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6 SMITH ST - BUILDING INSPECTION (2) 1 y �� The Commonwealth of Massachusetts OFSALEM �\ Board of Building Regulations and Standards CITY Massachusetts State Building Code, 780 CMR, 7a edition Revised January Building Permit Application To Construct,Repair, Renov Or Demolish a 1, 2008 One-or Two-Family Dwelling ThisSrectioN For Official U Only Building Permit Number: be A ied: 14&- J7 � 1-1// Signature: ,, — Building Commissioner/lnsvctor of kuilpingff Date SECTI SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 6 Smith Street 36 12 1.1 a Is this an accepted street?Yes X no Map Number Parcel Number 1.3 Zoning Information: 1.4 .Property Dimensi R2 One Family Zoning District - - - Proposed Use Lot Area Fron 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required rovided Required Provided Required rovided 1.6 Water Supply: (M.G.L c. ,§54) 1.7 Flood Zone Informati ewage Disposal System: Public❑ ate❑ Zone: O ood Zone? Mumci site disposal system ❑ Check if yes❑ � SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Mary Kropilak 6 Smith Street Name(Print), Address for Service: Attached Contract 617-594-8824 Signature Telephone _ SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑� Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Workz: Remove&Replace(2)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 $2,412- 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: $2,412- 11 Paid in Full 0 Outstanding Balance Due: l SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) 97519 08/31/2012 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 F U Unrestricted u to 35,000 Cu.Ft. R Restricted 1&2 Family Dwelling Signature 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 Imp—Lubos Svec—Sears Agent 148607 HIC Company Name or HIC Registrant Name Registration Number 1 24 Porida entral Parkway/Longwood,FL 32750 Add 10/11/2011 -- 860-753-0452 Expiration Date i 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, Mary Kropilak , 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 ADat 'r 1Si ature of Owner SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION I, Lubos Svec—Sears Auth.Agent ,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. Lubos ec— ears Home m rovement- Authorize/G PAd A ent / Cell: 860-753� h-00452 Print Nam /-1 es„ n � A pr I I 6 / dV I /a.YS Sign ure of Owner uthori d Age Date Si ed 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" CITY OF SALEM ,• �I PUBLIC PROPRERTY DEPARTMENT T 5.1I 1'M. \IA,i.1t III .I I .,.I'r l'Pr:v19,715-9;9g •1`.N.\:778-74j v9in Construction Debris Disposal Affidavit (required Air all demolition and renovation work) In accordance with the sixth edition of the State Building Cade, 780 CNiR section 1 1 1.5 Debris, and the provisions of MGL a 40,S 54; Building Permit it is issued with the condition that the debris resulting from This work shall he disposed of in it properly licensed waste disposal racility as defined by MGL c 111. S 150A. The debris will be transported by' rTkC., V � 1 name of hauleT) The debris will be disposed of in _.� _ 1 t1 ci • 3G (tmmC"I fuilit—rSe-- CLOzo9c) 1:nhtrrxs of I'acilnv) itgna urn/t t 5 1/� ate a M The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 9J 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Orgwfimtion/IndividiW): 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. El am a general contractor and I 6. ❑New construction employees=(full::and/orpartlime).*.' havehired 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 & ❑Demolition working forme 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.E]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 12.0 Roof repairs. insurance required.]t employees.