30 WILLIAMS ST - BUILDING INSPECTION The Conunumceahh 01 Massachuse(tS
Board of 13ulldinM RcMulutiuns and Standards \11'tiIl'LI' \I.I'I 1"
,;� Massachusetts State Building Code. 7S(1 ('y4R, 7°i edition tilt
4� .. s
lBuilding Permit Application To Construct. Repair. RenO%nte Or Denloli.sh a Hrnn„I./mm,rn
Once- or Tun-Family Darlliiig 'r)raS
-- ---
This Section For Oftirial Use Only
Buildims Permit Num .er: Date .Applied:
Jlgnatul'el - —__—_.--_
13u11ding Commissioner/ I pcctor of Buildings Dale
SECTION I: SITE INFORMATION
1.1 perty Add es: 1.2.Assessors Map & Parcel Numbers
;l)ro /U�f� ` -- -
- %la Nu tither Parcl ......
1.1 a Is this an accepted street'? yes_ no— p
- 1.3 Zoning Information: i.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq 11) Fronlage 111)
1.5 Building Setbacks(ft)
Front Yard Side Yards - Rear Yard
Required Provided Reyuirgd Provided Required Prut idea
1.6 Water Supply: (M.G.L c.40. §54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone" ,'o1unicipaf❑ On.Site disposal .syslcm ❑
Public ❑ Private ❑ Check if yes[]
SECTION 2: PROPERTY OWNERSHIP'
2.1 wr r'of Record r n 1�/& ms p
Name l rind Address for Service:
_ ?' T- 7V6 39 /7
Signature Telephone - -
SECTION 3: D SCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction ❑ Existing Building ❑ Owner-Occupied ❑ Repairs(s) ❑ Altera[ion(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units_. Other ❑ Specify:
Brief Desenptio of Proposed W r —
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
Item (Labor and Materials)
1. Building '$ 8. I. Building Permit Fee: $ indicate hose fee is detornuned:
❑ Standard City/Town Application Fee -
2. Electrical S ❑Total Project Cost' (Item 6) x multiplier x
3. Plumbing S 2. Other Fees: S
4. Mechanical (HVAC) 5 List:
5. Mechanical (Fire S ---
Total All Fees: S
Suppression)
t Check No. Check Amount:
j b. Total Project Cost: S /_�Qg ❑ Paid In Full ❑ Outstanding Bulance Due:______
I (J
SECTION 5: CONSTRUCTION SF,RVECF.s
5.1 Licensed
/� l�/�Coon�sttrructioonn Supervisor (CSL) s773.�_ �j/26 /l /
('LfIs iJl 1A Licrn.e/Noinher I[xplommil"ll1'nnt
'a a)• tf('I loll e
Llst C'SI_'1'spe (see heln+cl
Tv e Desch nnm -
\Jdn•s t'nreslnctrJ w i lu 3�,000 C-u. Pt.
R J Restricted &'- Famll+ M%elline
RC ResiJrnual Routine Cu+erun,
Telephone \\S kosidCuual \tnldmk .md SiJme
SF Re,idenlial Solid Fuel Bumml! \ +)1onee In 71.
D Rc,idenual Demolition
5tRe ter�m rovement o trjctor(IflCI
li 'mip:n ale r IIC �i it i Name Re�asuauun Number
6,
Ad - _ 9'h-7�/0/a/
_.eplrati m Dale
Signatur • Telephone
SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152. 5 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 Issua e 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
1 /� as Owner of the subject property hereby
authorize to act un my behalf, in all matters
relative to work authorized y this building permit appli61,on. _
M, ��; l �—,T�Lb
ner - Date
Signature ofw
//•�j-. j� /S'ECTION 7b: OWNERt OR AUTHORIZED AGENT DECLARATION
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 Name
Signature of wner or Au orized Agent Date
(Siened under the pains and penalties of eell u ) .
NOTES:
I. An Owner who obtains a building permit to do his/her own work, or an owner who hires in unregisteied contractor
(nut reeistered in the Home Improvement Contractor (HIC) Program), will not have access to.the arbiu'anon
program or euaramy fund under M.G.L. c. 142A. Other important information on the HIC Progrtun and
Construction Supervisor Licensing (CSL)can be found in 780 CMR Re_ulatiuns 110.R6 and 110.R5. respectively.
