29 LINDEN ST - BUILDING INSPECTION (3) N
1
The Commonwealth of Massachusetts
Board of Building Regulations and Standards `:
(� Massachusetts State Building Code, 780 CMRl
VIBuilding Permit Application To Construct, Repair, Renovate Or D o t a wised
One-or Two-Family Dwelling arch 2011
This Section For Official Use Only
Building Permit Number: Date Applied:
_ -_N"I I � �TTZz�r
wilding Official(Print Name) Signature Date
SECTION 1: SITE INFORMATIO
1.1 Pro r,ly A'tldress: 1.2 Assessors Map& Parcel Numbers
1.la Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District ]'reposed 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?Check ifyes❑ ,Municipal ❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Ow per' Record:
Ndme Pnnt) � City late LIP
29 -
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction ❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ LNumber of Units_ Other ❑ Specify:
Brief Description of Prop s d Work':
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1. Building $ /Q 60� o� 1. Building Permit Fee:$ Indicate how fee is determined:
2. Electrical $ ❑ Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:_
5.Mechanical (Fire $
Su ression) Total All Fees:$
Check No. Check Amount: Cash Amount
6.Total Project Cost: $ � ❑ Paid in Full ❑Outstanding Balance Due:
�5�� &I ��
SECTION 5: CONSTRUCTION SERVICES ,/-
5.4 Construction Supervisor License(CSL/)
phameI/f S ft Z�l� License Number Expiratioii Dale
of CSL Wolcler
t � E) I y, p_ List CSL Type(see below)
No.and Street Ot Type Description
U Unrestricted Buildin s up to 35,000 cu.ft.)
R Restricted I&2 Family Dwelling
City/To",State,ZIA' M Mason
ry
RC Roofing Covering
WS Window and Siding
' SF Solid Fuel Burning Appliances
1 Insulation
Tel, hone Email address D Demolition
5.2 Registered Home IImproveme t Contractor(HIC) .16 a ra
112
CFIIC Registration Number Exprat i n Date
HI Co pang Name or IiIC R gi ant Name , ^
'ggg......aaannn $$$ fiZI�Q- CI�DaUL �S.
` e1 qx 9,9 Email address
City/Town,State ZIP/� o// � Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6))
Workers Compensation Insurance affidavit must i;completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issua ce of the building permit.
Signed Affidavit Attached? Yes .......... No...........❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,as Owner of the subject property,hereby authorize Ed rcn
to act on my behalf, in all matters relative to work authorized by this building pel5it application.
Print Owners Name(Electronic Signature) Date
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below, 1 hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
rl /
Print Owner's or Autho ized Agent's Name(Electronic Signatur° f Date
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 not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at nul--gOVARS
2. When substantial work is planned,provide the information below:
'Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
s ' The Commonwealth of Massachusetts
v Department of Industrial Accidents
I 3 ®fftce of Investigations
600 Washington Street
_ '-- Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Orgmizatior✓Individual): aca
Address: j i b NIOGh " QP-± I
City/State/Zip: l)I,t J O m rn O 6 I �O Phone , q 't1 I Ug-� l/�I g a q
Anew an employer?Check the appropriate box: Type of project(required):
1.LiJ/ I am a employer with 4. ❑ I un a genera]contractor and I 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodel Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' comp. insurance comp. insurance.1
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 2 of repairs
insurance required.]t c. 152, §1(4),and we have no \5
employees. [No workers' 13.❑ Ot er
comp.insurance required.] .
*Any applicant that checks box NI must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hive outside contractors must submit anew affidavit indicating such.
=Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities 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 and jab site
informationC O Trrn IIP O.�t
Insurance Company Name: r� ✓� ''11 —
Policy#or Self-ins. Lic.#: ��{J � Expiration Date: J �U
Job Site Address•l—� 2.11-?de12 1 c City/State/Zip
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 MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify r tl pa' sand enalltes ofperjury that the information provided above is true and correct.
Si nature; Date:
Phone#
Official use only. Do not write in this area,to be completed by city or town:officiaL
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: _ Phone#:
i
I
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)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."
Additionally,MGL chapter 152, §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 evidence 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-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 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 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 fill out in the event the Office of Investigations has to contact you regarding the applicant,
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant 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.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department'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
Revised 4-24-07 Fax#617-727-7749
www.mass.govfdia
013POSAL OF'D'EBRES AFFIDAVIT
In accordance&bPig� tb9 Provisions of Ma G. L a. ®, Sec. 54, a condition of .
Building permit Number is that the debris resulting ircim this Work shall
be disposed cf n a properly fic-3risa iiiiy�� ��srried,by M' G. L co 9
Isom
€die debris %?III be disposed at Salem E egnsfee St Won
pwspad by No side GBFUM
Signature ®f Pau it Applicant
Data
Chrisfooher z® v
f'a€ e ®i�arrmit Applicant
g� d0fth gtral?ta Salem. MA 01976
Addreas, City, Sftta, dip Coda
�(��
Control No: Z )
THE COMMONWEALTH OF MASSACHUSETTS
- DEPARTMENT OF LABOR
]DIVISION OF ®CCUIFATIIONAL SAFIETY
19.STANIFORD STREET,BOSTON,MASSACHUSar s 02114
IDELEAIIDFR CONTRACTOR LIC,ENS1E
A &A SERVICES, INC.
115 NORTH STREET
SALEM MA 01970
LICENSE: DC000440 EXPIRES: Wednesday;April 11,2012
IN ACCORDANCE WITH M.G.L.CH. 111, § 197B(b)AND 454 CMR 22.03,THIS LICENSE IS ISSUED BY
THE DEPARTMENT OF LABOR,DIVISION OF OCCUPATIONAL SAFETY TO THE CONTRACTOR
ABOVE FOR THE PURPOSE OF ENTERING INTO OR ENGAGING IN DELEADING WORK.
THIS LICENSE IS VALID FOR A PERIOD OF ONE YEAR.
THIS LICENSE MUST BE MAINTAINED BY THE CONTRACTOR WHEN ENGAGED IN DELEADING
WORK IN ACCORDANCE WITH M.G.L.CH. 111 § 197B(b)(2)AND 454 CMR 22.03.
HEATHER E. ROwE,ACTING COMMISSIONER
eT
Panted do Recycled Paptt
/� rvmo a eat p� ' Massachusetts ®epartmcat of Puhlic Safeh
Office of Consumer Affairs&Bdsiness Regulation B011rd 0f Building Re,,111:Itions and stand Ards
HOME IMPROVEMENT CONTRACTOR Construction Supervisor License
Registration:. lo1609 Type:
i
I Expiration: -8/2 612 0 1 2 Private Corporation License: CS 57733
,I 7ERVICES,:INC
\ =r CHRISTOPHER ZORZY '
Christopher Zorzy' ' 115 NORTH STD
'115 North Street g SALEM, MA 01970
Salem,MA01970 �
`✓ Undersecretary
Expiration: 5/26/2013
. .. .._ _ I t'a nuni�sii°`'1 Tr#: 15935
AGrade
• ] f / Ali.
grol A & A SERVICES, INC.
A&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
CUSTOM REMODELING AND IMPROVEMENT AGREEMENT
Buyer(s)Name Date of Contract
D w/zgr Z,/- 2— Z
Buyer(s)Street Address,City, State and Zip Code
Z9 L/_NC>&-�V sT LL'wl /l-il 0/� 7o
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address:
978-9>8`/- 1/9z8
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 a0d 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.("Contractor"),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 goods and services purchased as described herein,regardless of timing or approval of any financing Buyers)may seek for their purchase.
Purchase Price Q Est.Starting Date: 26
Down Payment: Est.Completion Date:
❑Cash
Amount Due on Start of Job: heck
❑Credit Card
Amount due on of Completion: No.
