Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Building Permit #52 - 125 OLD VILLAGE LANE 7/23/2008
L BUILDING PERMIT o` `kORoTH qti TOWN OF NORTH ANDOVER F?`bit`• op APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received gwreo Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION /.)-S- OL,p VftA.--& oW Print PROPERTY OWNER 4oAt CA.5,so OA f Print MAP NO: �� PARCEL: �Q ZONING DISTRICT: Historic District yes Machine Shop Village yes naY TYPE OF IMPROVEMENT PROPOSED USE Resid Non- Residential New BuildingOne famil ° Addition Two or more family Industrial Alteration No. of units: Commercial Repair, rept___ Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: < Phone: 97F-6�t V - R F Address: /.tS 6Lo V,41A-G-e rzjo CONTRACTOR Phone Address: 4,(S"C:2/voor- IZt3 oAgop -Ul' t-t�- olY3z Supervisor's Construction License:-45,F94-5-3 Exp. Date:JO-ZA -6 Home Improvement License: /-3—fw4c 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: $ &06 .7 — FEE: $ 1 Z Check No.: y u Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Own6i,- �i wL,�.,._,_ Signature of contractorb,:; h.,�,�. Plans Submitted Plans Waived Certified Plot Plan Stamped Plans 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 THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS t HEtiL'1-rt, 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 NOTES and DATA— (For department use I ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 J 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 a Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract ❑ 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 ❑ Building Pp 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) o 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 u 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 i Revised 2.2008 Location r'l� No. `o Z' Date 13 �oRTM TOWN OF NORTH ANDOVER r r • ; . Certificate of Occupancy $ Building/Frame Permit Fee $ � ? Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2 j 3i. ' — U Building Inspector NORTH TONM of No. All o dover, Mass., 2?14, 0 LAKE ' COCHICHEWICK y1' ORATED BOARD OF HEALTH PERM -IT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT.........,�Q..y...........C......... .'!'. .0... ................................................................................... Foundation i has permission to erect........................................ buildings on .....ar........ R....MAO.V.. ....�. Rough to be occupied as.......&............ ...... .. .......... ..r.............. �N. ..�..N�i...1................................................... Chimney provided that the person accepting t s permit shall in every respect conform to the terms 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 Z PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU ARTS Rough BUIL TOR Final Occupancy Permit Required to Ocmpy Building GAS INSPECTOR 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. Tlie Commonwealth of Massachusetts Department of Industrial Accidents Offsce•of Investigations , 600 Washington-Street Boston,MA 02111 www mossgov/dim Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriciaus/Plnm A licant Information hers Please Print Lelzibly Name(Business/0r9aniz*on/Individual): Address: qSS FDha, rLA ,City/State/Zip, NI i4 D I Are you an employer?Check the appropriate tion: ` 1.(a I arc's employer with 2.S • .4. ❑ I am a general contractor and I TYPe•o(Project(required): • employees(full and%c parttime).* have hired the..iub-cor iacto� 6• ❑New construction 2.❑ I am a sole proprietor or Partner— listed on the�aaaclied-heet.t 7."❑Remodeling ship and.have no employees 'These s&4ontractors have 8: .0 Demolition w"orlcmg for mein any capacity workers'comp.insurance. ' f No workers'comp. • 9. Buil ' addition p r�urance. 5. ❑ We are a corporation and its. ❑ required.) officers have exercised their 10.0 Electrical repairs or-additions 3.❑ I am.a homeowner doing all.work . right of exemption per MGL 1.1:0 Plumbing repairs or additions Myself [No workers' comp' ' cl 152, §1(4),and we have no insurance t' 12.❑Roof repairs rogrrrrod•] employees. (No workers.' 13.❑Other . comp.insurance required.] 'Any appliant the checks box dl mint alio&U fiat We lection below showing ' 1'Homeowners who submit"affidn'itxindl the :0�°�P�stionpotiry ipfonaatioo ' . tLey.are doing all work and then time outside oontrai<toa.must subrgit anew affidvit indicating snub. =Contratiors that eMck this hoz must.attada:d an additional shed showing the name uf*e sub.eonbactm.sed their wlAascomp.policy infoem don. I am an employer dw"is providing)uorkers'eonrensa on insurance for ng+ to et,�--Below is thr o ' and'Job site Jnforni la on. 1P y p ': 1 Insurance Company Name: t"'C C . v,r•a ti Policy#or Self-ins.Lie.#: o$ w C3N L 5'7y Z Expiration Date. z Qp Job Site Address- City/State/Zip: Attach a copy of-the workers'compensation policy declaration page.(showing the:policy°humbee sad expiration date). Failure to secure covetage as required under Seciidn.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,at well as cis it penalties inAhe form of a STOP WORK.ORDEIk and a fine of up to$250.00 a day against the violator. Be advised that a co Investigations of the DIA for insurance coverage verification. PYlS ystatement inay be'focvyardal m t6 Office of :. I do hereby certify under the pairs cad penalties ofpcilWy that the lnfor?i n provided above is true and correct Signature: Date: '7 OJrsciar use only. Do iWt write in this arca,to be eompleW by city or town.official City or Town: Permit/Licease# Ltaning-Auth6ri ( ty� circle one L Board of 8ea1tL..2.Bnildin�Iepartmeut 3.CiWT47n Cleric �4:Electrical Inspector S,Plain Ins A.Other :��.t-.�z.' ai pe�etor Contact Person: • ,_.__ ACORD. CERTIFICATE OF LIABILITY INSURANCE 07/22008421`"' . 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 Wellman 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 INSURER A Citizens Insurance Company of America New England Window&Door LLC 45 Fondi Road INSURER B: Hanover InsUMCe Company Haverhill,MA 01832-1302 INSURER C: Massachusetts Bay Insurance INSURER D: Twin City Fire Insurance CO. 129459 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTAND114G 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 POLICY EFFECTIVE POLICY EXPIRATION Ho TYPE OF INSURANCE POLICY NUMBER DATE tMIMIDDErn LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RERT96 X COMMERCIAL GENERAL LIABILITY PREMISES(Ee occmr=l $500,000 CLAIMS MADE �OCCUR MED EXP(Anyane $10,000 A ZBN8161407 7/1/2008 7/l/2009 PERSONAL&AOV INJURY 11,000,000 GENERAL AGGREGATE j 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $ 2,000,000 POLICY PRO El LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMB j 1,000,000 X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per P—) C ADN8162169 7/1/2008 7/1/2009 X HIREDAUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) j ,. PROPERTY DAMAGE,. 9. (Per accident) j - GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: . AGG j EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $9,000,000 X OCCUR F CLAIMS MADE AGGREGATE $9,000,000 B UHN8167305 7/1/2008 7/1/2009 '$. HDEDUCTIBLE $ x RETENTION . $ $ WORKERS COMPENSATION AMP X I WCSTATU- 0FR TH EMPLOYERS'LIABILITY D ANY PROPRIETORIPARTNERIFXECUTIVE 08WBNL5742 7/l/2008 7/l/2009 EL EACH ACCIDENT $5(10.000 OFFICERIMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEd$ 500,000 tfdescribe under 500,000SPECIAL PROVISIONS bebw : ....-... ._ ... .. E.L.DISEASE-POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Proof of Insurance CERTIFICATE HOLDER CANCELLATION New England Window&L Door LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 5 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 00 SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND„UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 2001/08) Client# 2960 Mst# 08-09 GL,UMB,WC, Cert# ©ACORD CORPORATION 1988 � Auto 1NraAEt3U OR;TION Llcns� QNTRSJC �C�N 5�1 �S F q WIL„{..il"1F1I1 Y•! mr � �1ae �oonmwnuea/,� o�./�aao¢r/u�aetta N Board of Building Regulations and Standards HOME"IMPROVEMENTCONTRACTOR Registr i s 129774 /2/2009 � � Spiement Card PELLA WINDOW -N-b'Do' WILLIAM NICHO4S' � � S 45 FONDI RD. HAVERHILL,MA 01832'' Administrator r7ql QA 77(0�1 • Contract PELLA WINDOWS&DOORS,INC. ® 45 FONDI ROAD HAVERHILL MA 01832 Phone: 800-866-9886 X137 Fax: 978-373-7274 Customer Project/Ship-To Order Don Champion Champion I WMENorthAndover Date 00/00/00 Quote No. CHAMPIONI 125 Old Village Road 125 Old Village Road Order No. Need Date 00/00/00 N ANDOVER,MA 01845 N ANDOVER,MA 01845 Sales Rep.Name DAlessandro,Louis/WME A. ESSEX ESSEX Prepared by Payment Terms Wells Fargo Owner: Don Champion Architect Bus.Phone: ( ) - Bus.Phone: Jamb Depth Bus. Fax: ( ) - Home Phone: (978)685-0488 P.O.No. Cellular: ( ) - Branch Order No. Home Phone: (978)685-0488 Order Type Installed Sales Order Glazing Design 20.00 psf. Pressure Branch Name PELLA WINDOWS&DOORS,INC. Branch Address 45 FONDI ROAD Phone 800-866-9886 X137 City HAVERHILL Fax 978-373-7274 State MA 01832 Comments: Customer purchasing using Wells Fargo 6 Months Same as Cash For information regarding the finishing, maintenance, service, and warranty for all Pella products,visit the Pella Website at wwwpella.com. Printed 07/03/08 Contract-Page 1 of 5 Contract for Customer Don Champion Project: Champion WMENorthAndover Order No.: Outside View Item No. Otv. Summary Description Unit Price Extended Price k Item#10 Qty: 2 Vent-DH Luxury Edition Precision Fit Window,Make Size:30- Location:BR 1 1/4 X 40-1/2:Architect Series,Wood,Model 3,Primed Wood, R.O: 2'6-3/4" X 3'5" Brown,Half Vent/match Half Vent, 5/8" InsulShld IG Glazing,Half Screen,Brass Hardware, 7/8"ILT Traditional Grille(Grille Lites Wide=03,Grille Lites High Upper Sash=02,Grille Lites High Lower Sash=02) Value Added Items: Standard P-Fit Install-Qty 1 Disposal per Unit-Qty 1 Unfinished NO PAINT-Qty 1 Notes: Outside View Item No. ON. Summary Description Unit Price Extended Price Item#15 Qty: 1 Vent-DH Luxury Edition Precision Fit Window,Make Size:24- Location:BR 1 1/4 X 40-1/2:Architect Series,Wood,Model 3,Primed Wood, R.O:2'0-3/4" X 3'5" Brown,Half Vent/match Half Vent,5/8"InsulShld IG Glazing,Half Screen,Brass Hardware,7/8"ILT Traditional Grille(Grille Lites Wide=03, Grille Lites High Upper Sash=02,Grille Lites High Lower Sash=02) Value Added Items: Standard P-Fit Install-Qty 1 Disposal per Unit-Qty 1 Unfinished NO PAINT-Qty 1 Notes: For information regarding the finishing, maintenance, service, and warranty for all Pella products,visit the Pella Website at www.pella.com. Contract-Page 2 of 5 .Contract for Customer Don Champion Project: Championl WMENorthAndover Order No.: Outside View Item No. ON. Summary Description Unit Price Extended Price Item#20 Qty:2 Vent-DH Luxury Edition Precision Fit Window,Make Size:30- Location:BR 2 1/4 X 40-1/2:Architect Series,Wood,Model 3,Primed Wood, R.O: 2'6-3/4" X 3'5" Brown,Half Vent/match Half Vent, 5/8"InsulShld IG Glazing,Half Screen,Brass Hardware,7/8"ILT Traditional Grille(Grille Lites Wide=03,Grille Lites High Upper Sash=02,Grille Lites High Lower Sash=02) Value Added Items: Standard P-Fit Install-Qty 1 Disposal per Unit-Qty 1 Unfinished NO PAINT-Qty 1 Notes: i Outside View Item No. Oty, Summary Description Unit Price Extended Price Item#25 Qty: 1 Vent-DH Luxury Edition Precision Fit Window,Make Size:24- Location:Bathroom 1/4 X 40-1/2:Architect Series,Wood,Model 3,Primed Wood, R.O: 2'0-3/4" X 3'5" Brown,Half Vent/match Half Vent,5/8"InsulShld IG Glazing,Half Screen,Brass Hardware,7/8"ILT Traditional Grille(Grille Lites DI Wide=02,Grille Lites High Upper Sash=02,Grille Lites High Lower Sash=02) Value Added Items: Standard P-Fit Install-Qty 1 Disposal per Unit-Qty 1 Unfinished NO PAINT-Qty 1 Notes: Thank You For Purchasing Pella Products For information regarding the finishing, maintenance, service, and warranty for all Pella products,visit the Pella Website at www.yella.com. Contract-Page 3 of 5 apt 11 r MCI,! -r Dc,n C' .1 ] s;..]('T :i�:Y)il�E1Cf%-. . '3C• C,"• Cl" _�,�Signature_ ..�.....�....Y..._... �.ii:� •'p..t��:C.l:�f:1 4 _.y,f:,'�-C ;lt] ," - ) :li 1'�I.I;Y 1a:iisla Subtotal Algal Date S 001.1 Wk.il;RA"RfTN". F?'e]i a r�sduc:Cs ai% co-vcxe d b:j" Pella's i �, r r. , }7: 1 CTlitei:�.1�'arr�rnt:ie�; in+r�:tf���c,t: aF. ..ftc t:ir;t.e� r.?f s�ll4., .��ll. <;�lylalic:�i�l� f,�.c��:.�.::��,t 1i�ara:•;.r�:Mai:�c;:-;:� . � ir]cog)oral:ed irlto and becornc, a part o:fUs contram Please sire.tine «-a:rm ties:ibr cc.mplety cleans. taking special :7c le oftIle t"S iFT:.-iC tow- sec ons regmAng m.-„ tallation of:-efta products and l rul)ILT rr]�L63gern.e t o n gist. tiv' thin e t al_l system.*'Neither F'.11 r � 4 rt r �.� xre t.t�. �. tlz �� )X-Ttdi]�tis:kl; .J4:o” ,. lncc lviN be bound y any f..Ftl1er• lh`i�I.�Fi1l.:t.V ln:iless speci.�lcal set out it t. ° �`"t d.l'.t, l lL+��' ' �� ri ).' 17i. Ca.0 r� Howeveil eil }• i.l^. . :�I`f_ or b"•.•m.kch war•ra' ies which c.rt'.au,- Wgmti.ons in adt'f.ltl.on to or obligations"vI.rlch are- id:.OnsisCc'nt lvitl'I Rel.La VNI'AtQ11 Clear calvenirtg (egressj information does nc:lt,tAre into coils i de raflon the addition of a Rolscv.en [or any to 'i-be Tire. -:A `i'on ShOE:-J c17]a. ult your local l:uRdWg code tart ensure your fella products meet l.m-W, egress requireva.nts. Per the manufacturer's liadted w,-.ixT:ant;r,, unfinished rx]:bog,any l,xWor mvindows and doors;must be linis.hed refinished arm-,lal:fy, tl].ererl.ftc r. Variations in wood spin, color, textive or]:i-itur�rl c.h,�actvr'icstics ar rant.eR�,1�t;red uncle:r�the '. 1 v " I i✓ re Ert_.]rt�,c= ��..iar:t. ' I Cl .r ;,t' i�:c�'„ :'lai:;i i4?�: :«>%t�1}:C'-Itt:r#Yt.rla4;over JA".-WT :ta'iCIE?Il'i:; J'('ltas.`alol �:j:E'�;5 riL.li3s.'E sl 'F} l.°',F�i 'halo s lfv� t `wLtCi ix�`L � Ait __ _ _. ... _...D. ._ ---- ' e, u ou.,. ,. .„A�, .,..•,,.n_.,..w,..'w.,, .. �.., a ., lk,:iJ A 'T , P'e),a, t.L:c�.;:<r.�:� ar, �,:r4i� r;�tI E�:;, PcAla`:. 14nited rtt effel t at. the uirnxe -c4'sa'k:, .r'11 <r}}:�'::l.irl:;.ibv; # C 1 r :,:-. v f i,� ,, Or ro l Y'".' a,- i €. +. a;% ,,L A,i;�: ac't. Ple;>'Lwt ay.�. r. e, w- rl ?7:1 .11 , X1.7. 'at.iaa .ie it � {S_ , � y 1 { '"o' w ,..r{..t.7�.i +.1. ii'kCt. 1:.1e{ {.ti.� , CTIA; it j.}G r . , h t.. . E i 1..� . t�..f..t �, l,al.,iik�, .. .1 K.itl 'sid.. .„ t h, o�ii !t?..{ . tt i::l'. , ,.tr . ..t. I i Y't y ,t.,. ,.s' _7^ 4 1._ .F' ',t '}t�'.','I "?' r t �: �` :�:c•... .•'l _ ;1 �:C3C}R"C L..f �'`w..Lua ,z.I,J'c.t:.lC;:., d11.F�.ar.(?�:+Ear”rl'i„ltl,,,�,ti.'•CI'kt:t.It.,�?�it.,,,_..i... �i1.�;i�f:I.E"1 {�lt�. ,4'e1�.R : tv>�t',I�... ';'�•�:..�]E'C"�.':..1t 1 5A l C v. 1 7 �' I p, KJ a.1i a. F'f°;I t° { f' a'i`C� c t a:. 1 �.tr h ..vn';� r.� ,tln F i1:., .. > ' L•t.3f4.,ii -�,t 'b„� . ; , li"C t,,i.11_ t zi13'i3(--� �. . LAO, i. ._ l:; a 1.1� , v?1' {J':'i:lKkt's'i\4;117 :.1:!"lt;'.s ;1'{.!!t'.it 6;i'+:G1w i k✓17 s�1114:'..]'I:i 9] Cl4 t.{1C7t�:i".i. ck or f,bti$•.-';-.alon"; whiCh iEd(` .7`I.dl"t{ tl lf;h Rel 41 '4k t'itun V"; ( ,{..�..��.' .7 . .t. ..ca,C '.Fr .l, . -y .},o-s ct �� cc :'Lf.s G�.�.1O '1 t� K. �-�'�.7 .� .,y' ;�} .'t'�' _rho -•-F.Pc 'b :.,W�. -,F: !J.1': •t. Y♦ t�., P t�`• It:;31 ,.I..I_rl1'k{, E i..rt..,. P illl.. ri1.�i..t rr tilt 4., tl t �,lc. 11111 t.�z7.'�1 .ti i . r 1. a(- .€ro 4.# i . .l�.r(..,rl [,... F r�;t t.d'IL�r' r�i: .4._,.L.1 , ';11, tr,.01-L.;ar. You ^f .1 J t:"(3r7;it.i�t j't'�til' `?�".i. c.kl:h. " : .. ,.,^"�, fir, ., y ¢ t-, .r tr.. �.j7 a 5.: x ;�• " '," tyy,<.? • "V c .�.. ..�x.. _ _ 7,7•.1Ftl.l�cta.tl..11a:.1 ..t �7.,.1:1.l.lf„Rl. tt4.f.kJ.,ck.[i{v„ )I.:I_I.�i1...4..1),,.K� .,x.,.C.#1.. lk t t,: 14•r, .)i v1'`iil..t Fv..r sl:rlt;� t�±.,d,l I'E.li.tS{ }(:” iEll..�i . r�.,l)r"I. , t1 .li:ia i,,l ,t41 ;loll) •.:1,., G..i.,.� .•! A. y=, (��.�, a{'h. ti r ` %i9 gr'C r {.y. �,., ft .-C t,p�,;�.., •ke •'c4 •Y t".-, v' ".9'• =,r..;, "�.�, i 5.. f,�. i3I.t.7t:1:71{ ,. t{, 2.w'a�.{lt:'x'. 1.Cii.l__J_i,_ F_.. �i . ()C T, .I.iil, t.l.l..ks tt:it'',.i (, LOC'l.`I. .11.l1'7;t.e .«d➢c.9kCt•t:d'.11._ti(�..� t.Cxt:,nol C,.lt%L.,(,.L; L417e K,:t' t�'w {i.,..t11et6 i I I I 6�foo I Ot 1 V+ 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 AR RATION AS PROVIDED IN M.G.L.c. 142A 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. 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 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 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, One Ashburton Place,Boston,MA 02108,617-727-8598 tear. Pella will keep the premises and surrounding area free from accumulation of waste materials or rubbish caused by performance of the 12. PERMITS(MA customers only) . Work. Pe]y is obliated to and will obtain the following permits for this project: f . Homeowners who secure their own permits will be 4. CHANGES excidded from the Juaranty 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 other 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 Notice of Cancellation for an explanation of to be replaced or repaired,a hold back proportionate to the cost of remaining work to be completed is acceptable.However,the holdback will not this right. parts or o p p exceed the amount of the completion costs or 10%of the remaining unpaid balance of the Price,whichever is less. Do not sign this co ract if t Vere are nk 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 / requisite approvals and authorizations for the full amount of the requested financing shall have been received from the financial institution. Customer signature 21 AU Date ( p NOTICE OF CANCELLATION 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 Rd., Haverhill, MA 01832 not later than midnight of (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature)