21 NORTHEND AVE - BUILDING INSPECTION (3) The Commonwealth of Massachusetts
Board of Building Regulations and Standards CITY
Ois SALEM
Massachusetts State Building Code, 780 CMR, 7"'edition
Revised January
Building Permit Application To Construct,Repair,Renovate Or Demolish a 1, 2008
One- or Two-Family Dwelling
/ This Section For Official Use Only
Building Permit Number: Date Applied:
Signature:
Building Commissioner/Insp r of Buildings Date
SECTION 1: SITE INFORMATION
1. Pro erty A ress: 1.2 Assessors Map&Parcel Numbers
z LA L1e
L I a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c. 40, §54) 1.7 Flood Zone Information:- 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2 O�er'ofRe ol :
Name(P�ir ` L�y�7 Address for Service: -
5`' -elff-7 V,5 6 6-
Signature Telephone
!J�
SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply)
New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief escri tion of P opgsed Work :
��f /
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
❑ Standard City/Town Application Fee
2.Electrical $ s
❑Total Project Cost (Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5.Mechanical (Fire $ Total All Fees: $
Suppression)
Check No. Check Amount: Cash Amount:
6. Total Project Cost: $rl 75�7. OZ 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5..1y Licensed Construction Supervisor(CSL) C 5 r
/ jk15��' Zrz� License Num-berr Expiration Date
a e of C,SL-Hold r
Add �
p List CSL Type(see below)
V Type Description
y U Unrestricted(up to 35,000 Cu.Ft.
signature R Restricted 1&2 Family Dwelling..--,,
/ r/ 2 4//,Q11�� M Mason Only
ry
6 RC Residential Roofing Covering
Telephone WS Residential Window and Siding
SF Residential Solid Fuel Burning Appliance Installation
D Residential Demolition
5.2 Registered Home I roveme t onee�tractor(HIC) lJ D ¢
HIC Com any Name WHIC Reg'strant me Registration Numb
/ Yd � 2 d12
Ad s
7// d y2
Expiration Drate
Signature Telephone
SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152. § 25C(6))
Workers Compensation Insurance affidavit must be c pleted and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuanc of the building permit.
Signed Affidavit Attached? Yes .......... No........... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, Z as Owner of the subject property hereby
authorize / Z to act on my behalf, in all matters
relative to wwork ut oriz d� by this b/ui ding permit application. /
Signature of Owner Date
SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION
/--p
I, I /�/f ��Zir L as Owner or Authorized Agent hereby declare
that the statements and informationforegoing ap cation are true and accurate,to the best of my knowledge and
behalf.
h1115 6r
Print
Signature of Owner or uthorized Agent Date
(Signed under the pains and penalties of perjury
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 and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.R6 and 110.R5,respectively.
2. When substantial work is planned,provide the information below:
Total floors 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"
DISOPSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of M.G.L.c.40, Sec. 54, a condition of
Building Permit Number is that the debris resulting from this work
shall be disposed of in a property licensed facility as defined by M.G.L.c.
111, Sec. 150a.
The debris will be disposed at: Salem Transfer Station
Owned by Northside Carting
Signature/of PermitApplicant
Date
Christopher Zorzy
Name of Permit Applicant
A&A Services, Inc.
Firm Name
115 North Street, Salem, MA 01970
Address, City, State, Zip Code
The Commonwealth of Massachusetts
Department of Industrial Accidents
�3 olJl'Investigations
ations
'Office o g
600 Washington Street
Boston, MA 02111
<•, f'. www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information /� (� Please Print Legibly
Name (Business/Organization/Individual): a c a si �/ Y t�I l�Q 11 I a
Address: � ���` �}�� f J
City/State/Zip: 11 I0 O 1 g O Phone #: Y�9 16- 1- 0 U (fit "I
Arree7y�u an employer?Check the appropriate box: Type of project(required):
1.[)/J 1 am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction
employees (full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.t
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ 1 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
,J
insurance required.]t c. 152, §1(4), and we have no liiVthery p�/ /I 1 ,L�
employees. [No workers'
comp. insurance required.]
Any applicant that checks box 91 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.
tContractors that check this box must attached an additional sheet showing the time 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 andjob site
information. -n( T'//I n ! C
Insurance Company Name: J( IK1 '1/1y1�4r���PY ,1 J
Policy#or Self-ins.�Liic.#: i I I I U �a` L� Expiration Date: 3
Job Site Address: �A /V �1 �� I C t W City/State/Zip: 6 1970
Attach 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$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.
Ida hereby certify der he painnd penalties of perjury that the information provided above is true and correct.
Signature: (gyp �J/�1 Date:
Phone# vl l o
Official use only. Do not write in this area,to be completed by city or town offtciaL
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#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more
of the foregoing engaged in ajoint enterprise,and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary, supply sub-contractor(s)name(s), address(es)and phone number(s) along with their certificates)of
insurance. Limited Liability Companies(LLC) or Limited Liability Partnerships(LLP)with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax# 617-727-7749
Revised 4-24-07
www.mass.gov/dia
iltassaclaosetts- dDcp.trtrn ent of Public Safet}.
:'All Board Of Buiidi87h H,cgulations And, St.aru.11:tr6
c6nstructiori$clpervisor License -'
License: CS 57733 "
�- Restricted to: 00
CHRISTOPHER ZORZY
115 NORTH ST t
SALEM, MA 01970
Expiration:5/26/2011
C'ununis+iuncr. Tr#: 14751
✓liePar.Uvwow.ealt/z aP✓ ' a¢cluceel! - .
Office of Consumer Affairs&B siness Regulatidn .
HOME PROVEMENT CONTRACTOR
RegistrationIM . 101609 Type:
Expiration .6126/2012 Private Corporation
A&q SERVICES„INC:,:,`-
Christopher Zorzy
115 North Street =
Salem, MA 01970 -
Undersecretary
COfnmonlntealth of Massachusetts
Division of occupational Safety
Laura M.Marlin,Commissioner
Deleader-Contractor
CHRISTOPHER ZORZY
Eff. Date 04414/10
Exp.Date 04/13/11 ✓1 'I
DC000440 k
Mem6erofC.O.N.E.S.T.
BO o r r
C;
eOSTON-RENEW
NOV-05-20t0 1G:19 Sunrise Windows AA P.02
vanguard EsimmW I N�D O W 5
A view that works
Vanguard Windows are tested and certified to National Fenestration Rating Council (NFRC)
standards. These are the numbers ENERGY STAR® uses to determine how fenestration products comply
with their standards, and to categorize the products for the appropriate climate zone(s).
Window Glass " Factor SHGC I
Type Package � ®;
VG Plus 0.28 0.28
Double VG 12 0.28 0.21 S"'
Hung
VG3Ar 0.22 0.22
VG Plus 0.29 0.28
Slider VG 12 0.28 0.21
VG'Ar 0.22 0.22 W
VG Plus 0.28 0.28
Tilt•In Slider VG 12 0,28 0.21 ® Northam
VG'Ar 0.22 0.22 ❑ North/Central
VG Plus 0.28 0.30 "sr:,r,•^
Picture VG 12 0.27 0.22 ; ❑ South/Cantrai
VG'Ar_ _ _0.21 0,22 t�„A 41,;w � `�•
VG Plus 0.26 0.24 -I- - ® Southern
Casement VG 12 0.25 0.18
I'..'- •-_ `�. !'�i Alternative
VG'Ar 0.21 0.19 Criteria Allowed
-VG Plus 0.26 0.24
Awning VG 12 0,26 0.18
VG'Ar 0.21 0.19
VG Plus 0.26 0,28
Casement VG 12 0.25 0.21
Picture
VG'Ar 0.20 0.22
VG Plus 0.30 0.27
Sliding Door VG 12 0.29 _0.20
VG3Ar N/A N/A N/A
www.vinguardwindows.com
This data Is accurate es o f February 26.2009.Due to ongoing product changes,updated test results,or new industry standards or requirements,this data may changeover
time.Ratings are for sizes specified by NI:RC for testing and certification.Ratings may vary depending an use of tempered glass,different grid or decorative glass options,glass
for high altitudes,coastal applications,etc.
R
r,y��yµGt
ku
I '
.
p .-5n.`�'�. '. t, ' •ram A
TOTAL P.02
+ ounce
vow,19V � A & A SERVICES, INC.
AsA SERVICES 115 NORTH STREET,SALEM,MA 01970
allf-ROWNFEW Telephone: (978)741-0424 Fax:(978)741-2012
Contractor Registration No. 101609
Federal EIN:04-3090162 Construction Supervisor No. CS057733
CUSTOM REMODELING AND IMPROVEMENT AGREEMENT
Buyers)Name Date of Contract
eiAAP_y l o NruSGvJ -t-ls}rv/✓MA-2-I r- MA 22- z -6-!/
Buyers)Street Address,City,State and Zip Code
2 ( 4-✓)-5- <Sit1,0-7 sli 0070
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address:
978-7"6--g0r 0 978-7&(a'l/S&y
The Buyers)listed above hereby jointly and severally agree to purchase the goods an Nor 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"Agreement"),and Buyers)have requested that such
goods or services be installed or provided at Buyer's address listed above. A&A Services,Inc.('Contrao(oP),hereby agrees to install or cause to be installed the products
or services listed in this Agreement at the Buyer(e)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 porch ed as described Ill regardless of timing or approval of any financing Buyers)may seek for their purchase.
yCtf = 9 96,
Purchase Price: 7757• Est,Starting Date: 3-8
Dawn Payment:jZ SoSa Est.Completion Date: _zi. l
❑Cash
Amount Due on Start of Job: Check
❑Credit Card
Amount due on of Completion: No.
Amount Due on of Completion: Expiration Date:
Balance Due on Upon Completion: 177. r 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 changing or modifying any of the terms of this Agreement.
Buyer(s)hereby acknowledge that Buyers)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(11)request that they be contacted via their
telephone numbers or e-mall,as listed above, In the event Contractor believes Buyer(s)would be interested in any additional quality
products or services of Contractor. DO NOT SIGN THIS CONTRACT IF IT CONTAINS ANY BLANK SPACES.
A&A Services,Inc. Bu/yer(s) J
By, fL�K Mtn ,
Signature 4-1n U2 r ,Signature �i r
Print Name x B' e - J
Signa�l}t5e v /
/59,eiY J,`r Lrs c"f
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:TM1e contractor and the nomeowner h retry mutually agree in advance that In the event elver pat has a dispute wndent MIS summit either par may submit such dispute to
a pmele pNlVation service wM1lch has been apWwed byte Secretary cribs& tWa elute of ecnsumer area BL mare Ragulellons ryld lha error par shall be reedited M submit le
a idu.band n as minds m si a t-C 1 W. J
Der,, or initiils: Buymalnitialsisi•�
Da¢: Date: Cie 0
NOTICE OF CANCELLATION NOTICE OF CANCELLATION
Oats et Tr radon 7—ap�l you may cancal Min transactun,without any penalty or Ohio of Transaction ZZ-8 11 Voumaycartelthistrwws ion.wnout any penalty or
obligation.within three business days from the above dat, if you caravel,vry proper based in, obligation,would Mrae business days tram the above data I tern wassl it,prWeh,hisad in,
any payments made by you under the Contra,or Sole,and any nyotlable mstmmem executed any payments made by you under the Contract or Sete,and any negotiable immundim executed
by you will be returned within 10 days following receipt by Me Bella,of yaw cancellation cotes, by you will be retimed with,10 days blowing receipt by the Seller of your cancellation entire,
and any security interest andid,out of Me transaction will be cancelled II you cancel,you must and any secury interest arising out of the transaction will be cancelled, It you cancel.you must
make availeMe to Na Seller at wrindaidenre,m subntamialN as good Swagger as when recaNed, moue avaliable to Me Server as bus residence,in wbsWtielly an good mndN an when received.
any goods delivered M you under this Contract or Sale:or you may.X you wish.comply with the any goods der red M you under MIS Comm ad or Sed,or you may,if you wish,comply with Me
in b lions of the Seller regarding the return shlpmam of the goods at Me Sellma expense end instructions of the sonar regarding the return shlpmem of the sows in Met sonars expense and
risk If you do make the goods evailabla to the sonar and the saner does not pick Mom up risk. X you do make the wads availaue b Me seller and to Seller does not pick them up
within be days onne data o1 your Norco of Caul ellatlon you may tate,or dispose of the good. within zo days of the date of Your Notice of Canrenawn,you may retain or dispose of goods
without sawfurther obligation,Ifyoufamomaketagoodsavallabletothe Selle,.orurouame without any further Mllgnind.Ifwufailtomake MegoodsrvWlableto Me Selleporffpuagm.
M reNm the goods io Me Seller and fail io du so,thou,ou remain lable for performance of all to realm to goods to Me Seller end fail to do so,then you remain liable for performance of all
obligations under the Comil To cancel ME transaction.mall or deliver a signed and dated copy obligations under the Contract.To cancel this pensaccon,mail or deran a signed and dated copy
of the cancellation notice or any other wooden notice,nr sand a telegram,to A&A SeMces 1$ of the cencellahon notice or any other writlen rwtira,or santl a telegram,to ABA�aServices.115
North Street,Salem.Massachuset 0197%NOT LATER THAN MIDNIGHT OF z�I I—Y I. North Seem Salem,Massach....01Wo,NOT LATER THAN MIDNIGHT OF
(pate) (oam)
I HEREBY CANCEL THIS TRANSACTION, Consumer's Signature Gam I HEREBY CANCELTHIS TRANSACTION. Carbonate Signature Data
p e A & A SERVICES, INC.
AA�AA SERVICES 115 NORTH STREET,SALEM,MA 01970
• • Telephone:(978)741-0424 Fax:(978)741-2012
Contractor Registration No. 101609
Federal EIN:04-3090162 Construction Supervisor No. CS057733
WINDOWS AND STORM PRODUCT SPECIFICATION SHEET
Buyer(s)Name Date of Contract
4 1-/`R.H J 0 /V f,4AJJV MJq&1i5F—
Buyerts)Street Address,City,Stale and Zip Code
2 ( III 10 A-vii S'�¢LLr� M�1 O i 970
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address
?_79-7Y5_,i 976^764,d-i
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.
WINDOW REPLACEMENT
t Remove and dispose of# existing windows.
t Install # new S'LUU9,1i windows:d✓inyl t Wood
N 01'P&i (Manufacturer)
Options: Style 2. DmxC�,6NvnyG Grid pattern NaTi7��
Color IA.Interior ZJ'7L_ Color Exterior J' _ Glass Type JQotr 6t ';' �w
////t� Wrap exterior trim with aluminum: Style L—/;Csw�S�ni�t JI i TLT— f
9tAll windows will be installed according to the installation procedures in the portfolio. -
t Caulk all interior and exterior edges.
Insulate where possible around new units.
te't) Insulate window weight pockets if exist,and around new window units where possible.
t Included in this proposal are set up,clean up,Hepa vacuum and cleaning windows inside and out.
Building permit included.
BAY/BOWS/CASEMENT UNITS/ANY FULL CONSTRUCTION WINDOWS
I Create new window opening by cutting through existing home and framing in opening.
f Remove and dispose of existing units)in its entirety.
Note:Electric and plumbing may exist in wall and will require additional costs to customer if need to be dealt with.
t 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.
It Bay t Bow t Casement t Other windows)to include new interior style trim and new exterior style trim and head
flashing as needed.
Note: Painting and staining not included.
STORM PRODUCTS
t Remove and dispose of# existing storm window(s).
t Install new storm windows# Manufacturer
Style Color Option
t Remove and dispose of# existing storm Coolie).
t Install new storm doors# Manufacturer
Style Color Type: f Aluminum t Solid Core
SPECIAL INSTRUCTIONS:
'^ 1A1.5 714'L(_ /lo l IN 9b*,zdvn_ 7= /G'r- 4a19T6wt6'"7—
J,tilA/V CD,V,S
j1774--1 0&1/On- Ven.1_ /Sae Fart- �/) w•J n � VoiJ/V �
It Is agreed and understood by and between the parties Nat this Specification Sheet,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes
the entire understanding between the Parties,and there are no verbal understandings changing or modifying any of the terms. Thle contract may not be changed or its
terms modified or varied in any way unless such changes are in writing and signed by bath the Buyers)and the Contractor.auyer(s)hereby acknowledge that 6uyer(s)
has read this Specification Sheet.
Contractor Initials: //r'7 Date: Buyer's Initials: f�,yg Date:x0"-0
• �,uMe A
,, /� ,�» A & A SERVICES, INC. ,
A&A SERVICES 115 NORTH STREET,SALEM,MA 01970
Telephone:(978)741-0424 Fax: (978)741-2012
Contractor Registration No. 101609
Federal EIN:04-3090162 Construction Supervisor No.CS057733
ENTRY DOOR SPECIFICATION SHEET i
Buyer(s)Name Date of Contract
( R2W JvL1San� -+ A7vr���lFlrzrlS M�422 Z -�- 11
Buyer(s)Street Address,City,State and Zp Code
Z / Nmv/1JC�7/D h1VZr St9zE�v�t MKJ 07`1Z i7
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address
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.
...LLLnnn - ENTRY DOOR
ya/Remove and dispose of# /�_ existing entry door units.
YInstall new entry doors# ! Manufacturer % f✓//% — -y
Location �yY}-c,l- Q,14-k 0
Type: ❑Steel Xurro&hStar ❑Fiberclassic ❑ClassicCraft ❑Sliding Patio Door ❑French Hinged Patio Door
Model# Al_..iW6 Sidelight(s)# Sidelight(s)type/model#
OPTIONS:
Adjustable threshold for ThermaTru Door ❑Grids for patio doors: Style:
Stain Kit: Supplied to owner
Expand or shrink the size of the opening Details
Cover exterior trim with aluminum coil stock: Style Color
PIA
){Aiandelset Xeadbolt ❑Footbolt ❑Mail Slot ❑Peepsite
PIA Install oak strip at floor as needed.
Caulk interior and exterior edges.
�?Insulate around new door unit where possible.
�I Painting is not included.
Included in this proposal are set up and clean up.
STORM DOOR
❑ Remove and dispose of# existing storm door(s).
❑ Install new storm doors# Manufacturer
Style Color Type: ❑Aluminum ❑Solid Core
❑ Location:
SPECIAL INSTRUCTIONS:
It is agreed and understood by and between the parties that this Specification Sheet,along with the CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,consti-
came the eall.iinderstanding between the parties,and there are no verbal understandings changing or modifying any of the terms. Tide contrail may not be changed
or its terms modified or varied In any way unless such changes are in writing and signed by both the Buyer(s)and the contractor. Buyers)hereby acknowledge that
Buyer(s)has read this Specification Sheet. .�r
Contractor Initials: U J Date: 2— 8 P�/ Buyer's Initials:�C'� Dat D 1