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HomeMy WebLinkAboutBuilding Permit #160-14 - 625 GREAT POND ROAD 8/19/2013 t%ORTH BUILDING PERMIT "O_ED 0 TOWN OF NORTH ANDOVER 0 APPLICATION FOR PLAN EXAMINATION Permit NO: Date ReceivedAre 1, Date Issued: W-.2 CH IMPORTANT:Applicant must complete all items on this page Xr L *n f 4-iPRQPE-f-ZTY- ,-'OWNli-w.- is n1S0 -4 h-) '70 'T-1 tR1 0 y6s- no. AC § - H ine: V S, _age- �yps, no. Pp.� i TYPE OF IMPROVEMENT PROPOSED USE Resijdgati'al-, Non- Residential New Building One familv-) -------------- Two or more family Industrial -ATe—ration No. of units: Commercial <: Re , replacement Assessory Bldg Others: Demolition Other Septic ,Wer t "-5166dblaih S W shed Dis't rict DESCRIPTION OF WORK TO BE PREFORMED: J Identification Please Type or Print Clearly) OWNER: Name:- (S i'a r) k o u rzd- s Phone: X17- (o'?o - YS? Address: 6�6 -o- e- CONTRACTOR,- ;Name:e�,bmU- Phone h 0.kz! 213 i1r)A - �Cil rvi§6'p'rsiCbnstrbctibh!bice pse b m eAffi of rnentiQ!6&fsb-,,.1'q 4IS9 ARCHITECT/ENG R Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT.,$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COSTBASED ON$125.00 PER S.F. Total Project Cost: $ 650soo' gD<D FEE: $ Check No.: 2r q!Aa-- Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the'guaranty fund Sion-btu're of Age nt/Owner Signature,of contractor Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products MOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products MOTE: 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 MOTE: 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:INSPECTIONAL SERVICES DEPARTMENTMFORM07 Revised 2.2008 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 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-DEPARTMENT Temp Dumpster on site yes . ,no Located :at 924:Main Street ='sw Fire Depaftinent'slignature/date 7 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 Doc.Building Permit Revised 2008 r Location tl"Z�r C/ No. e Date • - TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee v Foundation Permit Fee $� Other Permit Fee $ �' TOTAL $ Check S-4�f—'2" 26752 Building Inspector r , NORTH c ve" ,* .,._. " k No. . 16o— ' - Cl ' h ," ver, Mass, �� • T �/_ COC NIC Nl WICN 7.4 A�RAreo S ll BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT �.�l..K.WO.r..C4 BUILDING INSPECTOR ............ .... ................................................................... has permission to erect buildings on ... ........ . . .. I......?ft.Ad...WMA a Foundation ,jRough ...... to be occupied as 00 G �. ........S..11. .... .�.......T.,�. ...! ................. 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT TARRough Service ............... .... >.j .................................................. 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 MA Reg#146589 FromOur HometoYours 6 .. CT Reg#060521Contract# RI Reg#26463 Energy Saving Home improvements Federal ID#20-2625129 Corporate Headquarters,26 Cedar St,Woburn,MA,(P)800-342-2211 (F)781-933-9626,www.newpro.com 67129 THIS CONTRACT MADE THE day of 20_L_I_between RC1 H At.l (?t °t A`U L rZ 7' 41,17 [e FQ (Home Owners)// (Home Phone) (Bus/Cell Phone) of l3 44Z I I (Address) ( (City) (State) (Zip) the"Owner"and NEWPRO Operating, LLC, "NEWPRO". (,-Mail) for proprietary use only NEWPRO hereby agrees that it will for the consideration hereinafter mentioned,furnish all labor and material necessary to install the following described work at the premises located at: ❑ The job address is a condominium. (Job Address) TOTAL# NEWPRO ^3,,,,0 J"ti WINDOW OP NS WINDOWS SERIES# ALJ LJ Grids:L1,rYES NO CONTOUR SDL EURO IAMOND Window Color QTY Window Color QTY OBS/TMP: (Location) ❑TOP ❑BOT TOM Int: W r , Int: Screens:(Exterior color Full Screen Standard) ❑HALF ULL Ext: Ext: Vent Latches: []YES ❑NO Capping Color: I' DOORS MODEL QTY Please Initial: PVC /Smooth ' NoMar No Capping Sliding Glass Door MODEL NAME MODEL# QTY Color In: Out: Customer understands that NEWPROO J Double Hung _755 Active: Left Center Right does not do any painting or staining. 2 Lite Slider _757 HDWR: SN BB WH BGE (ie:when removing or replacing interior 3 Lite Slider (v4,v2,v4) 753 Entry Door Style stops or trim). NEWPROO is not respon- 3 Lite Slider (1/3,1/3,1/3) Out: _756 Color In: E9 Bible for conditions or circumstances be- Casement(Hinged Right) _851Fiberglass Steel yond its control including condensation result- Casement(Hinged Left) A 852 HDWR: SN BB AGB AB ORB ing from or due to pre-existing conditions. Twin Casement 853 Sidelite Style (circle one): Stationary Casement 3 856 color In: out: CASH Triple Casement (v4,1/2,v4) 859 Storm Door Style Balance pal at completion Triple Casement (1/3,1/3,1/3) a 860 Color Picture Window _751 HDWR: SN BB AGB AB FINANCE Sash Only _752 Left Hinge Right Hinge Bank completion form signed at installation Hopper 491 Entry Door Style Awning _351 color In: Out: TOTAL _ Garden Window _798 Fiberglass Steel CASH n Lj Bay Window(Roof/Soffit) HDWR: SN BB AGB AB ORB PRICE ./ [ l Bow Window(Roof-/Soffit) Other Door DEPOSIT Other color In: Out: WITH Other HDWR: ORDER DESCRIBE WORK&PROMOTIONS APPLIED: TOTAL l.(3M l, Mw 54r DUE AT I i �:, Jr- INSTALL t Est. Start Date: or� INst. Comp.Date: '9 f Customer understands this is an"estimated date" j Owner has read and agrees to the terms and conditions on the front and the reverse of this Agreement. Owner specifically agrees to the Z'1161-aTCash Price; (2)work being performed; and (3)work not being performed. Owner understands that this Agreement and any attachments contain all of the promises made by NEWPRO. Owner has been orally advised of his right to cancel this transaction at any time prior to midnight of the third business day after the date of this transaction and Owner was provided with two(2)copies of a cancellation form explaining this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. (Rhode Island Sales Only): Notice to buyer: (1) Do not sign this Agreement if any of the spaces intended for the agreed terms to the extent of then available information are left blank. (2)You are entitled to a copy of this Agreement at the time you sign it. (3)You may at any time pay off the full unpaid balance due under this Agreement, and in so doing you may be entitled to receive a partial rebate of the finance and insurance charges. (4)The seller has no right to unlawfully enter your premises or commit any breach of the peace to repossess goods purchased under this Agreement. (5)You may cancel this Agreement if it has not been at the4nain offide or branch office of the seller in the Agreement by registered or certified mail,.which shall be potted not,later than midnight of the third calendar day after the day on which the buyer signs the Agreement,excluding Sunday and any holiday on which regular mail deliveries are not made. See the accompanying notice of cancellation'form for an explanation of buyer's rights. 1 (Rhode Island Sales Only): Owner acknowledges receipt of required Contractor's Registration and Licensing Board consumer education materials. Owner's initials �.I }� By: s 6 EIN# Signed: Product 4eciali ame) Owner { By: Signed: NEWPRO O erating,LLC(Signature) rr t Owner WHITE: Branch Copy YELLOW: Customer's Copy PINK: File Copy GOLD: Finance Copy US-15 - R1012 ADDITIONAL TERMS AND CONDITIONS Warranties: Any product warranties are provided by the manufacturers of the products that Owner is purchasing. NEWPRO is also providing Owner with a labor warranty, which covers NEWPRO's labor. Owner understands that Owner should read all the written warranties for complete details of warranty coverage and that warranties are available for complete review before signing this Agreement. Late Cancellation: Owner understands that Owner has three (3) business days to cancel this Agreement. Owner understands that if Owner wants to cancel this Agreement after those three (3) days, NEWPRO does not have to allow that. Owner understands that if NEWPRO does tet Owner cancel, however, that Owner will have to pay to NEWPRO a late cancellation fee equal to 33.3% of the purchase price in order to cover NEWPRO's labor,administrative,and material costs,so long as that is legally allowed.. Delay/Unknown Conditions/Damages: Owner understands that if NEWPRO determines within thirty(30)days of the date of this Agreement that it cannot perform the work according to NEWPRO's professional standards,NEWPRO can cancel this Agreement,notify Owner of cancellation,and promptly return Owner's money..Owner understands that issues that may cause NEWPRO to cancel this Agreement include incorrect pricing or unknown pre-existing conditions to the property.Owner understands that NEATRO is not responsible for structural or other defects in the property,and that NEWPRO's products do not cure these problems. Owner understands that the work could be delayed by events that NEWPRO does not control. Owner understands that NEWPRO is not responsible for(a) damages due to causes beyond NEWPRO's control,(b)damages arising from a delay in NEWPRO performing under this Agreement,or (c)unintentional damage to Owner's personal property,it being understood that it is Owner's responsibility to remove/secure his personal property prior to commencement of work. «'hen Money Is Due: Owner agrees that when the work is"substautially complete",Owner will pay the balance due on this Agreeruent. Owner understands that "substantially complete" means the work has been materially finished, functional as intended, and a final inspection,permit,or occupancy,certificate. if required, has been obtained. Owner agrees that once Owner has paid the purchase price,if Owner believes any of the work performed by NEWPRO is defective or incomplete, NEWPRO will inspect the work and perfornu any service Owner is entitled to under this Agreement and/or any warranty. Owner agrees that if Owner does not pay any of the money when it is due,Owner can be charged a late fee of 1.5`;0 on the amount owed for each month the money is not paid.Owner agrees that if Owner defaults on any promises under this Agreement,and NEWPRO hires an attorney to enforce this Agreement,Owner will pay NEWPRO its reasonable legal fees and related costs or expenses,as long as it is legal for Owner to do that. Other Understandings: Owner agrees that Owner will assert a dispute,claim,or controversy(hereafter referred to as a "Claim") arising under or relating to this Agreement only on behalf of Owner's own self and that Owner will not assert a Claim on behalf of,or as a member of,a class or group in either an arbitration proceeding,a private attorney general action or in any other forum or action. If a court determines that this specific paragraph is not fully enforceable, the court's determination shall be subject to appeal. This paragraph does not apply to any lawsuit or administrative proceeding filed against NEWPRO by a state or federal government agency even when such agency is seeking relief on behalf of a class of buyers. Owner agrees and understand that if Owner finances the work, Owner's separately provided financing documents will.include the number of monthly payments and the amount of each payment, including any finance charge. Owner promises that he will provide NEWPRO with access to the work area, including access to electrical outlets. Owner understands that this Agreement and any attachments make tip the entire understanding between the parties. Owner agrees that any change to this Agreement must be in writing and signed by both parties. (Massachusetts Sales Only):All contractors and.subcontractors must be registered by the administrator of the Board of Building Regulations and Standards and any inquiries about a contractor or subcontractor relating to a registration should be directed to:Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170, Boston,Massachusetts 02116 Telephone: (617)973-8700. It shall be the obligation of NEWPRO to obtain any and all permits necessary under this agreement,as the Owner's Agent.NEWPRO shall advise Owner of any necessary permits.The Owners who secure their own construction-related permits or deal with unregistered Contractors will be excluded from the guaranty fund provisions of rMGLC, 142A. Any deposit required under this Agreement to be paid in advance of the commencement of work shall not exceed the greater of one-third of the total contract price or the actual cost of any materials or equipment of a special order or custom-made nature,which must be ordered in advance of the commencement of work,in order to assure that the project will proceed on schedule.No final payment shall be demanded until the contract is completed to the satisfaction of the parties. (Rhode island Sales Only): THIS IS A NON-NEGOTIABLE CONSUMER.NOTE.During the term of this Agreement,NEWPRO shall maintain public liability and property damage insurance covering the work of not less than$500,000 combined single limit,bodily injury and property damage and workers'compensation insurance as required under chapter 29 of title 28. NEWPRO and/or subcontractors or material persons may file a lien in accordance with Rhode Island Mechanics Lien Act,chapter 28 of title 34. (Maine Sales Only): Consumers are strongly advised to visit the Attorney General's publicly accessible website (www.inaine.gov/ag) to gather current information on how to enforce their rights when constructing or repairing their homes. The Attorney General can be contacted by telephone at 207-626-8800. Any alteration or deviation from the above contractual specifications that results in a revision of the contract price will be executed only upon the parties entering into a written change order. In addition to any additional warranties agreed to by the parties, NEWPRO warrants that the work will be free from faulty materials, constructed according to the standards of the building code applicable for this location, constructed in a skillful manner, and fit for habitation or appropriate use.The warranty rights and set forth ifr the Maine Uniform Commercial Code apply to this Agreement. If a dispute arises concerning the provisions of this contract or the performance by the parties that may not be resolved through a small claims action,then the parties agree to settle this dispute by jointly paying for one of the following: C Binding arbitration as regulated by the Maine Uniform Arbitration Act, with the parties agreeing to accept as final the arbitrator's decision; ❑Nonbinding arbitration, with the parties free to not accept the arbitrator's decision and to seek satisfaction through other means, including a lawsuit; or Z Mediation, with the parties agreeing to enter into good faith negotiations through a neutral mediator in order to attempt to resolve their differences. (Connecticut Sales Only): THIS INSTRUMENT IS BASED UPON A HOME SOLICITATION SALE, WHICH SALE IS SUBJECT TO THE PROVISIONS OF THE HOME SOLICITATION SALES ACT.THIS INSTRUMENT IS NOT NEGOTIABLE. The owner(s) of NEWPRO is or has been a shareholder, member, partner, or owner of the following corporations, limited liability companies, partnerships, sole proprietorships or other legal entities that have been a home improvement contractor during the previous five years:NONE MA Reg.,#146589 Siding Contract CT Reg. #0605216 WLWPRGRI Reg. #26463 Amerian Classic Wall ystems Federal ID #20-2625129 Corporate Headquarters:26 Cedar St.,P.O.Box 2696 Woburn,MA 01888 (781)933-4100 1-800-342-2211 THIS CONTRACT MADE THE r day of t1L 2001-3 , between (Home Owners) (Home Phone) (Bus./Cell Phone) (Mr./Mrs.) of if'� C' /. t �'�� l�rA , ' LI? AM C�J ~l r (Address) + '(State) (Zip Code) the"Owner"and NEWPRO Operating, LLC, "NEWPRO". NEWPRO hereby agrees that it will for the consideration hereinafter mentioned, furnish all labor and material necessary to install the following described work at the premises located at (Job address) l (E-Mail Address) S ecificationS APPROVED MATERIALS WILL BE FURNISHED AND INSTALLED TO THESE SPECIFICATIONS. N PLEASE READ CAREFULLY:ONLY ITEMS CHECKED"YES"ARE INCLUDED IN YOUR ORDER. YES NO zyt . l-1`�_ - '-) e vn'3 ! YES NO 1. SOLID VINYL SIDING cover only flatwall areas designated for siding, 15. O 1 BEAMS/COLUMNS wrap with approved VINYL CLAD A UMINUM. except those areas designated below. /',,fJ ff r , (No circular or round columns) Color r . Size Color Pattern Packager,f� '7 16. r4O GUTTERS/LEADERS remove existing and replace with new custom` Custom corner posts color s aimless gutters and leaders. 0 White O Brown 1A.0 0 SIDING will be applied to the following areas only: ;17, O SHUTTERS provide&install pair approved polystyrene 0 Front Elevation 0 Rear Elevation 0 Othershutters. Color 0 Left Elevation 0 Right Elevation+ 0 Other t 18. 0 0 MASTER MOUNTS provide&install for exterior light fixtures only. + 0 Pariah 0 Details: t•'•?l! t <' -.. � i 18A.)Lights# 18B.)Water/Elect Outlet#[�,Lire 0 Details: r+ i12 18C.)Dryer Vent# Color 2. 0 0 INSULATION cover only flatwall areas designated for siding with/ 19. 0 0 GABLE VENTS provide and install vents. _ A tn inch insulation. /color No circular or triangle vents. . 3. d 0 Use aproved STARTER STRIP where contractor deems necessary. ,/' 20. hl 'CLEAN UP property at completion of work. (Not available with Nailite) 21. O [71-INSURANCE All Workman's Compensation and Liability to be maintained. 4. 0 9)1'<idmg tobe applied over EXISTING FOUNDATION. 5• 0 ©Use approved22. R" "'WARRANTY Mail to customer after completion&full payment is received. deems necessary in same color as siding.(Not available with Nailite)PERMA TABS AND FINISH STRIP where contractor 23. 0 0 PAYMENTS on NON-FINANCED orders installer is authorized to collect progressive payments. 6. 0 0 WINDOW OPENINGS 0 Custorn wrap with approved vinyl clad aluminum• 24. ADDITIONAL WORK(not specified above) # a!�_ ! !.���/ ) (�l ({,'1Coliir.'�C I aluminum 24. /�i7`t, i ,t 4;, 0 Jump over casings with siding and"J"channel 4`' f # Color 0 Channel existing window only(eg.Andersen type or previously 25. 0 Of Work Not to Be Done wrapped)# Color � Other details fr7IbAULK all sills with'rubberized color coordinated caulking. 8. © 0 DOORS custom wrap with approved VINYL CLAD ALUMINUM. 26. 0 0 Repair or Replace the following woods p #of Doors Color A.1 �f t 'LMn f `)t,)n f c. A 0 ,1 to r� 9. 0 0 GARAGE DOOR FRAMES custom wrap with approved VINYL CLAD ALUM,INUM. Color hcl Single ®'Double with Mull 0 Double No Mull 10.0 0 FASCIA custom wrap with approved t t�/fig t Total Sale Price $ ✓� -� VINYL CLAD ALUMINUM. Color t�1..'��i � :� INDICATE FORM OF PAYMENT 11. © SOFFIT(eaves/overhangs)cover-with approved SOLID VINYL SOFFIT /SYSTEM.Except area noted below.1/3 Vented.Color Z 12. L7'ROTTEN WOOD Will only be repaired or replaced where specified on line Deposit With Order i033% $ 7 } item#26 listed below.Any additional areas needing a repair will be Payment on � estimated upon their discovery and priced accordingly. Measure or�'Start 33% $ 7 4� `(Does not include wood studs,or exterior sheathing.) 13.O-17 REMOVE EXISTING MATERIAL exterior of house,��Other Balance Due,on �—� O,Vfnyl 0 Aluminum 0 Wood Shingle CI-bGood Siding Substantial Cbl 1pl� do 34% $ l' 14.h 046RCH CEILINGS cover with approved SOLID VINYL CEILING MATERIAL Total Amount of in the following areas: — Balance to be Financed $ It shall be the obligation of NEWPRO to obtain any and all permits necessary under this agreement,as the Owner's Agent.The Owners who secure their own construction- related permits, or deal with unregistered Contractors will be excluded from the guaranty fund provisions of MGLC, 142A. All Home Improvement Contractors and Subcontractors shall be registered by the Director and any inquiries about a Contractor or Subcontractor relating to a registration should be directed to: Director,Home Improvement Contractor Registration,One Ashburton Place,Room 1301,Boston,MA 02108,(617)727-8598. If the Owner is obtaining financing by way of a Retail Installment Sales Agreement;such Agreement shall include a time schedule of payments to be made under said contract and the amount of each payment stated In dollars, including all finance charges.The Retail Installment Sales Agreement shall be incorporated herein by reference. If the Owner is obtaining a revolving credit line to pay,in whole or in part,for the contract amount herein,the terms of the revolving line of credit including interest rate and payment terms,shall be clearly set out on the credit application.The portion of the credit application referencing a time schedule of payment,to be made under this contract,and the amount of each payment stated in dollars,including all finance charges,shall be incorporated herein by reference. NEWPRO represents that it.carries Workmen's Compensation and Public Liability Insurance in the amount of$100,0004300,000. If the Owner refuses to permit NEWPRO to proceed with the work herein,or in the event of any breach of the Owner of this agreement,for any reason whatsoever shall cause the owner to pay NEWPRO a sum of money equal to thirty-three and one;third percent of the price agreed to be paid,as fixed,liquidated and ascertained damages, and not as a penalty,without further proof of loss or damage. NEWPRO shall not be held liable in damages for delays in the performance of this contract due to causes beyond its reasonable control. Owner warrants that he is the owner of the property on which the work is to be performed or that he is otherwise authorized on behalf of the owners to enter into this agreement. This contract represents that entire agreementibetween the Owner and NEWPRO and cannot be clanged except by a writing signed by boththe Owner and NEWPRO. You are entitled to a copy of theContract at the time you sign. Keep it'to protect your legal rights. We, the aforesaid owners, certify that immediately after the signing of the aforesaid agreement,a copy was furnished to us. , You may cancel this agreement if it has been signed by'a party thereto at a place other than an address of the seller, which may be his main office, or branch thereof, provided you notify seller.in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement.(Saturday is a legal business day). See the attached notice of cancellation form for an explanation of this right. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. The Owner has seen"sample"warranties that will be provided by NEWPRO upon installation. ❑ Sample warranties provided of Owner. IN WITNESS WHEREOF,the parties,ve hereunto signed their names this day of �LL f� 200/3_ Signed, Marketing Representative Printed Name Owner Accepted:NEWPRO Operating, LLOf /, By i� nil i (�l�t� Signed `- Marketing Repesentative Signature ' Owner Wall Systems Branch Office,151-153 Memorial Drive Business Park,Suite B-C,Shrewsbury,MA 01545,Phone 800-456.0555,Fax 508-842-9248 WHITE:Branch Copy YELLOW:Customer's Copy PINK:File Copy GOLD:Finance Copy US-21(Rev 1/07) jk— lipoj Fr vi ti c� 1 Ilk . LA a � <tl IT �et ,^ 01 ft,"Our Now to yma... JOB t; LEAD PAINT STATUS Yr Bulll: ! ® a LSWP. ONE MUST vwn ws,!)d(ng and hk» Page 61& EXEMPT: BE SELECTED CV:TOMER Jt�Il�.,.�r�l,¢NItI.fS . E-MAIL. . .. ....,_•, ,rI.S L,_„'1... .., OATS If � U�I HOME PHONE ADDRESS l � WORWCELL PHONE ---CITY,-STATE � �•�zip BEST DAY TO INSTALL: M T W TH F (cr'rGe one( PRODUCT SPECIALISTC1 +� ?Uj�In�V ESTIMATEOSTARruATE TOTAL 0 OF N OF DOWMAYI GRID COLOR WINDOWS SAWN E OF DOORS coda ou”) CAP COLOR L �Y—a slam SDL MF NAPCO Norandex/ Gaben_sner_ contour ?V-xII, other Awf or S omf Patio (eirde one) Diamond PVC 5moolh Locks a itaopars(c)rnle ono): Almond Bronze Brass /role one) Handles S Night Letohe9(rade a that eppry): White Almond Bronze No Bottom Handles Night Latches(Might Larches are NOT a standard feature) Rigida Color(e%to one) White Natural Oak London Waimrt Colonial Cherry Muskoka Oak Barrisler Oak Outside Color(drde o"). While Unto.grown Wicker Forest Green Wedge Blue Sandstone Burgendy Bronze Custom OPENING SIZE STOPS NO. STYLE W x H U.i, LOCATION RI SCR I IN I OUY I CONY AODITIOWI OPENING UT IUI-1x IY 30 X /9 4 Q4 (iox ti 30S x /'�r '- z x x x 7 IZAA x x x x x 6 x x x x 9 x x x ovf- x x x Measureman: x x Int Date Crew Size Needed Time Frame to complete job Capping Type Special Installation Intro ons: VN Revises 12M 0 A,*,00* 20081 1T)nnnQT0)T VVs !.!+•TT LEAD PAINT STATUS — Yr BUill: LSWP: ONE AW Page i—or EXEMPT; 06 8EI,ECT'E CUSTOMER._J0� - r� „. -AN464—. . DATE= 10-a3—/3Z HOME PHONE I�' � WORWCELL PHONE 6'' 'Q CITY,SPATE—J0V 106 ZIP BEST DAY TO INSTALL:• M T W TH F (dide one) PRODUCT SPECIALIST 1 ESTIMATED START DATE TOTAL A OP 0 OF BOWIBAYI *EXTERIOR GRID COLOR �(J WINDOWS GARDEN CLADOINO It OF DOORS inssdaro��ide) CAP OR on„`X11_ Wh1e�—•--- ga�..�� SDL r • M NAPCO Nommex r I� Aber or awl Painted P,b taOnlbar ��Q h rZ, Other (GVCIO a)q) Dikft P / Smooth Locks a Keepers(dwe one):f/Vifllite� Almond OMrnie Brews a dura one) Handlae a Night Latahoc(cimlo erl arar apply): Wnffe Almond Bronze No BOROM Handles Night Latches(NJglriLakhWare NOTa standard/ealare) Inside Color(Wu, a on , Whi Natural Oak London Walnut Colonial Cherry Muskoka Oak Barrister Oak Outside Color(circle one) Wh Univ.Brown Wicker Forest Green Wedge Blus Stlndstone Bureendy ®roma Custom OPENING SIZE STOPS N0. SME WXH ' UJ. LOCATION ORI SCRIN OUT CONV ADDITIONS OPENING CIT l . 001 TW7 X �11 r x x PJA x 13� tick DI1 '� 70 r Y 9! ,x 3�S 1 `�,a r D c XAq ZL 1 I -A I Sx5I 133 011 2641 t9 x 9"1 Nwmu FV1 1�, x3Y s�x 11ski,ra IDs gu)- NA roU ' x�S/XV .�- t3' x I� J x 3el . 5 x �f ` ;oe Measuran,an: X initials Date CAry Su Nepded Time Frame to complete job Capping Type peciai Installation Instructlens: LIZ Vj A!TAN x T0001 901aaHM �- S31VR OXJA9Q r.T),APPATeJT vtr.r ce:T ENERGY STAR"' Duc Ii in tRegions ® = Qualified in all zones MW � NEWPRO MANUFACTURING �'tvFxc'� SERIES G NEWPRO 2000/3000/ 4000 CASEMENT Cellular PVC frame,Triple glazed, National Fenostratl�on Low E coating (e=0.027,$2&5), Rating council � o Argon/air filled DEV-K-29-00034.00001 "ENERGY PERFORMANCE RATINGS U-Factor(U.S.A-P) . Solar Heat Gain Coefficient 0.20 0,22 ADDITIONAL PERFORMANCE RATINGS Visible.Transmittance Air Leakage (U.S./I-P) 0.36 0. 1 Condensation Resistance 70 Manufacturer stipulates that these ratings conrorm to applimWe NFAC procedures for determining whole Product performance.NFBC ratings are detertnlned for a f6ted set of eNronmental conditions and a apeolgc product size.NFRC dove not recommend arty product and does not warrent the suitability of any product for any ssdcla,use,oo"'ll manufacturer s I returo for other product performance information. www.nfra org ENERGY STAR`�' Qualified in Highlighted Rqions ME= I Wn ® = Qualified In all zones . NEWPRO MANUFACTURING NPRC SERIES G NEWPRD 2000/3000/ ka 4000 FIXED CASEMENT Cellular PVC frame,Triple glazed, N4tWalFenestration Low E coating(e=0.027, S2&5), Rating Councl(0 Argonlair filled DEV-K-31.00034-00001 ENERGY PERFORMANCE RATINGS U-Factor(U.S.A-P) Solar Heat Gain Coefficient 0, 18 4.26 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Air Leakage (U.S./I-P) 0.43 0A Condensation Resistance 70--- - - !manufacturer sgpuiatas that these ratings contour to app"Is NFRO procedures for determining whole I performance,NFRC rungs are determined fora tined set of environmental conditions and a 'WhIc product size.NFRC does not recomrmand erry praduci and does not warrant the suitability of any product for any specific use.Comsun man==11 nature for o8ter product performance Information. www,nfrc.oro i i -t5 ® Qualified In all zones NEWPRO MANUFACTURING 01111 SERIES G NEWPRO 2000/3000/ 4000 HOPPER WINDOW Cellular PVC frame, Triple glazed, NadonaliCouncll®ragon RetingCounLow E coating (e=0.027, 82&5), - oo Argon/airfilled s DEV-K-32-00034-00001 MPRrW PERFORMANCE RATINGS f U-Factor(U.S./I-P) Solar Heat Gain Coefficient 2` 2 2 U W , 21 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance Om3%5 Manufacturer stipulates that these ratIngs conform to applicable NFAC procedures for detersnln g whole productperformanr". FRC ratings are determined for a fixed set of environmental conditions and a specific product size,NFHC does not recommend any product and does not warrant the suitability of any product for any specific use.Consult manufacturers literature for other product performance information. www.ntrc.or ® Qualified in all zones NEWPRO MANUFACTURING NFRC SERIES G NEWPRO 2000/3000/ 4000 CASEMENT Cellular PVC frame,Triple glazed, Natlonal Fenestration Low E coatinge=0.027, $2&5 Rating CouncliO �' t► Argon/air filled DEV•K.29-00034.00001 ''ENERGY PERFORMANCE RATINGS LI-Factor(U.S./I-P) . Solar Heat Gain Coefficient d ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Air Leakage (U.S./I-P) Condensation Resistance 70 Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance.NFRG ratings are determined for a Pored set of efMmnmenbd conditions and a apeetilc product size.NFRG does not recommend any product and does not warrant the suitability of any product ter any speolRC ueo,Consult manufacturer's l ature for other product performance 4donnation, www.nfro.org eA.T E l eNT W ta6Ow Na G 12 tDs 3T47TC+(*AY Regions,ENERGY STAR' a in.Highlighted ® a QuaiNled In all zones . �� NEWPRO MANUFACTURING NPRC SERIES G NEWPRO 2000/3000/ ,� 4000 FIXED CASEMENT Cellular PVC frame,Triple glazed, NatRalinglonal Quncllla Low E coatis a-0.027 S2&5J RatingCouncilQO g� Argon/air filled DEV-K-31.00034-00001 F ENERGY PERFORMANCE RATINGS U-Factor(U,S.A-P) Solar Heat Gain Coefficient 0, 18 0.26 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Air leakage(U.S./1-P) 0.43 0, l Condensation Resistance 74 -- Manulacable NFRO procedures for determining whole produCtperiamanx NPRCratlngsaredetecminedforafhedsetofemlronmertfalcondlonsanda specMc produet aim.NERC does not recommend airy pprodaci and does not wanant the aulfa6lllty of arty product for any epeclftc use,COMM manufacturer a Ilterndrre for otherpralM I.,Mrmence Information. vnvw.nlrc.orp I ACO DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 5/1/2013 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 CONTACT Melissa Pflug Mackintire Insurance Agency Inc pHONE (508)366-6161 A'� No): (508)366-5202 11 West Main Street EAIL -MDRESS.melissap@mackintire.com INSURERS AFFORDING COVERAGE NAIC# Westborough MA 01581-1931 INSURERA:Peerless Insurance Co. 24198 INSURED INSURER B Acadia Insurance Co. Newpro Operating LLC INSURER C: 26 Cedar St. INSURER D: INSURER E: Woburn MA 01801 1 INSURER F: COVERAGES CERTIFICATE NUMBER:12 - 13 Master w/13 WC 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD/YYYY1 (MM/DD/YYYYJ LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $ 100,000 A CLAIMS-MADE FxI OCCUR CBP 8589577 2/31/2012 12/31/2013 MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,000 X POLICY PRO LOC $ AUTOMOBILE LIABILITY Ea COMBINEDSINGLELIMIT 1,000,000 A ANY AUTO BODILY INJURY(Per person) $ ALL OWNED F_,_1 SCHEDULED accident 8589179 2/31/2012 2/31/2013 BODILY INJURY Per $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE X HIRED AUTOS X AUTOS Per accident $ Uninsured motorist BI split limit $ 250,000 x UMBRELLA LIAR x OCCUR EACH OCCURRENCE $ 5,000,000 A EXCESS LIAR CLAIMS-MADE AGGREGATE $ 5,000,000 DED I X I RETENTION$ 10,DOC ZU 8582578 2/31/2012 2/31/2013 $ B WORKERS COMPENSATION I WC STATU- OTW AND EMPLOYERS'LIABILITY Y/NDRY PR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) C-20-20-003506-01 /1/2013 /1/2019 E.L.DISEASE-EA EMPLOYE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 JL DESCRIPTION OF OPERATIONS/LOCATIONS/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 To Whom It May Concern ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE T Moynagh/MARIAN ACORD 25(2010/05) ©1988-2010 ACORD CORPORATION. All rights reserved. INS025(201005).01 The ACORD name and logo are registered marks of ACORD ° f The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Bus iness/Organization/Individual): �� f � ' Address: City/State/Zip: (�;,�Liu rn : m A C)I 01 Phone#: �?/• 9?,3- 1 n C) Are you an employer?Check the appropriate box: Type of project(required): 1.0 I am a employer with S0 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. t Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers' comp. insurance. 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I L❑Plumbing repairs or additions myself. [No workers' comp, c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.] t employees. [No workers' 1311 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for sty employees. Below is the policy and job site information. Insurance Company Name: f na c 1--,r) Policy#or Self-ins.Lic.#: (t f C ;�i; -� - 003Sp� _. �� Expiration Date:- Job Site Address: ,s �� }- 7"rt7c�-��d City/State/Zip: �, npyt,(� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify uiidertliepaiiisaijdpeiialtiesWr er' ry that the information provided above is true and correct. Si ature: Date: S / Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ffice of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: ;j Registration: 148589 Office of Consumer Affairs and Business Regulation Type: 10 Park Plaza-Suite 5170 Expiration: 5/5/2015 Supplement ;:ard Boston,MA 02116 NEWPRO OPERATING, LLC. THOMAS FOXON 26 CEDAR ST. WOBURN, MA 01801 Undersecretary Not valid without sig g tune Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen'isur C License: CS-029090 THOMAS P FQ:kb 230 WALNUUrST-1,t '' ro READING 14 A- 0 °J..G,... moo.. *1ILA Expiration Commissioner 11/19/2013