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31A-138 (6)
BP-2024-0347 62 FORBES AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31A-138-001 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-2024-0347 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2024 Contractor: License: ALL STAR INSULATION & SIDING Est. Cost: 20136 CO INC 099739 Const.Class: Exp.Date: 02/14/2026 Use Group: Owner: TAMAYO ANDRES Lot Size (sq.ft.) Zoning: URB Applicant: ALL STAR INSULATION & SIDING CO INC Applicant Address Phone: Insurance: 56 Franklin Street (413)527-0044 6HUB-5N06911-1-23 EASTHAMPTON, MA 01027 ISSUED ON: 03/27/2024 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 Drip eway 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: /72- Fees Paid: S40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / r r' The Commonwealth of Massac settF, 7 202e / Board of Building Regulations and tandar f.o0 Massachusetts State Building Code, 780 CM THa�,�,,nTwc; it CIPFOALITY ``..., or✓ SpC::---i i.J'SE Building Permit Application To Construct,Repair,Renovate Or Dem010‘96004evised Mar 2011 One-or Two-Family Dwelling vv This Section For Official Use Only Building Permit Number:e' 07 7''34/7 Date Applied: Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 PropertyAddress: 1.2 Assessors Map&Parcel Numbers 6a T r-PesGLIr[n 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) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Lani'j "Ta m2t O NolAHAAA,cebri I Inn- O I O(D Name(Print) City,State,ZIP Ca Fo r-be s ave 11_44_e. Lti3-5w=4'W.7? a 1 16-1/Lreacgo/Alird40 c on No.and Street Telephone Email Address U SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building I$) Owner-Occupied IX Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other T I Specify: I�Qk Q 1n;SIi i 199 tiJ Brief.Description of Proposed Work': (AJL ip j I( S-11.-►p Co? ,,tkt- ) AA r i t- �e will ih,a,ld►LQ(h 1� TPO x d%�{-' s: ) ei t .,:>(SU.c) _c Amca �Sh r. �3 s on ulna►n nuA1- ESQ•)on ofcl�a.d 4• 'asq& tc SECTION 4:ESTIMATED CONSTRUCTION COSTS p Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 1/3G,o-0 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑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 $ Total All Fees• $ Suppression) Check No.V) eck Amount: 6.Total Project Cost: $ 02 0,1t ."'O 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CSSL-099739 2-14-24 Ed Losacano License Number Expiration Date Name of CSL Holder List CSL Type(see below) 128 Glendale Road No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) Southampton, MA 01073 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Buming Appliances 413-527-004_4 allstar5270044@gmail.com I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 101858 6-28-24 All Star Insulation&Siding Co., Inc. HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 56 Franklin Street allstar5270044@gmail.com No.and Street Email address Easthampton, MA 01027 413-527-0044 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 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 Ed Losacano to act on my behalf,in all matters relative to work authorized by this building permit application. Andre Taua •�0 3/ad- Print Owner'sName(Electronic Si ature) D to 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 a curate to the best of my knowledge and understanding. Ed Losacano, Owner ?) )-vF Print Owner's or Authorized Agent's Name(Electronic Signature) / Da c 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. I42A.Other important information on the HIC Program can be found at oca Information on the Construction Supervisor License can be found at w\t w.t»as,..gyvaps 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 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: a Fp-rhen aAI-P p -L(J 9V 'f v , tY # The debris will be transported by: 1A3n -A4a.u.1it1c\`*-Ref LA(' IN J i zo,ea 13m-vooVca The debris will be received by: U, )1 01 PPc" t` ►nc1 lUilh}a1Ya��1�ct�r otc�5 Building permit number: v Name of Permit Applicant Ed L -i ocann - 1;11 5kxr T-nsao„kkoc i ski Cc. The. Saidev-a-e--LA if - Date Signature of Permit Applicant The Commonwealth of Massachusetts .^ Department of Industrial Accidents Office of Investigations Lafayette City Center 2 Avenue de Lafayette, Boston,MA 02111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: General Businesses Applicant Information Please Print Legibly Business/Organization Name: ALL STAR INSULATION & SIDING CO., INC. Address: 56 FRANKLIN STREET City/State/Zip: EASTHAMPTON, MA 01027 Phone#: 413-527-0044 Are you an employer? Check the appropriate box: Business Type(required): I.. I am a employer with 10 employees (full and/ 5. ❑ Retail or part-time).* 6. ❑ Restaurant/Bar/Eating Establishment 2.❑ I am a sole proprietor or partnership and have no 7. ❑Office and/or Sales(incl.real estate,auto,etc.) employees working for me in any capacity. [No workers' comp. insurance required] 8. ❑ Non-profit 3.❑ We are a corporation and its officers have exercised 9. ❑ Entertainment their right of exemption per c. 152, §1(4),and we have 10.❑Manufacturing no employees. [No workers' comp. insurance required]** 1 l.❑Health Care 4.❑ We are a non-profit organization, staffed by volunteers, CONSTRUCT/HOME IMPROV with no employees. [No workers' comp. insurance req.] 12•❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. **If the corporate officers have exempted themselves,but the corporation has other employees,a workers'compensation policy is required and such an organization should check box#1. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy information. Insurance Company Name: THE TRAVELERS INSURANCE COMPANIES Insurer's Address: 97 CENTER STREET City/State/Zip: CHICOPEE, MA 01013 Policy#or Self-ins. Lic. # 6HUB-5N06911-1-23 Expiration Date: 8/13/24 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under§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,under the pains and penalties of perjury that the information provided above is true and correct. Signature: 5 �{ Date: Phone#: 413-527-0044 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): 1.❑Board of Health 2.0 Building Department 30 City/Town Clerk 4.0 Licensing Board 5.0 Selectmen's Office 6.['Other Contact Person: Phone#: www.mass.gov/dia �-.01,10 ALLSTAR-05 NICOLES A4C-ORL7 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) �� 8/15/2023 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 Nicole Sarafin NAME: Phillips Insurance Agency,Inc. PHONE I FAx 97 Center Street (a/c,No,Ext):(413)594-5984 (NC,No):(41 3)592-8499 Chicopee,MA 01013 a'DORIEss:nicole@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:State Automobile Mutual Ins Co INSURED INSURER B:State Auto Property&Casualty All Star Insulation&Siding Co.,Inc. INSURER c:Travelers Insurance Company 36161 56 Franklin St INSURERD: Easthampton,MA 01027 INSURER E: 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 LTRINSD WVD IMM/DD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR PBP2903632 8/13/2023 8/13/2024 DAMAGE TO RENTED 100,000 PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X JEC4T X LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: EE BENEFITS AGG $ 2,000,000 COMBINED SINGLE LIMIT 1,000,000 B AUTOMOBILE LIABILITY (Ea accident) $ X ANY AUTO BAP2482222 8/13/2023 8/13/2024 BODILY INJURY(Per person) $ OWNED - SCHEDULED _ AUTOSE� ONLY _ AUTOS BODILY BODILY INJURY(Per accident) $ _ AUT OS ONLY AUOTO ONLY (Per accident)DAMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE PBP2903632 8/13/2023 8/13/2024 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ C WORKERS COMPENSATION Xy PER STATUTE ERH AND EMPLOYERS'LIABILITY 6HUB-5N06911-1-23 8/13/2023 8/13/2024 100,000 OFFIC /MBE XCLUDED PROPRIETOR/PARTNER/EXECUTIVE N N I A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation Coverage Applies to 3A State:MA 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 I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Construction Supervisor Specialty Division of Occupational Licensure Board of Building Regulations and Standards Restricted to: Constructs •*u�perD r Specialty CSSL-W -Roofing t�' .416.. fJ CSSL-WS-Windows and Siding CSSL-099739 �w 'expires: 02/14/2026 EDWIN W.LQSACANO: - rn 56 FRANKLIfFSTREET ". 