Loading...
32A-004 (14) 14 WALNUT ST BP-2020-0357 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 32A-004 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: REPLACEMENT WINDOWS/DOORS BUILDING PERMIT Permit# BP-2020-0357 Project# JS-2020-000600 Est. Cost: $7000.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: LOWES HOME CENTERS INC 049918 Lot Size(sq. ft.): 12980.88 Owner: KOWALCZYK STEPHEN Zoning: URC(106)/ Applicant: LOWES HOME CENTERS INC AT. 14 WALNUT ST Applicant Address: Phone: Insurance: 22 GRANVILLE RD (413) 272-89310 WC SOUTHWICKMA01077 ISSUED ON.9/19/2019 0:00:00 TO PERFORM THE FOLLOWING WORK INSTALL REPLACEMENT WINDOWS AND DOORS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 9/19/2019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner �o-a i?,5/oj /v rx ,3 Department use only City of Northampton Status of Permit Building Department Curb Cut/Driveway Permit 212 Main Street Sewer/Septic Availability I Room 100 WaterNVell Availability Northampton, MA 01060 rttvae— phone of Structural Plans 413-587-1240 Fax 413- 87- p— n T-C C1 APPLICATION TO CONSTRUCT, ALTER, REPAIR, REN VA R E % A NE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION ::j 3�;7 PT OF 1.1 Property Address DE NORTHAMD ON, 0 NG"W-iWtbln to a completed by office Li (Aj Map Q! 14 Lot coq Unit 1 Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: L—'2 C Z�K- I� �i(/c��Aoto Name(Print) Current Mailing Address: Ion - yt S-O (&q Telephone Signature 2.2 Authorized Agent: Name(Print) ntCurrent Mailing Address: 92z i �i l l�- Z72--- q-7 A) Signature Telephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building GU (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) HD,�v 5. Fire Protection 6. Total =0 +2 +3 +4+5) g U iCheck Number 2 This Section For Official Use Only Building Permit Number: Date Issued: Signature: 1 Wo I Building Commissioner/Inspector of Buildings Date CAnrk*p�yr.m'\\1W@ 1tv,,( ,Cb-cN EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning r This column to be filled in bv 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 O DON'T KNOW Q YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW 0 YES 0 IF YES: enter Book Page and/or Document # B. Does the site contain a brook, body of water or wetlands? NO Q DON'T KNOW 0 YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained 0 , Date Issued: C. Do any signs exist on the property? YES 0 NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO Q IF YES, describe size, type and location: E. Will the construction activity disturb(clearing, grading,excavation, or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 0 NO 0 IF YES, then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors }'— Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [p Siding [0] Other[O] Brief Description of Proposed ( /No< -fNG �� Work: 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 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, as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date C&We'`7 kyl),e 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 and penalties of perjury. Ckki Print Name Signature Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: A :poow S —01-0 oil License Number Addres Expiration Date �(Zi - QHS-736 Signat Telephone 9. Registered Home Improvement Contractir.'` Not Applicable ❑ eA)-.ejs (�X6$�g Company Name Registration Number Pub (ou'Pti A7GU9 0q0clPj U I IQ .ut (u— f 7—I 7 Address Expiration Date Telephone SECTION 10-WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... C� No...... ❑ City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS - 212 Main Street •Municipal Building vim. fib+' Northampton, MA 01060 Debris 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. The debris from construction work being performed at: (Please print house number and street name) Is to be disposed of at: UGI (Py A_ecu r'` n y (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Signature of Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. The Commonwealth of Massachusetts Department of Industrial Accidents 1 Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/individual): Address: 10 U D LotAl Q 7 L��> City/State/Zip: vvr.,0e7U-lie U6 ?g(1) Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1.❑ 1 am a employer with 4. E]�l am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. E] 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. E] Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. E] Building addition [No workers' comp. insurance comp. insurance.+ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ 1 atn a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 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 hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policv and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: 1n�C6 17 71) r'�� Expiration Date: Job Site Address: � I�u� �� City/State/Zip: 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 $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under pains andpenalties ofperjury that the information provided above is true and correct. Siiznature: 64,1:1 Date: g- r&— q Phone#: `���— 172 f Of use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: p�..�� 1 [CONTRACT f MASSACHUSETTS SERVICES SOLUTIONS INSTALLED SALES CONTRACT =—RIZED REPRESENTATIVE NUMBER CUSTOMER S7Or E N. TRFF ADDRESS � STREET ADDRESS 4 STA-,E ZIP CITY SIATE __. €P 7EL.EPMt)NE" � TELEPHCt"aE W.,.._'._ C,ASM h k. Li.0 ^A7E LC7wE`S NOM>*CEM7ERS LLC'S MA NIC NO. 148QB8 � � I+eu - (i,it C3aAf:(ar: F:EPN..S6-07483521 Tris is O,nty a nk"e for the rmerchandizse and seriwAK p riryted Wnw. This tecarnes an agreement upon payment. Umn payment-the eanure agreernent,including the spec°,itScaNy cornpieted page's of IN, 3acumcie.the Terms and Conditions inetwied with this document;and any other addenda and attachments hereto,$hail he iolloned to?"len as this"Contract-" PLEASE READ ALL TERMS AND CONDITIONS ON THE REVERSE SIDE Or`11119 PAGE AND FOLLOWING PAGES BEFORE SIGNING. 'aSTALLA;ION STREET ADDRESS CIT' � STATE LIP f NOTICE TO CUSTOMER—PRICE CALCULATIONS:In order to properly perform the installation of certain Goods.the Contract Price may include more Goods than actually will be installed based on the measured square footage of the Project Area. As a result, the parties agree that the lump-sum Price stated in this Contract is calculated upon both the value of estimated Goods required to fulfill the Contract(including waste),which may exceed the actual square.,footage of the Project Area,and the latior which may be estimated based on the amount of Goods required to fulfill the Contract(including waste), By signing this Contract below,Customer acknowledges receipt of this notice and agrees and understands that the Price includes these costs which may not be refunded once the Installation Services are performed. Are permits required for this installation?: [ ]Yes [ ] No Contract Total applicable tax included '. NOTICE TO CUSTOMER: Federal law requires Lowe's to provide you with the pamplet Renovate Right. By signing this Contract, Customer acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. NOTE: If rotted wood is discovered during installation additional charges will apply. You will be given a quote and a change order must be completed and signed by the customer for any additional charges-_...---_._Customer must initial. Anv work or material not specified is not incluclod m thi �:ontract,Any changes or��ddilions wi I ben an additional charge for the material and labor: _ _.. _ ._� .._... — ...-. - ­------- PHOTO ---- — -- PHOTO RELEASE: Customer grants to Lowe's and Lowe's employees and independent contractors the right to take photographs of the Premises where Installation Services will be performed and all work performed at the Premises related to this Contract,and irrevocably grants to Lowe's all right, title and ` interest in and to the photographs for use in all markets and media,.worldwide,in perpetuity.Customer authorizes Lowe's to copyright. use and publish the photographs in print and/or electronically,and agrees that Lowe's may use such photographs for any lawful purpose,,including,but not limited to,marketing, advertising,publicity,illustration,training and Web content.By initiating here,Customer-agrees to the foregoing, , (Customer to initial to the left]. �._. Work is to commence upon reasonable availability of Contractor and/or any special order or customer made Good(s)which is anticipated to be [fill in date].Estimated completion date is [fill in date]. Said estimated substantial completion date is not of the essence.A statemr*r)t,of any contingencies that would materially change said estimated substantial completion date is as follows: .w.m._-..w.........................._.----- (if applicable, insert a statement of such contingencies). IF THE CONTRACT TOTAL IS$11,000.00 OR LESS Customer mast pay in full. COMPLETE THIS SECTION ONLY WHEN THE CONTRACT TOTAL EXCEEDS$1,000.00: (1)Deposit $. ,...�:_M—._.M.: to bet paid upon signing contract.Any deposit collected at the time this Contract is signed will not exceed one-third (1i3)of the contract price;and it)Pnyrnent of $ _.. _,.......-to be collected upon or after the commencement of work.IfWe authorize Lowe's to do one of the following(check appropriate box below): [ j Charge mytour credit card for the amount of the payment indicated above upon or after the commencement of work; or I 1 l Deposit mytour check for the amount of the payment indicated above upon or after the commencement of work;and ($)Final payment of$100.00 to be paid upon completion of the installation and both parties'satisfaction. NOTICE REC,,ARDINj1ARBtT;i3ATLQN_AGREEMENT FOR CLAIMS VERET)_t3Y M.G.L.c.142A LO`JJE'S AND OWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT LOWE'S HAS A DISPUTE CONCERNING THIS CONTRACT, THAT LO''AE'S MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE ;OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE OWNER SHALL BE REQUIRED 'TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN M,G.L.c.142A THE_SIGNATURES OF THE PARTIES BELOW APPLY ONLY.70 THE AGREEMENT OF TME PARTIES TgA�TERNATIVE OtSPUTE RE50t U710N INITIATED BY LOWES,_P,URtIA-NT 70 M.G.L.c.142Am THE QYY.NER MAYBE PE.RM]TTE[J-TQ.1HfT1ATE ALTERNT�E ftISPI7E RESOlU71.ON EYEN_WHERE.THIS_$E-T(OtVJS_.t�QT�E-P,�►r�2ATE(Y $i NEO BY,.ZN _P� T if customer has a complaint which cannot be resolved informally, the home !Improvement Contractor Law f M.G.L c. 142A1 may provide Customer with the right to request arbitration through a private arbitration program approved by the Director 1 CONTRACT k f _ MASSACHUSETTS SERVICES SOLUTIONS INSTALLED SALES CONTRACT U^,NE S ALI HORIZED REPRE ,:1 f NUMBE:H t I F 5TrJRG^..3 SSREE'T A!.)KE;:S � STREEI-ADDRESS _. C.IT`,' `3 T A L Zi CITY STATE — _.� TELEPHONE13 �. 1 A. ELOWF c HOME CEN1 `� L. ERLC'S MA NO 14,86188, t rs" BANK t^. Dinr E I LIN 50-074 i356 T li3,;�,,on4y a quote`or the merchandise and services prir1.1ed below. This becomes an agroernent upon payment. Upon paymont,the entire agreement.including Oita spe ifically completed pages of iris , :;ment the Terms and Cenddrons included with this d(tcume t and any uthw addenda and attachmen's hereto,shall be referred to fuerein as this"Contract" PLEASE REAL)ALL TERMS AND CONDITIONS ON THE REVERSE SIDE OF THIS PAGE AND FOLLOWING PAGES BEFORE SIGNING. F—I.._ JSFAi.I A aY7N STREET AEIORFCS CITY STATE - ?.!P f _..........._..-' _.... ...... . .-_ fic s PHOTO RELEASE:Customer grants to Lowe`s and Lowe's employees and independent contractors the right to take photographs of the Premises where Installation Services will be performed and all work performed at the Premises related to this Contract,and irrevocably grants to Lowe's all right,title and interest in and to the photographs for use in all markets and media,worldwide,in perpetuity.Customer authorizes Lowe's to copyright,use and publish the I photographs in print andiar electronically,andagrees that Lowe's may use such photographs for any lawful purpose,including,but riot limited to,marketing nd advertising;publicity,illustration,training areb content, By initialing here,Customer agrees to the foregoing.. [Customer to initial to the left) Contract Total 'Are permits required for this installation?: ( ] Yes [ ] NoapP11cable tax Included ....._..._._._ . - ...-_..-..:____ NOTICE TO CUSTOMER: Federal law requires Lowe's to provide you with the pamplet Renovate Right. By signing this Contract. Customer acknowledges having received a copy of this pamphlet before work began informing Customer of the potential risk of the lead hazard exposure from renovation activity to be performed in Customer's dwelling unit. NOTE: If rotted wood is discovered during installation additional charges will appttt• You will be given a quote and a change order i must be completed and signed by the customer for any additional charges _ _ Customer must initial. Ar:y or rnta;canal nal;ape...+fied is not incit!aielri in this contract.Any r..hartgr„s 4!r additions wri bi. At an.3,1r)!tinrrt)I charge for the material Janet t 3rst r. ; WAIyER OF LIEN and ONE YEAR WARRANTY(TO BE SIGNED BY INSTALLER) the undersigned Instarer4ndependent Contractor,having been employed by the Customer who signed the Certificate of Completion below do hereby certify that the work for this project ,­`i he or has been completed in a workmanlike marine and to the Customer's satisfaction. In consideration of the receipt of one dotter and other good and valuable consideration,and to the exter:.t permitted by applicable law,i hereby waive and�efinquish all liens and all rights and claims of liens which 1,the undersigned,now have or may hereafter have for labor or materials furnished,and further certify that all work performed and materials furnished,if any,by any other party or parties upon the order of the undersigned,have been fully paid for.Further.I the undersigned,agree to cause the prompt release of any mechanic's lien(s)which may be filed against the Customer's premises by any subcontractor,laborer,mechanic or material supplier claiming the right to file such a lien through work related to the Customer's Contract with Lowe's.In addition to any warranties provided by law or specified elsewhere,including the Customer's 1 Contract with Lowes,the undersigned,further warrants that all work furnished for this project shall be free from defects either in material or workmanship. If any defects in material or workmanship shall be discovered in the work furnished or material used during the course of the work or within one year from the date of the Certificate of Completion,the undersigned agrees to replace o;conect such defective work or material,free from all expense to Lowe's and the Customer in a manner satisfactory to the Customer. I further represent that I have given Customer the option of retaining some or all of the surplus materials or having some or all of such surplus materials removed from the Customer's premises, If applicable to the performance of the work required for this project,t,the undersigned Installerlindependent Contractor,do hereby certify that I have complied with all requirements of the Lead Renovation,Repair,and Painting Program Rule("LRRPP Rule),40 C.F.R.sec 745.80 et seq.,or any applicable state laws or program regulating lead-based paint safe work practices, 1 including compliance with all information distribution,notice requirements and work practice standards in performing the work required for this pro*L I certify that i have provided the Customer with all documentation required to be supplied under the LRRPP Rule or state program,shall retain all records required by law,and have attached to this document copies of all of the records required to be retained by the LRRPP Rule or applicable state program. Signed and delivered this day of I i(seal) Installer _ Print Name CERTIFICATE OF COMPLETION t,1,the Customer,certify that the instaliersffridependent Contractors or their sub-contractors,have fumtshed all Goods arxtror services,that installation,repairs and alterations or improvements ("he installation spnpces')half haps r,; ;F,ere!as spt I rlih in m}trour entrant tt'ifh Loses,and the'.I hav:z";,er dffered the opp3rtunity to request that Lowe's a`:ow me to retain sonic ur o'>.i cf any unused,recelpled surplus materials rather than have such surplus materials remain the property of Lowes. NOTICE OF RIGHT TO CANCEL (enter date of transaction) (Date) You may CANCEL this transaction, without any Penalty or Obligation, within THREE BUSINESS DAYS from the above date. If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable instrument executed by you will be returned within TEN BUSINESS DAYS following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this contract or sale, or you may if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick then) up within 20 days of the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so, then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram,-to .............----.............. [Name of seller] at NOT LATER [Address of seller's place of business] THAN MIDNIGHT OF (Enter date 3 business days after transaction date above(or longer as required [Date] 'by applicable law);include Saturdays but not Sundays and Federal Holidays.) I HEREBY CANCEL THIS TRANSACTION. (Date) (Buyer's Signature) ACKNOWLEDGMENT OF RECEIPT OF DISCLOSURES AND CERTIFICATION On this -- day of , (year), each of you hereby acknowledges receipt of two (2) copies of the foregoing Notice of Right to Cancel, each of you who is a party to the Contract hereby acknowledges receipt of one(1) copy of the fully executed and dated Contract Number....._._.w_.. (SEAL) (SEAL) (Witness) NOTE: Each Customer who is a party to the Contract must sign above. JOB FOLDFR COPY Installation Proposal — Windows Date: Store# Sales Specialist Customer Name License# I 2nd Contact Name Home Phone Job Site Address Work/Cell Phone City,State and Zip Customer Email Preparation: Additional Considerations: MPre-installation inspection El Install new interior casing Provide appropriate protection to home during installation Oinstall new exterior trim OJObtain and post any necessary permits ❑Install new exterior wrap(trim coil) edicated project support staff will be in contact with you ❑Custom work: every step of the way Installation: Clean-up/Final Inspection: %Remove and haul away existing,windows l )Complete final cleanup and haul away all job related debris �Check existing windows for leaks and evidence of pest OTest product and perform complete inspection with customer infestation Install new windows and window accessories,including required caulk,stops,and fasteners mo- .. Notes&Product Description Total Investment aei.. ce r,3 r.aed by.c x.e .yasraE,rq-Additional rhargcs nwy^at.p for p!—o fea. Prefcss+onai uusilauun avaiidbic through ifidep,ndnt contr,_cu.r,i,.r nGa a ared r,-�rvaa rtl where applicable.Lacense numbers and certifications held by or on behalf of Lowe's Home Ccrters,LLC andlor Lowe's Home Centers,Inc-:AL#8187;AK 039289;AR k0U37290S14;A2#RtK29t645;CA #991832,Bond 0106055977,;CT#HIC0639387,#MCO.0903044;0E 91993102010;FL#CCC 1326824,#CGC1508417,#CRC1327732,#FR04517;GA#RBC0005306;Hl#C-33489;It 0104014837;KS-Arkansas City kR•2010 0036,Wichita#5495,Johnson County 02012 6366;KY-Lexington 011562;IA#0110383;10#RCE-38637;IN•Hammitind 0011105-02,tA-#LMP2481,CBC#16533,#S54408;MA 01486488,035194; MO#91680.22;Mf 02102144445;MN#BC629859;MS#R17569;MT 0161006;NC 070220;NO 030316;NF 023319;NM 0382385 NY-New York City 01291730,#1291733,#1375178,01351065,Nassau NH1777890W0,#H17778'40100,#H1.777990200,Suffolk 043906-H,048295-ME,#44066-MP,041444-HF,Buffalo#556853,Putnam UPC2742-A,Tonawanda#CNO391,Rockland#H,11092 M-OD-00. W"TchTester NWC-23319-H10;NVN0079079;OH-Columbus 0G5872,#HIC4565,Lancaster 4500596,Warren#4266;OK 048191,BtXKXi341,002337;OR 0202237;PA-Sunbury#751,Johnstown#(1467;Rt 020575;SC NG116664G118696;TN#64743,93070;TX I$TACL824674E,NEC-29349;LIT 09002087-SS01;VA#2701036596A;WA#LOWESHC863011;WV#WV014656;and WI#1133309-License number(s) and certifications may be subject to change in accordance with local or state government processes.for the most current listing of license numbers and certifications held by or on behalf of Lowe's Home (enters,LLC and refitted entities,Please visit http,/Iwww.lowes.com/limilenumbers. IMPORTANT.This is an estimate only.This estimate is sublect to change and dries not bind you or Lowe's.This estimate is not a contract nor will it modify any future contract you may sign with Lowe's for the installation services.You may accept this proposal only by signing the appropriate Exterior Solutions installed Sales Contract with Lowe's and making payment according to the terms and conditions ��-e re;n if sumatC^-_good for 30 rfay4l In,tait„un,-y f<-es will bu.aridadditional charges may be tuned on total product required to hARit order(including waste),which exceeds actual area eouare footage.If or woutd hke a copy of this dmoment,piease contact the Lowe's Store Assoclate,Please review your contract carefully for all charges prior to signing. 55110 RFV.7(15 Replacetnent W/nprow Detail$pec/f/cat/G,.f7s Location Drawing ------------ E Phone va�as�c?rtt�r I Ins !sr; Customer RKIN be bei f= irts"�tJorr All mq,,8u�neAt8 meet be In inches LoceVon QtY V td Hel ht g WdUi Height, Styls Comment 3 S � 4 6 7 c1b ' 8 f Q Page 4 CERTIFICATE OF LIABILITY INSURANCE 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 SELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A (;ONTRACT 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 endorse-d.If IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not canter rights to the certificate holder in lieu of such endorsemenl(s). r +511110 MER CONTACT WOE pm t5li,r AA 'J'Arlc,tte NC Office ffAtC kq I Aveme, Sui to 400 E JANL -liar I<;rte Nc ?8204 uSA ADDRESS: INSUREAf6i)AFFORDING COVERAGE NAiC 4 NSVRE- 1#43URER X Great. AvwriCan ASNurarict! C4xaparvy (nmoariitxS-,Itic. WSURER 0 National Union Fire Iris Co of flitt�.bttrith 19441 'u6%ithaf les 1000trine s RottlevarA ?HSLJRFRC New Hamiri0dre Insurance Company 21841 V:xart ,vide -Nt. 28117 UsA *SURER 0 10UREA C: �HSURER f; COVERAGES CERTIFICATE NUmaIER.570075483114 REVISION NUMBER: THIS 15 TO CERTIFY 711AT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO Tl-IE INSURED NAMED ABOVE FOR THE POLICY PERIOD NOICATED,NOTWITHSTANDING ANY REOUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT To WHICH THIS '-ERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM. XCLUSIONS AND CONDITIONS or SUCH POLICIES.LUTS SHOWN MAY HAVE BEEN REDUCED BY PAID CL11JMS- Limits shown are as requested tip TYPE Or(NOUPARCe 45t, WVD1 POLICY NUMBERMr III WA� MNA'xX(vyyI LIMITS COMMERCIAL GENERAL LIABILITY Y Y Self-Instired 04101/2019 041011202() CACI i tj Mf;,r)EXP tAny on*poNW, PERSONAL S A.I.At tN,-vRy 4,VJAPP�,ILS PER. CENEFZALAGGqFCA1E < lv:'C' 'xo r R tX�,,CT S�C f, �A, 70.i h . , `I AureMGelte LIADILITY CA 4", 3101 04101,11019 04/01x1020 in ADS CA 4993103 04!01/201404/01!2020 W)DII y I z SCJ1E0L:Lr0 MA F014LY 4+SQY iVwaemlvt; AUTOS CA 4993102 04/01;2019 04/0 L12020 r P ;) wN'E �41 ,*��Vw.11) .2 VA accoewl A X lxll-tom L"82276ZOS, 04/011/2019()4i0112EACH 0CCLRFIkW!L� --T—low"o.71 Q EXCESS UAB A us SIR applies per policy terms & (anti; :ions A004CIATF 1110.000.000 L 041 , C WORKERS COMPENSATION AND wcOl2717161 �01/2019 04/01/2020 x PDR EMPLOYERS'LIAINLITY Y+N ADS oPlt CIOR mr,?,Ui I C If C ,VL E fAC+JACC1' "-ALkteCft DCiUZ.-L' F17 NJA SIR app)ies per policy tere. & conditions 52.040.000A—d.toq in"14) 1 1 1,L S),000,000 EL D5EASE-r(y-,cf.31A1T W.()()(),0 x C ess WC W-051565603 04/0117019 04/01/2020 EL ta<h ACCidentSj.0(xJ.0 ADS EL Disease pal i(:v S 3 UW).000 SIR Applies per,Pat icy to & condi ions EL Disease Ea Limp 531000.000 ra SCRIP71ONGF OPERATIONS LOCATIONS VE110CLES tACORD 101.Additional Romisilis Schodt",maybe attached 4 inoms"te is mqmt*41 ill G'.1keral Liability Policy is Self-Insured. 4F CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE, WILL BE DELIVERED IN ACCORDANCE WiT4 THE POLICY PROVISIONS time'% coiimpdriles, Inc:. AVYHOR(2EDREPRFKNFATIVE and its subsidiaries 1cmC% Blvd, vcKzresvilte N( j8.117-8520 USA 3)1988-2016 ACORD CORPORATION,All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD ACC>R" CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 08/14/2019 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(les) must 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 NAME: Marie Proulx INSURANCE CENTER OF NEW ENGLAND PHONE . (413)750-7106 1 A/C No: -MAIL mproulx@icne.com roux ADDRESS: P G 1070 SUFFIED ST INSURERS AFFORDING COVERAGE NAIC# AGAWAM MA 01001 INSURERA: AIM MUTUAL INS CO 33758 INSURED INSURER 8: MARK JODOIN INSURERC: JODOIN HOME IMPROVEMENT INSURERD: 15 JONES DRIVE INSURER E: EASTHAMPTON MA 01027 INSURER F: COVERAGES CERTIFICATE NUMBER: 436810 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS-MADE OCCUR A A PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ PRO- POLICY D JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCINJURY Per accident AUTOS ( ) HEDULED AUTOS N/A BODILY INRY $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE N/A AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X SPERTATUTE ER AND EMPLOYERS'LIABILITY Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBER EXCLUDED? N/A N/A N/A AWC40070296132019A 08/31/2019 08/31/2020 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT I$ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/twd/workers-compensation/investigatons/. Sole proprietor has not elected coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Lowes Companies Inc and any and all subsidiaries ACCORDANCE WITH THE POLICY PROVISIONS. Mail Code A3ESS 1000 Lowes Blvd AUTHORIZED REPRESENTATIVE Mooresville NC 28117 '( C. LQ Daniel M.Cr*)ey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD -.�� !ni�sit riiir:.rrfj}njf f�,.�rl✓�r OM(ce of CBhaumerAttairs&euainesa Reg. 1 NOME IMPROVEMENT C014TRATOiatbn. 1 ��T��YPE,',�S,u�V�O►ement Card46688 R LOWE'S HOME CE 10/1;r/2019 j .LLC, CHRISTOPHER MtINIe ; MORE VELLE,NC ' , I 28117 Unders_-cretary r'3`/�r��rrr�xer+nrtrlJf r�n lr�rrw'rr��u rllc ., office of Consumer Aff aIrs&Business 8e9ulati0n HOME 1MPRokjMEN%*r0WRACTOR TYPE:irtdlviduai „ AeaisyAWn Exaira io 159137 04/03/2020 MARK JODOIN D/8/AJODOIN HOME IMPROVEMENT MARK S.JODOIN 15 JONES DR EASTHAMPTON,MA 01027 Underwret-;,(,y k® Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards ConstrAWIW t0pervisor CS-049918 4pires: 12/29/202 i MARK S JODOIN J 15 JONES DR''- EASTHAMPTOWMA 01027 Commissioner