38b-212 (8) 16 FAIRVIEW AVE BP-2016-1409
GIS#: COMMONWEALTH OF MASSACHUSETTS
MaD:Block: 38B-212 CITY OF NORTHAMPTON
Lot: -001 PERSONS CONTRACTING WITFI UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Category: ROOF BUILDING PERMIT
Permit# BP-2016-1409
Project# JS-2016-002429
Est.Cost: S23000.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: EAST COAST METAL ROOFING 184472
Lot Size(sq,ft): 3615.48 Owner: WATERMAN PAUL D&DONNA L
jarnine: URBf100)/ Applicant: EAST COAST METAL ROOFING
AT: 16 FAIRVIEW AVE
Applicant Address: Phone: Insurance:
118 POINT BREEZE RD (508)333-0106 Liability
WEBSTERMA01570 ISSUED ON:5/27/2016 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: Rouse 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 Signature:
FeeTvpe: Date Paid: Amount:
Building 5727/20160:00:00 540.00
212 Main Street, Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
t6 FAIRVIEW AVE BP-2016-1409
GIS 4: COMMONWEALTH OF MASSACHUSETTS
Map:Block: 388-212 CITY OF NORTHAMPTON
Lot-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cateeorr ROOF BUILDING PERMIT
Permit# BP-2016-1409
Project# JS-2016-002429
Est.Cost:.? 000.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: EAST COAST METAL ROOFING 184472
Lot Size(sq. ft.): 3615.48 Owner: WATERMAN PAUL D&DONNA L
Applicant: EAST COAST METAL ROOFING
AT: 16 FAIRVIEW AVE
Applicant Address: Phone: Insurance:
118 POINT BREEZE RD (508)333-0106 „-Liability
W EBSTERMA01570 ISSUED ON::5/27/2016 0:00:00
TO PERFORM THE FOLLOWING WORK:ST RI P & 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 ti 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 52720150:00:00 $40.00
212 Main Street. Phone(413)587-1240,Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
• • RECEft
e
Department use only
City of North- pt n MAY 2 I SOUR of Permit
.114 3t0 _,tr tj Building Dep- mi nt Ct rb C it/Driveway Permit
212 Main S roe oregynk wer/oePhc Avaiiabliity
4,owoaTA 0 mr
Room 1 is r f %yell Availability
NCX°' Northampton, MA 01060 Two Sets of Structural Plans_,,,,
a „N- phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
yr c" Other Specify..
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 SITE INFORMATION
1.1 Property Addrepss R
A This section to be completed by office
Map Lot Unit
0ot4lprvyQ'ib*11 M {t Oto(Do Zone Overlay District
Elm St Distract CB Distract
SECTION 2•PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record:
` V.A i bot.- ‘ vaaerw ,,,
Name(Print) Current Melina Address: I6
Telephone 'il�_ .CJ8 . 010 ..
Signature
2.2 Authorized Agent: MIA
E1 (�
YRS, "�.O..IA , OCY 1411 Lit
Name(Print) VI Current Mailing Address: ‘IW "Perm{ ,
W s ' Wt.% °trip
Signature Telephone ;EitR -311- Oio(_
SECTION 3•ESTIMATED CONSTRUCTION COSTS
item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1, Building (Y1,OD a (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=b1 +243+4+5) )3-1401 Check Number • d �R- YO -
_ This Section For Official Use Only
Building Permit Number: ....._ Cate ed:
Signature:
Building Commissioner/inspector of Buildings Date
Section 4. ZONING AU inhumation Must Be Completed.Permit Can Be Denied Due To Inemelete lnfosmton
Existing Proposed ( Required by Zoning
This solemn to be Oiled in by
Building Department
Lot Size
Frontage ..
Setbacks Front'
Side L ` B R ..
Rear
Building Height
Bldg Square Footage •
OpenSpaceFootage
(Loma minus bldg&paved !. _.
oaring)
a of Parking Spaces .
Fill_ •
(vokene3 iecadd)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO 0 DONT KNOW YES YES 0
IF YES, date issued:!
IF YES: Was
""the permit recorded at the Registry of Deeds?
NO 0 DONT KNOW YES 0
IF YES: enter nook Page and/or Document A,
6. Does the site contain a brook, body of water or wetlands? NO 4 DONT KNOW Q YES 0
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained 0 , Date Issued:
C. Do any signs exist on the property? YES 0 NO r
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 CO
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 gammon plan
that will disturb over 1 acre? YES 0 NO 3
IF YES,then a Northampton Storm Water Management Permit from the DPN is required.
SECTION S-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) n Roofing
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [C] Decks [O Siding[DI Other[DI
Brief ascription of Proposed
Work Sl"Y ^ ry ) ?(•/ h t .,�
Alteration of existing bedroom Yes `Vito 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
Is construction within tGO ft.of wetlands? Yes No. is construction within 100 yr. floodplain YesNo
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
/WR CONTRACTOR APPLIES FOR BUILDING PERMIT
W de )E r'tl as Owner of the subject
property
hereby authorize
to act on my behalf,in ati matters relative to work authorized by this building Permit application.
signature ooff'Owner �^' bate
UAL (^ i�
0.r"Irk _ k.^ � Cars `f'DDIC"K s as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and acnum ,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Par‘
Prat Name %aS in A 11
Signature of OwnertAgent Date
SECTION 8.CONSTRUCTION SERVICES
8.1 Licensed 1•
Construction``Supervisor: Not Applicable £ p c
Nameof Liconse Holder'. . .kA100 _ 1� u�,] VN...r C SSL
(�
License Number
f`__ _” 1 I (L oaR c
}Address Et 'I1l
Sig r e Telephone
uo(—
Ada93s` 53a-3
9.Registered Home Improvement Contractor.. . . Not Applicable £
\ M9-7a /
Company Name T_Sl Czsy 0.S) cliotyc 1. tC Registration Number
Address ``,% - tje2Zr_ 1j\ Expiration Date
katis MA 018`10 Telephone51:4.13 -D1�. (�at)/IE((��
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 Ming permit.
Signed Affidavit Attached Yes £ No E
11. - Home Owner Exemption
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) 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.CA1R 780, Sixth Edition Section 108.3,51.
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 nut be considered a homeowner.
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official that hetshe stall 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 persenls)
you hire to perform work for you under this pennh-
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 ofMasseehusetts General Laws Annotated.
Homeowner Signature
The Commonwealth of Massachusetts
Depanmeni of Industrial Accidents
'i
.'• i
Office of Investigathms
600 Washington Street
t ,r Boston,MA 02111
we'w moss.govhliss
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Print Legibly
Name(Easiness/Organization'Individual): tayt4 �$/0 to rtr
Address: ]k% Rtie a-- Jt
City/State/Zip: taask t, p Phone#: Sa%' 333-Ol bb
Are you an employer?Cheek the appropriate box:
4. am ageneral contractor and I Type of project(required):
1.�] I am a employer withEllin 6. ID New construction
employees (full and/or part-time).`" have hired the sub-contractors
2.7 lam a sole proprietor or partner- listed on the attached sheet, 7. J Remodeling
ship and have no employees These sub-contractors have 8. Q Demolition
working g for me inemployees and have workers'
any catY cpm insurance.; 9. [D Building addition
[No workers' comp. insurance P
required.] 5. E We are a corporation and its 10.❑ Electrical repairs or additions
3.C lam a homeowner doing all work officers have exercised their I I.(, Plumbing repairs or additions
myself [No workers' comp. right of exemption per MGT. 72oof repairs
insurance required.] t c, 152, §1(43 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.
tflo meowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees If the sub-contractors have employee,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:
Policy#or Self-ins.Lic. #: Expiration Date:
Job Site Address: City/State/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 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 maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cerflfy under t pains and penalties of perjury that the information provided above is true and correct.
Si mature: "V"'Uti� I,-late: /a-7/
Phone#: St) Tr3..t 30(a
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#:
s
City of Northampton
, Massachusetts
<^
2DL•PP.RTMENT OF BUILDING INSPECTIONS �
te
^.� 212 Main rthamp o Municipal 1l Building .;-
'%,
'"-x
Northampton, MB 01060 1y -
INSPECTOR
Louis Hasbrouck Chuck Miller
Building Commissioner Assistant Commissioner
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her
construction supervisor. The state defines "Homeowner" as, " Person(s) who owns a parcel on which
he/she resides or intends 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 home owner."
The building department for the City of Northampton wants any person(s)who seek to use the home
owner exemption, to act as their own construction supervisor, to be aware that by doing so you
become responsible for compliance with state building codes and regulations. The inspection
process requires that the building department be called to inspect work at various stages, which include
foundation/footings (before backfill), sonotube holes (before pour), a rough building inspection
(before work is concealed), insulation inspection (if required) and a final building inspection.
