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Home My WebLink AboutBuilding Permit #645 - 130 LACONIA CIRCLE 4/23/2010 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION i Permit NO: Date Received Date Issued:—"//� IMPORTANT:Applicant must complete all items on this page LOCATION__)3b 1,4C .,,Z - Print PROPERTY OWNER x2 t ;pT Print MAP NO: 0-5—e PARCEL:ZONING DISTRICT: Historic District yes n Machine Shop Village yes o TYPE OF IMPROVEMENT PROPOSED USE Resid tial Non- Residential New Building `'One famil Addition Two or more family Industrial Alteration _ No. of units: Commercial _ G. e__Iaceme Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: SLto ou P_ S Identification Please Type or Print C el arly) OWNER: Name: (-S (s- SG4j,:.E Phone:g7s Soa x331 i Address: i 3 o CONTRACTOR Name: if��,,,,,,, �.,�s%,r�r , AA,tldt Phone: !i`7U 2-t.5'7615S- t Address: Supervisor's Construction License: e" kls. 3 Exp:. Date:_/0-2 4 ib Home Improvement License: /°'`,9 '77Y 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: $ f. o v FEE: $ �1j11 Z— Check No.: Sy Receipt No.: 2-2-5 (f i NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund _. Signature of Agent/Owner ems,, �„ _, �� Signature of contractor_LJ �____-_,i:., 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 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.sgnature/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) t ❑ Notified for pickup - Date ......._....._......_..._.._...-..............................................................................................._._.....--------............................................._..................._.................................................---................................................................................................................................................_._............................... i Doc:.Building Permit Revised 2008 1 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 g 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) o 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 j must be submitted with the building application Doc: Doc.Building Permit Revised 2008 Location f�D LGICyr G/2 No. Date NORTh TOWN OF NORTH ANDOVER 0 9 Certificate of Occupancy $ s�CH <� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 22961 . Building Inspector V4ORT H 0 0Andover . No. �� z-_ A dover, Mass., I� COC MIC KE WICK y1. 7� RATED PPS\ �C5 `s BOARD OF HEALTH Food/Kitchen PER MIT D Septic System rr BUILDING INSPECTOR 11 THIS CERTIFIES THAT •G. �✓..... Foundation ................... buildings on .......1.2..0......�.1.��.4.�?.,Iii.st.lam............................ Rough has permission to erect..................... to be occupied as.............C.3. ........... .. ... ......�rL.�G�.�i l.. .................................. Chimney thprovided that the person accepting this permit shall in every resect c1nform to the terms of the application on file in Final is office, and to he provisions of the odes 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 ON STARTS Rough ....... .... ... .......... ... ......................... Service BUILDING TOR Final Occupancy Permit Required to Occupy 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. The Commonwealth of Massachusetts Department oflndustrial 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): ��'�( �� AA-0 W S CLr14 Doo is (IAC , Address: q S, pDO\a'. . City/State/Zip: 4AVe k i l/ 0132 '�1Ph1bAta#: q 7k*2.6 -- a SS Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 2 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.F1 am a sole proprietor or partner- listed on theattached sheet. # ❑ Remodeling ship and have no employees These sub-contractors'have S. ❑Demolition working for me in any capacity. workers' comp. insurance. 9. ❑Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I 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' comp. insurance required.] 13.