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10B-099 B -2022-1160 79 RESERVOIR RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 10B-099-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-1160 PERMISSION IS HEREBY GRANT D TO: Project# ROOF Contractor: License: Est. Cost: 22401 MILLSTREAM CONSTRUCTION 106127 Const.Class: Exp.Date:06/01/2023 Use Group: Owner: SKOIRCHET,ANDREW & SPRIGGS, ELIZABETH Lot Size (sq.ft.) Zoning: RR/WP Applicant: MILLSTREAM CONSTRUCTION Applicant Address Phone: Insurance: 255 WILLIAMS ST 860-748-3459 BNUWC0145355 Glastonbury,CT 06033 ISSUED ON:09/19/2022 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-SHINGLE 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIO TION OF ANY OF ITS RULES AND REGULATIONS. Signature: >2 - Tftbrx, Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner f _n_ CV _ The Commonwealth of Massachusetts l`` cp Board of Building Regulations and Standards FOR ` V . c Massachusetts State Building Code, 780 CMR MUNICIPALITY = USE I .' 1 r Bu' din Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011 t One-or Two-Family Dwelling i This Section For Official Use Only BuildingPermit Num r: Qo ) ' 1/ Date Applied: Acv►►J 1 'ny, // ? 9.1L-202.1 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assenrelap& Parcel Nu b res 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private CIZone: _ Outside Flood Zone? Municipal 0 On site disposal system 4 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.4 O ner'of Record: ���� SAD� t the`�' Lrls e-t�- o I os. Name City, State,ZIP l9 AJo.(..-v,A. a,t 7.-9141-611(a an,ej. di[____ fflAil. No.and Street Telephone Email Address air\ SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Descripti((� of Proposed Work2: e e�tt -k-,/Y.l bh1 F C��1' �•C� ^ 's [ J( ar%el, d e§P%Ci L r w 11-'4., .t¢• etsphec,t4- Sh$r sOtC �t S -r w% , ze 0' -1- -f rr' KA- co AP. - boo 5 -r (--4,,(aCIC SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ ZZ—fol 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: I 5. Mechanical (Fire $ Suppression) Total All Fee :Az- 6. ,f,� .�/� Check No. (heck Amount: _ 11 Cash Amount: Total Project Cost: $ � D1 ❑Paid in Full 0 Outstanding Balance Due: l SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) S ��' 3 �g A Jh� LN fiber �� Expiration n D Name of CSL Holder .1 , }- List CSL Type(see below) F'6Di/\ No. d Street Type Description ‘..1,r000) --7 Unrestricted(Buildings up to 35,000 Cu.ft.) oTf R Restricted I&2 Family Dwelling City/Town,State,ZIP Masonry 47) Roofing Covering Window and Siding SF Solid Fuel Burning Appliances -•-zorN59 e tu1k4(iv�b• I Insulation Telephone Email address ej"Y% D Demolition 5.2 Registered Home Imprviment Contractor(HIC) ///f L y 5_i7.2 3 " ACL' h lw 5'( J �t D 6/ � (i HIC Registration Number I spiration Date HIompanyepr HIC Registrant Nair tI. � ntilitd t N d Street Email address Ct'rXaa 3 Ergo•71//3.3 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 Issuance of the building permit. Signed Affidavit Attached? Yes No 0 SECTION 7a:OWN AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'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 app' 'on is true and accurate to the best of my knowledge and understanding. Print Owner's or Authorize is Name(1?Iectronie Signature) ( Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contra tor (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 foun 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" �+i The Commonwealth of Massachusetts W. Department of Industrial Accidents k . 1 Congress Street,Suite 100 zi Boston,MA 02114-2017 www.mass.gov✓dra 11 a►ker,' Compensation insurance Affidavit:BuiidersIContractorslt le triciansiPlumbers. TO BE FILED WITH THE PERMITTING Al I HORITY. Applicant Information \ � �� Please Print Leiibls Name(i3usiness/Organuationilndtvidua►):_.. �'f l lw�7 if e 1 L-.On s Je.4 ion• Address: 2 SC j "t,Li,w s St- E CityfState/Zip:__.G I ets4oft W air Cr Phone#: �"-7tie '3(I 6-9 Ire von an employer'Check the appropriate tars: C(Oi 3- Type of project(required): 1 M can a employee with /D employees(full and of part-time a• 7. 0 New construction ID l ant a sung penprieror or paatneh,p and have nu employees working fur Inc m S. 4..r{...t Remodeling Lin!,capacity-(No workers'comp.insuranix required.' 30 I am a homctrwner doing all w�myself.(No emitters"comp.znauramx reguiredl' 9. Demolition 4.0 I am a homeowner and will be hiring coneractors to conduct all work on my property. t well 1 Q Building addition homeowner mime that all contractors either have wsdotss'compensation tnsuranci or an sole 1 It]Electrical repairs or additions prop:ierats with too employees_ 12.0 Pliunbtng repairs or additions 50 lam a general contractor and I have heed the snb,coetractots listed on the attatttied Am. 13 f repairs These sub-contracture Ism,:employees and have workers'comp.insurance.: 6.�We are a corporation and its officers have exercised their right of exemption per MGL e. 14.0 Other 112.,f l(i),and we have no employ+rea.[No workers'comp.insurance required.] Any applicant that cheeks box at mint also fill out die section below showing their workers'compensation policy information Homeowners cc ho submit this affidavit indicating they are doing all wok and then hire outside contractors mint submit a new afutdav it iralicala g such. :Contractors that check this box man attaehted an additional sheet showing the name of the suthcuntraetors and state whether or not those entity have employee . II tux sub-cuntractots hats otepluv cos.ahoy too,I rms ide their workers"comp.pu'.iry numbs I am an employer that is providing nvorliers'compensation insurance for my employees. Below is the policy and Job site information. ��[�� �� Insurance Company Name: U Policy#or Self•ins.Lie.#: c60 0 LOL b l ii ct,Cc Expiration Date: 1 z- -2 Job Site Address: l 1 t�'Sec 4t0% -. i— * CCitylStatei ip:Lt'e O10 573 Attach a copy of the workers'compensation policy declaration page(showing the policy number an expiration date). Failure to secure coverage as required under MGL c. 152,I25A is a criminal violation punishable by a fine up to= ,500.00 anchor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 2$O.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for i urance coverage verification. I do hereby certify unde__r the aeries a Ides of perjury that the information provided above is true and correct. �.__Signature ^��i��((�1..�_ G� Barr yZ/21_,. Phone s: 11Ov -1`e . 1 Official use only. Do not writs'in this area,to he completed by citf or lean Visits! tits or l imn: Permit/License k Issuing.kutho►rit%(circle one): I. Board of Ilealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S. Plumbing Inspector 6.Other ('intact Person: Phone#: A�D® CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 2/09/2021 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 Melissa Quinn NAME: , Sumner&Sumner,Inc. PHONE (860)423-7733 FAX (A/C,No,Ext): (AIC,No): 757 Main Street E-MAIL m uinn sumnerandsumner.com ADDRESS: q P.O.Box 187 INSURER(S)AFFORDING COVERAGE NAIC# Willimantic CT 06226 INSURERA, Evanston Ins.Co. 1 35378 INSURED INSURER B: Arbella Insurance Group i 41360 Millstream Construction,LLC INSURER C: BerkleyNet 32603 255 Williams St.East INSURER D: INSURER E: Glastonbury CT 06033 INSURER F: COVERAGES CERTIFICATE NUMBER: 21/22 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 POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TRENTED 1 CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence) $ 100,000 MED EXP(Any one person) $ 5,000 A 3AA526108 12/09/2021 12/09/2022 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X PRO- 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ' $ 1,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ B OWNED SCHEDULED 1020101175 11/09/2021 11/09/2022 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ X AUTOS ONLY X AUTOS ONLY (Per accident) Uninsured motorist $ 1,000,000 UMBRELLA LIAB Xvv""'"'CCURRENCE''' 3,000,000 _ _ OCCUR EACH OCCURRENCE $ A EXCESSLIAB CLAIMS-MADE MKLV1EUL103161 12/09/2021 12/09/2022 AGGREGATE $ X DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER500,000C ANY PROPRIETOR/PARTNER/EXECUTIVE Y NIA BNUWC0145355 12/09/2021 12/09/2022 E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD City of Northampton ?0- ` NAMy�_ SS •-..S,C Massachusetts a44 << * ii �; Y y. DEPARTMENT OF BUILDING INSPECTIONS S r n{1 .�` 212 Main Street • Municipal Building J. C� ' ✓rx, Northampton, MA 01060 sN,, `\O 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: Heti r • 415L(o The debris will be transported by: Name of Hauler: (Ge,i( tC. !Cb Signature of Applican . 4 Date: cirtZZ- -' 411111111\ Millstream Construction LLC RTIFIED _ Roofing Agreement 255 Williams treet E. mai er Elite Glastonbury, T 06033 WEATHER STOPPER•ROOFING CONTRACTOR Phone (860) 748-3459 This Agreement is made on 08/30/2022 Between Millstream Construction ("seller")and Customer Name: Andrew Skoirchet Customer Address: 79 Reservoir Road, Leeds, MA 01053 Phone: (312)919-0716 Email Address: andrewskoirchet@gmail.com Seller agrees to sell, and buyer agrees to buy, all those materials and labor listed below and otherwise necessary to install the products listed in this agreement as set forth in the following specifications and in accordance'iwith the terms and conditions below and on the subsequent pages of this agreement. Roofing Agreement. (Garage) Warranty Coverage: Master Elite Certified Golden Pledge Warranty 50 Year Non-Prorated & 25-Year Millstream Protection Plan • Provide protection to building, decking, landscaping and plantings with roof to ground tarps • Remove existing shingle roof down to the roof deck • Inspect sheathing for rotted, damaged wood or un-nailable surface. Any rotted, damaged or un-nailabl wood to be replaced at cost of$100 per sheet for 1/2"and $125 per sheet for 3/4". For additional unforesee work required, a quote and change order will be submitted and agreed upon with the customer. **Lein-to area behind garage not included** 1 • Millstream to Install Professional Grade Synthetic Underlayment and Seam Tape with Ice and Water Shield to meet code • Install new corrosion resistant drip edge to roof perimeter Color selected by customer: White • Install new Chimney Flashings and Vent boots • Install new starter shingles to entire roof perimeter • Install new GAF Timberline HDZ Architectural Shingles with 6 Nails per shingle Color selected by customer: TBD prior to start • Millstream to Install Ridge Vent • Install new GAF Hip and Ridge Cap shingles • Roof will be left watertight and site cleaned at the end of each day of work. (Includes use of magnet to pick up loose nails) • Clean up and removal of all job related materials at the completion of the job. **Note: Special Seasonal Pricing or Coupons cannot be applied with any other offers, discounts or insurance related work.** HDZ Shingle Investment: $7,380.00 or $98.00 /Mo. Total cash purchase price$ 7,380.00 Estimate valid for 30 days. Please note, all permits and dumpster costs are included in this estimate. Payment to be as follows: Initial Deposit Final Payment Upon $2,214.00 $5,166.00 Prior to Start: Completion: Accepted Payment Methods: Check, Cash, Financing Estimated Project Timeline: Estimated Start Date: 30 SEP 2022 Estimated Completion Date: 30 OCT 2022 Please Note:The estimated start and completion date provide an estimated time window for your project to begin.typical roof projects last from 1-3 business days from the actual start date.In some cases,the actual start date of your project riay fall outside of this time range due to unforeseen or uncontrollable circumstances.Current product shortages result in he estimated times verying based on market supply. Customer Acknowledgements: Landscaping & Plantings: The customer acknowledges that Millstream Construction will make the best attempt to protect all landscaping and plantings;however, the customer acknowledges that a roof project is a significant home improvement project and will not hold Millstream liable tO accidental damages to landscaping and plantings. INITIAL HERE: ADS Interior Drywall & Plaster: 1 The customer acknowledges that on rare occasion during a roofing project,there may be vibrations or shifts in the house th t may cause small cracks in drywall or plaster.The customer acknowledges that Millstream Construction will not be held liable for any cracks that appear due to the roof installation. INITIAL HERE: ADS Hauling &Refuse: The customer acknowledges that Millstream Construction will make its best attempt to communicate to the 3rd party hauling company on dumpster location,drop-off and pick-up times.The customer will not hold Millstream liable for improper placement or inc nvenient drop-off or pick-up times. In the rare occurrence driveway damage occurs,the customer acknowledges it to be of no-fault of Millstream Construction. INITIAL HERE: ADS Payment: The customer acknowledges that final payment is due upon substantial completion of the job once the collection of left over aterials and final inspection by Millstream Construction has occurred.In the instance there are necessary post installation repairs n eded,an agreement of majority payment is to be made between the customer and Millstream Construction prior to repair. INITIAL HERE: ADS BY SIGNING BELOW,THE CUSTOMER ACKNOWLEDGES THE TERMS AND THE RECEIPT OF AN E(ECUTED COPY OF THIS AGREEMENT Wet&RatlindhearSheihdret 08/30/2022 05:00 PM 8/31/2022 Wade Rivest Buyer Signature On behalf of Millstream Construction TERMS AND CONDITIONS By signing this agreement,buyer represents that buyer has read,accepted,and fully understood the terms of this agreement.and that this agreement is a binding contract,buyers order is being processed with the understanding that buyer accepts the terms and agreement with respect to the products and services buyer has agreed to purchase in this agreement. 1.Full Agreement Buyer acknowledges that he has read this agreement in full, that it is the complete agreement between the parties, and that no oral promise or representation of any kind will be recognized by seller,or asserted against seller by buyer. Any changes to the terms and conditions to this agreement must be in writing. In the interest of time both, seller and buyer agree that changes can be made via electronic mail if the words"BOTH PARTIES AGREE TO THE FOLLOWING" precede the message, and the receiving party replies to the email"I ACCEPT". This agreement is for the benefit of, and shall be binding upon, the parties and their respective heirs, successors and assigns. Where applicable herein,all references to masculine shall include feminine and singular shall include plural. 2.Right to Cancellation and Rescission Refer to Section 10 of these Terms and Conditions and the signature page of this agreement for additional information regarding cancellation and rescission, Buyer also acknowledges receipt of the Notice of Cancellation form as part of this Agreement. Buyer further agrees that seller reserves the right to cancel the agreement within a 10-day period following the signing date of the agreement or receipt of and clearing of deposit by the seller,whichever is the later. 3.Late Payment and Buyer Default All checks returned unpaid are subject to a $45.00 processing fee. Balances unpaid after installation are subject to a service charge of 1.5%per month. If buyer is in default of payment for 10 days,buyer is responsible for payment of sellers costs and reasonable attorneys fees. 4.Start Date Buyer agrees to accept delivery of materials and products purchased and described in this agreement following notice from seller of the to of installation of such products and materials. Buyer understands that the start date listed is an approximation and p rformance is subject to delays caused by,but not limited to,weather,strikes,fires,unavailability of the product at the time of delivery,act of God and other cause beyond the control of seller. In addition, if seller advises buyer that the project is ready to start prior to t e estimated start date,seller agrees to cooperate in setting an earlier installation date.The entire balance and/or bank completioln certificate is due at completion of installation. 5.Exclusions This agreement does not cover damages that are caused by pre-existing conditions, including but not limited to leaks eman ing from the roofline due to the accumulation of leaves or other debris or ice damming, Seller is not responsible for repairs resulting fro pre-existing conditions. 6.Publicity Unless specifically prohibited by written agreement,seller may use images of the job for advertising purposes in promotional or marketing materials 7.Third Party Financing If buyer is requesting third party financing, buyer further understands that seller is NOT a finance company or lender. Seller only informs its customers of potential borrowing sources and cannot be liable for any terms and conditions of the lender selected by buy . 8.Agreement to Arbitration As a material aspect of the consideration for this agreement, buyer and seller agree to binding arbitration for any clairrr, dispute, or controversy("claim")of any kind(whether in contract,tort or otherwise)arising out of or relating to this agreement and the pirchases and products provided for by it, including but not limited to solicitation and sales issues, privacy issues, and terms of use issues. This arbitration agreement does not apply to disputes over non payment or rights of rescission. Arbitration shall be conducted pursuant to the consumer dispute procedures of the American Arbitration Association,which Mare in effect on the date a dispute is submitted to the American Arbitration Association. Information about the American Arbitration Association, its rules,and its forms are available from the American Arbitration Association,335 Madison Avenue, Floor 10, New York, New York 10017- 4605,or on its website. Buyer and seller agree that any arbitration proceeding will be conducted in Hartford County,Connecticut and will be governed by Connecticut law. In no event shall buyer have the right to seek determination of any Claim in any other proceeding, whether a court or 'dministrative proceeding. Buyer agrees not to seek a jury trial. Buyer will not have the right to engage in pre-trial discovery except as pr vided in the arbitration rules. Buyer will not have the right to participate as a representative or member of any class of claimants pert ining to any Claim subject to arbitration. Buyer understands that the arbitrator's decision will be final and binding, with limited rights o appeal. The arbitrator's award will provide that the prevailing party shall be reimbursed by the other party for any and all costs as ociated with arbitration of a Claim. INITIAL HERE: ADS 9.Buyer Cancellation Notices NOTICE TO CONSUMER YOU MAY CANCEL THIS CONTRACT AND THIS TRANSACTION WITHOUT ANY PENALTY OR OBLIGATION, ATE,ANY TIME BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER RECEIVING A COPY OF THIS CONTRACT. IF YOU WISH TO CANCEL,YOU MUST EITHER: A.SEND A SIGNED AND DATED WRITTEN NOTICE OF CANCELLATION B.SEND A TELEGRAM CONTAINING NOTICE OF CANCELLATION 1 C.PERSONALLY DELIVER A SIGNED AND DATED WRITTEN NOTICE OF CANCELLATION TO: Millstream Construction 255 Williams Street E. Glastonbury,CT 06033 P:860.748.3459 NOT LATER THAN MIDNIGHT OF 2 SEP ,2022 (DATE). 1 If you cancel this contract within the three-day period,you are entitled to a full refund of your money.Refunds must be made within 30 days of the contractor's(referred to as seller elsewhere in this agreement)receipt of the cancellation notice In addition,any payments made by you under the agreement will be returned within TEN(10)BUSINESS DAYS following receipt by seller of your cancellation notice. If buyer cancels,buyer must make available to seller at buyer's residence,in substantially as good condition as when received, any goods delivered to buyer under this contract or sale,or buyer may,if buyer wishes with the instructions of seller regarding the returned shipment of the goods at seller's expense and risk. If buyer does make the goods available to seller and seller does not pick them up within in twenty(20) days of the date of buyer's notice of cancellation, buyer may retain or dispose of the goods without any further obligation. If buyer f ils to make the goods available to seller, or if buyer agrees to return the goods to seller and buyer fails to do so,then buyer re ains liable for performance of all obligations under this agreement. FOR YOUR CONVENIENCE, SELLER HAS PROVIDED A FORM NOTICE OF CANCELLATION ATTACHED WITH THIS AGREEMENT. 1 IF BUYER WISHES TO WAIVE THREE-DAY RESCINDING PERIOD INITIAL HERE: 10.Agreement to Dispute Resolution Prior to contacting any third party consumer agency or posting or assisting in posting either print or electronic content r lating to this agreement, buyer agrees to take the following steps to resolve any disputes or issues arising out of the agreement whic buyer feels seller in not properly handling: If buyer's concern has not been satisfactory resolved by contacting seller's place of business in writing or by phone, buy r will send a letter via registered or certified mail or by receipted overnight delivery from FedEx, UPS, or a similar service to"office of th owner, 219 Naubuc Ave. East Hartford CT 06118"From the time that the letter is received,seller shall have 20 days to commence to c re of remedy buyer's concern. Should buyer fail to comply with the above procedures, such a posting by buyer or involvement of a consumer agencywill e considered and defined as a slanderous act and buyer understands that he may be subject to damages,both consequential and direct. 11.Limitation of Liability Buyer agrees that seller's LIABILITY FOR DAMAGES FROM ANY CAUSE WHATSOEVER SHALL BE LIMITED TO THE PURCHASE ICE OF THE SPECIFIC PRODUCT PURCHASED BY BUYER. SOME JURISDICTIONS DO NOT ALLOW THE LIMITATION OR FM EXCLUSION OF LIABILITY FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES, SO THE ABOVE LIMITATION OR EXCLUSION MAY NOT APPLY TO YOU. INITIAL HERE: ADS 12.Seller Information: Applicable License Nos: CT HIC.0641059,MA HIC. 181994,RI HIC 39025 Millstream Construction carries Commercial General Liability, Workmen's Compensation and Public Liability Insurance applicable to the work to be performed under this agreement. The telephone number of the insurance company issuing the certificate of commercial general liability insurance is 860-423-7733(Sumner&Sumner) FOR INFORMATION ABOUT CONTRACTORS AND THE CONTRACTORS' REGISTRATION ACT, CONTACT THE CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION RIGHT OF CANCELLATION (This section applies to the Right of Cancellation) YOU MAY RESCIND THIS SALE PROVIDED THAT YOU NOTIFY THE HOME REPAIR CONTRACTOR (REFERRED TO AS SELLER ELSEWHERE IN THIS AGREEMENT)OF YOUR INTENT TO DO SO BY MAIL, POSTMARKED NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FOLLOWING THE SALE, OR BY TELEGRAM, OR IN PERSON NO LATER THAN MIDNIGHT OFI THE THIRD BUSINESS DAY FOLLOWING THE SALE. FAILURE TO EXERCISE THIS OPTION, HOWEVER, WILL NOT INTERFERE WITH ANY OTHER REMEDIES AGAINST THE HOME REPAIR CONTRACTOR YOU MAY POSSESS. IF YOU WISH YOU MAY USE THIS PAGE AS NOTIFICATION BY WRITING " I HEREBY RESCIND" AND ADDING YOUR NAME AND ADDRESS. THE HOME REPAIR CONTRACTOR FOR YOUR RECORDS PROVIDES A DUPLICATE OF THIS RECEIPT. NOTICE TO OWNER (OWNER IS REFERRED TO AS BUYER ELSEWHERE IN THIS AGREEMENT) DO NOT SIGN THIS CONTRACT IN BLANK. YOU ARE ENTITLED TO A COPY OF THE CONTRACT AT THE TIME YOU SIGN. KEEP IT TO PROTECT YOUR LEGAL RIGHTS DO NOT SIGN ANY COMPLETION CERTIFICATE OR AGREEMENT STATING THAT YOU ARE SATISFIED WITH TI-E ENTIRE PROJECT BEFORE THIS PROJECT IS COMPLETE. HOME REPAIR CONTRACTORS ARE PROHIBITED BY W FROM REQUESTING OR ACCEPTING A CERTIFICATE OF COMPLETION SIGNED BY THE OWNER PRIOR TO THE ACTUAL COMPLETION OF THE WORK TO BE PERFORMED UNDER THE HOME REPAIR CONTRACT YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE PROVIDED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. BUYER EXECUTES THIS AGREEMENT AND INTENDS TO BE LEGALLY BOUND AS OF THE DATE BELOW. Ulm Ritt iindAturSUAthet 08/30/2022 05:00 PM 8/31/2022 Wade Rivest Buyer Signature Buyer's Name: Andrew Skoirchet Buyer's Address: 79 Reservoir Road, Leeds, MA 01053 Millstream Construction LLC By:Christopher Gonsalves For Millstream Construction LLC Millstream Construction LLC Roofing Agreement 255 Williams ptreet E. Master Elite Glastonbury, CT 06033 w�m+�sroPrsrnoo G CONTRACTOR Phone (860) 748-3459 This Agreement is made on 08/30/2022 Between Millstream Construction ("seller")and Customer Name: Andrew Skoirchet Customer Address: 79 Reservoir Road, Leeds, MA 01053 Phone: (312)919-0716 Email Address: andrewskoirchet@gmail.com Seller agrees to sell, and buyer agrees to buy, all those materials and labor listed below and otherwise necessary to install the products listed in this agreement as set forth in the following specifications and in accordanceiwith the terms and conditions below and on the subsequent pages of this agreement. Roofing Agreement Warranty Coverage: Master Elite Certified Golden Pledge Warranty 50 Year Non-Prorated & 25-Year Millstream Protection Plan • Provide protection to building, decking, landscaping and plantings with roof to ground tarps • Remove existing shingle roof down to the roof deck • Millstream to install new 1/2" plywood to entire decking surface, in accordance with MA building code. For additional unforeseen work required, a quote and change order will be submitted and agreed upon with the customer. *Millstream to install new 1"x 6"composite fascia trim on front of house, to replace current rotted wood piece. **Millstream to close off current Gable Vents. Customer responsible to get new under eave soffit vents installed to front section of the house, in order to complete proper attic ventilation. **Millstream to build small"Cricket"on top side of chimney,to help eliminate current water build up prgblem area** **Millstream to move bath vent current location from out of soffit, to a roof mounted bath vent. • Millstream to Install Professional Grade Synthetic Underlayment and Seam Tape with Ice and Water Shield to meet code • Install new corrosion resistant drip edge to roof perimeter Color selected by customer: White • Install new Chimney Flashings and Vent boots • Install new starter shingles to entire roof perimeter • Install new GAF Timberline HDZ Architectural Shingles with 6 Nails per shingle Color selected by customer: TBD prior to start • Millstream to Install Ridge Vent • Install new GAF Hip and Ridge Cap shingles • Roof will be left watertight and site cleaned at the end of each day of work. (Includes use of magnet to pick up loose nails) • Clean up and removal of all job related materials at the completion of the job. **Customer provided $750 Coupon at time of estimate to support"Baja Bound". **Note: Special Seasonal Pricing or Coupons cannot be applied with any other offers, discounts or insurance related work.** HDZ Shingle Investment: $15,021.00 or $200.00 /Mo. Total cash purchase price$ 15,021.00 Estimate valid for 30 days. Please note, all permits and dumpster costs are included in this estimate. Payment to be as follows: Initial Deposit Final Payment Upon $4,506.30 $10,514.70 Prior to Start Completion: Accepted Payment Methods: Check, Cash, Financing Estimated Project Timeline: Estimated Start Date: 30 SEP 2022 Estimated Completion Date: 30 OCT 2022 Please Note:The estimated start and completion date provide an estimated time window for your project to begin.Typical roof projects last from 1-3 business days from the actual start date.In some cases,the actual start date of your project may fall outside of this time range due to unforeseen or uncontrollable circumstances.Current product shortages result in the estimated times verying based on market supply. Customer Acknowledgements: Landscaping& Plantings: The customer acknowledges that Millstream Construction will make the best attempt to protect all landscaping and plantings; however, the customer acknowledges that a roof project is a significant home improvement project and will not hold Millstream liable to accidental damages to landscaping and plantings. INITIAL HERE: ADS Interior Drywall & Plaster: The customer acknowledges that on rare occasion during a roofing project,there may be vibrations or shifts in the house that may cause small cracks in drywall or plaster.The customer acknowledges that Millstream Construction will not be held liable for any cracks that appear due to the roof installation. INITIAL HERE: ADS Hauling & Refuse: The customer acknowledges that Millstream Construction will make its best attempt to communicate to the 3rd party hauling company on dumpster location,drop-off and pick-up times.The customer will not hold Millstream liable for improper placement or inconvenient drop-off or pick-up times. In the rare occurrence driveway damage occurs,the customer acknowledges it to be of no-fault of;Millstream Construction. INITIAL HERE: ADS Payment: The customer acknowledges that final payment is due upon substantial completion of the job once the collection of left over materials and final inspection by Millstream Construction has occurred. In the instance there are necessary post installation repairs needed,an agreement of majority payment is to be made between the customer and Millstream Construction prior to repair. INITIAL HERE: ADS BY SIGNING BELOW, THE CUSTOMER ACKNOWLEDGES THE TERMS AND THE RECEIPT OF AN EXECUTED COPY OF THIS AGREEMENT Wade,Rfltat Andtuo Simi/whet 08/30/2022 04:47 PM 8/31/2022 Wade Rivest Buyer Signature On behalf of Millstream Construction TERMS AND CONDITIONS By signing this agreement,buyer represents that buyer has read,accepted,and fully understood the terms of this agreemen`,and that this agreement is a binding contract,buyers order is being processed with the understanding that buyer accepts the terms and agreement with respect to the products and services buyer has agreed to purchase in this agreement. 1.Full Agreement Buyer acknowledges that he has read this agreement in full, that it is the complete agreement between the parties, and that no oral promise or representation of any kind will be recognized by seller,or asserted against seller by buyer. Any changes to the terms and conditions to this agreement must be in writing. In the interest of time both, seller and buyer agree that changes can be made via electronic mail if the words" BOTH PARTIES AGREE TO THE FOLLOWING"precede the message, and the receiving party replies to the email"I ACCEPT". This agreement is for the benefit of, and shall be binding upon, the parties and their respective heirs, successors and assigns. Where plicable herein,all references to masculine shall include feminine and singular shall include plural. 2.Right to Cancellation and Rescission Refer to Section 10 of these Terms and Conditions and the signature page of this agreement for additional information regarding cancellation and rescission, Buyer also acknowledges receipt of the Notice of Cancellation form as part of this Agreement. (3uyer further agrees that seller reserves the right to cancel the agreement within a 10-day period following the signing date of the agreement or receipt of and clearing of deposit by the seller,whichever is the later. 3.Late Payment and Buyer Default All checks returned unpaid are subject to a $45.00 processing fee. Balances unpaid after installation are subject to a sery ce charge of 1.5%per month. If buyer is in default of payment for 10 days,buyer is responsible for payment of sellers costs and reasona le attorneys fees. 4.Start Date Buyer agrees to accept delivery of materials and products purchased and described in this agreement following notice fro seller of the date of installation of such products and materials. Buyer understands that the start date listed is an approximation and p rformance is subject to delays caused by,but not limited to,weather,strikes,fires,unavailability of the product at the time of delivery,act of God and other cause beyond the control of seller. In addition, if seller advises buyer that the project is ready to start prior to t e estimated start date,seller agrees to cooperate in setting an earlier installation date.The entire balance and/or bank completion certificate is due at completion of installation. 5.Exclusions This agreement does not cover damages that are caused by pre-existing conditions, including but not limited to leaks emanating from the roofline due to the accumulation of leaves or other debris or ice damming, Seller is not responsible for repairs resulting fronp pre-existing conditions. 6.Publicity Unless specifically prohibited by written agreement,seller may use images of the job for advertising purposes in promotionallor marketing materials 7.Third Party Financing If buyer is requesting third party financing, buyer further understands that seller is NOT a finance company or lender. Seller)only informs its customers of potential borrowing sources and cannot be liable for any terms and conditions of the lender selected by buyejr. 8.Agreement to Arbitration As a material aspect of the consideration for this agreement, buyer and seller agree to binding arbitration for any claim, dispute, or controversy("claim")of any kind(whether in contract,tort or otherwise)arising out of or relating to this agreement and the purchases and products provided for by it, including but not limited to solicitation and sales issues, privacy issues, and terms of use issues. This arbitration agreement does not apply to disputes over non payment or rights of rescission. Arbitration shall be conducted pursuant to the consumer dispute procedures of the American Arbitration Association, which are in effect on the date a dispute is submitted to the American Arbitration Association. Information about the American Arbitration As ociation, its rules, and its forms are available from the American Arbitration Association,335 Madison Avenue, Floor 10, New York, New ork 10017- 4605,or on its website. Buyer and seller agree that any arbitration proceeding will be conducted in Hartford County, Conne ticut and will be governed by Connecticut law. In no event shall buyer have the right to seek determination of any Claim in any other proceeding, whether a court or dministrative proceeding. Buyer agrees not to seek a jury trial. Buyer will not have the right to engage in pre-trial discovery except as p ovided in the arbitration rules. Buyer will not have the right to participate as a representative or member of any class of claimants pert ining to any Claim subject to arbitration. Buyer understands that the arbitrator's decision will be final and binding, with limited rights o appeal. The arbitrator's award will provide that the prevailing party shall be reimbursed by the other party for any and all costs as ociated with arbitration of a Claim. INITIAL HERE: ADS 9.Buyer Cancellation Notices NOTICE TO CONSUMER YOU MAY CANCEL THIS CONTRACT AND THIS TRANSACTION WITHOUT ANY PENALTY OR OBLIGATION, AT' ANY TIME BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER RECEIVING A COPY OF THIS CONTRACT. IF YOU WISH TO CANCEL,YOU MUST EITHER: A.SEND A SIGNED AND DATED WRITTEN NOTICE OF CANCELLATION B.SEND A TELEGRAM CONTAINING NOTICE OF CANCELLATION C. PERSONALLY DELIVER A SIGNED AND DATED WRITTEN NOTICE OF CANCELLATION TO: Millstream Construction 255 Williams Street E. Glastonbury,CT 06033 P:860.748.3459 NOT LATER THAN MIDNIGHT OF 2 SEP ,2022 (DATE). If you cancel this contract within the three-day period,you are entitled to a full refund of your money.Refunds must',be made within 30 days of the contractor's(referred to as seller elsewhere in this agreement)receipt of the cancellation notide In addition,any payments made by you under the agreement will be returned within TEN(10)BUSINESS DAYS following receipt by seller of your cancellation notice. If buyer cancels, buyer must make available to seller at buyer's residence, in substantially as good condition as when received, any goods delivered to buyer under this contract or sale,or buyer may,if buyer wishes with the instructions of seller regarding the returned shipment of the goods at seller's expense and risk. If buyer does make the goods available to seller and seller does not pick them up within in twenty(20) days of the date of buyer's notice of cancellation, buyer may retain or dispose of the goods without any further obligation. If buyer fails to make the goods available to seller,or if buyer agrees to return the goods to seller and buyer fails to do so,then buyer remains liable for performance of all obligations under this agreement. FOR YOUR CONVENIENCE, SELLER HAS PROVIDED A FORM NOTICE OF CANCELLATION ATTACHED WITH THIS AGREEMENT. IF BUYER WISHES TO WAIVE THREE-DAY RESCINDING PERIOD INITIAL HERE: 10.Agreement to Dispute Resolution for to contacting any third party consumer agency or posting or assisting in posting either print or electronic content lating to this agreement, buyer agrees to take the following steps to resolve any disputes or issues arising out of the agreement whi h buyer feels seller in not properly handling: If buyer's concern has not been satisfactory resolved by contacting seller's place of business in writing or by phone, bu r will send a letter via registered or certified mail or by receipted overnight delivery from FedEx, UPS,or a similar service to"office of the owner, 219 Naubuc Ave. East Hartford CT 06118"From the time that the letter is received,seller shall have 20 days to commence to cure of remedy buyer's concern. Should buyer fail to comply with the above procedures, such a posting by buyer or involvement of a consumer agency will be considered and defined as a slanderous act and buyer understands that he may be subject to damages,both consequential and direct. 11.Limitation of Liability Buyer agrees that seller's LIABILITY FOR DAMAGES FROM ANY CAUSE WHATSOEVER SHALL BE LIMITED TO THE PURCHASE PRICE OF THE SPECIFIC PRODUCT PURCHASED BY BUYER. SOME JURISDICTIONS DO NOT ALLOW THE LIMITATION OR EXCLUSION OF LIABILITY FOR INCIDENTAL OR CONSEQUENTIAL DAMAGES, SO THE ABOVE LIMITATION OR EXCLUSION MAY NOT APPLY TO YOU. INITIAL HERE: ADS 12.Seller Information: Applicable License Nos: CT HIC.0641059,MA HIC. 181994,RI HIC 39025 Millstream Construction carries Commercial General Liability,Workmen's Compensation and Public Liability Insurance apfllicable to the work to be performed under this agreement. The telephone number of the insurance company issuing the certificate Of commercial general liability insurance is 860-423-7733(Sumner&Sumner) FOR INFORMATION ABOUT CONTRACTORS AND THE CONTRACTORS' REGISTRATION ACT, CONTACT THE CONNECTICUT DEPARTMENT OF CONSUMER PROTECTION RIGHT OF CANCELLATION (This section applies to the Right of Cancellation) YOU MAY RESCIND THIS SALE PROVIDED THAT YOU NOTIFY THE HOME REPAIR CONTRACTOR(REFERRED TO AS SELLER ELSEWHERE IN THIS AGREEMENT)OF YOUR INTENT TO DO SO BY MAIL, POSTMARKED NOT LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FOLLOWING THE SALE,OR BY TELEGRAM, OR IN PERSON NO LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FOLLOWING THE SALE. FAILURE TO EXERCISE THIS OPTION, HOWEVER, WILL NOT INTERFERE WITH ANY OTHER REMEDIES AGAINST THE HOME REPAIR CONTRACTOR YOU MAY POSSESS. IF YOU WISH YOU MAY USE THIS PAGE AS NOTIFICATION BY WRITING " I HEREBY RESCIND" AND ADDING YOUR NAME AND ADDRESS. THE HOME REPAIR CONTRACTOR FOR YOUR RECORDS PROVIDES A DUPLICATE OF THIS RECEIPT. NOTICE TO OWNER (OWNER IS REFERRED TO AS BUYER ELSEWHERE IN THIS AGREEMENT) DO NOT SIGN THIS CONTRACT IN BLANK. YOU ARE ENTITLED TO A COPY OF THE CONTRACT AT THE TIME YOU SIGN. KEEP IT TO PROTECT YOUR LEGAL RIGHTS DO NOT SIGN ANY COMPLETION CERTIFICATE OR AGREEMENT STATING THAT YOU ARE SATISFIED WITH THE ENTIRE PROJECT BEFORE THIS PROJECT IS COMPLETE. HOME REPAIR CONTRACTORS ARE PROHIBITED BY ,..AW FROM REQUESTING OR ACCEPTING A CERTIFICATE OF COMPLETION SIGNED BY THE OWNER PRIOR TO THE ACTUAL COMPLETION OF THE WORK TO BE PERFORMED UNDER THE HOME REPAIR CONTRACT YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE PROVIDED NOTICE OF CANCELLATION FORM FOR AN EXP NATION OF THIS RIGHT. BUYER EXECUTES THIS AGREEMENT AND INTENDS TO BE LEGALLY BOUND AS OF THE DATE BELOW. Wade,Rivvst fl, ,,shm .z 08/30/2022 04:47 PM 8/31/2022 Wade Rivest Buyer Signature Buyer's Name: Andrew Skoirchet Buyer's Address: 79 Reservoir Road, Leeds, MA 01053 Millstream Construction LLC By:Christopher Gonsalves For Millstream Construction LLC