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05-061 BP- 2010 -1066 GIS #: COMMONWEALTH OF MASSACHUSETTS CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category BUILDING PERMIT Permit # BP- 2010 -1066 Protect # JS- 2010- 001567 Est. Cost: $8000.00 Fee: $55.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: STEPHEN D ROSS 079160 Lot Size(sq. ft.): 155073.60 Owner: MACINNIS FREDERICK J & ELAINE TRUSTEES zoning: RR(100)//WP/WSP Applicant: STEPHEN D ROSS AT: 469 AUDUBON RD Applicant Address: Phone: Insurance: 36 SERVICE CENTER RD (413) 584 -1224 O WC NORTHAMPTONMA01060 ISSUED ON. 5/27/2010 0:00:00 TO PERFORM THE FOLLOWING WORK.- REPLACE 3 SKYLIGHTS 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 5/27/2010 0:00:00 $55.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo File # BP- 2010 -1066 APPLICANT /CONTACT PERSON STEPHEN D ROSS ADDRESS/PHONE 36 SERVICE CENTER RD NORTHAMPTON (413) 584 -1224 () PROPERTY LOCATION 469 AUDUBON RD MAP 05 PARCEL 061 001 ZONE RR(100)//WP/WSP THIS SECTION FOR OFFICIAL USE ONLY: PERMIT APPLICATION CHECKLIST ENCLOSED REQUIRED DATE ZONING FORM FILLED OUT Fee Paid Building Permit Filled out ti . V Fee Paid Typeof Construction: REPLACE 3 SKYLIGHTS New Construction Non Structural interior renovations Addition to Existing Accessory Structure Building Plans Included: Owner/ Statement or License 079160 3 sets of Plans / Plot Plan THE FOLLOWING ACTION HAS BEEN TAKEN ON THIS APPLICATION BASED ON INFQ1kMATION PRESENTED: Approved Additional permits required (see below) PLANNING BOARD PERMIT REQUIRED UNDER:§ Intermediate Project: Site Plan AND /OR Special Permit With Site Plan Major Project: Site Plan AND /OR Special Permit With Site Plan ZONING BOARD PERMIT REQUIRED UNDER: § Finding Special Permit Variance* Received & Recorded at Registry of Deeds Proof Enclosed Other Permits Required: Curb Cut from DPW Water Availability Sewer Availability Septic Approval Board of Health Well Water Potability Board of Health Permit from Conservation Commission Permit from CB Architecture Committee Permit from Elm Street Commission Permit DPW Storm Water Management Demolition Delay CA 7/to Signature of Building Official Date Note: Issuance of a Zoning permit does not relieve a applicant's burden to comply with all zoning requirements and obtain all required permits from Board of Health, Conservation Commission, Department of public works and other applicable permit granting authorities. * Variances are granted only to those applicants who meet the strict standards of MGL 40A. Contact Office of Planning & Development for more information. Drnegt userfl City of Northampton Status of Permit � F Building Department C irb Cui"Jp very Pet rtit MAY 5 2010 ,12 Main Street Serer/ t Availa311 t Boom 100 VYaterlWe]t; Ava7l;kitity a , �_ _ Mdrthan pton, MA 01060 Twc� Sets of a i rat FrC iris t?� " phone 41 - 587 - Fax 413- 587 -1272 plottsitePlans __ -- Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Proaerty Address This section to be completed by office Map Lot Unit Zone Overlay District Elm St. District CB District SECTION 2 - PROPERTY OWNERSHIP /AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Current Mailing Address: // 3 4 L /As 3 Telephone Signature 2.2 Authorized Agent: flame (9 int) Current Mailing Address: 4/3 �`V -1Z�y Signat J Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollars) to be Official Use Only cWpleted by ermit applicant 1. Building 41 , CO (a) Building Permit Fee 2. Electrical (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) lev - Check Number This Section For Official Use Onl Date Building Permit Number: Issued: Signature: Building Commissioner /Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This 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 p arkin g) # of Parking Spaces Fill: volume & Location A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO Q DON'T KNOW YES Q IF YES, date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW YES 0 IF YES: enter Book Page and /or Document # B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW 0 YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained I Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO er", IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES Q NO IF YES, describe size, type and location: E. Will the construction activity disturb (clearing, grading, excavgbon, 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 Wi ows Alteration(s) ❑ Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [Q Siding [[J] Other [O] Brief Descripp'Qn of Pro sed Work: lC ' a2 f 3 � Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - §heet 6a. If New bouso addition to existing housing, complete the following: a. Use uil ' g : ne F mily Two Family Other b. m r fro sin acfx'family unit: Number of Bathrooms r c. Is th re 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. 