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36-119 (6) BP-2022-1403 240 BROOKSI DE CIR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lo : 36-119-001 CITY OF NORTHAMPTON Permit: Exterio Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2022-1403 PERMISSION IS HEREBY GRANTED TO: Project# 2022 ROOF Contractor: License: Est. Cost: 10500 RHINO BACK ROOFING LLC 106183 Const.Class: Exp.Date:05/26/2023 Use Group: Owner: K HOECKH RICHARD E& MELANIE Lot Size(sq.ft.) Zoning: URA Applicant: RHINO BACK ROOFING LLC Al i licant Add ess Phone: Insurance: 532 HOPME• I•W ST STE 4 860-438-6158 6S62UB-2E33572 SIMSBURY, CI 06070 ISSUED ON: 11/22/2022 TO PERF I RM THE FOLLOWING WORK: STRIP AND RE .HINGLE POST THIS l ARD SO IT IS VISIBLE FROM THE STREET Inspector of Plu i bing 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 PERMI MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS ' ULES AND REGULATIONS. Signature: I � ' • 3-1 .; •Fees Paid: 40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner , S , The Commonwealth of MassachusettslkOr FOR Board of Building Regulations and Standar Massachusetts State Building Code, 780,CM CT 2 7 2022 IUSCIPALITY Building Permit Application To Construct,Repair,Rerioyata-Or_Demolish a Revi ed Mar 2011 NS One-or Two-Family Dwel►�ing F r ,,,,UtI,,r)I,,N,r�G I r„,,PF.CTio js This Section For Official Use Only Building Permit Number: e20' I.- I`-(0 5 Date Ap lied: 4 v,O /1<05 �5 '% 1 I• ZZ-262,2, Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Pro erty Address: 1.2 Assessors Map&Parcel Numbers . ago .6rocksicte_ 0_i-cle_ lI f 1.1a 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) H I A 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 ?rivate 0 Zone: _ Outside Flood Zone? Municipal 11215;site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.)..)Owner'of Record:1 -h �0 P e Id/- �AVI otaIPrykr ,'/ry� , D!b Go02 Name(Print) City, a4O 3ir0k5;de_ Circle- Aim-..5q8-307 ric11h/ '95 6.hoo,Cow No.and Street Telephone Email AdUress 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 0 Demolition 0 Accessory Bldg. 0 Number of Units Other M'Specify: roofing Brief Description of Proposed Work2: ,nio. - L r ' j Ail � /Qc W i4h pv,s �-e, a r *sh1 s M'" E M s r eCorrmM Olaf 0rLS. zdarfahlicelp.mi ice G.rrx_ w r h!el ci as f e ur re ow— SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ /0, 5 0 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) t Total All Fe/e`s $i Check No. r'Check Amount: Cash Amount: 6.Total Project Cost: $ io/500 0 Paid in Full 0 Outstanding Balance Due: iYKAMY City of Northampton ��. 4. SAC. r Massachusetts ._ !A. (11 DEPARTMENT OF BUILDING INSPECTIONS �`: �c 212 Main Street • Municipal Building J. D` Northampton, MA 01060 6rcy .• ti10� PROCEDURE FOR OBTAINING A BUILDING PERMIT FOR NEW 1 & 2 FAMILY DWELLING, ADDITIONS, POOLS, DECKS, ACCESSORY STRUCTURES, FENCES, GROUND MOUNTED SOLAR, ETC. I. Building Permit Application signed by legal owner and filled out by owner or authorized agent. 2. One set of plans and specifications of proposed work. (Digital and hard copy) 3. Site plan with location of proposed structure(s) and set backs. 4. Construction Debris Affidavit filled out and signed by applicant. 5. Worker's Compensation Insurance Affidavit filled out and signed by applicant. 6. Contractors must supply a copy of CS License, HIC Registration and proof of Liability Insurance. 7. Energy Conservation Compliance Certificate (new/ replacement windows). 8. Home Owner's License Exemption Form filled out and signed by Homeowner (if applicable). 9. Note any Conservation and/or special permit requirements (if applicable). 10. Driveway Permit (if applicable). 11. Proof of Water and Sewer entry fees paid (if applicable). 12. Trench Permit - public land by DPW/ private land by Building Dept. 13. Stretch Energy Code - all new construction will require a HERS Rater Affidavit to be submitted with permit application before issuance of permit. 14. Please provide the appropriate fee in the form of a check made payable to: The City of Northampton. SECTION 5: CONSTRUCTION SERVICES 5.1 ConstructSon Supervisor License(CSL) License Number Expiration Date Name of CSL H lder List CSL Type(see below) 1 , k Type Description No. and Street ull ( U Unrestricted(Buildings up to 35,000 Cu.ft.) (�v R Restricted 1&2 Family Dwelling City/Town,State,ZIP z7y5/ Uj M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) !c�(o t, ,.. OB�!/ I 01�� �4 aq, HIC Registration Number Expiration Date HIC C_omgany Tame r HIC Registr t Name 3a J� r OLD SI': '1. 'perinii 6irknaxcck,roe q,con) Np,and t Email address NrnslourtA. Tr"06070 9(6-4,3e-e158 City/Town, tate,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 IV 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 eti/rip (x ee,4,-,q to act on my behalf,in all matters relative to work authorized by this building permit application. Rich N-tech. f t salsa. 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. - anal 4rAid`aco-7if) lvl.zs .za 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 SETBACK PLAN MAP: LOT: LOT SIZE: REAR LOT DIMENSION: REAR YARD SIDE YARD SIDE YARD FRONT SETBACK FRONTAGE City of Northampton O1ySHAMP>8, 5 s K�• y" Massachusetts �425� ._ i�4` 1 4-_,4. T `� ' DEPARTMENT OF BUILDING INSPECTIONS i`. ja iv i \&. ._.'rf 212 Main Street • Municipal Building yJb CD° 'i?.. Northampton, MA 01060 fs •• 0�0 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. i The debris will be disposed of in: Location of acility: 0-a<C611(, 6)(5(v /Y)ai- Sf BO lyDK{, /Y?4 D/D40 The debris vit ill be transported by: Name of Hauler: JJerS+ ale. -l-irj Signature of Applicant: Ja az-t1'clict-c'97ua) Date: . The Commonwealth of Massachusetts a Department of Industrial Accidents T�.S� I.: 1= 1 Congress Street,Suite 100 `��' �= r Boston, MA 02114-2017 + •' 1,, - wwnumass.gov/dire tiff VIarlters'[Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO RE FILED WITH THE PERMITTING'At''fHORi iv. Applicant Information VQ / Please Print Legibly Name(iusinessOtgantzationrindtvidual): ,/ Ub ae k- �Od T ni i-L e- . j Address: S�3a 14opinaLi v-) <_9]-• eS1UI 4 City/State/Zip: 6‘'1rn S h(Ail/ 0.T 6&D r1 D Phone#: 06 b -213 9- 6/58 Are yam an employer?Cheek the apPrairkate twat: Type of project(required): LEI 1 am a employer with _employees(f+dl and'or pan-time).• 7. ID New construction 211 1 am a sole proprietor or partnership and have no employers working forme in B. Q Remodeling any capacity.[No workers'camp.insurance required.] 301 am a homeowner doing all work myself.[No w rktrs'comp.inaurarlee reequirud j' ��-p 9. 0 Demolition rrr 4.01 am a homeowner and will be hiring smrunrcwra to conduct all work on my property. 1 will 10 U Building addition ensure that all I onirae'turs either have workers compensation insurance us are sole 1 1 a Electrical repairs or additions proprietors with no employees. 12.EI Plumbing repairs or additions SaKam a general contractor and 1 have hired the sub-contractors listed on the anactted sheet_ 13 ooftepalr& These sub-contractors have employees and have worker cutup.insurance.: 60 We are a corporation and its officers have exercised their right of exemption per MGL e. 14.a Other 1 s2.§1i 4),and we have no employees.[No workers'cutup.insurara:e required.] 'Any applicant that cheeks box al must abu fill out the section below showing their workers'compensation policy information. *Ileuneowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affutav it indicating suck =Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employers_ If the sub-contractors Ita►'c employees.they must provide their workers'oump.pulley number. I am air employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. nit M Insurance Company Name: -sSOC• .17„ejus in'eS & / o Ii s f 1 Iudual ,j,njunt.nCC CC. _ Policy>t or Self-ins.Lie.#: VW — (DO -6 D a 4 vas a.r+-at a Expiration Date: 0 g l a 91 Job Site Address: ca947) Jrt)DJ(S;de, 6r_k. city/State/Zip: Al f(J&.ra pkil, al A 0 ro(oa, Attach a copy of the workers'compensation policy declaration page(showing the policy number and eipiration date). Failure to secure coverage as required under:MGL c. 152, §25A is a criminal violation punishable by a fine up to S I,500.00 andior 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify side,the pa s and penalties of perjmy that the information provided above is true and correct. Signature: r ' Date: `b aS c Phone#: c:3(cd-t{36- (o/Sa 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): I. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: LLC Registration: 196409 RHINO-BACK ROOFING, LLC Expiration: 08/11/2023 532 HOPMEADOW ST SUITE 4 SIMSBURY, CT 06070 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 196409 08/11/2023 1000 Washington Street - Suite 710 RHINO-BACK ROOFING, LLC Boston, MA 02118 MICHAEL TROUERN-TREND 532 HOPMEADOW ST /a-G r"k" SUITE 4 Not valid without signature SIMSBURY, CT 06070 Undersecretary ��.....iN RHINBAC-01 SELENACHURCHILL '4 o CERTIFICATE OF LIABILITY INSURANCE DATEYI 8/29/2022 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 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 NAMEACT Mareigh Moon NFP Property&Casualty Services,Inc. PHONE FAX 100 Great Meadow Road (NC,No,Ext):(562)215-2767 I(A/C,No): Suite 705 nuaiss:mareigh.moon@nfp.com Wethersfield,CT 06109 INSURER(S)AFFORDING COVERAGE NAIC C INSURER A:The Cincinnati Specialty Underwriters Insurance Co 13037 INSURED INSURER S:Arbella Protection Insurance Company 41360 Rhino Back Roofing LLC INSURER C:The Cincinnati Casualty Company 28665 532 Hopmeadow St Suite 4 INSURER 0:ACE American Insurance Company 22667 Simsbury,CT 06070 INSURER E:Associated Industries of Massachusetts Mutual Insurance Compan 33758 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 ADDL.SUBR POUCY NUMBER POUCY EFF POLICY EXP LIMITS INSD WVDIMMIDDIYYYY) (MMIDD/YYYYI A X I COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE IL X OCCUR CSU0117828 7/15/2022 7/15/2023 DAAMGSOE R EoNcTcuErDe nce) $ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY jeT 1 I LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: Employee Benefl $ 1,000,000 B AUTOMOBILE LIABILITY COMBINEDa cident)INGLE LIMIT $ 1,000,000 X ANY AUTO 1020118135 01 7/15/2022 7/15/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSRE ONLY AUTOS W Ep BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS ONNLY (Per a cide trAAGE $ $ C UMBRELLA LIAB OCCUR EACH OCCURRENCE $ 1,000,000 X EXCESS LIAB CLAIMS-MADE CSU0163811 7/15/2022 7/15/2023 AGGREGATE $ 1,000,000 DED ,RE—ENTION$ $ D WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'LIABILITY T,/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE 6S62UB-2E33572-5-22 7/15/2022 7/15/2023 E.L.EACH ACCIDENT $ 1,000,000 OFFICER/ML;MBER EXCLUDED? T N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ E (Workers'CompGnsatio VWC-100-6024295-2022A 8/29/2022 8/29/2023 Employers'Liab. 1,000,000 DESCRIPTION OF OPERA NS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) General Certificate of nsurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Rhino Back Roofing,LLC THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 532 Hopmeadow St,Suite 4 Simsbury,CT 06070 AUTHORIZED/ REPRESENTATIVER f Ate J ;1-47 . ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD RHJNO-BACK ROOFING LLC 532 Hopmeadow Street, Suite 4 RHINO-BACK Simsbury, CT 06070 (860)217-1424 To Whom It May Concern: Please accept this letter as authorization for Sarah Archidiacono, Production Coordinator, to request, submit and handle all matters pertaining to building permits on behalf of Rhino Back Roofing LLC. Please contact me at miketerhinobackroofinq.com should you have any questions. Thank you for your attention to this matter. Regards, A/4,d :-, - Michael Trouern-Trend Owner Rhino Back Roofing LLC r ` 10/20/2022 RHINO-BACK Rhino-Back Roofing Claim Information R F 1 lM 532 Hopmeadow Street Mapfre Suite 4 Claim Number: H010014707 Simsbury CT 06070 Neal Scopetski Phone:860-217-1424 (508)320-6431 nscopetski@mapfreusa.com Company Representative Robert Young Phone:(860)978-5994 Roberty@rhinobackroofing.com Rich Hoeckh Job: Rich Hoeckh 240 Brookside Circle Northampton,MA 01062 (413)348-3637 Full Main Hou a Roof Replacement Insurance paid forfont slope,the rest of the roof is a customer expense Acquire Buildin Permit as Needed Dumpster- 12 Yard-Approx. 2 tons of Debris Remove,Tear Off, Haul and Dispose of Shingles-Laminated or Equivalent up to 2 layers tear off included at no additional charge.Additional layers will be charged at$.31 per square ft per layer Inspect, Prep and Repair All Sheathing. Re-Nail Loose Decking. Install 4"wide strips of polymer-modified-bitumen membrane on all roof decking seams. Sheathing Rot Replacement As Needed At An Additional Charge Of$98.00 Per 4x8 ft Sheet/$9 per board ft. Using high quality CDX 4ply plywood.We never use low grade OSB pressboard for structural roof sheathing Install back metal 4"roof top bathroom vent(with install kit) 1 vent R& R Flashing-Pipe jack-3"-4"-black 2 pipe boots Replace Ice&water shield »Owens Corning>>Weatherlock Matte 6 feet(2 full rolls)up from all eaves.Also to be applied in all valleys,all low pitch planes,around bases of skylights and chimneys,and other high risk areas Replace Synthetic Underlayment»Owens Corning>>ProArmor Non-Water Absorbant ACM Aluminum Drip Edge-F8 1 1/2"(10') Replace Starter Shingles»Owens Corning>>Starter Strip Plus Shingles(1000LF/BD) Replace Shingle-Laminated-Standard»Owens Corning>> Duration TruDef>>Color TBD R&R New Continuous ridge vent, Shingle-Over Style»Owens Corning»12"Ventsure Baffle 4ft Stick For Maximum roof ventilation Replace Ridge cap-dimensional shingles»Owens Corning>>ProEdge>>Color TBD R& R Chimney flashing-small Complete re-lead Warranty-Owes Corning backed lifetime Shingles Defect Warranty.15 years Workmanship through Rhino-Back Roofing. • Y Terms By signing this proposal the Customer agrees to,and accepts the terms and conditions here in, including but not limited to the"Scope Of Work"and"Payment Terms",and authorizes the the work to be done by Rhino-Back Roofing(CT reg#0641824). If"Payment Terms" are not met a service fee of 1%per month(12%APR)will be applied to any overdue amounts.The Customer shall also pay all costs of collections including, but not limited to, reasonable attorney fees on overdue payments.This agreement will be officially entered into on the date of the signing of this proposal by the Customer.The Customer also grants RhinoBack Roofing permission to use photos and reviews in print and digital marketing. 2 Rhino-Back Roofing,upon notification to,and authorization from,the Customer, may make changes to the"Scope Of Work"due to the Customers'request for additional work,or unforeseen conditions that existed, but were not detectable by visual inspection prior to the project start.Any such"Change Order"will first be authorized in writing,or by email,by the Customer prior to any additional work being done.The Customer agrees to pay any increase in cost to the project as a result of authorized"Change Order"(s).(As an example, rotted sheathing replacement would fall into the"change order"category.)Additional work will be billed in a separate invoice. 3 Pricing may increase due to additional items billed to the insurance company with no out-of-pocket cost to the homeowner. (As an example, permit costs are billed to the insurance company after job completion).All additional supplements will be billed and due following project completion and after the homeowner has received the additional funds of the supplement from the insurance carrier. Payment Payment 1: 1/3 of total contract price due upon authorization of project Insurance Portion:$1718.20 Customer Portion: $1755.69 Payment 2: Due upon start of project after material delivery(Balance of ACV+Deductible+1/3 of Customer Expense) Insurance Portion:$2688.67 Customer Portion:$1755.69 Payment 3: Balance due upon substantial completion of project(Depreciation, Building permit, PWI's Supplements, 1/3 Customer Portion ) Customer Portion: $1755.69 TOTAL $10,421.46 l„ ACCEPTANCE OF PROPOSAL: By signing this proposal the Customer agrees to,and accepts the terms and conditions here in, including but not limited to the"Scope Of Work"and"Payment Terms",and authorizes the the work to be done by Rhino-Back Roofing(CT reg#0641824). If"Payment Terms"are not met a s Nice fee of 1%per month(12%APR)will be applied to any overdue amounts.The Customer shall also pay all costs of collections including, b14t not limited to,reasonable attorney fees on overdue payments.This agreement will be officially entered into on the date of the signing of this proposal))by the Customer.The Customer also grants RhinoBack Roofing permission to use photos and reviews in print and digital marketing. You the buyer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction,which is on or before ( )Saturday is considered a business day in Connecticut. See the attached Customer's Right to Cancel for an explanation of this right. CHANGE ORDERS AND ADDITIONAL WORK:Rhino-Back Roofing,upon notification to,and authorization from,the Customer, may make changes to the"Scope Of Work"due to the Customers's request for additional work,or unforeseen conditions that existed,but were not detectable by visual inspection prior to the project start.Any such"Change Order"will first be authorized in writing,or by email, by the Customer prior to any additional work being done. The Customer agrees to pay any increase in cost to the project as a result of authorized"Change Order"(s).(As an example, rotted sheathing replacement yvould fall into the"change order"category.) e-Signed by Melanie Stachowicz 10/20/2022 Company Authorized Signature Date e-Signed by Rich Hoeckh 10/20/2022 Customer Signature 1 Date Customer Signature Date , mil 7 Commonwealth of Massachusetts Division of Occupational Licensure Board of Building Regulations and Standards • Constructigtupet r Specialty CSSL-106183 lipires:05/26/2023 TIMOTHY A l*ORTH . < , 19 KNOLLWOOD DRIVE ', NEW HARTFOJkD CT 06057 r. (1I.I,NAP Commissioner . iQe c Ti. Eer,c.cca.... i