The building department requires these inspections before the work is concealed, failure to secure
these inspections can result in failure to obtain a certificate of occupancy until the work can be
inspected.
If the homeowner hires other trades to perform work (electrical, plumbing & gas)the homeowner will be
responsible to make sure that the trades hired secure their proper permits in conjunction to the building
permit issued, and that they get their required inspections. Failure of the individual trades to secure
the permits and inspections as required can DELAY the project until such time as the proper permits
and inspections are made
1, understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit issued to me.
Date
Address of work location
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.
IL F«:,cv:e.--3 {� .
Address of the work:
The debris will be transported by: Il,.a.avn,ck S T-t c t ,a m
The debris will be received by: Ox-core r*r ci'kr- A4 vm
Building permit number:
Name of Permit Applicant EfisM Co1412400141e (laUl ( ( C_
9,71
Date Signature of Permit Applicant
05/27/2016 13:32 5089433257
PAGE 01/01
EASTC-4 OP ID:SE
ACORa
CERTIFICATE OF LIABILITY INSURANCE laBill
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 RY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING WSURER(B),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERRFICATE HOLDER.
IMPORTANT: N the cslMcate holder hi an ADDf ZONAL INSURED,the Polloy(lea)most be mgonat N SUBROGATION IS WAIVED,subiect to
The terms and comawonn of the perky,(retain policiesmay renuim an endonement A statement on UM cofMOAm does not confer rightsto the
cenHlcate holder In lieu of such Rneone : ,s.
PROMER Sinn Costen
O'Connor&Co.Ina.*sdCy enInc -- .-- " FA% ...
18 VlllBge St P.O.Box 1aSa �PP.em;S08-9433388 �Aic, 508-943
Dudley,MA 01571 ADM788:91a'antoo00nnorInsurrcom
O'Connor&Co.Insurance Agcy ...... —.
— pmOPRRI9)AIrlRD*EDDYERASE ._.. I_ Now*
INSURER A:Western World:na.Co, ... •..
IPSORED East Coast Metal Roofing LLC roam —s: i ..
Paul Laehiara -- .._ __
118 Point Breen Road
!mum c;�„ ,`_.. .. ...
Webster,MA 01670 PaeseH0:, _.__..__...---.._.
MURGE: !
.—_—.
COVERAGES CERTIFICATE NUMBER: REVISIONNUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE POR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTWICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED RY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS ANO CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,
LTR TYPE OF UYINSURANCE � t� � MIME RIeef.R IaeRpltYYnip1YNWYTYYI UMEDITS '..
aiMERpLILT 'EACH'OCCURRENCE 3 _ 1.000x000
A I�,COMMEROA,GENERAL L�IPDILEY INPP89IMAB 01129/2016 01/29/3017 Pappa6E6�� 171:1 —I s 100,000
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PERSONALS Dov INJURY x 1,000,000
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DESCRIPTION DP OPERATIONS!LOCATIONS 11VENN1MR pima AOORD VM,McONHI Raman eelwtR,REM rate Is PROM)
General Contractors rtes, AD an exclusive distributor for Permalock Shinglsa-
subs out 100% of the roofing
CERTIFICATE HOLDER CANCELLATION
NORTHAM
SHOULD ANY CE TRH ABOVE DESCR®m POLWYES DC CANCELLED;traRE
City of Northampton THE EI 'IRATION DATE THEREOF, NOTICE WALL BE DELIMITED m
212 Main Stint ACCORDANCE WITHTHE POLICY PROVISIONS.
Northampton,MA 010E0 RATIN NZEG AEMIEDENTATNE
ACORD 2S 201 V 1986.2010 ACORD CORPORATOR. All rights reserved.
C 0/05) The ACORD name and logo are registered marks ofACORD
•
,EAST COAST EAnt ST w 5T,Webster,
ebLeOQ IA 01570LL0
13 PrClEATCOAe Rd,\ETAL ROOFING,
Fst GLC
METAL ROOFING Visit our website at:Wl>vw.E STCOASTMETALROCFIN�COM
NAME ("Purchaser')
�1 wu\ b Qn,lnq W0.'1A2-+�•tcn
JOB ADDRESS It., F al,vitW Aug ("Premises")
CIN/TOWN Nora-�tavNl1m iMA ZIP CODE el0t0
MAILING ADDRESS Sww_ E-MAIL ?wo lav 4e Qy"^'('C"n
CITY/TOWN ZIP CODE
PHONE WORK HOME 41']-S84-190 - CELL 413-161 3 0(-_
The Purchaser is the registered owner of the Premises and hereby contracts with East Coast Metal Roofing,LTC(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:
PROFILE: p LE/RUBBER COLOR E.nIN-45-yrn \Otjc- Home Improvement Contractor Pugin 11184472
S � t=k;sty:�9 Mo-6 I Seta vow <,\„:40teQt-S l rrakk y$ yard- e.n-V“-C.
low t\0 coo s . .1. . M. . \II1115 .. ..a
U-‘a•es\ .. 'Al 1 Ve.n•t.via- R¢., kf\ - L • 3
l..AMt Le lc svr:r.. as e 0 _ Ao oil, S..cA.P- - Fmr.l FI. .
• —4soC 0 FGF.:`°�'
4; A9i17 ItraroA-tl t\n-401 4d.,a;or09 (dr ,...s-h cw ln, cAo DcI:n ir,
ADDITIONAL SPEOFICATIONS
YES NO ROOFING MATERIAL YES NO PURCHASER AT WILL
_✓ Is Low slope Rooting Color '� _ Supply adequate electrical Power
—
Flash Skylights a- Work with the Contractor to fix damage
''t Flash Vents a a- H" k 2" uncovered during installation at cost agreed to by the parries.
✓ _ Ridge Vent Plywood tarot repair met rhe'Se$25dsgh
,,((,,����'7- Underlaymenr lobi 6 tojav6(a_ _ _ Respect the work site in the interest of
t_J ✓SnowguardsP snow Rail everyone's safety.Purchaser will not use or
Snowguard min charge of$45 each post Installation borrow Me Contactors equipment or tools
and will not access or nterfere with the
ownduring installation.Skilled professionals
should be hired for work that requires access to or
ROOF REMOVAL LOCATION FOR DELIVERY
Smp existing roar lA of layers ( I C:wsrnce
✓ Haul away roof debris and pay refuse fees,
✓ svvvly 1/2"Plywood Start Date' 9-B vt--&S
LOCATION FOR BIN: Ma•-s OW? Completion Dates I'3-
I 'These Dates are weather-dependent and subject to change.
THIS CONTRACT INCLUDES FEIN 81-0945384
THE ALUMINUM SHINGLE COMPANY LIFETIME LIMITED WARRANTY,50 YEAR TRANSFERABLE,NON-PRORATED FOR
MATERIALS MANUFACTURED BY PERMALOCK,PLUS 10-YEAR LIMITED LABOR WARRANTY PROVIDED BY EAST COAST I
METAL ROOFING.
SPECIAL INSTRUCTIONS Contract Price 5 I?..},no J
FINANCING REQUESTED YES NO✓OAC Total Cales on Sales Tax $$ t L 4
INTEREST RATE 4.95%TO 18% Less 1/3 Down Payment$ -i, Soo
PAYMENT NOT TO EXCEED $ 1 Progress Payment$ I,S0
Total Balance on Completion 5 B•Oo co
MAKE ALL CHECKS PAYABLE TO:EAST COAST METAL ROOFING,LLC.
You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,
which may be his main office of branch thereof,provided you notify the seller in writing at his main office or branch
by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following
the signing of this agreement.See the attached notice of cancellation form for an explanation of this right.
i N WITNESS WHEREOF,the Purchaser and Contractor have hereunto signed their names at the Premises,this l0 day
Of Raul 20 In.EAST COAST METAL ROOFING LLC.
Do not sign this contract if there are any blank spaces.
Per: Xp/1 Purchaser.
32�1"Signatureizil /�Signature
Print Name o-..l Ltd:,L-6 Signature
THANK YOU FOR YOUR BUSINESS
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 required In order to cmplete the financing,All surplus material is the property of the Contactor.See reverse of contract for
additional termsa d conditions.
TERMS RND CONDITIONS
the parties heretocovenant and agree to as!Mimes
1. purchaser represents and wartants that llerrhaSel irs the MI to d osw,o L l e F 2 es and has lull d drover e _Y y an lily i0
authorize the soe[tica[ors to be completed on Cr at the Plemise5.Po,- J 3SO:el/r reepoesilsle.4 ensure that Ma Oper:C0rO9s In Ks
�y
.yteene.'tt d]Pot cont RM1e any cascara dtidimcede:Mutt fienit.trvo. ariMe5i-4nda^ichineasstaTn 5.2..4':.free'EJ add939e,deed
Ofmashor any other third-dada agreement f ng the firsmises.
.. theCo[S [. 5 the right L Caer or Millet LlsiS Agreement.thAg e [shallU [ P oieding' hM'Uups, iireermacem.5
=pipe!aCCCptance 0r OTTsaletenaenerecimache ono hat:cud!saleroom.thio Pore.mOn'.m6 tOnsftUtq the entireMac/feet and SFdl'.
b^Urrding upon the parties hergm.
3 There are no roPresenGfions Rr warrant lest shrill—sea or Imieirld.stab/Wei or SIlcfWise er d there ore<ro Mims egress:meta Y2real Or writtO.i
that fohamar this Agreement except esly Ser ler:her lefelfee 1.0 irWp AG m r
• lh Perellager M t
4du. qF 9X_y� fi .l cT _Y costs' t Wt ' Id r B lTtNDEAyaLer-
eehArelelShe a amount Machmeets bong Lfe 1 difficult d p t C [ a.( m ernnn t can't)
an .r Ltt )Th-
th@b the Pu'Jm9e[breuar M1 e Cnehis the nohow nth afr G "L �Cpab[ a N t PPemc(at 13a iii Tont c Pula
act alµ,cipatinb-naerfm cv.aasfJthe Mathistihas.tommen coa fan mmenced
9rlCO. rStsrlaarea'ot bee ensro.Q toync.-M1 fJI'LNI
xrrici by he cof oreComa o.tut
Contractor has alCanataPrmaatthorEhttof 2urrn:z!Cgeformoi breahappal 6ara:A^
la
inct e e by theCO 1 N¢ IS s se !the f[ i �l [n' P b e t 'I deform breath.
h. tnthee ren[ rencothe Gtrerm: d St cceSarl ar disposeattrLSallee etllelnztltLankNp'q, I'o.a Manie•L ana/rl;n to ue np3teral
G. Theipurhse .thorns theCv9racmto oh Tr O�[ban - tlani.; credir rn' t n am agent wad.2rrma'ml 0r
4n'ryl g theForebear/es tX F
• Many SiPeSilkathSsa.Terriof andition 0f this egMellseel.S 0 :nee ce leseisieSn o b Sle shamthetitharimi,Teo CO C ,4
Jdth deltas,to he seveabA Awn Me remxnreOvu arcl Melt Me ielksee*alt fErn Clone e fez neon(ea t of Te?empathic
M this g q
- MIS Agreement pee -a asmemire A r di 0 memoir m be hi handtittles' Pnlinnn /
dirtillat trol5 Ms(Le purr4 I 9 ".f P tNi;creittilltrin, 1 tf-[ Of ale aa‘Weeesee R46R
on anyfuelsrpdaunP ts senaining Oat;raja a M re:era:DC is theregeonam1rn,ar EFir) o[=a ta.rL..tt F" r
agree co be bound.
• eYmeeil the huchaser delays Teammate=Inc nots sat . dn¢ e ti-t r9raemm. 'r effect tar 5 mnn;lt from the daft
of
this Agreement afterichichterrawasieingwal t3 2,Sellseie n m n -
C.thea_. Fat g at 1 c ac eemte ton Thomismthep m(MS
• moraWith C 2 - re ander tit Agreement.Toryism snail atter t .)aeon:mt/m remedy-/,ea 3
emoteian including*melee thifinaim etyfactifiermi ateetS sesame,te the n
Cotrra¢ all net be raponfl rd.. ac:der."rstetvc 'utuacala_PCCbd - :{ods .
tat del It inrerern irthe inStVnizicrt',a:ern&sitittr p nt shalt rot l ]:p -aur lurfymag
nr
hat=neon )
f ..are na Cess" 'h ms_ . . to F.0 tf ayeae'nwr era or rn
Conamo.Atha is cm of teSe r -rttr' d'.
the - including bt't 1.limited tasTay fora meld
9 t I genre d other of
rememeeselleh5 . 9
co 05 irs
al ., Seel?.:C -o enUat.damages.C '1[^r5 arm- o t Ge hl
e t shodCecina
. lAtibefes leseleeehlroMeneiel , a .cf' a'st ny vu a tut emiceic
e lh3 stria na,IlaSn: e Fa rta[c ' 4 and teratemai MOO it,0.-01 of of COY tOC .
rehtlaticn or ian
tacciasec
mar ndeo$ff a.tSt and;Int nntsnat trttes Yue en> stferea ?C. lottoonln exicicep?COPInc(ittei
sr
11.
tr �sta 'eeCSt_
75 Mt ChalgfMeune'S chat
he
ul[ffisT u pf,b 1 cdnal/epa[aa" tri
hc
oaro=pv C
:Jk ah a r og-, n .tettiata Purchaser
e a
le Sir l r,a.�da n sdby;I[ atryupe LM1cebs
e:
-
) PLmart C eeth otliesmbai ha .n-tat o22&!“ticCermoi ugwtsis [".upcnth=
nrautrRthSee ,o+d .ih' added the
-a. ne]of and unsaid
le Msys iotrM see: xwtar;; rJ4d P_ Gnustwte af merwMoms neepfivitbte Wijun - ecems nallsr fersTurdjail urJdhe
erce -rd C rLch t rIi s :hitems semis e1 r 5sn append
I , a 1 e at] ;l r ll nor Oa,the c
J sSnae t d . :La0p'yn"J nrva'w .tb_CJ
Me -
Cons.and tea mob rheraincir tic.?cycscatwing in;60in I'I.
SS Orme= I coal if the cgssessmss stos sald Par gottrio i ro,am woe o red Doo and vo ah the
t 6
aapr mac entreat raider me?ceninincit
,nn: s _an Td . rr
.r .les nrment._ w et ccm ., 5;s1ne. ro,3in
sin ear nether �citthadini
d ir Cssrivescer natnsanns,ve r ns oo 'cinviejon as:MS AcsaeMpeeincesdirss.bac nen Oasis tthN
k
cut ees :a any - of _ J(' dh disposere Cu. ,n4 te0riaa L 9,.av
c.
p / reconas retsina So esissessee
21 ▪ _ , hsJCeeld.Osnsiacser wee sreremef ere einem:Ise de -y born Wean x. 3Gnn process endtheme/see s
ecs
mom-chet ice
ruft-f:t'-agree is- Ccittraccti seisrluss. my 'Y Stu:dr d,46,„( f
• II d > i ep ' n v p ._u.-a,n L.: C, ',.,mrf r 41g.-,
c'fern a remedy.oaf em rt sr reatted try furceeem
-_-P:. .0 e[ ..naim anhchumaframagimo _
insurance or q t tosdc mt] ewe delontac. t a and b ut pe . - toe
Os Thelaw ! qui!es home improvement contractors a d subdontnROra to be eq stered and any Inquiries about the tSctor or
mbcdn[ecottrelbng to a registration may be dimmed to:Office of Consumer Affairs and Businecc Regulation,Ten Park PIeza,Suite
5170,Barton,Ma 0ET16.Phone 6t7 3"aTOU.
c'
noma o:provviont Concravw lsMe PreeleeS asefessener oda the F :t
rneyzuve rscnte".iv a-tout e u+esigt c..urr -log a o Messmer.Thecell-Ae Cour hl n .
N.) e re Ynv with.3 trrfirle0r.94r,frC <..f .d.tt. ._bGrE e p:x ,i:ops P :Medeel se ,OJid.L_`
the Canlmbt the sanerrg;r.lo.arCL M.SitdOd 13 IN eat_Oemer by le Name lnptuvz,nl Otocactisi Lacy.
25.The contractor and the liongeohmet Mobasstiesrly mos whitest that in the event the contractor has a d!spute concerning this contract,
the contractor may Sobmtt the Moire in a Prvrate ardyrtlro Urs wnidn has hewn aporared by the SeaewM of the Ewucee Office a.
Consumer Affair,and P ' •s iegL til -
ti - . edl R st to Sua:hat vide' Ma55ath:c-tc
anew'taws Chapter142 yy'sr'*1/fir
Aornownels sq m 6 afmt—
Coluactorbsg tune T:PLu.Q � f.
hretor- aes of the swam toe apptycra soiree greamUt of the Persketo altennati'.e aisaa resautlmi'nrneted ey rte n -azta.
The homeowner rrey initiate after!.INed'sputd resatutlon ear Where Lois Martian is not Separately signed try the parries.
a Penin Naar It is zhearovachado responslbiew to obtain any mooing tnnffroaion permi'Te.wnert Me Beare their own vomits will be
ea/tidedfrom the Guanine/Fowl Mot chap@!T42
t.gond the f tone ita-eb4 at zCo IW- Octact my b¢hait II [ tan
S foo;ed to ire k authorized by the Sudane pee si 11d C�s
h e egnimnm✓ee4/Yb+1�_. wore SS-.'/C' / �e . .
sees:.. e