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3 VERDON ST - BUILDING INSPECTION
The Commonwealth of Massachusetts uV Board of Building Regulations and Standards CITY OFSALEM 'wn , Massachusetts State Building Code, 780 CMR, 7°edition Revised January Building Permit Application To Construct, Repair, Renovate Or Demolish a 1, 2008 One- or Two-Family Dwelling This Section For Official Use Only Building Permit Numbe . Applied: Signature: Building Commissioner/Ins for 4 Buildings Date SECTION 1 k INFORMATION 1.1 Property Address: ID: 08-0054 V 1.2 Assessors Map& Parcel Numbers 3 Verdon Street 8 54 1.1a Is this an accepted street?Yes X no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dim ns: Rl One Family Zoning District Proposed Use ea(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 1.7 Flood Zone Information: 1.8 Sewage Disposal S Public rivatc❑ Zone: _ Ou ' one? Munic' n site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner of Record: Paul Wentzell 3 Verdon Street Name(Print) Address for Service: Attached Contract - 978-745-1444 Signature Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) 0 Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units I Other ❑ Specify: Brief Description of Proposed WorO: Remove&Replace(5)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 $4,402- 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $0 ❑Standard City/Town Application Fee❑Total Project Costs(Item 6)x multiplier x 3. Plumbing $0 2. Other Fees: $ 4. Mechanical (HVAC) $0 List: 5. Mechanical (Fire $0 Su ression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6. Total Project Cost: $4,402- 0 Paid in Full 0 Outstanding Balance Due: r SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) 97519 08/31/2012 Lubos Svec—Sears'Authorized Agent License Number Expiration Date Name of CSC-Holder 827 Th n n CT 06 77 List CSL Type(see below) U Type Description Add - U Unrestricted(up to 35,000 Cu.Ft. _ gL'✓t R Restricted 1&2 Family Dwelling Si ure M Masonry Only 860-753-0452 RC Residential Roofing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation ' D Residential Demolition 5.2 Registered Home Improvement Contractor(HIC) Sears Home Imp—Lubos Svec—Sears Agent 148607 HIC Company Name or HIC Registrant Name Registration Number 24 Florida Central Parkway/Longwood,FL 32750 10/11/2011 A s r$ Pi✓ 860-753-0452 Expiration Date Nys 5' ure 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 1, Paul Wentzell , 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 r Signature of Owner Date SECTION 7b:OWNERS OR AUTHORIZED AGENT DECLARATION 1, 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 S c— ears Hom Im rovcment- Authorized Agent / Cell:860- 53-0452 Print N Signature of Owner or Authorized Agent Date (Signed under the pains and penalties of a 'u NOTES: l. 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 SA LEM rl PUBLIC PROPRERTY �arKnr- : DEPARTMENT S.v I'M. Mkli.%, III .1 I Tr 1 FAN! 4:N.74J78416 Construction Debris Disposal Al" idavit (reyuirrd fix all demolition and renovation work) !n ;tccurdancr H ith the sixth edition or the State Building Cole, 730 CbiR suction 111.5 Dcbris, and the provisions of MGL e 40, S 54; Building Permit It is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal racility as defined by MGL c 1 11, S 150A. The debris will be transported by* t = . 1 name u(hdulcr) A lie debris will be disposed of in .. Iyj (a:I the u l'lac i lit 36S l�► ) iv� S i � � y VC )r? L-cam fu")ot� ct =Oz090 I:rkl(Iress ur lace ny) SCGLr$ ituic O litant 1 .L _. ,fare . i • l The Commonwealth of Massachusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electiricians/Plumbers Applicant Information Please Print Legibly Name (Business/Orgarnatton/Individual):_ Seas 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): .❑ 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 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 [No workers'comp. c. 152, §1(4),and we have no 12.❑Roof repo s 1 insurance required]t employees.