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32A-216-002 BP-2023-1129 71 POMEROY TERR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32A-216-002 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-2023-1129 PERMISSION IS HEREBY GRANTED TO: Project# SKYLIGHT 2023 Contractor: License: Est. Cost: 2972 LABELLE ROOFING 107851 Const.Class: Exp.Date: 03/04/2024 Use Group: Owner: BOLDEN MECHELLE Lot Size (sq.ft.) Zoning: URC Applicant: LABELLE ROOFING Applicant Address Phone: Insurance: 231 BOSTON POST RD (508)358-7663 6S6OUB7H93534923 WAYLAND, MA 01778 ISSUED ON: 08/18/2023 TO PERFORM THE FOLLOWING WORK: REPLACE SKYLIGHT 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: , ► � �� j • yQo Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner ' /V FO 40G The Commonwealth of Mass chus: s > > 2023 FOR W Board of Building Regulations d S t:,,e,:Massachusetts State Building Code, 4W/cot MU ICIPALITY N�/Nc USE 4/nr p Building Permit Application To Construct,Repair,Renovate ® l s .1?' ised Mar 2011 One- or Two-Family Dwelling This Section For Official Use Only Building Permit Number: P— e3 f /12 T Date Applied: 4 irJ ( 25s 8-18 L Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: n 1/ 1.2 Assessors Map&Parcel Numbers 7/ roPiefi l.la 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 Cl Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of zi_r 230 J _ ,/ a pox7M3n a-37 0 6 ' Name(Print City,State,ZIP Il Pd�l72C46/ Ti�� y 13--2� ^/9.y No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check a hat apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Briefs,..• iption f rop ed,,Work2: leggy 2-'7 D�✓� /�71) �� ,-CE-- ip .. ,t5-yzJik.. . SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $2972. 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ i ❑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„$A _ "1 Check No.i(/J l heck Amount: Cash Amount: 6.Total Project Cost: 0972 Dim ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES f�5.1 Constructi n SuperIa.!.e (L: La ^ / ;; 51 3- 22/ Lzz icense Number Expiration Date Name of CSL Holder a f �rO Vh l -7 List CSL Type(see below) t/ / No.and Street 'I' e Description d/, 4 /�f U� Unrestricted(Buildings up to 35,000 cu.ft.) / R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding p ? —3;--- —7 3. SF Solid Fuel Burning Appliances 1 Insulation Telephone Email address D Demolition ,-,� � 5.2 Re istere Hoom�I}n ove t Con,r ct ( IC) )� 1 .— �� Z C �'z 6- HIC Registration Number Expiration Date HIC N �� l��anl lam/ /L A/ d St „4 70 `/ Email address City/ own, State, P Telephone PP 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 Issuanc f the building permit. Signed Affidavit Attached? Yes No .0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize fl 4i7 !7 �'(-4.) / z/1 to act on my behalf,in all matters relative to work authorized by this building permit application. Ag t eg_ Bp2a i'f C'›,k, '- )-J -2 2 3 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 p alties of perjury that all of the information containe in this app 'canon is e and accur to to st of wle and understanding. 6:9 baf — e----) .---. >1--. 1)2'-- nit Owner's or Authorized Agent's Name(El tronic ignature 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 Oa'(IM 1MF0 •'' Massachusetts ��� '<<. ( ' 411 DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building tiJ� D. ' Northampton, MA 01060 ''S �0‘'‘o 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: Location of Facility: / A �� 4-3 h Y The debris will be transported by: 6-7,74.),vk cgs , Name of Hauler: Signature of Applicant: Date: The Commonwealth of Massachusetts z ! Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 \• ,,11) www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information ,� /� Please Print Legibly Name (Business/Organization/Individual): �/7 ° 490-4. ig�'" �� ve • Address: City/State/Zip:K/ 4,))i 0' e)) Phone#: �r L "= 50 -` 711& Are you an employer?Check the appropriate box: Type of project(required): I.I'm a employer with / e employees(full and/or part-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.0 l am a homeowner doing all work myself.[No workers'comp.insurance required.] 10[] Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or arc sole 1 1.a Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5, !❑ am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 13.� of repairs These sub-contractors have employees and hive workers'comp.insurance.: � �]�J" 6.0 We arc a corporation and its officers have exercised their right of exemption per MGL c. 14. Other /l/ 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they arc 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. � J Insurance Company Name: I� T p �lIv �1.1��Z� Policy#or Self-ins. Lic.#: r/ 6Z u 7 ,5' / /23 Expiration Date: 2 Job Site Address: / I �P ��'� 7—E7)211-/Kty/State/Zip:Ara/lArlili 2 i9-.Attach a copyof the workers' compensation policy declaration page(showing the policy number and exp'" tion dae). 11 / Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereb • der the pains and penalties of perjury that the information provided above is true and correct. Signature: _ Date: 1— I " ZZ)2 3 Phone#: c1,4 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: #401'''""--444141*Vir; - #.101. 4.... 1,40;owi'Pr-i, #4*-q... , =• i ' -' /.--,#1," ''`'" t „''' ,'- .-,1.- , - ;. ,, ,; ' ' ' . r :. , ,,, .„,., „, ....r. „,. ..z., .. .; , . it , ''' ' - ;,-"`e ..:. #, i'` i ' ,..! .,,, / ilk)) ,,,. 'fr tt4:Tt 444114."*474.:'414; , -r , : •4 ' .. ,,, 4 ' e 4 - i ' I "`"" s ' , ' • ,- " ' ' ' -• Ile 0"'rit.'" -* * et"d 1 " , ,,• # . ;# ..„...ir - °",; 1 40k .,„ - 04'''4, dit 4t-,4 4 • 4 4 Commonwealth ot Massachusetts Ihi Division of Occupational Licensure tir:30, r- ,1 Board of Building Re ulations. and Standards f I vr1-44'4; - • - Co n s ion .1' rvior • ., '"s•-' tAit 1 . CS-107851 EI4P i res. 03/04/2024 ....-:,,--- •t,.t."" "'i -'.I -' . . -‘,,,, .•-• , . N1ATTHEW LA.BELLE • ' • i7, 1' •• i '' • 133 HAYDEN,STREET i 40g4T , ......., , .. tic ORANGE MA1364 ....,,, , V ; fliv_ i.e.. , . , -, . - , k ., " t , .. ,A13L- 'r i 1 ALN, LI - . s, f (iy,-- •Commissioner (37 # K. cmcktia„ „ , ...„. , ..„ if . .., , , . 'iy.,.,..,,, ' - , . — 1 - - - . ,.., ' ' ' 4* ', ^ , ' 11 4 , i b t co u ^.n by .., a vi E o 0 0 — L O C• Q Wy L) z a g ci 0 Y 0 1 fit' 3 fit) THE COMMONWEALTH OF ttASSACHUSETTS Office of Consumet Affairs&Business Regulation C7N 4-2HOME IMPROVEMENT CONTRACTOR TYPE Coi atop Reuu'SttmttOt7 EXOBiltt911 t 53'; 4 t7> ftlArr ? G LABELLE ROOFING,INC - ' t #EFT AL.ABELLE ` 'ldt 1.11STlA POST ROAD #z . I 44.. .. , . n NAY ANO.MA Otrf$ U '.a;, V,Indotsectetary `.0 q M 7, r.i E N Cr] N = L ACc RCP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDrfYYY) `.� 03/24/2023 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: Peggy_Sawyer D FRANCIS MURPHY INSURANCE AGENCY INC ,(A/C.No.Ext): (508)787-5101 I(FAX A/C.No): E-MAIL ADDRESS: Psawyer@dfmurphy.com 50 MAIN ST INSURER(S)AFFORDING COVERAGE NAIC N HUDSON MA 01749 INSURER A: HARTFORD UNDERWRITERS INS CO 30104 INSURED INSURER B: LABELLE ROOFING INC INSURER C: DBA LABELLE SKYLIGHTS _INSURER D: 231 BOSTON POST RD INSURERE: _ WAYLAND MA 01778 INSURER F: COVERAGES CERTIFICATE NUMBER: 874606 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 ADDLISUBRI POLICY EFF POLICY EXP- LTR TYPE OF INSURANCE INSD'WVD POLICY NUMBER (MMiDD/YYYY)�(MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ PDAMXOE TO R8NTED CLAIMS-MADE ( OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- �— JECT I LOC PRODUCTS-COMP/OP AGG $ OTHER: I --- ----- --- $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ _(Ea acciden _ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS N/A BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY , eer accident) _ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB 7-1 CLAIMS-MADE N/A AGGREGATE $ DEO RETENTION$ I $ WORKERS COMPENSATION X I PEATUTE ER AND EMPLOYERS'LIABILITY A OFFICER/MEMB REXCLUDED?ECUTIVE WA N/A N/A 6S60UB7H93534923 03/22/2023 03/22/2024 ANYPROPRIETOR/PARTNERJEX •L.EACHAccIDENT $ 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 It 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/lwd/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 Evidence of ACCORDANCE WITH THE POLICY PROVISIONS. Coverage AUTHORIZED REPRESENTATIVE Wayland MA 01778 Daniel M.Cro, y,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 A ® CERTIFICATE OF LIABILITY INSURANCE DATE MWDE 6/28/2023 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(les)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 Certificate Request Team Dennis F. Murphy-Groton PHONE FAQ( 201 Main Street 0JC No,Esu:800.222-8711 le(c 1: Groton MA 01450 A RLSS: Certificateofinsurence®dfmurphy.com INSURER(8)AFFORDING COVERAGE NAIL A INSURER A:Atlantic Casualty Insurance Co 42848 INaBeDe Roofing Inc. LASERO0-01 INSURER B:Safety Insurance Co. 39454 304 Boston Post Rd INSURER C:Nautilus Insurance Company Wayland MA 01778 INSURERD: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:2084194865 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, EXCLUSIONSE AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L TR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY" piSO Pim POLICY NUMBER IMMIDOIYYYY) IMMID LIMITS A X COMMERCIAL GENERAL LIABILITY L261008138-0 6/23/202S 8/23/2024 EACH OCCURRENCE S 1,000,000 CLAIMS MADE X OCCUR DAMAGE TO RENTED PREMISO(Ea oowinpcs) $100,000 MED EXP(My one person) $5,000 _ PERSONAL&ADV INJURY $1,000,000 GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 (�PRO• — POLICY 1 JECT LOC PROOUCTS COMP/OP AGO ,S 2,000,000 OTHER: S B AUTOMOBILE LIABILITY 6248495 8/23/2023 6/23/2024 (SIINED INGLE LIMIT $1,000,000 ANY AUTO BODILY INJURY(Per parson) $ — OWNED AUTOS ONLY x SCHEDULED BODILY INJURY(Par accldent) S • X HIRED Xy NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Pet accident) $ S C X UMBRELLA LIAR X OCCUR AN1261172 6/23/2023 8/23/2024 EACH OCCURRENCE $1,000,000 EXCESS LIAB CIAIMS-MADE AGGREGATE $ DEC RETENTIONS $ WORKERS COMPENSATION per{. AND EMPLOYERS'LIABILITY y/N $PER ER ANYPROP RIETOPJ PARTNERIEXECUTI VE OFFICER/MEMBEREXCLUDED9 N I A E.L.EACH ACCIDENT $ (Mandatory In NH) t(yee,desatbe under E.L.DISEASE•EA EMPLOYEE $ DESCRIPTION OF OPERATIONS bow E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Addltlonal Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED ORIZED REPRESENTATIVE fi tc,..1 01988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD I-- . .... ENEfiCY STAR' Qiiidil ..,.. icd • ;... =no in ki SO Slarns _ I Wasoco&Prixfatr ci, Inv- feiN, .4",111/1 • :;4C•rAr•li rirdu 'Cr.' '' " • ' -'' '• ' • )bf.4.1. PERIM v" `I 4.1 • 'L" " 1 %•- 1 • 1101P.Id l'IrinPistr IMMO moiosimmor....... A ' ENERGY PERFORMANCEWN.RATvNas ........4-H ... U-factoilj4.41-F1 SoLjr istat Gala tr.:Wick-A !OAS 4,111.•••••mmuilidi 1 ' fr. , ADDITIONAL PEFIFORMANCE RATINGS , Wale Tarim itance . 0-59 1106**1.111116rbsellimillikallatitlet___ dal pokffjolowlifit silipshiluisinrsielid ca Otrzowto wimp!Pi g. 411"111162 itt litireinriliiitimitoraim wiligg4 i ipil iiikiliaputils imttaidowilminianowirplinpiterove wpm* ......_.....1. - --itA400014V-K - HOME IMPROVEMENT CONTRACT Sold,Furnished and Installed by: Date: 06/09/2023 LaBelle Roofing,Inc. 231 Boston Post Road,Wayland,MA 01778 Job#: 7669 Phone:508-358-7663•Fax:508-358-7662 Federal ID#20-8350649 MA Home Improvement Contractor Reg.#154084 Installation Address: 71 Pomeroy Terrace Northampton MA 01060 City State Zip Purchaser(s) Work Phone: Home Phone: Mechelle Bolen ( ) ((413)21p-1959 Project Information: I/We/You("Purchaser"),the owners of the property located at the above installation address,offer to contract with LaBelle Roofing,Inc.to furnish,deliver and arrange for the installation of all materials as described on estimate#: 7669 LaBelle Roofing,Inc.reserves the right to cancel this contract if,upon re-inspection of the job,LaBelle Roofing,Inc. determines that it cannot perform its obligations due to a structural problem with the home or because work required to complete the job was not included in the contract. Contract Amount $ 2,972.08 • Deposit: Less Deposit $ 991.00 Please mail check or call with credit card for deposit payment. • Final Payment: Balance Due Due upon job completion,payable by check. • on Completion $ 1,981.08 Purchaser agrees that,immediately upon satisfactory completion of the work,Purchaser will pay any balance due.Purchaser also agrees to be jointly and severally obligated and liable hereunder. )Entire Agreement:This agreement and its attachments,including any financing agreement,contain the complete agreement between the parties and cannot be amended or modified unless in writing in a separate agreement signed by both parties. NOTICE TO PURCHASER Do not sign this contract before you read it.You are entitled to a completely filled-in copy of the contract at the time you sign.Keep it to protect your rights.Do not sign any completion Certificate or agreement stating that you are satisfied with the entire project before this project is complete.Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner prior to the actual completion of the work to be performed under the contract. BY MY/OUR SIGNATURE BELOW,I/WE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. I/WE ACKNOWLEDGE RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. SUBMITTED BY: 0-‘Signeid by RJ LaBelle Date 06/09/2023 Sales Consultant ACCEPTED BY: egn: by Mechelle Bolen Date 06/13/2023 Homeowner NOTICE:ADDITIONAL TERMS,CONDITIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT. HOME IMPROVEMENT CONTRACT The Purchaser understands that: I. Purchaser is required to have any security/alarm systems disconnected prior to the commencement of work. Neither LaBelle Roofing,Inc.nor its independent contractor will disarm,arm,remove,install or reinstall a security or alarm system. 2. Purchaser is responsible for removing all breakable items form walls and shelves inside the home prior to installation. 3. Miscellaneous labor for work not included in the estimate will be billed at$75.00 per man-hour plus materials.Rotted or damaged fascia or rake board can be replaced at$9.00 per linear foot for primed pine and$18.00 per foot for PVC Board. 4. Any surplus materials remaining after completion of this job shall remain the property of LaBelle Roofing Inc.and no credit is due to Purchaser with respect to such excess materials. 5. Performance of this agreement on the part of LaBelle Roofing,Inc.,its successors and assigns,and any and all subcontractors engaged by it or on its behalf and hereby authorized to perform work listed herein,shall be subject to delay due to acts of God and other causes beyond the control of LaBelle Roofing,Inc.,including without limitations,strikes and other labor disturbances,fires,wars and civil insurrection,inability to obtain materials or labor, and orders by any governmental agency,and LaBelle Roofing,Inc.,shall not be liable.Purchaser represents that no other representation or promise has been made to be relied upon by purchaser regarding any of the aforementioned matters. 6. Purchaser indemnifies and holds harmless LaBelle Roofing,Inc.and its employees,authorized contractors and their subcontractors from any claims as to the identification,detection,abatement,encapsulation or removal of asbestos,lead based products,mold or other hazardous substances inside or outside of the structure being improved. LaBelle Roofine,Inc.Is NOT responsible for: 1. Pre-existing violations of building,electric,plumbing,or other governmental codes with respect to the premises. Corrections of violations are the responsibility of Purchaser and Purchaser represents and warrants that no such violations exist. Purchaser understands that LaBelle Roofing,Inc.will rely on such representation and warranty. 2. Rotted or damaged wood that is hidden or not visible,unless otherwise noted on the Specification Sheet. If,after work commences,LaBelle Roofing,Inc. finds any rotted or damaged wood,LaBelle Roofing,Inc.will provide Purchaser with a price for replacing the rotted wood,which will be in addition to the contract amount. Mediation: In the event that you and LaBelle Roofing,Inc.are unable to resolve any dispute which arises out of this Agreement or the Installation,you agree that before filing a lawsuit you will participate in mediation in an effort to fully resolve the dispute. That mediation will be at least one-half(1/2)day in length, utilizing an experienced mediation service acceptable to you and LaBelle Roofing,Inc. Start and Completion: Subject to obtaining credit approval in the case of financed purchases,the work described in this contract is estimated to begin within approximately eight weeks of the date of this contract and to be substantially completed within twelve weeks of the date of this contract. Note: These estimates are subject to the following DELAYS IN INSTALLATION conditions: LaBelle Roofing,Inc.shall not be liable for delays due to reasons beyond its control,including without limitation fire,Acts of God,labor or material shortages,war,government regulations,delays caused by Purchaser or Purchaser's other contractors. Home Improvement Installation Contract For Massachusetts Residents Only Contractor Arbitration:The Home Improvement Contractor Law provides homeowners with the right to initiate an arbitration action(as an alternative to court action)if they have a dispute with a contractor.However,the same right is not afforded to a contractor.The contractor would have to resolve any dispute he/she has with a homeowner in court unless both parties agree to the optional clause provided below.This clause would give the contractor the same right to arbitration as is afforded to the homeowner by the Home Improvement Contractor Law. Homeowners Rights:A homeowners rights under the Home Improvement Contractor Law(MGL chapter 142A)and other consumer protection laws(i.e. MGL chapter 93 A)may not be waived in any way,even by agreement.However,homeowners may be excluded from certain rights if the contractor they chose is not properly registered as prescribed by law.Homeowners who secure their own building permits are automatically excluded from any Guaranty Fund provisions of the Home Improvement Contractor Law.The contractor is responsible for completing the work as described in a timely and workmanlike manner.Homeowners may be entitled to other specific legal rights if the contractor guarantees or provides an express warranty for workmanship or materials. In addition to guarantees or warranties provided by the contractor,all goods sold in Massachusetts carry so implied warranty of merchantability and fitness for a particular purpose.An enumeration of these matters on which the homeowner and contractor lawfully agree may be added to the terms of the contract as long as they do not restrict a homeowners basic consumer rights. If you have questions about your consumer/homeowners rights,contact the Consumer Information Hotline(listed below). Execution of Contract: The contract must be executed in duplicate and should not be signed until a copy of all exhibits and referenced documents have been attached.Parties are also advised not to sign the document until all blank sections have been filled in or marked as void,deleted or not applicable.One original signed copy of the contract with attachments is to be given to the owner and the other kept by the contractor.Any modification to the original contract must be in writing and agreed to by both parties.Contracted work may not begin until both parties have received a fully executed copy of the contract. Accelerated Payments: A contractor may not demand payments in advance of the dates specified on the payment schedule in cases where the homeowner deems him/herself to be financially insecure.However,in instances where a contractor deems him/herself financially insecure,the contractor may require the balance of funds not yet due be placed in a joint escrow accounts as a prerequisite to continuing the contracted work.Withdrawal of funds from said account would require the signatures of both parties. Additional Information: If you have general question or need additional information about the Home Improvement Contractor Law or other consumer rights, or if you wish to obtain a free copy of "A consumers Guide to Home Improvement Contractor Law"contact the Consumer Information Hotline at: Executive Office of Consumer Affairs•One Ashburn Place,Room 1411•Boston MA 02108.617-727-7780 If you want to verify the registration of a contractor or if you have additional questions or need additional information specifically about the contractor registration component of the Home Improvement Contractor Law,contact the director of Home Improvement Registration at: Director,Home Improvement Contractor Registration•One Ashburton Place,Room 1301 •Boston,MA 02108.617-727-8598 For assistance with informal mediation of disputes or to register formal complaints against a business,call: Consumer Complaint Division•Office of the Attorney General•617-727-8400 ROOF 06/09/2023 R40F LaBelle Roofing, Inc. 231 Boston Post Road,Wayland, MA 01778 0 Phone:508-358-7663 11 Fax:508-358-7662 Company Representative RJ LaBelle "WE TOP THEM ALL" Phone:(978)602-2035 rj@Iabeileroofing.com Mechelle Bolen Job:7669:Mechelle Bolen 71 Pomeroy Terrace Northampton, MA 01060 (413)210-1959 Remove and Replace Velux Skylight-VS C04-2004 w/blind Skylight is priced as a VS(manually ventilating)unit and includes a factory-installed solar blind(choose from room-darkening or light filtering) As quoted,skylight installation qualifies for a 30%Federal Solar Tax Credit of approximately$891.00. Obtain and post permit, in accordance with local law. Strip all roofing materials from around skylight(s),remove and dispose of existing skylight(s),clean and prepare roof deck for installation. Furnish, position and secure new skylight(s). Install ice and water shield onto the roof deck and up the sides of the skylight frame. Install flashing kit and shingles around base of unit. Install crank handle and extension rod as needed, program and demonstrate operation of any remote controls. Interior finish work may be necessary and is an additional cost,this can not be determined until skylights are installed. interior finish can range from caulking to wood trim or new drywall and plaster.These costs can range from$0-$750 per opening. LaBelle Roofing does not do painting or staining.Any drywall work includes one coat of plaster only. $2,972.08 TOTAL $2,972.08 Rotted or damaged fascia or rake board can be replaced at$9.00 per linear foot for primed pine and$18.00 per foot for PVC board. A qualified mason is needed to inspect,identify,and make any necessary repairs to the brickwork,mortar,crown,and bonnet of the chimney.New flashing at the base of the chimney does not guarantee a fully water-tight chimney,additional work may be needed and an inspection from a qualified mason is strongly recommended. e-Signed by RJ LaBelle 06/09/2023 Company Authorized Signature Date e-Signed by Mechelle Bolen 06/13/2023 Customer Signature Date • OWNER AUTHORIZATION Job # 7669 TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR A BUILDING PERMIT I� Mechelle Bolen , as owner of the subject property 71 Pomeroy Terrace,Northampton,MA 01060 hereby authorize LaBelle Roofing to act on my behalf in all matters relative to work relating to this building permit application, and all permitted work. e-Signed by MprheIie Bolen 06/09/2023 Signature of Customer Date