Amount Due on of Completion: Expiration Date:
Balance Due on Upon Completion: 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 (ii) 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.
B 92�&A Services,Inc. Buyer(s) /7
Signature �� n , Signature ll /
/� !�4v
Print Name Print Name
Signature
Print Name
You,the Buyer(s),may cancel this transaction at any time prior to midnight of the third business day after the date of this
transaction. See the following Notice of Cancellation form for an explanation of this right.
ARBITRATION: The contractor and the homeowner hereby mutually agree in advance that in the event either parry has a dispute concerning this contract,either parry may submit such dispute to
a private arbitration service which has been approved by the Secretary of the Ex e utiva Office of Consumer Affalrs and Business Regulations and the other parry Shall be required to submit to
such arbitration as proved in M.G.L.c.142A.
Conaactov ivitisls: Buyer's initials:
Date: Date:
NOTICE OF CANCELLATION NOTICE OFCANCELLATION
Date of Transaction —Z - .you may cancel this transaction,without any penalty or Date of Transaction may cancel this transaction,without any penalty or
obligation,within three business days from the above date. If you cancel,any property traded in, obligation,within three business days from the above date. If you cancel,any property traded in,
any payments made by you under the Contract or Sale,and any negotiable instrument executed any payments made by you under the Contract or Sale,and any negotiable instrument executed
by you will be returned within 10 days following receipt by the Seller of your cancellation notice, by you will be returned within 10 days following receipt by the Seller of your cancellation notice,
and any security interest arising out of the transaction will be cancelled. If you cancel,you must and any security interest arising out of the transaction will be cancelled. If you cancel,you must
make available to the Seller at your residence,in substantially as good condition as when received, make available to the Seller at your residence,in substantially as good condition as when received,
any goods delivered to you under this Contract or Sale;or you may,if you wish,comply with the any goods delivered to you under his Contract or Sale;or you may,if you wish,campy with the
instructions of the Seller regarding the return shipment of the goods at the Sellers expense and instructions of the Seller regarding the return shipment of the goods at the Sellers expense and
risk. If you do make the goods available to the Seller and the Seller does not pick them up risk. If you do make the goods available to the Seller and the Seller does not pick them up
within 20 days of the date of your Notice of Cancellation,you may retain or dispose of the goods within 20 days of the date of your Notice of Cancellation,you may retain or dispose of the goods
without any further obligation. If you fail to make the goods available to the Seller,or if you agree without any further obligation. If you fail to make the goods available to the Seller,or if you agree
to return the goods to the Seller and fail to do so,then you remain liable for performance of all to return the goods to the Seller and fail to do so,then you remain liable for performance of all
obligations under the Contract.To cancel this transaction,mail or deliver a signed and dated copy obligations under the Contract.To cancel this transaction,mail or deliver a signed and dated copy
of the cancellation notice or any other written notice,or send a telegram,to A&A Services,115 of the cancellation notice or any other written notice,or send a telegram,to ABA�S¢rvicea 115
North Street,Salem,Massachusetts 01970,NOT LATER THAN MIDNIGHT OF4677- orth Street,Salem,Massachusetts 01970,NOT IATER THAN MIDNIGHT OF
(Date) (Date)
I HEREBY CANCEL THIS TRANSACTION, Consumer's Signature Date I HEREBY CANCEL THIS TRANSACTION. Consumer's Signature Date
ADDITIONAL TERMS AND CONDITIONS
Contractor Responsibility.The Contractor will issue its formal written warranty upon full payment, which shall constitute the
Contractor's warranty for the labor and materials provided to the Buyer. Contractor agrees that all work done pursuant to this con-
tract shall be of a workmanlike manner using professional quality materials and supplies. Warranties are available for inspection at
the time of signing of the contract. Contractor accepts no responsibility for any damage resulting from structural or other defects in
the property at which the installation is carried out. Buyer acknowledges Contractor's products do not correct or cure structural
problems. Contractor shall not be responsible for (a) any damages arising in whole or in part from strikes, fires, accidents, floods,
governmental actions or any other causes beyond control of Contractor or (b) any damages including without limitation, lost profits
or reduction in value of Buyer's property, arising from Contractor's delay in performing under this Agreement or due to its breach of
this Agreement.
Condensation/Mold: The Contractor is not responsible for conditions beyond its control, such as condensation which may form
on or within a window or between windows resulting from pre-existing conditions in the Buyer's home and external temperatures.
Some condensation may also form on the frame or portions of the roof. Reducing the humidity in your home will often remedy any
condensation problems. The Contractor is also not responsible for existing or developing spore or mold growth. Mold may be due to
condensation which may form on or within walls or other surfaces resulting from pre-existing conditions in the Buyer's home and
internal or external temperatures. Buyer indemnifies and holds Contractor and its employees, authorized contractors and their sub-
contractors from any claims as to the identification, detection, abatement, encapsulation or removal of mold, asbestos, lead based
products or other hazardous substances inside or outside of the structure being improved.
Permits: In Massachusetts, the Contractor is responsible for applying for and obtaining any and all necessary permitting.
Homeowners who secure their own permits will be excluded from the guaranty fund provisions of Massachusetts law.
Delay/Unknown Conditions: Events beyond the control of the Contractor, such as Acts of God, labor strikes, inclement weather,
material shortages, Buyer's inability to qualify for or obtain financing, delays by local government authorities in issuing or otherwise
approving inspections, permitting or other required authorizations for the job, or other events resulting in delays in performance of
this Agreement do not constitute abandonment and are not included in calculating time frames for performance by Contractor. In the
event the Contractor determines that this Agreement can not be performed as intended by the parties due, for example, to incorrect
pricing, unforeseen structural defects or pre-existing conditions to the Buyer's property, the Contractor may cancel this Agreement
within 30 days of its execution, notify the Buyer of such cancellation in writing and return all monies paid by the Buyer. The
Contractor and the Buyer(s) have determined that a definite completion date is not of the essence to this Agreement. Contractor will
not be responsible for any work not specifically listed in this Agreement or the Addendum.
Late Cancellation, Late Payment/Default: If Buyer attempts to cancel this Agreement at any time subsequent to midnight of the
third business day after the date of the Agreement, as more fully described on the Notice of Right to Cancel form, and Contractor
accepts such late cancellation, then Buyer agrees to pay Contractor a cancellation fee equal to (i) 15%of the Agreement's pur-
chase price to offset Contractors incurred labor, administrative and material costs; plus (ii)the Contractor's costs for any specialty
orders or any custom manufactured items. Buyer agrees to pay a late fee of 1 1/2% per month on all amounts due and owing from
the Buyer to the Contractor accruing from the date due and running to the date the payment is made. If Buyer is in default of this
Agreement, Buyer agrees to pay Contractor's attorney fees equal to 15% of the defaulted amount or as otherwise allowed by appli-
cable law. Buyer also agrees to pay any other costs or expenses of repossession, collection, or realization on any security including
court costs, to the extent not prohibited by applicable law.
Security Interest:This contract may result in a lien on or security interest on your residence. Buyer grants Contractor a
security interest under the Uniform Commercial Code and other applicable law governing security interests in the property pur-
chased pursuant to this Agreement, including a security interest in any proceeds from the sale of such property. Buyer agrees that
the property purchased under this Agreement is, and will remain, personal property, regardless of the fact that said personal proper-
ty may become attached to Buyer's real property.
No Set-Offs or Retentions. Upon substantial completion of the Contractor's performance, Buyer shall pay all amounts due under
this Agreement in accordance with its terms without any right of set-off or retention. Substantial completion is defined as the job
being materially completed, functional as intended, and a final inspection, permit or occupancy certificate, as the case may be, hav-
ing been obtained. If after making full payment, the Buyer alleges that the work is defective in any respect, the Contractor, without
waiving any of its rights, shall cause an inspection of the premises and perform any remedial work to the extent the Buyer is entitled
thereto under this Agreement or the Contractor's warranty at no cost to the Buyer.
Buyer's Representations: Buyer represents and warrants that (a) any credit information furnished by Buyer in connection with this
transaction is true and complete; (b) no person has promised or offered to pay, credit, or allow to Buyer any compensation or
reward for the procurement of a Agreement with others as an inducement to enter into this Agreement; (c) no person has offered,
delivered, paid, credited, or allowed to Buyer any gift, bonus, award, money, merchandise, trading stamps, or cash loan as an
inducement to entering into this Agreement; (d) Buyer is the owner of the property where the goods and services are being provid-
ed.
Miscellaneous: Problems and inquiries can be directed to the Contractor, who may be reached at the telephone number on the
front of this Agreement. In construing this Agreement, the gender and number of words used may be changed to meet the context.
Any part of this Agreement contrary to the law of this State shall not invalidate other parts of this Agreement. This Agreement is to
be governed by the laws of the State in which it is performed. All contractors and subcontractors must be registered by the
administrator of the Massachusetts Board of Building Regulations and Standards and any inquiries about a contractor or
subcontractor relating to a registration should be directed to Director, Home Improvement Contractor Registration One
Ashburton Place Room 1301, Boston MA 02108 Tel: (617) 727-8598. This Agreement and any accompanying documents rep-
resent the entire agreement between the parties and there are no prior or contemporaneous oral or written agreements or repre-
sentations on which either party is relying. Any modification of this Agreement shall not be effective unless in writing, signed by the
Buyer(s) and a President or Vice President of Contractor. The section headings contained in this Agreement are inserted for con-
venience only and shall not affect in any way the meaning or interpretation of this Agreement.
i + AGraEe
AmcVe
Since 1982 A & A SERVICES, INC.
A&14 SERVICES 115 NORTH STREET, SALEM, MA 01970
EmirelilFAIMBITAN• • • 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
Buyer(s)Street Address, City,State and Zip Code
Z cj `IA109- / ST kttl q 0&70
Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address
978-89Y—(/97_8
The Buyer(s)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.
��11
ROOFING SPECIFICATION
Strip Roof of# Ab L, layers of shingles
nstall 6'of ice and water shield at base of roof where nstall 15.b felt paper to roof.
possible. Install 18-24" of ice and water shield in valleys.
Flash chimney as needed (no repointing included). nstall 6" perimeter drip edge to rakes and fascia areas.
nstall vent pipe boots and seal as needed. SFIash valleys as needed
$ Install rollout type ridge vent. tanks/plywood replacement under 32 SQ FT included,
*If more is needed there will be an extra charge of $8K
per hour for labor plus the cost of materials.
Dumpster/Disposal Included: 't Other: efV7.vv-7_ ! feZcnvigLsLl9
Location: r7zavt,7- o7-- 4!;;-
Install new roof: Manufacturer 6!4-72741f-76-1� _3o yr Style/type
Included in this proposal are thorough cleanup, building permit, and company/manufacturer warranties.
RUBBER ROOFING SPECIFICATION
f Strip Roof t Not Strip Roof
f Install 1/2" High Density Fiberboard to existing roof using t Flash obstacles as needed.
screws and plates.
f Install .060 membrane EPDM (Black) rubber roofing to 't Install 3x3 aluminum drip edge to perimeter of roof with
fiberboard.s seam tape.
It Flash up sidewall as needed.
Included in this proposal are thorough cleanup, building permit, and company/manufacturer warranties.
SPECIAL INSTRUCTIONS:
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 terms. 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 Buyers)
has read this Specification Sheet.
(/
Contractor Initials: V' Date: Z��� Buyer's Initials: 16, Date: