23 LINDEN ST - BUILDING INSPECTION (2) The Conunumccalth of Aassachusetts
jQ e` Board of 13ullding Rceulutiuns and Standards %It NIL'[PAI.I'I 1'
�.. 9 Massachusetts State Building Code, 780 ('s1R. 71i edition I '.Sl:
Building Permit Application To Construct. Repair. Reno\ate Or IDeloolish a h,rr.,rJ.homalI
r 'un•4
\ One- or Tiro-Fru,ti(r Dlrrllin.G
This Section For Ofticial Use Only
Building Permit Number: Date Applied:
Building Canvnisswl Ins(ectur of Bill
Dale —_-1
SECTION I: SITE INFORMATION
1.1_Prop y address: 1.2.Assessurs Map & Parcel Numbers
�7SL 1��10/1 YZ- I
M1la Number Parcel Number
1.1 a Is this an accepted street'? yes_ mo— P
1.3 Zoning Information: Lit Property Dimensions:
Zoom District Poposed Use Lot Area(sy 1'U Frontage Ili t
r .
1.5 Building Setbacks(ft)
Front Yard Side Yards - Rear Yard
Required Provided Required Provided Required Pray idcd
1.6 Water Supply: (M.G.L c.40. §54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone'? Municipals❑ On site dispn.sal system ❑
Public❑ Private ❑ Check it yes❑
n��� SECTION 2: PROPERTY OWNERSHIP'
j
2.1 ord
"G(/°rl` : /JJ%
Name n t) � Address For Service: -
�lliti !2-2k 7yS 977,5
Sienaturc Telephone -
SECTION 3: DESCRIPTION OF PROPOSED WORK"(check all that apply)
New Construction ❑ Existing Building ❑ Owner-Occupied Repairs(s) ❑ Alt era ion(s) ❑ -Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Deseriptio A Propus . o k-:
�C
t �2 /2 �/2 GOG7
SECTION d: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
llem (Labor:md Materials)
L Building 'S 1. Building Permit Fee: S Indicate haw tee is determined:
❑ Standard City/Town ;\pplication Fee
2. Electrical $ ❑Total Project Costa (Item 6) x multiplier .x
I
3. Plumbing S 2. Other Fees: 5
J. Mechanical (HVAC) $ List: j
5. Mechanical (Fire S Total All Fees: S
Su? ressinn) _
Check No. Check .\mount: (':Ish :\nnwnc
j b. Total Project Cost: S rj 70 ❑ Paid In Full ❑ Outstanding Balance Due:___...__J
v
SECTION 5: C'ONSTRUCTION SERVICF,S
5.1 Licensed Construction Supervisor (CSI.) 2(� , /
SLicense Numhei - liipir.0 too I ..
, 'a n• rf C"I lot
J? I_i,l CSI_'fypc Ixe hdmvl
Tv e Dcsco nton
L Unrestricted (III) it)?5.000(Cu. 1-1.1
R Restricted 1�c7 Fan uwh nc DN cIIi -
RC RuatJe nual Ihtulinc(h�avte
Telephone 11S ResiJruo.d WlnduM .wd Sidine _
_ SF RcsiJ.•ntiA Solid fuel liurnine \ .ih:mcr hnl.dj".
- D Rntdenu:d Demolition -
5bRe ''Icr�dllamelm rovement 'o tr�ctor (IIIC)
C^ I --
li ' nnp:n N t c r IIC ei tr ri Na1nC Re_tstration Number
Ad Ir / D
xptrati m Date
Sitdnature I Telephone
SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152. § 25C(6))
Workers Compensation Insurance affidavit must be co fed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuanr the building permit.
Sistned Affidavit Attached'? Yes .......... No ........... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN .
OWNER'S AGENT OR CONTRACTOR
APPLIES FOR BUILDING PERMIT
Owner of the subject property hereby
authorize s to act on my beh:Jr. in all matters
relati work authorized y this building permit appli ton. /
- ���� I�� l U
Sign (ure of Owner Date
/SECTION 7b: OWNER! OR AUTHORIZED AGENT DECLARATION
Zorz-
I,[!!� //1f,/ .✓)✓// (m� ,as Owner or Authorized Agent hereby declare
that the statements information on the fo going application are true and accurate, to the best of my knowledge and
behalf. , - - - -
Print N m
Sienatlyeol caner or Autho zed Agent - _ Date 7 -
(Siened under the pains and penalties of perjury) -
NOTES:
I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(nut registered in the Home Improvement Contractor (HIC) PruLram), %vill trot halve access to the arbitration
program or:guaranty fund under M.G.L. c. 142A. Other important information on the MC Progr:un and
Construction Supervisor Licensing(CSL)can be found in 750 CMR Regulations I IO.R6 and I IO.RS. respectively.
?. When substantial work is planned, provide the information below:
I
Total !lours area(Sq. Ft.) (ineludin�garage, finished hasemenUattics, decks or porch) -
Gross living area (Sq. Ft.) Habitable room count
Number of fireplaces Number of hedrooins
Number of bathrooms Number of h:iWhmhs _.
rvpe or heating systern Number of decks/ pnrchcs --
Type of cuuline system Enclose) Open ---- — --
3. "Total Project Square Footage- may be substituted for "Total Project Cost"
J
CITY OF SALEM
;; PUBLIC PROPRERTY
?�Lj' DEPARTMENT
\L\! IJ: IiiN, I RII'I • Su
fh.l: ')-g-,JS.9jBi * F\\:
Workers' Cumpensation Insurance Affedavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Levihly
Name IBu.,l tie,s I)r_unttatnm ll Ili l\Idnal.I: A L A
Address: 11f tJolr--h 5+-r e.+ \
City;Stale•'Zip: 1-lin DI R-7b Phone R: 97S5 ) 7A I - 0)� 2�4
Are cou an employer:'Check the appropriate box: Type of project(required):
1.211 am a employer with 4. ❑ 1 am a general contractor and 1 6. New construction
employees(full and/or pan-time).` have hired the sub-contractors
'.❑ 1 am a sole proprietor or partner-
listed on the attached sheet. : 7• ❑ Remodeling
ship and have no employees these sub-contractors have 8. Demolition
working for me in any capacity. workers' comp. insurance. 9. Building addition
No workers' cum insurance . 5. ❑ We pre a corporation and its
re P 10.❑ Electrical repairs or additions
required.] officers have exercised their
3.❑ 1 am a homeowner doing all work right of exemption per MGL" I I.❑ Plumbing repairs or additions
myself.[No workers' comp. c. 152, §I(4),and we have no 1 !2 j oof repairs.
insurance required.] employees. [No workers' 13.0 Other
comp. insurance required.)
I •;\ny applicant that checks box NI must also till out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must-artached an additional sheet showing the name of the sub-cunmia ors and their workers'comp. policy information.
!um an employer that is providing workers'c•onspensation insurance for rrry employees. Below is the policy and job site
inforntution.
Insurance Company Name: :DO Try V �ht
Policy#or Self-ins. Lic. At: t_ D, t"M_ U Expiration Date:'t L. _
Job Site Address:,el��Hz&& — City/State/Zip: f'', A Q I9 -70
Attach a copy of the workers'compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of;viGL 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 ORDER 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 Office of
In\esrications of the DfA fur insurance coverage verification.
!do hereby c•ertijy n er the p ire"and penahies of perjury that the information provided ubore is true and correct
tii_n,llure: c /� 11 Dar.: —� 0
Phone e 9-2 p i 1 — U .
U/jirial use only. Do nut write in this area, to be completed by city or town ojjicial
(City or Tow n: _ Permitil.icense
Issuinf; .\uthority (circle one):
1. Board of health 2. Building Department 3. City row n Clerk 4. Electrical Inspector 5. Plumbing Inspector
b. Other _
Information and Instructions
N1.1s.achuaeus 6encral Laws chapter 15' requires all ennplo cis m pro%ide «orkers' compensation for their employees.
I' a su.u❑m ibis larute. ,m entplol'ee is Jetincd as".. c i ery person it the sen ire of another under any contract ofhire.
%pros or imp iied,oral or in riven."
.1n "implorer is deffined as"an indi%;dual, pare ncrship, association,corporation or other IL!,-,al entity, or any two or inure
,,I the IOregoing engaged in a Joint enterprise,and including the legal representati%es of a deceased employer, or the
recei%cr or trustee of an individual,partnership,association or other legal entity, ennpioy in_ employees. l lowc%cr the
u•a tier of a dwelling house hawing nut more than three apartments and a ho resides therein, or the occupant of the
,ht ailing house Of another who employs persons lu do maintenance,amstrucdon or repair x ork on such dwelling house
Or on the_rounds or building appurtenant thereto shall not because ol'such etnploynieni he deemed tu-he-an-employer.."- --
M(iL chapter 152. s2506)also states that "every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Udirionally. SIGL chapter 152, s+25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable ei idcnce of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
.%pplicants
Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if
necessary,supply sub-contractor(s) name(s),address(es)and phone number(s) along with their certificate(s)of
insurance. Limited Liability Companies (LLC)or Limited Liability Partnerships (LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the alydavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial .Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to till out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to ftll.in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permitilicense applications in any given year, need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
own)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
'File O(tice of Investigations would like to thank you in advance for your cooperation and should you hate any questions,
please do not hesitate to give us a call.
File Departnient's address, telephone and fbx 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
Re'.iscd 5-'6-05 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 wort,shall
be disposed of-in a property licensed facility as defined.by M. G. L c. 111, Sec.
The debris will be disposed at Salem Transfer Stations
owned by Northside Carting
u
Signature of PermttApplicant
-) 0
Date
Christopher Zorzv
Name of Permit applicant
A &A Services inc.
Firm Name
115 North Street, Saiern MA 01,970
address, C' ,State, Zip Code
Massachusetts Department of Public Safeh
Board of Buildmr Regulations and Stand.trds l
Construction Supervisor License-
License: CS 57733
` Restricted to: 00
CHRISTOPHER ZORZY
115 NORTH ST 1 _
SALEM, MA 01970 {
Expiration: 5/26/2011
('onunissiuurr Tr✓r: 14751
sue, —..—_ _,._•.__—p ..:._.—__ / —.--_,�.j -�„/g-•r:. ..
S- ✓lee "(Oomma4z(+iaaG�i o�✓l�Ca4a¢clte(dn.�a .
Board of Building Regulations and Standa'ds
HOME IMPROVEMENT CONTRACTOR,
Registration:,101609
Expiration: 6/26/2010 - Tr# 267870
� Type:- PrJate Corporation
I
A& SERVICES,INC. -
,Christopher Zorzy
1 15 North Street
U1ern' MA 0197b Administrator
Commonwealth of Massachusetts
Division of Occupational Safety
Laura M Marlin,Commissioner tr B
Deleader-Contractor IpltfU�U.
CHRISTOPHER ZORZY
Eff. Date 04/1 /1
Exp. Date 04/13/11
DC000440
Nlemberof C.O.N.ES.T.
BO
IIIIIIIIIII IIIII IIIII IIIII IIIII IIIIIIIIIIIIIIIIIIIIIII BOST ON-RENEW
P9 JQ
A & A SERVICES, INC.
A&A SERVICES 115 NORTH STREET,SALEM,MA 01970
111111-1910 1111MArd WO 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
Buyer(s)Name Date of Contract
-Do bf'4 A, Ibcfi-
Buyer(s)Street Address,City,State and Zip Code
L;ill del) Sf, S -e,, A , o If 9 a
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-mail Address:
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 prices and terms described on the front and the reverse of this agreement and any specification sheets(this"Agreement'),and Buyer(s)have requested that such
goods or services be installed or provided at Buyer's address listed above. A&A Services,Inc.("ContractoP),hereby agrees to install or cause to 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 Buyer(s)agree to pay in
cash the cost of the goo nil services purchased as describe tl herein,re endless of truing or eppr vat of an finer, ing Buyers) ay seek for theurchase.
G2 O' O C'U U LO/YHrr U?ll� i
Purchase Price_fJ�--�[] Rxsr��� �r7r r71pd-/ Est Starting Date:s1.f
-'
�
Down Payment L�� �N I IC'!5 rY�Tp-J� Est.Completion Date: �Z
Amount Due on Start of Job: �d� ❑Check
O Credit Card
Amount due on of Completion: No.
Amount Due on of Completion: 11..�� Expiration Date:
Balance Due on Upon Completion$ 2. 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 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 date 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 NOT SIGN THIS CONTRACT IF IT CONTAINS ANY
BLANK SPACES.
A&A Services�,jpp��//Ic,. Buyer(s
Signature L'4 dyN S�ature —1)C/ (7-,
Print Name plant Name
Signature
Print Name
You,the Buttons),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:The contractor and the fomeowner hereby mutual,agree in advance that in the event either pan has a dispute canceming this mmVddr,either pant may submit Such dispute TO
a private arbitration service which has been Approved by Me Secretary o1 the ecul Otlice of Consumer Affairs and Susine Melons read the other pan Shall shell be required to submitas
such mutation as paved In M.oL C 16 ,
pn¢; Two:
(1T OF AN F ATON
Otte W Transaction f U You may consul Ihis uansactioq without any penalty a Data or Tansaction .You may cancel this transaction,without any penelry or
obligation,within three E s deyslrom theabwe nor .111 you cancel,any pmpen traded ln, obligatiion,within Maie business days ham the above date.H you cancel,any proper,uadsolm.
arty payments m ae by o under the Contractor Sale,end any negotiable instrument evewled any payments made by you under the footrest or Sale,and any morpheble instrument consumer
by you will be mourner within 10 days following receipt by Me Seller M your penetration notice, by you.11 be returned within 10 days following swelpl by the Seller of your canceralian Mire.
and any seaurily mearesl Limo g oN of Me transaction wlll be propo led. II you[arse,you must and any secudry interest arising out M the transaction will be cancelled. If you eaocal,you muss
make avarmale ter Me Seller at your residence,in substantially as good addition as when morked. make available m Me Seller at Your resitlenre.In substantially se good condition as when received,
say goods deliveed to you under this Contract or Salle;or You may.If you wisM1,comply who the any goods delivered to you untler this Contract or Sala:or you may,if you war,comply with the
instructions M me seller examing the return Shipment of the goods at the Sellem expense and instructions of Me Seller regarding Me return shipment of the goods at the Sellers expense and
risk. If you tlo make Me goods available to the Seller and me Seller does cot pick"in up My. II You W make the goods available to the Seller and the Seller does not pick Main up
various ad days m the date of your Notice of Cancellation.You may retain or dispose of Me goods within as days d Me data of your Notice M Cancellation,you may retain or dispose of the goods
wimod any further daughter.If you lair So make the goods available to Me Sales or it you agree without any further purgation.if You fail for make Me goods available N the sales or it you agree
to return to goods to the Seller end fail to do na,Nan yeo remain fable for Ixedprmance of all b return the goods to Me Seller and fail to do so,then You remain liable for performance of Or
obligation untler the Spread.To cemberthis treression,mail ordervene s9oed and dated copy forgamns under Me Conrad.Tocancelmis transutior,mail or its Nim a signed antl dated spy
of [emanation notice or any omer shown notice,on send a tategred,to AS, 1s of Ns consulates notice or any Mher written make,or send a telegram,N A&A Sevires.ns
North Stree,Salem,Massachusetts 01970,NOT LATER THAN MIDNIGHT OF Nosh Slreat Salem,wormarusetts 01970,NOT LATER THAN MIDNIGHT OF
Brobs (Been)
I HEREBY CANCELTHIS TRANSACTION. Consumer's Signature Date I HEREBY CANCEL THIS TRANSACTION. Consumer's Signature Date
z A & A SERVICES, INC.
d&A SERVICES 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
b ;t +
Buyers)Street Address,City,State and Zip Code
2 3 aejvS+ I S 6
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address
-7S- _7 u.S- 6679 s7 -67Lk71l be r'F 0,
The Ruyens)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on
this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification
Sheet is a pert. ,,tea t
ROOFING SPECIFICATION IP r`6 03 Af2l( j S I�1Mt'o—A
Strip Roof of# layers of shingles -tv 4t-e JL4;✓1 konkgy
t Install 6'of ice and water shield at base of roof where $ Install 15.b felt paper to roof.
possible. Install 18-24"of ice and water shield in valleys.
t Flash chimney as needed(no repointing included). T Install 6"perimeter drip edge to rakes and fascia areas.
It Install vent pipe boots and seal as needed. $ Flash valleys as needed
$ Install rollout type ridge vent. t lanks/plywood replacement under 32 SO FT included,
f more is needed there will be an extra charge of$ -
per hour for labor plus the cost of materials.
$ Dumpster/Disp t Other:osal Included: y/
Location: G (`'' _��ctC 5
Install new roof: Manufacturer G6�4A%V)7� yr Style/type
luded in this proposal are thorough cleanup, building permit,and company/manufacturer warranties.
RUBBER ROOFING SPECIFICATION A,+ -foPo� Ti h+ AciA,+ZVU
$ rip Roof 9 Not Strip Roof
Tilfistall 1/2"44ejh Density Fiberboard to existing roof using f flash obstacles as needed.
screws and plates. I4S4t qp 5�& UA I(A-+il' 1-�
4 stall .060 membrane EPDM (Black)rubber roofing to stall 3x3 alt®drip edge to perimeter of roof with
fiberboards seam tape.. cop�6
101 lash up sidewall as needed. 2rM: _ 5l Z wl l S- Mai? I'I
eluded in this proposal are thorough cleanup, building permit,and company/manufacturer warranties. `yr- CAt.I\KSt )
SPECIAL INSTRUCTIONS:
ius+nit F \teazcz�� o� wi ceu :N Dc2 + uxtl�r�Jna-17 �o
AYE Lx)lwry_ -I-rA i''F'OVlA1 'Ili$ w� \ a .
d fake �" Wylit� Dlo�r� n,t.��el dc-t� edam -D reo-F Ac,2&
It is agreed and understood by and between the parties that this Specification Sheet,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitute.
the entire understanding between the parties,and them are no verbal understandings changing or modifying any of the terms.This contract may not he changed or Its
terms modified or varied In any way unless such changes ere In writing and signed by both the Suyer(s)and the Contractor. Buyers)hereby acknowledge that Buyer(s)
has read this Specification Sheet. ,t rf I
Contractor Initials:_id—L Date: l 0 Buyer's Initials: Dater 1 1
J
A & A SERVICES, INC.
A&A SERVICES 115 NORTH STREET,SALEM,MA 01970
o Telephone:(978)741-0424 Fax: (978)741-2012
Contractor Registration No. 101609
Federal EIN:04-3090162 Construction Supervisor No. CS057733
MISCELLANEOUS SPECIFICATION SHEET
Buyer(s)Name Date of Contract
7
Buyer(s)Street Address,City,State and Zip Code
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 accordance with the prices and terms described on
this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification
Sheet Is a part.
SPECIAL INSTRUCTIONS
P f-" oyP �is�s� a ��on i �ir�d err MLA) vt 1n0ttsF_
au+- 4L> S Ajn� -Fflsc\ &
C,4 -1- fW -' er - A.;1* Sy,5 --ins Fl i n k
if A-clA iprppKiKLaA -t*7 im-e- 0 X &' � FA�cliR 1%4(44
ho F7cn Yl+ flv,A ('-PalC- rW J s o-P f-AP !-2C -1-A iJ5 CZ)
Love— w k VA
Add -7 )c 51-0C-� Jan S � s pr a + ;v S;cLes Frr
Ltila ll Z A)PA.0 In' a-AAA1-SS op
Inw., Ut� l bm L.ell co(OE) w
Fnt, f \NeU �WNS4� S� SeinS Wt°�ln 1 Z w �crs ��
44��
c, N U I-) JQ-/I De1bn s
NO D i> { i n�t�a Cl de d-
Newcru � 5
it Is agreed and understood by and between the parties that this Specification Sheet,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes
the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terns.This contract may not be changed or Its
terms modified or varied in any way unless such changes are In writing and signed by both the Buyer(s)and the Contractor. Buyer(s)hereby acknowledge that Buyer(.)
has read this Specification Sheet-
Contractor Initials: _ Date: )tI" i{) Buyer's Initials: Date: X ( l l