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22-010 (3) 93 SPRUCE HILL AVE BP-2021-1219 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:22-010 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-2021-1219 Project# JS-2021-002040 Est.Cost: $41000.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: EAST COAST METAL ROOFING 101285 Lot Size(sq.ft.): 22738.32 Owner: BEAUDIN DAVID J Zoning: Applicant: EAST COAST METAL ROOFING AT: 93 SPRUCE HILL AVE Applicant Address: Phone: Insurance: 701 TREASURE ISLAND (508) 341-8339 () WC WEBSTERMA01570 ISSUED ON:4/23/2021 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 NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. ,' ' • •Certificate of Occupancy Signature:' ' • X� FeeType: Date Paid: Amount: Building 4/23/2021 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner t-- The Commonwealth of Massachusett � ---- Board of Building Regulations and Stan ds OR IPALITY Massachusetts State Building Code,;780 MR APR 2 20? USE; Building Permit Application To Construct,Repair,Re vate Or Demolish a kevi•-d Mir 2011 One-or Two-Family Dwelling P. -- ti This Section For Official Use Only r'; s EccrioNs 1 Building Permit Number: IQ'—)/—la•l 9 Date Applied: _...___-bo_._.,j I: 11 Q ' �l► 1 q, � Building Official(Print Name) Signature I/ Da e SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 93 Spruce f/►/! Ave -I a, of o 1.la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: — Outside Flood Zone? Municipal 0 On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner' of Recpprd: L7 v#) geavd e) WoorAstmplon, /11/I, ofoba Name(Print) City,State,ZIP 93 JS reef Nat Ave 9l/3 o'9? 5161/4 d&vki_ f talaki t .v3n.Corr No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) Er Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: ;P 'boll. /ng{//ct aao/gu'a.f�, A,. /offsr4///n 4 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 4/ 000 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 0 Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. MechanicaSuppression)1 (Fire $ Total All Fees: $ 46 Li Check No.24 Q 1 Check Amount: u 6.Total Project Cost: $ 4/I 000 0 Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ���,k / /oia8s a/a/as /6 lr/t shy License Number Expiration Date Name of CSL Holder 7� uloo��VC List CSL Type(see below) /QC No.and et Type Description 61lIt15i47 R/ ,O.:190 U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 4)/ G3G 49S-- L/(l,idoeeas/coas�ote44r /.ij•eem I Insulation Telephone Email address D Demolition 5.2 Registered Home Improveent Contractor(HIC) I t* /, , ,�4/aa sT �0 St / 4'/ Roof; HIC Registration Number Expiration Date HIC Corn any Name or,1-IIC Re iistrant'Nlame 7 70/ aSo Is Tr/eat/re /ano/ A'd /eieeeyet v ?t4S/coas/,..4 -/N of.J.(a... No.and Street Email address Gt a kr, /r!4 o/s7o yoi 634 ',Ps-- City/Town,State,ZIP Telephone SECTION 6: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 Issu/ance of the building permit. Signed Affidavit Attached? Yes Pf No .0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize (as/ ti s/ /1/C/.t.//17i0L f to act on my behalf,in all matters relative to work authorized by this building permit application. 7)4ti.d 2eraU iH 109// Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. r )/ !te4.4r.I, 1/9// Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton ��HAMp Massachusetts 2 s-- !r. hif: G 4 f K " DEPARTMENT OF BUILDING INSPECTIONS _ /v 212 Main Street • Municipal Building vd, CD Northampton, MA 01060 sEy°' i�� Phone: (413)587-1240 Fax: (413)587-1272 Effective July 1, 2015 Residential One and Two Family Building Permit Fees http://www.northamptonma.gov/702/Buildinq-Department +41,b0° Fees for work not listed will be determined by the Building Department Any work beginning before a permit has been issued is subject to double fees and a stop work order removal fee Hours of operation are typically Monday thru Friday 8:30 to 4:30, Walk-In hours are closed at 12:00 pm Wednesday Permit Fees are paid to the CITY OF NORTHAMPTON CHECKS OR MONEY ORDERS ONLY: NO Cash or Credit Cards Checks or Money Orders Must Be Submitted with the Application or it will not be acted upon To Be Processed, Applications Must Be Complete and Include ALL Required Attachments All Applications Are Subject To Zoning Review. The Weekly Filing Deadline is 12:00 pm (noon) on Wednesday. Building applications - Require a plot plan, floor plans, elevations, structural and energy information as appropriate Sign applications -Require a photo of the existing elevation and a photo shopped placement of the proposed sign Applications may be subject to Central Business, and or Historic and Demolition Delay reviews It is the Owner's responsibility to verify property bounds and conservation issues COMPLETE DEMOLITION Accessory Structure $30.00 One or Two Family House $75.00 NEW CONSTRUCTION All Occupied Floors per sf $.50 '/ Floors, Walk-In Attics, Basements, Garages per sf $.20 Decks, Porches, Canopies, Porticos per sf $.20 NEW ACCESSORY STRUCTURE Free Standing Decks $.20 per sf, Minimum $50.00 Shed up to 200 sf zoning review $30.00 Shed over 200 sf $.20 per sf, Minimum $35.00 Tent over 200 sf $30.00 Above Ground Swimming Pool $40.00 In Ground Swimming Pool $75.00 REPAIR, RENOVATION, ALTERATION $6.50 per$1000 of estimated cost(rounded up) Minimum $65.00 SIGNS Wall Sign for Home Occupation $40.00 SPECIALTY PERMITS Roofing $40.00 Siding $60.00 Non-Structural Door&Window Replacement $40.00 Solid Fuel Burning Appliances $40.00 Sheet Metal $25.00 with building permit on site; Otherwise $50.00 SOLAR Roof Mount $75.00 Ground Mount up to 8kw or 100% of demand $75.00 Ground Mount up to 200% of demand $100.00 Ground Mount over 200% Use the commercial rate calculator OTHER SERVICES Request For Zoning Determination $30.00 Home Business Review& Registration $30.00 Replacement Permit $30.00 Contractor Change $30.00 Temporary Certificate of Occupancy $75.00 Additional or Requested Inspections $75.00 Removal of Stop Work Order $75.00 City of Northampton DaSMRMpjp �,?/,.�.�°�" �•,.� ,S Massachusetts DEPARTMENT OF BUILDING INSPECTIONS ,x a, r 212 Main Street • Municipal Building vy, ram`u_ Northampton, MA 01060 sy� .B�^' CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: 33/A ,Zv (ut,J ���/,�ij#r, 111 _ The debris will be transported by: Name of Hauler: '- • �a�ve y Signature of Applicant: Date: 109/a The Commonwealth of Massachusetts Department of Industrial Accidents " 1 Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lezibly Name (Business/Organization/Individual): East Coast Metal Roofing Address: 701 Treasure Island Rd City/State/Zip: Webster, MA 01570 Phone #: 508-341-8339 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ® I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction listed on the attached sheet. 7. ❑ Remodeling 2.El I am a sole proprietor or partner- ship and have no employees These sub contractors have 8. 0 Demolition workingfor me in anycapacity. employees and have workers' p tY 9. 0 Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 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. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have 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:3/16/2022 Job Site Address: 93 4ruec Will 4.1 City/State/Zip:AhrAam n, i1f4, O/O4o3 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 certify under the sins and penalties of perjwy that the information provided above is true and correct Signature: 712C1 Date: 401/02'i 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#: Commonwealth of Massachusetts .,ff' Division of Professional Licensure '4.„°..` Board of Building Regulations and Standards Constructi41446pr Specialty • CSSL-101285 ' pires: 02/11/2022 NICK TERLETSKIY r ,, 41 EDGEWOOD AVENUE1 . CRANSTON RI . 02905 ' -� e l i l ' 11 ," t 4 , ,,. F S v e . . Commissioner • Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Machusetts 02118 Home Improveme-DEhtractor Registration i� =*=u , Type: Corporation — i. r Registration: 184472 EAST COAST METAL ROOFING,LLC :v ._ Expiration: 01/19/2022 701 TREASURE ISLAND RD — WEBSTER,MA 01570 =_=_�= .A. =_111_,....--.—. tr../ e .14 sye - Update Address and Return Card. SCA 1 0 20M-05✓17 _ Office of Consumer Affairs&Business Regulation i HOME IMPRO MENT CONTRACTOR Registration valid for Individual use only TY' . orooration I before the expiration date. If found return to: + u+P1.f•e )txnlration Office of Consumer Affairs and Business Regulation 3€Yv s 01/19/2022 ( 1000 Washington Street-Suite 710 EAST COAST --FIE•Clai e LLC Boston,MA 02118 MAIM 1 •4 s . ,i PAUL LECHfARA.ff,,,,_���� 701 TREASURE ISC71 e 'e ,rst'a gil '4. W EBSTER,MA 01570- undersecretary ' Not valid wl ut signature AC ® DATE(MM/DD/YYYY) `„� CERTIFICATE OF LIABILITY INSURANCE 04/07/2021 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 CONTACT Kevin Pires NAME: Platinum Insurance Agency,Inc. (A(E/cc..No.EA); (401)272-5900 FAX No): (401)272-5901 1990 Pawtucket Avenue ADDRESS. kpires@platinumins.com East Providence,RI 02914 INSURER(S)AFFORDING COVERAGE NAIC# Phone (401)272-5900 Fax (401)272-5901 INSURER A: 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. INSR TYPE OF INSURANCE ADDLSUBR POLICY EFF POLICY EXP LIMITS LTR JNSR WVD POLICY NUMBER (MMIDDIYYYY) (MM/DD/YYYY) 0 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000.00 AMAGE TO RENTED ❑ CLAIMS-MADE © OCCUR PREMISES(Ea occurrence) $ 50,000.00 ❑ MED EXP(Any one person) $ 5,000.00 A ❑ Y NPP8745464 04/05/2021 04/05/2022 PERSONAL&ADV INJURY $ 1,000,000.00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000.00 El POLICY ❑ ❑ LOC JEPRCT- PRODUCTS-COMP/OP AGG $ 2,000,000.00 ❑ OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ❑ ANY AUTO BODILY INJURY(Per person) $ ❑ AOWNED UTOS ONLY ❑ AUTOS SCHEDULED BODILY INJURY(Per accident) $ ❑ El NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) ❑ ❑ $ ❑ UMBRELLA LIAB El EACH OCCURRENCE $ ❑ EXCESS LIAB ❑CLAIMS-MADE AGGREGATE $ ❑ DED ❑ RETENTION$ $ WORKERS COMPENSATION ©STATUTE ❑PER nl µ ER AND EMPLOYERS'LIABILITY Y/N D OFFICER/MEMBER EXCLUDED?ANY ECUTIVE-Y N/A 0000076113 03/16/2021 03/16/2022 E.L.EACH ACCIDENT $ 100,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ SOO,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMB $ 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,Inc. THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 254 Sutton Avenue Oxford,MA 01540 AUTHORIZED REPRESENTATIVE I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03)QF The ACORD name and logo are registered marks of ACORD EAST COAST EAST COAST METAL ROOFING,LLC 254 Sutton Ave,Oxford,MA 01540 METAL ROOFING Customer Contact:1-844-611-3267 Visit our website at:EastCoastMetalRooflng.com NAME David Beaudi n ("Purchaser") JOB ADDRESS 93 spruce Hill Ave ("Premises") CITV/TOWN Northampton, Ma ZIP CODE 01062 MAILING ADDRESS ZIP CODE HOME PHONE E-MAIL Davi cLbeaudi nemsn.corn CONTACT NAME David or Colleen WORK CELL 4132974646 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:XSHINGLE/_SLATE/_PVC COLOR Black embossed shingle Strip existing roof of 3 layers and remove all debris dumpster Plg1 Improvement Contractor Regn#184472 3 ft of ice and water on eaves and valleys breathable underlayment on rest of house, replace Plumbing boots with new, install new shower vent, build cricket for chimney, install snow- Guards over traffic areas, install ridge vent, flas and collar 2 chimneys, install permalock Roofing system on entire house ADDITIONAL SPECIFICATIONS $85- per sheet for plywood install if needed $70- per square for extra layer strip, clean up, disposal YES NO ROOFING MATERIAL YES NO ROOFING MATERIAL X Rubber/PVC Low Slope Roofing Color x — Supply adequate electrical power X Flash Skylights# Outlet Location:Back of house X Flash Vents# 1x4 and 1X2 X _ Work with the Contractor to fix damage uncovered during installation at a cost agreed to by the parties. X _ Ridge Vent Standard ridge vent Plywood for rot repair min charge$2.50 sq ft X Respect the work site. In the interests of everyone's X underlayment Breathable — — safety,Purchaser will not use or borrow Contractor's X _ Snowguards#11 equipment or tools and will not access or Interfere with the project during installation. Skilled professionals ROOF REMOVAL should be hired for any work that requires access to or traversing your roof. X _ Strip existing roof(#of layers 3 ) LOCATION FOR DELIVERY X _ Haul away roof debris and pay refuse fees. Lfront yard _ X Supply 1/2"plywood Start Date*6-12 weeks or sooner, weather permitting LOCATION FOR BIN:Front of garage - Substantial Completion Date*1-2 weeks or sooner ^Unless dreumsiances are beyond the ContrattorS control. 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 $40998 — - — Sales Tax $Inc Financing Requested YES x NO OAC Di Vi dend 0% Total Contract Price$40998 Interest Rate 0%to 26.99% Less 1/3 Down Payment$13666 Payment not to exceed S Progress Payment$13666 Total Balance on Completion $12668 + 988 check MAKE ALL CHECKS PAYABLE TO:EAST COAST METAL ROOFING,LLC. You may cancel this agreement if It has been signed by a party thereto et a place other than an address of the seller,which may be his main office of branch thereof,provided you notify the seller in writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery,not later than midnight of the third business day following the signing of this agreement. See the attached notice of cancellation form for an explanation of this right. IN WITNESS WHEREOF,the Purchaser and Contractor have hereunto signed their names at the Premises this 9 day Of Agri 1 202.1. EAST COAST METAL ROOFING LLC. Do not sign this contract If there are any blank spaces. Per: Purchaser: Signature 1i.!‘. -' Signature A/ '` Print Name Paul Fleming Signature THANK YOU(FOR YOUR BUSINESS • This is not a credit transaction. If financing is arranged,the Purchaser agrees to sign and provide all necessary documents required by any lender. immediately on 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. EAST COAST East Coast Metal Roofing,LLC. 254 Sutton Ave,Oxford,MA 01540 METAL ROOFING Tel: coastm talro 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: Ravi d Beaudi n Address: 93 spruce Hi11 Ave City: Northampton, Ma Zip: 01062 Phone: 4132974646 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: ,g< 4/9/2021 Owner's Signature Date 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.