❑ Other *Any applicant that checks box 91 must also fill out the section below showing thefrtiwbrkei;'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. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and jab site information. rr-- Insurance Company Name: FV-ed C . C k V r"r-n Policy#or Self-ins.Lie.#: ®8W13/VL- 507q2. Expiration D: `7 — zo l o Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy:'pfthis statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains hand penalties of perjury that the inforniadoln provided above is true and correct Z� Signature: 1A LZ /L/i-Q� Date: Z /'U Phone#: ?79- Official 79°Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License4 Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other AC.ORD, CERT ICAqE 80D2 z2LABILITY ABLTTY ONSURANCE 061D3A0T12B0@0I9MI1D6D;M20 PRODUCER I Yn THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fred C.Churoh,lno. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 41 Fred Street HOLDER,THIS CERTIFICATE DOES NOT AMEND EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOIflI. LGwa11,MA01851 800-22S-1865 INSURERS AFFORDING COVERAGE NAiIC# INSURED INSURERA, CiE�eoetaearaaaeCampegyofAmadaa NpvWj9adWladuwA.DcarLLC _IN6URER8. R�VartDeurenaeCnmp9lp► 45Fond[Road INSUR®ta: Mea9aaha9aNeBeytaeurenaa etltlll, ►01832.1302_ -waus9a°DndaeWrltareimoraaea#;empa43F _ WBUREROt RVB E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR TN E POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF.ANY CONTRACT OR OTHER DOCUMENT WITH MPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IB SUBJECTTO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INBR UPI MINOR POLICYNUM9ER POLr o POLY n ON LIMITS INSURANCEEACHOCCURRENCE $1,000,000 GENERALLIABILITY 100,000. X COMMERCIALGENERALLIABILITY $ 8 MEDlXP ane etson) $10,000 1 sMADE cccuR DLa M ❑ 1,000,000 (/2010 rtiADVINJURY • A ZBN8i61407 711/2009 71 PERBONAI. OENERALAGOREGATE j 2,000,000 &N-LAGGREOATEUMITAPPLIESPEIL ` PRODUCTS•COMPIOPAGO 2,000,000 POLICY mx LOC pUTOMOBILBLUUiRTTY 011.21 deny INGLELIMIT $1,000,000 g ANYAUTO ALLOWNEDAUTOS BODILYWJURY C SCHEOULEDAUTOS ADN8162169 7/1/2009 7!112010 (Perps�aan) HUtEDAUTOS (PeDaLsYeldengRY $ - NON-OWNED AUTOS , VOew dNuAMAGE $ . OARAGBLUIBILRY AUTOONLY•EAACCIOENT $ EAACC So ANYAUTO pUOTHERT00THAN NLY: AGO ®(CEBBMVIBRI:LLALIABILITY ERCHOCCURRENCE $9,000,UUU 8 OCCUR 17 CLAIMS MADE AGGREGATE 9,000,000 B TJEIaV8167305 7/112009 71112010 $ $ DEDUCTIBLE s RX RETENTION S 8 S A U. 0TH• WONIER9COWMATIONAND 500,000 IMPLOYERSFURBI ii1l BINDWC 7/1/2009 V112010 EL.EACHACCIDENT B D ANYpROPAlE1ORlPARTNERIEXECUi1VE E,L@BEABE•EAEMPLOYE 500,600 OPFlOERIMBTI®EREXOLUOED4 50 000 tPyyea desodhaunde� E,l.019EABE•POLICYLIMIT B 0+ 9P OVIBONShefow OTHER DESCRIPTION OFOPERATIONSILCCATIONSIVEHICLESIBXCLUSIONSADOEO8YENDORSEMENTISPECIALPROVISIONS CERTIFICATE HOLDER CANOELLATION and &DOOC GLC sHOULDANYOFTHEAsovaoi9CRIBEDPOLtCIE9BECANCELLEDBEFORETHEENPIRATION Now Buglan DATE THEREOF,THE ISSUING INSURER WILL ENOBAVOR TO MAIL 30 DAYS WRITTEN 45 Fond Road averhill,MA 01830 NOTICfi TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURETO 00$O SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER,ITS AGENTS OR REPRfiSENTATIYES. AUTHOPKEDRBPRESENTATNE All. !,�"" Massacb3Dcp�u tient of Public Safety Board f�cattoltttf <tnclards Constraction 8Ut v�sgF,.:�License Licenses CS 89853 Restricted to D WILLIAM R NI.CHO.LS awi 57 PEARTREE RO,,�, ,HAVERHILL, MA 01830 �--�- - - `` Explratlon 10%26/2010 ('onnnissioner Tr#: 5196 - -" ✓fie 'L!�oayisrt4'�u�reall� oy�ilgcxaQac�tu.Ge�6 Oftel getrt onsmmer Affairs&Bu me§s Regulation. UVHQtd0 17111P 01/EMENTb6NTRACTOR Imo{ tion 29,774- Reiratiol l/2/2011 U �peSupplennt Card PELLA WINDOWS AND DORS, wl (�5 m-4M NICHOLS HAVEFt1iILL:NiA 01 � t Contract - Detailed Pella Windows BDoors Safes Rep Name: Bloom, Zachary HIC#129774 I Tax ID#26-1413183 45 Fondi Road Sales Rep Phone: 978-423-6914 Haverhill, MA 01832 Sales Rep Fax: Phone: (978)373-2500 Fax: (978)373-7274 Sales Rep E-Mail: rdohertv(cD-pellaboston.coi i Customer Information Project/Delivery Address Order Information GREG SCHMIDT WZB,Schmidt,Greg,North Anover Quote Name: Designer Windows 8 Slidersw/Architect Window 130 Laconia Circle 130 Laconia Circle Order Number: 741ZB0066 NORTH ANDOVER,MA 01845 Lot# Quote Number: 994735 Day Phone: (978)502-8311 NORTH ANDOVER,MA 01845 Order Type: Installed Sales Mobile Phone: County: ESSEX Payment Terms: Wells Fargo Fax Number: Tax Code: MA TAX 6.25 E-Mail: Quoted Date: 1012312009 Great Plains#: 3782627 Line# Location: Attributes 10 Living Room Designer, Precision Hung Double Hung,33.5 X 63.5,Poplar White Qty 2 11 1:Non-Standard Size Double Hung,Equal Split Frame Size: 33 112 X 63 1/2 r General Information: Clad Exterior Color 1 Finish: Standard EnduraClad,Poplar White Interior Color J Finish: Early American Stain Interior Glass: Insulated Low E Advanced Argon Gas Hinge Panel: Clear,Annealed,Standard per design(2.5mm) Viewed From Exterior Hardware Options: Standard Lock,Brown,No Sash Lift Frame Size:33.5"X 63.5" Screen: Half Screen,Inview link Accessories: Cellular Fabric Shade-Top Down,Cellular Fabric Shade-Top Down,Tortilla Grille: None, Wrapping Information: Perimeter Length=194",Glazing Pressure=80. PF-Integrated-Install Integrated Stop P-Fit Qty 1 No Exterior Wrap-No Wrap QtY 1 i' For more information regarding the finishing,maintenance,service and warranty of all Pella@ products,visit the Pella®website at www.pella.com Printed on 3/28/2010 Contract-Detailed Page 1 of 4 J r Customer:GREG SCHMIDT Project Name: WZB,Schmidt,Greg,North Anover OrderNumber: 741ZB0066 Quote Number: 994735 Line# Location: Attributes 15 Livingroom Designer,Sliding Contemporary Door Fixed I Vent,71.25 X 79.5, Poplar White,4-9116" city 2 s g , i 1:7280 Fixed I Vent Sliding Contemporary Door Frame Size: 71 114 X 79 1/2 General Information: Clad Exterior Color Finish: Standard EnduraCiad,Poplar White lollInterior Color I Finish: Early American Stain Interior any - Glass: Insulated Tempered Low E Advanced Argon Gas -- , Hinge Panel: Clear,Tempered,Standard per design(3mm) Viewed From Exterior Hardware Options: Brown,Handle Included,Handle Included,Oil-Rubbed Bronze Frame Size 71.25"X 79.5" Screen: Rolscreen,Wood Wrapped Unit Accessories: Cellular Fabric Shade-Top Down,Tortilla Final Wall Depth:4-9116" Grille: RMB,No,3/4"Designer,Prairie(OWOH),(OWOH),Early American Stain,Poplar White,Shipped In Unit Wrapping Information: Foldout Fins,Factory Applied,4-9116"Factory Applied,Perimeter Length=302",Glazing Pressure=180. Azek Trim>48-Azek Upgrade-Greater than 48 inches wide Qty 1 PD 2 wide-Install 2-Wide Qty i Trim-Interior-Picture Frame-Interior trim Qty 1 Trim-Exterior-Standard Exterior Trim Qty 1 Install Screen-Hinged or Rolscreen Installation Qty 1 Line# Location: Attributes 16 Livingroom Designer, Sliding Contemporary Door Fixed,46 X 79.5, Poplar White,4.9116" City 2 1:Nonstandard Size Fixed Sliding Contemporary Door Frame Size: 46 X 79 1/2 General information: Clad Exterior Color/Finish: Standard EnduraClad,Poplar White Interior Color/Finish: Early American Stain Interior Glass: Insulated Tempered Low E Advanced Argon Gas Hinge Panel: Clear,Tempered,Standard per design Viewed From Exterior Hardware Options: Brown V Frame Size:46"X 79,5" Unit Accessories: Cellular Fabric Shade-Top Down,Tortilla,Right Side Grille: RMB,No.3/4"Designer,Prairie(OWOH),Early American Stain,Poplar White,Shipped In Unit Final Wall Depth:4-9/16" Wrapping Information: Foldout Fins,Factory Applied,4-9116"Factory Applied,Perimeter Length=251",Glazing Pressure=205. Customer Notes: No Hardware for the Single Fixed Door Trim-Exterior-Standard Exterior Trim Qty 1 Trim-Interior-Picture Frame-Interior trim Qty 1 PD Single-Install single Qty 1 I' Azek Trim<48 -Azek Upgrade-48 inches or less wide Qty 1 service and warrant of all Pella®products, visitthe Pella®website at www. elia.com For more information regarding the finishing,maintenance, p 9 9 9. Y P Printed on 3/28/2010 Contract-Detailed Page 2 of 4 E f Customer:GREG SCHMIDT Project Name: WZB,Schmidt,Greg,North Anover Order Number: 741ZB0066 Quote Number: 994735 Line# Location: Attributes 20 Livingroom Designer, Sliding Contemporary Door Fixed I Vent,95.25 X 79.5,Poplar White,49116" Qty , I 1:9660 Fixed/Vent Sliding Contemporary Door E Frame Size: 95 1/4 X 79 1/2 j General Information: Clad Exterior Color/Finish: Standard EnduraClad,Poplar White Interior Color/Finish: Early American Stain Interior y Glass: Insulated Tempered Low E Advanced Argon Gas Hinge Panel: Clear,Tempered,Standard per design Viewed From Exterior Hardware Options: Brown,Handle Included,Handle Included,Oil-Rubbed Bronze Frame Size:95.25"X 79.5" Screen: No Screen Unit Accessories: No Options Final Wali Depth:4-9/16" Grille: RMB,No,3/4"Designer,Praide(OWOH),(OWOH),Early American Stain,Poplar White,Shipped In Unit Wrapping Information: Foldout Fins,Factory Applied,4-9116"Factory Applied,Perimeter Length=350",Glazing Pressure=205. PD 2 wide-Install 2-Wide Qty 1 Trim-Interior-Picture Frame-Interior trim Qty 1 Trim-Exterior-Standard Exterior Trim Qty 1 Line# Location: Attributes 26 Kitchen Architect, Double Hung,41.5 X 41.5,Poplar White,3.11116" Qty t 1:41.541.5 Double Hung,Equal Split Frame Size: 41 1/2 X 41 1/2 General Information: Standard,Style Edition,Clad,Pine Exterior Color/Finish: Standard EnduraClad,Poplar White Ll Interior Color Finish: Early American Stain Interior Glass: Insulated Low E Advanced Argon Gas r r•� Hardware Options: Standard Lock,Brown,No Sash Lift Viewed From Exterior Screen: Half Screen,InView Frame Size:41.5"X 41.5" Grille: RMB,No,3/4",Prairie(OWOH),(0W0H),Early American Stain,Poplar White,Shipped Separate Final Wall Depth:3-11/16" Wrapping Information: Foldout Fins,Factory Applied,3-11/16"Factory Applied,Perimeter Length=166",Glazing Pressure=80. MISC-REPLACE EXT TRIM-P-Fit Standard Exterior Trim Qty 1 No Exterior Wrap-No Wrap Qty 1 PF—EXT-Install Exterior P-Fit Qty 1 Azek Trim<48 -Azek Upgrade-48 inches or less wide Qly 1 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 1'or complete details,taking special note of the.two important notice sections regarding installation o f Pella products and proper management of moisture within the wall system.Neither Pella Corporation nor Pella Windows&Doors will be Lound by any other warranty unless specifically set out in this contract. However,Pella Corporation will not be liable tar 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. For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Printed on 3/28/2010 Contract-Detailed Page 3 of 4 r Customer:GREG SCHMIDT Project Name: WZB,Schmidt,Greg,North Anover Order Number: 741ZB0066 Quote Number: 994735 Per the manul:itcturer'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. 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 sideration the addition of a Rolscreen or an other accessory]to the product. You should Clear opening Cress information does not take into con [ y y] p g(, g ) 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 Project Checklist has been reviewed Qrder Totals Taxable Subtotal $22,865.87 Credit Card Approval Signature Sales Tax @ 6.25% $1,429.12 G(,f� 5cNon-taxable Subtotal $6,975.00 ' Customer Name Please pdni) Pella Sales Re Name (Please print) Total $31,269.99 Deposit Received $15,635.00 �117 Amount Due $15,634.99 eZulffi&8ignature Pella Slalibs Rep Signature '�5 Z2 8// - 312 a�lo Date ' Date For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the PellaaD website at www.pella.com Printed on 3128/2010 Contract-Detailed Page 4 of 4 t L 4 cp, C lei r(�. Afut}� *,4o✓cr, AA C)`�� DISPUTES Job Name `�``1 c�h Date 3 �6 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 � °rl Contract I Home caner 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 pan 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"Contracf')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 Pena 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.nl.and 6:00 p.m.