[No workers' 13 Other comp. insurance required.] *My applicant that checks box#1 must also fill out the section below showing then 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. tConhactors that check this box must attached an additional sheet showing the name of the sub-contradors and their workers'comp.policy information. 1 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.#: W LRC46138211 Expiration Date: 08/01/2011 Job Site Address: � r ��5 City/State/Zi : 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 ce�rti/�f n/�//7��'the pains an enalties ofperjury that the information provided rove is a and coned. Sienature`.�LI f V.F i� {Sears Auth.Agent} Date: r, Phone#: Home—Fax: 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: PermitUcense# 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 08:14 4077678536 SHIP PERMITS&LICENSE PAGE 01/02 n� CERTIFICATE OF LL4,BILM INSURANCE aaTeoe�n�6 01 �mAOPP Risk Sergi CeS Central, IM- SCERTMCATEM IS3MASAMATCEROFINF0R4A7I0NONLV ChitaQu IL Office ANDCOt EIMNOR[GISTBUPOIVTFM( WnPICATEHOLDRR-THE 200 East Randolph CERt MATR DOES NOT AMEND,ERIEND ORALTER THE Chicago IL 60601 USA VERAGEAFFORDEI)UVTREPOLSCFE49UM.OA'. r11oNE• 866 283-7122 FA:- 84 953-$190 INSUIURSAMADINGCOVERMM NAIC? UMaeo - - I u13wK, National Union Fire Ins CO of Pittsburgh 19445 Sears Holdings Corporation I omma o;ACE American insurance Company 22667 dba Sear$ Home 7mprgqveipent Products, Inc Attn: Risk muna9ameht;E3-219A Indemnity Insurance Co of North Ameri Ca 43575 3333 Severly Road - Hoffman EStates IL 901.79 USA Rautreno: $ ' O15UROR6 0 COVERAGES p: ' POULCH$OF PSURANCEUS11115REIAW nAV66EEa ISSUM TO THE LNSUREDNMt6D ABOVEPORTRe PQLmCYVEIHOD Dd] kTM ,N'OTMTHSTAXMM ANYR£QUIRf ,TERMORcmNDmo,j OPAmycm RACTOROTHkoomwFNrwuRRESPerTio AVIOCRT818CERTMCAwD ven Issu oR MAY ' PQLTAai.THE L\9VRANCE AF-ORDEDRYTaE WJII©6^rrremvn��NLsgODD:CTiO A1tTHETERMS excuSlpmsgxD COYDSO0N90P SL'CHgLICrti AQORCGAiEuemlS mHORiu rAAY HAYEB�A'R®UCm Br PAID CLALUi - UWM SHOWN ARE AS REQUESTED tYR MaeTVMOrr�&1KCE PRVOYaDTCDtR I gLCY5rpyci vr,MYPON LrNr,a oa VYN a 14AaRnY MmC1 513826 55/01/2010 ae/aina11 enal ttcVanRans $5,000.000 X Cn?,Y01OALnOVE6.V.LNa1LITY ( DA5IAOETORFNIAa 55.000,000 ^ CWAtSMAOb OMM PPL 1 ampau+U kzc ume 4EnpLWALBADV IXRmY SS,000,OOO �' . otnaasL.MGm[nA1¢ 55,000.000 m " GOn.ACGRE0AT6Laar APr,JE44eR i T ' ' caoaUm.LrovrOr AOO 55.000,0oa o 0 roLw:v Ixa-.©.a R AugMORDB Walilll" iSAN08625505 08/01no2o 08/01/2011 cmwmaEOsmm41ale4T o y.4.A0ro LSAR088254M 08/01/2010 09/02/2011 ��e) SS.000.OW 2 Ai1ONw'FD ALTQ^. OODRV RUURY v 5(AtOa[ERAUn1R I libry¢+i L X NRifllAUlSX: ,. BODILY nUURY U aOHOM1 AUiO4 frcmdim) FmvrERrY DAMAO6 atraaimwll CAMFFGAeIUrY I AUI'OONLY-eAARV>B•"r ANY.WTD Arm.. rA ACC AU100a4'e AGO A BXGMMInamwaA.PunBrurY sE2M:375 us/Olizow o8iolizQ10 rnCR00CUeRW+tZ x OCM MD2 HADE AUORrAAIE Si.000,a00 R8T0vItW C R'ORBHtS GaNPL^e3NnOaAHD HL0.0 A - x xrAN- OTH• yY�N CA HA C cVr1AY01S•fdABRID IN I SC:Y4613B259 08/01MID 09/01/2011 eL SACII ncL�E1.T 52.000,000 AHyn(aPaIIslOAtrPmVrtlF]@tl.TY6 LLJ� qz C 1 4sxCLUotPr HutC46139211 08/01/2010 09/01/2611 ELDI.eASE.6Aes�nvLE T2.000.000 11 udeah,mkr3PEQALrR(IVOION96yaa All Other states RLDLS9/SE-gDLYiRM 52.000.OR0 Oulum on=I'nONOPOiRRAtiO'64ArtRiftTJrEn16L4e4CIL5iON5 A➢OtlD aY O•'RORSBLteR4PFLTALra1YY1CfO1S CERTIFICATE HOLDER - CANCELLATION Ag Sears Home ImprWement Products, SnC. $F19�Jlfl PAYOFi11BMOVEOFSOOaBogimta Be CANCmJ.FABEFOaETHEE'n,l'.ATION 1024 Florida Central Parkway DAie tR�EOm.rxO ua�HR wsaRRR aRL sosAvomTo..... LongaOod FL 12750 USA ROAYsamn+ +w»�TOnroc6nrRauTCHD,nmHAeosomtxR Lwi. OFANY®mOgH raemmV NOOBi1CA1RIN OR UP9�UlA' fA I1SACaYBORaPvaEsu�rnTt��vpprs AV4HOHIIIDPEPPafENAtNG �,ly =:.t}4F Jwr1V �JwM ACORD Lc(2009101( MM-2609 ACORD CORPORATION.AD.