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HomeMy WebLinkAboutBuilding Permit #158-11 - 305 WINTER STREET 8/24/2011 11 BUILDING PERMIT aF"�oT ��o TOWN OF NORTH ANDOVER o APPLICATION FOR PLAN EXAMINATION 'y" T _h /� Date Received Permit NO: �gssATEDPV Date Issued: IMPORTANT:Applicant must complete all items on this page L0- 'CATION: [Erb S1 Print .. PRQRERTYOWNER..� fZ,n e--T, -S 4ALq N .W► f/ Print MAP.-210/0 PARCEL: ZONING'DISTRICT' Histone Distnct =. yes.. no Machine Shop Village yes nc` TYPE OF IMPROVEMENT PROPOSED USE E Residential Non- Residential ❑ New Building G-,Crn-e family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial -repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other :Septic D Well p Floodplain p Wetlands d Watershed District. ❑Water/Sewer. DESCRIPTION OF WORK TO BE PERFORMED: Z r i�.►,,�iLrg � kAjo 5'-2`.C4, r.,L" Identification Please Type or Print Clearly) r OWNER: Name: S A-t-N wAtLV3 Phone: J-) 3011 Address: `�a s w N�-e Sr Pfil,+ kl�uhrr�LS CONTRACTOR Na' Ji—none- 9.7 Address. L4 r—O-4 0 r—, ►2a Supervisor's-Construction License: DFS xp. Date..6 `. Home,.lmprovement License: / -�- 7 7 Exp. Date:` ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDIIVG PERMIT;$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ JD© " FEE: $ � Check No.: `7 `/05— Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner c,.t A.4r,.okAignature of contractogy -,J -- 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 Signature COMMENTS r 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 DrivewaV Permit ]DPW Town Engineer: Signature: Located 384 Os ood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS.. Dimensi®n 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 LITERATl1RE: 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 2010/October 1 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products !VOTE: 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 OTE: 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:Building Permit Revised 2008 Location_ No. Date vr��' r Gf SMO oTM f� TOWN OF NORTH AN DOVEP64 G 0 AL 9 fi' ° ; , Certificate of Occupancy $ • /p/ �/ Building/Frame/Frame Permit Fee $ s�cNust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 24563 Building Inspector NORTH Town of 0 /,Z C o� , � dover, Mass. • O - LAKE COCMICMEWICK V ORATED A ,�5 BOARD OF HEALTH PERMIT . T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........... 1.. .. . ..... .......� .r..�!4.1!� .� .... ............... .... ........... yea " Foundation ��. C�- � , has permission to erect............................:........... buildings on ..... ............ Rough to be occupied as............... 1.. ....... .........P.0.01&................................. Chimney ................................................................ provided that the person accepting thi permit shall in every respect conform to the terms 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 36 PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC ST TS 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. vlassachusetts - Department or Puhlic Safety Board of Buildim-, Re�-ulations and Standards .. Construction Supervisor License License: CS 89853 Yt ♦+y� 5 WILLIAM R NICHQts +&--4)q .'., t; ' 57 PEARTREE RDl ' HAVERHILL, MA 0�$ "� �� Expir6tiori5 10126/2012 ('ununissiuncr Tr#: 4529 �: zuarlta md;.�! s l>te u anon i 5. S 11JI�IPtb1EMETi7�0Ai R- ' SIt wy'ry/1rs�� JR4�+9td' t q 1(�1�11JNWr ,y WILt<, M tyI�MOLB s< �y hdorsecr'r;:tary5 TE���/ , ® CERTiFf�ATE �F i�I�EiL�T� i�iS�1�ANCE [o7illBA, �� 2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ ITHIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POI 5h4111='IES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHOIF=W_-EN2ED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the pelicy(ies)must b:endorsed. If SUBROGATION IS WAIVED,subitm-cct to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights t" the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT DorolhyA.Corlett,CIC,RPLU Fred C.Church,Inc. NAME;- ---_ _ __.____—.__.— __ — WellmanPHONE 978 3221231 FAX (978)454-iiW 41 ell,M Street AIC No: Lowell,MA 01851 EMAIL (800)225.1865 ADDRESS: dcareifQfredcchurch.eom INSURER(S)AFFORDING COVERAGE NiI �C R INSURER A: Citizens insurance Company of America 31534- INSURED INSURER 6: Hanoverinsurance Company 22292! New England Window 8 Door LLC 22306= INSURER C: Massachusetts gay Insurance 45 Fondl Road Employers Insurance Company of Wausau 21458. Haverhill,MA 01832.1302 R INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:16761 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PE=DWERIOD INOICAT Ell. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIG THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE T-r—E-E MS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BYPAID CLAIMS.______ ,NSit ADDL SUBR POLICY EFF POLICY EXP r !IMITS LTR TYPE OF INSURANCE ,p P0!Iry ypugeP I'f 1t.L'DDIYYY:" 'Et5'ICC YY"t; GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 O�MA3ET RENTED S 100,000 X COMMERCIAL GENERAL LIABILITY I I I I PREMISES(Ea eccurr5nce) �--�-- CLAIMS-MADE L4_j OCCUR I! MED EXP(Any one person) is 10,000 A I i i LBN8151407 I 7!1!GC1?1 71112942 P SRE ONALBADVINJURY 1i 1,GOO,000 GENERAL AGGREGATE 5 2A00,000 GEN'L AGGREGATE LIMIT APPLIES PER:` I PRODUCTS-COMP!OP AGG § 2,000,000 I POLICY X 'm E LOC I I b AUTOMOBILE LABIL rY i I I I COtd51NED SIi.GLE UMIT. I 1,000,005 I a sec-dent S X ANY AUTO I I I I BODILY INJURY(Per person) E C ALL OWNED SCIIEDULED A.DN8?52169 7!112011 I 7!112012 a001LYINJURY(Par axident) S AUTOS AUTOS X li X� NON-OWNED I I ; I PROPERTY DAMAGE _ HIRED AUTOS I AUTO, ;tP�racGd�ntt i a X UMBRELLA LIAS 1 X I OCCUR I I I I LEACH OCCURRENCE 5 9'000'00.^. B EXCESS I UHN5157305 711!2011 7!1!2912 9,GGC,C00 .. ,.ESS LIAR_ CLAifds•dvAD� I � i AGGREGATE a _.�_..-I----= I Imo" QED X RETENTION S ' _ I $ WORKERS COMPENSATION X I WC STATUOTH- AND EMPLOYERS'LIABILITY I ITORY ITLFg ._c Y i N 500,000 ANY PROPP.IE OR!FARTNER!EY.ECU T NE f"1;N!A I ! F.l..EACH.A.CV)PIT S E.' YJvCZ112099570ii 711121,1'1 711!2Gt2 OFFtCSk1MeMBER'eXCLUCE07 � 500,000 (Mandatory In NH) I E.L.DISEASE-EA EMPLOYEE $ If des,describe under DESCRIPTION OF OPERATIONS below i E.L.DISEASE-POLICY LIMIT 1$ 500,000 DSSCRIPTION OF OPERATIONS;LOCATIONS!VEHICLES(Attach ACORO 10t Addiiionai Rema*@,Schedule;if more space isregeirPQ) Prout of insui ance I r CERTIFICATE HOLDER CANCELLATION New"giand VVinaoW U.DGG-. LL. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BS WORE THE EXPIR.Ai10N DATE THEREOF, NOTICE WILL BE DELIVEF��t� 1N 45 Fondi Road ACCORDANCE WITH THE POLICY PROVISIONS. 1 Haverhill,MA 01830 AUTHORIZED REPRESENTATIVE Ceti Hoider✓F "y° 1988-2010 ACORD CORPORATION. All rights;=-served. ACORD 25(231C/05) The ACORD Marne and iogo are registered marks of ACORD The Commonwealth of Massachttsetts Department of Industrial Accidelits Office of Invesdgations a d 600 Washington Street Boston,MA 02111 V www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/E lectricians/Plumbers Applicant Information !! Please Print Lyll Dame(Business/organizition/Individualy.- l i N10) LtJ �c� S _LC Address City/State/Zip: t— «�2 ()r )Phone.#: - Are you an employer?Check the appropriate bog: -Type of project(required): 1.51aam a employer with 2n� 4• ❑ I am a general contractor and[ 6 ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.El I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' G ❑Building addition [No workers'comp.insurancecow•insurance.# required.] 5. ❑ We ar".corporation.and its I 10.❑Electrical repairs or additions 3.CI I am homeowner doing all work officers have exercised heir I 11.❑PILmbing regains or additions myself. TIo workers'co right of aAamption per 1213E 1Z.❑RoofTepairs camp. c.152, 1 4,and we have no insurance required.]r ( ) 13.[]Other employees.[No workers' I col insurance required.] *Any applicant that checks box#1 must also:ll out:he section beiow show:r.;their worker'comper-tion policy nfarmadon. t Homeowners who submit Us}davit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. �Contractcrs that check Gus cox must attached an additional sheci showing die name of'he Sub-coatracbn and ante whether or not those entities have cmployees. If the sub -contractors have ert!ploye:s,they must providt their workers'comp.policy ra Ler_ .� I ora an employer that is providing workers'compensation in for my employees. Below is the policy and job site. information. t insurance ConmanyName:YtREO. Policy#or Self-ins.Lic.#: � s1V -� 7'a'- Expiration Date: Job Site Address: City./State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date]. Failure.to secure coverage as required under Section 25A of DAGL e. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 andr'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 for insurance corona a•v2dLoation. •I do hereby certify under the pains-and penalties of perjury that tl�e information provided above is true and correct. Signature: /� '�- ----_. Date — Phone# Of use only. Do not write in this area,tb be completed by city or town official II City or Town:_ _ Permit/License# f Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector t 6. Odie: pf'sant #: I Contact Person: a f lotContract - Detailed 1'� Pella Windows &Doors Sales Rep Name., Noble,Jeff HIG#129774/Tax ID#26-1413183 45 Fandi Road Sales Rep Phone: 978-490-9666 Haverhill, MA 01832 Sales Rep Fax: Phone: (978)373-2500 Fax: (978)373-7274 Sales Rep E-Mail: NobleJG@PellaBoston.com Customer Information Project/Delivery Address Order Information Bridget Shainwald XlGN Shainwaid Bridget North Andover MA Quote Name: 1 Entry Door 305 Winter St 305 Winter St Order Number: 741,,IN1 0388 l NORTH ANDOVER:MA 018451309 Lot# Quote Number: 2983347 Day Phone: (978)3873070 NORTH ANDOVER,MA 01845-1309 Order Type: Installed Sales Mobile Phone: County; ESSEX Payment Terms: 'Neils Fargo Fax Number: Tax Code: MA TAX 5.25 } E-Mail: Quoted Date: 8/10/2011 Great Plains#: l Line# Location: Attributes 1C None Assigned Entry Systems,Inswing Door Right,37.5 X 81.5,White, 5.3116" Item Price Oty Ext•d Price i�X._..,_.. ✓ ✓ ✓ `� $3,149.47 1 $3:149.47 1:3680!tight Inswing Door r, PK# Frame Size: 37 1/2 x 81 1/2 46g General Information: Clad,Standard Sill,Nickel Anodized,Glazed,Craftsman,Craftsman-Grain Fiberglass Exterior Color f Finish: Standard EnduraClad,White.Painted.Hartford Green ✓ ;Vie. ; Interior Color/Finish: Stained;Golden Oak Stain,Match interior Panel Interior ✓ Sash/Panel: include Panel Protective Face Sheet ✓ Glass: Tempered Low E Argon Gas Viewed From Exterior Hardware options: Latch Bore%,pith Deadbott,2-3/4", Knob,Walden Handle Set Single Cylinder, Chatham.Standard Hinge, Satin Nickel, Satin nickel Unit Accessories: No Options, None ✓ 9 !;name Size:37.5"X 61.5" Grilles: Simulated Divided Lite(SDL), 1-1i8",Traditional,3,1 t,J1Dc. a c/— Final Wall Depth 5-3/16° Wrapping Information: Foldout Fins,5-3, "Factory Applied,Perimeter Len h=238". e ES—Single-Install Single Entry Door Qty 1 ✓ Composite Trim>48-Composite Trim Upgrade>Greater than 48 Inches wide Qty 1 For more information regarding the finishing, maintenance,service and warranty of all Pella(g)products,visit the Pellao website at v~.pella.corn Customer:Bridget Shainwald Project Mame: XJGN Shainwaid Bridget North Andover Mit Order 1dumber: 7 41JN0388 Ouote dumber. 2583347 Line# Location_ Attributes 30 None Assigned Tax Holiday-Tax Holiday Discount Item Price cats Ext'd Price ($140.07) 1 ($140.07) tine# Loca{ion: Attributes 35 ENTRY RE-INSTALL STORM DOOR item price Qty Ext'd Price $71.00 1 $71.00 Thank You For Purchasing Pella@ Products _PELMA WARRANTY: Pella products are coN eyed by Pella's limited warranties in effect at the time of sale_Ali 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 ttvo 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 am%other warranty unless specifically set out in this contract. :140-vever:Pella Corporation will not be liable for branch warranties which.create obligations in addition to or obligations which are inconsistent with Pellaa 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 entire your Pella products meet local egress requirements. Per the manufa.cturer"s lin3ited.-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 co-vexed under the l.intited warranty. For more information regarding the finishing; maintenance,service and warranty of all Pena®products,visit the Pella®website at www.peila.com 1 Customer:Bridget Shainwald Project Name: XJGN Shainwald Bridget North Andover MA birder Number: 741JN0388 Quote Number.2983347 Project Checklist Review (installed Orders Only) Before the Installation the Homeowner agrees to do, he fallowing 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 curt 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 agL•ees 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 f4llowina: 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 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 nein,exterior trim is not purchased For more information regardingthe finishing, maintenance,serjice andwarrant/of all Pella®products,visit the PellatJ website atvwvw.pelia.com Customer:Bridget Shairwald Project Name: XJGN Shainwaid Bridget North Andover MA Order Wraber: 741JN0388 Quote Number.2983347 Project Checklist has been reviewed cz,rt'mzr initial Product Only Addendum has been reviewed custmner initial Credit Card Account 9: Last 4 Digits _— Expiration Date: —_._ Charge final payment to same account (Z-poo substantial completion) Cusunner initial Project Checklist has been reviewed Order Totals Taxable Subtotal $2,315.22 Credit Card Approval Signature Sales Tax @ 6.25% $144.70 t Non-taxable Subtotal $765.18 Total $3,225.10 Customer Name {Pi ase print Pella Sales Rep Name (pease print) Deposit Received $1,812.55 Amount Due $1,612.55 Customer ignature Pella SaesSignature Za d6�� f( ��' /11 Date T— Date For more information regarding the finishing, maintenance,service and warranty of all PeilaO products,visit the PeilaJwebsite at wwww.pella.com DISPUTES Jab Name_SwAtWA-L-b Date tl'%. 111. 11. THE CONTRACTOR AID 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 ?;_;-Li e:lci— Contractor df Homeo er NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. NOTICE OF CANCELLATION Customer Name: S14w*swAt--D A (Please print) Date of transaction: Autj . tc, 2-01A 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. mu not ick the If you do make the goods available to the seller and the seller does p p 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 AftX, 7,.xt&_(three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) PELLA WINDOWS AND DOORS CONTRACT PAYMENTS 1. TERMS AND CONDITIONS TIONS 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 fin Un 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 LL.0 due. dba Pella Windows&Doors,Inc.("POW 1 and the person(s)identified on the Product Order("Owner")to supply the products(the"Products"),and perfornr $, CORRECTION OF WORK the work.(the"Work")described or referred to in such Contract. For Product Only purchases,a signed"Product.Only.Adderodum"is a required part of the Pella shall correct installation Work not in confottttance with the requirements colih•act. 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 Z. OWNER provided and payment of the:Pumbas.Price made subject to a holdback as provided above.Correction of Work as herein provided shall be Owners sole Pella is not responsible for any existing security systems.Owner shall.rtanerve remedy for defective workmanship,and.is provided in tieu of any and all other all shades;verticals.blinds,curtains,drapes or window mounted air retuediuti.Pella's obligation to correct Work is conditioned or)POWs prior conditioners,prior to the installation of the:Products.Pella's installers are not receipt of all paymLats then due. responsible for the removal or installation of these types of items. Pella is not responsible 16-pre-existing window coverings fitting on newly installed Pella 9. LIMITED PRODUCT WARRANTY windo•vs. Pella shall warrant all Pella products,but only in accordance will the Pelta The Owner shall provide complete access to the work site between tate hours Windows&Doors Li.tnited Warranty.THIS LLVIITED WARRANTY SHALL of 1:00 a.m.and 6:00 p.m.(Monday through Friday)for.Pella's installsits to BE THE SOLE WARRANTY WITH RESPECT TO THE PRODUCTS AND deliver the Products and perforin the Work.. P:ELLA.SPECIFICALLY DISCLAL4IS ALI.O'THER WARRANTIES, EXPRESS OR EMPLIED, WR.XI TEN OR ORAL(INCLUDING WITHOE.rr 3. PELLA LIMITATION ANY W'AR'RANTY OF MERCHANTABILITY OR FTI'NkSS Pella will be responsible for mord have control over construction means, FOR A PARTICULAR.PURPOSE). methods,twhniquts,setluences 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 Pnxducts. ENDER NO CIRCUMSTANCES SHALL PEL.L.A;BE LIABLE FOR Unless provided otherwise in the Work.description,Pella will provide and pay CONSEQUENTIAL.INCIDENTAL.INDIRECT,OR SPECIAL DAMAGES• for ail labor,materials,equipment.tools and ra.acbinery,transportation,and. WHETHER.FOR-ESEEN OR UNFORESEEN. other facilities and services necessary for the:proper execution.and completion of the Work. It. HOME IMPROVEMENT CONTRACTORS The materials and equipment furnished under the Contract will be good quality All borne improvement contractors and subconn ocTrs-shall be registered with and new unless otherwise required or permitted,the Work will be free from the-director of the Home Improventertt Contractor Registration Program defects not inherent in the quality required or permitted,and the Work administered by the Board of Building Regulation-and Standards. Pella and conform with the requirements of this Contract.Pella shrill not be responsible tiny of its subcontractors identified in this agrecstuent have been registered. Any inquires about Pella or any of its subcontractors relating to registration for damages n deficits t maim n abuse;rtrtoper pest on executed by Pella, shtruld be directed to:Director,flume Improvemeart Contractor Registration., improper or insufficient maintenance,improper operation or normal wear and One Ashburton P{ace,'Iiuston.MMA 0210$,611-7,27-$S�lfi tear. Pella will keep the ptenises and surrounding area free from accumulation of waste materials or rubbish caused by performance of the 12, PERMITS(MA customers only) Work. Pella i obligated to and will obtain the following,peantits for this project. 4, C}LANCES _ _ Homeowners who secure their own permits will be exclu ed troiTf.the guaranty fund provisions of Massachusens;General Laws. 'Ilio Owner may order in writing change:in the Work,consisting of:additions, chapter 142A. deletions,or modifications("Change Order"). Any Change Order shall include an adjustmertt to the Price arhd the.Substantial Completion.Date,as In addition to the rights and warranties enumerated in this agreement,you may determined by Pella. Pella reserves the tight to approve or disapprove any have additional rights under Massachusetts General Laws,chapter 142.A and Change Order and any such Change Order must be signed by both Owner and 780 Code of Massachusetts Regulations RCI, Pella to be effective. 13. NOTICE OF CANCELI A"C'ION S. SUBSTANTIAL COMPLETION You may cancel this agreement if it has been signed by a'party Owner understands and agrets 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 he may be his main office or branch thereof',provided you notify extended to allow for Change Orders requested by Oihner 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.Iffor 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 rtt.issing or need See the attached Notice of Cancellation f.'or an explanation of to be replaced or repaired,a hold back proportionate to the costt of remaining parts or work to be completed.is acceptable.However,Omer 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. Do not sign this contract if there are any blank spaces. 6. FINANCING It payment of the Price is financed with a financial institution ttrough.Pella,all financing paperwork must be completed upon signing of this Contract and the. requisite approvals and authorizations for the fish amountof the requcstec! financing shall have been received from the financial institution. custom-0.sign'1Ture A) Date