10 SUTTON AVE - BUILDING INSPECTION (5) The Conunonweallh of Massachusetts
Board of 131.111ding Regulations and Standards
tilassarhuseas State Building Code. 780 0MR. 7"edition t'.SId
Building Permit Application To Construct. Repair. Relocate Or Ihnwli.sh a irru JJnu in
One- or Tit o-Funul v Du elling =,)nR
This Section Fur Official Use Only
Building Permit Nwnbe . Dale Applied: S ---
Sit,flat Ui'e:
--
13uildin- Cunvnissiuner/ htsperter of Buildings Uute
SECTION 1: SITE INFORMATION
LI o - [ • :� d e's: 1.2.Assessors Map & Parcel Numbers
arcel Nat➢ber
I.[a Is this an accepted sn hla'eet? yes_ no_ p Number P _
`~ 1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area (sit ti) From,ge t1i1
1.5 Building Setbacks(ft) \a
Front Yard Side Yards Rear YmJ �Y
Required Provided Required Provided Required Presided
1.6 Water Supply: IM.G.L c.40. §54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone" Municipal.❑ On site disposal system ❑
Public❑ Private❑ Check if yes❑
i SECTION 2: PROPERTY OWNERSHIP' Q
21 w e o cord /A (// A,
�---
e rint) Address for Service: r
I nature - Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
ew Construction ❑ Existing Building ❑ Owner-Occupied Repairs(s) ❑ Alteration(s) \Jditinn ❑
Demolition ❑ 1 Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Descripti n of to o e W k'
C SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
Item (Labor and Materials)
I. Buildinv $ ' C 1. Building Permit Fee: $ Indicate how fee is determined:
❑ Standard Ci(y/Town Application Fee
2. Electrical $ ❑Total Project Cost' (Item 6) x multiplier .x
1. Plumbing 3 2. Other Fees: $
4. Mechanical (HVAC) s List: j
5. Mechanical (Fire S I Su, cession) Total All Fees: S
�,r1 Check No. Cheek :lmuunn (•:uh :\nnuuu:__---
j b. Total Project Cost: $ �)`2 /�l1'� ��i ❑ Paid in Full ElOut,tanding Balance Dud:___
tcP ( yr
SECTION 5: cONSTRUc'rION SFRVICES
5.1 Licensed Construction Supervisor (CSL) 11773.3
. I 5' Lirensr Nuinher fispa;u u!n t '
'a n• �I C' '1 - lul _(�, I_nt C'SI-Type (see hcloM --
To, r Descn nton
L L'nicso c(col ni i u)35.000 Cu. Fl. I
R Restricted 1&2 Famih Dkkellin_l
qITI ( / dj Ll y1 vlasonn Unh .
D I OC RC Residential It oli (•o nne 1rnne
'rclephune \VS 12e]I&IIII J W) IJIM .md SiJuie
SI= l2esideiuial Snhd Fuel Burung \ t thanre In.1.Jlaw�u
.. D Romdenuul Uenudnjon -
5.? Re ' ter•d Home I rovemenl ut tractor IIIIC)
c 1616701el _—
a5
H 'nnp;n N i c r IC �i it a N me Keglsuauun Number
t --- to D
Add re s 9' Lr/a/ay .. .
_xpirati rn Date
Si_natm� V 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 .......... ❑ No ........... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN .
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I //// as Owner of the subject property hereby
authorize to act on my behalf, in all matters
dative to w k it by this building permit appli • ion.
•ture of Owner Done
n' y^ . SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION
I //1111-, 1&akza�a-1 ,as Owner or Authorized Agent hereby declare
that the statements and information on the fo going application are true and accurate, to the best of my knowledge and
behalf.-
- - -
.. Print N
Signonu c o1 caner or Authorized Agent .. Date -
(Siened under)he airs and penalties of era ) -
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(nut registered in the Home Improvement Contractor (HIC) ProgIram), will not have access to.the arbitiatiun
program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program and
Construction Supervisor Licensing (CSL) can be t'ound in 780 CMR Regulations I IO.R6 and I IO.RS. respectively.
?. When substantial work is planned,provide the information below:
Total flours area(Sq. Ft.) .tincluding garage, finished hasemenNattics. Jocks or porcht
Gross living area(Sq. Ft.) Habitable room count _
Number of fireplaces Number of bedroom., ----
Number it h:uhroums - Number of halt/hash.
rvpe of he:uinv system Number of Jocks/ p,arches __---
rype of curling system 1_11cluseJ Open _.-- —. --
i. "Total Project Square Footage'• inay he substituted tin-"Total Pnijert Cost"
CITY OF SALEM
PUBLIC PROPRERTY
?;LJ DEPARTMENT
-4ty 6
I\SlRhkl • 511 \I, \(.\,,.\r
Workers' Compensation Insurance Afffda%it: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leyibly
Name IBti,toc,s (Ir_in!ialion(ndnIduafl: A A a.
Address: ]Jnr+-h 547e f_+City State.Zip: Sal fm Mla 0I270 Phone #: L 97 )\
7�1 I - off )�
Are you an employer:'Check the appropriate box: Type of project(required):
1.d 1 am a employer with A5 4. 0 I am a general contractor and 1 6. New construction
employees (full and/or part-tithe).' have hired the sub-contractors
'.❑ 1 am a sole proprietor or partner-
listed on the attached sheet, t 7. ❑ Remodeling
,hip and have no employees rhese sub-contractors have 8. ❑ Demolition
\corking for me in any capacity. workers' comp. insurance. q. Building addition
[No workers' comp. insurance 5• ❑ We are a corporation and its
required.] officers have exercised their 10.❑ Electrical repairs or additions
}.❑ 1 am a homeowner doing all work right of exemption per IvtGL I I.❑ Plumbing repairs or additions
myself.[No workers' cmnp,, c. 152, §1(4), and we have no 11C Roof repairs
insurance required.] r employees. [No workers' I Cher S / L/
comp. insurance required.] lfI
'Any applicant that checks boa HI most also till out the section below showing their workers'compensation policy information.
t I fumeuwncn who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such.
�Conlracwrs that check this box must attached an additional sheet showing the name of the sub-cuntmnors and their workers'comp.policy information.
I mn an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. /
Insurance Company Name: lt
Policy p or Self-ins. Lic. Expiration Date:
y� �� 1
Job Site Address: ;S1Z622 AC I e City/State/Zip: L44 (! lf� /7
0
:Attach a copy of the workers' compensation policy declaration page (showing the policy number and xpiration date).
Failure to secure coverage as required under Section 25A of NIGL c. 152 can lead to the imposition of criminal penalties of a
line up to S 1.500.00 an(/or one-year imprisonment,as well as civil penalties in the firm of a STOP WORK ORDER and a fine
ofup to S250.!)O a clay against the violator. Be advised that a copy of this statement may be forwarded to the Office of
In\esti_a!ions of the DIA fur insurance coverage verification.
I do hereby vertijy,i 1h pains cur penalties ofperjnry that the information provided above is true and correct.
tii �r uure 49 1 nate� �0
Phone �� g , -74//- 0 L/a V
Official use only. Du not mrite in this area, to he completed by city ur town official
r
City or Town: - --- —..--- PermiliLicense #—_—..----.-----
NIIuing Awhtrrity (circle one): -
1. Board of Health 2:Building Department J. Cifrrown Clerk a. Electrical Inspector 5. Plumbing Inspector
6. Other
Information and Instructions
\l.ls,achuseus (lcncrll l..a%vs chapter l i2 rcgwr"Al cnlplo%ers al pro%ide %%orkers compensation fir their emplo)ees.
I'uu:su.um ro this statute, an ewplgree is dclined as ".. c%en person in the ser%Ice of miother under ally rolltracl of hire,
rsprc.s or implied,oral or a riven."
.\n .mplol•er is delined as "an indi%;dual.partnership,a."t Cation, corporation or other leg al entity, or any two or"lore
of [lie Aucgoing engaged in ajoint enterprise,and including the legal representames ofa deceased employer. or the
recei%er or trustee of an individual,partnership, a."oc Wllon or other legal entity, employ illg erllplo)'ees. llo%%c%er the
o%%ner of a duelling house ha%mg nut more than three apartments and %%ho resides therein, or the occupant of the
duelling house of another who cnlploys persons to do maintenance, construction or repair%%ork un such dwelling house
or nl the grounds or building appurtenant thereto shall not because of such employ nlent be deemed to-he-an-employer." ----
SI(iL chapter 152, s25C(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 isith the insurance coverage required."
AJditionally. SILL chapter 152, $25G 7(states"\'either the commonwealth nor any of its political subdivNions shall
enter into any contract fur the performance of public t%ork until acceptable e%idence 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-contractors) name(s),address(es)and phone number(s)along with their certificate(s)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
mf the affidavit for you to till 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 dug license or permit to burn leases cic.)said person is NOT required to complete this affidavit.. -
The off ice 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.
rile 1)epartlllenCs 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
kc%tied :•'tt-u5 Fax # 617-727-7749
www.mass.gov/dia
DISPOSAL 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 propedy licensed facility as denned,by M: G. L c. 111, Sea."
The debris will be disposed at Salem Transfer St6porr
owned by Nor halds Carting
Signature of Permi Applicant
Date
C�Srista9her Z®rz�► _
Name of permit Applicant .
A &A Services Inc.
Firm Name
115 North Sheet Salem. MA 01,9970
Address, City, State, Zip Code
I � I •
If ,
�a w
mislaf� ?�T.t'n1i::t
vvlai�
t:. �,.y_ , ---,:? v� t F„ 7✓. i �+ ••� '2'ft -'S�� n 1 .-'�'Y �,ue i tCs�Y�i r®� yv®�4Ya®�2�k�1�,�`.�I��
• • 111: 101• 111• It1 11� 1111 ,�a' �.� � .• 1 - � a •s5.�q t � t �6��r, @ t�w''�4�e�";1'I
M
t c '� �, b ,�." , � JuY r gi�rT'la tf�''�{`�, } �"v�,4�3 i iA 1 '•-� Sf wl iF+
f�.t.a�Ci✓7i�i +tc?'�.+��tf i� .d� •ha��bv'�.�iH>�a Nty .-':T�..�'`i�`L� ;s iu!Ykr4m�3s�+.c�� 9.�� �Et l>�6.a.xb�
€ . .€ � / ,, t . _ 6 a 8 .• .. t °
•• • 111 111 111 / 111 111 1 11/ 1/1 1
�-
�fz..,��9d�aai•mr-�tl�r..� ..
. v �u ` tri E t {�j�..,F c Wiy ��� E '� IU"st•'k�'""2 �ry't``�ea H 1<"'�n' ,+.`t B ss"- t 4�F N Y' -+s a J
�xte�Wfi.. "C�{.a,��[..�'�r.�7� 1 Ulr..._.a�_��:'✓i.. ek��t �fi.+�.��Si,' .a�-as s. �,.
1 E 1 , • P .. � g A v / m /
x
�s '• • //1: 111• Itl• 111 111 11/ 111 • 111/
GL:�.. .J �.Yi61���{LV,I pG�� i:y.kd�.#i�7�TL h���� •f��X..a.�^.[.�Li��t�.al_�+ ila�wwF �+..4���tl1�4'L.>�..�'Rm ,.6. '���4rXIL� Y�Jn'..c,�.A
• 111': 111 1 111• /11 111 111 Ili• 1111
g "'�a c=r •serx'.i -�)� �.+'k,� �� (kix� �� rt'I
lUls 1�' NS.,.�9•%�.�s,�
7s
0 E -• g P P 1 1 t
+= hlassachusettti Department of Public Safet%
A Board of Buildi6ii Regulations and St milards,
_ Construction Supervisor License- -'
License: CS 57733 ,
L Restricted to: 00
CHRISTOPHER ZORZY
115 NORTH ST .
SALEM, MA 01970 f
Expiration: 5/26/2011
('onunissimu•r Tr#: 14751
j, Xe �oo m omwea/ll �✓Gl naaeluaetla
Board of Building Regulations and Stands ds ,
HOME IMPROVEMENT CONTRACT OR
1Wa, z
' I Registration:, 101609 - -
Expiration: -6/2612010 - Tr# 267870
,i Type Pri'�ate Corporation
1 r
A&H SERVICES, INC- s
f IChnstopher Zorzy _
{1 '5 North Street -
P ahem{MA 01970 Admmistrito`-
Commonwealth of Massachusetts
Division of Occupational Safety
Laura M Marlin,Commissioner
Deleader-Contractor
CHRISTOPHER ZORZY
Eff. Date 04/11
Exp.Date 04/1313/11
DC000440 �
Wmherof C.O.N.E.S T. *�"^
BO
IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII eOAlk
STON-RE
���t• + Abovea
/A�,��� p` aecam a A & A SERVICES, INC.
/'1iA SERVICES 115 NORTH STREET,SALEM,MA 01970-
• e • Telephone:(978)741-0424 Fax:(978)741-2012
Contractor Registration No. 101609
`Federal EIN:04-3090162 Construction Supervisor No.CSO57733
CUSTOM REMODELING AND IMPROVEMENT AGREEMENT
Buyers)Name Date of Cc tract .
C �e dfy rn/
Buyers)Street Address,City,State and Zip Code
D yiime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address;
The Buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed on the accompanying Specification sheets,in accordance with
the prices and terms described on the front and the reverse of this agreement and any specification sheets(this"Agreement'),and Buyers)have requested that such
goods or services be installed or provided at Buyer's address listed shove. A&A Services,Inc.(°Contracti hereby agrees to install or cause to be installed the products
or services listed in this Agreement at the BuyeT(s)address written above. This Agreement represents a cash sale of goods and services. The Buyers)agree to pay in
cash the Post of the goods and services purchased as described herein,regardless of timing or approval of any financing Buyer(s)may seek for their purchase.
Purchase Pricer Est.Starting Date: S 30
Down Payment: 3730l -a Est.Completion Date: ! -
❑ ash 7 /
Amount Due on Start of Job: heck 33
❑Credit Card
Amount due on of Completion: No.
Amount Due ori of Completion: Expiration Date:
Balance Due on Upon Completion: 7U� 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.
Buyers)hereby acknowledge that Buyer(s)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. Buyers)also
(i)acknowledge that they were orally informed of their right to cancel this transaction;and(if)request that they be contacted via their
telephone numbers or e-mail, as listed abov , in the event Contractor believes Buyer(s)would be interested in any additional quality
products or;si of COI tractor. DO SIGN THIS CONTRACT IF IT CONTAINS ANY BLANK SPACES.
A&A Servi Buyers)
By. ��ft�t1 1n. Cali
Sn re g d jj ./ /J /y` �.signat�unl'12+,2 to C0-1-:e
Print Name r1d Print Name
Signature
Print Name
You,the Buyer(s),may cancel this transaction at any time prior to midnight of the third business day after the date of this
transaction. See the following Notice of Cancellation form for an explanation of this right.
ARBITRATION:Tl,e contractor and the Mmeowner hereby mutually agree in advance Mi In the event either parry has a dispute denwming this contract,either,pa may submit Such eispute to
a private andbortion.11.which has been approved by the Secretory of Me Ex ' pre of Consumer Affairs and Business Regulatbns and Oe other parry shall be recorded to submit to
such mbmAimr as 1.In M.G.L.of 42A
Comovenes auto: 5 D Bayervma
rim: pee: -
HOT""
fANfFI I_eTl(IN
.at.Of Transaction J ynu may cancel this transaction,without arty penalty Or n Di ul Tmnadderi 4 /}'ld .'eau mey cancel MIs transaction,wins any pearly or
Obligation,within three trust e55 days tram the above dale. if you cancel,any pro"more ln, obligation,within Some business days ham the above data if you cancel,any pmperty traded in,
any payments made by you under Me Gonad or Sale,and arty raveiable instrument exmvtetl arty m mems made by you under the coMmct or Sale,and any negMiable summer,execued
by you will be returned witltln 10 days lolloeng receipt by the Seller Or your cancellation nonce, by you will be returned within 10 days following receipt by the Seller of your cancellation notice,
and any security interest arising out or Me transaction will be even . II you wncol,you must and any security mlere9 arising ore of the transaction will be conceited. II you mandat you must
make avaueme to the seller at your now come,in Substantially as good condition as when remivea, make evaAable to Me serest your residence,to Salami as good madmen as when tecemae,
any goods delivered fo you under this contract or sale:or you may a you wish,=reply with Me arty geode dNmerae to you under this Conant or sale:or you may,it yea wish,comply with the
Instructions of the Seller appealing the return shipment of Me gooes at the Se9ers expense and interactions M the Seller regarring the mum shipment of Me goods at Me sellers expense and
risk. It you do make the goods available to the Seller and the Seller does net peck MUM up net. If you do make the goods available to the Seller and Me Seller does act pick them up
within 20 days M Me time of your Notice of Cancellation,you may retain or assumed of the games "hill 20 days W Me data of your Notice of Cancellation,you may mean or dispese of the goods
without any further obligation.Ilyoutailtomakethegoodsavailablelothe5elle5orifyouagrea willpM any further obligation.If you fail N make Me gootls available M the Seller or it you agree
TO return Me goods to the Seller and fail to do an Men you remain liable for performance of all to realre the goods b Me Seller and to to do so,Men you remain humble for performance of all
Obligations under the Contract To cancel This pranced hat or Survey a signed and dated copy obligations under the Contrast To canoe this Usefu rioq mail or deliver a signed and dated copy
of Me cancella hen notice or am Other"Nn peace,or send a telegram,In AAA S�e/m����i9e��15 of Me cancellation notice or any other wntlen raties,or send a telegram,ee ABA Se 0� 115
North Street Salem.MaemishuseH501970,NOT LATER THAN MIDNIGHT OF A" /" North Street Salem,Mi saMUSetM 01970.NOT tATEIR THAN MIDNIGHT OF
IDarm forte)
I HEREBY CANCEL THIS TRANSACTION, Consumer's Signature pale I HEREBY CANOELTHG TRANSACTION. Consumer's Signature Date
lu Q A & A SERVICES, INC.
