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Building Permit #278-14 - 21 APPLETON STREET 9/25/2013
IIS _ TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: (k Date Received Date Issued: 1 Wn IMPORTANT:Applicant must complete all items on this page LOCATIOWs2 t .A0PU •f ant. _.. - Print. PROPERTY OWNER&uy MCC I:.r=d1,� _ '��'� Print 100 Year Old Structure !,AeMAP NQ`. PARCEL-:ZONING DISTrRICTHistoric=District;Machine Shop Village TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial PQRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic! 0 Well ❑ Floodplain: ❑Wetlands ❑ Watershed,District" o Water/Sewer DESCRIPTION OF WORK TO BE PERFORM D: Identification Please Type or Print Clearly) OWNER: Name:. 1,k4& Iral,[A-nt Phone: Address: ( Pt-&4r.� 7— CONTRACTOR` Name:E,6114 SP-hone 5n ?�S Address.: YS AamoL Supe.rvisor's Construction License: 3 Exp: Date: L 2_L-f Y' Home Improvement License: d!` 7? Exp: Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING P MIT:$12.00 ER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: 17 T'-f76- FEE: 4 'M r Check No.: � gVJ Receipt No.: 2joq NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner" icinature of contractorl,� Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Location Z %ep� No. Date 1 Zh s . - TOWN OF NORTH ANDOVER . Certificate of Occupancy $ ', Building/Frame Permit Fee $ , p Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ( �Check# b ' s 2 6 L l3dilding Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody 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 Siqnature 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 r DPW Tow;! Engineer: Signature: Located 384 Osgood Street FIRE-DEPARTMENT Temp Dumpster on site yes no Located at 124 Mair, Street Fire Department-signature/date COMMENTS—" Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Dieter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE. Yes bio MGL Chapter 166 Section 21A-F and G min.$100-$1000 fine NOTES and DATA— (For department use i El Notified for pickup - Date Doc.Building Permit Revised 2010 Building Department The fol9wing is a list of the required forms to be filled out for the appropriate permit to be obtained. I Roofiv,g, Siding, Interior Rehabilitation Permits ❑ Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application o Certified Surveyed Plot Plan Li Workers Comp Affidavit Li Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses Li Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy Compliance Report o 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 apo,,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc.Buhding Permit Revised 2012 NORT1y own o E ndover 0 0 . - No. h ver, Mass, Z6 2613 COC NIC MI WICK �1. �d ADRgTED S U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System n \ THIS CERTIFIES THAT ..... .. ....... .................................. BUILDING INSPECTOR has permission to erect ........ buildings on 2.1. AfA% .fJ 6.... Foundation Rough to be occupied as ...�Y..r.. .. �R.� A. .... ►.!i1R.� IN! ►.......................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application ; a; Fn on file in 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 CONSTRUCTIO STARTS Rough � .............................. Service Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. Smoke Det. SEE REVERSE SIDE The Commonwealth ofMassachusetts Department oflndustrialAccidents -- Office of Investigations M 600 Washington Street Boston,MA 02111 _ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeObly Name (Business/Organization/Individual): '-pa,e r=., .,. Address: q S'— City/State/Zip: �� � 1i9111' t` � 1 ?_ Phone#: -Are you an erii - - ---p to_ e_r? Check the_-appro r-i-a-te-b ox;- _ -_-- _ --_ _- - __ Tyge of_prdject.(requtred);__--_ -- 1.�,I am a employer with 4. ❑ I am a general contractor and I 6 ❑New construction employees(full and/or part-time).* have hired the sub-contractors . listed on the attached sheet. 7. gjemodeling 2.❑ I am a sole proprietor or partner- .. ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. ❑Building addition [Nu workers' comp.insurance comp,insurance,t required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised theirrepairs11 ❑Plumbing or additions myself. [No workers' corp. right of exernntion Der MGL i2.❑ �uof repaila insurance required.]t c. 152, §1(4), and we have no employees.