Loading...
38B-102 (3) BP-2022-1469 148 SOUTH ST Map:Block:Lot:II COMMONWEALTH OF MASSACHUSETTS 38B-102-001 CITY OF NORTHAMPTON Permit: Exterior Ices PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-1469 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS Contractor: License: Est. Cost: 22486 STEVEN HIOU 103080 Const.Class: Exp.Date: 01/27/2023 Use Group: Owner: BETTY ALLEN CHAPTER DAR Lot Size (sq.ft.) Zoning: URB Applicant: SHORE LOCK HOMES LLC Applicant Address Phone: Insurance: 2 PUMPKIN PINE RD (617)699-2006 6HUBOG21140A21 NATICK, MA 01760 ISSUED ON: 11/15/2022 TO PERFORM THE FOLLOWING WORK: INSTALL 31 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: 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: Q Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner r u ' ``�.; ti The Commonwealth of Massachusetts OV Board of Building Regulations and Standards FOR i f, . /0 c10 Massachusetts State Building Code, 780 CMR MUNICIPALITY '%- " ,, :uilding Ptrrmi Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 ryq 1;°�^•e,,��� One-or Two-Family Dwelling ";1 ,�%iov This Section For Official Use Only Building Permit Number: ,-1• /4 Li 9 Date Applied:pp Kc:ur►.� 4sg i//'/G Il-/y-?./)ZZ Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 P/ 'F3' t/} '7 e1.2 Asgssors Map&Parcel Num�r 16//jj 1.1 a Is t is an accepted street?yes ' no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq It) Frontage(It) 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' caner'of Recor .eia5e c s r aiv Name(Print) 5:a�4' 57 C/3,State, 3420, 7 7 6 No and Street J�) Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied Repairs(s) 0 Alteration(s) 0 Addition``�� 0 1 Demolition 0 Accessory Bldg.CI Number of Units Other ¢Specify: 3/ /Z 7 /V/�'lD Ais- Brief Description of Proposed W 2. SECTION 4:ESTIMATED CONSTRUCTION COSTS I Item j Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ jg 4/p 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: n ,� 1ic Check No.1l( Check Amount: 110 6. Total Project Cost: $ p(p(l G 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor 'ce se(CSL) /0.30 e) 2-3Ce ( �,.)ti /r C�jLicense Number th-Z/Z6 Name of C Holder List CSL Type(see below) U a.... /--,3, P, No.and t Type Description C U Unrestricted(Buildings up to 35,000 cu.ft.) 7 6 R Restricted l&2 Family Dwelling City/Town,S ,Z M Masonry RC Roofing Covering WS Window and Siding iaSF _ Solid Fuel Burning Appliances _ R(F-"3 �l 444IRYsse/ "/ I Insulation Telephone Email address C r D Demolition 5��te istered�Ho a Improojveme ontractor :IC) Cf f 9 / / ? r ' 2,/ �0,e`` 4O C/e / �� - C Registration Number ! Exp. . ion Date HI Cony Name or C Regi N�e`�►1 �Ule�LQ�/11 , rh� i� / /7 / / �,�t �/��ds�-J N e44 , t ©!!oo f�/,'COI,'G(61I0 Email .ip ess City/Town,State,LW Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AF'HDAVIT(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 0 No SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTO APPLIES FOR BUILDING PERMITM I,as Owner of the subject property,hereby authoriz •0, ` �G�/ J GC- to act n my behalf,in all ma elative to wor authorized by this building permit application. --el/Se - .4 i `I / Z o Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest er the pains and penalties of perjury that all of the information contained in this application is true and ate to the best of my knowledge and understanding. Print Owner's or Authorized Agent's a(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 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. 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 2, 1,6 _ The Commonwealth of.%lassachusetts 1' }""" !I Department of Industrial.-lccidents _;�' 1 r I Congress Street,Suite 100 �:i Boston,MA 02114-2017 .. ` wow mass.gov/dia '11 urkers' Compensation Insurance affidas it: Builders/Coatractorsfljlectricianl1Plumbers. 10 Bk. F11.E1)%%1 mil HIE PERMITTINGAUTNORI11. %talalic:uit Iufuit'nation Please Print Legibly Nainc liiiisinews,Organization Individual): jf A,q Address:_z 2__ �� p �1)1 .._.L__ / 4-, �� City/State:Zip: � • Phone 6/2--' CO iV''" 2 'o, Are.an an eraplawer'Cheek the appropriate I Type project of (required): 10 I am a employer with .._.__ ernp$o ees Ifull amain part-time).• 7. Q New construction 0 lam a wok proprietor or partnership and have nu empkreas working for ate in R. 0 Remodeling any capacity.[No workers'comp.MAMMY requital.] 30 I am a Iwm io'aisr doing all work myself.[No workers`comp.insurance rtatuired l r ❑Demolition 4.0 I am a!winnow Ma and will be hiring contractors to conduce all wort;on my property. I Will i 0 Building addition ensure that all cua tractors ciths-r!UAW woken'compensation anwranec Of arc hole I I I:3 Electrical repairs or additions netur's with no employees. 12.0 Plumbing repairs or additions 5 am a general contractor and I hint:hired the sub-contractors listed on the mai:bed sleet. er 13.�Roof repairs ,,/ 1. These sub.ceintraeLLon twos employees and haver workers'comp.unurarct% (�(/I�t.'�/L4/ 6.Q M'e arc a corporation and its utfi:ers have exercised then right at exemption per MCaL c. 14. Other 2/ S 152_r 114a,and we have no employees.[No workers'sump.insurance required) �`' •Any applicant that chocks box u I muss also fill out the section below showing their workers'compensation policy irtforaoaii tan 'llumeow nem w ho subunit thus at7ntov it indicating they arc doing all work and then hire outside contractors must.obnut a new aITtday it indicating such. :Contractor,that check this boo must attached an additional sheet showing the name of the sub-couiactcars and state a hether or not those entities hawk employee. It the sub-cortracto r%have e-n ilowcs.they must provide their workers'camp.pole}'number. t am an employer that is providing worker.'compensation insurance for taryemployees. Below is the pit/it i and job site information. IrJsur:iatc.tr Company Name: ZOC-C-4) /Zel •= e--- (.. ---,...r____It. ____a.-1.e.._ Policy#or Self=ins.Lie.#: 'ff d 62// l�Gfv9- Expiration Date: e� 0 Z$ Job Site Address: / (J eJe.i 7�i( City/State L a i,..ZV QuiA%h '� Attach a copy of the workers'compensation policy declaraWw page(shwaing the policy number and expiration date). Failure to secure coverage as required under tiMGL c. 152.*2SA is a criminal violation punishable by a tine up to S I.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 S250.00 a day against the violator. A copy of this statement may be forwarded to the Office of Investigations s of the DIA for insurance cos eragc verification. I do hereby certify un r the pacts and a etIurf that the information provided above is rut correct // 2 0 a 2-� Signature:_ Date Phone r. 7 — _d '.7 2l Official use only. Doi not ir'ri►e in this area.b be completed by city or town official 1 l City or Toss n: Permit/Lieease# Issuing.‘uthorits (circle one): i I. Board of health 2. Building Depot-truest 3.Cky!TowaClerk d.Electrical Inspector 5. Phunbiii Inspector 6. Other Contact Person:_ Phone r`<:_ _ City of Northampton Massachusetts 4A.'t ry DEPARTMENT OF BUILDING INSPECTIONS 1P P' y 212 Main Street • Municipal Building ' J Ct Northampton, MA 01060 rsb� ��� CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: ,y�'",�' ' ,/U‘‘,„- e. Location of Facility.9/ (177/7‘ ‘ t\( , f The debris will be transported by: Name of Hauler: / S 1 �, v /� 4 Signature of Applicant: 4? '?) Date: /l © 22_____ THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card 197821 SHORE LOCK HOMES LLC Re 2 PUMPKIN PINE ROAD pration:Expiration: 0 01/28/1/28/2024 NATICK, MA 01760 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Supplement Card Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 197821 01/28/2024 Boston, MA 02118 SHORE LOCK HOMES LLC STEVEN HIOU 2 PUMPKIN PINE ROAD ✓fur �:;% •=d .. NATICK,MA 01760 Undersecretary Not valid without signature Construction Supervisor Commonwealth of Massachusetts Division of Professional Licensure Unrestricted -Buildings of any use group which contain Board of Building Regulations and Standards less than 35,000 cubic feet (991 cubic meters) of enclosed space. Constrottt t n visor CS-10308C E%pires:01/2712023 STEVEN C HIOU 2 NEPTUNE ROAD'W140 . EAST BOSTON MA 02128 ••t()N♦..t_t0-A-s` Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. ,P For information about this license Commissioner CJI, Call (617)727-3200 or visit www.mass.gov/dpl ACORO CERTIFICATE OF LIABILITY INSURANCE °ATE(MMIDO/YYYY) 3/30/2022 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 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 CON NAME:CT Certificate Department FAX A-Costa Insurance Agency Inc (aC No,Ext): 508.875-3488 (A/c,No): 508.875.9388 1 Franklin Cmns ADDRESS: colt a-costains.com -- INSURER(S)AFFORDING COVERAGE NAIL# Framingham MA 01702 INSURERA: Evanston ins Co 35378 INSURED INSURER B: SHORE LOCK HOMES LLC INSURER C: 2 PUMPKIN PINE RD INSURER D: INSURER E: NATICK 01760 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_ 1NSFF' TYPE OF INSURANCE ADC-SDB17 POLICY EFF POLT�— LTR INS° WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000.000 HEN tli CLAIMS.MADE X OCCUR PRE ISESO(Ea occurrence) $ 50,000 MEO EXP(Any one person) S 1.000 A 2D86944 3/30/2022 3/30/2023 PERSONAL 8 ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JET LOC PRODUCTS-COMP/OP AGG $ 1,000.000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO 60OILY INJURY(Per person) $ ALL OWNED —SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED —FROPGRTTIYA1 HIRED AUTOS AUTOS (Per accident) _— S UMBRELLA!JAB OCCUR EACH OCCURRENCE S _ EXCESS LIAB CLAIMS-MADE AGGREGATE S CEO 1 RETENTIONS S _--_ WORKERS COMPENSATION E'EN UIH- AND EMPLOYERS'UABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE N/A EL EACH ACCIDENT S OFFICERIMEMBER EXCLUDED? (Mandatory in NH) E.L DISEASE-EA EMPLOYEE S If yes,describe under - DESCRIPTION OF OPERATIONS below EA_DISEASE-POLICY LIMIT S DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be 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 POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE IZ ©1988-2014 ACORD CORPORATION_ All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD i ® DATE(tAIAJ202YY) A �..�. CERTIFICATE OF LIABILITY INSURANCE 08/04/202222 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 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 Sara Reis NAME: •J&B INSURANCE AGENCY INC DBA ROCCO ROSE INSURANCE AGENCY PxONE 508 584-7100 Prix ADDRESS: Sara@roccorose.com 360 Oak Street INS URER(S)AFFORDING COVERAGE NAM II BROCKTON MA 02301 INSURER A: TRAVELERS INDEMNITY CO OF AMERICA _ 25666 INSURED INSURERS: SANCHEZ MICHAEL INSURERC: / DBA SANCHF7.ROOFING CONTRACTING INSURERD: —_ 52 ELLIS ST APT 3 INSURER E: BROCKTON MA 02301 INSURERF: I COVERAGES CERTIFICATE NUMBER: 756387 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. 1LIR R TYPE 1-AD N SD ID S 1Nyp UER PPOLICY NUMBER (MOMJUDDNYYY)JMM DDIYYYY) LIMITS LT COMMERCIAL GENERAL LIABILITY BACHOCCURRENCE S I _ CLAIMS-MADE n OCCUR ' PREM1S6�ac�alFrrnrn) S MEDEXP(Any one Dusan) $ N/A PERSONAL&AM!INJURY S GEN'L AGGREGATE U MIT APPLIES P ER: GENERAL AGGREGATE $ __ POLICY f 1 JEC�r' LOG PRODUCTS-COMP/OPAGG $ OTHER $ AUTOMOaILELIABILITY COMBINED SINGLE LIMIT S (Ea accident) ANYAUTO ' BODILY INJURY(Per person) S ALL OWNED SCHEDULED AUTos N/A BODILY INJURY(Per accident) $ AUTOS NON-OWNED PROPERTY DAMAGE S HIRED AUTOS AUTOS (Poraccidenit $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S 1 FJ(CESSLUI6 CLAIMS-MADE N/A AGGREGATE S DED RETENTIONS $ WORKERS COMPENSATION P N� 0RH- AND EMPLOYERS'LIABILITY A OFFIcERNEMBERE<CLUDEE D?ECG WA NIA NIA 6HU$0G21140A21 08/04/2022 08/04/2023 VE EL EACH ACCIDENT s 100,000 (Mandatory In NH) EL.DISEASE-EA EMPLOYEE S 100,004 If yes,describe under DESCRIPTION OF OPERATIONS below E_-DISEASE-POLIOYLIMIT S 500,00D NfA DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORO101,AdditionalRemarksSchadale,racybaattachedifmorespaceis/up:Trod) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 OS 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 Iho 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 wwl,v.mass.govliwdfworkers-compensation nvestigatlonsi. 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 ACCORDANCE WITH THE POLICYPROVISIONS. AUTrHORIZEO REPRESENTAT W E 1p.,.rk (J .1 • I Daniel M.Cro ey,CPCU,Vice President—Residual Market—WCRIBMA 0 1988 2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD 5053 8ho o Lock Norms, LLC MA Lic.#193828 RI Lic.#32035 2 Pumpkin Pine Road TOLL FREE 1.844-916.9438 www.iustfixmyhome.com Natick, MA 01760 Ron Lewis:617-699-2006 direct line Email: 7., Home Customer. `-7e-.q/5e 5nCQ / No.: StreetAddress: /4 - . c' j Celt No.: iv/S ' y1Z O--75-7, City/StalefZip: ! f 1t IiLC1? lit /, 4 Work No.: The Contractor proposes to furnish all listed material and labor necessary for the completion of the following job specifications: /c-G iD i/N .5/ -L i..s94se. •-(—)/Af C4 c t.) 5 y--9y�£zv(�_- 4 i .5- 7--Cfr- .'" ,/ //f/egVX ,X-_ -_,:-/---d--- ,2 1b, ..,40725 z---)- 21,evy,,c( ;11.‘ 6 az...ef-/- ri7dc.L..-t C' %Z (�q_,r 7 ell a/ ati 6hP f_-e h Above specified materials end labor willfurnishedfortivetotatsum f 1 .s.D Deposit with order.$ Middle payment due rr-----__._,__ Completion Pay ntS___L��-�. ,i_4 . Qv Credit card: MC Visa —Amex fscover Notes:(")including all finance charges (")Law requires that any deposit or down payment required by contractor before work begins may not exceed the greater(a)One third of the total amount of the contract price or(b)the actual cost of any special equipment or custom made material which must be ordered in advance to meet the completion schedule. Expr arranty—is an express warranty being supplied by the contractor? Yes No An and all alterations or deviations from the stated specfications involving extra costs and materials will be executed only upon written orders.These f changes turn into an extra charge, over and above the estimate.Ail agreements are assignable &contingent upon strikes, accidents or delays beyond contractor's control.Owner-of property to carry fire,tornado, and other necessary insurance.Our workers are fully covered by Workmen's Compensation Insurance. if Shore Lock Homes, LLC commences legal action to enforce its rights pursuant to this agreement, as the prevailing party in said legal action SLH shalt be entitled to retain all deposits up to 33 113%as liquidated damages.Recover its reasonable attorney's fees and costs of litigation relating to said legal action, as determined by a court of competent jurisdiction. Contractor X elle Representative This proposal may be withdrawn if not accepted within days. Acceptance of Proposal As stated in the above specifications.The costs,materials, and specifications are satisfactory and are hereby accepted.I authorized the contractor to perform the work as specified and payments will be made as summarize above. DO NOT SiGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES!!! • fwo identical copies of the contract must be completed and signed one copy should go to the Homeowner(s)the other copy should go to the contractor. lou mgv cancel this agreement if it has been sinned at a place other than the contractor's normal place of business.provided yottpotify the :nntractor in wrrtinstat*nether main office of brartch office by ordinary mailposted,by telegram sent or by delivery,not later than midnight of he third bustaess dajfoJiMtrWaning the agreement Date: l/ j 6 7 :ustomer Signature: X A ‘ . X county Interest Yes,�e /No, j/ stimated Start rsTr1./9-''n stimated Completion: ,'4-