29-310 (3) BP-2024-1172
358 ACREBROOK DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
29-310-001 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-2024-1172 PERMISSION IS HEREBY GRANTED TO:
Project# ROOF 2024 Contractor: License:
Est.Cost: 6412 ANTHONY ROBITAILLE 102453
Const.Class: Exp.Date:03/16/2025
Use Group: Owner: M SHAUGHNESSY PADRAIC
Lot Size(sq.ft.)
Zoning: WSP Applicant: LOCAL BUILDING AND REMODELING
Applicant Address Phone: Insurance:
P O BOX 892 (413)626-5296 M2050018720
Thomdike,MA 01079
ISSUED ON: 09/1312024
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: 7/7,
Fees Paid: $75.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
CI,
m
"V elP114kAl.
The Commonwealth of Massachusetts
Board of Building Regulations and Standards FOR
Massachusetts State Building Code, 780 CMR MUNICIPALITY
USE
Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011
One- or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Si')'.2 v-ii-7„X Date Applied:
; ?lidding OfficialiR -ffis(Print Name) .ignaturc Date
--- - —
SECTION 1: SITE INFORMATION
- - -1.1 Property Address: 1.2 Asscssors \lap& Parcel Numbers
.s ___b_PtC-StiittecYCM.yfLokellG2..
1.1a Is this an accepted street?yesY no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq II) Frontage(11)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: ___ r.) .:-.itle Flood Zone?
Public/4 Private 0 Municipal 0 On site disposal system 0
( r..: iH..-1
SECTION 2: PROPERTY OWN ERsI 1 I l'' ___H
2.1 Os%tier'of Record:
TAbv2-11 IC.,UCINU4411.)5S%t._._.._. -cAptaEloCE. ,MR
Name(Print) City. Stale./II'
2,StILMETZWOU)11.1.___ _ 4ikkiL5-0Li5l pad5hafillnekirnditKarn
No.and Street Telephone .mail Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply)
New Construction 0 i Existing Building 0 Owner-Occupied 0 Reptti N(s) 0 Alteration(s) 0 I Addition 0
Demolition 0 I Accessory Bldg. El Number of Units „.._ j Other )Zi Specify:2010_
Brief Description of Proposed Work2: 2004(v...* 1 os-r qultri b 0 - -
SECTION 4: ESTIMATED CONSTRUCTION COSTS
--------- Estimated Costs:
Item Official Use Only
(Labor and terias)Mal
___ ._ _..._ ___
I. Building .$/ LA i.a . k t I. Building Permit Fee: $ _ Indicate how fee is determined:
_______ _ v./......( E3 Standard City/Town Application Fee
2. Electrical S
. 0 Total Project Cost'(Item 6)x multiplier x
3. Plumbing S 2. Other Fees: $
4. Mechanical (I IVAC) S 1.ist:__________
••••• 1
.._ _
S Total All Fe.
Suppression) .___._..._._______________, _ .. --4-tib
Check No. l't0 Check Amount:_ Cash Amount:
6. Total Project Cost: $(0.4 ta•. ti o Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
C.aAt. 11001 fi. V� )111 t_t.�t Number
= 53 �xp1b�
License Number Expiration Date
Name of CSL Holder
�X $9� List CSI.. type(see below) CA
No.and JUYtI ._ Type Description
. . _
, ��� �r tin n 0 l'nrcaricied(Buildings up to 35,000 Cu. It))
mJ ttE,in o.to-q R Itr;inciod I,�' Farmi) 1)„,,,Iiing
City/"Town,State.ZIP \f Masonry —
RC Roofing Covering
— WS Window and Siding
SF Solid Fuel Burning Appliances
13-(Ot�(p-�is��b[dCCt),�iXat�t►Rof,�Alt1��t� _ I Insulation
_Telephone Et •iI a ress D Demolition
5.2 Registered Home Improvement Contractor(IIIC) 1b(1QS4 WI f
as-
tp
L fSZ$1TIAkI ��_____ ,___ Illy Registration Number Expiration Date
HIC Con any Name or HIC Registrant Name
qa.Q.� CW-CN 8T k CC lbf;ad.;ter\_ a►mou l •C j_
No.and Skeet mail ddress
11‘62.1,smte,tlmII ,CACAct yc3-1 .(0-524b
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 dental of the Issuance oldie building permit.
Signed Affidavit Attached? Yes . l No 0
—�� SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,as Owner of the subject property,hereby authorizes � �l`�c l llle-
to act on my behalf, in all matters relative to work authorized by tNis building permit application.
1)1 IaAnc. 51WuGi U -- — sCAPSIat4
Print Owner's Name(Electronic Signature) Date
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below, 1 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.
ifIkalt (22)(4Ca ... .. .. .. , ..._ _____
Print Owner-,OM uihorlied Agent's Name(Llectronic 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 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 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"
Commonwealth of Massachusetts
t Division of Occupational Licensure
Board of Budding ReD ulations and Standards
Cons`o itetri 1SStfpervisor
CS-102453 . Extriires 03/16/2025
ANIHONY MR0BIT :f ,p
PO BOX 892 i '
THORNDIKE IIMA •
Commissioner / "
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs 8 Business Regulation
HOME IMPROVEMENT CONTRACTOR
TYPE: Indiviaual
Registration Expiration
169957 08/2212025
ANTHONY ROBITAILLE
D/B/A"LOCAL'BUSINESS AND REMODI LING
ANTHONY ROBITAILLE
4212 CHURCH ST n4✓_ c(isr/.•
THORNDIKE.MA 01079
Undersecretary
°'" The Commonwealth of.11us.suchu.setts
.;r.- . r Department of Industrial.-►ccidents
/ C'oni?i A\ Street, Suite 111(1
\tft.