%:bn rEeermi— The ACORD agog and lobo are reElderad mMRs Of ACORD Received on 8/6/2010 0:16:28 AM ii ''�` Oiilce of Consumer Oi�iai and suless �2e*elation I 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 o. Home IinProvement Contractor Registration Registration: 148607 Type: Supplement Card SEARS HOME,IMPROVEMENT PRODUCT Expiration: 10/1 112011 LUBOS SVEC -- 1024 FLORIDA CENTP2AL PKWY LONGWOOD, FL 32750 Update Address and return card.Mark reason Fur change. --I Address Renewal " Employment I.nst Card UPSSFI Cs YPbP:!N-C101210 ' orC.......'G u,r An.irs& rf llRtulltriar!!e :� Offire otCer Affairs\auancss ltfgetatinu License or registration valid for indiritinl use only C:br,,HOME IMPROVEMENT CONTRACTOR "'..�rJJ before the expiration dala. If found return to: Office of Consumer Affairs and Business Regulation at 9 Registration: 148607, - 10 Park Plaza Suite 5170 - °��'-.f' Expiration: 10/111201i Huston.\1A 0211(, Type: Supplement Card SEARSHOMEIMPROVEMENT PRODUCTS INC. LOBOS svrc 1024 FLORIDA CENTRAL PiCWY _^� LONGNlCOD.FL 32750 —'--" yam' - fnJerarrn9an� \nt valiJ withnnt Slgnatnre Massachusetts - Delta n- tile nt ol•Public sarett Board of Buildin_ Kc_ularinn. and St:uul:u,tls . Construction Supervisor License- License: CS. 97519 LUBOS SVEC - 827 THOMPSON F DAD •• THOMPSON, CT 06277 Expiration: 8/31/2012 ('namiaai„oer 'Tr--: 2442 i I, IIIN IIIII ID DI Office Location: Proposal Date a 1 I dab a 3 Sears Home Improvement Products,Inc. Customer Name � � 102 Box FloridaCentral n 22290 Wert+-zL_LL 1024 ida Central Parkway Customers Home Phone Customers work Phone Home Improvement Prod" Longwood,FL 32752-2290 9��'1y✓I tH Phone (800)469-4663 Street Address ESTIMATE AND PROPOSAL contractor License/Registration Number 3 �C( � �+ Windows CT(HIC.0607669);OC(50006423); Ciry stale Zip Code MD(46542,87854);PA(PA005499); 5011LTtn 111A O14�0 Is in Ilation within city limits? RI(27281);WV(WV025882) Installation Address County Yes ❑No Billing Address(it different from above) I city State Zip Code Ptipprairl NameA License No.(it applicable) ca t�n✓1GL(, Description of the Project and Description 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.) S. Installation includes the clean up of I job- ted de ris upon completion of the job. 4. Install Sears Weatherbeater VJ Windows in the openings described below according to the following specifications: COLOR: ❑White ❑Tan ❑Clay ❑White/Light Woodgrain Interior ❑White/Dark Woodgrain Interior TYPE: I&S chi ❑PW Oty ❑Casement Oty Type ❑SH O y ❑PD Oty ❑Bay ❑1-1 City_ ❑Garden Door City_ ❑Bow: ❑3 lite 114 lite 115 lite ❑2-1 Oty ❑Garden Window ❑3-1 Oty ❑Other Oty GLASS: ❑Tempered` city. ❑ORS Half 0ty._ SCREENS:Check if other than FIBERGLASS "PLEASE NOTE:Tempered glass will be installed to ❑DES Full Oty. (on sashes only) ❑Aluminum meet building codes. El Laminated City. GRIDS: Type _ __ __ Color. _ _ _ Placement: Existing units NOT to be replaced. ❑Yes ❑Col Rai ❑White ❑Woodgrain ❑Top No ❑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 re-install 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. Customer(s)initials APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE• The work will start approximately 3 wuAlS (Approximate Stag Date)and will be substantially completed by approximately jar}-�r"/S (Approximate Completion Date).These dates are subject to change at the time the contract is accepted by Sears Home Improvement Products,Inc.("Si or at any other time by mutual written agreement.Customer understands that the Approximate Start Date is only an estimated data 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 $ Contract Price Initial Payment(not to exceed 30%at Total Price unless Special Order) $ State Sales Tax( %) Final Payment(balance payable upon completion at job) $ O Local Sales Tax( %) $ The Initial Payment is due prior to Sears ordering products. Total Amount Due S Lt The form arM method by which the Customer(s)will pay is described in a searate CaslVCredi[Card Payment Addendum made a part of and incorporated into this contract by reference. Customer(s)indials �(!J 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 1 P pages MIIaLving. Custamer(s)in8ials swrua wa.o�ros imnmi mm ADDITIONAL PROVISIONS Job Number: Proposal M AAppla al. 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. 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 lett 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. Authorization. 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. DIAL Agreements M Chamnes 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. Responsibility Q Bever. 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 service(s)to run any newly installed appliances or other furnishings. If the electrical and/or plumbing service(s)do Oct 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. 1 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 to any manufacturer warranty extended to you on the product(s)used (which warranty becomes effective the date the merchandise is installed),if the workmanship(or application)of any Sears'arranged installation proves faulty within(i)one year for Weatherbeater Value Line,(ii) 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 1-800.222-5030,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 i. DO 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 65 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 AGAINSTTHE 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. 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 MARYLAND RESIDENTS ONLY Notice:All home improvement contractors and subcontractors must be licensed by the Maryland Home Improvement Commission.Inquiries regard- ing a contractor or subcontractor should be directed to the Home Improvement Commission,telephone:410-230-6309 or(in-state)1-888-218-5925. NOTICE TO NEW HAMPSHIRE CUSTOMERS NEW HAMPSHIRE LAW, RSA 359-G,CONTAINS IMPORTANT REQUIREMENTS YOU MUST FOLLOW BEFORE YOU MAY FILE A LAWSUIT OR OTHER ACTION FOR DEFECTIVE CONSTRUCTION AGAINST THE CONTRACTOR WHO CONSTRUCTED, REMODELED, OR REPAIRED YOUR HOME.SIXTY DAYS BEFORE YOU FILE A LAWSUIT OR OTHER ACTION, YOU MUST SERVE ON THE CONTRACTOR A WRITTEN NOTICE OF ANY CONSTRUCTION CONDITIONS YOU ALLEGE ARE DEFECTIVE, UNDER THE LAW,A CONTRACTOR HAS THE OPPORTUNITY TO REPAIR AND/OR PAY FOR THE DEFECTS.THERE ARE STRICT DEADLINES AND PROCEDURES UNDER STATE LAW,AND FAILURE TO FOLLOW THEM MAY AFFECT YOUR ABILITY TO FILE A LAWSUIT OR OTHER ACTION. Custo ers signature Date 77 Customers signatur „ Date Accepted by Sears Home Improvement Products,Inc.("Sears")on .7.�'i 6( by: Date Management Representative SW1-00 Pev.7. a IVFRC [k� . .NBhOnBl Fenestration tiii :r1_z iv tuaup l3Ui LYE � J f. £.J 11 is ! -` is �S_—C-' . ENERGY PERFORMANCE RATINGS EVA UACION DE F101 M UM eme noo U-Factor Solar Heat Gain Coefficient Factor-U Coeftciente:Gananda de Energia Solar (US") (Metricols ADDITIONAL PERFORMANCE RATINGS . EVALUACIUN SUPLEM3dTARIA DE REMIMIENTO Visible Transmittance Trarumisiondel.uzVWible Manutacftaar stipulais thatibaw rati W conform to applicable NFRC procedures for determining whole product performance.NFRC ratings are determined for a Pored set of errAmnmerdal conditions and a specific product slim.NFRC does not recommend any product and does not warrant the sultabiilty of any product for any specific use.Conwft manufacWrers fderature for other product performance irdormadom www.nfre.org --- - - - - - - - - - - - - - - - - - - - - - - - - - - --- -- ----- -- Este fawcame esupula qua estce valores cumplen con tos procedimientos aplicabtes de NFRC pare defermfmar el ren limietrmtaw del producto.Los valmes usados por NFRC son determinados por un conjmdo fijo de condidmmes amblerdales y un tamano de producto espddfico.NFRC no mcamienda ningun producto y no gamma quo el producto sea adecuado par.un rrso especifico.Constdte con el folleln del fabricarde pare al use apmpiado de este producto.www.nf%org STAF. t >:ectialii�j : `Arort:tlec'ta, Pioz:Ctx �O�pdc� + � �". ,a,.s�.�x- T-3. �.r>•.ti!i.=tr{ r�liiirx 5Tt N IND 'Rein T,Jai: Re'�u�rzi� AJ/Si—H.o:, i i[ _` t i r 1 ! t'i L 7 r 51iA13C Fil:u.;?-`_wc _- 1-14 inn, { 29 vw •1`�-',1562 li.S Keep ft Lobel for possible ENERGY STAR®mbalm b lean more vidt www ener Dtugov . Guorde esta e6queto pma posibles roembofsas ENERGY STAR.®Pam conocer mds acerce de esto,visits www.eneWAr.gov.