Loading...
25C-244 (6) BP-2022-1449 249 BRIDGE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 25C-244-001 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-2022-1449 PERMISSION IS HEREBY GRANTED TO: Project# WINDOW Contractor: License: Est. Cost: 1286 PATRICK KUBALA 100114 Const.Class: Exp.Date: 09/09/2023 Use Group: Owner: TRUSTEE SHAMSIDEEN, BURTRAM Lot Size (sq.ft.) Zoning: URB Applicant: PATRICK KUBALA HOME IMPROVEMENT Applicant Address Phone: Insurance: 5 PELL ST (413)589-1010 WCA1083152 LUDLOW, MA 01056 ISSUED ON: 11/04/2022 TO PERFORM THE FOLLOWING WORK: REPLACE 1 WINDOW 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: i` . 1. .)2 - 51,a, Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / C)<:''N IYX:N. The Commonwealth of Massachusetts / yO ,(ri FOR . Board of Building Regulations and Stand ds o • Massachusetts State Building Code, 780 1 `MUl!77CIPALITY . _i :( ,:9nn USE Building Permit Application To Construct, Repair, Renovaf molislr�c� evised/Mar 2011 One- or Two-Family Dwelling -)1,'%,,, / This Secti For Official Use Only ••<7,-r, // Building Permit Number: P- ?- -" I Z Date Applied: s. l Cvl,> 1 055 /. / /1-q-non Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 P opertyAddre S 7 ss: 1.2 Assesm Map &Parcel Numbers2_5/ / 9 g e T , - 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 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 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: 44ie/Y1/~7a4/ PIA 0 p Name(Print) / C its,State.ZIP J45' .VSt_ S i. I//2.423 iv) No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building❑ Owner-Occupied D Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other/n Specify: Brief Description of Proposed Work2: �G'ge IC4 / ,1-11 IAA/t / � 0..); o c ) 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/Tov..n Application Fee 2.Electrical $ ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: S 4. Mechanical (HVAC) $ List: S.Mechanical (Fire $Suppression) qv Total All e&h if Check N Check Amount: Cash Amount: 6.Total Project Cost: $ // ;$ ,0 0 0 Paid in Full 0 Outstanding Balance Due: SECTION(CSL} 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License Cs - /oo //,Z -/9/ J' �� r-erHolder iC .L`U�j�n[/-f License Number Expiration Date Name of CSL Holder --4— Q"GL s 7- List CSL Type(see below) L{ �� 1 No.and Street Type Description f' L-62,a, /1 0/4V4 Li Unrestricted(Buildings tlp to 35,000 cu.ft.) City/Town,State,ZIP R Restricted I&2 Family dwelling M Masonry T 1 . RC Rooting Covering WS Window and Siding L SF Solid Fuel Burning Appliances �1- 9 EGA �rCr��I�.fit64GgHa.nF .CO I ' Insulation Telephone Email address D Demolition W5.2 Registered Home Improvement Contractor(HIC) /SCE//e a Jd ` x. W " rxrci< Apefa(A rt�07E - ra �'j � HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name / 11 Y�L/ S T 0/ by v2r• (2 4gB.rrlft,yd An>�- C a 01 No and Street Email address •ltJio4ir rr 4Os—G 0/i3 1 J� i� City/Town,State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152. § 25C(6)) iWorkers Compensation Insurance affidavit must be completed and submitted with this application. Falure to provide I this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 11-- No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT �L 1,as Owner of the subject property,hereby authorize "/4TA2.t � .tG eld.[ll1 1407442to v ..,£10-1c .T to act on my behalf,in all matters relative to work authorized by this building permit application. I 5e6 47r CI-1E D Print Owner's Name(Electronic Signature) mate SECTION 7b: OWNERS OR AUTHORIZED AGENT DECLARATION . By entering my name below, I hereby attest under the pains and penalties of perjury that all of the infgrmation contained in this application is true and accurate to the best of my knowledge and understanding. I/—Z'' el,Z.Z -- Print Owner's or Au ze 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. 142A. Other important information on the RTC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at ww w.m,ass.gov dos 2. Other signatures needed: Town Treasurer/Tax Collector For all projects(MC L c 40 sec 57) Board of Health Well permit and/or Septic permit(Title V) 1 D.P.W. Water,sewer and curb cut permits 3. Debris Disposal: Name of Waste Hauler Name of Waste Facility 1 DocuSign Envelope ID: 7CA1D53C-4B0C-49A5-9A8C-7BBF7B6F18DF Kubala Home Improvements The Window & Door Experts 5 Pell Street Ludlow, MA 01056 855-458-2252 Customer authorization for building permits. Burtram Shamsideen I, , as Owner of the property located at 249 Bridge Street Northampton MA 01060 , 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. ,----DocuSigned by: 10/5/2022 16C0491fA060"00.. - Signature of Owner Date 02`S.s\ i IiG LV/![!/L f/II IYCl{iN f1 K L Vf : JJ{tC it[LJCL[J �- Department ofIndustri.1Accidents igp. 4 Office of Investigations �,y Lafayette City Center �.4 ` ` 2Avenue d _e Lafayette, Boston, A 01111-1750 WWW.ma Workers'Compensation Insurance Affidavit:s Builders/Contractors/Electricians/Plumbers Ant�Meant Information s Please Print Legibly Name (Business Organization/Individual): / y--,g= Address: c5-- PEL/ Si City/State/Zip: (u.r Gam, nir4 Oje,s. Phone=: 4,4/3-5 7—•20;C Are you an employer?Check the appropriate box: 1•CS i am a employer with r 4. D I am a general contractor and I Type of project (required): employees(full and/or part-time).* have hired the sub-contractors 5. Li New construction 2.E I am a sole proprietor or partner- listed on the attached sheet. 7. E.Remodeling ship and have no employees These sub-contractors have mP yees ❑ Demolition • working for me in any capacity. employees and have workers' ._, [No workers' comp.insurance comp. insurance.= * ; ; Building addition required.] 5. E We are a corpora:ion and its j 1D.E Electrical repairs a: additions 3.E I am a homeowner doing all work officers have exercised their 1 1.0?lumbin_repairs or additions myself. [No workers' comp. right of exemption per MGL 2 1 Roof repairs insurance required.] t c. 152, §1(?),and we have no employees. [No workers' i li.❑ Other comp. insurance required.' • *Any applicant that checks box#1 must also fill out the section below showing their workers comoensat:cn po::c. info:.anon. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new a=.da%it tudicatihc . :Contactors that check this box must attached as additional sheet showine the name of the sub-contractors and state whether or not those e_:ides have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: /17E(f',(, om J` GYluf-t14 L PY-S ufl,9 /v(€ (..;z7/ri b.a 9 Policy#or Self-ins. Lic. #: ,V r( / O ,.? 5 5 rxptration Date: 6/i/s0a3 Job Site Address: 461? /30e)tc e. S i. State. /fi9 U to la d 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 perjaities of a fine up to 51,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a :tne of up to S250.00 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 the pains and penalties ofperjury that the information provided above is true and correct Signature: Date: //—2— Phone 4: ''71/.J • 3 — /0/U /2 Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License_ Issuing Authority(check one): 10Board of Health 20 Building Department 3.DCityiTown Cleric 4.E Electrical Inspector Si'lunrbing Inspector 6.DOther Contact Person: Phone=: . . _— - . .. --r-- - '--"'"•14 PATRKUB-01 DKENNE .4`ORp' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 5/12/2022 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 NAME:Smith Brothers Insurance,LLC PHONE aA -- (A/C,No,Exq:(508)987-0333 (A/Cc.No):(860)652-3236 E-MAIL ADDRESS:generalmailbox@smithbrothersusa.com INSURER(S)AFFORDING COVERAGE __ NAM*___ _- INSURER A:Merchants Mutual Insurance Company 23329 ___ INSURED INSURER B:Citation Insurance Company i 40274 Patrick Kubala Home Improvements dba Kubala Home INSURER C Improvements -- -- 5 Pell Street INSURER D: Ludlow,MA 01056-2762 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 1 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. 1 INSR iTYPE OF INSURANCE !ADDL SUERi POLICY NUMBER - POLICY EFF POLICY EXP LIMITS LTR INSD WVD' (MM!DD/YYYYI (MM(OD/YYYY1 A 1 •' COMMERCIAL GENERAL LIABILITY1,000,00 EACH OCCURRENCE S _I CLAIMS-MADE �, OCCUR 'BOPI109317 6/1/2022 6/1/2023 PREMIs=s(Ea occ TO w�nce` $ 100,00 MED EX?(Any one oe scn; S 5,00 PERSONAL&ADV IN uRY $ Include GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 2,000,00 %, PRO- ' 2,000,00 POLICY JECT j LOC PRODUCTS-COMP/OP AGG $ OTHER: $ B I AUTOMOBILE LIABILITY • SINGLE;jIMIT 1,000,00 • 3.3G4ident) $ •r- ANY AUTO BDMMS4 6/1/2022 6/1/2023 ;colLY IN:URY;aer person) S —_ • OWNED j�SCHEDULED • AUTOS ONLY ,AUTOS BODILY IN,:URY(Per xider,-; S ' X �E� .p PROPERTY DAMAGE 'AUTOS ONLY 1__;X SOS ONLYY Per accident) 5 I $ A X I UMBRELLA LIAB OCCUR I EACH OCCURRENCE S • 1,000,0C EXCESS UAB CLAIMS-MADEi CUP9151661 6/1/2022 6/1/2023 AGGREGATE $ DED X 1 RETENTION$ 10,000 $ A 'WORKERS COMPENSATION • - STATUTE P AND EMPLOYERS'LIABILITY Y/N1,000,0C ANY PROPRIETOR,?ARTNER'EXECU IVE WCA1038596 6/1/2022 6/1f2O23 E L EACH ACCIDENT $ .QpFFICER/MEMBER EXCLUDED? 1 N/A JJI��� 1,000,0( 'Mandatory m ) —' E-L.DISEASE-EA EIytPLCYEE $ It yes describe under 1,000,0( DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMITS DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE Hni npw CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN I ACCORDANCE WITH THE POLICY PROVISIONS. CI AUTHORIZED REPRESENTATIVE CJ ACORD ZS(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserve The ACORD name and logo are registered marks of ACORD vince or consumer Hrr Irs anu uusi 1c55 twww..utlu, 1000 Washin 1 r t-Suite 710 Boston,'Massachusetts 0 11 a Home Impro 1 ement 3tractor Re• istration 1 z i.-.:..,:::.:_-_-: rij -•) " ,.:- ••.. ----Al.. .•_.•~` i t,,I Type: Individual j'• V•'• .t.. eglrtiallon: 150118 PATRICK KUBALA ir'1 V. t Elon: 03/06/2024 D/ /AKUBALAHOME IMPROVEMENTS %"•' V - T" • : L4t :.•' 1 LUDI.OW, MA 01056 I 1 yy t..i , .., i a. } " Update Address and Return Card. i I THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affatrll.dr Business Regulation Registration valid for individu use only hefore the HOME IMPROVEMENT CONTRACTOR expiration date. If found reti n a: TYWEflindividual.,• Office of Consumer Affairs :n, Business Regulation Re9)11411.017. y•'EAglf6itiA9 1000 Washington Street .e 710 150118' '. >:l;03/06/2024 Boston,MA 02118 PATRICK KUBALA r `, U/B/A KUBALA HOME IMPR4VEME•NTS:' I, IA rt.: 1 PATRICK J. KUBALA ,.,g' . .:.. . 5 PELL STREET r_.. • w(4 e...+�ei"i•fa4 . LUDLOW,MA 01056 •' ' • a " '• Undersecretary Not valid without signature � ! Commenweellh of Massachusetts STATE, (��� CO�r�r►'.�l.-�� UT c>I�dk"NhP'I I1U11►UNlt�4!�vl l k lu Division of Prolosstunst Llcensuro Ill Hoard of Minding Regulations and Standards 111.iP.IR'!'l!!.`A''1'UI%CI1,4',41`11)?R I�RUTli'!'TI01 L,HIkAlit•1.' tr:l,�% 1 /:onHt�U�:tt�V�f�;(Ij)ytrvic:or HOME XMPRoVEMEWT.•,. 1'�tAC'CfJIt Installation I PATi iCKIICCln814 CS-100114 .PEL ST., • h Iplres:09l09/2023 ,5 Ip..r 11 . PATRICK J PAIALA ► t, fi vett smear ,,) r. r.1/r)I. ►J�(!r.Ml i uio r• �7r►L I LUDI AW MA'AtOf6 'd *0�MN .E.7. .:'1.11.1.18.1.111611:71: 111:A f < U �0 •e- ./ r'A`I"RICK Kl.Il3AI A M Q, L:`IrJt'It� Vt;MI N`1.S 4 ` `iif!d'c .. --- ...... .i:xpi anon......_._. *WO,kW* • '/ �f)K�..It11Y`� y : ' kagfwiratkm1f ° r PONonM /� HIC.061971 12/01I2021'` 03/31/2023 ,�, Commissioner Ua % K. tyro�.a.. • .. .:,, . A rn 01 !II 0 ."i 0'''' 1!•:I. I- . ) r:•.11 .' p..:• .1.) '1 I I... 11 •••:: VI ;a •.i I. • .,. • :/•1 fl' 4,e. 0 I- • 1) .•I Ill III ,I. 31 , r6 1-4 Z .13 0(A ," it •'. .0) 14) IN .1:: (Ai 0 r„,) ..„, (.., ..• (ii t14 ,.', (wei • C) yi VI .1,0 w,Ill 4 I -4 V) 6.:1 ,:l. I JO Pi 11. 111, 'lib p4 6)b.. 1 A 41) 01 f•-4 4 4..1 C.) 141 ,...1 131 C,1 31 1/) v-.4 }-..1 ri l• F." 4.0 i) tt X:.• • ..,. t) 6 C.) I-1 k....I ,..`; lil (.• .) .. 1 V.) •P) NI ,- il 11 , • fir,' id I.' 8 ..it 1::i 414 ••' III . 0, C.'. 0 1 1 '.) l'' .• 1 .1.(1:),?••:( 1...):::...::::.3., ,ii)1. til_liti: IP k), 41 ..) (1.1(Zi .:::I., •-;.:..tz 1 ','i -) 1-1.,_ Iil l'..-1 1:.:7,! •c., (3) •..). 0 P. I••'" 41 ))) CI 0.?•( ‘'' ....• •' II) 13 C•). •I pa 0-. II) r..1 , ''r, ,9 ..A1 •ii..1 ' 6i 0 i4 1-1 -4'. r.,..,-.1 .... , t--, ill (1,4 -... '',e ; 4.3 V) 73 f7" '11 it, in mi. L..) ',› it. -1 .44 •"1' 't4' 1".1 .. .1 :i....%; li'l •• 1 sr. ,-'6 9 4 C) C) iii.Di-i%.• Iti(.,) • til •V 13 I f,91 . . d • tik 41 (I .1;•. 1 1 :I.•:1 ! Si. 0 IP lb 0 •i , ',..v, ,, -, p L,..• 1:.•1 .1', I/1 or %; 0 46 6 I ‘, x) 0 m ,-, .., ,... c) .•.F,(..) 4. 0 V ,;(1 j ,',,) i :3.i% , 1iI I 1:,..i •,....1 y.i t..i.lq Ili I:1 13:1 i ,.. ,., 14. y 0 to I i' VI " 1..:1 i., l) P; IL. k; Ill `,..!`, p,(1 1-••• - - 1 i., 1 I ,41 ,.. .- i) 1 0 s• , ,.,.,.., w, I:3 q ":I tr.) 1 8 hi F.: c.) ..4-.,i) o i.- .tm PO 0 . u. 4., - I 1 • 1..) 1 if I:I 1-1 ir V) )11 '1 ..,#:,-- lill.I. ( 4 i N Ail II/ ' CA li• F!"I 9 41„. 7:.;ri ..1 ill sl' (.e. . • 1... E3 () .t3 il .. .d. ..1 0 0 1.1 rii i 11 4(1 (;)01 Si% 'tii 8 •.?. .t..).11,!r,...7.:: .1.1 , 11 .1) r: i j•I ti,..,.1 rl RI 1:::: . A 1.1 ...1 fri 6 ,:.:1 [-.411 It+14 ,3, $4-I9. I:3:1 (.3 u.) P4 (!) 0 '" b 6 ei 9 Q r, 1"t:;i ,..) ,3 ro :?.. 1 ' . 0 :::.1 1" 1.1 M '..; r? fr.1 (11) .• Ili •' 'll.'''. 1 •) '. ::::: () ._4E1. • 1:01 il;:.?!...:0.•:•-•'I1;.11.el 1...,;(71 11'it:;.: 14•"' 9'11 I • [41 . 4 tilt C' ... '() •••%,,4 • 1 : •.1:-Pi i i PP...(.)41‘ .1i',_iyi0?f02". • 11 Pi ....1 41 fl •.. .1:::i.1g:. .. .30.1▪ . • ....1..-. .I.4,. i•i t./..O.A.,. rl it I • .. I . 11:4't".•' ti MI Et. 111,41 ..'•iii•.ittli!,.,i1,1., ii..lil•p 1 • . I ' • . .... .. .. . ) I ' ) I V • 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 properirliceused solid waste-dispersal-facility-as defined by-MGL o i i 1; S -I 5CA, The debris will be disposed of in: /(. Y' 0 LOCATION OF FACII,ITY //-Z-zoZZ Si of Applicant Date AFrLUA\/TT 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 is a properly licensed solid Waste disposal.facrlity, as defined by MGL c i i 1, S 150A. ----.I nerti£y_tilai notify.the Building Official y (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. /1'2- 2oZL Date Signature ermit Applicant (PRINT OR TYPE THE FOLLOWG INFORMATION) 47,GtCX ,/644414,f Name of Permit Applicant l"Q17e re. r4,164 a L.3ipiea di o7a •c�,—`'� Firm Name, if any Kuba(a 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 .25 .28 .52 47 Essential P2100A .30 .49 .60 55 Passive P2210A .25 .48 .59 46 DocuSign Envelope ID:7CA1D53C-4B0C-49A5-9A8C-7BBF7B6F18DF All home improvement contractors and subcontractors engaged in home improvement r n r r\r‘...rx rxV uru_n 1 rV rV1L IrVlr r1V V LrVrLI V r.7 contracting,unless specifically exempt from registration by Provisions of Chapter 142A MA HIC#150118 of the general laws, must be registered with the Comm nwealth of Massachusetts. 1kg 5 Pell Street Ludlow, MA 01056 Inquiries about registration and status should be made to the Director, Home 1 Improvement Contract Registration, One Ashburton Place, Room 1301, Boston, MA P413-589-1010 02108(617)727-8598 , Submitted 4,10 Burtram Shamsideen To: 249 Bridge Street Job Name: Burtcham Window Northampton MA 01060 Job location: Same 4193-623-4711 Date 10/05/2022 Patrick Estimator: • We hereby submit specifications and estimates for work to be performed and materials to be used: Remove and dispose of one double hung window in living room. Inspect opening for water/insect damage and repair as needed. custom build and install one double hung window. window is Kubala Custom Back to Basics double hung. 100% virgin vinyl , fusion welded corners, white interior white exterior. Half screen, standard white hardware. Hi-R Energy Star glass. Install insulate and seal , clad exterior trim with white PVC coated trim coil . clean jobsite and dispose of all debris. Price includes all labor material taxes and building permit. window: $1,246.00 Northampton Building Permit: $40 WORK SCHEDULE Contractor will not begin the work or order the materials before the third day following the signing of this agreement,unless specified herein. Contractor will begin the work on or about 8-16 WKSldatc). Baring delay caused by circumstances beyond the contractor's control. The work will be completed by 1 Day (date). The owner 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 DBL LOH fol wing 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 s bcontractors,employees or agents,is discovered after completion of any job,including clean up,the Contractor shall at its own expense,forthwith remedy,repair,correct,repl ce or cause to be 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 agreed- upon work. We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of: One thousand two hundred eighty six dollars. $1,286.00 dollars($ ). Payment to be made as follows: 33 %($428.00 )uponsigningcontract; PATRICK KUBALA HOME IMRPOVEMENTS 0 %(x )upon completion of x 5 PELL STREET 0 %(x )upon complction of x LUDLOW, MA 01056 413-589-.010 67 %($858.00 )shall be made forthwith upon MA HIC 150118 completion of work under this contract. Patrick Kubal a Notice:No agreement for home improvement contracting work shall require a down payment Salesperson: (advance deposit)of more than one-third the total contract price or the total amount of all --Docusigned by: deposits or payments which the contractor must make,in advance,to order and/or otherwise Authorized Signature: paty obtain delivery of special order materials and equipment,which ever amount is greater -155aEFD7Ba12a5a... 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. r--oocasigr,oa by: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES 10/5/2022 Signature .-.._...-.--_ - Date Signature Pate