R-:'- ' Boston. .11.- u21/4-201
�-
t75. . I$'11')r.ntnss.gov/dia
11 ur kegs• ('Mil pemalion Insurance.\lifida.it: Builders/Contractor%/Facetricians/Plumber..
I() Ill' I-II E.1J 1\I 1 11 I Ill. PE.k'I I I Il\t;.1I I HORITI.
Applicant Information Please Print Legibl♦
N:(Ille 1Ilusun:,.organization Individuait: 1,OC)\L_ j.,t(t_O( � ,MODE-01.k>
A(i(i,e5s:t70 X Sea
C'ity:'State2iP71110 1, I_m(}._010/9 .._ .. Phone #: (4.1 -(0 (Q-559•l0
\re.ww an cnlpkrser'('beck the appropriate hos: , •I•)pC of project(required):
TiI as a.rgH:..T .utn ;n:p:.ne..,tali and:v part Antoci' -1 New construction
- .-1 I::I'S-I..':. ,q.r•ikiwi..I I\irlr,'r.n :I ILI I5:1,C n,'.•n,+: ..c,'....rk III,' `:a•I..I'' .�
—
I p t � Rern.•.leltnr
... ...11...:1, \,,..,..11.,s ..•11ip. al.t:1:i11.. ..t.,,1.J l7
t ..a1.�•,.1%1 Uu11t�al. A ... 'I �.J 1)ellh•liltsi])
�)I art a It
I I j Building addition
4.[,11111:1 hw1140MA1lel and a1ll Ix Mane contra+•rue.t, .,'EI.II.it;III i ink i' t7I. I
t(.JJ C1111111:that all court:cturs either tins wti.rRcre•%minimisation urwtancr ar a:: ,..1, i I..Q Electrical repaim or additions
prupneul s with no crrlploye s.
12.0 Plumbing repairs or additions
s I and a penal contractor and I has c hind tine wh-contractors I Lied on:la'..IL:n,l..1-.-,..: :
I hest.uh-cuuttyctr'rs na%c cinplu%ce,and ha+e wwrkcrs'cusp.insuitinee.
t 3.�r0 Root repairs
14.[iOthcr
IS[v.c a:c a c,rporan.nt arid,i ofticcn has c cscrcie,cd that tight.•(c srrnption p,t VI . . ._______._.
1,_. .:1 I.and s.a ha.e no etlsplut;e,.IN,s%orkei.'..nip. nistaancc rcyutrc.:,
-':\n. .ipp.I.a111 NIX..h.ti-k..tsns aI mud at a till out th...cuua tetuu ,twin ink then Aini..T, .t'rllptal%atl..il rolicy 1tdortnattun
' II.•nteuwsl5.r%'Ala,%15t.n,t1 this affidavit Itldi iune they are doing all w ark and then hue.wtsak contractors mug suhnul a new attidaia IC Indicating such
(urnracturs that check this has must attached an additional sheer showing the name of the sub-contractors and state whether ur not[hose atilt us base
.ttipIi. cc.. It I.Nub-contractors hose employ Ce..etas inu,t pro ide the,: wwrkcrs'sxnttp Folic)number
I ane an e•mplen•er that is providing,r workers'compensation insurance Jar my employees. Below is die•policy and job site
in filrnratiun.
Insurance(•.,rill•.'. '. \ .'1.r (.l j1 l c p —
Polio} s or Sell-n1-- i . • nun SX t.6-4-aL) I ,I,I:.I:u'r I l'... (O/Ol lag
Job Site Address:_35&J CPE ole_ . — ( its State /ir1 U. 2E.LXE..t.pQf
:attach a cone of the workers'compensation polies declaration page(showing the polic number and expiration date).
failure to �are cos crags::is rcuuned under \1(.I. c. 152. ;25.-\ ),a criminals uilait.m punishable hs a tine up to S1.500.00
and or one-bear imprisonment.as%yell as cis it penalties in the Lunn of a S FOP Wi)Rh; (JRDLR and a tine or up to S250.00 a
day against the '.tolator. A copy of•this statement usav he filrt%arded to the(1111.. •'t'Inkestigat]ons of the D1A for insurance
'•.::.wi .etilieattort.
I do hereby cceer�ti//ii••un�der the pains[and penalties of perjury that the information provided above i.'.true and correct.
Signature: ft'C�.41,t�+�(' T al f`YI Date:v"11 VJ/aLl
Phone=:: LI G— b2b— 502C1(D
Official use only. Do not write•in this urea.to be completed hi'city or town o1fcial
( its or I ion n: Permit:•License (+
Issuing.kuthnrits (circle one):
I. Huard of Health 2. Building Department 3.CO-Town Clerk 4. Electrical Inspector 5. Plumping Inspector
(1. Other
( (intact Person: Phone 0:
CITY OF NORTHAMPTON
SL'I'I3ACK PLAN
MAP: LOT:
LOT SIZE:
REAR LOT DIMENSION:
REAR YARD
SIDE YARD SIDE YARD
FRONT SE?TBACK_.__.._
FRONTAGE
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: 35S R 'W.c . 012.EIYI4
The debris will be transported by: oocrit ERST I IAS A[In rn
The debris will be received by: -iF it 101aSt ' , PIG NL)RVnn
Building permit number:
Name of Permit Applicant AIJV(OL P FA.Takt
Oglos I att . c( Pcia;lata,
Date Signature of Permit Applicant
RESTORE .
