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Building Permit #318-13 - 5 CROSSBOW LANE 10/17/2012
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received Date Issued: 6 I?i IMPORTANT: Applicant must complete all items on this page LOCATION 6 0-55&W I-W Print.. PROPERTY OWNER /a-46Y Ej,(Em dA,r Print 100 Year Old Structure yes MAP NO: PARCELPZONING DISTRICT: Historic District yes e7Q6n Machine g y e Shop Village es. TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building N-ene family ❑Addition ❑Two or more family ❑ Industrial N4dfe-'ra-tion No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other El Septic []Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: ado ��•���L Identification Please Type or Print Clearly) OWNER: Name: 4dO!x Phone: 417 siS--3 Address: S— Me's s Sow L,V CONTRACTOR Name:P€6(A Phone Address: ya FakQ L ►� Supervisor's Construction License: OSr� 1--5-3 Exp. Date: /a Z-c Home Improvement License: /d-r 77 y _ Exp. Date: ARCHITECT/ENGINEER Phone: i Address: Reg. No. FEE SCHEDULE.BULDING P RMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: chPo — FEE: $ • U U J $ L-O Receipt Check No.: t No.:N NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund j - -- Sig —nature of Agent/Qwner Cc,,l-+�,� = T Signature of contractor, ��-----�1 i Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Location 5 C v, L rtrie- No. Date J011-717— TOWN 0 17/17TOWN OF NORTH ANDOVER 6 � A Certificate of Occupancy $ > s Building/Frame Permit dee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# " x2, 25846 Building Inspector 1 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ElTobacco Sales i b ❑ 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 I HEALTH Reviewed on __ Signature W COMMENTS a Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decii sion: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT '`Temp Dumpster on site yes no Located at,124,Maini8treetF T `i' ' Fire Department's gnature/date'•' �x f �ti't`} ? rte' t: COMMENT°S'' '"' _•:,V. . Xf� , , ;7 ,. y it x. Dimension Number of Stories: Totals square feet of floor area, based on Exterior dimensions. q Total land area, sq. ft.: I ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine i I NOTES and DATA— For department use I i i I I El Notified for pickup - Date i [ Doc.Building Permit Revised 2010 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 pp Permit Application o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses j o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building' Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit L3 Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic,Calculations (If Applicable) o 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 thea appeal period is over. The applicant must then et this recorded at the Registryn pp p pp g of Deeds. One copy and proof of recording must be submitted with the building application i Doc: Doc.Building Permit Revised 2012 i 3 The con-.?;<ficlivealth ©,f "Yousachuseits iJCra :'G�4eFli 6� 6Ye•C:aYt'rcl fRc cE :s71k cg- .n e' dons 600 F-Vashinglon Street ?Vlfi 0.�_ -< r i a � ori _......, yw. av � iso' c`: j"i A e a�^n %6xr�-� 4. li�zr x�p !tf' ryr„�,9•IS S/�j�#e triEiS Pl4 S I� 4� 4 3it:A�4 S Era ;�L Esga. 9ob��i SR•sFh at3i [' Cfi26d/��r8. t�al� fdF Si i.i�oi°Y +c.lu�yr S Lai.t `lnr f � N� _ rlie n nation� - � .._R.w _ _ __ _._ Plea.-se Prig Lgibl N.M-1.,(B'•lsinCtisiOigartilatloa,'Irjdlvi''uual): ��<�N r��i�l0� Cttj'iSii t`.iIJlpr: jig s P h o e 4• aCE Are y'ou Gr!errEploy-er?Check the appropriate bo--: S�; •, f c�iP�t(required): ,Oyer r •'' `� ? l yin a general c:�stractor and 1 ; 1 r 4 r i - i � g I am a ez:.p..}e. �ritr ( < t Mt�. , ,..: , employees (fail and:lor part-time).* have hired the sub-contractors I �. ���„v, coastiti,,..cr: (� listed on the attached slice[. i 7. u Remodel;*g 2.�, 1 arrl a sole proprietor or partner- 1 ship and have no ei-mployees Tbe;e sub-contractors have g• Demohrorz vorkilig for n_y erwplovices and have work_eis' , �:n?ail;vaf$C•It✓. I 9. i j'Building-addition i j�Tc:vo::{ens'co:rap. insurance cn=r-p: uts'ara�lce.? . 5. �?fie are a co_ oration and iU � � '4.L�uivct lr_al repairs or adaitier_s T a�,a leo eowner d,,;.i�.g all,work officers have f xerc?SeG tl eir � � 1!.