Salem-256 Lafayette St (1) a ac as ��me]Ear �avemInt_
Ct� tract
This farm satisfies all basic requiretnenls of Ste states Hamelmprovemeat ContractorLa-(MGL cbapter I�2A),but does not include standard
llnnguagetaprotecthnmeowners.SealcLegttlads3ceiFuecessstty._lnypet5onp[anninghomeimprovemensssltoutdf�tohtaina
Massachusetts cansetnergtsidetoltomaimprovement hefateag<ee?ugtoanyworkanyourresidence.Iraumayobtninafreec �yof'�
{7fiice of Consumer Affairs and Business Regttlafion's CdnslmrerinfarmationFidttine at 6l7 St73-8787 or L-SS8 283 3757. 'YI'Y�llinethe
RoxneQwller Iu€orm:�tiort
U011tractor Wormattoll
LramC
C m opanyName 1
d `l G.U, 7 __
StrctAddress(doaoruseaPostOfficaRaeaddtess} �- ` } (_
j Coat2ctar/SalespatsonlOwncrNnrne •s�� _
itlt��mb` tCt��
C 0- I } .!�.} (�• / c� �' f !�
y Sta a� Zia Code 9ttsinessAddress(mustinaludeastteeteddraas) � � �- r•-_
-- _
BayrntePhone Eienine �-" �` -�'
q Phone -
t"-�tnvn"l` w. rate Zip—Code
13ailinar}dtlrats(Itdtr7eren[fraut above) `
SusbtasPhone FederaiFmpfoyerlDwS.S.Number
RD=mPM�smtCootnaor '
ptntcaeor¢ontra:to>shto¢ ae5-?ium5at Eipic�k.dare
.s!idtcabtrtti¢n combo• Z � 4 i! `fj c.:a �ci��
The Contractor agrees to do the follawing work forfheffanreotvner.
➢escdbeindemlllhetsorktocom Ic ed ee- '-the brand and deof tnatmialstobeus a end i6o--1—rtsiFneressn
A- rC i n
1 1n 6 J Q. U
Trt Id, %5
RequiredPermi -Thefoilowin builtlin p �� - I x J . n
g gpetmits are tznttited proposed Start x Completion Schedule-The mliowing schedule will
and will be secured bytheconnactorasthehomeownersagant, beadheredfdttrtIessaiompletionSc Schedbeyond ule
efbil win cdnedulearise
(Owners who secure tilteir own permits W.Ul bt
t _
ClBded from GUpYRB$y d provisions of4,� _2S DateMGL chapter242A when moa4act0nvill begin contrcted iiarl
/a Date when contracted work will be substantially completed
Total Contract Price and PzvtneIIt Saheaule
The Confractorarnees tope omthework,furnish tbelmaterial and laborspecifred above for the total sum OE-
MC) s `
Payments will bemade according to the following sebedule:
upon signing co or thacostofs
Pecial order items whichever is greater)
c by f or upon completion o•
S by!! or upon completion o �+'A^ < -Do c-
upon completion a£tbe contact (Law forbids demanding full payment until conrramis completed to both party's satisfaction)
?ltefollovringmatcriaVequipmeatmastbe pedal 3 tobepaidfar ,.
ordered before the cannacted work begins inorder S
ID meet the completion schedule.(=) tobepaidlor
a c r
NOTES:(x)Ineludirg all fmzncccnaiges(Yt)yatvtequirmthat any dcpesitordown-paymentrequlredbythocommctarbUlbre walk begins may,
gore ceedtheterof(a}Duet{rirdofthetotalcontractoriceor(h}the actual cost o£anyspecial equipment ar custom made material
which mustbc socciai ordered in advance to meet the comole&an subcdulc.
EmresstUarrnntr-inane resswam,Myheirt vrnidedhvtl;econtractor? No Yc falltarmsoiihetvarrnntvmusttteattaehedmtlteca tract
Subcantrnctors-The contractoragmes to be solely responsible for completion of Ole work described lzgardless of the actions ofrny fiord
garty/subcontramor utilized by the contractor_The contractor further agrees to be solely responsiblafor allpayments to all subcontractors for
mnterials and laborundcr this aLreement
Contract Acceptance-Upon signing,Ws ducumcatbecomes a binding coutmet under law.Unless otherwisenoted within this dommnent,The
contmetshai}not imply that Buy licaor other seuwiryiotetest has been Placed On the residence
befora signing this contract Review the fallotving cautions and aoticescarefully
• Don't bepmsured into 6gaingthe.contract.Take time to read and fully understand it Ask questions if samething is unclear.
• Make sure the contractar has a valid Home imnrovement Contractor Registration.The law requires mosthame improvement contractors and
sttbeoutractortoberegisterd With tile Director ofHome Improvement Contractor Registration.You,may inquireaboutcontractor
registiation by veiling to the Director at 10 ParkPlaza,Room 5170,Boston,MA D2116 or by calling 617-973-8787 or Egg-M 3757.