CONSTRUCTION SERVICES AGREEMENT
24 RESTORE NE, LLC
SUMMARY OF CONTRACT PROVISIONS
Certain fundamental terms of the Construction Services Agreement ("CSA") to which this summary is attached and made a part
hereof are set forth below for convenience of reference. In the event of any inconsistency, the provisions of the CSA itself shall
prevail over this Summary of Contract Provisions.
EFFECTIVE DATE: August 2,2024
OWNER(S)OF THE PROPERTY: Padraic Shaughnessy
OWNER'S DESIGNATED REPRESENTATIVE: Padraic Shaughnessy
INSURANCE CARRIER(if applicable): MAPERE U.S.A.Corp
SALESPERSON(if applicable): George McCary
PROJECT MANAGER: Name:_I lair y Feti
Email: htett@g4restorcne.com
Phone:413.393-0463
HIC NUMBER(if applicable): 174907
CLS NUMBER(if applicable): CS-103111
PROJECT DESCRIPTION: water damage repairs per attached Xactimate scope
PERMITS REQUEIRED FOR WORK: None
PROPERTY PHYSICAL ADDRESS("Property"): 358 Acrebrook Dr, Florence MA 01062
FORMAL NOTI('E ADDRESS(Physical and Email): 358 Acrebrook Dr. Florence MA 01062
padshaiilthncssy:i igniail.coiii
INITIAL CONTRACT PRICE: $§.,412.1
INITIAL DEPOSIT': $1,000.00
INVOICE ADDRESS: The Commerce Insurance Company, 1 I Gore Rd,Webster,MA
01570,Attention:Service Providers Office
ANTICIPATED COMMENCEMENT DATE: 08/19/2024
SCHEDULED COMPLETION DATE: 08/24/2024 _
' Initial Deposit(including any insurance deductible)must be equal to or less than an amount equal to 30%of the Contract Price.
This date is an estimate and is subject to revision as 24 Restore finalizes the scope of work.
24 Restore:
Page 1 S
Ver.05.2024 Com an
P y:-
CONSTRUCTION SERVICES AGREEMENT
THiS CONSTRUCTION SERVICES AGREEMENT("CSA")is made as of the Effective Date(as defined in the Summary
of Contract Provisions), by and between 24 Restore NE, LI.0("24 Restore") and the Owner(s)of the Property(as defined in the
Summary olContract Provisions,whether one or more,the"Owner"):and together with 24 Restore,collectively,the"Parties"). in
consideration of the mutual promises,covenants and agreements herein contained, 24 Restore and Owner agree as set forth below.
ARTICLE I
THE CONTRACT DOCUMENTS&THE INSURANCE AGREEMENT
Section 1.1 Contract Documents. The"Contract Documents"consist of this CSA, the conditions hereto,general, supplementary
and other, if any, the Scope of Work identified in Exhibit "A", and all addenda issued prior to, and all modifications issued after,
execution of this CSA and agreed upon in writing by the Parties. All such instruments and documents form this CSA and are as fully
a part of this CSA as if set forth in full herein. In the event of conflict between the Contract Documents and this CSA,the provisions
of this CSA shall govern,except to matters of project scope or compensation,in which any provided and/or amended scope of work
shall control,or where the document specifically addresses a section of this CSA which is being amended and is signed by both
Parties.
Section!.2 insurance Agreements. 24 Restore and the insurance Carrier (as defined in the Summary of Contract Provisions)
(a)have entered into an agreement that sets forth the work and services 24 Restore will provide to the Owner in exchange for payment
theref r by the Insurance Carrier and(b)may enter into subsequent agreements that modify or supplement the nature of such work
or services(all such agreements,collectively,the"Insurance Program Agreement")and such agreed upon work and services,as so
modified or supplemented,the"Insured Work").
ARTICLE II
THE WORK
Section 2.I The_Work. Owner may request for 24 Restore to perform or provide additional work or services that are outside of,or
supplemental to. the scope at'repairs approved by Owner's insurance Carrier("Additional Work"); and together with the Insured
Work,collectively,the"Work"). For budgeting and as needed by the Project(as defined below),24 Restore shall create and provide
an initial scope of Additional Work and/or an amended scope of Additional Work to Owner for review and approval. Owner agrees
to fully cooperate with 24 Restore in the performance of the Work,and such duty shall last until completion of the Work(including
full and final payment therefor).Should 24 Restore be delayed,hindered,interfered with or impeded by any act or omission of Owner,
or by any cause beyond 24 Restore's control,and if a cause of the delay,hindrance,interference or impediment is not due to any act
or omission of 24 Restore,then 24 Restore shall be entitled to a reasonable extension of time for completion of the Work.
Section 2.2 Project. The term"Project"as used herein shall mean and refer to the project described in the Summary of Contract
Provisions.
Section 2.3 Property. Owner authorizes 24 Restore to remove contents and non-fixture parts of the building as necessary in
accordance with the scope of Work. As collateral security for the prompt and complete payment of'the Contract Price(as defined
below).Owner hereby grants to 24 Restore a lien on and continuing security interest in all of Owner's right,title,and interest in and
to all Property on which such Work will be performed.any other property of any kind, whether real,personal,or mixed and whether
tangible or intangible, located on the Property or related thereto,and, in each case, the proceeds thereof'. Owner hereby authorizes
24 Restore to file any mortgages,deeds of trust.and financing statements without the signature of Owner,to the extent permitted by
applicable law. in order to perfect or maintain the perftetion of any security interest granted hereunder or under any Contract
Document. Upon completion of the Work and 24 Restore having received payment in lull therefor,24 Restore shall deliver to Owner
all of Owner's property and contents that were removed from the Property during 24 Restore's performance of the Work and,upon
delivery,the lien and security interest granted in this Section 2.3 shall be automatically released without any further action required
by the Parties.
Section 2.4 Permits. 24 Restore shall obtain any federal, state or local permits or consents required for the performance of the
Additional Work.
Section 2.5 General Contractor Status. 24 Restore shall perform the Work in its capacity as a general contractor. 24 Restore shall
not be construed as assuming the roles, responsibilities, or liabilities of any other person involved in the Project unless explicitly
stated otherwise in writing. 24 Restore's responsibilities shall he limited to overseeing the coordination,management,and execution
Page 2 24 Restore: I
Ver.05.2024 S
Company:__'
of the Project as outlined in the project specifications.plans,and other relevant documents provided by Owner to 24 Restore. As 24
Restore is an independent general contractor. 24 Restore has exclusitc authority to sub-contract and to utilize other contractors,
including those who are to furnish materials or equipment(colleen tely "Subcontractors"). as it deems necessary for completion of
the Work. 24 Restore will have no liability for the gross negligence or willful misconduct of the Subcontractors. 24 Restore shall not
be deemed to be an agent,partner,joint venturer,or employee of any other person involved in the Project unless otherwise agreed upon
in writing by all parties.
Section 2.6 Change to the Work. Any modifications or changes with respect to this CSA. including,without limitation,change in
the Additional Work and the amount of the adjustment, if any, in the Contract Price(each a"Change Order"), shall be agreed to in
writing by the Parties and shall take effect upon execution of such Change Order by the 24 Restore and Owner.All costs of the Work
as modified shall be paid in the same manner as set forth herein.
Section 2.7 Final Completion. The Work shall be deemed to reach "Final Completion"on the date that all Work is completed,
and the Property is ready for Owner's use or occupancy. When 24 Restore considers that the Work has reached Final Completion,24
Restore will provide written notice to Owner. Upon Owner's receipt of'such written notice, Owner and 24 Restore will promptly
conduct a joint final inspection. Following such inspection,Owner wilt issue a certificate to Owner's Insurance Carrier stating that
the Work has been completed in accordance with terms and conditions of the Contract Documents ("Certificate of Satisfaction").
24 Restore's receipt of the final payment for Wort:perfiontied shall constitute a waiver of any and all claims arising out of or relating to
this CSA by Owner. By taking possession of the Property.Ow ncr agrees and acknow ledges that 24 Restore has no further obligation
to perform any Work or other construction and the Property is satisfactory in all respects.
Section 2.8 Hazardous Materials. Disposal of any Hazardous Materials(as defined below), including specimens or samples,or
any property that contains Hazardous Materials performed as a part of the Work will be made in the name of Owner and under any
applicable generator number or other identification assigned by Owner or the applicable governmental authority. if, without gross
negligence on the part of24 Restore,24 Restore is held liable for the cost ofremediation ofany Hazardous Materials solely by reason
of performing Work as required by the Contract Documents, Owner shall indemnify 24 Restore for all cost and expense thereby
incurred, including reasonable attorney's fees. For purposes of this CSA, (a) "Hazardous Materials" shall mean any substance
which is or contains(i) any "hazardous substance" as now or hereafter defined in §101(14) of the Comprehensive Environmental
Response, Compensation, and Liability Act of 1980, as amended (42 U.S.C. §9601 et seq.) or any regulations promulgated
thereunder;(ii)any"hazardous waste"as now or hereafter defined in the Resource Conservation and Recovery Act(42 U.S.C. §6901
et seq.)or regulations promulgated thereunder;(iii)any substance regulated by the Toxic Substances Control Act(15 U.S.C. §2601 et
seq.);(iv)gasoline,diesel fuel,or other petroleum hydrocarbons;(v)asbestos and asbestos containing materials,in any form,whether
friable or non-friable; (vi) polychlorinated biphenyls; (vii) radon gas: and (viii) any additional substances or materials which are
now or hereafter classified or considered to be hazardous or toxic under Environmental Requirements (as defined below) or the
common law, or any other applicable laws relating to the Property. Iazardous Materials shalt include, without Limitation, any
substance. the presence of which on the Property.requires reporting.investigation or remedial ion under Environmental Requirements;
causes or threatens to cause a nuisance on the Property or adjacent propert or poses or threatens to pose a hazard to the health or
safety of persons on the Property or adjacent property: or which, if it emanated or migrated from the Property, could constitute a
trespass; and (b) "Environmental Requirements" shall mean all laws, ordinance. statutes, codes, rules, regulations, agreements,
judgments,orders,and decrees,now or hereafter enacted,promulgated,or amended,of'the United States.the states,the counties,the
cities, or any other political subdivisions in which the Property is located, and any other political subdivision, agency or
instrumentality exercising jurisdiction over the owner of the Property,the Property,or the use of the Property,relating to pollution,
the protection or regulation of human health.natural resources.or the environment,or the emission.discharge,release or threatened
release of pollutants, contaminants. chemicals, or industrial. toxic or hazardous substances or waste or Hazardous Materials
into the environment(including,without limitation,ambient air,surface water,ground water or land or soil).
ARTICLE Ili
PAYMENT TERMS
Section 3.1 Contract Prig.Owner shall(a)pay 24 Restore the initial Deposit(as defined in the Summary of Contract Provisions),
(b) for any insured Work performed in accordance with any insurance Program Agreement and for which the insurance Carrier does
not make timely payment in accordance therewith, and (c)pay 24 Restore for (i) any non-recoverable depreciation and (it)any
Additional Work performed in accordance with Xactimatc pricing based on nip code of the Property.provided any items not included
in the Xaetimate will be based on local industry prretng, and the terms and conditions contained herein, subject to additions,
deductions,ardor late fees as provided herein (the amounts described in clauses (a). (b). and (c) above (subject to such additions,
deductions,and/or late fees), the ("Contract Price"). The Contract Price .hall he paid as follows: (I)Owner shall pay 24 Restore
the Initial Deposit (as defined in the Summary of Contract Provisions), if applicable, in accordance with Section 3.2; and(2) the
remainder of the Contract Price shall be paid as invoiced in accordance with Section 3.3 below until paid in full.
24 Restore:
Page 3 c
Ver.05.2024 Company:
Section 3.2 Initial Deposit.Owner shall deliver to 24 Restore the Initial Deposit prior to the date on which the Work is scheduled
to commence. Owner's failure to comply with this Section 3.2 shall be a material breach of this CSA and shall entitle 24 Restore to
immediately delay or terminate performance of the Work.
Section 3.3 Payment. Owner shall pay 24 Restore in full any non-recoverable depreciation and Additional Work within 30 days
of Owner's receipt of a written application for payment thereof(an "Invoice"). Owner agrees to be legally responsible for such
payment regardless of whether Owner is entitled to coverage or reimbursement from any third party. Nothing herein,however,shall
alter or impair Owner's legal responsibility to pay the Contract Price.
Section 3.4 Disputed Amounts. Owner may. in good faith,dispute any amounts set forth in an Invoice for Additional Work that it
believes to he inaccurate. Owner shall notify 24 Restore ofany such dispute in writing on or before the 25th business day following 24
Restore's delivery of the corresponding Invoice. Failure by Oh%ncr to dispute an Invoice within such time period or failure by Owner
to act in good faith when disputing an Invoice shall be deemed a non-rebuttable acceptance of all Work accounted for in such Invoice
and shall be deemed a waiver by Owner of any and all of its rights to dispute the amounts set forth in such Invoice or its right to
withhold payment therefor.
Section 3.6 Late Payments. Any portion of the Contract Price that is not paid within 45 days of the date of the Invoice is delivered
to Owner shall bear interest at the statutory rate for judgments in Massachusetts set forth in M.G.L.c.231 §6C.
Section 3.6 Joint Escrow Account. Where 24 Restore determines that Owner is insecure,24 Restore may require,as a prerequisite
to continuing with the work, that the balance of Contract Price be placed in a joint escrow account requiring the signatures of the
Owner and 24 Restore for withdrawal. Owner shall comply with any such requirement. These rights are in addition to any liens or
security interests,as referenced or set forth in Section 2.3 and Section 7.1 1(e).
Section 3.7 Trust Funds. All sums tentatively earned by 24 Restore and retained by Owner by reason of the partial or complete
performance of the Work and any balance of the unearned Contract Price,and all retainage shall constitute a trust fund for the purposes
of(a) first, full completion of the Work,(b)second,payment of any claims due 24 Restore from Owner; (c) third,payment to sub-
Contractors, laborers and suppliers of 24 Restore who have valid and enforceable mechanic's lien claims or bond claims (if the
Project is bonded). and such tentative earnings shall not be due and payable to 24 Restore. or anyone else claiming in 24 Restore's
place and stead. excepting however a trustee in bankruptcy that has given notice to 24 Restore that it will perform the Work in
accordance with this CSA provisions and cure any existing defaults. until and unless such Work is fully and satisfactorily completed
and such claimants arc fully paid and satisfied.
ARTICLE IV
CERTIFICATES OF INSURANCE
Upon written request from Owner, 24 Restore shall provide to Owner certificate(s)of insurance evidencing 24 Restore's insurance
relevant to the Additional Work.
ARTICLE V
DISCLAIMER; RELEASE; INDEMNITY
Section 5.1 EXCLUSIONS. 24 RESTORE DOES NOT MAKE ANY WARRANTIES OR COVENANTS (EXPRESS,
IMPLIED OR ORAL), INCLUDING ANY IMPLIED WARRANTY OF MERCHANTABILITY, OR FITNESS FOR A
PARTICULAR PURPOSE, WITH RESPECT TO THE WORK NOR SHALL 24 RESTORE BE OBLIGATED TO
GUARANTEE ANY WARRANTY PROVIDED BY ANY SUBCONTRACTOR OR MANUFACTURER TO OWNER.
Section 5.2 RELEASE. OWNER HEREBY RELEASES :AND A(;RF I.s TO 1101 1) 24 RESTORE, ITS AFFILIATES,
AND ITS AND THEIR RESPECTIVE OFFICERS. DIRECTORS. F:\II'I.OYF:l , SHAREHOLDERS, PARTNERS,
MEMBERS,MANAGERS,AND AGENTS(EACH A"24 RESTORE: INDEMNIFIED PARTY") HARMLESS FROM AND
AGAINST ANY AND ALL CLAIMS, DEMANDS, LOSSES, DAMAGES, CAUSES OF ACTION, SUITS,JUDGMENTS,
AWARDS, COSTS AND EXPENSES (INCLUDING REASONABLE ATTORNEYS' FEES) AND LIABILITIES OF
EVERY KIND OR CHARACTER(COLLECTIVELY REFERRED TO AS"DAMAGES"),IN RESPECT TO PERSONAL
OR BODILY INJURY TO, SICKNESS, DISEASE, DEATH OR OTHER DAMAGES SUFFERED BY OWNER, ITS
INVITEES, OR OTHER CONTRACTORS, RESULTING OR ARISING FROM OR ARISING OUT OF OR IN
CONNECTION WITH THE PROPERTY OR WORK DONE BY 24 RESTORE.
Section 5.3 INDEMNITY. TO THE FULLEST EXTENT PERMTI"TE.D I3Y LAW, OWNER SHALL INDEMNIFY AND
HOLD HARMLESS EACH 24 RESTORE INDEMNIFIED PARTY AND A1.1. OF THEIR AGENTS AND EMPLOYEES
Page 4 24 Restore:
Ver.05.2024 Company: S
P
FROM AND AGAINST ALL DAMAGESARISING OUT OF, IN CONNECTION WITH, OR RESULTING FROM ANY
ACTS OR OMISSIONS OF THE OWNER OR THE OWNER'S INVITEES OR OTHER CONTRACTORS,WHERE ANY
SUCH DAMAGE IS ATTRIBUTABLE TO BODILY INJURY,SICKNESS, DISEASE,OR DEATH,OR TO INJURY TO
OR DESTRUCTION OF TANGIBLE PROPERTY (OTHER THAN THE WORK ITSELF) INCLUDING THE LOSS OF
USE RESULTING THEREFROM, AND IS CAUSED BY OR ARISES IN WHOLE OR iN PART, FROM ANY
NEGLIGENT OR NON-NEGLIGENT ACTOR OMISSION OF THE OWNER OR ANY OF ITS AGENTS,EMPLOYEES,
SUB-SUBCONTRACTORS OR OTHERS.
Section 5.4Survivahility. Sections 5.2 and 5.3 shall survive termination of this CSA.
ARTICLE VI
TERMINATION
24 Restore has the right to terminate this CSA at any time. Owner shall be obligated to pay 24 Restore for any Work performed prior
to the date of such termination. If 24 Restore terminates this CSA by reason of: (I)Owner's failure to make a payment within the
time stated herein;(2)Owner's failure to fulfill Owner's obligations under this CSA with respect to matters material to the progress
of the Work: (3) repeated suspensions,delays or interruptions of'the Work by Owner, or(4) Owner's Insurance Carrier's failure to
make payment in accordance with the insurance Program Agreement, then,24 Restore may also recover from Owner payment for
loss with respect to materials,equipment,tools,and construction equipment and machinery,including reasonable overhead,profit and
damages in connection with this CSA.
ARTICi.F VII
MISCELLANEOUS
Section 7.1 Authority of Signatory. Owner hereby represents and warrants that it is the absolute fee simple owner of the Property
or an authorized agent thereof acting pursuant to the terms of a valid and enforceable written agreement,and the person signing on
behalf of Owner is an officer of Owner who is duly authorized to execute this CSA on Owner's behalf and to bind Owner(and, if
Owner is an authorized agent,the owner of the Property)under the terms of this CSA and that Owner has the means to perform its
obligations hereunder. If Owner is not the owner of the Property, Owner shall provide 24 Restore with the identity and contact
information of the property owner and a copy of the above-referenced written agreement upon 24 Restore's request for the same.
Section 7.2 Rights and Remedies. 24 Restore's rights and remedies available under this CSA shall be in addition to and not a
limitation of the rights and remedies otherwise available by law or equity. Time is of the essence in this CSA.
Section 7.3 Entire Agreement; Waiver. This CSA and the Contract Documents contains the entire agreement between the Parties and
cannot be amended unless such amendment is in writing and executed by the Party against which the enforcement of the amendment
is sought. No action or failure to act by 24 Restore shall constitute a waiver of a right or duty afforded them under this CSA or any
Contract Document, nor shall such action or failure to act constitute appro\al of or acquiescence in a breach thereunder, except as
may be specifically agreed in writing.
Section 7.4 Counterparts. This CSA may be executed in any number of duplicate counterparts,each of which shall be deemed an
original. Delivery of an executed counterpart of this CSA by facsimile or other electronic means shall be equally as effective as
delivery of a manually executed original counterpart of this CSA.
Section 7.5 Severability:Waiver. The partial or complete invalidity of any one or more provisions of this CSA shall not affect the
validity or continuing force and effect of any other provision.
Section 7.6 Notices. All notices, demands, requests, approvals, or other communications required or permitted under this CSA
must be in writing and sent to Cotton at the following address: 24 Restore NE, LLC,Attn: Legal,840 W. Sam Houston Parkway N.,
2id Floor, Houston,Texas 77024, legal@cottonteam.com;and sent to the Owner at the Formal Notice Address on the Summary of
Contract Provisions. Communications sent by email shall request confirmation of receipt and delivery and shall be deemed delivered
on the date such confirmation is received by the sender thereof,provided that the recipient thereof is hereby obligated to provide such
confirmation promptly following receipt of the email.
Section 7.7 Limitation on Damages. Notwithstanding anything herein or otherwise to the contrary and to the extent not prohibited
by applicable law, 24 Restore shall not be liable to Owner for any special, indirect, consequential, exemplary or punitive damages
24 Restore: f I
Page 5
Ver.05.2024 Company: e5
resulting from or arising out of this CSA,a Contract Document or the Work, including but not limited to lost revenue, lost profits.
lost business or business interruptions,or lost business opportunities, however they may be caused.
Section 7.8 Jurisdiction. Except to the extent that the laws of another jurisdiction will,under conflict of law principles,govern the
enforcement of liens encumbering the Property, this CSA and the relationship of the Parties with respect to the transactions
contemplated hereby shall be governed by the laws of the State of Texas. Each Party agrees that it shall bring any action or proceeding
in respect of any claim arising out of or related to this Agreement exclusively in the United States District Court for the Southern
District of Texas (or if subject matter jurisdiction before the federal court does not exist. then before any state court in Houston,
Harris County, Texas) (the "Chosen courts"), and each Party (a) irrevocably submits to the exclusive jurisdiction of the Chosen
Courts.(b)waives any objection to laving\cane in any such action or proceeding in the Chosen Courts,and(c)waives any objection
that the Chosen Courts are an incom enient forum or do not have jurisdiction u\cr any Parr.THE PARTIES HEREBY,TO THE
FULLEST EXTENT PERMITTED BY APPLICABLE LAW,WAIVE TRIAL 13V.11 RY IN ANY ACTION,PROCEEDING
OR COUNTERCLAIM BROUGHT BY ANY PARTY AGAINST ANOTHER IN ANY MATTER WHATSOEVER
ARISING OUT OF OR iN RELATION TO OR iN CONNECTION WITH THIS CSA OR THE TRANSACTIONS
CONTEMPLATED HEREBY.The Parties further agree,to the extent permitted by Law,that a final and non-appealable judgment
against a Party in any action or proceeding contemplated above shall he conclusive and may be enforced in any other jurisdiction
within or outside the United States of America by suit on the judgment.a certified or exemplified copy of which shall be conclusive
evidence of the fact and amount of such judgment.
Section 7.9 Dispute Resolution. (a)The Parties shall, for at least 15 days before any formal action, make a good faith effort to
resolve any dispute. Should such efforts fail, the Parties agree that all disputes will be resolved by arbitration as provided by the
Office of Consumer Affairs and Business Regulation(OCBRA),M.G.L.c. 142A.The arbitrator shall have authority to award legal
fees,including attorneys fees,court costs and litigation costs to the prevailing Party.Should either party need to file any document
or pleading in a court to obtain emergency injunctive relief or to secure,retain,perfect or foreclose its lien rights, such filing and/or
pleading shall not be considered a violation of this Dispute Resolution process. Any arbitrator to be selected or appointed shall have
at least 15 years construction law experience,shall he qualified by the AAA for the large,complex construction matters,and,to the
extent practicable.be located in I larris County, in Texas.
Sign here to agree to arbitration: OWNER:____._.. 1 24 RESTORE:
RESTORE: c;f-
(b) The signatures of the parties above apply only to the agree of the parties to alternative dispute resolution initiated by the
Contractor. You have rights under the Home improvement Contractor Act, M.G.L. c. I42A, including the right to request that a
dispute resulting from and relating to residential contracting be decided under the terms of a private arbitration program approved by
the Director.
Section 7.10 MASSACHUSETTS LAW PROVIDES HOMEOWNERS A THREE-DAY CANCELLATION PERIOD FOR
RESIDENTIAL CONSTRUCTION SERVICES. iF THE EVENT THE OWNER DIRECTS 24 RESTORE TO
COMMENCE WORK WITHIN THREE DAYS OF THE EXECUTION OF THIS AGREEMENT,OWNER SHALL PAY
24 RESTORE FOR ALL WORK PERFORMED AND REIMBURSE ALL COSTS AND EXPENSES INCURRED TO
COMMENCE THE WORK, WHICH CANNOT BE REALLOCATED ELSEWHERE, EVEN IF THE OWNER
SUBSEQUENTLY ELECTS TO CANCEL THE CONTRACT.24 RESTORE SHALL PROVIDE DOCUMENTTION FOR
ALL SUCH REIMBURSEABLE COSTS NOT LATER THAN 30 DAYS FORM ANY CANCELLATION HEREUNDER.
Section 7.11. Notices Required by M.G.L.c. 142A
a. The permits required to commence the Work are specified in the "Permits Required for Work" section of the Summary of
Contract Provisions. 24 Restore hereby notifies Owner that the "Permits Required for Work" are required to be obtained to
commence the Work and that any homeowner who secures his owner permits will he excluded from the Home improvement
Contractor Arbitration and Guaranty Fund. which may provide monetary protection(up to S 10,000)to any homeowner with an
unpaid judgment.
b. All home improvement contractors and subcontractor shall be registered by the Office of Consumer Affairs and Business
Regulations and any inquiries about the registration shall be directed to:Office of Consumer Affairs and Business Regulation,
Home improvement Contractor Registration, 10 Park Plaza,Room 5170, Boston, MA 02116,(617)973-8700.
c. Owner is hereby advised that a security interest lien may be established against the personal property pursuant to this Agreement
24 Restore:
Page 6 rrI C
Ver.05.2024
Company:!
and that a Mechanic's Lien pursuant to M.G.L. c. 254 § 2 may be established by recording of a notice of contract to secure
payment due to 24 Restore tinder this Agreement.
d. No work shall begin until the Owner is pros iced an executed copy of this Agreement.
e. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
(Remainder of page intentionally le/t blank. Signature page to follow.]
24 Restore: glf-
Page 7
IS Ver.05.2024 Company:
Executed by the parties below to be effective as of the Effective Date.
24 RESTORE: OWNER:
24 RESTORE. NE, I,I,C Padraic Shaughnessy
r„IralK�
By: By:
Name:, Jay Freitas Name: Padraic Shaughnessy
Title: President & COO Title: Owner
Payment terms:
Total contract $6,412.11
$1,000.00 deductible to be paid by insured prior to start of work
$5,412.11 to be paid by Mapfre upon Certificate of Satisfaction
24 Restore: I
Page 8
(95
Ver.05.2024 Company:
24 Restore
mew 66 South Broad Street
RESTORE Westfield MA 01085
TAX ID 46-1518241
Insured: PADRAIC SHAUGHNESSY Business: (413)584-5355 x 10116
Property: 358 ACREBROOK DRIVE Home: (413)695-0459
FLORENCE, MA 01062-3504 Cell: (413)695-0459
Home: 358 ACREBROOK DRIVE E-mail: padshaughnessy@gmail.com
FLORENCE,MA 01062-3504
Claim Rep.: Venincasa,Ellen Business: (508)523-2000
Company: Mapfre E-mail: evenincasa@mapfreusa.com
Estimator: Mccary,George Business: (774)265-7198
E-mail: gmccary@24restorene.com
Contractor: Business: (475)655-7800
Company: 24 Restore NE LLC
Business: 66-68 South Broad Street
Westfield , MA 01085
Claim Number: H010034581-1 Policy Number: 4883051470 Type of Loss: Water
Date Contacted: 7/29/2024 12:46 PM
/Date of Loss: 7/6/2024 2:00 AM Date Received: 7/8/2024 2:00 AM
Date Inspected: 7/29/2024 12:46 PM Date Entered: 7/17/2024 1:50 PM
Date Est. Completed: 7/30/2024 9:24 AM
Price List: MASP8X_JUL24
Restoration/Service/Remodel
Estimate: PADRAIC
SHAUGHNESSY2
Thank you for choosing 24 Restore.
24 Restore
Aing 66 South Broad Street
RESTORE. Westfield MA 01085
TAX ID 46-1518241
PADRAIC_SHAUGHNESSY2
Main Level
Roofl
DESCRIPTION QTY
1. Gutter guard/screen-Detach&reset 40.42 LF
2. Tarp 1.00 EA
Tarp rear elevation to protect,siding,windows and landscaping
3. Tear off composition shingles(no haul off) 5.27 SQ
4. R&R Sheathing-plywood- 1/2"CDX 192.00 SF
5. Drip edge 66.58 LF
6. !cc&water barrier 242.50 SF
7. Flashing-pipe jack 1.00 EA
8. Roof vent-turtle type-Metal 1.00 EA
9. Asphalt starter-universal starter course 40.42 LF
10. Roofing felt- 15 lb. 2.87 SQ
I I. Laminated-comp. shingle rfg. -w/out felt 6.00 SQ
12. Continuous ridge vent-shingle-over style 40.00 LF
13. Hip/ Ridge cap-Standard profile-composition shingles 40.42 LF
14. Dumpster load-Approx. 12 yards, 1-3 tons of debris 1.00 EA
Grand Total $6,412.11
Mccary,George
Grand Total Areas:
0.00 SF Walls 0.00 SF Ceiling 0.00 SF Walls and Ceiling
0.00 SF Floor 0.00 SY Flooring 0.00 LF Floor Perimeter
0.00 SF Long Wall 0.00 SF Short Wall 0.00 LF Ceil. Perimeter
0.00 Floor Area 0.00 Total Area 0.00 Interior Wall Area
214.93 Exterior Wall Area 0.00 I•'xtcrior Perimeter of
�1alls
527.23 Surface Area 5.27 Number of Squares 106.92 Total Perimeter Length
0.00 'Total Ridge Length 0.00 Total Hip Length
PADRAIC SHAUGHNESSY2 8/2/2024 Page: 2
Main Level
40' 5"
Roofl
4
l l
Main Level
PADRAIC_SHAUGHNESSY2 8/2/2024 Page:3
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City of Northampton
y Massachusetts '<<
�t k ` DEPARTMENT OF BUILDING INSPECTIONS
T, i� 212 Main Street • Municipal Building -, �r�'
!-^:i Northampton, MA 01060 J'l)''Y 31,\N `.
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, 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, S 150A.
1 he debris will be disposed of in:
Location of Facility: LQTh CAS( (oRG A-L m
The debris will be transported by:
Name of Hauler: 13Oni EAST LASS 4 1 ICA m
.4a,E1
Signature of Applicant: iQ Date: og1ospy