9 FOREST AVE - BPA 11-190 The C-otntnon��ealth of MaSSIIChuSeltS I ()R
y Board of 13ullding RcgulationS and Standards \It Nl( LI'.U.I'I 1
L.: b1assaChusetts State 13itiIdine Code. 780('MR. 7"' edition I'sl::
i
Buildine Permit Application To Construct. Repair. Reno%Lite Or Demolish a /irw,rJ.hrn nu,
One- or Tu o-Fami1v Do e ing
�r This Section For Official Use Only,
Building Permit Number: Date Applied: _— ----
Buildine Cunumssumer/ Inspec(ur I Buildines Date
SECTION 1: SITE INFORMATION
1LProperty :address: !Salem)
„ 1.2 Assessors ;flap & Parcel Numbers
SCSIn �(' ----
hla Nunlher P:ucel \umher
I.Ia Is this an accepted street*? yes_ ott— P
i.3 Zoning information: 1.4 Froperiy Dimensions:
Zoning District Proposed Use Lot Area(sq It) Fron(age(li) .
1.5 Building Setbacks (ft)
From Yard Side Yards - Rear Y':ud
1 Required Provided - Required Provided Required Presided
1.6 Water Supply: (M.G.L c. 4o, §54) 1.7 Flood Zone Information: - 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone'! Municipal-❑ On site disposal .system ❑
Public ❑ Private❑ Check if yes❑ _
SECTION 2: PROPERTY OWNERSHIP' , /
2 Owner'�ofRecord: 9 rpc-,)] � c S tern / C/\7t LI�G)
� f` U r
Na e (Prim) Address for Service:
raig I 8 53 - UO 5 Z -
Sistnat re Telephone -
SECTION 3: DESCRIPTION OF PROPOSED WORK'(cheek all that apply)
New Construction ❑ Existing Building ❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) tK ;\dditinn ❑
Demolition ❑ Accessory Bldg. ❑ Number�uf Units_ Other ❑ SpecilY:
Brief Description of Proposed Wurk':
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
Item (Labor and Materials)
1. Building $ i3. 60 1. Building Permit Fee: $ Indicate how fee is delernuned:
❑ Standard City/Town Application Fee
2. Electrical $ ❑Total Project Cost' (Item 6) x multiplier x
i
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List: j
5. Mechanical (Fire S Total All Fees: S
Suppression)
''\\ Check No. Check .\mount: l':uh :\nnuu11:___..
j b. Total Project Cost: $ -J) ��J • QV ❑ Paid in Full ❑ Outst:mdiull Balance Due:-__._
i
r
SECTION 5: CONSTRUCTION SERVICES
5..1 Licensed C\onstructionn Supervisor (CSL)
\���� Y1�z ZU License N'timhet lixpir:uinu Date
Name of C'SLI`oIJ,�^; S Iem�� 11 ll Lt.,l C'SL'I')Pc Isrr htloa-1
Wdre OIuN 3� v D0ut on
C Unresuirled up tit 3?.U0 Cu. Pl.
R 1 Restricted I&_' F:umh Dwellnte -
SI mature LI _ or n�� y1 Nlu,ann Only
"I RC Residential Kaoline Coserm_
Trlcphane R'S RrsiJru ti.d WuWu,s .md .inline
S1= Residential Solid Fuel limnme \ ,>h:utce lu,l.tl luuut,
D IhsWeutiul Demulmrun n
5,2 �Legister4d 171��Inw sent Coii4ij
(HIC) ) tCO`114 fro up:myNameorffl Rca ssu nNam ,tlalttln tiumher
1 12(0 / 2012
Addre s piration Date
Signature
SECTION 6: WORKERS' COMPENSATION SURANCE AFFIDAVIT(M.G.L. c. 152. § 25C(6))
Workers Compensation Insurance affidavit must be c mpleted and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuanc of the building permit.
Signed Affidavit Attached? Yes .......... No ........... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN .
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
i
I, as Owner of the subject property hereby
authorize / to act on my behalf. in Lill mattes
relativ, o work authori b this di permit application. .
Vet. c g (z2� z� Io
Signature (Owner - Dme
SECTIOON 7b: OWNEW OR AUTHORIZED AGENT DECLARATION
'
0QVas 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.
Print Name ('ice✓]-�
Signature of owner or Auth rized Agent Date
(Signed under the ains and penalties of er'u ) .
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or ❑n owner who hires an unregistered contractor
(nut registered in the Home Improvement Contractor (HIC) Program), will not have access it),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 730 CMR Regulations I I O.R6 and I I0.R5. respectively.
' When substantial work is planned, provide the information below:
Total tloors area(Sq. Ft.l iincluding garage, finished basemenUattics, decks or porch)
I
Gross living area (Sq. Ft.) Habitable room count
Number of fireplaces Number tit bedrooms
Number of bathrooms Number at haWhalhs
Fvpe of heating systern Number of decks/ porches
Type of coaling System - Enclosed _Open ----- -- --
3. "Total Project Square Footage' may be substituted tir 'Totol Project Coat" �
J
e
CITY OF SALEM
36
PUBLIC PROPRERTY
DEPARTMENT
a.Vap!U I 1 I,K lit , I I
%IA �K 12:V*.,\ I IIN,,l,,N\I ltl l I * S.%l i\t, \I.\,\.\t Ill
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Anplicant Information C Please Print Leaibi
Name lL twne•s311r_JntLauun llldl\Idl!Jt1l:....�A LLi' A
Address: 11'5 1J1�)�'� h `JI P f T
City,State"Zip: !�;dlm, MP DI T7D Phone #: C�7�i5> 7� I - �� ,,,q
. Are you an employer:'Check the appropriate box: - Type of project (required):
�/ 4. ❑ 1 am a general contractor and I
I.IJ I am a employer with 6. ❑ New construction
employees (full and/or part-time).• have hired the sub-contractors
a I proprietor or partner- listed on the attached sheet, t [7. ❑ Remodeling
_.❑ 1 ma sole r r
P P
hi and have no employees
Thesesub-contractors have 8. ❑ Demolition
P P -
working for me in any capacity, workers' comp. insurance. q, ❑ Building addition
[No workers' cutup. insurance 5. ❑ We are a corporation and its 10 ❑ Electrical repairs or additions
required.) otticers have exercised their
3.❑ 1 am a homeowner doing all work right of exemption per Iv1GL IL[] Plumbing repairs or additions
myself.[No workers'comp.. c. 152, §1(4), and we have no 12.0 Roof re airs
insurance required.] t employees. [No workers' I( Other
comp. insurance required.] ''
Any applicant that checks box#I must also till out the section below showing their workers'compensation policy information.
r I lumcuwnen who submit this affidavit indicating they are doing all work and then him outside contractors must submit anew affidavit indicating such.
:Cuntmcmrs that check this box mustattached an additional sheet shuwing the name of the sub-contractors and their workers'comp.policy information.
am an employer that is providing workers'compensation insurance far my employees. Below is the policy and job site
information.
Insurance Company :Jame: —T�V_
Policy#or Self-ins. Lic. #: I- D.2� I-"r� U L3 Expiration Date: pp
J >b Site Address: 2 FV r l s/ //iX n VL City/State/Zip: 09 76
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,tifGL c..152 can lead to the imposition of criminal penalties of a
line up to S 1.=00.00 and/or one-year imprisonment, as well:Is civil penalties in the form of a STOP WORK ORDER and a fine
of up to S250.00 a day:against the violator. Be advised that a copy of this statement may be t'onvarded to the Office of
In\estigations of the DIA fur insurance coserage verification.
l do hereby vertijy der +e p ina'un �pena/ties oj'perjury that the information provided above is true and correct,
Cien.dure: Date: '- 2/ ZO
Phonc e
Official u.re only. Do not a-rite in rhic area, to be completed by city or town ojjiciaL
City or 1'ow it: , -----------_--.--- PerrnitiLicense #—_---_—_—_--
Issuing .kuthority (circle one):
I. Board of Health 2. Building Department 3. CitrTown Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Information and Instructions
\las,.ichuscus General Laws chopler 132 requtres'all cntplo�crs to pan ide uorkcrs' compensation for their employees.
11 irsu.uu to this statute, an emplo'Me is dcf ined as"_ et en person Ill the scr%ice of.uuuhcr under any cxtntract of hire.
,•xpress nr implied, oral or «rinen."
An enrphner is dclined as"an indiv ideal,parmcrship,assuctatiun, corporation or other legal entity. or any two or more
of the tiurgoing engaged in ajuint enterprise,and including the Icgal represcntaik es of a deceased employer, or the
rccci%cr or trustee utan individual, partnership.association or other legal entity, employ ing cnrplo%ces. however the
o•,%ner of a dwelling house having not more than three apartments and a ho resides therein, or the occupant of the
LItt tilling house of arimher who employs persons to do maintenance,construction or repair Murk int such dwelling house
or on the grounds or building appunenant thereto shall not because tit such employ went be deemed to-be-an employer." --
%R iL chapter 152, §2506) also states that "every state or local licensing agency shall withhold the.issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally, b1GL chapter 152, §25Q7)states"Neither the commonwealth nor any of its political subdivisions shall
cater into any contract for the perl'unnance of public%cork until acceptable et idence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary,supply sub-contractor(s) name(s), address(es)and phone number(s)along with their certificate(s)-of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP) with no employees other than the
members or partners,are not required to carry workers' compensation insurance. if an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill,in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current
Policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or
(own)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new 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
(ix. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The tiff ice of Investigations would like to thank you in advance for your cooperation and should you have any questions,
Please do not hesitate to give us a call.
Fite Department's address, telephone and tax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
Fax # 617-727-7749
www.ina.ss.gov/dia
D SPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of M. G. L c. 40, Sec. 54, a condition of
Building Permit Number is that the debris resulting from this wort,shall
be disposed of.in a properly lbansed facifity as defined.by M. G. L. c. 111, Sec."
15Da. .
E he debris %rill be disposed at: Saiam Transfer Stafaon
owned by Northelde Cardna
Signature of Parrms ADpHcant
Date
Christopher zorzv
Blame of Permit applicant .
A &A Services, inc.
Firm Name
115 Morth Streat. Saner. MA 019,0
�4.ddress, City, State, Zip Code
- Niassadtusetts- Department of Public Safer%. .
Board of Building Relrulations and Stanilards;
_ Construction Sdpervisor License -'
- License: CS 57733
' Restricted to: 00
CHRISTOPHER ZORZY —
115 NORTH ST
SALEM, MA 01970
Expiration:.5/26/2011
('ununissiuucr Tr#: 14751
✓!ie iJoory�zaozureall� o�✓�,Cwaac�eueella
Office of Consumer Affairs&B sine..Regulation
ERHOME IMPROVEMENT CONTRACTOR
Registration: +101609 Type:
Expiration 6/26/2012 Private Corporation
A8q SERVICES
Christopher Zorz �
y?,%__sue,',-.- - a
115 North Street r __;' _'
Salem, MA 01970 -- - j
Undersecretary
Commonwealth Of Massachusetts
Division of Occupational Safety
Laura M Marlin,Commissioner
Deleader-Contractor
CHRISTOPHER ZORZY
Eff.Date 04/14/10
Exp. Date 04/13/11 f
DC000440
Memberof C.O.N.E.S.T. - '
BO
(IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII(III10 BOSTON-RENEW
U-VALUES AND R-VALUES
ENERGY STAR
,No„s,R,ES Harvey Manufactured PARTNER
• Windows and Doors .
WHOLESALE PRICING
3¢
* U-Values in accordance with NFRC-100 • Based on residential sizes
• U- and R-Values are subject to change without notice • Whole window values _
t 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. isosoo,
Clear Insulated Low-E* Low-E/Argon*
VINYL WINDOWS U-Value R-Value U-Value R-Value U-Value R-Value
_
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
�. -$Iimlbe.-D-oubl-e_Hung-(18(elded-Sash_&-Frame)__ _.0.50,_-2.M 0..38-2.63.,...__0.35-2.86-
SitmlineSingleHung(WeldedSash &-Fram - - --
-- - - - - - ej- -�0-50-2:0 -- - 0.38
Vinyl CasemenVAwning 0.47 2.13 0.34 2.94 0.31 3.23
Vinyl CasemenVAwning 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(pg190-231) 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
w Vicon Single Hung (Welded Sash & Frame) 0.50 2.00 0.37 2.70 0.34 2.94
Vicon Classic Double Hung(Welded Sash&Frame) 0.49 2.04 0.36 2.78 0.33 3.03
it Vicon CasemenVAwning 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) U-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 CasemenVAwning 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.
li
Not all products stocked at all locations. r r p dCall our local 7ranch for availability.
.
1 J
Pricing and information are subject to change without notice& may wiry from region to region.
For current�EH ricin , call o ur local bra nch or visit w ✓. hae i nd.con.
ective 3/17/03
256
se;9kz A & A SERVICES, INC.
A&A SERVICES 115 NORTH STREET,SALEM,MA 01970
Kreffiritiliffurtiffle]WETAPEWTelephone: (978)741-0424 Fax:(978)741-2012
Contractor Registration No. 10160E
Federal EIN:04-3090162 Construction Supervisor No.CS06773:
CUSTOM REMODELING AND IMPROVEMENT AGREEMENT
Buyers)Name Date of Contra
!� � 1
Buyerts) t et Address,City,State and Zip Code
9 ��J 4u a � 0�9
Da me Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address:
The Buyers)listed above hereby jointly and severelly agree to purchase the goods and/or services listed on the accompanying specification sheets,in accordance wit
the prices and terms described on the front and the reverse of this agreement and any specification sheets(this"Agreement"),and Buyerts)have requested that sucl
goods or services be installed or provided at Buyer's address listed above, A&A Services,Inc.("Contractor9,hereby agrees to install or cause to be installed the product
or services listed in this Agreement at the Buyefls)address written above. This Agreement represents a cash sale of goods and services. The Buyers)agree to pay it
cash the best of the goods"sertfices purchased as describe herein,regardless of timing or approval of any financing Buyerts)may seek for their purchase. /
/ p RA6
/7 Z-6g is-!-A Purchase P / 15riee Est.Starting Date: 9
9 Down Payment: ` � G/l Est.Completion Dale:
O Cash
Amount Due on Stan of Job: RKCheck
O Credit Card
Amount due on of Completion: No.
Amount Due on of Completion: Expiration Date:
Q
Balance Due on Upon Completion/� �� CVC Code:
B is agreed and understood by and between the parties that this Agreement, front and back and any addendum, constitute the entin
understanding between the parties,and there are no verbal understandings changing or modifying any of the terms of this Agreement
Buyer(s)hereby acknowledge that Buyer(s)has read the front and the reverse of this Agreement and has received a completed,signal
and dated copy of this Agreement,including the two attached Notice of Cancellation forms,on the date first written above. Buyer(s)alsi
(i)acknowledge that they were orally informed of their right to cancel this transaction;and(11)request that they be contacted via that
telephone numbers or e-mail, as listed above, in the event Contractor believes Buyer(s)would be interested In any additional qualit,
products or services of Contractor. DO NOT SIGN THIS CONTRACT IF IT CONTAINS ANY BLANK SPACES.
By:
Servi s We HuyP.)i O(�
Sign ure S Signature `' -
Print Name Print Name
Signature
Print Name
You,the Buyer(s),may cancel this transaction at any time prior to midnight of the third business day after the date of this
transaction. See the following Notice of Cancellation form for an explanation of this right.
ARBITflATION:The contractor aM 1M1e homeowner hereby mood allyi;I event eiNer pa,ry haz a dispute concerning IM1b conl2vi,either peal may submit such dispute to
e prlvale eNiVation service wfi'mM1 has been approved by the Secrelaa of eMive a Of onsumer Arabs and B Regulations deal the other parr shall be required M submit to
ut118lbilfellOn as proved In Y.G.L.c.102A. rA
Cvvvvcmr ini( auyer's lnitivR if
ode: oax�i'.(2L� �
Will OF naunFI l nT ON Nor CF OF CANfF nrnN
Date of Tmnsernon l/ [7 You may ca cal.1.transaction,without any penalty,Or Data of Tere samon - 'V.coo may fa cal this Moratorium without any penalty or
obligation,wihin mree Nsiness aava(rom me stove data.ItyoucandoLan,le,e Mtraaedo, mutual within three business days from Me above date, It you cancel,any pmpeM tabed in,
any payments made by you under the Contract or Sale,and any fail i,u'bumeM executed any payments made by you other the Contract is,sale,and any negotiable instrument executed
by you will be returned within 10 days following receipt by the Seller of your concellitlon notice, by you will be rumored within 10 days fallmving remipl by Me Seller of your carecali lot nodes,
and any de umy'mterest easing out of the tareadion will be wn viour II you ca cel,you must and any smudty interest post,out of the hanaacllon will be cancelle6 If you rsncel,you must
make available a Me Seller an your residence,in substantivize good condition as when resurrect, make available b the palter alhadderm,in substantially are gains mifw ndn as when rexivai,
any,was delivered to you under this Contract Or Sale;Or you may,If you wish,comply Win the any goods delivered to you under this Contract or sale:or you may,It you wish,comply wlO the
instructions of the Seller regaN'mg the harm Shipment of the gootls M Me Sellers expense and imimclrons of the Seller regarded,the return shipment of the goods at Me Salters aV,ense and
ask. It you do make the geed,avail...to the Seller antl the Seller does not pick Nero up risk. If you do make the goods availffile to Me Seller and the Seller does net pick More up
within 20 days of me date OI your Notice of Cancellation,you may retain or dispose of the goods within 20 days Of the date Of your Notice of Carveellation,you may retain Or disease of the goods
without any further obligation.If you fall to make the goods mailable tore Me Salle,or I you age wiNN N Oan, nherobligaden. lipufailWmakethegootlsav llabletor ra eselleGarllyouooe
to return the goods to the Seller and fail to do so,Men you remain Roble for pedomance of all to mourn the goods to the seller and fail to do as Men you remain liable for performance of all
obligations under the Contract,To cancel this removal mail or deliver a signed and dated copy obligations under Me Contact.Townml Mla hansadlOn,mall of deliverasynetl and dated wpy
of the cancellation notice or any other water nodes,Or send a teleyam,to 'c
All 115 of Me cencellatlon notice or any other wall notice,or send a tries m,to A&A Se f 5
North Street,Salem,Massachuselts 01970.NOT LATER THAN MIDNIGHT OF
<J. North Street,Salem,Mass useM 01970,NOT LATER THAN MICNIGHT OF .
(Date) (Dale)
I HEREBY CANCEL THIS TRANSACTION. Cmemand,'s Sgnature ..In I HEREBY CANCEL THIS TRANSACTION. Consumer's Signature Dale
A & A SERVICES, INC.
ii#&,Ir'►SER tl ICES 115 NORTH STREET,SALEM,MA 01970
r 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
Buyers)Name Date of Con Oct
n /
Buyers)Street Address,City,State and Zip Code
Da ime Telephone Numa Evening Telephone Number Mobile Telephone Number E-Mail Address
The Buyers)Itsted above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on
this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification
Sheet is a part.
WINDOW REPLACEMENT
If Remove and dispose of# existing windows/
t Install # A/ new �� ��''� windows: ?Vinyl Wood
/ (Manuf curer 4:
Options: Style J//7/ . / Grid pattern
Color Interior Color nor •Y-✓ Glass Typ r�
t Wrap exterior trim with aluminum: Style Color '
t All windows will be installed according to the installation procedures in the portfolio.
If Caulk all interior and exterior edges.
I Insulate where possible around new units.
f Insulate window weight pockets if exist,and around new window units where possible.
T Included in this proposal are set up,clean up,Hepa vacuum and cleaning windows inside and out.
I Building permit included.
BAY/BOWS/CASEMENT UNITS/ANY FULL CONSTRUCTION WINDOWS
t Create new window opening by cutting through existing home and framing in opening.
It Remove and dispose of existing unit(s)in its entirety.
Note:Electric and plumbing may exist in wall and will require additional costs to customer if need to be dealt with.
t Install window(s)into opening(s).
Note: If Bay or Bow installation to include cable support system,new roof system(matching color as close as possible)
or tie into existing soffit system.
If Bay If Bow If Casement It Other window(s)to include new interior style trim and new exterior style trim and head
flashing as needed.
t Note: Painting and staining not included.
STORM PRODUCTS
t Remove and dispose of# existing storm window(s).
If Install new storm windows# Manufacturer
Style Color Option
t Remove and dispose of k existing storm door(s).
t Install new storm doors# Manufacturer -
Style Color Type: t Aluminum it Solid Core
SPECIAL INSTRUCTIONS,
e
It Is agreed and understood by and between the partles 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. Tris contract may not be changed or its
terms modified or varied in an such changes are in writing and signed by both the Buyer(s)and the Contractor. Buyegs)hereby acknowledge that Bumr(s)
has read this Specificati , }q //
,_ . . ,-Y. /i/ r._._. .,"///.) M...P 'c T�ifiala C`1ew9 Date c,
� .5=I-IQ
A & A SERVICES, INC.A&A SER tl`i ICES 115 NORTH STREET,SALEM,MA 01970
e• Telephone: (978)741-0424 Fax: (978)741-2012
Contractor Registration No. 101609
Federal EIN:04-3090162 Construction Supervisor No.CS057733
MISCELLANEOUS SPECIFICATION SHEET
Buyer(s)Name n Date of Contra
-
Buyer(s)Street Adtlress/City,State and Zip Code
9 L
Da a Telephone Numb9p Evening Telephone Number Mo 'le'Telephone Number E-Mail Address
-s3- asz
The Buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on
this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification
Sheet is a part.
SPECIAL INSTRUCTIONS
S.
A,§(nL� /per°�
It is agreed and understood by and between the parties that this Specification Sheet,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes
the entire understanding betwee artias,end them are no verbal understandings changing or modifying any of the terms. This contract may not be changed or its
terms modgietl or v-d ny way un ss such cM1anges are In writing and signed by both the Buyer(s)and the Contractor Buyer(s)hereby acknowledge that Duyer(s)
has read this Speci/fic\ m ee
t_/'w7