3 EASTHAMPTtiN MA 0102. ?' ✓ O ?t,`YDI,LtlAD:3' Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Commissioner C- J E / s"-- Contact OPSI:(617)727-3200 or visit www.mass.gov/dpl/opsi THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affai Business Regulation 1000 WashingtCg Suite 710 Bosto i assachusett--$- 118 Home Im ro MifiL,47--: •istration - - - 1 ^ Type: Corporation M he• 1 .tion: 101858 ALL STAR INSULATION&SIDING CO. .. ��-�-�- • 56 FRANKLIN STREET �°= t c�� pi lion: 06/28/2024 EASTHAMPTON,MA 01027 — �1 =HM _ 4=11•111MMINIMP el •— .IMMIMI iti/ `a ��/ y Avi w Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affalnk&Business Regulation Registration valid for Individual use only before the HOME IMPROVEFONTRACTOR expiration date. If found return to: PEA ratio Office of Consumer Affairs and Business Regulation q 1000 Washington!K. ,u ,i=�'�=717ir .t Street -Suite 710 :; q-t:rr:nt Boston,MA 02118 ALL STAR INSULATION,.: ,c'»;o.- ~ tit TA EDWIN W.LOSACAN•, �...-ip I 56 FRANKLIN STREET "' —/�/ L4..,,,.,ea.P4.64.4' (4A-) . EASTHAMPTON,MA 011�s 4, .i • Undersecretary Not lip• ithout signature • EcoLEa j , 111 ab INSULATION 1 MAR 2 2 2024 f ' SIDING CO., INC. Easthampton Office I Westfield Office 413-527-0044 56 Franklin Street • Easthampton, MA 010 --- CSSL License # CSSL-099739/MA HIC# 101858/CT HIC# 0630805 fax 413-527-1222 • email:allstar5270044Qgmail.com • www.allstarinsulationsiding.com 0 © Proposal Submitted to Phone Date Andre Tamayo "Purchaser"413-588-4909 Cell March 13, 2024 Street Job Name 62 Forbes Avenue Q, City,State and Zip Code Job Location Job Phone \J- Northampton, MA 01060 C Contractor hereby submits to Purchaser specifications and estimates for: INSTALL NEW ROOF ON MAIN HOUSE, OPTION FOR DETACHED GARAGE, AND TRIM WORK OPTION 1: INSTALL NEW ARCHITECTURAL SHINGLES ON FIRST FLOOR MAIN HOUSE ROOF AND NEW WHITE TPO ROOF QN FIRST FLOOR RIGHT & LEFT SIDE I OW SI OPED ROOF AREAS ON REAR OF HOUSE 1. We will remove(2) layers of existing asphalt shingles and dispose of in a dumpster supplied by us. 2. We will install Titanium Rhino Deck or Elephant Skin underlayment over entire stripped roof surface. 3 We will install new Cer>aiQTegd.Landlnark<Owens Corning)or Ga(lTimberline Architect shingles in designated_ areas They will have a"Manufacturer's Lifetime limited Warranty" Owner will have choice of color 4 All shingles will be nailed with at least(5) nails per shingle "`° 43'1;.' 5.We will install new aluminum drip edge on all eves and new aluminum rake edge on rake areas (.; We will install pipe boots and metal step flashing where needed We will install new step flashing around baseV of chimney underneath new shingles where needed. 6. We will install approximately(56)'of roll vent on peak of roof for additional ventilation • 7 We will install a 36"wide asphalt ice and water barrier on eave lines/valleys of heated areas. 8 We will install new 3/ ' insulated backer with insulation plates on (2) flat roof areas where needed 9_We wilLinstall (2) Ne Whit.--)TPO Roof sectionson_flat roof areas over new 3/8"styrofoam backer and secure with new termination bars around perimeter of flat roof areas. 10. Job site will be cleaned upon completion of job. **IF ANY SUB SHEATHING IS NEEDED THERE WII L BF AN ADDITIONAL CHARGE OF $88 PER SHEET OR CURRENT MARKET VALUE OF OSB TO REMOVE DISPOSE OF. AND INSTALL NEW 7/16 OSB SUB SHEATHING ,r PRICE. $14 562.00'' -'. OPTION 2. INSTAL I ATION OF NEW ROOF ON FIRST FLOOR DETACHED GARAGE 1 We will remove (1) layer of existing asphalt shingles and dispose of in a dumpster supplied by us. 7. We will install Titanium Rhino Deck or Elephant Skin underlayment over entire stripped roof surface CONTINUED ON THE NEXT PAGE PAGE 1 OF 2 WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: 1/3 DOWN, 1/3 AT START OF JOB, dollars($ ), payment uponreceipt ment due recei t of invoice. If payment late, interest at 1 1/2%may be added. BALANCE DUE COMPLETION OF JOB NOTE: This proposal may be withdrawn by us if not accepted within FIFTEEN days, ED LOSACANO, OWNER Contractor Salesman Andre Tamayo Acceptance by Purchaser,and Title "You may cancel this agreement if it has been consummated by a party thereto at a place other than an address of the seller,which may be his main office or a 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." SUBJECT TO TERMS AND CONDITIONS PRINTED ON REVERSE SIDE INSULATION SIDING CO., INC. Westfield Office Easthampton Office 413-527-0044 56 Franklin Street • Easthampton, MA 01027 413-568-6411 CSSL License # CSSL-099739/MA HIC# 101858/CT H-HIC# 0630805 fax 413-527-1222 • emaii:allstar5270044@gmail.com • www.allstarinsulationsiding.com Proposal Submitted to Phone Date Andre Tamayo "Purchaser"413-588-4909 Cell March 13, 2024 Street Job Name 62 Forbes Avenue City,State and Zip Code Job Location Job Phone Northampton, MA 01060 Contractor hereby submits to Purchaser specifications and estimates for: INSTALL NEW ROOF ON MAIN HOUSE, OPTION FOR DETACHED GARAGE, AND TRIM WORK 3 We will install new Ce'rtatraesd dtrtar.4( wens Corning orN9 f,Timberline Architect shingles in designated areas. They will have a "Manufacturer's I if IimdrenIterfWarranty". Owner will have choice of color ' a o', � e,y t\t�"��{ 4 All shingles will be nailed with at least(5) nails per shingle 5. We will install new aluminum drip edge on all eves and new aluminum rake edge on rake areas. We will instalLmetal step flashing where needed ** IF ANY SUR SHFATHING IS NFFDFD THFRF WILL BF AN ADDITIONAL CHARGE OF S 8 PER SHFFT OR CURRFNT MARKFT VALUE OF OSB TO REMOVE DISPOSE OF. AND INSTALL NEW 7/16 OSB SUB SHFATHING ' PRICE $4 321 00 ,.' ;— OPTION 3. INSTAI L NFW WHITF ALUMINUM COIL STOCK IVIATERIAI ON (3) GABLF ARFAS OF MAIN HOUSE 1. We will install approximately (86)' of new white aluminum coil stock over existing rake fascia on (3) gable ends so that water drains properly PRICE $1 253.00I// 1-- _ **APPROXIMATE START DATE WII I RE`APRII/MAY'aL AIF,ONCF WE RECEIVE DEPOSIT AND SIGNED CONTRACT LESS ANY INCI JIFNT'ATHFR I ABOR IS GUARANTEED FOR"1-YEAR" **ALI STAR WII I SFCURF BUILDING PERMIT IF NEEDED HOMEOWNER WILL BF RFSPONSIBLF FOR ANY &Al I FFFS REQUIRED **ALI STAR IS NOT RESPONSIBLE FOR ANY LEAKS THAT OCCUR IN EXISTING SKYLIGHT(IF APPLICABLE) ** HOMEOWNER WILL BF RESPONSIBLE FOR ANY & Al L FI FCTRICAL OR PLUMBING WORK ** HOMEOWNER WIL I BF RFSPONSIBI F FOR ANY& Al I SATFI I ITF DISHES/CABLE TV CONNECTIONS. ** NO PRODUCT & LABOR WARRANTIES WILL BE ISSUED UNTIL WE RECEIVE FINAL PAYMENT ** HOMEOWNER WII I BF RESPONSIBLE FOR COVERING ANY STORED ITEMS AND FOR ANY CLEANUP WORK IN THE ATTIC NEEDED FROM DUST & DEBRIS FROM ROOF REMOVAL **A CERTIFICATE OF INSURANCE FOR WORKMAN'S COMPENSATION AND LIABILITY WILL BE FORWARDED UPON REQUEST PHII LIPS INSURANCE AGENCY INC. OF CHICOPEE. MA IS OUR AGENT r)` --1C+" . eltgp-fie • N i. "T1 t—i (-.4,0 e 4 -4.r:A,,%41.i _ ' !fl r ' WE PROPOSE to furnish material and labor, complete in accordance with above specifications,for the sum of: s� !') ar, vg a !' 4 a eri 7,1 C dollars ($ 1/3 DOWN, 1/3 AT START OF JOB, ), payment due upon receipt of invoice. r BALANCE DUE COMPLETION OF JOB - - -- If payment late, interest at 1 1/2% may be added. NOTE:This proposal may be withdrawn by us if not accepted within FIFTEEN days. ED LOSACANO, OWNER - f` Contractor Salesman Andre Tamayo ''y° Acceptance by Purchaser,and Title "You may cancel this agreement if it has been consummated by a party thereto at a place other than an address of the seller,which may be his main office or a 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." SUBJECT TO TERMS AND CONDITIONS PRINTED ON REVERSE SIDE