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11 BRITTANIA CIRCLE - BUILDING JACKET 11 BRITTANIA''CIRCLEN i I -�' lN3 - L F?Pt€ - 0- COPY /�tD /►��c c /�/► Au/� CON01T� CERTIFIC91 OF OCCUPANCY CITY OF SALEM bsot Penn M SALEM, MASSACHUSETTS 01970 ofSefpnf3�Mn DE �9`O�UfINE CAT DATE JANUARY 27 19 97 PERMIT NO. 53-1997 APPLICANT FAFARD DEVEL.OFIMENT CORP ADDRESS 2'90 ELIOT ST iS62 (NO.) (STREET) (CONTR'S LICENSE) CITY ASHLAND STATE MA ZIPCODE TEL.NO. 508-740-01" NEW BUILDING ONE FAMILY NUMBER OF I PERMIT TO (_) STORY DWELLING UNITS (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT(LOCATION) TQISS SWAMI'SCOT ROAD DZONING ISTRICT (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION MAH 77 LOT 0043BLOCK LOT SIZE 36. 54 ACRES BUILDING ISTOBE FT.WIDE BV FT.LONGBV FT.IN HEIGHT AND SHALL CONFORM INCONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: BUILD 4 UNIT (.-OI\IDOMINIUM AS PIER FLANS: UNIT g OF4 Id Il-BrittZiVCircl-e:_-: AREA OR 288, IZ 00 PERMIT G VOLUME ESTIMATED COST$ FEE GJQI(F. 0 14-1 (CUBICISQUARE FEET) OWNER FAFARD DEVELOPMENT CORP BUILDING DEPT. ADDRESS 290 ELIOT ST ASHLAND 114A BY L. E. T - THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY, iON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION,STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENTOF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL INSPECTIONS APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT WHERE APPLICABLE SEPARATE REQUIRED FOR ALL CONSTRUCTION WORK: POSTED UNTIL FINAL INSPECTION HAS BEEN MADE, WHERE A PERMITS ARE REQUIRED FOR 1.FOUNDATIONS OR FOOTINGS. CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH BUILDING SHALL ELECTRICAL,PLUMBING AND 2.PRIOR TO COVERING STRUCTURAL MECHANICAL INSTALLATIONS. MEMBERS(READY TO LATH). NOT BE OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 3.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 BOARD OF HEALTH GAS INSPECTION APPROVALS FIRE DEPT.INSPECTING APPROVALS 1 1 OTHER CITY ENGINEER 2 2 WORK SHALL NOT PROCEED UNTIL THE FAS RMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS INSPECTIONS INDICATED ON THIS CARD INSPECTOR HAS APPROVED THE VARIOUS OT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED CAN BE ARRANGED FOR BY TELEPHONE STAGES OF CONSTRUCTION. NOTED ABOVE. OR WRITTEN NOTIFICATION. soh sI TE coPv I tri � — C_ BUILDING CITY OF SALEM SALEM, MASSACHUSETTS 01970 PERMIT ��/MfNE D°Ne DATE JANUARY 27 19 '3/ PERMIT NO. 53-1. 397 APPLICANT FAFARD DEVELOPMENT CORP ADDRESS 290 ELIOT ST 156E (NO.) (STREET) (CONTR'S LICENSE) CITY ASHLAND S7A7E MIS' TEL.NO. J ZIP CODE 508-740-1",)122 PERMIT TO NEW E:IJILDINIOI ) STORY ONE FAMILY NUMBEROF DWELLING UNITS 1 (TYPE OF IMPROVEMENT) NO. (PROPOSED USE) AT(LOCATION) 0055 SWIAMPSCOTT ROAD DSTIN CT (N0.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SIZE- SUBDIVISION MAF 07 LOT 0043 BLOCK LOT 36. 54 ACRES BUILDING IS TO BE FT.WIDE BV F7.LONG BY F7.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: DLIILD 4 UNIT CONDOMINIUM AS PER PLANS: UNIT 3 OF 4 Gy 11 Brittania Circle. AREA Gall for Perinit to Occupy ._8a� Q711 QI FEEMIT `3IG14. VIIZI VOLUME VOLUME ESTIMATED COST (CUBIC/SQUARE FEET) OWNER FAFARD DEVELOPMENT CORP BUILDING DEPT. ADDRESS 290 ELIOT ST ASHLAND MA BY L. E. T THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY,ENCROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION,STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL INSPECTIONS APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT WHERE APPLICABLE SEPARATE REQUIRED FOR ALL CONSTRUCTION WORK: POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A PERMITS ARE REQUIRED FOR 1.FOUNDATIONS OR FOOTINGS. ELECTRICAL,PLUMBING AND 2.PRIOR TO COVERING STRUCTURAL CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH BUILDING SHALL MECHANICAL INSTALLATIONS, MEMBERS(READY TO LATH). NOT BE OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 3.FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 2 olC Fr/J4C 2 d � 2 ez- BOARD OF HEALTH GAS IN CTIOIP APPROVALS FIRE DEPT.INSPECTING APPROVALS 6,,;L6-11 z� OTHER CITY ENGINEER 2 © �^ 2 O !/ g 7 WORK SHALL NOT PROCEED UNTIL THE FAS MIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS INSPECTIONS INDICATED ON THIS CARD INSPECTOR HAS APPROVED THE VARIOUS STARTED WITHINSIX MONTHS OF DATE THE PERMIT IS ISSUED CAN BE ARRANGED FOR BY TELEPHONE STAGES OF CONSTRUCTION. OTED ABOVE. OR WRITTEN NOTIFICATION. BUILDING DEPT. OCT Z 7 43 AM X97 RECEIVED CITY OF SALEM,MASS. August 26, 1997 Mr. Leo Tremblay Salem Building Commissioner Salem Town Hall Salem, Massachusetts 01970 Re: Control Construction Certificate to Occupy Dear Leo: I, Ray A. Renzoni, Registered Architect in Massachusetts, certify that I have performed the necessary professional services; observed the construction; was present on the construction site as required under Section 127 of the State Code; and made periodic observations and reports. To the best of my knowledge, I have determined that the work proceeded in accordance with regulations, permits and the submitted documents approved for the building permit. Therefore, I request that a Certificate of Occupancy be issued for 11 Brittania Circle, Salem, Massachusetts, Unit 143 C. I thank you for your cooperation. \S tiaEo alley/r Sincerely, �y //J REN i S No,4019 3 BERLINa `, 3o MpSS �` ay A. Renzoni my�q<rM oc MPSSP�a Registered Architect NCARB/ASID Main Office Architectural Innovations ■ 44 Central St. ■ Berlin, MA 01503 ■ (508) 838-2976 ■ 19 South St. ■ Berlin, MA 01503 Q The Commonwcallh of Massachusetts L Board of Building Regulations and Standards Town of � %lassachuscits State Building Code. 780 CMR. T"edition Building p Building Permit Application To Construct. Repair. Renovate Or Demolish a ik'�M Otte-or T co-F mr(Y Duelling Thi do for Official Use Only Building Permit Number: Date Applied: Signature: Budding Co issioner/Ins t of uddmgs Date SECTION I: SITE INFORMATION 1.1 Prro�p�rsy Address: . n f( 1.2 Assessors Map 6 Parcel Numbers (j p t'',, 4 in l C i r c lr 1.1 a Is this an accepted street'.'yes no Map Number Parcel Number 3.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq IV) Frontage 01) 1.5 Building Setbacks(rt) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40.154) 1.7 Flood Zone informed 1 1.3 Sewage Disposal System: Zone: _ Outside Flood Zone? Municipal O On site di sal s stem O Public D Private D Check if sD D >Po Y SECTION 2: PROPERTY OWNERSHIP' S.1 Owner'of Record: - Name IPrint) Address for Service: Signature Telephone SECTION l: DESCRIPTION OF PROPOSED WORK'(check all that Apply) New Construction O Existing Building D Owner-Occupied D Repairs(s) D 1 Alteration(s) D Addition D Demolition 0 Accessory Bldg.D Number of Units_ Other D Specify: Brief Description of Proposed Work': - w k SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Ofllelel Use Only Labor and Materials I. Budding S 5'6 1. Building Permit Fee. f Indicate how fee is delermined: D Standard City/Town Application Fee 2 Electrical f D Total Project Cost(Item 6)x multiplier x J Plumbing S 2. Other Fees: f 4. M chanicat (HVAC) S List: s Nechantcal (Fire S Su resston Total All Fees: S Check No. _Check Amount: Cash Amount:_ 6 Total Project Cost S kr6 !3 0 Paid in Full 0 Outstanding Balance Due: a � SECTION S: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) j Y License Numbs Evpinton ate Rn� WCU V1 �sh N.yoe ul CSL Helder List(SiType(ace Mlow) i f u 1'ee rs �* Pam. I dyl A.p T, Description AWmssss� U Unrestricted luo to 35.000 Cu. Ft. R Restricted 1h2 Family Dwellin 5ignnura M .Mason Only R � '- ,S3Z- D�S'� RC Residential Roofing Covirrinit Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 3.1 Reg YLclateredw Home 1 pwremeot ontnctor(HIC) 3 ' / l µ Wr �ttioo.cx� � c�s�'n+c7icc HIC Company Name or HIC Registrant ame, Registration Number �—T� r c: �e�v . Mi4 a� If Expiration Data ISt—griature Telephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.S ISC(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.......... O� No........... 0 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 on my behalf,in all matters relative to work authorized by this building permit application. Si nature orowner Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION I.- — A W a_S ILM-P l n t _P in"N?-t^S , 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. lreS Print N Signature of Owner or Authorized Agent Due Si ned under the gains and penalties of rb NOTES: 1. 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 I HIC)Program),will gg have access to the arbitration program or guaranty 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 1 10.R6 and 110 R3,respectively. 