24 RAVENNA AVE - BUILDING INSPECTION T �
1
t tJ t/
&\ The Commonwealth of Massachusetts
W
Board of Building Regulations and Standards FOR
Massachusetts State Building Code, 780 CMR, 7"' MUNICIPALITY
edition USE
Building Permit Application To Construct,Repair, Renovate Or Demolish a Revised January
One-or Two-Family Dwelling 1, 2008
This Section For Official Use Only
Building Permit Number: Date Applied: S 23 0"v
Signature: a l qo rb
BuildingCommissioner/Inspector of Buildings Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
24 Ravenna Avenue
1.1 a Is this an accepted street?Yes X no Map NumberParcel Number
11.3 Zoning Information: 1.4 Property Dimensions:
R1 One Family
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'
2.1 Owner'of Record:
Robert Powers 24 Ravenna Avenue
Name(Print) Address for Service:
Attached Contract/Authorization Letter 978-745-0564
Signature Telephone
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ I Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) Q 'Addition ❑
Demolition ❑ 1 Accessory Bldg. ❑ 1 Number of Units I Other ❑ Specify:
Brief Description of Proposed Work': Install Vinyl Siding&(17)Replacement Windows
Non-Structural,U-Factor:0.32
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building $36,482- 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: $ f
Check No.ZV5 Check Amount: Ito 4 Cash Amount:
6.Total Project Cost: $36,482- �(Paid in Full ❑ Outstanding Balance Due:
17
7
1
sow 06 c v►Z�2/� czv� w � 1� �r,v�e�q,Lr
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SECTION 5: .CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL)
License Number Expiration Date
Name of CSL-Holder
List CSL Type(see below)
Address Type De ption
U Unrestricted(up to , 00 Cu.Ft.
Signature }'y R Restricted I&2,f'arnily Dwelling
- M MasonryOnly
RC Re - ential Roofing Covering 1
Telepho ;; rs ;} WS esidential Window and Siding
Residential Solid Fuel BurningAppliance 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
1024 FWriP Central Orarkwa / Longwood,FL 32750
Address 10/11/2009
' 407-551-5402 Expiration Date
Sign hue= 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, Robert Powers 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 May 23,2008
Signature of Owner Date " - -
SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION
I, Lobos 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. Home: 860-792-8106
Lobos Svec 4 e s Home I rovement' Authorized Agent / Cell: 860-753-0452
Print Name
May 23,2008
Signature of Oxgerior Authorized Agent Date
(Signed under the pains and penalties ofperjury)
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 IO.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"
Y .•
CITY OF SALEM-
„`: ~ 1141 PUBLIC PROPRERTY
�
DEPARTMENT
\1 '•.', N
12: \C',\tfN\t..,?V$I'ttr:1'r # SAT I'11, M.i,i.11 Itl •1 I ,, :I'J ',:
1'rl:`/.'$.�J '){'1f � t'.\\: '1%N �1J•'rVaO
Construction Debris Disposal Affidavit
(required for all demolition and rcnovatiun work)
In accordance with the sixth edition of the State Building Cade, 780 CIViR section 1 1 1.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit !t is issued with the condition that the debris resulting from
this work shall he disposed of in a properly Tieeased waste disposal racility as defined by MGL c
111_ S 150A.
The debris will be transported by:
�BP -i RUCK ) ro (�;,-
femme ut haut�r)
The debris will be disposed of in :
S(D& , Z 3 1 , l
2 P -`1"R 1. k) C,
(ualne ul facility
3G 5 (A vlI-e rs
h) eS1wcrvd , k4 i-! . 020cic)
I:aldress lit'lacilily)
• t:tWti ut penal
v.
r The Commonwealth of Massachusetts
Department of Industrial Accidents
O,fjwe of Investigations
600 Washington Street
Boston, MA 02111
www mass.gov/ilia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organizatiori/Individual):_ Sears Home Improvement Products Incorporated
Address: 1024 Florida Central Parkway
City/State/Zip: Longwood, FL. 32750 Phone #: 407-551-5402
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(full and/or part-time).'* have hired the sub-contractors
2.❑ I 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 forme in an capacity. workers' comp. insurance.
Y P h' 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 [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof rcpai.m
insurance required.]t employees. [No workers' II r
comp. insurance required.] 13.� er V 1 h � SI C r n
L.
*Any applicant that checks box#1 must also fill out the section below showing theirworkers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hive outside contractors must submit anew affidavit indicating such.
lContractors that check this box must attached an additional sheet showing the time of the sub-contractors and their workers'comp.policy information.
I am an employer that is praviding workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name: Ace American Insurance Company
Policy#or Self--ins. Lic..'#: WLRC4446079gq8 Expiration Date: 08/01/2008
Job Site Address: �/t 'Ra V e A n CL N J e n l.t 4--! City/State/Zi Q 19 7 0
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 c ' u r the pains dpenakies ofpertury that the information provided above is true and correct.
SiQrlatrue �_ (Sears Auth.Agent) Date 70V
Phone#: Home:860-792-8106 / Ce11:860-753-0452
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#:
B a� u1��Iaf�fons awn an ar
One Ashburton Place - Room 1301
Boston. Massachusetts 02108
Home Improvement Contractor Registration
Registration: 148607
Type: Supplement Card
Expiration: 10/112009
SEARS HOME IMPROVEMENT PRODUCT _ Sears Authorized Agent
LUBOS SVEC Home- 860-792-9106
1024 FLORIDA CENTRAL PKWY Cell - 860-753-0452
LONGWOOD, FL 32750 Update Address and return card.Blark reason for change.
1 Address j--j Renewal ('! Employment Lost Card
aP3 cif tY ,tsaiz»r-r4staa
tlourd or Building Rtgulations and Standards License or registration valid for individul use only
f Ff HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
Registration: 140607 Board of Building Regulations and Standards
Expiration: 10/1112009 One Ashburton Place Rm 1301
Type: Supplement Card Boston,Aia.02108
SEARS HOME IMPROVEMENT PR
1024 FLORIDA CENTRAL PKWY
LONGWOOD.FL 32750 Administrator Not valid without signs
��BOaXU o�� i�l 7llC�tlti�tl�'
One Ashburton Plaee - Room 1301
Boston. Nbssachusetts 02108
Hole Improveme tractor Registration.
_ Rt pisUati�s: 148607
� Type: Public Corporation
Expirstlo»: 10M120M TOM 2!in4F,..
SEARS HOME IMPROVEMENT
ALFRED NYMAN JR. b
1024 FLORIDA CENTRAL PKWY
LONGWOOD, FL 32750 �
pdaft Address and reform card.Marts reman tor change.
❑ Address Re wil E, Emptuyaaant Ej LostCani
orccnl A soswn'r,-vue�u o� •
RoaN-fBa- ltdingReM gmaw4ofbtnd�� '
L1t:ensc or regiatca93am valid Car intlivitlel nso ttniy
HOME IMPROVEMENTCOM ACTOR berm the 4noratlondate. It found rehinto:
Board ofB09011 RnWaltimH and Standards
ReOiatrQ losAss 148ee7 Ono Ashburton Place Ito 061
F> �=t- -z M9/200g Tt* 259652
: BI?stlity Na.02108 .
r- - COrp0lali(M
S!•d1RS HOME I „ 7 OB 1=5 INC.
ALFRED NYIJlAN`, i v
1024FLORIDAC
LONGWOOD.FL 327567 Admlrdstrntur Nat vaTad thl5out diptatare
03/19/2008 16:59 407-767-8536 LICENCE PERMITS SUBS PAGE 01
4:L-C- 84. CERTIFICATE OF LIABILITY INSURANCE o 12008 03n012006
FROOMUCER THIS CERTIFUT— IS ISSUED AS A MATTER OF INFORMATION
LOCKTONCOMPANIES,LLC•KCHICAW ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
525 W.Mot M Suite 600 HOLDER.THIS CERTIFICATE DOE$NOT AMEND. EXTEND OR
CHICAGO IL MI ALMR T14OVERAGE AFFO�ED�y�EO
(312)669.6900 INSURERS AFFORDING COVERAGE
ENSURED Sears HDldMgO Corp utkm 04SUItENA: Cymuw
1062183 dWa Sears How BRp trament Rod",Inc, IN d_ em lity,Ina Co efNDrth Atragdm
Attn:Risk MarrepmentE3.237A arq=RD: '
3333 Elam y Rd.
Bman Estates,IL 60179
COVERAGES $$ 0 IN 04 C7 CerTTIFlC a CE E ND EC ISB E
THE POLICIES OF INSURANCE LJSTEO BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTED?HSTANDMO
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER OOCIJMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH
LICIFS,AGGREGATE LIMITS SHOWNMAY HAVE BEEN REDUCw BY PAIOCIAIMS
INT TYPE OF MUMNCH POMT"LMe POtlCYF1aRCTAIE oa RATION LIMITS
OENERILL L1A&Lmf OAAIIEE EACN CURRwgq v ._. $000,QD
A X Ca;vw RcwLGENERALLlawy-Y RD0021745078 08MI/2007 08/012008 F1RE w.+ y0fs Excluded
LLAINSMAOE a]OCCUR 1 me raps S Excluded
PPeL40 &AWI _AY 4 5 000
GENEML A 5,000,009.
OENLAOOREGATELOUryTAPPUMPEfII uCTE• G 5 O
POLICY Cr .
AUTOMCB LJASIUN COL®INED SINGLE LIMIT
A X AAuTo ISAH08215984 08/012007 08/01/ma IEaae lr 4 5,000,000
NY
A ALL OWNMMJTOS ISA808215009 08/012007 08101200E OWLY1NJURY c )000CXXX
SWEOUL,WANDE tP=rawwf0
1�D AUfOS BODILY Ud1URY
NON-0Y,I®AVTOS IPmAmeemN S )DCKXXXX
PROPERIV DAMAGE! XXXXXXX
OARAaa WWLrTY AUTO DNLY- F X3000=
A X AWALITO S.LR.$5,000,000 08/0172007 08101200E EN ACC
ALf1OONLY. AGO 4 XXXXXXX
EXCEES LIAERm EACH OCCURPENCEz 10000000
A X 1 coatm ❑ctA eMADE 02 39 82 31 0 O&MI2007 081OL12008 AGGREGATE a 10000000
waste a XXX)C(X'X
DEDucrlN9 ram 30000=
In1TENnON a a
A vrDRlaae wMFaNSATTON axe WLRC44477282(CA) os1012o07 08/012008 X 1PcerATv-
B EMPLOYEea'MABILITY SCF044477270(WI) 08/012007 08/012003 c.L, NAOCrO a 1,000,000
8 WLRC44477269(AOS) 08/012007 08/012008 .•EA EMPLOVIEd F 1,000.Qw
EL CISEASE.P000Y LAIR I 0ED 000
DRIER
OEacnloflWl OP OPPRAf10NSA.00ATN)I6NEInCLE41FJtClUeION$ADDED DY PROYISId1E
Alfied W.Nyman, r.,ti--=IICOCA125381ocatedQ1024FIarwa CneDel Park"y,tangwoKFL S2750and Alktd W.Nym .1r.,Lic NCMC1249510
womtd®1024 Flodda Central Parkway,Longwood,FL 32750
I CANCELLATION
2208002 911DU1A ANYOFla1EAe011E DESCr1IBE0 POUCIESEE CANCELLED 6EPQilETNE fDONMtfON
Sears Home ImpmvemedPmducb DAZE TKUREDP,TNE ISRWNG INSUIIR%I GMWAVOR TOMAIL .10, OAYa wRITTeN
1024 Aatda CenW Pafkway
IA
Longwwd FL 32760 NORCB TO TNEeERRFlCATa NOER NANEOTO THE LEFT.SL/TPAILURETO A11 OO ao9N
WPOSR NO CRUGA"ON OR Wl&Lm OF ANY MO UPON THE NSURER fro AOmM OR
ROPAEEENTATIYEa. .
AUINDR101OREPRESENTATIVE
ACORD 2"(71a7) O ACORD CORPORATION It"
Received on 3/19/2008 10:19:44 AM
ININININII Sears Job No.: -7
Sears Home Improvement Products,Inc.
t 024 Flord9 Central Parkways Longwood,FL 32]50 Home Improvement Products Phone a:
' FEIN 25-1696591
Ucense Numbers: AL 5491:FL CGC01253s LA 84194; Location:
MA 1466m;MS 50222;NO 47s30;RI 2]281;SC 1 36;
TN 2319; bus,GA G1]Ot];CT Siding C/7y 7 GJTo�
Name /$ _Phone:Re
Address: CitySI.: 7^' p:
NNe,the awns of the premises described below,hereinafter with to as"Purdlasel"offer to contract with Sears Home Improvement
Products hereinafter referred to as"Contmclor',to furnish,deliver,and arrange for installation of all materials necessary to Improve the
premises located
J 2_
(Street) (City) (State) (zip)
According to the following specifications:
NOT
INCLUDED INCLUDED SPECIFICATIONS
PREPARATION: 1. E ❑ Obtain all necessary permits and Insurances.
2. ❑ Inspect surfaces in work area-remit loose wood,replace rotten surface wood where necessary in work
area excluding roof,decking or others,and structural members.
3. ❑ R mov0 Existing siding: Type: d[firw.l r.a r/ar,Lt
4. —❑ Ir out wells on brick,block,metal or slut.areas:Locet[on:
5. Caulk and seal around all whMows B doors in work area as necessary.
6. Install approved non-.reasive starter strip.
INSULATION: ]. ❑ heated insulation on haNall areas to be Seat wfth'314' "1M' .tied poty- msdatronrJ�cimle an
CUSTOM TRIM: 6. ❑ Cusco - lumina.fascia system: Color: C'�(G /dra0 v
9- ❑ emwe and rea". spose of existing guttering.
l0. ❑ e with vbryl Soffit system,except these areas noted beloyry-awn,.
— / Wealherpealer ex O Plus❑Weamerbeater OOther (check one Col a ern._
❑ Custom Vyna-Klatl Slurtynu ! e bbppanl5
•. Y ���ddadon- sire:
12- �y,�// ❑ Jum endow trim: Location: l4CL AAW
13. LJ ❑ Custom wrap wkMowshwils/mues/headers with Vyne.Klad aluminum: `�
GOIe
14, �❑, / Remove and reinstall existing storm wiMowslawninge/shutters. /�
15. Icy Custom wrap door Each e s with VyeaXlad aluminum: �/��!�
,,_,/ Location: Colo ,
16. l4Y ❑ Cratom wrap garage door fadrgs singleldouble with Vyna-Klad aluminum: —�--
_ / Color. L&a'py ✓l�
17. Lam' ❑ Remove and re'vtataa stone dogs
18. IA—J// ❑ Deluxe carter posts: Color: CC�pdfJ�tc_SA•S�L�
19. I(—J// ❑ Clip locking system: ,lineation:
SIDING: 20. ❑ Install Weatherbeater I%u C Plus O WeatheNeater OOther Solid vipil shin Set,ane1l�
,—,/PfPE:Horizontal I Vertical COLOR J",'�]//P/
PORCH 21. ❑ E• Eorch ci ifngs: Location: Color.
SYSTEMS: 22. ❑ zi-'Pomp pasts: Color.
23. El '2 Pordt beams: Color:
CLEAN UP: 24, 0 ❑ Clean up and removal of all job related debris:
25. N1 ❑ Each Ioto is over-shipped to avod delays.Remove excess materials and re-stock.
WARRANTIES: 26. N1 ❑ �MMlIa��ni ladurers warranty sent upon completion. .."SPECIAL ITEMS: JCF!LlRG! &L![L!l.fX.LlL/ rr
Work rot to be done: NQ DR P EDGE COVERED-NO PAI T LIED
u
Gs4'iL"�/ �' 3� C ell r LcofLie-
AN of the above check boxes and the-werlk not to be done"section have been reviewed and explained to me.
TIME FOR COMPLETION OF WORK.Contractor s0efl commence work wghin approximately manly(20)days from the dale Shown herein anti will
ndfmanf Ily completed within lolly-five(45 ereaf r unless a different estimated Completion tlate is shown herein.
Approximate Starling date ia: _A rodreate completion date is'. 7
NOTE:THE WARRANTY PROVISIONS AS STATED ON THE REVERSE HAVE BEEN EXPLAINED AND VWE UNDERSTAND TH FULLY.
ADDITIONAL PROVISIONS AND WARRANTIES ARE STATED ON REVERSE AND ARE PART OF THIS CONTRACT. X
Please read the following bold type aM initial corresponding line.
Verbal understandings and agreements with representative shall not be binding.All urWe Wndings and agreements must be set hann,In
writing in this Contrast. Purchaser initials:Y
The TOTAL PRICE for all Labor&Maleriab(including any applicable discount)is E 00 [Cn1,ao1Pnoe.'0.cayman $ —a- _�Balance Psyche 8jp( _00 leSalesTa ( 8
� applicable) )Terms: Credit �SblesttotheepprevaloftheCreditDepartmerd) al Contract rice $dyi t
Cash (Final payment payable to Installer upon completion)Funded by: Bank:
City SI.—
Accl d
I^Preferred Customer Discount(PCD)awanded for airy future Sears Home Improvement Producle purchases.Current pricing available fer one(1)year.
If this is a credit transaction,the agreement for Credit Is contained in a separate document which is irl.rparaled herein by reference and made a pan
hereof.Me the undersigned she hereby suthoriring Sears Horne Improvement Prod As M verity and review my/our credit record with an independent
credit reporting agency and release them from all liability incurred from 1redve1 he p isec ns or errj`/�C k"
IN WITNESS WHEREOF Purchasers)hate hereunto signed their rentals)this- day of 20 Q and ackrxAvletlge receipt
of a true copy of this Contract and unless otherense specified,h is understood that me owner Is reatly for Lh to beoin.
THIS MESSAGE APPLIES TO DOOR-TO-DOOR SALES ONLY.You the Purchase(S) may cancel this transaction
any time prior to midnight of the third day after the date of this transaction. See accompanying notice of
cancellation form for an explanation of this right.
DO NOT SIGN THIS CONTRACT IFTHERE ARE ANY BLANK SPACES.
signaWn aTlud bebx acts rs_mgltl tft,clwsens)reeeial selemle®recration rms.
sUBMRTm BV.Pep'ie�6Cn/tom/` (`®l_A/, afire PURhddei �\ /, 6nn
1`e
OLCEmEp BY.M,llwlm]aY}N,rt Yx 9p@Ib�e G,prbinbrY P,eJu>.•,v. Pop Fn�fvvw pals
D2-so -Rev.(farce
Sears Home Improvement Products,Inc. Location:
1 g24 Florida Central Parkway♦Longwood,FL 37750 �
FEIN Parkway
a591 Phone d: H/' -7 f�Z--�!'7(
License Numbers: A1560 47330;FIL 12n8l. LA 84194; Hare Improvement Roduca Job rf:
MA N 2319:,MS 50222:NC HIC.0 RI 27281;SC lose%:
TN 23ts;GA 180ea:CT HIC.Oe0T8,6,9c:�OK�106Bet Replacement Windows
Name: P Q���'J �'�7v�F�-L---/i�l�//.!,C Phone:Res
^ //—Bus
esr-.-yy��
Address: 2� /�//� City: X11"1Q 9 St_/2i4r- Zip:
I/We,the owners of the premises described below,hereinafter referred to as"Purchaser"offer to Contract with Sears Home Improvement Products
hereinafter referred to Contractor",to furnish,deliver,and arrange for installation of all materials necessary to improve the premises located at
(Street (City) (State) Mitt
According to the following speclficatiom:
1. Remove existing units to be replaced. (NOTE:Removed units are likely to be damaged.)
2. Prepare openings as necessary to receive replacement units.
(No finish work other than normal inst tlon Is to be done unless Otherwise noted below.)
3. Install Seas WeadUUbearer�/S vAndows in openings described below to the following specifications:
Color hire ❑Tan ❑Whifieught Woodyain Interior O Whde/Dark Woodgain Interior O Beige/Dark Woodgain Interior
Type: 6 H/u SH ❑1-LR ❑2-111 -LRR ❑PW ❑Other
oty/S Dry_ oty_ oN— ON4 ON_ ON-
1E � y O a-- El ❑Other ..
EE DN_
C�aI ss ❑cois ❑Bronu ❑OBS% City_ Screams:CHECK IF OTHER TRAIN FIBERGLASS
ow El/Argon ❑Only [:)OBS Full Off_
❑Tempered O (On Sashes Only) ❑ Alum
pe N_ ❑Keepsale Ory_
NOTE:Tempered glass will be installed to meal building codes.
finds: COI SWIP Col Fla morel Top
❑Yes White Ulf N[�
No Ten
Wd n Bottom
Bmss
Warranty Manufacturers Warranty sent upon completion.
4. Existing units NOT to be replaced: Z /zz;a
5. It applicable.alter completion of project.the application and removal(storage)of shutter panels shall be the responsibility of the purchaser.IIIV�A��lggqe
event the project requires the installation OI.S,10%ehUtlerS or egress win 7,Contractor will psi re-install any eHectetl security bars.
6. Special instructions: /fie GNev[ + ZS/Je rP m C Gel a rile oC.u,l�
7. Clean up job related debris and provide necessary parties and insurance.
6. If applicable,in the event that Contractor is unable for whatever reason to obtain the proper permits prior to the commencement of any work.
Contractor shall refund any previous payment and this transaction shall be automatically cancelled.
9. Allow approximMoN 3-6 weeks for installation.
TIME FOR COMPLETION OF WORK.Contactor shall commence work within approximately twenty(20)days from the date shown herein and will be substantially
completed within forty-five(45)days thereafter unless a different estimated completion date is shown herein. ��L �y
Pp 8 pprMmale completion date is: �`� rtzpur? !f/ r A roximate startin tlata ts: A
NOTE:THE WARRANTY PROVISIONS AS STATED ONTHE REVERSE HAVE BEEN EXPLAINED AND[AVE UNDERSTANDTHEM FULLY
ADDITIONAL PROWSIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDE AND ARE A PART OF THIS CONTRACT. X
Please read the falicwing bold type and initial corresponding line.
Verbal untlerstzni ings and agreement.with mpmmmtMive shad not be binding.All undemtandings and there to 2US1 b sat forth in
writing In this Common.Due to dimatic mndfHons,Irrterlor mo en.eUon may occur. Purchaser Initlds:
Contract Price ( 36 !>OOJ To be financed Cash upon completion❑ Contract Price $ /6 3u 3
DOWn resit .00 In wltne88 wnerea the Buyer ties aMered into 1N5 tane9mien
ga1811Ce Due - l� Q �/ Mate SeeMIT)"1—%) $ �--
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IM Prekrrid Customer Da4W M(PCD)awadod 1m any luerre Stare Home hnpovenxHrl Products purchases.Curnard Pricing ave table tor are(1)year.
If this is a credit tmnsacHon,Me agreement for credit is wnained In a separate document which is incorporated herein by reference,and made a part
hereof.Lode the undersigned are hereby auerori:dng Seem Home Improvement Produ Inc.to verily aitl review rtwbur credit rewN with a independent
credit reporting agency and release them from all liability ixurred from irmdvertent miaswne ore rs
IN WITNESS WHEREOF Pumhat eels)have hereunto agnai mar rxanre(s)thee day of ,20 O erM acknowledge
tecept of a tree wPy of this Contrail and unless oft.( specified,it is urMerslood 1 tar the owner is ready for work to begin.
THIS MESSAGE APPLIES TO DGDR-TOAOOR SALES ONLY:You the Purcheaer(s)may ca ical this transaction any tlme
prior to midnight of the third day after the dale of this transaction.See accompanying notice of cancellation form for an
explanation of this right
Licenses hold by or on behalf of Sears Home Improvement Products.Some services and Installation performed by SHIP
associates.Other services and installation performed by SHIP-Authorized licensed contractors;additional SHIP license
information available upon request.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
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