HomeMy WebLinkAboutBuilding Permit # 4/20/2016 FORTH pp''
BUILDING PERMIT ®�t(VED �•ry®
46
TOWN OF NORTH ANDOVER �� 5 ::'•
APPLICATION FOR PLAN EXAMINATION
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Permit No#: //0� —�% Date Received T QDRA7EOWPPP`�y
C HUS�t
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATIONS 4e
A 5r—
Print
PROPERTY OWNER 6u; « 2q:eSc A-'
Print 100 Year Structure yes no
MAP PARCEL: /S y ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building One family
[I Addition ❑ Two or more family 11 Industrial
❑Alteration No. of units: ❑ Commercial
Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
01I1/aterl:Sewer;,
DESCRIPTION OF VUORFf TO DE PERFORMED:
Identification- Please Type or Print Clearly
OWNER: Name: ft- Phone: `
Address: 3S'�. /<k-g- Sr-
/ � S
Contractor Name: " 0-1>c- hone
Email:
Address: V-� )rte= fir® I 4f-,E 9=6ff 6C
Supervisor's Construction License: 9� 1? 3 Exp. Date: AQ Z-6,
Home Improvement License 1 5 "7 Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ ' 0 FEE: $
Check No.: / � i Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
NORTti
Town of2 _ fAndover
No. JA
h , ver, Mass, %' v /-6
COCKICK�WICK
X1,9 p°RAreD P,11
S U
BOARD OF HEALTH
PERMIT TFood/Kitchen
LD Septic System
THIS CERTIFIES THAT .�. �!..!�`: hl�C>r1� S'a BUILDING INSPECTOR
.... ....................... ...................................................
has permission to erect buildings on ... '( Foundation
Rough
to be occupied as ................sz2...... ..................................... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
IT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIOP STARTS Rough
Service
............ ..... .. .. ... .c�4,............................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Islay in a Conspicuous Place on the Premises — Do Not Remove Final
No ,Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
Contract - Detailed
Pella Window and Door Showroom of Haverhill Sales Rep Name: , R
Ryan
on45 Fdi Rd
Sales Re Phone: 978-373-2500
p
Haverhill, MA 01832 Sales Rep Fax:
Sales Rep E-Mail: clancyrp@pellaboston.com
,,., m of rm tan ,� � Pro ectlDellue _:,Address _��, � Order lnformatlon
Beth Williamson Williamson,Beth,NorthAndover,MA,1672525 Quote Name: 20 Windows-Updated-With Custom Paint
356 Rea St 356 Rea St
Order Number: 741RCO292
NORTH ANDOVER,MA 01845 Lot# Quote Number: 7713313
Primary Phone:(978)2582263 NORTH ANDOVER,MA 01845 Order Type: Installed Sales
Mobile Phone: County: ESSEX Payment Terms: Deposit/C.O.D.
Fax Number: Tax Code: MA TAX 6.25
E-Mail: ea.williamson@vedzon.net Quoted Date: 4/2/2016
Great Plains#: 4443542
Customer Number: 1004370754
Customer Account: 1003457273
Customer Notes: Interior of the windows is to be painted Benjamin Moore Simply White
°°L►ne# Location �t 3 . � 4�� � k �Attributes,
10 None Assigned Delivery/Setup-Delivery/Setup Item Price Qty Ext'd Price
$187.66 1 $187.66
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 4/7/2016 Contract-Detailed Page 1 of 10
Customer: Beth Williamson Project Name: Williamson,Beth,NorthAndover,MA,1672525 Order Number: 741RCO292 Quote Number: 7713313
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15 Dining Room Architect, Replacement Double Hung,31.5 X 58.5,White Item Price Qty Ext'd Price
$1,695.76 2 $3,391.52
1:Non-Standard SizeNon-Standard Size Double Hung,Equal
PK# Frame Size: 31 1/2 X 58 112
General Information: Style,Clad,Pine,4 3/4",3 1/4",No Certification
772 Exterior Color/Finish: Standard Enduraclad,White
Interior Color I Finish: Unfinished Interior
Sash i Panel: Standard
Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Viewed From Exterior Hardware Options: Cam-Action Lock,White,No Limited Opening Hardware,No Sash Lift
Screen: Full Screen,White,Vivid View
Frame Size:31.5"X 58.5" Grille: ILT,No Custom Grille,7/8",Traditional(3W2H/3W2H),Ogee,Ogee
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=180",Glazing Pressure=90.
No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1
PI—Express-Express Pocket Qty 1
Custom Paint Win-Custom Paint-Window Qty 1
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20 Living Room Left Architect,Awning Vent,28.5 X 28.5,White Item Price Qty Ext!d Price
$1,379.96 1 $1,379.96
1:Non-Standard SizeNon-Standard Size Vent Awning
PK# Frame Size: 28 1/2 X 28 1/2
General Information: Standard,Clad,Pine,5",3 11/16",No Certification
772 Exterior Color Finish: Standard Enduraclad,White
Interior Color Finish: Unfinished Interior
Sash/Panel: Standard
Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Viewed From Exterior Hardware Options: Fold-Away Crank,White,No Limited Opening Hardware,Right Jamb
Screen. Full Screen,White,Vivid View
Frame Size:28.5"X 28.5" Grille: ILT,No Custom Grille,7/8",Traditional(3W2H),Ogee,Ogee
Wrapping Information: No Exterior Trim,No Interior Trim,3 11/16",5",Factory Applied,Pella Recommended Clearance,Perimeter Length=114",
Glazing Pressure=110.
JAMB—POCKET<60-JAMB POCKET<60 Qty 1
Custom Paint Win-Custom Paint-Window Qty 1
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com
Printed on 417/2016 Contract-Detailed Page 2 of 10
Customer: Beth Williamson Project Name: Williamson,Beth,NorthAndover,MA,1672525 Order Number: 741 RCO292 Quote Number: 7713313
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25 Living Room Right Architect,Awning Vent,28.5 X 28.5,White Item Price Qty ExYd Price
$1,379.96 1 $1,379.96
1:Non-Standard SizeNon-Standard Size Vent Awning
PK# Frame Size: 28 1/2 X 28 1/2
' General Information: Standard,Clad,Pine,5",3 11/16",No Certification
A. 772 Exterior Color/Finish: Standard Enduraclad,White
Interior Color/Finish: Unfinished Interior
Sash/Panel: Standard
Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Attitude
Viewed From Exterior Hardware Options: Fold-Away Crank,White,No Limited Opening Hardware,Left Jamb
Frame Size:28.5"X 28.5" Screen: Full Screen,White,Vivid View
Grille: ILT,No Custom Grille,7/8",Traditional(3W2H),Ogee,Ogee
Wrapping Information: No Exterior Trim,No Interior Trim,3 11/16",5",Factory Applied,Pella Recommended Clearance,Perimeter Length=114",
Glazing Pressure=110.
JAMB_POCKET<60-JAMB POCKET<60 Qty 1
Custom Paint Win-Custom Paint-Window Qty 1
30 Living Room front Architect, Replacement Double Hung,31.5 X 58.5,White Item Price Qty ExVd Price
$1,695.76 2 $3,391.52
1:Non-Standard SizeNon-Standard Size Double Hung,Equal
PK# Frame Size: 31 1/2 X 58 1/2
" General Information: Style,Clad,Pine,4 3/4",3 1/4",No Certification
ER17 772 Exterior Color/Finish: Standard Enduraclad,White
Interior Color/Finish: Unfinished Interior
Sash/Panel: Standard
�i Glass: Insulated Dual Low E Advanced Low-E Insulating Glass Argon Non High Attitude
Viewed From Exterior Hardware Options: Cam-Action Lock,White,No Limited Opening Hardware,No Sash Lift
Frame Size:31.5"X 58.5" Screen: Full Screen,White,Vivid View
Grille: ILT,No Custom Grille,7/8",Traditional(3W2H/3W2H),Ogee,Ogee
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=180",Glazing Pressure=90.
PI—Express-Express Pocket Qty 1
No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1
Custom Paint Win-Custom Paint-Window Qty 1
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com
Printed on 4/7/2016 Contract-Detailed Page 3 of 10
Customer: Beth Williamson Project Name: Williamson,Beth,NorthAndover,MA,1672525 Order Number: 741RCO292 Quote Number: 7713313
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35 Play Room Architect, Replacement Double Hung,31.5 X 58.5,White Item Price Qty Ext'd Price
$1,695.76 2 $3,391.52
1:Nonstandard SizeNonStandard Size Double Hung,Equal
PK# Frame Size: 31 1/2 X 58 1/2
General Information: Style,Clad,Pine,4 3/4",3 1/4",No Certification
772 Exterior Color/Finish: Standard Enduraclad,White
Interior Color/Finish: Unfinished Interior
Sash/Panel: Standard
r Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Viewed From Exterior Hardware Options: Cam-Action Lock,White,No Limited Opening Hardware,No Sash Lift
Frame Size:31.5"X 58.5" Screen: Full Screen,White,Vivid View
Grille: ILT,No Custom Grille,7/8",Traditional(3W2H/3W2H),Ogee,Ogee
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=180",Glazing Pressure=90.
PI—Express-Express Pocket Qty 1
No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1
Custom Paint Win-Custom Paint-Window Qty 1
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40 Downstairs Bathroom Architect, Replacement Double Hung,30.5 X 36.5,White Item Price Qty Ext'd Price
T $1,541.63 1 $1,541.63
I, 1:Non-Standard SizeNonStandard Size Double Hung,Equal
PK# Frame Size: 30 1/2 X 36 1/2
General Information: Style,Clad,Pine,4 3/4",3 1/4",No Certification
772 Exterior Color/Finish: Standard Enduraclad,White
Interior Color/Finish: Unfinished Interior
Sash/Panel: Standard
Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Viewed From Exterior Hardware Options: Cam-Action Lock,White,No Limited Opening Hardware,No Sash Lift
Frame Size:30.5"X 36.5" Screen: Full Screen,White,Vivid View
Grille: ILT,No Custom Grille,7/8",Traditional(3W2H/3W2H),Ogee,Ogee
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=134",Glazing Pressure=130.
PI—Express-Express Pocket Qty 1
No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1
Custom Paint Win-Custom Paint-Window Qty 1
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com
Printed on 4/7/2016 Contract-Detailed Page 4 of 10
Customer: Beth Williamson Project Name: Williamson,Beth,NorthAndover,MA,1672525 Order Number: 741RCO292 Quote Number: 7713313
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45 Daughters Room Architect, Replacement Double Hung,31.5 X 58.5,White Item Price Qty Ext'd Price
$1,695.76 2 $3,391.52
1:Non-Standard SizeNon-Standard Size Double Hung,Equal
- PK# Frame Size: 31 1/2 X 58 1/2
General Information: Style,Clad,Pine,4 3/4",3 1/4",No Certification
772 Exterior Color/Finish: Standard Enduraclad,White
Interior Color/Finish: Unfinished Interior
Sash/Panel: Standard
atm Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Viewed From Exterior Hardware Options: Cam-Action Lock,White,No Limited Opening Hardware,No Sash Lift
Frame Size:31.5"X 58.5" Screen: Full Screen,White,Vivid View
Grille: ILT,No Custom Grille,7/8",Traditional(3W2H/3W2H),Ogee,Ogee
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=180",Glazing Pressure=90.
PI—Express-Express Pocket Qty 1
No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1
Custom Paint Win-Custom Paint-Window Qty 1
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50 Son's Room Architect, Replacement Double Hung,31.5 X 58.5,White Item Price Qty Ext'd Price
$1,695.76 3 $5,087.28
1:Non-Standard SizeNon-Standard Size Double Hung,Equal
PK# Frame Size: 31 1/2 X 58 1/2
772 General Information: Style,Clad,Pine,4 3/4",3 1/4",No Certification
Exterior Color/Finish: Standard Enduraclad,White
Interior Color/Finish: Unfinished Interior
Sash/Panel: Standard
— # - Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Viewed From Exterior Hardware Options: Cam-Action Lock,White,No Limited Opening Hardware,No Sash Lift
Frame Size:31.5"X 58.5" Screen: Full Screen,White,Vivid View
Grille: ILT,No Custom Grille,7/8",Traditional(3W2H/3W2H),Ogee,Ogee
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=180",Glazing Pressure=90.
PI—Express-Express Pocket Qty 1
No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1
Custom Paint Win-Custom Paint-Window Qty 1
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com
Printed on 47/2016 Contract-Detailed Page 5 of 10
Customer: Beth Williamson Project Name: Williamson,Beth,NorthAndover,MA,1672525 Order Number: 741RCO292 Quote Number: 7713313
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55 Back Bedroom Architect, Replacement Double Hung,31.5 X 58.5,White Item Price Qty Ext'd Price
$1,695.76 2 $3,391.52
1:Non-Standard SizeNonStandard Size Double Hung,Equal
PK# Frame Size: 31 1/2 X 58 1/2
772 General Information: Style,Clad,Pine,4 3/4",3 1/4",No Certification
Exterior Color/Finish: Standard Enduraclad,White
Interior Color/Finish: Unfinished Interior
Sash/Panel: Standard
a,r Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Viewed From Exterior Hardware Options: Cam-Action Lock,White,No Limited Opening Hardware,No Sash Lift
Frame Size:31.5"X 58.5" Screen: Full Screen,White,Vivid View
Grille: ILT,No Custom Grille,7/8",Traditional(3W2H/3W2H),Ogee,Ogee
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=180",Glazing Pressure=90.
PI—Express-Express Pocket Qty 1
No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1
Custom Paint Win-Custom Paint-Window Qty 1
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60 Upstairs Bathroom Architect, Replacement Double Hung,30.5 X 36.5,White Item Price Qty ExVd Price
$1,541.63 1 $1,541.63
1:Non-Standard SizeNonStandard Size Double Hung,Equal
PK# Frame Size: 30 1/2 X 36 1/2
_ General Information: Style,Clad,Pine,4 3/4",3 1/4",No Certification
772 Exterior Color/Finish: Standard Enduraclad,White
f Interior Color/Finish: Unfinished Interior
1 Sash/Panel: Standard
Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Viewed From Exterior Hardware Options: Cam-Action Lock,White,No Limited Opening Hardware,No Sash Lift
Frame Size:30.5"X 36.5" Screen: Full Screen,White,Vivid View
Grille: ILT,No Custom Grille,7/8",Traditional(3W2H/3W2H),Ogee,Ogee
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=134",Glazing Pressure=130.
PI—Express-Express Pocket Qty 1
No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1
Custom Paint Win-Custom Paint-Window Qty 1
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com
Printed on 4/7/2016 Contract-Detailed Page 6 of 10
Customer: Beth Williamson Project Name: Williamson,Beth,NorthAndover,MA,1672525 Order Number: 741RCO292 Quote Number: 7713313
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65 Master Bedroom Architect, Replacement Double Hung,31.5 X 58.5,White Item Price Qty Ext'd Price
$1,695.76 3 $5,087.28
1:Non-Standard SizeNonStandard Size Double Hung,Equal
�g PK# Frame Size: 31 1/2 X 58 1/2
tli 772 General Information: Style,Clad,Pine,4 3/4",3 1/4",No Certification
Exterior Color/Finish: Standard Enduraclad,White
Interior Color/Finish: Unfinished Interior
Sash/Panel: Standard
Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Viewed From Exterior Hardware Options: Cam-Action Lock,White,No Limited Opening Hardware,No Sash Lift
Frame Size:31.5"X 58.5" Screen: Full Screen,White,Vivid View
Grille: ILT,No Custom Grille,7/8",Traditional(3W2H/3W2H),Ogee,Ogee
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=180",Glazing Pressure=90.
PI—Express-Express Pocket Qty 1
No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1
Custom Paint Win-Custom Paint-Window Qty 1
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70 Master Bedroom side Trim—Stool and Apron -Add Stool and Apron Trim to Picture Frame Item Price Qty Ext'd Price
$55.90 1 $55.90
Thank You For Purchasing PellaO Products
PELLA WARRANTY:
Pella products are covered by Pella's limited warranties in effect at the time of sale.All applicable product warranties are incorporated into and become a part of this contract.
Please see the warranties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture
within the wall system.Neither Pella Corporation nor Pella Windows&Doors will be bound by any other warranty unless specifically set out in this contract. However,Pella
Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties.
Clear opening(egress)information does not take into consideration the addition of a Rolscreen[or any other accessory]to the product.You should consult your local building code
to ensure your Pella products meet local egress requirements.
Per the manufacturer's limited warranty,unfinished mahogany exterior windows and doors must be finished upon receipt prior to installing and refinished annually,thereafter.
Variations in wood grain,color,texture or natural characteristics are not covered under the limited warranty.
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com
Printed on 41712016 Contract-Detailed Page 7 of 10
Customer: Beth Williamson Project Name: Williamson,Beth,NorthAndover,MA,1672525 Order Number: 741RCO292 Quote Number: 7713313
INSYNCTIVE PRODUCTS:In addition,Pella Insynctive Products are covered by the Pella Insynctive Products Software License Agreement and Pella Insynctive Products
Privacy Policy in effect at the time of sale,which can be found at Insynctive.pella.com. By installing or using Your Insynctive Products you are acknowledging the Insynctive
Software Agreement and Privacy Policy are part of the terms of sale.
Project Checklist Review (Installed Orders Only)
Before the Installation the Homeowner aqrees to do the following:
Obtain Condo Association Approval
Obtain Historic Approval
Remove existing shutters and awnings
Remove air conditioners
Remove existing shades, drapes, window treatments,wall hangings, and personal belongings
Move furniture at least 3 feet away from work area
Tie or cut back trees, bushes and shrubs in the work area
Arrange to have alarm system and doorbells disconnected
Arrange to have any plumbing and electrical repairs or changes made by appropriate licensed contractor
Provide a door handle and lockset for entry door if Pella handle and lockset is not purchased.
Before the Installation Pella agrees to do the following:
Obtain Building Permit(When required)
Prefinish products when purchased in contract
During the Installation the Homeowner agrees to do the following:
Keep pets safely away from work area
Keep children safely away from work area
Allow Pella Installer room to work safely within your home
During the Installation Pella agrees to do the following:
Deliver and unload products purchased per contract
Place and remove drop cloths in work area then vacuum, and remove all debris at end of day
Remove existing product, including storm windows, and dispose of it unless otherwise specified
Install all products using method specified in contract per Pella Installation Instructions
Replace interior and/or exterior trim only if purchased
If Purchased, install exterior primed pine wood trim or Composite. Composite will be unfinished.
If Purchased, install interior trim matching wood window finish or White trim for Impervia and Encompass
Install non-Pella entry door lockset provided by you. Pella is not responsible for it's quality or performance
After the Installation the Homeowner agrees to do the following:
Be available for completion and sign off to verify all products purchased are in working order
Reinstall existing shutters and awnings
Re-install existing shades, drapes,window treatments,wall hangings, and reposition furniture
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com
Printed on 417/2016 Contract-Detailed Page 8 of 10
Customer. Beth Williamson Project Name: Williamson,Beth,NorthAndover,MA,1672525 Order Number: 741RCO292 Quote Number: 7713313
Arrange to have alarm system and doorbells reinstalled
Reinstall air conditioners
Remove stickers from product and save for energy rebate and tax purposes
Wash all interior&exterior glass surfaces
Fill nail holes and joints on interior trim if windows are to be stained (after staining)
Clean up exterior casing issues due to storm window removal if full wrap or new exterior trim is not purchased
_JProject Checklist has been reviewed
Cus 3 er mrtial
Product Only Addendum has been reviewed
Customer initial
Credit Card Account#: Last 4 Digits 8701
Expiration Date: 02/17 /
Charge final payment to same account I�r�
(Upon substantial completion) ome mitial
For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com
Printed on 417/2016 Contract-Detailed Page 9 of 10
Cu omer: Beth Williamson Project Name: Williamson,Beth,NorthAndover,MA,1672525 Order Number: 741RCO292 Quote Number: 7713313
ZProject Checklist has been reviewed
Beth Williamson Ryan Clancy
Customer Name (Please print) Pell s Rep Na (Please print) Ql'del`TOfB�S
AXA-0'4.A� Taxable Subtotal $24,327.02
Customer Signature PW Sales Rep ORKature Sales Tax @ 6.25% $1,520.44
4/7/16 4/7/16 Non-taxable Subtotal $8,891.88
Date Date Total $34,739.34
OWL-, Deposit Received $17,369.67
Credit Card Approval Signature Amount Due $17,369.67
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com
Printed on 4/7/2016 Contract-Detailed Page 10 of 10
PELLA WINDOWS AND DOORS CONTRACT
7. PAYMENTS
1. TERMS AND CONDITIONS Pella shall be entitled to stop the Work upon written notice to Owner for any
material default or failure by Owner,including but not limited to,the Owner's
These Terms and Conditions are an integral part of the contract set forth on the failure to pay Pella the amount due within seven days after the date payment is
Product Order(the"Contract")between New England Window and Door LLC due.
dba Pella Windows&Doors,Inc.("Pella")and the person(s)identified on the
Product Order("Owner")to supply the products(the"Products"),and perform 8 CORRECTION OF WORK
the work(the"Work")described or referred to in such Contract. For Product
Only purchases,a signed"Product Only Addendum"is a required part of the Pella shall correct installation Work not in conformance with the requirements
contract. of the Contract,if notified in writing by the Owner within two years after the
Completion Date or,if earlier,the date on which the Work is substantially
2. OWNER completed and payment of the Purchase Price made subject to a holdback as
provided above.Correction of Work as herein provided shall be Owner's sole
Pella is not responsible for any existing security systems.Owner shall remove remedy for defective workmanship,and is provided in lieu of any and all other
all shades;verticals,blinds,curtains,drapes or window mounted air remedies.Pella's obligation to correct Work is conditioned on Pella's prior
conditioners,prior to the installation of the Products.Pella's installers are not receipt of all payments then due.
responsible for the removal or installation of these types of items. Pella is not
responsible for pre-existing window coverings fitting on newly installed Pella 9. LIMITED PRODUCT WARRANTY
windows.
Pella shall warrant all Pella products,but only in accordance with the Pella
The Owner shall provide complete access to the work site between the hours Windows&Doors Limited Warranty.THIS LIMITED WARRANTY SHALL
of 7:00 a.m.and 6:00 p.m.(Monday through Friday)for Pella's installers to BE THE SOLE WARRANTY WITH RESPECT TO THE PRODUCTS AND
deliver the Products and perform the Work. PELLA SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES,
EXPRESS OR IMPLIED,WRITTEN OR ORAL(INCLUDING WITHOUT
3. PELLA LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS
Pella will be responsible for and have control over construction means, FOR A PARTICULAR PURPOSE).
methods,techniques,sequences and procedures and for coordinating all
portions of the Work.Pella will be responsible for the Work of its Pella 10. NO CONSEQUENTIAL DAMAGES
Contractors who will install the Products. UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR
Unless provided otherwise in the Work description,Pella will provide and pay CONSEQUENTIAL,INCIDENTAL,INDIRECT,OR SPECIAL DAMAGES,
for all labor,materials,equipment,tools and machinery,transportation,and WHETHER FORESEEN OR UNFORESEEN.
other facilities and services necessary for the proper execution and completion
of the Work. 11. HOME IMPROVEMENT CONTRACTORS
The materials and equipment furnished under the Contract will be good quality All home improvement contractors and subcontractors shall be registered with
and new unless otherwise required or permitted,the Work will be free from the director of the Home Improvement Contractor Registration Program
defects not inherent in the quality required or permitted,and the Work administered by the Board of Building Regulations and Standards. Pella and
conform with the requirements of this Contract.Pella shall not be responsible any of its subcontractors identified in this agreement have been registered.
for damages or defects caused by abuse,modifications not executed by Pella, Any inquires about Pella or any of its subcontractors relating to registration
improper or insufficient maintenance,improper operation or normal wear and should be directed to:Director,Home Improvement Contractor Registration,
tear. Pella will keep the premises and surrounding area free from 10 Park Plaza,Room 5170,Boston,MA,02116,617-973-8787,888-283-3757
accumulation of waste materials or rubbish caused by performance of the or visit the HIC website at httn:/htiM1vw.mass.goN,/ocabar/
Work. 12. PERMITS(MA customers only)
4. CHANGES Pella is obligated to and will obtain the following permits for this project:
Buildin . Homeowners who secure their own permits will be
The Owner may order in writing changes in the Work consisting of additions, excluded from the guaranty fund provisions of Massachusetts General Laws,
deletions,or modifications("Change Order"). Any Change Order shall chapter 142A.
include an adjustment to the Price and the Substantial Completion Date,as
determined by Pella. Pella reserves the right to approve or disapprove any In addition to the rights and warranties enumerated in this agreement,you may
Change Order and any such Change Order must be signed by both Owner and have additional rights under Massachusetts General Laws,chapter 142A and
Pella to be effective. 780 Code of Massachusetts Regulations R6.
5. SUBSTANTIAL COMPLETION 13. NOTICE OF CANCELLATION
Owner understands and agrees that the Substantial Completion Date is an You may cancel this agreement if it has been signed by a party
estimate only and that the actual date on which the Work is completed may be thereto at a place other than an address of the seller,which
extended to allow for Change Orders requested by Owner or if the time to may be his main office or branch thereof,provided you notify
complete the Work is affected by conduct of the Owner,weather,labor
disputes,availability of subcontractors,acts of God,fire or other causes the seller in writing at his main office or branch by ordinary
reasonably beyond Pella's control.If for any reason the Work is not fully mail posted,by telegram sent or by delivery,not later than
completed by the Substantial Completion Date(including any extensions midnight of the third business day following the signing of this
contemplated above),but is substantially completed by such date,i.e.,the agreement.
Product has been installed,but minor parts or components are missing or need
to be replaced or repaired,a hold back proportionate to the cost of remaining See the attached Notice of Cancellation for an explanation of
parts or work to be completed is acceptable.However,the holdback will not this right.
exceed the amount of the completion costs or 10%of the remaining unpaid
balance of the Price,whichever is less.
6. FINANCING Do not sign thi contract if there are any blank spaces.
If payment of the Price is financed with a financial institution through Pella,all
financing paperwork must be completed upon signing of this Contract and the �1s�
requisite approvals and authorizations for the full amount of the requested s
Customer ignature
financing shall have been received from the financial institution. 4omer s
Date
DISPUTES
THE CONTRACTOR AND THE HOMEOWNER HEREBY MUTUALLY AGREE IN
ADVANCE THAT IN THE EVENT PELLA HAS A DISPUTE CONCERNING THIS
CONTRACT,PELLA MAY SUBMIT SUCH DISPUTE TO A PRIVATE
ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY
OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS
REGULATIONS AND THE CONSUMER SHALL BE REQUIRED TO SUBMIT TO
SUCH ARBITRATION AS PROVIDED IN M.G.L.c. 142A
Pella Windows & Doors
Contractor
Homeowner
NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE
AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT
INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE
ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT
SEPARATELY SIGNED BY THE PARTIES.
NOTICE OF CANCELLATION
Date of transaction: 4/7/16
You may cancel this transaction,without any penalty or obligation, within three business
days from the above date.
If you cancel, any property traded in, any payments made by you under the agreement,
and any negotiable instrument executed by you will be returned within ten business days
following receipt by the seller of your cancellation notice, and any security interest
arising out of the transaction will be cancelled.
If you cancel, you must make available to the seller at your residence, in substantially as
good condition as when received, any goods delivered to you under this agreement; or
you may if you wish, comply with the instructions of the seller regarding the return
shipment of the goods at the seller's expense and risk.
If you do make the goods available to the seller and the seller does not pick them up
within twenty days of the date of your notice of cancellation, you may retain or dispose
of the goods without any further obligation. If you fail to make the goods available to the
seller, or if you agree to return the goods to the seller and fail to do so,then you remain
liable for performance of all obligations under the contract.
To cancel this transaction, mail or deliver a signed and dated copy of this cancellation
notice or any other written notice, or send a telegram to
Pella Windows and Doors, at 45 Fondi Rd., Haverhill,MA 01832
not later than midnight of 4/11/16 (three business days from the date of
transaction above).
I hereby cancel this transaction.
(Date) (Buyer's signature)
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigatiolls
= 1 Congress Street, Suite 100
' Boston, MA 02114-2017
1<mw-1nass.gov1ilia
Workers' Compensation Insurance Affidavit- Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print I.,eg btv
Name (Business/Organizatiou/Individual): 4 IdAIDUU�1 J=— b C)V2
a
Address:- ��, �, �,r
City/State/tip: m : ;t J- Phone M m 5
Are you an employer?Check the appropriate box:
1.9,1 am a employer with -7—S- 4. [JI am a general contractor and I Type of project(required):
employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Werriodefincr
ship and have no employees These sub-contractors have
S, ❑Demolition
working for me.in any capacity. employees and have workers'
comp. insurance.+ 9. ❑Building addition
[No workers' comp.insurance p•
required.] 5. EJ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I LE]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#I must also fill out the section below showing their workers'compensation policy information.
' Ilomeotivners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
lContractors 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 tt v employees. Below is the policy and job site
information.
Insurance Company Name: N
Policy#or Self-ins.Lic.#:_ 41, t)o Expiration Date:
Job Site Address: City/State/Zip:
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 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 attd enaldesofperiury that the information provided above is true and correct.
Signature: �-
Date
Phone#: Z/65`7
O.ficial use only. Do not write in this area, to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health 2,wilding Department 3.City/Town Clerk 4.Electrical Inspector 5.I'lunrbing Inspector
6.Other
CERTIFICATE E F LIABILITY INS NCE 061DATE 2 2015590�DIYYYY)
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION OP,ILY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLO)ER.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 certificaI te holder is an ADDITIONAL INSURED,the policy{ies)must 6e endorsed. II SUl3RO6ATION IS WANED, subject to
the terms and conditions of the policy;certain policies may require an endorsement A statement on This certificate does not cooler right to the
certificate holder in lieu of such endorsement(s).
PRODUCER
Fred C.Church,la¢ ONTACT DyA•Codelt,CIC,RPLU
41 Wellman Skeet NAME
Lowell,MA 01651 PHONE - 979 3277231 FAX 1970)454-1065
(800)225.1085 AO�RESS• da�detl®(redcchurdr.com AIC No;
INSURER 5 AFFORDING COVERAGE NAIL II
INSURED INSURERA: CrluersinsuninmCompany OfAmerica 31534
NOW England Window A Door LLC INSURER B.: NeW Nazrpshlre Employers Insurance Company 13083
45 Fondl Road INSURER C.,
Haverhnl,MA D1932-1302
INSURERD:
INSURER E:
COVERAGES INSURER F:
CERTIFICATE NUMHER:5'457
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 15SUED TO THE IN NAMED ABO ESION ®FOR THE 00 111 PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECTTO 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 BYPAID CLAIMS.
INSR AOOL SUER
LTR TYPE OF INSURANCE POlICYNUMBER POLICYEFF POWUCCYEXP LIMITS
GENERAL LIABILITY MMIDD U
x COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE g 100,000
DAMAGE TO RENTED 100,000
CLAIMS-MADE OCCUR PREMISES Es occurrence $
A K CG0001 MED EXP(Any ane person) g 10,000
2BNB16140i 7/112015 711016
PERSONAL&ADV INJURY g 1,000,000
GENL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE g 2.000,000
POLICY X PRODUCT S-COMPIOPAGG g 2.000.000
J Ca x LOC
AUTOMOBILE LIABILITY g
COMBINED SINGLE LI
ANY AUT 0 Ea accident
ALL OWNED SCHEDULED BODILY INJURY(Perpersan) S
AUTOS AUTOS
NON-OWNED BODILY INJURY(Par amidenl) g
HIRED AUTOS AUTOS PROPERTY DAMAGE
Pe acddan[ S
UMBRELLA LIAR S
OCCUR
EXCESS UAB CLAIMS•MAOE EACH OCCURRENCE S
DED RETENTIONS AGGREGATE S
WORKERS COMPENSATION S
AND EMPLOYERS'LIABILITY K MSS E�
B ANYPROPRIETOfl/PARTNERIESECUTIVE YlN
OFFICERIMEMBEREXCLUDED? NIAdODO'0101 E.LEACH ACCIDENT $ 500,000
(Mandatory In NH) TNl2D15 7/172016
Kyea,dascribeunder E.LDISEASE-EAEMPLOYE
g 500,000
DESCRIPTION OF OPERATIONS below
E.L.DISEASE-POLICY LIMIT g 500,006
DESCRIPTION OF OPERATIONS ILOCAT70NSIVEHICLES(Attach ACORD101,Additional Hen.ad11 rsSchedule,itmarespace isnrruired)
CERTIFICATE HOLDER
CANCELLATION
SHOULD AlY OF THE ABOVE DESCRIBED POLICIES BE CA�ICCLLED DEFtORC-
TNE^EKPIRATIOR DATE THEREOF, NOTICE WILL BF nriivpprra uu
fes' 9 "T fir
IV
u ;nK y
5�- CS-089853 �0� -
r
WILLIAM R iNICHOLS
STPEARTREE RD'
HAVERHILL MA A01830
i
/ _ 3SP1t��L;t ,u� - 1012612016
��ecnnirarrr��n��l�c�n/'la.lJr�c�rcJe/l
License or registration valid for individul use only
tike of Consumer Affairs&Business Regulation before the expiration date. If found return to:'
a 'aNIE IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation
Type; 10 Park Plaza-Suite 5170
egistration' 9124/20
:9/24/ lement C';rd Boston,MA 02116
Expiration: 17 Supp
NEW ENGLAND WINDOW&DOOR,LLC.
PELLA WINDOWS&DOORS
William Nichols
45 fONDI ROAD Not valid.without signature
HAVERHILL,l,Atk 01832 Undersecretary