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24D-085 (3) BP-2023-0016 143 KING ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24D-085-001 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-2023-0016 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2022 Contractor: License: Est. Cost: 52050 62638 Const.Class: Exp.Date: 06/13/2023 Use Group: Owner: LLC KINGDON Lot Size (sq.ft.) Zoning: EB Applicant: PHIL BEAULIEU & SON HOME IMPROVEMENT Applicant Address Phone: Insurance: 217 Grattan St 413-592-1498 WMZ80062050 CHICOPEE, MA 01020 ISSUED ON: 01/06/2023 TO PERFORM THE FOLLOWING WORK: STRIP AND RE-ROOF &VINYL SIDE FRONT WALL OF BUILDING 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: it Fees Paid: $364.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner BAN S 2 'the Commonwealth of Massachusetts -023 / Office of Public Safety and Inspections ' a f Massachusetts State BuildingCode(780 of 81-40/ r CMR) '' NAMnr�B�n! Go Vrmit AApp(T aihis sn for any Building Official Use Only) a One-or Two-Family Dwelling ection For Building Permit Numbed& 169 Date Applied: Building Official: SECTION 1:LOCATION k S+Cte - N4A04 �O LO0 Sa l k_ / u.10 (�,/aS S No.and Street City/Town Zip Code Name of Building(if applicable Assessors Map# Block#and/or Lot # SECTION 2 PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building Ed Repair tY Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 Np Is an Independent Structural Engin weer Review required? Yes ❑ No Brief Description of Proposed Work pal( IlbO'rinci . IY1 S+-&I I ru.t.✓ Trui.4 -fi of)i 1 f>S+4 i1 ,y� 'P D M Cot n . try) e.x i s,i-;n �Jrna roe o n +(� +A- ,AI".I 1 o�F - +k" Azw-It d M Ins+a!1 ()j J am ci ttma firo-n4- WaIt o-f +tom b` ;,(cLv - SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0 Existing-Use Group(s): Proposed Use Group(s): S Q(Yu—. SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) ^ Total Area(sq.ft.)and Total Height(ft) J�".'C." SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ElA-2 0 Nightclub CIA-3 0 A-4 0 A-5 0 B: Business 1r E: Educational 0 F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4❑ H-5 0 I: Institutional I-1 0 I-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2 0 R-3❑ R-4 0 S: Storage S-1 0 S-2 0 U: Utility❑ Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB 0 HA 0 IIBO IRA IIIB0 IV 0 VA 0 VB0 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal Trench Permit: Debris Removal: Public 0 Check if outside Flood Zone 0 Indicate municipal CIA trench will not be Licensed Disposal Site 0 Private 0 or indentify Zone: or on site system 0 required 0 or trench or specify permit is enclosed 0 Railroad right-of-way Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable kif Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No El Yes 0 No Ef SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Karen Man IGuS 2 ( i vada1 e Rd- rr,crtIck , G T 00082 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Owner L03_(oSQ (9801 913-134-42615 kafen m&nle_kS 0 Title Telephone No.(business) Telephone No. (cell) e-mail address -con.1.fu coin If applicable,the property owner hereby authorizes: Rig 1 Sec u.11-e4A$Sens H v .If>ero -uv ai+ 217 4 ro kn . CV'.Gap-to- NA- O(020 Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit ap-lication. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) Alatn Beal, ii4AA y13_5 2. 149E rnbcciaveMeZ Peitt.na4 100073 Name(Registrant) T94ephone No. e-mail address Registration Number 2(i enr-Oci, S+nrlt- Mini cote. M PE 010_O lA 11/24 Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Phi 113-eci..uirt Son S 1-k e =Mpro,r-c-fvw`-1- Company Name Alan Bc-at,._.1z--t.A.A. CS-0192k.03v / 1Ooo73 unfts+elcal-td_ Name of Person Responsible for Construction License No. and Type if Applicable 211 area. n S- 1 an-i MA 0(020 Street Address City/Toa'n State Zip I+3-59 2 1 4-9 g - 3Ca r Q Mb-eauI r 14Q P8ft-re rid- Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT'(M.G.L.c.152.§25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of theysuance of the building permit. Is a signed Affidavit submitted with this application? Yes L9f No D SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ 52 i 050• Building Permit Fee'Total Construction Cost x rt here 2.Electrical $ appropriate municipal factor)=$ . 3.Plumbing $ ( 4.Mechanical (HVAC) $ Note:Minimum fee=$3 'f (contact municipa Sty) 5.Mechanical (Other) $ Enclose check payable to -'A /�3, 6.Total Cost $ 52 asp."',, 5O.V O (contact municipality)and write check number here le 7 6 • SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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. AIa1r1 PffiL.u.lyet,,. i Pr 3idAn4- 413 -512.1498' 12/29 (22 Please rim}�nd sign na Title Telephone No. to 21. G rsA1i>n Sir f �,c�p�-e.— MA- 0 t o2 mb &i.a.A �e a( ffr n L F- Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: '� 1' ` 1/6:/ "3 i Name Bate ACC:P DATE!MMIDD/YYYYI CERTIFICATE OF LIABILITY INSURANCE 03/02/22 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 ERIC MASON THE MASON AGENCY INC PHONEFAX (Arc,No.Ext): (413)569-2307 Wc,No): (413)569-2308 504 College Hwy ADDREss: themasanagency( amerIcan-natIonaIcom Southwick,MA 01077 INSURERS)AFFORDING COVERAGE NAIC E INSURER A: FARM FAMILY CASUALTY INSURANCE 13803 INSURED INSURER B: PHIL BEAULIEU&SONS HOME IMPROVEMENT, INSURER C INC. INSURER D: 217 GRATTAN STREET INSURER E: _ Chicopee, MA 01020 MA 01020 INSURERF: 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—HE 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 SUER POLICY EFF POLICY EXP LIMITS LTRINSO WV!) MJ POLICY NUMBER (MDDIYYYY) IMM M'IDDYYI X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 AGE 10 RENTED CLAIMS-MADE X OCCUR PREM PREMISES(Sc occurrence) , $ 300,000 BUSINESS OWNER'S MED EXP(Any one parson) $ 25,000 A x x 2001 X281 0 02/25/22 02/25/23 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. GENERAL AGGREGATE $ 3,000,000 X POLICY ECT LOC PRODUCTS-COMP/OP AGG $ 3,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED X SCHEDULED ) $ A AUTOS ONLY AUTOS X 2001 C71 39 02/25/22 02/25/23 BODILY INJURY(Pereccident _ XHIRED NON-OWNED PROPERTY DAMAGE I $ AUTOS ONLY X AUTOS ONLY (Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 3,000,000 A EXCESS LIAB CLAIMS-MADE 2001E1738 02/25/22 02/25/23 AGGREGATE $ 3,000,000 ,DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER AND EMPLOYERS'LIABILITY YIN STATUTE ERH ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ OFFICERrMEMBEREXCLUDED? .- -- -' (Mandatory In NH) E.L.DISEASE-EA EMPLOYE $ IT yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS LOCATIONS/VEHICLES (ACORD 1E1,Additional Remarks Schedule,may be attached If more space Is required) CARPENTRY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SAMPLE THE EXPIRATION DATE THEREOF, NOTICE WILL, BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIV U 1988- 015 ORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD PHILBEA-01 CHRISTINE ,4coRa CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) 2/18/21812022 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 CQATACT Christine Sullivan N E: Phillips Insurance Agency,Inc. 97 Center Street jn/c°O,"r o,Esc):(413)594-5984 (Nc,No):(413)592-8499 Chicopee,MA 01013 ADDRESS:christine@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC M INSURER A:A.I.M. Mutual Insurance Company INSURED INSURER B: Phil Beaulieu&Sons Home Improvement Inc. INSURER C: Phil Beaulieu 217 Grattan Street INSURER D: Chicopee,MA 01020 INSURER E: I 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 POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR, INSD WVD _(MMIDD/YYYYI (MM/DD/YYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE �$ _ POLICY !Pa LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILECOMBINED SINGLE LIMIT LIABILITY (Ea accident) ANY AUTO BODILY INJURY(Per person) $— OWNED SCHEDULED AUTOSRE ONLY _ AUTOS BODILYO INJURYp (Per accident) $ AUTOS ONLY _- A�TOS ONLY ((Perr accident)AMAGE I$ UMBRELLA LIAB ^ OCCUR EACH OCCURRENCE ,$ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ A WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ERH WMZ-800-6205-2022A 2/25/2022 2/25/2023 1,000,000 OFFICER/MEMBER EXCLUE PROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE,$ 1'000'000 tryes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I 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 Evidence of Insurance THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD . .I. Commonwealth of Massachusetts (��/J Division of Professional Licensure Board of Building Regulations and Standards Construottilit/Sti rvisor CS-062638 ' • Expires:06/13/2023 ALAIN M BEAULIEUl 217 GRATTAN STREET • CHICOPEE MA 01020 Commissioner da A'. Si Liu, , THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration 1,:le„.,0- Type: Corporation Registration: 100073 PHIL BEAULIEU &SONS HOME IMPROVEMENT, INC. Expiration: 06/07/2024 217 GRATTAN STREET . il CHICOPEE, MA 01020 , Y= Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Corporation Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street Suite 710 100073 06)07/2024 Boston,MA 02118 'HIL BEAULIEU&SONS HOME IMPROVEMENT, INC. 11( LAIN M.BEAULIEU ') 17 GRATTAN STREET `°rC /,,,e4,..4' HICOPEE,MA 01020Undersecretary Not valid without signature Phil Beaulieu & Sons Home Improvement, Inc. 217 Grattan Street Chicopee, MA 01020 ��'� ` Phone: (413) 592-1498 Fax: (413) 594-6008 Beaulieu I HOME IMPROVEMENT, INC, Car. 1167 64022 ,I I I Mankus 413-734-4265 Job Address: 143 King Street Northampton,MA 01060 Print-date: 12.19-2022 Hat Roof , Strip all layers of roofing on the Safelite building Furnish and install a tapered insulation system Screw down all insulation