[No workers' 13.❑ Other comp, insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their Workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work andthen 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 sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: .F P J j � 11jR Policy#or Self-ins.Lic.#: t;�f: ;}`° � ' Expiration Date: d- ?4D Job Site Address: City/State/Zip: . Attach a copy of the workerscompensation 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 this statement may be forwarded to the Office of Investigations of the DIA fon insurance coverage verification I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 9 Zs-'/3 _ Phone 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 Contact Person: Phone#: I r3 woucv HAM MIAIItR(Jt- INFURIMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL.INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 'UH[AI Dorothy A.Corlett,CIC,RPLU Fred C.Church,Inc. NAME: 41 Wellman Street PHONE 9 76 3227231 FAX (978)454-1865 Lowell,MA 01851 A1C No Ext: A1C No (800)225-iB65 E-MAIL dmded@kedcchurch.com ADDRESS: INSURER 5 AFFORDING COVERAGE NAIC# INSURERA: Citizens Insurance Company of America 31534 INSURED Hanover Insurance Company 22292' New England Window&Door LLC INSURER B 45 Fund l Road INSURER C: Massachusetts Bay Insurance 22306 Haverhill,MA 01 03 2-1302 INSURER D: New Hampshire Employers Insurance Company 13083 INSURERE: INSURER F: .-COVERAGES _ CERTIFICATE NUMBER 26329 REVISION NUMBER: THIS 15 TO CERTIFY THAT THE POLICIES INDICATED OF INSURANCE LISTED-BELOW HAVE BEEN ISSUED TO THE INSURED-NAMED ABOVE FOR THE POLICY PERIOD NOTWITHSTANDING ANY_REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER7DDCUMENT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR LTR TYPE OF INSURANCE POLICY NUMBER MMIIDY� MPOLICY EXP LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ CLAIMS-MADE OCCUR MED EXP(Any one person) $ 10,000 A ZBNBi61407 1/1!2013 711/2014 PERSONAL BADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY M PRO- X LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 X ANY AUTO a accident $ BODILY INJURY(Per person) $ C ALL OWNED SCHEDULED ADN8162169 71112013 7/1/2014 AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE $ Per accident S X UMBRELLA LIAR X OCCUR 9,000,000 EACH OCCURRENCE $ B EXCESS LIAB CLAIMS-MADE UHN8167305 71112013 7/1/2014 9,000,000 AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION WC STATU- OTH- ANDEMPLOYERS'LIABILITY X 0 ANY PROPRIEfOR/PARTNER/EXECUTIVE YIN R I IT E 500,000 OFFICER/MEMBER EXCLUDED? ❑ NIA 400040101 71112013 71112014 E.L EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-FA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 1101,Additional Remarks Schedule,it more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE .-- _ 4J4 Client# Mst# 26329Cert Holder# ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD I i Office of:ConsiimerA fg4s&Busiuess Regulation OME IMPROVEMENT CONTRACTOR � Regis4r.: rafio �'-1'2.9.77 4,. 4. T YP: Expjfaflbth 11'0._-_01.3 Supplement It PE LA WINDOWS AND DO�QRS :. WILLIAM NICHOUS-__- ` 45 FONDI RD. HAVERHILL, MA 01832 TJnde{s:cretary t 'V14 ScyCh u,S L7 i - tr pa t �: i t IF B0r'a rd jet 'S f.,l 1 if Cf Rf_aui F. 1.> e7'e :_ CS-089853 WILLIAM R NICHOLS.,.„ 57 PEARTR>✓F RD HAVERHILL NIA 0183Qi - .,s, 10/26/2014 Contract - Detailee! Pella Window and Door Showroom of Haverhill Sales Rep blame: Davey, Hugh ® 45 Fondi Road Salus Rep Phone: 978-373-2500 Haverhill, MA 01832 Solas Rep Faux° Phone: 9783732500 Fax: 9783737274 Solos Rep r=-Mail: daveyhk@pellaboston.com Customern#armat�lan Mraaec#/Gelvei ►ddr C3 Guy Mcclellan Mcclellan,Guy,North Andover,MA.1289421 Quote Name: Five Windows 21 Appleton St 21 Appleton St Order Number: 741 HDO015 NORTH ANDOVER,MA 01845-3119 Lot# Quote Number: 4986737 Day Phone: (978)3608906 NORTH ANDOVER,MA 01845.3119 Order Type: Installed Sales Mobile Phone: County: ESSEX Payment Terms: Deposit/C.O.D. Fax Number: Tax Ccxle: MA TAX 6.25 E-Mail: Quoted Date: 8120/2013 Great Plains#: 7445779 Customer Number: 1006616241 Customer Account: 1002080869 Customer Notes: Permit Fee Paid;$12/1000($30 MIN FEE). location Attreb�tes — 10 None Assigned Delivery/Setup-Delivery/Setup 01ty 1 For more information regarding the finishing,maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 9/4/2013 Contract-Detailed Page 1 of 12 Customer: Guy Mcclellan Project Name: Mcciellan,Guy,North Andover,MA.1289421 Oider Number: 741 HDO015 Quote Number: 4986737 T 15 Dining Left Vinyl Windows/Doors By Pella,-.Double Hung,30 X 56.25,White Oty . 1 1:Non-Standard SizeNon-Standard Size Double Hung,Equal PK# Frame Size: 30 X 56 1/4 583 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",31/4",20 Series,Sill Adapter Included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude ssl Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:30"X 56.25" Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,PerGmeter Length=173",Glazing Pressure=60. PI—Insulate Pockets-Insulate Weight Pockets Qty. 1 PI—Express-Express Pocket Qty 1 tine#:777caHan ►tta ibubeS . 20 Dining Right Vinyl Windows I Doors By Pella, Double Hung, 30 X 56.25,White MY 1 1:Non-Standard SlzeNon-Standard Size Double Hung,Equal PK# Frame Size: 30 X 56 1/4 583 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4.",20 Series,Sill Adapter Included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: While Glass: Insulated Low E Advanced Argon Non High Altitude — -- Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:30"X 56.25" Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=173",Glazing Pressure=60. PI—Insulate Pockets-Insulate Weight Pockets Qty 1 PI—Express-Express Pocket Qty 1 For more information regarding the finishing,maintenance,service and warranty of all P@Ila@ products,visit the Pella®website at www.pelia.com Printed on 9/4/2013 Contract-Detailed Page 2 of 12 Customer: Guy Mcclellan ProjectName: Mctaellan,Guy,North Andover, MA.1289421 Order Number: 741 HDO015 Quote Number: 4986737 7777777 llin4# 1 ocatfor tt+tlbubrrs 25 Dining Side Vinyl Windows/Doors By Pella, Double Hung,30 X 56.5,White ally 1 1: Non-standard SizeNonStandard Size Double Hung,Equal PK# Frame Stze: 30 X 56 1/2 "i General Information: Standard,Vinyl,Block Frame With Mult Groove,3 1/4".,3 1/4",20 Series,Sill Adapter Included,Head Expander Included a? 583 Exterior Color/Finish: White l Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude a, -- Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:30"X 56.5" Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=173",Glazing Pressure=60. PI—Insulate Pockets-Insulate Weight Pockets Oty 1 PI—Express-Express Pocket Oty 1 Atte ibut®$ ,Lh►@# lOrxtloR 30 Bedroom Len Vinyl Windows/Doors By Pella,Doubly: Hung,30.25 X 50.5,White Mr 1 1:Non-S*Andard SizeNonStandard Size Doub`re Hung,Equal PK# Frame Size: 30 1/4 X 56 1/2 583 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 114",3 1/4",20 Serres,Sill Adapter Included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude X25 Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional 113W2H/3W2H) Frame Size:30.25"X 56.5" Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance, Perimeter Length=174",Glazing Pressure=60. PI_Irrsulate Pockets-Insulate Weight Pockets city 1 PI—Express-Express Pocket city 1 For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.Com Printed on 9/4/2013 Contmct-Detailed Page 3 of 12 Customer: Guy Mcclellan Project Name: Mc dellan,Guy,North Andover,MA..1289421 Order dumber. 741HDO015 Quote Number:4986737 L # '` Locatlon -�--� u Attarbutes' 3 35 Bedroom Right Vinyl Windows/Doors By Pella, Double Hung,30 X 55.5,White city 1 1:Nonstandard SizeNon-Standard Size Double Hung,Equal PK# Frame Sgze: 30 X 56 1/2 583 General information: Standard,Vinyl,Block Frame With MuU Groove:,3 1/4",3 1/4:",20 Series,Sill Adapter Included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude 30 Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:30"X 56.5" Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=173",Glazing Pressure=60. PI—Insulate Pockets-Insulate Weight Pockets City 1 PI—Express-Express Pocket City 1 Locid t z Att�iba�ites .,�, 40 Bedroom Side Vinyl Windows/Doors By Pella, Double Hung,30.25 X 55.5,White My 1 1:Nonstandard SizeNon-Standard Size Double Hung,Equal PK# Frame Size: 30 1/4 X 56 1/2 583 'General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",20 Series,Sill Adapter Included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude 33 Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3V%Y2H) Frame Size:30,25"X 56.5" Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=174",Glazing Pressure=60. PI_Irasulate Pockets-Insulate Weight Pockets Qty 1 PI—Express;-.Express Pocket my 1 For more information regarding the finishing,maintenance,service and warranty of all PellaTv products,visit the Pella®website at www.pelia.com Printed on 914/2013 Contract-Detailed Page 4 of 12 Customer: Guy Mcclellan Project Name: Mcolellan,Guy,North Andover,MA.12894-21 Order Number: 741HDO015 Quote Number: 4986737 Line# 77 Locw#ionMk- 45 Closet Front Vinyl Windows I Doors By Pella, Double Hung,30 X 56.5,White. QtY 1:Non-Standard SizeNon-Standard Size Doubie Hung,Equal PK# Frame Size: 30 X 56 1/2 General Information: Standard,Vinyl,Block Frame With Mull Groovs,3 1/4",3 1/4",20 Series,Sill Adapter Included,Head Expander Included OR 583 Exterior Color I Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude 30 Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:30"X 56.5" Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=173",Glazing Pressure=60. PI—Insulate Pockets-Insulate Weight Pockots Qty 1 PI—Express-Express Pocket ()ty I .............. -�i:::'J 50 Closet Side Vinyl Windows I Doors By Pella, Double Hung,30 X 56.25,White MY 1:Non-Standard SizeNon-Standard Size Double Hung,Equal PK# Frame Size: 30 X 56 1/4 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 114!',3 1/4",20 Series,Sill Adapter Included,Head Expander Included 583 Exterior Color I Finish: White Interior Color I Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude 30 Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H 13W2H) Frame Size:30"X 56.25" Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=173",Glazing Pressure=60. PI—Express-Express Pocket ay 1 PI—Insulate Pockets-Insulate Weight Pockets ()ty 1 For more information regarding the finishing, maintenance,sen/ice and warranty of all PellaO products,visit the Pella®website at www.pelia.com Printed on 9/412013 Contract-Detailed Page 5 of 12 Customer:Guy Mcclellan Project Narne: Mcdellan,Guy,North Andover,MA.1289421 Order Number: 741 HDO015 Quote Number:4986737 :Atta�lul�s 55 Hallway Vinyl Windows I Doors By Pella, Double Hung, 30 X 56.25,White Q' 1 1:Nonstandard SizeNonStandard Size Double Hung,Equal PK# Frame Size: 30X 56 1/4 583 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",20 Series,Sill'Adapter Included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude -- 3 Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:30"X 56.25" Wrapping Information: No ExteriorTrim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=173",Glazing Pressure=60. PI—Express-Express Pocket City 1 PI—Insulate Pockets-Insulate Weight Pockets City 1 lime�' I.008tI0A �e::.. z a �' t Attrlt?rJteti ,a x�r � _ 60 Hallway Vinyl Windows I Doors By Pella, Double Hung, 30 X 50.25,White 1 1 1:Nonstandard SizeNon-Standard Size Double Hung,EgOal PK S Frame Size: 30 X 56 1/4 583 General Information: Standard,Vinyi,Block Frame With Mu!I Groove,3 1/4",3 1/4",20 Sexes,Sill Adapter Included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Attitude Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:30"X 56.25" Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance, Pelmet er Length=173",Glazing Pressure=60. PI—Express-Express Pocket City, I. PI—Insulate Pockets-Insulate Weight Pockets ()ty 1 For more information regarding the finishing, maintenance,service and warranty of all Pella(R)products,visit the Pella®website at www.pelia.com Printed on 9/412013 Contract-Detailed Page 6 of 12 Customer:Guy Mcclellan Project Narne: Mcclellan,Guy,'North Andover,MA..1289421 Ober Number: 741HD0015 Quote Number: 4986737 Ltnew# Wcat3onllf , ttnbutee x F .. .,• .i- .... ,...•_ ,.•.;-may 65 August Promo 80 per September Promo-September Promotion OtY 1 777 Line tAC8ltlOn att�bt,t� 70 credit promo September Rebate-September Rebate My - 1 7777777777A�irributss _ 4 75 None Assigned Friends and Family Rebate-Friends and Family Rebate Thank You For Purchasing Pella(g) Products PELLA WARRANTY: For more information regarding the finishing,maintenance,service and warranty of all Pella@)products,visit the Pella®website at www.pelia.com Printed on 9/4/2013 Contra(l-Detailed Page 7 of 12 Customer: Guy Mcclellan Project Name: Mcclellan,Gu,y,North Andover, MA.1289421 Order Number. 