(Monday through Friday)for Pella's installers to BE THE SOLE WARRANTY WITH RESPECT TO THE PRODUCTS AND deliver the Products and perform the Work. PELLA SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, WRITTEN OR ORAL(INCLUDING WITHOUT 3. PELLA LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS Pella will be responsible for and have control over construction means, FOR A PARTICULAR PURPOSE). methods,techniques.sequences and procedures and for coordinating all portions of the work.Pella will be responsible for the Work of its Pella 10. NO CONSEQUENTIAL DAMAGES Contractors who will install the Products. UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR Unless provided otherwise in the Work description,Pella will provide and pay CONSEQUENTIAL,INCIDENTAL.INDIRECT,OR SPECIAL DAMAGES, for all labor,materials,equipment,tools and machinery,transportation,and WHETHER FORESEEN OR UNFORESEEN. other facilities and services necessary for the proper execution and completion of the Work. 11. HOME IMPROVEMENT CONTRACTORS The materials and equipment furnished under the Contract will be good quality All home improvement contractors and subcontractors shall be registered with and new unless otherwise required or permitted,the Work will be free from the director of the Home Improvement Contractor Registration Program defects not inherent in the quality required or permitted,and the Work administered by the Board of Building Regulations and Standards. Pella and conform with the requirements of this Contract.Pella shall not be responsible any of its subcontractors identified in this agreement have been registered. for damages or defects caused by abuse,modifications not executed by Pella. Any inquires about Pella or any of its subcontractors relating to registration improper or insufficient maintenance,improper operation or normal wear and should be directed to:Director,Home Improvement Contractor Registration, tear. Pella will keep the premises and surrounding area free from One Ashburton Place,Boston.MA 02108,617-727-8598 accumulation of waste materials or rubbish caused by performance of the 12. PERMITS(AIA customers only) Work. Pella is obligated to and will obtain the following permits for this project: 4. CHANGES (3 w 14;N g Homeowners who secure their own permits will be excluded from 1he� 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 he signed by both Owner and 780 Code of Massachusetts Regulations R6. Pella to be effective. 13. NOTICE OF CANCELLATION S. 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 extended to allow for Change Orders requested by Owner or if the time to may be his main office or branch thereof,provided you notify complete the Work is affected by conduct of the Owner.weather,labor the seller in writing at his main office or branch by ordinary disputes,availability of subcontractors,acts of God.fire or other causes mailosted,b telegram sent or p y g 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 contemplated above).but is substantially completed by such date,i.e.,the agreement. Product has been installed,but minor parts or components are missing or need to be replaced or repaired,a hold back proportionate to the cost of remaining See the attached Notice of Cancellation for an explanation of pans or work to be completed is acceptable.However,the holdback will not this right. exceed the amount of the completion costs or 10%of the remaining unpaid balance of the Price,whichever is less. F. FINANCING Do not sign this contract if there are any blank spaces. if payment of the Price is financed with a financial institution through Pella,all financing paperwork must be completed upon signing of this Contract and the "4� requisite approvals and authorizations for the full amount of the requested financing shall have been received from the financial institution. Cuaromet afore gn Date I QLo 5 C,(Nc_ A v �yS NOTICE OF CANCELLATION Customer Name: G rc� S C�M A (Please print) Date of transaction: e�l / 10 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 i'� (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature)