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35-224 (14) BP-2023-1771 46 LADYSLIPPER LANE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 35-224-001 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-2023-1771 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2023 Contractor: License: Est. Cost: 64000 EAST COAST METAL ROOFING 099664 Const.Class: Exp.Date: 01/11/2024 Use Group: Owner: TRUST HORNOR JOHN W& RONALD E SKINN Lot Size (sq.ft.) Zoning: WSP Applicant: EAST COAST METAL ROOFING Applicant Address Phone: Insurance: 254 SUTTON AVE 5087310415 79803 OXFORD, MA 01540 ISSUED ON: 12/20/2023 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 Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner ga The Commonwealth of Massachusetts / DEC Board of Building Regulations and Stndar. ° 21, OR Massachusetts State Building Code,7$0 C' ar US IT' Building Permit Application To Construct,Repair,Rcii vat eyrr�+a��'� ed r 2011 One-or Two-Family Dwelling N.M 9A of s7oNs �� � This Section For Official Use Only 6 Building Permit Number: ' a J — / 77/ Date Applied: . , ))% t : is _ Building Official(Print Name) Signature / Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 46 Lady Slipper Ln 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: NO CHANGE Zoning District Proposed Use Lot Area(sq ft) Frontage(ii) 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❑ Zone: Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes2 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: JACK HORNOR NORTHAMPTON,MA 01062 Name(Print) City,State,ZIP 46 LADY SLIPPER LANE 508-731-0415 Permits©ecmr.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) ❑ Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify:ROOF Brief Description of Proposed Work2:STRIP ROOF,INSTALL ICE AND WATER SHIELD,INSTALL PERMALOCK ROOFING SYSTEM SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $64000 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $0 0 Standard City/Town Application Fee 0 Total Project Cost'(Item 6)x multiplier x 3.Plumbing $0 _ 2. Other Fees: $ 4.Mechanical (HVAC) $0 List: 5.Mechanical (Fire Suppression) $0 Total All Fees: 4 0 Check No.63 heck Amount: Cash Amount: 6.Total Project Cost: $64000 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 099884 1/11/2024 ANDREW HALLAMAN License Number Expiration Date Name of CSL Holder List CSL Type(see below) RC 254 SUTTON AVE No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) OXFORD,MA 01540/ORD State,ZIP R Restricted 1&2 Family Dwelling �' M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 5087310415 Permits@ecmr.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 184472 1/19/2026 EAST COAST METAL ROOFING HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 254 SUTTON AVE OXFORD,MA 01540 Permits@ecmr.com No.and Street Email address 5087310415 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 0 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 East Coast Metal RoofinG to act on my behalf,in all matters relative to work authorized by this building permit application. SEE SIGNED CONTRACT 12/13/2023 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. ANDREW HALLAMAN 12/13/2023 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 S, �� `" Massachusetts �+ '� • �G 1 r DEPARTMENT OF BUILDING INSPECTIONS i ,, { 1�„ I" 212 Main Street • Municipal Building Jj .- f ,r 14". Northampton, MA 01060 SNh. . 1'‘ CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, 554, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: 331 A Southwest Cutoff,Millbury, MA The debris will be transported by: Name of Hauler: United Materials Management Signature of Applicant: ANDREW HALLAMAN Date: 12/13/2023 ne i. urnrnunweunn uj irlussucnuseus Department of Industrial Accidents — lT Office of Investigations Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): East Coast Metal Roofing Address:254 Sutton Ave City/State/Zip:Oxford MA, 01540 Phone #:508-731-0415 Are you an employer? Check the appropriate box: Type of project (required): 1.❑ I am a employer with 4. ❑■ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. [' Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' P h 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.111 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑� Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.1:] 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 entities 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: Universal Insurance Agency Policy# or Self-ins. Lic. #:7PJUB1 K82219823 Expiration Date:02/02/2024 Job Site Address: —1 Lo...di SLj4 City/State/Zip: 8( I��j 1fv\pl7 )\l , 1" k Attach a copyof the workers' comppsation policydeclaration page(showingthe policynumber and expiration date). P g P ) 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 day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify un i e pai s and penalti perjury that the information provided above is true and correct. Signature: II1--10.✓\ Date: • I21 13`2023 Phone#: 508-731-0415 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 31:City/Town Clerk 4.0 Electrical Inspector 5Elumbing Inspector 6.0Other Contact Person: Phone#: lt . . • ° - '',;,: i 4Kg:'..,' :: .4°''... ,' ' ` �` Commonwealth of Massachusetts ' ..,. ,�i.. ; F; Division of Occupational Licensure Board of Building Regulations and Standards L . . g :1• , .,. . i Constructic `buperr`$9r Specialty • • CSSL-099664 spires: 01 /11 /2024 2 :N ANDREW P IALLAMAN . h. 26 TYSON RD... ' 11)A w.. - . ',. • -, . . ' - -,.',,- .- WORCESTERA 01606 , t,, .,, ./` 't.,Pi w f . . ti �1 I.Lt�i't', 4 � Cornmissioner ai A. &c. , jr.,-,--..-,. - ._ r, /YYYY) AC RD CERTIFICATE OF LIABILITY INSURANCE DATE 09(MM/DD(MM;DD23 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 PolyanaRodrigues NAME: g UNIVERSAL INSURANCE AGENCY PHONE /C No.Exti: (508)752-9333 FAX No): E-MAIL o unversansa enc ADDRESS: pf y� i li g y.com 374 BELMONT ST INSURER(S)AFFORDING COVERAGE NAIC# WORCESTER MA 01604 INSURER A; TRAVELERS PROPERTY CAS CO OF AM 25674 INSURED INSURER B: NEW SYSTEM QUALITY&EXTERIORSINC INSURER C: INSURER D: 14 IVERNIA RD INSURER E: WORCESTER MA 01606 INSURER F: COVERAGES CERTIFICATE NUMBER: 928059 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVfZ POLICY NUMBER (MM/DD/YYYY) (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCEDAMAGE RENTED $ CLAIMS-MADE OCCUR PREMISESO(Ea occurrence) MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED N/A BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OOTH PEATUTE AND EMPLOYERS'LIABILITY A OFFICER/MEMBER EXCLUDED?ECUTIVE E.L.EACH ACCIDENT $ 1,000,000 N/A N/A N/A 7PJUB1K82219823 02/02/2023 02/02/2024 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/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 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/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 East Coast Metal Roofing ACCORDANCE WITH THE POLICY PROVISIONS. 254 Sutton Ave AUTHORIZED REPRESENTATIVE Oxford MA 01540 "( C S Daniel M.Croy,rl CPCU,Vice President—Residual Market—WCRIBMA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ACORD DATE(M M/DD/YYYY) AC� CERTIFICATE OF LIABILITY INSURANCE 09/06/2023 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 Jackie Medeiros NAME: Universal Insurance Agency,Inc. (A/C, Eat): (508)752-9333 FAX (508)No): (508)752-9303 374 Belmont Street E-MAIL ackie universalinsa enc.cam ADDRESS: jackie©universalinsagency.com y INSURER(S)AFFORDING COVERAGE NAIC# Worcester MA 01604 INSURERA: Western World Ins Co Inc 13196 INSURED INSURER B: Progressive Casualty Ins.Co. 24260 New System Quality&Exteriors Inc INSURER C: 14 Ivernia Road INSURER D: INSURER E: Worcester MA 01606 INSURER F: COVERAGES CERTIFICATE NUMBER: 010 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 ADDLSUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDD/YYYY) (MMIDD/YYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DAMAGE TO RENTED 50,000 /� PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 A Y Y NPP8795165 05/17/2023 05/17/2024 PERSONALSADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY PRO2,000,000 J ECT LOC PRODUCTS-COMP/OPAGG $ OTHER: Employee Benefits $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ 20,000 g OWNED SCHEDULED 00791928 08/27/2023 08/27/2024 BODILY INJURY(Per accident) $ 40,000 AUTOS ONLY X AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ 5,000 _ AUTOS ONLY _ AUTOS ONLY (Per accident) Uninsured motorist BI $ 100,000 UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A E.L EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) East Coast Metal Roofing is included as additional insured on a primary&non contributory basis for ongoing and completed operations for General Liability, when required by written contract.Waiver of subrogation applies in favor of additional insured on General Liability. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN East Coast Metal Roofing ACCORDANCE WITH THE POLICY PROVISIONS. 254 Sutton Ave AUTHORIZED REPRESENTATIVE Oxford MA 01540 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD EAST COAST EAST COAST METAL ROOFING,LLC 254 Sutton Ave,Oxford,MA 01540 METAL ROOFING Customer Contact:1-844-611-3267 Visit our website at:EastCoastMetalRoofing.com NAME Jack Hornor ("Purchaser") JOB ADDRESS 46 Lady Slipper Ln. ("Premises") CITY/TOWN Northampton, MA ZIP CODE 01062 MAILING ADDRESS ZIP CODE HOME PHONE E-MAIL jack@jackhornor.com CONTACT NAME Ron WORK CELL 413-210-7233 The Purchaser is the registered owner of the Premises and hereby contracts with East Coast Metal Roofing,LLC.(the"Contractor")authorizing the Contractor to furnish all necessary materials and labor to install,construct and place the improvements according to the following specifications, terms and conditions(the"Specifications")on or at the Premises: PROFILE:_lc SHINGLE/_SLATE/_HYBRID/_PVC COLOR Embossed charcoal gray Remove 2 layers of asphalt from house and garage and back sunrck7lifte Improvement Contractor Regn#184472 Plywood should be good, install high-flow ridge vent, install ice and water on entire Roof replace 3 skylights on the main house and reflash the skylight on the sun room ECMR not liable if old skylight leaks. Also we do no interior finish work. skylights to Be operable with hand crank. Install permalock shingle, snow guards, chimney collar ADDITIONAL SPECIFICATIONS 596- per sheet for plywood install if needed replace pipe boot $90- per square for extra layer/plywood (strip, clean up, disposal) YES NO ROOFING MATERIAL YES NO ROOFING MATERIAL X Rubber/PVC Low Slope Roofing Color X — Supply adequate electrical power X — Flash Skylights# 4 replace 3 Outlet Location: Back patio X Flash Vents# 1 3 x — Work with the Contractor to fix damage uncovered — — during installation at a cost agreed to by the parties. X — Ridge Vent High-Fl Ow Plywood for rot repair min charge$2.50 sq ft X — Respect the work site. In the interests of everyone's X Underlayment Ice and watersafety,Purchaser will not use or borrow Contractor's X — Snowguards# 23 equipment or tools and will not access or interfere with the project during installation. Skilled professionals ROOF REMOVAL should be hired for any work that requires access to or traversing your roof. X — Strip existing roof(#of layers 2 ) LOCATION FOR DELIVERY X Haul away roof debris and pay refuse fees. Driveway X Supply 1/2"plywood Start Date* 4-12 weeks or sooner, weather permitting *Projects may be delayed due to inventory supply issues from certain manufacturers. LOCATION FOR BIN: Dri veway Substantial Completion Date**1-2 weeks or sooner **Unless circumstances are beyond the Contractor's control. THIS CONTRACT INCLUDES THE ALUMINUM SHINGLE COMPANY LIFETIME LIMITED WARRANTY,50 YEAR TRANSFERABLE,NON-PRORATED FOR MATERIALS MANUFACTURED BY THE ALUMINUM SHINGLE COMPANY,PLUS LIFETIME LIMITED WORKMANSHIP WARRANTY PROVIDED BY EAST COAST METAL ROOFING CERTIFIED INSTALLERS. Contract Price $ 64,000.00 SPECIAL INSTRUCTIONS Sales Tax $Incl uded Financing Requested YES— NO x OAC Total Contract Price $ 64.000.00 Interest Rate 0%to 29.99% Less 1/3 Down Payment $ 21,333.00 Progress Payment $21,333.00 Payment not to exceed$ Total Balance on Completion $ 21,334.00 MAKE ALL CHECKS PAYABLE TO:EAST COAST METAL ROOFING,LLC. 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 of 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. See the attached notice of cancellation form for an explanation of this right. IN WITNESS WHEREOF,the Purchaser and Contractor have hereunto signed their names at the Premises,this 6 day Of December ,2021. EAST COAST METAL ROOFING LLC. Do not sign this contract if there are any blank spaces. Per: Purchaser: ci ` �i Signature �/vl Signature ,��L 1Q1" `'o Mike Kromm Print Name Signature THANK YOU FOR YOUR BUSINESS This is not a credit transaction. It financing is arranged,the Purchaser agrees to sign and provide all necessary documents required by any lender, immediately on request. In order to complete the financing. All surplus material is the property of the Contractor. See reverse of contract for additional terms and conditions. DocuSign Envelope ID AAC357E5-383F-4D1C-8F0E-B4E10B86872F East Coast Metal Roofing, LLC. C H J I L U H J I 254 Sutton Ave, Oxford, MA 01540 METALROOFING Tel: 844-611-3267 eastcoastmetalroofing.com REQUIRED PERMITS Registered Home Improvement Contractor MA #184472 Registered Home Improvement Contractor CT #HIC.0644642 Rhode Island Registration #40663 Homeowner Information Name: Jack Hornor Address: 46 Lady Slipper Ln . City: Northampton , MA Zip: 01062 Phone: 413-210-7233 Required Permits: The following building permits are required and will be secured by the contractor as the homeowner's agent and I/We as Owners of the subject property, hereby authorize East Coast Metal Roofing, LLC. to act on my/our behalf,. in all matters relative to work authorized by the building permit application: 12/6/2023 Owner's Signature Date Owner's Signature Date Owners who secure their own permits will be excluded from the Guaranty Fund provision of the MGL Chapter 142A This permit notice forms a part of the Purchase and Installation Contract of the same date.