[No workers' 13.0 Other Z— Rerstacem >7 comp. insurance required.] *Airy 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 hive outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and 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. It W RC46138211 Expiration Date: 08/01/2011 Job Site Address: ��m I ec � City/State/ 1 t/ 1 —0 19 7Q 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 certify r e pains and es ofperpiry that the information prmidef above/+' true and correct. S afore- {Sears Auth.Agent) Date: rl / Phone #: Home—Fax: 860-315-7 / Cell: 860-753-0452 Official use only. Do not write in this area,to be completed by city or town of trial City or Town: PermiNLicense# 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#: 08/06/2010 68:14 4077648536 SHIP PERMITSRLICENSE PAGE 01/02 ' R� CERT MCATE OF LIABILITY INSURANCE BArene/B°a°iza o) AM Risk Risk services central, Ihhc. IMSCERTIDICATFIS ISSUED ASA MATTEROF RWOR6UT10N OPLY Chicago Il UMER An9COTOrENSNORT(;IMUPOWTMCB.RTMCATSHOLDRTLT.f"5 200 East Randolph CERrMCAIM DOES NOT AMEND,EMEND ORALT'ER TFIE Chi"90 IL 60601 USA - 013VERAGEAFFORDED HYTFFK POLTCIEB.DF:WW. nIONE• 666 283-7122 vAz=84 953-5390 - INSURERSAESOR�LSJG COVERAGE NAIC� 11,00ten - I.., LVSVPBRx National Union Fire Ins OD of Pittsburgh 1944S -• Sears Holdings Corporation dba sears Nome rmpr CisDaFR a ACE American Insuran[e Company u 22667 gvepent Prodoets, Inc Attn: Risk Manegeme e;E3-219p __ j Indemnity Insurance Co of North America 43575 7 3333 Beverly Road Hoffman Estates IL 6DI79 USA 1tEU1mRD. y m ' RaTmDR I: o COVERAGES Q: THE POLICQvS OF D,SUR CEUNM Ia9 TIAYE BIEHISML TO TMOSUREDNAM®A80VEPORTHE POLICY PERIOD INDICATED,XOTVnTH&T.A%TDRQS ANYREOImtPldE2Rl',TFRM OR CONDITION OPAHYCORTRACTORcmdR OOQID4NCmDHRFsvecrz0 wmCHIMS CERTDICATRMAY BE TSSOEDOA MAY PERTAIN.T RB LVSURANCB AFFUROEO HY'D[E QqOOO©BS DBSCRIBEU HEdEhN 1R SUBJECT TO AJt iRE TPRM[PXLl.4SlOi•S ACE)CD`1DRtON9 0P'uUCH POL1Cnii AG(iRCGpTBNA1S SISOBN MAY IEAVE8�I R Cen,BY PAID LAMS L0.9TS EHOPYfd ARE AS REQUESTED . L�inw TYP6ornea Awcc PQWYNUPSaIDI rouCY ePIEIInR NV Tc�.P1aAf1aN Lan'N m m w F15A a WBom, emoGL5SS9R26 11 w/nI o10 OB/01/2011 ePcxoLaraemas. 55,000.000 X hsOtm(SaLnexivALunaR.RY I DAxAOE TOiBNTRD SS.00D.00D MSMWBama. M Ex[ uoe PEAS(WALAADJ RIILV fS,OBO.ODD n n _ oENBEALAOaunvte 55,000.000 � CFNLALGREOAIELAaT MRJEt Pme i. T � _ PROcl'LT9.muP.Or ADG f5.000,000 0 JTLT ^ a AuroNoanaunmun•- ISAi OMSS05 09/01/2010 08/01/20U mmaiA>:Dsmclawa B yyy AUh,D 15AN08625499 OS/WZU10 08/01/2011 �""'1 55.0(0.000 Z BODILYRWRv seBewceP nvms i tn+P�) T: X tDRmINJI05 i- BOmLV MNRY U NR omw AInvs - (PceuMatj PRDIFATY bAMAM (Pl'MSkd) I CAM(�ILIAeIYn' AVJOONLY-PA ARmO•T MY.%10 AVn)T T.' ra P O AiFO0Ni.5", AGO A B](CL99 iUMPaH]A i.ueiun• 6E2747i37S 08j0�2009 BAOJOIX.'URI'.EM1%E L. R�OC�N�R� El - I AOOAZDATP Si,000.D00 tN a NOB®IS COMPctIA'ROn My %1RC46138i7A. canwio.InR FraN- OIN• GYH.OI'eRSI.LIaR.fhv CA hM C IN I SCFC46138259 08/O1/2010 08/01J2011 ls.,sAcvAcvpkRf I 52.00.000 AITYRSORtPrORhrPRTNEa:Ef2fclRn[ LJ ql er_nLSP.As�sns>+ocov� t2.000.000 C �N0.6httumeM W1Rc461382ll 06/OS/2010 08/01/2011 at oL58ASe-POUcv ulmt 52,000,000 B mdenEem,G PMvnmN9LeAz All Other states $rin[R DE9t]en1i0lE OPO➢ERATIDHIrtlJCATItet9YFMO.5s2%allslpNS AD06pnYtR'roRs6pR!MhTELTALPRnYLUOR3 CER'FIFICAIM HOLDER - CANCELLATION tears n Improvement Praduttt. Inc, SHWol Prtraan,GA00YBJ1 ®PatiT�Ea GXLELLE➢BePbaEtiit e•[mnT18N 1024 vlo?ida central Parkway BAlE lnh@.BDP,TRB hSRWNO VY.tiRBR RTIL BAD6AVoa to uu. lcngwbad FL 32750 USA �7 FNLMQ�Tp� yN,yyj pC��'ii,p BpijGTj� niViV��• OF AM.8M0 UiOn THE MSaR®,nt ACLn'1_30sR R6PRF8FxiTTltl[S. AITnaRn =PIUaMArN6 y� •G o(��jFM�� � ACORD LS(MIM01) aaa l name 451988-2009 ACORD CORPORATION.AD righn men 76e ACORD - aOoPrc IRkmA madm of Received on 8/6/7.010 6:16:28 Ah., �< Oilcc of C 011SLIll1 tfau: andBuslness Re�ulatton i v, 10 Park Plaza - Suite. 517,0 i Boston, Massachusetts 02116 Home Improvement Contractor Registration - - Registration: 148607 Tvpe: Supplement Card SEARS HOME'IMPROVEMENT PRODUCT Expiration: /,0111/2011 LUBOS SVEC '- 1024 FLORIDA CENT AL PKWY ------ -- LONGWOOD, FL 32750 lipdale Address and return card.Murk reason for change. -- -I Address Renewal '` Employment .; Last Card wsco-� o su•..