9 Does the contractor have insurance?Ask tbB Contractor for hisinsurartco comnanY inibrmation.so th2tY01e can confirm coverage,or ask to see a
copy ofa`Droef df insurance^document
• I:nowyoumights and raspoasibilitie, -Rwd the lmportant7nl'bmationon the reverse side ofthis form and get a copy ofthe Consumer Guide to
the Bottle Imnrnvement Contractor Law.
You may cancel this agmamentiFithas been slgaed ata'place dtberthaa the contractor's normal place of business,provided you notify the contractor
in writiogathislhermainof&ceorb-anchofiicebyordinarymailposted,bytelegramsentorb deliv day followingihesiEningoftlrisan'reemeut Sao the attached doticeofcanmilationformforanexplan honoftht riot nghntdtu ltofthethirdbusiness
Ito?YOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPADES(;i
7tvr,tdenticdcepie;oftheeontrettaustbecotmleted and slgi�A one eonyshauldgotothe�Onntt .Theo °copy should he eptbyth atrnu¢r.
Flomeowner s 8tgiaturE Contractor's Signature
Date
Date
The Commonwealth of Massachusetts
W Department of Industrial Accidents
1 Congress Street,Suite 100
Boston,.MA 02114-2017
wWw.mass.gov/dia
% eskers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Legibly
Name(Business/Organization/individual): Ad '
Address: 11 RJefferson Avaue
swenir
City/State/Zip: Phone#:
Are you fi employer?Check the appropriate box:
Type of project(required):
1. . I am a employer with—!9 employees(full and/or part«
2.❑1 am a sole proprietor or partnership and have no employee working forme In 7. ❑ New construction
any capacity.[No workers'comp.insurance required.] g• ❑ Remodeling
3 Q I am a homeowner doing all work myself.[No workers'comp,insurance required,]° ! 9 Demolition
i
4❑I am a homeowner and will be hiring contractors to conduct all work on my property.I will j 10 El Building addition
ensure that all contractors either have workers'compensation insurance or are sole ! 11.0 Electrical repairs or additions
proprietors with no employees.
5.Q I am
12.❑Plumbing repairs or additions
a general contractor and 1 have hired the sub-contractors listed on the attached
sheet.These sub-contractors have employees and have workers'comp.insurance.' 13•FI RWf repairs //
6,F1
We are a corporation and its officers have exercised their rigot of exemption per MGL c. 14. the. T
,Any applicant that checks box#1 must also fill out the section below showingtheir workers'compensation policy m �J JJ -5
p p cy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
*Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees If the subcontractors have employees,they must proved their workers'comp,policy number.
I am an employer that is providing workers'co ;Ion insurance for my employees.Below is the policy and job site
information. ^^
Insurance Company Name:_G Lk F l t✓ v 1
7—
Policy#or Self-ins.Lie.#: 5 — f
Expiration Dater!�c
Job Site Address: 9) City/State/Zip:, f'T
Attach a copy of the workers'compensat' n policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations.of
the DIA for insurance coverage verification.
I do hereby certify under the pains and penal 'es of perjury that the information provided above is tru and correct.'
Signature: / Date:
.Phone#:
Official use only.Do not write in this area,to,be completed by city or town official.
City or Town: I Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
a W1NA4pJS 4 DOORS
� jt� 7/!
CLAMC Ic
Double HungR
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L
STRUCTURAL DATA
Unit Size Rtr Infiltration '
tat; nflgurafion Resist
crEwty
Pa
541;x nt Single 0.06
48e�€S4° Single: 0.01 -
42°x 77""'A 5.4
Single (3.01
7.�
85-1f2"x 7 ® 2-Wde Ci 0_06
.A
R nTar�d sash Rya Fx ender vlel redme clear opening height by 9/1 w R OPr..ra Pac11a - ._
�.-F°cptsed
NO=(311ITt i [dazing Description U SH3. VT
Ttlertnal gck fton asp azzF a
€k erma k DG 2X Low-El an oas u�r a azz o� ass 1
8unf3ain High Solar Heat _Gain package Exsa ova � ¢a3 asr Nsa
: ( ThermaGttavct Love-EI Ay ota o aac osE a a oar ae�
aE:
p ThermaLook 3K TG 3X Low-1 Ar oft U4 aza �aa e2e o21 Gm -
errnaE ock QG Nc
EX Lgv,�E/ on a as a�a a a s: a.� a4s uc
sungaairs High Solar Heat Gain Package o s+ MAS am a31 o as 0.51
Ther>7taGuard Low E1 Ar on 0.30 asa air art ma7 NC
c LOW-E n49 a.sa osa ass � ear
Blear R45 9$f a.W WS � OM1 a
Vaclor In accordance g6th NFRC-100 and based on whole vrndowvalum Parlomvnce va4aes shirm, are fcr';
unless omerwSse noted.PeslcmWtec"Ill t7"a Suertgitt bass,dlffemnt mWa..-wn2m levels,may%Wy.
Perfannarm v1EIh 4•grids map vary.&L-m Mass;spas sitavm—arm are avar'tma SUN=to-9=1 t! Eat