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Building Permit #040-14 - 12 FARNUM STREET 7/10/2013
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page It ► LOCATiIONI /�- .4rt,N'. �i�--� ' > ` t .r t PROPL.4-vs1C�a- — ° 1`OOYea�fOldStru ture: yes nor MAPN® PARCEL: ,Z®NI;NG1DISTRICT Histone:District° yes 'r 1 MachineShopaVillaget TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building D Qne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other _ Septic m❑�UVelll f ❑EFlootlplain ❑'Wetlantls� ❑ WatershedDistnct . f ❑Vae,1 (/Sewers DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: l QS Phone: 6-92,L91-177 0 Address: �` F4rAJUa-.. St C-ONTRACTO.R' Name: Address` F� mss£ •�[, „1 +- Zts�-Z _- r _ - Supervis_ors�Const`ruction'License I 1: 77 Ex Dater 3 Home,lmprovement License _ — p� 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: $� FEE: $ Check No.: Receipt No.: 1.4 NOTE: Persons cont acting with unregistered contractors do not have acYe7ssYo7heguarantyfund vga, »trr� � Signature�of,Agent/Owner�" Sig�atiare,of�.contractor Gay � � �;�-.-��,=== Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Location /5.) No. i��Xd Date' =�- --_ o - TOWN OF NORTH ANDOVER e Certificate of Occupancy $ d Building/Frame Permit Fee $ Foundation Permit Fee $ � °. Other Permit Fee $ TOTAL $ Check# v r 26612 ,:Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE.DISPOSAL Public Sewer ❑ Tanning/MassageBody 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 DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on _ Signature COMMENTS HEALTH Reviewed on aSignature M 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 DEPARTIM.ENT - Temp Dumpster on site yes no Located at 124 Neiin Street.. : - Fire Departrnerit 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 NOTES and DATA— For department use i i - D Notified for pickup - Date li I 3 Doc.Building Permit Revised 2010 .l Building Department The fohowing is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits u Building Permit Application o Workers Comp Affidavit u Photo Copy Of H.I.C. And/Or C.S.L. Licenses u Copy of Contract u Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster.permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application D Certified Surveyed Plot Plan o Workers Comp Affidavit u Photo Copy of H.I.C. And C.S.L. Licenses u Copy Of Contract u Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) L3 Mass check Energy Compliance Report (If Applicable) D Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Departmentt-prior to issuance of Bldg Permit New Construction (Single and Two Family) Li Building Permit Application o Certified Proposed Plot Plan Li Photo of H.I.C. And C.S.L. Licenses Li Workers Comp Affidavit u Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract Li Mass check Energy Compliance Report o 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 appy al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submated with the building application Doc: Doc.Buhding permit Revised 2012 NORTH Town of � � , ndover No. _ ��K. h ," ver, Mass, coc"Ic„ewcm '► Ar E D U BOARD OF HEALTH PERMIT Food/Kitchen T LD Septic System THIS CERTIFIES THAT �1. WA ,,,� `r,s'„ BUILDING INSPECTOR has permission to erect .......................... buildings on ....I43........F�A-IPA ,r ......,, Foundation Rough to be occupied as .. .J.lo1 �!4� i.....a. ...... ....................... .. .....�.�.�.�............... Chimney provided that the person accepting this permit shall in every respect con orm 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR • UNLESS CONSTRUC S RTS Rough Service .......... ...... ....................................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildine Rough 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. i The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):PEI IA dw(Aw ® L-` C- Address:_4�E eONoxV City/State/Zip: HAVEM, OV 3 2- Phone Are you an employer?Check the appropriate box: Type of project(required): 1.N4 am a employer with Z 4. � I am a general contractor and I 6. El New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. remodeling ship and have no employees These sub-contractors have g, 0 Demolition workingfor me in an capacity. employees and have workers' Y P t3' 9. ❑Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. [] We are a corporation and its 10.0 Electrical repairs or additions I 3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: A,fpr 1Q4 %Ei Bel Cr 0, — I ' Policy#or Self-ins.Lic.#: 4&)1)go Expiration Date: _7"/"' Z.Z)% Job Site Address: City/State/Zip: Attach a copy of the workerscompensation 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 and penalties of perjury that the information provided above is true and correct. i signature: 1 .►.._ ( =----_ Date: Phone# �r"�' 2 l�`� —1 4 17 Official 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.Building Department 3.City/Town.Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: A`CC® DATE(MMIDD/YYYY) `..� CERTIFICATE OF LIABILITY INSURANCE 1 07/06/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL.INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Dorothy A.Corlett,CIC,RPLU Fred C.Church,Inc. NAME: 41 Wellman Street aC NNo 978 3227231 FAX Nol: (978)454-1865 Lowell,MA 01851 E-MAIL (800)225-1865 ADDRESS: dcorett@fredcchurch.com INSURERS AFFORDING COVERAGE NAIC# INSURERA: Citizens Insurance Company of America 31534 INSURED INSURER B: Hanover Insurance Company 22292 New England Window&Door LLC INSURER C: Massachusetts Bay Insurance 22306 45 Fondi Road New Hampshire Employers Insurance Company 13083 Haverhill,MA 01832-1302 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:26329 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. /LTR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MMIDD EFF MMIDD EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED 100,000 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 10,000 A ZBN8161407 7/112013 7/1/2014 PERSONAL&ADV INJURY $ 1.000,000 GENERAL AGGREGATE $ 2.000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2.000,000 POLICY PRO X - M LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ C ALL OWNED SCHEDULED ADN8162169 7/1/2013 7/1/2014 BODILY INJURYPer accident $ AUTOS AUTOS ( ) HIRED AUTOS NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 9,000,000 B EXCESS LIAB CLAIMS-MADE UHN8167305 711/2013 7/1/2014 AGGREGATE $ 9,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITYY 500,000 /N I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ D OFFICER/MEMBER EXCLUDED? F N/A 400040101 7/1/2013 7/1/2014 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space 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 Client# Mst# Cert Holder# ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Department, o; Sa`e.;� Board of 8util.t:di 'Reg ul ahons inn S ,q ns?. CS-089853 hZOE, WILLIAM R NICHOLS k' 57 PEARTRit RD s HAVERHILL MA : . .., 10/26/2014 Office of:Consu ___4ess Regulation OiWiE IMPROV MENT CONTRACTOR . Registration �4I il74. Type g'4 p Expiration 1 tl1213. Supplement FELLA WINDOWS PANDeD0,008 " WILLIAM NICHOLS -- 45 FONDI RD HAVERI ILL, /IA 01.832 L'nders cretary ,iia Contract - Detailed I �� Pella Window grid Door`Showro rrn of Haverhill — Sales,.Rep Name.._Duff, Stephen 45 Fondi Road l Sales Rep Phone: 978-373-2500 Haverhill, MA 01832 f a SalesRep Fax: Phone: 9783732500 Fax: 9783737274 v . Sales Rep E-Mail: Duffs@pellaboston.com Customer lnforrhAtion Projectibblivery Address Order Information Ilya Yaroslaysky: Yaroslaysky,Ilya,North Andover1243556 Quote`Nrife: Entire Project. 1.2 Farnum St 12 Farnum St • - Order Number. 741- NORTH ANDOVER,MA 01845-5605 Lot# Quote Number: 4707883 Day Phone: (978)6826017 North Andover,MA 01845-5605 Order Type: Installed Sales Mobile Phone: `/ County: Payment Terms: Deposit/C.O.D. Fax Number: / Tax Code: MA TAX.6.25 E-Mail: ch0kit@r*Woap@.P.4 'y e,f+ C 0%s+ Quoted Date: 5719/2013. Great Plains#: / Customer Number: 1006504880 Customer Account: 1001992463 Customer Notes: PERMIT.FEE$:144 !:I'ne# Location: Attributes 5 None Assigned Delivery/Setup- Delivery/Setup Qty t :For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 612072013 Contract-Detailed Page 1 of 11 Customer:Ilya Yaroslaysky Project Name: Yaroslaysky,llya,North Andoverl243556 Order Number. 741 Quote Number: 4707883 Line# Location: Attributes. 10 FRONT DOOR Pella Brand, Inswing Entry Door Right,37.5 X 81.75, Brick Red, 4 9116" Qty 1 . 