260 LAFAYETTE ST - BUILDING INSPECTION (2) ry The Commonwealth of Massachusetts Town of
U Board of Building Regulations and Standards 110mon
Massachuscils State Budding Code, 780 CMR. 7'a edition Building Dept
ly' I Building Permit Application To Construct. Repass, Renovate Or DeiNumbeirs
sh a
�I One.or rn'o.Furru/s'Dis elbng
This Section F ORcial Use Onl
Date A lied: '
Building Permit u c PD
Signature: Budding Commtsti nspfct of uddings Date
CTION l: SITE INFORMATION
1.2 Assessors Map i Poredl
Parcel Number
1,1a Is this an accepted street''yes no Map Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use La Area(sq h) Frontage IR)
13 Building Setbacks(ft)
Front Yard Side Yards Rem Yard
Required Provided Required I Provided Required Provided '
1.6 Water Supply:(M.G.L c.40.154) 1.7 Flood Zone Information: I.g Sewage Disposal System:
Zom: _ Outside Flood Zone? Municipal O On site disposal system O
Public O Private O Cheek if
SECTION 2: PROPERTY OWNERSHIP'
2."wear'a Record:
Name IPnnt) Address for Service:
Signarms Telephone
SECTION l: DESCRIPTION OF PROPOSED WORK'(cheek all that apply)
New Constnrclion O Existing Building O Owner-Occupied O Repairc(s) O Alteration(s) O Addition O
pemolition O Accessory Bldg.O Number of Unite_ Other O Speeiry:
Brief Description of P MCIa Work':
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: 011111clal Use Only
Item Labor and Materials
1. Building f � � 0'D I. Budding Permit Fee: f Indicate how fee is determined:
O Standard City/Town Application Fee
2 Electrical f O lJ'V O Total Project Cost'(Item 6)x multiplier x
J Plumbing f -q/6- Zl) 2. Other Fees: f
a *lechantcal IHVAC) f D List:
s Nechamcat (Fire f Total All Feet: f
Su ression
Check No. _Check Amount: Cask Amount:_
A Total Project Cost f "�' Q� ❑ Paid in Full 0 Outsundtng Balance Due'
SECTION !: CONSTRUCTION SERVICES
9.1 Licensed Construction Supervisor ICSL) —2� 6-6r,"
?Q-iC-6V{rL) U M/90/so&/ Lrccnse Number Esprration Oate
Y,yee ul CSL lf91Jn List CSL type Ix't below) e S
AJlrss Ts PC Description
OD
Unresutcmd u to 33,CM
Restricted IA2 Fame Duelling
S�an+rure .Na Only
RCResidential Rooting Covering
Trkphone S J� 5 �3 5 � RestJenttal Window and Siding
6 Residential Solid Fuel Burning Appliance Installation
Residential Demolition
3.2 Rfgl ter Ho Improvement Contractor /��S O T
HIC Compan NameorPHCRtgistracreNamir Registration Number
A
Expiration Date
Signanoe Telephone
SE ON 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.I. e. ISL 12SC(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached' Yes.......... O No........... O
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject property hereby
authorize to act on my behalf,in all matters
relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b:OWNERr OR AUTHORIZED AGENT DECLARATION
1, A / C A14rQ /T Xl 9 191SGA/ ,as Owner or Authorized Agent hereby declare
that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and
behalf.
Print N
Sign o(Ownefof Authorized Agent Date
(Soicned under t ns and penalties ofperjury)
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will am have access to the arbitration
program or guaranty fund under M.G.L. c. I42A. Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110,R6 and 110.R7,respectively.
2. When substantial work is planned,provide the information below:
Total floors area(Sq. Ft.) tincluding garage, finished basement/attics.decks or porch)
Gross living area(Sq. Ft.) Habitable room count
.Number of fireplaces Vumber of bedrooms
Number of bathrooms Number of half.baths
Tvpe of heating system Number of decks porches
T.Tic ofcooltngeyctem Enclosed Open
1 "Total Project Square Footage'may he suhsmuted for 'Total Project Cost"
-b CITY OF S.U.EM, NLUSACHUSEM
40
BUaDLNG DEPARTMENT
1'_O WASHINGTON STREET. )ao FLOOR
TEL (978) 745-9595
FAX(978) 740-99"
KI,fDERL>:Y DRISCOIl
MAYOR TiO&W ST.PMRRS
DIRECTOR OP PLOLIC PROPERTY/{l'Q.DLNG COSMOSSIO\ER
Workers' Compensation Insurance Aflldavit: Builders/Contractors/ElectricianslPlumberf
Atsnlicant Information Ptesse Print Legibly
V21net9ujmeaa0rgaauafiotvindiv,da1): Il. 1G I�AYu
Address: -7 J, /7 ow � v
City/Stateizip. - L Phone N: y c6 S�3 S��lo G
Are your ploye►'Check the appropriate box: - Type of project(required):
I. am o cniploya with_[_ 4. Q 1 am a general contractor and 1
employees(full and/or pan-time).• have hired the sub.cauracoore b. Q New constru
2.Q 1 am a sale proprietor or partner. listed on the attached shave : y akling
ship and have no employer Then sub-contractors have a. Q lJenwlition
working for me in any capacity. worker'comp.insurance 9. Q Building addition
[No worker'tomµ insurance S. Q We an a corporation and id
mquirml.( officers have exercised thole I0.0 Electrical repair or additions
J.❑ 1 am a homeowner loin{all work right of exemption par MOL 1 I.❑Plumbing repairs or additioro
myself.(Na workers'comp. c. 13Z 11(41 and we have no 12.0 Roof minim
insurance requited.(t .mpbyeea.LNo workers'
Cornµ insurance regttised.) 110 Other
•Any apphcam iM daub boa el mum ale roe out llw racli bsisw Ae as fhdrrolkwa'ca,p,on,r policy inf wi nadee.
'I Lmwuw,wo who tabour dole affidavit indicating[hay we doite all rod and thb hira eu4i4 coauarmts most wMnb•few alRdwa iftJlcmip eta►
T..enamn,haf cbmk ibis boo erns anschad ao adfatimrl.hoe thawing tb franc d Iles wi►ceferaasme and tltsli,-aims'cpq.pW i y iohnwaaM
f us an atnp/eyer that hi providing workers'cowptssube ingaroaeejor apy tarpfoyeesy Sekee 1s tAePWky cad Jf&rlMr
information.
Insurance Company Name:
Policy 4 or Self-ifs. Lie. p �/- Espiralioo Data:
Job Site Address: City/StatwZip:
attach a copy of the worker'co pee a polky deelmiloe pap(skewing
the pollry member and expiration dNejV
Failure to secure coverage as required under Section 25A of MGL a 152 can lead to the imposition of criminal penalties ore
fine up to S 1,500.00 and/or one-year imprisonment.am well as civil penalties in rate form are STOP WORK ORDER and•Her
of up to 5250.001 day against the violator. Ile advi+avl that a copy of this statement may be forwarded to the Ot7fce of
I it cahguf inim call lie MA for insurance coverage verification.
