23B-082 (2) BP-2023-1621
63 NONOTUCK ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
23B-082-001 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-2023-1621 PERMISSION IS HEREBY GRANTED TO:
Project# ROOF 2023 Contractor: License:
WILDE HSE LLC DBA SEXTON
Est. Cost: 12400 ROOFING 106265
Const.Class: Exp.Date: 03/08/2027
Use Group: Owner: HAGGERTY RICHARD P
Lot Size (sq.ft.)
Zoning: URB Applicant: WILDE HSE LLC DBA SEXTON ROOFING
Applicant Address Phone: Insurance:
45 OLANDER DR 315-569-7761 6HUB0W551 13923
NORTHAMPTON, MA 01060
ISSUED ON: 11/17/2023
TO PERFORM THE FOLLOWING WORK:
STRIP AND REROOF
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: (R
i O �
SQ / .
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
fiC
IV --/
The Commonwealth of Massachus s Nw 6 20 FO
0Board of Building Regulations and S n
!, Massachusetts State Building Code, 780-.C.IV11;n°?�Undin, U! ITY
E
Building Permit Application To Construct,Repair,Renovate Or De ' ' aio6 vise, Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: l T a?3- /(j04/ Date Applied:
ICJ ..) 'i //€ 1117"2OZ3
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1 Property Address:(93 (�� ' ,1.2 Assessors Map&Parcel Numbers
L c „�c ,cf-v o 1 Up
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 El Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP1
Owner'of Record: V LO n?AC )n,Y „ 00.o. a,
Name Print) Ci State,ZIP
I `--1,+C 73 I - ( i3 ) O- 7Q Ri cKKAQmA AS cy A it_ :c,bnk
No.and Street elephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction 0 Existing Building IfIO Owner-Occupied ❑ Repairs(s) 11Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:
Brief Description of Proposed Work':(tro✓C net S i rl z<,e.s D� 711V,S
ei" C� NrJ �t eCK►Pam, ! S' 14 t[ )CC P'�"
�tZ p_vAg l � �
i, g T\ M A ifF . 4.1 SiA t t ri. S w (A L zE V E W &I Caip
SECTION 4:ESTIMATED CONSTRUCTION COSTS Li', akti\)
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $ /jt9 erl co 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $((Ai ❑Standard City/Town Application Fee
❑Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: $
Check No.al7sd Check Amount: Cash Amount:
0.Total Project Cost. $ fø .OO ❑Paid in Full ❑Outstanding Balance Due:
/'
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) /64/ O
` i L License Number Expiration Date
Name of CSL Holder
0 L-li SNIZ _ List CSL Type(see below)
o.and Street u1+�• Type escription
\ - O)L) U UnrestrRestricts l (Buildings up toel 35,000 cu.ft.)
Q� R Restricted i&2 Family Dwelling
City/Town,State,ZIP 1 M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
LI-/03 ( 'atJe.at c/too '�'scF 1 I Insulation
(e ephone Email address E m P L co to D , Demolition
5.2 Registered FioreImprovement Contracto (HIC) io/f/y¢fl►J0
HIICJJReegiJs/trati`on Number xpi on Date
C Company Name or HIC Rs.giqant Name
O(� 0 t R - e4m�a/L.0101
o.and Street _ /1/ Email address
3)C,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 .❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPJ.I .S FOR BUILDING PIit,RMIT
as Owner of the subject property,hereby authorize pf�rTa lea/PAL Pr
�,./7//14
to act on my behalf,in all matters relative to work authorized by this building permit application.
f/
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 acc a to the best of
m
knowledge and understanding. (_yam
(3t-M /-42)e-!15
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.niass.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 hasrment/attics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of halflbaths
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
SM j
Massachusetts •
* w_ ''
-.t4zz # C,
.! % - DEPARTMEN<1' OF BUILDING INSPECTIONS y ��
212 Main Street • Municipal Building o C•
vedililf"_.r-+. Northampton, MA 01060 �f1,�, ��`�
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: At,,Lv,S c
Location of Facility: &&L k fut , _ (,A 01/0
The debris will be transported by:
1
Name of Hauler:ik3=z5-0C/ ��T,C I,� 1 ( i� � ,g ���
J
Signature of Applicant: �Z1 _// Date: „e/dIs
`Z\ The Commonwealth of Massachusetts
ii._te iti Department of industrial Accidents
liil=•
ii _; ,� 4
_.atil`� I Congress Street.Suite 100
wllA r Boston. MA 02114-2017
n .`' sow►►:mass.go►'/dia
110,kers' (Oni pt nsat- Insurance.Midas it:Builders/Contractors. Electricians-Plumbers.
10 lit t ll f.D N(t11 I IlE 1'ER1111-11M;At 1 HORI I S.
Applicant Information �' I Please lPrint eiiibh
Name(Business t kganvation lndt%!dual): Q tV 1 C' ( n`WZ J l JJ� / 0 et
Address:_ O w .
City'State/Zip: ltN I1\r\�,6164one# 425V
Art you an empower?Cheek the oppr priale Mt:
Ty pr of project(rryuirrd):
i.❑I am a.nrk)),cr with employee(full and or parse ae).' 7. D Nevi construction
_'LJ I am a sole proprietor or purincrshiip and haze no cmpkryces noticing for me in I. Q Remodeling
any capacity.[No%takers'COMM..uuuranoe required.)
9. ❑ Demolition
la 1 an a hum—ovine doing all work myself. No*Lukas'comp. insurance nyun ed.)`
10 O Building addition
4.0 I am a honk-ovine and will lie homing cxa t1klors to c"indu.t all Mork on my property. I is all
croon:that all contractors either lure*oakers'compensation insurance w an sole i 1.Q Electrical repairs or additions
proprietors in ith no employee'.
12.0 Plumbing repairs or additions
S an a general contractor and I base hued the sub-contractors lasted o.n the attached sheet.
ilicse sub-contractors and
employees lase w takers'comp.ansuranc I3 2RiSbfnpairs
u.D Wc an a corporation"and its otfacccs has a execased then right of exemption per%tt.L a 1 4.❑Other
152.1114).and*e has"no employees.!.Sian Markers'comp insurance ittoned I
°Any applicant that checks box+?I roust aim fill out the xttaan helms shooing their workers .aomp:matn,n policy a hinmtim.
s Ikwenowners Mho submit du,at a.koit indicating!hex am doing all work and then him outside'Aetna-tors must snlarmt a ems attialas it indicating su.h.
(Contractors that check thu tons must att.a.lied an additional sheet shoo ing the name of the soh-smut ashes aria stag*hcthet of not less mimes Last.
illn=tes. If thc soh-conirictois fuse employees.they,must rtoostdc ahcu worker-. .omnp pollisx inuaraho .. _ ... ..
I am an employer that is providing worLers'compensation insurance for my employees. Below is the polity and job site
information.
111:,lu.iit ( aa:ripans tans:
Policy or Self-ms. Lie. ::: Expiration Date:
Job Site Address: (d (�— y A ST City,state'Zap 04
Attach a coPy of the workers'compensation policy declaration page(showing the policy member and affirm date).
Failure to secure coverage as required under M( L c. l 522. .. 25A is a criminal s iolabon punishable by a fine up to S 1.500.00
and or one-year imprisonment,as%Yell as civil penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a
day against the violator. A copy of this statement may be loess arded to the O1Tice of Investigations of the DIA for insurance
coverage'err licati.m.
I do hereby c ,fy under the pains nil pen !ties of perjury that the information provided above is rue and correct.
Signature. 6 r f,[e,/, i ( ; I)jte. /,(�/� ,Y
Phone#: /if �J �/d'
Official use only. Do not write in this area.to be completed by city or town official
City or Toss n: Prrmitil.icense Jt
Issuing.authority (circle one):
I. Board of llealth 2. Building Department 3.( ity Iowa Clerk 4.Ekctrical Inspector 5.Plumbing Inspector
6.Other
( untact Person: Phone$:
Licensee Details
Demographic Information
Full Name: SASHA MARIE WILDE
Owner Name:
License Address Information
ity: NORTHAMPTON
tate: MA
ipcode: 01060
ount : United States
License Information
License No: CSSL-106265 License Type: Construction Supervisor Specialty
rofession: Building Licenses Date of Last Renewal:
Issue Date: 7/6/2023 Expiration Date: 3/8/2027
icense Status: Active Today's Date: 7/7/2023
econdary License Type:
Doing Business As:
tatus Chan a Reason: License Issuance
Prerequisite Information
No Prerequisite Information
No Available Documents
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street-Suite 710
Boston, Massachusetts 02118
Home Improvamertt Contractor Registration
Type LLD
WILDE►aSE..LC '^= 1-* tenon 206470
G'IluA SEXTON ROOFING d SIDNO Expiration. O4t34r202S
4S°L,ANDER DR
APORTMAMPTON MA 03104 z --
I_,Adams Mf MMKn Cara.
The COYMOHMIIALTM O/IAASSACHUVITTO
OrAc•M Gamo w MOD&lkosinase n IMMMimM vMI to w*war beam Om
HONE wROTVMlAIV 1CcortwAc►oa : V.Mc. y. ►Mira sal swMa...AegulerM
SOW •Sulu i/E
206470 04 Iwo"MA MIS
A„aE re3E u.0
(ma 8E0004 14000440•VOING
SASHAWE
4$COWER 0 t
f�..�s� �wAfrnt"
IAA 04104 Undersecretary Not vslld without signature
ACORD Client#: DATE
TM CERTIFICATE OF LIABILITY INSURANCE 05/01/2023
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHT 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 poucy(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 CONTACT GuiihermeCamossato
NAME•
PHONE 978 726-9830
I-INSURANCE GROUP INC (A/C,No,EXt):
EMAIL gcamossato@i-insurancegroup.net
799 GORHAM ST ADDRESS:
LOWELL,MA 01852 INSURE-R(3)AFFORDING COVERAGE NAIL
INSURED INSURER A:GENERAL STAR INDEMNITY COM
INSURER B:ARBELLA PROTECTION INSURANCE
LDG HOME IMPROVEMENT INC INSURER C:
18 SPRING ST FL1 INSURER D:TRAVELERS PROPERTY CAS CO OF AM
MILFORD, MA 01757 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:000015 REVISION NUMBER:
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 TALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID
CLAIMS.
INSRL ADDLI SUBR POLICY EFF POLICY EXP
TYPE OF INSURANCE NSR Wvo POUCY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
A GENERAL LIABIUTr EACH OCCURRENCE $ 1,000,000.00
DAMAGE TO RENTED
PREMISES COMMERCIAL GENERAL I(ABILITY (Ea oarrerice) $ 100,000.00
CLAIMS-MADE X I OCCUR
MED EXP(Any one person) $ 5,000.00
IMA395923A 8/25/2022 6/25/2023 PERSONAL&ADV MUURY $ 1,000,000.00
GENERAL AGGREGATE $ 2,000,000.00
GENT_AGGREGATE LIMIT�APPLIES PER Products Completed Ops ABNregate $ 2,000,000.00
I M
POLICY I I PROJECT I IL0c
B A COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY
(Ea accident) $ 100,000.00
ANY AUTO BODILY INJURY(Per person) $ 20,000.00
B ALL OWNED -SCHEDULED 1020096012 4/13/2023 4/13/2024 BODILY INJURY(Per accident)
AUTOS AUTOS $ 40,000.00
NON-OWNED PROPERTY DAMAGE
HIRED AUTOS AUTOS (Per accident) $ 100,000.00
UMBRELLA LIAB OCCUR EACH OCCURRENCE
EXCESS LIAB CLAIMS-MADE AGGREGATE
DED RETENTION S
D WORKERS COMPENSATION WC STATUTORY OTH
AND EMPLOYERS'UABBIIY YIN OMITS ER
ANY PROPRIETORIPARTNERIEXECUTNE E L EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? n/a 6HUB4N86974323 3/26/2023 3/26/2024 $ 1,000,OOO.00
(MaMaby in NH)
EL DISEASE-EA EMPLOYEE $ 1,000,000.00
If yes,describe under
DESCRIPTION OF OPERATIONS below E L.DISEASE-POLICY LIMIT $ 1,000,000.00
GENERAL LIABILITY for regular and usual jobs and the certificate holder is an additional insured.
Workers'Compensation:benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 0613,no authorization is given to pay
claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts.
This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the
issue date of this certificate of insurance).The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification
Search tool at www.mass.gov/lwd/workerscompensation/investigations/
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
WILDE HSE,LLC EXPIRATION DATE IT IS THE CUSTOMER'S RESPONSABILITY TO INFORME ANY
CHANGES OR CANCELATIONS.
45 OLANDER DR.
NORTHAMPTON,MA 01060 GUILHERME CAMOSSATO
1/1 O 1988-2010 ACORD CORPORATION.All rights reserved.
ACc RL CERTIFICATE OF LIABILITY INSURANCE DATE{MM(DD/YYYY)
05/31/2023
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 NAME: BRUNO ROZEMBARQUE
POINT INSURANCE INC PHONEA// No.Ex@; (617)783-1160 _ FAX NO
ADDRESS:
bruno ntnsure.com
ADDRESS: GPOii
1103 COMMONWEALTH AVE INSURER(S)AFFORDING COVERAGE NAIC•
BOSTON MA 022151111 INSURER A: AIM MUTUAL INS CO 33758
INSURED
INSURER 8
E C A GENERAL CONSTRUCTION INC INSURER C:
INSURER D:
8 OT1S ST APT 1 INSURER E:
MILFORD MA 01757 INSURER F:
COVERAGES CERTIFICATE NUMBER: 897535 REVISION NUMBER:
IIIIS 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 EFF POUCY EXP UNITS
LTR / Vy}SD yD POUCY NUMBER IMWDD/YYYY) (MM/DD/YVYY)
COMMERCIAL GENERAL UABILITY EACH OCCURRENCE $
CLAIMS MADE OCCUR DAMAGE TO RENTED
PREMiISES(Ea occurrence) $
MED EXP(Any one person) $
N/A PERSONAL&ADV INJURY $
GEN'L AGGREGATE UMIT APPUES PER: GENERAL AGGREGATE $
• JPRO-
POUCY LOC PRODUCTS-COMP/OP AGG $
OTHER $
AUTOMOBILE UABIUTY COMBINED SINGLE LIMIT $
(Ea accident)
ANY AUTO BODILY INJURY(Per person) $
OWNED SCHEDULED AUTOS ONLY AUTOS N/A BODILY INJURY(Per accident) $
FIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY _ AUTOS ONLY (Per accident)
UMBRELLA UAB _ OCCUR EACH OCCURRENCE $
EXCESS UAB CLAIMS-MADE N/A AGGREGATE $
DED RETENTION$ $
WORKERS COMPENSATION X PER OTH-
AND EMPLOYERS'LIABILITY STATUTE ER
A OFRANYCER MEMBERPEXC1LUD D?ECUTIVE Y WA N/A VWC10060260282023A 02/11/2023 02/11/2024 E.L.EACH ACCIDENT $ 1,000,000
(Mandatory in NH) _EL DISEASE-EA EMPLOYEE $ 1,000,000
II yes.describe under --
DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ 1,000,000
N/A
DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay
dams for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts.
This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the
issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification
Search tool at www.mass.gov/Iwd/workers-compensation/investigations/.
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Wilde HSE LLC ACCORDANCE WITH THE POLICY PROVISIONS.
45 Olander Dr
AUTHORIZED REPRESENTATIVE
Northampton MA 01060 Daniel M. Crowley,CPCU,Vice President—Residual Market—WCRIBMA
CD 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
WILDE HSE, LLC
SEXTON ROOFING AND SIDING
www.sextonroofing.com
p.413.534.1234
;r info@sextonroofing.com KO
��• 45 Olander Dr.
Northampton, MA 01060 Setting the Standard
MA HIC#208470
SUBMITTED TO Rick Haggerty I PHONE 1413-320-2570 I DATE 19/20/2023
STREET 63 Nonotuck St EMAIL I rickkarma15@gmail.com
CITY,STATE,ZIP Florence,MA 01062 roofr
SEXTON ROOFING HEREBY SUBMITS SPECIFICATIONS AND ESTIMATES FOR
1) Strip and remove existing shingles and dispose of in proper landfill.
2) Inspect roofing deck and replace as needed @$95.00 per sheet.
3) Install new metal edging to rakes and eaves of roof.(white)
4) Install ice and water shield on eaves(6'),vent stacks,in valleys,chimney,at intersecting roofs.
5) Install synthetic roofing underlayment on remainder of roof.
6) Install new flanges over existing vent stacks.
7) Install starter shingles on eaves and rakes of roof.
8) Install IKO Architectural style roofing shingles as per manufacturers'specifications.Color:
9) Reflash existing skylights.
10) Install new cap over ridge vent.
U) Reflash chimney.
12) Supply manufactures Lifetime warranty and SRC 10 yr.workmanship warranty.
ATTENTION HOMEOWNERS;Please cover all personal belongings in the attic,garage,or storage areas due to possible roofing debris
or dust coming through cracks of wood decking.
Sexton Roofing shall apply for all permits.
We propose hereby to furnish material and labor-complete in accordance with the above specifications,for the sum of
Twelve thousand four hundred dollars($12,400)
1/3 Deposit$4,000 Final balance due upon completion
All Material is guaranteed to be as specified. All work to be completed
in a workmanlike manner according to standard practices. Any
alteration or deviation from above specifications involving extra costs Authorized ( /y�
will be executed only upon written orders,and will become an extra si � L 1 144.
charge over and above the estimate.DAMAGES TO BUSHES AND
OTHER VEGETATION'MARKS ON HOUSE MAY BE UNAVOIDABLE
AND WE ARE HELD HARMLESS. Not responsible for water damage Note:This proposal may be withdrawn by us if not accepted within
during construction. Owner to pay responsible legal fees for (30)days.
non-payment,and applicable interest.
Acceptance of Proposal The above prices,specifications /e %)/aaa
and conditions are satisfactory and are hereby accepted. You Client Signature
are authorized to do the work as specified. Payment will be
made as outlined above. Date 10 /29 /2023