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Building Permit #856-11 - 1607 SALEM STREET 6/15/2011
BUILDING PERMIT Qf�, LEp NO R T{i p TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION �s-6 _�� Permit NO: Date Received �0' ` �9SSgFIT cHusy Date Issued: � Ir// - ti 6IMPORTANT: Applicant must complete all items on this page � w PROP _ tP -�int Print,.� A- fMfAPINO: (PARCEL_ fZONINGIDISTRICTHistoric�®istrct ;yes: n t [Mach'inetSNOp Village yes, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building A-07Te—family 0 Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial air, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑Septic, i�,Well .�_� _ ❑Floodplain Wetlands tW Di - - - _ ,®tVJ/ater/Sewer�_ k ,_a tersf 'ed strict:f DESCRIPTION OF WORK TO BE PREFORMED: st F7L t`- AiZ- 1/AIs�fT)L� 0" Loh Identification Please Type or Print{Clearly) OWNER: Name: "ren Phone: 4g7,9 • Ze e( Address: 4c, L� �- - �.t �CONTtRACTOR IN1411n&.. t 1Phone= ?fa�ZLS•?arc' - -- -- � Superviso s�Con -iruL ction' icense l A IHome�mprovementiLi.cense '?;7, _ _ _._.. ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ f/Ott® FEE: $ 1-50( Oa Check No.: 70� & Receipt No.: o?�v5"8' NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signat-reiofiAgent/Ownerf w .� �� ,( Si`nafure of�contraetor? �' 1 Plans Submitted F1 Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans El E OF SEWERAGE DISPOSAL I TYPE j ❑ Tanning/Massage/Body eBod Art Swimming Pools ❑ Sewer Tannin Public Sew g/M g y 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 i ❑ PLANNING & DEVELOPMENT ❑ COMMENTS i CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on S�nature 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 7 . FIREIDERARTMENT: TempDumpsferonste dyes_ n — k x. ,ocate�dtat 124iMamlStreet Fire: Department2signature/date _ r _ 4CONI,MENTS 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 ❑ 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 ❑ 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 j Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location IM ,/f,,Pi 1-14- No. Date MORTM TOWN OF NORTH ANDOVER pa + • + 799 ; . Certificate of Occupancy $ Buildin9/Frame Permit Fee $ 1✓��—' s�cMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # -71 y6 f 2.4 : 58 k/ Building Inspector N®RTIy TO"- of YJ . IR- _ =+ LAKE o . d over, Mass., I� �COCMICKEWICK 7� O SATED BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR /Fr7 �`� THIS CERTIFIES THAT......................... .�t...../..: .................................................................................................................. Foundation has permission to erect........................................ buildings on . e:.." kw...57...................................... Rough to be occupied as h. �rtG� �d�?Fi�l. <<vG�©ez�5 ....¢......../..... /.�!!�'!?P�......... Chimney provided that the person accepting this permit shall in every respect conform to the ter of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough .. .... ......................................... Service BUILDING INSPECTOR 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 of Industrial Accidents Office of Investigations 600 Washington Street ' Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit:Builders/Coat;Tactors/BlectriciansTlumbers Atsplicalnt Informs, please Print Legibly Name(Businessiorganizaaonitndividual): X//`4 k(/R/oeiuJ -- 4069-S Lt-C- Address: 4 S IFot-ior. rZo Cityl&t &Zip: 144 1 M/�- 0 P �- Phone#: }`7 �� - d Are you an employer?Check the appropriate boa: r6. pe of project(required): 1.M am a employer with . "Z Y 4. ®I am a general contractor and I ❑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. ffbtnodeling ship and have no employees These sub-contractors have 8, ❑Demolition vjorkih for me-9ti ae ca ci. : employees-and hive workers' g y p +y 9. �13si1..ing addition , [No workets'Curt^.i_surance cow.iitsura>iCe.t n^ a required.] 5. ® We are a corporation and its ee 1�•1 -I Electrical repairs or additions 3. I am a hon+eowner doing-all work zrfi".esrs have Exercised their E i I, Plumbing repairs or additian.� myself.[Yo workers'compflgat of exemption par MOL 1s, gcofrepai�s. insurance rewired,.]f c.152,§1(4),and are have no I3.�other employdes.[No workers' comp.insurance requited.] trAny anpiic2ctt that checks box#i trust'ai;a firs out the sec:iaa taeipw&nawing4heie wo�a.s°cor;�;,sausnpolicy ir,:�a:ioe,. f l3arr��rr.►ars otic subr t�,•s a,�ida�:t i�sd; t;ng Lhay ar=to, ell vierk std SFe�t hire outside can tcta�m+ssk suh t anew a#tidavit indicating such. rCantraetors that check this box cost attached&q additional Ae6t shca►ing tha aaD'of the sub contraetas•a1d sate vkedier cr not most erEaes save employe—w. If the soh-cut ?rave.et foyees,they M.#p- ide filte r warkera'colt* policy aUrelr. I ahs an emp yer:hat is prof Whg.workers'*mr��rersat%�r.e::srsrartcer of m�et��.'ay�es, B��ospolE�,�:drsdi sb sus in=arnaatior� - Insurance CompanyName: i 5�'� �` U 'r f z T: LS Y �' r7ijUattian D^ale:_ 77 oliq#or Set in..._ic.#: OG Ion Site address: SCivIstate/Zip: Attach a copy of the workers'compensation poKey d0laration page(sho€ving She policy number and expiration date); Failme w secure coverage as xecruired unlet Section M of MGL c.152 can lead to tho imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties is the form.of a STOP WORK ORDER and a ftne of up to$250.00 a day against the violator. Be advised that a copy Of this statemestlnoay be forwarded to the Office of Inyestigadoris.of i e DIA for insurance coverage verification. I&hereby cert�j under tha pains and penaWes of perjury that the i"f br mOtiOn MOVideif above is true and correct Signature s ti�j,, ) Dare Z Phone# - Off cial use only, Do not write in this area,to be completed by city or town ofFelat City or Town: Pern-dt/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City!Lown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Phu:se 0: ,�Contact Person: _ — j ACORD CERTIFICATE ®F LIABILITY INSURANCE DATE(MMIDDiYYIfl 07/02/2010 09:50 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 THIS CERTIFICATE DOES NOT AMEND, EXTEND OR HOLDER LOW. 41 Wellman Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BE Lowell,MA 01851 800-22S-1865 INSURERS AFFORDING COVERAGE ES INSURED INSURER A: Citizens Insurance Company of America New England Window&Door LLC INSURER 13: Wausau Undar'writers Insurance Company 45 Fond!Road Haverhill,MA 01832.1302 INSURER C: INSURER 0: F� INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HANE 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 ALLTHE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH ^OL!CIE:�.AwREts'r^.TE Ltiv!iTS 5YOL�:iJ h4AY HAVE BEEN RED'U'CED QY PAID CL�A!PJ!S. -- I`TR DD' POLICY NUMBER OATS P0LIQYEF ECTIVE POLICYETPIR4TION LIMITS TYPE OF INSURANCE Y Do o E DD 1000,000 GENERALUABILITY EACH OCCURRENCE $ DAMAGE TO RE SED S100,000 X COMMERCIAL GENERAL LIABILITY PRE ISES yone Pets0 $ $!0,000 CLAIMS MADE X OCCUR MED EXPlAnersen} A ZBN8161407 7/1/2010 I 7112011 PERSONAL&ADV INJURY $!,000,000 GENERAL AGGREGATE $2,000;000 I � ;r- I I ��___._-_---• I I PRODUCTS-COMPlOPAGG ;i,CJ� Gu I 5NIL AGGREGATE LIMIT APPLIES PER: POLICY X PRc LOC AIiTOMOBILELIABILITY I COMBINED SINGLELIN1iT I$1,000,000 I I(ea aeetdentj 1 ANY AUTO W� ALL OWNED AUTOS I (BODILY INJURY ($ ! (Per Pelson) s A ` SCHEDULED AUTOS ADN8162169 7/1/2010 I 7/!2011 HIRED AUTOS BODILY INJURY !$ 'For accident) ! NGNA•vVNEO AUTOS I I i I I PR3PERTYDAMAGE i$ E(pereocidenr) IF ' W AU—U ONLY-EpA�C@ENT �$ vASL4CE C:43`:.t Y ACC i EA $ ''�0 I OTHER THAN PJ, ANY I I !AUTO ONLY.. AGC I$ _ ��• i _ U00.000 EXCESSIUMSRELLALIABILITY I j E:CHOCCURHENC: $=AG3 000000 t X OCCUR L._I CLAIMS MADE � �I � AGGREGATE ' ' A UHN8167303 I 7/1/2010 I 711!2011X RETENTION $'WORKERS COMPENSATION ANDEMPLOYERS'LIABILITY j I I I;' r 00,000ANY PROPRiETOR(PARTNERIEXECU'rfVE WCC'L1l'dS995701u 7/i12010 111011500.000OFFICERRAEMBER EXCL UDE07 E.L.DISEASE-SA EMPLOYEE $ it yes,descdha under I E.L.DISEASE•POLICY LIMIT 0,000 SPECIAL PROVISIONS below L 0•H°R i ' DESCRIPTION OF OPERATIONS;I W AMONS i`/EHICLES i EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS iProof of Insurance III t CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THEASOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE Tk'MRECF:THE MSU1NG INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN ew England Window&Door LLC NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 5 Fondi Road IMPOSE NO OSLIGATIal OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR -1-faverhi_il;MA. 01830 geagFepHTATIVES. �� �p.0?HO:213ED';ePP.c3�N>A?IYE £j -j �� �� I ACORD 25(2001108) Client 9 7o�n Mst 1# 10-1 I GL,UMB,WC, Cert it ©ACORD CORPORATION 1988 Auto r ./ aa�aclzi;oe +�Mei �nsl�mart'ta�rs&Bu 1ne�s Regutatton e 1=ii t3„ z' ItOkL'?�n 12974 �?at�ata 14C�t�t�11 :n F 1 voo ref"„3"ehC Card, PEI t A*,IVdNPPV t$tlhttj 4�43RS, i' 'Wi1,�.I�-ryV1�a��4t�CII�LS- y _idJ[ � _.'/ f + L�S�iiVeC+4•s �+--- AVE i.� MA n `% „� r . adersemr Ireary lassachusetts- Depai-tment of Public Safety Board of Building Rellulations and Standards iConstruction-StTpervisor License License: CS 89853 . h WILLIAM R 'NICHC?t3Asn , 57 PEARTREE RC7k� ' ' HAV'ERHILL, MA(II��44 ' . ;•.:: _, ' '�Expirationf 10/26/2012 Q'ummissicrner Tr#: 4529 Y Contract m Detaete�# Pella Windows&Doors Sales Rep Narrae: Noble,Jeff HEC#129774/Tax ID#26-1413183 45 Fondi Road Eales Rep Phone: 978-490-9666 Haverhill,MA 01832 dales Rep lax: Phone: (978)373-2500 Fax: (973)373-7274 Sales Rep F-Mail: NobleJGt,PellaBoston.com Customer InformationProjeCt'Detivery Address Order Information -- Ted and Lucyna Mateja XJGN Matela Ted and Lucyna North Andover MA Quote Name. Bay and 3 Windows 1607 Salem St. 1607 Salem St. Older Number: 741 JN0354 NORTH ANDOVER,MA 01845 Lot# Quote Number: 2728M Day Phone: 0781685-1864 NORTH ANDOVER,NIA 01845 Order Type: Installed Sales Mobile Phone: County: ESSEX Payment Terms: Depositfc.0.0. Fax Number: Tw,,(Code: MA TAX 6.25 E-mail: Quoted Rate: 5/2012011 Great Plains M. 4763703 Line# Location: Attributes 15 None Assigned Impelvia, Double Hung,27.5 X 32.75,Brown � � Item Price �Qty Ext'r3 Price $1,717.6L "yam I Yp=s 1:felon-Standard Size Double Hung,Equal Split r Frame Size: 271/2 X 32 314 General Information: Standard,Duracast,Block Frame;Foam Insulated t Exterior Color/Finish: Brown Interior Color t Finish: Brown Interior Glass: Insulated Low E Advanced Argon Gas Hardware Options: Color Matched Viewed From Exterior Screen: Full Screen:Inview FrameSize:27.5"X 32.75" Grille: None, Wrapping Information: Rela cement Precision Flt Keit,Perimeter Length=121",Glazing Pressure PI—Ext Trim-Pocket wf Exterior Trim Qty 1 Composite Trim<48-Composite upgrade-48 inches or Less Wide Qty 1 For more information r egarding the finishing, maintenance,service and warranty of all Peliag products,visit the Pellag)website at wvAv.peua.corn. Customer.Ted and Lucyna Uateja Project Nano: X,iGN�4ateja Ted anc-':LLc��rsa Ncffth Andover MA Order thimber: 741JN0354 Ouote Hurr ff.27,28646 - { Line# Location: �—-Attributes 20 None Assigned Impervie,Double Hung,27.5 X 32,75,Brawn item Price Qty _ Ext'd price $930.49 1 $934.49 j 1:Non-Stannard Size Double Hung,Equal Split Ar Frame Size: 27 1/2 X 32 3/4 General Information: Standard,Duracast,Block Frame,Foam Insulated I Exterior Color/Finish: Brown � r Interior Color i Finish: Brown Interior ..-.w:;;r. Glass, Insulated Tempered Low E Advancev Argon Gas w�l=" ---' Hardware Options: Color Matched Viewed From Exterior ;screen: Full Screen,lnView Frame Size:27.5"X 32.75" Grille: None, wrapping information; Replacement Precision Fit Kft:Perimeter Length=121",Glazing Pressure=205. PI_Ext Trine-Pocket wl Exterior TrWn Qty Composite Trim<48-Composite Upgrade.48 Inches or Less Wide Qty 1 Line# Location: Attributes 30 None Assigned ProLine,3-Wide Double flung,Say 30 Degree,95.24 X 53,Brown,3.1111 S" Item Price Qty Ext'd Price $4,681.61 2 $9,363.22 1:Non-Standard Size Double Hung,Equal Split Frame Size: 21 112 X 51 112 z, General Information: Clad Exterior Color/Finish: Standard EnduraClad,Brown Interior Color/Finish: Dark Mahogany Stain Interior Glass: Insulated Low E Advanced Argon Gas Hardware Options: Standard Lock,None,Brown,No Sash Lift Viewed From Exterior Screen: Full Screen,InView Frame Site:95.24009`X 53" Grille, None, Vertical MuII 1: FactoryMul{,Sow f Ray Factory Mull Final Wall Depth,3-t 1/16" 2:Non-Standard Size fixed Double Hung Frame Size: 53 X 51 112 General Information: Clad Exterior Color/Finish: Standard EnduraClad,Brown Interior Color t Finish: Dark Mahogany Stain Interior Glass: insulated Low E Advanced Argon Gas Grine: None, Vertical Mull 2: FactoryMull,Booz i Ray Factory{Null 3:Non-Standard Size Double Hung,Equal Split Frame Size: 21 1/2 X 51 112 General Information: Clad Exterior Color/Finish: Standard EnduraClad,Brown Interior Color/Finish: Dark Mahogany Stair,Interior Glass: Insulated Low E Advanced Argon Gas Hardware Options: Standard Lock.None,Brown,No Sash Lift Screen: Full Screen,InView Grille: None, Wrapping Information: 3-11116"Factory Applied,Factory Supplied,Birch,Perimeter Length=298",Glazing Pressure=50. S8_Roof or Skirt-Install Roof or Skirt Qty 1 Say Window-Install Bay Window Qty 1 For more information regarding the finishing,maintenance,service and vvarranty of all Pella)products,visit the Pella(§)website at viNvrw.Pella.00m Yl-:..4...(.... C1n4)nf%4 7 (..w7�n..F !"..}•a:t...l f)...... 7 •.F C Customer Ted and Lucyrra Matela Project Marne: MIGN Mateja Ted and Lucyna North Andcarer PAPA Order Number: 741JR0354 Quote NurTlber:2728646 Composite'trim>48•Composite Trim upgrade>Greater than 43 inches wide Qty 1 -ut - Line# Location: Attributes 35 hone Assigned May Promotion -5%Discount _ Item Price fdty Ext'd Price (5600.60) (5600,60) Thank You For Purchasing Pella@ Products EELLA MRRANTYi Pella products are covered by Pella's limited warranties in effect at the time of sale. All applicable product ivarmnties 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. Howey 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 nottape into consideration the addition of a Roiscreen[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 mamtfacturer's limited warranty,unfinished mahogany exterior windows and doors-must be finished upon receipt prior to installing and refinished annualh-,thereafter. Variations in wood grain,color;texture or natural characteristics are not covered under the limited warrant}'. Project Checklist Review (installed Orders Only) Before the Installation the 9^4arneowg r aur8es to do the followhla: 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 Fella astrees to dot The fo)lo Obtain Building Permit(When required) Prefinish products when purchased in contract During the Installation the Homeowner agrees to do the following. Keep pets safely away from work area Keep children safely away from work area For more information regarding the finishing, maintenance,service and warranty of all Pell,aO products,visit the Pella®website at www.pelia.com c P nn+e Customer.Ted and Lucyna Mateja Protect Name: XJGN Mateja Ted and Lucyna North Andover MA Order Number. 741410354 Quote Number:2728648 Allow Pella Installer room to work safely within your home Duri g the Installation Pella agrees to do the followinra• 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 Replace interior and/or exterior trim only if purchased If Purchased,install exterior primed pine wood trim or Azek.Azek 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 acamos to do the follatwi Be available for completion and sign off to veri ail products purchased are in working order p 8 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 full wrap or new exterior trim is not purchased e Project heck s'e t C rest has been reviewed cahlomer initial Product Only Addendum.has been.reviewed CuAom