by ondinary mail posted,by telegram sent or by delivery,not Inter then midnight of this third buslnMs day following the signing of this*grew n.nt. Bee the attached notice of cancellation form for on explanation of this right. IN WITNESS WHEREOF,the Purchaser and Contractor have hereunto signed their names at the Promises,this 3 day Of 20� EAST COAST METAL ROOFING LLC Do not sign this cont►adt If there are any blank spaces. Per: Purchaser: Signature A Signature ' Print Name Signature THANK YOU FOR YOUR BUSIN—F -----._—__----------------------_--___-- l This is not a credit transaction. If financing is arranged,the Purchaser agrees to sign and provide all necessary documents required by any lender Immediately on request. in order to complete the financing, AN surplus material is the property of the Contractor. See rewrite of contract for additional terms and conditions.