11 CHURCH ST, APT 702 INSULATION D The Comiromcealth ul Massachusetts
i Huard of 13ullding IZcgul:uiuns and Standards P(rl:
1 \Ill \I.I'll
Massachuscus State Building Gude. 780 ('`t R, 7°i edition I SItil[
Building Permit Application To Construct. Re a'' R rimae Or Demolish a lrrur,l.huu,,,,,
One- m Tnv-Fm r - Duelling rune
This Sec 'cn For Offic I Use Only
Building Permit Number: a e phe
Siwtaturz:
Building Commissioner/ Inspr tor ,f Bmldings Dale -
S CTIONI: S INFORMATION
1.1 Prop erty :AddSess:� D 1.2 Assessors Map & Parcel Numbers
--
L la Is this an accepted sueet7 yes_ nu_ %lap Number
1. P:ucrl �umhrr
1.3 Zoning Information: LJ Property Dimensions:
Zoning District Proposed Use Lot Area(sq It) Frontage iIt)
1.5 Building Setbacks (ft)
Front Yard Side Yards - Rear Yard
Required Provided Required Provided Required Pim i Jcd
1.6 Water Supply: (M.G.L c.40. §54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone:' h.1uniyi of❑ On site disposal s +lent ❑
Public❑ Private❑ Check if yes❑ p P y.
q ff SECTION 2: PROPERTY
�OWNERSHIP' I _
�ex) , (qrd: 6 .�� 16 _ 1J[1<,LLr.1L�t )c� C50
Name I Holl �7 � Address for Serve
X � -
��Sienature) Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New C nstruction ❑ Existing Building ❑ Owner-Occupied ❑ Repuirsls) ❑ Alteration(') Addition ❑
Demolition ❑ I Accessory Bldg. ❑ 1 Number of Units_ I Other ❑ Speedy:
Brief Description of Proposed Work-:
i
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
I. Building $ U / Ga 1. Building Permit Fee: 5 Indicate husv fee is daternnncd:
Cl Standard City/Town Application Fee
2, Electrical S ❑Total Project Cost' (Item 6) x multiplier x
3. Plumbing S 2. Other Fees: S
a. Mechanical (HV
:1C) 5 List: —
)5 Mechanical (Fire S I Total :\II Fees: 5 ---
Su? ression)
Check No. Check Amount: Cash Amount:____._
j b. Total Project Cost: '� ❑ Paid In Full ❑ Outstandine BaLince Due:___.___-_
as� o�
SECTION 5: CONSTRUCTION SERVIC'F.S
U
S.1 Licensed Construction Supervisor (CSL) 5-7733
I—� n�Pt' ! JI rcnsc .\'u mhet liApir:uinn U:ac r. .
Name of C'SI_ I IulJer
I_i,l CSI_'I'rpc Isa•hclmvl
Tv e Descn num
\JJrry
L t'nn•suica'J ni t nl?S.UIIO Cu. Pt.l
R Resumed L@_' Fanuh D%kell io,
Srenawr %I \l asonn Only
"N RC Rosidcnual Ronline C'mcnme
1'clrpltune l\'S Itesnlrnudl R'indtm sold .i iJuc
SF lZc.,1&llllal Solid Fllel Nonan, \,,l iuncc lu.l.ilLwl:n
D Residential De111"ho ll
5.� Regi'tered Home Improvement Contractor(11101 1DIIoDt�
A `JPJ-V�D 7_ =V1C --
IiIC Clpany NJIIIC Ur I'IIC R'glSl rallt N:Illle Reglstrauun Nunlbrr _
_J1 Nr��+h vP+� krn (_ 2& b lo
Address `
7,q i'b42 E.cpuatiun Dae
Signature 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 proeide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes .......... ❑ Nu _.._,.... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONITRIACT}O-RR APPLIES FOR BUILDING PERMIT
1, A I �� A l 1/� as Owner of the subject property hereby
authorize r� f7?bhPl Zr�( ZI�I o act on my behalf. in all maters
relative to work authorized by ihi building permit application.
X
'Signature oto>v. -r _. V.'Date
} SECTION 76: OWNEW OR AUTHORIZED AGENT DECLARATION
I, ( hru,5.4-opher nr7-0 , as Owner or Authorized Agent hereby declare
that the statements and intormation on the foregoing application are true and accurate, to the best of my knowledge and
behalf.
rZ
' Yrl❑l w'1
_ \
Signature of Owner Nr Authorized Agent Date
(Signed under the pains and penalties of perjury) -
NOTES:
I. An Owner who obtains a building permit to do his/her own work,or on owner who hires an umetistered contractor
(nut registered in the Home Improvement Contractor(HIC) Program), will not have access to the arbitration
program orguaranty fund under M.G.L. c. I42A. Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I IO.R6 and I IO.RS, respectively.
