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28-049 (11) BP-2023-1130 94 CAHILLANE TERR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 28-049-001 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-2023-1130 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: Est. Cost: 8963 PATRICK KUBALA 100114 Const.Class: Exp.Date: 09/09/2025 Use Group: Owner: ELIZABETH MAHONEY JAMES & Lot Size (sq.ft.) Zoning: WSP Applicant: PATRICK KUBALA HOME IMPROVEMENT Applicant Address Phone: Insurance: 5 PELL ST (413)589-1010 WCA1038596 LUDLOW, MA 01056 ISSUED ON: 08/18/2023 TO PERFORM THE FOLLOWING WORK: 7 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: 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: • Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner Rom,�, The Commonwealth of Massac use . Board of Building Regulations an Stan i ardi.• �� � FOR / Massachusetts State Building Cod . 780 CMWG i j AL. CIPALITY USE Building Permit Application To Construct, Rep r, Rs.: • - Or Demolish a Rev ed Mar 2011 One-or Two-Family Dw Ne,gH u�eornrG Inr This Section For Official Use Only A 'oN•mA 0706710Iva Building Permit Number. 6 O^ 443-11, Date Applied: tr.) •JS 5� 1C& n 8-18�ZOZ. Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION ' L1 Proper Address: 1.2 Assessors Map &Parcel Numbers ?V A/S,1'L z ANE isr-%dde.e• 1.1a Is this an accepted street? yes --f- no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use , Lot Area(sq fti Frontage tft) 1.5 Building Setbacks (ft) Front Yard I Side Yards Rear Yard Required Provided Required Prov ided 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 CI _Zone: Outside Flood Zone? Municipal❑ On site disposal system 0 I Check if y-es❑ SECTION 2: PROPERTY OWNERSHIP1 2.1 Owner'of Record: /' JAcies .I. EtszAtsem 'aµor-Ey 6- L0R .".' Alta o/o6 a Name(Print) City.State.ZIP ?I c f ,,ziL4 rv6 a 4e• ' /.? D• /o2 T No.and Street Telephone Email Address • SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 I Existing Building ElI Owner-Occupied El } Repairs(s) 0 Alteration(s) 0 Addition CI Demolition 01 Accessory Bldg. 0 Number of Units Other ¢3 Specify: • Brief Description of Proposed Work': Rg pIACC rj ap;n,te[o u. S SECTION 4:ESTIMATED CONSTRUCTION COSTS ' Item Estimated Costs: Official Use Only I j (Labor and Materials) 1.Building $ 1. Building Permit Fee: S Indicate how fee is determined: 2.Electrical $ 0 Standard City:Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3.Numbing S 2. Other Fees: S 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total Als: S Suppression) Tr' n Check l.) Check Amount:Ct( VCCash Amount: 6.Total Project Cost: 1 $ $, 10 743,0 v 0 Paid in Fu 1 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) NCO /) el d g a License Number Expiration Date Name of CSL Holder(Or homeowner if owner applying) r ' 2 List CSL Type(see below) 1/t V 7 Net a8i z� ` T Type Description No.and Street U Unrestricted(Buildings up to 35,000 cu. ft.) ,�i_.L 10 40 MA 0)D. R Restricted 1&2 Family Dwelling City/Town,State,ill' M Masonry RC Rooting Covering WS Window and Siding SF Solid Fuel Burning Appliances (/,3 9/O/p �Y°�rly (CNBC�Zl� l•1gP')F; I Insulation Telephone mail address /h D Demolition 5.2 Registered Home Improvement Contractor(HIC) oZ p1 y// /'3JJZo 2;5� 6/31..4 11go MC .2/12Pe-0)'64/( N HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name // 3 a4 /64t sA Q9 ,f'T Odic rl›t kcc.34tA,tlpirlB No,and Street Email address 4-aDIOw /k4- a10S6 'fi3 -Sa'p-APv 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 ❑ 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 4TAX _ 4420.4 .A to act on my behalf,in all matters relative to work authorized by this building permit application. Jet Arritc-A1-E. Print Owner's Name 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 bes y knowledge and understanding. Print Owner's or Authori Agent's Name &Signature 780 CMR R105.3(6.) 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 halt7baths 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 Improvement Your Window & Door Experts 34 Hubbard Street Ludlow, MA 01056 855-458-2252 Customer authorization for building permits. '/A)1( (h I, 1 ? VK , , as Owner of the property located at 94 (ak 010, ,Q 77,r . kuo co (1/i/61' °1,6hereby authorize Patrick Kubala Home Improvement to act on my behalf, in all matters relative to attaining building permits, and all matters relative to work authorized by such building permits. (1'74/.2 3 I h Sign to of Owner Date KHI103 .�\ L tie C.t rft tin IYCfLLLft Vf :►l f[JJ KC/LKJCLCJ pit Department of Industrial Accidents ■ = Office of Investigations -'�- Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/OrgartizationiTndividual): ,&&iIL H �447/J7! �/���o 14 11/7 -5' Address: ,4 f A4< ST City/State/Zip: ,4<4.A oW j7 j 4 O/ 'J6 Phone#: 4'/? -5Y-20/c) Are you an employer? Check the appropriate box: Type of project(required): 1.® I am a employer with /0 4. ❑ I 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. ❑ Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp.insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.E Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] ' 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. 1.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 policy and job site information. Insurance Company Name: 2eg �yc�,Q/�T J "tTL/i42 Policy#or Self-ins. Lic.#: G/�(/C/Q lD �r�j16 Expiration Date: 4'�i 'n Job Site Address: 9' (:A 1/rZ : lar. /C R2 • City/State/Zip: 04/oi nicel /19a 0/0 6 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 a ainst 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 of perjury t t the information provided above is true and correct Signature: Date: 6r7( 3 Phone#: 9/3 -S-4 / /v 7 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): 11:21Board of Health 20 Building Department 30City/Town Clerk 4.❑Electrical Inspector 5Elumbing Inspector 6.0Other Contact Person: Phone#: ACOR©' PATRKUB-CL DKENN ki.....--- CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 5/22/2023 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 Smith Brothers Insurance, LLC • NAME: _� 300 Main Street PHONEAX (A/C,No,Ext):($08)987-0333 (Ajc,No),(860)652-3236 Oxford,MA 01540 ADDRESS:generalmailbox@smithbrothersusa.com _ INSURERS)AFFORDING COVERAGE NAIC# INSURER A:Merchants Mutual Insurance Company 23329 INSURED 1 INSURER B:MAPFRE Insurance 23876 Patrick Kubala Home Improvements&Kubala Home Improvements LLC INSURER C 5 Pell Street INSURER D: Ludlow,MA 01056-2762 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. MIR IADDLISUBR1 POLICY EFF POLICY EXP 1-1EL. TYPE OF INSURANCE (INSD I WVD 1_ POLICY NUMBER (MM/DD/YYYYI IMM(DD/YYYY1 LIMITS A X COMMERCIAL GENERALUABIUTY 1, EACH OCCURRENCE $ 1,000,001 CLAIMS-MADE X I OCCUR I 1B0P1109317 6/1/2023 6/1/2024 PREM SESO(Ea occurrence) $ 100,001 MED EXP(Any one person) •$ 5,001 I - PERSONAL&ADV INJURY $ Include) GEN.!.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,001 X POLICY JEL�T LOC PRODUCTS-COMP/OP AGG $ 2,000,001• I OTHER: I $ COMBINED SINGLE LIMIT 1,000,001 B AUTOMOBILE LIABILITY , (Es accident) $ ANY AUTO BDMM64 6/1/2023 6/1/2024 BODILY INJURY(Per person $ OWNED SCHEDULED AcUgTEOpS ONLY X Au-roSyyNE I BODILY INJURY(Per accident) $ - X AUTOS ONLY X AtfSOS ONL� (PROPERTY er ac dent)AMAGE $ $ A X UMBRELLA LABOCCUR r EACH OCCURRENCE $ 1,000'00( EXCESS LAB CLAIMS-MADE CUP9151661 6/1/2023 6/1/2024 AGGREGATE $ DED X RETENTION$ 10,000 $ A WORKERS COMPENSATION • STATUTE ER AND EMPLOYERS'UAB(LI Y y IN ;WCAI038596 6/1(2023 6/1/2024 1,000,00( ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ N/A ' 1,000,00( MFCER/MEH EXCLUDED? I E.L.DISEASE-EA EMPLOYEE $ If yes,describe under E.L.DISEASE-POLICY LIMIT '$ 1,000,00( DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS!LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE OVE DESCBLI BE CANCEL BEFORE THE EXPIRATION DATEAB THEREO RIF,ED NOTICEPOCIES WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REP111.100RES�E�NTATIVE konchcz, ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Division of Occupational Licensure W,illiSl',1:1T. (•)!1 ( u i�i X;j <<T Board of Building R ulations and Standards III.l'I N l 111 1 r or Cr!1.51'm11 it',Roil c i/U\ •.;"u Can Mit4terry sQr HOME IMP `� � 'OTRAC'I`OR :S-100114k `; j tires:09/09/2025 H[7DA7r!At• 4MP41 NT LI.0 PATRICK J1� ^I ` I.0 14' `Lk-g 34 HIJBBAftI'i ! 4 f►� ► L., .. a 0 tbs 55 I I Wbt oW MAA° 1 ' :r, ! . V .7,.) 1 '7 V,,i 0 r e. '. ' `• tte wdon `6 --- --. Or.LV4P HIC.0669025 /03 '.29402i,3��",' - 03/31/2024 Commissioner SIGNED I THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Aff., ." • Business Regulation 1000 Washing •`"'� 11,1k - Suite 710 Bosto .._,�T . .....,.-..o�11$ Home Im•ro alii inar�.wr g es istration i »""". rorowirvom..1000 to "" ""4liti " , Type: LLC ."..__ .q • e• • anon: 207401 KUBALA HOME IMPROVEMENT t =� ------ E ij,ation: 01/31/2025 34 HUBBARD STREET w F. n .....,._.: LUDLOW,MA 01056 MM' "w .. "".."".M .",M...,.r �» Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Aff� Business Regulation Registration valid for individual use only before the HOME IMPROV�' ;;f ONTRACTOR I expiration date. If found return to: _�;:,,� Office of Consumer Affairs and Business Regulation ,' " `- : ''= I I 1000 Washington Street -Suite 710 I i. ,. w1 `I Boston,MA 02118 JBALA HOME IM 1 Iii � ,' = " \TRICK KUBALA --1 f •HUBBARD STREET t` lam . IDLOW,MA 01056 ''' "'""4.4•4/ • _ A •-• -. •-•en • - Nr•-t IJZ 014./7"‘. DM7. .4.RrugsATT T _ - tit LABOR STANDARDc • - 19 - 01'7 7 4- RENO ITA — :JO CONTRACTOR LICES AL A 310- 7447P (1147"3 TITNT pra: rt1,-;•4.-4 Tr"MA E--ZPIRE-S: Sunday;May Vs-44 ;-.4.TT-L'T:z LICENSE IS 5-L7-,3 .„ • ' DWARTW-ENT OF I-AMR SDS TOT7-7-70O3Ov FOR n.= mcc3A-,72,7-::3 244"T THIS LN5E2 1.7_4_:"T. OP PI7e-74.,..•7./3. • 1:13.2.7-tr7FN 21,7LAIN.TANT4r' Y-1.14-'17 Cf- -.1•CTO-11.-TNZ . C. § AY.C&4.54 174...---7•4.TCNATiON L,Fc. 11:01"),MA -• E 7-'7N(.1 Vsratc1.7.7 T 4:7).5A 774 7.1.77NOVil-1-7:.ON CON7R-. .111.WORM WOR-, 51-77...7%.1-r:SCR,*••1;F:-CMAS • ZAKEN..7 TT-7T—'"i7.,x ,Q" 7_3131;17:,.7.1-c_AININ'a AS 3EQ=7,;BY 454 afa 1.2.6(.% 0 cArE-RSP-77.7— • .71- • • Please aera--.:47 tftte IT3TrxF19 tE4.1 •• thiS :17"8".t i'netintEined k..;-1f'N'S.P.Thr=rnt:CAT.:\vV-' 1.••••::•••••=A•," - _ - 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 aproperlyyhee,xsed solid waste-dssp$sa-faei ity as defined byM@L c 111, S 50A, The debris will be disposed of in: Jr pfC- LOCATION OF FACILITY ,)i s'/a3 Si of Applicant Date AFFIDA-GTT 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. _--- ertify_tb a.S I w_ii412,9t,fy 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. Date Signature ermit Applicant (PRINT OR TYPE THE FOLLOWING INFORMATION) it,tcaF7 Lrt� Name of Permit Applicant 1`",ar, e, Xee Lef s a .lir Ro_./174r et-- 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 1 52210A .24 .21 .48 47 Hi-R N2210A ! .25 .28 .52 47 Essential P2100A .30 .49 .60 55 Passive P2210A 1 .25 .48 .59 46 KUBALA HOME IMPROVEMENT LLC 1 MA HIC#207481 All home improvement contractors and subcontractors engaged in home improsement 1�1� 34 HUBBARD STREET contracting,unless specifically exempt front registration by Provisions of Chapter 142A of the general laws, must be registered with the Commonwealth of Massachusetts, LUDLOW, MA 01056 Inquiries about registration and status should be made to the Director, dome Improvement Contract Registration, One Ashburton Place. Room 1301, Boston. MA 41 3-589-1 01 0 02108 1617)727-859 —.r78 Submitted il Q P- Cie To. 9,M40. �- V-t 2AbQ heA140-ey �rtn y �TJob Name: TheAllU11�, 9 4 all i I Lc vt. V1 c r -7--/014 r 2. MA o 1 O(Q Job location: Cl ru vi ce Phone `�t 3 y Ag h_Ir � pate C6/3 3 Estimator WI We hereby submit specifications and estimates for work o be performed and materials to b ed: Ie6f)O1R- ,- 01 (5Se ,P))0 A wfnd0&'S5 9- bcwA ovno1d fix. Cf- Ottr or 41),i-it ,, cL c s m ,I J( 9-- ill!'1a 7 a I 1 ,;OCIC _ MS./c5 t.inrJc S, C` vent- genJ a Pa +4 t f -E1 tam L ' !1 , CS Cats fc Q e 01 (? 1.,..E 2:c _Ai ii f t (J O it. .. .5 Aael07 Graft � !,1 5t tai $1 Scsz�-�S (,f�'1 chublx. e, , , &Len a , ram, & D 1 r t� , Arteb, cin � t c P (� 'eiese(245-1- C a�s-o�-` , 0 , 6/ANI t ►1 ? ' a . 'n c,A i ig, M6 5(, C a-� h, WORK SCI IEDULE 10 0 .earl y pay eAct fvQ Contract r will not hidwork or order the materials befo e tfut:tbi d day following the sag ng of this agre cot,unless specified herein. Con for it the work on or about � d to. Baring delay caused by circumstance beyond the contractor's control. The work will be completed by E Off-' (date). The owner hereby acknowledges and agrees that scheduling dates arc approximate and that such delays that are not avoidable by the Contractor including but not limited to strikes,Acts of God, shortages of materials,accidents,and all other delays beyond the its control,shall not be considered as violations of this Agreement. WARRANTY ��J /G ht- The contractor warrants that the work furnished hereunder shall be free from defects in materials and workmanship for a period of �J�—�f_ollowing completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship or materials,or damage caused by the Contractor, its subcontractors,employees or agents,is discovered after completion of any job,including clean up,the Contractor shall at its own expense, forthwith remedy,repair,correct,replace or cause to be remedied, repaired or replaced,such damage or such defect in materials and workmanship. The foregoing warranties shall sun Re any inspection performed in connection with the agreed- upon work. We Propose hereby to furnish material and labor—complete in accordance with above specifications,for the sum of: _ � dollars($ � ,� )- Payment to •made�efrr!loKs: °i°( J{� )upon Signing contract; KUBALA HOME IMPROVEMENT LLC %( )upon completion of 34 HUBBARD STREET %( )upon completion of_ LUDLOW, MA 01056 413-589-1010 bp %(_____� �Shal!be made forthwith upon MA HIC 207481 ,........S completion of work under this con rtct. Notice:No agreement for home improvement contracting work shall require a down payment Salesperson: (advance deposit)(Amore than one-third the total contract price or the total amount of all deposits or payments whichthc contractor mast make,in advance,to order and/or otherwise Authorized Signature: obtain delis cry of special ordeermaterials 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 arc referred to above hnd incorporated herein by reference. D NOT SIGN THIS CONT ACT IF THERE ARE ANY BE NK SPACES Signature Date'. 3 95 Signature_ ' Date 0723 t:urni