The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #381-11 - 129 ADAMS AVENUE 11/3/2010 NORT1� BUILDING PERMIT o�tt��o ,bgtio TOWN OF NORTH ANDOVER �? b: ''. _"` °� APPLICATION FOR PLAN EXAMINATION o Permit NO: 1 Date Received ��SSAc►+us t� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION CA Ac v i A\J dnt PROPERTY OWNER I f r Print e MAP 210 Z Z PARCEL:_ZONING DISTRICT: Historic District yes Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Reside ' Non- Residential New Buildinge famil vh O Addition Two or more family Industrial Alteration No. of units: Com rcial e— pair, replacement Assessory Bldg ers: demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer _ �DESCRIPTIO�i F W 4 a Q w R 0 movp A S ; A/ - rn, . A (so Pe-�a c e - ka vv l viae ; 1 hS _ Identif 'on P1 ase Type or rint Clearly) "78 OWNER: Name: ) I(1 CJ r ra,�l Phone:6 79 83 Address: LaDiA n LkQj titv5 ve c - _ r-5 :��'S L6 CONTRACTOR Name1V1 P ...1._vt� Phone:SGO'_T53.0U5 Address: Z PJ C 0162-7 Supervisor's Construction License: s 9 Exp. Date:08 .3 1•c9U I p i Home Improvement License:_/ 4 O Go � Exp. Date:/() '/ f` a_�o ARCHITECT/ENGINEER Phone: Address: Reg. No. -- 9 FEE SCHEDULE:BULDING PERMIT.$1122.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BAS ON$125.00 PER S.F. O Total Project Cost: $ / 4 1 FEE: $ —((I Check No.: �-�� Receipt No.: C-;13 NOTE: Persons contracting with unregi tered contractors do not have access to he uar my fund 5�gnature o Age Owne Signature of contract r 1' 11 Location _tom S t4v 'x, No. I. Date TOWN OF NORTH ANDOVER ►. 9 � i � � a Certificate of Occupancy $ r NUS BuildinglFrame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ } Check it 23651 Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL I Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site 'I THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:,Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer:{4kefiture: V � Located 384 Osgood Street FIRE DEPARTMENT - erlp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. I Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use) I ❑ Notified for pickup - Date Doc.Building Permit Revised 2010 Building u Iding Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits uilding Permit Application Workers Comp Affidavit hoto Copy Of H.I.C. And/Or C.S.L. Licenses �d Copy of Contract r►I 6 Floor Plan Or Proposed Interior Work Nlth Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And i Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2008 F ORTh1 TO'" of o ' 2o 7 Asa dover, 1VMass., • 'Q COCMICA.Erl ORATED PPS` �qS BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.......... �........Is. ... ... . .�....... ......................... Foundation l C• has permission to erect.. ....... ..:..I............ ....... buildings on ..14A........�..... ............................................... Rough ....' . .� .. 0w........ � Chimney ey to be occupied as....... ............ ...... provided that the person accepting this permit shall in every respect conform to a terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations-Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS I O ELECTRICAL INSPECTOR UNLESS CONSTRUC Rough Y... .............................:... ..... .................... Service.............................. ......... BUILDING INSPECTOR Final i Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE y.t The Commottirealdi ofAfaysachtisetts Department of Industrial Accidents Offrce of Innestigationi' 600 lVashingtmn Street Boston,?tfAl 02111 >btn�nv.moss.gnz�/dut Workers' Collipensation Insurance Affidavit:Builders/Contractors/l; 08/06/2010 08:14 4077678536 SNIP PERMITS&LICENSE PAGE 01102 1 "� 1 A� DATE(P�GrADD/YYYY) CERTIFICA'T'E OF LTAXILTTY INSURANCE Ue/04,(2()1() FRanUca:R AAA Risk services ceS Central, Inc. TMS CERTMCATE IS IS%MD AS A MATTER O1:1NF0RAiATION ONLY Chicago IL Offi Ce ANT!C010ERS NO RIGM I,PO,P TEM CER1114CATE HOLDER,TFus 206 East Randolph CRRTMCATE DOES IYOT AMPN0,EXMND OftAL'T'ER WW Chicago=L 60601 USA :COVERAGE AFFORD,(n RXTuE POLICIES BFLOVi. rnOYE. 