Loading...
1 GALLOWS CIR - BUILDING INSPECTION . 1 ��6 d� � � �The ('ununun���eul�h u� Mussurhusetts P� �R �� � � _ � ;; 13��ard u( 13wl�ing Rc�ulatiuns ;in� Slun�urJs I �Il'Vll�ll'.\I.I'I.1. , ) 1 '� ,�� iVlass:ichusclts Stut� 13uilding ('ude. 75U (T9k2. 7��� ��litiun �.ti�; � {F r Rrne�'JJi�nu�n.�� I �� � ,�� [3uildim_ Pcnnil Ap�licaiion To CunsU'uc[. Rrpair. Rtno��ute Or I)cmvlish :i � One- ur Tiru-Funulv Ovrlliii,G l. :un,� � � — --- -- ------I This Seriiun Fur Ofticial Use Only � 13uiWin, Ptrmit Number: D:�te Applicd: — —.—.--� �/-�� —� z °"�--- I s�::�,:u���: __._..—_____ , � . il ig Cummi,siuned�y+perior uf 13uildines Uaic _.___._ --1 tiEl'9'ION 1: SI"PF. INFOK�L�'I'I<)N __ , I.I Property :�dJress: 1.2 :�ssessurs �lap & Parrcl Vumbcrs � . 1 l'7QIi�WS L' trCIP -------- '� h1a Nwnhar P:ur��l �\'umhrr -� 1.la la ihia :m �rcepted sireet? yes_ nu_ � L3 Zoning Infurm•r[iun: � LJ Property Dimensiuns , Zuning Disirirt Pri�poticd Usr Lot Arca Itiy I'tl . Fruntagc UU -- — � ' LS Building Setbacks (ft) � Frunl Yard Side Yards . � Rtar Y:ud � ! Reyuircd Provided � Reyuired Pru��ided ReyuirrJ Pru�i�cJ . i 1.6 N'a[er Supply: �M.G.L c J0. §5�11 1.7 Fiood Zone Information: 1.8 Sewage Uispusal tiystrm: Zone: _ Outside Flood Zone7 � �.1unicipal ❑ On sile ditipusal tiystcm ❑ Puhlic❑ Prio�ate❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP� 2 1 Owner�of R cord: a �i��� � �la�r�� e P,vv�Y�P_ j <'�ilaw5 C'�rclP Nnme CP inU � Address for Service: ���----� /.3-�*-�- (�7�Y1��1 S - 3�3� _ �Sienawre Tclephone SGCTION 3: DESCRIPTION OF PROPOSED �VORK' (check all that apply) New Cunstructiun ❑ Exis[ing Buildin� O Owner-0ceupied ❑ Rtpairslsi ❑ :Vteruti��n(s) iAJ�iiinn ❑ - Demolitiun ❑ Accessury Bidg. ❑ Number uf Units Other ❑ Speciiy: Brief Descriptiun of Prupy�u_se�d� Wurk'': ��n��S — I✓1 S+/)� � T[�/Y'f�ei'1 � �Ill tr � — SECTION 4: ESTIhtATED CONSTRUCTION COSTS iEsiima�ed Coscs: Official Use Only liem (Lab��r:md Ma�tri:ds) L I3uilding-'- 5 I. Ciuilding Permit Fee: � Indic:iic ho��� (ce i, �ti�rinined: I ❑ S�:mdard City/Tuwn ;\pplicatiun Fee 3..Elec�rical 5 ❑Tutal Project Cost' Uttm 6) x multiplier � ' i 1. Plumbing g ?. Oiher Fees: x . I .J. iY(eehunicul �Fi�'AC) 5 Li.i: — � i. M1lechunir:�l IPire y ---- , � T��tal All Fers� 5� _lu� reti�i��n) - I , Cheek Nu. __Check :\mnune (';uh :\m�,unc----- ' ' c,. fotal Pro u[ Cost '� �GJ -'�C.j�. �� — --_ � j J ' � ❑ Paid in Full ❑ Ou[at:in�inu 13:il:inre Dur:-- tiEC"PION ;: CONSTRUC'f10N Sh:RVICF.S —� �.l Licensed Cm�struction tiupervisor ICSL) . � � /+t�, 1,� �7�-- -5�ar°�`l r _C��'`���Z��(J��1 eV ��{�� Licrnac \umhci P:�piraunn U:ii� W � �Vamr �dC51_- Ilul�erct � ��� ��r���7T��� t"'�A � � Lul C�SL�I�c�c �,rr h�lu�cl __ � I, \�.lrr�. � l l\� c Dcsrri �uon - l� l�m'Cslncicd�uitniS.UUO( U. I�I.i � �'�. � — . — - R �� RcsirirlcJ I.@'_ Fanul� D��rlhm_ � 4� � .tiienatur�7 I \i \I:u�mn Unl� /HI ' � � RC Rr�iJ:nlialKnulincl'o�rrin_ I . Trlrphonc ' A1'S Itr+iJrnu:J AA1n�u�� .m� 1iJinu � SF Rr.vdintidl .Siihil Pucl ISuninic \ �ili:m.� lu.l.ill.iiinii� � D Kc.i�anual Urmuliuon . :.2 Registered llome Improrement ('untracror (I�IICI 'p��Oq — �J E',�"U 1 < •-' . --- HIC Cumpany Namc or kiiC ceistranl Namc . � Rcgistratiun \unibrr �1� r.l�✓i-h �� S�'alorn MA ( �alo�a�3' �da«„ �2'_{.el_'-1 I � . "]�(, 8xpirutiun U:rtc . �ir�nu!ure .. .. T�!e,io::e SECTION 6: WORKERS' COMPENSATION INSURANCE .4FFIDAVIT(M.C.L. c. 152. § 25C(6)) Workers Cumpens�tiun Insur:mce affidavi� must be cumpleted :md submittzd w�ith this applic:itiun. Rulure ti� pruvide this affid�vit will result in the denial uf the Issuan�e of the building permit. � , Signed Aftidavit Attached? Yzs .......... Nu ........_. ❑ . . � SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN � OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT f, f�lC�'IQY�G� lX C�QfJG�CI lP ��Ci'U�P . �as Ownzr oi the subject properry hercby uuthorize �l�.l� tu act un my behalf. in ;ill munerti relative [u wurk :wthorized by this building p it application. , G`�i�liw.-� �.�-,e-�.� •��� k'� o � _ Si naWre ul Owner Daie SECTION 7b: OWNER� OR AUTHORIZED AGENT DECLAR.4TION I, I.YlY1 Il . . as Ownzr ur Authorized Agen[ hereby ileelare thut the starements :�nd inti�rmution e foregoing appliratio� �re true �nd uccurme, [o the best uf my knuwledge �nd be �If. � �-hn�����♦♦i-�r�t�e,r Zt>2U ' -'Hflf�[ 'I�yh� • , 11 � . . ' //i . 7//`3/D 8� - Sien�ture�t�Owne or Authorizcd.4gen[ � D��� . �Siened under�he uins�nJ enaltics al' er�u 7 � . NOTES: 1. An Owner who obmins u building permii tn i'lo his/her uwn ���ork ur :in uu�ner who hires an unre_ismred iuntr.iciur � (n�x re�_istemd in the Home Impruvement Cuniructur (FIIC) Pru�ram), will irot ha��e uccess ���.ihe arhitr:uinn - proeram or guaranry fund under M.G.L. c. IJ�A. Other importmt infurm:nion on ihe HIC Pmgram and Cunstruction Supervisix Licensing (CSU c.�n be Found in 750 CMR Reeul�tiuns I IO.RG and I IO.RS, re.pe��ticely. ' '_ � When ,ubs[antial work i� plan'ned, pruvide the inti�rmatiun below: � �I'�nal Fluurs ureu lSq. F[.i �incluJing�aru�e. Pini�hed bustmenUuttio, dtcks or purrhl � � I Grnss livin�� area i5q. Ft.) Habit;ible_ruom �iiunt � __ � � � Number uf' tlreplaces � � Number ��'f br�ro��m, _ _ , . Vumber ��f hathru�,ms � _ Nuniber���halUhuth, - fvpe ��f heatine s1'>trm —— �lwnhzr ni Jeck�/ p„rnc�� _— ----- i �Iype ��f cu�ilin_� i}��fem l�:nrinled - OpCn ._.____ —. __ ' 3, "T�xal Priijeri Squ;ire Punr�gt" m�y be sub�ututed ti�r "I'utul Prnjert C��.i" I � � CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT a,t171 !t!rl ItN lit .'I ! 12 \V\,I il�,t,IL%ti l Itlll • 1.\li-\I, \L\��.1t Workers' Compensation insurance Aftidaoit: Builders/Contructors/Elect`ise ns/int Lobi rs t theant Information /l / r� Q �i Name tnu,inc•s; nhhgantzautnt.InA dic t.lual l: !2 A ddresIs: 11 S N 0r+h Sire e-f p City,St:tte,zip: 1;n1 ' im Mja bl q:zo Phone #: 17th �j ) 1 - ©a-1 2 krr-e,(vuu an employer' Check the appropriate box: 7}pe of project(required): L L� I am a employer with _ 't ❑ I out a general contractor and 1 6 ❑ New construction employees(full and/or part-time).« have hired the sub-cuntrnctors ❑ Remodeling listed on the attached sheet. 7. _.❑ 1 :un a sole proprietor ur partner- These sub-contractors have 3. ❑ Demolition ship and have no employees working for me in any capacity. workers' comp. insurance. y. ❑ Building addition [No workers' conmp. insurance 5. ❑ We pre a corporation and its 10 ❑ Electrical repairs or additions i officers have exercised their ieyuired.l ❑ Plumbing repairs or additions t.❑ 1 am a homeowner doing all work right of exemption per MGL 11. F myself. C. 152, §t(4), and we have no 12.0 Roof repairs insuranceer rworkers' comp.required.] r employees. [No workers' 11A Other IAftrlcJnld)5 comp. insurance required.) •;1nyapplicant that cheeks bun RI nlllst aISO tt 11 Out the 1Ct-tiOn be Iow ihow Ing their work er4'com pen sat nun policy Information. 'I lonmcowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new al'fidavLL indicating such. :Crnuracmrs that check this bus must attached an additional sheet showing the name of the subcontractors and their workers'comp. Policy information. /an; an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. _ / Insurance Company Name: V- � 1 Y�<�Ae-�t✓rfj L " / 3OX l ry 5" t2 Expiration Date: -E'` '( `( c' Policy # or Self-ins. Lic. #:�LVs._�"tl--rllj- L165imAddress_L__ QIInul`5 CIrC l-r City/State/Zip: i�d�0 �70 Attach a copy of the workers' compensation poticv declaration page (showing the policy number and expiration date). railure n) secure co%crage as required under Section 25A of NIGL c. 152 can lead to the imposition of criminal penalties of a tine up n) S 1,ioo.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a tine ,)t,up to S_250.00 a Jay against the violator. Ise advised that a copy of this statement may be torw rded to the Office of Imcalinations of the DIA for insurance eolerage verification. /Ju hereby certifj- d r the wins and penalties of perjury that the infuriation pro tided above i.r true and correct. til^n.nw ^^77uu 11JJ – t1(ficial use oily. no not orite in this area, to be crrnytleted by city or linen official. Cinor lLe it: --_ - _ Peron&Licetose #_-_.._-_ __.---_----------- Issuing, .\uthority (circle one): [. hoard of Ilealth 2. Building Department 1. Cit//Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. 0cher -- Contact Person:_--_ ---_---- --- Phone #:_ — Information and Instructions \la<,,Ichusetts (knrr:it Laws chapter I i' requires alt cnnplo%crs to proN ide workers' anopensalion for (heir employees. P uit uant to this .route, an emploiee is ,Iciincd a., ".. e%ern person in the sell ice of another under env contract of(tire. ,•yrcas or implied, oral or %kriuen.- . \n e urploi er is defined as "an indi%;11 ua I. p,I rrtncrsh 11). -1 s soe w[i on, corporation or other IcgaI entity. or:unv Iwo or more ,,I the foregoing engaged in a joint enterprise, and including the legal rcprescntati�es ol'a deceased employer. or the rcei�er ur tru.,lee of:m individual, parunership. association or outer le_al entity, employin_employees. llo%ee.er the ofa dwelling house Ina�nng nut note than three apartments and who resides Ihcrein, or rine occupant of the d��ening house of aranher Mio eunpluys persons n) do maintenance, construction or repair w ark on such dwelling house 01 on the _rounds or building app meront thereto shall not because of-such employ inert be deened to be an cnnpluycr." \I(d.. chapter I52, HN2 C0 i) also ,tater 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." :\�Iditionally, DIOL chapter 152, j 25C(7) states -Neither the conn um%ealth nor any of its political subdivisions ,hall enter into dny contract for the perfin-nnance of public +cork until acceptable evidence of compliance with the insurance royuirenneu[s of this chapter hate 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-contractor(s) name(s), address(es) and phone nuniber(s)along with their certificates) 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 dues have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please he sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the at iduvit 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 town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant Ars proof that a vafid affidavit is on the for future pennies'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.c. a dog license or pernnit to burn leaves etc.) said person is NOT required to complete this affidavit. The ()(rice of Investigations would like to thank you in ademnce for your cooperation and should you have any questions, - ple:t>c do not hesitate to give us a call. fha I)cp:utnnanl's address, telephone and fa.e 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.mass.gov/dia DISPOSAL 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 work shall be disposed of in a properly licensed facility as defined.by M. G. L. c. 111, Sec. 150a. The debris will be disposed at: Salem Transfer Station owned by Northside Carting - A/ Signature of Permit Applicant Date Christopher Zorzy Name of Permit Applicant A & A Services, Inc. Firm Name 115 North Street Salem, MA 01970 Address, City, State, Zip Code T� � we� �"yp✓GJa�dehuae� Board of Building Regulations and Standards Construction Supervisor License License: CS 57733 Birthdate 5/26/1958 ; _ �{ Exx�iratlon 5_%26'/2009 Trfk 13739 'r X w' 4Restrktlon 00'. u CHRISTOPHER ZQRZY z i . 115 NORTH ST SALEM, MA 01970 `" Commissioner i ' � �,lie_TO�oanmwyeueaLl/a o�'✓�aac,lzrare�a Board of Building Regulations and Standards j HOME IMPROVEMENT CONTRACTOR { Registration: 101609 I Expiration: 6/26/2008 •. - -. - Type: Private Corporation A&A,SERVICES, INC Christopher Zorzy � 115 NOrtIT Street' p�...+G7.:aY.•,.,,,:,i - " lem.MA 01970 Dcpuly Admmuu 'sr Commonwealth of Massachusetts Division of Occupational Safety Laura M.Marlin,Commissioner Deleader-Contractor IptlYhQtrut. CHRISTOPHER ZORZY Eff. Date 04/09/08 Exp. Date 04/08/09 e DC000440 f tt Nemberof C.O.N.E.S.T. 09 - a BO a e y IIIIIIIIIIIIVIIIVIIIVIIIVIIIVIIIVIIIVIIIIIIIIIII BOSTON-RENEW 1 I,1. NFRC The Difference Is CfaarL Vanguard Windows UNraCore Frame-Triple-Glazed, Netlmal Fenesbeffon nehrg cants. Krypton90,Low-E � ProdudType:Vertica151ider ENERGY PERFORMANCE RATINGS U-Factor(U.SJI-P) Solar Heat Gain Coefficient 0 . 18 0 . 22 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Air Leakage(U.SJI-P) 0 .42 0 . 1 Condensation Resistance 70 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance.NFRC ratings are determined for a W set of environmental conditions and a specific product size.Consult manufacturers literature for other product performance Information. www.nfre.org Actual test sample .03 air leakage. of Z- ,at r A & A SERVICES, INC. A SEW Ms -115 NORTH STREET,SALEM,MA 01970 Telephone:(978)741-0424 Fax:(978)741-2012 Contractor Registration No. 101609 Federal EIN:04-3090162 Construction Supervisor No.CS057733 - WINDOWS AND STORM PRODUCT SPECIFICATION SHEET Buyers)Name Date of Contract - �iGWc�d k Ben L41111OF Buyers)Street Address,City,State and Zip Code oL S . 'IC1E Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address 97E- The Buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the once,and terns 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 pan. ��/ / WINDOW REPLACEMENT i1Temove and dispose of# 16 ` existing windows. [Y/RInstall # 13 new )Ul)ri tI�A-Yl�l)-,, windows: inyl ❑Wood (Manufacturer) Options: Style OnUbI2 H ruA Grid pattern _ 1aliiSTH S Color interior (A lk 13 O._ Color Exterior W(A Glass Type k a ❑ V tap exterior trim with aluminum: Style A//) Color �W//All windows will be installed according to the installation procedures in the portfolio. ly sulk all interior and exterior edges. Gy Insulate where possible around new units. EO //////IllIIInnnnnnsulate window weight packets if exist,and around new window units where possible. luded in this proposal are set up,clean up,Hepa Vacuum and cleaning windows inside and out. - Building permit included. BAY/BOWS/CASEMENT UNITS/ANY FULL CONSTRUCTION WINDOWS O Create new window opening by cutting through existing home andframingin opening. II Reluuve and dispose of existing a R R(s)in rpt✓3rit�ety. Note:Electric and plumbing may exist in wall and will require additional costs to customer if need to be dealt with. 9'Install�LQ window(s)into opening(s). Note: If Bay or Bow installation to train able support system, le) or tie into a Ing soffit system. I���� ❑ Bay o ❑Casement ®'Other window(s)to includ new interior style tri�ntl new exterior style trim and head I ing as needed. LHIOIi IR�; / 'per ,,f" {Y Note: Painting and staining not included. (ala f n /)"TPl) OVe f yww 0/V�p'V—f vlFt pciw¢b �;TJ2 I � Q/iCKill 06(ASS STORM PRODUCTS ❑ Remove and dispose of# existing storm window(s). ❑ Install new storm windows# Manufacturer a Style Color Option ❑ Remove and dispose of# existing storm poor(s). 0 Install new storm doors# Manufacturer Style Color Type: ❑Aluminum ❑Solid Core - SPECIAL INSTRUCTIONS: t � oz,_ — 5 �-o {-h-P - � L.1AP i1 cA nDAJ`I1 I 1vi CO y �c o� tnoA/yd� L �1�1 ,� n Atinr� ��gtAl9i� t-1 NA'b �� St�l_pT_' 4104 G /sq.5m d <J.f^t' 1MAf0 4iM�tA�d Nis agreed and understood by and between the parties Nat this specification Spee,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes - the entire understanding between the pardes,and there are no verbal understandings changing or modifying any of the tants.This COM he may not be changed or Its terms ordered or venae In any way unless such changes am In writing and signed by both the Buyers)and the Contractor. Buyers)hereby acknowledge that Buy,(s) hes read this Specification Sheet. p ✓I L Contractor Initials: Date: 9 I d O Buyer's Initials: Date: V V� 1111iPGaae r \ l l A & A SERVICES, INC. 115 NORTH STREET,SALEM,MA 01970 - B• b Telephone:(978)741-0424 Fax:(978)741-2012 _ Contractor Registration No. 101609 Federal EIN:04-3090162 Construction Supervisor No.CS057733 CUSTOM REMODELING AND IMPROVEMENT AGREEMENT Buyers)Name Date of Contract + - R A Buyers)Street Address,City,State and Zip Code - Q - ale , cslGZa Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address: a- 7 4 '3 The Buyer(5)listed some hereby jointly and severally agree to purchase the goods and/or services listed on the accompanying specification sheets,in accordance with the prices and terms described on the front aed the reverse of this agreement and any specification sheets(this'Agreement'1,and Buyers)have requested that such golds or services be installed or provided at Buyer's address listed above.A&A Services,Inc.('Contraction,hereby agrees to install or cause to be installed Me products or services listed in this Agreement at the Buyer(s)address much above. This Agreement represents a Cash sale of goods and services. The Buyer s)agree to pay in cash the cost of the goods and Barthian pumhas as described M1erein,regardless of ti or app I of any financing Buyerbo may seek for their purchase. TfG� qD-/1s�oc>,✓f- �16L7 nnA Purchase Price: n W ESL Starting Date: lilt' Down Payment: �p1.M1L Est.Completion Date: L -' 0 Cash Amount Due on Start of Job: •�� FV: ❑Check O Credit Card Amount due on of Completion: No. AaNuot Due on of Completion: ( ]v` Expiration Date: m Balance Due on Upon Copletion: 1 v CVC Code: It Is agreed and understood by and between the parties that this Agreement,front and back and any addendum,constitute the entire - understanding between the parties,and there are no verbal understandings changing or modifying any of the terms of this Agreement. Buyer(s)hereby acknowledge that Buyers)has mad the front and the reverse of this Agreement and has received a completed,signed - and dated copy of this Agreement,Including the two attached Notice of Cancellation forms,an the data first written above. Buyer(s)also (i)acknowledge that they were orally Informed of their right to cancel this transaction;and(it)request that they be contacted via their telephone numbers or e-mail,as listed above, in the event Contractor believes Buyer(s)would be Interested in any additional quality products or services of Contractor. DO NUT SIGN'I'HTS CON t'BAC'T IF IT CONTAINS ANY BLANK SPACES. A&A Service$,Inc. Signature /J Sign - fsl/✓ Jam,/Ti�X.r 14 �✓�i r r-c 6 - 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. Sae the following Notice of Cancellation form for an explanation of this right. a ARBilmo N:The rnn4xbrvaM the Mmevener hardly mutually,agree in oavarc,Pet In the evem either pea had a haduW[warming this mntr ,eller pad,may¢roan Sulo dispute to a pm m.,,.IlM eervke le which has en epprwby Pe Summary of the EeaEmploysMille o1 Consumer None and Bus R (lens and Ina ONar pal mall he reform b udbmit ka i such.rbt tam not pawlIn M.Gt-c.t VA. gq Conm[wrsale.: SL as, use [E - Nor cuts: r.� (NOTOF OF Tr ON B.01 T2naallon a may cel Pre t wilnou v penyty a eau err rrenwction • `"'Yw mer canal Pla vansectlon,wiuwul any pa.I or SII abilest n,wlare Free aaysimentn dam.nyou el, opmy edea m, obugatlon,Mtnintnrae kom lM e[aue deb.uyou[anal,any propel traded in, j arty payments me a der true renm5a aM aM^.dot ellveumemv ad any payments made by you main Pe Common or Sob,and any monsoon Instrument compete yW will be Mad wlWn de dbwirg recelpl the Se of yo u,n[ellaT nWm, by you will be resumed vairm 1.day¢lolbwlrg mend,by In.Salle,M or.."area mal any urily imTen eosin sof Pe vertsacibn wnl [elle.,11 I,you Hun add any moral mixed a it out nl ane o-ansallon will be cenmued.I1 you raced.You Him .ION...aulto, 'a-a.In Wbmm ra mnmiwn ce essential ntial make aaaublemma Salter et yauraeia.nm,mmbmmnunN ase[o mMltb^owner xeNM. g ds SINebato under Pia manor aver .vyo I, ph win ane any gonia aeueened to you urger aria Commit a,says;or you Her,it you elan,comply wun the - m m om err regaming Mer 1111-1--yn Poo ruellen»sem e a semal rons Pe Serawarded arded me mtum shipment of me goods n a Me sellers ese oral rihall k, 11 ya 9Me Pe goods.veil. r Pe Seller entl N r don not pick l sk. It you do make the Rams avaleble b Pe Soler and the Seller Wes not pick Nem up .Rhin so Ne Eat O^l is o1C cel4don,yn ay stain rtll9pae of 11 a within 2a Wp of Pe dere of your Notice of Cancella110ry yW may moss ordrpose of Pe Boom .Mo. yluM one,mon, leilbmek eg vailabbm Pe oiler,or reg a wiNtaile,Nrthe ifebrid n.gyo 1.11.make(regards availablebihe Schm carldr sse � m the gees ter ells eM 1nl b ao s9. n you remain reale he amerce of to rearm me goods to me Seller and fail la do W.Pen you hemnn Mable ter perlermmw of nl oiNems-rnatem. nuren,TOCanmlPissn mall ordpurnam MWa mpy bI,mandnaer Pe Conran.rooperni Measreme lim Measurements, ail orceive,a sgnea and dated al [I ire rancellati mall r any error a miler,a •aN a days, ,b ABA a .11 arMe.—,,a,-royal or any error watlen rola,or send a partner.b AM 15 NOM saes doer.owed drams 70,NOT LATER AN f 1IS OF Noan Scree,Salem,Me¢saMuarm OIeRI,NOT LATER THAN MIDNIGHT OF sal - (Date) Ione) I HEREBY CANCEL THIS AN SAC N. Conor era signara Dere 1 HEREBY CANCEL THIS TRANSACTION. Canamerss,gnenre Sao ` PROPOSAL >.d� A & A SERVICES, INC. 115 North Street - Salem,MA 01970 Tel.:(978)741-0424 Fax:(978)741-2012 MA Home Improvement Contractors License No.1016091 MA Construction Supervisor License No.CS057733 Submitted to: piC (' . CI AIAWork to be performed at: Sheet' 4 6116 f4:l C,jz ife Street: City.: city J State: Zip: State: Zip: Home Telephone: S-3 Work Telephone: We hereby submit specifications and estimates for: WINDOW& REPLACEMENT WINDOWS: Storm Windows:# Carefree: ❑ Tru-Channel: Color: Vinyl Windows:# Slimline: El Comfort Plus: F-1 Majesty: ❑ Color: Other: F Options for windows: Grid Pattern_/_Low E/Argon Gas: Foam Filling: Wrap Exterior Trim with Aluminum Coil Stock: O Other:FI _ DOORS: Storm Doors:# Aluminum: Solid Core: ❑ Style Name: Brass Hardware: ❑ Beveled Glass:❑ SPECIAL INSTRUCTIONS: y/ 214^ O'A - - 1 B J F' cy! eS ISC - S bN. tri.eo S 8 _ �� 910 All material is guaranteed to be as specified, and the above work to be perforrhed In accordance with the specifications submitted for above work and completed in a substantial workmanlike manner for the sum of: Dollars(3 with payments to be made as follows: Any alteration or deviation from above specifications Involving Respectfully submitted J::6ii X� extra costs,will be executed only upon written orders,and Sales Representative will become an extra charge over and above the estimate. All Agent for A&A Services,I a agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado and other necessary NOTE: This proposal my be withdrawn by us if not accepted insurance upon above work. Workmen's Compensation and within ninety(90)days. - Public Liability Insurance on above work to be taken out by A&A Services,Inc. ACCEPTANCE OF PROPOSAL - - The above prices,spec cations,and conditions are satisfactory and are hereby accepted. You are authorized to do thew as specified. Payment will be made as outlined above. Signature Date Signature Date "You may cancel this transaction,without any penalty or obligation,within three business days from the signing of _ this proposal.—