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12 HARTFORD ST - BUILDING INSPECTION (6) cJ=�h sat , P tic t �°Lg The Commonwealth of Massachusetts � CITY OF Board of Building Regulations and Standards REC SALEM Massachusetts State Building Code,780 CzECT jojI ,� Spy 8�t is d Mar 2011 Building Permit Application To Construct,Repair,Renovate Or Demolish a d One-or Two-Family Dwelling OCT This Section For Official Use Only Building Permit Number. Date Apph l� )5 Building Official(Print Name) Srgnattae ? V Date SECTION 1 SItE'INFORMATION .. 1.1 Property�ddrye§s: r� 1.2 Assessors Map&Parcel Numbers 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 ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION`2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: c� (�71n.vP1V 621ri efY) ►Y1(� a �{ 76 Name nt City,State,ZIP No.and Street Telephone Email Address SECTION 3:'DESCRII!TION OF)PROPOSED YOR check all that•apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) 1 Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ . Number of Units_ Other ❑ Specify: Brief Description of Propose'cjWork2: fl/J SECTION 4:.ESTIMATED GONSTRUCTION`COSTS Estimated Costs: Item Official Use Only; Labor and Materials ._ _ '_ � I.Building $ y � 1. Building Permit;Fee;$ Indicate'how fee is determined: 7 i 2.Electrical $ _ ❑Standard City/.fownApplication Fee 0 Total Project,Cost;(Item 6)x multiplier x 3.Plumbing $ 2 Othe Fees $ ­ 4.Mechanical (HVAC) $ List: r 1- ] e 5.Mechanical (Fire $ Su ression Tow An Fees $ 6.Total Project Cost: $ 6j 4 36• p Check Nn Fuo. ll Amount:I � ❑Outstanding Balance, Amount: SECTIONS: CONSTRUCTION SERVICES Supervisor License(CSI..) I 4 -7q 15 Name ot*CSI,11d7der a- emonte 4- List CSL Type(set below) -k No,al:d rypC Description hucitticted(Buildings • C'u"lo fin.St:� 4 7, NIII Nhisonry KC Rocifirg Cove WS Wlinctov,undSidulit Z� =Sf eci Binning Appliancies 7 fete addrcss 4,1( 5.2 [let sfe red II 'i. it- .pine Improvement Contractor(111C) LmA*3 �6q ' HIC Rcji,'.s:ni I Ua�irk. I_i .zle ..51 LI I C 1*110 IN, 'I IV c)I I N 1,.NSI4ZA.NCF AFTIDAVIT(M.G.L.c. 152.§ 25C(6 • Workers Compensation Insurance affidavit must be completed and submitted %%,ill)this application. Failure topI f ovide this affidavit will result in the denial of the Issuance of the building penult. Sjguud Affidavit mcichcd? Yes ...... 0 SECHON 7a: OWNER AUTHORIZATION TO BE COJNIPLETrD NVIIENI OWNER'S AGEN'T Olt CONTRACTOR Aj'PLIES FOR BUILDINC I'F.Rr%ll,r I. :c; Owncr of the suUj ect property,heebyauthori 7x (o act on niv behalf, in all matters relative to work authorized by this building permit application. S-I ru SECTION 76: ONVINEWOR AUTHORIZED AGENT DECLARATION Fly entering my juitne below. I hereby ralesi tinder the pains and penalties of perjury that all of the information 11 d I this Ipp 'cat antru a and accurate to the best of my kiiowledge and understanding. "P" r Cut true °�� r - I'r 11 q Ic Signature) Ileac i INO'I'LS: 1 Ali()v.'ncrkvho oblains i building permit to do his,"herown work,or an LAVnerwho hires an unregistered conti-actor i (not rcgistu;ed in the Home Improvement Cmurector(HIC) Pro,grum),will riot have access to the arbitratio! program or guaranty fund tinder N-LO.L. c. 142A. Other impor'.ant information on the I 11C program can be bund it Information on the Construction Supervisor License can be found it %+%vw_qiass.Lov.'dp I When substantial work is planned, provide the inforination below: I otal floor area(sq ft.) (including - :s, decks or potich) (includin—, rase. finished basementlank Ciros,living area 'slL tLI Habitable room count Nuinficr of fireplaces_ Number of bedrooms Number of hathroonis Nuiriber of haWhaths I'v'l:of heating S)Steil) Number of decks/porches Type of cooling sy tem___ Fuclosed 3. 