2. When substantial work is planned, provide the intormation below:
Total fl, ors area!Sq. Ft.) (including garage, finished hasemenl/attics, decks or porch) j
Gross living area (Sq. Ft.) Habitable room count
Number ut fheplaces ?lumber of hedrnnms
Number uf'.hathruoms Number of halUh;uhs
fype of healing system Number of decks/pinrhes
Type Ito'cooling syslem Enclosed Open
3. 'Total Project Square Footage" may be substituted tin"Total Project Cost'
CITY OF SALEM
PUBLIC PROPRERTY
ray DEPARTMENT
%L\',,s 12.W%,i t l • S.\I
Ila
4;-9;9; ♦ F v v: )78--4-.9841,
Workers' Compensation'Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
t yliiant Information Please Print Le ibl
\;Mlle t nu,incs; l h_amcun,n ludas;Ju.d 1: Are A S e_rV' U5.
Address: il ,5 N f2r+h S-(yee-f
C.ity'Srue,'Zip: Mp oic7Q Phone #:
Are oou an employer'.' Check the appropriate box: Type of project(required):
1.Lv'J I am a employer with_A!�_ 'I ❑ 1 and a general contractor and 1 6. ❑ New construction
employees(full and/or part-time).' have hired the sub-contractors 7. ❑ Remodeling
'.❑ I :un a sole proprietor or partner-
listed on the attached sheet.
ship and have no einplovees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp. insurance. '9. ❑ Building addition
�o workers' cunt insurance 5. ❑ We are a corporation and its
I� P� officers have exercised their 10.0 Electrical repairs or additions
required.) officers
I. Plumbing repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL ❑ g P'
myself. [No workers' comp. c. 152, 51(d),and we have no 12.❑ Roof repairs
insurance required.] t employees. [No workers' [3R'Other
comp. insurance required.]
•:\ny applicant that checks box#1 must also till out the section below showing their workers'compensation policy 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.
�('.nitn000rs that check this hex ntust attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information.
I um an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
iafornmtian. ` / ,may,
Insurance Company dame: �j:"/�I t�,Irc�.+AV e��',2 J s�
Policy #or Self-ins. Lic. #: ' 02'16C1 1 J t..�1:� Expiration Date: q1I a f p"I
Job Site Address: ' �� )� city/state/zip:SG� 6__
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%IGL c. 152 can lead to the imposition of criminal penalties of a
ire up to S 1,5110.01)and/or one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to S2511.110 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
In\c,Iitatiuns of the DIA for insurance ao%erage verification.
l do hereby ccr't it oder the/viins mrd penalties of perjury that the infornrution provided above is true and correct.
I'hnne =
of icial use only. Do not write in this area, to be completed by city or town official.
Cit% or limn: . —.-
Issuim, Authority (circle one):
I. Board of Health 2. Building Department 3. Cihiruwn Clerk J. Electrical Inspector 5. Plumbing Inspector
6. Other ------- —
Contact Person:__—_--_-- __ -- Phone #:--
Information and Instructions
\Lis..tchu,eu, General Laws chapter l52 requucs all cmploser, m prov idc workers' rompens;uion Ior the it employ-ees.
I'ursuant to this aatute, an enrploree is dctined-is ".. csern person In the sen ice uf,tnoiher under anv contract of hire,
dsprc,s or inyolicd, ural or %%I inet." .
\n .mpinrer is dclined as "an indiv;dual. 1?,trtncr,hip, ,tssuctatiun, corporation or other le_al entity, or;my two or nwre
,,I (lie foregoing ena ged in a joint enterprise, and including the legal representativ es of a deceased employee or the
rrcc\er or trlbtee of,m individual, patinership.association or other Iegal cnuty, employing employees. I loueser the
tier of a dwelling house has in not ;pore than three eparnnetit s and os hu resides therein, or the uccupanI of the
J�kelling house of:nuttier who emplu-\s persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurten;uu thereto shall not because of,uch cniploy menu he deemed to he an employer"
\I(iL. ch;tpter 152, s 25C(6)also states that"every state or local licensing agency shalt 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 curerage required."
