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172 OCEAN AVE W - BUILDING INSPECTION The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY Massachusetts State Building Code, 780 CMR, 7th edition OF SALEM Revised January Building Permit Application To Construct, Repair,Renovate Or Demolish a ], 2008 ^ One- or Two-Family Dwelling E V This Section For Official Use Only Building Permit Number://f Date Applied: �7 Signature: � > -1.D-c.t ?/ Building Commissioner/Insp for of Buildings Date SECTION 1: SITE INFORMATION 1.1 Property Address: ID: 24/0134/0 1.2 Assessors Map& Parcel Numbers 172 Ocean Avenue West 24 0134 1.1a Is this an accepted street?Yes X no Map Number Parcel Number 1.3 Zoning Information: - 1..4-Pro r Di ons...,._ R2 One Family Pe tY Zoning District Proposed Use L a(sq ft) Fr ge(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. §54) 1.7 Flood Zone Informs ' • 1.8 Sewage Disposal Sytem Zone: a lood Zone? Public❑ ovate❑ — MunicipaLO-A site disposal system ❑ Check if yes❑ t SECTION 2: PROPERTY OWNERSHIP` i 2.1 Owner'of Record: Raymond Bouchard 172 Ocean Avenue West Name(Print) Address for Service: Attached Contract/Authorization Letter 978-745-0322 Signature Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work : Install(2)Replacement Windows,Same Size,Non-Structural, U-Factor .' 0.32 SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $2,324- 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $0 ❑ Standard City/Town Application Fee❑Total Project Cost' (Item 6)x multiplier x 3.Plumbing $0 2. Other Fees: $ 4. Mechanical (HVAC) $0 List: 5. Mechanical (Fire $0 Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6. Total Project Cost: $2,324- 0 Paid in Full 0 Outstanding Balance Due: ` SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) 97519 08/31/2010 Lubos Svec—Sears Authorized Agent License Number Expiration Date Name of CSL-Holder 827 Thompson CT 06277 List CSL Type(see below) U Type Description Add L U Unrestricted(up to 35,000 Cu.Ft. J R Restricted 1&2 Family Dwelling ure M Masonry Only 860-753-0452 - RC Residential Roofing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 Registered Home Improvement Contractor(HIC) Sears Home Improvement Products Incorporated 148607 HIC Company Name or HIC Registrant Name Registration Number 024 Florida Central Parkway/Longwood, FL 32750 Ad ss 10/11/2011 407-551-5402 Expiration Date S' 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 ..........Q No........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, Raymond Bouchard as Owner of the subject property hereby authorize Sears Home Improvement—Lubos Svec—Auth. Agent to act on my behalf, in all matters relative to work authorized by this building permit application. Attached Contract/Authorization Letter Signature of Owner Iq#e SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION 1, Lubos Svec—Sears Home Improvement , as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. LubpS Sv c—Sears Hojone Improvement- Authorized Agent / Cell: 860-753-0452 Print NayV Si wner ut on g to (Signed under the pains and ena ues o er'u 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 I I O.R6 and 1 IO.RS,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"maybe substituted for"Total Project Cost" i CITY OF S.U..F. I, 2UNSSACHLSETTS BUILDING DEPARTMENT 130 WASHNGTON STREET, 3w FLOOR TFL. (978) 745-9595 FAX(978) 740-9846 Kl%fBERLF-Y DRISCOLL ;MAYOR T mNiAs ST.PMRRE DIRECTOR OF PUBLIC PROPERTY/BCII.DING COSMSSIONER Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR 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 111, S 150A. The debris will be transported by: 'BQ - I f �iV1 � (name of hauler) The debris will be disposed of in : p - irU, Ki /1 (name of facility) 3�s � s � ,y Aye . es urc7n , (-3 . ow9C� (address o facility) 0 f permit applicant ) date a�bd,�trdx t h l' CS, The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 9 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electiticians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/lndividual):_ Sears Home Improvement Products Incorporated Address: 1024 Florida Central Parkway City/State/Zip: Longwood, FL. 32750 Phone #: 860-753-0452 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a,employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(fUJFrmd/or­partttMm )-' have hired the-subcontractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ ❑ Remodel ng 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. 0 We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself o workers' comp. c. 152, §1(4),and we have no y [N p. 12.❑ Roof mpairs insurance required.] t employees. [No workers' 13.0 Other Qe 9 comp. insurance required.] 'My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Ace American Insurance Company / Phone:866-283-7122 Policy#or Self-ins.Lic. #: WLRC45701207 Expiration Date: 08/01/2010 Job Site Address: ' 7c! ©ow In A ye Yl u l/Ll Ec5 I city/State/Zip, - Ol 9 7 O 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 maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cart! n the pains a enaldes ofperjury that the information provide above is true and correct. -2o in Si nature {Sears Auth.Agent} Date: Phone #: Home:860-315-7468 / Cell:860-753-0452 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#: r DATE(MM/DD/YYVY) CERTIFICATE OF LIABILITY INSURANCE 07/17/2009 PRODUCER A PRODUCER Risk Services Central, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY Chicago IL Office - AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 200 East Randolph CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE Chicago IL 60601 USA COVERAGE AFFORDED BY THE POLICIES BELOW. PHoNE- 866 283-7122 FAx- 847 953-5390 INSURERS AFFORDING COVERAGE NAIC# INSURED - INSURER ACE American Insurance Company 22667 Sears Holdings Corporation d dba Sears Home Improvement Products, Inc INSURER e: Indemnity Insurance co of North America 43575 Attn: Risk Management E3-219A INSURER c: ,o 3333 Beverly Road Hoffman'Estates IL 60179 USA INSURER D: 9 INSURER E. COVERAGES SIR applies per terms and conditions-.of the policy S 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LIMITS SHOWN ARE AS REQUESTED INSR D' LTR INSR TYPE OF INSURANCE POLICYNUMBER POLICY£FFECI'IVE POLICY EXPIRATION LIMITS ATE(MM/DD DATE(MMMD p CZENERAL LIABILM HDOG24933398 08/01/2009 08/01/2010 EACH OCCURRENCE $5,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED E$,000,000 CLAIMSMADE M OCCUR I'p .• PREMISES.(F¢ crwrw¢) tvyg . ape person Excluded 0 ❑ PERSONAL&ADV INJURY 55'000,000 n GENERAL AGGREGATE S5,000,000 GENL AGGREGATE LIMIT APPLIES PER'. N PRODUCTS-COMPIOP AGO S5,000,000 p ❑X POLICY ❑ FRO- ❑ LOU CT p AUTOMOBILE LLIBILITY ISAK0857957A 08/01/2009 08/01/2010 COMBINED SINGLE LIMIT O A ANY AUTO ISAH08579568 08/01/2009 08/01/2010 (M wad.) $5,000,000 Z ALL OWNED AUTOS A BODILY INJURY m SCHEDULED AUTOS (Per Persw) E X HIRED AUTOS d BODILY INJURY C.7 X NON OWNED AUTOS (Per,^^;depr) PROPERTY DAMAGE (Per wcidmt) GARAGE LIARUUTV AUTO ONLY-EA ACCIDENT ANY AUTO OTHER THAN EA ACC AUTO ONLY ADD EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE ❑OCCUR ❑ CLAIMS MADE r AGGREGATE BDEDUCTIBLE RETENnON A WLRC X C STATV- OTH- WORKERS COMPENSATION AND +— - EMPLOYERS'LIABILITY YIN CA 0.V LIMIT Eft A SCFC45701220 08/01/2009 08/01/2010 E.L.EACH ACCIDENT $1,000,000 ANY PROPRIETOR I PARTNER/EXECUTIVE El wi B OFFICE IMyEn NHR EXCLUDED? wLRC45701207 OS/Ol/2009 OS/Ol/2010 E.L.DISEASE EA EMPLOYEE $1,000,000 All Other states E.L.DISEASE-POLICY LIMIT $1,000,000 Yves,describe wder SPECIAL PROVISIONS below J OTHER DESCRIPTION OF OPERATIONS/LOCATONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION Sears Home Improvement Products, Inc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1024 Florida Central Parkway DATE THEREOF,THE ISSUING WSURERWILL ENDEAVORTO MAIL Longwood FL 32750 USA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SI TALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZEDREPRESENTATIVE s_$ 41 �29.s � ACORD 25(2009/Ol) 94988-2009 ACORD CORPORATION:All rights reserved= The ACORD Dame and logo are registered marks of ACORD r \ b ai y/P G YJ?/J�?(11�Z!!1Pl {Gl2• (y /&jiit2lf2/. r� Board of Building Regulations and Standards One Ashburton Place.- Room 1301 Boston, Massachusetts 02108 Construction Supervisor License License ,CS: - 97519 � .'. Restriction: 00 -- _ - - - - -' Birthdate: .81 1/1963, Expiration: 6131/2010 Trd 97519 :e LUBOS SVEG _. 827 THOMPSON ROAD - THOMPSON, CT 06277 Update Address and return card.Mark reason for change. ors-Cn; xt.:-c_rF,.v;npg Address Renewal Lost Cord v d .1.+ r •. 'T.• ire,,., ;«.:.=,llb �'..r"1.,,,, r%•..,..rG r - r;, rw BoardofBuddn R g egnlarlons as 8rantlaitils '- F s Construction Supervisor License cWtrD RrtlrB End.16 u— License: CS 97519 saxY 8-82 Eyar.HAZ M.urda&29.2807 r.,. . ^--�.•9"" BIM date: 8/31/1963 SVEC Stf!'' ,f •. Expiration: 813 1120 1 0 Tr# 97519 40 \IA Restriction: 00 . 44* .�,.,«.,, 3 LOBOS SVEC �(J� � 827 THOMPSON ROAD THOMPSON,CT 06277 Commissioner 09/30/2009 10:49 4077678536 SHIP PERMITS&LICENSE PAGE 01/01 ' � ca of Lonswaler�t��44siness a ati uV 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Coritrractor Registration Registration: 148607 Type: Public Corporation Expiration: 10/11l201i Tr9 288268 _ SEARS HOME IMPROVEMENT P1kbQt14T_- t ALFRED NYMAN JR. — `- 1024 FLORIDA CENTRAL PKWY:• LONGWOOD, FL 32750 — Update Addreas and return card.Mark meson for change. . - -- Address 0 Renewal Employment n Lost Card scat a sad•oama•almzla. _ _ _ ._. -. . . - - . . . _ . - - $� ODi Caasnme oa License or registration valid for ind-widul use only HOME IMPROVEMENT CONTRACTOR before the expiration datL If found return to: Roglist .., Office ofConsumer AlEsirs and Business Regulation rXpira ationf. :148801 - - 8 10 Park Plaza.Suite S170 ExPiraton t�11120N - Trll 288268 - ®stop,MA 02115 Typer .-Fti6ucco point on SEARS HOME 1[iilP.RovEMEUT PRODUCTS INC. ALFRED NY MAN JR.t`-i'' - 1024 FLORIDA 11iAt.'I?fc�/iGY a'- — LONGWOOD.FL75a' :a Undeeaeerrbry - Not valid without signature Afteo o ssi ri er�aife an usinesa s'Reguati -anon 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement,Contractor Registration Registration: 148607 - r• Type: Supplement Card Expiration_ 10/11/2011 SEARS HOME IMPROVEMENT PRODUCT, r LUBOS 'SVEC 1024,FLORIDA CENTRAL PKWY, LONOWOOD, FL 32750 g F Update Address and return card.Mark reason for change. - i Address ❑ Renewal D Employment ❑ Lost Card DPs.cr» 0 50M-04/aG101216 �,ir�Q�ua .� Office of Consumer Affairs&Business Regulation License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. found return Office of Consumer Affairs and Business Regulation Registration: 148607 10 Park Plaza-Suite 5170 Expiration:. 10/11,2011 Boston,MA 02116 Type: Supplement Card �- SEARS HOME IMPROVEMENT PRODUCTS INC. - - -- - - --- - - - -- LUBOS SVEC 1024 FLORIDA CENTRAL PKWY U LONGWOOD, FL 32750 - Undersecretary Not valid without signature I Illlllgllllllll T Proposal Date lik t,5 Job A S Sears Home Improvement Products,Inc. Castplms Name P.O.Box 522290 1 A rA ears 1024 Florida Central Parkway Customers Home Phone Customer's Work Phone Home Improvement Products Longwood,FL 32752-2290 97$' 7 4S 6121.1Phone (800)469-4663 Streel Address ESTIMATE AND PROPOSAL Contractor License/neglstranan Number t 7Z (OczAni A v,E ST HIC#148607;all plumbing and electrical City Stare ZlpCode Windows Services performed by licensed subcontractors SA M M if© lj I Isi.anstallation within city limits? FEIN 25-1698591 Installation Address CountyLJ Yes No Billing Address(it different from above) City. State IZipGa& Project consonant Name d License No.(if applicable) 172, O r 4 g Iq76 07ykaw"Adi f aaLw', Description of the Project and Description of Me Significant Materials to be Used and Equipment to be Installed 1. Remove existing units to be replaced.(PLEASE NOTE:The removed units are likely to be damaged.) 2. Prepare openings as necessary to receive replacement units.(No finish work other than normal installation is to be done unless otherwise noted below.) 3. Installation includes the clean up of It Q¢related debris upon completion of the lob. 4. Install Sears Weatherbeater [�(LS �iF�A Windows in the openings described below according to the following specifications: COLOR: kite ❑Tan ❑Clay ❑White/Light Woodgrain Interior ❑White/Dark Woodgrain Interior TYPE: ❑DH cry— ❑PW Cry— Acasement Qfy Type J�f.J rinF rY O SH Oty ❑PD Qry_ ❑Bay ❑1-LR Oty_ ❑Garden Door Qry_ ❑Bow: 113 lite ❑4 lite ❑5 lite 02-LR Dry_ _ - E].Garden Window - ❑3-LR OtY ❑Other Qty GLASS: ❑Tempered` Qry. ❑DES Half Qry. SCREENS:Check if other than FIBERGLASS 'PLEASE NOTE.Tempered glass will be installed to ❑DES Full Qry. (on sashes only) ❑Aluminum meet building codes. ❑Laminated Qry. GRIDS: Type . I-Placement: __ Existing units NOT to be replaced. [I Yes ❑Col Flat JOWhite ❑Woodgrain O Top FIND ❑Col Sculp/Contour ❑Tan ❑Full ❑Other(Specify:) ❑Brass 10 Bottom ❑Clay ❑Flankers Only 5. (If applicable)After the completion of the project,the customer will be responsible forthe application and removal(storage)of shutter panels-In the event that the project requires the installation of storm shutters or egress windows,Sears Home Improvement Products, Inc.('Sears)will not re-install any affected security bars. 5. (If applicable) In the event Sears is unable for whatever reason to obtain the proper permits prior to the commencement of any work, Sears will refund any previous payment and this contract will be automatically cancelled. - Additional work to be done: Work NOT to be done: ,f SPECIAL INSTRUCTIONS: S,- - -cnd Sum( O 1ZZKCPlf Cl . �t All of the above check boxes and the"Work NOT to be done'section have been reviewed and explained to me. Customer(s)initials APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE: The work will start approximately 3 th3EVt kOq(Approximate Start Date)and will be substantially completed by approximatelyr�ril Gn kJ (Approximate Completion Date).These dates are subject to change at the time the contract is accepted by Sears Home Improvement Products,Inc.("Sears")or at any Other time by mutual written agreement.Customer understands that the Approximate Start Date is only an estimated date and the Customer will be contacted prior to this date to schedule the actual start date. The TOTAL PRICE including all labor.material,taxes and any applicable discount is A 32 Contract Price 2-3 $ Z Initial Payment(not to exceed 30%of Total Price unless Special Order) $ State Sales Tax( %) Final Payment(balance payable upon completion of job) $ e,3 Local Sales Tax The Initial Payment is due prior to Sears ordering products. =Addendum The form and method by which the Customers)will pay is described in a separate CasfUCrtlit Cam Paym part of and incorporated into this contract by reference. tials NOTICE TO BUYER:YOU,THE BUYER,MAY CANCEL THIS TRANSACTIDN AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY (FIFFH BUSINESS DAY IN ALASKA.FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER)AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Additional provisions of this contract are stated on the pages follawing Customer(s)initials Satl MA nev 04n9 • - � munmuui) ADDITIONAL PROVISIONS Proposal and Aooraval. Sears offers to furnish the materials and arrange for their delivery and installation as specified on the first page and/or the attached sketches and specification sheets for the TOTAL PRICE shown This offer must be approved by the Installation Department.If this is a credit sale or a payment on completion sale,it must be approved by the Credit Sales Department.It this proposal is not approved or the installation cannot be made in accordance with the law,this offer will be withdrawn and any payments you have made will be refunded to you. Any materials left over after the installation has been completed are Sears property and will he removed by Sears. Illid aiion. I understand that Sears will not install the materials but will arrange for the installation.Sears is not responsible for materials or installation NOT tarnished or arranged by Sears.Sears agrees to procure all permits required by local law. I uthorizatian. I authorize Sears to:(1)arrange for a contractor(licensed where required by law)to make the installation of materials;(2)issue a work order for this installation to a contractor;(3)inspect the installation;and (4) pay the contractor when the installation is complete it I have signed a certificate that the installation has been completed to my satisfaction. Delays in Installation. I agree that Sears is not responsible tot delays in delivery or installation due to weather,fire,strikes,war,government regulations or any causes beyond Sears'control. Oral At reemenls a_nd Changes in Contract. I understand that there are no oral agreements between Sears and me.Everything I expect Sears to do has been included in writing in this contract.Nothing can be changed in this contract unless it is in writing on a separate form accepted by me and Sears. Resparlslbil'ty 2 Buyer. I agree that any information or measurements that I give to Sears are correct and complete.I am responsible for any Special work described in this contract. Electrical$plumbing Segal I will provide adequate electrical andier plumbing services)to run any newly installed appliances or other furnishings. If the electrical and/or plumbing service(s)do not meet the standards of the utility company or electrical and/or plumbing codes, l will make the necessary changes at my expense unless Sears has agreed in this contract to make the changes. Payment. I will pay Sears the cash price that covers the price of material and installation as shown on the first page. Warranty Information. Appropriate product warranty documents will be given to me by Sears.Sears'Warranty on Installation is: SEARS'LIMITED WARRANTY ON INSTALLATION In addition tp any manufacturer warranty extended to you on the products)used(which warranty becomes effective the date the merchandise is installed),if[he workmanship(or application)of any Sears'arranged installation proves fanny within(i)one year for Weatharbeater Value Line.(r) two years far Weatherbeater Plus,or(iii)three years for Weatherbeater Max,and Weatherbeater Stormbeater,then upon notice from you Sears will cause such fauns to be corrected by repair at no additional cpst to you. If Sears determines that repair is not commercially practicable or cannot be timely made,then,at Sears'sole discretion,Sears may elect to Drovide replacement or refund.Service under this Limited Warranty is available by calling Sears Home Improvement Products at 1-B00-222-5030,Option 4.This warranty gives you specific legal rights.and you may also have other rights that vary from State to State. NOTICE TO BUYEfl 1. 00 NOT SIGN THE AGREEMENT IF ANY OF THE SPACES INTENDED FOR THE AGflEED TERMS TO THE EXTENT OF THE AVAILABLE INFORMATION AflE LEFT BLANK. 2. YOU ARE ENTITLED TO A COPY OF THIS AGREEMENT AT THE TIME YOU SIGN IT.KEEP IT TO PROTECT YOUR LEGAL RIGHTS. 3. YOU MAY PAY OFF THE FULL UNPAID BALANCE DUE UNDER THE AGREEMENT AT ANY TIME,AND IN SO DOING YOU SHALL BE ENTITLED TO A FULL REBATE OF THE UNEARNED FINANCE AND INSURANCE CHARGES. _ 4- YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY[FIFTH BUSINESS DAY IN ALASKA,FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 55 OR OLDER]AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.FAILURE TO EXERCISE THIS OPTION, HOWEVER,WILL NOT INTERFERE WITH ANY OTHER REMEDIES AGAINST THE RETAIL SELLER YOU MAY POSSESS.IF YOU WISH,YOU MAY USE THIS PAGE AS NOTIFICATION BY WRITING"I HEREBY RESCIND"AND ADDING YOUR NAME AND ADDRESS.A DUPLICATE OF THIS RECEIPT IS PROVIDED BY THE SELLER FOR YOUR RECORDS. S. IT SHALL NOT BE LEGAL FOR THE SELLER TO ENTER YOUR PREMISES UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE TO REPOSSESS GOODS PURCHASED UNDER THIS AGREEMENT. NOTICE TO MASSACHUSETTS RESIDENTS ONLY In atltlldon to the Notice to Buyer shown above,Massachusetts law requires that contracts for home improvement work state that all home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration P.O.Box 871 Taunton,MA 0270M871 Telephone:(508)821-9375 Please note that owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund. _ Notwithstanding any other language in the contract or associated documents, Sears will not remove, replace,or install any heating or air conditioning system, or any portion thereof, if asbestos or asbestos-containing material Is known or likely to be present in that heating or air conditioning system, or any portion thereof. If it is determined or reasonably suspected that asbestos is present,either before commencement or during performance of the work,it shall be the cus tomer's responsibility to select, retain and pay all costs of a Division of Occupational Safety ("DOS") licensed Asbestos Contractor to remove all asbestos or verity that none Is present in the components Involved in the]ob. If the determina- tion or reasonable suspicion of the presence of asbestos arises after Sears has started the work,Sears will Immediately cease performing the work until a DOS licensed Asbestos Contractor, hired by the customer, removes all asbestos from the components scheduled for repair or replacement in accordance with 310 C.M.R. 7.00 and 453 C.M.R. 6.00 or veri- ties that none is present. By signing the contract the customer agrees that it understands the above. / DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES -customers signature 'r Date Cusmmer's signal u[pe Date Accepted by Sears Home Improvement Products.Inc.("Sears")on 0 / by: NT DateNTmagemeoA44preSo tIVe1 Sly-.Rw WW j National Fenestration Rating Council® ENERGY PERFORMANCE RAIIN"�U"%'��2 EVALUADION DE RENDMMffO ENERGIMOO U-Factor Solar Heat Gain Coeffident Factor-U Goefidente:Gananda de Energia Solar iuSA-P) (Metrimm) ADDITIONAL PERFORMANCE RATINGS -.WALUACIONSUPLEMENrARIADERENDIMIENTO Visible Transmittance Transmision de LuzVWible Manuiautuar stipulates that these ratings conftmn to applicable NFRC procedures for determining whole product perfiarmance.NFRC ratings are determined for a fixed set of emiftonmental conditions and a specific product size.NFRC does not recommend any product and does not warrant the suitability of any pmduct for any specific use.Consult manufacturers literature for other product perimmince infonnation.wwwmfm.org -- - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - -- - - - - Este faMcardD estipula que esW valores cumplen con los;procedimle"aplicables do NFRC para determiner el rendimlerno total del producto.Los valares usados par NFRC son detarminadus por un conjunto fjo de cmullciones;ambient2des y un tar nano do pmducto especilico.NFRC no recomienda ningun producto y no garantiza que at producto sea adecuado paria un use especirm.Consufto con el falleto del fabricantD pare el we apmpladD de este pmdwtD.wwwjffmorg T Cis 4 Keep this label for possible ENERGY STAR®rebates To loom more v&ff www.enenjysW.gov 'Guards esic eliqueta pom Obles reembohs ENERGY STAR®Pam conocer mds acerca de esto,visRe www.iheWft.gov.