1 I 1:3580 Right Inswing Entry Door PK# Frame Size: 37 1/2'X 81 3/4 n p 572 General Information: No Fire Rating,,Clad,Wood,Pine,1 5/16",4.9/16 Standard.Sill,Mill Finish Sill;,Oak Threshold Entry Door Panel: Glazed,Fiberglass,Mahogany,Mahogany,Center Arch Light Exterior Color!Finish: Standard Enduraclad,Painted,Brick Red,Brick Red Interior Color/Finish: Painted;Poplar White;White 5 Glass: Tempered Decorative Madeira Nickel Viewed From Exterior Hardware Options: Latch Bore with.Deadbolt,2 3/8",2 1/8",No:Handle Set,Aluminum.Adjustable,Brass Frame Size:37.5"X 81.?5 Unit Accessories: No Bang Panel Wrapping Information: Nail Fin,Factory Applied,No Exterior Trim,No Interior Tdm,.4 9/16 5 7/8",Factory Applied,Pella Recommended Clearance, Perimeter Length=239". Composite Trim>48-Composite.Trim Upgrade>Greater than 48 inches wide Qty 1' ES—Single-Install Single Entry Door Qty 1 A Line#. Location: ttributes 20 SIDE DOOR Pella Brand, Inswing Entry Door Right, 33.5 X 81.75, Brick Red,4 9116" aty _ 1 1:3280 Right Inswing Entry Door v PK# Frame Size: 33 1/2 X 81 3/4 Q. . 572 General Information:- No Fire Rating,Clad,Wood,Pine,16/16",4 9/16";Standard Sill,Mill Finish Sill,Oak Threshold �'- Entry Door Panel: Glazed,Fiberglass,Smooth,Smooth,Twrin 1/2 Light Exterior Color/Finish: Standard Enduraclad,Painted,Brick Red,Brick Red l Interior Color/Finish: Painted,Poplar White,White s3.5 Glass: Tempered Decorative Madeira Nickel Viewed From Exterior `Hardware Options: Latch Bore with Deadbolt,2 3/8",2:1/8",No Handle Set,Aluminum Adjustable,Brass Frame Size:.33.5"X 81.75" Unit Accessories: No Bang Panel Wrapping Information: Nail Fin,Factory Applied,No Exterior Trim,No Interior Tr1m;49/16",5 7/8",Factory Applied,Pella Recommended Clearance, Perimeter Length=231". Composite Trim>48-Composite Trim Upgrade>Greater than 48 inches wide Qty 1 ES—Single-Install Single Entry Door 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 6/20/2013 Contract-Detailed Page 2 of 11 Customer: Ilya Yaroslaysky Project Name: Yaroslaysky,llya,North Andover1243556 Order Number: 741 Quote Number: 4707883 Line# Location: Attributes 25 FRONT STORM Entry Systems, Fullview Storm Door Interchangeable Unhanded,36 X 81, Putty Qty (91034) 1 1:3680 to 81 Unhanded Interchangeable Fullview Storm Door PK# Frame Size: 36 X 81 572 General Information: Clad Exterior Color!Finish: Standard EndutaClad,Putty Sash/Panel:_ 1-518"Extruded Glass: Clear I" Hardware Options: Standard,Oil-Rubbed Bronze Viewed From Exterior Grilles: None Frame Size:361:X 81" Model: 4601 Wrapping Information: Perimeter Length=234". ES—Storm Door-Install Storm Door Qty 1 Line# Location: Attributes . 30 SIDE STORM iEntry Systems, Fullview Storm Door Interchangeable Unhanded; 32 X81, Putty Qty (91035) 1 i . 1:3280 to 81 Unhanded Interchangeable Fullview Storm Door I PK# Frame Size: 32 X 81' 572 General Information: Clad Exterior Color!Finish: Standard EnduYaClad,Putty Sash 1 Panel: 1-5/8"Extruded a Glass: Clear ` Hardware Options: Standard,Oil-Rubbed Bronze Viewed From Exterior Grilles: None Frame Size:32''X 81" Model: 4601 Wrapping Information: Perimeter Length=226". ES—Storm Door-Install Storm Door Qty 1 Line# Location: Attributes - 35 10 pct off doors June Rebate•June Rebate 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 6/20/2013 Contract-Detailed Page 3 of 11 Customer:Ilya Yaroslaysky Project Name: Yaroslaysky,llya,North Andover1243556 Order Number: 741 Quote Number. 4707883 Line# Location: Attributes 40 MASTER BATH Vinyl Windows 1 Doors By Pella, Double Hung,34.5 X 37.5,White Qty I - 1 1:Nonstandard SizeNonStandard Size Double Hung,Equal PK# frame Size: 34 1/2X 37 1/2 r # 572 .General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 114",20 Series,Sill Adapter included,Head Expander included Exterior Color/Finish: White Interior Color I Finish: White Glass: Insulated Low E Advanced Argon:Non High,Altitude 'Screen: Half Screen Viewed From Exterior Grille: GBG,314"Contour,Traditional(3W2H I OWOH) Frame Size:34.5"X 37.5" Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length= 144",Glazing Pressure=50. PI—Complete-Pella Complete Pocket Qty 1 Exterior Wrap/Cap for PI-Exterior Wrap/Cap For Complete Pocket Install Qty 1 Line# Location: -Attributes 45 UPSTAIR BATH Vinyl Windows 1 Doors By Pella, Double Hung,34.5 X 37.5,White cats 11 t 1:Nonstandard SizeNon-Standard Size Double Hung,Equal PK# Frame Size: 34 1/2 X 37 1/2 General Information: Standard,Vinyl,Block Frame With Mull Groove.3 114",3 114",20 Series,Sill Adapter Included,Head Expander included 572 Exterior Color/Finish: White V Interior Color/Finish: White Glass: Insulated Tempered Low E Advanced Argon Non High Altitude Screen: Half Screen Viewed From Exterior Grille: GBG,314"Contour,Traditional(3W2H/OWOH) Frame Size:34.5"X 37.5" wrapping Information:. No Exterior Trim,No Interior Trim,Pella Recommended,Clearance,,Perimeter Length= 144",Glazing Pressure=205. PI—Complete-Pella Complete Pocket Qty 1 Exterior Wrap/Cap for PI-Exterior YWrap/Cap For Complete Pocket Install 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 6/20/2013 Contract-Detailed Page 4 of 11 Customer:Ilya Yaroslaysky Project Name: Yaroslaysky;llya,North Andover1243556 Order Number: 741 Quote Number. 4707883 Line# Location: Attributes. 50 GUEST QED Vinyl Windows/Doors By Pella, Double Hung,331 X 57,White Qty ` 1 I! r 1:Nonstandard SizeNon-Standard Size Double Hung,Equal PK# Frame Size: 33 X 57 572 General Information: Standard;Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",20 Series,Sill Adapter Included,Head Expander Included Exterior Color I Finish: White Interior Color I Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude �~ Screen: Half Screen Viewed From Exterior Grille: GBG,314"Contour,Traditional(3W2H/OWOH) Frame Size:33'X 57" Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=180",Glazing Pressure=55. PI_Complete-Pella Complete Pocket Qty 1 Exterior Wrap/Cap for PI-Exterior Wrap/Cap For Complete Pocket Install Qty 1 Line# Location: Attributes 55 FRONT Vinyl Windows J Doors By Pella, Double Hung,37.5 X 56.5, White Qty 4 fr 1:Nonstandard SizeNonStandard Size Double Hung,Equal PK# Frame Size: 37 1/2 X 56 1/2 4 572 General Information: Standard,Vinyl,Block Frame With Mull Groove,.3 1/4",3 1/4",20 Series,Sill Adapter included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White i Glass: Insulated Low E Advanced Argon Non High Altitude Screen: Half Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H I OWOH) Frame Size:37.5"X 56.5" Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=188",Glazing Pressure=50. PI_Complete-Pella Complete Pocket Qty 1 Exterior WraplCap for PI-Exterior Wrap/Cap For Complete Pocket Install Qty 1 For more information regarding the finishing, maintenance,service and warranty of all Pella®products, visit the Pella®website at www,pella.com Printed on 6/2012013 Contract-Detailed Page 5 of 11 Customer:Ilya Yaroslaysky Project Name: Yaroslaysky,llya,North Andoverl243556 Order Number: 741 Quote Number: 4707883 Location: Attributes . 60 DOMSTAIR BATH Vinyl Windows/Doors.By Pella, Double Hung, 34.5 X 37.5,White Qty 1 g 1 1:Nonstandard SizeNonStandard Size Double Hung,Equal �,' PK# Frame Size: 34 1/2 X 37 1/2 572 General Information: Standard;Vinyl,Block Frame With MuILGroove;3 1/4",3 1/4",20 Series,Sill Adapter Included, Head Expander Included Exterior Color/Finish: White - Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude .5.. — Screen: 'Half Screen Viewed From Exterior Grille: GBG,3/4'°Contour,Traditional(3W2H/OWOH) Frame Size:34.5"X 37.5" Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=144",Glazing Pressure=50. PI Complete-Pella Complete Pocket Qty 1 Exterior Wrap/Cap for PI-Exterior Wrap/Cap For Complete Pocket Install Qty 1 Line#. Location:. _. Attributes 65 40 pct off labor May Promo - May Promotion Qty 1 Line# Location:. Attributes 70 large job June Rebate-June Rebate Qty 1 For more information regarding the finishing, maintenance, service and warranty of all Pella®products;.visit the Pella®website,at www.pella.com Printed on 6/20/2013 Contract-Detailed Page 6 of 11 Customer:Ilya Yarosiaysky Project Name: Yaroslaysky,Ilya,North Andover1243556 Order Number: 741 Quote Number: 4707883 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. Project Checklist Review (Installed Orders Only) Before the Installation the Homeowner agrees 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 followina: 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 For more information regarding the finishing,:maintenance, service and warranty of all Pella®products, viisit the Pella®website at www.pella.com Printed on 6120/2013 Contract-Detailed Page 7 of 11 Customer: Ilya Yaroslaysky Project Name: Yaroslaysky,llya,North Andoverl243556 Order Number. 74.1 Quote Number: 4707883 . 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 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 fullwrap or new exterior trim is not purchased Project Checklist has been reviewed 'ustonter initial Product Only Addendum has been reviewed Customer initial Credit Card Account#: Last 4 Digits o Expiration Date: D Charge final payment to same account I � (Upon substantial completion) C-tomer initial For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 6/20/2013 Contract-Detailed Page 8 of t 1 Customer:Ilya Yaroslaysky Project Name: Yaroslaysky,Ilya,North Andover1243556 Order Number: 741 Quote'Number: 4707883 /roject Checklist has been reviewed T1�A C. us cern r Name �� Please print) Pella Sa es (Please print) Order-Totals Taxable Subtotal $7,354.47 r - Custo r Signat re Pella ale a Sig ure Sales Tax @ 6.25% $459.65 Non-taxable-Subtotal $4,94800 Date Date Total $12,762.12 Deposit Received $6,381.06 Credit-CarT v Sign Amount Due $6,381.06 For more information regarding the finishing, maintenance;service and warranty of all Pella®products,visit the PellaV.website at-www.pella.com -- Printed Printed on 6/20/2013 Contract-Detailed Page 9 of 11 NOTICE OF CANCELLATION --nCustomer Name: PI se 't� Date of transaction: 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 kd., Haverhill,MA 01832 not later than midnight of 4` I (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 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, tools and machin WHETHER FORESEEN OR UNFORESEEN. for all labor,materials, equipment, ery,transportation,and other facilities and services necessary for the proper execution and completion of the Work. 11. HOME IMPROVEMENT CONTRACTORS The materials and equipment famished underer 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 bee from administered by the Board of Building Regulations and Standards. Pella and the director of the Home Improvement Contractor Registration Program defects not inherent in the quality required permitted,and the Work any of its subcontractors identified in this agreement have been registered. conform with the requirements of this Contract.Pella shall not beresponsible for damages or defects caused by abuse,imodifications not executed by Pella, Any inquires about Pella 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 02108,611-727-8598 accumulation of waste materials or rubbish caused by performance of the 12. PERMITS(MA customers only) Work. Pefa isgated to and will obtain the following permits for this project: 4. CHANGES r MM' Homeowners who secure their own permits will be excluded from t e guaranty fund provisions of Massachusetts General Laws, The Owner may order in writing changes 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 Date,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 be 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 ocher causes mail posted,by telegram sent or by delivery,not later than reasonably beyond Pella's 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. agreement. 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 Notic f 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 right. { exceed the amount of the completion costs or 10%of the remaining unpaid j balance of the Price,whichever is less. t Do not sign this contr ct if the a a blank spaces. 6. FINANCING If payment of the Price is financed with a financial institution through Pella,all r financing paperwork must be completed upon signing of this Contract and the requisite approvals and authorizations for the full amount of the requested financing shall have been received from the financial institution. stomer signature Date r DISPUTES Job Name c, 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 TH CONSUMER SHALL BE REQUIRED TO SUBMIT TO SUCH ARB RATION ROVIDED IN M.G.L.c. 142A Contracto ,7i iJ H meowner 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.