+navcumzm - .1121\ Offirr of CunwumrARairs S Iiu>inca,111>ulaniou License or rcgislratimr valid for indivi(Inl use onl} p'^'—" before the ex oration date. If found return(a: i µt' PHOME IMPROVEMENT CONTRACTOR p Office of Consumer Affairs and Business Iicgulation Registration: 148607- - lU Park Pla»-Sufic 5170 Expiration: 10/1'0201i Boston,NIA 02116 Type: Supplement Card SEARS HOME IMPROVEMENT PRODUCTS INC. ./� LUBOS SVEC 1024 FLORIDA CENTRAL PieVW .:�•-�--:�='fir- -- �R�� LONGWOOD.FL 32750 -"� �'--• -. Tbdvrseengan' TM valid wilhaul signature -` . .. *-� 'slassachusetts - Depart tent (it"Public sa l'en " Board of Buildin Re�_ula(iun> a nd Standards Construction Supervisor License 1 License: CS 97519 LUBOS SVEC w 827 THOMPSON F)AD •• THOMPSON, CT06.277 - Expiration: a(31/201.2 . ..: (o'n...a=innrr Tr#: 2442 Office Location: t Proposal Date I 3 I I Jobe /57 9560 Sears Home Improvement Products,Inc. `- Customer Name P.O.Box 522290 • `lr< M E 1V»r)>\L rs 1024 Florida Central Parkway Customers Home Phone Customer's Work Phone Longwood,FL 32752-2290 L�i7-Sgh-� HomelmprovementProducts Phone (800)469-4663 Street Address LL ESTIMATE AND PROPOSAL Contractor License/Registration Number Windows HIC#148607;all plumbing and electrical city crate zip code services performed by licensed subcontractors ,);T1Cm mry )(g70 Isin Ration within city limits? FEIN 25-1698591 Installation Address Coon UJ Yes ❑No Billing Address(it different Tram above) City state Zip code Project Consultant Name 8 License No. d applicable) S.Qjvnn[(.l /Z,K1✓ Description of the Project and Desert Ion of the 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 all job-related debris upon completion of the job. 4. Install Sears Weatherbeater TVI A k Windows in the openings described below according to the fallowing specifications: COLOR: Whte ❑Tan ❑Clay ❑White/Light Woodgrain Interior ❑While/Dark Woodgraln Interior TYPE: ❑DH Oty ❑PW Oty_ ❑Casement Oty_ Type ❑SH Oty ❑PD Oty_ ❑Bay ❑1-LR Oty ❑Garden Door Oty ❑Bow: ❑3 lite ❑4lite ❑5 lite -LR Oty:T7 ❑Garden Window ❑3-LR Oty_ ❑Other Oty, GLASS: ❑Tempered" city._ ❑OBS Halt Oty. SCREENS:Check it other than FIBERGLASS -PLEASE NOTE Tempered glass will be installed to ❑OBS Full Oty. (on sashes only) ❑Aluminum meet buflding codes. ❑Laminated my._ GRIOS: Type __ ___ ___ Color.. Placement: Existing units NOT to be replaced. s ❑Col Flat ❑Whbe ❑Woodgrain ❑Top ❑Col Sculp/Contour ❑Tan ❑Full ❑Other(Specify:) ❑Brass ❑Bottom ❑Clay ❑Flankers Only 5. (If applicable)After the completion of the project,the customer will be responsible for the 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 reinstall any affected security bars. 6. (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: SPECIAL INSTRUCTIONS: All of the above check boxes and the"Work NOT to be done"section have been reviewed and explained to me. Custom��sl S tials 1N APPROXIMATE START DATE and APPROXIMATE COMPLETION D TE- The work will start approximately�''S ( (Approximate Stan Date)and will be substantially completed by approximately, )-��`/S (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 Stan Date is only an estimated date and the Customer will be comarctetl prior to this date to schedule the actual start date. The TOTAL PRICE including all labor,material,taxes and any applicable discount is $ Contract Price $ / Initial Payment(not to exceed 30%of Total Price unless Special Order) $ State Sales Tax(=%) $ Final Payment(balance payable upon completion of job) $ Local Sales Tax(_%) The Initial Payment is due prior to Sears ordering products. Total Amount Due $ The form and method by which the Customer(s)will pay is described in a separate Cash/Crodt Card Payment Addendum made a pad of and incorporated into this contract by reference. Customer(s)initials Lw KN .H NOTICE TO BUYER:YOU,THE BUYER, 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 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 following. Customer(s)initials JJ&LU MI-Ma awe7N9 - innununiii • ADDITIONAL PROVISIONS Job Number: ra anal an Approval. Sears offers to furnish the materials and arrange for their delivery and installation as specrfied 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. If 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 be removed by Sears. Installation. I understand that Sears will not install the materials but will arrange for the installation.Sears is not responsible for materials or installation NOT furnished or arranged by Sears.Sears agrees to procure all permits required by local law. Aullunizatlon. 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 if I have signed a certificate that the installation has been completed to my satisfaction, Delays In Installation. I agree that Sears is not responsible for delays in delivery or installation due to weather,fire, strikes,war,government regulations or any causes beyond Sears'control. 01W Agreements and Changes in Contra . 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. Responsibility f1 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 Service. I will provide adequate electrical and/or 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, I 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. Warren Information. Appropriate product warranty documents will be given to me by Sears.Sears'Warranty on Installation is: SEARS'LIMITED WARRANTY ON INSTALLATION In addition to any manufacturer warranty extended to you on the product(&)used(which warranty becomes effective the date the merchandise is installed),it the workmanship(or application)of any Sears'arranged installation proves faulty within(i)one year for Weatherbeater Value Line,(n) two years for Weatherbeater Plus, or(iii)three years for Weatherbeater Max,and Weatherbeater Stormbeater,then upon notice from you Sears will cause such faults to be corrected by repair at no additional cost 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 provide replacement or refund. Service under this Limited Warranty is available by calling Sears Home Improvement Products at 1.890-222-5030,Option 4-This warranty gives you specific legal rights,and you may also have other rights that vary from State to State. NOTICE TO BUYER t. 00 NOT SIGN THE AGREEMENT IF ANY OF THE SPACES INTENDED FOR THE AGREED TERMS TO THE EXTENT OF THE AVAILABLE INFORMATION ARE 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 WHITING"I HEREBY RESCIND"AND ADDING YOUR NAME AND ADDRESS.A DUPLICATE OF THIS RECEIPT IS PROVIDED BY THE SELLER FOR YOUR RECORDS. ' 5. 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 addition 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 02780-0871 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 verify that none is present in the components involved in the job. 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- fies 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 signal Date C tom rs si a[ure Date Accepted by Sears Home Improvement Products,Inc.("Sears")on by; Date Management Representative MI W RN QM9 .i%} 'A ._ _ '•_{-.: Atli _ "' '_ ,t"Gi1� La National Fenestration RaMgCeanCtl® J t: ENERGY PERFORMANCE RATINGS EYALUAOON DE FMDMMMM MMOEMO U-Factor Solar Heat Gain Coefficient Factor-U CDefidente:Gananda de Enetgia Solar luSJFP) aNetricoJSn `ADDITIONAL PERFORMANCE RATINGS EVAWACM SUPLt]NENTAM M ptaf MBMTO Visible Transmtttance Tronuinmon de LuzVWble - ' ,- Manufacturer srgtulabslhutthew rdmp donlam to applicable NFRC procedures for determWng whole product performance.NFRC ratings are dete nIned fora faced sat of wAmmnedal condldow and a speeft produdslz.—NFRC does not recommend any product and does notwaaantthesuftabililyofanypMdMforarryspedticeue.QMltnanufaC6tret'sfiteralur f1DrOV rpMduCtpedormance irdmmabon.www.ndrC.org --- - - - -- -- - -- - - --- - - --- - - --- --------- -- -- Este tabdcanteestipwa que es[os valmes cumplen con las procedimtertros apficables de NFRC pars deernfum el rmdhimb total del producto.Lin valares umdos par NFRC son delerminados par un co*b fllo de condldones amblenhatesy un tamano de pmducto espedflco.NFRC no recomlenda ntngunpmdmdoyno gawft quo of pmducto sea adecuado pare un can especifiw.Conswte con el folleb del fabdcante pwa el use apmpiado de este producWa wwwrdre arg E jF;PLG....''_..STAR i !II i'�Et;S3kkiSj ��Lt;}k6i'kai s�9Y Cl1 _��"=g` $n v Ytit ;:: r'e•ntraEr c2,�r:x fisatral,' urh�rn. n 3 f,^_ fe£RiiY;rA . 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