8591 20-7122 , FA'x- 847 853-5390 INSURERS Ak7<'pItDI'it)GCOVPiIZAGE NAICP mum National Union Fire ins Co of Pittsburgh 19445 •• sears Holdings Corporation d4a sears mate Imprgqvn�ent ProducCS, znc D' Aa American Insurance company 22667 , Attn_ Risk managemeht,E3-219A. mum r_. Indemnity insurance co of North America 43575 g 3333 Beverly Road HOffnan Estates It. 61)179 USA Msum D: b I _ nigUitDRtt � CQv&1l3AGE5 _ - L� I nTpo77[-I&SOFtw3URMCEU.SCWRU-(S[',IL1VEgf1H15,MCDTGnMLWgURMWAM50A00VEFORTH FQUCYPFR,ODMb)CATE0.\TOT1i711LSTAWo1NC ANY REgUIRR.iM,TERM OR O"MON OF MY CONTRACT OR OTHdR 00cumENr wrm R sp T TO www THIS cERTMCKM MAY BE TUUEO OR MAY PERTAIN.T(iE WSURAt A"OROW BY TIM FOUCIES DESCRMD F,F.I RTN IS SQBTFGT TO AtL THE TERMS,Yx(--LUS,ONS AND CONp)ms OF SUCH POLIMS. AGGR@CATU TIM 15 SHOWN MAY HAVE BEEN XEDUCEO aY eAM CGATAS. LR4 T S SHOW_N ARE AS REOUESTEp tKSr[ bb TXR R TYPE or"MukAwa POLICY Nk"M Policy LF,T:c nvp;FOr1CY xxnk 10" VTrr'19 - - A'7 PO D DATR Dn' D LM71M17Y t0111G7.S57?R7.6 0a/0i/2070 08/01/207,1 MCTroccup'jL txr. 55,000.000 X CO?rhrFRtrAr.oEA€KttAL LUDRlTY DAMAGIETORmEn 55.000.000. 'I CL1tMSMAOB � GLTUR - FR6MISa.9 ncnrmcre 't oigrlSilAM)- _kxc.I uae N PEKSONALRADV trn>RY 55,000,000 �Q . - OtTaptas,A{tc)RaYrA4E - SS,000,000 CEQLAOMMAT6 Vbun ArPurS FERN roracv Mo- eCN, #OD1: -CO`.m00PAGG S5,000,000 �X EltAt o rRCT v, D A0IOASOn,cL,S 1J H,,sr aSAh08925505 O9/ol/207A i 09/01/2011 B zsa862544 �,,rnSp,}slNc, LD &W AUTO ts.0001000 z ALLOW NTb AIM. - uv6E0 euros BODR.Y DUURv Ira Paer7 NON OWNM AUTOS GDD71.Y INJURY. 3 (parcddwt) u �I t PROPERTY DAMAGE (1'tY+akkRn CARA4T:LIAaIUTY AVCOONT.Y-aA AGCYPJF�.T OTHFY,TNAN EA AM AUTD ONLV: ANYyAoO A attcrmIUMFMF21.Aruanm RE27471.375 DaJ0IJZ009 EelGeLTtRt+.p,NL>; HOWL- 0 C4VN2MADE AOOREOATE $2,000,000 �o�w�ts AEIRfdliO f - 8 WORHM CIDASYLV9A'MON ARD CA KA /A A X r.Tprir• 0TH. C &MF,A)YraLstdARr,rry i SCPC46139Z59 08/03MID 09/07./201.1. F--aA-AGo;— 52.000.000 ANY PROPRIFT R/PAMzq,Rl tyEe IE u - --- OFPI WWDevr AT SLDISEASE-EA6;tmr{iYR, S2.000,000 C (huftw to W1 WLAC46138273 0()/0,(/2010 09/01/2011 RS.Dt31SAS[-FOL[CYLRArt 52,000,0[)0 tr tmminSrB tALFROM.IDN]AbOm All Ether States nestsmrrar,ororuAnovsrtAc.noevsnr�meassmcaus�DNSAODannYc�De,nseTAFrrr rLCTALPammro)rs CERTTFTCiI'CE H016DER CAXCELLATION sears mome Improve.Tent PradmetS, Inc. SHOULPAT7YUf Tltti ABOWDECCP:eEDro7aa9nnRCAHCCUFDOEPORE*MrnxrmAUOO 1024 Florida central Parkway DATE TmaEaOF,TNE tg¢I e,e WSUPPAWCLL MT)HAVORTO MAX Longwood FL 32750 USA 0ONYEWR„Ts7i IMTIM t0 T14BCR,Rn7CATF RMMM NAMED TO TNU 19Fi. pG4 FAIGNIE TO I%)ROSAAT.L RArRREx0�UGATf6 C&UA9r4Th' OPANY,GND[tPplFTHEDu;UREA,TTS AG MP ORR,TPIEsfP.TAT,VES. AUTmORLmw RSPP2S0 ACR+6 `:' �aT.w.try s.tia. ACORD 25(2009101) 014R8-2009 ACORD CORPORATION.All flghn eye trw4 7Ee ACORD frame and I*Ao Pri irgiahzod d,arta of ACORD Received on 8./6/2.010 8:16:28 M r_ J/ 621e ci olisuuicfr/affair an/ mess . egu at�o11 - a 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement Contractor Registration. Registration: 148607 Type: Supplement Card SEARS HOME.IMPROVEMENT PRODUCT Expiration: 10/1112011 LUBOS SVEC N: 1024 FLORIDA CENTRAL PKWY -- LONGWOOD, FL 32750 I pdate Addrecc anti return cArd_ittnrk reason for change. Address Renewal Eunployment Lost Card ups-CA1 E? SoA-04fiC•C10//1216`` � Jfl6'LGNII//t/i7l1lF1L�I!(�_-f(11'N?CI1lliC1�4 Ofrire of Cnn.unxcr Affairs&iI i.rss Regulation license or registration valid for individul use onl► i before the expiration data If found return to: HOME IMPROVEMENT CONTRACTOR Office of Consumer.Affairs and Business Regulation Registration: 148607• 10 Part.Plaza-Suite 5170 Expiration: 10111/2011 I3ustOn,1'1 02110 Type: Supplement Card SEARS HOME IiviaROVFMFNT PRODUCTS INC. LUBOS SVi-C 1024 FLO141DA CENTRAL PKWY LONGWOOD.FL 32750 f - �`^sign� t.'nOrrscrrerur) int ialid withoi .Lire i } i s= liu�sacttusctts- Dcp.rrtntcnt of Public Safct� IVBoard of Buiidin"Regulatimis and Standards I- Construction Supervisor License License: CS 97519 s 1 I ; LUBOS SVEC 827 THOMPSaN F)AD THOMPSON, CT 06`277 Expiration: 8/31/2012 (ununi ciunrr Tr#: 2442 � IIIIIIIIIIIIIIII ' Sears Home Improvement Products,Inc. Proposal Date Jobs P.O.Box 522290 C mer Name i 1024 Florida Central Parkway Y1 Customer's Work Phone Longwood,FL 32752-2290 customer's Home Phone dot Home improvement Products Phone (800)469-4663 ` `� ESTIMATE AND PROPOSAL Contractor License/Registration Number Street Address v Windows HIC#148607;all plumbing and electrical city State zip Code 1 services performed by licensed subcontractors V Y (VA, Is installation within city limits? FEIN 25-1698591 Installation ddress County ❑Yes_ ❑No eilling Address(if different from above) City State Zip Code Project Consultant Name 8 License No.(il applicable) Description of the Protect and Description of the Significant Materials to be Used and Equipment to he installed 1. Remove existing units to be replaced.(PLEASE NOTE:The removed units are likely to be damaged.) 2. Prepare openings as necessary to receive replacement units.(No finish work other than normal installation is to be done unless otherwise noted below.) 3. Installation includes the clean up of all jab-related debris upon completion of the job. 4. Install Sears Weatherbeater �l.VS _Windows in the openings described below according to the following specifications: COLOR: White ❑Tan ❑Clay ❑White/Light Woodgrain Interior ❑White/Dark Waodgrain interior TYPE: DH Oty ❑PW Oty._ ❑Casement Qty_ Type ❑SH Oty.-- ❑PD Qty_ ❑Bay ❑1-LR Qty_ ❑Garden Door Oty_ ❑Bow: ❑3 lite ❑4 lite ❑5 lite ❑2-LR Oty` ❑Garden Window ❑3-LR Qty_ ❑Other Oty GLASS: ❑Tempered' Qty._ ❑OBS Half Oty. SCREENS:Check it other than FIBERGLASS 'PLEASE NOTE:Tempered glass will be installed to ❑OBS Full Qty. (on sashes only) ❑Aluminum meet building codes. ❑Laminated Oty._ GRIDS: Type Color: Placement: Existing units NOT to be replaced. ❑Yes ❑Col Flat O Whde ❑Woodgn ra ❑Top No ❑Col Sculp/Contour ❑Tan ❑Full ❑Other(Specify:) ❑Brass ❑Bottom ❑Clay ❑Rankers Only 5. (If applicable)After the completion of the project,the customer will be responsible for the application and removal(storage)of shutter panels.In the event that the project requires the installation of storm shutters or egress windows,Sears Home Improvement Products, Inc.('Sears")will not re-install any affected security bars. 6. (It applicable)In the event Sears is unable for whatever reason to obtain the proper permits prior to the commencement of any work, Sears will refund any previous payment and this contract will be automatically cancelled. Additional work to be done: Work NOT to be done: _ III SPECIAL INSTRUCTIONS: Ali of the above check boxes and the"Work NOT to be done"section have been reviewed and explained tome. Custome(s)initials APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE: The work will start approximately 7-,31Ah2Qy6� (Approximate Start Date)and will be substantially completed by approximately (Approximate Completion Date).These dates are subject to change at the time the contract is accepted by Sears Home Improvement Products,Inc ("Sears")or at any other time by mutual written agreement.Customer understands that the Approximate Start Date is only an estimated date and the Customer will be contacted prior to this date to schedule the actual start date. The TOTAL PRICE including all labor,material,taxes and arty applicable discount is Contract Price $ Initial Payment(not to exceed 30%of Total Price unless Special Order) $ State Sales Tax(_%) $ Final Payment(balance payable upon completion of job) $ O Local Sales Tax(_%) $ The Initial Payment is due prior to Sears ordering products. Total Amount Due ; The form and method by which the Customer(s)will pay is described in a separate Cash/Credit Card Payment Addendum made a part of an&into porated into this contract by reference. Customer(s)Initial, NOTICE TO BUYER:YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY (FIFTH BUSINESS DAY IN ALASKA,FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER)AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Additional provisions at this contract are stated on the pages fallowing. Customer(s)initials swl-w Rev Orm9 I ly ` 1111111 I II I!I III ADDITIONAL PROVISIONS Pro and Approval. Sears offers to furnish the materials and arrange for their delivery and installation as specified on the first page and/or the attached sketches and specification sheets for the TOTAL PRICE shown.This offer must be approved by the Installation Department.If this is a credit sale or a payment on completion sale,it must be approved by the Credit Sales Department.It this proposal is not approved or the installation cannot be made in accordance with the law,this offer will be withdrawn and any payments you have made will he refunded to you. Any materials left over after the installation has been completed are Sears property and will be removed by Sears. stall . I understand that Sears will not install the materials but will arrange for the installation.Sears is not responsible for materials or installation NOT furnished or arranged by Sears.Sears agrees to procure all permits required by local law. Auth riz ' . I authorize Sears to:(1)arrange fora contractor(licensed where required by law)to make the installation of materials;(2)issue a work order for this installation to a contractor;(3)inspect the installation;and(4)pay the contractor when the installation is complete if I have signed a certificate that the installation has been completed to my satisfaction. Delays In Installation. I agree that Sears is not responsible for delays in delivery or installation due to weather,fire,strikes,war,government regulations or any causes beyond Sears'control. Oral Agreements ad Chances in contract. I understand that there are no oral agreements between Sears and me.Everything I expect Sears to do has been included in writing in this contract.Nothing can be changed in this contract unless it is in writing on a separate form accepted by me and Sears. Res onsibility of Rua. I agree that any information or measurements that I give to Sears are correct and complete.I am responsible for any special work described in this contract. Electrical_Plumbbna Service. I will provide adequate electrical and/or plumbing service(s)to run any newly installed appliances or other furnishings.If the electrical and/or plumbing service(s)do not meet tie standards of the utility company or electrical and/or plumbing codes, I will make the necessary changes at my expense unless Sears has agreed in this contract to make the changes. Payment. I will pay Sears the cash price that covers the price of material and installation as shown on the first page. rran Information. Appropriate product warranty documents will be given to me by Sears.Sears'Warranty on Installation is: SEARS'LIMITED WARRANTY ON INSTALLATION In addition to any manufacturer warranty extended to you on the product(s)used(which warranty becomes effective the date the merchandise is installed),if the workmanship(or application)of any Sears'arranged installation proves faulty within(i)one year for Weatherbeater Value Line,(it) two years for Weatherbeater Plus.or(iii)three years for Weatherbeater Max,and Weatherbeater Stormbeater,then upon notice from you Sears will cause such faults to be corrected by repair at no additional cost to you.If Sears determines that repair is not commercially practicable or cannot be timely made,then,at Sears'sole discretion,Sears may elect to provide replacement or refund.Service under this Limited Warranty is available by calling Sears Home Improvement Products at 1.800.222-5030,Option 4.This warranty gives you specific legal rights,and you may also have other rights that vary from State to State. NOTICE TO BUYER 1. DO NOT SIGN THE AGREEMENT IF ANY OF THE SPACES INTENDED FOR THE AGREED TERMS TO THE EXTENT OF THE AVAILABLE INFORMATION ARE LEFT BLANK. 2. YOU ARE ENTITLED TO A COPY OF THIS AGREEMENT AT THE TIME YOU SIGN IT.KEEP IT TO PROTECT YOUR LEGAL RIGHTS. 3. YOU MAY PAY OFF THE FULL UNPAID BALANCE DUE UNDER THE AGREEMENT AT ANY TIME,AND IN SO DOING YOU SHALL BE ENTITLED TO A FULL REBATE OF THE UNEARNED FINANCE AND INSURANCE CHARGES. 4. YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY[FIFTH BUSINESS DAY IN ALASKA,FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER)AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.FAILURE TO EXERCISE THIS OPTION, HOWEVER,WILL NOT INTERFERE WITH ANY OTHER REMEDIES AGAINST THE RETAIL SELLER YOU MAY POSSESS.IF YOU WISH,YOU MAY USE THIS PAGE AS NOTIFICATION BY WRITING"I HEREBY RESCIND"AND ADDING YOUR NAME AND ADDRESS.A DUPLICATE OF THIS RECEIPT IS PROVIDED BY THE SELLER FOR YOUR RECORDS. 5. IT SHALL NOT BE LEGAL FOR THE SELLER TO ENTER YOUR PREMISES UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE TO REPOSSESS GOODS PURCHASED UNDER THIS AGREEMENT. NOTICE TO MASSACHUSETTS RESIDENTS ONLY In addition to the Notice to Buyer shown above,Massachusetts law requires that contracts for home improvement work state that all home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration P.O.Box 811 Taunton,MA 02780-0871 Telephone:(508)821-9375 Please note that owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund. Notwithstanding any other language in the contract or associated documents,Sears will not remove, replace, or install any heating or air conditioning system, or any portion thereof, if asbestos or asbestos-Containing material is known or likely to be present in that heating or air conditioning system, or any portion thereof. If it is determined or reasonably suspected that asbestos is present,either before commencement or during performance of the work,it shall be the cus- tomer's responsibility to select, retain and pay all costs of a Division of Occupational Safety("DOS")licensed Asbestos Contractor to remove all asbestos or verify that none is present in the components involved in the job. If the determina- tion or reasonable suspicion of the presence of asbestos arises after Sears has started the work,Sears will immediately cease performing the work until a DOS licensed Asbestos Contractor,hired by the customer, removes all asbestos from the components scheduled for repair or replacement in accordance with 310 C.M.R.7.00 and 453 C.M.R.6.00 or veri- fies that none is present.By signing the contract the customer agrees that it understands the above. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Customer's signature Date Customer's signature nate Accepted by Sears Home Improvement Products,Inc.("Sears-)on _ i p La ff 1 G} Date (Management Representative SWI-MA ee+P1N9 IIIIIIIIIIUIIII Proposal Date 71L Job a _1cf9-)au Sears Home Improvement Products,Inc. Customer Name P.O.Box 522290 ZtLn Pe,(�YQS � 1024 Florida Central Parkway Customer's Home Phone Customer's Work Phone Home Improvement Products Longwood,FL 32752-2290 �1$ — Phone_ (800)469-4663 Street Address ESTIMATE AND PROPOSAL Contractor License/Registration Number tR A ch 111121 Cabinet Refacing HIC#148607;all plumbing and electrical city state [Ip code 9 services performed by licensed �} 61 Is installation within city limits? subcontractors Installation Address County Yes ❑Nu FEIN 25-1696591 Billing Address(if different from above) C ty State Zip Code Project Consultant Name&License No.(a applicable) Description of the Project and Description of the Significant Materials to he Used and Equipment to be installed The work to be done under this contract includes the fallowing: 1. Remove and discard existing door/drawer fronts and prepare all appropriate cabinet surfaces for refacing. 2. Alter stiles/rails and repair cabinets as needed. �,, 3. Laminate all appropriate cabinet surfaces with DecoLam Laminate;color to be: if f(((1! t (t r _IRWood Grain ❑Solid color 4. Furnish and install cu °m-made door�aDqd rawer fronts;style to be: — f —iZ) Door hardware# 0�9 i K Drawer hardware# Hinges: ❑Traditional(Color) O Finger Pulls(Only available if not purchasing hardware) European 5. a.All Installs ion includes: New drawer and glides,tilt out tray,matching molding and clean up and haul away of all job-related debris. b.Premium Refacing Installation includes: Fully laminated wall-cabinet bottoms and painted/stained returns on face frames. c.Goad Installation includes: Backs of doors and drawer fronts manufactured with a special white laminate. NOTE: Good does nW include painted or stained returns an face frames. Installation also includes the following OPTIONAL features(where checked): Valance(Specify) Countertops Solid Surface ❑Laminate ❑None Clear Glass Door Quantity Brand Backsplash(up to 41/2'included ❑French Lite Door Quantity Color W Color# tip 11 �t ElKnick/Knack Shelves/Units Quantity Ede Profile ElIV Corbels Quantity Backsplash (Check all that apply) ❑Internal Adjustable Shelves Quantity ❑None ❑Over 4-1/2'-8' ❑Over 8'-20" ❑20"+ ❑Roll-Out Shelves Quantity ❑Cove utt-Jointed ❑Tile ❑New Additional Walt Cabinet Lineal Feet Sink ew ❑R&R _ p Customer Providing ❑New Additional Base Cabinet Lineal Feet Color�Model#ML #Holes ❑New Additional 4-Drawer Disposal Model# Lotion Soap Dispenser Base Cabinet Lineal Feet Temporary Sink: ❑Yes No ❑New Additional Pantry Cabinet Lineal Feet Faucet ❑New D4 R&R ❑Customer Providing ❑Lary Susan Tray Quantity Collor Model# ❑Frame-Out Metal(Frameless Tear-out ftkountertop 11 Backs lash IhCabinets) Quantity Soffit Build-out uYes UNO (No Soffit Removal) Special Flat Laminate Square Feet n I F ❑Wall-Oven to Pantry Conversion Lighting ❑Low Voltage ❑Pendant ❑Dishwasher Frame-Out ❑Other(Specify) ❑Wine/Bottle Rack Inches Flooring LJ Yes LJ No If"Yes":Flooring Addendum is made a part of nd inc orated into this contract by reference. er s tnhials PLEASE NOTE:No electrical or plumbing work is included on new appliances. Additional work to be done: Work NOT to be done: Removal or moving of any walls;flooring,painting,wallpaper work;repairs of water or termite damage to sub-floors or walls;electrical or plumbing work outside of this kitchen or bath project SPECIAL INSTRUCTIONS: All of the above check boxes and the"Work NOT to be done"section have been reviewed and explained to me. Customer(s)initials APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE:The work will start approximately Z-3Lk!Q_k::f (ApproxIchange Date)and will be substantially completed by approximately 1�c , S(Approximate Completion Date).These dates are subjectatthe timethe contract isaccepted bySears Home Improvement Products,Inc.("Sears")oratany othertime by mutualwritten agreementunderstands that the Approximate Start Date is only an estimated date and the Customer will be contacted prior to this date to schedule the actua . The TOTAL PRICE including all labor,material,taxes and any applicable discount is / Contract Price $ / Initial Payment(not to exceed 30%of Total Price unless Special Order) State Sales Tax(_%) Final Payment(balance payable upon completion of job) Local Sales Tax(�%) S The initial Payment is due prior to Sears ordering products. Total Amount Due $ The form and method by which the Customer(s)*11 pay is described in a separate Cash/Credit Card Payment Addendum made a part of an incorporated into this contract by reference. Customer(s)initials NOTICE TO BUYER:YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY (FIFTH BUSINESS DAY IN ALASKA,FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 55 OR OLDER)AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Additional provisions of this contract are stated on the pages following. Customer(s)initials Set-MA 14 v04/0e M � ` ' IIIIIIII II III III 4' ADDITIONAL PROVISIONS Proposal aftlill Approval. Sears offers to furnish the materials and arrange for their deliveryand installation as specified on the first page and/or the attached sketches and specification sheets for the TOTAL PRICE shown.This offer must be approved by the Installation Department.If this is a credit sale or a payment on completion sale,it must be approved by the Credit Sales Department.If this proposal is not approved or the installation cannot be made in accordance with the law,this offer will be withdrawn and any payments you have made will be refunded to you. Any materials left over after the installation has been completed are Sears property and will be removed by Sears. Installation. I understand that Sears will not install the materials but will arrange for the installation.Sears is not responsiale for materials or installation NOT furnished or arranged by Sears.Sears agrees to procure all permits required by local law. Authorization. I authorize Sears to:(1)arrange for a contractor(licensed where required by law)to make the installation of materials:(2)issue a work order for this installation to a contractor:(3)inspect the installation-,and(4)pay the contractor when the installation is complete if I have signed a certificate that the installation has been completed to my satisfaction. Belays in Installation. I agree that Sears is not responsible for delays in delivery or installation due to weather,fire,strikes,war,government regulations or any causes beyond Sears'control_ Oral Agreements mW changes in Contract. I understand that there are no oral agreements between Sears and me.Everything I expect Sears to do has been included in writing in this contract.Nothing can be changed in this contract unless it is in writing on a separate form accepted by me and Sears. Responsibility 91 Buyer. I agree that any information or measurements that I give to Sears are correct and complete.I am responsible for any special work described in this contract. Electrical$Plumbing Service. I will provide adequate electrical and/or plumbing service(s)to run any newly installed appliances or other furnishings.If the electrical and/or plumbing service(s)do not meet the standards of the utility company or electrical and/or plumbing codes, I will make the necessary changes at my expense unless Sears has agreed in this contract to make the changes. Payment. I will pay Sears the cash price that covers the price of material and installation as shown on the first page. Warranty Information. Appropriate product warranty documents will be given to me by Sears.Sears'Warranty on Installation is: SEARS'LIMITED WARRANTY ON INSTALLATION In addition to any manufacturer warranty extended to you on the pioduct(s)used(which warranty becomes effective the date the merchandise is installed),if the workmanship(or application)of any Sears'arranged installation proves faulty within two years(Premium)or one year(Good)after products are installed then,upon notice from you,Sears will cause such faults to be corrected by repair at no additional cost to you.If Sears deter- mines that repair is not commercially practicable or cannot be timely made,then,at Sears'sole discretion,Sears may elect to provide replacement or refund.Service under this Limited Warranty is available by calling Sears Home Improvement Products at 1-800-222-5030,Option 4.This warranty gives you specific legal rights,and you may also have other rights that vary from State to State. NOTICE TO BUYER 1. DO NOT SIGN THE AGREEMENT IF ANY OF THE SPACES INTENDED FOR THE AGREED TERMS TO THE EXTENT OF THE AVAILABLE INFORMATION ARE LEFT BLANK. 2. YOU ARE ENTITLED TO A COPY OF THIS AGREEMENT AT THE TIME YOU SIGN IT.KEEP IT TO PROTECT YOUR LEGAL RIGHTS. 3. YOU MAY PAY OFF THE FULL UNPAID BALANCE DUE UNDER THE AGREEMENT AT ANY TIME,AND IN SO DOING YOU SHALL BE ENTITLED TO A FULL REBATE OF THE UNEARNED FINANCE AND INSURANCE CHARGES. 4. YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY[FIFTH BUSINESS DAY IN ALASKA,FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER]AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT_FAILURE TO EXERCISE THIS OPTION, HOWEVER,WILL NOT INTERFERE WITH ANY OTHER REMEDIES AGAINST THE RETAIL SELLER YOU MAY POSSESS.IF YOU WISH,YOU MAY USE THIS PAGE AS NOTIFICATION BY WRITING"I HEREBY RESCIND"AND ADDING YOUR NAME AND ADDRESS.A DUPLICATE OF THIS RECEIPT IS PROVIDED BY THE SELLER FOR YOUR RECORDS. 5. IT SHALL NOT BE LEGAL FOR THE SELLER TO ENTER YOUR PREMISES UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE TO REPOSSESS GOODS PURCHASED UNDER THIS AGREEMENT. NOTICE TO MASSACHUSETTS RESIDENTS ONLY In addition to the Notice to Buyer shown above,Massachusetts law requires that contracts for home improvement work state that all home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor or subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration P.O.Box 871 Taunton,MA 02780-0871 Telephone.(508)821-9375 Please note that owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund. Notwithstanding any other language in the contract or associated documents,Sears will not remove, replace,or install any heating or air conditioning system,or any portion thereof, if asbestos or asbestos-containing material is known or likely to be present in that heating or air conditioning system, or any portion thereof. If it is determined or reasonably suspected that asbestos is present,either before commencement or during performance of the work,it shall be the cus- tomer's responsibility to select,retain and pay all costs of a Division of Occupational Safety("DOS")licensed Asbestos Contractor to remove all asbestos or verify that none is present in the components Involved in the job.If the determina- tion or reasonable suspicion of the presence of asbestos arises after Sears has started the work,Sears will immediately cease performing the work until a DOS licensed Asbestos Contractor,hired by the customer, removes all asbestos from the components scheduled for repair or replacement in accordance with 310 C.M.R.7.00 and 453 C.M.R.6.00 or veri- fies that none is present.By signing the contract the customer agrees that it understands the above. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES customers signature Date Customer's signature Date Accepted by Sears Home Improvement Products,Inc.("Sears")on by: Date Management Representative SLI-MA"040 i C National Fewstrathn ENERGY PERFORMANCE RATINGS EVALUAOM DE RENDIVREfM e -Factor Solar Heat Gain Coefficient Factw-U CoefitienteGonancia de Energia War ADDITIONAL PERFORMANCE RAMNGS EVAWACM t � E Visible Tranimimon tie Ufzk%lble Manus aput"'ateoww ase mbv vorformppl le WX porMurm for dftmhng m product pwfvmaamxr NFA rafirV ars&.WtWn(oJ for fixed set of erMwinmW condWom aW a Speeffic pmtwt sig.NFRC taws notre ter rrrerd at Ty product and do%not wrr rttthe suftRy of nud W aqwgiecift m CavAt mmifaMurerts Iftature fr 0#Ver PrAd an e' informal Este t bdWe estWfa qtw Woe Morn cumplerr cm fos proceditrOft 30v&ess eN Wow=C para =of r rrrirrtial M9 producto,Los gyral' w usados por NRC sGtr deterrrt" , "r por tin ba f1jo de.cardidmes ambiarfttes y Lir t rnaw de producto espwfim WFIC WICvetfmOpOa t r un proftby no gwifiza qie el productoecv.WD pam rrrt usD especifloo,Cmsufte eon ef lolleto del fabtkante para el m apr#ado de este pwwAo.wwwAffrJxq Ak 'v Keel fry label for possiWe FNERGI STAT,tebafe&b '. m morewmerwrtargov trnrrrle etttr r � � re �r � r'tT�rcr rrrrrt°rr' r rarrr�ret a