2. When substantial work is planned, provide the information below: m Total floors area(Sq. Ft.) (including garage, finished baseentlanics,decks or porch) Gross living area(Sq. Ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of halfbaths Type of heating rystent Number of deckv porches Typeof cooling symem Enclosed Open 1 "Total Project Square Footage"may he .uh,lituied for"Total Project Cost" lmho, a The Commonwealth ofAfassaehuse'!ts ISeparttnent of indtist W Acciderus .. - . OjJice oflnvestiga&ons_ 600 Washi Won-Street Boston,MA 02721, ' ivww massgovldid E Workers'Copnpe�nsation Insurance Affidavit:Baildera/ContractorafEleetriciansJPlambets j + A 6cant.Informatiou , :.Please Print Le "bl 1 ;\\ ° Name(Business/orlaniranonftndtvtdtial):'. Address: .. c)t 1'p rCS c / CttylState/Zip: Per9 r3C� 4� � IV If o/4Gy.Phone#: I '�S? 3 f n ` Are you an,employer?Check the appropriate bar. Type of project(required): I:❑ i am a employer vnth - 4. ❑ I am a general contractor and i 6. _❑New construction employees(full and/or part tom).? .:' havehimd the subcontractors " f 2_ ,I am asole proprietor or partner- 1'�ed on the attaclied sheet t 7. ❑Remodeling ,:t t shtp and have no employees These sub-contractors have S. .❑Demolition workrd'g for me in`anycapacity. workers'cornp.insurance. 9. El Building addition on [No workers camp.insurance `5. El We are a corporation and its - requttad:_] officers have exercised thew 10.❑Electrical repairs or addru ns 3 ❑l am a horneowner doing all work right.of exemption'per MGL' I I.❑Plumbmgrepairs or additi�ins . mysel£lNo workers'comp. c.152,§7(4),and we have no ,12.❑Roof repairs { tnstaaace required:]t employees.[No workets' comp:insurance required.] 13.( t].Other . ..,•;i doin Ry appheam ihtlt<hbii b ,,,Adust aim 611.ou[lhe section ddawshowng Umrworkas'mmpe�tioupediry m('omta8oa ` t t Homwwrms nu h wMi'sut tis affidavit mdmadng they are g all work and then hire outside caiu,,il n must submit a new affidavit iadicatiyv such - E ?Coopacrors Wad ctieck 0xisboxmuatafta0md an additional shem showingdte tremeofthc subcnnnactuis andd it vmflc t '=JnP.PolicYhff0riia'm ( f ` 'leatpn,emploper that is providing walkers competurttton insurance for my einpioy'etic Befowiq thepo/ic},mid job site '. i )nformatioa. . : E �. Innaance Company Name: ''Policy#or Self-iim Lic'#' :: EXpira[ionDate: :Job Srte Address . ' City/State7zip: _ Attach a copy of.the workers'compensation policy declaration page(showing the policy number and expiration dat�} fineuu'to'to$1 500co and/or aria required under Section 25A of NIGL c,.152 can lead td the imposition of crrninid penalties oJf a 4 p year rrtiprisonment,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 ven8cation. g do here eerti under the uas and nuldes a a that the an oratatioa by Sy pa• pe Jperj ry f prorided above is tract and correct Siipnature' �r�e�s Dater _ ' ` Phone#: 778 53 Z-r�3S cis-meonly. Do gatwrite in this area,to be completed byeify ortown op'wW "Crty or Town: PermtitlLicense# Issuing Authority(circle one): la Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector _ "Contact Person: - .Phone#: i s NI,I,vwiclulscltx-Ucp.u-tulcn;ut Public Sato, r Board>of Building Regulations and Srandards, Construction Supervisor License u - - License: CS 71187, - ReSticleU to: 00 - A ftONALD E WACHLIN_ 12 TUCKERS CT,MD 6L PEABODY MA 01960, E�xpiratio-n; 8AMI ., j: `. (imunlavfinier :TYA. 19910 .. , e q s w 'O F A 4 qq s b �p s 0 0 � r 3a a, c� .&141ii7l!PVAM? St "Tnf tib££Z£S8L6T: *ON XH_� NOli:)ndISNDJ OONOb: WOad nV STORE COPY y INSTALLATION SERVICES CUSTOMER CONTRACT-MWORK- INT/EXT/PATIO VALIDATION "AREA DOOR LOWE'S OF DANVERS, MA.,STORE# 109 STORE PHONE: (978)646-9099 153 ANDOVER STREET SALESPERSON: DAVID MCCARTHY DANVERS, MA 01923 SALESPERSON.ID:"135953 Document Print Date 10/14/2009 This is only a Quote for the merchandise and services printed below.This becomes an agreement upon payment and an endorsement by a Lowe's register,validation.Upon such payment and endorsement, the entire.agreement; including the specifically completed pages of this document,the Terms and Conditions included with this document and any other addenda or attachments hereto, shall be referred to herein as this"Contract." PLEASE READ THIS ENTIRE DOCUMENT INCLUDING THE "TERMS AND CONDITIONS." BEFORE SIGNING. Lowe's Registration or Contractor'License Number PLowe's Contractor Name Lowe's Home Centers; Inc.'s MA HIC NO.: 148688 Lowe's Home Centers, Inq;s FEINT 56-0748358 Customer Name Home Phone S DAVIP BREED 978-744-1015 o Custo,: ar Address Other Phone 11 BRITTANIA CIRCLE 978-744-1015 L City State/Province Zip/Postal Code D SALEM MA 01470 Installation Address - - T 11 BRITTANIA CIRCLE installation City instaliation State/Province Installation Zip/Postal 01 Code " SALEM MA 01970 MERCHANDISE AND INSTALLATION SUMMARY MERCHANDISE SUMMARY 106126 : 90511 : SOS : SOS PELLA STORM/SCREEN DOORS :SINGLE STORM DOOR FULLVIEW STORM : CLO LARSON MANUFACTURING COMPA- QTY 1 1061.26 : 91316 : SOS : SOS PELLA STORM/SCREEN DOORS : SELECT CLEAR GLASS : CLO LARSON MANUFACTURING COMPA - CITY 2 106126 : 91051 : SOS : SOS PELLA STORM/SCREEN DOORS : DDK 1-5/8 EXTRUDED WHITE : CLO LARSON MANUFACTURING COMPA- CITY 1 161417 : PEDFSINGLEDR`. SOS SOS PELLA ENTRY 850 SERIES TC: SINGLE DOOR "'THIS PRICE REFLECTS A 10%OFF PROMOTION ON SOS Store 1094 Project No. 272896005 for DAVID BREED Page 1 of 8 STORE COPYs, PELLA ENTRY DOORS (SOLID, LOW-E OR DECORATIVE GLAZING) - 9/30/09 TO 10/19/09.*" PELLA - ENTRY DOORS - QTY 1 � 161417 :'PEDFDOUBLEDR : SOS' SOS PELLA ENTRY 850 SERIES TC : DOUBLE'DOOR,***THIS PRICE REFLECTS A 10%OFF PROMOTION ON SOS PELLA ENTRY DOORS (SOLID,LOW-E OR DECORATIVE GLAZING) - 9/30/09 TO ib/19/09.*"* : PELLA; ENTRY DOORS-QTY 1 182310 : 90561 : SOS : SOS PELLA SELECT DOOR FRAME : SELECT 6000 WHITE 36X81 : CLO LARSON MANUFACTURING COMPA- QTY 2 47 182311 : 90995 : SOS : SOS PELLA SELECT HARDWARE : BRIGHT BRASS HANDLE KIT : CLO LARSON MANUFACTURING COMPA-QTY 2. 14560 :.0431 561 71 439 : STK BB COMBO KNB PLYMOUTH : BB COMBO. KNB PLYMOUTH, SCHLAGE LOCK COMPANY -QTY 1 14660 : 043156989065 : STK : BB ENTRY KNB PLYMOUTH : POLISHED BRASS ENTRANCE KNOB : SCHLAGE LOCK COMPANY -QTY 1 18302 : STK : PNE CASE 351 2-1/2X11/16X8' : PNE CASE 351 2-1/2X11/16X8' - QTY 6 t. 39594 : 6431 561 71 590 :STK: BB HANDLESET LVR CAM/ACC': BB HANDLESET LVR CAM/ACC : SCHLAGE LOCK COMPANY - QTY 1 131207 : 1 31207 : STK : 1X8X16 PRIMED FINGER JOINT : 1X6X16 PRIMED FINGER JOINT : IRVING FOREST PRODUCTS(MAINE).- QTY 2 = Materials Price $ 3858.55 INSTALLATION DESCRIPTION F87to;korSOS,: SOS Door Type :Patio Select Location : 2 LOCATIONS Select New Door : Hinged/ French Side Lights or Transoms-:-No Hidden Damage Description : None Number of additional holes bored for accessories : None Install Specialized Mortise Hardware : No Total Linear Feet of Custom Trim to be Installed : 0 Deliver boor : Yes Customer Understands Scope of the Project : Yes Permit Required :No Additional Miles Traveled over 20 : 0 Bring Up To Code Description : None Local Disposal Fee : Yes Describe Other Work Needed : INSTALL SINGLE UNIT ENTRY DOOR, IN, STALL DOUBLE STORM DOOR, INSTALL'SINGLE STORM DOOR, BALCONY INSTALL CHARGE, BUILD IN OF JAMB FOR SINGLE AND DOUBLE ENTRY DOOR, BUILD OUT FOR BOTH STORM DOORS Other Work Charge : Yes Comments : MEASURE FOR 1 PATIO AND 1 ENTRY DOOR. STORM DOOR ON PATIO DOOR Labor Charges $ 1789.0 Detail Deduction -$ 35.0 Additional Specifications: Notation: Lowe's will not make structural modifications, paint or stain or remove/reinstall security system equipment. Customer is responsible to advise if prop- erty is governed by Historic District Regulations. Store 1094 Project No. 272896005 for DAVID BREED Page 2 of 8 ^(( • s • .