27 WEST AVE - BUILDING INSPECTION (2) The Commonwealth of Massachusetts
Board of Building Regulations and Standards OFSALEM
CITY
' Massachusetts State Building Code,780 CMR, 7`h edition Rev ed January
+1�O Building Permit Application To Construct, Repair,Renovate Or Demolish a 1,2008
(JAI One-or Two-Family Dwelling
This Section For O 1 Use Only
Building PemitNumber: /Jw Date pplied
Signature:
Building Commissioner/Inspect ofK,1dms Date
SECTIO 1: SITE INFORMATION
1.1 �r�per A�d ryes 1.2 Assessors Map&Parcel Numbers
Lla Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoninglnfoi•ination: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(it)
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.403§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: �t
7 //1oJ� ///�/J/lF' c22
N ( r' ) Address for Service: /
912f• 7�,/y 7/6 9
ig n ire k Telephone '
CTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply
New Constmcticn❑ Ex sting Building❑ Owner-Occupied ❑ I Repairs(s) ❑ 1 Alteration( Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units_ I Other ❑ Specify:
Brief Description of Pr p)sed)York':
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑ Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List: e .
5.Mechanical (Fire $ Total All Fees: $
Suppression)
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $� a� ❑Paid in Full ❑ Outstanding Balance Due:
l
SECTION 5: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL) 3
'7
J Q'L /1
ZLicense Number ,-Ex iration ate,_ -
Name f SL- old-
List CSL Type(see below)
Address f Type Description
U Unrestricted(up to 35,000 Cu.Ft.
R Restricted 1&2 Family Dwelling
M Masonry Only
RC Residential Roofing Covering
Telephone WS Residential Window and Siding
SF' Residential Solid Fuel Burning Appliance Installation
D Residential Demolition
5 Re red Home Improment Contractor(HIC)
��. ste�orVZra�ve ire, . //�/�29
H)j Company N��or CI� antNa e _(' RegistrationNumber�/��
Address �(J J _.ff_�l (JJ
Ex ration Ate
Signature elephone
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 Issu an—Pcof 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, Aaoclv as Owner of the subject property hereby
-,authorize to act on my behalf, in all matters
N�atf�eto k uthorized this building permit app ' anon.
ignature of 0 er Date
n g SECTION 7b: OWNE�R' O7R/AUTHORIZED AGENT DECLARATION
2J/yz-�4 Ias Owner or Authorized Agent hereby declare
that the stagements d information on the foregoing plication are true and accurate,to the best of my knowledge and
behal
Print Name
Signature of Owner or Authori d Agent Date
(Signed under the pains and penalties ofperjury)
NOTES:
1. An Owner who obtains a building permit to do his/her awn work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(ITC)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"
The Commonwealth of Massachusetts
pp Department of Industrial Accidents
:131r _ y
-_ �- Office of Investigations
l 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/Orgmintion/Individual): Acla Y Il Q V
Address: I1 h1orlb. Sif QL
City/State/Zip: 6 1 1Q ]0 Phone it: q
Are�u an employer?Check the appropriate box: Type of project(required):
1.Ll/J 1 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. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g. ❑ Demolition
working for me in any capacity. employees and have workers' 9 ❑Building addition
[No workers' comp. insurance comp. insurance.1
required.]
5. ❑ We are a corporation and its ME] Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.]t c. 152, §1(4), and we have no
employees. [No workers' 13.❑ Other
comp. insurance required.]
*Any 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 hue outside contractors must submit a new affidavit indicating such.
tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the subcontractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. ( T'/ / f
Insurance Company Name: I r l X I I/Iy��I��J Q�X ,l �/� —
Policy#or Self-ins.Lic.#: 1/ I I I U ` L1 R"J Expiration Date:(
Job Site Address:c,27 �l tL s� ,/�zil- City/State/Zip:
Attach a copy of the workers'-compensation policy declaration page(showing the policy number and e4piration 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 may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify unn e pains and penalties ofperjury that the information provided above is true and correct.
Signatui c� ''7 Date srl�qI/
Phone# q (�' l o - I d g a q
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#:
i
I
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied, oral or written."
An employer is defined as"an individual,partnership, association,corporation or other legal entity, or any two or more
of the foregoing engaged in ajoint enterprise, and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership, association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(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 with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states "Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence 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-contractor(s)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
of the affidavit for you to fill 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 dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office 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.
The Department's 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
Revised 4-24-07 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, e condition of
Building Permit Number is that the debris resulting fr®m this vroik shall
be disposed ®fin a prcPerly licensed facility as define.by M. G. L co 11
9 0-0a.
7be debris WHI be disposed at., Salem Transfer Sl6ktscn
owned by lm tlde Cardng
LGq!v^'1
Signature of lcant
Date
i �me ®f PermiN
p�ficant .
A &A Servic-®s. @ne,
�irr� Fvem®
E � Ccr €atr � , SRI&M. MA 01976
Address, City, State, Zip Code
�y Control No: a 5 193
THE COMMONWEALTH OF MASSACHUSETTS
DEPARTMENT OF LABOR
i
DIVISION OF OCCUPATIONAL SAFETY
.. - ., .. 19 STANIFORD STREET,BOSTON MASSACHUSETTS 02114
DELEADER CONTRACTOR LICENSE
A & A SERVICES, INC.
115 NORTH STREET
SALEM MA 01970 t
LICENSE: DC000440 EXPIRES: Wednesday, April 11, 2012
IN ACCORDANCE WITH M.G.L. CH. 111, § 197B(b)AND 454 CMR 22.03,THIS LICENSE IS ISSUED BY
THE DEPARTMENT OF LABOR, DIVISION OF OCCUPATIONAL SAFETY TO THE CONTRACTOR
ABOVE FOR THE PURPOSE OF ENTERING INTO OR ENGAGING IN DELEADING WORK.
THIS LICENSE IS VALID FOR A PERIOD OF ONE YEAR.
THIS LICENSE MUST BE MAINTAINED BY THE CONTRACTOR WHEN ENGAGED IN DELEADING
WORK IN ACCORDANCE WITH M.G.L. CH. 111 § 197B(b)(2)AND 454 CMR 22.03.
HEATHER ERI-fET RowE,ACTING COMMISSIONER
Printed on Recycled PVp
:N1 ras chusetts Department of Public Sareti
✓/se n e Affairs& a�✓�oox c/uaelta
Office of Consumer Affairs&B smess Regulation Board of Buildm Re-ula[ions and Standards
HOME IMPROVEMENT CONTRACTOR ,,,, Construction Supervisor License
Registration 101609 Type:
License: CS 57733
Expiration 6/26/2012 Private Corporatio'.
,{ ,SERVICES, INC :, .
CHRISTOPHER ZORZY
115 NORTH ST
Christopher Zorzy - SALEM, MA 01970
115 North Street + _
Salem, MA,,01970 Undersecretary
Expiration: 5/26/2013
('onuuissi^ttt't' Tr#: 15938
NOV-05-2010 16:19 Sunrise Windows AA P.02
vanguard I N
A view that works
Vanguard Windows are tested and certified to National Fenestration Rating Council (NFRC)
standards. These are the numbers ENERGY STAR® uses to determine how fenestration products comply
with their standards, and to categorize the products for the appropriate climate zone(s).
O _ _
Window Glass _ U-Factor SHGC
Type Package I ;
VG Pius 28
Double VG 12 0.28 0.21
Hung
VG'Ar 0. 0.22
VG Plus
C Slider VG 12 0.28 .21
VG'Ar 0.22 0,22
VG Plus 0.28 0.28
Tilt-In Slider VG 12 0.28 0.21 Northern
VG'Ar _ 0.22 0.22 ❑ No th,Centrei
VG Plus 0.28 0.30
Picture VG 12 0.27 0.22 ; ❑ South/Central
0.21 0.22
VG Plus_ 0.26 0.24 h� Southern
Casement VG 12 0.25 0.18
Alternative
VG'Ar 0.21 0.19 Criteria Aliowad
�VG Plus 0,26 -�0.24
Awning VG 12 0.26 0.18 �LL
VG'Ar 0.21 0.19
VG Plus 0.26 0,28
Casement . VG 12 0.25 0.21 '
Picture
VG'Ar 0.20 0.22
VG Plus 0.30 0.27
Sliding Door VG 12 0.29 0.20
VG'Ar NIA NIA NIA
www.vanguardwindows.com
This data Is accurate AS of February 26.2009.Due to ongoing product changes,updated test results,or new industry standards or requirements,this data may changeover
time,Ratings are for sizes specified by NFRC for testing and certif cation.Ratings may vary depending on use of tempered glass,different grid or decorative glass options,glass
for high altitudes,coastal applications,etc.
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TOTAL P.02
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' �'/ "� A & A SERVICES, INC.
A&A SERVICES 115 NORTH STREET,SALEM,MA 01970
NZORMUMMWOMTelephone: (978)741-0424 Fax:(978)741-2012
Contractor Registration No. 101609
Federal EIN:04-3090162 Construction Supervisor No. CS057733
CUSTOM REMODELING AND IMPROVEMENT AGREEMENT
Buyer(S)Name Date of Contract
v>G Crr we(- 7 3o ri
Buyerts)Street Iddoess,City,State and Zip Code
WZ5+hV S lei , (91 R' 6 0,g1r'f 1;z-
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address:
q_9 70q- / aralgrs coy' � F
The Buyers)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 aid 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 above. AAA Services,Inc.CCcntractof),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 affects)agree to pay in
cash the cost of the goods and services purchased as described herein,regardless of timing or approval of any financing Buyerts)may seek for their purchase.
Purchase Price: Est.Staling Date:
B
Down Payment: �� eiL�"' , —� Q Est.Completion Date: a if
❑Cash
Amount Due on Stan of Jot:— r� O Check
❑
./ Credit Card
Amount due on of Completion: 315d/)/- 2�J3�� No.
pl�vucSY d'
Amount Due on of Completion: k 3,�12 Expiration Date:
LY dC/
Balance Due on Upon Completion: oo 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.
Buyerts)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. Buyerts)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 e-mail,as listed above, in the event Contractor believes Buyer(s)would be interested in any additional quality
products or services of Contractor. DO NOT SIGN TITS CONTRACT IF IT CONTAINS ANY BLANK SPACES.
A&A Service nc. Bu a\g I�� ('n�
By:
Signature On 0, Own
Print Name Print Name
Signature
Print Name
You,the Buyerts),may cancel this transaction at any time prior to midnight of the third business day after the date of this
transaction. Sae the following Notice of Cancellation form for an explanation of this right.
ARBITRATION:The contractor and the Mmopwner hereby mrrNally agree in aMance Mat in the event ether party M1as Qlsp wnuming Nis calved,either party may wbmit suU dispute to
a pMate erbivatlon service Arch has been approval by Me Secretary of the Examic,OXice of f:msumer Aflalrs orb )1Wne Regulations and the WM1er peed shall be required to submit to
such emission as proved in M.G.L.c.1 Aso II\t/
Coneaelot initial Bayin lniliala:
Date: Due: 1�
NOTICEOF CoNr'F ATON koroi OF r'ANiI ATON
Data of Transaction I may cancel this Uncommon,worcu1 any merely or Data of Transaction YOu may Cancel mis trensomem,wiWto any penalty Or
obligation.wilM1in Mreeb sloe% d�ys tmmtne a[ove dam.It ypu Wncel,any pragM ended ln, ONigetlon MUM a brea horn Me above data. It you carve,any sope M traded in,
any payments made by you under the CwNect Or sale,and any negotiable iwdmmmi executed any payments made by you under Me Convect w Sale,and any recount Instrument executed
I you All M returned within 10 days following receipt by the Seller of your cancellation notice, by you will be return H within 10 days following receipt by the Seller of your wnvtietion come,
end any security interest edvey old of Me transaction an be cancelled. 9 you mrcel,You must and any secunry interest edvng oN of Me normal will be conceded. I1 you cancel,you must
Hae evalabm b the Seger at your resider .a extremely as gal vMitgn as Aren rererved, make andiume to me War at your tandsoe,in subalarNaety ve dome common m when raxlval,
any goods delivered to you under ale Convect Or Si or you may,tl you wish,comply AM the any goods daimaid to you under Mls Contract or Si or you may,if you wish,empty Am the
institutions of Me Seller regarding the mtum shipment of Me gads at the Sellers excense and Imarctims of the Selleri,g ln,Me ream shipment of the We at to Selmn expense and
dsk. If you do make Me goods available is Me Seller and Me Seller tlm:s not pick them up Has If you do make Me owns avaimbls to tM Seller and Me Seller does at pick them up
Affro 20 days of Me time of your Nome of Cancellation,You may mlaln or dispose of the goods Amin 20 data of the date M your Notice of Catcall You may retain or dispoe of the goods
xithoutanyruawrobligatian. lyw lailmmake the gads evallaGeb Me Sellep orrtyou agree wtllroNanyfurmerobligatun.Il you tailmmake Me goods availablem Me Seller.cr ilyou agrm
to return me goods to me eater and,far to M Si men you remain hands for pedmmaae of all as return Me goods to Me Seller and fail to do an then you remain made for performance of all
obligations underthecontract TO cacee Ms tta tbn,real ordeliverasigmd ardtlate]copy obligations under the Commi.To callvlNu vwMtion,mail or deliver a signed and dated ropy
of the carvsllal on notice or are star semen notice,or send a mlegram,to A8A Se 115 0me Mountain notice or airy Omer writte $Stet 115 n notice,or send a telegram,to AsA
NOM SUM,Salem,Ma MhusM Ol mQ NOT LATER THAN MIDNIGHT OF NorthSmad,Rotor.Mazechusetts 01970,NOT LATER THAN AIONIt OF
1-771
(Date) (Dam)
1 HEREBY CANGELTHIS TRANBACTION. Consumer's 5ignaare Date I HEREBY CANCEL THIS TRANSACTION. Consumer's Slgnaare Oata
F4M
{ at A & A SERVICES, INC.
UA SEROCES 115 NORTH STREET,SALEM,MA 01970
• • may'' Telephone: (978)741-0424 Fax:(9978)741-2012
vob Prdr: W6s fi41�2,--v7K/4rt"1 Contractor Registration No. 101609
Federal EIN:04-3090162 SA-el f1 L�- a1z N Construction Supervisor No.GS057733
WINDOWS AND STORM PRODUCT SPECIFICATION SHEET
Buyer(s)Name Date of Contract
Buyers)Street Addr ss,City,State and Zip Code
a? d 1 Z
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address
q?g71/ c
The Buyer(s)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 pad.
{� WINDOW REPLACEMENT
Remove and dispose of# r i v� existing windows. (ill yl-
(((���%%% Install # Rye, new'1 5om r1 SL / windows: vinyl f Wood
170 bl� Rt` (Manufacturer) /
Options: Style _J S��e-- Grid pattern Il
Color Interior. W h {-(? Color Exterior LUbt!'1't? 0 Glass Type
f Wrap exterior trim with aluminum: Style Color
All windows will be installed according to the in Ilation procedures in the portfo'
O Caulk all interior and exterior edges LW ( $$ .SCIV42 lL CDNs, \�\) ct I
Insulate where possible around new units. 11 +/ OG+�✓,'�t'^�r,�`
If Insulate window weight pockets if exist,and around new window units where possible. MaG!11(j;Q,s
Included in this proposal are set up,clean up,Hope vacuum and cleaning windows inside and out.
�f Building permit included.
BAY/BOWS/CASEMENT UNITS/ANY FULL CONSTRUCTION WINDOWS
If Create new window opening by cutting through existing home and framing in opening.
4 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.
4 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.
If Bay :Bow If Casement 4 Other window(s)to include new interior style trim and new exterior style trim and head
flashing as needed.
If Note: Painting and staining not included.
STORM PRODUCTS
4 Remove and dispose of# existing storm window(s).
If Install new storm windows# Manufacturer
Style Color Option
4 Remove and dispose of# existing storm debris).
If Install new storm doors# Manufacturer
Style Color Type: 4 Aluminum If Solid Core
SPECIAL INSTRUCTIONS: f
e. Faar L7nuh(Ohcuwa tuivt� S �r h� xc`-_SW -iA(s ��� r /GULk)ioF1 Zi N 15 �{ ficl ZU'
Ri 1 Y beAroom
r ONL SNA vLni5�,fAsS IQ VAaL t!-afr� SL'�eS"' �dC�l tioYl (Sf J, ter tfeo� �
Asc -in
4it?uRRP (P .72G8 / /aciravirn r �t'ts dislub"hivn , foss ��C7_ � relfsdF
. —T i_ !a7�f o of r'�h Pvl f@L 7/vpu St(
N is agreed and understood by and between the parties that this Specification Sheet,along wNh CUSTOM REMODELING ANO IMP 9 NIT AGREEMENT.can-
Me entire understanding between me parties,and there are no verbal understandings changing or modifying any of the terms.This contract may not be chs'
terms modified or varied in any way unless such changes are in writing and signed by both the Buyer(s)and the Contrac . Buyers)hereby acknowledge'
has read this Specification Sheet '/j,
Contractor Initials: _ Date: 3pJ/� Buyer's Initials: Date:
\ /T tT