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Home My WebLink AboutBuilding Permit #209 - 162 BRADFORD STREET 9/17/2009 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received 17{7-d Date Issued: 11,4 �—ql IMPORTANT: Applicant must complete all items on this page LOCATION_ 16.-)- J?,12A0FoAW 5i Print PROPERTY OWNER Sfeva b4LY Print MAP NO: PARCEL: ZONING DISTRICT: Historic District yes Machine Shop Village yes 0 TYPE OF IMPROVEMENT PROPOSED USE Res' Non- Residential New Building Q2ne famir Addition Two or more family Industrial Alt No. of units: Commercial Re air replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 1 ��l�L�CEM�niT SL �iJ�iv� l�vol2 Identification Please Type or Print Clearly) OWNER: Name: Shue, Phone: (71&-z5-7—oi.3� Address: )Ina f32Ao FoW-o s L CONTRACTOR Name: 1)-f/,� Phone: ,? Address: its F,njos gn H+yv#;-&4,t( AAA- Supervisor's Construction License: 0 t(J&S-3 Exp. Date: /0-2-4 - 10 Home Improvement License: 1619 2 7 Y Exp. Date: !r -o.z D 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: $ iZ fi®o — FEE: $ Check No.: 4/95-3 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner o ,t , Signature of contra,ctorUrwC_ Plans Submitted Plans Waived Certified Plot Plan Stamped Plans Location Z4; No. Date Og NORTy TOWN OF NORTH ANDOVER F? ° • Ow • : . Certificate of Occupancy $ Building/Frame Permit Fee $ +cMus Foundation Permit Fee $ Y Other Permit Fee $ / TOTAL $ Check #y 2G �f � _ --' Building Inspector 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 C*MMENTS r Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: I 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 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 a 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 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: Doc.Building Permit Revised 2008 Town of Andover 0 'Irk' ', Von jadjJ& 10 No. MW 10 0dover, Mass., 9• / • o� 0 Z1 LAKE COC H 11 KE H I TED C:) BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... . . ...... .........D..cfn. .......................................................................................................... Foundation has permission to erect........................................ buildings on ./(0.1..... ...................... Rough to be occupied a ... llk.9.4;...a............. ...........J.4.(.4 0 rl— Chimney s......./-—---- : _. . provided that the person accepting his permit shall in every res ci'c"on o**r"m*"t'*o'**t"h'e'**t**erms of the application on file in ';-la I 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 UNLESS CONSTRU S ELECTRICAL INSPECTOR Rough ....... ....... ... ..... ....... ...... ....................Biabii�G��i�i�E Service 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 FIR.E DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. The COMMON Deymrrdrgent of I ndwablal Aceldengs Cree®031ye-AP910n18 600 Washington Sgreel 1m®stegg MA 02111 WNW-20281-g®u/di' Workers, COMPSMORttaon IMSETAMCS Affidaft.1�aa�lla�®�s/cC®��m��®�sIICIl��a��n�uns/4�Ilun�n1�®ms At�iml�e�rm�lid®>rmm� ®m Plemse P rnmt L SIV Name(Business/®rganisationitndividual)e PeIIA Use�,A-QW S a°t4 bdf Address: q s ppm e M . aty/Statelzip .1 A.-J Are y®u an®mplayer3 Check the appyoprflate bore , . 7-y pe of project(re fdred): 4° I am a general contractor ®New construction 1. I am a employerwith ® 6• employees(full and/or part o have hired t$e sub-contractors 7° ®Remodeling 2°® I am a sole proprietor or partner- listed on the attached sheet.t ship and have no employees These sub-contractorslhave, 8° ®Demolition working for mein any capacity. workers'comp.insurance. g° ®Building addition [No workers'comp.hmance S. ® We are a corporation and its 10.®Electrical repairs or additions required.] officers have exerclsedtheir r t of exemption p erMGL 11.®Pltunbingrepairs or additions 3.® I am ahomeowner doing all work Myself.[No workers'comp. c°152,§1(4).and we have no 12.0 Roof repairs insurance required.]t employees.