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HomeMy WebLinkAboutBuilding Permit #392 - 152 MILL ROAD 11/18/2009 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 51/ Date Received Date Issued: 411 IMPORTANT:Applicant must complete all items on this page LOCATION 15,a Ai 411 4 Print - PROPERTY OWNER_ Print A) MAP NO:d)7C PARCEL: S�� ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Re ' Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial e air, replaceme Assessory Bldg Others: Demolition Other Septic well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: 7`oh � z ,� ,� Phone: 75-/- Zz -,165V! C Address: IS-.)- CONTRACTOR S.)-CONTRACTOR Name: /e6kez c�.,�. .,. , , /f�.¢.�s ,f/>c,(ZlS Phone: 214s 174S-1— Address:_ U r �0J-46r__ !2b t-4y^e k4t-j ,ufA-- 01 IFS �-- Supervisor's Construction License:_ f,1 �7 _ Exp. Date: `U Home Improvement License: /4y77)( Exp: Date: /`l-Od--!'t 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: $ S. Dao — FEE: $ i Check No.: S13 0 Receipt No.:_ a NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund :; ignature of Agent/Owner �-n ►`�. ��6�, Signatureof contractord ,�..,�,��: —; Plans Submitted Plans Waived Certified Plot Plan Stamped Plans Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit + New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (if Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that thea appeal period is over. The applicant must then t this pp p pp get s recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008 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 r w ! 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 it 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 J I i I ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 I Location _ No. Date ' „°R,,, TOWN OF NORTH ANDOVER a Certificate of Occupancy $ cHUSEt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ /30 Check # - 22643 V Building Inspector The Commonwealth of Massachuselts Q Q2 Department of Industrial Accidents Office of Investigations kv I 600 Washington Street Boston,AM 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Pe l lelL Wes Aa O W 5 CL✓L4 Dbo d"S 1 AC . Address: q Sa p>a^4,, City/State/Zip: ,kverkill NIA M932 Are you an employer?Check the appropriate box: Type of project(required): 1.M I am a employer with 7Z S' 4. ❑ I am a general contractor and 1 6. f-1New 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.t 7• ❑ Remodeling ship and have no employees These sub-contractors'have 8. ❑Demolition working for me in any capacity. workers' comp.insurance. ' 9. [J 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' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing therw. ori?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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Fr-ed C . c k w r r-k Policy#or Self-ins.Lie.#: ®$ W S N L•5'7&12.Z Expiration D. z„a,-;e Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy:of osis statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert Jy under the pains and penalties of perjury that,the information provided above is true and correct. Signature: /i✓��,�i��.=� - Date: Phone M ?79- 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 •r 9• s ti. Contact Person: Phone#: (MM C-0-RAL CERT'IFICAT'E ®F LIABILITY INSURANCE 06DAT/30/22009009116::2020 AC-0-RAL PRODUCER (800)225-1865 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Fred C.Church,Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 41 Wellman Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lowell,MA 01851 800-225-1865 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Citizens Insurance Company of America New England Window&Door LLC INSURER B: Hanover Insurance Company 45 Fondi Road Massachusetts Ba Insurance Haverhill,MA 01832-1302 INSURER C: y INsuRER D. Wausau Underwriters Insurance Company INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' POLICY EFFECTIVE POLICY EXPIRATION LIMBS LOF NCE- POLICYNUMBER D D D D GENERAL LIABILITY EACH OCCURRENCE $1,000,000 X DAMAGE TO TED 100,000 COMMERCIAL GENERAL LIABILITY PREMISES Me cocurence $ CLAIMS MADE �OCCUR MED EXP Any one arson) $10,000 A ZBN8161407 7/1/2009 7/1/2010 PERSONAL BADV INJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG $2,000,000 POLICY X PRO- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000 X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ (Per person) C SCHEDULED AUTOS ADN8162169 7/1/2009 7/1/2010 HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNED AUTOS ' PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANYAUTO OTHER THAN EAACC $ AUTO ONLY: AGG $ j EACH OCCURRENCE $9,000,000 IXCESSNMBRELLALUU3ILITY X OCCUR D CLAIMS MADE AGGREGATE $9,000,000 B UHN8167305 7/1/2009 7/1/2010 $ $ RX DEDUCTIBLERETENTION $ $ ){ WC STATU- OTH- EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500,000 D WORKERS ANYPROPRIETORIPARTNECOMPENSATION AND R/EXECUTIVE BINDWC 7/1/2009 7/1/2010 5001000 OFFICERIMEMBEREXCLUDED7 E.L.DISEASE-EA EMPLOYE $ Oyes,ERWE a under E.L.DISEASE-POLICY LIMIT $ 500,000 SPECIAL PROVISIONS below OTHER DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION New England Window&Door LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 45 Fondi Road DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN Haverhill,MA 01830 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25(2001108) Client# )qrn Mst# 09-10 GL,WC,Auto, Cert# ©ACORD CORPORATION 1988 Umb �- .��d!<' C't•lJllNr+irll=dt7r r�1 O`•. !CllJJfff 97!!da"� Office of Consumer Affairs&Babiness Regulation -(dHOME IMPROVEMENT CONTRACTOR °' ~t Registration: 129774 Expiration: 11/2/2011 Type: Supplement Card PELLA WINDOWS AND DOORS WILLIAM NICHOLS 45 FONDI RD. HAVERHILL,MA 01832 Undersecretary ".1l'hit...14 Y^.ti'i�7B.t!! •1+ a'lfYlll. '..•:" i i.;.•.�e',1 •1 Sti;ult{+n•_ �:._�:::ut..r. .ntt� .;t,.i.t�.�, _t -1• •., __ 89853 :71 00 WILLIAM R NICHOLS 57 PEARTREE;RD'. HAVERHIL•L, MA 01830 e, .tw 11)/26/2010 5196 • I J I I Contract - Detailed �\�►� ( 00 V';;;k� Pella Windows&Doors Sales Rep Name: Noble, Jeff HIC#129774/Tax ID#26-1413183 45 Fondi Road Sales Rep Phone: 978-490-9666 ® Haverhill, MA 01832 Sales Rep E-Mail: NObleJG(a).PellaBOston.co Phone: (978)373-2500 Fax: (978)373-7274 Project/Delivery Address Order Information Customer Information XJGN Binkowski,Tod N.Andover, Quote Name: OVR-09.30.09-AS Windows and Bay Tod Binkowski 152 Mill Rd. 152 Mill Rd. Order Number: 741JN0091 MA 01845 Lot# Quote Number: 689513 NORTH ANDO 8ER2231041 NORTH ANDOVER,MA 01845 Order Type: Installed Sales Day Phone: ( ) County: ESSEX Payment Terms: Deposit/C.O,D, Mobile Phone: Tax Code: MA TAX 6.25 Fax Number: Quoted Date: 7/27/2009 E-Mail: Great Plains#: 3543844 Attributes Line# Location: Architect,3-Wide Double Hung,Bay 30 Degree,75.875 X 53,Poplar White,3.11/16" Item Price Qty Ext'd Price 35 TV Room $6,650.51 1 $6,650.51 1:Non-Standard Size Double Hung,Equal Split Frame Size: 19 X 53 General Information: Standard,Luxury Edition,Clad,Pine Exterior Color I Finish: Standard EnduraClad,Poplar White Interior Color/Finish: Unfinished Interior Glass: Insulated Low E SunDefense Dual LowE Argon Gas Hardware options: Spoon Lock,Satin Nickel,No Sash Lift Viewed From Exterior Screen: Full Screen,Vivid View Grine: RMB,No,3/4",Traditional(2W2H/2W2H),Unfinished Wood,Unfinished Wood,Shipped In Unit Frame Size:75 718' X 53° 2:Non-Standard Size Fixed Double Hung Frame Size: 43 X 53 Final Wall Depth:311!16 General Information: Standard,Clad,Pine Exterior Color I Finish: Standard EnduraClad,Poplar White Interior Color I Finish: Unfinished Interior Glass: Insulated Low E SunDefense Dual LowE Argon Gas Grille: RMB,No,3/4",Traditional(4W4H),Unfinished Wood,Unfinished Wood,Shipped In Unit 3:Non-Standard Size Double Hung,Equal Split Frame Size, 19 X 53 General Information: Standard,Luxury Edition,Clad,Pine Exterior Color/Finish: Standard EnduraClad,Poplar White Interior Color I Finish: Unfinished Interior Glass: Insulated Low E SunDefense Dual LowE Argon Gas Hardware options: Spoon Lock,Satin Nickel,No Sash Lift Screen: Full Screen,Vivid View Grille: RMB,No,3/4",Traditional(2W2H/2W2H),Unfinished Wood,Unfinished Wood,Shipped In Unit Wrapping Information: Foldout Fins,Factory Applied,3-11/16"Factory Applied,Branch Supplied,Perimeter Length=268",Glazing Pressure=60. For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com �`nn}r�nf_(lc#•iilcrJ Dann 1 of A Customer:Tod Binkowski Project Name: XJGN Binkowski,Tod N.Andover, Order Number: 741JN0091 Quote Number: 689513 Build 30deg Bay up to 10.30 deg Bay up to 1Oft Qty 1 Azek Trim<48 -Azek Upgrade-48 inches or less wide Qty 1 Disposal-Disposal per Unit Qty 1 Bay 3 Unit-Install 3 unit Bay Qty 1 Bay/Bow Roof or Skirt-Install Roof or Skirt on Bay or Bow Qty 2 Trim-Interior-Picture Frame-Interior trim Qty 1 Stain-Window CH-Stain-Window Cherry Qty 3 Trim-Exterior-Standard Exterior Trim Qty 1 Line# Location: Attributes 40 TV Room Architect, Precision Hung Double Hung,31.25 X 52.5, Poplar White Item Price Qty Ext'd Price $1,366.59 2 $2,733.18 1:Non-Standard Size Double Hung,Equal Split Frame Size: 31 1/4 X 52 1/2 General Information: Style Edition,Clad Exterior Color/Finish: Standard EnduraClad, Poplar White Interior Color/Finish: Unfinished Interior Glass: Insulated Low E SunDefense Dual LowE Argon Gas Hardware Options: Spoon Lock,Satin Nickel,No Sash Lift ,•„/ Viewed From Exterior Screen: Full Screen,Vivid View �•�� Frame Size:311/4"X 52 1/2" Grille: RMB,No,3/4",Traditional(3W2H/3W2H), ,Shipped In Unit Wrapping Information: Perimeter Length= 168",Glazing Pressure=100. Disposal-Disposal per Unit Qty 1 PF Standard-Install Standard P-fit Qty 1 No Exterior Wrap-No Wrap Qty 1 Stain Interior Trim-Stain Interior Trim(For Factory Stained Units) Qty 1 Stain-Window CH-Stain-Window Cherry Qty 1 • PFIT STD INT TRIM-Replace standard interior trim on PAR install(Per Unit) Qty 1 For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Customer:Tod Binkowski Project Name: XJGN Binkowski,Tod N.Andover, Order Number: 741JN0091 Quote Number: 689513 t Line# Location: Attributes 55 Kitchen Table Architect, 3-Wide Double Hung,83 X 54, Poplar White,3.11116" Item Price Qty ExVd Price $3,292,20 1 $3,292,20 1:Non-Standard Size Double Hung,Equal Split l Frame Size: 21 X 54 General Information: Standard,Style Edition,Clad,Pine 1 Exterior Color/Finish: Standard EnduraClad,Poplar White J Interior Color I Finish: Prefinished White Interior Glass: Insulated Low E SunDefense Dual LowE Argon Gas Hardware Options: Spoon Lock,Satin Nickel,No Sash Lift Viewed From Exterior Screen: Full Screen,Vivid View Frame Size:83"X 54" Grille: RMB,No,3/4",Traditional(2W2H/2W2H),Prefinished White,Prefinished White,Shipped In Unit 2:Non-Standard Size Fixed Double Hung Final Wall Depth:3-11116" Frame Size: 41 X 54 General Information: Standard,Clad,Pine Exterior Color/Finish: Standard EnduraClad,Poplar White °Interior Color I Finish: Prefinished White Interior Glass: Insulated Low E SunDefense Dual LowE Argon Gas Grille: RMB,No,3/4",Traditional(4W4H),Prefinished White,Prefinished White,Shipped In Unit 3:Non-Standard Size Double Hung,Equal Split Frame Size: 21 X 54 General Information: Standard,Style Edition,Clad,Pine Exterior Color/Finish: Standard EnduraClad,Poplar White Interior Color/Finish: Prefinished White Interior Glass: Insulated Low E SunDefense Dual LowE Argon Gas Hardware Options: Spoon Lock,Satin Nickel, No Sash Lift Screen: Full Screen,Vivid View Grille: RMB,No,3/4",Traditional(2W2H/2W2H),Prefinished White,Prefinished White,Shipped In Unit Wrapping Information: Foldout Fins,Factory Applied,3-11/16"Factory Applied,Perimeter Length=274",Glazing Pressure=60. Trim-Stool and Apron-Add Stool and Apron to Picture Frame Qty 1 -Azek Trim>48-Azek Upgrade-Greater than 48 inches wide Qty 1 Disposal-Disposal per Unit Qty 1 FFW 48-96-Install 48-96 inches wide FFW Qty 1 Trim-Interior-Picture Frame-Interior trim Qty 1 Trim-Exterior-Standard Exterior Trim Qty 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 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,unfmished mahogany exterior windows and doors must be finished upon receipt prior to installing and refinished annually,thereafter. Variations in wood grain,color,texture or natural characteristics are not covered under the limited warranty. For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Dr M—A— a/,monno rnnf—f_ne+a;I&A Do 4 of A Cultumer:Tod Binkowski Project Name: XJGN Binkowski,Tod N.Andover, Order Number: 741JN0091 Quote Number: 689513 r Please see the warranties for complete details, taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system. Neither Pella Corporation,nor Pella Windows and Doors of Boston will be bound by any other warranty unless specifically set out in this contract. However, Pella Corporation will not be liable for branch warranties which create obligations in addition to, or obligations which are inconsistent with Pella written warranties Clear opening(Egress) information does not take into consideration the addition of a Rolscreen [or any other accessory] to the product. You should consult your local building code to ensure you Pella products meet local egress requirements Per the manufacturer's warranty, unfinished mahogany exterior windows and doors must be finished upon receipt prior to installing and refinished annually,thereafter. Variations in wood grain, color,texture or natural characteristics are not covered under the limited warranty �PrOject Checklist has been reviewed Order Totals Taxable Subtotal $7,994.20 Cr Card Approval gnature Sales Tax @ 6.25% $499.64 .�" Non-taxable Subtotal $4,681.69 G ��GwS } � � ,v0� Total $13,175.53 CtAIt6mer me W(Please Pella Sales Rep Name (Please print) Deposit Received $6,587.76 A Amount Due $6,687.77 C mer Signature Pella SalQ Rep Signature 41 30 00qj DDate I For more information regarding the finishing,maintenance,service and warranty of all Pella®prgducts,visit the Pella®website at www.pella.com Driq#sp nn aanronno r�nn#rani_nnMilcrl Done A At A 4 J i NOTICE OF CANCELLATION Customer Name: B IPJA w S 14l (Please print) Date of transaction: Q o 69 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, j and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this agreement; or you may if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. If you do make the goods available to the seller and the seller does not pick them up within twenty days of the date of your notice of cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available to the seller, or if you agree to return the goods to the seller and fail to do so,then you remain liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to Pella Windows and Doors, at 45 Fondi Rd., Haverhill, MA 01832 not later than midnight of 4 (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) a I s DISPUTES N Job Name tkw-sk, Dale 3� 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 j REGULATIONS AND THE CONSUMER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN M.G.L.c. 142A R&k& Contractor x �- Ho owner 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. � I PELLA WINDOWS AND DOORS CONTRACT 7. PAYMENTS Pella shall be entitled to stop the Work upon written notice to Owner for any 1. TERMS AND CONDITIONS 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 Pella shall correct installation Work not in conformance with the requirements Only purchases,a signed"Product Only Addendum"is a required part of the of the Contract,if notified in writing by the Owner within two years after the contract. Completion Date or,if earlier,the date on which the Work is substantially completed and payment of the Purchase Price made subject to a holdback as 2. OWNER provided above.Correction of Work as herein provided shall be Owner's sole Pella is not responsible for any existing security systems.Owner shall remove remedy for defective workmanship,and is provided in lieu of any and all other all shades;verticals,blinds,curtains,drapes or window mounted air remedies.Pella's obligation to correct Work is conditioned on Pella's prior conditioners,prior to the installation of the Products.Pella's installers are not receipt of all payments then due. responsible for the removal or installation of these types of items. Pella is not responsible for pre-existing window coverings fitting on newly installed Pella 9. LIMITED PRODUCT WARRANTY windows. Pella shall warrant all Pella products,but only in accordance with the Pella The Owner shall provide complete access to the work site between the hours Windows&Doors Limited Warranty.THIS LIMITED WARRANTY SHALL of 7:00 a.m.and 6:00 p.m.(Monday through Friday)for Pella's installers to BE THE SOLE WARRANTY WITH RESPECT TO THE PRODUCTS AND deliver the Products and perform the Work. PELLA SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, WRITTEN OR ORAL(INCLUDING WITHOUT 3. PELLA LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS Pella will be responsible for and have control over construction means, FOR A PARTICULAR PURPOSE). methods,techniques,sequences and procedures and for coordinating all portions of the Work.Pella will be responsible for the Work of its Pella 10. NO CONSEQUENTIAL DAMAGES Contractors who will install the Products. UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR Unless provided otherwise in the Work description,Pella will provide and pay CONSEQUENTIAL,INCIDENTAL,INDIRECT,OR SPECIAL DAMAGES, for all labor,materials,equipment,tools and machinery,transportation,and WHETHER FORESEEN OR UNFORESEEN. other facilities and services necessary for the proper execution and completion of the Work. 11. HOME IMPROVEMENT CONTRACTORS The materials and equipment furnished under the Contract will be podAll home improvement contractors and subcontractors shall be registered with quality the director of the Home Improvement Contractor Registration Program and new unless otherwise required or permitted,the Work will be free from administered by the Board of Building Regulations and Standards. Pella and defects not inherent in the quality required or permitted,and the Work any of its subcontractors identified in this agreement have been registered. conform with the requirements y abuse,modifications not executed this Contract.Pella shall not uted by Pella,responsible Any inquires about Pella or any of its subcontractors relating to registration for damages should be directed to:Director,Home Improvement Contractor Registration, improper or inn defects caused by sufficient maintenance,improper operation or normal wear and 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. Pella obl' aced to and will obtain the following permits for this project: 4. CHANGES Homeowners who secure their own permits will be excluded from 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 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 parts or work to be completed is acceptable.However,the holdback will not this fight. exceed the amount of the completion costs or 10%of the remaining unpaid balance of the Price,whichever is less. Do not sign this contract if there are any blank spaces, 6. FINANCING If payment of the Price is financed with a financial institution through Pella,all financing paperwork must be completed upon signing of this Contract and the requisite approvals and authorizations for the full amount of the requested financing shall have been received from the financial institution. CustorVrr signature Date