HomeMy WebLinkAbout2004 - Windows, Siding and Roof 2004
Town of Montville
BUILDING DEPARTMENT
310 Norwich-New London Turnpike
Uncasville, CT 06382
(860) 848-3030, Ext. 382
Building Permit
Permit Number: B2004-0169 Date: 23-Apr-04 Map/Lot: 094/013-000 Owner ID 5003
Job Location: Unit
Job Description: Windows, Siding & Roofing
Owner: Contractor:
Gregory A and Donna M Geiger The' Home Services
315 Greenwood Street
11 Baseview Court Worcester Ma. 01607-
Uncasville CT 06382 Telephone: (401) 935-2633
Lic/Reg Type/No. HIC 565522 Exp Date: 30-Nov-04
Tenant:
Self
Telephone:
Construction Values Permit Fees Construction Information
Building Value: $24,935.00 Building Fee: $148.00 Use Group: R4
Plumbing Value: $0.00 Plumbing Fee: $0.00 Code: 1995 CABO
Mechanical Value: $0.00 Mechanical Fee: $0.00 Construction Type: 5B
Electrical Value: $0.00 Electrical Fee: $0.00 Permit Code: R4
Other Value: $0.00 Other Fee: $0.00 Comments:
Total Value: $24,935.00 CO Fee: $0.00
Plan Review Fee: $0.00
State Ed Fee: $3.99
Total Fees: $151.99
It is the owners responsibility to schedule the following inspections (minimum 48 hours notice required)
❑ Footing - Prior to pouring concrete ❑ Rough HVAC
❑ Backfill - Footing drains and waterproofing ❑ Fireplace Throat
❑ Concrete Slab - Prior to pouring concrete ❑ Chimney - One flue above thimble
❑ Rough Framing ❑ Firestopping/draftstopping
❑ Rough Electrical ❑ Insulation
❑ Electrical Service CRS 0 7V Final Inspection
❑ Rough plumbing and leak test ❑ Certificate of Occupany
❑ Gas piping and test
Building Official's Signature:
s
Town of Montville
Building Department Permit #
310 Norwich-New London Tpke.
Tel. 848-3030, Ext 382 Uncasville, CT 06382 Fax. 848-7231
One & Two Family Building Permit Application Form
0 New Construction ~ Addition Alteration Accessory Structure
n of&r
Job.Location
Job Description/Materials in 16
Y i
L &2 i .1A
Owner Mailing Address
City 1 State<:~!_ Zip in
Contractor ('~1v Mailing Address >
City f' State Zip Te /
Contractor's License/Registration Type & Number &ffk xp. Date_YA/
I hereby certify that the proposed work will conform to the Basic Building Code and all other codes as adopted by the
State of Connecticut and the Town of Montville and further attest that the proposed work is authorized by the owner in fee
and that I am authorized to make applicatio or ermit for such work as described above.
Owner /Agent Signature 49
Date/ ay /
04-11
Construction Value Fee
Building $ Zl
Plumbing $ $
Mechanical $ $
Electrical $ $
Other $ $
Certificate of Occupancy $
Plan Review Fee $
State Education $ 299
Total $~,rv
(See Rsverse side for additional requirements)
Town of Mont-ville Building Department Receipt
No. t. E.~
Date
From:
11 A~~~-'
Job Address_
Check 4 17 7
Cash C Chcck
IF Amount i ~(-irclc one)
Pen-rut 9
Received by
T
ate:
AT H OM
*bt
SERVICESo=Elio
Location: e 0
To Whom It May Concern:
This letter will authorize the following person(s) to act as agent(s) on behalf of
THD At-Home Services, Inc., 3200 Cobb Galleria Parkway, Suite 200, Atlanta, GA
30339 to pull and sign for permits and inspections with respect to the installation,
maintenance and repair of windows and siding under Connecticut Contractor license
number 565522.
Authorized person(s):
Richard Fallone
Con ractor of r -David Katz
THD At-Home Services, Inc.
STATE OF GEORGIA
COUNTY OF COBB
The foregoing instrument was acknowledged before me this 26`h day of March,
2004 by David Katz.
(Seal)
Notary lic-State of Geor x is
_Margaret Payne
Printed Name:
01/21/06
My Commission Expires:
Personally Known X Or Produced Identification
Type of Identification Produced
THD At-Home Services, Inc.
3200 Cobb Galleria Parkway • Suite 200 • Atlanta, GA 30339
(770) 779-1300 • Fax (770) 984-0709 • Toll Free 1-877-469-0114
,
STATE OF CONNECTICUT ♦ DEPARTMENT OF CONSUMER PROTEC ON
Be it known that
THD AT-HOME SERVICES INC
I 3200 COBB GAL!LE"-PARKWAY STE 200
ATLANVA, ' Ai 3631-%
' bas been certified.by the Dep tfiii" t of c~ist~mer Protection as a registered
HOME IMPVN:N'I' ;ONTRA►CTOR
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.-Edwin R. Rodriguez, Commissioner
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PROPOSAL AND CONTRACT
DATE:
L The Home Depot; A[-Home Services
STORE 207 Kelsey Lane, Suite G
Tampa, Florida 33619
JOB Home Improvement Contractor
AT-HOME consnmcr Affairs 1)tpL• 1.888.681.7221
f I LEAD 55 U \TA Lic. #112785 CT I-ic. #533772 RI Lic. #9480
g~ PiJ C-i.CSFR'S NAME - hIOf.1F PHONE OFFICE NUMBER
RI} C~ Z670 03- y26
ADDRESS OJT)' STATE ZIP
NEARS TC SSSTREcF INSTALLAIIO DDRESS, ''FDiFLRLTfT C(?Y STATE ZIP
D
$At-ESPERSOK 10 CHECK ITEMS TO BE El PREPARATION ❑ ROOFING C' SHEET. IOETAL ❑ SOFFIT & FASCIA ❑ CLEAN-UP
BID AND SPEC FY ON PROPOSAL , U TEAR-OFF ❑ CARPENTRY VENTILATION ❑ GUTTER WORK
INSPECTION REVEALS THE FOLLOWING PROBLEM AREAS: L- NAIL OVER EXISTING SHINGLES.
$hinglesecking chimney Flashing U Shakes, Tiles, Metal Apply over existing shingles. CAUTION: New materials will conform
$ Vent to unevenness of existing deck and/or shingles.
r~Vent Pipe Flashing ❑ Dormer Flashing y; Ventilation ❑ Guttering
/ ~~INSTALL: ~
❑ Valley Flashing ❑ Overhang & Trim ❑ Exposed Ceiling ;C~yvind/Water/Ice Underlayment Ln.Ft.
❑ Other - V chimney Install or Rework: ❑ Dormer/Wall Flashing
THE HOME DEPOT agrees to arrange installation of the following type Vhimney Flashing `Step Flashing ❑ Vent Flashing
❑ Other Flashing
of opting material with limited material warranty b he Manufacturer:
C {j~l/ VENTILATION TO BE INSTALLED:
- f A~ 54idge Vents ❑ Static Vents ~ave Vents
Material Name Years Color'/
LI Turbine Vents ❑ Power Vents ❑ Gable End Vents
(see limited warranty for details)
Note: No warranty is given for leaks caused by backup of nails. SACK COVERS: Replace # 2-- Size:
Note: Blends show less variation in shade due to light reflection than DRIP EDGE TO BE INSTALLED:
solid colors. Black normally has some shade variation. Install _ ' I'S L.F.
GUTTERING (Color and Description):
To be installed on a _-Z story house. Rise Per 12"
❑ Attached Garage ❑ Free-Standing Garage ❑ Low-Slope OVERHANG AND TRIM (Color and Description - Reasonably Match
Other: Existing):
CLEAN-UP AND REMOVAL: Job site will have a neat, clean
TYPE OF EXISTING ROOF:
[p(; Shingles !Sable C Hip ❑ Mansard ❑ Shakes appearance after the job is completed.
/ Note: The Home Depot is not responsible for any existing masonry,
❑ Tile ❑ Low-Slope ❑ Slate ❑ Other wood or other materials, nor any items above the roof line. Any
Note: The,Home Depot takes no responsibility for identification nor hidden conditions which require additional work or any extras
removal nor disturbance of existing environmental problems or requested by Purchaser will be billed a e y andfi3
hazards. If;t is determined that any of the material orjobsites are an agrees to pav for the work as an extra. nitiais.
Additional Layers: It is possible during the course of in at
environmental hazard, the Purchaser must arrange (at Purchaser's additional layers of material could be found. If additional layers are
sole additional expense) for removal, haul-away, dumping and found Purc r r o p Is SS` °9per square per layer as
replacement of aterials cording o existing local, state and an extra. Initials.
Federal law. initials. Installation Dates: -went estimated start date should be within
E7, Valley type - Existing _ ew Ln. Ft. the next _3 weeks. Subsequently, based on the estimated
0 e-(/t / work in this contract, the current estimated completion date should
MAIN ROOF has layers of --1-~ ~'1 Lr. be within days of the actual start date.'
ADJACENT ROOF has layers of~ Note: These estimates are subject to the DELAYS IN INSTALLATION
REMOVE existing roofing to the deck, cover condition on the reverse.
with a new felt an then a ply roofing materials. Special Instructions:
DECK. Plywood Thickness T & G " x 'D (I~ t
Other:
ROTTEN OR DETERIORATED DECKING: The Home Depot will install
~1 of~~ 0 /><fz /erg a~1
approved sheathing where needed. No charge or estimate has been
made for replacing such rotten or deteriorated wood. If such
conditions are found, Purchaser b billed crate yd agrees to pay for the work as an
extra. _ Initials. -
CASH PRICE: $ Approximate Monthly Payment: (may vary or not be applicable based upon credit approval)
METHOD OF PAYMENT: (The credit terms and conditions, if applicable, are provided on a separate document.) Price valid for thirty (30) days.
'p-ash: payments as follows: down, balance due upon completion.
If payment by check: BANK REFERENCE: " CONTACT NAME: PHONE #
` Credit Card: Circle One; HD MC VISA AMEX DISCOVEJ~ Card# too 3-5- 3? =06,? 79
Downp ent Amount (if Any):
Authorized Cardholder's Signature: Exp. Date: _
The Home Depot Extended Credit
SUBMITTED BY APPROVED BY
REPRESENTATIVE &e.s-es-dedcib _MANAGER!;lNe, the onmer(s) o t ed above (re rr d to throughout as "Purchaser(s)") offer to contract with The Home Depot to furnish
and arrange for the delivery and installation of all materi necessary according to the above specifications. THE TERMS AND CONDITIONS OF
THIS AGREEMENT ARE CONTAINED ON BOTH SI „ES OF THIS FORM. Do not sign this contract if there are any blank spaces.
PURCHASER'S SIGNATURE C\(f >4L1-`C_ SPOUSE'S SIGNATURE: DATE: -f d
71
YOU, THE PURCHASER, MAY CANCEL T I TRANSAC11ON AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY A~TER THE
DATE OF THIS AGREEMENT. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT.
Note: The following construction related permits are necessary before the contracted work begins:
It is the Home Improvement Contractor's obligation to obtain such permits as the Purchaser's agent. Purchasers who secure their own permits or
deal with unregistered contractors will be excluded from the guaranty fund provisions of M.G.L. c. 142A.,
° - 06AS-BF0d2 j0903-MA
HOME IMPRO EMENT INSTALLATION CONTRACT
Branch Name: Date: Q Sold, Furnished & Installed by:
b The Home Depot At-Home Services
Branch Number: Job ~O 345A Greenwood Street, Worcester, MA 01607
Toll Free (800) 657-5182; (508) 756-6686; Fax: 508-756-2859
Federal [D# 75-2698460 ME Lic # C 02439 RI Cont. Lic# 16427 CT Lic# 565522
MA Home Improvement Contractor Reg. #126893
Installation Address: ,CM L A_ 1 C6 3?_
City State Zip
Purchasers : SSS##: Driver's Lic. # & Ex p. Date; Work Phone: H~ome Phone:
Home Address:
(if different from Jnstallation Address) City State Zip
Project Information: L'We ("Purchaser"), the owiiers of the property located at the above installation address, offer to contract with
Home Depot U.S.A., Inc. ("Home Depot") to furnish, deliver and arrange for the installation of all materials as described on the
attached Spec Sheet # AM 1L]CXD , incorporated herein by reference and made a part hereof.
Home Depot reserves the right to cancel this contract if, upon re-inspection of the job, Home Depot determines that it cannot
perform its obligations due to a structural problem with the home or because work required to complete the job was not
included in the contract.
DEPOSIT PAYMENT OPTIONS
(Subject to fund verification andior credit approval.)
CA.; 1. Check, Cashiers Check or US Postal Service Money Order
CONTRACT AMOUNT f. (made payable to The Home Depot).
t1c; 2. Credit Card* and/or other payment options - Circle One Below
*LESS DEPOSIT $ i r
r Visa MasterCard Discover American Express
BALANCE DUE
I Home Improvement Loan ome Depot Credit Card
ON COMPLETION $
Available Credit: s (Hit. & HDCC ONLY) Y5
*25'% of Contract Amount due upon execution of this Acet# 'SS 6 j 0 37 Exp. Datc::~
contract. One-third (1/3rd) of Contract Amount is required Name as it appears on card:-S c>!Z `--C?- t t
for MASSACHUSETTS RESIDENTS ONLY.
*By my/our signature below, I/We agree to allow The Home Depot to charge the
Indicate Payment Method For above refer d credit card fo c deposit indicated.
BALANCE DUE ON COMPLETION ~ J
_ -
o-
N~ Cardholders Sigma re Date
F~ZA/" e) - HIL or HDCC Authorization Codes
Deposit Final Payment
Purchaser agrees that, immediately upon satisfactory completion of the work, Purchaser will execute a Completion Certificate and pay any balance
due. Purchaser also agrees to be jointly and severally obligated and liable hereunder.
For Mass. Residents Onh: Contractor shall procure all permits required by law acting as the owner's agent. Owners who secure their
own permits will be excluded from the guaranty fund provisions of MGL Chapter 142A. Unless otherwise noted within this
document, this contract shall not imply that any lien or other security interest has been placed on the residence.
Entire Aereenient : This agreement and its attachments, including any financing agreement, contain the complete agreement
between the parties and can not be amended or modified unless in writing in a separate agreement signed by both parties.
NOTICE TO PURCHASER
Do not sign this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep it to
protect your rights. Do not sign any Completion Certificate or agreement stating that you are satisfied with the entire project before this
project is complete. Law prohibits home repair contractors from requesting or accepting a Completion Certificate signed by the owner
prior to the actual completion of the work to be performed under the contract.
You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. See Notice of
Cancellation for an explanation of this right. There will be a service charge equal to 25% of the contract amount if the job is cancelled by
Purchaser AFTER the third business dav.
BY MY,'OUR SIGNATURE BELOW, VWE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. i.'WE ACKNOWLEDGE
RECEIPT OF A COPY OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION.
BY MY/OUR SIGNATURE BELOW, L'WE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MY/OUR CREDIT
HISTORY AND UWE AUTHORIZE HOME DEPOT TO VERIFY AND REVIEW MY/OUR CREDIT RECORD WITH AN INDEPENDENT
CREDIT REPORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY INCURRED FROM INADVERTENT OMISSIONS OR
ERRORS.
SUBMITTED BY: t.~ Date:
S Consultant
ACCEPTED BY: Dare:
amen
U
Date:
Homeowner
NOTICE: ADDITIONAL TERMS, CONDITIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT
white - Branch File Yellow - Customer Pink - Sales Consultant
1-14-04 C-SC
HOME IR5' NT INSTALLATION CONTRACT
Branch Name: Date: Sold, Furnished & Installed by:
The Home Depot At-Home Services
Branch Number: 3 Job 345A Greenwood Street, Worcester, MA 01607
Toll Free (800) 657-5182; (508) 756-6686; Fax: 508-756-2859
Federal ID# 75-2698460 ME Lie # C 02439 RI Cont. Lic# 16427 CT' Lic# 565522
tf MA Home Improvement Contractor Reg. -#126893
Installation Address: I I~i,/v.l (J~ C~~el LLF G ~lC _
City State Zip
Purchasers : SS#: Driver's Lie. # & Ex Dat : Work Phone: (1+ A Home Ph one:
G ~ 7d a Zr:~-P 66 4 o t (god~t8'~2P~7o (~d3~3-t/~t 7
Home Address:
(if different from Installation Address) City State Zip
Project Information: I/We ("Purchaser"), the owners of the property located at the above installation address, offer tocontract with
Home Depot U.S.A., Inc. ("Home Depot") to furnish, deliver and arrange for the installation of all materials as described on the
attached Spec Sheet #_91A n , incorporated herein by reference and made a part hereof.
Home Depot reserves the right to cancel this contract if, upon re-inspection of the job, Home Depot determines chat it cannot
perform its obligations due to a structural problem with the home or because work required to complete the job was not
included in the contract.
DEPOSIT PAYMENT OPTIONS
(Subject to fund verification and/or credit approval.)
1. Check, Cashiers Check or US Postal Service Money Order
CONTRACT AMOUNT $ 15-7 r._y (made payable to The Home Depot).
C- n~_ 2. Credit Card* and,br other payment options -Circle One Below
*LESS DEPOSIT $
Visa MasterCard Discover American Express
t t r-~
BALANCE DUE tryU Home Improvement LoaLH~ orne Depot Cry- edit Card
ON COMPLETION 7 ~'r'f-v- -____.F'~M
Available Credit: S -K-154 ] w (IIIL & HDCC ONLY)
*25% of Contract Amount due upon execution of this Acct#: CoC~"z,' ~L157(ni? 37 Exp. Date: _
contract. One-third (1/3 id) of Contract Amount is required Name as it appears on card:-
for MASSACHUSETTS RESIDENTS ONLY.
*By mylour signature below, I/We agree to allow The Home Depot to charge the
Indicate Payment Method For above refe need credit card the deposit indicated.
BALANCE DUE ON COMPLETION
Card of er. Sig u e - ate
HIL or HDCC Authorization Codes N
Deposit Final Payment.
# #
Purchaser agrees that, immediately upon satisfactory completion of the work, Purchaser will execute a Completion Certificate and pay any balance
due. Purchaser also agrees to be jointly and severally obligated and liable hereunder. j
For Mass. Residents Only: Contractor shall procure all permits required bylaw acting as the owner's agent. Owners who secure their
own permits will be excluded from the guaranty fund provisions of MGL Chapter 142A. Unless otherwise noted within this
document, this contract shall not imply that any lien or other security interest has been placed on the residence.
Entire Agreement : This agreement and its attachments, including any financing agreement, contain the complete agreement
between the parties and can not be amended or modified unless in writing to a separate agreement signed by both parties
NOTICE TO PURCHASER
Do not sign this contract before you read it. You are entitled to a completely filled-in copy of the contract at the time you sign. Keep it to
protect your rights. Do not sign any Completion Certificate or agreement stating that you are satisfied with the entire project before this.
project is complete. Law prohibits hone repair contractors from requesting.6r accepting a Completion Certificate signed by the owner
prior to the actual completion of the work to be performed under the contract- ,
You may cancel this transaction at any time prior to midnight of the third business day after the date of this contract. See Notice of
Cancellation for an explanation of this right. There will be a service charge equal to 25% of the contract amount if the job is cancelled by
Purchaser AFTER the third business dav.
BY MY/OUR SIGNATURE BELOW, I/WE AGREE TO BE BOUND BY THE TERMS OF THIS CONTRACT. I/WE ACKNOWLEDGE
RECEIPT OF A COPT OF THIS CONTRACT AND TWO COMPLETED COPIES OF THE NOTICE OF CANCELLATION.
BY MY/OUR SIGNATURE BELOW, UWE UNDERSTAND THAT THE AGREEMENT IS SUBJECT TO REVIEW OF MY/OUR CREDIT
HISTORY AND UWE AUTHORIZE HOME DEPOT TO VERIFY AND REVIEW MY.;OUR CREDIT RECORD WITH AN INDEPENDENT
CREDIT REPORTING AGENCY AND RELEASE THEM FROM ALL LIABILITY INCURRED FROM INADVERTENT OMISSIONS OR
ERRORS. ?
SUBMITTED BY: Date: _
S Consultant 3
OL
ACCEPTED D BY: Darr.
omeo
~ s
Date:
Homeowner
NOTICE: ADDITIONAL TERNIS, CONDITIONS AND WARRANTIES ARE STATED ON THE REVERSE SIDE AND ARE PART OF THIS CONTRACT
White - Branch File Yellow - Customer Pink- Sales Consultant
1-14-04 C-SC