- STORE COPY Additional Speci Ications: The Environmental Protection gency,E A) has requested that Lowe s notify installatiorr,,customers that a lead base-d paint hazard may exist_indwellings built prior to 1978.,See pampllet,EPA 747-K-99.001 for details: TOTAL CHARGES OF ALL MERCHANDISE`AND SERVICES where appficeble labor is lax ableoneck local tax restrictions, SUB-TOTAL - $_5612.5 - *SALES TAX $ 0.0 DELIVERY $ ORDER TOTAL $5612.5 BALANCE DUE Work is to commence upon reasonable availablity of Contractor which is anticipated to be J7 [fill in date]. Estimated completion date is T 7 [fill in date]. NOTICE TO CUSTOMER All items listed in this contract and specification sheet(s) are to be installed under conditions agreed upon at time of purchase and at the price app Baring on this contract form. This assumes sound existing substructures, superstructure and points ofattachments. Extra labor or material incident to installation ne- cessitated by defective'substructures, superstructure, points of attachment, or the moving of fixtures or appliances to<be billed at extra cost to customer. IF THE CONTRACT TOTAL IS $1 000 00 OR LESS Customer must pay in full. OMPLETE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS 1 000.00 Customer to Pay in Full;OR [_] Customer to use the following payment schedule: (1) Deposit $ to be paid upon signing contract. Deposit should be 1/3 the total contract price;and (2) Payment of $ to be paid anytime after this Contract is signed and before commencement of installation, UWe authorize Lowe"s to do one of the following (check appropriate box below): [_] Charge my/our credit card for the amount of the payment indicated above anytime after the date this Contract is signed; or [_] Deposit my/our check for the amount of the payment indicated above anytime after the date this Contract is signed; and (3) Final payment of$100.00 to be paid upon completion of the installation and both parties'satisfaction. Store 1094 Project No. 272896005 for DAVID BREED Page 3of 8 STORE COPY DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AND UNTIL YOU HAVER THE TERMS AND CONDITIONS CONTAINED IN THIS CONTRACT AND WHICH FOLLOW THE SIGNATURE PAGE(s). BY SIGNINGBELOW,YOU ARE ACKNOWLEDGING THAT YOU'HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH IN THIS CONTRACT. YOU ARE ENTITLED TO A COPY OF THIS CON- TRACT AT THE TIME OF SIGNATURE. NOTICE REGARDING ARBITRATION AGREEMENT FOR CLAIMS COVERED BY M.G.L. c.742A . LOWE'S AND OWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT LOWE'S HAS A DISPUTE CONCERNING THIS CONTRACT, THAT LOWE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH,HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE OWNER SHALL BE REQUIRED TO SUBMIT TO SUCH AR- BITN TION AS PROVIDED IN M.G.L. c.142A. !� Date: .1 6 BY- �--�— Lowau�>^!oe-e6e tersJnc,.• By-\ Le S Owne Bys_ Date:. I Spouse':. THE SIGNATURES OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTION INI- TIATED BY LOWE'S PURSUANT TO M G.L c.142A THE OWNER MAY BE PERMITTED TO INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THE SECTION ABOVE IS NOT SEPERATELY SIGNED BY THE PARTIES WITNESS OUR HAND(S)AND SEAL(S) BELOW THIS ) t���-DAY OFC5;--K__ z-W'' Lowe'ss Home Centers, Inc. By: (Seal) Print Name:— L (Seal) Address O ner, - -. City State/Province Zip/Postal Code _ - Print Name _ - - (Seal) Store 1094 Project No. 272896005 for DAVID BREED Page 4 of 8 STORE COPY . Spouse Print Name' Customer acknowledges receipt of a true copy which was completely filled in prior to Customers execution hereof. You the customer may cancel this transaction at any time prior to midnight on the third business day after the date of this transaction. Seethe attached Notice of Right to Cancel for an explanation of this right. Store 1094 Project No. 272896005 for DAVID BREED Page 5 of 8 STORE COPY TERMS AND 'CONDITIONS 1."LOWE'S" DEFINED.Within this Contract-(as defined on page 1);the term Lowe's°shall refer to Lowe s Home Cenlers,}Inc.,a North.Carolina corporation 2.GENERAL DESCRIPTION. By this Contract, Customer and Lowe's agree that (1)Customer shall purchase.and Lowe's shall sell the goods and/or materials (the Goods");and(2) Lowe's shall procure on Customer's behalf, and Customer shall pay for, the services to install the Goods,(the Installation Services") in or on the premises identified on the face of this,Contract (the "Premises") for the Order Total stated on the face of this Contract(the"Price")and according to the provisions of the Contract documents.The Contract documents shall consist of(1)the face of this Contract,.titled"Installed Sales Contract," (2),:these Terms and.Conditions,.and (3)any attached sketches, materials lists,floor plans,and/orspecification sheets and other addenda or attachments hereto.The Contract documents-do not include any - correspondence,advertisements;estimates or other documents that are not attached. t - ' ' - - . '^ 3. INSTALLATION SERVICES. Customer authorizes Lowe's on Customers behalf to(a)arrange for the Installation Services to be performed by an independent contractor(the Installer)(licensed when leg- - ally required), (b) issue a workordecto the Installer.to perform the Installation Services, (c)haveAhe Installer's work inspected,should Lowe's in its discretion choose to do so(it being;agreed that Lowe's has no obligation to do so),and(d)pay the Installer after completion of the work and after receipt of a:certificate,signed and dated by Customer;that the work has been satisfactorily completed(the"Certificate of j Completion"). Customer,understands that Lowe's will rely upon the Certificate of Completion in.paying the'Installer for Installation Services. CUSTOMER AGREES THAT THE'INSTALLER WILL PER. FORM THE INSTALLATION SERVICES ACTING AS AN INDEPENDENT CONTRACTOR FOR CUSTOMER AND NOT UNDER THE SUPERVISION OR CONTROL OF.LOWE'S.Customer agrees that the Installation Services do not include architectural/engineering services or structual.changes to the Premises or any other services beyond the ordinary and routine installation'of'the Goods as specifically provided in the Contract.Customer is responsible,at Customer's cost,for providing,any necessary architecturaltengineering services or structual changes to the Premises or any other services not specifically identified in this Contract., - - - - 4..GOODS. Lowe's will.arrange for delivery of the Goods to the Premises.Any.surplus materials upon completion of the.installation Services shall be the property of Customer. 5: PRICE.The Price covers the Goods, Installa:cn Services',and applicable taxes.The Price assumes sound existing substructures,superstructure and points of attachments.The Price shall be increased by the cost and.reasonable profit to Lowe's of having to provide additional Goods and/or Installation Services as a result of defective substructures,superstructures,or points of attachments or the existence of any-other Undisclosed Condition a.,defined=in section 9:6f these Terrns and'Conditions . In the event of an°Undisclosed€onditiodbr.tfie foregoing,-Customer will execute a change order or a new replace- ment - contract upon Lowe's request I - - - 6. PAYMENT. If the Price is$1-,000.00 or less,payment of the Price by Customer to Lowe's is due in full upon execution of this Contract. If the Price is over$1,000.00,Customer may choose to pay in full-upon execution of this contract, but Lowe's may not require Customer to-do so. If the Price is over$1,000.00 and Customer does not pay in full at the time of sale, Customer agrees to pay Lowe's according.to the payment schedule set forth in this Contract. Customer agrees to pay a deposit.upon execution of this Contract equal to one-thirdof the Price. Customer agrees to make a payment for the balance of the Price less the final payment at least one day after the date this Contract is executed and prior to the.commencement of the Installation-Services. Customer agrees to makethe final payment upon completion of the Installation Services and Customers satisfaction. Payment for a new replacement contract is payable according to these Terms and Conditions.Payment for any change order is due.atthe time of that change order. 1. LICENSES,PERMITS, SAFETY RULE$, BUILDING CODES,ZONING ORDINANCES,AND OTHER LAWS.The installer shall be solely responsible to Customer for obtaining any and all licenses which are legally required to perform the Installaton Services.The Installer shallalso be solely responsible to Customer for the Installation Services being performed in compliance with all applicable safety rules and all`existiny buidling codes,zoning ordinances and other laws.Lowe's shall be responsible to Customer for obtaining building permits which,are legally.required to perform the Installation Services where Lowe's se, leyally required to obtain such permits.Where Instellar is required to.obtain such permits then Installer will be responsible to Customer for obtaining such permits. Customers who secure their own building In will be precluded from claiming against certain state guaranty funds relating to home improvements. Neither the Installer nor Lowe's shall be responsible for any pre-existing violations ofsafety rules building codes,zoning ordinances or other laws and shall not be required to address or correct same. If prior to the completion of work a change occurs to any applicable safety rule,building code,zoning or dinance or other�law which requires additional Goods and/or Installation Services to perform his Contract,Customer agrees to pay Lowe's the cost and reasonable profit for such additional Goods and Installa- - tion Services and to execute a resulting change order or new replacement contract as requested by Lowe's. No additional work will be performed under this Contract