boards using seam plates and screws to meet manufacturer specifications Furnish and install an EPDM roofing system to the entire flat roof Replace flashing around all of the roofing penetrations as needed $48,375.00 If plywood needs to be replaced with%'CDX plywood there will be an upcharge of$110.00 per sheet not included in price If plywood needs replacing with W CDX plywood(H clips)there will he an upcharge of$130.00 per sheet not included n price If plywood needs to be replaced with 3"CDX plywood there will be an upcharge of$140.00 per sheet not included in price General Includes removal and disposal of all debris Any rot found during the project is to be repaired or replaced at a rate of($115.00)per hour per carpenter+materials+15% of material Payment Schedule Total $48,375.00 • hid deposit al signing;half the total price due upon the start project;reukuninu tralaiiuu dui;upuu cuiupiva;un Legal Price Escalation: In the event of significant delay or price increase of material,equipment or energy occurring during the performance o the contract through no fault of the Contractor, the Contract Price, time for completion of contract requirements shal be equitably adjusted by change order. A change in price of an item of material, equipment, or energy will be considered significant when the price of an item increases twenty percent (20%) between the date of this Contract and the date of commencement of work. Work Schedule: The anticipated work commencement date will be determined and communicated to Homeowner at signing, but not to exceed nine months from signature, with substantial completion within 45 days after commencement. Contractor to notify the Homeowner if factors outside our reasonable control require any material changes to this time frame. Substantial Completion: To the extent that work has been substantially completed, but certain materials need to be replaced or repaired by an original manufacturer or third party supplier (the cost of which does not exceed 10% of the overall Contract price), the remaining balance shall still be due and payable minus the commercially reasonable cost of such items,which may be held a back by Homeowner until such items are replaced and payment hold-back shall then be due. Change Orders: To the extent that Homeowner requests and/or agrees to the addition or removal of products and/or services after t e execution of this Contract, the Homeowner shall sign a change order specifying the changes in the scope of the Contr.ct and pricing,which shall modify such provisions of this Contract but otherwise incorporate all provisions of this Contract a if fully set forth therein. Finance Charge: 11 h%monthly(ANNUAL PERCENTAGE RATE OF 18%)will be added to the unpaid portion of the balance due.Homeow er agrees to pay these charges. In the event of default of payment, Homeowner agrees to pay reasonable Attorney's fees& court costs. This agreement does not constitute a release of liability. By Homeowner's signature below, Homeow er acknowledges and agrees to the above. -ti Arbitration: Contractor & Homeowner hereby mutually agree in advance that, in the event either party has a dispute concerning t is Contract, either party may submit a dispute to a private arbitration firm which has been approved by the Secretary of t e Executive Office of Consumer Affairs & Business Regulation and each party shall be required to submit to arbitrati.n pursuant to M.G.L.c 142A,§4. Contractor Obligations: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to stand rd practices.Alterations or deviations from above specifications involving extra cost will be executed only upon written ord:rs, and will become an extra charge over and above the estimate.All agreements contingent upon strikes,accidents or del•ys beyond our control.The Home Improvement Contractor Regulation Statute,M.G.L.c.142A gives you certain warranties.nd homeowner's rights thereunder. Contractor shall inform Homeowner of any and all necessary permits, and it shall be he obligation of the contractor to obtain said permits. Homeowner is responsible for the cost of the permit fee.The permit ee will be determined by the local building department and will be billed immediately to the Homeowner.If Homeowner secu es his/her own permits,he/she will be excluded from the guaranty fund provisions of M.G.L.c.142A. Registration: Contractor to have all registration,license number and insurance required by the state.Contractor to be registered with he Director of Home Improvement Contractor Registration.Certificate of Registration#100073.Any inquiries about Contra or relating to registration should be directed to the Consumer Hotline at (617) 973-8787. Contractor to carry commercially reasonable insurance.Contractor's workers are covered by Worker's Compensation Insurance. Customer Acceptance of Proposal: Upon signing, this document becomes a binding contract under law. The above prices, specifications and conditions .re satisfactory and are hereby accepted. Contractor is authorized to do the work as specified. Payment will be made as outlined in the payment schedule. Contractor may withdraw this proposal at any time prior to signature by Homeowner.Homeowner may cancel this Contract without penalty or obligation within three(3)business days from the 1 ate signed.Contractor may withdraw this proposal if not accepted within 30 days. Customer Consents: Contractor is authorized to use media for promotional purposes. Contractor is granted permission to access property •fter signing unlit project completion. Homeowner's signature grants permission to Contractor to obtain all necessary buil.ing permits. • Beaulieu_ t=-A+ ��� HOME IMPROv MENT,INC. "Stay Connected with our social media and helpful links above ' Proposal Date:December 9,2022 Estimate Date:December 9,2022 PBHI Representative Nico Facchini Authorized Signature i 11.444.: • Signature: 91//a1-4C-, Print Name: `e./4 Zailku_s, • Date: ! V/n/ /J r , Phil Beaulieu & Sons Home Improvement, Inc. 217 Grattan Street Chicopee, MA 01020 Phone: (413) 592-149£3 Fax: (413) 594-6008 ♦ Beau ieu IIO.11i !NI 13 KO I'.NIEN I. INC.y� a .. 63922 Job Address: 143 King S reel Northanipiun. MA 0IOW • Print-date: 12-7-2022 Front Wall Siding Strip the existing siding on the hunt wall only-dispn ai o all debris . V ,Ar Wrap with house wrap and tape seams I C Furnish and install Noranc)ex Cedar Knolls siding-Body color. :i«:r color:To motel,the holy wl,d> All fascia and rake true to remain All window and door casings to remain Furnish a ad install 1 x r 0 PVC bottom hoard Reinstall the existing lace soffit material on the upper wall Price $3.6/5.0O General inclucr:;,:«:nioval cod disposal of all debris .n„ rot found durinn 'he project is to he repaired or replaced at a rate of(n185.00)per hour I-materials 'S";,of material Payment Schedule Total $3,675.00 • :5OtJ.Ou deposit at,ittui,ru; half the total price due upon the start project:remaining b�iliif:e.c it, Legal • Price Escalation: In the event of significant delay or price increase of material. equipment or energy occurring during the performance of the contract through no fault of the Contractor. the Contract Price. time for completion of contraa'ct requirements shall he equitably adjusted by change order. A chancre in price of an Beni of material. equipment. or energy will be considered significant when the price of an item increases twenty percent (20%) between the gate of this Contract and the date of commencement of work. Work Schedule: • The anticipated work commencement date will roe; netermincd and communicated to Homeowner at signing. 1 ui not to exceed nine months from signature. with subslanliat completion within 45 days after court roticemen. Contractor to notify the Homeowner if factors outside our reasonable control require any material changes to this time frame. Substantial Completion: To the extent that work has been substantially completed. but certain materials need to be replaced or repaired by an original manufacturer or third party supplier'(the cost of witich does not exceed NH-, of the overall rall Contract (rice). the remaining balance shall still ho due and payable minus the commercially reasonahlr cost of such item: which rn,ay he held Change Orders: to the extent that Homeowner requests and/or agrees to the addition or removal of products and/or services after the ' execution of this Contract. the Homeowner shall sign a change order specifying the changes in the scope of the Contract and pricing, which shall modify such provisions of this Contract but otherwise incorporate all provisions of this Contract as if fully set forth therein. Finance Charge: 1%°io munthty(ANNUAL PERCEN[AGE RATE OF 18°,i 1 will be added to the unpaid portion of the balance due. Homeowner • agrees to pay these charges. In the: event of default of payment, Homeowner agrees to pay reasonable Attorneys fees & court costs. rhis agreement does not constitute a release of likability. By Homeowner's signature below, Homeowner acknowledges and agrees to the above. Arbitration: Contractor & Homeowner hereby mutually agrer;'nr.advance that, in the event either party has a dispute concerning this Contract. either party may submit a dispute to a private arbitration firm which has been approved by the Secretary of the Executive Office of Consumer Affairs & Business Regulation and each party shall be required to submit to arbitration pursuant to lvt.G.L.c: 142A. §a. , Contractor Obligations: All material is guaranteed to be as specified. All work to be completed in a workmanlike manner according to standard practices.Alterations or deviations from above specifications involving extra cost will be executed only upon written orders, and will becorne an extra charge over and above the estimate.All agreements contingent upon strikes, accidents or delays beyond our control.The Home Improvement Contractor Regulation Statute. M.G.L.c. 142A gives you certain warranties and homeowner's rights thereunder. Contractor shall Inform Homeowner of any and all necessary permits, and it shall be the • obligation or the contractor to obtain said permits. Homeowner is responsible for the cost of the permit lee. The permit fee will be determined by the local building department and will,be billed immediately to the Homeowner, If Homeowner secures his;her own permits,he/she will be excluded from the guaranty fund provisions of P. at.. G. 142A. Registration: Contractor to have all registration, license number and insurance required by the state. Contractor to be registered with the Director of Home Improvement Contractor Registration. Certificate of Registration 't 100073. Any inquiries about Contractor relating to registration should he directed to the Consumer Hotline at (617) 973-8787. Contractor to carry commercially reasonable insurance. Contractor's workers are covered by Workers Compensation Insurance. Customer Acceptance of Proposal: Upon srp rrug, nits docurrtceot becomes a herding contract wider law tire: abate pricers. spi:cihcatur:s add conde,ons are setrsfrtctury and aue trereby" accepted. Corttr'cetcar rs auttm?rvsd to r/o the MN as spre 't Ki. f'iayrr efct wiiii be made as outlined in the payment schedule. Contractor may withdraw this proposal at any time prior In signature by Homeowner. Homeowner pray cancel this Contract without penalty or obligation within three (3)business days from the date signed.Contractor may withdraw this proposal if not accepted within 30 days. Customer Consents: Contractor is ;authorized to use media for promotional purposes. Contractor is granted permission to access property after signing until project completion. Homeowner's signature grants permission to Contractor to obtain all necessary building permits. IP U 1 1- 111....ili., Beaulieu A0 L- ' Stay connected .with our social media and helpful links above. ' Proposal Date December /.2022 Estimate Date: December 5,2022 PEI II Re in n i.t:/! %n Beaulieu Authorized Signature 1 r.nutiina itrai rely act,ori hen,wi'verim*:my elertionic,ignriture and is hinaiauf. Do nr,t a;pi this contract if their all,any htrank sliar•.rs. • Signature: elaAel Print Name: sisnart Date: ���A. l og ----- ----- ?om o City of Northampton �S�y S��fi d Massachusetts tea, • DEPARTMENT OF BUILDING INSPECTIONS i e., . :'H:-r-Tw 212 Main Street • Municipal Building Jti. ' Northampton, MA 01060 '�st',y a,0c" 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: bwmP s} Li- 3 �"n9 � `e'+ (+I" f'"`P �Location of Facility: I The debris will be transported by: (.1314) 1-1-aok..t 6 12t_c-Aft lk Name of Hauler: 1 fvlt.lItn (Qdl £ t of C� Signature of Applicant: `YY1 Date: / 2 /22 L tic l..u,n,turtrvruttrt V, [rluaau(.rtuavtta .ram [ Department of Industrial Accidents :, Office of Investigations Lafayette City Center t; 2 Avenue de Lafayette, Boston, MA 02111-1750 www.rass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/organization/Individual): Phil Beaulieu & Sons Home Improvement, Inc. Address: 217 Grattan Street City/State/Zip: Chicopee, MA 01020 Phone #: 41 3-592-1498 Are you an employer? Check the appropriate box: Type of project(required): 1.l I am a employer with 25 4. ❑ I am a general contractor and I 6 El New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' 4 p h' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.' required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 11.❑ Plumbing repairs or additions 3.❑ I am a homeowner doing all work myself. [No workers' comp. right of exemption per MGL 12.13 Roof repairs insurance required.] ¢ c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entikies have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A.I.M. Mutual Insurance Company Policy#or Self-ins. Lic. #:WMZ-800-6205-2022A Expiration Date: 2/25/2023 Job Site Address: I +3 k-+n4) $ -t City/State/Zip: NO(41Artl *or -41\ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration datePI 060 Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a da/against the violator. Be advised that a copy of this statement may be forwarded to the Office of investigations of thg,.DIA for insurance coverage verification. I do hereby certify under the pains and penalties of peijury that the information provided above is true and correct. Signature: ' E 5QaGLuz Date: 12 r 2 S /22 Phone#: 413-592-1498 Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License # Issuing Authority (check one): 10Board of Health 20 Building Department 30City/I'own Clerk 4.0 Electrical Inspector 5Q'lumbing inspector 6.0Other Contact Person: Phone#: