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141R NORTH ST - BUILDING INSPECTION (2) G 316 a 3 3'° The Commonwealth of � 14 t RVILE: ^ I Department of Public Safety, l v 'iUY Massachusetts State Building Code,�17180'�{R QQ Building Permit Application for any Building other t AW@-�t�i -FtDwelling (This Section For Official Use Only) ik` ( Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) _ jyLR lbR ( S:- Salem gIG7U ( No.and Street City/Town Zip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK Edition of MA State Code used If Nev Construction check here❑or check all that apply in the two rows below Existing Building Repair❑ Alteration ❑ Addition❑ 1 Demolition 1❑ '(Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy;:-❑ t.. Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑ Is an Independent Structural Engineering Peer Review re uired? / Yes ❑ No Brief Description of Proposed Work: 11 S 1-6c !/ ✓-ems ��� ����.—Vt.i,ei�%1,-k q Y�2 )0 apt w.2✓t— to ✓t d o.� l SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1 ❑ F2❑ 1 H: High Hazard H-1❑ H-2[IH-3 ❑ H-4❑ H-5❑ I: Institutional I-1❑ I-2❑ I-3❑ 1-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage S-1 ❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA IB ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ IV VA VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Suppl Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑ Private❑ or indentify,Zone: or on site system El permit ❑or trench or specify: permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable❑ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: rnlytt t�—Ip Sl la SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner ' GeOdpe m" ► I SaI4 M`70 Name int) '� No.and Street City/Town Zip Property Owner,Contact Information;,��� Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes I I t A)841n St u Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) f building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0 and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control Name(Reeistrantl _ r Teleoot(e No. e-mail address Registration Number Street Address City/Town State p y Discipline Expiration Date 10.2 General Contractor �d ( Company Name 0.tir,'4n,rMoK oS 33 Name of Pers&Responsible for Co struction License No. and Type if Applicable I1 S ra I 1 S��P w� ftA— _Q1U_0 Street tAAddress City/Town State Zip Tele hone No. (busiest) Tele hone No (cell e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the i uance of the building permit. Is a signed Affidavit submitted with this application? Yes VNo O SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs: (Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal factor)_$ 3.Plumbing $ 4.Mechanical (HVAC) $ - Note:Minimum fee=$ (contact municipality) 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost 1 $ o (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby att st undei the pains and penalties of perjury that all of the information contained in this application is true and accurate to b st of knowledge and understanding. �es,e�evf� q2�� Please grint and sam" the KkTelephone o. Date Street Address City/Town tate Zip Municipal Inspector to fill out this section upon application approval: Name Date CITY OF &U.F"%1, 2ANSSACHUSETTS Bt:ILDLNG DEP\RThMNT N• 130 WASHINGTON STREET,3"'FLOOR TM (978) 745-9595 FAX(978) 740-9846 KI5ffiFRt RY DRISCOLL MAYOR THottAs Sr.PiFitxs DIRECTOR OF PUBLIC PROPERTY/BUILDLNG CONLNDSSIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electticians/Plumbers Applicant Information C Please Print Legibly Name (Busim�sOrganizatiorvindividual): Address: 11.�- n7 Oeu'') 3JLL n n + , / City/State/Zip: Phone If: I - 1 q1_0 �7 t? y Are you an employer?Cheek the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ 1 am a general contractor and 1 6. ❑New construction employees(full and/or part-time).' have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp. insurance. 9. Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers'comp. C. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.)t employees. [No workers' 13 ❑Other comp. insurance required.] •Any applicwa that checks box Of most alwt fill out the sectim below showing their worker'wmpentation policy infutmmiva 1 I fnmeuwtter who submit this affidavit indicating they ate doing all work and then hire outside contractors must submit a new,affidavit indicating such. Contmetor that cheek this box most attached an additional sheet showing the name of the sub-contractor and their worker'comp.policy information. l um an employer that it providing workers'compensation insurance jar my employees. Below is the policy and jab site information. Insurance Company Name: �f�r/} yed�e Policy fl or Self-ins. 11L''ie. fin n / T Expiration Date: V Job Sire Address: `1 ( � f ©✓� ST City/State/Zip: Q IP✓1'1 /�/T 0{ q,7 Attacb a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). 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 S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of at STOP WORK ORDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations ol'the DIA for insurance coverage verification. I do hereby cerdjy ue er the poi and penalties of perjury that the information Date:providArjtiKftt aje Is true and correct Y32016 Phoned: Official use only. Do not write in this area,to be completed by city or town of t iaL City or Town: Permit/License# Issuing Authority(circle one): I. Board of Health 2. Building Department 3.Cityffown Clerk 4.Electrical Inspector S. Plumbing Inspector 6.Other Contact Person: _.. Phone#: CITY OF S.1L.EM. NL SSACHUSE-FrS BUII.i)DzG DEP.IRTNIENT 120 WASHNGTON STREET, 3e FLOOR TEL (978) 745-9595 FA-X(978) 740-9846 KI,,BFRt FY DRISCOLL MAYOR THo%tas ST.PmRRE DIRECTOR OF PUBLIC PROPERTY/BUILDLNG co%LMSSIONER Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CNIR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit # is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c l 11, S 150A. The debriswill �bee�transported by: (name of h er) The debris will be disposed of in F nCc- �am-, (name of facility) Q �Aj� � 0, p,ja � �y co Vti?� �4SP Yti1� Oa I l n v� ✓+ (address of faeilit � /) I � �) L11 S+ SGl �0 q signature of permit applicant APR 13 2016 date debrisalyd�s PGratl v\VI ft�� cQj� A & A SERVICES, INC. 115 P1&A SERVICES Telephone:OR(9 STREET,0 24 Fa: 978)741 20EM,MA 012 Contractor Registration No. 101609 Federal EIN:04-3090162 Construction Supervisor No. CS057733 WINDOWS AND STORM PRODUCT SPECIFICATION SHEET Buyers)Name Date of Contract. Wl?/ %6 Buyer(s)Street Address,City,State and Zip Code l 'R APOW1 S Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address 47$ 75 ws-y The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification Sheet is a part. �y _�� .WINDOW REPLACEMENT Remove and dispose of#—K41-cr�.. existing windows. /sf2 '�_��S Install # 9(-� new ywfi S£ �.lAfiQ_t�i] windows:oinyl If Wood T / ��",/� (ManufacturE{ Options: Style 3>0crb k� ("f "Uq Grid pattern � / Color Interior JAI Y./Y�71 Glass Type f Wrap exterior trim with aluminum: Style Color &All windows will be installed according to the installation cedures in the portfolio, aulk all interior and exterior edges. V S �. t sulate where possible around new units. / ki�_f`fR�4,'IE >l/75/'f�+G41V' � f Insulate window weight pockets it exist,and around new window units where posst Is. included in this proposal are set up,clean up,iiepa v urn and deanin windovas inside and out. tJ wilding permit included. �5'C_/ 1!>�jjf , V Iei.U) }—r ldio`0-4-5 BAY/BOWS/CASEMENT UNITS/ANY FULL CONSTRUCTION WINDOWS t Create new window opening by cutting through existing home and framing in opening. t Remove and dispose of existing units)m its entirety. Note:Electric and plumbing may exist in wall and will require additional costs to customer if need to be dealt with. f Install window(s)into opening(s). Note: If Bay or Bow installation to include cable support system,new roof system(matching color as close as possible) or tie into existing soffit system. f Bay If Bow If Casement If Other windows)to include new interior style trim and new exterior style trim and head flashing as needed. I r t Note: Painting and staining not included. STORM PRODUCTS lZln�.`,r-,�'IC�W IfIc. CGO`� Remove and dispose of# existing storm window(s). C'. m 3VJ5 f Install new storm windows# Manufacturer Style Color Option f Remove and dispose of ra existing storm door(s). f Install new storm doors# Manufacturer Style Color Type: *Aluminum It Solid Core SPECIAL INSTRUCTIONS: 6 owxio, o_X-6(L QT 1_/✓5��I I IJ i rh l�S j-��C{�26'i`G� %VsflA1I /VOLI) I )11� 'of $1iild ccous�r c tt/ i m� t�c� a bI 124lO It Is agreed and understood by and between the parties that this specification Sheet,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,c iall Nes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms. This contract may not be changed or Its terms modified or varied In any my unless such changes are in writing and signed by both the Buyers)and the contmctor. Bui hereby acknowledge that Buyers) has read this Specification Sheet.Contractor Initials:i�L� Date: Buyer's Initials: ,/p, e S Date: �� R 1�� /� .AM, A & A SERVICES, INC. A&A SER ICES 115 NORTH STREET, SALEM, MA 01970 WITIMATOM Tclephone:(978) 741-0424 Fax: (978) 741-2012 Contractor Registration No. 101609 Construction Supervisor No.CS057733 Federal EIN: 04-3090162 CUSTOM REMODELING AND IMPROVEMENT AGREEMENT Buttons) Name �n Date of C ntra Bu eds Street Address, City. late and Zip Code Da ime Tele hoGne Number Evenin Tole hone Number Mobile Telephone Number E-Mail Address U The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed on the accompanying specification sheets,in accordance with the prices and terms described on the front and the reverse of this agreement and any specification sheets(this'Agmement'),and Buyers)have requested that such goods or services be installed or provided al Buyer's address listed above.A&A Services.Inc('Contractor'),hereby agrees to install or cause to be installed the products or services listed in this Agreement at the Buyers)address written above.This Agreement represents a cash sale of goods and services,The Buyers) agree to pay In cash the cost of the goods and services purchased as described herein,regardless of timing or approval of any financing Buyerls)may seek for their purchase. ( �I(fnN Purchase Price: 7 Est,Staring Date: IN 1 Down Payment IaZ 621 Est.Completion Data: Ca Amount Due on Start of Job: _ heck 7Y� [3 Credit Card Amount Due onof Completion: 30o No. Amount Due on of Completion: Expiration Date: Balance Due on Upon Completion: CVC Code' It is agreed and understood by and between the parties that this Agreement, front and back and any addendum, constitute the entire understanding between the parties, and there are no verbal understandings changinc or modifying any of the terms of this Agreement.Buyerls) hereby acknowledge that Buyerls)has read the front and the reverse of this agreement and has received a completed,signed and dated copy of this Agreement,including the two attached Notice of Cancellation forms,on the date first written above.Buyer(s)also(I)acknowledge that they were orally informed of their right to cancel this transaction;and(it)request that they be contacted via their telephone numbers of email,as listed above,in the event Contractor believes Buyerls)would be-interested in any additionalquality products or services of Contractor. DO NOT SIGN THIS CONTRACT IF IT CONTAINS ANY BLANK SPACES. A&A Service Inc. Buyer(s) By: /QZ� %rpW Signature - Signature 1 ��Q�/ JJ SPAO t. jra),ee CJ/1mKv Pnnt Name Print Name Signature Print Name You,the Buyer(s), may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the following Notice of Cancellation form for an explanation of this right. ARBITRATION:The contractor and tine IIOrreO'.mer hereby minally agree in advance that in the even)either party has a dispute cvnceming this torero,either pant my turner Such remove to a prate ardtra or aeroce MirT has been approved by are Selmtary of the Enecatiue Office of COnsurrer Ann iv antl Business RepvlaYOns and 1M.,be,party shall be nat uire l to sas-,to tuclr a is as proved In M.G.L c.142A. Cmm.nnr Initials- euven,IrerIst onto: mne'. r✓�//A NOTICE OF CANCELLATION NOT/IC OF ANCELLATION Date of TrenseWon you may...II Inds transec otiar,v.',m a any tonallya or obi of Trensallon r /�. !an nay dencel lhls transec4on.M reand any penalty or atAku.n tnrllin In days from Lie above data if you cancel,any prawn traded in, oblea4orywilhinthree I. deyshoniesersvadat¢ ayaueardis,anypmpedymedoln. any payments made by you under the Contact or Sale,and myragonarDartmrenteicated any Payments madeb you untler the Cohan or Sale.and any roe suctelnevument aturnmed by you till be rearead..in 101.,Iollovnng receipl by ere Seller o1 your cancellation mace, by you vrll be returned within 10 days lollovnng Recruit byin,Seller of your cancellation notice. and any seen,mler¢st arising on of the transaction tell be tarwelled.If you cancel,you must and any tearmy intabro arising out of are Rainstorm III be cancelled.11 you cancer,you year halt available to the Seller at your residence,and substanaany m as good Prouth iM as an make available to be Seller at won resident¢,and substantially in as good condition as when mv¢d any pound delivered to you under this Contract or sale:or you my,it you lsh,comply eivetl,any gmdS dHlrered to you under this Contact or Sale.w you ma 1 y, you wish,comply d tin ownse instructions of the Seller regardinggoods the return shipment OI d t goons at arees Sellers ewill irense in d risk.It of are Boller regardinggoods the rerun tShearson Salle of we Rogert ere Seller s Opens¢and n2k.If you do make fire prods available to c me Seller and the Seller tices not Pick ¢hymns¢and n 20II you do make the goods Notice eeIT Cancellation,the Seller antl the selle or d nose N goodsthern etimin an days urter Nedateul yourcaco b Can collation,yovmay r¢oin00idouse of the themupvifiaid nys of the data of rumbervingueyaurou s alol to I-do younayreUi the lot,,.,.I goods toim W,nnegu drobl'rgaaon.Il yen faillomake tegooutarrod,L aethe Belier,on rformaayou the ulgl W,i umthel odslotlea li,llyovfaitodosoe NagcMtaveiladeblhesromeara IB�guatwn Ne goods to tract,To aNlailto tlo solhen youranaier avert a red.,it. a youagraebretumlhe the Couoth¢Sodomy It iisodosathen you renainli,aIlrned , neand III obfgetion5 under the Contract,To cancel this vansaction,mail oe dMiveresigned antl dated of all obligations under the COMan.TocancN this vansaClion,mail ortlellverasl nand dated copy of the canMlation notim n any met weslen notce,Or tend a selegr m�p A P Services, copy of are cancellation notice or any oNer,wnaen noaca.Or send a telegram,IIr AS �¢s, 115 North Street,Salem MA 01970.NOT LATER TIR N MIDNIGHT OF 115 Noun Street Salem MA 01910,NOT LATER TX AN MIDNIGHT OF I HEREBY CANCEL THIS TRANSACTION 1 HEREBY CANCEL THIS TRANSACTION Consurrer'a signature Dale: Consumer s Signature Oas: ADDITIONAL TERMS AND CONDITIONS Contractor Responsibility.The Contractor will issue its formal warranty upon full payment,which shall constitute the Contractor's warranty for the labor and materials provided to the Buyer.Contractor agrees that all work done pursuant to this contract shall be of a workmanlike manner using professional quality materials and supplies.Warranties are available for inspection at the time of signing of the contract.Contractor accepts no responsibility for any damage resulting from structural or other defects in the property at which the installation is carried out.Buyer acknowledges Contractor's products do not correct or cure structural problems.Contractor shall not be responsible for(a)any damages arising in whole or in part from strikes,fires,accidents,Floods,governmental actions or any other causes beyond control of Contractor or(b)any damages including without limitation,lost profits or reduction in value of Buyer's property,arising from Contractor's delay in performing under this Agreement or due to its breach of this Agreement. Condensation/Mold:The contractor is not responsible for conditions beyond its control,such as condensation which may form on or within a window or between windows resulting from pre-existing conditions in the Buyer's home and external temperatures.Some condensation may also form on the frame or portions of the roof.Reducing the humidity in your home will often remedy any condensation problems.The Contractor is also not responsible for existing or developing spore or mold growth.Mold may be due to condensation which may form on or within walls or other surfaces resulting from[pre-existing conditions in the Buyers home and internal or external temperatures.Buyer Indemnities and holds Contractor and its employees,authorized contractors and their subcontractors from any claims as to the identification,detection,abatement,encapsulation or removal of mold,asbestos,lead based products or other hazardous substances inside or outside of the structure being improved. Permits:In Massachusetts,the Contractor is responsible for applying for and obtaining any and all necessary permitting.Homeowners who secure their own permits will be excluded from the guaranty fund provisions of Massachusetts law. Delay/Unknown Conditions:Events beyond the control of the Contractor,such as Acts of God,labor strikes, inclement weather,material shortages,Buyer's inability to qualify or obtain financing,delays by local government authorities in issuing or otherwise approving inspections,permitting or other required authorizations for the job,or other events resulting in delays in performance of this agreement do not constitute abandonment and are not included in calculating time frames for performance by Contractor. In the event the Contractor determines that this Agreement cannot be performed as intended by the parties due,for example,to incorrect pricing,unforeseen structural defects or pre-existing conditions to the Buyer's property,the Contractor may cancel this Agreement within 30 days of its execution,notify the Buyer of such a cancellation in writing and return all monies paid by the Buyer.The Contractor and the Buyer(s)have determined that a definite completion date is not of the essence to this Agreement.Contractor will not be responsible for any work not specifically listed in this Agreement or the Addendum. Late Cancellation,Late Payment/Default:If Buyer attempts to cancel this Agreement at any time subsequent to midnight of the third business day after the date of the Agreement,as more fully described on the Notice of Right to y Cancel form,and Contractor accepts such late cancellation,then Buyer agrees to pay Contractor a cancellation fee equal to(i)15%of the Agreement's purchase price to offset Contractors incurred labor,administrative fees and material costs;plus fif)the Contractor's costs for any specialty orders or any custom manufactured items.Buyer agrees to pay 1 %%per month on all amounts due and owing from the buyer to the Contractor accruing from the date due and running to the date the payment is made.If Buyer is in default of this Agreement,Buyer agrees to pay Contractor's attorney fees equal to 15%of the defaulted amount or as otherwise allowed by applicable law.Buyer also agrees to pay any other costs or expenses of repossession,collection,or realization on any security including court costs,to the extent not prohibited by law. Security Interest:This contract may result in a lien on or security interest on your residence.Buyer grants Contractor a security interest under the Uniform Commercial Code and other applicable law governing security interests in the property purchased pursuant to this Agreement,including a security interest in any proceeds from the sale of such property. Buyer agrees that the property purchased under this Agreement is,and will remain,personal property, regardless of the fact that said personal property may become attached to Buyer's real property. No Set-Offs or Retentions.Upon substantial completion of the Contractor's performance,Buyer shall pay all amounts due under this Agreement in accordance with its terms without any right of set-off or retention.Substantial completion is defined as the job being materially completed,functional as intended,and a final inspection,permit or occupancy certificate,as the case may be,having been obtained. If after making full payment,the Buyer alleges that the work is defective in any respect,the Contractor,without waiving any of its rights,shall cause an inspection of the premises and perform any remedial work to the extent the Buyer is entitled thereto under this Agreement or the Contractor's warranty at no cost to the Buyer. Buyer's Representations:Buyer represents and warrants that(a)any credit information furnished by Buyer in connection with this transaction is true and complete;(b)no person has promised or offered to pay,credit,or allow to Buyer any compensation or reward for the procurement of an Agreement with others as an inducement to enter into this Agreement;(c)no person has offered,delivered,paid,credited,or allowed to Buyer any gift,bonus,award,money, merchandise,trading stamps,or cash loan as an inducement to entering into this Agreement;(d)Buyer is the owner of the property where the goods and services are being provided. Miscellaneous:Problems and inquiries can be directed to the Contractor,who may be reached at the telephone number on the front of this Agreement.In construing this Agreement,the gender and number of words used may be changed to meet the context.Any part of this Agreement contrary to law of this State shall not invalidate other parts of this Agreement.This Agreement is to be governed by the laws of the State in which it is performed.All contractors and subcontractors must be registered by the administrator of the Massachusetts Bard of Building Regulations and Standards and any inquiries about a contractor or subcontractor relating to a registration should be directed to the Director,Home Improvement Contractor Registration One Ashburton Place Room 1301,Boston,MA 02108 Tel:(15W)727-8598.This Agreement and any accompanying documents represent the entire agreement between the parties and there are no prior or contemporaneous oral or written agreements or representations on which either party is relying.Any modifications to this Agreement shall not be effective unless in writing,signed by the Buyer(s)and a President or Vice President of Contractor.The section headings contained in this Agreement are inserted for convenience only and shall not affect in any way the meaning or interpretation of this Agreement. Certificate No: A044298 — — 6 ` THE COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF LABOR AND WORKFORCE DEVELOPMENT DEPARTMENT OF LABOR STANDARDS C> r;�Y, 19 STAMFORD STREET,BOSTON,MASSACHUSETTS 02114 DELEADER CONTRACTOR LICENSE A & A SERVICES, INC. 115 NORTH STREET SALEM MA 01970 i LICENSE: DC000440 EXPIRES: Saturday,June 25, 2016 IN ACCORDANCE WITH M.G.L. CH. 111, § 197B(b)AND 454 CMR 22.03,THIS LICENSE IS ISSUED BY THE DEPARTMENT OF LABOR STANDARDS TO THE CONTRACTOR ABOVE FOR THE PURPOSE OF ENTERING INTO OR ENGAGING IN DELEADING WORK. THIS LICENSE IS VALID FOR A PERIOD OF ONE YEAR. I. i THIS LICENSE MUST BE MAINTAINED BY THE CONTRACTOR WHEN ENGAGED IN DELEADING WORK IN ACCORDANCE WITH M.G.L. CH. I I 1 § 197B(b)(2)AND 454 CMR 22.03. i WILLIAM D.MCKf my,DIRECTOR Massachusetts - Department of Public Safety n Office of Consumer Affairs&Business Regulation Board of Building Regulations and Standards f�f ate, 'HOME IMPROVEMENT CONTRACTOR I I I Registration: 101609 Type: i License: CS-057733 , x' . Expiration: 62612016 Private Corporatiol �. s CHRISTOPHER 7,O Pie 4&A SERVICES, INC of 115NORTHST f a Salem MA 01970% Christopher Zorzy 1 115 North Street Salem, MA 01970 Undersecretary ��'�-�ANT n jt1 Expiration- Commissioner 05/26/2017 � I A&A SERVICES, INC. 1115 NORTH STREET SALEM,MA 01970 I March 7, 2016 A&A Services 115 North Street Salem, MA 01970 To Whom It May Concern: Enclosed please find two updated Acknowledgement and Consent letters executed by each of the other two unit owners of 141R. North Street in Salem, MA. These are for the upcoming window replacements to my unit. And, if you could let Sean Luddy know that A&A received these. You can acknowledge receipt to me via email, t.huttonamassbbo.org. Thank you. Sincerely, Tracy Hutto Owner/Trustee, Unit 2 Carlyle Place Condominium Trust ACKNOWLEDGEMENT and CONSENT I, Pam Rehal, the undersign, hereby acknowledge and consent to the window replacement of the second floor windows owned by Tracy Hutton, trustee and owner of 141 R. North Street, Unit#2 in Salem, MA. Dated: Pam Rehal Trustee/Owner 141 R. North Street, Unit#1 ACKNOWLEDGEMENT and CONSENT I, Georgialee Simko, the undersign, hereby acknowledge and consent to the window replacement of the second floor windows owned by Tracy Hutton, trustee and owner of 141 R. North Street, Unit#2 in Salem, MA. Dated: �Jf Georgialee SimO Trustee/Owner 141R. North Street, Unit#3 . 30 " + Phone: 978-741-0424 -2012 p _ p SER S Fax: 9vices. om /p'r{y��/L"�r OP�AUC` www.a-aservices.com . . 115 North Street Salem,MA 01970 April 13, 2016 City of Salem Building Dept. 120 Washington Street Salem, MA 01970 To Whom It May Concern: Enclosed please find the permitapplication for Georgialee Simko, 141 R North St, Salem, MA. I have enclosed a check f" or $33.00 based on your fee schedule of $11.00 per $1,000.00. The job was $3,078:00. J Please send the co/m/pleted permit to A & A Services, Inc...at 1.15 North Street, Salem, MA 01970. If you have/a`ny4questions, rplease contact me at (978) 741-0424. Thank youJor yoursistance. Sincerely, ZA Barbara Zorzy , Office Manager