f Je hereby crrdfJ J tepwipsir peno/i a ojper/ery that the inlorarallon provided above is true and setae&
PtoncJ• \�25 6L 3
O/Jlcisf uaa only. he of of write in this area,to be.vinpletd by city or town a//k-iaL
City or fuwn: Yrrmit/I.leanre I
hsuing Aulhurily (circle une):
I. Iluard u(INAIN 2. Ruilding Department J. City/town Clerk t. Hlectricai Inspcctor S. Plumbing Impeetor
6. 01 her
l„nlact Person: _ __ _.. Phone e'
`_. .. - Board auia'id oB ROE K°Dose an6ie aora° `
'I HOME IMPROVEMENTCONTRACTOR
Reglstratlon:s,118509 TM 281414
Expiration:_3129/2011
i.:ry� D ?;
R1J1 CONSTRUCTi`OH !a,
{ RICHARD MADISON`
3MADISONAVE `�;;,;<_✓r. Administrator
t GROVELAND,MA 018
Massachusetts- Department of Public Safeth \
Board of Building Regulations and'StandarJs
Construction Supervisor License
License: CS 30000
Rest}ieteA..to: 00
RICHARU NIADISO
3 MADISOIJ`AVE',, ??t
GROVE LAND.MA,01834"
Expiration: 7M/2011
c ummlaaHnier Trn: 17764
132"
W2736 W3016 V1236RW36
o r:
30 W361824 3DB27 A
30AANGEl CD
m v
m
N
J
__101
I� Jaymarie
Jim D y
o 8� A
Barton-Palermo -I_
Approve Final Design c
m 0
K
OD J d `-� m to
o A
3 024 U249024
W30
119 4' 39 Z"
159;"
All dimensions size designations This is an original design and mustM
given are subject to verification on not be released or copied unless
job site and adjustment to fit job applicable fee has been paid or job
conditions. order placed.
a260f56c.kit
CITY OF SALEM
PUBLIC PROPRERTY
a+ . .
/ DEPARTMENT
>I 110%'.%q IIX1.:oNSICHLET TO >.%It:%1, 1t.%iiAl I11 I I .,.
'1'rI:1)78.743:9395 • V%X:9711.740-9846
Construction Debris Disposal Affidavit
(required I'or all denwiition and renovation work)
In accordance with the sixth edition of the State Building Code, 780 CMR section 1 1 1.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit q _ . _ is issued with the condition that the debris resulting from
this work shall he disposed of in a properly licensed waste disposal facility as defined by MGL c
l 11. S 150A.
M
;;ZL
The debris will be disposed of in
(name oI MR Iry)
(address of facility)
/� .ignalure of Immit a 11c`ant
L — A-)
e
date
SPECIAL SERVICES CUSTOMER INVOICE Page 1 of 6 NO. 2686-1 941 1 7 >
Store 2686 SALEM,MA Phone: (978) 741-9299
50 TRADERS WAY Salesperson: MLE05N
a SALEM, MA 01970 Reviewer:
Name Homo Phone
BARTON-PALERMO JIM & JAYMARIE (978)594-1290 REPRINT
Ad'm- 260 LAFAYETTE wo'" Me (617)417-9538
Company Name
city SALEM Jo'08-00- 10/29 FITS KITCHEN/INSTALL
sA° MA by 01970 0auny ESSEX 200910-3112:53