due to any change to any applicable safety rule, building code,zoning ordinance or other law that occurs after the completion of work. 8.CUSTOMER'S WARRANTY AGAINST VIOLATIONS OF EASEMENTS,.COVENANTS,AND THIRD PARTY RIGHTS.Customer warrants that performance of Installation Services will not violate any exist- ing real property easements,covenants,homeowner's association rules or rights of third parties holding an interest in the real property being improved. - 9.UNDISCLOSED CONDITIONS IN?REMISES..If Installer discovers any defect,weakness or dangerous condition including,but in no.way limited to,mold,mildew,rot,asbestos or infestation('Undisclosed Condition")•in the Premises'structure, substrudture,super-structure or points of attachment, Customer must remedy the Undisclosed Condition at Customer's sole cost and expense and to Lowe's sole satis- faction. If Customer refuses to permit inspectionof the Premises as set forth below, Lowe's may terminate or rescind this Contract without remedy or recourse by,or further obligation to,Customer,except as expressly provided below. If Customer and Lowe's disagree as to whether an Undisclosed Condition exists, Lowe's may in its sole discretion obtain the services of an inspector to inspect the Premises ai Lowe's's`ole cost and expense,and if Lowe's chooses to do so, such inspector's report shall be final and conclusive as to whether an.Undisclosed Condition exists.In the event.of any Undisclosed Condition that Customer does not remedy to Lowe's sole satisfaction,or any failure by Customer to perform any other obligation of Customer under this Contract,then at Lowe's option(1) Lowe's may rescind this Con- tract and return the Price to Customer without further costor obligation by either Customer or Lowe's if Lowe's notifies Customer of its election to rescind this Contract prior to the earlier of delivery of the Goods and the Installer beginning performance of the Installation Services,or(2)-Lowe's may terminate this Contract without remedy or recourse by, or further obligation to Customer, except as expressly - provided below if Lowe's notifies Customer of its election to terminate this Contract after the earlier of delivery of the Goods and the installer beginning performance of the.Installation Services. In the event that Lowe's terminates the Contract as provided in this Section,'then Customer may return the Goods(other than Goods that have been "custom-made')in their original;unopened condition;to Lowe's for a refund - orcredit:Any such return must be made within 30 days after Lowe's terminates this Contract. Customer will be charged a 15%restocking fee on.any returns.Goods not in their original, unopened condi- tion,and custom-made goods,may not be returned."Custom-made".goods include goods that have been uniquely altered,color-matched;shaped,sized,tutor otherwize designed or fitted to accomodate the requirements of a particular space or environment.Examples of custom-made goods include,but are not limited to,cabinets,countertops,floor and wall coverings,and window treatments. If Lowe's terminates this Contract as provided herein, Lowe's shall have no obligation to refund any portion of the Price (except as expressly provided herein)and shall have no obligation to restore the Premises to their original condition. 10.CUSTOMER'S RESPONSIBILITIES: Customer agrees to pay Lowe's according to these Terms and Conditions.Customer agrees to facilitate the location of utility lines.Customer is responsible for identi- fying property lines. Customer agrees to ensure that work area are free of vermin and pre-existing physical or environmental hazards,and building/zoning code violations. Customer agrees to provide the In- staller with access to work areas during working hours and to provide access to sanitary.facilities or to pay the rental costs for such facilities. Customer agrees to ensure that any security system at the Premises will not interfere.with performance of the Installation Services.Customer agrees to provide.power togas applicable,climate control in,the work areas.Customer agrees not to allow unattended minors at the Premises while the Installer is present. Customer agrees to control and keep pets away from work areas. Customer agrees to keep posted permits on display at all times.Customer agrees that if Cus- tomer or anyone Customer controls interferes with or delays performace of the.Installation Services, Customer may be subject to transportation/storeage charges or other resulting charges.Customer agrees not to assign or transfer this Contract:Customer agrees that any claim against Lowe's or the installer under this Contract should be made to Lowe's within thirty(30)calendar days of the date Customer first becomes aware of a problem.(Lowe's will attempt resolution of any claim(s)within sixty(60)calendar days of receiving Customer's notice.)CUSTOMER ASSUMES THE RISK AND THE FULL LIABILITY OF PHYSICALLY ASSISTING WITH DELIVERY OF THEGOODS OR WITH PERFOMANCE OF THE INSTALLATION SERVICES. - Store 1094 Project No. 272896005 for DAVID BREED Page 6of 8 STORE COPY 11. MANUFACTURER WARRANTY FOR GOODS/LOWE'S WARRANTY FOR INSTALLATION SERVICES/LIMITATIONS OF LIABILITY.Customer is entitled to any warranty provided by a manufacturer of the Goods sold;under this Contract. The Installer will provide Customer with any manufacturer.consumer warranty information accompanying.the Goods,and Customer may also obtain such information by contacting Lowe's. Lowe's does not warrant the Goods AND EXPRESSLY DISCLAIMS ALL WARRANTIES,EXPRESS'ORIMPLIED,TO:THE FULLEST EXTENT,PERMITTED BY LAW. Lowe's does warrant that the Installtion Services will be performed by the installer in a good'and workmanlike manner. Lowe's warranty,.for Installation services shall extend for a period of one year from the earlier of (1)the date the Certificate of Completion is signed by Customer or(2)the date that Lowe's determines that the Installation.Services have been completed, or for such greater period as may be re- quired by applicable law governing consumer warranties for workmanship(the"Warranty Period"). LOWE'S WARRANTY THAT THE INSTALLATION SERVICES WILL BE.PERFORMED BY THE INSTALLER IN-A GOOD AND WORKMANLIKE MANNER DOES NOTCOVER, AND LOWE'S WILL NOT BE RESPONSIBLE FOR, ANY DEFECT IN SUCH INSTALLATION SERVICES DUE TO (1) ANY DEFECT, WEAKNESS OR DANGEROUS CONDITION; INCLUDING:BUT NOT LIMITED TO,MOLD, ROT,ASBESTOS OR I NFESTATION IN THE PREMISES'STRUCTURE,SUBSTRUCTURE,SUPERSTRUCTURE OR POINTS OF ATTACHMENT,OR OTHER PRE-EXISTING PHYSICAL OR ENVIRONMENTAL HAZARD,OR(2)11.ABUSE;MISUSE,NEGLECT,OR IMPROPER CLEANING.LOWE'S.WARRANTY FOR IN- STALLATION SERVICES SHALL BE IN LIEU OF ANY OTHER WARRANTY TO THE FULLESTTXTENT PERMITTED BYLAW. - - - - Customer acknowledges and agrees that Customer shall be limited to seeking recourse or remedy exclusively from-Lowe's or the Installer(as applicable)and that no affiliate of Lowe's shall have any.liability under this Contract. Customer must give Lowe's written notice within the Warranty Period of any warranty claim relating to Installation.Services. Customer agrees that its sole and exclusive remedy against Lowe's for warranty claim is reinstallation in a good an workmanlike manner,including the repair or replacement of any Goods if and¢o the extent resonably necessary to correct the defective Installation Ser- vices. CUSTOMER SHALL HAVE NO OTHER REMEDY FOR A WARRANTY.CLAIM, INCLUDING WITHOUT-LIMITATION REMEDY FOR LOSS OR DAMAGE CAUSED BY NORMAL WEAR AND TEAR, LOSS OR DAMAGE WHICH HAS NOT BEEN REASONABLY MITIGATED, OR LOSS OR DAMAGE CAUSED BW ACTS OF GOD.IN NO EVENT SHALL LOWE'S BE LIABLE FOR INDIRECT, PUNITIVE; - CONSEQUENTIAL OR INCIDENTAL DAMAGES (SUCH.AS,WITHOUT LIMITATION, LOST PROFITS, LOST SALES,AND INJURIES TO PERSONS OR PROPERTY), EVEN WHERE LOWE'S HAS BEEN ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. WHERE, DUE TO OPERATION OF LAW, SUCH DAMAGES.CANNOT BE EXCLUDED, THEY.ARE EXPRESSLY.LIMITED IN AMOUNT TO THE - PURCHASE PRICE. In connection with any warranty claim, Customer agrees,at no cost tc Lowe's or theanstaller, to prepare the Premises and the reinstallation area-in.tne manner described in Section 10 of these Terms and Conditions. 12.DISPUTE RESOLUTION FOR CLAIMS-COVE RED.BY-M.G.L:-c.1'42A. Mosvquestions orcomplaints are,resolved'informally .If Customer=has:;a questioq,og.complaint,.Customer agrees to contact the Lowe's salesperson whose name appears on this Contract and the manager of the Lowe s store where Customer entered into this Contract. If Customer has a complaint which cannot be resolved informally, ' The Home Impovement Contractor Law M.G.L.n.142A)-may,provide Customer with the right to request arbitration-through a privatearbitration program approved by the Director of.the Office of Consumer Af- fairs and Business Regulation;asan alternative to court action.The same right is not afforded to Lowe's unless tfse"Notice Regarding Arbitration Agreement for Claims Covered by M.G.L.c.142A"above is signed and dated by Lowe's and the owner. If allowed by statute or applicable law,the arbitrator may award statutory damages and/or reasonable attorneys'fees and expenses. If Customer fails to pay Lowe's " in accordance with this Contract,Lowe's shall be entitled to recover its reasonable attorney's fees as provided by N.C.Gen. Stat. Section 6-21.2 or other applicable law.To the fullest extent permitted bylaw, Lowe's and Customer agree that no class action arbitration of any type may be ordered by a Court or arbitrator(s)-urnder this Contract and, in addition,that there shall be no joinder of parties,except for joinder of parties to the transaction covered by this Contract. If a court or arbitrator determines the waiver of the right to class action.arbitration or the prohibition of joinder of parties(other than parties to the transac- lion,covered by this Contract)to be unenforceable,then the party bringing such action will be required to bring such action in a court of law. - I j:ARBITRATION,AGREEMENT AND WAIVER OF JURY TRIAL FOR CLAIMS NOT COVERED BY M.G.L.c.142A.All claims by Customer or Lowe's concerning this Contract which cannot be resolved in- foirnally, and which are not covered by M.G.L.c.142A or subject to the jurisdiction of a small claims court,shall be resolved by binding arbitration conducted by a single arbitrator under the current applicable rules,procedures and-protocols of the American Arbitration Association (as amended). If the dispute falls within the jurisdiction of asmall claims court the claimant may,at its option,choose to arbitrate or file asmall claims action. Any appeal of a judgment from a small claims court shall be resolved by arbitration as providred herein. Claims to be resolved by binding arbitration.include, but are not limited to(1) ail claims directly or indirectly related to the signing of this arbitration agreement,the validity or scope of this arbitration agreement,or any attempt to set aside this arbitration.agreement,(2)all federal or state law claims relating directly or indirectly to this Contract(including this arbitration agreement), the Information Customer gave Lowe's before entering into this Contract and/or any past agreement or agreements between Customer and Lowe's, (3)all counterclaims,cross-claims and third-party claims,(4)all common law claims of any kind including common law claims based upon contract,tort,fraud,or other intention- -al torts,-,,(5) all claims based upon a violation of any state or federal constitution, statute or regulation, (6) all claims asserted by Lowe's against Customer, including claims for money damages to collect any sum Lowe's claims Customer owes Lowe's,(7)all claims asserted by Customer individually against Lowe's and/or any of Lowe's employees,agents,directors,officers,shareholders,managers,members,par- ent company or affiliated entities,(herein collectively referred to as"related third parties")or the Installer, including claims for money damages and/or equitable or injunctive relief, (8)all claims asserted on Cus- tomer's behalf byanother person, (9)all claims asserted by Customer as a private.attorney.general.against Lowe's, related third parties and/or the Installer, (10)all claims arising from or relating directly or in- directly to the disclosure by Lowe's, related third parties or the Installer of anynon-public personal information about Customer,and/or(11)all other claims arising under or related to this Contract whether or - not set forth above. - Binding arbitration means that Customer waives: (1)any right to a jury trial; (2)any right to bring a Iawsul t io"a court(other than a small claims court as described above); and(3)any right to seek relief in.any other forum or from any other agency.Any claim not decided by a small claims court will be decided by an arbitrator.selected by the American Arbitration Association. Lowe's and Customer agree that binding arbitration provides a simple, cost efficient method to resolve disputes quickly. Lowe's and Customer therefore agree that no class action arbitration of any type may ba ordered by a Court or arbitrator(s) under this Contract and,in addition,that there shall be no joinder of parties,except for joinder of parties to the transaction covered by this Contract. If a court or arbitrator de- termines the waiver of the right to class action arbitration or the prohibition of joinder of parties(other than parties tothe transaction covered by this Contract):to be unenforceable then this entire arbitration - agreement shall be rendered null and void,and the party bringing such action will be required to bring such action in a court of law. e; By agreeing to binding arbitration Customer and Lowe's waive any right to bring or participate in a Class Action lawsuit regarding any claim. _ How Arbitration Works: ' Lowe's may demand arbitration by sending written notice to Customer at the address listed in this Contract.Customer may demand arbitration by sending written notice to Lowe's at the following address:Mail code 2ELG, P.O. Box 1000,Mooresville, NC 28115.The arbitration shall be held in the city or county where the Pre mises are located or in such other convenient location as the Customer and Lowe's may mu- tually agree. Lowe's shall pay the filing, administrative,hearing and arbitrator's fees associated with the arbitration.Customer shall not be required to reimburse Lowe's for these expenses even if Lowe's wins the arbitra- tion.Unless the arbitrator's award specifically provides otherwise,Lowe's and Customer will each be responsible for its own attorneys'fees and other expenses,such as witness and expert witness fees.At the timely request of Customer or Lowe's,the arbitrator will provide a written explanation.of the award so long as such requirement is consisent with the rules,procedures and protocols of the American Arbitration Association then in effect. The arbitrator's award may be filed with and enforced by any court having jurisdiction. - - If allowed by statute or applicable law,the arbitrator may award statutory damages and/or resonableattorneys'fees and expenses. If Customer fails to pay Lowe's in accordance with this Contract, Lowe's shall be entitled to recover its reasonable attorneys'fees as provided by N.C.Gen.Stat.Section 6-21.2 or otherapplicabl a law. The parties agree that this arbitration agreement is made in connection with a.transaction involving interstate commerce and shall be governed by the Federal Arbitration Act,but if for any reason the Federal Arbitration Act does not apply,then this arbitration agreement shall be goverened by the laws of the State of North Carolina. - - - - 14.GOVERNING LAW AND SEVERABILITY.This Contract shall be interpreted under and governed by the laws oft the State of North Carolina except that the Arbitration Agreement and.Waiver of Jury Trial in Store 1094 Project No. 272896005 for DAVID BREED Page 7 of 8 _ STORE COPY paragraph 13 above is governed by the Federal Arbitration Act,9 U.S.C.Sections 1-16. If any provision of the Contract is contrary to any law to which it is subject,such unlawful provision shall be ineffective without invalidating the other provisions;which shall remain..in full force- and effect;except that,as stated in paragraph 13;,it the waiver of class action arbitration,or the prohibition of consolidation or joinder, is determined unenforceable,then:the entire arbitration agreement in para-graph 93 will be rendered null and void.' - 15. CREDIT CARDIFINANCED TRANSACTIONS: If Customer uses a-credit card or obtains financing to pay some or all of the Price"then Customer acknowledges that the terms of his or her cardholder agreement or financing documents may change the total amount of-momey Customer must pay to the credit card provider offender,including any interest charges and fees.Customer acknowledges that his or her cardholder agreement or financing documents may have..other termm and.conditions to which Customer will be subject.Customer also acknowledges that Lowes is not a party to any such cardholder or fin- ancing.agreement. - - - 16.WAIVER OF LIENS.Because responsibility for paying the Installer.on Customer's behalf belongs to Lowe's,Lowe's will require the Installer,on.behalf of itself and any of the Installer's subcontractors ma terialmen or suppliers,as a condition precedent to payment by Lowe's mn Customer's behalf,to fully and unconditionally_relinquish,waive and release any and all mechanic's liens;materialman s lien and other liens in the Premises which the Installer or its subcontractors;materialm an or suppliers might have or acquire in the future,by operation of law or otherwise,as a result of this Contract.. - 17. UNAVOIDABLE DELAY OR FAILURE IN PERFORMANCE EXCUSSED.Any delay or failure by Lowe's or the Installer in performing this.Contract because of stike, fire,flood,epidemic,acts of terrorism, acts of God, inability to obtain Goods in a timely or commercially feasible manner, or any other causes beyond the reasonable:control of Lowe's,or the Installer shall,be excused and shall notbe breaches of this Contract:. - 18.ENTIRE AGREEMENT CHANGES IN WRITING.Customer and Lowe's agree that this Contract accurately states the entire,agreement between.Customer and Lowe's concerning the Goods and Installa- tion Services and replaces and supersedes all prior agreements and usinderstandings relating thereto, both oral and written, and all oral agreements and understandings entered into at the same time as this Contract.Any additions or changes to this Contract,or any waiver of rigMts under this Contract,must be in writing signed by Customer and Lowe's. 19,CAPTIONS.Titles or captions of sections contained in this Contract have been inserted only as a matter of convenience and in noway define,limit,extend,describe or otherwise affect the scope or mean- ing of this Contract or the intent of any provisions Hereof. id..ADDITIONAL_INFORMATJON.All contractors and subcontracto-rs must be registered by the Administator of the, g g ¢ -Inquiries about a contractor or Board of Building Re ulation and Standards. 'subcontractor relaying t"o a registratliln sFiouldhe drrecteA to the A.dmimstrator of the Board at One.:Ashburton Place,.Room 1301;Boston;;MA 02108,(617)727.8598:: r .<. '21,QUESTIONS OR CONCERNS.Customer should speak with the Lo-we's salesperson whose name appears on this Contract and the manager of the Lowe's store where:Customer entered this Contract re- gardin'g routine.matters such as scheduling,any requested changes to Caustomer's-order,or any concerns Customer may have-about this Contract,the Goods or the Installation Services at the address and/or phone number noted on the front page of.this Contract Store 1094 Project No. 272896005 for DAVID BREED Page 8.of 8 ' QCT/30/2009/FRI D9:50 AM FAX No. P. 002 Realty Corporation of Massachusetts, Inc. ----------------------------------------- - P.O.$os 920235 Nscdham,MaS2=huseas 02492-0003 617-332-5656 October 30, 2009 Peter Wolczlk Install Sales Manager 1.owes 1094 Danvers,MA Dear Peter Wolczik, In response to your letter of October 29, 2009,the installation of`9ike-kind"new doors and windows at I l Brittania Circle is hereby approved by the Board of Trustees at Mariner'Village Condominium Sincerely, Mariner Village Condominium By: Realty Corporation of Massachusetts, Inc., Agent By. teve Keiran,Manager i y i 1 The Commonwealth of Massachusetts FRevisedAkir Board of Building Regulations and Standards INSPEWVic Sl� Massachusetts State Building Code, 780 CMR{ I 20l! N Building Permit Application To Construct, Repair, Renovate Or Demoli��li� ok 1 3 One-or Two-Family Dwelling This Section For.Official Use OnlY Building Permit Number. Data:Appl n 14rw ! j-7 l ► ore: Building OlTicie_I(Prlot Name) � � �.. � - Sled ato - _. .. . SECTION I:SITE7NFORMAT10N. I.I Proper d s 1.2 Assessors hlap&Parcel Numbers I.1—a Isothis an accepted street? es no Map Number Parcel Number 1.3 in Information: 1.4 Property Dlmenstoas: . ZoningDisirid r : ... Proposed Use [.otArea(sq fl) Frontage(It). 1.5 Building Setbacks(R) . Frool Yerd... Side Ywrb'. Rear Yard - I Requin:d .. Provided Required `- -Provlded Regaled' !ad 1.6 Nater Supply:(M.G.6 c:40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal sys Zone: Outside Flood Zone? Munici O lbi site d1§ O Public O Private O -. Check If " O p� SECrION2t pROP61RTYOWNER$FIIIPt 2.1 Owner'of Record: CO,Sttae.'ZIP - AAddition No.and Sued Telephone Email AddresSECTION 3:DESCRIPTION OF PROPOSED WORKS(Check all that apply)New Construction O Existing Building O Owner-Occupied CI Repairs(s) O Alterrtion(s) O Demolition O Accessoty Bldg.O N -=Air of Unita Other O Specify: Brieeseription of Proposed Wo S . 251 ' O - - I SECTION 4:ESTIMATED CONSTRUCTION COSTS Itcm Estimated Costs: Official Use Only Labor and hlaterials I.Building $ I. Building Permit Fee:f Indicate how fee is determined: 2.Electrical g O Standard Cityfrown Application Fee O Total P►oject Cock'(item 6)x multiplier x 3.Plumbing S 2?Qther Fen: S 4JAcchanical (l-IVAC) $ List: 5.Mechanical (Fire S Total All Fees:S Suppression) oo. Check u ression) Check No. Check Amount: Cash Amount: 6.Total Project Cost. S 1���` ❑Paid in Full ❑Outstanding Balance Due: 1MtA Ea) -rp MRCG I l q fs SECTION 5: CONSTRUCTION SERVICES ��1 S 5.1 Construction Supe isor License(CSL) '✓� License Number Expiration wale Na/me of CSL Holder List CSL'rype(see below) -Type - - Dcscription . No,AAdStrµt U UmestL__ BuilJin u to 35,000 cu. Il. R Restricted 1&2 F;mail Dwellin Cityfruwn,State,ZIP M Masonry RC Roolin Covcrin WS Wirtdow anJ Sidin q� SF Solid Fuel Burning Appliances 1 I Insulation Telephone Email address D I Demolition 5.2 Registered H red�^ome Improvement Cont C) ttor(HI ryUC IRer�on Number Epi�fan 111C IC Re tr arae �'F-� Nu rel S �C Cj it=ML5 A f�JJress Ci R'own State ZIP 'C /�J SECTION 6:WORKERS'.COMPENSATIONI.NSURANCE AFFIDAVIT(M 4 ,-4.c.15Z¢25C(6)}, Workers Compensation Insurance affidavit must be cam and submitted with this application. Failure to provide this affidavit will.result in the denial of the IsituancepKe building permit. Signed Affidavit Attached? Yes.......... No...........O SECTION 71n.OWNER AUTHOIt112ATION TO BE COMPLETED.WHEN? OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING.PERMIT` 1,as Owner of the subject property,hereby authorize t9 act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Dow SECTION 7b:OWNEW ORAUTROR12ED AGENT DECLARATION By entering my name below,i hereby attest under the pains and penalties of perjury that all of the information ne a plication is true and ccumte to the best of any knowledge and understanding. Print o d Agent's Name(Electronic Signmure) Dat NOTESr 1. 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 LW have access to the arbitration program or guaranty fbnd under M.G.L.c. I42A.OtherimpoAnntinforms a no on the HTC?rogram can and:H-- www.mass.eovloca Information on the Construction Supervisor License can be Found at wvvvv.ntass.eov;dns . 2. When substantial work is planned,provide the information below: 'notal floor area(sq. (L) ' .(including garage,finished basement/attics,decks or porch) Gross living area(sq. It.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of hall7baths rype or heating system Number of decks/porches Type of coang system Enclosed Open ). "Total Project Square Footage"may be substituted 1'or"rutai Project Cost" f The Commonwenkh ofMassetchuse(u Deparbnent oflndus[rid/Accidents 1 Congress Street, Suite 100 Boston,MA 01114-2017 www.ma=gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electriciaw/Plmnbers. TO BE FH.ED WITH THE PERWMNG AUTHORITY. cantfo s ' le t b Name(Businessftertizationdruliv dial): . . Address: City/State/ZiPhone#: 7�G- L¢t --,!:�3ot-4 Areo w employer?(heck the appropriate box: - Type of prbjeet(rteiluired): I. t am a employer with eii¢loyas(fid]and/orpad-urns).' 7. ❑New construction .Qlameaole propriemrerparinaahip and Leve no.empbyxs wotg forme in S. QR,eulOdelinB soy cape* (Ido workeie'exp.Wen nee requi d.] 9. Q Demolition.: 3.p 1 am a homeow doing all work OOWV-(NO worker'comp.assurance regorred.)t 4.Q I am a homeowner end will be hiring emvactms m educt all work on my properly. I will 1 o Q Building addition, ensure that all conuacton other have workess'mmpeasokon insurance or are sole 11.0 Electrical repairs or additions proprietors witbno ampdoyees. - 12.0Plurnbingtepairs or additions s.O ram a general connector and I have khed cite sub•eonvaecmm lisped on the atmmed,beet Roofr 13. 7b=sub•contrackeshave employees end have worlcyb'comp.incmaocet O _ epars. 6.E]We are a corporation end its officuM have exercised the"vtigha of exemptimperMGL a 14.Q Outer 152,11(4).and we bsreno employees.(No workers'comp:IDsmance taquved.) - *Any applicant that Agate-DmMl most also'6aom the nwou below slio`wkrg lhea'workeas eompmsad®pokey on. t Homeowners who mrbmit the effidavit itl�they ere doing an wolf nod thin hire outside eonizabuns mut submit a new alLdava mdicetms mwJL =Contnccois that check this tion must attached eo addrtonal ahem showing the nom:of lice'colo-comhtl®s end state whedw or not ftm end"have employees Ifthe sub-contractors have employOMthey nnz;IEmede thea--lons'eomp.policy m®ber . . .. I am an employer that ispropiding workers'compensation inswuncejor my aniplpyees. Below is Mepotiry aadjob ai[e- [njoimatlon. ti —(–h�, Insurance Company Name: y Policy#or Self-ins.Lic.#: - Expiration Date: Job Site Address: CitYMfiWzip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a taro al violation punishable by a I me up to$1,500.00 and/or one-year imprisonment,as well as civil penalties m 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 veaificatioit. Ido heeR tbepains and p allies ojp�Jury tha[eke[njorma[ion prmWed ab Is an gosid�orrect 3iure Daiee- �` `f Phone#• Q/)rcld use only. Do not write in this area,to be completed by dry or town offmiol City or Town' PermWLicense# 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#' 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 ofbire, express or implied,oral or writtep." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of en 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 badness 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 after 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 till 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 thea certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other then the members ar 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-insuredcompanies should enter their self-insurance license number on the approyjate lime. 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 pennit/liceme applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and rider"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 dqg license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 Tel.#617-7274900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia A 4sign'arure: ll The Commonwealth of Massachusctis Town of Board of Building Regulations and Standards chuseus State Building Code, 780 Ch1R, T"edition Allosow Building Dept t Application To Const cc. Repair, Renovate Or Demolish a Irs M One-or Ttrv-F ntdP Diralling ( is ecli For Official Use Onl Date Applied: 'r:3 Oer/I s t Butldmgf Date SECTION I: SITE INFORMATION 1: ��ri d 1.2 Assessors Map d Parcel Numbers JJ 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq R) Frontage(it) I.S Building Setbacks(R) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.I.c.a0,ssa) 1.1 Flood Zone Information: I.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Municipal O On site disposal s stem O Publie❑ Private O Check if a0 P y SECTION 2: PROPERTY OWNERSHIP' 2.1 caner'of R ord / �L I� �—/ Name(Print) as for Service: Sipiatrs a Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK'(check oil that apply) New Construction❑ Existing Building❑ Owner-Occupied O 1 Repsirs(s) ❑ Alteration(s) O Addition J Demolition ❑ 1 Accessory Bldg. ❑ Number of Units_ Other O Specify: Brief Description of Proposed Work': SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: O111clal Use Only Labor and Materials) I. Building f I. Building Permit Fee: f Indicate how fee is determined: O Standard City/Town Application Fee 2 Elccmcal f ❑Total Project Cost'(Item 6)x multiplier x 3 Plumbing f 2. Other Fees: f J. Mechanical (HVAC) f List: J Mechanical (Fire f Total All Fees: f Su cession Check No. _Check Amount: Cash Amount: 6 Total Project Cost: f ��(� Cti ❑ Paid in Full O Outstanding Balance Duey a, SECTIONS: CONSTRUCTION SERVICES 5.1 Licensed Construction Supersisor ICSL) Io 1-wenw Number E ptra on Dute N,.4rw ol'CSL- Ilylder Livt CSL T u+0�� YPelxc lw Wwl Lr/� a G7 Y /` Address r3 T Description �f U Unrestricted(up to 35,000 Cu. Ft. R Restricted IA2 Family DwOlm Signature yy M Masonry Only Restdenual Roofin Covering Tclephone WS Residential Window and Siding SF I Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 Registered Home Improvement Contractor HIC) ���1-Z ✓ (�SIOdI/�i rt-4.aG1SiE j G i 7 HIC Co any Name or HIC Repstrarn Name Registration Number Ito AA/ of S�G�Z(G1 Address / h� . aus— Expiration Date Signature Telephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 132.1 23C(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 1 suance of the building permit. Signed Affidavit Attached? Yes.......... No........... O SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 /Jli�ye, �C, L:�0pC/e,5� `> as Owner of the subject property hereby authorize -d"/U f� !L IdJ to act on my behalf,in all matters relative to work authoriz by this buildin permit application. si n,ttueort7w D, SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION as Owner or Authorized Agent hereby declare that the statements and info ation on the foregoing application arc true and accurate, to the best of my knowledge and behalf. �d Print Name Signature of(hurter a orized Agent D e Si tied under the psAiland penalties ofperjury) NOTES: I. 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 RIII 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 I 10 R6 and I 10 RS, respectively. 2. When substantial work is planned, provide the information below: Total floors area(Sq. Ft.) (including garage, finished basement/amcs,decks or porch) Gross living area(Sq. Ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half baihs Type of heating system Number of decks/ porches Ty pe of cooling system Enclo.ed Open 1 "Total Project Square Footage" may he.uh.ututed for 'Total Protect Cost" 0 \alct` tt nt 111 PnJ�t.0 i1� t'au' . . v ,1r, ttilln� , `Icense �\,r;i1,11 8ui\tSuPeRJlsor SPeo'a1tY g onstcuction ,02g81 3�1 Vicense JJS �- ': Regtrlcted io. NGPCRE FRPNpPEpR1�E �19\3 e +tYl2ot2 2P�ESgpRY,1`t'P ErPlr�tlon 9�p2581 I111111` • f i I I I OfG cc of Consumer A(fairs& Bus in ess Regulation HOME IMPROVEMENT CONTRACTOR Registration: 138722 i Expiration: 5/6/2011 Type: Supplement Card Castonguay Enterprises,Inc.dba Hometown FRANCIS LONGACRE 300 WEST RD SUITE 2 portmouth, nh 03801 Undersecretary alid for indi l return or registration ve id use only d before the expiration date. if found return to Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 02116 J Not valid with ut signature -7 1,D y OP55 4e6377 ___ II! IIIIIIIIIILIIIilllllilllllllllll �i�, A -00755 Hunt �1 cr�oa Rso-N-ll-mm7ss-mma_mj National Fenestration CLZO Raring Council® S01_ID IINYL - OELOED - OODBY 13/16" IG. 05 LOE-LNR. EOa® IEIf OIRA IIANCE RATINGS NERGY PER - U-Factor Solar He6LG.aoefficient 0 . ;EpIMell. 70 0 _ (U.S./ /Sq ADDITIONAL PF'RFORMANCE RATINGS Visible Transmittance 0 . 10 rocedures her prodocictuar maneeeFRC raUbal ngsaare oat n mint 1d for aapplicable fixed lw of env environmental otl hams and a ing hole m rend any product ano does out warrant the suitability of any specific product size NFRC does not reco producl'm any specdic use Consult man rcWrer-s literature for other product oedoance mf_—a=matio" ww x.nGc or0 - ,_ CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT J%W HIhl ! HN „1I -a Le��+il IIN(;I.IN Sra LrT • SA I'M. MANN ' 'I'rt•978.743-9;95 • 1:,%X:978J40.9846 Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54, Building Permit H _ _ is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111. 5 150A. The debris will be transported by: rl.�r TR`T/Q�L (name ut hauler) /The debris�will be disposed of in - _- Ouuneuf acing) ' (address of facility) ignat of permit applicant ,late CASTONGUAY ENTERPRISES, INC. DBA: Rit6Window,.. The Right Window • Professionally Installed •For The Right Price November 18, 2009 To: Mr. Steve Iceman yS5 yvBZ Reatty Corporation F Condo Association Salem, Re: Window Installation David Breed 11 Brittania Circle Salem, NH 01970 Dear Mr. Iceman: We are scheduled to install replacement windows at address noted above. Please see fax of our insurance. Any questions, please call me at 978-835-2526 or email me at address below. Best Regards, Skip Longacre Installation Manager skip@ritewindow.com Toll Free: 1-800-639-7000 • Corporate Office - 300 West Rd., Suite 2 • Portsmouth, NH 03801 Massachusetts Office: 344 Boston Post Rd. • Marlborough, MA 01752 www.RiteWindow.com RiteWindov�►; Castonguay Enterprises I -j Hometown Rite Window 300 West Road Suite 2 Portsmouth Nh _s80801 P: (603)373-6201 F: (603)433-1627 "_ 344 Boston Post Road East Marlboro MA 01752 P:(508)486-9200 F (508)460-1298 Jt A.t M 1 l/^�A Q 1"4L L"reJ%^� ) Additional Tens 8 Conditions on the reverse side hereof shall constitute a part of this Agreement MA HIC 138722 eel 14oMe tk Name: ��� Phone:'P9- 70110 -73b(0 Phonel-4 - 74H - 10 LS Mailing Address 1 1 B r t i+0L'xt w Ct K City So jI .A St A&k Zip O l`t'7 O Install Address ' l l�r tf+&4to'- CN City _C>,jtAA St�Zip 0i l70 Windows Color is white unless noted otherwise ($150 Trip Fee for Less than 4 windows) Windows Listed Below have a(U-value of 30)OR LOWER and comply with 2009-10 Tax Credit DH 5155 Series with better view half screen(u-value.30) $325 DH Series triple pane glass ar on gas with better view half screen (u-value.25) $389 with 2 Lite Slider Less than 110 $47 ore than 1101n $579 $01 3 34 Picture Window Less than 110 UI S459 More than I 1 I $5 s5m)j 1 7 3 Lite Slider Series 5000 (Equal Lite or Ratio ) Up to 120 L7 $699,Larger than 120 UI$899 $_ Casement Hinge (Left or Right Hinge as viewed from outside) $489 Twin Casement $699 Triple Casement (Equal Lite or Ratio) Up to 120 U1 $986,Larger than 120 UI$1,395 $ Awning Window W9 Basement Hopper (not compliant with Energy Tax Credit) $319 1 Vinyl Patio Door 5 foot doors only Draw active door viewed from outside $1,495 1— Vinyl Patio Door 6 foot doors only Draw active door viewed firm outside�-- -T%1 rt 161A $1,695 Window Options and Upgrades . Triple Pane upgrade for sliders,picture,casement,awning windows,fixed lite Add 15%to unit cost $ Armor Glass upgrade for all window add 50%to unit cost $ _Conversion of Style to DH or Exterior Mounted Windows (Vinyl,Metal, Steel or Concrete Block) circle $120 Does not include interior trim (casing,stool camps,err jambs) _Mobile Home Interior Trim Package (2 12"rasing white $40 or stain grade $60) (circle one) clam or colonial $ Full Screens $ 25 Grids Top only(Flat or Contoured) Draw Configuration $ 25 _Grids Top and Bottom(Flat or Contoured Draw Configuration $ 45 _Wood Grain Interior Color(golden oak,walnut or cherry) $ 100 Oriel/Cottage style Draw configuration and requires customer approval after drawings $ 35 Beige $ 25 Exterior Colors add DH,PW,2 lite slider,single casement (all others consult book) $180 Tempered per Sash only(Within 18 inches off Floor) Obscure Glass (cycle tempered or obscure) $ 45 $ WRAPS & TRIM & EXTRA'S Window Wrap PVC or Painted Metal Color $50 BayWindow Wraps square profile only,not rounded or shaped) Per Lite $100 P tsq P Y P ) Add Interior stops (white quarter round)or(pine scotia or square) $ 50 Add Exterior stops (PINE $30 or PVC Material$80) $ Interior Casing(unfinished)Clam or Cokmral PINE Picture Frame Style $100 Exterior Casing(Flat pine inches or Primed white Brickmold $100 Repair Sill or Jam $75 Replace Sill $100 $ New Buck Frame on Hopper Windows only (No mortar or cement work) $100 Mull Charge (Mail two units together) $ 50 Insulate Weight Pockets and Remove weights as needed $ 20 Cut Post for DH windows $ 20 Building Permit Fee (If this fee is not paid,homeowner is responsible for pulling applicable permits) $150 WINDOW TREATMENS,BLINDS,BRACKETS AND A/C UNITS ARE TO BE REMOVED PRIOR TO INSTALLATION You the buyer may cancel this transaction at any time prior to mid- NO REFUNDS ON CUSTOM ORDERS night of the third business day after the date of this transaction. Customer Agrees to the terms of Payment as follows: Notice of cancellation must be in writing postmarked no later than Total Amount $ (a(O midnight of the following third business day. Buyer agrees to pay Custom Order t[50%pAld t A r^ ti 50% of the contract value should a cancellation occur after the Deposit $ third 'nessday. Balance Paid to Installer upon Installation $ DAT bu o Lo If financed,approval code: FINAL PAYMENT will be by CHECK CREDIT CARD Own Date — `nV(,`' �n Credit Card#6 H 106 -_ 1 (00 1 (MASTERCARD VISA Owner Date Expiration Date �j ' 1 r}- Security Code# 1 (0 7 Sales Representative Date NAME ON CARD T)CLV t d Q ,geed r I -r CITY OF S.U.&M, NLkSSACHUSETTS BUILDING DEPARTMENT f 120 WASHINGTON STREET, )'a FLOOR T L (978) 745-9595 Rut(978) 740.984 lV.,BERLEY DRISCOLL Tkc)& A3 ST.PIERRK MAYOR• %anssloNER DIRECTOR oP vi eL2c PROPERTY/et:tLOLNc co Workers' Compensation Insurance Affidavit: Builders/Contracting/Electriclans/Plumbers Annlicant Information Please Print Legibly Name (ousinn Orgarnratiomin,lavtdu:d): cd i/ /L/✓�CYP`� Address: City/State/zip. til.,� Phone All- /f - 37 Are you to employer?Cheek the appropriate boa: Type of project(required): 1.❑ 1 am a employs with 4. ❑ 1 am a general contractor and 1 6. ❑New construction employees(full anNor part-time).• have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached shcee 111 7. ❑ Remodeling ship and have no cmployeea These sub-contractors have V. ❑ Demolition workingfor me in an ca i orkers'comp.insurance Y t� tY• 5. We are a co ntrion and its 9' ❑DuiWing addition req workers'comp. insurance 'pa10.❑ Electrical repairs or additions required.j ot'/leers have exercised their J.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.(No workers'comp. c. 152,41(4),and we have no 12 Roof repairs insurance required.( t employees.insurance(No workers' IJ Othrs camp. insurance required.j -Any applied this choclu eon 01 mugs slot On out the actint,below showing their workerr'cmnp,,,d n policy inan"aawa 'I honwtrwrom who subw*this aeldait iodic sing they am doing all work and thin him in bide eonreae m moat suhmit it now algdnvir indict iq stock l.itltsYwn thin cheek Ibis box mart utlacho/an alditio d whit showing an oaten of oho n1►epumcfrra and,hsdr wwhwm'camp.policy inrormsuiow /um en empkyrr rho b prorid/nT wwrRrrs'rwmprtrJadoa/nsuronee far my rmp/eyers claw/s the pN/gr andm Jigs injormrail" insurance Company Name: Policy #or Self-ins.Lie.#, &Lc, I J �/7Z9��IO' 4P Expiration Date: �f�/CUl d //�� Job Site Address: zz � 77-/Fr4,1,C4 City/StatdZip: ✓�'`l A/l� ��[� ,%ttacb a copy of the workers'compensation policy declaration pap(showing the polky number and aspiration dab). Failure to secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of■ fine up to S 1.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a flea of up to 5250.00 a day against the violator. Ile advised that a copy of this statement maybe forwarded to the OIYce of Ina'eallgallUM ul'Ute DIA for insurance veraga veri ticalion. /,/a hereby certify tar r th sn tin/ a/Hrr o/perfury that the inllormadoa provided above is true and t:arrrcs. tip, t r ' Dot :� / C!/ Phone,4: //!� ' 6 ,3�r- 2,5 offls al are only. Do nor wrier in this drew,to he.ornp/etd by city or town o/lcid City or ruwn: __ Permit/I.lcense#___. hsuing Authority (circle une): I. hoard of llvulth 2. nuilding Department J. Cityfrown Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other _ Luntact Person: - - --. -.. Phone#' ur lu LTf/ CASTO-2 09 30 09 PROOUCEA THIS CERTIFICATE I6 ISSUED AS A MATTER OF INFORMATION Cowen 6 HGinari ht en ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE g Agency, Inc HOLDER.THIS CERTIFICATE DOES N07 AMEND,EXTEND OR 44E Dover Point Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dover NH 03820 Phone: 603-742-2552 Fax:603-742-4509 INSURERS AFFORDING COVERAGE NAIC0 INSURED INSURERA Concord Grou 2neuranoa 20672 INSURER B: Li.bIS Mutual 23043 ca6tonguay En r19B9 Inc INSURER C: 300 Heat Road, 5 a 2 mBURER D: PortELafouth NH 03801 -� INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE.INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY SE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SVAJECT TO ALL THE TERMS,MLU61DN6 AND CONDITIONS OF SUCH POIJCIE6�AGGREGATE LIMRB SHOWN MAY NAVE BEEN REDUCED BY PAID CLAIMS, LTR OR lYP6 OF INSURANCE POLICY NUMBER DATE NMIDD DA E LIMITS GENERAL LIABILITY EACH OCCURRENCE S1 000,000 A X COMMERCIAL GENERAL LIABILITY MPS5430.36 10/01/09 10/01/10 PgEM16E6 oocventa S50,000 CLAIMS MADE lx7iOCCUfl MEO ptP(Any Ana PHePn) fSOOO PERSONAL SADVINJLIRv t1,000,000 GENERAL ACCREOATE f 2,000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PROOUCTS-COMPIOP AGG s1 00DJ 000 POLICY 39G LDC AVTDMOBILE LIAO%TY COMBINED SINGLE LIMB = A X ANY AUTO C414745 04/28/09 04/28/10 (Ff,A[CMeM) ALL OWNED AUTOS BODILY INJURY : 11000,000 SCHE aPP OULEUAUTOB (Per DnX X NIREDAUTOS BODILY INJURY S X NON-0WNED AUTOS (Pvn lkk,rIQ PROPERTY DAMAGE S (PArnSQeenQ GARAGE LIABILITY AUTO ONLY.6A ACCIDENT ! ANY AUTO OTHER THAN EA ACC f AUTO ONLY: AGG t ERCP93NMBR6LLA LIABILRY EACH OCCURRENCE S OCCUR CLAWSMADE - AGGREGATE S D DEDUCTIBLE S RETENTION S ! WORHERB COBIPENSATIQN AND X To ST LIMITS X3 I MPLOYEgB'LIARRITY ANY PROPRIETORIPARTNERIOInUTIVE HCS-318-329540-019 07/20/09 07/20/10 EL_FACIIACCIOEM ER t100000 OFFICEAMIEMBER R•NCLUDED7 Il ypf mlFriee under EL.DISF_ASE-IA EMPLOYEE S 100000 OTEwL PROVISION OTHER Vme E.L,DISEASE-POLICY LIMIT I t500000 068CgIproO OP OPERATIONS 1 LOC TONS VEK# 6SIEXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION l,OCmTS SHOULD ANY OP THE AROvv DESCRIBED POLICIES RE CANCELLED BEFORE THE IMPIRATION DATE TNP_REOP,THE ISSUING INSURER WILL 6ND6AVOR TO MAIL 10 DAYS WRITTEN =CERTTF"ICATERNOTICE TO THE CERTIFICATEHOLDER NAMED TO I.THE LEFT,BUT PAUR6 TO DO SO SHALL R IMPOSE NO OBLIGATION M LIAM"OF ANY HMSO IKON THE INSURER.ITS AOSNT9 OR REPRERENTATIVE9. AUTH REP ESEMATiVE� - ACORD 25(2001109) ' W ACORD CORPORATION 19M s