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HomeMy WebLinkAboutBuilding Permit #146 - 115 SHERWOOD DRIVE 8/18/2009 i TOWN OF NORTH ANDOVER /� APPLICATION FOR PLAN EXAMINATION Permit NO: J� Date Received Date Issued: �-� -Xf IMPORTANT:Applicant must complete all items on this page LOCATION 11iFi2r5r�n , ?2 f Print PROPERTY OWNERSANQ1Z,4 MAP N0/ Pnnt ARCEL:4k2ONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Reside I Non- Residential New Building One family Addition w ore family Industrial Alteration No. of units: Commercial C; epair, rep acement Assessory Bldg Others: emo i ion Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: AJl� Identification Please Type or Print Clearly) OWNER: Name: SANOi24 Address: 1 S I�€/2 cyOb d ,diL CONTRACTOR Name: �AW__Z r� phone Address: t� ., z� r?n 11'do2f (1 Yt.ti �ti Supervisor's Construction License: 1fq5 Exp. Date: 2-6- 16 Home Improvement License:— a 7 Exp. Date:_ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 410610 FEE: $ Check No.: ? Receipt No.:_� NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Si nature of Agent/Owner -- — _ f!`= - ----- -, -- "Signature of_contracto Plans Submitted Plans Waived Certified Plot Plan fStped Plansr TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED It"&' TE APPRbVED 4 PLANNING & DEVELOPMENT li COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124"Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine i NOTES and DATA— For department use i ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008 Location No. Date �aRTM TOWN OF NORTH ANDOVER 1 3?O'tt`•or••�OL w O + : ; Certificate of Occupancy $ d CNUBuilding/Frame Permit Fee $ JASE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 226Li7 Building Inspector F AoRT#i dover _Town (or' � 4 No. 0 - or lover, Mass. 6 0 Y' O `->_ LAKE 1 1 COCMICMEWIC. �A0'4ATEDPPS\ .�� BOARD OF HEALTH } >. Food/Kitchen v 4 Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.-SeC.N. .+�. ........r .l..0 0 1......................................................................... .. ........ : Foundation has permission to erect .................. ..... buildings on ..�..i. ........ ... �./�. ..........� Rough to be occupied as. .......... .......... .................` ......�,�4. 0. ... - v ............................... Chimney e provided that the person accepting this permit shall in every respect conform to the teams of the application on file in Final 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI N TS� � Rough .................................................. .............. ........................................... BUILDING INSPECTOR Service Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough i Display 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. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts Department of Industrial Accidents Off ice of Investigations kiwi 600 Washington Street Boston,MA 02111 www.mass°gov/dia Workers' Compeasadoan Insurance Afffadzvut: Buiiders/Conan°actors/Blectricia ns/Pium bens Ate Ream Information Please Print 1Leai�Ily Name(Business/organization&dividual): pet(q (J,, 10 w 5 qA4 0 d 3 1K. - Address: KCoAddress: q 5, �� City/State/Zip: �f'�4i�� /�1 Oig32 'QJ?W?.6 3--7%SS Are you an employee?Check the appropriate box: Type of project(required): 1.( I am a employer with 2.S' 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors 7. Remodeling 2.❑ I am a sole proprietor or partner- e' � listed on the'attaclied sheet. ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. g• ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.] officers have exercised their 3.111 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No workers'comp. c.152,§1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing theWwo compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tContractom that check this box must attached an additional sheet showing the name ofthe sab•coatractors and their workers'comp.policy in%madon. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: C . • Policy#or Self-ins.Lie.#: ®% W S AI,-SON 7. Expiration D: 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 copyotisstatement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify sander the pains and penalties ofperjury that;the infb"iion provided above is true and correct. Sir gge• Lj,I.A,L— ,(/��.� Date: 9-/S-O Cj Phone#• Official use only. Do not write in this area,to be conFleted by city or town offacial City or Town: Peemit/License# Issuing Authority(circle one): 1.Board of Health 2,Building Department 3.Cutyfflowm ClerIl�•.4.Electrical Inspector a.Plumbing Inspector 6.other Contact Leeson: Phone#: AVC®/Y® CER IJ ���` A 11 E OF L��AMUTY INSU NCE DAT2009 1D,YYYY) na 06/301200916:20 PRODUCER (800)225-1865 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fred C.Church,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 41 Wallman Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Lowell,MA 01851 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 800-225-1865 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: CidZenS Insurance Company of America New England Window 8t Door LLC INSURER B: Hanover Insurance Company 45 Fondi Road Haverhill,MA 01832-1302 INSURER C: Massachusetts Bay Insurance INSURER D: Wausau Underwriters Insurance Company IN-SURER E' COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD1 POLICY POLICY (RATION jjR.mm TYPE OF INSURANCE POL(CYNUMBER O p E1 p LIMITS GENERALIJABILITYEACHOCCURRENCE _$1,000,000 X KSYTO MUM COMMERCIAL GENERAL LIABILITY PREMISES o n $100,000 CLAIMS MADE ❑X OCCUR MED EXP ane arson) $10,000 A ZBN8161407 7/1/2009 7/1/2010 PERSONAL&ADV INJURY $1,000,000 GENERALAGGREGATE $2,000,000 GEWL AGGREGATE LIMIT APPLIES PER- PRODUCTS-COMPIOPAGO $2,000,000 POLICY M PROT F1- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 X ANYAUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per parson) C ADN8162169 7/1/2009 7/112010 HIREDAUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGELIABILITY AUTO ONLY-EAACCIDENT $ ANYAUTO OTHERTHAN EAACC $ AUTO ONLY. AGO $ EXCESSIUMBRELLALIABILITY EACHOCCURRENCE $9,000,000 -jq OCCUR CLAIMS MADE AGGREGATE $9,000,000 B UHN8167305 7/1/2009 7/1/2010 $ RX DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND X WC STATU- OR- EMPLOYERS'LIABILITY D ANY PROPRIETORIPARTNERIEXECUTIVE BINDWC 7/1/2009 7/1/2010 E.L.EACH ACCIDENT $500,000 OFFICERIMEMBEREXCLUDED7 E.L.DISEASE-EA EMPLOYEE $500,000 if EG deaodbe under 500,000 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES 1 EXCLUSIONS ADDED BY ENDORSSMENT1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION New England Window&Door LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 45 Fondi Road DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Haverhill,MA 01830 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY(OND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108) Client# ?qan Mat# 09-10 GL,WC,Auto, Cert# ©ACORD CORPORATION 1988 Umb i Massachusetts- Department of Public S:rfctN Board of Building Re-ulations and Standards Construction Supervisor License License: CS 89853 _ Restricted to: 00 a-, WILLIAM R NICHOLS 57 PEARTREE RD „u HAVERHILL, MA 01830 r 3rat b 10/ 6/2010 t nrnri..ir n..r• Tr-': 5196 . �<ce -C�omUncomrr/ea� a�✓l�avaac�ivae�6 Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration:. 129774 Ufl Expiration: 11/2/2009 Type: Supplement Card PELLA WINDOWS AND DOORS WILLIAM NICHOLS 45 FONDI RD. HAVERHILL,UA 61832 Administrator Contract - Detailed Pella Windows & Doors Sales Rep Name: Bloom, Zach ry ® HIC#129774/Tax ID#26-1413183 45 Fondi Road Sales Rep Phone: 978-423-6914 Haverhill, MA 01832 Sales Rep E-Mail: bloomzm@pellaboston.com Phone: (978)373-2500 Fax: (978)373-7274 Sales Rep Fax: Custer Information ' rtjel# tl " d+ili�ilara ,; ; b Sandra Rincon WZB Rincon,Sandra, North Andover Quote Name: RTB 8-7-09 4 Architect Series DH P Fits Order Number: 741ZB0004 Cust Delivery Date: None Quote Number: 608494 Quoted Date: 6/30/2009 115 Sherwood Dr 115 Sherwood Dr Order Type: Installed Sales Contracted Date: 8/10/2009 Wall Depth: Booked Date: NORTH ANDOVER, MA 01845 Lot# Payment Terms: Deposit/C.O.D. Customer PO M Day Phone: (978)689-2721 NORTH ANDOVER, MA 01845 Tax Code: MA TAX 6.25 County: ESSEX -77 Mobile Phone: "� . Fax Number: Owner Name: E-Mail: Sandra Rincon Contact Name: Owner Phone: (978)689-2721 Great Plains#: 3488491 t Lk*4 ° Locations 25 Living Room Architect, Precision Hung Double Hung, 31.25 X 61.25,White Item Price Qty Ext'd Price $1,359.03 2 $2,718.06 1:Non-Standard Size Double Hung,Equal Split Frame Size: 31 1/4 X 61 1/4 General Information: Style Edition, Clad Exterior Color/Finish: Standard EnduraClad,White Interior Color/Finish: Prefinished White Interior 3t 2S Glass: Insulated Low E SunDefense Dual LowE Argon Gas Viewed From Exterior Hardware Options: Standard Lock,White,No Sash Lift Screen: Full Screen,Vivid View Rough Opening:31-3/4"X 61-3/4" Grille: GBG,No,3/4"Contour,Traditional(3W2H/3W2H),White,White Wrapping Information: Factory Applied, Perimeter Length= 185",Glazing Pressure=90. Over 60 tall-Install adjustment over 60 tall FFW Qty 1 Disposal-Disposal per Unit Qty 1 No Exterior Wrap-No Wrap 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 8/12/2009 Contract-Detailed Page 1 of 5 Customer: Sandra Rincon Project Name: WZB Rincon, Sandra, North Andover Order Number: 741ZB0004 Quote Number: 608494 Azek Trim<48 -Azek Upgrade-48 inches or less wide Qty 1 PF-Exterior-Install Exterior P-Fit Qty 1 Line Locatbn: 30 Timmy's Room Architect, Precision Hung Double Hung, 31.25 X 53.25,White Item Price Qty Ext'd Price I - $1,114.24 1 $1,114.24 1: Non-Standard Size Double Hung,Equal Split Frame Size: 31 1/4 X 53 1/4 General Information: Style Edition, Clad - - Exterior Color/Finish: Standard EnduraClad,White Interior Color/Finish: Prefinished White Interior 31 Glass: Insulated Low E SunDefense Dual LowE Argon Gas Viewed From Exterior Hardware Options: Standard Lock,White, No Sash Lift Screen: Full Screen,Standard Fiberglass Rough Opening:31-3/4"X 53-3/4" Grille: GBG, No,3/4"Contour,Traditional(3W2H/3W2H),White,White Wrapping Information: Factory Applied, Perimeter Length=169",Glazing Pressure= 100. PF-Exterior-Install Exterior P-Fit Qty 1 No Exterior Wrap-No Wrap Qty 1 Disposal-Disposal per Unit Qty 1 i Azek Trim<48 -Azek Upgrade-48 inches or less wide Qty 1 35 Timmy's Room Architect, Precision Hung Double Hung, 31.25 X 53.25,White Item Price Qty Ext'd Price $1,114.24 1 $1,114.24 1:Non-Standard Size Double Hung,Equal Split Frame Size: 31 1/4 X 53 1/4 - General Information: Style Edition,Clad Exterior Color/Finish: Standard EnduraClad,White CInterior Color/Finish: Prefinished White Interior 3125 Glass: Insulated Low E SunDefense Dual LowE Argon Gas Viewed From Exterior Hardware Options: Standard Lock,White, No Sash Lift Screen: Full Screen,Standard Fiberglass Rough Opening:31-3/4"X 53-3/4" Grille: GBG,No,3/4"Contour,Traditional(3W2H/3W2H),White,White Wrapping Information: Factory Applied, Perimeter Length= 169",Glazing Pressure= 100. i PF-Exterior-Install Exterior P-Fit Qty 1 Azek Trim<48 -Azek Upgrade-48 inches or less wide Qty 1 Disposal-Disposal per Unit Qty 1 No Exterior Wrap-No Wrap 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 8/12/2009 Contract-Detailed Page 2 of 5 Customer: Sandra Rincon Project Name: WZB Rincon, Sandra, North Andover Order Number: 741ZB0004 Quote Number: 608494 lhx# t ocatlon: 40 August Promotion Item Price Qty Ext'd Price ($500.00) 1 ($500.00) I Rough Opening:0"X 0" Thank You For Purchasing Pella® 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.pella.com Printed on 8/12/2009 Contract-Detailed Page 3 of 5 Customer: Sandra Rincon Project Name: WZB Rincon,Sandra, North Andover Order Number: 741ZB0004 Quote Number: 608494 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 and Doors of Boston 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 you Pella products meet local egress requirements Per the manufacturer's 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.pella.com Printed on 8/12/2009 Contract-Detailed Page 4 of 5 i Gusonar.Sandra Rin W Projeci Nadas. WZB Fdncon,Sandra.North Andover Order Number: 741 ZS0004 Quote Number:608444 TERMS& CONDITIONS: PTaiel Checklist has been reviewed Order Totals Taxable Subtotal $2,708.0.4 Crede Card App.oval Sipnalure Sales Tex®6.25% $199.25 n J o Non-texeble Subtotal $1,739.50 QN I-) � N C4 2 eM `� Total $4,915.70 C'USIMMr arse Pam p-t' ,1 Pelle.Solan R Name °r-t1 Deposit Received $0.00 Amount Due $4,618-79 ���Sgrwitura Pelle 3;Iw lisp SlOfaturn C 101, Gate I Date i l I ' Fos mars intorrnetiorr regerdiny the Uneshinp,rnainlenanse,service and warranty at all 1:1110183,Products,vrsil Iha Pella�webBite at wvm peila�com !`nn�.w� rldeAsd �gNrlt'S rNCGN 1 I I`) S►.PtwvU�l Ot. CC DISPUTES Job Name J `'� � �,N(CA) Date 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 VA19 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. U l 5 NOTICE OF CANCELLATION Customer Name: S 5Ndf' 111 CGA (Please print) Date of transaction: 1- 19- 1 Uc, 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 J (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) 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 S 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 y 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 CONSEQl1F.NTiAL.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 responsiblean Y of its subcontractors identified in this agreemem 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 One Ashburton Place.Boston.MA 02108,617-727-8598 accumulation of waste materials or rubbish caused by performance of the 12. PERMITS(MA customers only) Work. Pella is obli-ated to and will obtain the following permits for this project: 4. CHANGES —�— rN Homeowners who secure their own permits will be excluded from th guaranty fund provisions of Massachusetts General Laws, The Owner may order in writing charges in the Work consisting of additions. chapter 142A. deletions.or modifications("Change Order'). Any Change Order shall include an adjustment to the Price and the Substantial Completion Dale,as In addition to the rights and warranties enumerated in this agreement.you may determined by Pella. Pella reserves the right to approve or disapprove any have additional rights under Massachusetts General Laws.chapter 142A and Change Order and any such Change Order must be signed by both Owner and 780 Code of Massachusetts Regulations R6. Pella to be effective. 13. NOTICE OF CANCELLATION 5. SUBSTANTiAL COMPLETION You may cancel this agreement if it has been signed by a party Owner understands and agrees that the Substantial Completion Date is an thereto at a place other than an address of the seller,which estimate only and that the actual date on which the Work is completed may he may be his main office or branch thereof,provided you notify extended to allow for Change Orders requested by Owner or if the time to complete the Work is affected by conduct of the Owner,weather,labor the seller in writing at his main office or branch by ordinary disputes,availability of subcontractors,acts of God,fire or other causes mail posted,by telegram sent or by delivery,not later than reasonably beyond Pella",control.If for any reason the Work is not fully midnight of the third business day following the signing of this completed by the Substantial Completion Date(including any extensions aareetnent. contemplated above).but is substantially completed by such date.i.e.,the Product has been installed.but minor parts or components are missing or need See the attached Notice of Cancellation for an explanation of to be replaced or repaired,a hold back proportionate to the cost of remaining parts or work to be completed is acceptable.However.the holdback will not this richt. exceed the amount of the completion costs or 10 17,of the remaining unpaid balance of the Price•whichever is less. Do not sign this contract if there are any blank spaces. 6. FINANCING 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 rr q! requisite approvals and authorizations for the full amount of the requested WU✓liV�-- financing shall have been received from the financial institution. Customer signature ag Date