When substantial work is planned, Provide the information below:
Total flours area(Sq, Ft.) .fincludin2 garage, finished basement/attica, decks or porch)
Gross livihs area Ft.) Habitable room count _
Number of meplaces Number ut hedrooln.,
Vumber of bathrooms Number of halt/ha is
rvpe of heatinit system Number of decks/ perches ---_------
Type of cooling system Enclosed Upen --
3. "Total Project Square Footage- may be substituted till "Total Project Cast" J.
CITY OF SALEM
PUBLIC PROPRERTY
74 DEPARTMENT
-..Wi I.HI 1 ) IIRKIl111
12:\V.N UN(,1, Rff1 • \\I \I, \(.\,�.\t
FI:1: '1-g-,;i.9j9i ♦ F\X: 7"$-'4_-484o
Workers' Compensation Insurance Affidaiit: Builders/Contractors/Electricians/Plumbers
Applicant information yn Please. Print LeoibI
Name l Bmun•,s ()reanlluthln Indn ldual1: A L A S\+• I �S� �I�}C�
:\dciress;115 W)r+h f Mee.L
City,stale,'Zip;Sallm. M13 019770 Phone: C `37S) 2JL OJ 22
rrecuu an employer:'Check the appropriate box: Type of project (required):
I.LEI/1 am a employer with A!� 4 1 am a general contractor and 1 6. New construction
employees(full and/or part-time).* Imehircd the sub contractors
'.0 1:ran a sole proprietor or partner-
listed on the attached sheet. 7• ❑ Remodeling
ship and have no employees rhesesub-contractors have S. ❑ Demolition
working for me in any capacity. workers' comp. insurance. q. Building addition
[No workers' comp. insurance 5• ❑ We pre a corporation and its
required.j officers have exercised their 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL I LEI 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' 11ED Other
comp. insurance required.]
'Any applicant that checks box 01 must also fill out the section below showing their workers'compensation policy information.
'Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors most submit a new affidavit indicating such.
�Contraclors that check this box mail attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
f um an eft+ployer fhat is providing workers'coftfpenration insurance for my eritployeet. Below is the policy and job site
information. _T /
Insurance Company Name: MO 1 F�IA V
Policy#or Self-ins. Lic. #: f 0 140 r t5 ((13 Expiration Date:
Jnb Site Address: �O W) wr05 sAyce- City/State/Zip:
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure io secure coverage as required under Section 25A of bIGL c. 152 can lead to the imposition of criminal penalties of a
ine up to S 1.500.00 and/or tine-year imprisonment, as well as civil penalties in the tbrm of a STOP WORK ORDER and a fine
of up m S250,00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
In\csti_ations of the DIA fur insurance co\erage Verification.
l da hereby c•ertifJ• rider he pains and penalties of perjury that the information provided above
is true arid correct.
\ien.nure: �� j Dare- —✓ _/ U
Phone =
Official fine only. Do nor wrife in this area, to be canlplete•d b}•city or tou•re offic•iaL
Cin or 7l)w n: - ------------._--- PermitiLicense #_—_..----.--_--
lseuing .\uihurity (circle tine):
1. Board of health 2. 13uilding Department J. C'ir}rfown Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Information and Instructions
%I.ts.achuscus Gcneral Laws shaper 152 requires Al; cmplosers to pro%ide tvukers' aunpensalion liter their enhployees.
I'..nrsu.uu m this'rarute, .uh empfgree is doined as".. ct en person fit the scn ice of another under any contract of hue•
cypress ar implied,oral or uriuen."
An :nrph)'rer is delined as "an iudivdUal,pannershlp,association,corporation Or other legal entity, or any two or inure
of the furcguing engaged in a joint enterprise.and including the legal rcpresentatih es ul'a deceased enhplover, or the
reccit cr or tru.siee of an inJividual,partnership.Association or other ICeaI entity,etnplo�ing employees. llu%%e%cr the
u•.h tier ol'a dwelling house having not more than three apartments and a ho resides therein, or the occupant of the
Ju elline house ofanother who employs persons to do maintenance,construction or repair work on such dwelling house
or )n the grounds or building appurtenant thereto shall not because of such enhploynhent he deemed to-be-an
M(iL chapter 152, �N25C(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 orco.mpliance with the insurance coverage required."
Udirionally, %IGL chapter 152, §<25C(7)states•'Neither the commonwealth nor any of"its political subdivisions shall
enter into any contract f'or the perlunnance of public tsork until acceptable es 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-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
(own)." 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 affrifavit 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 etc.)said person is NOT required to complete this affidavit.
fibs()(lice 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
Ire•.iscd �-'6-05 Fax # 617-727-7749
www.mass.gov/dia
1
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of M. G. L. c. 40, Sec. 54, a condition of
Building Permit Number A is that the debris resulting from this vuorE:steal(
be disposed of in a properly.licensed facility as defined.by M. G. L. c. 1.11, Sec. .
150a.
The debris will be disposed at SaEam Fransfar Stmtioro :.w.
owned by Northaide Cardrira
Signature of P ,mitApplicant
Date
ChKstooher zory
1�'ame of Permit applicant .
A &A Services. Ina
Firm fv�ame
115 north Street. Salem. MA 0119e6
?address, City, State, Zip Code
6'i.assachusetts - Department of Public Safety
Board of Buildin Re„ulutions and. Standards:
Construction Supervisor License "
License: CS 57733
L Restricted to: 00
CHRISTOPHER ZORZY
115 NORTH ST
SALEM, MA 01970
Expiration:.5/26/2011
('onunissimacr Tr#: 14751
�lze 't°iaorvrrwouoe¢C!>�e o�. ac�zrieelln
Office of Consumer Affairs&Bdsiness Regulation
HOME IMPROVEMENT CONTRACTOR
Registration: 1101609 Type:
Expiration - 6/26/2012 Private Corporatiol
A&A SERVICES INC is
L`4 I
Christopher Zorzy �
115 North Street
Salem, MA 01970 g
Undersecretary j
jJq
Commonwealth of Massachusetts
Division of Occupational Safety
Laura M.Marlin,Commissioner
Deleader-Contractor
CHRISTOPHER ZORZY
Eff.Date 04/14/10
Exp.Date 04/13/11
DC000440 I'�Ilgl
Memherof C.C.N.E.S.T. is r
BO
IIIIII IIII IIIII IIIII IIIII IIIII IIIII III IIIII oil IIII BOSTON-RENEW 1
�Cj93
f AGmde
N� ,a2 A & A SERVICES, INC.
A&A 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.CS057733
CUSTOM REMODELING AND IMPROVEMENT AGREEMENT
Buyers)Name Date of Contract ll
v
Buyer(s)Street ddress,City,State and Zip Code
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address:
Rle' � /
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 and the reverse of this agreement and any specification sheets(this"Agreement"),and Buyer(s)have requested that such
goods Or services be installed or provided at Buyer's address listed above. ALA Services,Inc.("Contractor'),hereby agrees to Install or cause to be installed the products
or services listed in this Agreement at the Buyer(s)address written above. This Agreement represents a cash sale of goods and services. The Buyer(s)agree to pay In ,
cash the cost of the goods and services uroWed as describe tl herein,regartlless of timing or approval of any hmancing Buyers)may seek for their porches k
`r 6tAoF l-s ConAw..Hn.outJ 1 C'-r C �,yvay
Purchase Price: Est.Staring Date:�_
Down Payment: Est.Completion Date:
❑Cash
Amount Due on Stan of Job: Q Check
❑Credit Card
Amount due On of Completion: No.
Amount Due on of Completion: Expiration Date:
Balance Due on Upon Completion: 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.
Buyer(s)hereby acknowledge that Buyers)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. Buyer(s)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 above, in the event Contractor believes Buyers)would be interested in any additional quality
products or services of Contractor. OF SIGN THIS CONTRACT IF IT CONTAINS ANY BLANK SPACES.
A&A Services,Inc. Buyers }
By:
Signature Signato e /
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 contractor and the homeowner hereby morally agree in advance Nat In the even)wife, any has a dlspuN conceming NIs wnt2ep eimer parry may submit such dispute to
e privets wasttaton service which has been approved by the Secretary 00 6 t a Old a Consumer Affalw and Business Regulations and the other parry shall be required b submit to
such arbitration as proved In MG.L.c.Ads,
Diameter in. - H�Yers lnitiW,: ✓
Dal,. rare:
NOTC.E OF CANCELL>TON NOTICE OFCAN F t&no
Data of Transaction You may cancel mis trnsacon,wimoN any penalty or Data of Transaction .You may cancel this asnsaglon,without any penalty or
obligati-,within Ortee To wo days M1om me apace date. I mumansmi any preed,traded in, obllgeton,whein three business days from me apace date.If you cancel,any propeM(reded in,
any payments made by you under the eoMeU or Sala,and any negotiable imouncenl eaecNeb any payments made by you under Me Combat or Sae,and any negotMble Instrument seemed
by you will be returned within 10 days following mmlpt by me similar of your candeadmon nWtt, by you Mil be returned within 10 days ful wirg reeadipr by Na Seller W your cancellation notice,
and any sacuriry interest arising out of the awarded will be cancelled, If you carrot,you must and any summit,interest arising out of the tmnsacton will be cancelled.H you cancel,yn t must
make available to th"clar of your resldeve.in substateralry as good Reditbn as when recover, make available tithe Seller at your reardenes,in SUFNntialN as good mndipan as when swaived,
ary goods delivered to You under this Contract or Sale;or you may,if you war.comply with the any gobs defeated to you under this border or Sale:or You may,if you wish,comply with me
betty rues of the,Seller regarding the rerum shipment of the goods at the Sellers expense and Insbuctions of the Seller regarding me reNrn shipment of the goods at me Sellers uprise and
risk. If You do make me goods scribble to the Sadler and Me Seller does net pick them up new, If yna do make the goods reelable to the Bella,and fh.Seller tlms n-1 pick them up
within 20 days of the date myour Notice M Cancellation,y-u may retain or dispose of Me goods within 20 days of me data Wyour Notice of Cancellation,you may retain or Metals of the goods
without any tanker until if you fail to make the goods ewsffiIe to Me Seller or if you agree wimoufartyNMdroblignain.IfyoufailtomMethago swailableto Me Sell.,.,ffouagrea
to return the goods to Me Seller antl fail to do so,Man you remedn Liable for performance at all to rHum the goods to the Seller and tall fo do m,Men you reman bable for pedomanre of of
obligations under the Crashed.To cancel Mia Transaction.mail or delver a signed and dated copy obligations under the Contract.To ramrel this transaction,mall or delver a man"and dated copy
of the cancellation notice or any other ended notice,or send a Telegram,to A&A Se Hit of the cancel el on nodes or any other wide,notice,or send a telegram,M ABA SeMms,115
be-Sfreef,Salem,Massachusetts 01910.NOT LATER THAN MIDNIGHT OF N.7 Steel Salem,Maequalwaetls 01970,NOT LATER THAN MIDNIGHT OF
(Date) � (Date)
I HEREBY CANCEL THIS TRANSACTION. Cansumer'sagnaNre Dale I HEREBY CANCEL THIS TRANSACTION. Consumer's Sgnature Date
A & A SERVICES, INC.
A&A 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
ENTRY DOOR SPECIFICATION SHEET
Buyer(s)Name Date of Contract
Buyer(s)Street 6ress,City,State and Zip Code
30 WMIA-MS S+- P G
Daytime Telephone Number Evening Telephone Number Mobile 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 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 pall.
ENTRY DOOR "AC!
Cd'Remove and dispose of# offei existing entry door units.
❑ Install new entry doors# (7lU 1?i Manufacturer �(®V q t\ �']-G � L /
Location c G OAK f
Type: Steell.� ❑�SmoothStar ❑Fiberclassic ❑ClassicCraft ❑Sliding Patio Door ❑French Hinged Patio Door
d n
Model#�p Sidelight(s)# Sidelight(s)type/model#
OPTIONS:
� PMViA-
19'Adjustable threshold for-Fhenneir&Door ❑Grids for patio doors: Style:
❑ Stain Kit: Supplied to owner
❑ Expand or shrink the size of the opening Details
❑ Cover exterioorr�uin with alum�innuuy-coil stock: Style Color
Har re: d Hand�rset H Deadbolt ❑Footbolt ❑Mail Slot eepsite J
I all oak strip at floor as needed. f�-b q `+ � ndadW
L'6v+ge S"k" iurt't
P/ Ilk
nterior and exterior edges. (,mil tjv" LVr vcl'S'�1 p�1 n9 i'4e4a*df
l ate around new door unit where possible. I(�A1;rt {fl N9pe5 fmcf-rawU
P/aln�u"g is not included. CI Yj1`i� [ N2.C9iLA�� Jll �Iry9/t- �c1ue�
11S nclutled in this proposal are set up and clean up. V'G0104 i..I A40CK kAX Var f Yr IL(dej
e+stt`•�i 1A clud.ed STORM DOOR �(3(y+SS cuN� L�v-r 1'ta-n D3
t/a tod-ivt�aot:bl�C�'S2C$(��`}'¢F1
❑ Remove and dispose of# existing storm door(s).(/ �l�1yw,�k�1}Yl/a`pVl f pC�
� �*FA02 J l rfv l � S
W natal]new storm doors# Q:(1�3 c? Manufacturer
Style V-I-/ Color 1 )JAC--r-- Type: trKiummunn ❑Solid Core
❑ Location: E
SPECIAL INSTRUCTIONS:
F O
fnf" Chi e C a f cc)10r- l 0- i 6 IA&
d . 0!3 60 hjindksct i+A s l
w. h�url/aejjIn Hf I.af ry,eOtQl N /N 'f eclat Iy!d{-JtSC4-
f 4W hii0 -tic1 h7 "S(*n J (` O
1000 ofj- "rD VI'" i — '100K "I ICA lac {_o C7cl r�o1
(�s A air -k('� f- 2 /J'Mk o W j ff)_W✓Q
Annf-
It is agreed and understood by and between the Parties that this Specification Sheet along with the CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,consti-
tutesMeentireundeistanding between the parties,and there are no verbal understandings changing or modifying any of the terms. This contract may not be changed
or as forms modified or varied In any way unless such changes are In writing and signed by both the Buyer(s)and the Contractor. Buyers)hereby acknowledge that
Buyer(s)has read this Spearficca(non Sheet.
Contractor Initials: ✓P^, Date: Buyer's Initials: Date:
v� .. P3Z�
Abo,a— A & A SERVICES, INC.
A&A 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
MISCELLANEOUS SPECIFICATION SHEET
Buyer(s)Name Date of Contract
W,We S q �— 1 - . /oi
Buyer(s)Stree Address,City, ate and Zip Code
-30 5 Md, O(
Daytime Teleph-o--nre 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 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.
SPECIAL INSTRUCTIONS
ry C-, ce C-1,4_nlao�(ds
dcnc u%L � Neves pF� `aPha4d-% ,A-V%a u,n
�� CASw r2 '
r eMaLlz o Ali?- actu rj sDr_k- IBC o ��U* hAC i'A L, dja c5ti-1
A�Z;IJ r�vI�NS o�9u'� 5 u spa-. •� n Q h�s:�e �y�- c o 1�.1r e� W c�-�-�
IkA L--k h Lj n. is,44 � IPI fin( . 6tDMS Wt.t-I'--
GN'/\vt t-7 G �-diSGi7S£ 6` A iI Dna (ie'A ,I24 debc� S
e 0§0i Q W06-hPA ilia CfxD t(d1lnD. A t GI
T
It is agreed and understood by and between the parties that this Specification Sheet,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes
the entire understanding between tie 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 Contactor. Buyer(s)hereby acknowledge Mat Buyer(s)
has read thle SPedficztion Sheet.
Contractor Initials: St., Date: *fo
Buyer's Initials: Date:—�—