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29-177 (6) 191 BROOKSIDE CIR BP-2021-1357 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:29- 177 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: window replaced BUILDING PERMIT Permit# BP-2021-1357 Project# JS-2021-002232 Est.Cost:$10442.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: PATRICK KUBALA 100114 Lot Size(sq.ft.): 16901.28 Owner: CRAWLEY KRISTOL Zoning: Applicant: PATRICK KUBALA AT: 191 BROOKSIDE CIR Applicant Address: Phone: Insurance: 5 PELL ST (413) 589-1010 WC LUDLOWMA01056 ISSUED ON:5/17/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 9 REPLACEMENT WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. , , )2 . 111-5, Certificate of Occupancy Signature! FeeType: Date Paid: Amount: Building 5/17/20210:00:00 $40.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner -- J`v'� - 4CA U The Commonwealth of Massachusett 4 bf Board of Building Regulations and S ards qr �``'•'-.FOR -\, i• Massachusetts State Building Code,.7&-AMR / �JNIALITY �<-9p USE Building Permit Application To Construct,Repair,R novat r.Demolis'tf a Revis, d Mar 2011 One-or Two-Family Dwelling , /A , This Section For Official Use Only '-'is. Building Building ermit Number:6a-V—/35? Date Applied: KEU, J z., iy� 5 r 7 z6zJ Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: /4 P t3' - / ///� 1.2 Ass^essQrs Map&Parcel Numbers �( / / �goie kc Vr� . ..1 i '7 7 1.1a Is this an accepted street?yes X. no Map Number Parcel Number - 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private❑ Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if ycs❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Recyrd: if'Q.r.c oe_ <iRAGvi.e/ pela.Cei e4 /r'1,4 D /d 6 Z_.. Name(Print) City.State,ZIP /?/ oole-rick diie• '60•-'2v. 17,/y/ No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) ❑ Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 441 Specify: Brief Description of Proposed Work2: gz,e24if 9 /.2-Akoa ws SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ �,/� � 7 Check No.3") 7" heck Amount:0 V Cash Amount: 6.Total Project Cost: $ /v 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CIS -/UO// 9/0� / >X re, :mow,/ License Number Expiration Date Name of CSL Holder XE1L S T List CSL Type(see below) No.and Street Type Description �IGD Q U Unrestricted(Buildings up to 35,000 Cu.ft.) LO r.1 HR D SRO R Restricted 1&2 Family Dwelling City/Town.State,ZIP M Masonry RC Roofing Covering WS Window and Siding ���� Aunt. . SF Solid Fuel Burning Appliances 7/.1:7,-/o/V �t✓erArQkv4!1LR AOMt . Coir+ I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) Aro ef -7 j� 629 Tar C K /rK QltZ A F1 Ole :re-PROVed hie/ r HIC Registration Number Expiration Date HIC C pany Name or HIC Registrant Name �tc- s1— No.and Street Email address , &o'.'1 o'Vs• y40;51,- io/ 0 City/Town,State.ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 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 ) '7 eje, /['u 6.PC4 to act onmy behalf,in all matters relative to work authorized by this building permit application. c>E jff,e,a;tJ Sicct T Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. `j /a1jC)r► / Print Owner's or Authorized gent's Name(Electronic Signature) Date 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 MC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open_ 3. "Total Project Square Footage"may be substituted for"Total Project Cost" Kubala Home Improvements The Window & Door Experts 5 Pell Street Ludlow, MA 01056 855-458-2252 Customer authorization for building permits. I, 5TC . C , as Owner of the property located at 1 'I t tt t 61 R_, CLcr eiNcey , herby authorize Patrick Kubala Home Improvements to act on my behalf, in all matters relative to attaining building permits, and all matters relative to work authorized by such building permits. 2Uz. Signature of Owner Date j The Commonwealth of Massachusetts •,,;,• Department of Industrial Accidents � = I Congress Street, Suite 100 f�l Boston,MA 02.114-2017 71)317;44 mass.gov/dia Porkers'Compensation Insurance Affidavit:BuilderslContractorsi .lectricians Plumber s. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information - Please Print Lea-:iply _'v ame (Susness,Organizationtlndividuai):J�,efT�>G�' ,001,41,1 1 �'�lid/yJ�'•Ci Address: ,6""eLL �S City,State:Zip: `c Ioaj,/14 Il/qs(, Phone#: 1�t�3'-sue—/Oi O -_ Are you art employer?Check the appropriate box: .{� Type of project;require): ,,..n / i. ._. employer with employees(fit.,a_-dror-'a'-t... 2.Li'.a,-n a sole proprietor or-partnership and have no employees v'ork g for^> l_. any capacity No workers'cotup.insurance required.; $. 3.! i am a homeowner doing all work myself. VG workers'cvmp.:nsUra ce required.;.'" 9- `i Demolition • am a homeowner and will be hiring contractors to conduct ail work on my property. i will = _i Building addition • ensure that all contractors either have workers'coT ce.'_.oP <' -sue 1 Electrical ,epa: _ it:zt;cecrransoie i `t- �... L� � _ _, �..�.....,.... proprietors with do employees. 4' r;Plumbing t... P lumbing repairs or a ,__c::s 5.(r1 1 ash a general contractor and I have hired the sub-contractors listed on the attached sheet. i r Z These sub-contractors have employees and haves or`kers'comp.insurance.! [ f i . r_ Roofrepairs 6.7 We are a corporation and its officers have exert sal their right of exemption`er VCL c. 14. Oahe —_— — 152,S 1(s),and we have no employees.[No workers'comp.ins:In-ice required. ci 'Any applicant that checks box its must also till out the section bele\-;•showing.their workers'compensation policy information. Homeowners who submit this affidavit indicating they a_-r doing aO work and then hire outside conca^.tors must submit a new aft dav_t tadica.:rt s,:oh. 'Contractors that check Ibis box must amt.:bed an additional oheer showtrcg me name of the sub-oune.c.ors and state wbe:h�. no::hcs:e:titics employees. If the sub-contractors have employees,they roust provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. insurance Company Name:Mel T, Qfl/a L. itaivae // A,het o Z _Z-iY��fiG404,r€ L�'J Policy,=or Self-ins.Lie, #: X/G'',i //P Expiration Date: Job Site Address: /91 tai&Cb.C.S i o% all-• C?ry!State1Zip:E- ch(cli,re fr/A CYO d c Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). r ai.ure to secure coverage as required under MOL e. 152.§25A is a criminal violation punishable by a tine' . to S `0 .00 and/or one-year imprisonment,as well as civil penalties in the than of a STOP WORK ORDER and a fine of up to _ day against the violator.A copyofstatementforwarded to =J of l f:. DJA in ' wthis SiatCrT} R may be the Office Investigations ^i, forSu;"i7c coverage verification. I du hereby certif t under the pains an enalties erfury that the injOrmation provided above is r7//ue and correct Signature: Date: 8 114� / Phone — 0 — lei/CJ Official use only. Do not write in this area, to be completed by thy or town official. it Cur' or Town.ti Permit/License Issuing Authority(circle one): I 1.Board of Health 2.Rholding Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing inspector 6. Other Contact Person: Phone ---+1 ,4CORo� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYl'Y) 4hem►'' 10/01/2020 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 CONTACTCOT Christine E Davenport f Richard R Green hsurance Agency,Inc. PHONE (413)267-3495 FAx 413 267-3496 32 Somers Rd we.No.at, (A/C,No): ( ) __ AJL Harrpden,MA 01036 ADDRESS: @ g cdaven rt richard reeninsurance.com I ___ INSURER(S)AFFORDING COVERAGE NA(C# INSURER A: MAIN STREETA � I AN/ERICA ASSURANCE CO —M 29939 INsueeo Kubala I-bme trprovements INSURER B: NATIONAL GRANGE MUTUAL INS CO 14788 Patrick Kubala dba —' 5 I II St INSURER C C. Ludlow,MA 01056 INSURERD: _-- INSURER E: INSURER F: --------.._._..--- , COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR' IADDL:SUBR! POLICY EFF POUCYEXP — -- -- LTR ! TYPE OF INSURANCE INSD WVD i POLICY NUMBER (MM/DD1YYY'n (MMIDD/YYYY) LIMITS A ' COMMERCIAL GENERAL LIABILITY ' 'N P(698U 06/01/2020 06/01/2021 1 EACH OCCURRENCE '$ _ 1.000.0 0 CLAIMS-MADE OCCUR • - DAMAGE TO RENTED 500 000 ' PREMISES(Ea occurrence) $ —. MED EXP(Any one perSPn) $ 10+OG04 PERSONAL&ADV INJURY $ 1:000.000 GENL AGGREGATE LIMIT APPLIES PER: - GENERAL AGGREGATE $ 2,000.0001 POLICY PRO- —�, ! ----- --2.000.000 JECT LOC PRODUCTS-OOb1P/OP AGG $ 1 OTHER: :$ I B !AUTOMOBILE LIABILITY M1 P1698U 06/01/2020 :06/01/2021 EOMMBI'IED SINGLE LIMIT $ 1.000,000 ANY AUTO BODILY INJURY(Per person) $-- ------ OWNED ; SCHEDULED 1 I AUTOS ONLY V ,AUTOS BODILY INJURY(Per accident) $ ^, H RED ^%I NON-OWNED PROPERTY DAMAGE ---- -- -_ _I AUTOS ONLY L AUTOS ONLY —(Per accidents _ $ — _ -.- 1 , $ B _ _ UMBRELLA LIAR \'�! OCCUR 'CUP1698U '06/01/2020 ';06/01/2021 EACH OCCURRENCE $ I,OG0,00,0 EXCESS LIAR CLAIMS-MADE, ' AGGREGATE S —. .000.__ 9.001 i DEO `✓1 RETENTION S 10,000 $ — B WORKERS COMPENSATION WCP1698U 10/27/2020 06/01/2021 STATUTE ERµ --- AND EMPLOYERS'LIABILITY .._.--....--- ANY PROPRIETORIPARTNERIEXECUTIVE YIN - E.L EACH ACCIDENT $ 1,000,000' OFFICER/MEMBER EXCLUDED? Y i N I A ------ (Mandatory in NH) EL.DISEASE-EA EMPLOYEE $ 1.000C if yes,describe under I '---'- 1.000,00.000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POUCY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Sole Proprietor is exerrpt from coverage under the Workers Corrpensation Policy. The Certificate holder is an additional insured w ith respects to the General Liability an: Autorrobile Liability policies when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE "*'For hforn'ational Purposes Only"" THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS AUTHORIZED REPRESENTATIVE _ .. ' dam.- - ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ( k /71 't. . 'r ..) /71 A / • 11• f''. (,(,)ill.,iii 0 ir roc(ta (./ i Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvemeriteotitractor Registration Typo: Individual •PATRICK KUBA1_A Registration: 1501 I 8 •D/13/A PATRICK KUI3ALA HOME IMP Expiration: 03/06/2022ROVEMENTS 5 PEL.L STREET .. ' •. LUDLOVV,MA 01056 — ----------- • .. i . • i . , • Update Address and Holum Card. , scA I 0 201v1.05/1/ (.li, . At,Vowbugove'mad(i;'iimored.tide//d Office of Consumer Affairs&Bushman ttogulation I HOME IMPROVEMENT CONTRACTOR Hogbitration valid for Individual use only TYPE:hidividual before tho oxplration r e. If found return to: Heolutratlim E)qlratien Offloo of Consumer fJlra and flualness Regulation 1501116 03/06/2022 1000 Washington S4t -Suite 710 . PATRICK KUHN A Huston,MA 021 D/11/A PATHICK KUITAIA HOME IMPROVEMENTS PATRICK J.IWIIALA /2 1.103LOW,MA 01060 _ ---.Undorsocrotary Not valid without signature • . . . ...........___.„ ,.., ..,.,............................................ . .. . .... • ' ' " " " "-...•• ' • ;.- ,,- -,,,- • "4.r.10-,.% '-'-'"-"`--"--:---""'"""'''''''''''''""'"----"--.....---"'"—"'''- • •• 1,..' 64,,. S l'ATE OF CONNECTICUT 4 DEPARTIWENT OF CONSUMER PROTECTION ‘i.y ' ClitlPrIVPIIBIO MOM_LER Division Of Professional Lit:ensure Be it latown that 1 . I' III Board of Building Ilegulations arid Standard% 1.„ IAMBI.: 141,.C..1 A )1_111,1sw ConskittAtior.crupArVisor '...I ;;,:p PATRICK KUBALA 111 1 W lt, 5 PELL ST LUDLOW,MA 01056-2762 1641 Instailation CS 10( 114 -1.. .a-.1;.c.,;:i: ,.,: ipires: 09/09/2021 P''.;PA'RICK J IcOBALC/ ,i,,.,...; , t-,1 .,;;,:il 0 'NI N MASTERS' 6 Pat STRE (NT - '; '. '7 ': ., ,-'; .!t,:1,,r,' has satisfied the qualifications requhsed hy law and is!sudsy relow ) ered as a 1 1 0DLOW MA 1046 1 4,ti • !$f, . 4 f.., , :.'' c,. ' i.44 '. . ',;.t., .• 1 HOME IMPROVEMENT CONTRACTOR 1 ii,01111111111111M141$11 Cr/rtiflool 8111nee. 2 11,01 /it., b' 1.1 10 6 1/()1C( 1.1. (*/* Registration#HIC.0619712 Espives. /1/2052 1,, 116411.1111,PIINStalt ...;: il*II Pali 1111,001 PA .. 1.weliawOltik Program Spomaangl Itg:Mal* Commissioner 11..1A4A•i•-•f lar"."' '•' TRICK KUML AlA I-10ME IMPROVE MENTS ;.;, Effective: 12/01/2020 giil Iv ,.,,,,, Expiration: 11/30/2021 !1..- 61412020 IMG_000..pg • • THE C O\D 1O Iz EALTH OF MASS ACHUSETTS .e. CC"'I`, OF.7CF.,OF L:aW^.R i ND WoR`FORc.D :5.-i c . DEPARTMENT OF.LABOR STAN-DA:RDS.. 19 ST4r?FoRD STREET Bosto',M.AssacH?usE s 02i i? LEAD-SAFE RENOVATION CONTRACTOR LICENSE KU-Al A HOME I.ROVEMEvvTS. 5 FELL STREET•• LU"DLOVy,NIA 01056 • • • LICENSE: LR002184 EXPIRES: Sunday,May 18,202S • ACCORDANCE Vv THM.G L.C. 11;:§I§7E(b)A-ND 454 CMR.22:04,THIS LICENCE IS ISSUED B1- TEE DEPARTMENT OF LABOR STANDARDS TO TIM CONTRACTOR ABOVE FOR T PURPOSE OF ENGAGING: i LEAD-SAS RENOVATION. • TIES LICNSE IS V LID•FORA PERIOD OF FLH`E(5)YEARS. • • TIES LICENSE NR...5T BE MALITAL ED BY THE CONTRACTOR-MT ACCORDANCE WITH\I:G L.C. :'.1; § 1.973(b)(2)AND 454 CO12 27:04 WHEN ENGAGED IN.LEAD S,4PE RENOVATION A\D:O'K MODERATE'-RISE.DELEADIiv WORK i k11.SAFE RENOvATION CONTRACTORS MAY\L PERFORM MODERATE:RISK DELEAD NG WORK U71•T.ESS Tr 's EMPLOY A SU'PERYISOR,t;-rH c ' TAKEN THE REQUISITE TRALNI G.AS REQLIRED BY 454 CMR 22:00 :T O OVERSEE T-E WORK. • 6. J • MICH L FL ANAGAN,• LR '1 DIRECTOR • • Please detach this mailing tab and keep your license certificate it an accessible IQcatio•-,. A.cop of this license must be maintained at each wcrksite. • KUEAI:AHOME Th,1PROVE N i S `------— • 5 FELL'.STIEET LUDLE3?v,MA 01056 • • https:rrmaii.google.comimail/uiOi?cgbl#iribox?Projector=i DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly-licensed solid waste-disposal-facility as defined by MGL c 111.,S-154A. The debris will be disposed of in: /�LYa.�.i /%4_5• 1 —_ LOCATION OF FACILITY 9-A.2-.4.1e).2-i Sign e of Applicant Date AFH.AVIT As a result of the provisions of MGL c 40, S 54, I acknowledge that as a condition of Building Permit Number all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal.facility, as defined by MGL c 111, S 150A. - . --___ .nertify_tbat i l_notify.the_Building Officials ..(two months ___ - _ maximum)of the location of the solid waste disposal facility where the debris resulting from the said construction activity shall be disposed of,and I shall submit the appropriate form for attachment to the Building Permit. Z1Q20..2/ Date Signature permit Applicant (PRINT OR TYPE THE FOLLOWLNG INFORMATION) /F/7,e,_vCx few/p LFf Name of Permit Applicant Pigrx,4e,e e,i64 c road✓/if?‘4-'i'-"--- Firm Name, if any Kubala Home Improvements The Window & Door Experts 5 Pell Street Ludlow, MA 01056 855-458-2252 Kubala Custom Windows Energy Star & Performance Data Revised June 2019 OPTION j MFG CODE ! U-Factor SHGC VT CR Omega-Tuff 52210A .24 .21 .48 47 Hi-R j N2210A .25 .28 .52 j 47 Essential P2100A .30 .49 .60 55 Passive P2210A .25 .48 .59 46 r H I tilk-k KUBALA HOME IMPROVEMENTS All home improvement contractors and subcontractors ut�,.e,.... ... 4 A, contracting,unless specifically exempt from registration by Provisions of Chapter t42A MA HIC#150118 of the general laws, must be registered with the Commonwealth of Massachusetts. q 5 Pell Street Ludlow, MA 01056 inquiries about registration and status should be made to the Director, Nome 1 Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA 413-589-1010 02108(517)727-8508 C�� Submitted �A t j t_. tc- Job Name: eizA t-r tot N►✓c ? ._._ fORAA ne Ali v t5 I oC a. Job location:_____C'Y IM C— Phone Date S r ,; - I vi t Li J6 Estimator: Ch c AVA --,A r we herebysubmit specifications and estimates for work to be performed and materials to be used: J1OL Ts 0 4' €jet St'i N w tti 00.0 g pp,,'r" `t , .�4-Ese V T 4- \r- c ''1 , 6.0 co 4-- . /57-s-u., i 9 ,°� ek,. u�6 6 a-t fie.. Lii( .err, L>t&j c `tom ► , Ar u v%, - 2 i` : trH go /� � � l3 L. t-. f—1 6 — S.Q t'E'S, 06 0 v j iv 5040 -43 t.L''^ f 1=t b.4 r I aS �ut. V C.l Kir- t a�-t- Gi t R-tl'rft. r Ltei , rpq-secPei- r c- '?-L t ,�.7 Y S�1`vf c-c_ - i- Dce,4k E� c,J•(r14 ci {zr� . �r, 9A cwA.t ,galan. '''%a A4Alt e-ct; p4yrwtw.T" tit -, Q fw'6 ' ao r'46 WORK SCHEDULE fk)Of ALAIPct.yr'.- x emtl Contractor will not b�eyt� the work or order the materials before the third day following the signing of this agreement,unless specified helein. Contractor will begin the w rk�on or about I �J rCa e). Baring delay caused by circumstances beyond the contractor's control. The work will be completed by I* deaf>The ownei hereby acknowledges and agrees that scheduling dates are approximate and that such delays that are not avoidable by the Contractor including but not limited to strikes, Acts of God,shortages of materials,accidents,and all other delays beyond the its control,shall not be considered as violations of this Agreement. WARRANTY The contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of f t4.V f following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials,or damage caused by the Contractor,its subcontractors,employees or agents,is discovered after completion of any job,including clean up,the Contractor shall at its own expense,forthwith remedy,repair,correct,replace or cause to he remedied, repaired or replaced,such damage or such defect in materials and workmanship. The foregoing warranties shall survive any inspection performed in connection with the agrecd- upon work. We Propose hereby to furnish material and labor—complete in accordance with abovespecifications,for the sum of: po..) —r-pott,5 AC `--0 N ,.&t1_ - udiui I _1Y`�u �J dollars(S /3, 7 4,2 ). Tr Pa ent to made as follows: % 3 0 )upon signing contract; PATRICK KUBALA HOME IMRPOVEMENTS J ---' (A( )upon completion of 5 PELL STREET - % '`' —.)upon completion of ' LUDLOW, MA 01056 413-589-1010 /8 u Q a 7 shall • be made forthwith upon '��.&a Ace, ) MA H I C 150118 completion of work under this con t. Salesperson• e ' \1€4Mpaqc Notice:No agreement for home Improvement contracting work shall require a down payment(advance deposit)of more than one-third the total contract price or the total amount of all �AA---- deposits or payments which the ewttractormust make,in advance,to order and/or otherwise Authorized Signature: obtain delivery of special order materials and equipment,which ever amount is greater Acceptance of Proposal: I have read both sides of this document and accept the prices,specifications and conditions stated. I understand that upon signing, this proposal becomes a binding contract. You are authorized to do the work as specified. Payment will be made as outlined above. You the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See notice of cancellation form for an explanation of this right. Please refer to the Notice of Cancellation that accompanies this contract;contents of which are referred to above and incorporated herein by reference. D OT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES Signatur ____., ... -..... .....Date 4G�1 ignature Date