29-091 (3) BP-2022-0142
38 BRIERWOOD DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
29-091-001 CITY OF NORTHAMPTON
Permit: Alts Renovations
Repair
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
BUILDING PERMIT
Permit# BP-2022-0142 PERMISSIONIS HEREBY GRANTED TO:
Project# windows/door Contractor: License:
Est. Cost: 12534 PATRICK KUBALA 100114
Const.Class: Exp.Date:09/09/2023
Use Group: Owner: CROW-BILADEAU,ELIZABETH J.
Lot Size (sq.ft.)
Zoning: WSP Applicant: PATRICK KUBALA HOME IMPROVEMENT
Applicant Address Phone: Insurance:
5 PELL ST (413)589-1010 WCA1083152
LUDLOW, MA 01056
ISSUED ON:02/14/2022
TO PERFORM THE FOLLOWING WORK:
REPLACE 10 WINDOWS AND 1 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:
Gas: Final: Final: Rough Frame:
Rough: Fire Department Driveway Final: Fireplace/Chimney:
Final: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
. AD,
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
'NENN,
1)(r`11 C,
V The Commonwealth of Massacetts .;'�
:CI: Board of Building Regulations and"StandardsFF� f FOR
Massachusetts State Building Code, 78,KCMR 7 ` MUNICIPALITY
,� USE
Building Permit Application To Construct, Repair, R Or Demo a ,�tevised Mar 2011
One- or Two-Family Dwelling `.:�; r,�,, /
Section For Official Use Only `) �,'^<,
Building Permit Number: 6,-d°?--1 Date Ap lied: 'n„ o V
r'r ; � J
,
� r
Building Official(Print Name) I Signature D e
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map &Parcel Numbers
43. OiCZ WQO D 0,e
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❑ Private 0 Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
J� SECTION 2: PROPERTY OWNERSHIP'
2b lS t 3€ rdf�E/b�N -�r 44,D4..
Cl ft�, /�44 d/D 6 s'C - a 7
Name(Print) City,State,ZIP
cg,' c2erdlbewa'o n De V/d 9.23- 4218
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK(check all that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. ❑ Number of Units Other 3T Specify:
Brief Description of Proposed Work2: PF+t`PCigCf AD Gtl,f tow.f 4. / ^54.1`tt� 1.127Xo
J)oO 2.
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 $ 0 Total Project Cost3(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: S
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $ Total All Fees4W/40
Suppression)
Check No.t't 1 1 I Check Amount: Cash Amount.:
6.Total Project Cost: $j -, / o 0 0 Paid in Full ❑Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) es - /Oo ///j.
r 'x cic �Ge 6OLA - License Number `" Expiration Date
Name of CSL Holder
9 S List CSL Type(see below) u
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu. ft.)
W 409 0/046 Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
+//' '/O A0 Z rvn/r[0t'uilQ(ggty a.ml .Ca ern I Insulation
Telephone Email address D Demolition
�5.2 Registered Home f Improvement' Contractor(HIC) /5c// a.f' rexcr( it hoar( r'n g��nc^�
�� o HIC Registration Number Expiration Date
HIC Com any Name or HIC Registrant Name
S f '// .ST Uem4.4 ef44ou s+dnc. CaGyI
No and Street Email address
.eu.10ai m 4 Dios^G a/ir 9.ro /
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 7g- No 0
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FORFO� BUILDING'/ PERMIT
1,as Owner of the subject property,hereby authorize 4 rICtCA ,l'Z d,4`�Q 'rG ,The, FrA444,jr".
to act on my behalf,in all matters relative to work authorized by this building permit application.
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.
Print Owner's or Au Jze Agent'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. I 42A. Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov dps
2. Other signatures needed:
Town Treasurer/Tax Collector For all projects(MGL c 40 sec 57)
Board ofHealth Well permit and/or Septic permit(Title V)
D.P.W. Water,sewer and curb cut permits
3. Debris Disposal:
Name of Waste Hauler
Name of Waste Facility
Kubala Home Improvements
The Window & Door Experts
5 Pell Street Ludlow, MA 01056
855-458-2252
Customer authorization for building permits.
i, 64-07p3Eri C -zia-,4�E4v , as Owner of the property located at
38 3gigsg.woov , Me we.; lei , 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.
L 1/ 4n 2/nIz4_.
Signature of Owner Date
The Commonwealth of Massachusetts
1,— —fl Department of Industrial Accidents
__a'=• a 1 Congress Street, Suite 100
_:•1= Boston, MA 02114-2017
:'SOO' www.mass.gov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
. Aonlicant Information Please Print Legibly
Name (Business/Organization,Individual):PgT,efCe< /ru 43 4 t A ,41I 04 !intio iiG/NEiv 7--
Address: 0.' 6 2 L .s'r—
City/StateiZip: 9 low ,e1 A Ole sG Phone #: f.5`6 9'-/o / )
Are you an employer?Check the appropriate box:
Type of project(required):
I.®I am a employer with i employees(full andior part-time).` 7. El New construction
2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ® Remodeling
any capacity.[No workers'comp.insurance required]
3.0I am a homeowner doing all work myself.[No workers'comp.insurance required.]
9. El Demolition
10 0 Building addition
4.0 lam a homeowner and will be hiring contractors to conduct all work on my proper^;. I%%ill
ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions
proprietors with no employees. 12.D Plumbing repairs or additions
5❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13 ❑Roof repairs
These sub-contractors have employees and have workers'comp.insurance.:
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c.
14.0 Other
152,*1(4),and we have no employees.[No workers'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 ail 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 no: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 policy and job site
information.
Insurance Company Name: /l'C oeC "*"TS -Z/V.SCOZA N Cif goo C,1:.
Policy 4 or Self-ins.Lic.4:K/ CA /O"a/.�iZ Expiration Date: //��
Job Site Address: 38 Oct444ve 3) -DX- CityiState Zip: 44 /teeel "I 0/0 6 a
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152. §25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I
hereby
certify under the pains and penalties of perjury th a information provided above is true and correct
Signature: Date: etAl%O.?ez?
Phone 4: i//S --5-S'9 - hc)/G)
Official 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#:
�.owN PATRKUB-01 RO E
ACORD' CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY)
�� 5/27/227/2021
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 NOMTACT Deborah Rose
Oxford Insurance Agency,Inc. PHONE 508 987-0333 FAX Nol(508)987-5517
PO Box 370 ' (A/C,No,Ert):(508)
Oxford,MA 01540 - s:drose@oxfordinsurance.com ,
INSURER(S)AFFORDING COVERAGE y NAIL N_..
INSURER A:Merchants Insurance GroupT__._...... ...