741 HDO015 Quote Number:4986737 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 Rolscree:n[or any other accessory]io 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. Project Checklist Review (installed Orders Only) Before the Installation the Homeownev agrees to do the following: 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 Pella agrees to do the following: 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 Allow Pella Installer room to work safely within your home During the Installation Pella agrees to do the following: 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 Composite. Composite will be unfinished. If Purchased, install interior trim matching wood window finish or White trim for Impervia and Encompass For more information regarding the finishing,maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Printed on 9/4/2013 Contract-Detailed Page 8 of 12 Customer:Guy Mcclellan Project Name: Mcclellan,Guy,North Andover, MA.1289421 Order Number: 741HDO015 Quote Number: 4986737 Install non-Pella entry door lockset provided by you. Pella is not responsible for it's quality or performance After the Installation the Homeowner agrees to do the following: Be available for completion and sign off to verify all products purchased are in working order 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 Project Checklist has been reviewed Customer initial Product Only Addendum has been reviewed Customer initial Credit Card Account#: Last 4 Digits _ Expiration Date: Charge final payment to same account (Upon substantial completion) customer initial For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Printed on 9/4/2013 Contract.-Detailed Page 9 of 12 Customer: Guy Mcclellan Project Name: Mcclellan,Guy,North Andover,MA.1269421 Order Number: 741 HD0015 Quote Number: 4986737 ❑Project Checklist has been reviewed C, cl� Customer a (Please print) P a les ep Name (Please print) QI��T TD#7 \ ` ... .. �\ Taxable Subtotal $3,083.15 Customer Signature Pella Sales Rep Signature Sales fax @ 6.25% $192.7 Non-taxable Subtotal $2,200.00 Date Date QJ Total $5,475.85 . Deposit Received $2,410.77 Credit Card Approval Signature Amount Due $3,065.08 For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Printed on 9/4/2013 Contract-Detailed Page 10 of 12 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 pati 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`Mork 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-txisihig window covelings fiiaing of newly installed:e,la 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 or and have contro,over cGnstr a tion.means, FOR A PARTICULAR PURPOSE). methods,techniques,sequences and procedures and for coordinating ail 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 P g q y the director of the Home lmp rovcment Contrar-tpr 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 of this Contract.Pella shall not be responsible r y irqui rs about PeL's o:W^.y of its subcoa�yact^rs relating to egisttxr on for damages defects caused by abuse,modifications not executed by Pella, should be directed to:Director,Home Improvement Contractor Registration, improper or insufficient 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. P11 , liga e to god twill obtain the following permits for this project: 4. CHANGES Homeowners who secure their own permits will be excluded from the 6 ty 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 arty such Change Order must be signed by beth 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 cf God,fore 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 this right. parts or work to be completed is acceptable.However,the holdback will not 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. bustomerfnature 0'—,2 Y—./--? Date DISPUTES Job Name Date ,-10x3 THE CONTRACTOR AND THE HOMEOWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT PELLA HAS A DISPUTE CONCERNING THIS CONTRACT,PEL.LA 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 Contractor r � C Homeofvner NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTER?ATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. li w NOTICE OF CANCELLATION Customer Name: 1� (Please print) Date of transaction: 2,0 You may cancel this transaction,without any panaalty 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 caiiceilation notice, and any security interest arising out of the transaction will he 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 Zl br (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature)