17A-286 (10) BP-2023-1717
226 CHESTNUT ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
17A-286-001 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-2023-1717 PERMISSION IS HEREBY GRANTED TO:
Project# WINDOWS 2023 Contractor: License:
Est. Cost: 8065 PATRICK KUBALA 100114
Const.Class: Exp.Date: 09/09/2025
Use Group: Owner: TRUSTEES ABUZA MARDI J& ROBERT ABUZA
Lot Size (sq.ft.)
Zoning: URA Applicant: PATRICK KUBALA HOME IMPROVEMENT
Applicant Address Phone: Jnsurance:
5 PELL ST (413)589-1010 WCA1038596
LUDLOW, MA 01056
ISSUED ON:12/06/2023
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:
i1, •
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
The Commonwealth of Massachus s /'/�
IT
Board of Building Regulations and S • du., 4��' ` FO'
19
Massachusetts State Building Code. 7'0 C. Ropp $ 1�'ICY ITY'
Building Permit Application To Construct, Repair, Re> " E, olish ao R- .ised sar2011
One- or Two-Family Dwelling 9Ty� ic��
4M"TN�'iNc
This Section For Official Use Only n:Mq O'crio Mso S
Building gg ,��pp Permit Number: t7-pZ 3 • 7 Date Applied:
i l4EuI►.� oSS /l IZ-G ?bZ3
Building Official(Print Name) Signature Date
SECTION I: SITE INFORMATION
1.1 Prope �y�►ddress: 1.2 Assessors Map &Parcel Numbers
62.2crUts s P1VtdT r
1.1 a Is this an accepted street? yes 7L no , Map A umber Parcel Number
1.3 Zoning Information: 1.4 Propem Dimensions:
Zoning District Proposed Use t Lot Al-ea;sq f.:) Frontage :'
1.5 Building Setbacks (ft)
Front Yard Side Yards Rear Yard
Required Provided 4 Required i Provided = Required Provided
1.6 Water Supply: (M.G.L c.40,§54) i 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0
Check Zone: _ Outside if yes❑Flood Zone? Municipal 0 On site disposal system CI
SECTION 2: PROPERTY OW NERSHIP1 •
,24 Owners of Record:
K-0SE4 i At?ctzA rIoRe,sce� / 4 0/Ob '�
Name(-Print) CIL. State.ZI?
02426 (./rES rill uT Sj, 04;•Jr.V • S'dA1
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction 0 I Existing Building 0 i Owner-Occupied 0 Repairs(s) 0 1 Alteration(s) 0 1 Addition 0
Demolition 0 ; Accessory Bldg. 0 Number of Units Other Specify:
Brief Description of Proposed Work': ,,,r6'(.QC£. Z 4.1.2 I.P.s
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs:
Item I Official Use Only
(Labor and Materials)
1. Building 1 $ 1. Building Permit Fee: S Indicate how fee is determined:
Electrical $ 0 Standard CityTown Application Fee
2. ❑Total Project Cost3(Item 61 x multiplier x
3.Plumbing I $ 2. Other Fees: 5
4. Mechanical (FTV"AC) , $ List:
5.Mechanical (Fire $ Total All F s: 5
til°
Suppression) r
Check No Check Amount: Cash Amount
6.Total Project Cost: 1
$ 4,53',0 s 5 .o 0 I IDPaid in Full 0 Outstanding Balance Due:
Kubala Home Improvement
Your Window & Door Experts
34 Hubbard Street Ludlow, MA 01056
855-458-2252
Customer authorization for building permits.
id !,3fl , as Owner of the property located at
�- P P Y
�E In]hwns Si- A r owp4try) IVY}- , hereby 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.
i
\luv1/4*,/()?
Signature o Owner D to
KHI103
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) BOO,i7 57i Jam'
.1(-,Q!g License Number Expiration Date
Name of CSL Holder(Or homeowner if owner applying)
List CSL Type(see below) V[
L 7 Ntt 88Ai �� sT Type Description
No.and Street
// U Unrestricted(Buildings up to 35,000 cu.ft.)
Zp w n�}/ 010.E V R Restricted 1&2 Family Dwelling
City/Town,State,LIP M Masonry
RC Roofmg Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
/
/c3 Insulation
Telephone mail address D Demolition
5.2 Registered Home Improvement Contractor(HIC) al a y/,/ / 3i/2.0,, --
te s9tA A40 Me .Zg7i0 e0) 47( fv HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name /
2.1 /446.QAa.. fT .Oeverly �I�l<�ii4lA�ilQ/YIB ���
No. nd Street Email address
La.r)loW //KA- 010S6 1/-5 -5er9—odd
City/Town,Stag,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 0
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 4Tg4sck 4•434 LA to act on my
behalf,in all matters relative to work authorized by this building permit application.
Je. Ar' 'A4.E� / a -/-01,3
Print Owner's Name Signature Date
SECTION7b: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 Autho ' 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/dos
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"
mslamaN. a r.c. vv,a..,wr.re c.,.aw.J ara,a.yae4 .KJ6KJ
=*_ Department of Industrial Accidents
_ Office of Investigations
- —=�J= Lafayette City Center
2 Avenue de Lafayette, Boston
, MA 02111-1750
�J i�Cti
www.mass.gov/dia
Workers'Compensation Insurance davit: Builders/Contractors/Electricians/Plumbers
Applicant Information ly
PIease Print Legib
Name (BusinessOrganizuioniTndividual): yete,dal 9 '�/JAVZ' _ 14• ,�EA/T«s Address: elf' 1/ 4 S7 -
City/State/Zip: ,t‘k.ALoa i.MM 4 O/A c6 Phone : /3
Are you an employer? Check the appropriate box: Type of project(required):
I.® I am a employer with /0 4. I am a general consactor and I
employees(full and/or part-time).*
have hired the sub-contractors 6. ❑New construction
2.❑ 1 am a sole proprietor or partner- Listed on the attached sheet ❑ Remodeling
ship and have no employees These sub-contractors have S. Q Demolition
working for me in any capacity. employees and have workers 9 r— 3uild ng adaitcn
[No workers' comp.insurance comp. insurance.-
required.) 5. Q We are a corporation and its 10.❑Electrical repairs or auditions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑ ?lit-nhing repairs or additions
myself [No workers' comp. right of exemption per MGL 12.E Roof repairs
insurance required.) * c. 152, §1(4),and we have no
employees. [No workers' 13.12 Other
comp.insurance required.;
'Any applicant that checks boa#I must also fill out the section below showing their wothers'compensation policy info:._.aton.
Bomeowaels who sub:anthis affidavitiadicating they are doing all work and then hire outside corn-actors must sc:bmit a few atIdavit incica-:i.g suco.
:Contactors that cheek this box must attached an additonal sheet showing the name of the sub-contactors and state whetne;or not those=tides have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy-cu:,ter.
I am an employer that is proving workers'compensation insurance for my employees. Below is the policy and job site
lnfornsation.
Insurance Company Name: I72erie cLb ',,'7J iljI.LTL(.4L 1N..37,//Wiv E .—
Policy#or Self-ins.Lic.#: 0e/4,/,e, 3 of Expiration Date: G����
Job Site Address: 22c < ,t S reva_r- S!• City/State/Zip: 7`n„ee,K,c A14 40106L
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Faihne 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 51,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to 5250.00 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 panes and penalties of jury that the information provided above is true and correct
Sitmature: Date: �a— #1 3
Phone#: '/13 - —
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::IBoard of Health 2 J Building Department 3.0CityeTown Clerk 41:Electrical Inspector 5=PLumbing
Inspector 6.00ther
Contact Person: Phone :
:. -"Ill PATRKUB-CL (.WONG
olditE.,......aferrCERTIFICATE OF LIABILITY INSURANCE DATE(MNIDDITYYY)
_-_ 1 111 312 0 2 3
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 collcy(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 doss not confer rightsto the certificate holder in lieu of such endorsements}.
PRODUCER C�ACT Lori Wong
Smith Brothers Insurance,LLC PHONE i FAX
300 Main Street ;..{uc.No,Ertl:(508)4994064 ,IMC,No).
Oxford,MA 01540 z;Miss;Iwon srnithbrothersusacom
INSURER%B)AFFORDEN3 COVERAGEi NAIC I
INSURER A:Merchants Mutual Insurance Company........ 123329
INSURED 1 INSURER e:MAPFRE Insurance ';23$T6
Patrick Kubala Home Improvements dba?Cubes Home - _.._.___
Improvements INSURER C: ,
t
34 Hubbard Street INSURER D
Ludlow,MA 01056-2762 ;INSURER E_..... I
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE SEEN 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 SEEN REDUCED BY PAID CLAIMS.
MR ADM au POLICY t-EFF i POLICY EIS —-.
LIMITS
LIR TYPE OF ALSURANCE ... DAD moj; Palo ION R �E IDDITYyy a yyYY1
M A X COMMERCIAL GENERAL LIA ,Ivy EACH .. 1,000,000
H OCCURRENCE �f
G AYMSMADE X OCCUR DAMAGE TO RENTED
..� D OPI16D817 6/1G023 i 6/1/2024 3REk 100,000
MED EXP{Any ono moon) ti s,�
PERSONAL&ADV INJURY $ Included
CaNt AGGREGATE LAIT APPLIES PER: GENERAL AGGREGATE $ 2,000'000
ppi�p�.
X POLICY 7.1 JEC) J LOC PRODUCTS-COMP/OP ACS_t._._; 2,000,000
OTHER; 7, I $
B AUTOMOOLE UAINUTY 1 Ma NCdIE LII,M1 $
1,0�,000
i accialenD
ANT AUTO BDMMFr4 e/1/2023 6/1/2024 eooiY INJURY t?«person) 1 I
}Ntrf1�S ONLY X SCHEDULED $UOI..Y INJURY(Per accident];S
X AWE ONLY j X AU � ��r RilCddp�CaE I s
1,000,000
A X UMBRELLA LIAR OCCUR I EACH OCCURRENCE
000 1$
10,
Excess A . ct.Aalti-MADE •CUPS131661 6/112023 6/112024 ;AGGREGATE !
WA 1,000,000
- I
Dft3 i X RETENTIONSa.... � _
A WORI ERB COMPENSATIONI j( ..•i FOR..
AND EIlPLOYERR'LIABILITY WCAI038596 6/1/2023 611/2024 ' 1,000,000
ANY PROPRIEETgOR/PARTNER+EXECUT)VE E iTEACN ACCIDENT
71F1 CEEory 3, VII EXCLUDEC ) } al A .._......
E. DISEASE•EA EMPLOYE $
1,flOfl,OOfl
If yes,describe under i 1,000,000
DESCRIPTION OF OPERATIONS balaw . ....._.... Et DISEASE•POLICY LIMIT y E
•
•
DESCRIPTION OF OPERATIONS f LOCATIONS/VEIICLES (ACORD 101,Additional Remarks Schedule,may be attached If more spec*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
ACORD 25(2016J03) 61988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
q unnsion or occupational ucr:nsurc
()I (.)•\IN I• ' I 1 C I T 1 Board of Building R ula4ians and Standards
PIl'1l.l1ll ‘1 ,)1'tr'\tl1l11ri'J;r11Jl1/rr‘ •'"' i �
• (.oUss1f�+�- visor
flOM � '�
:S•1pp114 ► 0 .. r�t c fires 09/0912025
KI IB/UJ!Cii'r i P N t'LT.C; PAT RICK J t! A
8 3410188A f' i'1
Lfl r c'It
..,05 55 I Wb1010,11A 11 I i ti 'iv *' 1 `,h
Reginailon -'`- 1 "011%/40 l! A
' 1-1IC.0669025 - u, 3�.�9r i-O 'y 03/3/2024 Cornmkksioner ,
yl(1tJEq 1`.4tott!%T"• ...
THE COMMONWEALTH OF MASSACHUSETTS ,
Office of Consumer Aff.�,[(JI��,,, t Business Regulation
1000 Washing , * : -Suite 710
L3osto
�
118
Home Imrro w Wy
PI ....mrwrwrr147 .,,.ww.rrrww.w. '
. ._. »Mrrw,.r,..l W LLC
• := l :0 alien: 207401
KUHAI_A HOME IMPROVEMENT i- lion: 0113112025
34 HUI3BARD STREET .z M ...111.14144.1,
LUDLOW,MA 01056 74"—;47
4 :: M rrr.«.r+Nto
.r..w..r.r w ' +.wr 9r„
sz rMh .I.q.IYM
w
Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer IM ^''� Business Regulation Registration valid for individual use miff before the
hRQ ` .,0: r CYOR I expiration date. If found return to:
Office of Consumer Affairs and Business R.9ularlon
- • - , 1000 Washington Sheet -Suits 710
4, "` •`I Boston,MA 02110
1BALA HOME • • . : • 1;I1V , y., 1
V
~C1RICK KOWA I"'
HUBBARD STREET ..7
OLOW,IA11 01050 `
�14.1•.f 41
sr..*.. .l...I1111.n..1 ci..wwherw
•
• _
- • v-sN,SN
. Z.'Ur MA SS a
T
t.e.:• 1....z(C2=31-5,
Dm7ARIMENT OE 11....0fIR ST RT4'ND4•
" a Z.7.
-,73Er;BC-'37.0N,21.41kS5•7.--7.44 .7.$.02114
• LEAD-SAFE iljENO TION CONTRACTOR icaks
• vr
Y .
S
zt-t-
L STREET
r r•-nr CVar
•
-S: Sunday,_May 2:125
•
. CalL;ANts•• •=6.• c.111 , 7 .7 ••C •••,•
• •Z.V:•'•..: •*:>+ •
• " zzEART,--fi...tYr 7t....4BORrc172.-"Tg FoR
7•47s-S.,
777-r:S: 5,;--.±..N.574 vAT 7-rs. A 1.7,74p.dor;0;7 •ks,..
• . •- S -
- --- •_
.7-774t:t-)(2)- 21/4711k 454 C .4.34 'FNC"..7.A.C-.=-
X.M.. •rwT coz-Nzmitcl-cs,Rs
A sV- 74.As
,:j=t-,TuVZLIT:t177.-17(AZilz.'"Ng:: REQU'rrcL7D 4:5422C.. C C.ry z-73.5574— TAC...R K.
• •• • „„
•
•
'N,4717-4-ozs 7:-r_A—NA G..A.N,
__.• _ _
Pfse
---.--_, _
de.-mc•lit We.Thraigr.tg: .s-Pd :1;2
alt'thiS ii=ftS :1St be MIE27.12iried
_ _ _
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 properly liceirsed solid waste-dispesal-faeility as defined by?MIGL c 11 I,S -154A.
The debris will be disposed of in:
`p .e- //effitSi --
LOCATION OF FACILITY
/3 -J-2. 3
Sign•.' of Applicant Date
AF.FWA`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 in a properly licensed solid
waste disposal.facility, as defined by MGL c 111, S 150A.
___L.neztify_that l.notitX the Building Of cia1 (two months
maximum)of the location of the solid waste disposal facilitywbere 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 POLL.OWING INFORIvSATION)
Name of Permit Applicant
/ir6,164 ._L/t7dp,4d r/G Ojd•t %`�
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 4, .48 47
Hi-R N2210A .25 .28 I .52 47
{ Essential P2100A .30 .49 .60 ! 55
Passive P2210A .25 .48 .59 46
4
KUBALA HOME IMPROVEMENT LLC
MA HIC$4207481 All home imprint-met contractors and subcontractors engaged in home improvement
+q\� 34 HUBBARD STREET contracting,unless specifically exempt from registration by Provisions of Chapter 142A
` of the general laws, must be registered with the Commonwealth of Massachusetts.
Inquiries about registration and status should be made to the Director. {tome
LUDLOW, MA 01056
Improvement Contract Registration. One Ashburton Place. Room 1301, Roston, MA
413-589-1010 02108(617)727.8598
Submitted � '� 1
`
4
To:
beck- tk)U&r a
p```o C c* Job Name:
71(1ZPn (*,/� tA. Qk D a-. Job location: 41 i J «h&N11s S4-A/0 f iO' 010V�
Phone k 1 "lL 1 Date ` i 2 Estimator: � yOtin0a. -
1
We hereby submit specifications and estimates for work to be performed and materials to be used:
( er xje ritteoSt / kiln c Ot CSA 51Cal esd1.Ctn. .ri5 op t/ cis.
r'4fi, iA r 11 �3- h c� nm� �1�. r r ri- S AQ
CAAS4-rhm b l7\Sr1i P 1 5M-14 4D }iG.st c u tndr s
t 4 Uwe+ 4- , rej'i401 n tivk l , u SW 1 L nffnmaol,
l'- -hnt crno 5_I^ vt- 'I c .
lnS t r r a s '9- • EAX TM el:4l 1'14-C -t-r lY !"1.O 1 CA `l'n �16 t f�
(VI ...6r-CvvItri eUCA l bSI ►n $irQk QUA.
i d . cy lASs CC 43, P C k
WORK SCHEDULE
Contractor will not %ii3fpt work or order the materials before the third day following the signing of this agreement,unless specified herein. tpp�eCont f ring the work on or
about 10- [ring delay caused by circumstances beyond the contractor's control. The work will he completed by L - 2r 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 -n�(f �
The contractor warnints that the work furnished hereunder shall be free from defects in materials and workmanship for a period of t.�v"e'w'ufollowing 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,eotreel,replace or cause to he remedied,
repaired or replaced,such damage or such defectiin 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 sump of:
dollars(S—_ ).
Payment to made as fol`los ec:
3.7 %{____,_3O )uponsigningcontract; c tte, KUBALA HOME IMPROVEMENT LIC
_^ia L I upon completion of 34 HUBBARD STREET
oi,t )upon completion of LUDLOW, MA 01056 413-589-1010
% 5_0 19 S )shall be made forthwith uponff
MA HIC 207481
completion of work under this cuntmc. t `[ ,►,t/�l
Notice:No ay-cement 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 `
deposits or payments which the contractor must make,in advance,to order amL'or otherwise 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 c loons s ed. 1 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 aboN e and incorporated herein by reference.
O NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES
Signature Date 1V Al 9'S Signature_ Date