Loading...
23A-210 (5) 74 BEACON ST BP-2017-0506 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23A-210 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:ROOF BUILDING PERMIT Permit# BP-2017-0506 Project# JS-2017-000828 Est. Cost: $6500.00 Fee: S40.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: JEREMY SAWYER 106836 Lot Size(sq.ft.): 18513.00 Owner: HENSLEY MARK T&KAREN THOMAS Zoning:URB(100)/ Applicant JEREMY SAWYER AT: 74 BEACON ST Applicant Address: Phone: Insurance: 21 ROLF AVE (413) 478-1536 WC C H I CO P E EMA01020 ISSUED ON:10/17/2016 0:00:00 TO PERFORM THE FOLLOWING WORK:REPLACE FRONT OF THE MAIN HOUSE ROOF ONLY 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 10/17/2016 0:00:00 540.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner DeparfinehtuseT,nnl City of Northampton Building Department Cu Cut/LtrlvewaPand 212 Main Street SewgrL8e� 1p dcvallabvatleblLttility a ";" a ails Room 100 ' xit4y Ij Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 PIoVSde Plops '" Othet 9pe�;. APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION ten/7-- 1.1 Property Address: This section to be completed by office 71/ etc con s + Map Lot _Unit Zone Overlay District /-/oee4c c ,7'4 c2/o6a Elm St.District CS District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2..11,/nOwner ooff Recor�dd: a er a re., Pe smlo 77 Name(Prnt) f Current Mailing Address; -ent-5/6 dr'""'moi Telephone to • e rcnn;rr 2.2 Authorized Agent: "L Name(Minn / Current Mailing Address: —,> ,"2/7f/-5—n3 ure Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTO (tem Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1_ Building &rbn (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 / /t 6. Total=(1 +2+3+4+5) j , s}Q 0 Check Number /D/a3 This Section For Oficial Use Only Budding Permit Number Iss17'. Issued: ad / / 02o/ lP Signature: 1 Buiidi ;Commies er/Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing - Proposed Required o Zoning This column to be tilled in by Building Department Lot Size __ _.. Fronta•e l �_, . , ._ Setbacks int _ — Side Li_ i R.I L t R . — ' ' Rear I _ I Building Height i Bldg. Square Footage — Open Space Footage _ (Lot area minus bldg&paved ' _.__ . iarkim) #of Parking Spaces i l Fill: (volume&Location IL _ .. A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DON'T KNOW YES O IF YES, date issuedrt IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW er YES IF YES: enter Book I Pagel and/or Document#,l^ I B. Does the site contain a brook, body of water or wetlands? NO O DON'T KNOW 0 YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date issued: 1 C. Do any signs exist on the property? YES Q NO e tF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO 0 IF YES, describe size, type and location: E. WII the construction activity disturb(clearing, grading,excavation,or filling)over 1 acre or is it part ofa common plan that will disturb over 1 acre? YES 0 N ,CJ IF YES,then a Northampton Storm Water Management Permit from the DPW is required. • SECTIONS-DESCRIPTION OF PROPOSED WORK(check all applicable) _. New House Addition Replacement Windows Alterations) n Roofing Or Doors Accessory Bldg. ❑ Demolition New Signs [CIj Decks IO Siding[DI Other[a Brief Desof Proposed r �7 Work: eft/cce pf no4 -i' S sccl -Cno e /Vc.n sJF (Foo -ff C7n ( Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes ,-r No Plans Attached Roll -Sheet 6a.If New house and or addition to existing housing. completethe following: a. Use of building:One Family Two Family _Other b. Number of rooms in each family unit: Number of Bathrooms hi Is there a garage attached? et O 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 jr. j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No I. Septic Tank_ City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, /7u r1 . .S-�t'.. .,. ,as Owner of the subject property ^�- /' hereby authorize �..J eire !r/y » 1 i7r to act on my behalf, in all matters relative to work authorized by this building permit application. SPQ_ Com frAc Signature of Owner Date .111.11111111.11111.1111.1.1111.11.1111.11C— E, -� ) �Ip nitSG fA / �/�_ as Owner/Authorized Agent hereby declare thn, e statements antl infformation on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. CC ','r- � Print Name �...