[No workers MCI Other comp insurance required.] 11 y®pplieenttlaa�aiLacksboxflmustaboBAoutthesectionbelowsl�owiugthowft. •.&coapensa€ioa- DyinIbmation. '�klomeow8e�who sabmittbis a€ M?tindleaftthaq am doingalf work and titer■bi.-e cu�sidecontmotoMmustsubmit a crew affdartm�ashng such. lc4atmetomthat check tbisbox must attachad an additional sheetdiowingtheawne o£the sab<2e*101cFs and.`ueicwofte Comp.poli.YinSo*natta!. Z Mr.ON e2fdoy67 9102 dsPsrer'dda ra►nT&M aPand ox dsaommeefor asy 07,10yees° 3gy0 v h ache peddcy andjob safe dsf+oassaratdora. Insurance CompanyName: - �!A C Policy#or Self-ins.Lic.#: 0-1 -1. BspirationD: Job Site Address; CitylState/zip: Attach a copy of the werhOTe connpeusMtn®n gsolacy declaratnen page(sh®vfg fihe PORGY mmmaber anal e10raticn 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:• f s�tatemer!t nsay be forwarded to the Of 11 of Lnvestigations ofthe DTA for insurance coverage verification. -- 1l rdo kgreby eeagify Wier gdaePaaft rased pe naMSea<ofFedorry Bae�,�►dae est®rss� ®u1�re rad above ee anise aissd correct. Signature° �-�/�+�y FF&My° Do nag V.71ge in eff ss earemt,0 be a®s leged by easy or low"e0'eeaw1 I�®rmn►u�uc®nse# ft(clrcle am s).3 alth I Emilduna I®®pains nt 3.city/Tom cClso�ls,.4.Meetrleall Impector 0°PIMMbiug Imapeator (f�A10141Fa11P1��I41i'hfRfllll4 '•phone f°° �00DI,ar CER II ORCATE OF UABOLOTY ONSURAUVCE DATE(MNIIDDIWYY) 06130/200916:20 PRODUCER (800)225.1865 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fred C.Chumb,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 41 Wellman Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 41 We man Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 51 800-22S-1865 INSURERS AFFORDING COVERAGE NAIL# INSURED INSURERA, Citizem bsoranae Company of America New Bnghmd Window&Door LLC INSURERS. HauoverTUSUM05 Company 4S FondiRcad Haverhill,MA 01832.1302 INBURERC: MassaahasettsB�yIneuranae Wausau Underwriters losumnce Com IN8URERD.. Pa4Y IMURERE.' COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FORTHE 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.AOOREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. !NSR D' POUOYNYMBER POOUC POOLIC N LIMITS GBNERALUARLITV EACHOOCURRENCE $1,000,000 X COMMERCIALOENERALLIABILTTY 0 AS ae�aueiaeaa $100,000 CLAIMSMAOE EX-1 OCCUR MED EXP one areoN $4000 A ZBN8161407 7/1/2009 7/112010 PERSONALAADVINJURY $1,OOD,000 GENERALAGGREOATE $$000,000 GEN'LAGGREGATE LIMIT APPLIES FERNPRODUOTS-COMP/OPAGG $2+000,000 POLICY X RQ• LOC AlfrOMOBILELIABRITY CCOOMa8�11NdEaDmS INGLELIMIT $1,000,000 ANYAUTO AALLLOWNEDAUTOS 800ILYINJL'RY $ C SCHEOULEDAUTOS ADN.8162169 7/1/2009 71112010 (Par Pan) HIREDAUTOS SODLYINJURY NON-OWN30 Ablos (Pena ddenq $ PROPERTnYDAMAGEq $ (Peraaaide lARLIGEIJABILITY AUTO ONLY-FAACCIDENT S ANYAUTO OTHERTHAN EAACC S AUTO9NLYa ASG S MWESSIUMBRELLALIABILITY EAONOCCURRENCE $9a000,ODU 8 OCCUR n=INISMADE AGGREGATE 9,000,000 B UHN816?305 7/112009 7/1/2010 $ DEDUCTIBLE S 8 RETENTION S $ WORKERS COMPENSATION AND gOSA - OT - EMPLOYERS'LIABILITY E.L.EACH ACCIDENT $500,000 D OPFlCERpRmTo I XRrNEmmCUTivE WIND= 7/1/2009 7/11.010 50D,000 E.L.DISEASE-EAEMPLOYEE $ 9Pas ALPROV19dONS6elow E.L.DISEASE-POLICYLIMIT $500,000 OTHER DESORIPTION OF OPERATIONS!LOCATIONS!VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION New England Window&Door LLC SHOULDANYOFTHEA80VEDESCRIBSOPOLICIESBECANCELLEDBEFORETHEEMPIRATION 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 80 SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY HIND UPON THE INSURER,ITS AGENTS OR REPROSENTATiVE5. AUTHORIZEDREPRESENTATIVE nn.n ow 11rel A.