44-092 (4) 942 FLORENCE RD BP-2019-1053
GIS 4: COMMONWEALTH OF MASSACHUSETTS
Map
B ock: 44-092 CITY OF NORTHAMPTON
Lot:-0 1 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Caogut ,, Siding BUILDING PERMIT
Permit 4 BP-2019-1053
Pmieas JS-2019-001719
Est Cost$3100000
Fee:$60.00 PERMISSION IS HEREBY GRANTED TO.
Const.Class: Contractor: License:
Use Group: VISTA HOME IMPROVEMENT 111478
Lot Size(sp.ft.Y 31276.08 Owner: DOUVILLE MARTHA J&RICHARD L JR
Zoning, Applicant: VISTA HOME IMPROVEMENT
AT: 942 FLORENCE RD
Applicant Address: Phone: Insurance:
2003 RIVERDALE ST (41 3) 382-0249 WC
WEST SPRINGFIELDMA01089 ISSUED ON:3/27/2019 0:00:00
TOPERFORMTHE FOLLOWING WORK.REMOVE EXISTING SIDING, INSTALL NEW
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 4 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 $hmature:
FeeType: Date Paid: Amount:
Building 3/27/20190:00:00 $60.00
212 Main Street,Phone(413)587-1240, Fax:(413)587-1272
Louis Hasbrouck -Building Commissioner
S/O/NC9i
D
epartment use only
City ofNortha tonRECE
� .. - Building Depart ent rmit
r 212 Main Stre t Room 100 MAR 2 itl on IIINorthampton, MA 106 Plena
phone 413-587-1240 Fax 13- - pNOPTHAMPI
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
ATION
SECTION 7 -SITE INFORM6p� `F-r O6/
1.1 Property Address: �["y�This section to be completed by office
LMapq.� Lot Qq Unit
U�I�b(•.(��.. Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2 Owner of Record:
( ural 1 M� N d is 0� 1 �'-wf,� ck. �
Nam Print) re t Maili tldress:
Signa urs
Authorized ant:
�OQI �iyPda� �i, ws�Fu�
fN ]��4(PrinCurrent Mailing dress: p (Vu Cl
els Tt lit
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building I n (a)Building Permit Fee
2. Electrical u (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee r
4. Mechanical(HVAC) W�
5. Fire Protection
6. Total= (1 +2+3+4+5) Check Number
This Section For Official Use Only
Building Permit Nuate
mbeJ: Issued:
Signature: 14 Z, J 2
-27-Z)�
Building Gommissionerllnspector of Buildings Date
@
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size 0 ��
Frontage 0 0
Setbacks Front O O
Side L:0 R:0 L:= R:I= 0
Rear 0 0
Building Hcight O O O
Bldg. Square Footage
Open Space Footage O O O O O
on area minus bldg&posed
h
avkiu )
4 of'Parking S aces 0 O
Fill:
(volume&Tmceuon)
A. Has a Special Permit/Variance/Finding a er been issued far/on the site?
NO O DONT KNO /O YES O
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO O DON'T KNOW YES O
IF YES: enter Book Pageand/or Document#�
B. Does the site contain a brook, body of water or wetlands? NO YJ DON'T KNOW O 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:
C. Do any signs exist on the property? YES O 110"�
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 IiT
IF YES, describe size, type and Location:
E. Will the construction activity disturb (clearing,grading, exca tion,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.
SECTION S-DESCRIPTION OF PROP7pplicable)
New House ❑ Additionent Windows Alterationls) ❑ Roofing
❑Accessory Bldg. ❑ Demolitions [❑] Decks i❑ Siding Other io]
Brief D lion of Proposed ,A SM CJN� (,Wt
Work: Rm� jn � YICtI cl �1011 (��I 1Y1S1a1I Y�QUI
Alteration of existing bedroom_Yes_ No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a.If New house and or addition to existing housina. complete the following:
a. Use of building :One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance, Masscheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft.of wetlands? Yes _No. Is construction within 100 yr. floodplain_Yes_No
j. Depth of basement or cellar floor below finished grade
It. Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank_ City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT
OR CONTRACTOR APPLIES FOR BUILDING PERMIT! I-/
1, K 11 X Y �Y �l Al � __ IV I `l l _ as Owner of the subject
ty
hereby authoriz
to act y 77
behalf, in a matters relate"ve'lo work authorized by this building permit application.
{ q
Signature o Owner
I. 7: �c) Q I`L,�(� 1 as OwnerlAuthorized
Agent here— by-decf�t'hat the statements and information on the foregoing application are true and accumte, to the best of my knowledge
and belief.
Sign.ejdjknder the pains and perb ies of perjury.
Y1 1LC,��
PnN Na
n e f eH.—i Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Constr Su ervisor: Not Applicable l
Name of License Holder'. CS /// `7 �)g
License Number
A di s irationate
i 2y�)U b
5 Telephone
.R iet Ho Prov m Co ctor: Not Applicable ❑
of
Co aName Regi ration Number
Address C ^' p Ex ration Date
/114��1(/o , Telephone L d'� Q
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C(8()
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... No...... ❑
City of Northampton
Massachusetts
z
DEPARTMENT' OF BUILDING INSPECTIONS = �"
212 Nein Street • Municipal Building J. OD
Nortsampton, MA 01060
AFFIDAVIT
Home Improvement Contractor Law
Supplement to Permit Application
The Office of Consumer Affairs and Business Regulation ("OCABR")regulates the registration of contractors and
subcontractors performing improvements or renovations on detached one to four family homes. Prior to
performing work on such homes, a contractor must be registered as a Home Improvement Contractor('HIC").
M.G.L. Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion,
improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing
at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building'be
done by registered contractors.
Note:if the homeowner has contracted with a corporation or LLC,that entity must be registered.
Type of Work: S1/ (-I t n Ci y /1 Est. Cost:
Address of Work: `-1 y l/J.,
Dale of Permit Application: ) � 3
I hereby certify that:
Registration is not required for the following reason(s):
Work excluded by law(explain):
—Job under$1,000.00
Owner obtaining own permit (explain):
_Building not owner-occupied
Other(specify):
OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED
CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT
ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND
UNDER M.G.L.Chapter 142A. SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK
PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION.
Signed under the penalties of perjury:
I hereby apply for a building permit as the agent of the owner:
2'� I G V I Srttl (Y�n�OVemmt' ��,a R
Date Contractor Name HICRegistration No.
OR:
Notwithstanding the above notice,I hereby apply for a building permit as the owner of the above property:
Date Owner Name and Signature
City of Northampton
Massachusetts
� L
DEPARTMENT OF BUILDING INSPECTIONS
212 Main Street • M .ipal Bila W
NorU, ton, MA 01060
Massachusetts Residential Building Code
Section I IO.R5.1.2
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.
Section 110.R5.1.3.1
Any homeowner performing work for which a building permit is required shall be exempt from
the licensing provisions of 780 CMR 1 10.R5, provided that if a homeowner engages a person(s)
for hire to do such work, then such homeowner shall act as supervisor.
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.
i
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS fi
212 Main Street eM icipal Building
Northampton, MA 01060
37
Debris Disposal Affidavit
In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building
permit all debris resulting from the construction activity governed by this Building Permit shall be disposed
of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A.
The debris from construction work being performed at:
N1 fmeyy-f- rd
(Please print house number and street name)
Is to be disposed of at:
u5 PC �AC",ttaCl
(Please print name and locatiarl of facility)
Or will be disposed of in a dumpster onsite rented or leased from:
5�1 +Iand I 1yI�
(Company Name and Address)
L &n 00 A
nlOrCof Permit Applicant or Owner Date'
If,
'
If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the
Building Department as to the location where the debris will be disposed.
�\ The Commonwealth of Massachusetts
Department of Industrial Accidents
I Congress Street, Suite 100
t Boston,MA 02114-2017
www.mass.gov/dia
R tickers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Liazibly,
Name(Bus/in�ess/Organizetiom'lndividuaq: I S 1 14'� t
Address: /�� >2 V2 r d_a k_
City/State/Zipv. ne#: Wit !) -2>OZ Lq'-71L4 0
Are von an employer?Check the appropriate box: Type of project(required):
I. amannployc,wuh 7. []New construction
n asrlc pmpdefrom,artnedo,and he,c no ampinyccs working tonncin g, ❑ Remodeling
anycapacity. [Nowcrkc,z coupinaumnce required.]
3.❑I am a homeowner doingall work myself. No workers mm insurance a d. 9. ❑Demolition
a 3 [ p n � cr quiet J'
4n amahomeowncrand will be hiring contractor to mnductall work on are porosity. twill 10 Building addition
comer,that all contractor either have workers compensation insurance or are sole 11.❑Electrical repairs or additions
proprietor with no cmplwaes_ 12.[-]Plumbing repairs or additions
5.F1T a..general contractord T fair hired the uh-crouratticar,lad a the
a '
oa heddcot, 13. Roofre
Th b oa themployersd h k p . 4
6.❑W rp t d 1. officers h d M right fexemptionp MGL c Othery
15-.00freadwchavenoctnployeas[Nowerk¢s wmpmsmancc eq frcd.]
�(T
•Any applicant that chwks box kl must also fill out the section below showing that,workerscompensation policy Infonnmion.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside eontracror most submit a new atros' t indicating such
:Contmaors not check this box must attached an additional sheet showing the name of IM1c sob-conn en rs and state wh der or not those entities ha.e
employers. Ifthc subconbecmr,have employees.they must powide their worker'eomp.policyoumbea
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. ,�..1 I,
Insurance Company Name: hl zt"h.W�i( .�- Jy�s_ 9/�•/'1�.� � /1-�
/ 1 p � /� q
Policy#or Self-ins. Lid.;::� a P, 2.C �C/ � CL✓ �/ �/ Expiration �at/e': ]—�1-2—�
Job Site Address:9w/ f— `51(-` h cc ),d _City,Btate/Zip�✓
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expirmi n date).
Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage vertmalio .
I do hereby ce der the pains/and al 'es o pert ry that the information provided above is true and correct
Sig aturk 1 C 1 I \ Dat
Phone N
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License q
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#:
Page 1 of 19
2097 Riverdale Street MA Lic#162058
West Springfield, ` 7 CT Lic# 0621848
Ph 01089 V r:Vista
xomiHrxov¢menr vistahomm
eimproveen Lcom
s,S
Phone: 888.597.2323
Fax: 413.382.0241 SIDING CONTRACT
Customer Information
Richard & Martha Douville Jr (413)582-0406 Date: 03/20/2019
942 Florence Rd RDOUTOO@COMCAST.NET Rep: Dakota D
Florence MA 01062
All home improvement contractors and subcontractors must be registered and any inquiries about a contractor or
subcontractor relating to a registration should be directed to:
Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170
Boston, MA 02116 Phone: 617.973.8700
Siding Specifications
Crane Solid core t-6 clapoard
Color Of Siding smart style expressions
Color of Smart Style Style Expressions lighthouse red
Type Of Corner 5.5"
Color Of Fascia aspen white
aspen white
Color Of Soffit aspen white
Market Square d-4 clapboard
Color Of Siding smart style expressions
Color of Smart Style Style Expressions lighthouse red
Type Of Corner 5.5"
Color Of Fascia aspen white
aspen white
Color Of Soffit aspen white
Siding Add On's
Strip Current Siding 17.5
Disclosure
All material is guaranteed to be as specified.All work to be completed in a workmanlike manner according to standard practices. Any
alteration or deviation from the above specifications must be made in writing on an Add-on/Modification of Contract form and may become
an extra charge over and above the amount stated herein. This agreement is contingent upon delays beyond our control. Owners to carry fire,
tornado and other necessary insurance. Our workers are fully covered by Workmen's Compensation Insurance. Homeowner agrees to pay for
all work as set forth below. If the homeowner defaults, homeowner agrees to pay all costs of collection, including reasonable attorneys fees,
in addition to other damages incurred by contractor. An 18%per month service charge will be assessed for all payments not made within 10
days of due date per the schedule below-
Acknowledgments
elow:Acknowled ements
YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DAY OF
THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FOR AN EXPLANATION OF THIS RIGHT. (SATURDAY IS A LEGAL
BUSINESS DAY IN CONNECTICUT.) THIS SALE IS SUBJECT TO THE PROVISIONS OF THE HOME SOLICITATION SALES ACT AND THE HOME
IMPROVEMENT ACT. THIS INSTRUMENT IS NOT NEGOTIABLE.
Page 3 of 19
LEAD-SAFE PRE-RENOVATION FORM
Occupant Confirmation
Pamphlet Receipt
® 1 have received a copy of the lead hazard information pamphlet informing me of the potential risk of the lead
hazard exposure from renovation activity to be performed in my dwelling unit. I received this pamphlet before the
work began.
T". V �
Owner-occupant: Richard & Martha Douville Jr
03/20/2019
Date
Renovator's Self Certification Option (for tenant-occupied dwellings only)
Instructions to Renovator: If the lead hazard information pamphlet was delivered but a tenant signature was not
obtainable, you may check the appropriate box below.
Q Declined- I certify that I have made a good faith effort to deliver the lead hazard information pamphlet
Unavailable for signature-I certify that I have made a good faith effort to deliver the lead hazard
information pamphlet to the rental dwelling unit listed below and that the occupant was unavailable to sign the
confirmation of receipt. 1 further certify that I have left a copy of the pamphlet at the unit by sliding it under the
door or by (f/ill in how pamphlet was left).
�
Person Certifying Delivery Dakota D
03/20/2019
Date
Unit Address
942 Florence Rd
Florence MA 01062
Note Regarding Mailing Option—As an alternative to delivery in person, you may mail the lead hazard
information pamphlet to the owner and/or tenant. Pamphlet must be mailed at least seven days before renovation.
Mailing must be documented by a certificate of mailing from the post office.
Page 5 of 19
Homeowner's Association NO
WORK SCHEDULE
Contractor will not begin the work or order the materials before the third day following the
signing of this Agreement, unless specified herein. Contractor will begin the work on or about 04/20/2019
Barring delay caused by circumstances beyond Contractors control, the work will be completed by 05/20/2019
WARRANTY
The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship
for the period stated below following completion and shall comply with the requirements of this Agreement. In the
event any defect in workmanship or materials, or damage caused by the Contractor, its subcontractors, employees
or agents, is discovered after completion of any job, Including cleanup, the Contractor shall, at its own expense,
forthwith remedy, repair, correct, replace, or cause to be remedied, repaired or replaced, such damage or such
defect in materials and workmanship. The foregoing warranties shall survive any inspection performed in connection
with the agreed-upon work.
Warranty Period Lifetime
Measure Section
Measure Set With -- Rick
Notes for Measure Morning's are best.
Total Contract Amount (All Discounts Applied) $31,000.00
Pa nnent
Deposit $0.00
Last 4 of SS# ####
Green Sky Application ID#
Amount Financed $31,000.00
Form of Payment For Deposit
Acceptance of Proposal I have read both sides of this document and accept the prices, specifications and
conditions stated. I understand that upon signing, this proposal becomes a binding contract. You are authorized to
do the work as specified. Payment will be made as outlined above.
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 or 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. Please refer to the Notice of Cancellation below contents of which are
referred to above and incorporated herein by reference.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
Page 6 of 19
NOTICE OF CANCELLATION
YOU MAY CANCEL THIS TRANSACTION, WITHOUT ANY YOU MAY CANCEL THIS TRANSACTION, WITHOUT ANY
PENALTY OR OBLIGATION; WITHIN THREE BUSINESS DAYS PENALTY OR OBLIGATION; WITHIN THREE BUSINESS DAYS
FROM THE ABOVE DATE. FROM THE ABOVE DATE.
IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS IF YOU CANCEL, ANY PROPERTY TRADED IN, ANY PAYMENTS
MADE BY YOU UNDER THE CONTRACT OR SALE, AND ANY MADE BY YOU UNDER THE CONTRACT OR SALE, AND ANY
NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE
RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING
RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE, RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE,
AND ANY SECURITY INTEREST ARISING OUT OF THE AND ANY SECURITY INTEREST ARISING OUT OF THE
TRANSACTION WILL BE CANCELLED. TRANSACTION WILL BE CANCELLED.
TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED TO CANCEL THIS TRANSACTION, MAIL OR DELIVER A SIGNED
AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY
OTHER WRITTEN NOTICE, OR SEND A TELEGRAM TO: VISTA OTHER WRITTEN NOTICE, OR SEND A TELEGRAM TO: VISTA
HOME IMPROVEMENT, 2097 RIVERDALE STREET WEST HOME IMPROVEMENT, 2097 RIVERDALE STREET WEST
SPRINGFIELD, MA 01089 NOT LATER THAN MIDNIGHT OF SPRINGFIELD, MA 01089 NOT LATER THAN MIDNIGHT OF
THE THIRD BUSINESS DAY FROM 03/20/2019 THE THIRD BUSINESS DAY FROM 03/20/2019
Vista Home Improvement Vista Home Improvement
2097 Riverdale Street 2097 Riverdale Street
West Springfield, MA 01089 West Springfield, MA 01089
NO LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY NO LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY
FROM THE DATE OF THIS CONTRACT. FROM THE DATE OF THIS CONTRACT,
I HEREBY CANCEL THIS CONTRACT. I HEREBY CANCEL THIS CONTRACT.
BUYER'S SIGNATURE DATE: BUYER'S SIGNATURE DATE:
Buyer(s) Acknowledge Receipt of the Cancellation Notice
Richard & Martha Douville Jr
03/20/2019
Date
Page 7 of 19
Ownership of Property:
The undersigned warrants that he/she is Owner of the property on which the work is to be performed or that he/she
is otherwise authorized on behalf of Owner(s) to enter into this Contract.
Notice of Scheduling Changes:
Contractor agrees to provide Owner with notice when delays become known to the Contractor.
Concealed Conditions:
Should concealed conditions encountered in the performance of the contract be at variance with the conditions
indicated by the contract and/or Owner or should unknown conditions of an unusual nature, differ from those
ordinarily encountered and generally recognized as inherent in the work of the character provided for in this
contract be encountered, the contract shall be equitably increased. Furthermore, if unknown and/or concealed
conditions prevent Contractor from completing the contract, the contract shall be equitably increased or decreased,
as the case maybe.
Delays in Completion Due to Concealed Conditions:
Owner hereby acknowledges that in certain remodeling work, the demolition of portions of the pre-existing
structure may reveal additional defects & conditions or the need for additional work, which must be repaired, altered
or carried out in order to complete the work described under the contract. In such case(s), Owner agrees that the
duration of the work and the scheduled date of completion may differ from the date stated on the front, and that
such variation shall not be considered to be a violation of this contract.
Restarts:
If the project is stopped by Owner for a period of greater than ten (10) days, a restart fee of ten percent (10%) of the
contract price will be required to compensate Contractor for the necessary time and remobilization of staff and
materials. Depending on the duration of the stoppage, an additional equitable adjustment may be necessary to
cover wage increases and general escalation.
Product Substitution:
Without Owner's consent and at the discretion of Contractor, Contractor may use materials and articles of quality
and merit equal to those designated in the contract, where the materials described in the contract are unavailable or
their use in impractical, provided however, the material must be of equal or greater value than those specified in the
contract and there shall be no additional charge to Owner.
Hazardous Waste/Asbestos/Contaminants/Mold:
Owner represents and warrants that the project area and house are free from hazardous waste, lead paint, asbestos
and/or other contaminants. Therefore, in consideration of this representation and warranty, it is agreed that by
accepting this contract, Owner does hereby release and indemnify and hold harmless Contractor from and against
all claims, damages, liabilities, losses, expenses, direct and/or indirect, including but not limited to, attorney's fees
and defense costs arising out of or resulting from the performance of any of the services by Contractor or claims
against Contractor relating to, involving or arising out of hazardous waste, lead paint, asbestos, and/or other
contaminants unless such damages or claims are caused solely by Contractor's negligence.
Owner is hereby advised that mold can grow and be present in concealed areas of the home, Contractor has neither
made an analysis nor verification, and assumes no liability for the determination of mold existing in or on Owner's
residence. Owner hereby agrees that Contractor shall not be responsible for the detection, containment, or
remediation of and existing mold.
Owner further waives all claims and agrees to hold Contractor harmless against any claim based in whole or in part
on the release of spread of mold that does not originate with Contractor negligence.
Additional Warranty Information:
Page a of 19
All warranties for goods supplied by Contractor under this Agreement shall be those given by the manufacturer of
such goods, which shall be and are hereby passed through directly to Owner. Under such manufacturer's
warranties, Owner may be required to register or mail in warranty card or other evidence of ownership and use of
such equipment in order to activate such warranties. Owner's failure to mail in or register such documentation,
which failure voids the manufacturer's warranty, shall not create any responsibility for Contractor to warranty such
goods. The warranty gives Owner specific legal rights and Owner may also have other rights which may vary from
state to state. Under Massachusetts law, sales of goods carry an implied warranty of merchantability and fitness for
a particular purpose.
All material is guaranteed to be specified. All work to be completed in a workman like manner. Any alterations or
deviation form the above specifications requested by Owner involving extra costs will be executed only upon written
orders, and will become an extra charge over the estimate.
Payment/Default:
Owner credit, then Owner shall sign the Contractor's promissory note for the credit so granted. The terms of the
promissory note shall be incorporated herein by reference and made a part hereof. If Owner fails to make all
payments strictly in accordance with the terms of this contract, and/or otherwise defaults hereunder or on the
promissory note, the entire unpaid balance of the contract and note shall be immediately due and payable, without
further protest, notice or demand, and Contractor shall be free to exercise its cumulative rights and remedies, which
may Include, but not be limited to, suit, attachment and rights pursuant to various applicable lien-laws. Owner also
agrees to sign a completion certificate upon completion of the work. Owner agrees to pay all costs of collection,
including reasonable attorney's fees, costs and expenses. Furthermore, interest shall be charged at the highest
lawful rate of interest on any and all overdue payments.
If Owner cancels this contract at any time subsequent to midnight of the third business day after the date of the
contract, Owner will be
responsible for all of Contractor's damages, which will include, but are not limited to, the difference between the
contract price and the cost of material and labor which would constitute lost profits in addition to any and all other
damages suffered and/or sustained by Contractor. Contractor reserves the right to cancel this contract at any time
within thirty days of the date of this contract. If Contractor cancels, Owner will be promptly notified in writing by an
authorized officer. If Contractor cancels, Contractor will promptly return any down payment(s) Owner has made.
Arbitration:
The parties hereby agree that the Massachusetts Arbitration Act shall apply to all disputes and claims arising out of,
or relating to this Agreement, including the breach thereof. The parties agree to follow the expedited procedures of
the Commercial Arbitration Rules of the American Arbitration Association at a hearing only to be held in Springfield,
Massachusetts. The commencement of arbitration proceedings by an aggrieved is a condition precedent to the
commencement of legal action by either party except, mandatory arbitration procedures required in this Agreement
shall not be applicable to any claim by V.H.I., wherein it seeks a prejudgment remedy such as a real estate
attachment, for cases where Owner has not paid a bill which is due to V.H.I.,
Subcontracting:
Contractor has the right to subcontract any part, or all, of the work agreed herein to be performed. All permits,
license requirements, workmen's compensation and/or other job requirements shall be the sole responsibility of the
subcontractor.
Contractor agrees that, notwithstanding any agreement for materials and/or labor between Contractor and a third
party, Contractor is responsible to Owner for completion of all work described in a timely and workmanlike manner.
No Acceleration of Payments but Escrowing Allowed:
The Contractor may not require payments to be made in advance of the times specified In Payment Section (front),
provided, however, if it deems itself to be insecure, it may require, as a prerequisite to continuing the work
described herein, that the balance of the payments under this contract that are in control of Owner, shall be placed
in a joint escrow account that requires the signature of both Contractor and Owner for withdrawal.
Insurance:
Page 9 of 19
Contractor will be responsible to Owner or any third party for any property damage or bodily injury caused by itself,
its employees or its subcontractors in the performance of, or as a result of, work under this Agreement. Contractor
agrees to carry insurance to cover such damage or injury.
Construction Related Permit Acquisition:
Contractor, under provisions of Chapter 142A of the Massachusetts General Laws, is required to apply for and
obtain all construction related permits. Contractor shall not be deemed responsible for delays in the work described
in this agreement caused by regulator, permit granting or inspectional agencies, authorities or individuals.
NOTICE: If Owner obtains his/her own construction related-permits for the work described under this
Agreement, Owner is hereby advised that in the event of a dispute, judgment and non payment of Contractor,
Owner will not be entitled to make claim to or collection from the guaranty fund established in M.G.L. c. 142A.
Modification:
This Agreement, except as to concealed conditions or delays occasioned thereby or by restarts, cannot be changed
except by a written statement signed by both Contractor and Owner. However, cancellation by Owner is allowed in
accordance with the Notice of Cancellation. Owner hereby grants Contractor a limited Power of Attorney to
complete incomplete documents on Owners behalf.
Completeness of Contract for Execution:
Owner is hereby advised not to sign this Agreement unless and until all blank sections have been filled in or marked
as void, deleted or not applicable, and until all exhibits and related or referenced documents that are incorporated
herein are attached hereto.
Attorney's Fees/Costs
Owner agrees to pay all costs of collection, including reasonable attorney's fees, cost and expenses. Furthermore,
interest shall be charged at the highest lawful rate of interest on any and all overdue payments.
Copy of Agreement to be given to Owner:
This Agreement is governed by the laws of the Commonwealth of Massachusetts. It must be executed in duplicate,
and an original, signed copy hereof given to the Owner at the time of execution. No work under the Agreement shall
begin prior to the signing of the Agreement and transmittal to the Owner of a copy therefor.
I I I-Ji)
Richard & Martha Douville Jr
03/20/2019
Date
t�
Dakota D Authorized Representative
03/20/2019
Date
CERTIFICATE OF LIABILITY INSURANCE 1MIEa IDN"YYI
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1000 Washington Street - Suite 710
Boston, Massachusetts 02118
Home Improvement Contractor Registration
Type: LLC
SAMBRICO LLC Registration: 162058
D/B/A VISTA HOME IMPROVEMENT Expiration: 01/02/2021
2003 RIVERDALE ST
WEST SPRINGFIELD,MA 01089
Update Address and Return Card.
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Office Consumer 8 Business Regulatlon
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BRIAN RUDD
2003 RIVERDALE RIVERDALE ST [1
WEST SPRINGFIELD,MA 01089 Undersecretary Not Valid without signature
CERTIFICATE OF LIABILITY INSURANCE I
OATEIMMIDDIY',
T FICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS
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THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
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IMPORTANT:If Me certificate holder is an ADDITIONAL INSURED,the poliCy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
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PRODUCER CONTACT
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THIS TO CERTIFY THA r THE POLICIES FINSURANCE LISTED BELOW HAVE BEEN/ SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEMOD INDSCATED.
NOT'MTHSTANDINO ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT MH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MY
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HAVE BEEN REDUCED BY PND CLAIMS.
/NSR ADO $UB POUCYEFFDATE POLCYERPDATE
LTR TYPEOFINSURANCE L R POLICYNUMBER "HADCYYYYI IMMDD,YYYH LIMITS
GENERAL LABILITY ACH OCCURRENCE is
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ANISETORENTED $
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A WORKER'S COMPENSATION AND x STATUTORY OTHER
EMPLOYERS LIABILITY YM UB-2E07218G19 03/122019 03/122020 LIMITS
ANY PROPERHOMPARTNEMEXEOUTIVE OMA E L.EACH ACCIDENT $ 500,000
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Il yes.Memos under EL.DISEASE-POLICY LIMIT $ 1000,000
DESCRIPTION OF OPERATIONS NN-
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THIS REPLACESANY%IXM(YRTIFIGA FE ISSLLD TO THE CER UP IT ATF HOLDFR AfFECIIVGWON SCOMP CON ERAGF_
CERTIFICATE HOLDER CANCELLATION
TOWN OF WEST SPRINGFIELD SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
26 CENTRAL STREET BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PRONSIONS.
AUTHORIZED REPRESENT VE
WEST SPRINGhIELD,MA 01089 D � L�,p•�.
A CORD 25(2010105) The ACORD name and logo are registered marks of ACORD 1958-2010 ACORD CORPORATION. All rights reserved.