�.. j"� /O -/c//6 Signature of• -r/Agent Date SECTION 8-CONSTRUCTION SERVICES -13tticensod-C-onstructionSTupervisor, - - _ - Not Applicable. Name of License Holder• Z- et,'"t7 �.w jt�""� / 54 9 Yb n License Number a• 1-t//��'- f}✓�- �- {�e r: e e. r0,6) O /D 2O -S / Address � Explra ion Date Sign. . - Telephone y ',�IY.a, J! ///ext r/Or'�, ..f--/� l no.-;//, Co E.Registered Home Improvement COntract[or. Not Applicable ro rs J 2el.5—cA — Company Name Registration Number ,g2 r Jae LP- o62a/e. Cl c pie 7,;/9 o/o;o , Address Expiration Date Telephone y7(1—/5 ‘ SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.I.C, 152,§25C(8)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this err davit will result in the denial of the issuance of the building� permit. Signed Affidavit Attached Yes / '/ No ❑ 11. --Fame 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.CMR 789, 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 strictures.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 acceftable to the Building Official that hershe shall be responsible for all such work performed under the building permit As acting Construction Supervisor your presence on the job site will he required from time to time,during and upon completion of the work for which this permit is issued. Also he 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,von may be liable for persons) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with tit State Building Code, City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Armotated. Homeowner Signature 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 MOL. c 111, S 150A. Address of the work: 2 c/ //° '- /s c Dr) S 3'I The debris will be transported by: y / o ri/s is r The debris will be received by: /J9 (I/s fcr 6 . rye/ Building permit number: Name of Permit Applicant S ? n' e ' /o /y ./6 Date Signature of Permit Applicant ice\ The Commonwealth of Massachusetts ,_. Departmentt of Industrial Accidents �t�ii1- Office oflnvestiganons ' 1 Congress Street,Suite 100+ _ ` Boston, MA 02114-201 7 ,-.=-. wwnttnass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrganizaticNindvidual)_ /n� - t"r/a Cr Address: a / &p / T' /9v-( City/State/Zip: en(eo4,- e /27/4 p/0. 0 Phone #: e7/.7(7-2-5—:?c< Are you an employer?Check' e a prapriate box: r.y/ 4. 0 I am a general contractor and 1 Type of project(required): 1.I!y-I am a employer with employees(felt aztd7or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-eoasactors have ' S. ❑Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp.insurance comp. insurance. ❑ required.] 5. 0 We area corporation and its I0.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.E Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL I2._ Roof repairs insurance required.] t c, 152, §1(4),and we have no "' employees. [No workers' 13.0 Other comp.insurance required.] 'Any apphcan that checks box ill must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ;Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entitiec have employees, if the sub-contractors have employees,they must provide their workers'comppolicy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Wes) // (Zvi/ Insurance Company Name: /ler+ r `10 Col ere-,re Tc/ '(;.f f n>s PC., _ Policy#or Self-ins, Lie. #: 6560 06 dF /e)4/?r/f � Expiration Date: eye-#/6-72 Job Site Address: 7 V 11,4 t 4-1 SI— City/State/Zip:fjo/fn e _erg e /F l a Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of investigations of the DIA for insurance coverage verification. I do hereby cert'uunder the pars ani, amities of perjury that the information provided above a true and correct. . i5natur-:fr ���/�"r.,.. Date: /D ./y 7/6" Pha i ,. 725----/ C-. 6 ._.�.... 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#: • Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"._every person in the service of another under any contract of hire, express or implied, oral or written" An employer is defined as "an individual,partnership, association, corporation or other legal entity, or any two or mote of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGI,chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please MI out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s)name(s), address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to cam workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information (if necessary)and under"Job Site Address"the applicant should write"all locations in (city or tawny"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or Citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit, The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext 7406 or 1-877-MASSAFE Revised 72013 Fax n 617-727-7749 www mass.govldia City of Northampton / Massachusetts +s}z nuc � c !{ F4f ._—- DEPARTMENT St OF . Muni cipal Building u lddSiONS —:. % ��# e 'ion NomihV��7 ampton, MA O1060 _arn. .it,n�a INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXE '_11 AGKNO WLFDGEMEN1 The State of Massachusetts allows the homeowner the right under 780CMR 108.3-oto act as his/her construction supervisor. The state defines 'Homeowner as, " Person(s) who owns a pares(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), 1nsulation.inspection (if required) and a final building insneectig. The building department requires these inspections before the work is concealed, failure to secure these inspection can result in failure to obtains 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 I, 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 .►o IOr CERTIFICATE OF LIABILITY INSURANCE OATEI " 04/12/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF WIFORNATION ONLY MD CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERT FICATE WWII NOT AFFlRNATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERIS), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE MOLDER IMPORTANT: *the ceifloets holler Nen ADDITIONAL INSURES.Me poUcy(tsa)must be endorsed. If SUBROGATION IS WANED,subject N She terms and cond8fons of the policy,certsMn policies may require an rnorsement. A statement on We certificate does not confer rights to 0* OaGNeate holder In Aro of*oh endorsements). com r mooed* xypw Debbie Pijer _. A.J. PIJAR INSURANCE INC (413)534-5343 I ih_ .— at_ corn ...—.—.._. 1/93 NORTHHAMPTON _ onsRERN1AaFORara cot/MADE ewe HOLYOKE _ ^__ T^ _,. __—.._MA 01040 ..IU A, HARTFORD UNDERWRITERS INS CO r 30104 Nate SAWYER JEREMY A DBA ALL EXTERIORS INSURER C: SIRES:...__— -....— ___......__....._ __.. 21 ROLF AVE MLEWe_ CHICOPEE MA 01020 yRwWPIr• COVERAGES CERTIFICATE NUMBER: 44225 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING MY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE AMY BE ISSUED OR LAY PERTAIN.THE INSURANCE AFFORDED SY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS NO CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS._ Welt.—.. '— NNI PW!NYMMM W1i UINTA — G41I $ ._ :(OwePCYLOrIEPKtMN2TY i } ho4AZEy TRITAEd .. GAI1nHAOC. OCCUR {PIMmWA4Lo1g3S1 s- I �.tROEV AxR.a PNN^S 5 . ._. . I NIA PERSMP.e ACV AWAY y rI st PEN opNt AecIE una� s GEt ElutooaPFoatik I S —•I • PPat" f LOC PRODUCTS.COUPON AGO _ OT2 fOMYEO EPGLE SANT wTaNweARMeun .LENs2. '°_ AYAl110 'BOORT INJURY Pa.PRmnl S _.AN aUTOO MIT 05 NIA BODILY MAST NNE NaywT$ ^•MREowros r,;wmo m , IBG Imo Wwoc is -..— .._ s wM®.AIMa • ;mut i;OCBOOCURRENCE I S _I GCMG"' .CINMSMAUEJ N/A AGGREGATE p _ _ TORO RETENTIONS 4 iRi $ wall covenenox �}�L ,E—,29w. ANOeptoyaarawun .. AmPpbREITHWARTHERNENTNE Y��I ME,,' Et.EACNACCIDENT 2 1000.000 n A OpEMOTR4m EAuorO me'NCI 841mU82E1261281B 04111/02016 041161201 _ egg apOfg {.L.manse.EAeCno4EE s 1000,000 nem oskhnodOr OPT MIcen BNN ( EA..DmEAOE•POlzrtwd •s 1000.000 1 NIA • i NoCRYTIONGcs Mionb ILOCATM NSIVID4Me(*taleeN.MrbiMwYbMi.0 E beaBNMENC2 03 Y,RNMN WmNan'Compeme nbhsn I NB be paid toithe huEees employees MO Puma,te EndonRPM WC 200306 no aWwrizalion is pun to pay cleans IN bedew to employee P BMWa Ren aWeedNWiR Il me busted NTN,or NN hued those empboyees WINN Of MNeMMueel This cekaa IN Amnia NNwa BN policy in tome ea tie dell VIe this artificer was issued(unless W expiation este on be above policy prNwbc We leve vete DIM certificate el Kamm.). The mews W this mimeo an be methane dWr by woreaq me Proof of Caaope-CNNage veMaNa SRith and et ivesetestrgoveramodennempenstsionseetiptionst Sale Menelor hN al elected orange. CERTWICATE HOLDER CANCELLATION . SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 114E EXPIRATION DATE THEREOF. NONCE WILL BE DELIVERED N ACCORDANCE WITH THE POLICYPROVISIONS. MTOM¢SAEPRNwfarnt . M. OoniNM.Crrnry,CPCU,YNR Preeidanl-Residual McMt-WCRlSMF O 18SS-2014 ACORD CORPORATION. AN rights reserved. ACORD 25(2014/01) The AGGRO name end logo re registered marks of ACORD Massachusetts Department of Public Safety ' Board of Building Regulations and Standards ii a License:CS-106836 Construction Supervisor JEREMY SAWYER Mt LACLEDE AVENUE CHICOPEE MA 01020 NI...;� CA__- Expiration: Commissioner 05128201$ "• Lr t..,,,,,,,.,...,aR/(^74,,,,r4 re,it ._\ Office of Consumer Minim&Business Regulation :BtiiOME IMPROVEMENT CONTRACTOR 'igktra8an: 17x52$ Type: Rt_ -,aExpfration: 2462017 DBA ALL EXTERIORS JEREMY SAWYER 21 ROLF AYE- Q .,r - CHICOPEE.MA 01020 Undersaretary STATE OF CON AECTICET LIP IMI lit AT UP i OABf W R pg,,)}., I1(F OME 1M'ROVEME"ICONT A OR JEREMY SAWYER 21 ROLF AVE CHICOPEE,MA 01020/227 {JC I REG NO. FFECT -EXPIRES LUC.0636067 72/1. IYS 11/30/2016 - -- ''1� SIGNED ALL EXTERIORS ROOFING- FLAT ROOFING SIDING WINDOWS IYEARE LICENSED REPAIRS- SNOW PLOWING FULLY INSURED (413} 478-1536 FACTORYTRAINED OSTIA CERTIFIED Jeremy Sawyer, President/Owner MA Registration#174528 HONEST& RELIABLE 21 RolfAve. Chicopee, MA 01020 CT Registration #0636067 Aflexteriorsl@gmail.cont MA Construction Supervisor Lie. #106836 ^ Proposal Submitted To: Dale$/5-.io Phone Ws C: f1/cr ' K...; ie-,'2,1 Ali H -i!3 '2'66.--1/45S '/`syr, 39c) -3/s 7 Street - - Email: / Q.y E/[ rr.. -i .c.: 1 _ City,1. State,atZip Code Special Requirements: / /r% (P -7,:- /2 ��/CJ fi try SSC.. it=L-vi,,ct I I Recover Strip ii.. -.,t e 11 /%e e cm* Complete Roof System Q We shall acquire ail appropriate permits for all work (N Home exterior and landscaping to be protected Do not Do..,ellic< / of //n,.r r Air '7 m r 64. Strip existing roofing to the decking and dispose of it in a proper landfill 2 <. El Deteriorated existing decking will be replaced at $75 per sheet of plywood after a full inspection. t Install Ice &Water Barrier at all eaves, valleys, chimneys, pipes and skylights (6' min. on all eaves) O Install (Sib„Tela-Synthetic) underlayment over remaining decking area g Install metal drip edge at eaves and rakes 5")( hit&brown/copper) N Install manufacturer's starter shingle on all eaves Install new pipe boots .3,„„, ndardlcopper) g Install new vent ridge ventcc jt?Rigid) Install proper soffit ventilation , - , fa j,v niL.t '/_ .t Pe_7c000b ocrEC Ex./5TINet Retof „pi/gig/1. /t/ . Shingles: (6 nails per shingle) ( 7nSCL ' rh3 �/G,, 5vt ,� 6' //FC' Shingles 'J HD Lifetime P Ultra HD Lifetime Color edllei?/r—cec/. //11Ridge cap shingles Warranty Options: • ® We guarantee our workmanship for 10 full years (see our warranty coverage) 0 Estimated Start Date _.._7 ` / '/C O Estimated Completion Date / // -/-/6 Chimney Options: Lead Counter Flashing L1 4" Box Vents (Black/Silver) Li 12" Box Vents (Black/Silver) We propose hereby to furnish materials and labor-complete in accordance with above specifications for the sum of: Total Due ($i{{.wt„} ) ACCEPTANCE OF PROPOSAL: The above prices,specifications and conditions are Down Payment (s c/ / o C? ) satisfactory and are hereby accepted.You are authorized to do work as specified. // Payment will be 113 down at start of job,and balance due upon completion. Balance Due Upon Completion ($ 7f,, . -.COO ) Do not sign unless all sections are filled out / Date: Wig.-I Signature: ,�ii ,-r-�./ cm Date: ` /S-X Estimator: (Print Name) 1 Vii.+? �r � a.�(Sign Name) _ _ _..._. Estimates are honored for sixty(60) days from above date �— ATTENTION HOMEOWNERS: Please cove i - -- "- "stirnarage or storage due to the possibility of roofing debris or dust coming in through era. , 'Hhie for debris or dust in the attic or storage areas.