INSURED i INSURER B:Citation Insurance Co. 40274_________
Patrick Kubala Home Improvements dba Kubala Home INSURER C
Improvements i
5 Pell Street 1 INSURER D:
Ludlow,MA 01056-2762 i 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 POLICES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR 1 lADDLSUBRI ' POLICY EFF POLICY EXP LIMITS
LTR TYPE OF INSURANCE INSR WVQj POLICY NUMBER IMM/DD/YYYY) (MMIDD/YYYYI
A ' X 'COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 2,000,000
DAMAGE TO RENTED 500,000
CLAIMS-MADE X OCCUR ;BOPI109317 6/1/2021 6/1/2022 PREMISES(Ee ocwr ante) S
MED EXP(Any one person) $ 5,0001
1 PERSONAL&ADV INJURY !!$
1,000,000
000,000 GENIIAGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE ;S 2,000 000
I X POLICY I 1 ACT 1 LOC PRODUCTS-COMP/OP AGG 11j , '
i OTHER: $
COMBINED SINGLE UMIT 1,000,000
B AUTOMOBILE uABILRY _(F_a accident) _3
�.— AApNNyYNNAUTO BDMM64 6/1/2021 6/1/2022 BODILY INJURY(Per person) $
t1 AUTOS ONLY X AUTOSULED
MS CHEDUL BODILY INJURY(Per accident) $
X AUTOS ONLY X AUTOS ONLY - PR(PmacciidentDAMAGE $
'S
A 1 X UMBRELLA LIAR 1 X OCCUR EACH OCCURRENCE $ 1,000,000
I EXCESS LIAR ! CLAIMS-MADE BINDER 6/1/2021 6/1/2022 AGGREGATE $ 1,000,0001
j DED X RETENTIONS 10,000 !$
A WORKERS COMPENSATION ! PERTUTE i 1 ER I
0T
AND EMPLOYERS'LABILITY STATUTE
!N
•ANY PROPRIETOR/PARTNERJEXECUTIVE WCAI083152 6/1/2021 6/1/2022 1,000,000
;OFFICER/MEMBER EXCLUDED? N N(A E.L EACH ACCIDENT $
(Mandatory in NH) I E.L.DISEASE-EA EMPLOYE $ 1,000,000
MP
i It yes.describe under 1,000,000
DESCRIPTION OF OPERATIONS below i E.L DISEASE-POUCY LIMIT I$
I
DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES (ACORD 101,Additional Remarks Schedule,may bo attached if more space Is required)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POUCY PROVISIONS.
AUTHORIZED REPRESENTATIVE
atalt 72+1-iul4
ACORD 25(2016/03) 01988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
Office of Consumer Affairs ancl Business Regulation
1000 Washingtc . rit Suite 710
Boston,:Massachusetts 0?118
Home Impr yement CpntractarRe stration
rZ r 4 ,.
J'°" ,- �1., .,Type: Individual
PATRICK KUBALA / • N egisttation: 150118
D/B/A KUBALA HOME IMPROVEMENTS , --" , • EpiCation: 03/06/2024
5 PELL STREET `i4�tA ..� E 4 �/
LUDLOW, MA 01056 3-14 'Z f 1 I .
's pi-:4� .r +1
'`i.,_.,,1-' Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affak*&Business Regulation Registration valid for individu use only before the
HOME IMPROVEMENT CONTRACTOR expiration date. If found ret n a:
TYPEilndividual. Office of Consumer Affairs n Business Regulation
Rt gistratior„t Exaltation 1000 Washington Street 'e 710
150118' ':- :4: ,03/06/2024 Boston,MA 02118
PATRICK KUBALA 'f
D/B/A KUBALA HOME.IMPRCRVEMENTS'
PATRICK J.KUBALA ,.' '. '
5 PELL STREET l ,-.4'l?,.
LUDLOW,MA 01056
Undersecretary Not valid without signature
•
LL , ii
i� Commonwealth of Massachusetts STATE OF CON ECTI IC U j I r.;,lo�.".ia1IFI(V di)mom!.I FR
Division of Professional Licensure 1111
Board of Building Regulations and Standards P `P/I/IrtIE ''/•OF(.ONS1'.11RR PROTECTION I.,Ittkil •.:rM.0•i
CoIist LtIbt�l;(1pKrvit:or HOME IMPROVEMENT,CONTRACTOR �I'1St�f�� ��ll
C 5-100114 i PATRICK)!CU I3ALA
h i Fj*pires:09/0g/2023
'r I I,s7' 6 M A `) i t= ).
PATRICK J i9JBALA I i
6 PELL STRE T ;.f "- I L1 LOWr MA oio�ri 2762 I
LUDLOW MA 105e •
9-i M IM I Ar •rtNl+rr
/.: .,��� N_ .r PATRICK K1.IIIALA HOME IMPROVE MI N I S EKNIr�r �1/�417
tf)fti',•.I.µ►1 itegixtrarion# :liffccuvc: Expiration *Milk
rMN UMW .,, ,.ranorrred by!WM
/n� ``J • I HIC.0619712 12/01/2021 03/31/2023 4P*14UM
Commissioner /� /'. (J�Inti/0., M..
•
TIC CO1`,/ ION Fx. ,.LTH OF M SSACHLSET .S
=.k - F 71:`,r O.Q.°: =v=i.6IV^w1:N".WWR:LPariz Dr.'s,..T OMWV.':
H DEPARTMENT OF.LABOR STANDARDS
` - 19 STANIFORD STRUT,BOS-ON,MAss a rtis_:.s 0 114
LEAD-SAFE RENOVATION CONTRACTOR LICENSE
ICtJBAI A HOME QROV NM''rS
S par,s REST.
Lt''DLOW M-A 01056
L: \SE: LR002184 E 'R : Sundays My 1$.2025
1 A.AGCRDA.NCERaHMS.O.L.C.Ili,.y 14 (b)AND 454 uRR.22:u4.THIS LICENSE IS
- TEE DEPARTAZ T OF LABOR STANDARDS TO TIM�C�ON TR ACTOR ABOVE FOR T PURPOSE OF'E' 0A.eING LEAD-SAFE RENOVATION.
THIS LICENSE IS VALID FOR A POD OF FIVE(5)YEAR`.
TEES LICENSE 3R.?ST BE_MALNTAWEsD BY TIM.CONTRACTOR BY'ACCORDANCE V T ?M.G.L.C. _: ,
§ 1 X2) :454 MR.22.04tn^—* ENGAGE IN.i.F.4D-SAFE R. TOVATLON AND.OR
MODkZ.Ar;RIs$D#,...EADZG vaRg LEAD SAFE R-NoVAT0 CONTRACTORS MAY'NOT
PERFORM MODts'�'e A—4R SK DE r - /N G ==�Y EMPLO`_'A SL'?ERN TSOR,1-7C,4.-S
TAKEP4 TIE REQUISITE TRAINING AS REQUIRED BY 454 CI1R 22.40,TO OVERSEE THE WOK.
MICH EL FLAB AGA i,
Please detach this mailingtab and K_=d "license:e siiicate an accessible ioceti... •"•'-v PY
a c„ yQt.
of this license.'must be maintained at each wcrksite.
3I,�A_LA.BIO E LIVZPROVM.LS ~--— — —
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PEBRIS 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 prop-erlylieensed solid waste-disposal-faeility as defined by MGL c 111,.S 150A.
The debris will be disposed of in:
LOCATION OF FACILITY
4/7-0 d a.
Sign of Applicant Date
•
AFFIDAVIT
As a result of the provisions of MGL c 40, S 54, I acknowledge that as a condition of
Building Permit Number all debris resulting from the construction
activity governed by this Building Permit shall be disposed of in a properly licensed solid
waste disposal.facility, as defined by MGL c 111, S 150A.
_--- rt y-that _ Official tY (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.
`/7/5'9 A a,
Date Signature ermit Applicant
(PRINT OR TYPE THE FOLLOWING INFORMATION) .
47-4.Z CX Jt kl�i�Lli'
Name of Permit Applicant
P'41-#C•cedo — '
Firm Name, if any
Kubala Home Improvements
The Window & Door Experts
5 Pell Street Ludlow, MA 01056
855-458-2252
Kubala Custom Windows
Energy Star & Performance Data
Revised June 2019
OPTION MFG CODE U-Factor SHGC VT CR
Omega-Tuff 52210A .24 .21 .48 47
Hi-R N2210A .a9 .52 47
Essential P2100A .30 .49 .60 55
Passive P2210A .25 .48 .59 46
PATRICK KUBALA HOME IMPROVEMENTS All home improvement contractors and subcontractors engaged to rotor ImprvvemcaL
MA HIC#150118 contracting,unless specifically exempt from registration by Provisions of Chapter 142A
of the general laws, must be registered pith the Commonwealth of Massachusetts.
11 0 5 Pell Street Ludlow, MA 01056 Inquiries about registration and status should be made to the Director, Home
Improvement Contract Registration, One Ashburton Place, Room 130f, Boston, MA
47 3 589 1 Q10 02108(617)727-8598
Submitted /� 4/0
To: C1-t ./ T, 4 ((2Dt&) -Z1;-4-p m j
Job Name: /�/�2Ott)"3t1.-4t 41,/
3S ZagialZkdOOP —)K.
r Lpt/.2CE M4. ) 042 - }( Job location: /Ion
Phone13" Date� ,Z../ Estimator: C,a eel
We hereby submit specifications and estimates for work to be performed and materials to be used:
lotO r¢utp Pl$Pest of Gx► Tr Lir' lll1flt.JS . i 0 Gr °Pe-4J Jc Fo12.
/to Y j,00t 41JDieg, 11,14_ -r '2)1}144*6J, i #' leept.Itt ' WOaJ'7 At4 loth--Essi .
�'►.,�i-�..t gv�t.0 r N fi 1-G 10 it 4..11 P,AaA PAI IO'Pooe.
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w b a-1P U CC(L4Jf A.P ,r 14,— Ai....6&5 11 .s tj-4rjc 3r J 'PEN,NHS ti4n$JP0..) w/Poty—
E1-, ertivtx/e' Fa/4t.t qua �+��.-� LJIZR? E TF2iore i Ad v,NYt— GO, reD
A Lti it)UPtel '7'tizr.t.. ec, t, Ct,Ei4 J 1,4...)0l x-4 rrr' t urE(2 c. . i7? tx7Li2.ro1-
PiJaN6 StuR.v Y v�mµ�2 jPRQ'T� i1b ) vPvit coat-th-g-7,oN • PvvZi, ttr~e
r)F 1-6OME &i At244luT y, F^2OE LI rori fvi . 6-aaviG 30- 19 y APP 5- b-AIPPr- 6
Per Pfls'TEGT(o&). *P121e, TA-ace, mati43 r G-A"gD+Q, p?41-6)0,n41
,4 JP It- e 2(bk T S. .1 08 A1o7 T a Co eAtt4 ,1+' U )1 ,L- $4 ]
l�P2fi-- . frM Pc-61?, ireR-V► ?v ' 'ire-tPE3 wr flAJANe.6 mt�ra.(Posa'ate—
WORK SCHEDULE i 7k,Am. /r„� #C,
contractor w II not begin the work or order the materials before the third day following the signing of this agreement,unless specified heroin. Contractor will begin the work on
or about I dale). Baring delay caused by circumstances beyond Inc contractor's control. The work will he completed by ' 4Vr 6rste). The owner
hereby acknowledges and agrees that scheculing dates arc 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 he 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 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 nr
agents, is discovered niter completion of any job,including clean up,the Contractor shall at its own expense, forthwith remedy,repair,correct,replace or cause to be rtmtedied,
repaired or replaced,such damage or such defect in materials and workmanship. The foregoing warranties shall survive any inspection perlbrmed in connection with the agreed_
upon work.
We Propose hereby to furnish material and labor—complete in accordance with above specifications,for the sum of:
r^
W15 6 ;t0.)5 N2 )-'V* ritl jpg (NIQ.1'1 F302 ' dollars(S r ai 5-344 ).
Pay to bd tirade as follows:
lOt %f $ .1
)upon signing contract; C.NK,' '137Is PATRICK KUBALA HOME IMRPOVEMENTS
_liven completion of 5 PELL STREET
upon completion of I.UDLOW,MA 01056 413-589-1010
rj 8 %01, 3'1(es )shall be made tcrlhwitil upon 604/4)di p MA HIC 150118
completion of max*under this contract.
Salesperson:
Notice:No agreement fur home improvement Ctnttracting work shall require a down payment
(advance deposit)of more than one-third the total contract price or the total amount of all
deposits or payments which the contractor must make,in advance,to order and/or other+isc 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.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
f`��"'1� ) ( Date
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