.\dditionally, MGL chapter 152, §25C(1)states"Neither the commiunwealth nor any of its political subdivisions ,hall
enter into all contract for the perfinmance of public work until acceptable evidence of compliance with the insurance
rcquirenunts 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 he 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.cure to fill in the permiulicense 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
6.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The ()ffice of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give its a call.
the Dvraitntcnt's address, telephone and tax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Ofilce of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
tet.;cd 5-2n-u5 Fax # 617-727-7749
www.mass.gov/dia
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with therovisions of M.
P 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 properly licensed facility as defined.by M. G. L. c. 111, Sec.
150a.
The debris will be disposed at: Salem Transfer Station
owned by Northside Carting
Signature of Pe it Applicant
09
Date
Christopher Zorzy
Name of Permit Applicant
A &A Services, Inc.
Firm Name
115 North Streett, Salem MA 01970
Address, City, State, Zip Code
- Board of Building Regulations and Standards
Construction Supervisor License
License: CS 57733 "
' - BirtFi7a3e�_5/26/1958
rgpfratonj5ms/2o09 Tr# 13739
�- _Iron—aal
CHRISTOPHER
115 NORTH ST
i SALEM,MA 01970' -' Commissioner
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 101609
Expiratioru 6/26/2010 Tr# 267870
-Private Corporation
A&A SERVICES INdN
Christopher Zorzy� .
115 North Sireet
Salem,MA 01970 '.,��• Administrator
Commonwealth of Massachusetts
Division of Occupational Safety
Laua M Marfm,Commissi w
Deleader-Contractor
CHRISTOPHER ZORZY
EH.Date 04/09/06 //��
Exp.Date 04108/09 y
i DC000440 pv�
1
eNe^mheralCD.kES.T: i
IInlu��lu�I�OWO�uul�Ill�l�ul@I�utVllu�l o TONAENEW
V U-VALUES AND R-VALUES ENERG
v' HAINOUSTRIES Harvey Manufactured PARTNER
ff f Windows and Doors
- WHOLESALE PRICING .
U-Values in accordance with NFRC-100 • Based on residential sizes
• U- and R-Values are subject to change without notice • Whole window values
All Harvey vinyl windows with Low-E/Argon and all Majesty double hung windows with
Low-E/Krypton qualify for the ENERGY STAR® program throughout the U.S.' Isosool
7
Clear Insulated Low-E* Low-E/Argon*
U-Value R-Value U-Value R-Vatue U-Value R-Value
VINYL WINDOWS
Classic Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94
Classic Double Hung (Welded Sash) 0.50 2.00 0.36 2.78 0.33 3.03
Classic Double Hung (Welded Sash & Frame) 0.49 2.04 0.36 2.78 0.33 3.03
Classic Acoustical Double Hung STC40 0.23 4.35 0.18 5.56 0.17 5.88
Signature Double Hung (Mechanical) 0.50 2.00 0.37 2.70 0.34 2.94
Signature Double Hung (Welded Sash) 0.50 2.00 0.37 2.70 0.34 2.94
Slimline Double Hung (Welded Sash) 0.51 1.96 0.38 2.63 0.34 2.94
__Sfirtiloe.Dpuble-Hung-(Vie.Ided.Sash.&.Frame)---0.50..._.2.0 0.38_-..2.63.- 0_352.86.--. �.
-__ =Siimline-Siroe-Hung-(Welded-Sastr&frame)---0:50-2.0 _..0:38----2: - ---- . - 2.-86-
Vinyl Casement/Awning 0.47 2.13 0.34 2.94 0.31 3.23
Vinyl Casement/Awning and Thermal Panel 0.31 3.23 0.25 4.00 0.24 4.17
Vinyl Designer Shapes 0.49 2.04 0.34 2.94 0.30 3.33
Vinyl Hopper 0.47 2.13 0.35 2.86 0.32 3.13
Vinyl Picture Window 0.46 2.17 0.31 3.23 0.28 3.57
Vinyl Welded Deadlite 0.50 2.00 0.34 2.94 0.31 3.23
Vinyl Roller - 2 Lite and 3 Lite 0.50 2.00 0.36 2.78 0.33 3.03
Clear Insulated Low-E* Low-E/Argon*
VINYL NEW CONSTRUCTION WINDOWS(pgt90-231) U-Value R-Value U-Value R-Value U-Value R-Value
Vicon Double Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.34 2.94
Vicon Single Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.34 2.94
Moon Classic Double Hung (Welded Sash&Frame) 0.49 2.04 0.36 2.78 0.33 3.03
Vicon CasemepUAwning 0.47 2.13 0.34 2.94 0.31 3.23
Vicon Picture Window 0.47 2.13 0.32 . 3.13 0.28 3.57
Vicon Designer Shapes 0.48 2.08 0.32 3.13 0.29 3.45
Temp.Clear Temp Low-E Temp.Argon
PATIO DOOR (pg 257-260) 11-Value R-Value U-Value R-Value U-Value R-Value
Harvey Solid Vinyl Patio Door 0.49 2.04 0.40 2.50 0.37 2.70
Low-E/Argon* Low-E/Krypton*
WOOD WINDOWS (pg 261-270) U-Value R-Value U-Value R-Value
Majesty Double Hung N/A N/A 0.35 2.90
Majesty Fixed Casement (PW) 0.37 2.70 N/A N/A
Majesty Casement/Awning 0.42 2.38 N/A N/A
Majesty Picture Window (DH) 0.34 2.94 N/A N/A
'The use of tempered Low-E glass may effect ENERGY STAR®qualification in your region.
U- and R-Values are subject to change without notice.
Not all products stocked at all locations. Call your local branch for availability.
Pricing and information are subject to change without notice&may vary from region to region.
For current pricing, call your local branch or visit ww-w.harveyind.corn.
+Effective 3/17/03
256
ea:
L
�(�+; a� A & A SERVICES, INC.
fZ " tlC'11€_IIS 115 NORTH STREET,SALEM,MA 01970
o a K 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
Bufyeens)Name Date of Contract
Buyers)Street Address,City,State and Zip Code
l l Cit c h 5�' u 7QZ Sh 1,9,4,A, (770
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address:
37
The Buyers)listed above hereby jointly and severalty agree to purchase the goods aml services listed on the accompanying specification sheets,In accordance with
Inc prices ad terms described on the.front and Me reverse of this agreement and any specification sheets(this'Agreenryl and Buyers)have requested that such
goods or services be installed or provided at Buyer's address listed above.A&A Services,Inc.('Contra lor9,hereby agrees to install or cause to be installed Me products
or services listed in this Agreement at the Bural address written above. This Agreement represents a cash sale of goods and services. The Buyer(s)agree to pay in
cash Me cost of the goods and services purchased as described herein,regardless Di liming or approval f any financing Buyers)may seek for their purchase.
it CL(f-F¢rVe6 I RA.✓r G4Ltyf .�
Purchase Pricer- Est.Starting Date:
o'
Down Payment.$1 7W Est.Completion Dater
❑Cash
Amount Due on Start of Job: O Copeck G
2 redit Cardjn
Amount due on_of Completion: No.�V A6�r 1Q .� yrs
)13 Q
Amount Due on_of Completion: Expiration
��I Expiration Date: OXO
Balance Due on Upon Completion: CVC Code: �� L
it is agreed and understood by and between the parties that this Agreement,front Edd 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 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. Buyers)also
(1)acknowledge that they were orally Informed of their right to cancel this transaction;and(II)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. DO NOT SIGN THIS CONTRACT IF IT CONTAINS ANY BLANC SPACES. /J
By: Services,Inc. Buyers) %JO I y
By. Signature Signature -
� y ��—
-Print Name Print Nam _ (Q e ^ rl
(�I,NA•U'
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.
AflBmVATON:PIe wnVecloraM IM1e M1omeorc2r M1ereCy muWely agree in eN2nro Nat in lM evem NNer pant M1aze ded"Amd"My....doe,May may SNmM1 rad,sand he
a private hadde mrd moved Oduch has been apwwed by the Sem of int Exe mad,g to,Covumer Anaha antl B % negumords ant Me other WM snail be required M OmA M
Mad,vMralM as pmvetl m MC.L c.taU.
C.,iailials' Buyortleirme M
hi ev.If
NOTIMIF OF cANr=t I ATON MTnGF OF CANCELLATnN
- Dare of Trertmal .,Yd,mile w,cel Nis harlsallon,dram any drnahy or Date of Trandoorm .You may cancel may tmreacnon,MNad mory panelsem
omgahon,w;wn Nree busmass nays from tie eboee Aare.hyo Howl,arca prepeMasaee m, bought,wnnm brute business diminution the move eats.nroucanwl,env womMveaed m.
anv parmeMs matle by rou uMerrM CmWaamsela,ultl env na9ollaMe mslrvmeM neMea
an,prmants mans hY you uMer Ne Garrard or sola And any normal vutrumem moment
by you win be rewmed Oman tb days MiMeadg reroiw"a seller of your eanrolmtion more, by yw,win be rammed Ordear tb days following receipt W Me seller or your dwlalmMn neve,
arm any reams lmerem arms out am enmabn cal M canceled,nyoudencel youmusl dna anv wormy Nrereet arising da of m.henaaaiDn wmMwmell.a.nyoutormiyourewt
mare any odsad NNe Sfbr aywrrmsidmw,mor Safe or
ryou pons mMewwoMnre with
the myprods
scorer atyder Me comet
in suMbmoryu my you War.
with e
antrum tlof the S m you urea uta Comren or sale;1 the may,a the
vrsq complymexaman the enc gooas delivered eS to you uMw Nls evil or serm or rob mer tat wuh.wmreare M1 dd
i ilk. 11 ns d IM1e Seller seardirg me velum Me earl of the Beds exile Sellell F.,..end Teal It you
of the Seller regarding IM lm the Seiler
of IM meds et Neam rim pi&them
a add
risk II rou do make IDe goods evanabk to ted SNkr and Me$eller tloas rel Inck'Nem,q v4. If you tlo make the 9mtls awilabk ID the Serer erW Ne Seller tloes nM pitl:fMm up
Mark 20 days of the date of your Notice of Camelbrom you may retain m d'Ispoae admitted. Offen to Move of the date of put Nome of Cencenadm,you may retain a model of Na gores
without any further pMigallon.ItyouhntDmakenregoodsevaMmemrMSeller,orBy 2gm wM,oNenyfurderabngalien.Ifyoufallwm NegooasavNlwiewtMselbFor ilyouagrw
W refund the goods N Ne Seller And on to do re.Nen you remain fade for pmlwmanw al all to return the goods to the Seller and fall M do U.then you remain sea far pedwmanm of Al
obligations antler IM1e Comed.To not Ni.tramstion,mal An drevewsyed and delta dopy OL6gaWmurderNe Conlre0.Todancel Nistraraadion,mailerdelirsravgnede dnedwpy
al the damdidam netiw or any Niter"am rese,or sent a telegram,ro"A Seaims.115 of Ne wnmlrerlon notice our any other armor,ration,or mM a telegram,it A&A,Servrcaz,115
NorM1 Sof Salem,MauachussM 01 M,NOT LATER THAN MIDNIGHT OF North Sam.Salem,MasaaHlureR4 burrs,NOT LATER THAN MIMIGFT OF
fDae) (Dole)
I HEREBY CANCEL THS TRANSACTION. Comumerb Signature Date I HEREBY CANCEL THIS TRANSACTION. Consumer's Signature Date
RD —
ghataN A & A SERVICES, INC.
115 NORTH STREET,SALEM,MA 01970 .
MIN �o o L iiI Telephone:(978)741-0424 Fax:(978)741-2012
Contractor Registration No. 101609
Federal EIN:04-3090162 Construction Supervisor No.CS057733
WINDOWS AND STORM PRODUCT SPECIFICATION SHEET
Buyer(s)Name Date of Contract
5 0
Buyers)Street Address,City,State and Zip Code
t "u(-64s- -up) +702— ShleskAA& a
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address
R
The Buyers)listed above hereby jointly and severalty agree to purchase the goods ani services listed below,in accordance with the prices and tens 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
WINDOW REPLACEMENT
❑ Remove and dispose of If +u"G, existing windows. C/})tNac'x
❑ Install # filNy new _ 4A 4- windows: Winyl ❑Wood
( anufacturer)
Options: Style C)ASSIC- NNlt(o Y)v' Grid pattern 'FpttG-,,,A5-ase—
Color Interior OAZ. '* olor Exterior )A.2Ii cGlass Type <91f r .) t>0Rbc
R?'
❑ WWp
pexterior trim with aluminum: Style Color
v"Y All wintlows will be installed according to the installation procedures in the portfolio, bf-18 eJ ,-f Ft'ieT-'OS -riX�
2/Caary�y11 interior and exterior edges. AVld
Insulate where possible around new units. 6 r•}dS-bPtd=�r"'
�-4��1.455•
' ❑ Ins window weight pockets if exist,and around new window units where possible.
Inc ed in this proposal are set up,clean up,Hepa vacuum and cleaning windows inside and out.
Building 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 unit(s)in Os 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
SPECIAL INSTRUCTIONS:
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B 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 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 Contractor. Buyers)hereby acknowledge that Buyers)
has read this Specification Sheet.
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Contractor Initials: S L—. Date: 3 a' a5 Buyer's Initials: Date (/
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