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HomeMy WebLinkAboutMiscellaneous - 104 MEADOWVIEW ROAD 4/30/20181211'� Date .... z.... 7 TOWN OF NORTH ANDOOPER PERMIT FOR GAS INST"LATI( This certifies that .... i.s-A. .............. has permission for gas installation . . . P11-9 1 .............. in the buildings of ... ............................. at ....... North Andover, Mass. Fee. Lic. No.X-r,.3 .... .... �—. ...... 6ASINSPECTOR Check # / yD � � 6271 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS Building Locations Permit #?� Amount $ 2J -- Owner s Name New D Renovation D Replacement Plans Submitted (Print or type) Name Check one: Certificate Installing Company Corp. ElPartner. Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: 1 have a current liability Insurance, policy or it's substantial equivalent. Yes ti/ No � If you have checked Les, pleaseind'te the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity D Bond 13 Owner's Insurance Waiver: I'am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 1:3Agent 11 _, ___ _.., ..._.... ..... ... .....� ..,... ,,.,—..QL,V„ , „avv ,,,,,,,,,«rU kor enterea) In above application are true and accurate to the best of my knowledge and that all plumbing work and inst s performed under Permit Iss d for this application will be in compliance with all pertinent provisions of the MassacXseftvStateCode an hapter 14 of the neral Laws. By: Title (APPROVED (OFFICE USE ONLY) Signature of LicenseWPlumber Or Gas Fitter [31plumber Z: ? l 0 Gas FitterLicense7u—moer Master Journeyman O w w a O O Q p z C>» C1 U W x F o. C > Ew. d GCC F F x C7 Z d Z w z C H w F" W G7 v, Z W O w z U w C V1 a 5 x 'o ° � > c a H o SUB -BASEMENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR FF 8TH. FLOOR (Print or type) Name Check one: Certificate Installing Company Corp. ElPartner. Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: 1 have a current liability Insurance, policy or it's substantial equivalent. Yes ti/ No � If you have checked Les, pleaseind'te the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity D Bond 13 Owner's Insurance Waiver: I'am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner 1:3Agent 11 _, ___ _.., ..._.... ..... ... .....� ..,... ,,.,—..QL,V„ , „avv ,,,,,,,,,«rU kor enterea) In above application are true and accurate to the best of my knowledge and that all plumbing work and inst s performed under Permit Iss d for this application will be in compliance with all pertinent provisions of the MassacXseftvStateCode an hapter 14 of the neral Laws. By: Title (APPROVED (OFFICE USE ONLY) Signature of LicenseWPlumber Or Gas Fitter [31plumber Z: ? l 0 Gas FitterLicense7u—moer Master Journeyman I 1' I Location _/%P 7 dPe,)01ocv �iAy� No. `f 12& Date °? 5 0 C( NORT1y TOWN OF NORTH ANDOVER 10. s ~ A Certificate Occupancy of $ CNUs <� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ y Check # 0/--2 / 17044/0M` (,,,- f Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 10 -A, BUILDING PERMIT NUMBER: l/ / DATE ISSUED: SIGNATURE: Building Commissioner/I for of Buildings Date SECTION 1- SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area (so Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R 'redProvided Required Provided. 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: Public 0 Private ❑ Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record r ---A �,,l 1 C - (--(K ��ly1 ave 1 ✓Y� (L G ��1) l C� �' Name (P'Address for Service cu l9 3 e 3 c,3 Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable ❑ License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable ❑ mpany Name Registration Number Address Expiration Date Signature Telephone 11 [61 SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Workcheck all applicable New Construction ❑ Existing Building Repair(s) 0 Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item 1. Building Estimated Cost (Dollar) to be Completed by permit ap licant — �}FFI�CIAL _ (a) Building Permit Fee Multiplier USE UNLY x 5 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (n) 3 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 i — Check Number 9' SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUIJ-DING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My be"If, all m fitter relative to wor uthorized by this building permit application. Si a e of Jrj Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent Date 11WIN9= ills, NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIVIBERS OT 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ­ . i North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordanc wit the provision of MGL c 40 S 54, a condition of Building Permit Number it is that the debris resulting from this work shall -be z disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: C9 �e te terry N (Location of Facility) Si natu of Permit Applicant 2-3-©� Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector 6 z s' � °o w ao c/)w 0 w c7 a cm o a v G w 0 � o w w" o E� a V a W m o w cn G w' p o w C w H w w w v w o z cn O cn O O E CD oc z O r�7 COD O O H c v O C cc H ri Y/ W W 19 w V •t CIS ��m c O y 'a� c 3 OCC o =o m .now: E ox c ts COL M :cam C2 ts co �+: t a r E 2: m y C y cm m y o keg _.-0� y O :Em i o ®cm O • V : y a m m cmc 21, Q;== O Of . C C e Me mor f On m Z 0 cc 0 •�c O ca c oiz o 6/i m = m r atmc vyi =r Z CO)E m32 Ov �OZS O � CLS > O O E CD oc z O r�7 COD O O H c v O C cc H ri Y/ W W 19 w Location i oq hy0 C)W U 1 r -CU No.2— Date 40*Tq TOWN OF NORTH ANDOVER Of•.�o ,�,h O 9 Certificate of Occupancy $ �O••�•o rA cHusE�� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ a Check # b 3 oa_ 15184 w(U� I Building Inspector TOWN OF NORTH A"OVER BUILDING DEPARTMENT LPPLICATION TO CONSTRUCT REPAIR,:RENMATE, OR DEMOLISH. A ONE OR TWO FAMILY DWELLING SIR 3UILDING PERMIT NUMBER.. 6p Cl 6 DATE ISSUED:11 SIGNATURE: �` C Building Commissioner/jns=tor of Buildings Date ;ECTION. 1- SITE INFORMATION 1.1 Property Address' 1.2 Assessors Map and Parcel Number: 103 Map Number Parcel Number ji - ( 1.3 Zoning Information: 1.4 Property Dimensiohs: f roning District.. Lie Lot Area; s FrontA fl 1—.6 BUILDING SETBACKS ft I Front Yard . Side Yard Rear Yard Required Provide red Pi &-d ReqWred Provided ,. 1.7 water Supply M.G.LC.40. '34).. 1.5. Mood Zone Information: 1.8 Sewerage Disposal System: ?ublic ❑ Private 0 . zone Outside Flood Zone 0 Municipal 0 On Site'DisPos31 System 1] . SECTION 2 - PROFERT OVi�NERSIP/AUTYIORIZED AGLNT. r 2.1 Own of Reco P�0 Y 4 r ccs 2 1.c.) �� ' Name (Print) Address for Service E Signature Telephone F' O 2.2 Owner of Record: Name Print Address for Service: Signature Tele hone ! SECTION.3 - CONSTRUCTION SERVICES 3.1 ' ns onstruction Supervisor: Not Applicable 0 0 Licensed Construction Supervisor: License Number Acs Expiration Date Sign re Telephone j 1 3.2 Registered Ho provement Contractor Not Applicable 0 Company Na � Registration Number oe Ad s�z- 3� Expiration Date SECTION 4 - WORKERS COMPENSATION (IVLG.L. C 152 § 2'*60' Workers Compensation Insurance affidav=rmit. completed and submitted with this•apphcaton, Failure t0 provide this affidavit will result in the denial of the issuance of the buildin Si ned affidavit Attached Yes ....., ... No.,,...0 . . SECITON 5 Descri" tion .bM6 used Work' check ills liable ., New Construction 0 Existing Building 0 Repairs) Aherattons(s), ,❑ Addition ❑ _ Accessory Bldg. 0 Demolition 0 Other -, D E Specify Brief Description. of P o sed Work: i f fi. SECTION 6 ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Com leted,b mut a licant J t a 1. Building ��� aI O Burldmg Pemut Fie , Nlulir aier 2 Electrical (b) k'sUmated`Total"Costnf. f Construction L.3 Plumbm Building Permit fee fg) .x (b) 41 Mechanical ;.HVAC. 5 Fire Pr'oteetifln 6 Total (1+9+1+4+ Check'Nuiber; SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 as Owner/Authorized Agent of subject property . Hereby -authorize to act on My behalf, in all matters relative to work authorized by this building permit application. i Si tore of Owner Date SECTION 7b OWNER/UTHORIZED AGENT DECLARATION as Owner/Authorized Agent gent of subject Hereby declare that the statements and information on the foregoing,application are true.and..,accuxate.., to the best of my knowledge and belie n t A/1 / / / of ON'Vner/Agent Date BA:SENIENT OR SLAB SIZE OF FLOOR TIMBERS IST 2 No3 SPAN DIMENSIONS OF SILLS DMENSIONS OF POSTS DEV ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 88/20/2881 16:42 5_62295x57 SCSACENCY PCE 82/82 ;. ORD - - IK .... :.. .'t.. ri- M. F,• ,•�'M1 ). e'Ar.4w.y, ziYYI. Iu:.w t'1:1111.• - : '^ . ..�:•..._.A.,. .... .:.....:... '....... .N:�..•7.t"1'wy I..:...I1 r.1/." Ai.l ^^ .::�F�:.� .. �. :'11 '; De/2o/al PRcaLcS� THIS CERTIFICATE 19 ISSUED ASA TTER OF INFORWA N 3CS xq*ncy, Inc. ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE , P.O. sax 220493 HOLDER. i HIS CERTIFICATE DOES NOT AMEND, EXTEND OR 11 orRca Avanu• - Surat 300 ALTER THE COVERAGE AFFORDED $Y THE POLICIES BELOW. artat lkmk NY 11022-0493 I COMPANIES AFFOR0 JG COVERAGE P7 -.No 51h-466- -5851 Bil-Ray ;a min= Sid:nq Corp. P/$/.Z sears Honw CantrAl 40 zl=nt Road 21-=nt NY 11003 CC44PANY A. Hizmi'tajt Iasuraucic Ccur�any COMPANY 6 Clarendon Nation-il Ins Co COMPANY • C ScottsdAle Tmsvz-4mc* Company COMPANY D , TK6 IS TO CERTIFY P-1AT THE POLICa CF IN9URMC, LL9TED d:LCW )'IAS E BEEN 03U4p TD I -Ml INSVPED NAMED ASOVt FOR THS POLICY PFFsM IND)CATED, NOTVWIT)WPOINO ANY RE-OURLMM. TERM OR CONO(TTON 0f ANY Corn 7.....; ='HER DC=XMNT WIT* RESPECTTO WHfOH THIS C.•RiTP1CATE MAY BE ISS'LU OR AAAY PERTAIN. THE VMRANCE APf CRDED SY 7HE PCUcigS O"C7116L`D HIiIM 4 SUOJ> :T TO ALL THE TM4, CiCLUSICNS AND CCNDITICf'NS CF BUCK POUC:PS. LMTS 6HCWN 1"Y HAVE BEEN RMUC:D UY PAI) CLAaAB. LTR I T7Pe OF I%=surtn%ic POLICY NLN196A 0 TEE (ucyNWDar "A•O " 6ENERALLUABIUTY XE=ACH,2��F�c cATfi Vi 000,000 Al XAFRCALaE')ERALLAeILm AaL431843 08f25/01 06/25/02roPAUG I 000 000 �= CLAILC'AACE C=LIM %AW 11 000,000 owNetts c coxrRAcrDae PRoT e F 1, 000 , 000 OTS 3L.Lbi_K-1 Mlfe DANY OFT,chABCVEOE�eEDPQLJO a ane�4werreeee :i(PIRArr,N CATE TYfLRCC?. rMi I=UMC Cv Mj A?N WILL CKDEAYORr0 LLUL 30 CAY9wRTe1 N=9 'M THIS C«"' ;*Are Fc� NAM= TV-'rqc LarT, iVT FAILUi m MPIL Oman Nona 5$44L Wd¢ NO 05LIOAT)GN OR LMLrrY cF Ad-r'.vA 1 ogN THE COMPANY. ITS AGE'58 bR A 4P6aGNTArIYa. iRREDAMA,06Vny-d6.) t ! 10 100,000 ►AES W ;JAV CA$ D.om) AUfCMC-0Ilfi UABIL,TY ANY AUTO ALL CWNM AUTC9 eChL0ULJD A JTC'S t ; HIQID LLT" NON-CNfrdC AUTCS CO?AvNw=Ncul um r ; Mmy INJURY BCOILY INJ7NCY I S I (PLW toold�tH PA0nRT(AAMA0E I3 I OAR,tGLLIA&L"tt I ANY AUTO I I r --i I I I AUTO ONLY -EAA—L—ir I s _._,11..- ...,1...•.. 6TrfA THAN AUTO CKY: :;•=•'i^::":.'� :';"`:; ` . I:'::. .1.: �ACN,AC�OEPR A I ( �LT�CC� LIAMUTY If UMgPRLLAr-O XL90009269 I I OTHS T)-" VmoA—. A FOP -M 08/25/01 I 03/25/02 GAGA OCCVRA@ICE t AMRE-t s 5 ^' WCAhYAD CONPENSAT)CN AND EMPIAYERS L1Aatlr`( TWWPRCMFj w X, INCL PAQTYGZ37GIi1`/E CFt7C2ROARE IBC'. I BCTGC012360501 I 05/14/01 05/14/02 _ _- Qu �! :�•' `u :`:::•w " ,,,'.:" 4500,000 2t7E4 aosEs-f'DLIcYu500,000 !L p;6rhS4•HA @AOLOYL'G 19S0O,000 OTS 3L.Lbi_K-1 Mlfe DANY OFT,chABCVEOE�eEDPQLJO a ane�4werreeee :i(PIRArr,N CATE TYfLRCC?. rMi I=UMC Cv Mj A?N WILL CKDEAYORr0 LLUL 30 CAY9wRTe1 N=9 'M THIS C«"' ;*Are Fc� NAM= TV-'rqc LarT, iVT FAILUi m MPIL Oman Nona 5$44L Wd¢ NO 05LIOAT)GN OR LMLrrY cF Ad-r'.vA 1 ogN THE COMPANY. ITS AGE'58 bR A 4P6aGNTArIYa. 0 J G Z 00 J _ ,W •rr. - r _ U) ^ - L- I a > °. CZ CD ter" Z \� dim- IIII ire, s• J = � LO- p m c vl n m V)X C 1 U Z m r W O O < 2 O} Q J J llt Q Lo ZD J G O 77 N G J _ ,W •rr. r W ^ o v L- I cn LnJ �. fel CZ CD ter" Z \� dim- IIII ire, s• J = G O 77 N G O r ^ o v L- I ? II dim- IIII ire, s• J = OCT -22-01 MON 2:45 PM R1.0, No, 11-23204"49 ME Lie. No. 001893 Job # S S y %'- S SEMS NH llc, No. - __ T SALES: FOR ALLHomeCe�tl'dl" MA lie. No. 120456 New York bapt, of Consumer New York: SERVICE(REPAIR3 Aaeirs Lie, No. forIM66 000.942.8111 The Service Side of Sears PLEEASE CALL Nassau Lfc, No, M270415M Boston: 888.245-7294 190 Cedar Hili Road Suffolk Lie. No. 21194MI Yonkers 1397 800 -SEARS -31 Marlboro, MA 01752 Westchester W0060 -N67 Hartford Area: 000 -SEARS -99 WINDOW CONTRACT New Jersey Ltc. No. 1.011111504 Conn4clicutDepl dlCarteunrnr Providence Area: sold, Fereished a Inelslled 891-R Alnmfnxm sldlne amp. of Ou"ns, trio. Orhed VTAffirsLIc, LIc. No. 00532714 VT Llc, No, 888 -SEAR 51 888 -SEARS -St A span Aen Wnfraei 40 Elmdnl Revd, Eimcnl, NY 1t007 _ Rhode island llc, No. 13Y07 SOLD TO�cJc�' ADOnES8 f�I CITY !V_&Lt Lilt ST JOB SITE ADDRESS (If different) DATE ,lei /HONE (Home) Zt�Y PHONE (work) APPLIED VINYL WINDOW SYSTEMS Gonoral Description of Work at Above Address:�C Typo of Mouso- Approx, Start bale T yp ]("Frame; p Masonry Approx, Completion Dale SPECIFICATIONS Sears OPproved rnOledols Will be turnlshed and Installed to these specificelions: VES NO I'I.PASE READ CARF,FULLY: ONLY THE ITEMS CHECKED `YES" ARE INCLUUEO Irl YOUn OnDER 1. ❑ Romove, windows from Openings whore they now e40r:t on! 2 0 FIRST LEVEL 41 Openings # New Windows ;1. (7 SECOND LEVEL # Openings if Now Windows 4. U THIRD LEVEL # Openinge # New Windows 5. C3 6ASEMENT LEVEL # Openings # Now windows e. 1."1 OTH(^n # Openings A New Windows -�---- -� 1. LJ Removal of Metal or olhor units requiring modnod Instauation s Oponings # Of Unna 8 C3 I thslo11 now painlable Mouldings Inside Stops # of Openings _ Clameho8 or Casing # of Openings 9. ❑ R3 Install now Mosler Frame # of Openings 10 Y(1 rj Now window units to have doubts strength insulated gilSs 7/8' lolal thiclinoss I 1 • T ❑ Now window units to have fusion welded sesh # 12. ] ❑ Now window unite to have (uelon warded name #_� 13. ❑ New windgw uhils (o have CIiMa•Toch parka a cons stung of Low -E coated. Argon rrPad inSurated glass # of units — _ 14, New window unite to have Cam tock(s) or Latch tock($) 15. New window unls to have Obscured Glass # _____ Hail __ Full 18. td la Now window units to have hall(lm) sofoon pun sctoon on marrioni We window) 17. C1 Install PVC coated aluminum to window Names Color' # d Openings 1 4,M 0 COQlk and seat windows with 3 point sysiom ( � 19. ('] Remove and dispose of existing wrwows and/or storm windows 20, 0 Color of windows to be ")Ito -4-'- Beige — 21. 0 Wridows io nave Grids --& Colonial Diamond WFull 0 112 Additlonat Into 22, f 0 Total if of Double Hung M ' Total # of Hoppers Total # of Casements _ v_ Total # of Awnings 'Total # of Two Life Sudors — Total # of Threo Life Sliders std.— or Equal— Toldt # of DOW LNo/Pk;lures __ ...., Total # o/ Basement Sliders 23. tT ['1 Soocial Order s (1 ddhlon to Above/ 24 C.I Goan up. All Job Wiled debris will be ro6vod from property on complotlon of work. 25. 0 Insurance --An workmans componoatron and liability Is maintained. 20. TJ Warranty --Monod to customer upon completion and lull payment Is recglvod ( I nu n", •, ,, r :,.^ a^r,%ANh,,4i 29 (1 Iq Payments-�(On non nnenCedorders) is peyabto to lhstaner on day of instalaiian, 20. A� 0 All 01scounts ha been applied, (- . i1fn4r • i r� *�� b n n,r .a n• •„r Cash Sale Total $ Less deposit 33% $ Cash Balance $. _ ..,� _ Other Paymont (if any) Q CASH O�FINANCED $ _ 0ILLL does not include interest Balance on SUUSIanUal Compiotion I1 Ononcod. balance payable In. rfv 41r'4honlhly Inslarimenls of approximately $ 11 � par month, payable by "Owrnor te, cofilmdor, but II Pnnnced by Ownor Ilion Owner will pay said amount to the lending Institution plus such Interest and credit service charge of said lending Inailiulion payable dl4acliy to the landing tneOlutlon loaning such monies lg 47wner' nd vu n ag9cute a Retail hlslefliri obtigedon and any documents required by such longing Ino t fjon In Connection wdh s 29. C Addlltonal Inlgnnation ----J ^ t1. r 3c �v r orr�i 7V rllrC•' 4 ..,�%,..� �c,:," 1.�i c1.•' O f%T. .rc - � .r'�r'C �,. �--- Work Not to be Done ` COW FIAGTon I,5 NOT RL-SPONSIBLE FOR ANY EXISTING SECURITY SYSTEMS. PLFASE REMOVF AI.L gNApFS, vEnTiC.A1.5. Ut INDA. CURtAINS, ONAFES OR WINDOW MOUNiEDAIn CONDITIONERS, PRIOR TO THE INSTALLATION OF YOI,ITI NEW WIN, DOWS INSTAi.t FITS ARE NOT t1CSPr1NS113I,E FOn Trip REMOVAL OR INSTALLATION OF THESE TYPES OF 11F. -MS. Notice; If financed, any holder of this Consgmer Credit Contraot Is sub, CONDENSATION INSIDE THE HOUSE OOEs NOT INDICATE A WARRAN• Jett to ell helms and defenses which Ill dppp bta► could assert against TY PnORLEM. the salter of goods or services obtained p@rsuanl hereto or with the pproceeds hereof. Recovery by the debtor aha not exceed amounts paid bV debtor horeurider. "OWNER REPRESENTS TO HAVE READ AND RECEIVED A DUPLI- CATE ORIGINAL OF THIS AGREEMENT -ANO TO BE THE AUTHO• RIZED AGENT OF ALL "OWNERS" OF THIS PROPERTY UPON WHICH THE WORK OR THF MATERIALS 0R11 TO BE SUPPLIED. NOTICE TO THE NOME OWNER(S), GUARANTOR(S), LESSEE(S), CO-SIGNER(S), COniratior, at The shponce or owner, Shall procure ail permits toqutred by low as follows, 1. Owners who secure their own permits will be excluded from the yueranly fund provisions of MSL Chapter 142A. 2. Any person who shall haveca•lifgfied, quaraetea(t or signal any credit application er Pale foisting iO this agreement hereby accepts Ill be bound by this apgtoomenl. 3, Owrier(s) represents That the contents on the back alibis agreement Ise hueppart hereof and has been read and accepted by Owner, 4, ALL INSTALLATION LABOR GUARANTEED 1(ONE) YEAR. Print Salesman's Name ����7✓�G'-� 7\,77`� Salesman's Llconlie No, ^,r __ Slgnsturo SALESMAN HAS 110 AUTHORITY TO CHANGE PNY 11 FMS ON MAKE. ANY REPRESENTATIONS 011FER THAN CONTAINED IN 11115 AORrr,MENT AND "OWNCR" TEPRESENIS 1NAr NONE HAVE REtN MAot to oR RELIED UrON BY 'pivNEn", YOU ARE INT1111111 10 A COMINLiLLY FILLED IN DUPLiCAIF OnIGINAL OF 1NiS AGRfFMfNL "YOU, THE BUYER MAY CANCEL THIS TRANSACTION AT ANY TiME PRIOR TO AIDNIOHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THiS RIGHT. ON ALL ORDERS CANCELLEO AFTER INERECISION PERIOD CUSTOMERS WILL BE RESPONSIBLE FOR A 45% AOMINfilTRATIVE AND RESTOCKING FEE, THE COMPANY WILL DEPOSIT ALL MONIES RECEIVEO FROM ff_FR ESCROW ACC_0_3Nt ATAT C(IASE INA i T AR-iANK'fOOT•1- 062089 WITHIN FIVE BUSINESS DAYS OF ITS RECEIPT, Dote Do net sign this agreement belo►a you read if or 11 11 contains !toy blank space or 11 It dols not contain everything agreed upon. DATE /Gr e- r' (Customer Sian Nwo SEE REVERSE SIDE FOR ADDITIONAL TERMS AND CONDITIONS R6vi5Ld �ro1 P, 2 d z w A a LQ •l7 w " cn a � z A G -0 C w° x a� C G U td w a U ►•a id a O w (3a u cn cri w p cd w w a yG 2 7j cn 4i w O cn TF t a 10, O cm C C ca 'Q y O O 'E0 CD CD m m Co t O � 3.0 O � � !O O d C Q O Cc vCa J•0 O ca C Z tsO V CO) C . 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