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Home My WebLink AboutBuilding Permit #315-11 - 27 BUNKERHILL STREET 10/18/2010 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: ' Date Received Date Issued: ==It'[J IMPORTANT Applicant must complete all items on this page 7- r s�- -.,+�.�. ^�e � dam.- - "fir' s'� a '�` , ^` 10 'fid. ..� � •- �-�" `�-` � '.4 �i ,r �r � LOCATION �3 . , t ' ; fl� Pnnt ,�- n PROPERTY OWNERS1. r/ S MAP NOg4 PARCEL �`.:wZONING DISTRICT �-s 'Historic District desno� Machine,Shop Village TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New BuildingOne family Addition Two or more family Industr' Alteration No. of units: C mercial Repair, eplacemen Assessory Bldg Others: Demolition Other 'Se tic�� Well�� s � Floodplain zWetlands `A t` 1NatershedD'stnct ' x p 1Natefl5ewer DESCRIPTION OF WORK TO BE PERFORMED: Remove 't Re ( ac e �a.) 6 )1'1)do 605 , ASO e S), 0, Idqntifi ation Pleas yp or P int Clearly) OWNER: Name: 1 G�. L �G Phone:37R- -GSa Q- Address: 0`2 7 31u -S^rtZ, .r�j,c a � E��.t��r � ' �, �',�. x e r ;.+. t �,.� �� ...Y '"�->,..__. ,m, .r_ •, .s',;�- .c ,`� i�'�at CONTRACTOF3�'�Nae riSC �Ir�S {- dl�r�.� �i%�(� ;P_ hone %`73 rte- x ;may F:t .; s - Address SIS k1��vr� ,: CGn ra � t�u1 �;pYl�fb K� x.� 3Z0 ,s. �a �'� '�• �`. r-w '$`-,;s`rwte lr�sv�',''° a ,n. e S +.' ,�* ,, , �;�-s�» . .R"e �Supennsor s Constr>wctionL�cense / a � � '��' � [�,z.V:. z 'iF } ntVs k t ae€ ga r %r Ho 3 e;.lmprovement License ��A��g b d �, � 4 Y . ,�_�. .��.�� _ � � � �' -��:Exp.,�Date �1 C��1�•vZOs��'�� - : ARCHITECT/ENGINEER Phone: �- Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ C 2 30-8 FEE: $lo _ 0 Check No.:T� Receipt No.: 6v? NOTE: Persons contracting with unregist red contractors do not have access to a uaran fund S nat eru of en g g S� nat bontrt ac Location No. �� - Date NORTH TOWN OF NORTH ANDOVER O 16. Certificate of Occupancy $ s < Building/Frame Permit Fee $ s r MU s Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 3 Building Inspector Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/N4assageBody Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site 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: Signature: Located 384 Osgood Street FIREDEP;ARTaMENT� Tem �Dumpsteronsite #yesM F nog - a�zi Located at�124 MainStreet�, r , r h ,,f.� it � Fire Departmentsignature/date r f _ .�.vo.-.s -.wT� lJ, .h. t1:_f. �_'e'� b �T, . .:JC .f..%f` h _ 4`a..d k��e v' ..}.e3 `;,e9 .,,✓<Y.,5eZ.4 } £:L ..�.^� i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. 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) ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 Building 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 VBuilding PP Permit Application orkers Comp Affidavit hoto Copy Of H.I.C. And/Or C.S.L. Licenses �/Pcopy of Contract Floor Plan Or Proposed Interior Work 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 Hydraulic Calculations (if Applicable) f. ❑ 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: Doc.Building Permit Revised 2008 NORTH TF ® of And = A K E o dover, Mass*, r 0 • l ` t CO coC.,C:. WICK 7,�5 RATED PP�,��C� BOARD OF HEALTH PERMIT D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............C..kft IJ.. .........Ca.. ......... ...... ' Foundation has permission to erect............................. ......... buildings on ....W . .....8.40.AAL.......................... ... ................... Rough to be occupied as.... , .... .:............ .......... iNy°` �.R. .. ............................... Chimney . . . .. .. . . . . . .. . . provided that the pe n a opting this perm shall in every respect conform to the 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 ELECTRICAL INSPECTOR UNLESS CONSTRU. OAST�JRTS Rough ........... ............................................................................ Service BUILDING INSPECTOR Final Occupancy Permit Required to 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. SEE REVERSE SIDE Smoke Det. t' 1 r� The. Commoitwealth of Massachusetts - Depm-tawnt of Itrdtastrial Accidents Office of.Investigatioits 601) 14ashin tore Street 13ostott.,AIA 02.111 iin4n4.--nmvs.gov/ifia Wollkers' Compensation Insulrance AftidaN it: I3u.ilders/C,oiitractois/Clectricians/Plumbez•s Applicant Information Please Print Legibly Narlie(Piisiness/prgaitiAdoiVIndividtt,,i):---_, Sears Home Improvement Products incorporated Address: 1024 Florida Central Parkway Cit ,/stale/7i Longwood,Ft. 32750 I4 860-753-0452 J P= Phone:i�• .Are you an employer?Check the appropriate box: 'Type of prodect(required): I.D I am a employer with 4. D T ant a general contractor and T 6. ❑New construction employees(full andlor parwime).'t` have.hired the sub-contractors 2.D T ant a stile proprietor or partner-, listed on the attached sheet.` ?• ❑Remodeli.ng ship and have no employees These sub-contractors have 8. D Demolition working forme in any capacity., workers' comp.insurance. 9. E]Building addition. [No workers' comp. insurance '` 5. Weare a corporation and itis required.] officers have exercised their 10.0 Electrical repairs or additions 3.F Tani a homeowner doing all work, right of exemption per M. M. 11.D Plumbing repairs or additions thyself [Na workers'camp. c. 152,§1(4),and we have no 12. Roofrc:rva:> insurance required.]I employees.[No workers' 13.0 Oth4r t? �QCC v►?�evt camp. insurance required.] *Any applicant that checks box'41 must also fill out the section below sho ring their workers'compensation irol icy infemratiari. T Ilonicowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must.subni,it anew alTidavd uidicatine such. lContractors that deck this box must attached an additional sheet diovting the name of the sub-contractors and their%vorkers'comp.policy information. I ant an emplgyer deal is providing workers'compensation insurance,lor melt enzplapees. I3eloiv is the Policy and jolt site information. Insurance Company Name: Ace American Insurance Company / Phone:866-283-7122 Policy,.11 or Self ins.l.ic. #: WLRC46138211 Expiration Date 08/01/2011 �l�_ L� P Job Site:address:t (,(/V!_ �� fie Cityr'StateiZip: Andoverv- -� 0 1�45� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expie-atiooi date). Failure to secure coverage as required under Section 25A of MCH,c. 152 can lead to the imposition of cri.m inal penalties of a .fine up to$1,5010.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIS for:insurance coverage verification. I da hereby certify de z.ePain.s az iezzalKes nfPerjzia.17 that the information,provided above is true and correct. Signature: {Sears Auth.Agent} llate: pht,Tte, ome:860-315-7468 / Cell:860-753-0452 Official use only. Do not ivrite in this area,to be completed lilt city or town off eW City or Town: I'e,rntitll'cense# Issuing Aul.hority(circle one): 1.Board of 1 ealth 2. Building Department 3.Cityffown Clerk 4.Electrical Inspector S.Plum bing Inspector 6.(3ther Contact Person: Phone#: � t j 08/06/2010 08:14 4077678536 SHIT' PERMITS&LICENSE PACE 01/02 CERTMCATE OF LIABILM INSURANCE DA�Eoe 04120 0 PROM= IMS CERTMCATE 13 ia"SUED AS A!MATTER OF TNF0Mt4TI0N ONLY AOh Risk Services Central, Inc. ChiC890 IL Office AND CONFERS ND PJGIi'A'S UPOw TRE CERTIFICATE HOLDER-T ffls 200 East Randolph CF.'RTtI~ICATR DOW NOT ANMgD,F,=END ORAL`I`ER T Ch7CA90 IL 60601.USA QOVERAGEAFFORDED BY THE POLIClU BELOW. t%o,,-m. 866 281-7122 eax_ 847 953-539.0 (NSJRERSAt ORDINGCOVERAGE NAICf1 1NSTmRD m= National union Eire xns co of Pittsburgh 19445 •• sears moldings Corporation msuu;Rn: ACE American insurance Company 22667 dba sears Flame 7mpr%qveMent Products, znc Attnt Risk anagemeht,E3-219A mumm,c! Indemnity Insurance Co of North America 43575 3333 Beverly Road Hoffman Estates z1, 6t179 USA MT.UM D i:iaURDRB; _e COVFi2A4,.ES -n-W POUCM OF INSURANCE USrPj)BELOW HAVE HM ISSUED TO THE INSLIREDWANODAGOVE FOR THE POUCY PERIOD INI)ICATED.NOTWIVST..AA'g1NC ANY REQ111RHMM,TERM OR CONDITION OP ANY CON7RACr OR OTH$R DOCCI wr Elrm RESvwr TO%Vmcx Tf05 CER.T'mcATF,MAY DE ISSuEn OR MAY MTAni.TETE INSURANCE AFVOR13W BY THE POLICIES MCR1BED HEOPiN 1$SUBJECT TO ALL TRE TERMS,"CLUSIONS AND COVOMONS OF GUCH POIXM-s. AG(;Rr-GAT8f7Mfr5 SHOWN MAY HAVEBEEVAMUCE)BY PAID r.Lu&. LR4E3$SHOWN AREAS REOUESTEA M-SR A001 --- - ITR 5 TYPO of I?MMT4cr. rou"T1(mTRRR FOUCY EMCnW,P(RACY MMAVON (.T107n A DAT79, /VD)VYYY D "ALLTADMrIV NOnG7,SS19R21 08/0112010 0$/01/2011 EAC"OCCVVRV:r 15,000.400 X C0%M6ECrnr.GMC1tAALLT0ILITV DAMAGQTORPMED 55,040,400 CLATMSMADE OCCUR PR6M4aG,R nonlxnet 't rim E1ac uoe N 1 Psnso)1ALSAITViNn)P,Y 53,400,000 v OENETtAr•A(IfRFtTM1YI 55,000.000 GDrLAGGRLGATELTWAVPLMPIPL ,:• __ _ -- ,�., MODUCTr-OD IProPAGC $5,000.000 �X 'n{11.eCv 0 190,O TAC o IPCT a AVIOMOVIMBL1AB)Ltnr ISAN08625505 08/01/2070 08/01/2011 rnMeR.mslNGu)LMarr E1 ANYAUrO 15AH0862S499 08/03/2010 08/01/2011 41yAxtdTrl} $5.000,000 z AIl,oV.7a?D AUT45 m 90Ga,Y fNI1,yv v cGfiEG1JI.cD ADT03 « } x /BREDAUPOS WTALYiNIUaY U MO I01MM AUTOS (Pvncddal} PA07MTY DAMAGS 1H (rty"twull) GARAOTILIAVnUW AM ONLY-BA AOCYDF7.r H ANY A 70 +Y OTHFp,THAT CA ACC AVID ONr v, AGO A P.A•<e"IUMT;RrMA,TA"nf1'V BE27473375 GS/Gl/2049 i/ sAcnoocuRrxmm , UCP CT.A1)✓,E RTADL AOURMATE $2.000,000 �DsoO^T7tli£, RLIMMON a - w''LRC 1A08/01/2010_ - X gTATU OTE{. WORXEMCOKrUMA"ONAND CA TSA Lam rt 1:M"YHRSLTADf1„TrY e.LrAO4ACCdDETTI S2.QQ4.000 C IN 1 S[�C46138259 08/01/2010 08/Ox/207.k ANY P(MRSIM f PA1n Nm 1 tMM�I'R B LJ y1 oP61CRNMPMBEREX(7XMElrr E.t_G15nASE•EAt't,Ti*c(1vEF 52.000.000 _ 04=4 m nl1) tJLpC4613$21i OS/02/201D 08/01/2011 _ If m6o4dwwdcrUWAT,pRQVM1QV.1bftw t?.LnISB/6SE,F'L1L1CY1JMrh Sx.000.OQ0 All Other 'Si�ieS :! pTSTR:R -1 T DU1yt"ONOPOPERATIO:NS4A)CATioNpvtMCLTa%MCWSIONS APVV)F?Y 01DORfiBistEflE/=1'GC.TAT,MOM= PRW - CERTMCA'TE HOLDER cANcFLLAT101' 5ei%r5 Home Improvement ProdoctS* Inc. SHCNIAANYUFTNCADOVEDESMMMPD7.tCr1.RF,CAN MLF;DDP£ORETWrnxrrrATt0N 1024 Florida Central Parkway DATE THTIPI0F,VM Mm1Rwn TntatIPERRILL@=BAVORTO MA:1- Longwoo6 r1/ 32754 USA UB LUM 01 PA tT1R Em OsTTAOi LttIMPOM iir,AT�Cb�ERNAMMi OPANY[ONDG .THEtNSuaFSt.JTZACV'TSoRHTivR7�.T).-rnriuss. AUrnownawREPRa58NTATNB IWO—,V449.- ACORD L%(3009101) The ACOR�1 name an0 i 019R$2009 AGORA CORPORATIOE.At1 riRtita n+eTery d= logo are rgl4skmod merts�of ACORD ij Received can 8/6/2010 8:16:28 AN a Gt . �eg'ue (�IL 0 I';SLI111Il; �1� ustnbil 1 Park plaza - Shite 5 1'70 '~ Boston. Massachusetts 02116 Home IMPrOVenlent Conti.-actor Registration Renistration: 148607 Type: Supplement Card SEARS HOME.IMPROVEMENT PRODUCT Expiration: 10/11/2011 LUSOS SVEC 1024 FLORIDA CENTRAL_ PKWY LONGWOOD, FL 32750 _ Update Address and return card.dark reason for change. ? Address Renewal "" Employment Lost Card UPS-CM OF SOM-NAA-G101216 ;h 9/4 ;fa\ Office(if Cousuiner Affairs t 13nninctis Regulation License or registration valid for individul'use only before:the expiration date. 1f found return to: 4 T r �, HOME IMPROVEMENT CONTRACTOR a " �- Office of Consumer.l,ffails and Business Regulation Registration: 148607. 1t)Fstf'l:l'laza-Suite 51-70 Qtx_ T Expiration: 10/11/2Q11 Bus(on,MA(12116 _ o Type: Supplement Card SEARS HOME IMPROVEMENT PRODUCTS INC. LU130S 5VEC 10241 FLORIDA CENTRAL RKVth LONGWOOD.FL 32734 _ •o —-- F'ntltrcrcretar� Notvalid w'ith0lit S1 nature - Nlassacffusetts - Dep;wtmcitt tff'Public S:ftet� Board of Buildin;; Regflations and Standal•ds Construction Supervisor License License: CS 97519 E LUBOS SVEC - 827 THOMPS-ON F DAD THOMPSON, CT 06277 Expiration: 8/31/2012 Conunissi,onCr Tr#: 2442 N— Proposal Date 0-6;X(p Jot d 1093707 Sears Home Improvement Products,Inc. Customer Name P.O.Box 522290 C.e U 1024 Florida Central Parkway CustomersI Sears — Home Phone Customer's WorK Phone Longwood,FL 32752-2290 Home Improvement Products 5'70-W, I Phone (800)469-4663 Street Address ESTIMATE AND PROPOSAL Contractor Licensa/Registration Number b ILL VHIt1dOWS HIC#148607:all plumbing and electrical city State Zip Code services performed by licensed subcontractors M.bacyak 1gQ4' Is installation within city limits? FEIN 25-1698591 Installation Address County (RYes ❑No Billing Address(if different from above) City State Zip Code Pct Cons Name&License No.(if applicable) I oU K5.61T6 Description of the Project and Description of the Significant Materials to be Used and Equipment to be 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 u of all job-related debris upon completion of the job. 4. Install Sears Weatherbeater -PW I/Fjcc Windows in the openings described below according to the following specifications: COLOR: DjWhite ❑Tan ❑Clay ❑White/Light Woodgrain Interior ❑White/Dark Woodgrain Interior TYPE: ❑DH Qty_ j$PW Oty-2_ ❑Casement Qty_ Type ❑SH Qty— ❑PD Qty_ ❑Bay ❑1-LR Qty_ ❑Garden Door Qty_ ❑Bow: ❑3 lite ❑4 lite ❑5 lite ❑2-LR Qty_ ❑Garden Window ❑3-LR Qty_ ❑Other Gly GLASS: ❑Tempered' Qty. ❑OBS Half Oty. SCREENS:Check it other than FIBERGLASS "PLEASE NOTE.-Tempered glass will be installed to ❑OBS Full W._ (on sashes only) ❑Aluminum meet building codes. ❑Laminated Oty. GRIDS: Type Color. Placement: Existing units NOT to be replaced. -.... -------------------- ❑Yes ❑Col Flat ❑White ❑Woodgrain ❑Top KNo ❑Col Sculp/Contour ❑Tan ❑Full ❑Other(Specify:) ❑Brass ❑Bottom ❑Clay ❑Flankers 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: VLA&G Work NOT to be done: 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)m APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE: The work will start approximately-3WIE&(Approximate Start Date)and will be substantially completed by approximately /-2 D24yS(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 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(_%) $ The Initial Payment is due prior to Sears ordering products. Total Amount Due $ The form and method by which the Customers)will pay is described in a separate Cash/Credd Card Payment Addendum made a part of and incorporated into this contract by reference. Customer(s)in' -)Cc C-, 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 of this contract are stated on the pages following- CCl l� SWI-MA R�.n4/0g Customer(s)i Al �i nut i i�iEi m ADDITIONAL PROVISIONS Proposal and ApprovaI. 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. 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 responsible 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. 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. Ora[Agreements and Changes in Contrac. 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 o I 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. Warrant 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,(ii) 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 i. 00 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 conditioningsystem,or an portion thereof,if asbestos - tos or asbestos-containing Y any os 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 resent either before commencement P p eco a cement 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. n DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES OAA /0 ran;00 Customers afore Date Custo igna ural _ Date Accepted by Sears Home improvement Products,Inc.("Sears")on by: Date Management Representative SW-MA flay U4MB II� eNFRC --_ National Fenestration { �. r w ad vuz l x.10 k V i ar F.I e.'111P1ado Rating Council, pvpsty= t$ c i ENERGY PERFORMANCE RATINGS EVALUACION DE REN®IMIENTO ENEROErICO U-Factor Solar Heat Gain Coefficient Factor-U Coeficiente:Ganancja de',Energia Solar . ,"-3 2 ♦ i (U-M-P) WetYlco/su ADDITIONAL PERFORMANCE RATINGS EVALUACION SUPLEMENTA.RIA OE RENCIMIENTO Visible Transmittance Transmision de tazVisible Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product petforrnance.N SRC ratings are determined fora fixed set of environmental conditions and a specific product size.NERC does not recommend any product and does not warrant the suitability of any product for any specific use.Consult manufacturers literature-for other product performance information,w mFv.nfre,org - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - Este fabrjcante,esllpula que estos valores cumplen can los procedimientos apiicabies de NFRC para determiner el rendimiento tats!del' producto.Cas valores usados por NFRC son deterrn'rnados por un conjunto fjjo de Gond clones amblentales y un tamano de producto especifico.NERC no recomienda ningun producto y no garantiza quo el producto sea adecuado para un use especifico.Consulfe con el fdlleta del fabricante para el use aproprado de este producto.v Avw.nfrc.org oL 1 3�E G" STAR ragiox.f) ?!ort hat r, North 3y" Ff •r � '_:" xF Irl -'I as rr5. r° ,~r e; �. ,• ' rlL-g ,6}l fps} ENERGY STAR.- Nat.,,tar R s D21 # l b d Pr 4 f a! w�"..SFi}9.1 F.G.E t3 '3.�•q• `t i .^i cy tiM 6 y Y (�p�.-s-y �1 ��y ®111 '11,09432 yI{I��; y®�39{ '. 52 15 Keep this label for possible ENERGY STAR*rebates.To'leam more visit wyrnv.energystar.gov Guorde esta etiqueta para posibles reembojsos ENERGY START Para conater mss acerin de esto,visite wwonergystar.gov.