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35-112 (2) BP-2024-0840 35 CAHILLANE TERR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 35-112-001 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-2024-0840 PERMISSION IS HEREBY GRANTED TO: Project# DOOR 2024 Contractor: License: Est.Cost: 2076 LOWES HOME CENTERS INC 117055 Const.Class: Exp.Date:08/02/2025 Use Group: Owner: CHERYL WHALEN Lot Size(sq.ft.) Zoning: WSP Applicant: LOWES HOME CENTERS INC Applicant Address Phone: Insurance: 1000 LOWES BLVD 860-505-9314 WC035901712AOS MOORESVILLE, NC 28117 ISSUED ON: 07/05/2024 TO PERFORM THE FOLLOWING WORK: REPLACEMENT DOOR 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: 1/2 Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner • . _ \Obtvijr„,iit , ,,,,A„t,43 Kr-a4-4 2 114 PM' Sejt / /) PS /4 The Commonwealth of Massachusetts "tlYit . Vt : Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY . _ USE Building Permit Application To Construct,Repair,Renovate Or Demolish a Rev' d M One-or Two-Family Dwelling /' This Section For Official Use Only ✓ �` Building etmit Number: QJP'd y- rye Date Applied: (/z EU►n�/ Koss ,L' ° pr - -ZUZW424 Building Official(Print Name) Signature �rN � _ SECTION 1:SITE INFORMATION ��'�'r H•1ySpF 1.1 ProP rt�•_A 1.2 Assessors Map&Parcel Numbers �q ol 6o�uNs 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq lt) Frontage(II) 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 0 Zone: _ Outside Flood Tone? Municipal 0 On site disposal system 0 Check if yes❑ jJ /SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner // Yi;Record: (1 /06/ /// V.l kel Q1Q 6 Name(Print) City,State,ZIP L6 ('1.h, /G 1-iWdee_ (413)2ba—a. s'y csl1 �'fli»-l11lbr:116 . No.and Street Telephone Erna' Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s)lle Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.❑ Number of Units Other 0 Specify Brief Description of Proposed Work': e J " t1 e ig /liV dvri. e i u-u✓iL eivr to SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ ,/C rib ' 1. Building Permit Fee: $ Indicate how fee is determined: 2 Electrical S 0 Standard City/Town Application Fee 0 Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5. Mechanical (Fire S Total All F S �( Suppression) ol1 +IfLiA Check No.3 3 16h Amount: 1 u Cash Amount: 6.Total Project Cost: $ d2O rib 0 Paid in Full 0 Outstanding Balance Due: • SECTION 5: CONSTRUCTION SERVICES 5.1 Constructi a Supe r ease(CSL) ji 106 /� JG� License Number Expi Lion ate Name of CSL olddr ! ! _ � �O y n / r./ e„( . List CSL Type(see below) No.and Strce ( 1u �( J`' Type Description 11 n/„yjl UUnrestricted(Buildings up to 35,000 cu.tt) V(.t' / R Restricted I&2 Family Dwelling City/Tow•n,en e,ZIP M Masonry RC Roofing Covering WS Window and Siding �b /J � SF Solid Fuel Burning Appliances / � I �' I Insulation Tel a Email address D Demolition 5.2 Registe d Home Improvement Cnutr actorr(HIC) f ef /r 4r//i0u r^rid HIC Registration Number Expiration Date HIC CompanyM or I st/C��!}Jf Naive V / �/�'��/) i C JJ P l�` ter/'"' c �,// •' �r r/]7,( No.and t t r// `/, �j / �}) 4 Email address CityiTown,State,ZIP/(� C: 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 I uance of the building permit. Signed Affidavit Attached? Yes No 0 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 �fi 14/)J7c' („.1 to act on m behalf,in all matters relative to work authorized by this building permit application. 1 61)A,Px- Ili 4iy Print Owner's Nametronic Signature) t 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 applicationcaat� is truer and accurate to the best of my knowledge and understanding. ( / ` .t;y� If/r/-)`—C4g `� 1/1-41/Print Owner's or/(uthonacd Agent's Name(Electronic Signature) Dat NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.govioca Information on the Construction Supervisor License can be found at www.mass.govidps 2. When substantial work is planned,provide the infortation 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" City of Northampton 4° - y•. SAS i •'' -1 Massachusetts d t t• • I) DEPARTMENT OF BUILDING INSPECTIONS ,vo `" 212 Hain Street • Municipal Building vIr , a �s►' Northampton, MA 01060 rsl'W i'7�1J0 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: ,gI22/ ( ,t/iJJii4 !II/Pi)G,Vai 1/709-- joia-ffity_er oevc2-- The debris will be transported by: Name of Hauler: )6/40 esegda ;Ns. Signature of Applicant: (;=0" P Date: '`11/i40 -----"" DATE(MMIDOIYYYY) ACC RL) CERTIFICATE OF LIABILITY INSURANCE (`� 0327/Z024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 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 policy(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 MARSH USA LLC NAME; lea Beam PHO 100 North Tryon Steel,State 3600 ttAIC.No.Eatk 1-704-374-8365 WC.Nok Charlotte,NC 28202 E-MAIL ADDRESS: Lisa.beam@marsh.ca n _. _.. - INSURER(S)AFFORDING COVERAGE NAIC e_ __,- CN102776519-Laves-Front-24-25 INSURER A: (tberty Mutual Fre Insirarce Cattoarly 23035 SISURED Loires Con-panes.Inc INSURER B: Firematfs Fund Indemrrty Coro11380 andsubadanes INSURER C: LM Insuance CdIrlbrabon 33600 , 1000 Lowe's Bodevard INSURER o: Moareslnlle,NC 28117 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: ATL-005147621-21 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 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. R POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD SWYD POLICY NUMBER (MWDWYYYY) (I YYYY) LIMA A X COMMERCIAL GENERAL UABILrTY TB2651294595074 04/01/2024 04/05/2025 EACH OCCURRENCE S 3,000,000 DAMAGE TO CLAIMS-MADE X OCCUR PREMISES EaocTED occurrenco) S 3,000,000 MED EXP(Any one person) S PERSONAL RADV INJURY S 3,000,000 GENL AGGREGATE LIMIT APPLES PER GENERAL AGGREGATE S 3.000.000 X7 POLICY n, T n LOC PRODUCTS-COMPJOP AGG $ 3,000,000 Il OTHER S A AUTOMOBILE LIABILITY AS2651294595104 04/012024 04/012025 COMBINED SINGLE LIMIT $ 5,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per poison) S OWNED 1--SCHEDULED BODLY INJURY(Per accident) S AUTOS ONLY AUTOS HRED NON-OWNED PROPERTY DAMAGE S AUTOS ONLY "-- AUTOS ONLY (Per accident) S B X UMBRELLA LIAR X OCCUR USZ00094624 04/012024 04/01/2025 EACH OCCURRENCE S 10,000,000 Frrt-FeS UAB CLAIMS-MADE AGGREGATE S 10,000,000 DED RETENTIONS S C WORKERS COMPENSATION WA565D294595014(AOS) 04/012024 04/01f2Ix b X PER 0TH- C AND EMPLOYERS'LIABILITY YIN WC5651294595024(WI,MN) 04I012024 04/01/2025 EL. ER ANYPROPRIETOR/PARTNEREXECUTNE M!A E.L.EACH ACCIDENT S 2,000,000 OFFICER/MEMBEREXCLUDFD7 N (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 2.000.000 If yes.describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LSiAWT $ 2.000.030 C Excess Workers'Cortpensabon EW565N294595064(FL) 04/012024 04/0lr21r. (WC per statute) 3,000,000 A Excess Workers'Compensation EW265N294596034(AOS) 04/012024 04/01/2025 (WC per statute) 3,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) EVIDENCE OF INSURANCE CERTIFICATE HOLDER CANCELLATION Loire's Hare Center,LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 1000LonesBlvd THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Mooresville,NC 28117 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE .sti 41,04 Lt si,,-.e- 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: CN102776519 LOC fl: Charlotte e ACORD ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY NAMED INSURED MARSH USA LLC. L.owe's Companies,Inc. and stbsidaries POLICY NUMBER 1000 LoMe's Boulelrard Mooresville,NC 28117 CARRIER MAC CODE EFFECTIVE DATE . ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance EXCESS WORKERS COMPENSATION(MO) Camer.Liberty Mutual Fie Insurance Co Pdicy Number EW266N294595054 EIIeclve/Exprraion dales:04/01/2024.04/01I2025 Limt(Per Statute)S3,000,000 EXCESS WORKERS COMPENSATION(MA) Carer I.Ibety Mutual Fire Insurance Co Pdicy Number EW265N294595044 EKecbve/Exgration dates:04/01/2024-04/01/2025 Limt(Per Statute)S3,000,000 Walters'Compensation and Excess Workers'Compensation pdides include a self-insured retenbon of$2,000.000 The Automobie Liadtity policy evidenced above is subject to addtional self-insured retentions excess of limits shown for various penis covered ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration oil - ,_ Type: Suppiement Card �� 148688 LOWES HOME CENTERS,LLC 1 f 101172p25 1000 LOWES BLVD :, .. SERVICES COMPLIANCE , MOORESVILLE.NC 28117 •' 4 � Tr' e ti� M ti� Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affair&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date It found mum to-, TYPE'Supplement Card Office of Consumer Affairs and Business Regulation jteaistrati4R Frzoiration 1000 Washington Street ,Suite 710 148888 t12417202.5 Boston.MA 02118 LO'WE'S HOME CENTERS.LLC NEXEDES SOTO -" ' __ ' 1000 LOWES BLVD � - :«max...'.%,.a..h SERVICES COMPLIANCE MOORESVILLE.NC 28117 Undersecretary Not valid without signature The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Lafayette City Center ,,r�" 2 Avenue de Lafayette, Boston,MA 02111-1750 = www mass gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business(Organization/Individual): LOWES HOME CENTERS Address: 1000 LOWES BLVD City/State/Zip: MOORESVILLE,NC 28117 Phone#: 860-505-9314 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ®I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance.t 9• ['Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption pci MOL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box Ill must also fill out the section below showing their workers'compensation policy information. t Homeowners Who submit this affidavit indicating they are doing all work and then hirc outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and slate whether or not those entities have employees. If the sub-coatixdorshave employees,they must provide their wodcerc'comp.policy number. I am an employer that it providing workers'compensation insurance for my employees. Below is the policy and job site information. insurance company Name: LM INSURANCE CORPORATION Policy#or Self-ins.l,icft: WA565Q294595013(AO5) Expiration Date: 4/2/2024 Job Site Address: `J lam'/6L,e) K,rd City/State/Zip: ✓/'�w.etier 6/fit 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 form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do herby certify under the pain penalties of perjury that the information provided above is true and correct Si Lure: Date: //A, Phone#: 860-505-9314 Official use only. Do not write in this area,to be complvmd by city or town official. City or Town: Permit/i.icense# Issuing Authority(check one): 10Board of Health 20 Building Department 3fCity/Town Clerk 4.0 Electrical Inspector 5Ek lumbing Inspector 6.0Other Contact Person: Phone#: e•. / 1 DATE(WYDDIYYYY) ACOR o� CERTIFICATE OF LIABILITY INSURANCE 05/23/2024 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES 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 policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED,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 Alexis Gerzabek Abbate Insurance Associates,Inc. PHONE (203)777-7229 I FA)( (203)865-7593 oi 671 State Street �NO.6m: • (A/C.No): AODREss: agerzabek@abbateins.corn INSURER(S)AFFORDING COVERAGE NAIL New Haven CT 06511 ',SURER A: Acadia Insurance Company INSURED INSURER B: East Coast Millwork,LLC INSURER C: 14R Peach Orchard Rd. INSURER D INSURER E: Prospect CT 06712 INSURERF COVERAGES CERTIFICATE NUMBER: 24-25 COI REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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 AU.THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. BIER LTR TYPE OF INSURANCE SE 1WD POLICY NUMBER POLICY EFF POLICY EXP LIMITS l 'Y•M XCOMM Wr1 ERCIALGENERALLfY EACH OCCURRENCE S 1.000.000 DAMAGE TO REN1ED 500.000 PREMISES(Ea rerae) f OCCUR xw— MED E� on e e meson) S 15,000 A Y CPA5549377 06104/2024 06l04/2025 PERSONAL aADVINJURY S 1.000.000 GEM AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s 2.000.000 POLICY n jFCT LOC PRODUCTS-COIAP/OPAG0 S 2,000,000 OTHER AUTOMOBILE LIABILITY COI.tIINED%NUE CUT s 1.000.000 (Es ea./del) X ANY AUTO BODILY INJURY(Pet pe^son) S q — OVMED —SCHEDULED Y CAA5549378 06/04/2024 06/04/2025 BODILY INJURY,Per acckenD S _ AUTOS ONLY _, AUTOS MIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per amMml i S X UTABRELLALaa -X OCCUR EACH OCCURRENCE S 3'000•000 A EXCESS UAB CLAIMS-V, CUA5549379 06/04/2024 06/04/2025 DE AGGREGATE s 3.000.000 DED I I RETENTION S S WORIER3 COMPENSATION XI STATUTE I I&TH- AW EMPLOYERS'LIABILITY Y/ 500 ANY PROPRETOTLPARTNERIEXECUTNE E.L.EACH ACCIDENr S 'D� A OFFICER(LrtuBER EXCLUDED, O NIA WCA5549380 06/04/2024 06/04I2025 (Nandaeory In NH) El DISEASE-EA EMPLOYEE S 5")'°°° Ryes.demob*under DESCRIPTION OF OPERATIONS aelow EL DISEASE-POLICY LINT S 500,000 DESCRIPTION OF OPERATIONS,LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule.may be attached It more space Is required) Vendor Number 11878 Region 18 The General Uaoili/y(Including Products Liability)and Auto Liability include Lowe's Companies,Inc.and Lowe's Home Centers.LLC as additional Insureds as required by wntten contract. This insurance is primary and non-contributory over any other available insurance coverage.A Waiver of subrogation applies in favor of the additional insured in respect to General&Auto Lability policies. 10 Days notice of cance*atiaon for non-payment of premium. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF.NOTICE WILL BE DELIVERED IN Lowe's Companies.Inc.and any and all subsidiaries ACCORDANCE WITH THE POLICY PROVISIONS. 'OCO_c.'e's Blvd. AUTHORIZED REPRESENTATIVE the:•rzv-Ile NC 28117 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 111 Commonwealth of Massachusetts Division of Occupational Llcensure Board of Building Re ulations and Standards Constonflitieirvisor CS-117055 gpires: 0810212025 cc KYLE R SEP LES 3., 14R PEACH @RCHARD 40AD PROSPECT 06712 ? oao .fill111111111Plinik ?q, Commissioner Construction Supervisor Unrestricted-Buildings of any use group which contain less than 35.000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.govldpl LowE's MASSACHUSETTS SERVICES SOLUTIONS INSTALLED SALES CONTRACT LOWE'S AUTHORIZED REPRESENTATIVE SALES ID DATE CUSTOMER NAME Steven Lockwood 3070929 06/13/2024 Cheryl Whalen STORE NO. STREET ADDRESS STREET ADDRESS 1916 282 RUSSELL STREET 35 Candlane Ter CITY STATE ZIP CITY STATE ZIP HADLEY MASSACHUSETTS 01035 Florence Massachusetts 01062 TELEPHONE TELEPHONE (413)588-0270 4134260559 EMAIL EMAIL steven.lockwood@lowes.com cslfap@comcast.net LOWE'S CONTRACTOR IICENSE S LOWE'S REPRESENTATIVE LICENSE M CREDIT/DEBIT CHECK LCC CARD GIFT CARD #CSL-081810; 3070929 HIC#148688; This is only a quote for the merchandise and services printed below. This becomes an agreement upon payment and issuance of a Lowe's receipt, upon pay-ment,the entire agreement,including the specifically completed pages of this document, the Terms and Conditions included with this document and any other addenda and attachments hereto, shall be referred to herein as this"Contract." PLEASE READ THIS ENTIRE DOCUMENT, INCLUDING THE"NOTICES,""TERMS AND CONDITIONS,"AND"ADDENDUM" CONTAINED WITHIN THIS CONTRACT ON THE FOLLOWING PAGES BEFORE SIGNING. INSTAI I ATION STRFFT ADDRFSS CITY STATF JII> 35 Cahillane Ter Florence Massachusetts 01062 Lowe's does not offer services to p int,seal or stain fences. MERCHANDISE AND INSTALLATION SUMMARY: (I.E.ITEM NUMBERS,COLORS, DIMENSIONS,CONSIDERATIONS): Entry Doors Product Store 1916 LOWE_S OF HADLEY_MA-Contract- 1692045-Page 2 of 30 Entry Doors Project Therma-Tru 32-in x 80-in Fiberglass Half Lite Left-Hand Inswing Ready To Paint Prehung Front Door Insulating Core with Grills Item #219998 Model #SSCD4E28LN If we go for no grids in the glass then we are double the price in the door. LARSON Savannah 36-in x 81-in White Mid-view Retractable Screen Wood Core Storm Door with Brushed Nickel Handle Item #262515 Model#37082032 Proposal and pricing dependent on installer second measure to ensure suitability, sizing, and estimated installation costs. Project Preparation Process o Dedicated project support staff keeps you up-to-date through every process o Installer conducts Pre-Installation Inspection o Provides appropriate protection to home during installation o Obtain & post any necessary permits o Perform Lead Assessment(if applicable) Installation Process o Remove & haul away existing doors o Check existing door(s)for leaks and evidence of pest infestation o Install new doors&accessories, including handle set, caulk, stops, and fasteners o Follow Lead Safe Practices (if required) o Follow Health and Safety Guidelines Clean-up/Final Inspection o Complete final clean-up and haul away all job-related debris o Test product& perform complete inspection with customer o Review warranty information Work is to commence upon reasonable availability of Contractor and/or any special order or customer made Good(s)which is anticipated to be 07/02/2024. Estimated completion date is 08/2412024. CONTRACT TOTAL $2,076.00 Paid upon signature of Installed Sales Contract(33%) $652.08 Paid upon or after commencement of work (67%) $1,323.92 Paid upon completion of Installed Services to both parties satisfaction $100.00 Store 1916 LOWE_S OF HADLEY_MA-Contract- 1692045-Page 3 of 30 NOTICES I LEAD SAFE INFORMATION. Federal and applicable state laws require that You be provided with a lead hazard information pamphlet such as The Lead-Safe Certified Guide to Renovate Right: Important Lead Hazard Information for Families, Child Care Providers and Schools. By signing this Contract, You acknowledge having received a copy of this information pamphlet before work began informing You of the potential risk of the lead hazard exposure from renovation activity performed in Your dwelling unit or facility. A copy of the pamphlet is available at the following website: www.lowes.com/EPARRP. For more information see. https://v v.epa.gov/lead/lead-renovation-repair-and_painting-program. NOTICE OF ARBITRATION AGREEMENT: This Contract provides that all claims by Customer or Lowe's will be resolved by BINDING ARBITRATION. Customer and Lowe's GIVE UP THE RIGHT TO GO TO COURT to enforce this Contract (EXCEPT for matters that may be taken to SMALL CLAIMS COURT). Lowe's and Customer's rights will be determined by a NEUTRAL ARBITRATOR and NOT a judge or jury. Lowe's and Customer are entitled to a FAIR HEARING. But the arbitration procedures are SIMPLER AND MORE LIMITED THAN RULES APPLICABLE IN COURT. Arbitrator decisions are as enforceable as any court order and are subject to VERY LIMITED REVIEW BY A COURT. FOR MORE DETAILS: Review the section titled ARBITRATION AGREEMENT, WAIVER OF JURY TRIAL AND WAIVER OF CLASS ACTION ADJUDICATION found in the Terms and Conditions of this Contract. NOTICE REGARDING ARBITRATION AGREEMENT FOR CLAIMS COVERED BY M.G.L. c. 142A: LOWE'S AND OWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT LOWE'S HAS A DISPUTE CONCERNING THIS CONTRACT, THAT LOWE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE OWNER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN M.G.L. c.142A. THE SIGNATURES OF THE PARTIES BELOW APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE RESOLUTION INITIATED BY LOWES, PURSUANT TO M.G.L. c. 142A. THE OWNER MAY BE PERMITTED TO INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. If customer has a complaint which cannot be resolved informally, the home Improvement Contractor Law (M.G.L. c. 142A) may provide Customer with the right to request arbitration through a private arbitration program approved by the Director of the Office of Consumer Affairs and Business Regulation, as an alternative to court action. The same right is not afforded to Lowe's unless this Notice is signed and dated by Lowe's and Customer. All claims by Customer or Lowe's concerning this Contract which cannot be resolved informally, and which are not covered by M.G.L. c142A or subject to the jurisdiction of a small claims court, shall be resolved by binding arbitration as set forth in the Terms and Conditions. x)twz n, Orar kcvaact By: Date: 06/13/24 Lowe's Authorized Representative By: ` "u"'tv 111U.1tn' Date: 06/14/24 Customer PRICE CALCULATIONS. If this Contract includes Goods and related Installation Services sold by unit of measurement, such as per square foot, the Price may include more Goods than the actual measurements of Your project area. The Price includes the total amount of Goods required by Lowe's to fulfill the Contract (including surplus materials and overages) (together the "Estimated Product") and the Installation Services required based upon this total amount of Goods. For instance, a 120 square foot room may require 140 square feet of carpet to properly match the carpet seams, pattern, or unique room characteristics, and the Price would include Installation Services based upon the 140 square feet of carpet. The total amount of Estimated Product is based upon the total Goods recommended by the Installer, based on the Installer's assessment of unique characteristics of Your project. If any usable Goods are left over, Lowe's may, at its discretion, initiate a Price adjustment. Lowe's will not adjust the Contract Price for the related Installation Services. By signing this Contract, You acknowledge You are aware of Your project area measurements and the amount of Estimated Product, and that the Estimated Product may exceed Your actual project area. If Your project includes the installation of flooring materials, by signing this Contract You further acknowledge having received a completed Flooring Detail Diagram (the "Diagram") prior to execution of this Contract. Upon request, Lowe's can provide You with additional copies of the Diagram, which identifies the square footage of Your project area and the square footage of the Estimated Goods. PHOTO RELEASE. By signing this Contract, You grant to Lowe's, its representatives, and Installer the right to take and use photographs, videos, or other representations of the Premises before and after the Installation Services and all work performed at the Premises related to this Contract (the "Content"). Lowe's irrevocably keeps all rights (including the copyright), title, and interest in the Content for use in all markets and media, worldwide, in perpetuity. Lowe's can use the Content, in any form or medium, internally for any purpose(e.g., customer service, planning, and claims. CONSENT TO COMMUNICATION. By signing below. You consent to Lowe's and its authorized Installers contacting You through automated means or system at the email address and phone number provided regarding the product and/or Installation Services You requested. You understand Your consent is not required as a condition of purchasing Goods or Installation Services. Privacy Statement, SMS Terms Store 1916 LOWE_S OF HADLEY_MA-Contract- 1692045-Page 4 of 30 Rev.05/01/2024 NOTICE REGARDING PAYMENT SCHEDULE. If the Contract Price is$1,000 or less. payment of the Price by Customer to Lowe's is due in full upon execution of this Contract. If the Contract Price exceeds S1,000, Customer shall use the following payment schedule: (1) Deposit of $ 652.08 [enter 1/3 of the contract Price] to be paid upon signing this Contact. Any deposit collected at the time this Contract is signed will not exceed one-third (1/3)of the Contract Price; (2) Payment of $ 1323.92 [enter 2/3 of the contract Price minus $1001 to be collected upon or after the commencement of work. Customer authorizes Lowe's to charge Customer's credit card, or deposit Customer's check, for the amount of the payment indicated in this section anytime upon or after the commencement of the work; and (3) Final payment of$100 to be paid upon completion of the Installation Services to both parties' satisfaction. NOTICE OF CUSTOMER'S RIGHT TO CANCEL. If this is a "door-to-door sale" as defined by 16 C.F.R. § 429.0(a), or if this Contract is signed by Customer at a place other than the address of the seller as set forth in M.G.L. c. 93 § 48, You, the Customer, may cancel this Contract at any time prior to midnight of the third business day after the date of this transaction. See the attached notice of cancellation form to this Contract for an explanation of this right. By executing this Contract, Customer acknowledges receipt of two (2) completed copies of the Notice of Right to Cancel form and certifies Lowe's has informed Customer orally of his or her right to cancel. NOTICE TO CUSTOMER. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Lowe's Home Centers, LLC EXECUTION DATE: 06/13/24 LOWE'S +U-THuORIZED RREDRESENTATIIVE SIGNATURE OWNER'S /SIGNATURE H CO-OWNER SIGN/.-URE _nA _ met Customer acknowledges receipt of a true copy of this contract which was completely filled in prior to Customer's execution hereof. Store 1916 LOWE_S OF HADLEY_MA-Contract- 1692045-Page 5 of 30 Rev.05/01/2024