�J + m � p-re-rails of Sddiiioi 5 l�.L'-_._b _. l f r,' `_,rke sca:_' nnID• right of exernotion per NIGL rriysel . t1VLt r✓J + ' 12.!_1 Roof`iel?airs I Li iiT�r!Gr•iBCrilii' 1,1 C. 1:i2, gl(4„ and We have no j ec � ernp loy ees. Irlvo worker--.' ; j - ! i13.L—;Other-- - -- - cemp. insurance regaired *Any applicant ttlatchcclks Lox#1 r^es€a!Fo-tit out Lh--s'ction Delovi shoo ng tl ci-, workers*cornp-isatlon CC':icy M orm9 lon. ?;-[uiiLlWnlerS who su mil Ch:S Z'ttda':iI i'dtC3Ci'.g they Sfd iJlig al1 iLTi°K dta[hell h•r "hiseco .-�C`r5 am•Sl:.SUID— i[a lCp 3fIiG3Vlr � $tiCllt. 1l,on,ractors that Check this box--must attached an additional sheet Sho4'ing the narn.-of tl a sub-_onitactOrS and Slat'Whefli-r cr not those enittits}talc emple;'eer. If the si,e-wnt actors have employees,they must provide their workers'comp-policy number. Elly R IId iU e 'i t , Uv: !::v to r,"e rs' r r,, ci"lE l!'.� Et 1?-11 emp, c t ! F y:. rk- E'. p S � i.5 i'I# iw.1 t, # C.�ic�,2%;�,FSIG'. lit>it" n f`JVi, S. LEt9rr'E$ilktITIc J LF2ler�GJ zae l!T f Ul•'TI U#SCI i?, hisura liCis C-),npany Na rile: Policy�cu Self-ills.Lit:;: -��r ��>��'e� � Fh Y�D afiC;;D ati::4 S..z. '. _..__ ------- Job Sitz Address:`-_ C:iyistate/7ip:_ Attach cap y o the�,Sarke sr co s pensanop policy declaration)page(sir©Yd151�ills'policy iEtalEiu2n and En(:;rat�elil�nt?!, Failure to secure coverage as rega1yeri u-rider Section-25A of MIGL c. 152 can lead to the inipcsition of criminal penalties of a fine up to$1,500.00 and/or ona-year imprs orient,as well as civil penalties, in the 45b ail of a STOP WORl,ORIDER End a fill( of up to$25.0.00 aria}y against the violator. Be advised that a copy of this statei:r.'eutma y be fb-n—varded to the Office of Inyest'_gations o t-11e E 1A for instalmancee rolela,,-,e vcrifilcation. a herevy certL,fy under the pairs a!Zd pe!`alfics ofperjury Mai the in orination provided ave bofree and correm- i hol „•- _ —__— ____-------- -------- FF--vF1 i_ =:; _n�� �— _-'s -- .'; a —I, rrn� -ir 4/ _f'T 3Y I'�•... #� QT a U_uf J. 0. .1G no irRe ir, t..S area, 0 be -oa f}f,,.-�t by iV r o f lila-i i lYIt R1 i,itf or _// iwn:.-- ----- _'-_ Pe:mit(Lice�frse r-- ----- —.---- -- i! �! Iss!!ing, �thcprft}°(circle i}nf), �l !l1.Bo<rd vi Health 2.B-ifidinK ?.(�'!ty/Towri Clerk w.Eit4t;i al T.-iispe-0cw 5,Plumbing xispe r r � 4 b.Other I Contact l't:Y4`-SCti AOCERTIFICATE OF �ABU r Y 1 {r777,11YD,2 TFfi CERTIFICATE i.a ISSUED AS E>�i TTEi:€�f ii�SFC�.11fiATiOi�! �eh3L�r` ?dt3 CONFERS 140 til i9 g S UPON THE CEPTIF4�CATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR A'LTNR IHE COVERAGE AFFORDED SY THE POLICIES BELOW. THIS CERIINCA1,TE OF INSURANCE DOES NOT Cir�ISTiTUTE A CONTRACT DE1`WEEi THE 1,nUIN G INSURERM, AUTHORIZED REpRESEN'TAT'!VE OR PRODUCER,AND THE CERTIFICATE HOLDER. _ _ __ II'�.PORTAlff: if tlTe certifici to hoider Is an ADDITIONAL INSURED,the policy(ies)a,rue�ndame°. is 2C-(,r�TiOr9#S WAlM0.Subject to i the tern,-q and condl2ions of the policy,certain pel@cies tray require an andorueer±ert, A s?a49!NErat'o"t, verti¢vatz dues nut confer rights t l certi icaYQ a older in lieu of smh er7dorserr ent(s). RPLU PRODUCER �i r:py (?',9J454.1965� Fre.C.nan Str,Inc. s;7 Street I PRONE 9783227. ILA!1 ,Nol____ 41 WaE!man.,;rzet [AIO.Nc Erfclr_��---------------_ i LGWall,MA 01851 C-ITAIL icon�ireS:church.com (600)2254868 AGGRESS: —�_- -------- iN�UR.8JS AFFORDIN COVERAGE L NAIC'� kIN SURt P A� ii!wance Company of Amarca URBP A. 3,534 Hanoverlrsrrance Company 22282 INSURED -- INaUN1ERB: 223G6 New England Window 8 Door LLC r Massachwsis Bay Insurance !INSURER C: 13D83�•' 45 Fond!Rcad IN5U�ie_P.D: New Ha.p re Employars Insurance Company i;avc chill,F1A 01332-9302 -— - = INSURER E:_ ----——_ -- INSURER F COVERAGES CERTIFICATE NUMBER:'2445 REifISiOi'S NUMBER: THIS IS TO CERTIFY THAT T"E POLICIES OF INSURANCE LISTED BELOUI(HAVE BFENi IS&UID TG!IEE INSURED NAMED ABOVE F THE POLICY PERIOD r SENT WITH RESPECT TO WIiICH THIS � ='s TERM OR CONDITION OF ANY CON.TRACTOft OTHER DOCUMENT INDICATED. NlOTV'JITNSTRN!]ifiG AN. REI�UiR,-r rEIdT, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED GY THE POLICIES IDESCRISEG HEREIN! IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDI I IONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED 7Al>,e CLAIMS. Pe?i ICY EFF PQ IL GY Ei'.PT Clh,li9 I N 11TR TYPE OF INSIMANCE g POLICY NUR7P.I:R f sg?IL!DOfYYYY V.8 Drlrf`( I EACH OCCURRENCE a 1,DJAOD f GENERALL,AEILITY I L -- 1aMACET'v`RENTED S 10D,pOD~ COMVF-RCEAL GENERAL LIABILITY i ! I PREfYiISES Ica aecu lance — i ! r w ny o 10,000 !! ! r r- I I P1E0 t.<P{Ani one ner on) S -I_,- I CLRfv,S•W.ADc L� .CGiiR I I , _M -^ i 7(ti_Gi3 1,OOD,DDO r A I I Z0N97G9407 , !eDia c PERSONAL S GENERAL AGGREGATE S 2,0DD,C00 PRODUCTS-GOlP1GP ACGJEN 2,DOD:DD L AGGREGATE AL FRR,POUGYPCEOrg8NEDS ICKEILIMIT c 1,ODD,000 I{Ea act!dertl AUTOFflOHILE L,ASILITY I I -"'-- I� ! i 1'1GILY iNJL!RY(Per person) �g �- ANY AUTO C ! ALL OWNED �SCHED:LED � � ADNBI62169 I 7!120!`2 � 7!,+2023 Offi-ROPERTY YINJURY(Pargte!demi I AUTOS II�I P,UTCIS DAMfiAGE 18 j !NON•OVANED I i i I c;der1 �L9 _-- HIRED AUTOS I{ AUTOS s� X 9,0DOcoo ;=_ACH OCCIERRENCE Ulfl3RELl_2 LInB f !DCCvR �W ( I UHN07573C5 i 711!2012 I 7?;!2013 9,000,OG0 ! 9 F3(CE9S LIARCiA!i:13•i:7A0E AGGREGATE S _—_- r DwDRETENTION, I I ^ - ++ n I VJCSTATU• DTI;- dl!GRIfERS COMPENSATION I I i-nTDB LIMIT _SLI-- - AND i iPLOVER&LIABILI5-i I E l.EACH ACCIDENT S 500,aC0 ANY PROFRi-,TORIPARTNERIE:E.C',)-;WE YIN i ! +s^ 7!V2612 I 7i;12G13 !,NIA! G„30082GC.�cS I I SCO,aDO D OFFICE .Etv7HER EXCLUDED? rE.L�DISEASE-EA E'dFLOYE{5 { (Randa`:ary In NH) ` - '•- {! I If yes,descro,undar I ; E L.DISEASE•POLICY LIMIT I g 51D GC0 DESCRIPI'EON OF OPERATIONS belaw �— Ii DESCRIPTION OF OPEMMONS i LOCATIONS I VE141CLES 7tech ACORD 101,Addiftonaf Remarks Schedule,if more space limuiredl Proof of Insurance CERTIFICATE FIOF UER - — - �__ CANCELLAION , Mew England VAndov:A Dncr LLCi 45,-andi Road SHOilE Il ANY OF--1riE A00VE DESCRIBED POLICIES BE;CANCELLED BEFORE (!I Haverhill,MA 01830 THE E:XPIWVD;I DATE THEREOF, NOTICE INILL BE DEL1VERED IN { AO r4ORDAKE"UPT0 TWE POLICY PR4]V!SiONS. r- AFiTHOF:t7,55 REF''.ESEyTATIV: +l 4,lent�^ 6 ,:an M`-`Z"T�41T!`` �� Cert hiol er> .. :�!;ykR� E.}10 ACORD CURfeRA.TION. fall rights reeerrGcl. ACfJR€}25(20-01051 The ACCIP0 narve and!0go are re-(Stered Ma-.km AGOPD NORTH T-Own -o ? E p n over 0 I T .; . . 0 No. � - rhX, ver, Mass ' Zoo ' AA-- COC NIC NIWICN V - ----- - -7a AoR,�.TEp-.LP��.�S. S u BOARD OF HEALTH Food/Kitchen PER Ta I L D Septic System THIS CERTIFIES THAT ,,.!r�, y,J .................................................. BUILDING INSPECTOR ................ ... ..... ...... has permission to erect .......................... buildings on ...V5..... .. 1rr A................... Foundation ... Rough to be occupied as ............ .... , . ....t..... .1 . ........................................... Chimney provided that the person accepting this permit shall in eery 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES I ONTHS ELECTRICAL INSPECTOR UNLESS CONSTR 3� N�tT Rough Service, .......... ....................................... Final BUILDING INSPECTOR 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 - -- --- Massachusetts -Department of Public-S-afety Board of Buil-ding Regulations and Standards Construction Supero j mr License: CS-089853 .., WILLIAM R 1VICI(OLS .. . 57 PEARTREE RD !� _ HAVERHILL Mk 01830 . Expiration Commissioner 10/26/2014 ."'-,✓��o�rvrrev�Q2lt� �✓�raa�uaelt--.. Ofiice of:Consamer Arrai ; Ddsiijess Regulation O-ME IMPROVIEMENT CONTRACTOR Reg i strati o n;=41.2.9774: y Expira t � TYpei 1 i/2/2L313. =i Supplement F FELLA WINDOWS AND;DOORS, -' WILLIAM NICHOlf 45 FONDI RD. °{" _ HAVERHILL,hq.A L'nders cretary Contract - Detailed G' 3 ` Pella Windows& Doors Sales Rep Name: Okeefe, Timothy ® HIC#129774/Tax DD#26-1413183 45 Fondi Road �a� ,ales Rep Phone: 978-423-5052 Haverhill, MA 01832 Sales Rep Fax: Phone: (978)373-2500 Fax: (978)373-7274 Sales Rets E-Mail: OKeefeTA ct'?c pellaboston.com Customer Information Projectl®elivery address Order InformationAndy-Firmin — — — WTA-Andy Firmin-North Andover PAA Quote Name: Firmin-Encompass Impervia 5 Crossbow Ln 5 Crossbow Ln Order Number 741TA0174 NORTH ANDOVER,MA 01845-3037 Lot# Quote Number: 3497199 Day Phone: (617)6945153 NORTH ANDOVER,MA 01845-3037 Order Type: Installed Sales Mobile Phone: County: ESSEX Payment Terms: Deposit/C.O.D. Fax Number: Tax Code: MA TAX 6.25 E-Mail: acfirm@hotmail.com Quoted Date: 2118/2012 Great Plains#: 5985837 Customer Number. Customer Account: Prne Location: Attributes -� 15 Bath rms small 'Vinyl Windows I Doors by Pella, Double Hung,27.5 X 37.5,White, None QtY 2 L4& 1:27.537.5 Double Hung,Equal Split PK# Frame size: 27 112 X 37 112 530General Information: Standard,Vinyl,Block Frame with Mull Groove(3-114"GAVV),20 Series,Adapter Induded,None Included Exterior Color f Finish: White Interior Color!Finish: White Interior IGlass: Insulated Low E Advanced _ Screen: Full Screen Viewed From Exterior Grille: GBG,No,314"Contour,Traditional(3VY2H/3VV2H) Frame Size:27.5'X 37.5" gapping information: Perimeter Length=130",Glazing Pressure=150. Final Wall Depth:None Exterior wraplCap for PI-Exterior Wrap/Cap For Complete Pocket Install Qty 1 PI-Complete-Pella Complete Pocket GtY 1 For more information regarding the finishing, maintenance,service and warranty of all PellaO products, visit the PellaS website at www.pelia.com Printed on 9/28/2012 Contract-Detailed Page 1 of 10 Customer.Andy Firmin Project Name: WTA-Andy Firmin-North Andover MA Order Number. 741TA0174 Quote Number: 3497109 Line 0 Location: Attributes 50 Vinyl Windows I Doors by Pella, Sliding Window Vent I Fixed,39 X 39,White, None 1 1:Nonstandard Size Vent/Fixed Sliding Window PK# Frame Size: 39 X 39 530 General Information: Standard,Vinyl, Nail Fin(2-11116"OAR, 10 Series Exterior Color/Finish: White — I — Interior-Color/Finish:-White Interior — — — — — J Glass: Insulated Low E Advanced Argon Gas Hardware Options: Standard Lock Viewed From Exterior Screen: Half Screen Frame Size:39"X 39" Grille: None, Final Wall Depth:None Wrapping Information: Perimeter Length= 156",Glazing Pressure=80. Trim–Stool and Apron-Add Sterol and Apron Trim to Picture Frame Qty 1 Capping-Full Capping(per unit} Qty 1 FF<48 wide-Install Full Frame Window 48 inches or less wide Qty 1 r Line 9 Location: Attrlbutes _ 60 Living Rm Vinyl Windows I Doors by Pella, 3-Wide Double Hung, Bay 45 Degree,93.5 X 49, _ maty White,4.9116" 1:Non-Standard Size Double Hung,Equal Split PK# Frame Size: 23 112 X 49 530 General Information: Standard,Vinyl,25 Series z� IE.xteriorColor/Finish: White Interior Colorl Finish: White Interior Glass: Insulated Low E Advanced Screen: Full Screen Viewed From Exterior Grille: GBG,No,314"Contour,Traditional(2W2H/2W2H) Frame Size:93.5'X 49" Vertical Mull 1: FactoryMull,Bow/Bay Factory Mull 2:Nonstandard Size Fixed Double Hung Final Wall Depth:4-9/16" Frame Size: 56 314 X 49 General Information: Standard,Vinyl,25 Series Exterior Color/Finish: White Interior Color!Finish: White Interior Glass: Insulated Low E Advanced Grille: None, Vertical Mull 2: FactoryMull,Bow/Say Factory Mull 3:Nonstandard Size Double Hung,Equal Split Frame Size: 23 112 X 49 General Information: Standard,Vinyl,25 Series Exterior Color/Finish: White Interior Color/Finish: White Interior Glass: Insulated Low E Advanced Screen: Full Screen Grille: GBG,No,314"Contour,Traditional(2W2H/2W2H) Wrapping Information: 4-9116"Factory Supplied,Perimeter Length=312",Glazing Pressure=45. Capping-Full Capping(per unit) Oty 3 Bay Window-Install Bay Window Qty 1 For more information regarding the finishing,maintenance, service and warranty of all Pella®products,visit the Pella(D website at www.pella.corr) IJW� Printed on 9/28/2012 Contract-Detailed Page 2 of 10 Customer.Andy Firmin Project Name: VITA-Andy Firmin-North Andover MA Order Number: 741TA0174 Quote Number. 3497109 BB_Roof or Skirt-Install Roof or Skirt Qty 1 Insulated Seatboard-Insulated Seatboard for Vinyl Flay/Bow Qty 1 Line# Location: Attributes 65 Girls Rm Vinyl Windows 1 Doors by Pella, Double Hung,27.5 X 53.5,White, None _oty 2 _ 1:27.553.5 Double Hung,Equal Split PK# Frame Size: 27 1/2 X 53 T/2_ General Information: Standard,Vinyl,Block Frame with Mull Groove(3-1/4"OAW),20 Series,Adapter Included,None Included +- 530 Exterior Color/Finish: White M Interior Color!Finish: White Interior k Glass: Insulated Low E Advanced • Screen: Full Screen Viewed From Exterior Grille: GBG,No,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:27.5"X 53.5" Wrapping Information: Perimeter Length=162",Glazing Pressure=120. Final Wall Depth:None Exterior Wrap/Cap for PI-Exterior Wrap/Cap For Complete Pocket Install Qty 1 PI–Complete-Pella Complete Pocket Qty 1 Line Location: Attributes ---- — „� 70 Master Bed Vinyl Windows P Doors by Pella,Double Hung,27.5 X 53.5, White, None Qtl/ 2 1:27.553.5 Double Hung,Equal Split PK# Frame Size: 27 1/2 X 53 1/2 530 General Information: Standard,Vinyl,Block Frame with'Mull Groove(3-1/4"OAWJ,20 Series,Adapter Included,None Included Exterior Color/Finish: White Interior Color/Finish: White Interior I; Glass: Insulated Low E Advanced Screen: Full Screen Viewed From Exterior Grille: GBG,No,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:27.5"X 53.5" Wrapping Information: Perimeter Length=162",Glazing Pressure=120. Final Wall Depth:None Exterior Wrap/Cap for PI-Exterior Wrap/Cap For Complete Pocket Install Qty 1 PI–Complete-Pella Complete Pocket Qty 1 For more information regarding the finishing,maintenance,service and warranty of all PellaO products, visit the PellaG)website at www.pelle.com Printed on 9/28/2012 Contract..Detailed Page 3 of 10 Customer Andy Firmin Project Name: WTA-Andy Firmin-North Andover MA Order Number: 741TA0174 Quote Number: 3497109 r'Une Location: — — Attributes -- 75 Master bath Vinyl Windows l Doors by Pella, Double Dung,27.5 X 53.5,White, Alone Oty _ 1 1:27.553.5 Double Hung,Equal Split PK# Frame Size: 27 1/2 X 53 1/2 530 General Information: Standard,Vinyl,Block Frame with Mull Groove(3-1/4"OAW),20 Series,Adapter Included,None Included Exterior Color/Finish: White Interior Color I Finish:—White Interior Glass: Insulated Low E Advanced Screen: Full Screen Viewed From Exterior Grille: GBG,No,3/4"Contour.Traditional(3W2H/3W2H) Frame Size:27.5"X 53.5" Wrapping Information: Perimeter Length= 162".Glazing Pressure=120. Final Wall Depth:None Exterior Wrap/Cap for PI-Exterior Wrap/Cap For Complete Packet Install Qty 1 PI—Complete-Pella Complete Pocket Qty 1 Une0 Location: - Atblbuites 80 Baby's rm Vinyl Windows 1 Doors by Pella, Double Flung,27.5 X 53.5,White, Alone Qty_ --- 2 1:27.553.5 Double Hung,Equal Split PK# Frame Size: 27 1/2 X 53 112 530 General Information: Standard,Vinyl,Block Frame with Mull Groove(3-1/4"OAW),20 Series,Adapter Included,None Included Exterior Color/Finish: White Interior Color/Finish: White Interior Glass: Insulated Low E Advanced Screen: Full Screen Viewed From Exterior Grille: GBG,No,314"Contour,Traditional(3W2H/3W2H) Frame Size:2.7.5"X 53.5" Wrapping Information: Perimeter Length= 162",Glazing Pressure=120. Final Wall Depth:None Exterior Wrap/Cap for PI-Exterior Wrap/Cap For Complete Pocket Install Qty 1 PI.-Complete-Pella Complete Pocket City 1 For more information regarding the finishing, maintenance,service and warranty of all Pella®products, visit the Pellag websits at www.pella.com Printed on 9/2$/2012 Contract-Detailed Page 4 of 10 Customer.Andy Firmin Project Name: WTA-Andy Firmin-North Andover NLA Order Number. 741TA0174 Quote Number: 3497109 Line# Location: AttRibutes 85 Office back Vinyl Windows I Doors by Pella, Double/lung,27.5 X 53.5,White, None City 2 1:27.553.5 Double Hung,Equal Split PK# Frame Size: 271/2X531/2 General Information: Standard,Vinyl,Block Frame with Mull Groove 3-1/4"OA � 530 y ( W),20 Series,Adapter Included,None included Exterior Color/Finish: White Interior Color!Finish: White interior. Glass: Insulated Low E Advanced • Screen: Full Screen Viewed From Exterior Grille: GBG,No,3/4"Contour,Traditional(3W2H 13W2H) Frame Size:27.5"X 53.5" Wrapping Information: Perimeter Length=162",Glazing Pressure=120. Final Wall Depth:None Exterior Wrap/Cap for Pi-Exterior Wrap/Cap For Complete Pocket Install Qty 1 PI—Complete-Pella Complete Pocket Qty 1 Line# Location:._ Attributes 90 Den Vinyl Windows I Doors by Pella, Double Hung,27.5 X 53,5,White, None Qty 2 1:27.553.5 Double Hung,Equal Split PK# Frame Size: 271/2 X 53.112 530 General Information: Standard,Vinyl,Block Frame with Mull Groove(3-1/4"OAW),20 Series,Adapter Included,None Included Exterior Color/Finish: White Interior Color/Finish: White Interior Glass: Insulated Low E Advanced Screen: Full Screen Viewed From Exterior Grille: GBG,No,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:27.5"X 53.5" Wrapping Information: Perimeter Length=162",Glazing Pressure=120. Final Wall Depth:None Exterior Wrap/Cap for Pl-Exterior Wrap/Cap For Complete Pocket Install Qty 1 PI—Complete-Pella Complete Pocket Qty 1 I I For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Flella9 website at www.pella.com Printed on 9/28/2012 Contract-Detailed Page 5 of 10 Customer:Andy Firmin Project Name: WTA-Andy Firmin-North Andover MA Order Number: 741TA0174 Quote Number: 3497109 Line Location: Attributes 95 Din Rm Vinyl Windows I Doors by Pella, Double Hung,27.5,X 53.5, White, !`lobe Q'Y _ 2 1:27.553.5 Double Flung,Equal Split PK# Frame Size: 27 1/2 X 531/2 530 General Information: Standard,Vinyl,Block Frame with Mull Groove(8-1/4"CAW),20 Series,Adapter Included,None Includes! Exterior Color/Finish: White Interior Color l Finish: White-Interior Glass: Insulated Low E Advanced Screen: l=ull Screen Viewed From Exterior Grille: GBG,No,3/4"Contour,Traditional(3VV2H/3VV2H) Frame Size:27.5"X 53.5" Wrapping Information: Perimeter Length=162",Glazing Pressure=120. Final Wall Depth:None Exterior Wrap/Cap for PI-Exterior wrap/Cap For Complete Pocket Install oty 1 PI–Complete-Pella Complete Pocket Qty 1 Line at Location: --- — Attributes�V '--- 100 Living Rm Vinyl Windows I Doors by Pella, Double Hung,27.5 X 53.5,White, None � _..�?'�_._ 2 1:27.553.5 Double Hung,Equal Split PK# Frame Size: 27 112 X 53 1/2 F' 530 General Information: Standard,Vinyl,Block Frame with Mull Groove(3-1/4"OAW),20 Series,Adapter Included,None Included Exterior Color/Finish: White Interior Color/Finish: White Interior Glass: Insulated Low E Advanced i Screen: Full Screen Viewed From Exterior Grille: GBG,No,3/4"Contour,Traditional(3W21-1/3W2H) Frame Size:27.5"X 53.5" Wrapping Information: Perimeter Length=16Z",Glazing Pressure=120. Final Wall Depth:None Exterior Wrap/Cap for PI-Exterior Wrap/Cap For Complete Pocket Install Qty 1 PI–Complete-Pella Complete Pocket city i For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the PellaO website at www.pelia.com Printed on 9/28/2012 Contract-Detailed Page 6 of 10 Customer:Andy Firmin Project Name: WTA-Andy Firmin-!North Andover MA Order Number: 741TA0174 Quote Number: 3497109 Line l Location: Attribute 105 DeliveryfSetup-Delivery/Setup Qty 1 Line 4 Location: Attributes 110 prec.install rebate September Rebate-September Rebate _-Qty 17 Atitributes 115 full frame rebate September Rebate-September Rebate oty _ 1 I Thank You For Purchasing Pella@ Products PELL.A 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 912812012 Contract-Detailed Page 7 of 10 Cystomer.Andy Firmin Project Name: WTA-Andy Firmin-North Andover MA Order Number: 741TA0174 Quote Number: 3497109 Pella products are covered by Pella's limited warranties in effect at the time of sale.All applicable product warranties are incorporated into and become a part of this contract. Please see the warranties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system.Neither Pella Corporation nor Pella Windows&Doors will be bound by any other warranty unless specifically set out in this contract. However,Pella Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening(egress)information does not take into consideration the addition of a Rolscreen [or any other accessory]to the product.You should consult your local building code to ensure your Pella products meet local egress requirements. Per the manufacturer's limited warranty,unfinished mahogany exterior windows and doors must be finished upon receipt prior to installing and refinished annually,thereafter. Variations in wood grain,color,texture or natural characteristics are not covered under the limited warranty. Project Checklist review (Installed Orders Only) Before the Installation the Homeownei 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 Durance the Installation the Homeowner agrees to do the following: Keep pets safely away from work area Keep children safely away from work area Allow Pella Installer room to work safely within your home During the Installation Pella agrees to do the following: Deliver and unload products purchased per contract Place and remove drop cloths in work area then vacuum, and remove all debris at end of day Remove existing product, including storm windows, and dispose of it unless otherwise specified Install all products using method specified in contract per Pella Installation Instructions Replace interior and/or exterior trim only if purchased If Purchased, install exterior primed pine wood trim or Composite. Composite will be unfinished. If Purchased, install interior trim matching wood window finish or White trim for Impervia and Encompass For more information regarding the finishing, maintenance, service and warranty of all PeilaO products, visit the Pella®website at www.pella.com Printed on 9/28/2012 Contract-Detailed Page 8 of 10 Customer.Andy Firmin Project Name: WTA-Addy Firmin-North Andover MA Order Number: 741TA0174 Quote Nunber: 3497109 Install non-Pella entry door lockset provided by you. Pella is not responsible for it's quality or performance After the Installation time 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) Cleav- or casing issues due to stoiT•n window removal if full wrap or new exterior trim is not purchased Project.Checklist has been reviewed. t Ct�.iciameF• ifi:�l ._.._ _ ... rX.:;V-1 r Product Only Addendum has been reviewed Cli-tiI0II1eC I111Ua) Credit Card Account#: Last 4 Digits Expiration Date: Charge final payment to same account (Upon substantial completion) customer initial For more information regarding the finishing, maintenance, service and warranty of all Pellao products,visit the Pella®website at WWW,pella.corn Printed on 9f28f2012 Contract-Detailed Page 9 of 1t3 Customer. Andy Firmin Project.Name: WTA-Andy Firmin-North Andover MA Order Number: 741TA0174 Quote Number: 3497109 Project Checklist has been reviewed y Order Tdtals �USt01TlQL.�ldlfle; (Ptea.se pnnt'. Pella Sales Rep N� (Please py;Md -� ---- Taxable Subtotal 57,125.37 Sales Tax _ $445.34 Liar tomer Signature ---, - ella_Sal Sign _- – Non-taxable Subtatal S_..�3,�0�'�0 Total _ $16,171.71 Date - Date ® posit Receie ed $8,085.85 1~y Arrroount Due $8s088.86 Cre it Card ApprOV—Signature r For more information regarding the finishing, maintenance, service and warranty of ail Pella®products, visit the Pella�wek�site atwnvv�,peUaPage.com ge 50 of Printed on 9128!2012 Contract-Detailed �0 i i NOTICE OF CANCELLATION Customer Name: -0496 - r + e print) Date of transaction: � ��r— You may cancel this transaction,without any penalty or obligation,within three business days from the above date. If iyou 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 file seller at your residence,in substantially as goad condition as when received;any goods delivered to you under this agreement or you may if you wish,comply witli the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. I If you do make the goods available to the seller and the seller does not pick then,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 1 not later than midnight of 9�1 (tnree business days from the date of 1 transaction above). I heireby cancel this transaction.. (Date) (Buyer's signature) i i i I DISPUTES Jab Name ! 'rry t,, 4 hc�iL�nctss A'�c� rrlpePL'4c. T Date �- THE CONTRACTOR AND THE HOMEOWNER HEREBY.MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT PELLA HAS A DISPU'T'E 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 INT M.G.L.c. 142A T Contractor 4H 'eown -- -- NOTICE:THE SICGNATURE OF THE PARTIES ABOVE APPLY ONLY"0 THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SE'T'TLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITI.ATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. II� PELLA WINDOWS AND DOORS qO- T'RACT 7 PAYMENTS Pella shall be entitled to stop the Work upon written notice to Owner for any TERMS AND CONDITIONS material default or failure by Owner,including but not limited to,the Owner's These Terns 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 lite Product Order("Owner')to supply the products(the"Products"),and perform 9 CORRECTION OF WORK the work(the"Work")described or referred to in such Contract. For Product Pella shall co Only purchases,a signed"Product Only Addendum'is a required part of the correct installation Work not in conformance with the requirements of the Contract,if notified in writing by the Owner within two years after the contract. Completion Date or,if earlier,the date on which Ute Work is substantially completed and payment of the Purchase Price trade subject to a holdback as 2. OWNER 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 ofthe Products.Peltas 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. i 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 hour; 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, EY.PRESS OR IMPLIED, WRITTEN OR-ORAL(INCLUDING WITHOUT LIMITATION.ANY WARRAN T Y OF MERCHANTABILITY OR FITNESS 3. PELLA, FOR A PARTICULAR PURPOSE). Pella will be responsible for and have control over construction means, methods,techniques,sequences and procedures and for coordinating all 10 NO CONSE(�UYNTiAL DAMAGES pprtions of the Work-Pella will be responsible for the Work of its Pella Contractors who will instal'the Products. UNDER NO CIRC!INSTANCES SHALL FELLA BE LIABLE FOP, CONSEQUENTIAL,INCIDENTAL,INDTRECT,OR SPECIAL DAMAGES, Unless provided otherwise in the Work description,Pella wi11 provide and pay WH V£HER FORESEEN OR UNFORESEEN. for all labor,materials,equipment,tools and machinery,hansponation,and other facilities and services necessary for the proper execution and completion it. RO91E iMPROVEhIENC CONTRACTORS of the Work. All home improvement contractors and subcontractors shall be registered with The materials and equipment furnished under the Contract will be good quality the director of the Home Improvement Contractor Registration Program and new miless otherwise required or permitted,the Work will be free from administered by the Boarti of Building Regulations and Standards. Pella and defects not inherent in the quality required or permitted,and the Work any of its subcontractors identified in this agreement have been registered. conform with the requirements of this Contract.Pella shall not be responsible Any inquires about Pella or any of its subcontractors relating to registration for damages or defects caused by abuse,modifications not executed by Pella, should be directed to:Director,Home Irrpmvemcnt Contractor Registration, improper or insufficient maintenance,improper operation or normal went and One Ashburton Place,Boston,MA 02108;617-727-3 98 tear. Pella will keep the premises and surrounding area free from accumulation of waste materials or rubbish caused by performance of the 12. PERMITS(MA customers only) Worn. P1s;1 is obl ated to and v'11 obtain the following permits for this project _. Homeowners who secure their own permits will be 4. CHANGES excluded fron the enemy Fund provisions of Massachusetts General Laws, The Owner may order in writing changes in the Wort:consisting of additions, chapter I42A. 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 a anal w assachs enumerated in this n hapten r4 you may determined by Pella.'Pella reserves the right to approve or disapprove any have additional S3,1Cb!seer Massachaseris General Laws,chapter I42A end Charge Order and any such Change Order must be signed by both Gwner and 780 C 'le of Mararhusetts Reg ilations R6. Pella to he effective. 13. NOTICE.OF CANCELLATION 5 SUBSTANTIAL COMPLETION You may cancel this agreement if it has been signed by a parry Owner understands and agrees that the Substantial Completion Date is an thereto at a place other than,an address Cf thio Seller,which estimate only and that the actual date on which the Work is completed may be rnav be his main office or branch thereof,provided you notify extended to allow for Change Orders requested by Owner or if the time to the seller in writing at his main office or branch by ordinary complete the Work is affected by conduct of the Owner,weather,labor 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 filly midnight ofthe third business day following the signing of this completed by the Substantial Completion:Date(including any extensions agreement. contcmpiatod above),but is substantially completed by such date,i.e.;the Product has been installed,but mirror pars 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 milainirg this right. parrs or work to be completed is acceptable.However,tine hrldhack will not exceed the amount of the completion costs or 10%of the remaining unpaid balance of the Price,wbicbever is less. Do not sign this contract if there are any clank spaces. 6. FINANCING o � � If navineni of rite Price is financed with it financial institution timouuh Pella,all financutp_paperwork must be completed upon signing of this Contract acid the requisite approvals and authorizations for the fill amours of the requested —� financing shill have brlen received from the financial institution. Curt to siguat re Date v