1. 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, fi / i K —t �' �n as Owner of the subject property hereby authorize -t,% �2 c t"L to act on my behalf, in all ma rs relative to work authorized by this building permit application. Signature of Owner Date 1, '-X- as Owner /Authorized Agent her y 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. Print Na e ignatu of Owner /Agent Date SECTION 8 - CONSTRUCTION SERVICES 8.1 Licensed Construction Sup Not Applicable ❑ Name of License Holder License Number Wii/11 Address Ex ' ation Date SigDature / Telephone 9.'Realls i red Home Improvement Contractor: Not Applicable ❑ 1- r� cam- IS 6 V7 C o - mPaght Name Registration Number g ddrlos Expir tion D44te Telephone 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...... ❑ 11. - Horne Owner Exemption The current exemption for "homeowners" was extended to include Owner- occuvied Dwellings of one(]) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of 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 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. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature - rM 8.1 Licensed Construction Sup �P Not Applicable ❑ Name of License Holder : /� �'— �- ��7 � f & License Number Address ation Date Signature Telephone Not Applicable ❑ V 7 C b - mDa#IVNa me Registration Number A ddrlKs Expir lion D to Telephone 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...... ❑ The current exemption for "homeowners" was extended to include Owner - occupied DweUings of one (1) or two(2) families and to allow such homeowner to engage an individual for hire who does not possess a license, urovided that the owner acts as supervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of 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 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. The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature 69 �AiiIBN RA ":` BP- 2010 -1034 GIs #: COMMONWEALTH OF MASSACHUSETTS sog o _ obi ` CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: B UILDING PERMIT Permit # BP- 2010 -1034 Project # JS- 2010- 001525 Est. Cost: $18400.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RCI ROOFING 74334 Lot Size(sq. ft.): 155073.60 Owner MACINNIS FREDERICK J & ELAINE TRUSTEES Zoning: RR(100)//WP/WSP Applicant RCI ROOFING AT. 469 AUDUBON RD Applicant Address: Phone: Insurance: 6 LINE ST (413) 527 -4775 Workers Compensation SOUTHAMPTONMA01073 ISSUED ON :511912010 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 5/19/2010 0:00:00 $35.00 212 Main Street, Phone (413) 587 -1240, Fax: (413) 587 -1272 Building Commissioner - Anthony Patillo City of Northampton SttttAS of Building Department Curb C 212 Main Street 1v � , cy?N1 r xt a Room 100 Wst Nortfia MA 01060 phone 413 -581 -1240 Fax 413 - 587 -1272 010 US ; k� r Other S ,, APPL. CATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 - SITE INFORMATION 1.1 Property Address This section to be completed by office ylo�i 0.s..v�b a Map Lot Un Zone Ow rimy District Elm SL District CB Dlstrkt SECTION 2 - PROPERTY OWNERSHIPIAUTHORIZED AGENT 2 Owner of Record p ��0�•:1c C�nh,S P CB o'y- 393 L p — `Ag.. ©I o.13 Name (Print) Cu nt Mailing Add ss: Telephone Signature 2.2 Authorized Agent: May • L Ak SQULLCI Name (Print) Current Mailing dress: (� 13) 521 • -4US Signature Telephone SECTION 3 - ESTIMATED CONSTRUCTION COSTS i Item Estimated Cost (Dollars) to be OfWal Use Only com leted by rmit applicant 1. Building oo F j (1 O Q O (a) Building Permit Fee 2. Electrical (b) Estimated Total Coat of . Construction from 6 3. Plumbing Building Permit Foe i 4. Mechanica+ (HVAC) S. Fire Protection 6. Total = (1 - 2 + 3 4 + 5) Qp , �(� Check Number This Section For Official Use Onl Bo ing•Permit Number te r. Issued: Signature: L Bullding Commissioner /Inspector of Buildings Deb Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department L,il Size F: ontanc S, shacks Front I i Side I.: . - -- R: L: R: Rear B jilding Iicight 13 dg. Square Footage % 0 - )cn Space Footage % (L.x area minus bidF & paved a ^ King) r A Parking Spaces F & IpeaUOn A. Has a Special Permit /Variance /Finding ever been issued for /on the site? NO O DONT KNOW O YES O IF YES, date issued:' IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Paget and /or Document #j B, Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES 0 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 O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property ? YES O NO O 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 O NO IF YES, then a Northampton Storm Water Management Permit from the DPW is required. ti SECTION 5- DESCRIPTION OF PROPOSED WORK (check all applicable New House [7 Addition Replacement Windows Alteration(s) Roofing Or Doors 0 i Accessory 51d9. ❑ Demolition ❑ New Signs (0] Decks,[[ Siding (0) Other[=' Brief Descnpl )n of Proposed Work: ;,iteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll - Sheet sa. if New house and or addition to existing housing, complete the following: a Use of be iding One Family Two Family Other b Numbe c rooms in each family unit: Number of Bathrooms c. Is there a ,arage attached? f d. Proposec Square footage of new construction. Dimensions i e. Numbe c+ stories? Method of heating? Fireplaces or Woodstoves Number of each c,. Energy C.:nservation Compliance. Masscheck Energy Compliance form attached? Type of construction Is constru..fion within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No Depth 0 t 3semerrt or cellar floor below finished grade K. Will building conform to the Building and Zoning regulations? Yes No. Septic Tar" City Sewer Private well City water Supply SECTION 7a - OWNER AUTHORIZATION - TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the sub)ed property hereby authori ::e • Rod-* ;o act on my behalf, in all matters r alive to work authorized by this uilding permit application. attat^ Sig'nat(!re of Own or Date � p _ a 5 a i -r 1 � �? P� aQ GCS l as OwnerfAuthorixed Agent hereby declare that the statements and information on the foregoing aablication are true and accurate, to the beat of my knowledge i and belief. Signed under the pains and penalties of perjury. I • MA Print Name ate Signature of Ow arlAgent D n SECTION 8 - CONSTRUCTION SERVICES r - 8.1 Licensed Construction Supervisor Not App , ❑ es upM pp Name of License Holder : J_1�111 T)i✓) S e ■ l le ` 3 3 4 License Number n 1 0 j Address Expiration Dale 0413) .52q- NT75 Signature Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number Nocrcao Expiration Date e arn bton Ma. o 107 Telephon SECTION 10- WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152, § 26C(6)) Workers Ccmoensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial o f the issuance of the building permit. j Signed Affic .avit Attached Yes... .. �2r No...... ❑ t 1. - Home Owner Exemption i h:; current exemption for "homeowners" was extended to include Owner- occupied Dwellings of one (1) or two(2) families r.i to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts ;;s ;upervisor. CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner Person (s) who own a parcel of land on which he/she resides or intends to reside, on which there s. )r is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/ or farm ,, .�ctures. A person who constructs more than one home in a two -year period shall not be considered a homeowner - homcowner" shall submit to the Building Official, on a form acceptable to the Building Official that he/she shall be , tponsible for all such work performed under the building permit. v, acting Construction Supervisor your presence on the job site will be required from time to time, during and upon C)mpletion of the work•for which this permit is issued. be advised that with reference to Chapter 152 ( Workers' Compensation) and Chapter 153 (Liability of Employers to i:n for iniurics not resulting in Death) of the Massachusetts General Laws Annotated, you maybe liable for pawn(s) . a;; hire to perform work for you under this permit. 1'h- undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code, City of \c,rthampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature 2ttaC60--d The Commonwealth of Massachusetts r, Department of Industrial Accidents � �r; 1 Office of Investigations f } 600 Washington Street Boslon, MA 02111 w w w, mass.go v /dirt \Vorkcrs' Compensation Insurance Affidavit: Buil(iers/ Contractors /Electricians /Plumbers Applicant Information Please Print Legibly Name (iiu;mess. c� Q � �ll\ i �ItliCl l,th: p Phone #: :Are you an employer" Check the appropriate box: Type of project (required): - 1 arts :l ;:mploycr with 2,0 I ❑ I am a general contractor and ! 6 ❑New constntction entpl ) ,re:, (hill and /or part - time).' have hired the sub - contractors ❑ I ;tm a sole proprietor or partner- listed on the attached sheet. T Fj Remodeling ship aitd have no employees These sub - contractors have g, ❑ Demolition \vorkin" for ine in any ca achy. employees and have workers' P" ' 9. ❑ Building addition No v�.lrkcrs' comp, insurance comp. insurance.- corporation and and its 10. El Electrical repairs or additions _ reyuir��t.� ❑ We are a cog P �� I ant a honteuwnc r doing all work officers have exercised their 1 1.❑ Plumbing repairs or additions ntvsc�!: , No workers' comp. right of exemption per MGL 12.(SrRoofrepairs n�ura�tcr rcyuired.� c. 152, 41(4), and we have no employees. [No workers' 13.❑ Other _ comp. insurance required.] U., ;,pplicant t,t;u checks box #I must also fill out the section below showing their workers' compensation policy infbmtation. i fmlicm�ncrs %, ho submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. t l ontractors thai check this box must attached all additional sheet showing the naine of the sub - contractors and state whether or not those entities have :mpioyecs. If th,_ sub - contractors have employees, they must provide their workers' comp. policy number. I uin tilt errtpiovcr that i.v providing; workers' compensation insurance for mY employees Below is the policy and job site i tt Ji+rrrtution. jn,,turancc Co ,pat, Name: a _t tic or S, if - ins. Lic. i: �t�jC S �_ „ 0�1 .3�R — _ - -- Expiration Date )oh Site Addrss: y L C City /State /Zip: c m btt5�3 A(tach a cope of the workers' compensation policy declaration page (showing the policy number and expiration date). ;tilurc to scc. ;rc coverage as required under Section 25A of - MGL c. 152 can lead to the imposition of criminal penalties of a t up to SI.�oo.00 and /or one -year imprisonment, as well as civil penalties in the fonts of a STOP WORK ORDER and a fine up to S2 >0 00 it day against the violator. Be advised that a copy of this statement may be forwarded to the Office of investigation, o f the DIA for insurance cov erage verification. I do hereht c e,rtif under the sins and penalties o perjur} that the information provided above is true and correct. Phone 01jiCial u.Sc oirlr. Do not write in this area, to be completed by city or town official. City'or Town: Permit/License # Yss`u`ing Authority (circle one): I. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing inspector 6 " 1 other Contact Person: Phone #: R, C. .Roofing,,,.,,, 6 Line St. Southampton, Ma. 01073 Estimate Date Phone (413) 527 -4775 Fax (413) 527 -8469 4/30/2010 Name / Address Job Location Elaine MacInnis PO Box 343 469 Audubon Rd. Leeds, Ma. 01053 Leeds, Ma. 01053 (413) 584 -1833 Terms Rep Estimate valid for 30 days Dave Job Description Total Remove existing roofs. 18,400.00 Furnish & install aluminum drip edge, pipe flashings, chimney flashings and step flashings. Furnish & install new lead counter flashings. Furnish & install CertainTeed Winterguard ice & water barrier along eaves and valleys. Furnish and install synthetic underlayment over existing deck. Furnish and install 30 year CertainTeed Woodscape Series shingle. Furnish and install CertainTeed approved ridge vent. All exterior roofing related debris to be removed by R.C.I. Roofing. All work will be performed according to manufacturers' specifications. 5 -year RCI Roofing workmanship warranty included. 30 year CertainTeed material warranty included. All related permits will be obtained by R.C.I. Roofing. Add $2.50 per sq. ft. for wood decking replacement if needed. Add $2520.00 for Certainteed Landmark Woodscape 50 year premium shingle. A Certainteed Surestart Plus extended warranty (additional 5 years) will be included with fee ($840.00) absorbed by RCI Roofing if signed within 7 days. Add: 77 ft. gutters (price to be determined). WE LOOK FORWARD TO DOING BUSINESS WITH YOU. Total $18,400.00 TF1tMS OF 1)AYMFNT 5 " Ucposil Balance upon compiction - Rcgistration r# 126235 Customer Signature ConsUuctiun License # 074334 Insured by Lianas & Fickert Ins. Date 413 -527 -2700 �la�, Dvi),irtmCnt of Public B 'it rtl of Btjililin�� IlC_ if lat ii m. ;t MI �st;uiilanl. Construction Supervisor License License: CS 74334 Restricted to. 00 MARK T DELISLE 33 FIRST AVE EASTHAMPTON, MA 01027 ------------------ Expiration: Expiration: 5/3/2012 ( nuniai nrr Tru: 26357 .J lie lOarrzrnOrtuN.uGff /t- a� / ,_L�r,1.suTftrcdP� *b Office of Consumer Affairs & Business Regulation HOME IMPROVEMENT CONTRACTOR Registration: 126235 Expiration: 5/6/2012 Tr# 293949 Type: Partnership R.C.I. ROOFING MARK DELISLE 6 LINE ST SOUTHAMPTON, MA 01073 Undersecretary