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18 HAWTHORNE BLVD - BUILDING INSPECTION q �\ The Conutlon\cealth of Massachusetts It tl: Board of 131Allding Regulations :utJ Standards �II'.NIt IP \I.III {Y' MassaChusctts State Building Code. 780 C•MR, 7"' edition til .r KcrurJ./rmw,n Building Permit Application To Construct, Repair.air. Renovate Or Demolish a \ Oil ur,-Funtil v Duz•llin,q. This Sec urn Far Official Use Only Building Permit Number: Date Applied: -- --__� Sn l' tliatu0: "�" - "------— But) ng Conunissione ospecio i ildilip Dale ,-- SECTION 1: SITE INFORMATION L1 Prt?perry :\ddress: 1.2 :Assessors Nlap & Parcel Numbers 18 i tQlUWlnrY1P fn )I?llo - - --- 1.l a is this an accepted street? yzs z no Map P Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq it) Fran rage( 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard ! Required Provided - Required Provided Required Prosidcd 1.6 Water Supply: (M.G.L c.40. §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' VI ,Owrt If Record: �� DI.1 �ShPr 18 .Hp.t}Flnore ,P,nulevard Name I rint) Address for Service: v G 4c��Q-y ( �g1) b39 - a�q - Sle alure Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction ❑ Existing Building ❑ Owner-Occupied ❑ Rzpairs(s) ❑ Alteration(s) Addition ❑ Demolition ❑ Accessory Bldg. ❑ Numbenrt•Units Other CllSpecit'y:f�n!9"1m -r(`7(� Brief Description of Proposed Work': Shl e VI t r . SECTION 4: ESTIMATED CONSTRUCTION COSTS Official Use Only ItemEm— s) I. Building1. Building Permit Fee: $ Indicate hul+ (zz is Jelrnzd:❑ Standard City/Town r\pplicanor Fee 2. Electric ❑ Total Project Cost' (Item 6) x multiplier3. Plumbin2. Other Fees: $4. MechaniList: — i 5. Mechanical (Fire -- Total :\II Fers: 5 Su. ressiun) /I Check No, Check Amount: (•ash Antruun:___._- — b. Total Project Cost: 6 02`l� ���r � 0Paid in Full 0 Outsuulding- l3:ll;mee Uue:___..-___ SECTION 5: CONSTRUCTION SERVICES p ;.I Licensed Coostructioit Supervisor (CS11) 577J3— Liccn,e Number I.,\pir:wnn Dale Name of C'SL- I folder I 1-1st CSI-T%pe(see beloM -- ii�nJal+h fr P+Tal�m �. e Desc,;,tn,n \JJrrs` eYln/\o/!1 / L Restricted J it t to 11IN 1p Cu. hl.i ' U - R � Restricted L@'_ Fanuh D��cl6ne Signawr 7 of M \lmonrsOnh RC Residential Roulinc('oscnng Trlepltone \l'S Re>ldrnual WmJu�s .mJ liJin_ __._i SF lZC,dantial Solid Fuel fl Llrillog \>>lowce In.talLan-u j D Itcoidcnu:d DCInohl Wll 5.� i't Regered m Iloe Improvement Contractor (IIIC) �> `JPXVI(fISrZ� Regtetiatlu❑ Number HIC Company.Namc or HIC R•etstrant Name .AJdrgss MIZ)7AJI-DLI�� �cpitatio0/ n Date T Signature Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 152. § 25C(6)) Workers Compensation Insurance affidavit must be Completed and submitted with this application. Failure to provide this affidavit will result in the denial of(he Issuance of the building permit. ...._. - -- .. Signed AftidavitAttachedt-""—Yes-: -"--�- -No` - � - - SECTION jai OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT [, DY - as Owner of the subject property hereby �t7�1f-1� Z�rZ� to act on my behalf. in all matters authorize rl� relative to work authorized by this building permit application. _ X clDate Sig ore O o wner SECTION 711b: OWNER' OR AUTHORIZED AGENT DECLARATION 1, r-hrIs'�nhD� , as Owner or Authorized Agent hereby declare that thestatements and information on the foregoing application are true and accurate, to the but of my knowledge and behalf. YX rz Print Na Signature of Owner or thorized ,Agent Date (Signed under the 2ains and enalues of er'u ) NOTES: 1. An Owner sv'ho obtains a building permit to do his/her own work, or an uw'ner who hires an unregistered contractor (nut registered in the Home Improvement Contractor (HIC) Program). will not 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 C'MR Regulations I IO.RG and I IQRS, re.apectivelV ' When substantial work is planned, provide the information below: Total floors area (Sq. Ft.) tincluding garage, finished hasemendattics, decks or poichl Gross living area iSq. Ft.) Habitable room count -- Number of fireplaces Number or hedrnoms --- — Number of bathrooms Number oaf halt7haths - fvpe of heating sy'stem Number(ddecks/ perches TVpeoG-coling s)slern Lnclooed Open _—_--. 3. "Total Project Square Footage" may be substituted tin'"Total Project Cost•' ' I CITY OF SALEM PUBLIC PROPRERTY 1, v ' DEPART'IMENT \Lt•,`k 1_'� \\'.�,i II�,,I„�{Ialll • 1.�Ii V. \L�•,.�� Ilt ,iI :. �I'�': Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Please Print Leeibly k t theent Information A C A S e,"t U,5 T(2- . `;I Ill l; ,8u.me,: "I".Imcm,m InJn;Ju.dC i Address: N oah S+Y,a mil" \ ;Zi I Phone #: ( 97�5 ) �N I - 06 2� t ity,srtt�� p Satz Mja /> q�70 Are %on an employer:' Check the appropriate box: Type of project(required): 1.LJ I um a employer with_52)<d '1 ElI °ot a�zntral contractor and 1 6 New construction dmpluyees(full andror pan-time).' have hired the sub-contractors 7. 0 Remodeling mer- listed on the attached sheet. , le rru rietor or ar . _.❑ I am d so 1 P P -fhesz sub-contractors have g. ❑ Demolition Cm)love 2S .h ip and haveno { working for me in any capacity workers' comp. insurance. 9. Building addition [No workers' cuntp. insurance 5. ❑ We are a corporation and its ME] Electrical repairs or additions ieyuired.J officers have exercised their L right of exemption per MGL I ❑ Plumbing repairs or additions t.❑ I y a homeowner Suing all work 6 12.Q Roof repairs mysself. [No workers' comp. c. 152, $I(4), and we have no insurance required.] 1 employees. [No workers' 13 [A OtherP L✓1/-1� raj comp. insurance required.) -Any.q,phcant that cheeks box#1 must also till out the section below showing their workers'compensation policy information. ' I lonuvwners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. (\nuracuas that check this box must attached an additional sheet showing the mime of the sub-contractors and their workers'comp. policy information. /ant an employer that is providing workers'compensation insurance for nay,employees. Below is the policy and job site lalbrintation. _ , / Insurance Company Name: — y"�A V C�'���� f;,-� policy #or Self-ins. Lic. #: W C� � x I ' "l/o Expiration Date: 3 Ihtb Site ,\ddrcss: �(g AT It��h�i /zp �Iey /?�_—City/state/zip: S /IP 1�t1 b�970 .%ttach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). 152 can lead to the imposition of criminal penalties of a Failure to secure un erage as required under Sect ion 25A of�IGL c. tine up to S I,Stlt ,00 and/or one-year imprisonment, a limn s well as civil penalties in the of a STOP WORK ORDER and a tine ,fop I,) S_'O-00 a clay against the violator. Be advised that a copy of this statement may be forwarded to the Office of Imesticalions of the DIA for insurance eoterage cerificauon. /Ja hereby rerti%� rr a tEinsalties 4perjury that the injirnnationprovidedabot•e is true andcorrect Datee11holic = 9 l - ollicial use only. Da not write in this area, to he iutnpleted by my or town ujjicialt Cin nr Iltsx n: Issuing \ulhori(y (circle one): 1. Board of Ileallh 2. Building Department 3. (*it)/ruwn Clerk J. Electrical Inspector plumbing Inspector 6.Other Phone #:_-- Information and Instructions \Lt...t.huxctts (renCral 1_aws cl;apter I regwres all cmplo%crs to proN ide workers' compensation for their cmplo)ees. I'Anu.tnt to this >tatute, an entpforee is defined .is ".. c%erN person in the scn ice of.mother under;tnv contract of hire, - cyp;Ss or implied. oral or w I inen." .\n :ntp6trer is defined as "an indi�ideal. partnership, .tssocation, corporation or other legal entity. or asp mo or more i.tthe forevoing envavcd in ajoint enterprise, and including the legal representati%es of a deceased entploycr, or the . rccei%cr or trustee of an individual, parmcr>hip, associatimt or other leval entity, employ ing employees. I Iowever tale ��•.�ncr ota dwelling house has ing not more than three apartments and w ho resides therein, or the occupant of the d%�cuing house of;mother who etnploNS persons to do maintenance, construction or repair work on such dwelling house of I'll the _rounds or building appurtenant thCrato shall not because of sudt emplo}mant be deemed ni he an employer.•' \1(IL chapter I>> �s'�C(b) also states that "every state or local licensing agency shalt withhold the issuance or renewal of a license or perrnitto 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, JI(;L chapter 152, §2 07) slates "Neither the commonwealth nor:my of its political subdivisions shall enter into any contract for tileperfi lInance of public %%oik 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-contractors) name(s), address(es) and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships(LLP) with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please he sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. -I'lease he sure to fill in the permiulicense number which will be used as a reference number. In addition, an applicant that must submit multiple penniulicense applications in any given year, need only submit one affidavit indicating current Policy information (if necessary) and under"Job Site Address" the applicant should write "all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. it dog license or permit to burn leaves etc.) said person is NOT required to complete this affidavit. The ()Ifice of Investigations would like to thank you in advance for your cooperation and should you have any questions, _ pleas do not IICSlttte to give us a call. _ - ['lie I)ep:utmCnt's address, telephone and fax 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 Ite:i>ed �-fir,-o; - 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 - M/ Signature of Pe it 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 Board of Building Regulations and Standards 4 Construction Supervisor License License: CS 57733 Birthdate 5/26/1958 ` _ 1 i Exprraton 572672009 Tr# 13739 I. 9 Rest rr ctlon Q01 h \.yGlL ad CHRISTOPHER ZQRZY i -/ S - k 115 NORTH ST SALEM, MA 01970 -`'`� Commissioner - Board of Building Regulations and Standards -i- HOME IMPROVEMENT CONTRACTOR Registration: 101609 Expiration: 6/26/2010 Tr# 267870 --,Type: Private Corporation A&A SERVICES, INC -^ LL.y Christopher Zorcy:i. 115 North Street � Salem, MA 01970 '" Administrator Commonwealth of Massachusetts Division of Occupational Safety Laura M Marlin,Commissioner Deleader-Contractor CHRISTOPHER ZORZY Eff. Date 04/08/0 .o Exp. Date OMOS/09 DC000440 1 Wmherof C.O.N.E.S.T. a t.. BO IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 9 BOSTON-RENEW " l ui NFRC The DUrerence Is Clw!. Vanguard Windows UltraCore Frame-Triple-Glazed, FO Raft Caurr3 Krypton90,Low-E . ®' ProductType:Vertical Slider ENERGY PERFORMANCE RATINGS U-Factor(U.SJI-P) Solar Heat Gain Coefficient 0 . 18 0 . 22 ADDITIONAEPERFORMANCE�RATINGS - --Visible Transmittance Air Leakage(U.SJI-P) 0 .42 001 Condensation Resistance 70 Manufacturer Oulates that these radngs conform to appricaole NFNC procedures for determining whole product performance.NFRC mops are determined for a fpced set of erwhro bd condlAons and a specMc product sh.Consult manufaclurefs Ihersture for other product performance Information. wwwnlmorg Actual test sample .03 air leakage. U*n� .aw -- - A & A SERVICES, INC. ,, /� SERVICES 115 NORTH STREET,SALEM,MA 01970 P.LCCC'�o7G7i V�L�� Telephone:(978)741-0424 Fax:(978)741-2012 . — -Contractor Registration No. 101609 - Federal EIN:04-3090162 Construction Supervisor No.CS057733 ROOFING SPECIFICATION SHEET - Buyer(s)Name Date of Contract �/ohtn/ tTd`1 �ibffcl2 -]-29- 0� Buyers)Sheet Address,City,State and Zip Code /8 1-14W771027v6 &-VO, f�iP9 61970 Daytime Telephone Number- Evening Telephone Number Mobile Telephone Number E-Mail Address 978-74N-120c/ The Buyer(s)listed above hereby jointly and severally agree to purchase Me goods and/or services listed below,in accordance with Me prices and terms described on this Speahcation shoat and the trout and the revere of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification - Sheet is a part. ROOFING SPECIFICATION Strip Roof of# .46L layers of shingles Y nstall 6'of ice and water shield at base of roof where nstall 15.b felt paper to roof. possible. Install 18-2V of ice and water shield in valleys. lash c imney gzuee.orMitF no repointing Included). $ stall 6"perimeter drip edge to rakes and fascia areas. - $ Install vent pipe boots and seal as needed. plash valleys as needed nstall rollout type ridge vent. (Slalanks/plywood replacement under 32 SO FT included, 'If more is needed there will be an extra charge of$ Sy, per hour for labor plus the cost of materials. Y umpster/DisQosal Included: $ her. G6LoYa— S2 w�rTZr . Location: `Q f cY,2 ®/1-/VtrWYf VI Install new roof: Manufacturer CeY2_-WYw7YY73 ZS yr Style/type 6 Included in this proposal are thorough cleanup,building permit,and company/manufacturer warranties. RUBBER ROOFING SPECIFICATION - _ oof " --t Not Strip Roof Y Install 1/2"High a 'berboard to existing roof using Y Flash obstacl e screws and plates. $ Install.060 membrane EPDM(Black)ru o ing stall 3z3 aluminum drip edge to perimeter of roof with fiberboards seam tape. ��Flash up Sid s needed.in this proposal are thorough cleanup,building permit,and company/manufacturer warranties. SPECIAL INSTRUCTIONS: //V 5777-its S*,V!;r Lt4 a/ Sir✓�w�rt s a� Derr r S X Is egmod and understood by and bowmen Me pames that Mi.Specification Sheet,slag with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,alncmume ' and Mere am no scatter understandings changing or maatying any of Me terms.TMe eontrua mey notes changed or Im terms ounnd Orv,sledtanding between the passe, g n Me Commaor.eu e a here aclurowledgethaeurarm) terms modified or veiled Many way unless oath changes ere In wdtlng and signed by troth Me Bpyer(e)and Y rl) M has reatl this Specification Sheet-,/[_ r----.. Contractor Initials: 2 Date: �'2-Y-UB Buyer's Initials:_n Drlte:� 7 0Y - @� A & A SERVICES, INC. S' ICEES 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 ROOFING SPECIFICATION SHEET Buyers)Name Date of Contract S f Tiny F, Hrn Buyer(s)Street Address,City State and Zip Code /8 H jv r7"t/ff)'2NE vD. Sf{� Mq d/97D Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address 99,8-2y�-�zo`/ The Buyens)listed above hereby jointly and severally agree to purchase lye goods and/or services listed below,In accoMance with the prices and terms described on mis Specifcatlon sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification Sheet is a part. ROOFING SPECIFICATION Roof of#stall 6 layers of shingles ❑ In ' e and water shield at base of roof where ❑ Install 15.1h felt paper to roof. possible. Install 1 - "of ice and water shield in valleys. ❑ Flash chimney as needed epointing included). ❑ Install 6"perim rip edge to rakes and fascia areas. O Install vent pipe boots and seal as nee ❑ F valleys as needed ❑ Install rollout type ridge vent. ❑Planks/plywood replacement under 32 SO Fr included, , ore is needed there will be an extra charge of$ per h r labor plus the cost of materials. ❑ Dumpster/Disposal Includ ❑Other: Location: - - Install new Manufacturer yr Style/type I ded in this proposal are thorough cleanup,building permit,and company/manufacturer warranties. RUBBER ROOFING SPECIFICATION - trip Roof ❑Not Strip Roof -'— - - "- -- - -- - -- Xnslall 1/2"High Density Fiberboard to existing roof using lash obstacles as needed. screws and plates. Xnstall.060 membrane EPDM(Black)rubber roofing to stall 3x3 aluminum drip edge to perimeter of roof with fiberboard.s seam tape. lash up sidewall as needed. Included in this proposal are thorough cleanup,building permit,and company/manufacturer warranties. �. SPECIAL INSTRUCTIONS: /lew�-way r Des poae!_ dF 6)Y-s .vey wOD-0&7i 13ezK art It is agreed and underatoo i by and between Me parts.Net mi.specification Sheet,along were CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,cons111utee Me same or i any Of the terms.This terms modified or yerled In mying ay unen Me less such changes are in writing and rtheI,and them am no"met a gned Ey cl»N Ne Buyens)and Me Contractor. Solicits herebytackn not be Changed Or Its awledga that Buyeds) has mad the Simci ieathm Sheet `Z/ �Cl Buyer's Initials: Contractor Initials: (/r 7 Date: Y - . w A & A SERVICES, INC. VICES " 115 NORTH STREET,SALEM,MA 01970 • • IMklimaklmm Telephone:(978)741-0424 Fax:(978)741-2012 - . - - - -- Contractor Registration No. 101609 - - - Federal EIN:04-3090162 Construction Supervisor No.CS057733 WINDOWS AND STORM PRODUCT SPECIFICATION SHEET Buyer(s)Name Date of Contract . - 7o-141LI f Joy Buyers)Street Address,City,State and Zip Code /8 171<7-W77V-dn/VE BLVb • SA1t&104 r14,19 al57o Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address 97t3-74y-/zoq The Buyindo listed above hereby jointly and severally agree to purchase the goads and/or services listed below,In accordance with the prices and terms desentetl on this Specification sheet and the front and the reverse of the accrompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which Mls Specification Sheet is a part. - WINDOW REPLACEMENT ORemove and dispose of# 3 existing windows. �f Install # 3 new .$•r!/V/LlSLr windows:�Y /inyl If Wood - (Manufacturer) Options: Style 09 (IAVU t//¢M0 Grid pattern .✓1,4 Colorinterior A/.i// 72F— Color Exterior —j�ildyI%tr Glass Type kR. 910 Wrap exterior trim with aluminum: Style �V - U/0A;_p Color Sd1N M2T7Z. (_YYl All windows will be installed according to the installation procedures in the portfolio. IT Caulk all interior and exterior edges. 0 Insulate where possible around new units. ��Insulate window weight pockets if exist,and around new window units where possible. to Included in this proposal are set up,clean up,Heps vacuum and cleaning windows inside and out. Qf Building permit included. BAY/BOWS/CASEMENT UNITS/ANY FULL CONSTRUCTION WINDOWS If Create new window opening by cutting through existing home and framing in opening. 1 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. If Install window(s)into opening(s). Note: It Bay or Bow installation to include cable support system,new roof system(matching color as close as possible) or tie into existing soffit system. -"- - -- - --- -- _---' ' --" - ""-" t Bay If Bow If Casement t Other window(s)to include new interior style trim and new exterior style trim and head Bashing as needed. �i Note: Painting and staining not included. STORM PRODUCTS - ? Remove and dispose of# existing storm window(s). If Install new storm windows# Manufacturer Style Color Option 1 Remove and dispose of# existing storm door(s). . If Install new storm doors# Manufacturer Style Color Type: If Aluminum If Solid Core SPECIAL INSTRUCTIONS: derpf)AL- AteV MISc koT 1501� A-aOVAIV G'Wk1LlOyL- al— /,c�lnlDohls LZZ21FP'' v twl21W AZ[imlNio� Go/L STtrC� , II It agreed and understand by and between the pentes Mal MIS SpecMcatlon Sheet along wM CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,candidates the enure understanding beareen Me eartles,and there are no verlfel understandings changing or meddling any of the berme.Title contract may rot be changed or he terms modified oryened In any any Unless such chadges are In welting and attend by bass Me Buyers)and Me Conrad n BU IS)hereby=MO edge Mat BUyef(9) Me read Mls Spscinutan Sheer. Contractor Initials: Date: 7-2�-oS Buyer's Initials: Date:7��Z9 - - a A & A SERVICES, INC. 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 - ENTRY DOOR SPECIFICATION SHEET - Buyers)Name Date of Contract _ Z#A/ t Tv y Fislf�t 7- 2-7 —60 Buyers)Street Address,City,State and Zip Code /8 HA�r�/onnie ISLvD, .�f4e�41 MIV 01970 Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,In accordanco with Me 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 pan. ENTRY DOOR Remove and dispose of# existing entry doer units. /0Install new entry doom# n Manufacturer S 77fer�A�✓� y Location Aek Type: ❑Steel ,WmoothStarr ❑Fiberclassic ❑ClassicCraft ❑Sliding Patio Door ❑French Hinged Patio Door Model# t2-7& Sidelight(s)#N/!4 Sidelight(s)type/model# OPTIONS: N1177- ktl##y rti X11Y6sYL - X'Adjustable threshold for ThermaTru Door ❑Grids for patio doors: Style: 4/LL Stain Kit: Supplied to owner '/yy-6cpand or shrink the size of the opening Details Xcbver exterior trim with aluminum coil stock: Style Color sUkVIHZeK' [all�Caa¢'T' Hardware: Xiandelset "itpladbolt ❑Fbotbolt ❑Mail Slot ❑Peepsite - X Install oak strip at floor as needed. kow-r,> At//\Lr XCaulk interior antl exterior edges. )go Insulate around new door unit where possible. Painting is not included. Included in this proposal are set up and clean up. -' - -- - - STORM DOOR ❑ Remove and dispose of# existing storm debris). ❑ Install new storm doors# Manufacturer Style Color Type: Of Aluminum ❑Solid Core ❑ Location: SPECIAL INSTRUCTIONS: - //vs�a-/ L evvw ilv�n-/rnz Arv� ek7xr�/�n2 7�z/sty _ It Is agreed and understood by and between the parses Mat this Speciacatlon Shaer,along with the CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,apnea- twee the emirs undaistending between the Parties,and there am Iw verbal understanding*changing or mos itying any of the terms. ThIs eontrsp may not be changed or he farm modlfied or varied in any way unless such changes ere In writing and signed by both the Burette)and Me Contractor. Buyer*)hereby eclmowled's Mat Buyers)has read this Specification Sheet q - Contractor Initials: CJ'7 Date: 7�z9�DB Buyer's Initials Datc:kfzo - �/�Cs c� A & A SERVICES, INC. SOMICEa Telephone:115NORTH)TREE 24 Fax:(978 741 200ITAIIIIIIIII 12 1 , - Contractor Registration No. 101609 Federal EIN:04-3090162 Construction Supervisor No.CS057733 _ r'TiSTOM REMODELING AND IMPROVEMENT AGREEMENT Buyer(s)Name Data of Contract - ! THrI --Tdv FISHFX Buyers)Sheet Address,City,State and Zip Code /S A1,fwrhv72Iv,&' & vo' seams+ parr o197v Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Adore.: M-W II-120 9 The Buyer(s)listed above hereby jointly and severally agree to purchase the goods andlor services(lsted on tins accompanying specification shoal,In accordance with the prices and terms described on me front and me reverse of this agreement and any specification sheets(this-Agreement),and Buyers)have requested that such goods or services be installed or provided at Buyer's address listed above.A Services,Inc.(-Contractor),hereby agrees ro Install or cause m be Installed are products or services listetl in his Agreement at the Buyenst address written above.-This Agreement represents a cash sale of goods and services. The Buyers)agree to pay in caz me cost of me ootls and services p based as tlescnbetl herein,regardless of timing or approval of any financing Buyers)may seek for their aurMass. D Purchase Price' ZI ZS , / .—,p / r Est Starting Data: 6�21 19 -30 Down Payment VOL) f/IVYL GVIA/Dax15 3?,18, Is,.Completion Date: 8�3 0—0 n'/ Z)G72 =,4 11"7-1 ❑Cash Amount Due on Start of Job' OWE hack ❑Credit Card Amount due on_of Completion: No. Amount Due on of Completion- .y�$. Expiration Date: Balance Due on Upon CompleGo , • CVC Cotle: 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 Buyer(s)has read the front and the reverse of this Agreement and has received a completed,signed and dated copy of this Agreement,Including the two attached Notice of Cancellation forms,on the data first written above. Buyer(s)also (I)acknowledge that they were orally Informed of their right to cancel this transaction;and(II)request that they be contacted via their telephone numbers or email,as listed above, in the event Contractor believes Buyer(s)would be Interested in any additional quality products or Services of Contractor. DO NOT SIGN THIS CONTRACT IE IT CONTAINS ANY III SPACES. A&A Services,Inc.�— Buyer(s) 9y. Signature Leo Signature In P- _. 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 lransacUon. See the following Notice of Cancellation form for an explanation of this right. menu TIGN:Tr).wwaamr W ns lwmeosnw n.reby muwmry pie.in MVWe N.t In ns wBm sMw wm w a aLpve corCsmlp wa ann.m.ainw pity m.r.Ynmrc wm apw m .pMMe enauwon.wvme steer)lsa b.en epry.Yw WlM secemwm N•E.«Yw.om..mcwsYmw Anme ewe anw R.puw�e N.oNw-p•M SIwI e.,.eYireamwdnnm ach erdtlLbn u gOreE In M.G.L cl W. y eem: OYe: a nab NT � 7c Z7 .Yw may urcel Nb OwieMbn.mtl wary pMW1y m oM of YW mar u,ral In.Y6Y9etlbn.wlYwl ary GBncllY m .diewon.,.fNnNm eWiW9am nwn us above wm.Ilyw camel.erry la.p.MYrdtl in, papaXM,wlman wee wmreoam non-ma etAmeame.nvoYu,aw.any pmp•Mawed m, oMpmsns madeWysY Ywwas wmremwsW is, nee 0:u,Mlmmeme.ieW le l ffiIramebeo y Yww Na kiwsorcem.wenrmwXabVluwireoinnce . M seY all sy..dwmwtoMy.mlmcanii NwNSnoid..eYr mnellwmislm, MymY slutsaromas sMln roam fmlwtp remipwN.swarmysYoicsneumeoem, ew ury venally hYe,eal MN,g ONtlMe benuatlOn MY Ce v,mYeE.MyoY mrcel.yw mu9l Went 9aP✓Ib lnldeelWl,q Wlol Me OenBBCWn Mll be raxelM].MYOY renwl.you mall . m��mlebl.mNeswwmlwr,eMdslme,mwMenu.ur ucaw mwuM wswn,asNa]. mwe.amWmNe selsr myaw,wav�,ln eabarmwsorea e..X mtlilbnnslm m®N.a .sinnsu%aMIY.MmyoYYww nr sepmr,:er ks cros st v ssn,waopbwN rd Mvaaw.eot.. rn'snim acwmearon.ar reY mar.ntr sen,wmplr con us wweys.mussell.r, rossresreis lone .ma as Win.sa ns swenem.n..ena flea. onadma seu.r,.Bweo me,.e.n angxnem of u.BooaamNa sewn.a.nae ,bk X reu M make se 0 ev.ilW0 m Ne seller.M Me main Mae ci pkh npm Yp ,18Y. X you i.mW 1M pin rawilapb m Its ambr rw NB S Wn bwe si pk*XRm up wMN Z11Xm o1 nN b.ladyp.WlkBMCumYebM.YOY meY,eWnOl Obro, mtlp9Wa 'MNIn'm UrY..I th Mb dYOYr N.ticed La�melMtlm,y.0 m.y nW,IMEIs[Vee mtlM BW1 wMON e,ry NNM,oblbolbn.IlywfllmmW Me Bx]a eKlleplamNe eellw.arilyou pree rAllnN wryNMec�etl.n.syou bllmmW NO gIN>Bvellenlembre SelM,arXpu p,e9 ' m,.WmtlM yYNel.Nirs.ni eIIbMM ..lorael Oer.Mtsindaral bremm Ne pz]am NeSWrW lw rode m,Xren yvu,emeln lleEb la peRMre,cem ml oblgaWrt+uwvMe CmtreG T.rara'Nb venmclbn. ii ni,Wer.epnM enE EMeE apY Mnmbv umewre Connor Ta tercel Mieoe,uactbn.m¢YwMMvaepnM WE.IeE¢M .I ll's anMbtlon min we,ry oN%wMen n.tlX.wa'G emlpAm,mAaA 15 mtlH pnCeDeLLn MkO ae,ry cNer wrNan Wm..reW elelpRm.mAaA©���a./1��1��jr{}� WM SaeeLS.Iam.MesuMwetb el8]e.NOT IATEfl TIWN MIONIGXT OF NOM StrM aeimn.M vechuaeN of B]a,NOT LATER THAN MIONIGM OF�./ lomel lose) I HEREBY CANCELTXIe IMNB 014. Cwuumergeignewre Dam XEREBYCANGELTNISTMNSTCTON. ca—merbse.. Gee - LJ S �dfad - A & A SERVICES, INC. Sb ,CIES 115 NORTH STREET,SALEM,MA 01970 Telephone:(978)741-0424 Fax: (978)741-2012 Contractor Registration No. 101609 Federal EIN:04-3 0 901 62 Construction Supervisor No.CS057733 CUSTOM REMODELING AND IMPROVEMENT AGREEMENT Buyers)Name Date of Contract To/ �v r Tay 7- 29-o8 Buyers)Street Address,City,State and Zip Code . /8 yAa✓THoW Al BLVD , 5,41-6yl MKJ 0/97 D Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address: 97�-7NN-lZo9 The Buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed on the accompanying specification sheets,in accordance with - the paces and terms described on the front eat the reverse of this agreement and any specification sheets(this'Agraement"),and Buyer(s)have requested that such goods or services be installed or provided at Buyer's address lined above.AA,A Services,Inc.('Comtracce"),hereby agrees to install at cause m be Installed the products or services listed in this Agreement at the Buyer(s)address written above. This Agreement represents a cash sale of goods and services. The Buyers)agree to pay in cash the cost of the gootls and services as rchasetl tlescnbetl ereln re ardless of timing or approval of any financing Buyers)may seek for their purchase 3 yo v1� e7z Purchase Price: 27 23, Eat.Starting Date: a Est.Completion Date: 8 30-0 Down Payment: D0 P ' DD ❑�ah Amount Due on Stan of Jab: X s In - UU feet Card Amount due on_of Completion: Ne. Amount Due on_of Completion: Expiration Date: - Balance Due on Upon Completion: /8Z3 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 Buyer(s)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,on the date first written above. Buyer(s)also (D acknowledge that they were orally Informed of their right to Cancel this transaction;and(H)request that they be contacted via their telephone numbers or e-mail,as listed above, in the event Contractor believes Buyers)would be interested In any additional quality products or services of Contractor. DO NOT SIGN THIS CONTRACT IF IT CONTAINS ANY BLANK SPACES. - A&A Services,I2� Buyer ) fw Slgnatdie =,b 1Jr"y Si atui - - Print Name J 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. ARBITRATION:mBnomretbr vp N.MmBOn'ner nerBtry mvtutlH anm in BavBrca lost u,me wMm elm.party�aekuma Wncaming ui9¢n44Y.aims,paM roar avlm;il avth al.pulam - epromesOhrobanservbwnMleeopenepgwe]by the severYya met EasemWe omw of Consumer Afai4nd 31AW,a RyylaW eM me M;n Wand Ire heated l0 submit to aum madman Aw mwW In Kal.b141A c !� ✓y - 000&mth-b.. Darmu con: Dam . O��aANOm I Anna '� NQCN I cote d Tm BB ml ro asWom �2-� !V..may nb renaectbn,...Any peneiy n or Date of Trmmm —Z .Y.may an en mho bardermon,without ear penally or andralbn,within Ml..WNressaay been be mwe df 11pa-1.-1 p,ouvty bade.In, ..palm,whin mat teNnom days kom me e[ave dame.Il yW„enrol,any pnpMy betlm m, any prymanm nude by you under and,Canaan or Bed,ere any nondurable handmaid ezmlea any paymenn mace W you wWer me Center,in sab,eM any nev Xabhe WWment evmtad _ W you will be reNmM wMm lO days blbrAng howdl he the selor of your..It.-... by you kill be reNmear...1.d,A ful"ing rmmo by mB coed at yens- boadde MtlCB, _ Arab Any amu.y lmml adding out.1 me ban,azwn well W aarcdleal it you Wve.you mug .arty m ouMy lnlerBN mad,but.111.a..n will M da dou9111 you-1.you muEl make aaPbb.m the adXer At yourr&sgBrca,in saturated,ugA'd Women an wMn,ceima. make Av.ato.Baler.,ou TNdende,in suEsunNCy as if ttt,]L.as what reveNea. Any parts amvBred to you under He Contract or salt:a you may it yw wean.mmpy calm me Any pWa Widened to you under rob coned,to sw:or ycu may,it you with.comedy,went me nmuclbna of me sound exandngmA,ewm s.pmem M be poke of a.Sarum Aynre.and Iarrandxu of me Enter regvdlre me return mipmem of me goWa on mB award.pan..aM ,.k. a you do make W Boom milmb to me Salim uW the seox was not phak them up Nk. 11 you do make the pees aveileNe b me Bear vW the sear Was W pie,them up women M days of he doe of your Notion of Caemllatbn.you may remin or meprce of the debate ..me.a an of me We .1 or Neids of Cafcermim.you may btur ry elimme.1 to goods warms any lather.edoestn.It you v ado k.me Bodies evaded.to me Sauer.or n you agree whorls ear motor Woman.a you Ad m nWe ma foods evadable m me same,or it you area to remrn me moves to me samer and Iim to de W,men you nmaln bade he ewharmanae Nell be boom W¢Ms to ice Enter aM fad b do m.men you roman Incl.for wrkrmence of A, .wAAWna.Mm ma CmheN To cor,WmmaArtenason,man aaelMr A aromae and dated body a.ymma under m.Comre6 To®nrel me vtlur4 mad or.Never a Lgnea.W dated beer N ere Amendment nmcB or Any,deer wdnen name.or saw a 1Neprem,to A"wervand,11155 of the woblanen roam or any other w,RBn rW[B,or s.N A feea2m,to Ad AA Shaves, North strM,Broken,.—.u..1W0,NOT LATER THAN MIDNIGHT Cell —,.p No.Steel Sam..Mmae..m ic..NOT LATER THAN MIDNIGHT OFF (Derv) (Date) I HEREBY CANCEL THIS TRANSACnCe. Canwmre egneWrB Dae HmddYCANCELTHISTMNSACInCdL cmvti.Y95pnaWR Dete