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Building Permit #369 - 380 BOXFORD STREET 10/25/2011
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 6, - Date Received Date Issued: G " ' li MORTANT:Applicant must complete all items on this page LOCATION SSS l Eocb Print PROPERIYY OWNER i-z_�Z� )_ SU_,el i t Print MAP NOIR,,--PARCEL: ZONING DISTRICT: Historic District yes rio lit Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Reside _jal Non- Residential ❑ New Building ne family ❑Addition ❑Two or more family ❑ Industrial ❑Al ration No. of units: ❑Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other pSe' pt c�" (]Well' PUP lDWetlands ;T" "I R zRagIfid District x r t DESCI UPTION OQii^� O�3E PE, o0R ED: S it Identification Please Type or Print Clearly) OWNER: Name: Address: 3Sts 13rK�rb gT— CONTRACTOR Name: a Phone: Address:_4`5- Supervisor's Construction License: 095 S-5 3 Exp. Date: /6 ZG - >Z'' Home Improvement License: 1.9'7 f Exp. Date: l ARCHITECUENGINEER Phone: if Address: Reg. No. FEE SCHED ULE:B ULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ rC:e); FEE: $ Check No.: Receipt No.: a�' NOTE: Persons contracting with unregistered contractors do not have access to the�guaran ty fund Signatu�e�of'Agenfil0wr er _ __ _ _ SI naf638f c Location. No. Date �oR,h TOWN OF NORTH ANDOVER Certificate of Occupancy $ CMBuilding/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # J r) q v Building 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 Signature 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 DPW Town Engineer: Signature: Located 384 Osgood Street ;FIRE DIEPARTMENT; Ter.n0 Dumpstiar on site- yes ' ` no Located at 124 Main Street Fire Department slanature/date COMMENTS_ r Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use ❑ Notified for pickup Call Email Date Time Contact Name ; Doc.Building Pennit Revised 2014 Building Department artment The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Cross Section/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:Building Permit Revised 2014 NORT� 0 o Anclover .. " V` No. - �D/•Z �, _ o , '� clover, Mass., I O.OW Q -- LAKE I� COCMICMEWICK V 7d�o?ArED PP�t"`� 7�l ` BOARD OF HEALTH Food/Kitchen Septic System PEnMIT T DT BUILDING INSPECTOR THIS CERTIFIES THAT�.....................................�`......................................... �.. ......................................... Foundation �1 has permission to erect. . .... buildings on ...... I OX� ..�.'.S Rough . ............... .............. ................ lam► d Chimney tobe occupied as......... ...p1'1....... ........ ......... ..............T.......................... r1�, ............................................ provided that the perso opting t permit sh li in every respect conform to the terms of the application on file in Final this office, and to the provisions of a 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 CONSTRUCTIOT 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. NORT� TONMO Andover . ,0 ..... No. - _ 0 = o , dover, Mass., 10-0)9 1 T Q LAKE COC MICMEWICK 4 �oRATED D'P � �7 BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D � BUILDING INSPECTOR THIS CERTIFIES THAT........................................................................................................�... .......... ................................... Foundation has permission to erect. ........ .... buildings on ........ .. ............. .... �. Rough ..... ...........I�atr ... �� d Chimney to be occupied as......... ...p� ....... ....... ......... ..............T.......................... ! ............................................ c ' provided that the perso opting t permit sh II in every respect conform to the terms of the application on file in Final this office, and to the provisions of a 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 CONSTRUCTIOT TS - - Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display a in 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. TBurner Street No. SEE REVERSE SORE Smoke Det. The Commonwealth of MassaOMAWS Department of Industrial Accliefels M Offace oflnvestigations ' a 600 Washington Street ..7 Boston,MA 02111 www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/Caa.t'actars/Electricians/Plumbers AR1211cant Information Please Print Le ibl Name(Businesslorgauizition/ladividualy. Rk 0/ - t4_1,61 ta aw- Address• 'S` �o�O& LO City/State/Zip: One.#: _1A ' IPS U ss Are you an employer?Check the appropriate bog: 'Type of pioJect(required): 1.[31'a-m—a employer with 2•C:L 4. I am a general contractor and[ 6 []New construction employees(full and/or part-time).* have hired the snub-contra6z 2.❑ I am a sole proprietor or partner- listed on the-attached sheet 7, ❑Remodeling ship and have no employeas These sub-contractors have S. ❑Demolition worlaag.for me in any capacity. employees and have workers' 9 ❑Building addition [No workers'comp.insurance comp'nnsuranceJ 10.[Electrical repairs or additions required.] S. C We ar.&A-corporation and it 3.❑ I am a homeowner doing alt work officers have exercised their . 11.❑Plumbing repairs or additior..s myself,RIO workers'comp. right df a lampoon par MGL t 12.[]Roof repairs insurance required.]t %152,§1(4),and we have na employees.[Na workers' 13.[]Other _ I comp.insurance required.] *Any applicant that checic box#1 must also Ill out the seGdonbdowshawing titali worirers'camprytion poGcyinfmmatian. t ptomeowners who submit this Od3vit indicating they are doing alt work and than hire outside coatratars must suundt a new afdavit iadiratipg such. ZCantraotars that check this box must attached an additional sheat showing thcrtame ofthe sub-conttdon and swe whether or not these s0deshave employees. if ihesub-contractors hive wgployees,they mustprovidtr their workers'comp.Palley nanher. I am an employer that is providing workers'compensaiton insurance for my a#oyees. Below is tine policy and job site. infur�tration. , f� Insurance Camaany Name:c. Policy#or Self-ins.Lic.# $�A� iA — � �" Egkadon Date: Job Site Ad&aSS: - ---CitylStatelZip: Attacb a copy of the workers' compensation policy declaration page(showing the policy number and expiration date'). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 an dor one-year imprisoumeA as well as civil penalties in&form of a STOP WORK ORDER and a fine of up to$250.00 a day against tae violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the MA for insurance covzraga Ido hereby certBfy under the pains atsd persalties of perjury that the informatiorc provided above is true and correct Simature a• Date A Phone# Official use only. Do not write in this area,tb be completed by city or town of•tic' City or'Gown: _ -- Permit/License i Issuing.Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector IContact Person: ���,►�� DATE(MMIOOIYYYY) CERTIFICATE OF LIABILITY INSURANCE 6714612°,! THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ios)must III endorsed. If SUBROGATION IS WAIVED,subjact 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 CONTACT Co01yA.Carlen,CIC,RPLU Fred C.Church,Inc. _YME. _ FAX 918 454.1665 41 Wellman Sbael cUE....— —978 022!231——----�_ AIC No: ( ) Lowell,MA 01051 W.AA (900)225.1855 Ar]FORBSS: drwdart@rredcehurah,eem INSURERS AFFORDING COVERAGE NAIC N INSURER A: CompanyofAmarlca 31534 INSURED Hancuarlrsurenae Company 22292 New England Window 8 Door LLC INSURERB: 45 Fond[Road INSURER C: A4assaenssaiis Bay lnsrrranea 22306 Haverhill,MA 01832.1302 INSURER O: EmpioYrus Insurance Company°!Wausau 21458 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: e7a1 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY RMUIREMEN T,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.LIMITS SHOWN MAY HAVE BEEN REDUCED SYPAID CLAIMS. INSR DDI SU0R POLICY EFF L C'd E,:P LTR TYPE OF INSURANCE 1119n V • PO!SCY NU4!9e°. ",NCON.`" 111 DCIYY�:':i` 'LIMITS _ GENERAL LIABILITY EICHOCCURRENCE 91,000,000 X DAMAGET RENTED 109,000 COMMERCIAL GENERAL LIABILITY PRIINIMUsEa ceeumrnea1 3 CLAIMS-MADE Lj OCCUR — I MEOEXP(Any onaperson) 9 10,000 A ZON81.91407 7!112011 111120/2 PERSONAL 8 ADV INJURY S 11600,000 GENERAL AGGREGATE 9 21000,001 GSN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOPAGO 9 2,000,000 POLICY M PR�pL. 79 LOC S AUTOMOBILE LIABILMY I COMBI!IEDSNOLE.!dT "000,000 IIS.eoi.aE S X ( I I I BODILY INJURY(Par person) 9 ANY AUTO _ C ALLOWNEC SCHEDULED P.DN9 52159 7!112011 I T!112012 BODILY INJURY(Paraxldenl) 9 AUTOS AUTOS --. X HIRED AUTOS I X AUTOS NED i I �9!jRTY DAMAGE a� I S f X U14901ELLA LIAR k OCCUR I EACH OCCURRENCE 3 9,000,000 B :XCESS LIAO CLAi!AS•AiAOE UNNS157305 I 7111011 V112112 I AGGREGATE 9,000,000 OED X RETENTION 9 _ 9 WORKERBCOMPENSATION I X CTA U• 0TH• AND EMPLOYERS'LIABILITY Y i N I I Ea. '-5p0-000 D ANYPROPRIVORIPARTNERIFYSCUTrVE❑ NIAI YVCCaf12899570ii T1,1Aiii G.LEACHACC!OF.NT 9 OFFICeF1MEMBER`rnCLU0ED7 +RO t 2 500,061 (Mandatary In NNI I E.L.DISEASE•EA EMPLOYEE 9 561,006 It Sddascdbaunder D_SORIPTION OF OPERATIONS below E.L.DISEASE.POLICY LIMIT S I I DESCRIPTION OF OPERATIOIJS f LOCATIONS I VEIiiCLES(ANach ACORu 101:ddd[iineai Pemarira Schedule,IF more a+a¢els re,clrad) Pfouf of Insurance CERTIFICATE HOLDER CANCELLATION sw enSland vyincow 3 Door SHOULD ANY OF THE ABOVE DESCRI13ED POLICIES BE CA14CELLED BEFORE INE SXFOLATION OATS Ti av, HOTics WILL BE DELIVERED iN 45 Fandl Road ACCORDANCE WIrIH THE POLICY PROVISIONS, 1 Havarhlll,MA 61930 r AUTHORIZED REPRESERTATWE c6anr M,!a n ~� Cert Haider 1; ""° ©19ggeEC10 ACORD CORPORATION.~All rights reserved. ACORD 23(3O1 CIOs) Titre ACORD name and logo ace regist6re d Iharlts Of ACORD GT Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR Registration?-}129774 Type: Expi ra#a ii=j3 7(209.3., Supplement C PELLA WINDOW85-_A1V dD E3RS ` WILLIAM NICHC�t � :` 45 FONDI RD. =-` HAVERHILL,MA 01832'•. Undersecretary Massachusetts- Dep.lrtmrnt of Puhlic Sufet, Board of Building Rel;ulations and Standards Construction S(fpervisor License License: Cs 89853;;.,:.c " WILLIAM R 'NI'CHQLS,t*="+fit 57 PEARTREE`Fi'f HAVERHILL, MA r Expiration: 10126/2012 { ('umm issinncr Tr#: 4529 r i Contract - Detailed v� Pella Windows&Doors Sales Rep Name: Finnegan, Paul HIC#129774/Tax ID#26-1413183 45 Fondi Road Sales Rep Phone: (978)373-2500 Haverhill, MA 01832 Phone: (978)373-2500 Fax: (978)373-7274 Sales Rep Fax: Sales Rep E-Mail: pfinnegan@peilaboston.com Customer information Project/Delivery Address Order Information Brett Belongia WPF-Belongia-North Andover-Finnegan Quote Name: North Andover-Belongia-Finnegan 380 Boxford St 380 Boxford St Order Number, 741PF1250 NORTH ANDOVER,MA 01845-3228 Lot# Quote Number: 3090488 Day Phone: (978)9751903 NORTH ANDOVER,MA 01845-3228 Order Type: Installed Sales Mobile Phone: County: ESSEX Payment Terms: DepositiC.O.D. Fax Number: Tax Code: MA TAX 6.25 E-Mail: Quoted Date: 911212011 Great Plains#: Customer Notes: Pella proposal includes the following; Each line item factors in Pella manufacturing to order,delivering and installing the designated product line with the defined features. Factored into pricing is a 34%commercial discount and is not to be used with other promotions. A separate check in the amount of$348.00 will be required for Pella to secure a building permit from the Town of North Andover, Installation method for each of these line items is standard pocket replacement. Should you elect to proceed with Pella Windows and Doors for your project,Pella requires a 50%deposit and the balence due upon completion. Your contact person at Pella Windows is Paul Finnegan cell phone 978-361-6922 or email pfinnegan@pellaboston.com Line 105 may require to Pella to request Architect Drawings which may as much as 5 days to a week for lead time. For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 10/712011 Contract-Detailed Page 1 of 8 ,y. Customer:Brett Belongia Project Name: WPF-Belongia-North Andover-Finnegan Order Number: 741PF1250 Quote Number: 3090488 Line# Location: Attributes —� 10 upstairs bath temp, Architect, Precision Hung Double Hung,30.25 X 36.5,White city 1 1:Non-Standard Size Double Hung,Equal Split PK# Frame Size: 30 114 X 36 112 General Information: Luxury Edition,Clad,None 482 Exterior Color I Finish: Standard EnduraClad,White Interior Color/Finish: Preflnished White Interior T-- - Glass: Insulated Tempered Low E Advanced Argon Gas Hardware Options: Standard Lock,None,White,No Sash Lift Viewed From Exterior Screen: Half Screen,Inview Frame Size:30,25"X 36.5" Wrapping RMB,No,3/4",Traditional(3W2H/OWOH),Prefinished White,White,Shipped In Unit Wrapping Information: Perimeter Length=134",Glazing Pressure=205. No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 PI_Express-Express Pocket City 1 Line# Location: Attributes 12 Master bath dark OLB Architect, Precision Hung Double Hung,30.25 X 36.5,White CRY T'T_ 1 �_ 1:Non-Standard Size Double Hung,Equal Split PK# Frame Size: 30 1/4 X 36 1/2 General Information: Luxury Edition,Clad,None 482 Exterior Color/Finish: Standard EnduraClad,White j Interior Color 1 Finish: Red Mahogany Stain Interior -- Glass: Insulated Low E Advanced Argon Gas a? — Hardware Options: Standard Lock,None,Oil-Rubbed Bronze,No Sash Lift Viewed From Exterior Screen: Half Screen,Inview Frame Size;30.25"X 36.5" Grille: RMB,No,3/4",Traditional(3W2H/OWOH),Red Mahogany Stain,White,Shipped In Unit Wrapping Information: Perimeter Length=134",Glazing Pressure=130. No Ext.Wrap/Cap-No Exterior Wrap/Cap City 1 PI Express-Express Pocket City 1 For more information regarding the finishing, maintenance, service and warranty of all PellaV products,visit the Pella@ website at www.pella.com Printed on 10/7/2011 Contract-Detailed Page 2 of 8 Customer:Brett Belongia Project Name: WPF-Belongia-North Andover-Finnegan Order Number: 741 PF1250 Quote Number: 3090488 Line# Location: Attributes 13 Downstairs bath Architect,Precision Hung Double Hung,30.25 X 36.5,White Qty 1 1:Non-Standard Size Double Hung,Equal Split PK# Frame Size: 30 114 X 36 112 482 General Information: Luxury Edition,Clad,None f. Exterior Color 1 Finish: Standard EnduraClad,White Interior Color/Finish: Prefinished White Interior Glass: Insulated Low E Advanced Argon Gas _� Hardware Options: Standard Lock,None,White,No Sash Lift Viewed From Exterior Screen: Half Screen,Inview Frame Size:30.25"X 36.5" Grille: RMB,No,3/4",Traditional(3W2H 1 OWOH),Prefinished White,White,Shipped In Unit Wrapping Information: Perimeter Length=134",Glazing Pressure=130. No Ext.Wrap/Cap-No Exterior Wrap/Cap City 1 PI Express-Express Pocket Qty 1 Line# Location: Attributes 15 Upstairswhite Architect, Precision Hung Double Hung,31.25 X 52.5,White Qty 5 1:Non-Standard Size Double Hung,Equal Split PK# Frame Size: 31 114 X 52 112 482 General Information: Luxury Edition,Clad,None Exterior Color/Finish: Standard EnduraClad,White U Interior Color/Finish: Prefinished White Interior ` . -_ Glass: Insulated Low E Advanced Argon Gas sl�: Hardware Options: Standard Lock,None,White,No Sash Lift Viewed From Exterior screen: Half Screen,Inview Frame Size:31.25"X 52.5" Grills: RMB,No,314",Traditional(3W3H 1 OWOH),Prefinished White,White,Shipped In Unit Wrapping Information: Perimeter Length=168",Glazing Pressure=100. PI Express-Express Pocket Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Cap QtY 1 For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the PellaO website at www.pella.com Printed on 10612011 Contract-Detailed Page 3 of 8 Customer: Brett Belongia Project Name: WPF-Belongia-North Andover-Finnegan Order Number. 741 PF1250 Quote Number:3090488 Line# Location: Attributes 20 Upstairs red mahogy Architect, Precision Hung Double Hung,31.25 X 52.5,White Qty 3 1:Nonstandard Size Double Hung,Equal Split PK# Frame Size: 31 114 X 52 112 i 482 General Information: Luxury Edition,Clad,None ��. Exterior Color/Finish: Standard EnduraClad,White Lr Interior Color 1 Finish: Red Mahogany Stain Interior Glass: Insulated Low E Advanced Argon Gas Hardware Options: Standard Lock,None,Oil-Rubbed Bronze,No Sash Lift Viewed From Exterior Screen: Half Screen,Inview Frame Size:31.25"X 52.5" Grille: RMB,No,314",Traditional(3W3H/OWOH),Red Mahogany Stain,White,Shipped In Unit Wrapping Information: Perimeter Length=166",Glazing Pressure=100. No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 PI—Express-Express Pocket City 1 Line# Location: Attributes 30 Dining rm Architect, Precision Hung Double Hung,31.25 X 58.5,White Qty 2 1:Non-Standard Size Double Hung,Equal Split PK# Frame Size: 31 1/4 X 58 1/2 482 General Information: Luxury Edition,Clad,None Exterior Color 1 Finish: Standard EnduraClad,While T` Interior Color I Finish: Prefinished White Interior Glass: Insulated Low E Advanced Argon Gas Hardware Options: Standard Lock,None,White,No Sash Lift Viewed From Exterior Screen: Half Screen,Inview Frame Size:31.25"X 58.5" Grille: RMB,No,3/4",Traditional(3W3H I OWOH),Prefinished White,White,Shipped In Unit Wrapping Information: Perimeter Length=180",.Glazing Pressure=90. PI_Express-Express Pocket Qty 1 No Ext Wrap/Cap-No Exterior Wrap/Cap Qty 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 1017/2011 Contract-Detailed Page 4 of 8 Customer: Brett Belongia Project Name: WPF-Belongia-North Andover-Finnegan Order Number. 741 PF1250 Quote Number: 3090488 Line# Location: Attributes 100 Down stairs dark OLB Architect,Precision Hung Double Hung,31.25 X 58.5,White Qty 6 1:Non-Standard Size Double Hung,Equal Split PK# Frame Size: 31 1/4 X 58 112 General Information: Luxury Edition,Clad,None t 482 Exterior Color/Finish: Standard EnduraClad,White 7 r Interior Color/Finish: Red Mahogany Stain Interior Glass: Insulated Low E Advanced Argon Gas Hardware Options: Standard Lock,None,Oil-Rubbed Bronze,No Sash Lift Viewed From Exterior Screen: Half Screen,Inview Frame Size:31.25"X 58.5" Grille: RMB,No,3/4",Traditional(3W3H/DWOH),Red Mahogany Stain,White,Shipped In Unit Wrapping Information: Perimeter Length=180",Glazing Pressure=90. No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 PI Express-Express Pocket Qty 1 Line# Location: Attributes 115 None Assigned Architect,3-Wide Casement,99 X 47,White,3.11116" Qty 1 1:3347 Left Casement PK# Frame Size: 33 X 47 482 General Information: Standard,Clad,Pine,None Exterior Color l Finish: Standard EnduraClad,White Interior Color I Finish: Red Mahogany Stain Interior Glass: Insulated Low E Advanced Argon Gas Hardware Options: Standard Roto Operator,None,Oil-Rubbed Bronze Viewed From Exterior Screen: Full Screen,Brown,Vivid View Frame Size:99"X 47' Grille: RMB,No,314",Traditional(3W4H),Red Mahogany Stain,White,Shipped In Unit Vertical Mull 1: FactoryMull,Standard(Vertical Factory)(0") Final Wall Depth:3-11/16" 2:3347 Left Casement Frame Size: 33 X 47 General Information: Standard,Clad,Pine,None Exterior Color/Finish: Standard EnduraClad,White Interior Color/Finish: Red Mahogany Stain Interior Glass: Insulated Low E Advanced Argon Gas Hardware Options: Standard Roto Operator,None,Oil-Rubbed Bronze Screen: Full Screen,Brown,Vivid View Grille: None, Vertical Mull 2: FactoryMull,Standard(Vertical Factory)(0') 3:3347 Right Casement Frame Size: 33 X 47 General Information: Standard,Clad,Pine,None Exterior Color I Finish: Standard EnduraClad,White Interior Color I Finish: Red Mahogany Stain Interior Glass: Insulated Low E Advanced Argon Gas Hardware Options: Standard Roto Operator,None,Oil-Rubbed Bronze Screen: Full Screen,Brown,Vivid View Grille: RMB,No,3/4",Traditional(3W4H),Red Mahogany Stain,White,Shipped In Unit Wrapping Information: Foldout Fins,Factory Applied,3-11/16"Factory Applied,Perimeter Length=292",Glazing Pressure=85. For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Printed on 10/7/2011 Contract-Detailed Page 5 of 8 I . Customer:Brett Belongia Project Name: WPF-Belongia-North Andover-Finnegan Order Number: 741PF1250 Quote Number: 3090488 Trim–Stool and Apron-Add Stool and Apron Trim to Picture Frame Qty 1 Composite Trim>48-Composite Trim Upgrade>Greater than 48 inches wide Qty 1 FF>96 wide-Install Full Frame Window>96 inches wide Qty 1 Line# Location: Attributes —� 125 None Assigned Support Product,3-Wide Pentagon,99 X 53 X 18.5,White,3.11116" _My 1 1:Non-Standard Size Trapezoid,Facing:Lek PK# Frame Size: 33 X 41 112 X 18 112 13 General Information: Factory Assembled, Standard,Clad,Pine,None :4"ejr 482 Exterior Color/Finish: Standard EnduraCled,White Interior Color/Finish: Red Mahogany Stain Interior - Glass: Insulated Low E Advanced Argon Gas Grille: None. Viewed From Exterior Vertical Mull 1: FactoryMull,Standard(Vertical Factory)(0") Frame Size:99"X 53' 2:Non-Standard Size Pentagon Frame Size: 33 X 53 X 41 112 Final Wall Depth;3-11116" General Information: Factory Assembled, Standard,Clad,Pine,None Exterior Color/Finish: Standard EnduraClad,White Interior Color 1 Finish: Red Mahogany Stain Interior Glass: Insulated Low E Advanced Argon Gas Grille: None, Vertical Mull 2: FactoryMull,Standard(Vertical Factory)(0") 3:Non-Standard Size Trapezoid,Facing:Right Frame Size: 33 X 41 112 X 18 112 General Information: Factory Assembled, Standard,Clad.Pine,None Exterior Color!Finish: Standard EnduraClad,White Interior Color 1 Finish: Red Mahogany Stain Interior Glass: Insulated Low E Advanced Argon Gas Grille: None, Wrapping Information: Foldout Fins,Factory Applied,Red Mahogany Stain,3-11116"Factory Applied,Perimeter Length=257",Glazing Pressure=55. Composite Trim>48-Composite Trim Upgrade>Greater than 48 inches wide Qty 1 Opening 96 wide-Full Cut In or Widen Opening 96 Inches Wide-Incl Header Qty 1 FF>96 wide-Install Full Frame Window>96 Inches wide Qty 1 Thank You For Purchasing Pella® Products PELLA WARRANTY: Pella products are covered by Pella's limited warranties in effect at the time of sale.All applicable product warranties are incorporated into and become a part of this contract. Please see the warranties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system.Neither Pella Corporation nor Pella Windows&Doors will be bound by any other warranty unless specifically set out in this contract. However,Pella Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening(egress)information does not take into consideration the addition of a Rotscreen[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. For more information regarding the finishing: maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 1017/2011 Contract-Detailed Page 6 of 8 Customer: Brett Belongia Project Name: WPF-Belongia-North Andover-Finnegan Order Number: 741 PF1250 Quote Number: 3090488 Project Checklist Review (Installed Orders Only) Before the Installation the Homeowner 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 Durina 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 Durina 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 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) For more information regarding the finishing:maintenance:service and warranty of all Pella®products,visit the Pella�J+ website at www.pella.com Printed on 10/7/2011 Contract•Detailed Page 7 of 8 GUSX111rer.Brett Be r,ngia Pr,,.E,,ct N'Imc, 'PPF-Belcriya-Nt;rtfi Ardove!-HW!If4vI Orrw.! Ow)',P.IMmlwr Clean tip Pyt'enor casing Issues due to storm window removal if full map or new exterior trim is not purchased Project Chet:k lkhay hcen rc,.WA\cii I)111N. \tj(jCjjcj11111 11;1, hC011 1C\M`tCLI CIV(lit C.11-Lf ACCOUM Lail I N.uils t'%pliallim Daic: C Projpr-t Checklist has been reviewed Order Totals Taxat)le Subtotal S22.032.74 Sales Tax @ 6.25' Non-taxable Subtotal .50 Total $29.487.29 Deposit Received $14, 4.4..10.0 Amount Due $14,743.29 "N- fits F,!:std mant enan.e. ;Cirvico ond Of S11 PC!llat l-^.rti,i.?4 visit Vit-, virel--site ar.vAviv.pella.--on'. of,l PELLA WINDOWS AND DOORS CONTRACT it I iflill I ION Ol %A(ORK 11:1-A1.10: Au. t: t I In it It i.h,l it 1 1: j: :171 f1\\\112 A,.! rI.•wd Ili JI li;l T 11 -1 I MH 1 1)I'M M( I RR I"t It;:ry JkjIj u•".!..• :'- wi I'%-j 3 I\j till, .1:1' wI. IA t 1 i.: 1 tl 110. N V I 'it ..f.d I1.1 rl,4 I At I I I Nil.I I PH If A 1, 1 F I I it\( 1ItIt" I.-11MCI :011;�'I:-IHOMCI I it.; III ILL 111C 't t!I�I I. ."!"d Z:IAI I 111 V.i 11"1 1 'Ik- jjil,t,l I ;I�t: i L'1:4�i II I I'1:,I I I tr 11od h-, 1-II' ild 1 d. k It; I-11Z W1, :1[ 11 lj'l op:'I•Ilcl:I[o"] I rl:r; t L'i'.1'r; U:1J,I!;:'•I.:,:11 :-k.;; C1.1!'1 1 17 1 jll' 11 ,:11+.. I'1 R Nil I I N11 1 11 u:r -it it .;.IL i P MYI R F OF( AN( F 1.11.\TION I it 3\ :j n c it :I%-I.ic 7 1 t I I 1c:'I, I til, "d IC L`.. ,) hal' I;,c"O I;rtl; ?k ',1• t12 ..'L, • till I;.zI,k ho-ld i I riplj;ol: XI: ;:!j!Id'!mL1 Ill' 1:'1- .,.....111'i:-:o. mi; it, 1 jL:-1 hit 1,1�,,1 \Itt K,01 ,,1 ,t 6 011 fill( C111111-:10 it'there.11-v airl) blank spac", 1'1%0( 11M. PISPILTE"s N i j H ( OM"I"RNIM . [;Is C( )N 1 R,N( 1 1 IA NI 13\11 t -I I I Pi ii t 1 A PRIVA-1 I., \R111 RA 7 it k\]( i IICI I I W I llj)!?(I\ 1 131, Sj,( RI. I 1\1 KlAll A I NIHlB! RH)i IRiA) I .'It Mll I I Si. ( 11 ARBI I RA 11(1\ AS Z, l�illfal'ii.11' I VICT: 1111 1 i :RF 01 1111, PAR I AB( \ I WIT) )NI Y 1 1111. \(;RI I.\Il.\ I ()I I I lj•. PAR I WIf.! AI I IVI DISM 11 -,1 11NIIN! I\ A I HA 1111.) M 'I I RACMR. I III MVV�R MAY 1.\1 ! 1 M. I IVI. DISI)i, 1 1. R)1 , . 01.1 , I()\ [Al N WilldRI I1 iISS1 t. lioN ISVY! 1-11.PARA I LY 1�1(ALI) 13) 1 IT I NOTICE OF CANCELLATION Date of transaction: You may cancel this transaction,without any penalty or obligation,within tbree business days from the above date. If you cancel,any property traded in, any payments made by you under the agreement, and any negotiable instniment 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 E `�' Vit`l (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature)