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Building Permit #185-14 - 49 OXBOW CIRCLE 8/28/2013
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: I Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION ? 03(661✓ C/rL Print PROPERTY OWNER /U i/<6 Mo az�I Print 100 Year Old Structure yes ( ) MAP NO: (7� PARCEL: ZONING DISTRICT: Historic District yes Machine Shop Village yes d!2:> TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building &One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: D Commercial ALRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District 0 Water/Sewer DESCRIPTION OF 1NORK TO BE PERFORMED:, v Identification Please Type or Print Clearly) OWNER: Name: /t,rt/e/ A.,wt erg/ Phone:79/- 7J4- ©? Address: 1/11 OK�nw cii2 CONTRACTOR Name:PeJIA l mig ss/� &uf!oAS Phone: Address: L1,�;— Fo v of A-70 A, L& d c{ /int 0,es 3-z. Supervisor's Construction License: /Yi'l >--Sj Exp. Date: LD-z-c--(Y Home Improvement License: d-q 77V Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING#ERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ,l` ,'CJ�� FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owner (f��444a Sig nature of contractor Plans Submitted ❑ Plans Waived 11 Certified Plot Plan ❑ Stamped Plans i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL - Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS t 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 Tows! Engineer: Signature: _ Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Mair,, Street Fire Department signatureldate F COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A=F and G min.$100-$1000 fine NOTES and DATA— For department use ® Notified for pickup - Date I E Doe.Building Permit Revised 2010 Building Department The foliSwing 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 o Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apu,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.Bui?ding Permit Revised 2012 Location No. Date 3 • - TOWN OF NORTH ANDOVER • Certificate of Occupancy $ Building/Frame Permit Fee Foundation Permit Fee $ Other Permit Fee we $ TOTAL $ I)'.AZk) Check# 67 r: t, Building Inspector NORTH Town of 2 t ndover O - AIL No. 1 �6-14 h , ver, Mass, COCMICKl WICK �It aD'4AYED nPP��y S U BOARD OF HEALTH Food/Kitchen , PERMIT T LD Septic System THIS CERTIFIES THAT ..............Y�%A.. . ............�;f�r.C.S..��............................................ BUILDING INSPECTOR .... � `` Foundation has permission to erect .......................... buildings on ...... ........................................ Rough to be occupied as ..........I.'s......... ........ .......... �....... ... i.�. � ....O ........ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCM ST S Rough Service ........... .. ...... .... ................................... BUILDING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Building 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 of Massachusetts — -- A�/ ®r CERTIFICATE OF LIABILITY INSURANCE 07108ATDE3MM/DO/YYYY) 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(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 NTA T DorothyA.Corlett,CIC,RPLU Fred C.Church,Inc. NAME: 41 Wellman Street PHONE 9783227231 FAX Lowell,MA 01851 A1C No ExtI, AIC No): (978)454-1865 (800) 1065 ADDRESS: dcodett@fredcchurch.com INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: Citizens Insurance Company of America 31534 New England Window 8 Door LLC INSURERS: Hanover Insurance Company 22292 45 Fondi Road INSURER C: Massachusetts Bay Insurance 22306 Haverhill,MA 01832-1302 INSURER D:: New Hampshire Employers Insurance Company 13083 INSURER E: _ INSURER F: — COVERAGES - -CERTIFICATE NUMBER: 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 REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS, TN_SR TD—DL SUBR LTR TYPE OF INSURANCE POLICY NUMBERPOLICY EFF fF0 EXp LIMITS GENERAL LIABILITY (MIVVDD EOCCURRENCE $ 1,000,000 X ACH COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 10,000 A ZBN8161407 7/1/2013 7/1/2014 1,000,000 PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPkbG $ 2,000,000 POLICY M PRO- X LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 X ANY AUTO Ea accident $ BODILY INJURY(Par person) $ C ALL OWNED SCHEDULED ADNOifi2169 7/1/2013 7/1/2014 AUTOS AUTOS BODILY INJURY(Per accident) $ HIREDAUTOS NON-OWNED AUTOS PROPERTY DAMAGE Per accident X UMB $RELLA LlAB X OCCUR $ 9,000,000 B EXCESS LIAR EACH OCCURRENCE CLAIMS-MADE UHN8167305 7/112013 7/1/2014 AGGREGATE $ 9,000,000 DED RETENTION$ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY :fl!R STATU- OTH- ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N R LI IT D OFFICER/MEMBER EXCLUDED? ❑ N/A 400040101 711/2013 7/1/2014 E.L.EACH ACCIDENT $ 500,000 Mandatory in ander E.E.L.DISEASE-EA EMPLOYE $ 500,000 (f yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if 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 Client# zybUMst# Cert Holder# ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 26(2010/05) The ACORD name and logo are registered marks of ACORD .f,•'i•rrG1s�;�h`.'tifvLll.'1,• iv acmes I Office of:Cpnsnmer Affairs&Bus;iiess Regufetion 01171E IMPROVEMENT CONTRA(-TOR 4 / Regis4ra4ior. `• 8774- Type: Expiratian=. jajtS13_` Supplement F PELLA 1,'VINDOWS'AM11,D,DOORS I WILLIAM NICHOS 45 FONDI RD HAVERHILL, MA 01832- Underscretary j i 1 Massacfi;;setts - DePartment of Public;SaPc'Lf Board of Building Reguiamons and Standards � �'„r:,*h-t;riiun Suficr�itur ` Jcen:se CS-089853 WILLIAM R NICHOLS 57 PEARTRI;t RD HAVERHILL MA 01836, , -x c.i ray,:>.., i:rnEasE;,r Pr 10/26/2014 I, S Contract - Detailed qC) ��� Pella Window,and Door Showroom of Haverhill `� Sales Rep Name: Griseto, Anthony 45 Fondi Road Sales Rep Phone: 978-373-2500 Haverhill, MA 01832 �� — Sales Rep Fax: Phone: 9783732500 Fax: 9783737274 Sales Re E-Mail: GRISETOAC:@pellaboston.com P @pellaboston.com Customer Information_ Project/Delivery Address _ Order,Information Mike Morrill Morrill,Mike,NorthAndover,MA,1275521 Quote Name: 15 AS Exterior Pockets 49 Oxbow Cir 49 Oxbow Cir Order Number: 741AGO095 NORTH ANDOVER,MA 01845-6360 Lot# Quote Number: 4921425 Day Phone: (781)7260869 North Andover,NIA 01845-6360 Order Type: Installed Sales Mobile Phone: County: Payment Terms: Fax Number: i Tax Code: MA TAX 6.25 E-Mail: mpm1336@gmaii.com Quoted Date: 7/30/2013 Great Plains#: Customer Number: 1006585600 Customer Account: 1002057447 -- Customer Notes: Customer paid,permit fee of$22.8.00 with Check#2191 Line# Location: Attributes 10 None Assigned Delivery/Setup-Delivery/Setup Item Price city Ext'd Price k $200.00 1 $200.00 For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella0 website at www.pella.com Printed on 8/8/2013 Contract-Detailed Page 1 of 8 4 Customer: Mike Morrill Project Name: Morrill,Mike,NorthAndover,MA,1275521 Order Number: 741AGO095 Quote Number:4921425 [15e_# Location: _ _Attributes 15 LR Architect, Precision Hung Double Hung, White Item Price _Qty Ext'd Price $1,537.50 2 $3,075.00 1:Size Double Hung,Equal Split PK# General Information: Style Edition,Clad,None 582 Exterior Color/Finish: Standard EnduraClad,Whito Interior Color/Finish: Linen White Interior Glass: Insulated Low E Advanced Argon Gas Hardware Options: Standard Lock,None,White, No Sash Lift Screen: Full Screen,Inview Viewed From Exterior Grille: GEG.No,3/4"Contour,Traditional(3W2H/3W21-1),White,White Composiite Trim<48-Composite Upgrade-48 Inches or Less Wide Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 PI,-Ext Trim-Pocket w/Exterior Trim Qty 1 Line# Location: _ Attributes -� H 20 Down Bath Architect, Precision Hung Double Hung, White Item Price _Qty Ext'd Price Q. _ $1,380.81 1 $1,380.81 0 d.l 1:Size Double Hung,Equal Split PK# General Information: Style Edition,Clad,None d Exterior Color/Finish: Standard EnduraClad,White 582 Interior Color/Finish: Linen White Interior ++ Glass: Insulated Low E Advanced Argon Gas to _ Hardware Options: Standard Lock,None,White,No Sash Lift > Screen: Full Screen,InView C Viewed From Exterior Grille: GBG.No,314"Contour,Traditional(3W2H/31N2:1-1),White,White Composite Trim<48-Composite Upgrade-48 Inches or Less Wide Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 PI.-Ext Trim-Pocket vv/Exterior Trim Clty 1 For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella(a)website at www.pella.corn Printed on 818/2013 Contract-Detailed Page 2 of 8 Customer: Mike Morrill Project Name: Morrill,Mike,NorthAndover,MA,1275521 Order Number: 741AG0095 Quote Number:4921425 Line# Location: Attributes 25 Up Baths Architect, Precision Hung Double Hung, White Items Price _Qty Ext'd Price $1,380.81 2 $2,761.62 1:Size Double Hung,Equal Split PK# General Information: Style Edition,Clad,None NVAR582 Exterior Color/Finish: Standard EnduraClad,White Interior Color/Finish: Bright White Interior ! Glass: Insulated Low E Advanced Argon Gas Hardware Options: Standard Lock,None,White:, No Sash Lift Screen: Full Screen,InView Viewed From Exterior Grille: GBG.No,3/4"Contour,Traditional(3"211/3W2H),White,White Composite Trim<48-Composite Upgrade-48 Inches or Less Wide Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Crap Qty 1 PI.-Ext Trim-Pocket vv/Exterior Trim Qty 1 Line# Location: _ Attributes 30 Upstairs Bedrooms Architect, Precision Hung Double Hung, White Item Price _Qty Ext'd Price $1,485.28 8 $11,882.24 I 1:Size Doubl]e Hung,Equal Split PK# General Information: Style Edition,Clad,None I ++. Exterior Color/Finish: Standard EnduraClad,White 4i 582 Interior Color/Finish: Linen White Interior Glass: Insulated Low E Advanced Argon Gas Hardware Options: Standard Lock,None,White, No Sash Lift Screen: Full Screen,InView Viewed From Exterior Grille: GBG. No,3./4"Contour,Traditional(3W211/3W21-1),White,White Composite Trim<48-Composite Upgrade-48 Inches or Less Wide Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 PI.-Ext Trim-Pocket vv/Exterior Trim Qty 1 For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the PellaS)website at www.pella.com Frinted on 8/8/2013 Cortract-Detailed Page 3 of 8 Customer: Mike Morrill Project Name: Morrill,Mike,NorthAndover,MA,1275521 Order Number: 741AG0095 Quote Number: 4921425 Line# Location: _ Attributes - _] 35 LR Architect, Precision Hung Double Hung, White Item Price _Qty Ext'd Price $1,453.71 2 $2,907.42 1:Size Double Hung,Equal Split PK# General Information: Style Edition,Clad,None 582 Exterior Color/Finish: Standard EnduraClad,White Interior Color/Finish: Bright White Interior Glass: Insulated Low E Advanced Argon Gas Hardware options: Standard Lock,None,White,No Sash Lift Screen: Full Screen,Inview Viewed From Exterior Grille: GBG,No,3/4"Contour,Traditional(2W214/2W2H),White,White I Composite Trim<48-Composite Upgrade-48 Inches or Less Wide Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 PI.-Ext Trim-Pocket w,'Exterior Trim Qty 1 Line# Location: Attributes !_ 40 100 OFF PER August Rebate-August Rebate Item Price _Qty Ext'd Price ($1,500.00) 1 (9;1,500.00) Line# Location: Attributes 45 FREE UPGRADES August Rebate-August Rebate Itelm Price _Qty Ext'd Price ($200.00) 1 ($200.00) For more.infomiation regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella website at www.pella.com Printed on 8/8/2013 Contract-Detailed Page 4 of 8 Customer: Mike Morrill Project Name: Morrill,Mike,NorthAndover.MA,1275521 Order Number: 741AGO095 Quote Number:4921425 Line# Location: Attributes 50 4 PCT OFF LARGE August Rebate-August Rebate Item Price _Qty Ext'd Price ($820.00) 1 ($820.00) Line# Location: _ _Attributes 55 5 PCT OFF WF August Rebate-August Rebate Item Price Qty Ext'd Price (9984.35) 1 ($984.35) 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 managernent ofmoisture within the wall system.Neither Pella Corporation nor Pella Windows&Doors will be bound by any otter 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)inforn ation does not take into consideration the addition of a Rolscreen[or any other accessory]to the product.You should consult your local building code � to ensure your Pella products meet local egress requirements. i 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 PellaID website at www.pella.00m Printed on 8!8/2013 Contract-Detailed Page 5 of 8 Customer: Mike Morrill Project Name: Morrill,Mike,NorthAndover,MA,1275521 Order Number: 741AGO095 Quote Number:4921425 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 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 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 For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella@ website at www.pella.com Printed on 8/8/2013 Contract-Detailed Page 6 of 8 Customiz: Mike Morrill Project Name: Morrill,Mike,NorthAndover,MA,1275521 Order Number: 741A.G0095 Quote Number:4921425 _Project Checklist has been reviewed ` Customer initial J' _Product Only Addendum has been reviewed Customer initial Credit Card Account 4: Last 4 Digits Expiration Date: I Charge 1:inal payment to same account (Upon substantial completion) Customer initial I For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 8/8,/2013 Contract-Detailed Page 7 of 8 �i Pella Windows & Doors. 45 Fondi Road �J Haverhill, MA 01832 Phone: (800) 866-9886 —� Fax: (978) 373-7274 Change Order CUSTOMER: Mike Morrill DATE: 8/20/2013 Please note the changes to the original Pella Contract Order#741AG0095. Customer has requested that we remove the exsiting trim from a window that is not being replaced on the front center of Home and replace with composite trim.The additional charge for both labor and material for the work to be preformed is $520.00. Please advise that the this additional balance will need to be paid with either, personal check, personal credit card or cash and can not be added to the Pella Wells Fargo account. The Original Contract Sum Was: $19,441.04 The Contract Sum Will Be Changed In The Amount Of: $520.00 The New Contract Sum Including This Change Order Is: $19,961.04 Original Contract Deposit(50%Of Total Contract): $9,720.52 Change Order Deposit(50%Of Change Order Amount): $0.00 Amount Due Upon Substantial Completion: $10,240.52 Company Representative: Anthony Griseto Customer Name: Mike Morrill Signature: Signature: Date: 8/20/2013 Date-.-8/20/2013 Revised 6/23/2006 i I Customer: Mike Morrill Project Name: Morrill,Mike,NorthAndover,MA,1275521 Order Number: 741AGO095 Quote Number: 4921425 Project Checklist has been reviewed Customer Name ase prinl) ella S e Name (Please print) Order Totals, I r I Taxable Subtotal $11,812.74 Customer Signature ella Sale: ep Signatur Saler Tax @ 6.25°x'0 $738.30 Non=taxable Subtotal $6,890.00 [ / ate to Total $19,441.04 Deposit Received _ $9,720.52 Credit Card pp oval Signalure Amount Due $9,720.52 I I For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Printed on 8/8./2013 Contract-Detailed Page 8 of 8 NOTICE OF CANCELLATION Customer Name: (1 M,14 (P lease print) Date of transaction: 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 agreeMcnt; 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 ( days business midnight of t/ ZD s from the date of g transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) PELLA WINDOWS AND DOORS CONTRACT 7. PAYMENTS 1. TERMS AND CONDITIONS Pella shall be entitled to stop the Work upon written notice to Owner for any material default or failure by Owner,including but not limited to,the Owner's These Terms and Conditions are an integral part of the contract set forth on the failure to pay Pella the amount due within seven days after the date payment is Product Order(the"Contract")between New England Window and Door LLC due. dba Pella Windows&Doors,Inc.("Pella")and the person(s)identified on the Product Order("Owner")to supply the products(the"Products"),and perform 8 CORRECTION OF WORK the work(the"Work")described or referred to in such Contract. For Product Only purchases,a signed"Product Only Addendum"is a required part of the Pella shall correct installation Work not in conformance with the requirements contract. of the Contract,if notified in writing by the Owner within two years after the t Completion Date or,if earlier,the date on which the Work is substantially 2. OWNER completed and payment of the Purchase Price made subject to a holdback as provided above.Correction of Work as herein provided shall be Owner's sole Pella is not responsible for any existing security systems.Owner shall remove remedy for defective workmanship,and is provided in lieu of any and all other ` all shades;verticals,blinds,curtains,drapes or window mounted air remedies.Pella's obligation to correct Work is conditioned on Pella's prior conditioners,prior to the installation of the Products.Pella's installers are not receipt of all payments then due. responsible for the removal or installation of these types of items. Pella is not responsible for pre-existing window coverings fitting on newly installed Pella y LIMITED PRODUCT WARRANTY windows. Pella shall warrant all Pella products,but only in accordance with the Pella The Owner shall provide complete access to the work site between the hours Windows&Doors Limited Warranty.THIS LIMITED WARRANTY SHALL of 7:00 a.m.and 6:00 p.m.(Monday through Friday)for Pella's installers to BE THE SOLE WARRANTY WITH RESPECT TO THE PRODUCTS AND deliver the Products and perform the Work. PELLA SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, WRITTEN OR ORAL(INCLUDING WITHOUT 3. PELLA LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS Pella will be responsible for and have control over construction means, FOR A PARTICULAR PURPOSE). methods,techniques,sequences and procedures and fnr Coordinating all portions of the Work.Pella will be responsible for the Work of its Pella 10. NO CONSEQUENTIAL DAMAGES Contractors who will install the Products. UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR Unless provided otherwise in the Work description,Pella Wi1I provide and pay CONSEQUENTIAL,INCIDENTAL,INDIRECT,OR SPECIAL DAMAGES, for all labor,materials,equipment,tools and machinery,transportation,and W-HETHER FORESEEN OR UNFORESEEiN'. other facilities and services necessary for the proper execution and completion of the Work. 11. HOME IMPROVEMENT CONTRACTORS The materials and equipment furnished under the Contract will be good quality All home improvement contractors and subcontractors shall be registered with and new unless otherwise required or permitted,the Work will be free from the director of the Home Improvement Contractor Registration Program defects not inherent in the quality required or permitted,and the Work administered by the Board of Building Regulations and Standards. Pella and conform with the requirements of this Contract.Pella shall not be responsible any of its subcontractors identified in this agreement have been registered. for damages or defects caused by abuse,modifications not executed by Pella, A.ny inquires about.Pella or any of its subcontractors relating to registration improper or insufficient maintenance,improper operation or normal wear and should be directed to:Director,Home Improvement Contractor Registration, tear. Pella wili keep the premises and surrounding area free from One Ashburton Place,Boston,MA 02108,617-727-8598 accumulation of waste materials or rubbish caused by performance of the 12. PERMITS(MA customers only) Work. la j0 1_igated to and will obtain the following permits for this project: 4. CHANGES N _. Homeowners who secure their own permits will be excluded fro a guaranty fund provisions of Massachusetts General Laws, The Owner may order in writing changes in the Work consisting of additions, chapter 142A. deletions,or modifications("Change Order"). Any Change Order shall include an adjustment to the Price and the Substantial Completion Date,as In addition to the rights and warranties enumerated in this agreement,you may determined by Pella. Pella reserves the right to approve or disapprove any have additional rights under Massachusetts General Laws,chapter 142A and Change Order and any such Change Order must be signed by both Owner and 780 Code of Massachusetts Regulations R6. Pella to be effective. 13. NOTICE OF CANCELLATION 5. SUBSTANTIAL COMPLETION You may cancel this agreement if it has been signed by a party Owner understands and agrees that the Substantial Completion Date is an thereto at a place other than an address of the seller,which estimate only and that the actual date on which the Work is completed may be may be his main office or branch thereof,provided you notify extended to allow for Change Orders requested by Owner or if the time to complete the Work is affected by conduct of the Owner,weather,labor the seller in writing at his main office or branch by ordinary disputes,availability of subcontractors,acts of God,fire or other causes mail posted,by telegram sent or by delivery,not later than reasonably beyond Pella's control.If for any reason the Work is not fully midnight of the third business day following the signing of this completed by the Substantial Completion Date(including any extensions 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 A requisite approvals and authorizations for the full amount of the requested . financing shall have been received from the financial institution. er 1 T Date V DISPUTES Job Name Date �) THE CONTRACTOR AND THE HOMEOWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT PELLA HAS A DISPUTE CONCERNING THIS CONTRACT,PELLA MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE CONSUMER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN M.G.L.c. 142A l I A&II PI I Contractor ,✓ Homeowner NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES.