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22D-087 (7) BP-2021-2020 30 SCANLON AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 22D-087-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2021-2020 PERMISSIONIS HEREBY GRANTED TO: Project# WINDOWS/DOORS Contractor: License: Est. Cost: 7737 HOME DEPOT USA INC 098785 Const.Class: Exp.Date:04/07/2022 Use Group: Owner: FIERST BENJAMIN T Lot Size (sq.ft.) Zoning: WSP Applicant: HOME DEPOT USA INC Applicant Address Phone: Insurance: 2455 PACES FERRY RD NW (413)335-3702 0 XWC-1647259 ATLANTA, GA 30339 ISSUED ON:10/12/2021 TO PERFORM THE FOLLOWING WORK: REPLACE 1 DOOR &6 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. Signature: ( i I Fees Paid: $6.5.00 • 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner i Department use only City of Northao V E V j„ tatis of Kermit: Building Depatiime . ►—t✓` Curb Cu riveway Permit 212 Main St et ew r/Sep is Availability Room 10 N{ 1 ayckfateNVell vailability Northampton. M 01 a •0 Two is o Structural Plans phone 413 587 1240 Fa 413 : , il,15 �Plans DEFT-OF r i ni , T.1 n' 1060 NO�THA^.hP ON. SpeClfy APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office •3o Se".h lo.+ f}tc Map Lot Unit F 10 rend /11 A o (Ob 2 Zone Overlay District Elm St. District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: ?0C1") qAc) 60/4 Rcrs f 30 SCc_.n lc-t 4vc FloreAre ,'14 oio62- Name(Pr t) Current Mailing Address: GS 4)— ceik,„,4) Telephone Signature Li i 3 - 3 2_0 - 199 t! 2.2 Authorized Agent: daft/ e . C/a/ker ,JjL /oS 6ulAn, t&'G.r# c 6.4s4' 4.4- C-T Name(Print Current Mailing Address: d 6 e.,3g" C... g-av - 9.-2. - 10it Signature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 0 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from (6) 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) ite45. Fire Protection 6. Total =(1 +2 +3+4 + 5) 41 q-q-51-, o a Check Number 4 gi 1 This Section For Official Use Only Date Building Permit Numb :(Y.-At s. Ao Z0 Issued: Signature: l0 - 12- ZOZ Building Commissioner/Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: 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 0 DON'T KNOW er YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW 0 YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DONT 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 o 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 er IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading,exc lion, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. • y...3.ea ni .Fi., .L .a Y i )` y.. cr ' . SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement�lfj�dows Alteration(s) [J Roofing Or Doors [� Accessory Bldg. ❑ Demolition ❑ New Signs [pi Decks [0 Siding[DJ Other[01 Brief De cription of Proposed/A / `- , Work: /c /awd kfht-CG / /1 b P"//fe6 f5 ,/� T�n i // AO S ` S . Alteration of existing bedroom Yes �No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building: One Family f✓ 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. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain 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 I, an 4,71 6.-m Fes,f , as Owner of the subject property n- T r / hereby authorize Deed, uin c .1 'f Hl�'e% A`�— to act on y behalf, in all matters relative to work authorize by this building permit application. (J `rr///C /o —8- ZioL I Signature of Owner Date I, 6("4 to/ L , (VA,.e/ tic- , as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains a nd penalties of perjury. 6 t d i, C /a.Y/v ,JA— Print Name !4 — r- ?psi Signature of Owne nt Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: / Not Applicable ❑ on Name of License Holder: y✓Qi KoSo 4-ski, / rr i(Cm.hC S'51-- Q 8-7c��J License Number �2 $�/'t7. rei 60"cl Alo"0 et /M/F o(05- zit 7- l Z Z Addre Expiration ate ill - 2Z/ - Gg'o6 nature 3 F���M Telephone 9. Registered Home Improvement Contractor: Not Applicable ❑ 14.4ct J)e,o f 1&4 J c /(Z ?if-5- Company Name Registration Number 2yc( Ptc e �ii Q�d 114 6, 3o f fq (//22./2 3 Address Expiration Date Telephone 860-9f2-4/12- 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 rmit. Signed Affidavit Attached Yes No 0 11. - Home Owner Exemption The current exemption for`'homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families 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 for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)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 ; Local oning Laws and State of Massachus-et-tss General Laws Annotated. Homeowner Signature C,7 1 I City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit 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 MGL c 111, S 150A. Address of the work: 30 Sca-,4-7 4-vt Aor ,u /1//1 o 06 The debris will be transported by: Sc'.� leeorodeto-) The debris will be received by: /-6.,i-f-- Peed 1191 Building permit number: Name of Permit Applicant 6eia/e/ ' ‘ ID Zozl Date Signature of Permit Applicant City of Northampton .LLr . ;rid, Sys ..'" si Massachusetts +r(4 • - wl i� 'I eL.F' DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street . Municipal Building 0% ,b• Northampton, MA 01060 w j��a INSPECTOR Louis Hasbrouck Chuck Miller Building Commissioner Assistant Commissioner HOME OWNER EXEMPTION ACKNOWLEDGEMENT The State of Massachusetts allows the homeowner the right under 780CMR 108.3.4 to act as his/her construction supervisor. 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, aa4 �V"� FCrST61-/ (t�wjA*� irrt,inderstand the above. (Home owner/resident's signature re g exemption) I will call to schedule all required building inspections necessary for the building permit issued to me. Date /o — 1' Address of work location 361 5C Q4 4,7 Avg Plo/e4 Cl AM o/0a z The Commonwealth of Massachusetts • Department of Industrial Accidents Office of Investigations . ; Lafayette City Center 2 Avenue de Lafayette, Boston,MA 02111-1750 ►civw.mass.gov/din NN orkers' Compensation Insurance affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business.Organtzatton lndtvtduall: Home Depot USA. Inc. Address:2455 Paces Ferry Rd City/State/Zip:Atlanta. GA 30339 Phone#:860-952.4111 , Are you an employer?Check the appropriate box: Type of project(required): 1.(j 1 am a enyloyer with 4. ] I am a general contractor and I 6. New construction employees(full and.or part-time).* have hired the stab-contras ores 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. .J Remodeling ship and have no employees These sub-contractors have 8. 11 Demolition workingfor me in anycapacity. employees and have workers' ' 9. Building addition [No workers' comp. insurance txmrp' inswrance' t C). Electrical al repairs or additions required) 5. gl We are a corporation and its 3.El am a homeowner doing all work officers have exercised their 11.3 Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12..D Roof repairs insurance required.)+ c. 152.11(4).and we have no Windows employees. [No workers' 13.®Other comp. insurance required.) •Any applicant that checks bun#1 must also till out the suction belt.* %honing their%ni ers'aurapematiun policy infunnaiiun. tiomeu*ners who submit this af1dat rt indicating they are doing all*urlt and then hire outside cuatraclem must submit a nevi affidavit Indic ding such. ^Cunttactors that cheek this bus must attached an additional sheet slims nu:the name of the sub-contra:um and state+eheth.:r or not those entitnn.have employee . !f the soh.imtractorn hale employees..they must pro.idc distil *ocher'soap.policy numfer. I ant an employer that is providing workers'compensation insurance for my employees. Below is the polies'and job site information. Insurance Company Name:National Union Fire Insurance Co — Policy#or Self=ins. Lic. #:XWC 1647259 PSI) (MA./ Expiration Date:3/1 122 Job Site Address: 30 Sc 42.14•••i City/StateiZip: t .fore.iter / t v!0 6 e_ Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the fiirm 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. do hereby cent under the pains and penalties of perjury that the information provided above is true and correct Siv,nature: - '- " Date. �p— 1r- zit?Ti( Phone : 860-952.4112 •.•'Official use only. Do not write in this area.to be completed fry city or town official_ City or Town: Permit/License Issuing Authority(check one): I DBoard of Health 20 Building Department 3.[JCity/Toi it Clerk 4.0 Electrical inspector 5.1T'luntbint Inspector 6.D()ther Contact Person: Phone#: ,_�..._. GO, Go Permits,LLC PERMITS 105 Buttonball Lane Glastonbury, CT 06033 Scott Doughman Phone:860-952-4112 Fax:860-430-6719 scottdoughman@gopermits.org Re:Massachusetts Solid Waste Affidavit Good day, Please find attached locations where the installers can bring their debris from the jobs. These are all Home Depot USA,Inc. locations. •72 Shaker Road, Unit 2 Enfield, CT 06082 • 32 Scotland Boulevard Bridgewater, MA 02324 • 375 Airport Drive Worcester, MA 01602 • 12 Linscott Road Woburn, MA 01801 • 50 Maria Ave Johnston, RI 02919 Thank you, Go Permits `1 a Home Improvement Agreement: Page 1 Home Depot License#'s-For the most current listing visit www.Homedepot.com/LicenseNumbers MA: 107774, 112785 Ronald Engelbrecht Salesperson Name Registration # (Req. in CA,CT,ME,MD,IVII,NJ,DC) Home Depot U.S.A,Inc.("Home Depot") or Authorized Service Provider named below will furnish, install and/or service the equipment listed below at the price,terms and conditions as outlined on this form. 1. Service Provider Contact Information The Home Depot The Home Depot Service Provider Contact Name Service Provider Company Name I(203) 265-7037 I Icustomercancellationnortheast@hom MA:107774,112785 Phone# Sgilfeeffbvider Email Address Service Provider License#(s) 2.Customer Information FIERST Ben and Eva INew England West 1-1WY2WKI7 Customer Last Name Customer First Name Store#/Branch Name Customer Lead/PO# 30 scanlon ave Florence MA 01062 Customer Address City State Zip (413) 320-1894 I Isix.ten.ben@gmail.com Home Phone# Work Phone# Cell Phone# Customer Email Address 3.NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY;EMAILING SERVICE PROVIDER AT: customercancellationnortheast@homedepot.com OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 1070 N. Farms Road, Unit 3 Wallingford Wallingford CT 06492 Address City State Zip BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIGHT TO CANCEL. Acknowledged by: i 10/02J2021 Customer s Si nature Date 401 Home Improvement Agreement: Page 2 4. Description of Work to be Performed A detailed description of the work to be performed is included in the paragraph entitled Scope of Work,Specification, Customer Summary Sheet, Quote Form,Estimate, Invoice or Measure which is included in this Agreement. 5.Anticipated Delivery Date/Installation Schedule Approximate Start Date: 03/31/2022 Approximate Finish Date: 04/30/2022 All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair,if applicable. 6.Electronic Records Authorization You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy,your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. By contacting your Service Provider,you may update your email address,withdraw your consent,or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above,you confirm that you have access to a computer that can receive and open emails and PDF documents. 7.Contract Price and Payment Schedule Payment of the Contract Price is due upon signing unless a different payment schedule is required by law, specified below or in a payment addendum. Contract Price: $ 4976.10 Includes all applicable taxes.Excludes finance charges.* Sales Tax: $ 10.00 1 (If applicable,total amount of taxes included in Contract Price) *Maximum deposit ONLY applicable in MD,MA,ME(33%),NJ, WI(99%) Deposit% 125.0 I Deposit Amount$ 11244.03 I Remaining Balance$ 3732.07 8.Finance Charges Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable.No funds should be made payable to Service Provider, however, Service Provider may collect Customer's payments made payable to Home Depot. 9.Acceptance and Authorization By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to be provided to You later.)By signing,you acknowledge that: (i)You have read,understand, and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You are receiving a complete copy of this Agreement; (iii)all rights and interests under this Agreement are solely vested in the person listed as"Customer"above; and(iv)Electronic signatures will be deemed originals for all purposes. X Customer's Signature Date X /s/The Home Depot 10/02/2021 The Home Depot Digital Signature Date For questions related to your installation,contact Service Provider at (2 0 3) 1 y /U. I For any other concerns,contact The Home Depot at 1-800-466-3337 ;.A1.\ The Home Depot General Terms & Conditions 1. DEFINITIONS: "Agreement" means (I) the Home Improvement Agreement between You and Home Depot, (II)the following listed documents, and (III) any documents referenced in or attached to any of the following listed documents: (a) any Change Orders; (b) the State Supplement, if any; (c) these General Terms and Conditions ("General Conditions"); (d) extended installation warranty documents, if any; and (e) the Scope of Work. "Defect" means any Services that are found to be non-compliant with manufacturer's installation instructions. "Home" means the real property, fixtures and any physical improvements where the Services are performed."Services" means(i)the delivery and furnishing of goods,equipment, materials, and hardware; and (ii)any related labor and services,including without limitation,construction,consultation,fabrication, erection, installation, inspection, maintenance,repair,and testing. "Scope of Work"means a detailed description of work or Services to be performed, including,but not limited to, any quotes, schedules, invoices, specification sheets, proposals, confirmation emails or otherwise. "Service Provider" means an independent contractor, authorized by Home Depot,and its employees, agents, and subcontractors."Work Area"means any property,buildings, or structures necessary for the staging, temporary storing and performance of the Services. "You"/"Your" means the customer identified in the Agreement 2. HOME DEPOT'S RESPONSIBILITIES: Home Depot or Service Provider will complete the Services in a workmanlike manner and in accordance with applicable law without causing damage to Your Home,provided, however, that Home Depot or Service Provider will not start or continue with any Services upon discovery of any condition at Your Home that Home Depot or Service Provider deems in its sole discretion to be hazardous, unsafe or, materially changes the Scope of Work. Unless specifically contracted to do so, neither Home Depot nor Service Provider is obligated to repair such pre-existing hazardous or unsafe conditions. 3. ASSIGNMENT/SUBCONTRACTING: Home Depot and Service Provider may assign this Agreement, or any right herein, or any monies due or to become due hereunder, and may delegate or subcontract any obligations or Services hereunder without Your consent. This Agreement will not be assigned by You without first receiving Home Depot's written consent,which may be denied in Home Depot's sole discretion. 4. YOUR RESPONSIBILITIES:(a)Payment:You agree to pay Home Depot in full for the Services pursuant to the terms of this Agreement. (b) Safe Access: You agree to provide Home Depot and Service Provider Safe Access to Your Home. Safe Access means safe and complete access to the Work Area,including,without limitation: (1) obtaining in advance of the Services consent,permission,or relief from any covenants,easements,restrictions,or other legal encumbrances affecting the Work Area;(2)providing the location of utilities, whether underground, concealed, overhead or visible,to Home Depot or Service Provider; (3)removing from the Work Area physical impediments, hazards, and building code or zoning violations that affect directly or indirectly the Work Area; (4) removing unsafe working conditions and hazardous materials, including environmental hazards, from the Work Area;(5)providing sanitary facilities to Home Depot or Service Provider convenient to the Work Area(or, alternatively,paying for the rental costs of such facilities);(6)providing all utilities,including without limitation, power,water,ventilation and climate control,in and for the Work Area;(7)removing from and protecting against minors, pets, guests and visitors in the Work Area; (8) keeping permits, if required, visible at all times; (9) disengaging, suspending or terminating any security systems protecting the Work Area;(10)providing adequate temporary storage space as needed for Home Depot's or Service Provider's performance of the Services;and(11) not interfering, impeding, impacting or otherwise disrupting the Work Area at any time during Home Depot's or Service Provider's performance of the Services. (c)No Performance: Services are to be performed by Home Depot or Service Provider.If You attempt to perform or assist with the Services in any way,You assume all risk for property damage and for injury to Yourself and others. The Home Depot General Terms& Conditions 5. MODIFICATIONS AND CHANGE ORDERS:Without invalidating this Agreement,You may authorize Home Depot or Service Provider to perform Services beyond the scope of the Agreement("Change Order").A Change Order will be issued by Home Depot or Service Provider on behalf of Home Depot, which You may accept by signing.Upon Your signing of the Change Order,it will become part of this Agreement,subject to all of the terms of the Agreement. Change Order may also result from Home Depot or Service Provider encountering conditions at the Work Area that impact, impede or otherwise interfere with the performance of the Services,requiring an increase in cost,time,or both.Following the discovery of any conditions that impact,impede or otherwise cause the Work Area not to have Safe Access, Home Depot may immediately ask for a Change Order or discontinue the Services without further obligation to You.Home Depot may also ask for a change order in the event of errors or omissions in measurements or quantities used to determine the Contract Price.If You decline a Change Order request, You or Home Depot may terminate this Agreement. 6. TITLE AND RISK OF LOSS: The title to and risk of loss for any materials or goods provided to You that originate from Home Depot will pass to You when paid in full by(1)You or(2)the Service Provider as part of the Services. Title to any other materials or goods provided by Service Provider will pass to You upon completion of the Services. 7. WARRANTY LIMITATION ON WARRANTIES AND DAMAGES: (a) Warranty: Unless otherwise stated in the Agreement, Home Depot warrants for 1 year from the completion date (the "Warranty Period") that all Services will: (i) be performed with good workmanship and (ii) conform to the requirements of the Agreement. During the Warranty Period and within a reasonable time after receiving notice from You of a warranty claim, Home Depot may, at its sole discretion (I) correct or replace each Defect, (H) authorize the correction or replacement of each Defect; or (III) remove each Defect and refund all or a proportional amount of the Contract Price thereof to You;provided, however, that all warranties are voided if(1) anyone other than Home Depot or Service Provider performs work upon or otherwise modifies any materials or Services provided under this Agreement; or (2) You fail to pay Home Depot in full as provided in this Agreement. Any warrantable corrections, replacements or repairs made in accordance with this Agreement will not extend the Warranty Period. (b) Limitation on Warranties: THE WARRANTIES PROVIDED IN THIS AGREEMENT ARE STRICTLY LIMITED TO THE FOREGOING EXPRESS WARRANTIES CONTAINED IN THIS PARAGRAPH IN THE WARRANTY SECTION OF THE AGREEMENT, IF ANY YOU ACKNOWLEDGE AND AGREE THAT NO OTHER WARRANTIES ARE MADE OR GIVEN BY HOME DEPOT OR SERVICE PROVIDER,INCLUDING ANY WARRANTY FOR FITNESS OF PURPOSE, WARRANTY OF MERCHANTABILITY,OR ANY OTHER ORAL,EXPRESS OR IMPLIED WARRANTIES. HOME DEPOTS EXPRESS WARRANTIES ARE VOIDED FOR ANY DEFECT CAUSED BY ABUSE, MISUSE, NEGLECT, ACTS OF GOD, LACK OF PRESCRIBED OR STANDARD MAINTENANCE, OR IMPROPER CARFJCLEANING. ANY MANUFACTURER'S WARRANTIES PROVIDED FOR GOODS, MATERIALS, OR EQUIPMENT WILL BE PASSED THROUGH BY HOME DEPOT TO YOU, AND YOU AGREE TO LOOK SOLELY TO SUCH MANUFACTURER FOR REMEDY OF ANY DEFECT IN SUCH GOODS, MATERIALS, AND EQUIPMENT. HOME DEPOT MAY ASSIST YOU WITH WARRANTY CLAIMS AGAINST MANUFACTURERS.(c)Limitation on Damages. Home Depot will not be liable to YOU for indirect, incidental, special, punitive or consequential damages RESULTING FROM PERFORMANCE OF THE SERVICES,including,BUT NOT LIMITED TO, damages for lost opportunities, OR lost profits. 8. TERMINATION: This Agreement may be terminated by Home Depot for its convenience, and by either party for cause if the other party fails to correct a material breach within ten(10)days after receiving notice from the non-breaching party identifying the breach.In the event Home Depot terminates this Agreement because You fail to provide Safe Access to perform the Services, or if either party terminates the Agreement because You decline a Change Order request resulting from unforeseen,hazardous,or unsafe conditions or conditions that materially changes the Scope of Work,then You will pay Home Depot for Services provided through the date of termination plus any costs or expenses incurred by Home Depot or Service Provider as a result of the termination. 17 The Home Depot General Terms & Conditions 9. CHOICE OF LAW: SEVERABILITY: This Agreement will be governed by and interpreted in accordance with the laws of the State where the Project is physically located. The parties intend for the teens and conditions in the Agreement to be complementary,consistent,and enforceable under applicable laws. In the event any term or condition in the Agreement violates applicable law, such term or condition will be severed from the Agreement, but only to the extent necessary to avoid such violation,without invalidating any other terms and conditions of the Agreement. 10. ENTIRE AGREEMENT: This Agreement is the final, integrated, and exclusive expression of the parties' understanding, which supersedes all prior offers, orders, understandings, representations, proposals, confirmations, and negotiations between the parties, whether oral or written. No course of dealing, usage of trade, course of performance, course of conduct, or any other evidence of additional or different terms will be admissible to contradict or vary any term in the Agreement. 11. SECURITY INTERESTS: LIENS: If You make all payments as required under this Agreement, no security interest will be placed against Your property by Home Depot. If a security interest is placed on Your property, it creates a lien, mortgage, or other claim against Your property to secure payment and may cause a loss of Your property if You fail to pay as requested. After paying on any completed phase of the Services and before making any further payments,You should request from Home Depot or Service Provider a signed,unconditional release from, or waiver of, any right to place any claim against Your property applicable to the work then completed. You may ask an attorney about Your rights to discharge security interests. 12. RETURNS: Custom order merchandise (i.e., goods that are custom made, uniquely altered, colormatched, shaped,sized,or otherwise uniquely designed or fitted to the requirements of a particular space)is non-returnable, and its Contract Price cannot be refunded unless Home Depot or Service Provider(1)incorrectly ordered item, or(2) damaged item beyond repair. Special or custom order merchandise may be returned, and a refund for all or part of the Contract Price provided, in the discretion of Home Depot. Please contact The Home Depot for additional details concerning returns. 13. AGREEMENT/SERVICE ORDER COMMUNICATION PREFERENCES:You can visit www.homedepot.com > In-Store Special Orders at any time to access Your account for the following: (1)Update Your Agreement/ Service Order Communication Preferences(email,text,Auto Call);(2)Contact Home Depot for order assistance; (3) View latest order status; or (4) Take action to schedule pickup for Your Service Orders. To stop any of the following communications You may visit www.homedepot.com > In-Store Special Orders to access Your account to update Your Agreement/Service Order Communication Preferences, contact The Home Depot, and take action on orders. If You signed up to receive updates about Your Agreement/Service Order(s) via: (a) Text Message Communications, You may receive multiple messages per order (including current and future orders) via automated technology to the mobile phone number You provided. The total number of messages received depends on the number of orders placed and order activity. Standard message and data rates apply. Not all carriers covered. You can text STOP to 97710 to stop (You will be sent a confirmation message). Call 1-877-467-2581 or 1-800-466-3337 for help; (b) Electronic voice communications (Auto Call), You may receive multiple pre-recorded phone calls per order (including current and future orders) via automated technology to the phone number You provided. The total number of calls received depends on the number of orders placed and order activity. You can press 9 during a call to opt out or call 800-HOME-DEPOT for help; or (c) Email Communications, You may receive multiple Emails per order(including current and future orders) via automated technology to the Email address You provided. The total number of Emails received depends on the number of orders placed and order activity. 14. LEAD PAINT:Homes built prior to 1978 may require additional testing to determine if lead paint is present,and additional precautions if lead paint is present. You will be informed by Your Service Provider of any additional costs resulting from lead paint requirements prior to performing the Work. For additional information. visit www.epagov/lead/renovation-repair-and-painting-program. Home Improvement Agreement: Page 1 Home Depot License #'s -For the most current listing visit www.Homedepot.com/LicenseNumbers MA: 107774, 112785 Ronald Engelbrecht , Salesperson Name Registration#(Req.in CA,CT,ME,MD,ME,NJ,DC) Home Depot U.S.A_,Inc.("Home Depot") or Authorized Service Provider named below will furnish, install and/or service the equipment listed below at the price,terms and conditions as outlined on this form. 1. Service Provider Contact Information The Home Depot [The Home Depot Service Provider Contact Name Service Provider Company Name (203) 265-7037 lcustomercancelationnortheast@hom IMA: 107774, 112785 _J Phone# ORPcecPSvider Email Address Service Provider License#(s) 2. Customer Information 1FIERST Ben and Eva i New England West 1-1WYDVEIN Customer Last Name Customer First Name Store#/Branch Name Customer Lead/PO# 30 scanlon ave Florence MA 1 01062 Customer Address City State Zip II I 1(413) 320-1894 six.ten.ben@gmail.com Home Phone# Work Phone# Cell Phone# Customer Email Address 3. NOTICE OF RIGHT TO CANCEL YOU MAY CANCEL THIS AGREEMENT WITHOUT PENALTY OR OBLIGATION BY CONTACTING THE SERVICE PROVIDER OR STORE DIRECTLY; EMAILING SERVICE PROVIDER AT: customercanceltationnortheast@homedepot.com OR DELIVERING WRITTEN NOTICE TO HOME DEPOT AT: 1070 N. Farms Road, Unit 3 Wallingford Wallingford ICT 06492 Address City State Zip BY MIDNIGHT ON THE THIRD BUSINESS DAY AFTER SIGNING, UNLESS THE STATE SUPPLEMENT PROVIDES A DIFFERENT CANCELLATION PERIOD. THE STATE SUPPLEMENT CONTAINS A FORM TO USE IF ONE IS SPECIFICALLY PRESCRIBED BY LAW IN YOUR STATE. YOUR PAYMENT(S) WILL BE RETURNED WITHIN TEN (10) BUSINESS DAYS AFTER HOME DEPOT'S RECEIPT OF YOUR NOTICE. YOU MUST MAKE AVAILABLE FOR PICKUP BY HOME DEPOT OR SERVICE PROVIDER, AT YOUR SERVICE ADDRESS, AND IN SUBSTANTIALLY THE SAME CONDITION AS WHEN DELIVERED, ANY MERCHANDISE OR MATERIALS DELIVERED TO YOU. OR YOU MAY CONTACT HOME DEPOT FOR INSTRUCTIONS REGARDING RETURN SHIPMENT AT HOME DEPOT'S EXPENSE. THE LAW REQUIRES THAT THE HOME DEPOT GIVE YOU A NOTICE EXPLAINING YOUR RIGHT TO CANCEL. PLEASE SIGN BELOW TO ACKNOWLEDGE THAT YOU HAVE BEEN GIVEN ORAL AND WRITTEN NOTICE OF YOUR RIG ^ T ANCEL. Acknowledged by: )'* 10/02/2021 Customer's Signature Date Home Improvement Agreement: Page 2 4. Description of Work to be Performed A detailed description of the work to be performed is included in the paragraph entitled Scope of Work,Specification, Customer Summary Sheet, Quote Form,Estimate,Invoice or Measure which is included in this Agreement. 5.Anticipated Delivery Date/Installation Schedule Approximate Start Date: 03/31/2022 I Approximate Finish Date: 04/30/2022 I All dates are approximate and subject to change based on unforeseen events including inclement weather, permitting delays, and delays in confirming insurance coverage of Your claim for any repair,if applicable. 6.Electronic Records Authorization You are entitled to a paper copy of this Agreement if you choose. If you consent to an e-mailed copy,your consent applies to this Agreement and all subsequent documents and written communications related to this Agreement. By contacting your Service Provider,you may update your email address,withdraw your consent,or obtain a paper copy of the Agreement or related documents at no charge. By providing your consent and verifying your email address above,you confirm that you have access to a computer that can receive and open emails and PDF documents. 7.Contract Price and Payment Schedule Payment of the Contract Price is due upon signing unless a different payment schedule is required by law,specified below or in a payment addendum. Contract Price: $ 2761.00 J Includes all applicable taxes.Excludes finance charges.* Sales Tax: $ 0.00 (If applicable,total amount of taxes included in Contract Price) *Maximum deposit ONLY applicable in MD,MA, ME (33%), NI, WI(99%) Deposit% 25.0 I Deposit Amount$ 1690.25 I Remaining Balance $ 1?_070.75 8. Finance Charges Any interest payments or other finance charges will be determined by Customer's separate cardholder or loan agreement, to which Home Depot is NOT a party, and will be in addition to Customer's payment under this Agreement. Customer is subject to the terms and conditions of the cardholder or loan agreement, as applicable. No funds should be made payable to Service Provider, however, Service Provider may collect Customer's payments made payable to Home Depot. 9.Acceptance and Authorization By signing below, you authorize Home Depot to: (a) arrange for Service Provider to perform any Services or (b) order and arrange for the delivery of special order merchandise, including special order merchandise that may be custom made, as specified in this Agreement. Do not sign if blank or incomplete. (Service Provider's or permitting information may need to be provided to You later.)By signing,you acknowledge that: (i)You have read,understand, and accept this Agreement in its entirety, including the General Conditions and State Supplement, if any; (ii) You are receiving a complete copy of this Agreement; (iii)all rights and interests under this Agreement are solely vested in the person listed as"Customer" above; and(iv)Electronic signatures will be deemed originals for all purposes. X It(4k4 4 10/02/2021 Customer's Signature Date XI/s/The Home Depot [/02/2021 The Home Depot Digital Signature Date For questions related to your installation, contact Service Provider at (203) 155 iu3 For any other concerns, contact The Home Depot at 1-800-466-3337 The Home Depot General Terms & Conditions 1. DEFINITIONS: "Agreement" means (I) the Home Improvement Agreement between You and Home Depot, (II)the following listed documents, and (III) any documents referenced in or attached to any of the following listed documents: (a) any Change Orders; (b) the State Supplement, if any; (c) these General Terms and Conditions ("General Conditions"); (d) extended installation warranty documents, if any; and (e) the Scope of Work. "Defect" means any Services that are found to be non-compliant with manufacturer's installation instructions. "Home" means the real property, fixtures and any physical improvements where the Services are performed."Services" means(i)the delivery and furnishing of goods, equipment, materials, and hardware; and (ii)any related labor and services,including without limitation,construction,consultation,fabrication,erection, installation,inspection, maintenance,repair,and testing."Scope of Work"means a detailed description of work or Services to be performed, including,but not limited to, any quotes, schedules,invoices, specification sheets, proposals, confirmation emails or otherwise. "Service Provider" means an independent contractor, authorized by Home Depot, and its employees, agents, and subcontractors. "Work Area"means any property,buildings, or structures necessary for the staging, temporary storing and performance of the Services. "You"/"Your" means the customer identified in the Agreement 2. HOME DEPOT'S RESPONSIBILI'1'ihS: Home Depot or Service Provider will complete the Services in a workmanlike manner and in accordance with applicable law without causing damage to Your Home,provided, however, that Home Depot or Service Provider will not start or continue with any Services upon discovery of any condition at Your Home that Home Depot or Service Provider deems in its sole discretion to be hazardous, unsafe or, materially changes the Scope of Work. Unless specifically contracted to do so, neither Home Depot nor Service Provider is obligated to repair such pre-existing hazardous or unsafe conditions. 3. ASSIGNMENT/SUBCONTRACTING: Home Depot and Service Provider may assign this Agreement, or any right herein, or any monies due or to become due hereunder, and may delegate or subcontract any obligations or Services hereunder without Your consent. This Agreement will not be assigned by You without first receiving Home Depot's written consent, which may be denied in Home Depot's sole discretion. 4. YOUR RESPONSIBILITIES:(a)Payment:You agree to pay Home Depot in full for the Services pursuant to the terms of this Agreement. (b)Safe Access:You agree to provide Home Depot and Service Provider Safe Access to Your Home. Safe Access means safe and complete access to the Work Area,including,without limitation: (1) obtaining in advance of the Services consent,permission,or relief from any covenants,easements,restrictions,or other legal encumbrances affecting the Work Area; (2)providing the location of utilities, whether underground, concealed, overhead or visible,to Home Depot or Service Provider; (3)removing from the Work Area physical impediments, hazards, and building code or zoning violations that affect directly or indirectly the Work Area; (4) removing unsafe working conditions and hazardous materials, including environmental hazards, from the Work Area;(5)providing sanitary facilities to Home Depot or Service Provider convenient to the Work Area(or, alternatively,paying for the rental costs of such facilities);(6)providing all utilities,including without limitation, power,water,ventilation and climate control,in and for the Work Area;(7)removing from and protecting against minors, pets, guests and visitors in the Work Area; (8) keeping permits, if required, visible at all times; (9) disengaging, suspending or terminating any security systems protecting the Work Area;(10)providing adequate temporary storage space as needed for Home Depot's or Service Provider's performance of the Services;and(11) not interfering, impeding, impacting or otherwise disrupting the Work Area at any time during Home Depot's or Service Provider's performance of the Services. (c)No Performance: Services are to be performed by Home Depot or Service Provider.If You attempt to perform or assist with the Services in any way,You assume all risk for property damage and for injury to Yourself and others. h1 The Home Depot General Terms & Conditions 5. MODIFICATIONS AND CHANGE ORDERS:Without invalidating this Agreement,You may authorize Home Depot or Service Provider to perform Services beyond the scope of the Agreement("Change Order").A Change Order will be issued by Home Depot or Service Provider on behalf of Home Depot,which You may accept by signing.Upon Your signing of the Change Order,it will become part of this Agreement,subject to all of the terms of the Agreement. Change Order may also result from Home Depot or Service Provider encountering conditions at the Work Area that impact, impede or otherwise interfere with the performance of the Services, requiring an increase in cost,time,or both.Following the discovery of any conditions that impact,impede or otherwise cause the Work Area not to have Safe Access, Home Depot may immediately ask for a Change Order or discontinue the Services without further obligation to You.Home Depot may also ask for a change order in the event of errors or omissions in measurements or quantities used to determine the Contract Price.If You decline a Change Order request,You or Home Depot may terminate this Agreement. 6. TITLE AND RISK OF LOSS: The title to and risk of loss for any materials or goods provided to You that originate from Home Depot will pass to You when paid in full by(1)You or(2)the Service Provider as part of the Services. Title to any other materials or goods provided by Service Provider will pass to You upon completion of the Services. 7. WARRANTY LIMITATION ON WARRANTIES AND DAMAGES: (a) Warranty: Unless otherwise stated in the Agreement, Home Depot warrants for 1 year from the completion date (the "Warranty Period") that all Services will: (i) be performed with good workmanship and (ii) conform to the requirements of the Agreement. During the Warranty Period and within a reasonable time after receiving notice from You of a warranty claim, Home Depot may, at its sole discretion (I) correct or replace each Defect, (II) authorize the correction or replacement of each Defect; or (III) remove each Defect and refund all or a proportional amount of the Contract Price thereof to You;provided, however, that all warranties are voided if(1) anyone other than Home Depot or Service Provider performs work upon or otherwise modifies any materials or Services provided under this Agreement; or (2) You fail to pay Home Depot in full as provided in this Agreement. Any warrantable col,edions, replacements or repairs made in accordance with this Agreement will not extend the Warranty Period. (b) Limitation on Warranties: THE WARRANTIES PROVIDED IN THIS AGREEMENT ARE STRICTLY LIlVIITED TO THE FOREGOING EXPRESS WARRANTIES CONTAINED IN THIS PARAGRAPH IN THE WARRANTY SECTION OF THE AGREEMENT, IF ANY. YOU ACKNOWLEDGE AND AGREE THAT NO OTHER WARRANTIES ARE MADE OR GIVEN BY HOME DEPOT OR SERVICE PROVIDER,INCLUDING ANY WARRANTY FOR FITNESS OF PURPOSE, WARRANTY OF MERCHANTABILITY,OR ANY OTHER ORAL,EXPRESS OR IMPLIED WARRANTIES. HOME DEPOTS EXPRESS WARRANTIES ARE VOIDED FOR ANY DEFECT CAUSED BY ABUSE, MISUSE, NEGLECT, ACTS OF GOD, LACK OF PRESCRIBED OR STANDARD MAINTENANCE, OR IMPROPER CARFJCLEANING. ANY MANUFACTURER'S WARRANTIES PROVIDED FOR GOODS, MATERIALS, OR EQUIPMENT WILL BE PASSED THROUGH BY HOME DEPOT TO YOU, AND YOU AGREE TO LOOK SOLELY TO SUCH MANUFACTURER FOR REMEDY OF ANY DEFECT IN SUCH GOODS, MATERIALS, AND EQUIPMENT. HOME DEPOT MAY ASSIST YOU WITH WARRANTY CLAIMS AGAINST MANUFACTURERS.(c)Limitation on Damages.Home Depot will not be liable to YOU for indirect,incidental, special, punitive or consequential damages RESULTING FROM PERFORMANCE OF THE SERVICES,including,BUT NOT LIMITED TO, damages for lost opportunities,OR lost profits. 8. TERMINATION: This Agreement may be terminated by Home Depot for its convenience, and by either party for cause if the other party fails to correct a material breach within ten(10)days after receiving notice from the non-breaching party identifying the breach.In the event Home Depot terminates this Agreement because You fail to provide Safe Access to perform the Services, or if either party terminates the Agreement because You decline a Change Order request resulting from unforeseen,hazardous,or unsafe conditions or conditions that materially changes the Scope of Work,then You will pay Home Depot for Services provided through the date of termination plus any costs or expenses incurred by Home Depot or Service Provider as a result of the termination. The Home Depot General Terms & Conditions 9. CHOICE OF LAW: SEVERABILITY: This Agreement will be governed by and interpreted in accordance with the laws of the State where the Project is physically located. The parties intend for the terms and conditions in the Agreement to be complementary,consistent,and enforceable under applicable laws.In the event any term or condition in the Agreement violates applicable law, such term or condition will be severed from the Agreement, but only to the extent necessary to avoid such violation,without invalidating any other terms and conditions of the Agreement. 10. ENTIRE AGREEMENT: This Agreement is the final, integrated, and exclusive expression of the parties' understanding, which supersedes all prior offers, orders, understandings, representations, proposals, confirmations, and negotiations between the parties, whether oral or written. No course of dealing, usage of trade, course of performance, course of conduct, or any other evidence of additional or different terms will be admissible to contradict or vary any term in the Agreement. 11. SECURITY INTERESTS; LIENS: If You make all payments as required under this Agreement, no security interest will be placed against Your property by Home Depot. If a security interest is placed on Your property, it creates a lien, mortgage, or other claim against Your property to secure payment and may cause a loss of Your property if You fail to pay as requested. After paying on any completed phase of the Services and before making any further payments,You should request from Home Depot or Service Provider a signed,unconditional release from, or waiver of, any right to place any claim against Your property applicable to the work then completed. You may ask an attorney about Your rights to discharge security interests. 12. RETURNS: Custom order merchandise (i.e., goods that are custom made, uniquely altered, colormatched, shaped,sized,or otherwise uniquely designed or fitted to the requirements of a particular space)is non-returnable, and its Contract Price cannot be refunded unless Home Depot or Service Provider(1)incorrectly ordered item, or(2) damaged item beyond repair. Special or custom order merchandise may be returned, and a refund for all or part of the Contract Price provided, in the discretion of Home Depot. Please contact The Home Depot for additional details concerning returns. 13. AGREEMENT/SERVICE ORDER COMMUNICATION PREFERENCES:You can visit www.homedepot.com > In-Store Special Orders at any time to access Your account for the following: (1)Update Your Agreement/ Service Order Communication Preferences(email,text,Auto Call);(2)Contact Home Depot for order assistance; (3) View latest order status; or (4) Take action to schedule pickup for Your Service Orders. To stop any of the following communications You may visit www.homedepot.com > In-Store Special Orders to access Your account to update Your Agreement/Service Order Communication Preferences, contact The Home Depot, and take action on orders. If You signed up to receive updates about Your Agreement/Service Order(s) via: (a) Text Message Communications, You may receive multiple messages per order (including current and future orders) via automated technology to the mobile phone number You provided. The total number of messages received depends on the number of orders placed and order activity. Standard message and data rates apply. Not all carriers covered. You can text STOP to 97710 to stop (You will be sent a confirmation message). Call 1-877-467-2581 or 1-800-466-3337 for help; (b) Electronic voice communications (Auto Call), You may receive multiple pre-recorded phone calls per order (including current and future orders) via automated technology to the phone number You provided. The total number of calls received depends on the number of orders placed and order activity. You can press 9 during a call to opt out or call 800-HOME-DEPOT for help; or (c) Email Communications, You may receive multiple Emails per order(including current and future orders) via automated technology to the Email address You provided. The total number of Emails received depends on the number of orders placed and order activity. 14. LEAD PAINT:Homes built prior to 1978 may require additional testing to determine if lead paint is present,and additional precautions if lead paint is present. You will be informed by Your Service Provider of any additional costs resulting from lead paint requirements prior to performing the Work. For additional information, visit www.epa.gov/lead/renovation-repair-and-painting-program. Go Permits, LLC 105 Buttonball Lane Glastonbury, CT 06033 PERMITS .9 Scott Doughman `' r'. ., Phone: 860-952-4112 Fax: 860-430-6719 scottdoughman@gopermits.org Re: Building Permit Application - Licenses Good day, Please find attached permit application, licenses and supporting documents. Home Depot USA, Inc. sold the job and is the G.C. HIC 112785 Exp. 4/22/23 Workers Comp.- Union Fire Insurance Co. Policy XWC 1647259 (QSI) (MA) Exp. 3/1/22 Ivan Kosobutskyy D/B/A I & I Remodeling is the sub-contractor. #CSSL-098785 Exp. 4/7/22 / HIC#152379 Exp. 8/22/22 Workers Comp. —Atlantic Charter Insurance Company #WCV01468901 Exp. 11/13/21 All licenses and insurances are attached. Once the permit is ready: • Please fax or e-mail a copy of the permit and receipt to the below address and mail the original to the homeowner: Fax: 860-430-6719 Email: permits@gopermits.org • If you unable to mail the permit to the homeowner please send to the below address and we will ensure the permit is at the home posted at the time of installation: Go Permits, LLC 105 Buttonball Lane Glastonbury, CT 06033 If we are required to pick up the permit in at the building department, please call 860-952- 4112 once it's ready and we will come to get it. Thank you, Go Permits AC Ra ramrrrrry CERTIFICATE OF LIABILITY INSURANCE DATE ootrzzzl THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTFICATE HOLDER. THIS 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), AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the p licy(ies}must have ADDITIONAL INSURED provisions or be endorsed If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT ktRASH t.54.AIL' PRIME FAX WO ALL ANCE C£NSH I4 C Mo Eft I SAC.Nm 95t3 LE NOX RCA.ELITE 2435 SAW& AT.A TA.GA 3O 6 ADDaEaa f:O PERRA)AFFORDING COVERAGE NANO I CN1G1642069 -GRA.Z 1-2t INS AgFR A DO Revak InS rd!IM CC CAIA', TI+E HOW DEPOT.NWC, HCNIE CEPCT L.SA.INC. cNEJPER C IiGttER.SI,:axs,E ITEJILACE CrttCal y NA 2155 PACES FERRY I RO IfiU,FER D: BULLING C-2) ATII,MITA 8A 3or9 l{tiiFER E: INIvRER F: COVERAGES CERTWICATE NUMBER: Ar--m517122254t REVISION NUMBER 2 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 REOJIREMENT,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 S4JB,,ECT TO ALL THE TERMS. EXCLUSIONS AltO CONDITIONS OF SUCH P CL'CIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLANMS. LTR TYPE OF MINAR PACE NEI1I AND POLICY MAYR IWONYTYYI amsuaYYYYI LANTS A x cOSNN@IWIL GENERAL LDANN.rrY i$IZY314574 33015019 DSC1C2 EsrtoccuRtENcE a ICDC000 CLAtl -I. E f -1 -- .._ PREMAMAISES l E3 NI , I ;,MCI04 'x SR:51.DX OM •VIED ESP to y cne penal, I EXCLUDED PERSONA.a AD,{.4-LAY a 'I ACCOW — GEM.AGGREGATE utirr Annus::PSF. GeIERAL AGGREGATE a 2.DOC.000 It I vci cV ElEli .=RPRrDu._-s-cc+ro_a a 2C COO_"1l OTHERa A AuroNowLELLNatutY r.A7B3t4573 331052D19 p391^ In'{E: .+ LE LOOT 1OOD;000 x-PRY AUTO 5EF INSURED AUTO PRY MG ___`,•-..a?r Ferper- ) a — ,?t O `D- :_ _:"...WRY Pet*covert I AUTOS SRLY ��;5 _ r— ypEp — N'ot.-DANED =R"PEF-^r DAMASE a AUTO:CMLv ^ ,,rroE.ONLY 'PR'atnaset, a UMBRELLA USE OCD_F EACH OOD.PISENCE a ,--- EXCESS LIAE CL WS...LACE AGGREGATE a AED) .FEramaN f , _ I B WORKERS COMPENSATOR WIC 5E2sca59 r A1) O3001t2021 23411,2022x Pei ♦TYr. AtO EMPLOYERS'UABNJTY YIN I HTATIPE I B Nti PRLiR1ETCRRAF T18uJC CUTrJE WJWLR CVS6825b INC.VA) OYDti2021 02C112022 E.L.Epic,ACCtEWT a 5pL .c o OFFICE/SIMMER fl4:USED' N f A Mandatory In ION C&lruec Gr?Alto Page E.L.DISEASE'EA BUP.O`IEEk a 5 tJ00= r yr. Pa- a INC'J DE5•CRIF"ON CF OPERATORS tons' EL D3 A E-POLICY JMIT I SWOON EC IC-5 ALE 29711t1D11C 21 OSa11.2021 DSi taro Lint £,000,000 A. E.S:e55 uEIr'..at45 Mil1OE SWA5& ssot2ol3 03CL21Z2 Lire $.OM= ZESCASPIIOII OF OPERATORS I IDCATIONa I VEHICLES IACORD ill,Ard essal Remark&Scrtaau;e,ma,Ge axlar'*]Nmna:pane A rec.Pe6t FACE OF INS•,.RAN2E 1 CERTIFICATE HOLDER CANCELLATION HOME€POTJSk NC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 2A55 PACES FERRY F .R;, THE EXPIRATION DATE THEREOF. NOTICE WILL BE DELIVERED IN BUILDING C-20 ACCORDANCE WITH THE POLICY PROVISIONS ATLANTA,CA30339 AUTHORIZED REPRESENTATIVE at Mann US A Inc. u y vlraar:v.tre- -3tiee ..�.Q.K.4.4oa" ,,,7�."A2C.'',LA. 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POLICY RUMEN 2455 PACES MIRY ROAD WO C-as Ar.AtIT`t:PA 30335 CARRIER %QC CQOE EFFECTrVE CATS: ADOMONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Cer1i!5cate of Liability Insurance ttty r Cimx•3,eoa^Carved: :wrier tzaeeri y.,Parerce Ca-very d Nme6S Areeraa %;C!.',starter AIR C5 525St1'IA..ApRff.,G,iR,KS,K1`,tA.MS,MO iENL.'+57, ,SP.,M,Tk,''Nur,e'V !Serape:Pne 331I:tr EL; .Pit$5.002..x Cane-.1&t,ire.renve.'.c. tie nb r arC Z .95C-03#4R=,DE.HP.V U IVIPA.AP,KY Rt.t7,', Effecs,e2e S301: 3 ;gl .sari.$5 Zi30000 Cam.ACE Ammar en Ore recce Canweny Avicy%rather arC,JC67105,11110S4W4 LAR,Otai McCue Cale 0391,2ff't 5pestcnPak-03t01: c =€t;iaret$5.CM= Sqt S1,0X.00C Cdffitf Nowai Uneon Fee inwweree Crawly Privy Manner Xt%C 1647M c r fcCCTAA,MEXIMPIPA,L111 eRewve:ate U01.2321 6Dsetcre 0301=2 ;gllanit U.A00AOQ Carrier::ACES t,mre:te Ccmaae. Peaky% er7MLRCCT1=^9SAT Maio 0ela nal 20c Elpireber e 05,111='0 I4 irat S570=a: Ceniv Nei5orat thorn Fee xrrnesoe Cramer" %iv!Monier MC?5d725e I1t4 . Effective Derie.S3j111:' . Eti 'et Si 500 Or& SIR$500,CO3 SR&alarm XS i+r1e^oady: Car ierarriee imve rea rnct Corrpaw Pricy%anew T%S C€5490T2 i(IX Eflecse Oats 0340110 E wake Dar-0301.E r1? :Sit,3l0,x0 SW$1 RE C ACORD 101(2008101) go 2008 ACORD CORPORATION. AU righEs reserved. 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 Contractor Registration type: Supplement Card HOME DEPOT USA INC Registration. 112785 E P O BOX 105451 Expo ttion 04.22 2021 ATTN. LICENSE MGMT TEAM ATLANTA,GA 30348 Update Address and Return Card. scat 0 20144.05r17 Celtics of Consumer Affahs t:ButrW,eea RegaIaBon HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Registration Expiration Office of Consumer Affairs and Business Regulation 112785 0442/2021 1000 Washington Street -Suite 710 HOME(*PVT USA INC Boston,MA 02118 RICHARD OLMSTEAD f 2455 PACES FERRY RD C-11 HSC +«✓ ATLANTA.GA 30339 UndersecretaryNot valid without signature Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type. Corporation HOME DEPOT USA INC Registration: 112785 P 0 BOX 105451 Exprratiort_ 04/2 /2023 ATTN: LICENSE MGMT TEAM ATLANTA.GA 33348 Update Address and Return Card. Office or Consumer Affairs S Business Roguish-an HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Coporat..n before me expiration date. If found return to. Registration Expiration Office of Consumer Affairs and Business Regulation 112185 04422,2023 1000 Washington Street -Suite 710 HOME DEPOT USA INC Boston.VA 021111 COURTNEY A.HOWE 2455 PACES FERRY RD C-11 MSC `'igirret' Not valid without signatureATLANTA.GA 30339 Undersecretary .AC CERTIFICATE OF LIABILITY INSURANCE DATE IINADONYYY1 „ 2020 �----- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS BELOW THISDCEERTIFICTATE UURRANCEE DIES NOT COY NSTITUTE EXTEND, CONTTRRACT ALTER THE COVERAGE MNSU�S)THE POLICES REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(lee)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain pekoes may require an endorsement A statement on this certificate doss not confer rights to the certificate holder in lieu of such endorsement(s). �►�r PRODUCER 01220-001 fW1E: Roger Butler insurance Agency.Inc. .fin (413)542.2304 i mow f FAX No., _. PO Boa516 Westfield MA 01066 Mesa I rslpFAlal AFT'ORDeID COVFR.OE MAC I 1IatssRA. Atlantic Charter Insurance Company VDAC 44326 �_— _— INSURED NatalEn a NAM KOSOBUTSKYY MAGI REMODELMG amp WM c- 72 STAFFORD ROAD rrsao. MONSON,MA 01057 SMARERE• It F_ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE tHSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REOUIREAENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE CSSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS LAGU.SIGNS AND CONDITIONS OF SUCH POLICIES.UNITS SHOWN MAW HAVE BEEN REDUCED BY PMD CLAIMS, BAIRLfR POLICY EFT POLICY EXP • TYPE OF pE1RAMCE Aml POLJCY N111KR IIIMBOOtTnT) t 1 Ultra OEIE5AL LHS&ITY EACH OCCURRENCE I WAAG,E TO BENITED COl/l�ir_yr i GENERAL ilAH11TY" PRF VISES =,.<c.. x aead .l I 1 C•.:ANS-AAAIIE. O OCCUR LED EO INN tiv Vk'seill I S. PERSONAL A ADV AWRY I GENERAL ASEGrEGATE I SEMI. EE LL MIT APPLIES PER. I FROG.(T5-CCI�F,CP 40,3 I I L" Erg .^3AEINED SNCILE LMT AIJT011OaLE LABILITYiEA ac:,anKi S _ ANY AUTO WOO Mir Pe b'_—ALL 0OARED 5 —I SC C>i.BO '(:¢+IJIRY MaAcvusm' L HMO AUTOS — NON-OIMED ,PP E:R1 V OAMACtE I b UMBRELLA UNIT Cr.:CUR EACH OCCURRENCE S ~r EXCESS LIAR CLAIMS MADE AGGREGATE. b -')LED [ I.RETENTON I S lieriatiN1016115% x ITtigtiNti J A WIENY' VL e_._R NIA WCV0146B901 11/13f2020 11/13/2021 EL EACTIACCDENT I 100.000.00 Ira weery HI a In N L,-•�I 'E.L.ZSEASE.EA EMPLOYEE I 100.000.00 Policy Coverage State:IAA ► tAINt i trepEFATI€ Nona E-L CTSEASE POI.CT L,ANT E 500.000.00 f The workers compensation policy does of prowl coverage for NAN KOSOBL TSKYY O€ RIII1OW OF OPERATS*S I LOCATIONS I MEWLED I'Alrach ACM/NH,AIM AA M wks 5cAres4 I amm sown Is.Mgr /lfw , MA locations. CERTIFICATE HOLDER CANCELLATION THO Al-Home Services,Inc. SHOULD ANY Of DIE ABOVE DEECRSSED POLICIES RE CANCELLED 2590 Cumberland Parkway 4300 BEFORE TIME EXPIRATION DATE TNEREOE. THE ISSUING COMPANY Atlanta.GA 30339 RILL ENDEAVOR TO MAIL NOTICE WILL BE D€LNERED IN ACCORDANCE W TH DIE POLICY PROVISIONS. AUTrloaltsosEPRESENrAnvE 4,,,,tital•An... C 1960.20f4 ACORD CORPORATION.MI rights reserved. ACORD 25(2014101) The ACORD name and logo we registered marks of ACORD CERTIFICATE HOLDER COPY rvAttitos-oi ACC)Rt) DATE W11101:30-Yrt" CERTIFICATE OF LIABILITY INSURANCE Illipm***- 7/2202020 THIS CERTIFICATE IS ISSUED AS A ,,IA-TE; :-; Nc`e:g“:-.-::,",e :S_' . `-.: ::IrFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFf IRMA- ..F_.' 77, ',,i"-_7-- •E_ "'7_*•7 F_. -77*.7 7,1R ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW THIS CERTIFICATE OF MS..;=%-_•.-7 ::E S NO- ::%.—_-E - 7_7 N-RIS:T BETWEEN THE ISSUING 04SURER(S) AUTHORIZED REPRESENTATIVE OR PRODUCER,AND---E ',E;-1F1CATE ----. _ _ h%N3ORTANT II the certificate holder rs an Ar.: - 7.**1... %'_;--_,,,, • .: . . ,.. - _:-.- a•r :-7.: --.'1•*="_ N S.2RED orov,sfons or be endorsed. It SUBROGATKOI IS WAIVED, subeect to the *r•- r r--: :---- : -- _'- r:L- : .r-., - .:.. ,:el-a, *-_-:._ -e er,f.Pce,seme q A statement ors this certificate does not confer .hts to the eel-., •.-- -- - -- - - .-.-- - Petalefft :Cii- - — , HUB Internatenal ken En-and LLC — ---rmA '2834134 __LLASAILi411.4 T314539 1070 Suffred Street _ _______., avavrarn MA 01001 •r.Rekthriekoaderstookbearee „., it ,*. . '1.E-rIERLANAS,IM5 cg, HY filAk . %CAE'',t. C OtnfflerGe tfis 4,#Niro:*pqmparty_ , „,,,,,,„„,„.„,34754 Nan Kos°dvtskyy .4 r-Aza: I&f Renedevng - 72 Stafford Rd Monson.MA 0107 "..1&-igig 1, - At&LAW*x TO1.15 4 To c/fAT,i, --AT T.4 z ' -- .--'•.': t-!-...7,','-AVE 5E5N 454-e 2-- --! %SOW;$424Ar.o Asovz Fmk Ti.e PO_ : ra,DicAT513 **ore;-- „-Arvgakd - •... •••_ _ ' -- ., , Akr-T Cakitor * --ER:.NOCJ1I!**1'veTH irMSPICT'TC',: - .... - ,,':5, ''' :*=:', ST 7,41 M-: •T f.:'0!: -VII*.i$S•VeoloT To A4_,,^-!-t r i r,,,, rAC3.41;'. - . , :7K2e,4.pr.4,t,F.Tt 00.:ycll , - . .- '.MA•• -.1 OM itt,3%.413.7.5 • . .• „,,‘ , _ ___, ......— T . $ r• UlLti . . A X commakowsofer04.0mivr, : t•:- :....;-4''V,: $ I 000 000 40 NO ,:i.R04""401 a4(%.*1/'''',^4 ie X e*S1453.1rS2 5/15/2020 S15•1021 1 i.4,^31i:,,ii17$:t. , •* • , .m.10.14 otaar i I 1 i OW 00Ci 1 11"Ne4.% '•'*---4' 'i/ i 2 000 000 -.i -..***.kik ...!•. -....a*'ilk i WINetipAirkEt..t i 4 0 000 age."7"AM ' I "."`""""” 8 secosostuu4Aikety I t 1 ,:. 1112142° 61214621 . i Go pool in vAtip x gtio,..4.= loo owl 6* ' ItQc.' • * ,- ,.‘,% - I 1, -. I. ...- ,w to°0041 11. , e at thetas Limi 1*"°*,4--ItM I ..529,11. Art .) . .ac 4, .iskrior-o.) ._ ...,.... .... .....- i -. ----_. i s , ,,,,p,, , ,:.:g...--.,... ,i (E.B.;,'WZ11:2Wit' Cr,A:ii T.4%lastVa 4•41t• i lreliKik 4"Cd+.Of,....?itgA",",,,4 flOrit .1 _ ( . 1 — __ _ _. ' _—. Aaron or onattimona i.eerc•nov a vorrc-ler.s...;an,Ir. ft-e.•Avner**arnes.*/.:,,,,,£41'MOW,,,Vit VMS*4_41141141.__ HOME SERVICES.WC AND THE HUK.ciEn Aw-, vicl..%'-ok A S ADO•004..la S?..RED W1TH RESPECTS TOPBENERAL LIABILITY INSURANCE 2012 Frtit,VirieNCIPPFACC8C9S12141 CANCELi.ATIOR ll-10 AT HOME SERVICES,SSC. Attn tnstelerReader's Dept Hone Services Corneitante C11 4.55 Paces Ferry Road Adanta GA 30339 stsOtri.0:der CO T,'''e.tacr.riE DIE KC PO*JCE S 5E CAW:ELLED BEFORE urvcomareccoptsAvy: 2 EmENEIThotiAsts:niE:E.loucn47221,0.0FostouNalr *Teti ISE DfuvERED Ali 57146 9 7Z4V74"4"1 ACORD 25(2016/03) 8 1988-2015 ACC',7 :=;;-RATION_ All rights reserved The A(X)113 nine and Logo are registered marks of ACORD I ass. Licensee Details Demographic Information Full Name: IVAN KOSOBUTSKYY Owner Name: License Address Information City: MONSON State: MA Zipcode: 01457 Country: United States License Information license No: CSSL-098785 License Type: Construction Supervisor Specialty Profession: Building Licenses Date of Last Renewal: 5/5/2020 Issue Date: 4/10/2008 Expiration Date: 4/27/2022 License Status: Active Todays Date: 5/6/2020 Secondary License Type: Doing Business As: ,Status Change Reason: License Renewal Prerequisite Information censee: KOSOBUTSKYY,IVAN elationship: Attribute Of License No: CSSL-098785 4 "r , . : leisure CS-013902 • , ........iii. i.iciiiii.. CS-9803 CS-9804 CS-9805 .• Ivan Kosobutskyy CS-9806 '\ " A 1 - CS-9807 • ,.,/m iaiii,ww:4,iyiorilai.. .44, frim•LiT+i L___ MASSACHUSETTS CONSTRUCTION SUPERVISOR LICENSE 6 HOUR ONLINE CONTINUING EDUCATION 1.` Coes......F. 45.000,.....53. ../.1(C 0-0.0AV t 3%, r.***.......**.tootylr Ci0111. Po.*.331.9533..... wow**4...0,KS,444.0 t on.. ol.......01.cc,....TO.I,44....../.1550 1, , *v.*.Si.. motors V.*,3311.40*1.1 v... Ir*bloot*et O,.......*A.....a to...../Colobel.lo.*Vt. 4 ,,...34,,1*3 Awko/p 4..... cOvolat C0035.../Ow NitrOrt 24 MAI 14404 vs3” ce.......TOW..........r.o....11 C*..COO.. OM, *-..1136**or........***.. .r......ok....... ;,,‘,O 312DRIT2024212541 1 insbostimatala CSSL-t.grrn 4e*El.........*. -'1 o . .o .— -—.,•...„. ,—— - *.l ! _ .., ,,, , ,,,,,,,:,, Office of Consumer Affairs&Siisinest, Reoutaliiii, HOME IMPROVEMENT COt-21RACTOP TYPE: Individual Registration Expiratlort 152379 08122/2020 IVAN KOSOBUTSKYY D/B/A I & 1 REMODELING 1 IVAN KOSOBUTSHYY 72 SATFFORD ROAD MONSON, MA 01057 Undersecretary Registration 152379 Registrant Ivan Kosobutskyy DBA I&I Remodeling Name IVAN KOSOBUTSHYY Address 72 STAFFORD ROAD City.State MONSON.MA 01057 Zip Expiration 08/22/2022 Date Ivan Ko. 06. ...:_ ... autltorizc Pcrin its [ I_(' ter pti l t5 rtltt u�, rt 111: ;Ind 111 1-liC Registration Any questions please call !tie at: Ili — 2 I— C _ _.:.. „pie g Installer Signature ... "' C'ompann) Name ' g .__ ehi4A3. g t.ti __w — 1�R >. n'f Phis/1 tosrrtipy�that s Ivan Kosobutskyy ., �����d�&��4 �ft4.' ...ti �r True rtrt:ce,fu/!,t„axpletreltl {fphzrcuxrte I Sate Ren(ieai )r_ c:u, rit' a , ::';.� , �Furxi £ S`s.,745. 2a ,vwslksYtN Gx,vv+asmtaay gthowa,at, Ltpt.r LY?rx Wrartt'r c.t,MA nor Myty 10,ani tf�bz 1�H-t - 1$1340-374-4017 6 t ati. L 2,x i in. INSTITUTE `C) WINDOW SPECIFICATION SHEET - Spec.Sheet#: 1-1WY2WKI7 Sheet: 1 of 1 Customer: Ben and Eva FIERST Job#:1-1WY2WK17 Consultant: Ronald Engelbrecht Date: 10/02/2021 New Window Existing Window Hinge Locations Measurements Grids Product Options Labor Options From outside, Left to Right Bays,Bows Location Color Rough Opening #of bars #of bars Csmnts,1 Pnl, use L,R or S Glass Misc Items Hardware Code Screens For doors use c ❑ Mull "S"=stationary or Style E .4 �d 2 o "X"=operating Room Floor Code Wraps d atu k s t x � 2 •2 1 2 2 (YIN) Style Code Series Code x 5 1— ui 8 72 —I > i J > X GlassPack;Standard WRAP 1 GAR 1st OC Y OCT 6100 WH WH 27 27 54 STD,White, GlassPack: WRAP 2 GAR 1st SB-OH Y DH 6100 WH WH 36 54 90 Standard STD,White, GlassPack: WRAP 3 GAR 1st SB-DH Y DH 6100 WH WH 36 54 90 Standard STD,White, GlassPack: WRAP 4 GAR 1st SB-DH Y DH 6100 WH WH 36 54 90 Standard STD,White, GlassPack: WRAP 5 GAR 1st SB-DH Y DH 6100 WH WH 36 54 90 Standard STD,White, GlassPack: WRAP 6 GAR 1st SB-DH Y DH 6100 WH WH 36 54 90 Standard STO,White, GlassPack: WRAP 7 GAR 1st SB-DH Y DH 8100 WH WH 36 54 90 Standard SPECIAL CONSIDERATIONS: 1:White,2:White,3:White,4:White,5:White,6:White,7:White Wrap Color Interior Casing Type Bay or Bow window: Seatboard material(vinyl only-Birch or Oak) Bay Project Angle(30 or 45) Bay Flanker Type(DH,SH,or Csmnt) Top of window to soffit(Inches) If tied to soffit,color of soffit material I have reviewed and agree with all the job specifications above and the Construct Roof(Yes or No)' Special Terms and Conditions on the following page Garden Window: Seatboard Material(vinyl only-White Plonite,Birch or Oak) e - ome eepo - erma Ta ue o Products Manufactured by Simonton I Without Grids With Grids Style Glass Package Glazing Spacer IG U SHGC U SHGC (all with Argon) Fact Fact 6500 \wning 6500 Base ProSolar Supercept 7/8" 026 0.23 • • •t 0.26 0.21 1 • • :asement 6500 Base ProSolar Supercept 7/8" 0.26 0.24 • • • • 0.26 0.22 • • • • 'ransom 6500 Base ProSolar Supercept 1' 027 0.32 • • 0.27 0.29 • • )ouble-Hung 6500 Base ProSolar Supercept 7/8" 0.29 0.26 • 0.29 0.24 • • • 'icture Casement (NH) 6500 Base ProSolar Supercept 7/8" 0.26 0.28 • • 0.26 0.25 • • • • 'Icture 6500 Base ProSolar Supercept Ire" 0.27 0.29 • • 0.27 0.26 • • , Panel Slider 6500 Base ProSolar Supercept 7/8" 0.29 0.26 • 0.29 0.23 • • • Panel Sliders 8500 Base(s 21 Sqa) Pro Solar Supercept 7/8" 0.29 0 26 ' 0.28 0.23 ' • • • .500 DOORS iarden Door(CH) 6500 Energy Star ProSolar SUN Super Spacer 1" 0.30 0.24 •T•I. • 0.30 0.21 • • • • 'atio Door INOVO 6500 Base Pro Solar Super Spacer 1" 0.28 0.26 I •1 • i 0.31 0.23 I•,•I•I• D 1 00 Homes located everywhere EXCEPT:Arizona,California,Idaho,Nevada,New Mexico,Oregon,Utah,and Washington. ,wring(Inc Hopper) 6100 Base Pro Solar Intercept 7/8" 0.27 0.24 • • • • 0.28 0.21 • • • • :asement 6100 Base Pro Solar Intercept 7/8" 0.27 0.24 • • • • 0.27 0.22 • • • • tuble"Hun 6100 Energy Star Pro Solar Supercept 3/4" 0_130)0.30 • 0.30 0.27 • • • 'icture Casement(No Hinge) 6100 Base Pro Solar Intercept 7/8" 0.27 0.28 • • 0.27 0.25 • • • • 'icture 6100 Base Pro Solar Intercept 3/4" 0.27 0.31 • • 0.27 0.28 • • Panel Slider 6100 Base Pro Solar Intercept 3/4" 0.30 0.28 • 0.30 0.27 • Panel Slider 6100 Base Pro Solar Intercept 3/4" 0.30 0.29 • 0.30 0.27 e • 10 0 Doors Homes located everywhere EXCEPT:Arizona,California,Idaho,Nevada,New Mexico,Oregon,Utah,and Washington. i ^Tel:••7I.1 6100 Energy Star Pro Solar Super Spacer 1" CV 0.26 0 0 0.28 0.23 • • • • 'stir)Door NARROW FRAME 6100(P005)Base Pro Solar Intercept 3/4" 0.28 0.30 s 0 0.28 0.26 • • 6200 Homes located only in following markets:Dallas,Denver,Detroit,Pharr,Northern NJ,Long island,NY. Iwning 6200 Base Pro Solar SHADE Supercept 3/4" 0.27 0.25 • • •-• 0.26 0.23 • • • • :asement 8200 Base Pro Solar SHADE Supercept 3/4" 0.26 0.18 • • • • 0.29 0.17 • • • • 'Icture Casement-NH 6200 Base Pro Solar SHADE Supercept 3/4" 0.25 0.21 • • • • 0.25 0.19 • • • • 'icture Window 6200 Base Pro Solar SHADE Supercept 3/4" 0.26 0.24 • • • • 0.26 0.22 • • • • ;angle Hung 6200 Base Pro Solar SHADE Supercept 3/4" 0.28 0.23 _ • • • _ • 0.28 0.21 • • • ;Ingle Slider 6200 Base Pro Solar SHADE Supercept 3/4" 0.28 0.23 • • • 0.28 0.21 • • • Panel Slider 6200 Base Pro Solar SHADE Supercept 3/4" 0.28 0.23 • • • 0.28 0.21 • • • -tormBreaker Plus 300VL Homes located in coastal areas. ;caning SB+300VL Energy Star PS SUN/Lami Supercept 1" 0.26 0.23 • • • • 0.26 0.21 • • • • :asement SB+300VL Base PS/Lami Super Spacer 1' 0.25 0.23 • • • • 0.25 0.21 • • • • louble Hung SB+300VL Base PS/Lami Super Spacer 1" 0.29 0.25 • • • • 0.29 0.23 • • • • ;Oder SB+300VL Base PS/Lami Intercept 1" 0.29 0.25 • • •• • 0.29 0.23 • • • • 'atio Door SB+300VL ETC 366 PS Shade/Lam' _ _-__ Super Spacer 1' 0.30 0.19 • • • • NO C.- i s �. _ �-1 iarden Door(CH) SB+300VL Base PS/Lami Super Spacer 1" 0.30 0.28 • • 0.30 0.25 • • • • Dots Indicate Energy Star certified for that zone Please Note:Simonton Windows may substitute East&West windows given the requirements of each order. 0.0 Scope of Work FIERST Ben and Eva New England West p1-1WYDVEIN Customer Last Name Customer First Name Store#/Branch Name Lead# Job#: (Internal Products: Spec Sheet(s)#: Project Amount Reference) 1-1WYDVEIN Windows Entry Doors 1-1WYDVEIN 2761.00 Windows Entry Doors Windows Entry Doors Windows Entry Doors Windows Entry Doors Sales Tax 0.00 Total Contract Amount 2761.00 Notes: Warranty: The warranty on the work identified above is listed in the General Terms and Conditions, or if applicable, specified in the following documents: Warranty Name(s): ;�`;,�� Scope of Work FIERST Ben and Eva New England West f 1-1WY2WK17 Customer Last Name Customer First Name Store#/Branch Name Lead# Job#: (Internal Reference) Products: Spec Sheet(s)#: Project Amount R 1-1WY2WKI7 + Windows Entry Doors 1-1WY2WKI7 4976.10 Windows Entry Doors Windows Entry Doors Windows Entry Doors Windows Entry Doors Sales Tax 0.00 Total Contract Amount 4976.10 Notes: Warranty: The warranty on the work identified above is listed in the General Terms and Conditions, or if applicable, specified in the following documents: Simonton 6100 Warranty Name(s): PROJECT SPECIFICATION 4.0 MIRIZIMIttiMMIMATWOMMIMMIM SWOURSVOTIZROEINIVVIAMOICOM Date: 10/02/2021 Branch: New England West Sales Consultant: Ronald Engelbrecht CSC Phone: HOME DEPOT PHONE: (877)-903-3768 , Ronald Engelbrecht : HIS 0554523, R- Sales Consultant 1073-13-00004 Phone#: (413) 334-7124 License(s): INSTALLATION ADDRESS: 30 scanlon ave Florence MA 01062 Job#: 1-1WYDVEIN PURCHASER(S): Work Phone Home Phone Cell Phone Ben and Eva FIERST (413) 320-1894 PROJECT NAME: Entry Doors Quote Customer k / /Signature: 0( -— Date: 10 02 2021 PROJECT SPECIFICATIONS 1 Entry Doors Wincore Entry Doors Garage to Outside Project Name: Entry Doors Quote Sheet 1 of 1