— r--. A 0ACORD CORPORATION 1950 _ Board of Building Regulations and Standards k HOME IMPROVEMENT CONTRACTOR =1t Registration: 129774 Expiration: 1112/2009 Type: Supplement Card PELLA WINDOWS AND DOORS WILLIAM MCHOLS 45 FONDI RD. HAVERHILL,MA 01832 Administrator Massadiu.rtts - Depai-tnient of Public Nafeta ward of Buildim- Re-u(ations and Standard% Construction Supervisor -icense License: CS 89853 Restricted to: 00 WILLIAM R NICHOLS 57 PEARTREE RD �. HAVERHILL., MA 01830 x rat io n': 10/26/2010 ( unnti-. urr 5196 r Contract - Detailed i I Pella Windows& Doors Sales Re HIC#129774/Tax ID#26-1413183 45 Fondi Road p Name: Keating, Linda ® Sales Rep Phone: (978) 423-6987 Haverhill, MA 01832 Sales Rep E-Mail: Ikeatinq(ED-pellaboston.cor Phone: (978)373-?_500 Fax: (978)373-7274 Customer Information ProjectlDelivery Address_ Order Information Steve Daly WLK Daly,Steve North Andover Quote Name: Proline slider 162 Bradford Street 162 Bradford Street Order Number: 741 LK0088 NORTH ANDOVER,MA 01845 Lot# Quote Number: TBD Day Phone: 978-257-0139 NORTH ANDOVER,MA 01845 Order Type: Installed Sales Mobile Phone: County: ESSEX Payment Terms: Deposit/C.O.D. Fax Number: Tax Code: MA TAX 6.25 E-Mail: Quoted Date: 9/1/2009 Great Plains M Line# Location: Attributes 10 family room Proline,Sliding Contemporary Door Fixed I Vent,71.25 X 80.125,Tan,4.9116" Qty 1 1 1:7281 Fixed/Vent Sliding Contemporary Door Frame Size: 71 1/4 X 80 1/8 t� General information: Clad Exterior Color/Finish: Standard EnduraClad,Tan Interior Color/Finish: Unfinished Interior 1 Glass: Insulated Tempered Low E Standard Argon Gas Hardware Options: Brown,Handle Included,Handle Included,Brown Viewed From Exterior Screen: Sliding Screen,Wood Interior/Tan Exterior,Brown,Brown Frame Size:71.25"X 80.125" Grille: None, Wrapping Information: Foldout Fins,Factory Applied,4-9/16"Factory Applied,Perimeter Length=303",Glazing Pressure=180. Final Wall Depth:4-9/16" Trim-Exterior-Standard Exterior Trim Qty 1 Trim-Interior-Picture Frame-Interior trim Qty 1 PD 2 wide-Install 2-Wide Qty 1 Disposal-Disposal per Unit Qty 1 UNFINISHED-No Finish-Ready to Stain Qty 1 Line# Location: Attributes 15 family room OBLT2001 -Keylock,Stainless Steel, Random Qty 1 Thank You For Purchasing Pella® Products For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com nm innnn 0 i Customer:Steve Daly Project Name: WLK Daly,Steve North Andover Order Number: 741LK0088 Quote Number:TBD PELLA WARRANTY:, Pella products are covered by Pella's limited warranties in effect at the time of sale.All applicable product warranties are incorporated into and become a part of this contract. Please see the warranties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system.Neither Pella Corporation nor Pella Windows&Doors will be bound by any other warranty unless specifically set out in this contract. However,Pella Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening(egress)information does not take into consideration the addition of a Rolscreen[or any other accessory]to the product.You should consult your local building code to ensure your Pella products meet local egress requirements. Per the manufacturer's limited warranty,unfinished mahogany exterior windows and doors must be finished upon receipt prior to installing and refinished annually,thereafter. Variations in wood grain,color,texture or natural characteristics are not covered under the limited warranty. 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 For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com o.:..+, 4-- nig ionnn n ..a. F Ms4-11.d o...... Customer:Steve Daly Project Name: WLK Daly,Steve North Andover Order Number: 741 LK0088 Quote Number:TBD ,E]Pro'ect hecklist as been reviewed Order Totals x , r.` Taxable Subtotal $1,647.95 redit Card Approv I Sign re Sales Tax @ 6.25% $103.00 �A I� Non-taxable Subtotal $930.75 u v Total $2,681.70 C to er .ame (P ase print) Pella Sales Rep Name (Please prin Deposit Received $1,340.85 Amount Due $1,340.85 '—Customer Signh les Rep Signatur Date Date 7 For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com nig mnnn PELLA WINDOWS AND DOORS CONTRACT 7. PAYMENTS 1. TERMS AND CONDITIONS Pella shall be entitled to stop the Work upon written notice to Owner for any material default or failure by Owner,including but not limited to,the Owner's These Terms and Conditions are an integral part of the contract set forth on the failure to pay Pella the amount due within seven days after the date payment is Product Order(the"Contract')between New England Window and Door LLC due. dba Pella Windows&Doors,Inc.("Pella")and the person(s)identified on the Product Order("Owner')to supply the products(the"Products"),and perform 8 CORRECTION OF WORK the work(the"Work")described or referred to in such Contract. For Product Only purchases,a signed"Product Only Addendum"is a required part of the Pella shall correct installation Work not in conformance with the requirements contract. of the Contract,if notified in writing by the Owner within two years after the Completion Date or,if earlier,the date on which the Work is substantially 2. OWNER completed and payment of the Purchase Price made subject to a holdback as provided above.Correction of Work as herein provided shall be Owner's sole Pella is not responsible for any existing security systems.Owner shall remove remedy for defective workmanship,and is provided in lieu of any and all other all shades;verticals,blinds,curtains,drapes or window mounted air remedies.Pella's obligation to correct Work is conditioned on Pella's prior conditioners,prior to the installation of the Products.Pella's installers are not receipt of all payments then due. responsible for the removal or installation of these types of items. Pella is not responsible for pre-existing window coverings fitting on newly installed Pella 9. LIMITED PRODUCT WARRANTY windows. Pella shall warrant all Pella products,but only in accordance with the Pella The Owner shall provide complete access to the work site between the hours Windows&Doors Limited Warranty.THIS LIMITED WARRANTY SHALL of 7:00 a.m.and 6:00 p.m.(Monday through Friday)for Pella's installers to BE THE SOLE WARRANTY WITH RESPECT TO THE PRODUCTS AND deliver the Products and perform the Work. PELLA SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, WRITTEN OR ORAL(INCLUDING WITHOUT 3. PELLA LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS Pella will be responsible for and have control over construction means, FOR A PARTICULAR PURPOSE). methods,techniques,sequences and procedures and for coordinating all portions of the Work.Pella will be responsible for the Work of its Pella 10. NO CONSEQUENTIAL DAMAGES Contractors who will install the Products. UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR Unless provided otherwise in the Work description,Pella will provide and pay CONSEQUENTIAL,INCIDENTAL,INDIRECT,OR SPECIAL DAMAGES, 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(MA customers only) Work. Pella is obligated to and will obtain the following permits for this project: 4. CHANGES Homeowners who secure their own permits will be excluded from the 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 agreeIllent. 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 right. exceed the amount of the completion costs or 10%of the remaining unpaid balance of the Price,whichever is less. cc Do not n t 's contra ct�if there are any blank spaces. 6. FINANCING f � If payment of the Price is financed with a financial institution through Pella,all financing paperwork must be completed upon signing of this Contract and the requisite approvals and authorizations for the full amount of the requested financing shall have been received from the financial institution. Customer signature Date DISPUTES Job Name [._, W Date q— 09 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 a o actor 4 X Homeowner NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY I TITIA �, TE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. I NOTICE OF CANCELLATION Customer Name: SAf—V`e- J �— (Please print) Date of transaction: l'— '" c 1 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 q`"A `O o\ (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) r