er initial Credit Card Account#: Last 4 Digits Expiration Date: Charge final payment to same account u (Upon substantial completion) Customer initial i"or more information regarding the finisl,,ing, malntenanee,service and warrant<r of all Pei lafi products,visit the Pell at website at:vww.pella.com Customer.Ted and Lucyna Matela Pro ect Name: XJGN kilateja Ted and Lacyna North And)ver,%% Order Number: 741JNW,54 Quote Number 2728646 E]Project Checklist has been reviewed I Order Totals Taxable Subtotal Credit Card Approval Signature Sales Tax @ 6.25% $367.57 Non-taxable Subtotal $5,529.55; L $11,778.30 H,4 �L-Wt�W Total Customer Name (Fleaw print) Pella Sales Rep Name Print) Deposit Received $5,889.15 /709 Amount Due $6,889.16 7 CustomerSignaturePe#a qp"ftep Sig-nature Date Date For m ore information regarding the finishing,maintenance,service and warranty of all Pella&products,visit the Pellal� -ebsite afvN;Wv p@la7C0rn DISPUTES Job Name �Date THE CONTRACTOR AND THE HOME,OWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT PELLA HAS A DISPUTE CONCERNING THIS CONTRACT, FELLA MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THIS EXECtFFIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE CONSUMER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATIONAS PROVIDED IN M.G.L.c. 142A Contractor Homeowner NOTICE: THE SIGNATURE OF THE P.A.RTIES A'B'OVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR.. THE OWNER.MAY INIT TIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. PELLA WINDOWS AND DOORS CONTRACT PAYMENTS 1 TERMS.AND CONDITIONS material 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 scat forth on the failtrr-e 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("Owtua")to supply the products(the"Pmrnducts"),and perform CORRECTION OF WORK tate work(the"Wark")described or referred to in such C"ontract. For Product Only punhases,a signed."ProductOnly.Addeurdum"is a required part of the Pella shall correct installation Work not in conformance with the requirements car:atsact. of the Contract,if notified in writing by the Owner within two years after the Completion Data or,if earlier,the date on which the Work is substantially 2. OWNER completed and paynnent of the Purchase Price made subiect to a holdback as provided above.Correction of Work as herein provided shall be Owner's saie 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 flue. responsible for the removal or installation of these types of items. Pella is not responsible for pre-existing window coverijigs fitting on.newly installed Pella 91 I.IIyIITED PROAL.rC'I W'AR.RANT'1' windows. Pella-hall warrant all Pella products,but only in accordance with the Pelta '1hL t_lwner shall provide complete access to the work site between the pouts Windows&Doors Limited Warranty.THIS LIMITED WARRAN i Y SHALT. o.l 7:00 a.m..and 6:00 p.m.(Monday through Friday)for Pella's installers to BE THE SOLE WARRANTY WITH RESPECT TOTHE PRODUCTS AND deliver the:Products and perform the Work. PELLA S.PECIFICAI.LI-'D:tSCd_AflMS.AL1,OTHER WARRANTIES, EXPRESS OR IMPLIED WRITTEN OR ORAL,(INCLUDING WITHOUT 3. PELLA LIMITATION ANY WARRANTY OF MERCHANTABlIXTY OR FITNESS Pella will be responsible for and have control over,construction means, FOR A PARTICULAR PURPOSE). unethods,techniques,sequences turd procedures and for coordinating all portions of the Work.Pella will he responsible.for 10. NO CONSUEl\I'.IAL DAMAGES ar the Work of its Pella � Contractors who will install.the Products, UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR CONSEQUENTIAL,INCIDENTAL,INDiR:ECT.OR SPECIAL DAM:ACEs, Unless provided otherwise in the Work description,Pella will provide and pay WHETHER FORESEEN OR UNFORESEEN. for all labor,materials,equiptriont,taors and machinery,transportation,and othe,facilities and services necessary for the proper execution and completion ofthe'rNork. 11. I•IOA11~I,M'PI>;OVErydEldT CONr:ILRCTORS All home improvement contractors and subcontractors shall be registered with The materials and equipment furnished under the Contract.will be good quality the director of the Home Improvement Contractor Registration Program and new unless o1be-wise required or pernutted.the Work will be free from. administered by the Board of Building Reaulati.ons and Standards. Pella turd defects not inherent in the quality required or permitted,and tate Work any of its subcontractors identified in this agremne t have been registere& cookinn with the requirements of this Contract.Pella shall not be responsible, A�y inquires about Pella or any of its suha3.ntitectars.relating to registration for damages or rlefexts caused by abuse,modifications.not executed by l'edta, should be directed to:Director,Home Improvement Contractor Registration, improper or insufficient maintenance,improper operation or nonnal wear and One Ashburton Place,Boston,MA 02109,617-727-6598 tear. Pella will keep ill--premises and surrounding area fico.frons accumulation of waste materials or rubbish caosed by performance of the 12. PERNX.ITS(IMA eastomers only) Work. Pella is obligated to and will obtain the following pn.rrnits for this prr�icct: — -bin Homeowners who secure their own pennies will be. .t. C'1IANCIFS occluded from the guaranty fund Pro visioil s of NA,assac-bmsem Gt^t_ral Laws, The O A•ner may order in visiting chattges in the Work consisting of addition, chapte71.42A. deletions,or modifications("Change Orden'"). Any Change Order shall include all adjustment to the Price and the Substantial Completion Date,as In addition to the rights and watrrnties euumneralecf in this agrxx merit�yoeu may determined by Pella. Pella reserves the right to atanmve or disapprove any have additional rights under Massachusetts Genc tal Laws.chapter 142A and Change Order amid any such Change Outer must be signed by botdt Ownts•and 7E0 Cagle of h"as;xrclrasetlr,I?egulattions Rai. Pella to be effective. 13. NOTICE OF CANCELLATION S. Str.BSTANT 7.IAL CO IPLETION You may cancel this agreetnent if it has been signed by a party Owner understands and agre g 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 ori which the Work is completed may be may he his main.office or branch thereof,provided you notify extended to allow for Ctaange Orders requested by Owner or if th.e time to the Sol complete the Work is affected by conduct of the Owner.weather,labor seller tel yt rlti.tlp at his main O�Ce.or-branch by ordinary disputa;,availability of subcoutmeton.acts of Gad,fire or other causes mail posted, by telegram hent or by delivery,not later than reasonably beyond Pella's control.I.ffor any reason the Work is not fullymidnight of the third business day following;the signing of th.i.s 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,it hold back proportionate.to the cost of remaining paor word:to be completed is acceptable.Ho.we ver,the'ltoldback will not this right. r- exceed the amount of the completion casts or 10%of the remaining unpaid balance of the Price,wirichcvc7'.is less. Do not sign this contract if there are any blank spaces. 6. FINANCING _ Upayment of the Price is financed with a financial institution.thmrru.h:Pella,all -�' .r" ftrunttcing paperwork rnust he.completed upon sighing of this Contract and the requisite approvals and atrttrcnizrtions for the full amount of the requested financing shall have.been received from the financial institution. Customer signature Date NOTICE OF CANCELLATION Customer Naive: (Please:pnn.t) Date of transaction:_ OS-. ;14 • It 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 shipmentof 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 tlli.s cancellation notice or any other written notice, or send a telegram.to Pella Windows and Doors; at 451~ondi. Rd., Haverhill, MA 01.832 not later than midnight of 2-S% t __(three business days ftn the date of transaction.above). I hereby cancel this transaction. Date ' � ----� � Date( ) (Buyer's y'ers si 6xnature1