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32-011 (4) 141 FAIR ST BP-2020-1277 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:32-011 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Catego1y: ROOF BUILDING PERMIT Permit# BP-2020-1277 Proiect# JS-2020-002136 Est.Cost: $19800.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: EAST COAST METAL ROOFING 101285 Lot Size(sq.ft.): 4112 06.4 0 Owner: CAf ANGELO SAUL&LAUREL zoninp,: Applicant. E kST COAST METAL ROOFING AT. 141 FAIR ST Applicant Address: Phone: Insurance: 701 TREASURE ISLAND 508 341-8339 Liabili WEBSTERMA01570 ISSUED ON 6/2212020 0:.00:00 TO PERFORM THE FOLLOWINGWORK.-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 Sianature: FeeType: Date Paid: Amount: Building 6/22/2020 0:00:00 $40.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner m SCJ Z Gin C Department use only �, zyrs City of Northampton Status of Permit: Pc X Building Department Curb Cut/Driveway Permit ., 212 Main Street Sewer/Septic Availability ( F Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans J -� Other Specify APPLICATION 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 1,10 Fay Map Lot_ 0 / 1 Unit /b 0 - ti,��o.,/ 144 D!o 6 o Zone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ) SCC, I 3 &cf.C,rt( 1�4vG r-tly Name(Print) Current Mailing Address: e-//3 - ?t2_ d30S 1 Telephone Signature 2.2 Authorized Agent: 70 k 7-om?.6-rt---- ame(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 1 �v v (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) O CU Check Number t/ This Section For Official Use Only Building Permit Numbe : 4� ``a 7� Date Issued: / Signature: G - ZZ- 26& Building Commissioner/Inspector 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 Frontage Setbacks Front Side L: R: L: R Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO ® DONT KNOW O YES IF YES, date issued:, IF YES: Was the permit recorded at the Registry of Deeds? NO * DON'T KNOW O YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO ® DON'T KNOW © YES O 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 ® NO 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 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 © 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 Windows Alteration(s) Roofing or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [[] Siding[0] Other[L7] Brief Descript4on of roposed_ , Work:���,a �o4 -Lh.f-14!/ / Ce. Q 4 t.CcLi'- 661, �'hJ(�L/_ �irvi4 l�C �C RC, 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 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 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 . I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR AP/PLIES FOR BUILDING PERMIT i, S c. / ( ' Cc�/G h f e C U as Owner of the subject property /� hereby authorize g�f l�'t-4J4-- C l�19G 75 '1/ to act on my behalf,in all matters relative to work authorized by this building permit Oplication. Signature of Owner Date t I, P 4 L ( Le c i �� as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Sig d under the pains /and - penaltiess of perjury. Print Name ^� 69 � / 2o2q Sigrfature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: / Not Applicable ❑ Name of License Holder:/1^//do � 2 (��-r����L/ /o I a / ^ License Number �L Fd j::2.tom 6d A L-C rG�,f 7So a �-L Q Z �t b J^ a -/( 2-0 Z Z. Address Expiration Date Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ Company Name Registration Number 70r �,-e41c�c zf(4,a /2a ye J7,� 444 o��-,o l- / et - a�zz s � Expiration Date 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...... ❑ City of Northampton Massachusetts a DEPARTMENT OF BUILDING INSPECTIONS s. 212 Main Street • Municipal Building Northampton, 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 /! r n Type of Work: /z O O 7 '� Est. Cost: O Address of Work: /K� F� r 1C �/�>v i-��4 r-,v� 7� A14 01 v 60 Date of Permit Application: 2 d L c� 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 RESPONSIBH,ITES 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: (Q-/)-aazv Teri, I Lec41 /� �t 6( ? 2, Date Contractor Name HIC Registration 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 SSSSSC ' Massachusetts '<< h: G JA DEPARTMENT OF BUILDING INSPECTIONS �' x \ 212 Main Street •Municipal Building tiJ6 ��e Northampton, MA 01060 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: jLl ( 1~Q L,/ S-7' 4f"' �,--7/-- (Please print house number and street name) Is to be disposed of at: 3-04- S ct, Cc,fo4* )h '�-eGk A a*Z t,'u "l CL I .-hc�,,�- /L1.�(s�-�r , /lam (Please print name and location of facility) �— Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Signature of Permit Applicant or Owner Date 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 qA Office of Investigations 600 Washington Street Boston,MA 02111 V__ www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): East Coast Metal Roofings Address: 701 Treasure Island Rd City/State/Zip: Webster, MA 01570 Phone #: 508-341-8339 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ® I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E]New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I l.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.1Z Roof repairs insurance required.]t c. 152, §1(4),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. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. xContractors 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 employees,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: Beacon Mutual Insurance Policy#or Self-ins.Lic.#:0000076113 Expiration Date:3/16/2021 Job Site Address: I to F " s� City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date 01°to 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 hereb c under the pains and penalties of perjury that the information provided above is true and correct Si ature: Date: Phone#• 508-341-8339 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#: AC"R" CERTIFICATE OF LIABILITY INSURANCEDATE(MWDD/YYYY) 04/01/2020 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 BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAMCONTACT E Kevin Pires Platinum Insurance Agency,Inc. PWC.HONNo,E 401 272-5900 FAX 401 272 5901 1990 Pawtucket Avenue EAI -ML kpires@platinumins.com East Providence,RI 02914 INSURERS AFFORDING COVERAGE NAIC S Phone (401)272-5900 Fax (401)272-5901 INSURERA: Western World Insurance Company INSURED INSURER B: RGSW,LLC. INSURER c: 41 Edgewood Avenue INSURER D: Beacon Mutual Insurance Company INSURER E: Cranston RI 02905 INSURER F: COVERAGES CERTIFICATE NUMBER: 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 ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE ADDL UBR POLICY NUMBER POLICY EFF MM/DDY� LIMITS © COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 AMA❑ RN D CLAIMS-MADE 1/❑ OCCUR PR MI3ESOEaEocc mnce $ 50,000.00 A ❑ NPP8613191 04/05/2020 04/05!2021 MED EXP(Any one person) $ 5,000.00 PERSONAL&ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LI MIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 ❑ POLICY ❑ jE 1:1LOC PRODUCTS-COMP/OP AGG $ 2,000,000.00 ❑ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ a accident ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ OWNED SCHEDULED AUTOS ONLYAUTOS BODILY INJURY(Per accident) $ ❑ HIRED ❑ NON-OWNED PROfPerac TY DAMAGE $ ❑ AUTOS ONLY ❑ ❑ cident) $ UMBRELLA LUAB ❑OCCUR EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION ©PERTUTE ❑OTH- AND EMPLOYERS'LLABILITY Y I N ER ANY PROPRIETOR/PARTNER/EXECUTIVF4� ,�.. E.L.EACH ACCIDENT $ 100,000 D OFFICER/MEMBER EXCLUDED? I •yi N/A 0000076113 03/16/2020 03/16/2021 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 100,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE East Coast Metal Roofing THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 701 Treasure Island Road Webster,MA 01570 AUTHORIZED REPRESENTATIVE V1_ ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03)OF The ACORD name and logo are registered marks of ACORD EAST COAST EAST COAST METAL ROOFING,LLC 701 Treasure Island Rd,Webster,MA 01570 METAL ROOFING Customer Contact:alRoo611-3267 Visit our website at:EastCoastMetlRooflng.com NAME Saul and Laurel Carangelo ("Purchaser'1 JOB ADDRESS 141 Fair at Ext ("Premises") CITY/TOWN Northampton, MA ZIPCODE 01060 MAILING ADDRESS ZIP CODE HOMEPHONE E-MAIL saulferrisiSgsail.com CONTACT NAME Saul and Laurel WORK 5102247831 CELL 4153120309 The Purchaser is the registered owner of the Premises and hereby contracts with East Coast Metal Roofing,LLC(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:_SHINGLE/X SLATE/_PVC COLOR_Cha rcoal Gra y install permalock on sunroom only. strip Layer of standing seaMome Improvement Contractor Regn#7&0472 Replace 4 skylights with Velux fixed. Home owner responsible for interior trim. Install Plywood over planks. strip planks if necessary. Flash stove pipe. FUll ice and water. ADDITIONAL SPECIFICATIONS YES NO ROOFING MATERIAL YES NO ROOFING MATERIAL _ X Rubber/PVC Low Slope Roofing Color X _ Supply adequate electrical power X _ Rash Skylights#4 Vel UX X _ Work with the Contractor to fix damage uncovered during installation at a cost agreed to by the parties. X _ Rash Vents# Stove pipe Plywood for rot repair min charge$2.50 sq ft x Ridge Vent X _ Respect the work site. In the interests of everyone's safety,Purchaser will not use or borrow Contractor's X _ Underlayment FUl 1 ice and water equipment or tools and will not access or interfere with the project during installation. Skilled professionals X Snowguards# should be hired for any work that requires access to or traversing your roof. ROOF REMOVAL LOCATION FOR DELIVERY X _ Strip existing roof(#of layers 1 ) Driveway near barn X _ Haul away roof debris and pay refuse fees. StartDate*4-10 weeks or sooner, weather permitting X _ Supply 1/2"plywood Substantial Completion Date* 1-2 weeks Or sooner LOCATION FOR BIN•D ri Veway *Unless ctrcu an-are beyond the Contractor's conuo'.. THIS CONTRACT INCLUDES THE ALUMINUM SHINGLE COMPANY LIFETIME LIMITED WARRANTY,50 YEAR TRANSFERABLE,NON-PRORATED FOR MATERIALS MANUFACTURED BY THE ALUMINUM SHINGLE COMPANY,PLUS LIFETIME LIMITED WORKMANSHIP WARRANTY PROVIDED BY EAST COAST METAL ROOFING CERTIFIED INSTALLERS. SPECIAL INSTRUCTIONS Contract Price $ 19,800 Sales Tax $included Financing Requested YES X NO_OAC Total Contract Price$19800 Interest Rate 0%to 26.99% Less 1/3 Down Payment $6,600 Payment not to exceed$ Progress Payment $6,600 Total Balance on Completion $ 6,600 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 maln office of branch thereof,provided you notify the seller In wrtling at his main office or branch by ordinary mall 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. IN WITNESS WHEREOF,the Purchaser and Contractor have hereunto signed their names at the Premises,this 8 day Of June 2020.. EAST COAST METAL ROOFING LLC. Do not sign this contract If there are any blank spaces. Per: Purchaser'$,) _ Signature Signature Print Name Kyle Keegan Signature C 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 request In order to complete the financing. All surplus material is the property of the Contractor See reverse of contract for additional terms and conditions. -= Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construct itJk%6pr Specialty CSSL-101285 ; ' `' pires: 02/11/2022 NICK TERLETWY , 41 EDGEWOOD AVENUE'l , Ak CRANSTON RP 02906 0 Commissioner ------ ; Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Mfthusetts 02118 Home Improvemtractor Registration Type- Corporation EAST COAST METAL ROOFING,LLC z Registration: 184472 701 TREASURE ISLAND RD 9 ExpIratlon. 01/19/2022 WEBSTER,MA 01570 '" 1 0 a w ti r �c o0 •�M 5r Update Address and Return Card. SCA/O 2aM-0y17 ./�e�'ivnniav�uxa�a�.�iav¢a�i.JtllS Office of Consumer Affairs b Business Regulation HOME IMPRO MENT CONTRACTOR Registration valid for individual use only TYaum before the expiration date. If found return to: Expiration Office of Consumer Affairs and Business Regulation 01/19/2071 1000 Washington Street-Suite 710 EAST COAST - O LLC Boston,MA 02118 PAUL LECHIAAA ' 701 TREASURE IS �(r r.�f�•��(rrk WEBSTER,MA 01570 Undersecretary 1 "Notvalldsignature I AAEASTCOAST East Coast Metal Roofing,LLC. METAL ROOFING � 701 Treasure Island Rd,Webster,MA 01570 Tel:844-611-3267 eastcoastmetalroofi ng.com REQUIRED PERMITS Registered Home Improvement Contractor MA#184472 Registered Home Improvement Contractor CT#HIC.0644642 Rhode Island Registration #40663 Homeowner Information Name: Saul and Laurel carangelo Address: 141 Fai r St Ext City: Northampton, MA Zip: 01060 Phone: 4153120309 Required Permits: The following building permits are required and will be secured by the contractor as the homeowner's agent and I/We as Owners of the subject property, hereby authorize East Coast Metal Roofing, LLC.to act on my/our behalf,. in all matters relative to work authorized by the building permit application: S')a- 6/8/2020 Owner's Signature Date L, C--- 6/8/2020 Owner's Signature Date Owners who secure their own permits will be excluded from the Guaranty Fund provision of the MGL Chapter 142A This permit notice forms a part of the Purchase and Installation Contract of the same date.