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24A-229 (4)
BP-2022-1408 12 PILGRIM DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24A-229-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-1408 PERMISSION IS HEREBY GRANTED TO: Project# 2022 roof Contractor: License: SAMBRICO LLC/VISTA HOME Est. Cost: 12715 IMPROVEMENT 111478 Const.Class: Exp.Date: 01/21/2023 Use Group: Owner: WILSON PHIL A& SHELLY BERKOWITZ Lot Size (sq.ft.) Zoning: URA Applicant: SAMBRICO LLC/VISTA HOME IMPROVEMENT Applicant Address Phone: Insurance: 2097 RIVERDALE ST 413-382-0249 UB-2E072183-22 W SPRINGFIELD, MA 01089 ISSUED ON: 10/31/2022 TO PERFORM THE FOLLOWING WORK: REMOVE &REPLACE A SECTION OF ASPHALT ROOFING 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 VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I � ' r • >2 . 3-1 1 • I Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner The Commonwealth of Massachus tts OCT Board of Building Regulations and St darj 8 2022 F R J Massachusetts State Building Code, 7 0 Cp�p M NIA EALITY Building Permit Application To Construct, Repair, Renovat 'g1 SIr�+especr Wised ar 2011 a oicso One-or Two-Family Dwelling _______ This Section For Official Use Only Building Permit Number:J3P.z22-/l/D$ Date Ap lied: Cull a5.5 r /0-31-ZOZZ Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers la Palr►m r►✓'e. 24i9 —2-24 —Oo 1 1.la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: U g -zva etc/re_ 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 0 Check if yes!: SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: S'kQ ll ? Ph.I f Lrk cot-7 /V ro M � 0/ kern, o . o co 6 Name(Print City,State,ZIP No.and ilIki tred Telephone ail Address SECTION 3:DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Existing Building ❑ Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other AV Specify: gjppd- Brief Description of Proposed Work': 4yn,ov4 a - 'e}fDn - a rphit/f V, ail re pia(e tot1-h rid doCP 'w'ifi afpit)/f kOdaai , SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ la` '7/5 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 6, El City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ Q 2. Other Fees: $ 4. Mechanical (HVAC) $ 0 List: 5. Mechanical (Fire A — Suppression) $ V Total All Fees:Check NoP1 S ICheck Amount: qo Cash Amount: 6. Total Project Cost: $ I1-i 7"5 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) I Rvct d ii 1 g o f/a t Date 1;frLicensee Number Expiration Date Name of CSL Holder 'T s co o - C � List CSL Type(see below) No.and Street I Tyke Description Fto ((1 �� S AAA o l dso Unrestricted(Buildings up to 35,000 cu.ft.) Restricted 1&2 Family Dwelling City/Town,Stat ,ZIP M Masonry et 6 f?J) $a —c - p1 RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances rlr CC>(a11t.S.home%1 oV Q w•J.rt4- • C'CrYU I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) (Pc)658 61 141(33 vt3 f & ftD('t't I mere, v' V1 HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 19-act7 le) 4L st' jIlPog f--c4IViv 2. prntA�U4 &2 7- No.and Street Email address . y,) 9 pri n - tice N14- 01 o (EN) 3 -e5atlei City/Towh, 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? YesPCNo .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 U) f QA O nA.k l'G v"z_Yu-col/— 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 application is true and accurate to the best of my knowledge and understanding. /t Aa-y/ te Print O r s or uthorized A ent's Name(Ele nic 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 r " Massachusetts �,Z' °e ,{:," r W� a 4 R • ( DEPARTMENT OF BUILDING INSPECTIONS 1' i 212 Main Street • Municipal Building v, ,ate f Northampton, MA 01060 rs;-h, 3,7‘1 ' 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: , b.,`'� i S-tat orvu h fr 1)11.` e.,6(\\-- Location of Facility: et,, j9Cw9 e IS I vd sp r j y9 4tAt a /14 ✓' The debris will be transported by: \) S+a- 1'+(3 bliAt )yr r rt vt.P, _LVL r Name of Hauler: 'ti-Sra. r►Qyyvt, Im1pY°ve vvt'c-tiVlJ Signature of Applicant: Date: Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLC Registration: 162058 SAMBRICO LLC Expiration: 01/02/2023 D/B/A VISTA HOME IMPROVEMENT 2097 RIVERDALE ST WEST SPRINGFIELD, MA 01089 Update Address and Return Card. Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE: LLC before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 162058 01/02/2023 1000 Washington Street •Suite 710 SAMBRICO LLC Boston,MA 02118 D/B/A VISTA HOME IMPROVEMENT BRIAN RUDD 2097 RIVERDALE ST WEST SPRINGFIELD,MA 01089 Undersecretary Not valid without signature 10/24/22, 8:30 AM csl exp 2023.jpg IIIIIIIIIIIIIIIF Commonwealth of Massachusetts .s Division of Professional Licensure Board1114, of Building Regulations and Standar• s Co ns r S rvisor empires: 01/21 /202 it lt 175 COYOTECIRCLE 4., ,t FEES LLS HI M . 01030 ti ONN1 _ C y mob --...--7.rr 71,MVO ne r _„,tuseir, I,, °.„1-0' . ,I f E41,1 kr- - • . https://drive.google.com/drive/folders/l VfN W n I S3Zffyk0ofd961tst6AucA4eA2 1/1 The Commonwealth of Massachusetts . Department of Industrial Accidents ' ,I 1 congress Street.Suite 100 Boston„ILA 02114-2017 N Syr, www.mass.gov/dia 1Surkers'Compensation Insurance affidavit: Builders/Contractors/Electricians/Plumbers. I t) HE FILED V.I ii I iil•: l'IRMMITTING AIITHORITY. Applicant Information Please Print Legibly Name(F3ustacss'orgamranumindtvtdual): V I St a i1 C)'V\L. 1 Vh IQl'0N/` 144. .1/1 r Address: ell j ✓`-i-V OOa -Q S� 1 city/state/zip: kJ 10Eiellz11 MP 01641 Phone#: (03) ?8 -aa-yq Ant in Cheek'be appeortote Ws: Type of project(required): in I am a employer with employees(thll andw part-timel. 7. 0 New construction 2.171 1 am a sole proprietor or partnership and have no employees working for me in 8. D Remodeling any capacity.[No workers'coop.insurance required.] 9. 0 Demolition 30 I am a homeowner doing all work myself.[No workers*comp.insurance required.]m 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑Building addition croon:that all contractor either have workers'compensation insurance or are sole 110 Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions I am a general contractor and I have hired the subcontractor listed on the attached sheet_ 13.0 Roof repairs These sub.comtracton have employees and have workers'cone.insuranar.: 6. We ate a corporation and its officer has a exercised their right of exemption per MGL c 1 152,11(4),and ye have no employees.[No workers'comp.insurance required.] �((""yther � r 'An}applicant that cheeks box#1 must also fill out the section below showing their workers'compensation policy information. +Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidav it indicating such_ :Contractor.that chec►this bun must attached an additional sheet showing the name of the subcontractors and state whether or nut those entities have cmplomccs. It the sub-contrmctws have enipk.yocs.they mast provide their vvorken'ovmp.pohev 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: SOV tie kAPItil— VI S /3 V C‘.1 1 A)C Policy#or Self-ins. Lic.#: �J �J -a�-.i 1 9?j'a Expiration Date: Q75'Y0 J- Job Site Address: I a-• V1 r i`M Pr City/State/Zip: Nt'i"�hunr pte.1 M Ci/Oi.i 6 Attach a copy of the workers'coapensation 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 S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator.A copy of this statement my be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify nder the pains and penalties of pelletry'that the information provided'above is Due and awed. Signature: GS� . r,-- Date. /l)/ai / - - Phone#: C 13) /6 — )_e// Official use only. Do not write in this area,to be completed by city or tamun official ('its or-Town: Permitil.icense tt Issuing Authority(circle one): 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other ('intact Person: Phone#: Rom® CERTIFICATE OF LIABILITY INSURANCE 'DATE(MM/DD/YYYY) (:3/77/')(12, . TkilS.GERTIFICATE 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 NAME: SOUTHWICK INS AGENCY INC PHONE FAX P 0 BOX 100 (A/C,No,Ext): (A/C.No): E-MAIL SOUTHWICK.MA 01077 ADDRESS: 1 2STKC INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A. TRAVELERS PROPER it (.ASLALT',t v1PANA"OF AMERIC. SAMBRICO LLC DBA VISTA HOME IMPROVEMENT INSURER B: INSURER C: INSURER D: 2097 RIVERDALE STREET INSURER E: WEST SPRINGFIELD.MA 01089 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 RDDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER (MMIDDIYYYY) IMMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY j EACH OCCURRENCE $ .- CLAIMS MADE 0 OCCUR DAMAGE TO RENTED $ . PREMISES(Ea occurrence) MED EXP(Any one person) I$ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL $ IIIAGGREGATOPROJECT EILOC E POLICY PRODUCTS-COMP/OP AGG $ $ AUTOMOBILE LIABILITY COMBINED SINGLE $ III ANY AUTO LIMIT(Ea accident) BODILY INJURY $ . OWNED SCHEDULE AUTOS (Per person) AUTOS ONLY BODILY INJURY $ IIHIRED NON-OWNED (Per accident/ AUTOS ONLY AUTOS ONLY .-- PROPERTY DAMAGE $ I 1 Per accident) UMBRELLA LIABOCCUR EACH OCCURRENCE $ . EXCESS LIAB CLAIMS-MADE AGGREGATE $ . DEC JRETENTION $ $ WORKER'S COMPENSATION AND PEP OTHER EMPLOYER'S LIABILITY STATUTE UB-2E072183-22 03/12/2022 03/12/2023 ANY PROPERITORIPARTNER/EXECUTIVE YINE L EACH ACCIDENT $ 500.000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) 0 N/A E L DISEASE-EA EMPLOYEE S 500,000 Ifyes.describe under DESCRIPTION OF OPERATIONS below E L DISEASE-POLICY LIMIT I $ 1,000,000 DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) THIS REPLACES ANY PRIOR CERTIFICATE ISSCF.D TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE THE INSURED'S MA WORKERS COMPENSATION POLICY AND ITS LIMITED OTHER STATES ENDORSEMENT AUTHORIZES THE PAYMENT OF BENEFITS FOR CLAIMS MADE BY THE INSURED'S MA EMPLOYEES IN STATES OTHER THAN MA NO AUTHORIZATION IS GIVEN TO PAY CLAIMS FOR BENEFITS IN STATES OTTER THAN MA IF THE INSUKED HIRES,OR HAS HIRED EMPLOYEES OUTSIDE OF MA THIS POLICY DOES NOT PROVIDE COVERAGE FOR ANY STATE OTHER THAN MA CERTIFICATE HOLDER CANCELLATION VISTA HOME IMPROVEMENT SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 2097 Riverdale St BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE West Springfield MA 01089-1025 ACORD 25(2016/03)(Rev.09-18) The ACORD name and logo are registered marks of ACORD 1988- 5 A ORD ORATION.TITr fights reserved. A CCP Rd CERTIFICATE OF LIABILITY INSURANCE DATE`MM/DD/YYYY) hal/. 5/4/2022 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 CONTNAME; Certificate Department A-Costa Insurance Agency Inc (ac°,No,Ext): 508-875-3488 wc,No): 508-875-9388 1 FRANKLIN COMMONS ADD DRE ADRE SS: coiea-costains.com INSURER(S)AFFORDING COVERAGE NAIC# FRAMINGHAM MA 01702 INSURER A: Atlantic Casualty Ins Co 42846 INSURED INSURER B: PROGRESSIVE 24252 GOLDEN CREW CONSTRUCTION CORP INSURER C: Hartford Underwriters Ins.Co. 30104 20 Timrod Dr INSURER D: UNIT A INSURER E: Worcester MA 01603-1246 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. 1N SW TYPE OF INSURANCE ADDL SUER --POLICY EFF POLICY EXP - - LTR INSD WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS X 1 COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X PREMISES(Ea occurrence) $ 50,000 MED EXP(Any one person) $ 1,000 A AC14778750PC ; 5/4/2022 5/4/2023 PERSONAL&ADV INJURY $ 1,000,000 GENII AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JET LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE UABIUTY COMBINED SINGLE LIMI f $ 40,000 (Ea accident) ANY AUTO BODILY INJURY(Per person $ 20,000 B ALL OWNED SCHEDULED 04409910 4/26/2022 4/26/2023 BODILY INJURY(Per accident) $ 100,000 _ AUTOS X AUTOS HIRED AUTOS AUT SWNED (PeO ccidnt)AMAGE $ 5,000 $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X 01H STATUTE AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 C OFFICER/MEMBER EXCLUDED? N N/A 1326760 5/4/2022 5/4/2023 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMB $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101.Additional Remarks Schedule.may be attached H 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 VISTA HOME IMPROVEMENT ACCORDANCE WITH THE POLICY PROVISIONS. 2097 Riverdale St AUTHORIZED REPRESENTATIVE West Springfield MA 01089-1025 TH(_li1ZCL ��?eik ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Page 1 of 7 2097 Riverdale Street MA Lic# 162058 +; West Springfield, MA 01089 CT Lic#0621848 §Opy Vista vistahomeim rovement.com • o I' L A 1 INtiM Phone: 888.597.2323 HOME IvtrRoc E!N ENT p �.a PR Fr FRREn CONTRACTOR Fax: 413.382.0241 Nor'Easter Roofing Contract All home improvement contractors and subcontractors must be registered and any inquiries about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza, Suite 5170 Boston, MA 02116 Phone: 617.973.8700 Customer Information Shelly Phil Berkowitz (413)348-3397 Date: 10/19/2022 12 pilgrim drive szbjsbach@aol.com Rep: Marc Fragoso Northampton MA 01060 Roof Specifications Nor'Easter rolled roofing Mule Hide Rolled Roofing with base and cap Color black Drip Edge Color white Number of Layers 1 Attic plywood Location Partial Vista Home Improvements agrees to do the following: Supply Dumpster Included Dumpster location Right side driveway DCI Smart Vent NO Inspect Decking for damage Yes Replacement decking price per sq ft 4.50 Replacement decking price pelt-sq ft Ice and Water all valleys, penetrations, eaves and chimneys Yes Supply and install pipe boot flashing No Total Job Clean-Up Yes 12" Chimney Relead 1 Additional Details Special Instructions Previous installer of roof didn't use proper base layer for low slop.We also found improperly flashed sidewalls and chimney.Due to this we will have to strip and replace low slop,dip edges chimney flashing and properly seal and flash sidewall Do Not Do (We do not do any painting or staining) Main house I, Shelly Phil Berkowitz, have read the terms stated herein, they have been explained to(me/us), and (I/We)find them to be satisfactory and hereby accept them. .-tentionally left blank Page 2 of 7 Roof Sketch / Photos --1%loot 59.42-16/ Marc Fragoso,Authorized Representative Shelly Phil Berkowitz 10/19/2022 10/19/2022 Date Date This space intentionally left blank Page 3 of 7 Homeowner's Association NO WORK SCHEDULE Contractor will not begin the work or order the materials before the third day following the signing of this Agreement, unless specified herein. Contractor will begin the work on or about 10/21/2022 Barring delay caused by circumstances beyond Contractors control, the work will be completed by 10/21/2022 WARRANTY The Contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for the period stated below following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials, or damage caused by the Contractor, its subcontractors, employees or agents, is discovered after completion of any job, Including cleanup, the Contractor shall, at its own expense, forthwith remedy, repair, correct, replace, or cause to be remedied, repaired or replaced, such damage or such defect in materials and workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed-upon work. Warranty Period Lifetime Measure Section Measure Set With -- Rick Notes for Measure Not pii need if already measured Date Measure Is set for 10/21/2022 Total Contract Amount (All Discounts Applied) $12,715.68 Payment Amount Due Upon Signing Contract(1/3 Maximum) $4,238.56 Amount Due At Start $4,238.56 Amount Due Upon Completion $4,238.56 Form of Payment Upon Signing Cash Acceptance of Proposal I have read both sides of this document and accept the prices, specifications and conditions stated. I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the Seller, which may be his main office or branch thereof, provided you notify the Seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement. Please refer to the Notice of Cancellation below contents of which are referred to above and incorporated herein by reference. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. NOTICE OF CANCELLATION This space intentionally left blank Page 7 of 7 Contractor, under provisions of Chapter 142A of the Massachusetts General Laws, is required to apply for and obtain all construction related permits. Contractor shall not be deemed responsible for delays in the work described in this agreement caused by regulator, permit granting or inspectional agencies, authorities or individuals. NOTICE: If Owner obtains his/her own construction related-permits for the work described under this Agreement, Owner is hereby advised that in the event of a dispute,judgment and non payment of Contractor, Owner will not be entitled to make claim to or collection from the guaranty fund established in M.G.L. c. 142A. Modification: This Agreement, except as to concealed conditions or delays occasioned thereby or by restarts, cannot be changed except by a written statement signed by both Contractor and Owner. However, cancellation by Owner is allowed in accordance with the Notice of Cancellation. Owner hereby grants Contractor a limited Power of Attorney to complete incomplete documents on Owners behalf. Completeness of Contract for Execution: Owner is hereby advised not to sign this Agreement unless and until all blank sections have been filled in or marked as void, deleted or not applicable, and until all exhibits and related or referenced documents that are incorporated herein are attached hereto. Attorney's Fees/Costs Owner agrees to pay all costs of collection, including reasonable attorney's fees, cost and expenses. Furthermore, interest shall be charged at the highest lawful rate of interest on any and all overdue payments. Copy of Agreement to be given to Owner: This Agreement is governed by the laws of the Commonwealth of Massachusetts. It must be executed in duplicate, and an original, signed copy hereof given to the Owner at the time of execution. No work under the Agreement shall begin prior to the signing of the Agreement and transmittal to the Owner of a copy therefor. 4X,"4"2 Shelly Phil Berkowitz 10/19/2022 Date "),IPVLdr,00?-- Marc Fragoso Authorized Representative 10/19/2022 Date This space intentionaiiy left blank