42-074 (6) NY—'1 4-2003 ZD 10 i0 rM 5 `—RP'';, ROCK";; �1LL, T -�iX K. -60 51.3 1302 a, 01
CERTIFICATE OF LIABILITY INSURA�IC�,�,±� '� ° 03/12/03 M
PRDDUC6R
THO CIRTIMATt IS 169UED AS A 1WATTkR OF INF RMAT10N
San Agency, Inc. ONLY AND CONFERS NO PUGHTE UPON THE CERTIFICATE
P.O. Box 220493 HOLDER.THM MRTIFICATF.DOES NOT AWNO,EXTEND OR
11 Grace Avenue - Suits 300 ALTER THE COVERAGE AFFORDED BY THE POL9369 BELOW.
Great VaOX NY 11021-0403
ghons:$i6-466.600T pax:Sl6-829-5857 INSURERB AFFORDING COVEsRAGR
M9URERA Hes>,1aLCA Insusanc4 CRMM
S'1-AAY 111uWtiaua siding Corp. weuRERA: AWwriaap Hass As3granoo Ca.
AQKe a >44• IR4UI1 o Striate-Awrican Insurance Co.
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ANY FGQUI FMINT,TIM 011 CONDITION OP ANY CONTRAOT OR OTHER DOCUNCNT WIT+r4WW I To WHICH TNIA CVMFICA7G MAY 6E WO OR
MAY PERTAIN,ng WALIMN'.G AFFORM AYTNE POL1016B OitMKO NCACIN a MUPACT To ALL THE TERMW.MU111110Na AM CONOITION5 OF AUCN
POLIOW ACOREOAT/W WT3""MAY HAVE SUN AWUOW WY PAID CLAW,
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C.L.D18EAiE•FAIMAPLOYE $300,000
EL.DIVAIR-POLICY LIMIT.I 1500 000
C nismbiltiy Benefit 1794090-001 to/oilOZ 10/01/03 it)Itwtory
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Sim_1 GWULOAW Of TNN ADM DESCRIMMO POUCIN K CAROI"" !TNR O?NIA
DATl TIW VW,TN9IO6111NO INKMO WILL ENDEAVOR TO MIL _.10 PATS WRITTRN
NDT)OW TO TH9 M"FICATi NOLpiR NAMPO TO THA LWT,BUY WAILM TO DO 4011IML'
MMRf.I'CNOOUMATIONORUAA&MOFANYNI 'UFONTHCIN/URER.fWA*WP=OR
TIVWI.
ACOW m m LCOR10 CORPORATWN 1948
F.I.D. No. 11-2320449 ,sr���`s ME Lie.No.DD1893
Job#S`)G S to `� `—/"" "v MA Lie.No.120456
• SALES: FOR ALL HomeCentrals" New York Dept.of Consumer
Affairs Lie.No.0730686
New York: SERVICE/REPAIRS The Service Side of Sears Nassau Lie.No.H2704150000
' 800-942-6111 PLEASE CALL Suffolk Lie.No.21194HI
Boston: 888-245-7294 190 Cedar Hill Road Yonkers 1397
800-SEARS-31 Marlboro,MA 01752 Westchester WC0613-H87
Hartford Area: New Jersey Lie.No.L011664
800-SEARS-99 WINDOW CONTRACT Connecticut
.No.0. 32774 Consumer
Affairs Lie.No.00532774
Providence Area: sold,Furnished 8 Installed by Bill-Ray Aluminum Siding Corp.of Queens,Inc. VT Lie.No.
888-732-7751 40 E Sears Authorized Contractor
NY 11003 Rhode Island Lie.No.13707
888-SEARS-51
' SOLD
TO , DATE
�
ADDE S Sn �_ 812
PHONE(Home) 31�_
CITY STATE!!_,6--- ZIP ILL' n, ) PHONE(Work)("0)
JOB SITE ADDRESS(If different) _
APPLIED VINYL WINDOW SYSTEMS
General Description of Work at Above Address: A n
p Approx.Start Date
Type of Houserame; ❑Masonry Approx.Completion Date
SPECIFICATIONS
Sears approved materials will be furnished and Installed to these specifications:
YES O PLEASE READ CAREFULLY:ONLY THE ITEMS CHECKED"YES"ARE INCLUDED IN YOUR ORDER.
1. fir ❑ Remove windows from openings where they now exist on:
2. 0' ❑ FIRST LEVEL #Openings #New Windows
3. ❑ li�--,SECOND LEVEL #Openings #New Windows
4. ❑ IV THIRD LEVEL #Openings #New Windows
5. ❑ W�BASEMENT LEVEL #Openings #New Windows
6. ❑ EV THER #Openings #New Windows
7. ❑ Removal of Metal or other units requiring modified installation #Openings #of Units
8. ❑ Install new paintable Mouldings Inside Stops#of Openings Clamshell or Casing#of Openings
9. ❑ Install new Master Frame #of Openings
10. d ❑ New window units to have double strength Insulated glass 7/8"total thickness
11. -�/p New window units to have fusion welded sash#
12. ❑ New window units to have fusion welded frame#
13. ❑ New window units to have Clima-Tech packs consisting of Low-E coated,
Argon filled insulated glass #of units
14. �❑ New window units to have Cam Lock(s)or Latch Lock(s)
15. ❑ Lr New window units to have Obscured Glass# Halt Full
16. I;K_ ❑ New window units to have half(1/2)screen(full screen on case enI type window)
17. � El Install PVC coated aluminum to window frames Color Z #of Openings
18. (� ❑ Caulk and seal windows with 3 point system
19. ❑ Remove and dispose of existing windows Efnd/or storm windows
20. I�❑ oior of windows to be White e� Beige
21. V Windows to have Grids _%Z!!�L Colonlal Diamond ❑ Full 1/2
Additional info_
22. ❑ Total#of Double Hungs Total#of Hoppers
Total#of Casements Total#of Awnings
Total#of Two Lite Sliders Total#of Three Lite Sliders Std.—or Equal_
Total#of Dead Lite/Pictures Total#of Basement Sliders
23. ❑
24. pf/ ❑ Special Order Windows(In Addition to Above)
❑ Clean up—All job related debris will be removed from property on completion of work. _
25. E3 Insurance—All workmans compensation and liability is maintained.
26 to customer upon completion and full payment is received �_.. An Discounts Hzve 13—AnprPd
27. ❑ Payments—(On non financed orders)is payable to installer on day of installation. may»P e e w A p
28. 0 All Discounts have been applied.
Cash Sale Total$2; Less deposit 33%$ Cash Balance$ r Other Payment(if any)$
El CASH CASH FINANCED does not include interest Balance on Substantial Completion$
If financed,balance pavable in monthiv installments of annrnxtmately.4 ner month navahie by,,nwna`to rnntrartnr hi it
-� ✓�e �O'lPP9I8(yPZQ/PlL��� (��� �(l7dJL7IY7,tLJe�6 `/ / LI/Pfl��� � i: - / r,.li
u/12P. I�CYIPLPItO-YZ �r;..
BOARD OF BUILDING REGULATIONS \
• S
License: CONSTRUCTION SUPERVISOR 5i
Board of Building Rcgnlal o�n ,ci I:!
I.r'
Number: CS 067195 HOME IMPROVEMENT CONI RA 4'
Birthdate: 08/16/1952 _ J Registration: 120456
Expires: 08/16/2003 Tr.no: 1191 Expiration: 1/2/04
Restricted: 00
Type: Supplement Card
PAUL S MACDONALD BIL-RAY ALUM.SIDING CORP
25 MASON RD zz- 4-- PAUL MACDONALD
DUDLEY, MA 01571 40 ELMONT RD
Administrator
ELMONT,NY 11003 --
____ Admimslraior
e1�c &/Accu-Weld"`
HIGH PERFORMANCE WINDOW&DOOR SYSTEMS
AA An Arch America company
La "Equal Sight Line"
Vinyl Double Hung
National Fenestration ARGON FILL LOW E
Rating Council
IR o
Energy savings will depend on your specific climate,house and lifestyle
For more info' 'on,call 1-800-782-6347 or visit NFRC's web site at
www.nfrc rg - ,,,,
r r
U-Factor Solar Heat Gaisible Light
■31 Coefficient Al�4 Transmittance 43
------------------------------............--•------•-----------------------------------------------------......---------
.3 Al o45
Man acturer stipulates Udt these ratings conform to applicable NFRC procedures for determining
whole duct�nerg erforman ce.NFRC ratings are determined for a fixed set of environmental
conditions product sizes.
r o�.WAf o
ti$ Crib of Xaz#llanyton
Y ►
� � B �iassadtttsctia _
DEPARTMENT OF BUILDING INSPECTIONS
INSPECTOR 212 Main Street * Municipal Building
Northampton, MA 01060
r
HOME OWNER EXEMPTION ACKNOWLEDGEMENT
The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to
act as his/her construction sup,: ,•isor. The state defines "Homeowner" as, " Person(s)
who owns a parcel on which he/she resides or intends to be, a one or two family
dwelling, attached or detached structures accessory to such use and/or farm structures. A
person who constructs more than one home in a two-year period shall not be considered a
home owner."
The building department for the City of Northampton wants any person(s) who seek to
use the home owner exemption, to act as their own construction supervisor, to be aware
that by doing so you become responsible for compliance with state building codes
and regulations. The inspection process requires that the building department be called
to inspect work at various stages, which include foundation/footings (before backfill),
sonotube holes (before pour), a rough building inspection (before work is
concealed), insulation inspection (if required) and a final building inspection. The
building department requires these inspections before the work is concealed, failure to
secure these inspections can result in failure to obtain a certificate of occupancy
until the work can be inspected.
If the homeowner hires other trades to perform work (electrical, plumbing& gas) the
homeowner will be responsible to make sure that the trades hired secure their proper
permits in conjunction to the building permit issued, and that they get their required
inspections. Failure of the individual trades to secure the permits and inspections as
required can DELAY the project until such time as the proper permits and inspections are
made
I, understand the above.
(Home owner/resident's signature requesting exemption)
I will call to schedule all required building inspections necessary for the building permit
issued to me.
Date
Address of work
location
i
O O
a (Iiftr of XtIrillamptoit
9 6 ��csanchct6ctta' ^�
DEPARTMENT OF LIUILDr)\TG INSPECTIONS
212 Main Street ' Municipal Building
Northampton, Mass. 01060
WORKER'S COMPENSATION INSURANCE ArI+TT)A IT
vvIth a principal place of busuless/residenee at
ILI' :Xt "I
(strc.Uci ty/statcirj P)
do hereby Gerd: under t(!c pans and penalties 01 perjury, tIla?:
I (4--F n an etnpioyer providinS the follov.in" "i"orr_el's Compensation for my
jemployees wolidng on this job:
A&e6 %�& d -
- (Lnsuran� Con��.ny) (Peli�,Nu:ntxr) (E�:pir.:tion Date)
O I ml a sole proUrietor 4encral contractor or homeowner (circle one) and Have iured
the contractors listed below -;vho have the follovv�nn workers compensation policies:
i
(Name of Contractor) (Insurance Comoany:Tolicy Number) (Lx)_radon Date)
(Name of Contractor) (7_nsumnc;. Com7pany/PolI -y Number) (E -mratio❑Date)
(Name of Contractor) (InSifIaIICC Comi;auyEPolicy Number) o❑ Date)
(Name of Conti-actor) Comr,=y/Poticy Numb^_r) (Exmi-,; Ti Date)
(att�dl ad�iticetal zi:crt it l:crc:.:-::� i,�:xje c::�ona:ia:r c;taina•�;o alI r_<:-nde:r�)
i
1 tI1T1 a solC plOpIlCtUi 2''Tlj hCtVe n0 oI1C111 f01 ille.
O I aln a home owner 1)"'Ifennm- all the iiiys,
elf.
NO IT:plc-sc t'c nw:uc tilat\4'�:ilc i};(L'J'.11 .
-yloy cr:rt:au'-0-en c:
not axmce than tluro units in ui �t �e f r,sro.2rt rca:d-s Cr of t:' Ec:xrnlly c=cl :::c :c h
cmploycr3 u--.�.cr tlx tvoriri 1 Ac:(GLI52"1(5)),n[pt:_aticn by a hcxncow,' r for a bccu cc PCr Ii;
legal etatus of an employer under tLo WNk4c t C.ompan.6t A<L
I undcr%txnd th,t a copy of this ctatcsndt rruy ba fo,-.-- ho to tln[YSxirtmcnt of,ndrratrial Att d,',fs'Ofrioo of[:::i:r.nx for tin
oovcrasc vaif cstioo ntid that fiilurc to r-uuc covcta&'o uv-, -5 scciica 25A of?,(GL,152 can Iced to tho imposition o(c u n l Pct:alt:u
c'oasutmg of a fine Of VP to S 1-500.00 nr.:'x irr.Pris;=Ir-1 of uP to mn y,ar A•3 civil pcnzltics in d'fcxrn of a Step Wort Oni ar„I a
firto O(:s 100.00 s day I& in:.t rrr
--- _ For cSeF°tn-It11`Doty
i Permit Number
Lot
tpn tturc of L1cCn sGTfPCCnllttG^ ----:e
SECTION 8 -,CONSTRUCT,ION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable Cam'
Name of License Holder
License Number
Address Expiration Date
Signature Telephone
Not Applicable ❑
4, kz
Company Name 7 Registration Number Cl l
ress Expiration Date
— _ Telephone
SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(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...... ❑
,., a {
1#1. -"Mo ,V., .caner Ewemp.tion
The current exemption for"homeowners" was extended to include Owner-occupied Dwellings of one(1) or two(2) fanniiies
and to allow such homeowner to engage an individual for hire who does not possess a license, provided that the owner acts
as supervisor. CMR 780, Sixth Edition Section 108.3.5.1.
Definition of Homeowner: Person (s)who own a parcel of land on which he/she resides or intends to reside, on which there
is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm
structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner.
Such"homeowner" shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon
completion of the work fer which this permit is issued.
Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 i.Liability of Employers to
Employees for injuries not resulting in Dcath) of the Massachusetts General Laws Annotated, you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned "homeowner" certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
SECTION 5--DES IPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replaceme t ows Alteration(s) ❑ Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition❑ New Signs [ ] /Decks [ ] Siding [ ] Other [ ]
Brief Description of Proposed Woria _-� (�! >/J I « t' ----
`( f� S '-'te z(!ae 0-14 Nl PS
Alteration of existing bedroom __Yes No Adding new bedroom Yes
Attached Narrative ❑ Renovating unfinished basement _Yes _ No
Plans Attached Roll ❑ - Sheet ❑
sa. If Ne"w'house a`nd"or-addition to existing'housinjZ complete the followin-:
a. Use of building : One Family 1! Two Family Other _
b. Number of rooms in each family unit.__. ---_ — Number of Bathrooms _
c. Is there a garage attached?
d. Proposed Square footage of new construction.- _ __ Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. . Mascheck Energy Compliance form attached?
h. Type of construction
i. Is construction within 100 ft. of wetlands? __— Yes _-moo. Is construction within 100 yr. floodplain ____--Yes
___Yes - -_No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? ---Yes No .
I. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION - TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
%IVA as CGVner of the subject property
I ----
hereby authorize I�f h �_ to ac or
my behalf, in all matters relative ko w k author zed by this building permit application.
Signature of Owner Date _
12i l as Owner/Authorized Agent
hereby teclare that the atemen and information on the foregoing application are true and accurate. to the best of my
knowledge and belief.
Si�nder the pains penalties of p jury.
rin —e
ignature cf Owner/Agent Date
Section 4.
ALL INFORMATION MUST BE COMPLETED, or PERMIT CAN BE
DENIED DUE TO LACK OF INFORMATION
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R:
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
volume&Location)
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO DON'T KNOW YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO DON'T KNOW YES
IF YES: enter Book _ _ Page and/or Document #
B. Does the site contain a brook, body of water or wetlands? NO _ LON'T KNOW
YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Obtained Date Issued:__
C. Do any signs exist on the property? YES _ NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property ?YES
No
IF YES, describe size, type and location: _ _
-- �tw�� patr7fer�
City of Northampton Statusof,T�erintt
Building Department Curb;Cut%Dr eryay er °tts
212 Main Street Sewer/Septic:A:ailabi`ty
Roorn 100 Water/Well Ava lab Ify•
Northampton, MA 01060 Two SetsofSt�r�tural P ans � '
phone 413-5871240 Fax 413-587-1272 Plot/SIte Plans �r �
Other Specify
APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 - SITE INFORMATION
This section to be completed,by office
1.1 Property Address:
—0/ ` t::�? / Map Lot Unit
Zone Overlay District
Elm St. District -- CB District
SECTION 2 PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record.
Name J-16 C:.rrent Maihmm Address
eiephone
Signature
2.2 Authorized Agent:
�� `;rreni Mai;in Redress:
N a n c e
Signature e >�•hce'-
SECTION 3 - ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost (Dollars) to be Official Use Only
completed by ermit applicant -----
1. Building (a) Building Permit Fee
El I ,h` fim,?,ted Total Cost of
-- — lt— __ --_ —-- - --
Construction from
P I!a m b i n (6� —
g Building Permit Fee
I
r -
z.1_ Mechanic 11, (HVAC"
Ir 5. Fire Protection -
---- --- -------- —
6 Total = (1 + 2 + 3 + 4 i-5) j Check N111_n r
This Section For Official Use Only
Building Permit Number: Fe ssued: _ —
i -
Signature: --
Building Cornmissioner/Inspector of Buildings --_ Dat
47 OttNDALE> BP-2003-1103
GIS#: COMMONWEALTH OF MASSACHUSETTS
44;, CITY OF NORTHAMPTON
Lot: -001
Permit: Building
Category: windows replaced BUILDING PERMIT
Permit# BP-2003-1103
Project# IS-2003-1749
Est. Cost: $3427.00
Fee: $25.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: BIL-RAY CORP 120456
Lot Size(sg. ft.): 4486.68 Owner: ODGERS MARY C&CRAIG W
Zoning: SR Applicant: BIL-RAY CORP
AT. 97 GLENDALE RD
Applicant Address: Phone: Insurance:
190 CEDAR HILL (800) 732-77310 Workers
Compensation
MARLBOROMA01752 ISSUED ON:614103 0:00:00
TO PERFORM THE FOLLOWING WORK.-INSTALL 5 VINYL REPLACEMENT WINDOWS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter:
Footings:
Rough: Rough: House# Foundation:
Driveway Final:
Final: Final:
Rough Frame:
Gas: Fire Department Fireplace/Chimney:
Rough: Oil: Insulation:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Certificate of Occupancy Signature: -
FeeType• Receipt No: Date Paid: Check No: Amount:
Building 6/4/03 0:00:00 8559 $25.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Building Commissioner-Anthony Patillo
F.I.D. No. 11-2320449 /F���/ J/��(�^ ME Lie.No.DD1893
Job#C,'4 G S i., 7y �L�A// 3 NH Lic.No.
MA Lic.No.120456
HomeCentl" New York Dept.of Consumer
ra
SALES: FOR ALL Affairs Lic.No.0730686
New York: SERVICE/REPAIRS The Service Side of Sears Nassau Lic.No.H2704150000
' 800-942-6111 PLEASE CALL Suffolk Lic.No.21194HI
Boston: 888-245-7294 190 Cedar Hill Road Yonkers 1397
800-SEARS-31 Marlboro,MA 01752 Westchester WC0613-H87
Hartford Area: New Jersey Lie.No.L011664
800-SEARS-99 WINDOW CONTRACT Affairs ie.No. 32774 Consumer
Affairs Ltc.No.00532774
Providence Area: Sold,Furnished b Installed by Bill-Ray Aluminum Siding Corp.of Queens,Inc. VT Lic,No.
888-732-7751 A Sears Authorized Contractor Rhode Island Lic.No.13707
888-SEARS-51 40 Elmont Road,Elmont,NY 11003
SOLD
TO Im�� DATE
ADDRESS (T� 7 � PHONE(Home)(C//2� �l y 3i
CITY 17-a arB ' STATE/!I__� ZIP D PHONE(Work)(L(6) :7 Y6�__ `
JOB SITE ADDRESS(If different)
APPLIED VINYL WINDOW SYSTEMS
General Description of Work at Above Address: Approx.Start Date
4i ^ Type of House lea 6ame; ❑ Masonry Approx.Completion Date -
SPECIFICATIONS
Sears approved materials will be furnished and Installed to these specifications:
YES O PLEASE READ CAREFULLY:ONLY THE ITEMS CHECKED"YES"ARE INCLUDED IN YOUR ORDER.
1. i ❑ Remove windows from openings where they now exist on:
2. ❑ FIRST LEVEL #Openings L #New Windows
3. ❑ ECOND LEVEL #Openings #New Windows
4. ❑ 5/'THIRD LEVEL #Openings #New Windows
5. ❑ � ASEMENT LEVEL #Openings #New Windows
6. ❑ IGTHER #Openings #New Windows
7. ❑ ( emoval of Metal or other units requiring modified installation #Openings #of Units
8. ❑ Install new paintable Mouldings Inside Stops#of Openings Clamshell or Casing#of Openings
9. ❑ Install new Master Frame #of Openings
10. ❑ New window units to have double strength insulated glass 7/8"total thickness
11. New window units to have fusion welded sash#
12. 113 New window units to have fusion welded frame#
13. ❑ New window units to have Clima-Tech packs consisting of Low-E coaled,
Argon filled insulated glass #of units-t _
14. New window units to have Cam Lock(s)or Latch Lock(s)
15. ❑ i�New window units to have Obscured Glass# Half Full
16. (_ ❑ New window units to have half(1/2)screen(full screen on case enI type window)
17. � O Install PVC coated aluminum to window frames Color 1 #of Openings
18. W-50 Caulk and seal windows with 3 point system
19. V❑ Remove and dispose of existing windows nd/or storm windows
20. I�❑ ,,Color of windows to be White Beige
21. {� [e}' Windows to have Grids 4.Z_L Colonial Diamond ❑ Full M1112
Additional info_
22. ❑ Total#of Double Hungs Total#of Hoppers
Total#of Casements Total#of Awnings
Total#of Two Lite Sliders Total#of Three Lite Sliders Std.-or Equal
Total#of Dead Lite/Pictures Total#of Basement Sliders
23. ❑/ ❑ Special Order Windows(In Addition to Above)
24. tZl ❑ Clean up-All job related debris will be removed from property on completion of work.
25. ❑ Insurance-All workmans compensation and liability is maintained.
26. Warranty-Mailed to customer upon completion and full payment is received �_. All Dlscoums nave seen App"d.
27. ❑ Payments-(On non financed orders)is payable to Installer on day of installation. ' may P i.IM-Ml w i A o
28. El All Discounts have been applied.
Cash Sale Total$ Less deposit 33%$ Cash Balance$.2-,3 4k Other Payment(if any)$1!
El GASH El FINANCED does not include interest Balance on Substantial Completion$��
If financed,balance payable in monthly installments of approximately$ per month,payable by"Owner'to contractor,but
if financed by Owner then Owner will pay said amount to the lending institution plus such interest and credit service charge of said lending institution
payable directly to the lending institution loaning such monies to"Owner'and will execute a Retail Installment obligation and any documents required by
such lending institution in connection with said loan.
29. ❑ ❑ Additional Information
30. ❑ ❑ Work Not to be Done
CONTRACTOR IS NOT RESPONSIBLE FOR ANY EXISTING SECURITY SYSTEMS. PLEASE REMOVE ALL SHADES, VERTICALS,
BLINDS, CURTAINS, DRAPES OR WINDOW MOUNTED AIR CONDITIONERS, PRIOR TO THE INSTALLATION OF YOUR NEW WIN-
DOWS.INSTALLERS ARE NOT RESPONSIBLE FOR THE REMOVAL OR INSTALLATION OF THESE TYPES OF ITEMS,
Notice:If financed,any holder of this Consumer Credit Contract Is sub- CONDENSATION INSIDE THE HOUSE DOES NOT INDICATE A WARRAW
(ect to all claims and defenses which the debtor could assert against TY PROBLEM.
the seller of goods or services obtained pursuant hereto or with the SALESMAN HAS NO AUTHORITY TO CHANGE ANY ITEMS OR MAKE ANY
proceeds hereof.Recovery by the debtor shall not exceed amounts paid REPRESENTATIONS OTHER THAN CONTAINED IN THIS AGREEMENT
y debtor hereunder. AND "OWNER" REPRESENTS THAT NONE HAVE BEEN MADE TO OR
"OWNER REPRESENTS TO HAVE READ AND RECEIVED A DUPLI- RELIED UPON BY"OWNER".YOU ARE ENTITLED TO A COMPLETELY
CATE ORIGINAL OF THIS AGREEMENT AND TO BE THE AUTHO- FILLED IN DUPLICATE ORIGINAL OF THIS AGREEMENT.
RIZED AGENT OF ALL "OWNERS" OF THIS PROPERTY UPON "YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY
WHICH THE WORK OR THE MATERIALS ARE TO BE SUPPLIED. TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
NOTICE TO THE HOME OWNER(S),GUARANTOR(S),LESSEE(S), AFTER THE DATE OF THIS TRANSACTION. SEE ATTACHED
CO-SIGNER(S). NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF
Contractor,at the expense of owner,shall procure all permits required THIS RIGHT.ON ALL ORDERS CANCELLED AFTER THE RECISION
by law as follows. PERIOD, CUSTOMERS WILL BE RESPONSIBLE FOR A 45%
1. Owners who secure their own permits will be excluded from the ADMINISTRATIVE AND RESTOCKING FEE.
guaranty fund provisions of MSL Chapter 142A.
2. Any person who shall have co-signed, guaranteed or signed any THE COMPANY WILL DEPOSIT ALL MONIES RECEIVED FROM
credit application or note relating to this agreement hereby accepts _
to be bound by this agreement. IN AN ESCROW ACCOUNT AT CHASE MANHATTAN BANK #105-1-
3. Owner(s)represents that the contents on the back of this agreement 062089 WITHIN FIVE BUSINESS DAYS OF ITS RECEIPT.
is a true part hereof and has been read and accepted by Owner. Dale
4.ALL INSTALLATION LABOR GUARANTEED 1(ONE)YEAR.
Do not sign this agreement before you read it or if it contains any blank
space or if it does not contain everything agreed upon.
DATE
Print `�
Salesman's Name U fie/,
(Cusf6mer Sign Were)
Salesman's )
License No. Signature_
SEE REVERSE SIDE FOR ADDITIONAL TER AND CONDITIONS Revised 4/01