MA SERVICES 115 NORTH STREET,SALEM,MA 01970
Telephone: 978 741-0424 Fax: 978 741-2012
Contractor Registration No. 101609
Federal EIN:04-3090162 Lpan)® Construction Supervisor No.CS057733
"Kk SIDING SPECIFICATION SHEET
Buyers)Name Date of Contract
Buyeds)Street Address,City,Stat nd Zip Code
Daytime Telephone Number Evening Telephone Number Mo ile-Telephone Number E-Mail Address
N ?3 .71 take;5- ot�
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.
VINYL SIDING
f Remove and dispose of existing ea" siding.
Note:
If Remove and dispose of old wooden gutters.
f Remove and dispose of aluminum gutters.
If Install new.032 gauge aluminum seamless gutters and down spouts as follows:
If Open Gutter It The Gutter Shutter Color:
If Cover body of home with 3/8 inch thick Dow High Performance Insulating Board.
If Cover all trim with aluminum coil stock including the following: Color:
If window trim If deluxe window trim f upper porch trim
If fascia boards If door trim If Other:
If frieze boards If rake boards
If Install Soffit Panels: Style: Color:
Install . . s: 0dZJ>hC
Man - Style: Color:
If Replace existing wooden attic louver vents with vinyl vents.
If Cover porch ceilings with Certaini beaded porch panels.
If Remove and re-install existing shutters.
t Install# pair of Girardin new vinyl shutters.
If Corner Post style: Color:
lean debris from grounds on a daily basis;clean grounds thoroughly at completion.
f Included in this proposal are the following items:
If Building and Electrical Permits
If Basic Electrical work including removal and remounting of fixtures electric service,and wires.
If Basic siding accessories including light,outlet,spigot blocks,dryer vents,and exhaust vents.
SPECIAL INSTRUCTIONS: �J /
.//�/1 '-Zl .IFLi'ii�/ A.i�i� t./.� .�O/ AZ - a-� / 9yi
SILL aA !✓GC�r j. �(.�iA CJ /RCkGo f-
A &A Services, Inc. provides a five-year labor warranty on vinyl siding installation to Include any reinstallation of any vinyl
siding, gutters, and aluminum coverage work due to any faulty workmanship. This warranty does not cover any Acts of God
including ice dams,lightning strikes,falling trees,damage from vandalism,or improper use.
It agreed and understood by and between the parties that this Specification Sheet,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitute.
the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms. This contract may not be changed or Its
terms modified or varied in any way unless such changes are In writing and signed by both the Buyer(s)and the Contrector. Buyerts)hereby acknowledge that Buyer(s)
has read this Specification Sheet /�
Contractor Initials: -/� Date: �G� l Buyer's Initials: O, Date: '��s
,f 'rp �1sh°egn2 A & A SERVICES, INC.
AAA 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
CUSTOM REMODELING AND IMPROVEMENT AGREEMENT
Buyers)Name Date of Contrast
Buyers)Street Address, try,State and Zip Code
e 0M, ,i OW
Daytime Telephone Number Evening Telephone Number Mob' Telephone Number E-Mail Address:
The Buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed on the accompanying specifcati sheets,in accordance with
the prices and terms described on the front apd the reverse of this agreement and any specification sheets(this"Agreement"),and Buye )have requested that such
goods or services be installed or provided at Buyer's address listed above.A&A Services,Inc.("Contractor,hereby agrees to install or cause to be installed the products
or services listed in this Agreement at the Buyers)address written above, This Agreement represents a cash sale of goods and services. The Buyer(s)agree to pay in
cash the cast of the goods and services purchased as described herein,regardless of timing or approval of any financing Buyer(s)may seek for their purchase.
1-l?53fdgj'Pureness Price:%d, 9 Est.Starting Date: ��
i 6
Down Payment: 3hj� Est.Completion Date: o ,<)
r
❑C ;L 5q
Amount Due on Stanof Job: —. heck y1//
❑ Car /Credit Card
Amount due on of Completion: No.
Amount Due on of Curruletion} Expiration Date:
i
Balance Due on Upon Completion l: 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.
Buyers)hereby acknowledge that Buyer(s)has mad 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 a-mail, as listed above, in the event Contractor believes Buyers)would be interested in any additional quality
products or services of Contractor. DO NOT I HIS CONTRACT IF IT CONTAINS ANY BLANK SPACES.
A&A Services,I c.
By:
Signatur Sign Lure
Print Name 'Print Name
Signature
Print Name
You,the Buyer(s),may cancel this transaction at any time prior to midnight of the third business day after the date of this
transaction. See the following Notice of Cancellation form for an explanation of this right.
ARBITRATION:The mrarecter and Me homeowner hereby mutually agree in whantt that to Me event rather party has a dispute con veering this aomacl,either party may submit such dispute he
e private aNiiration service which has been approved by the Secretary of the Exeovrive Once nt Consumer AXairea�and Business Regulations and the Miter parry shall be required to submit A
such erbitraiion as proved in M G.L.c.1C2A. /
Ca rare iid Bees' nldtls l :<
De¢: O Dekr
p > 'OF CANCELI AT ON
Data of Tmnsn ion [ ..You 1114y wnrxl this trarea day.without any penalty or Date of Transaction 1 r'r .You may camel this impression,without any penalty or
obllgatlon,within tM1 sin stlays 4om the above tlata.It carol,any propeM traded in, obligation,wither MrZbus ass days tram the eMve deal, 0 you cancel,arty propery tabetl in,
any payments made by you under the Conerect or Sale,and any negotiable instrument execuRb any payments made by you under the contract or Sale,and any revolution instrument executed
by you will be returned alpha 10 days following mAipl by the Seller of yawn wncharmien roues, by you will be returned wind 10 days following receipt by the Seller of your cancellation noice,
antl and sacuriry interest ansirg out of the transaction Air be cancelled It you cancel,you must and any thaddry intanne aded,out 01the transaction will be cancelled. If You cenwl,you muss
make available to the Seller at your residence,In decima lty as good mMilon as when received make annedhle to Me Seller at gout raskence.in substantially as good condition as when aebxd,
any goods delivered to you under Nis Contract or Sal:or you may,if you wish.comply with the any goods dellveral to you under this Contract or Sale;or you may,it you wish,comery with the
Instructions of the Seller gard'v the return shipment of Me gootls at the Sellers expense and InstruNws of the Seller regaAing the realm shipment of Me goods at the Sellers expense And
risk. It you do make the goods available to the Seller and the Seller does not pick them up risk. It you do make the goads available to Me Seller and the Seller does not Pick Mom up
within 20 days of the date of your Notice of Cancellation,you may retain or disease W the goods will 20 days of Me data of your Name of Cancellation,you may retain or discose of the goods
wiNoutarrylurtherobligatlon. Ilyoutailtomakethago savallablefotheselleporapuagree wilMW any turner obligation. Ilyou Palle,make Negwtlsavailable lathe Seller.or gyou agree
to realm the goods b the Seller and fail to do w,Man you remain Fable for perkere red of all to ream the goods to Me Seller antl fail to do so,then you remain liable for performance of all
obligations under the Contract To cancel this appearance,mall or deliver a signed and py obligation5 untler Me Conhaol.To camel ins Vansaclion,mail or delivar a signed yM d t y
of the wncell rice,rtmlbe or ury other written notice,or send a Mlegram,a A&A k 115 M the camallatian rwVice or any other written notice,o send a telogram,to A&A Be;'Pd 5
North Street,Salem,Matta usetts 01970.NOT LATER THAN MIDNIGHT OF North Street,Salem.Mesmalrs—b1Wo,NOT IATERTHAN MIDNIGHT OF-
(Dalel (Date)
I HEREBY CANCELTHIS TRANSACTION. Consumers 5ignmare Data I HEREBY CANCEL THIS TRANSACTION. Consumer's Signature are
,, A ` g l A & A SERVICES, INC.
AstA SERVICES 115 NORTH STREET,SALEM,MA 01970
MIMI
Telephone:(978)741-0424 Fax: (978)741-2012
Contractor Registration No. 101609
Federal ON:04-3090162 Construction Supervisor No.CS057733
WINDOWS AND STORM PRODUCT SPECIFICATION SHEET
Buyers)Name Date of Con ct
Buyers)Street Address,City,State and Zip Code
/o Su- h A,
Daytime Telephone Number Evening Telephone Number Mope 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 th vices and terms described on
this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREE T of which this Specification
Sheet is a part.
WINDOW REPLACEMENT
ZRemove and dispose of# existing ndows./
°�Install # ll new l l" ;r /f windows: Vinyl ❑Wood
67
(Man# turer)
Options: Style !: �� - 1,4,4Grid pattern
l /'
Color Interior d Color Exterior 6 Glass Type U m
❑ Wrap exterior trim with aluminum: Style Color
I windows will be installed according to the installation procedures in the portfolio.
aulk all interior and exterior edges.
.1,211 Insulate where possible around new units.
/d"Insulate window weight pockets if exist,and around new window units where possible.
4ncluded in this proposal are set up,clean up,Helps vacuum and cleaning windows inside and out.
1Building permit included.
BAY/BOWS/CASEMENT UNITS/ANY FULL CONSTRUCTION WINDOWS
❑ Create new window opening by cutting through existing home and framing in opening.
❑ 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.
❑ 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.
❑ Bay ❑Bow ❑Casement ❑Other window(s)to include new interior style trim and new exterior style trim and head
flashing as needed.
❑ Note: Painting and staining not included.
STORM PRODUCTS
❑ Remove and dispose of# existing storm window(s).
❑ Install new storm windows# Manufacturer
Style Color Option
❑ Remove and dispose of# existing storm door(s).
❑ Install new storm doors# Manufacturer
Style Color Type: ❑Aluminum ❑Solid Core
SPEC�I-A-L�INST 0RI5----'
Lp
It Is dgreed and understood by and between the ponies that this specification Sheet along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,eonathoss
the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms. This contrail may not be changed or Its
terms modified or varied in any way unless such changes are in writ[ and signed by both the Buyer(.)and the Contractor. Buyerho hereby acknowledge that Bayer(.)
has read this Specification ShmL
l!�
Contractor Initials: Date: Buyer's InitialR d Date: / LQ
05/24/2010 10 : 18 FAX 19787412012 A&ASERVICES 001
* TX REPORT ***
t����sx�xsxts���*tttt
TRANSMISSION OK
TX/RX NO 1190
DESTINATION TEL # 19787443311
DESTINATION ID
ST. TIME 05/24 10 : 15
TIME USE 00 ' 43
PAGES SENT 1
RESULT OK
f
A Grade
Above
51nte 1982
A SERVICES
IUT 1 ,
115 NORTH STREET
SALEM, MA•01970
PHONE: (978) 741-0424
FAX: (978) 741-2012
DATE: ' C9:! 1
TO: IL
FAX#; / 7 Z/64 331 /
FROM:
NUMBER OF PAGES TO FOLLOW;
REGARDING;
l/J1 C. . .,.,- sue,
i AG'rade
Above
Since 1982
tz
MUVJ ® �
118 NORTH STREET
SALEM, MA 01970
PHONE: (978) 741-0424
FAX: (978) 741-2012
DATE: a�TO: �� /� Z_a A) r
FAX#: ��J2�. Z ZV�4 331 �
FROM: F /G�,l/I y ,
NUMBER OF PAGES TO FOLLOW:
REGARDING: .6,Y1✓ 1.9
��,rZa-m r Z.2229 Q/9 2(2
Z,�Z 7277
Sfi/ril ' c✓ 5��rf 1'l�X f`
r