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29-061 (3) 55 GILRAIN TER BP-2021-1083 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:29-061 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: window replaced BUILDING PERMIT Permit# BP-2021-1083 Project# JS-2021-001827 Est.Cost:$7205.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: PATRICK KUBALA 100114 Lot Size(sq. ft.): 14897.52 Owner: PACKARD DEBRA Zoning: Applicant: PATRICK KUBALA AT: 55 GILRAIN TER Applicant Address: Phone: Insurnitce: 5 PELL ST (413) 589-1010 LUDLOWMA01056 ISSUED ON:3/30/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 9 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. I � l ' • Certificate of Occupancy Sig ture: .).9 FeeType: Date Paid: Amount: Building 3/30/20210:00:00 $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner ,`I\" i/1 . PakThe Commonwealth of Massachuset 'SO / t Board of Building Regulations and Stan4 ds ♦ FOR t Massachusetts State Buildin Code, i• c�� CIPALITY Building Permit Application To Construct,Repair,Reno 0 emoIfs�i a 'evise ar 2011 One- or Two-Family Dwelling °?;'SSA _ ,,/ This Section For Official Use Only "0ro°2,, ,s Q. ,, /0-� 'o�ks Building Permit Number: �L"7 � �j Date Applied: , Kt:0„� 7Z55 1/ _ 3.36-zozl Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 ProperZ Address: 1.2 Assessors Map&Parcel Num�er�i( S'6' t a L RCA Z Al 7diei . (�(.� 1.la Is this an accepted street?yes )e no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private❑ Zone: Outside Flood Zone? _ Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Recor,A „0,6,(f,Q /"AC .Aae J oC..iv c c., /e-li4 D Jo 6 Z_. Name(Print) City,State,ZIP 5s— &r1,C6iToy ./i RA • 30 la/-7?o 9 No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: Re .P1 A CC / /30 a 3 LC AlstA s t O (LAS . SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ 7 v0 S ❑Paid in Full 0 Outstanding Balance Due: / '[ SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) es _ loO// 53/9 I ATie=C<_ ,ti f 64e 4 License Number Expiration Date Name of CSL Holder u List CSL Type(see below) ALL ST No.and Street Type Description / U Unrestricted(Buildings up to 35,000 Cu.ft.) k io " AIR 0 /6. ' R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding ,/�� SF Solid Fuel Burning Appliances '1`�C7 J7°I--A 9/0 icz VC:r ( ' �U6.0 l/ome .COO I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) c3� /moo //�' /tea a /T,e.zc-A- kez Ad-CA 4/y,e. _,L4--)p o✓C 14 ti r- HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name fJ L.L. ST 4 re.,fyCqiCsl.B4[9 +gym. Po al N .and Street ZliJ4 w , in4 O i&,s-6 `I d S'd 9-i Pie Email address City/Town,State,ZIP Telephone SECTION 6: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 Ilf. No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize dZre.C." Al4:1oL4 A')e zai #oVl)1 A.r-- to act on my behalf,in all matters relative to work authorized by this building permit application. SE 4RC.41£ Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and ccurate to est of my knowledge and understanding. Print Owner's or Authorized Agent's a(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do hisiher own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will agt have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the}ITC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" Kubala Home Improvements The Window & Door Experts 5 Pell Street Ludlow, MA 01056 • 855-458-2252 Customer authorization for building permits. I J f GIZ4 ?p6(e4.P17 , as Owner of the property located at it i44 0 Matt 1�c� riC� 4U f1 , herby authorize Patrick Kubala Home Improvements to act on my behalf, in all matters relative to attaining building permits, and all matters relative to work authorized by such building permits. _ c:."61,L_.('' Si i 0 202. 1 Signature of Owner Date • The Commonwealth of:Massachusetts r1 Dep47) artment of Industrial Accidents l( �'„W. I Congress Street,Suite 100 —"„'— Boston.MA 021.14-2017 ' WWW.mass•gov/dia Workers'Compensation Insurance Af ida'it:BniIders/+ContractorsiElectricians.-Plusabers. TO RE FILED WiT•H THE PERMITTING AUTHORITY. Applicant Information Please Print i e,, i ; .v ame (Business Organization/Individual): �/i rg%—C.t` . &h 4'AL,ff ‘,eze4, Address: .5 t�� S 7 -; Stare;Zip: `Lc_Lair,,rye Gr/Qs-6o Phone,=. //,�_.Sc`l—jr/ :> _ Are you an employer?Check the appropriate box: • Tape of project(required,• I i 3S:2 dtml0yt„with emp2o,yees(fall ar.c.or part-time).* I , 7 .. i 2.L1:am a sole ROpriie[or or pa-mership and'nave no ctn pin•ties working for f i any capacity.[[No workers'comp.insurance required.;Y B �. yr oiiC?:: am a hhCieowner•doing ail work myself[No workers'comp.insurance r ecuir ed.1., g Demolition :-.Li i am a homeowner and will be hiring connectors to conduct all work on my_. i wilt J.psL'.':o rg ae4i:!o =vat that all COAtSaiiOZS either ha ve workers'wL!'tie*12t10<ii5::fal;Ct or are 502e .l. EieCt,"iCC:CCJ21'S o is:.c1'.i;:Cn; proprietors with do employees. i i f 12.0 Plumbing repairs or additions 1 5.f i I am a general conaactorand I have hired the sub-contrac ors listed on the dashed sheet. j ! T 3 j{floi repairs ' hese sub-contractors have employees and have workers'comp.Insurs{e.: E{ r !'�'� 14.0 Other 6.0 We a at a cotporetion and its officers have exer�sad their right of=emption per MG L c. -� . i 152,4l(4),and we have no employ=(No workers'comp.insurance:a:wired.3 t l *Any applicant that checks box r i most also fill out the section below stowing their workers'compensation policy information. •uomeowne s R-ao submit this affidavit indicating they are doing nit work and then hire outs tie cccaactors must submit a new a€irianvi.i,radiniting such. ; ortr3ctOts that check this box must ain.obed en additio:rat sheet stoking the r1c of tie sub-cuxac.ors mad state whether or no:those e_a:t'.s ha,r. employees. If rho sub--contractors have=t1prOyeaS,they t-::s:provide their workers' np.policy n:.-rnbcr. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site in formations. insurance Company Name: / Policy:or Self-ins.Lic.#: kie,47/�a f�'4i Expiration Dare: i —/—, / - Job Site Address: •W C 1.1.42— / . ZA/ City/StateiZip: _ A._. o /0, Attach a copy of the workers' compensation policy declaration page(showing the policy number and a frlado'?date). Z Failure to secure coverage as required under�MMGGI,o. 152,§25A is a criminal violatiionpunishabie by a fine up to S` 580.00 and/or one-year imprisonment,as well as civil penalties in the fern':of a STOP WORK ORDER and a fine of up to 5250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance cove aee verification. I du hereby certify under the pains and penal fies o1 Pe inert that t e Information provided above is true and correct Signature: Date: (4Z r l w '_..-,l Phone T: ?—c.5-GP9— /)/Ci if Official use only. Do not write in this area,to be completed by city or town official. I ii City or Town: Permit'License# I}I1 Issuing Authority(circle one): t 1.Board of Health 2.Banding Department 3.CitytTown Clerk 4.Electrical Inspector 5.Plumbing inspector ?I 6.Other ri I Contact Person: Phone#: 1 '1 A`-R©® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD.YYYY. 10/01/2020 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THI CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE' REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsee If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement or this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:-I CONTACT Glris6 Davenport E Ckven ort Richard R Green Insurance Agency,Inc. — -- _ 32 Somers Rd "� at: (413)267 3495 Pic.Not: (413)267-3496 Hampden,MA 01036 i E-MAIL ADDRESS: cdavenpD@ rt n m 9 chard reeninsurance.co — i _ INSURER(S)AFFORDING COVERAGE NAIC 4 —_--.— r INsuRER A: MAIN STR EE T ANERICA ASSURANCE C O __ _ 29939 INSURED Kubala Horne Improvements 7 INSURERS NATIONAL GRANGE MUTUAL INS CO 14786 Patrick Kubala dba !INSURERC: 5 Ftll St ----- ----- -- Ludlow,MA 01056 INSURER D: _ ._. .. INSURER E: I INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLISUBR', • POLICY EFF POLICY EXP LIMITS LTR• TYPE OF INSURANCE IUD y,IVD POLICY NUMBER (MM/DD.YYYY) (MMIDD/YYTY) A ' COMMERCIAL GENERAL UABILITY 'MFP1698U 06/01/2020 06/01/2021 EACH OCCURRENCE $ 1.000.00C r-7 o 5-`�a-Er "D —----._.- 00,00C CLAIMS-MADE V'• OCCUR PREMISES(Ea occurrence( -$ .---.._. .. —. ---- $ .__ 1O,OOL PERSONAL&ADVINJURY _$ _— _ 1•.000,OOC GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ --— 2,000,OOC ?RODU�S-COMP/OP AGG $ 2.000,00C POLICY ,JECT LOC S -- OTI-ER: 1 B AUTOMOBILE LIABILITY •M1 P1698U 06/01/2020 06/01/2021 Ea aga �SINGLE LIMIT $ —_.-_ 1.000.00'. rL ANY AUTO BODI LY INJURY(Per person) $_--._ -. 1 OWNED SCHEDULED BODILY INJURY(Per acadent) S I_ lI EOD ONLY '•.. NON-OWNED PROPERTY DAMAGE _s__, -._.• --- ... ... AUTOS ONLY =AUTOS ONLY Per a ciderrtt I S B C UP1698U 06101/2020 06/01/2021 i EACH OCCURRENCE s----- �0.00( UMBRELLA UAB OCCUR .AGGREGATE $ •CCC.CC; EXCESS UAB CLAIMS-MADE ------. —• . i 10.000 'S DEC RETENTION 5 • PER OTh' ' B WORKERS COMPENSATION WCP1698U 10/27/2020 :06/01/2021 : '•,', STATUTE AND EMPLOYERS'LIABILITY Y/N 1,000.00 ANY PROPRIETOR/PARTNER/EXECUTIVE -- . EL EACH ACCIDENT __ •$ OFFICER/1NEMBER EXCLUDED? T I N/A' _-'----_--1,000.00� (Mandatory in NH) i EL DISEASE-FJ4 EMPLOYEE $If yes.describe under EL dSEASE-POLICY LIMIT $ — 1 000.00 DESCRIPTION OF OPERATIONS below - I • DESCRIPTION OF OPERATIONS I LOCATIONS f VEHCLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Sole R-oprietor is exempt from coverage under the Workers Corrpensation Policy. The certificate holder is an additional insured with respects to the General Liability ar Automobile Liability policies when required by written contract. CERTIFICATE HOLDER CANCELLATION I I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEE O. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN **-**For hforrretional Purposes Only"—* ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORaZED REPRESENTATIVE @1988-2015 ACORD CORPORATION. All rights reser-VeC ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 1000 Washington Street • Suite 710 Boston, Massachusetts 02118 Home Improvement Registration .1,4' Typo: Individual Ilogistration: 150118 PATRICK KUBALA • • Expiration: 03/06/2022 D/B/A PATRICK KORAI.A[SOME IMPHOVFMINTS :-;;' 5 PEL.L.STRiE•l L.UDI_OW,MA 01056 i.::`'!• -. I:I • � • �� Update Address and Return Card. _— , son 20MdIWi7 I f1141,Y;,.F'.,.rt, /i/ /:'�%l .rurrerr..r o a.idrrr.etrrdrrl/d OffIon of Conou,nor Affairs&Eluslnonn newelslion HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Individual before the oxplratlon c e. II found return to: 1HQgt@Irtttion Expiration Office of Consumer a Irs and Rosiness Regulation 1!i0110 03/00/2022 1000 Washington ' et ••Suite 710 . PATRICK KUBALA Boston,MA 021 D/11/A PATRICK KU11A1A HOME IMPROVEMENTS PATRICK J.KU8/LA � 5Pal.STREET r f;44.0(l(1,,,Koos• .....— —. _.�.__ - -...-- _-. 1_UD1..OW,MA 01o1is Undorsocrot ary Not valid without signature .. . 444' ‘ - vof,m,,ilocA,;,,,,,--irv-, 1,e---- . ._ ...,,,, �{ `tl'l,ll1;OF CONNECTICUT O DEPARTMENT OF CONSUMER PROTECTION �. ,? / dill C;RiIp l IVIti!10104 AL-L. . Division of Professional Licensurlr He,ti w that~ ' R Board of Building Regulations and Standards L,tg1/4.68.: Ptli,.C-I Cons�nlll,!at?41i11.�,fSj�Rrvisor PATRICK KUBALA I r 1 it kit 5FELLST 1", Installation ( S 1 PATRICK 1 K J BAL f' l N !t LUDLOW,MA 01056-27G2 '•,d I Tres 09/09/2021 y 11 M /�, S 1 k R S• r ►O p Er.rr 6 TELL STREET `)f + • ''I ' i :r.r.•,.,ta4, nt•ht at„,. LUDLOW MA.�1066 1/'i� r I , -I has ssristled the qualifications required by law and is hereby retgstered as a ,v % go• k it I t4 � M • '01 HOME IMPROVEMENT CONTRACTOR IN 01 Certified Sloes: 2008 R't'()/ticl:l(>>tir` ? ,,' .', g i M1tltflNi,PMMaM Expires E►/1/�t119i2 Registration#HIC.0619712 II PO SMMt PATRICK)LUBAI.A HOME IMPROVEMENTS tt- PtagfMn�{+�nanr«I M11:AAI04 / ` I.ud16MJlM Commissioner �./��.c X/ ' �,{ / „,+ Effective: 12/01/2020 / ito t Expiration: 11/30/2021' / N� ��`� I`!3: / , MI<Imll t 11 mml„I ner I((-fy ^nj 9 C4' 11/10/2020 WLXkc9VdmimWeNzZGA1Soca6ivtdEmtAJYYYY0pw2u0ESFOMCtiJYZcCnS3hCQg3uFzj1xYFBZVtZI5RUAI-tBkTMOuJ49Wac2zhcrF..• • a.:. T:i=i o4 tl1 t:t44.113•1t:1•tS}$S C.'.H(,=SE>l:'r' fi •^t l%4"EV 4t dFFµ •..Nsok.A�1)'v<'�(tRk3RtLI7:=:wb7.tJr'alE.� '111, • �.P ARTAIT\T.OF 3 .noR STaN1TARDS LE•%D S_TE RE'GOV'ANION CONTRACTOR LICE JSE. • I L(RAI.a IIOMMP YMPROXi \a N S i P7iL STR!Z Lis`ri'�11t'i1;i11IC t LICENsfi:LRo in 4 EXPIRES. Sunda,*,\tac 1.11.'2D,.5 L"Ac,CoRlD A,iicE• . xI I E �'.T.0 C-L I 3 b, AID 54.CMk 2?C t tl�1S LIC.NSk.IS!si'f1 f3' `I SDEPAR1kMi `orLABORS'T'AN �RJSTO-CTtCCO TRACTORABOVETK1RT11E1'F3REO E?:?t • .- ENClku;N('I'4?..YAll-SA>T:StE':@CSVATI . T'f.65fxCE.F-!ElaV.•‘Lit PAR)D YEARS. T is LCl.:'tiSE NILTST-BE'dkiNTALNI,,,)C't ITh Cil*3TRAC]OR C.II is 39711F,i it j AND 4.54 C"A4& '(P4 v.Fi sF'l f?.v(...�C.e�o 1\LEAI:-:.sFE.R +�} :+T.(CY \L±OER.' IDV-p•Ii-1 tSa 7ELL.4L)1>IG`WOP:14::LEAB S Ei E'`'hTit'ti COS TR:u7rOi5 MAY N P.F;R1-0R%i 1'€x.)Ei::;T?-:RISK JFLEAID3N(1.4 ORK !'d h fl L ' LMPLU1 ..-S Pr.xv:SOR WHO HAS I KE.N:114E1 L•'(1T,1S'"_ .%,5 Y.EC'Y3_:RE1DB's 451 C R L 2-,ti TOO1'ERNEs�`:Ws.WOR1ti: 1I.LH;�LL f L.1_.ACi N.L >LKLki.I3iC{f t i OR Please detach this,atfir:,r,tab afrd keep your licenser carifficate.in an ae^es-slble tw'tttian.A copy of this license most be mairrlainee at eaoh.werksfte. • Si.t3 4Z.S F.OMI51N PROV i.LFDLOCI:?.'A 4)1 r1S", https://gml.ggpht.com/WLXkc9VdmimWeNzZGA1 Soca6ivtdEmtAJYYYY0pw2u0ESFOMCtiJYZcCnS3hCQg3uFzjlxYFBZVtZ15RUAl-tBkTMOuJ49Wa... 1,'1 DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number . is that the debris resulting from this work shall be disposed of in aproperlylice41sezi solid waste-dssposal-faeilityas defined by MGL c 1I I.,.S The debris will be disposed of in: LOCATION OF FACILITY ZG/2 oZ / Sign e of Applicant Date AFFIDAVIT As a result of the provisions of MGL c 40, S 54, I acknowledge that as a condition of Building Permit Number all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal:facility, as defined by lv^GL c 111, S 150A. .eztify_that I wiil_notify the Building Official_ty: (two months maximum)of the location of the solid waste disposal facilitywhere the debris resulting from the said construction activity shall be 6 4sposed of,and f shall submit the appropriate form for attachment to the Building Permit. Date Signature ermit Applicant (PRINT OR TYPE THE FOLLOWLNG INFORMATION) 7Z,z'CX Aloa4 Lf� Name of Permit Applicant 1`Rrote %43/f ,1i726pR4revr('�� Firm Name, if any Kubala Home Improvements The Window & Door Experts 5 Pell Street Ludlow, MA 01056 855-458-2252 Kubala Custom Windows Energy Star & Performance Data Revised June 2019 OPTION MFG CODE �� U-Factor !r SHGC VT ! CR Omega-Tuff S2210A .24 .21 .48 47 Hi-R N2210A .25 .28 .52 47 Essential P2100A .30 .49 .60 55 Passive P2210A .25 .48 .59 46 PATRICK KUBALA HOME IMPROVEMENTS MI home improvement contractors and suncuPFua,,s:... --,,- . to I4ZA MA HIC#150118 contracting,unless specifically exempt from registration by Previsions of Chap ' \ of the general ttrwS, must he registered with the Commonwealth of !Nossaehusetts. �� 5 Pell Street Ludlow,MA 01056 Inquiries about registratian and status should he 'madcRrxr,the Ol.r f3crstorrllome In"proventent Contract Registration, One Ashburtcm Ptacc, 413-589-1010 02108(r 17)727-8598 $�O Submitted To: DP-VA RI. eP4. .IZA R D SS A i i,RI I NI , 11-gF A.c.g. Job Name: C Zt LOR $44 d)0 6 2.. Job location: SrG Phone sr"1+�,_ '3I...1 91?C Date.; I M 0 2 8 4 ) „ T'" w l ��z E Nn r; Estimator: We hereby submit specifications and estimates for work to be performed and materials to be used: • _. 6 _ t �� �N�, s Nsp cc 1Ni iNscr LlflJfl e s Ft✓AtG°‘' Gus AA u i ci s146 L i, L Iv s-o \hif- -DF-P co RN 4J, I tF Sc-2,0 r s i t �. . s1 �� 1r C 1 - i 8 kki --z. s L.C. N _121, 4 S F..4 L, �XMz itn2 wl w N- PVC AAA/ • w` TR. i m lei- , 01^_L. c. ,d.�.! p e..S 1�i . ILI�.l ' '[� ..S.PD ©r lS tit.- 1�Ifs!Z f (�.i C.- �I1��1i2�S vt '6 LS S ex M,e 'rj l v' A AA- -- _ S r-P.,v ' l.€s to SS AN 152. :Ay 1 5 WORK SCFIEDULE, Contractor wit not begi the work or order the materials before the third day following the signing of this agreement,unless specified herein. Contractor vill b gin the work on 0 or about 1 _ , aring delay caused by circumstances beyond the contractor's control. The work will he completed by �""2.. the owner hereby acknowledges and agrees that scheduling dates are approximate and that such delays that are not avoidable by the Contractor including hut not limite�to strikes, Acts of God,shortages of materials,accidents,and all other delays beyond the its control,shall not be considered as violations of this Agreement. WARRANTY the contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of 1 A lowing completion and shall comply with the requirements of this Agreement. in the event any defect in workmanship or materials,or damage caused by the Contractor, its subcontractors,employees or agents,is discovered after completion of any job,including clean up,the Contractor shall at its own expense,forthwith remedy,repair,correct,replace or cause to be remedied, repaired or replaced,such damage or such defect in materials and workmanship. The foregoing warranties shall survive any inspection performed in connection with the agreed- upon work. We Propose hereby i to furnish material and labor-complete in accordance with above specifications,for the sum of: ' t C'ii�✓ �ivl� `r PIt/,'t 1i V‘'= dollars(S 1 20 7; J ). payment to he made as follows: 1 ��4 !rr.-167� Z. o„(_A_)cz, )upon signing contract; L[ PATRICK KUBALA HOME IMRPOVEMENTS ctionof ..,._+'r'r`-**0 31 joa.1 5 PELL STREET _ n of ��_ LUDLOW, MA 01056 413-589-1010 LS__%( 6 1453 53 ,)shall be made forthwith upon ("1.itsi c ff-O MA HIC 150118 [t A (�(� completion of work under this contract. Salesperson: 4 /44 U ft - Notice:No agreement for home improvement contracting work shall require a down payment (advance deposit)of more than one-third the total contract price or the total amount of all tVLA deposits or payments which the contractor must make,in advance,to order andior otherwise Authorized Signature: obtain delivery ol'special order materials and equipment,which ever amount Is greater a. 4..........IMMINIMINVIONIMIMMINIMMIMMInumn.1•1011.1 Acceptance of Proposal: I have read both skies of this document and accept the prices,specifications and conditions stated, I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See notice of cancellation form for an explanation of this right. Please refer to the Notice of Cancellation that accompanies this contract;contents of which are referred to above and incorporated herein by reference, DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Date ".11 b 2 t. Signature,. �._..... .._ .. __Date Signature_� + ti� �zi�'`. `.11 .._... . ___ —_.,_._