CUSTOMER PICKUP #1 MERCHANDISE AND SERVICE SUMMARY od`tocustomers ht to limit the quantities of merchandise
REF# W09 SKU# 515-664 Customer Pickup/Will Call
STOCK MERCHANDISE TO BE PICKED UP:
REF# SKU CITY I UM I DESCRIPTION ITAXI PRICE EXTENSION
R07 341-218 1.001 EAJ EVOLUTION COMPACT/ Y 169.00 $169.00
R08 1 832-357 1 1.001 EA WS130WW-ALLURE 30 RANGE HOOD/ $179.001 $179.00
SCHEDULED PICKUP DATE: 11/11/2009 • 348.00
O TOMER PICKUP-REF#W09
VENDOR DIRECT SHIP #1
TO: CUSTOMER
S/O-MERCHANDISE TO BE SHIPPED: S/O THOMASVILLE P.O.#86574912
REF# SKU OTY UM DE TAX PRICE EACH EXTENSION
SO401 619-381 1.00 EA APC/APC ALL-PLYWOOD B PC Y $933.13 $933.13'
SO402 619-381 3.00 EA TB8-WD14/TB8-WD141/ TOE BOARD IT88-WDI4 MODS:W=96° N $30.65 $91.95'
W2=96° H=4 1/2" D-
S0403 619-381 4.00 EA STKMLD9/ ACKED MOLDING #9 7-9/16"H/STKMLD9 MODS: N $128.87 $515.48'
W=96°W2- 9/16° D=3 1/2°
"'CONTINUED ON NEXT PAGE•«
WILL-CALL MERCHA P FOR WILL CALL
Will-Call items n the store for 7 days only. MERCHANDISE PICK-UP
Cheek your current order status online at PROCEED TO WILL CALL OR
www.homedepot.comforderstatus SERVICE DESK AREA
(Pro Customers, Proceed To The Pro Desk)
Indicates item markdown
Page 1 of 6 NO. 2686-194117 Customer Copy
SPECIAL SERVICES CUSTOMER INVOICE - Continued Last Name: BARTON-PALERMO Page 2 of 6 NO. 2686-1 941 1 7
VENDOR DIRECT SHIP #1
(Con6nued) TO: CUSTOMER
SO404 619-381 1.00 EA TEP249G-WD/TEP2490-WD END PNL 3/4'/TEP2490-WD FSIDES:B MODS:W=0 N $134.60 $134.60*
3/4' H=90' D=29'
SO405 619-381 1.00 EA ID29-EP/ID29-EP INCREASE DEPTH END PNLS TO 29'(/ATT:TEP2490-WD N $81.04 $81.04*
ID29-EP FSIDES:B
SO406 619-381 1.00 EA B33/B33 BASE CABINET/B33 FSIDES:B HINGES:B MODS:W=33' H=34 1/2' N $329.65 $329.65'
D=21'
SO407 619-381 1.00 EA RD21-DRW-B/RD21-DRW-B REDUCE DEPTH W/DRW(%)/ATT:B33 RD21- N $119.08 $119.08*
DRW-B FSIDES:B
SO408 619-381 1.00 EA SS33SP-RD21 /SS33SP-RD21 SLIDING SHELF W/PREMIUM GUID/ATT:633 N $131.41 $131.41*
SS33SP-RD21 FSIDES:B
SO409 619-381 1.00 EA BWB21 FH/BWB21 FH WASTE BASKET PULLOUT/BWB21 FH FSIDES:B N $324.23 $324.23*
SO410 619-381 1.00 EA SB36ST/SB36ST SINK B.WIrIPOUT/SB36ST FSIDES:B HINGES:B N $0.00 $0.00
SO411 619-381 1.00 EA STR/STR TOWEL RACK/ATT:SB36ST STR FSIDES:B N $36.78 $36.78*
SO412 619-381 1.00 EA B188/B18R BASE CABINET/618R FSIDES:B HINGES:R N $217.32 $217.32*
SO413 619-381 2.00 EA SS18SP/SS18SP SLIDING SHELF W/PREMIUM GUIDES FO/ATT:Bl8R SS18SP N $109.19 $218.38'
FSIDES:B
SO414 619-381 1.00 EA WTCDt6/WTCD18 WOOD TIERED CUTLERY DIV./ATT:Bl8R WTCD18 N $142.91 $142.91*
FSIDES:B
SO415 619-381 1.00 EA U249024/U249024 UTILITY CABINET/U249024 FSIDES:B MODS:W=24' H=90' N $586.43 $586.43*
D=21'
SO416 619-381 1.00 EA RD21-T/RD21-T REDUCE DEPTH NO-DRAWER(%)/ATT:U249024 RD21-T N $175.92 $175.92'
FSIDES:B
SO417 619-381 1.00 EA U249024/U249024 UTILITY CABINET/U249024 FSIDES:B MODS:W=24' H=90' N $586.43 $586.43*
D=21'
SO418 619-381 1.00 EA RD21-T/RD21-T REDUCE DEPTH NO-DRAWER(%)/ATT:U249024 RD21-T N $175.92 $175.92*
FSIDES:B
SO419 619-381 4.00 EA SS24SP-RD21 /SS24SP-RD21 SLIDING SHELF W/PREMIUM GUID/ N $135.00 $540.00*
ATT:U249024 SS24SP-RD21 FSIDES:B
SO420 619-381 1.00 EA TF393/TF393 TALL FILLER/TF393 FSIDES:B MODS:W=3' H=90' D=21' N $47.12 $47.12'
SO421 619-381 1.00 EA F330/F330 FILLER/F330 FSIDES:B MODS:W=1'H=34 1/2'D=24' N $14.94 $14.94*
SO422 619-381 1.00 EA 3DB27/3DB27 3-DRAWER BASE/3DB27 FSIDES:B HINGES:B N $0.00 $0.00
SO423 619-381 1.00 EA SLS36R/SLS36R SO SUPER-SUSAN/SLS36R FSIDES:B HINGES:R N $623.97 $623.97'
SO424 619-381 1.00 EA F342/F342 WALL FILLER (HORIZONTAL)/F342 FSIDES:B MODS:W=37 1/4' N $22.22 $22.22*
H=2' D=0 3/4'
SO425 619-381 1.00 EA W361824/W361824 WALL CABINET/W361824 FSIDES:B HINGES:B N 223.69 $223.69*
SO426 619-381 1.00 EA DW362424SR/DW362424SR DIAG W/SUSAN/DW362424SR FSIDES:B N $291.47 $291.47*
HINGES:R
SO427 619-381 1.00 EA W7836L/W7836L WALL CABINET/W1836L FSIDES:B HINGES:L N $185.82 185.82'
"'CONTINUED ON NEXT PAGE'
' Indicates item markdown
Page 2 of 6 NO. 2686-194117 Customer Copy
SPECIAL SERVICES CUSTOMER INVOICE - Continued Last Name: BARTON-PALERMO Page 3 of 6 NO. 2686-1 941 1 7
VENDOR DIRECT SHIP #1
(Continued) TO: CUSTOMER
SO428 619-381 1.001 EA MW3036/MW3036 WALL MICROWAVE/MW3036 FSIDES:B HINGES:B N $488.43 $488.43*
SO429 619-381 1.00 EA CORBELART9/CORBELART9 ART CORBEL 9' HIGH(R)/ATT:MW3036 N $167.37 $167.37*
CORBELART9 FSIDES:B
SO430 619-381 1.00 EA CORBELART9/CORBELART9 ART CORBEL 9' HIGH(L)/ATT:MW3036 N $167.37 $167.37*
CORBELART9 FSIDES:B
SO431 619-381 1.00 EA F336/F336 FILLER 36"H/F336 FSIDES:B MODS: W=1'H=36" D=12' N $18.39 18.39*
SO432 619-381 1.00 EA W2736/W2736 WALL CABINET/W2736 FSIDES:B HINGES:B N $266.96 $266.96*
SO433 619-381 1.00 EA W1236R/W1236R WALL CABINET/W1236R FSIDES:B HINGES:R N $158.77 158.77*
SO434 619-381 1.001 EA F330/F330 FILLER fCUT 18-H /F330 FSIDES:B MODS:W=1 1/4' H=18" D=29' N $14.94 $14.94*
SO435 619-381 1.001 EA W3018/W3018 WALL CABINET/W3018 FSIDES:B HINGES:B N $171.19 $171.19*
SO4FR 506-658 1.001 1 KITCHEN CABINET FREIGHT N $179.10 $179.10
VENDOR-SPECIAL INSTRUCTIONS: LINE:THMASVIL DSTYLE:LANGSTON CHERRY USTYLE:LANGSTN-CHY-SQ LSTYLE:LANGSTN-CHY-SO WOOD: APC
FINISH: LIGHT DSGNR:MLE05N SB FREE PER PROMO$0.00 DONE IN SPECIAL SERVICES...3DB27 OK$.00 PER JASON
BRODY ALSO DONE IN S SERVICES
S/O-MERCHANDISE TO BE SHIPPED: S/0 THOMASVILLE REF# S05 ESTIMATED ARRIVAL DATE: 11/27/2009 P.O.#86574913
REF# SKU OTY UM DESCRIPTION TAX PRICE EACH EXTENSION
S0501 503-811 4.00 EA KNOBM551 /KNOBM551 KNOB MODERNIST MATTE BK/KNOBM551 N $6.89 27.56*
S0502 503-811 1.00 EA APC/APC ALL-PLYWOOD BOX 20% /APC N $95.40 95.40*
S0503 503-811 1.00 EA W3030/W3030 WALL CABINET/W3030 FSIDES:B HINGES:B MODS:W=30" N $189.02 $189.02*
H=30" D=9"
S0504 503-811 1.00 EA RD9-W/RD9-W REDUCE DEPTH WALL I % /ATT:W3030 RD9-W FSIDES:B N $68.28 68.28*
S0505 503-811 1.00 EA W3630/W3630 WALL CABINET/W3630 FSIDES:B HINGES:B MODS:W=36" N $207.15 $207.15*
H=30" D=9"
S0506 503-811 1.00 EA RD9-W/RD9-W REDUCE DEPTH WALL I % /ATT:W3630 RD9-W FSIDES:B N $74.83 74.83*
S05FR 506-658 1.00 N $0.00 $0.00
VENDOR-SPECIAL INSTRUCTIONS: LINE:THMASVL2 DSTYLE:TERRACE FOIL WHITE USTYLE:TERRACE-AR LSTYLE:TERRACE-SQ WOOD:APC FINISH:
WHT-FOIL HDW:KNOBM551 DSGNR:MLE05N
VENDOR WILL SHIP MDSE TO: BARTON-PALERMO JIM&JAYMARIE
ADDRESS: 260 LAFAYETTE CITY: SALEM
-CONTINUED ON NEXT PAGE'*'
* Indicates item markdown
Page 3 of 6 NO. 2686-194117 Customer Copy
SPECIAL SERVICES CUSTOMER INVOICE- Continued Last Name: BARTON-PALERMO Page 4 of 6 NO. 2686-1 941 1 7
VENDOR DIRECT SHIP #1
(Continued) TO: CUSTOMER
STATE: MA ZIP: 01970 COUNTY: ESSEX SALES TAX RATE: 6.250 • • $9 044.65
PHONE: 978 594-1290 ALTERNATE PHONE: 617 417-9538 PAGER:
END OF VENDOR DIRECT SHIP
INSTALLATION #1
REF# 101
ESTIMATED INSTALL BEGIN DATE: 10/30/2009 ESTIMATED INSTALL END DATE: 11/29/2009
BASIC INSTALLATION LABOR:
SKU I DESCRIPTION I CITY UM I TAXI PRICE EACH I EXTENSION
282-627 KITCHEN POINT NATIONAU 1 0.001 EAl N 1 $0.011 $0.00
OPTIONAL LABOR SELECTED INCLUDES:
OPTION DESCRIPTION CITY UM TAX PRICE EACH EXTENSION
1 KITCHEN CABINETS WORKSHEET POINTS FOR DEMOLITION,DEBRIS 155.00 EA N $29.00 $4,495.00
REMOVAL,ELECTRICAL,PLUMBING,AND APPLIANCE(UTILIZE THE KITCHEN POINT
WORKSHEET TO OBTAIN TOTAL NUMBER OF POINTS).
2 PER CABINET INSTALLATION(INCLUDES WALL,BASE,PANTRY,PENINSULAOVEN,& 16.00 EA N $69.00 $1,104.00
APPLIANCE CABINETS. INCLUDES SHELVES,FILLERS,SCRIBE,TOE KICK,HANDLES,&
KNOBS.)KEY THE NUMBER OF CABINETS TO BE INSTALLED IN THE QUANTITY SECTION.
3 PERMIT FEE 650.001 EAI N $1.001 $650.00
INSTALLATION SITE NAME: I BARTON-PALERMO JIM &JAYMARIE INSTALL LABOR CHARGE: $6,249.00
ADDRESS: 260 LAFAYETTE TRIP CHARGE: $0.00
CITY: SALEM STATE: MA ZIP: 01970 CREDIT FOR DEPOSITIMEASURE: 100.00
COUNTY: ESSEX SALES TAX RATE: 6.250 TAX: Merchandise- Y LABOR- N • • $6 149.00
PHONE: 978 594-1290 ALTERNATE PHONE: 617 417-9538
BASIC INSTALLATION LABOR INCLUDES:
...AN IN-HOME MEASURE CONSULTATION IS REQUIRED FOR PROPER
Page 4 of 6 No. 2686-194117 Customer Copy
SPECIAL SERVICES CUSTOMER INVOICE- Continued Last Name: BARTON-PALERMO Page 5 of 6 NO. 2686-1 941 1 7
INSTALLATION #1
(Continued) REF#101
UNLESS STATED ABOVE THIS INSTALLATION DOES NOT INCLUDE:
...ADJUSTING OPENINGS OR ANY WORK INVOLVING LOAD BEARING WALLS
SPECIAL NOTES:
...CUSTOMER MUST BE PRESENT DURING THE INSTALLATION(MUST BE
END OF INSTALL#1
INSTALLATION #2
REF# 106
.ESTIMATED INSTALL BEGIN DATE: 10/30/2009 ESTIMATED INSTALL END DATE: 11/29/2009
BASIC INSTALLATION LABOR:
SKU I DESCRIPTION I OTY UM TAX PRICE EACH I EXTENSION
347-967 1 F&I STARON SOLID SURFACE CTOPS/ 1 1.001 EAJ N 1 $0.011 $0.01
OPTIONAL LABOR SELECTED INCLUDES:
OPTION DESCRIPTION OTY UM TAX PRICE EACH EXTENSION
7 EDGE DETAIL PER LINEAR FOOT-GROUP A 1.00 LF N $0.01 $0.01
25 STARON INTEGRAL BOWL SINKS MUST SEE PRODUCT SPECS FOR DETAILS 1.00 EA N $496.00 $496.00
40 'PROMO'10/29-1/27/2010'STARON INCREDIBLE PRICE'W/MIN PRCH OF 25 SF.ORDR MST 43.55 SF N $37.00 $1,611.35
B PD FLL BY 1/28/2010.ORDR ADJSTMTS CMLTD BY 2/18/2010.MAY ONL B CMBND
W/BARCODE AND/OR STRN FREE SINK.NO CRD APLD IF OFR RFSD.STD FAB&INSTLTN
CHRGS
INSTALLATION SITE NAME: BARTON-PALERMO JIM &JAYMARIE INSTALL LABOR CHARGE: $2,107.37
ADDRESS: 260 LAFAYETTE TRIP CHARGE: $0.00
CITY: SALEM STATE: MA ZIP: 01970 CREDIT FOR DEPOSIT/MEASURE: $0.00
COUNTY: ESSEX SALES TAX RATE: 6.250 TAX: Merchandise- N LABOR- N • • $2 107.37
PHONE: 978 594-1290 ALTERNATE PHONE: 617 417-9538
INSTALLER SPECIAL INSTRUCTIONS: COLOR SANDED CREAM
BASIC INSTALLATION LABOR INCLUDES:
CONTINUED ON NEXT PAGE"'
Page 5 of 6 NO. 2686-194117 Customer Copy
SPECIAL SERVICES CUSTOMER INVOICE - Continued Last Name: BARTON-PALERMO Page 6 of 6 No. 2686-1 941 1 7
INSTALLATION #2
(Continued) REF#106
1.IN HOME INSPECTION TO VERIFY LAYOUT,MEASUREMENTS,SPECIAL
UNLESS STATED ABOVE THIS INSTALLATION DOES NOT INCLUDE:
SUPPORT MATERIAL FOR OVERHANG(REQUIRED FOR OVERHANGS OF 6'OR
MORE
SPECIAL NOTES:
NO WORK WILL BE DONE ON WEEKENDS OR HOLIDAYS.
END OF INSTALL#2
TOTAL CHARGES OF ALL MERCHANDISE & SERVICES
7BALANCEDUE
$17 649.02
SALES TAX 575.85
TOTAL $18 24.87$0.00
END OF ORDER No.2686-194117
Page 6 of 6 N0. 2686-194117 Customer Copy