'Total Pi c-i c c i S a tia.,c Foo(age"may be substituted for !'['or a I Project Coat" The Commonwealth offplassachusetis Prrit Department of Industrial Accidents 4 " Pt Office of Investigations I Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contl'actors/Electricians/P lumbers Applicant Information Please Print Legibly Name (i3usiness/Organization/lndividual): Address: 00 CnnlrlM n�tf City/State/7_,ip: �Uv-t & 011ir Phone#: 971- 1qV 41 S1 Are you an employer? Check the appropriate box:4. Type of project(re fired): I general contractor and I 1.�l am a employer with ❑ am a gen ors 6. [:]New construe on employees(full and/or part-time).* have hired the attacsub-ched sheet. 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. [:] Building addit on [No workers' comp. insurance comp. insurance.t required.] 5. [] We are a corporation and its 10.❑ L'•lectricat repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their I LE] Plumbing rape its or additions per right of exemption p MGL myself. [No workers' comp. 12.�oofrepairs insurance required.] t c. lit, §1(4),and we haven 13. Other employees. [No workers' — comp. insurance required.] `.Any applicant that checks box fl must also fill out the section below showing their workers'compensation policy information. r Iloncowners%,he submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit in ficating such. :Cnntraanrs that check this box must attached an additional sheet showing the name of the sub-contrectors and state whether or net those a Cities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy 7ndjah site information. � insurance Company Naune: r :t, 1/ A.Vi I'�� 61, 1t Policy `or Self-ins. I.,ic. �' a Expiration Date:qZ _ Job Site Address: �� HG r�Yb� City/State/zip: Salenl i l/� 61Y70 Attach a copy of the workers' compensation policy declaration page(showing the policy number and cx1'ration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a line up to S 1.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK Of LDER and a fine of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the C ffice of Investigations of the DIA for insurance coverage verification. I do hereby certify under the i!aim an ialties aLeerjiiuy that the information provided above Lc true and correct. Stunaatre: _ ..__. . ._ Date: _ . .. _ .... . _ _ Phone ii: Official use only. Do not write in this area, to be completed by cio,or fownofftciaL Ci y or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4.Electrical Inspector S. Plumbing nspector 6. Other Contact Person: Phone#: Office of Consumer affnim& Business Regula lion _,YOME IMPROVE MENT CONTRA CTOR °a fAegistration: 160616 Type: - z C�Xxpiration: 818t2016— Ltd Liability Corpo'- BETTER BUILT ENTERPRISES LLC 4 EVANGELOS LIAPIS'- 100 CUMMINGS CENTER SUITE 2 gtl7ERLY,MA 01915 Undersecrerare Massachusetts -Department.of Public Safety Hoard of Building Regulations and Standards License: CS1184795 EVANGELOS UAPIS - 12STONE.SMET DANVERS MA 619 ,t jo Expiration Commissioner 05113J2017 i (1 fliR n(f.'�ip unmr A(l if it F N��ynb.NO;;ula flan (.icenst or valid fm iOrlll'i(ful u"urtk HOME IMPROVEMENT CONTRACTOR before the v%pirariun da[c. If found return kc Registration: '48688 Office n(('on>umir Al'L.i,I:rnd liuin se_.. R"'UL't"m Type 10 Park 1'lai:1 -jui(e 5I-O Expiration: iCd1812015 Supplement arc RnSIrm, ?I.A I72 116 i.'J'::'ES HOh;ES CEUTERS 1,1C RiC11AR6 CH4,LCNE 'o .URNPIKE RJ_SUITE 100 f S'3UIHa0R0L;G+ MA. ;72 -- ; Jal I Jule nrcr lar` Not . i 1 w ith ut i 11;,ture Av 1® CERTIFICATE OF LIABILITY INSURANCE °°�(^Ml°"Y"") 10/6/15 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Carmen Cocoa Cocca Insurance Associates Inc PHONE 781 245-0888 TAX N (781) 246-3926 dba Water Street Insurance Age ADDRESS: carmen@_qetinsurancehere.com 27 Water Street INSURE S AFFORDING COVERAGE NAIC 0 Wakefield, MA 01880 INSORERA:Arch Specialty INSURED INSURERS:Travelers Indemnit Betterbuilt Enterprises LLC INSURER C:Evanston 100 Cummings Ctr Ste 226-G INSURER D:Arbella Protection Beverly, MA 01915 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS ANDCONDITIONS OFSUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLSUBR POLICY EFF fi-PO LTR TYPE OFINSURANCE POLICY NUMBER MIDDY MMIDD'YYYY LIMITS A GENERALUABILITY y AGL0029330 9/2/15 9/2/16 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENER4LLIABIUTY DAMAGE TO RENTED $ 50,000 CI-AIMS-MADE 1XI OCCUR MEDDF(Anyorepeson) $ 5,000 PERSONALBADVIMUURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO- LOG I $ D AUTOMOBILE LIABIUTY 1020038039 2/3/15 2/3/16 (Ee COMBINED IN LE LIM IT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALLOWI,ED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X AUTOS NNON-OED PROPERTY DAMAGE $ X HIRED AUTOS X AUTOS eracadent C UMBRELLA LIAB X OCCUR XONJ451415 1/11/15 1/11/16 EACH OCCURRENCE $ 1,000,000 X EXCESS LIAR CLAIMS-MADE AGGREGATE $ 1,000,000 DED RETENTIONS IS B WORKERS COMPENSATION 000768353 4/28/15 4/28/16 1 WCSTATU- OTH- AND EMPLOYERS'LIABILITY ANYPROPRIETOWPARTNERIEXECUTIVE y NIA EL.EACH AGO DENT $ 1 OOO.00O OFFICERMIEMBER EXCLUDED? (Mandalory In NM) E.L'.DISEASE-EA EMPLOYE $ 1,000,000 Ifyesdweribe under D E E.L.DISEASE-POLICY LIMIT $ 1 QQO DDD SCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATONS I VEHICLES (A=cb ACORD 101,Additional Rerredw Sebedule,H more space Is required) Lowe's Companies Inc.and any and all subsidiaries has been named as additional insured on the liability and auto policiesas per contract CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Lowers Companies Inc. ACCORDANCE WITH THE POLICY PROVISIONS. and subsidiaries PO Box 100 AUTHOR¢EDREPRESENTATNE Mooresville, NC 28115 Carmen Cocca ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD Phone: Fax: E-Mail: L _ �. ... � •;:� .al .gyp +<' ,�.�' '4`S�`"" r' 4'�': '??' ts4, - -n:3 ry m+ y k 4 �. 2 ,. ?c.. �' '*+, ,• � ` } k ;s^`*" x , CONTRACT#0 V U { E '4M ilki , .0i a +q; Mi4SSA}CH�CSETTS SERVICES SOLCJTiGNS INS(a/ LLED SAt S CON �tE1GT t Y= W m . .r § ImTr LOWES AUTHORIZED REPRESENTATIV NUMBER CUSTOMER a f Eg-d fr s; p Z f 7 � J e-J e r X: e STORE NO. STRE ADDRESS STREET ADDRE S , .� CI !f STATE ZIP CITY ' I STATE ZIP , TELEPHONE -��._ _"... TELEPHONE!- _ ` _ _ �$ 9yf� DATE _ LOWE S HOME CENTERS LLC'S MA HIC NO 748688 cnSH eANx `'x' �'. LCC FEIN 5 748358 �D �5� CHMGE ,y u y if,,8 it I y�Tvs la only a quotesfm l�memkantlrse antl aeMees piea8tfi�kar:`rerq �egan agreement n Pal�nent jl7plgt Pa3'dlafl4/Fre anhn:�,a utllnef7re spacaicallr mmpleM�tl of uos S%`- bo�,mrer tine Terma aria conaiitonalrl�nmad wmr m5 ao�ana Rya anr' 'Faar aaa anaaaa en�uareES�y,artba xo fia"reI � ?LEASE READ ACL TERMS AND'DOlra)ITipNSAN THE,RE�R$E SIDE�OF Tr11S'PAGE AND F�bWli30.£AO�S9EFbREx N y ,.., A sr; . r r�y�.rt+i� � ��,�`: � v"$'i*',t`.`. ea.,!�i.. .p`*,�"?*�-• :_...", ��1+'��'z�i�+s,�- . ...•. v .. 5� �.'irk�. &�". r_. '.. _ � ✓a.�i'�§-3s.. 4`r3 "fY INSTALLATION STREET ADDRESS CITY STATE ZIP N ) C ��'7't'l� Ct S T ✓r� '1 UC.A f I NOTICE TO CUSTOMER—PRICE CALCULATIONS: In order to properly perform the installation of certain Goods,the Contract Price may include more Goods than actually will be installed based on the measured square footage of the Project Area. As a result,the parties agree that the lump-sum Price stated in this Contract is Calculated upon both the value of estimated Goods required to fulfill the Contract(including waste),which may exceed the actual square footage of the Project Area,and the labor which may be estimated based on the amount of Goods required to fUCII the Contract(including waste). By signing this Contract below,Customer acknowledges receipt of this notice and agrees and understands that the Price includes these costs which may not be refunded once the Installation Services are performed. y Contract Total Jr 1, Are permits required for this installation?:K] Yes [ ] No *applicable tax included VrAl s6 ` NOTICE TO CUSTOMER: Federal law requires Lowe's to provide you with the pamplet Renovate Right. By signing this Contract, Customer acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. NOTE: If rotted wood is discovered during installation additional charges will apply. You will be given a quote and a change order must be completed and signed by the customer for any additional charges, Customer must initial. 'Any work or material not specified is not included in this contract.Any changes or additions will be at an additional charge for the material and labor. PHOTO RELEASE: Customer grants to Lowe's and Lowe's employees and independent contractors the right to take photographs of the Premises where Installation Services will be performed and all work performed at the Premises related to this Contract,and irrevocably grants to Lowe's all right,title and interest in and to the photographs for use in all markets and media,worldwide, in perpetuity.Customer authorizes Lowe's to Copyright, use and publish the photographs in print and/or electronically,and agrees that Lowe's may use such photographs for any lawful purpose,including,but not limited to,marketing, advertising, publicity, illustration,training and Web Content. By initialing here,Customer agrees to the foregoing. [Customer to initial to the left]. Work is to omm�Ice upon reasonable availability of Contractor and/or any special order of customer made Good(s)which Is anticipated to be J; ` t`/5 [fill in date]. Estimated completion date is 2/e /I ) [fill in date]. Said estimated substantial Completion date is not PP((the essence.A statement of any contingencies that would materially change said estimated substantial Completion date is as follows:. I.J rA#hr (if applicable, insert a statement of such contingencies). IF THE CONTRACT TOTAL IS$1,000.00 OR LESS Customer must pay in full. COMPLETE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS$1,000.00: K]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,I/We 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. b1011CIE REGARDING G E F CLAIMS COVERED BY 14 LOWE'S AND OWNER HEREBY MUTUA LY AGREE IN ADVANCE THAT IN TH VENT LOWE'*AS ADISPUTE CONCERNING THIS CONTRACT,THAT LOWE'S MAY SUBMIT SUCH DISPUTE A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUT- IVF C)FFICF()F rr1NRI1MFRIAFPGIRR Nr1 RI ICINIFRA RFr_I II pTIr1NIR 4NIr1 THE n1A1n117D CllAl I oe .,y,.01c iwwyo v, uic rfvtcu,iaea. r a rosUlr, me panes agree mar me Lump-sum Price statP,p in this Contract is calculated upon both the value of estimated Goods required to full the Contract(including waste),which may exceed the actual - square footage of the Project Area,and the labor which may be estimated based on the amount of Goods required to full the Contract(including waste). By signing this Contract below,Customer acknowledges receipt of this notice and agrees and understands that the Price includes these costs which may not be refunded once the Installation Services are performed. Ufa Contract Total .s cyr Are permits required for this installation?: ]Yes [ ] No *applicable tax included • NOTICE TO CUSTOMER: Federal law requires Lowe's to provide you with the pamplet Renovate Right. By signing this Contract, Customer - acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. NOTE: If rotted wood is discovered during installation additional charges will apply. You will be given a quote and a change order must be completed and signed by the customer for any additional charges. Customer must initial. 'Any work or material not specified is not included in this contract.Any changes or additions will be at an additional charge for the material and labor. -PHOTO RELEASE:Customer grants to Lowe's and Lowe's employees and independent contractors the right to take photographs of the Premises where Installation Services will be performed and all work performed at the Premises related to this Contract,and irrevocably grants to Lowe's all right,title and interest in and to the photographs for use in all markets and media,worldwide, in perpetuity.Customer authorizes Lowe's to copyright,use and publish the photographs in print and/or electronically,and agrees that Lowe's may use such photographs for any lawful purpose,including,but-not limited to, marketing, advertising, publicity, illustration,training and Web content. By initialing here, Customer agrees to the foregoing. [Customer to initial to the left]. Work is to co me�ce upon reasonable availability of Contractor and/or any special order or cyy��stomer made Good(s)which is anticipated to be !d T i (I� - [fill in date]. Estimated completion date is /7-0/+ 'r ) [fill in date].Said estimated substantial completion date is not pf the gssence.A statement of any contingencies that would materially change said estimated substantial completion date is as follows:. 1.J �.t h-r, (if applicable, insert a statement of such contingencies). IF THE CONTRACT TOTAL IS$1,000.00 OR LESS Customer must pay in full. - COMPLETE 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,I/We 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. NOTICE REGARDING ARBITRATION AGREEMENT FOR CLAIMS COVERED BY M G L c 142A LOWE'S AND OWNER HEREBY MUTUA LY AGREE IN ADVANCE THAT IN7HE+'EVENT LOWE'Sj41AS ADISPUTE CONCERNING THIS CONTRACT,THAT LOWE'S MAY SUBMIT SUCH DISPUTE A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUT- IVE OFFICE OF OONSUMEFj�AFFAIRS ND BUSINESS REGULATIONS AND THE OWN R 'ALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PR(QNMI�D_IN, C. By Date: r�owe� nne Centers LC _ Byr.' Date: G S� /) Own r Signal THE SIGNATURES OF HE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTION INITIATED 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 SEPARATELY SIGNED BY THE PARTIES. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AND UNTIL YOU HAVE READ THE TERMS AND CONDITIONS CONTAINED ON THE REVERSE SIDE OF THIS PAGE AND THE FOLLOWING PAGES OF THIS CONTRACT. BY SIGNING BELOW,YOU ARE ACKNOWLEDGING THAT YOU HAVE READ, UNDERSTAND AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE OF THIS PAGE AND THE FOLLOWING PAGES OF THIS CONTRACT. YOU ARE ENTITLED TO A COPY OF THIS CO([��TR7pCFT AT THE TIME OF SIGNATURE. WITNESS OUR HAND(S AN SEAL(S)BELOW THIS DAY OF -/�-7tlD+°'— U/r Lgwe's Horr ene[ LLC Lowe's Authorized Re-prietentative Owner % - Coowner or Witness Customer acknowledges receipt of a true copy of this contract W(iich was completely filled in prior to Customer's execution hereof.You,the buyer,may cancel this transaction at any time prior to midnight of the third business day after the form for an explanation of this right. date of this transaction.See the attached notice of cancellation 55102 REV. 12/13 FILE COPY o 2X by.Lme•s.®Lowe's and me gable design rerystared trademarks of LF Corporetion.