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22D-102 (4) 149 RYAN RD BP-2021-1242 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:22D- 102 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-2021-1242 Project# JS-2021-002066 Est. Cost: $3500.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: STURDY HOME IMPROVEMENT 093603 Lot Size(sq. ft.): 36329.04 Owner: SUPRENANT RICHARD D Zoning: URA(100)/WSP(100)/ Applicant: STURDY HOME IMPROVEMENT AT: 149 RYAN RD Applicant Address: Phone: Insurance: 459 MAIN ST STE 13 (413) 543-5906 WC INDIAN ORCHARDMA01151 ISSUED ON:4/27/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:STRIP & SHINGLE ROOF POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NO'THAT 'PTON PO VIOLATION OF ANY OF ITS RULES AND REGULATIONS. I. • , Certificate of Occupancy Signature: 1 FeeType: Date Paid: Amount: Building 4/27/2021 0:00:00 $40.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use only City of Northampton Status of Permit: e f _'o4,,'6 Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Northampton, MA 01060 Two Sets of Structural Plans phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans 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 LIC1 KliotY1 ((writ Map 2-2-12 Lot I U Unit n Zone Overlay District_ F( °�en e MI/Jl Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: (6) C rCj Su I r,e Vet In u( Ku Gt Name(Print) Cur t Maili g Telep one Signature 2.2 Authorized Agent: )`101 ra1, 1-4011 ��7 .Piwr--E4AC �-{ `� Na hint) Current Mailin Address: Signature 10.01(P°1a2Z) H TO phone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building _34 a (x) (a) Building Permit Fee 2. Electrical V (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) 3 O o .(" Check Number ��QQ This Section For Official Use Only Building Permit Number:4J1PJ �/ p/�`'/)' Date Issued: Signature: y a7 aI Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House n Addition ❑ Replacement Windows Alteration(s) ❑ Roofing Or Doors 0 Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding[0] Other[0] Brief Description of Propo ed r � -� Work: i IS 4- 12- W (eN Jlp✓ o Lca.CIL AAA/ d nil/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 APPLIES FOR BUILDING PERMIT 0V I, 1 ( 11 ),e ,,,c, , as Owner of the subject property 1 I' / hereby authorize C�4UvdN t M e- e. ,X C to act on my behalf, in all matters relative tdwork authorized by this building permit application. Signature of Owner Date I, � � \ - YV C . , as Owner/Authorized Agent hereby declare that the stat ments and information on the foregoing application are true and accurate, to the best of my knowledge and belief. Signed under the pains and penalties of perjury. '6L-Dtic2_ Print Name 70 ,--Dia~ /127) 9 )a.)Signature of Owner/Agent `� `Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable El Name of License Holder: 4 lit!A �I.)472- J pl Il G " c,6 License Number 4 5'61 4C/ti (\-N)'\4Yh if 3 -Ijo . citc7 -) I Addr Expiration Date 113) S`-13—Sit(DC Signature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ 54Uttidkll OVOICAVV(a. ',‘V/7k-c, 1 I 1 1) Company /Name cel Registration Nuu mb e MCAINik =V�45-)-( l ') S / Address Expiration'Date ' itat 5I'V yriU Telephon I (� 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 oatHn 'ro S 'I.. d ,/, :;i Massachusetts ,t . °` i�c ( DEPARTMENT OF BUILDING INSPECTIONS . : r ` : ., 212 Main Street • Municipal Building - O {� 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�-( �+ Type of Work: R Est. Cost: 1 J� v " Address of Work: lLtC1 �,�;V\ Q (tJ t" M "\C — Date of Permit Application: ti 9-3 D' I 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 hereb apply for a building pe it as e agent oft owner: d j12 ) q <3 31 Date ontractor a e 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 ,4��YNAMr off\ S`S .o. SAC'<< Massachusetts kJ,/ 3:_ y1 X - 4 DEPARTMENT OF BUILDING INSPECTIONS 1+ ja \!S<'ar ' 212 Main Street •Municipal Building yvb C'D Northampton, MA 01060 rs „ `tea 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: ( Aa (Please print house number a d street name) Is to be disposed of at: Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name d Address) V)61////d // L/ Signature of Permit Applicant or Ow er D. e 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. G2cm-aciLGd e/4- Office of Consumer Affairs and Business Regulation' 1000 Washington Street e Suite 710 Boston, Maschusetts 02118 Home Improvement Contractor Registration • Type: Supplement Card Registration: 151711 STURDY HOME IMPROVEMENT, INC Expiration: 06/25/2022 459 MAIN STREET INDIAN ORCHARD,MA 01151 • Update Address and Return Card. A 1 Cq 20M--05/17 / p Ftsnim6vieveaa Office of Consumer Affai s&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 151 T: 06/25/2022 1000 Washington Street -Suite 710 STURDY HOME IMPROVEMENT,INC Boston,MA 02118 DAVID DIAZ �� - � �- 459 MAIN STREET`•. �r/r�4''( •/°�Y4. { c�• • LL__ INDIAN ORCHARD;'IMA 01151 Not valid withoursigrtature Undersecretary • • Commonwealth of Massachusetts Division of of Professional Licensure Board of Blinding Retgul/�aiions and Standards Consti h4rt lUpgrvisor . CS-093603 F Cpir`esf 08/07/2021 DAVID DIAZ . x 270TREMONIST ;m SPRINGFIELD, A'0 Coarmissi0ner ACC)R 0 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) sn/2ozo 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 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 CONTACT The Dowd Agencies, LLC PHONE Mary Beth Russell FAX 14 Bobala Road INC.No.Ext):413-437-1050 IA/C,No):413-437-1450 E-MAIL Holyoke MA 01040 ADDRESS: mrussell@dowd.com PRODUCER CUSTOMER ID#: STURHOM-02 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:James River Insurance Company Sturdy Home Improvement, Inc. 459 Main Street STE 13 INSURER B: Indian Orchard MA 01151 INSURER C: INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER:189205689 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXPD/ LIMITS LTR INSR WVD POLICY NUMBER (MM/DD/YYYY) IMM/DYYYY) A GENERAL LIABILITY 00084917-1 8/7/2020 8/7/2021 EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) $100,000 CLAIMS-MADE X OCCUR MED EXP(Any one person) $5,000 PERSONAL 8 ADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 PRO- -1 POLICY JECT LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE HIRED AUTOS (Per accident) NON-OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/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 THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD ACCPRAO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 07/31/2020 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 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 CONTACT NAME: Laura O'Hara THE DOWD AGENCIES LLC (gONE CC.No,Extl: (413)437-1020 FAX (A/C, ADDRESS: lohara@dowd.com 14 Bobala Road INSURER(S)AFFORDING COVERAGE NAIC# HOLYOKE MA 01041 INSURER A: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURER B: STURDY HOME IMPROVEMENT INC INSURER C: INSURER D: 459 MAIN STREET STE 13 INSURERE: INDIANORCHARD MA 01151 INSURERF: COVERAGES CERTIFICATE NUMBER: 559620 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. INSR ADDL SUER LTR TYPE OF INSURANCE INS° MD POLICY NUMBER POLICY EFF POLICY EXP (MMIDD/YYYY) (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADVINJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Per accident $ _ AUTOS AUTOS ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS (Per accident) $ UMBRELLALIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ vv $ WORKERS COMPENSATION ^ PEROTH STATUTE ER AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? N/A NIA N/A 6HUB5B36850520 07/21/2020 07/21/2021 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Daniel M.Cro y,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD The Commonwealth of Massachusetts i -varm .�'M►� /, _ Department of Industrial Accidents ifl 1 Congress Street,Suite 100 44:1- Boston,MA 02114-2017 www.mass gov/dia b e'y Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. • TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information PIease Print Legibly Name(Business/Organi7ation/Individual): S+uycl1/40 (cky r e ey t eIrn ! i.-. 1C, Address: LIS' !AO I'm S rep. S4-c L City/State/Zip' i tip 0 treila rcli,MPtoaci Phone#: l.-l1 ) 94 - 59 d c, Are you an employer?Check the appropriate box: Type of project(required): 1.024m a employer with 4e, employees(full and/or part-time).* 7. El New construction 2.0 I am a sole proprietor or partnership and have no employees working forme in 8. ci Remodeling any capacity.[No workers'comp.insurance required.] 3.0I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9• Demolition 10 0 Building addition 4.01 am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ROOF re S These sub-contractors have employees and have workers'comp.insu ance.t 'Wi lier 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. Y 152,§1(4),and we have no employees.[No workers'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. tContractors 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: —Fret V, Lek'..s c • Policy#or Self-ins.Lic.#: � 14 L&B B 3 CA'5-0 S---2-0 Expiration Date:(1 121 1 2y2 I Job Site Address: /4°t O,� City/State/Z•ip: , v; Attach a Copy of the workers'con nation policy declaration page(showing the policy number and expiration 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 verification. Ido hereby . under the pains and penalties ofperjury that the information provided above is tJ)V e and correct Signature: s//,/ (v) C Date: q 3 i -Phone#: 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#: 459 Main Street poll Free (877) 378-8739 Indian Orchard, MA 01151 Norcester (508)797-6600 E-mail: HR@SturdyHome.com Springfield (413) 543-5906 www.SturdyHome.com Vew Haven (203) 848-2118 =ax (413)543-3200 HOME IMPROVEMENT, INC . WINDOWS • SIDING • ROOFING • ADDITIONS MA REG. #151711 CT REG. #601525 game fgrHome Phone Business Phone L` address P tti tJ .e Ill A i Cell /3e V 6 /4 6 Other R(PI gat town/City Representative Date pews. 01 A k 1,4-Iti A wl I a 3\ \z`Z (we the owner(s) of the premises described hereinafter, referred to as Owner, offer to contract with Sturdy Home Improvement, Inc. hereinafter eferred to as Contractor,to furnish, deliver and arrange for installation of all materials to improve the premises as described below. 'es No ROOFING SCOPE OF WORK: ❑ 1. Contractor to obtain required building permit(see attached permit authorization form) 1 e 2 4/3 0 Family home. T" ❑ 2. Provide certificate of insurance for workers compensation, general liability. (see attached certificates). �'' ❑ 3. Provide job site dumpster,set on planks,to remove job related debris only. Please Note:dumpster for contractor's use only. (see dumpster clause). ❑ 4. Prior to stripping roof,tarp sides of house beneath work area,from roof edge to bottom of wall. (see additional protection clause on back). • Li 5. Keep job site in a clean and orderly manner. Rake work areas at end of job. Use magnetic sweep to pick up nails. a]'' Li 6. Provide OSHA approved staging to safely perform work. A'- Li 7. Work consecutive days excluding inclement weather. (rain, snow, high winds, high heat,thunder showers, etc). e ❑ 8. Staff project with qualified mechanics experienced in residential asphalt roofing. I Li 9. Strip existing 1 Y` 2 3 layers of asphalt roofing (see roof plan, page 2). Number of squares. ' 2 A. " one layer cedar removal. Number of squares 4 , . B. 0 one layer slate removal. Number of squares U 1 4� ar ❑10.Inspect roof deck prior to re-roofing. Renail loose boards: A. Replace rotted or cracked boards $ `0.-`1' per linear foot. B. Install new plywood at$ f 8Q pat er sheet. T.r,61-J.e.t 45 1v v LT (LIct C. Number of sheets of plywood included into this estimate: Quantity (see unit cost above for additional sheets). I" ❑11. Furnish and install e- c' k'4"J f6Roggihrgles. Color 040e ❑12. Furnish and install 8"aluminum drip edge around roof perimeter.White !, Mill C'' Brown 0 . ] la13. Install cedar drip edge at eaves under aluminum drip edge. Linear ft 0 • ❑14. Furnish and install ice/water shield at eaves 0 3' 1/6' O other. Three feet in valleys and around all roof penetrations. • ❑15. Furnish and install underlayment to entire roof. Roofer select k' &of gvkik ❑16. Furnish and install starter course shingles, eaves& rake. ❑17. Furnish and install hip and ridge. ] Q'(8. Furnish and install new neoprene roof boots at soil pipes up to 4"in diameter. Quantity O Size 0 (boots at electrical mast to be reused). J 1 9. Reuse stove pipe flashing kits. ] I '20. Reuse existing step flashing at roof/wall intersections. ] W1. Furnish and install new 0 aluminum e, copper step flashing at roof/wall intersections. Linear feet . If siding work is needed, a cost assessment will be made at that time. ] 1(22. Reuse existing wall flashing at roof/wall intersection. ] (T"23. Furnish and install new aluminum wall flashing at roof/wall intersections. Linear feet 0 . If siding work is needed, a cost assessment will be made at that time. ] i ' 4. Furnish and install new 42 aluminum d copper step flashing at base of chimney under existing lead counter flashing. ] E'25. Replace chimney lead counter flashing. 1 flue Q 2 flues o 3 flues 0 other d . ] 1Y26. Install 6 new roof hood to vent bathroom(s)with insulated flexible tube. Remove roof deck to gain access into attic. Color: black only. ] a 7. Gutter Helmets to be removed and reinstalled by others. ] 1168. Remove and dispose of gutters attached with spike and ferrule. ] ii(29. Remove and reinstall existing gutters strapped to roof. Install straps under shingle Cover shingles ] I0. Remove and reinstall existing utters with hidden hangers. Linear feet 63 rd31. Reuse skylight flashing kits / Replace skylight flashing kits O Quantity D (Velux models, stock only). ] 0'32. Remove and dispose of the following:Antenna Snow/Ice Wires Snow Guards/Ice belts Solar panels . ] e33. Remove Satellite Dish up to 24'in diameter. Alignment and installation by others. f ❑ 4. Page Two=ROOF PLAN. • '5. Page Three=VENTILATION. S'iJM(4v VetsE''t3 R � (JJ ] E36. Page Four=VENTILATION PLAN. ] la37. Addendum (A)=OTHER WORK. ) Lf"38. Addendum(B)=LOW SLOPE ROOFING. I ur-(UY I-10ML IMI-'KUVI_IVILN I, INU. ���^,,�u. ���" ' Legend: PAGE 2 - ROOF PLAN CT REG.#0601525 Valley Ridge vent 1 flj1.1t1N Gutters Z S Chimney z � 19 Roof Boots Li o Satellite Dish 0 Skylights (ICA Step Flashing Material Dumpster Dumpster FRONT OF HOUSE INC =Area to be done NIC ,= Area not included Please Note: Any area not shown on this plan are not included Initials Initials Initials We • • HOME IMPROVEMENT _/ 459 Main Street •-Indian Orchards MA 011-51 .. . •• (413) 543-5906 (508)-797-6600 OWNS PERMIT AUrTHQ I'.IZATION Name : 2-ZPO S v, !1J✓v"iiv7-- Address: QO City/State/Zip 41,''.'ife f /27i'9 a /6 t ot ad/0 64-01 , r412.itA09 (owner), of the property located at: authorize Sturdy Home Improvement, Inc. to act as my agent for the construction project • taking place at the above address. I also authorize Sturdy Home Improvement, Inc. to obtain a building permit for this project. I understand and accept responsibility to comply With all regulations and required inspections. Wviv ignature of Owner Date Signature of Owner Date lTURDY HOME IMPROVEMENT, INC. ACCEPTAMCE PAGE MA REG.#151711 .CT REG.#0601525 NY WORK NOT STATED ON PREVIOUS PAGES IS EXCLUDED he following schedule will be adhered to unless circumstances beyond the contractor's control arise: Fork scheduled to begin the week of ___/___J____• Expected completion date_—_/_—/ _Weather permitting. he cash price for labor and material as described above is: let payment 2nd payment 3rd payment 4th payment • - Contract Total (u on signing) invire�+;-i- COAIe-... C6lel(, .,._- Roof $ 6 LAvtii o.elluew& Titkr"t- - e Ventilation $ •4 .1)k.S c ov�kL Atie.1 Other work $ Roofing total $ •$ $ $ $ . $ ;,4' $ - -vev. $ 3 sue," $ $ , O . Windows $ $ $ $ $ faeeial orders. $ $� __ Cr _ $ • • A. i $ $ $ $ $ ---\ (1)11(4/06d. $ 35'e0,c° $ pY $ !Soo,~ $ l o�e.).M $ f-?o' :tins: Cash Finance y�! 2/ /s credit-card:# — — — - — — — — - (— — — - — — — — Exp.date-- / de•--- ayment schedule: ny balance not paid in full within thirty days, will be charged 1.8%Interest per month. • order to meet the completion schedule,the following material/equipment must be SPECIAL ORDERED before the contracted work begins. .aw requires that any deposit or down payment required by the contractor before work begins,may not exceed the greater of(a.)one-third of the dal contract price or(b)the actual cost of any special equipment or custom made material which must be special ordered in advance to meet the mpletion schedule) $ a to be paid for • $ 0 to be paid for O • ny additional work orders are to be paid for once accepted and approved by purchaser. ;rbal understandings and agreements with representatives shall not be binding. All understandings and agreements must be set forth in writing in this >ntract. Additional provisions are stated on reverse side and are part of this contract. In witness whereof Purchaser(s)has/have hereunto signed their names is 44 day of Al A t't r 20 Z( and acknowledge receipt of a true copy of this contract. NLESS OTHERWISE SPECIFIED,IT IS UNDERSTOOD THAT THE OWNER IS READY FOR THE WORK TO BEGIN. THE PURCHASE PRICE QUOTED 3OVE WILL BE HONORED ONLY UNTIL (Date). )u the Purchaser(s)may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.See notice of cancella- m form for an explanation of this right. Signature affixed below also acts as receipt that Purchaser(s)received separate cancellation forms. le following is a requirement by Massachusetts General Law,Home Improvement Contractor Law MGL c 142A: • • he contractor and the homeowner hereby mutually agree in advance that In the event that the contractor has a disp\te concerning this contract,the contractor ay submit such dispute to a private arbitration service which has been approved by the office of ons merAff ' and Business Regulation and the consumer rail be required to� �submit to such arbitration as provided in MGL c 142A. • • apresentative: v o 14-- Owner: 72.,.., Owner: OTICE:The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner ay initiate alternative dispute resolution even where this section is not signed separately by the parties" Do not sign this contract if t c re any b spaces tbmitted 6 w , ,//� Accepted /11/g/ by: �� Representative Purch er Date x:epted Accepted by: n - + +; . Pi irr•ha ear' • Date