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HomeMy WebLinkAboutBuilding Permit #368 - 72 PADDOCK LANE 10/25/2011 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: { Date Received Date issued:J0 J EVRORTANT:Applicant must coEllete all items on this page i LOCATION "7J A4boA LA/ Print -- PROPERTY OWNER � 4,1/r=& Print MAP NQj( PARCEL: p 7f ZONING DISTRICT: Historic District yes lilt Machine Shop Village yes n TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building B-&ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial ®-Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other ��..st i - -- �P -- Flo_odplain DWetlauds _ � r ®.ala IsliedEDs ' CI_'TtTafer/ �yier t DES CR,TION OF WORD TO DE P R,r0' -D: ` N° lit (Identification Please Type or Print Clearly) OWNER: Name: s � Phone �g Address: `?DL -wh oc.1C Lk , CONTRACTOR Name: �t� W�l /�,� � Phone: 9;7_t�"�V--7dS, Address: t4s- ���.,�z �, c:l�.a�_9► t� ,.t,� ►wv�- cr Supervisor's Construction License: D�f fr S 3 Exp. Date: d U • �� ��2: Home Improvement License: /81J77y Exp. Date: I ARCHITECT/ENGINEER Phone: if Address: Reg. No. FEE SCHEDULE:BULDING,PERMIT.•$92.00 PER$9ooao0 OF THE TOTAL ESTIMATED COST BASED ON$125,00 PER S F. Total Project Cost: $ 000 — FEE: $_ Check No.: SO Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund -- _ 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 Siqnature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board*Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature&Dafe Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: - ELECTRICAL: Movement of Mester 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.$10041000 fine NOTES and DATA-- For department use I I ® Notified for pickup - Date Doc:.Building Permit Revised 2008mi Building Department ` The following is a list of the required forms to be filled out for the appropriate hermit to be obtained. , i Roofing, Siding, Interior Rehabilitation Permits � ❑ Building Permit Application ❑ `Plo-I kers Comp Affidavit ❑- - Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract 1 - ❑ 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 Per!, 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 Col tract ❑ Flo or/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 Perrr 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 I"OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Perm 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: Doc.Building Permit Revised 2008mi Location !�- No. Date v ; MORTM TOWN OF NORTH ANDOVER 0: �•o :•1.t.0 3? •. • O F p Certificate of Occupancy $ s^CNUSEt�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 24759 Building Inspector NpRTFi ® ® over 0 o , �` dowertw_ LAKE , Mass., COC MIC NE WICK ��• �oRATED PP�,`�� 11 v BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System 1 BUILDING INSPECTOR THIS CERTIFIES THAT....................... Q..! !!`% ..R........... ..\. .!�.ww..................................................... Foundation has permission to erect. buildings on .......q..2........... (40moW Rough to be occupied as............... .. ... .............. o... . ................... Chimney ......................................................................... provided that the person accep ing this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONS ELECTRICAL INSPECTOR UNLESS CONSTRUC TS Rough .. ... . .. . . . ....... . Service Y BUILDING. INSPE R Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done . Until Inspected and Approved by the Building Inspector. Burner Street DEPARTMENT - Street No. SEE REVERSE SIDE Smoke Det. The Commonwealth of Massachusetts Department of Industrial AcC1101ts Wee of "Vestigations ' a 600 Washington Street :7 Boston,MA 02111 wM www.massgov/dia Workers'Compensation Insurance Affidavit:builders/Cas.taactors/Electricians/Plumbers Avolicant Information !! Please Print Legibly Name(Business/Organizitionandividual,r -F � N t d ly N1�ws_ 6�c°t�LLC - Address: S" o'l irJ4 PC, ' City/State/Zip: )Phone.#:�Are you an employer?Check the appropriate boat Type of pioJect(required): 1.dam a employer with 4. ® I am a general contractor aadr 6. ❑New construction employees(full and/or part time).* have hired the stub-contractmi 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. E-1Remodeling ship and have no employees These sub-contractors have a. [J Demolition worlang for me in any capacity. employees and have workers' 9. []gufl�ng addition (No workers'camp.insurance camp.msurance.t 10.0 Electrical repairs or additions ie uirad. 5. Fl. we ar.".corpara on and ip 3.1 1 I am a homeowner doing all woris officers have exercised their . 11.[]Plumbing repairs or addition myself.(No workers'comp. rlght df axsmption per MGL 12.0 Roof repairs insurance required.]t c.152,§1(4),and we haveic 13.11 Other empioyaes.[Na workers' comp.insurance regtitired.] — *Any applicant that che aim box 01 must also:li out the section bolowshowir.;grain war?cere'eampr.Ytion PaGej infomuatian. t Homeowners wha suhadt this:fl davit indicating thoy are doing alt work and then hire outside cantetors must submit a new atiidavit indieatipg such. tCantracters that check this box must attached an additional sheet showing dtcamne ofthe sub-eonWon and state whether ar nat those entideshave employees. If ihesub-contractors have employees,they mustprovi6their workers'camp.policy cnmr. 1 am an employer that isproviding workers'compensation insurance jor my eircplayees. Below is the policy and job site. +— informadon: Insurance%ompanyName : Policy#or Self-ins.Lie.#: s I►_1A –.�.'s�� �" Etpiradon Date: Sob Site Address• CIVIState/Zip: Attach a copy of the workers'compensation policy declaration page(showhgtbe policy number and eapiratian date). Failure,to secure coverage as required under Section 25A of MOL c. 152 can leadto the imposition of criminal penalties of a fine up to$1,500.00 anus or one-year irnprisoument,as well as civil penalties in tie form of STOP WORM ORDER and a tine of up to$250.00 a day against the violator. Be advised tbiat a copy of this statemant may be forwarded io the Office of Inv e s ti a a tions of the DIA for insurance coverage veri5:catiau. •1 do hereby certify under the pains•and petsallies of perjury that the informaderc provided above is true and correct Signature:��.r. 1 �P'� •� Date: Phone#. — ©f�cial use only. Do not win this area,to be completed by city or town offrcial I City or Town: _ _ Permit/License i Issuing Authority(circle one): j 1.Board of Health 2.Building Department 3.City/Town Clerk 4.EIectrital Inspector 5.Plumbing Inspector r 6.^the.--- Phoac is Contact Person: � A� CERTIFICATE OF LIABILITY INSURANCE [—o7,aD6Aiz'o6,( RIODI'm !M 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)mustb9 endorsed. If SUBROGATION IS WAIVED,subjact to the terms and conditions of the policy,certain policies may require an endorsement, A statement an this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PP.ODUCER A T DaroAY A.Cerlel,CIC,RPLU Fred C.Church,Inc. p cE•"" -yTa jE2i231——--- — — AX (913►454.1863 41 Wellman Street A1C Ne Lowell,MA 01851 EMAIL drad,it@tredcohumh•eem (300)225.1565 ADDRESS: INjUAER!sj APFORDINOCOVERAGE NAZCA INSURER A., CIIlaeaslnsuraneeCompanyoFAmerlea 31534 INSURED Henararlrsuranee Campany U292 New England Window&Door LLC INSURER 8: INSURER C Massronusails Bay Inslrranee 22306 45 Fandl Road Employes Insurance Company of Wausau 21458 Haverhill,MA 01332-1302 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:loyal REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED Td THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WTH RESPECT TO NMICH 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 BYPAID CLAIMS. _ ,NSR — ADD SUER pOLtOY EFF L C7 ESP LTR iYPEOPINSURANCE Irr ,r . PO!IOYNU!ASER '.PLIC I5t CIt CC7YW1';�------ LIMITS -- GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 OAMA E T RE TED 100,000 �_ X COMMERCIAL GENERAL LIABILITY PRF, ISE9 Ea eeeurrerce 1 CLAIMS-MADE jr X�j OCCUR I MED EXP(Any one person) 1 10,080 A -- — — ZBN3+.5(407 r!1:YUt1 1f112012 PERSONALBADVINJURY S 1,060,000 GENERAL AGGREGATE S 2,000,00D GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS•COMPIOPAGG 3 2,000,000 ri POLICY X PRC- X LOC S AUTOMOBILEL�BILrrY I �OMBINEDSINGLE.MT 1,C00,000� ! _a eerwdant S XANY AUTO I I BODILY INJURY(Par person) S C ALL OWNED SCHEDULED A.DN9 52159 7!113011 I Tf1I2012 BODILYINJURY(Par axldent) S AVMS AUTOS --- X X NON•OVYNED I I PROPERTY DAMAGE S r HIRED AUTOS I AUTOS I Psraecldo t S X UMBRELLA LIAS X OCCUR EACH OCCURRENCE 3 9,700.000 EEX`.'ESS LIAS CLAIMS-MADE UHN915r305 I 711011I V113312 AGGREGATE € 9,000,1100 _. L OED X RETENTION S WORKERS COMPENSATIONx WC TA u• aF-T11 AND EMPLOYERS'LIABILITY Y i N I I 500,-0�0 C ANY PROPRIlTOR1PARTNERIEY.ECUTIVEa NIA! YJCC21i2359570i1 irifAiii ' 7,t12Gt2 cLEACH ACC!DF.NT S OFFICERIMEMBER e'XCLUOE04 50(1,000 (Mandatory In NH+ I E•L.DISEASE•EA EMPLOYEE 3 Imes,desadba unser I 500,Oa0 DisdRIPTION OF OPERATIONS below E.L.DISEASE•POLICY!LIMIT 1 ! I HT DESCFUP 110NI OF OPERATIONS I LOCATIONS I VEHICLES(ANach ACORu 101;oddiiinnai Remarice Schedrsle,IF mole a!arseH regelr9dl Prout of lnsurauee CERTIFICATE HOLDER CANCELLATION Naw cngiand winmw&UGM , SHOULD ANY OF THE:ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THS `ai FUL4TION OWE THEREOF, NOTICE A1iLL BE DELIVERED iN 45 Fandl Road ACCORDANCE WITH THE POLICY PROVISIONS. 2 Haverhlli,MA 0183C r AUTHORIZED REPREWMATWE Cilan:S 31� M;!a '"' Cert Hoider "'fO ww� ©19Sg.2C10 ACORD CORPORATION. All rights reserved. ACORD 23(2010105) Tire ACORD Marne and(ocrja are registered maAs OiACORD Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR Registratiow-11L29774 Type: Expirati6r; rf1 f2L3t3. Supplement C PELLA WINDOW�8NAIII ;D WILLIAM NICHOLS- j r_ A , 45 FONDI RD. ��— HAVERHILL,MA 0183Undersecretary I Massachusetts- Department of Puhlic Silfet, Boartl of Building; Rggulations and Standards Construction SU'Pervisor License License: CS 89853*:,,c.." WILLIAM R 'NICHOL-8 57 PEARTR EE RD�; ---;. HAVERHILL, MA Expiration: 10/26/2012 Commissioner Tr#: 4529 i 4 Contract - Detailed Pella Windows&Doors Sales Rep Name: Havens, Lou HIC#129774/Tax ID#26-1413183 45 Fondi Road Sales Rep Phone: Haverhill, MA 01832 Sales Rep Fax: Phone: (978)373-2500 Fax: (978)373-7274 Sales Rep E-Mail: Customer Information Project/Delivery Address Order Information Bonnie Miller WLH,MILLER,BONNIE,NORTH ANDOVER Quote Name: FIBERGLASS DOOR 72 Paddock Ln 72 Paddock Ln Order Number: 741 LHO253 NORTH ANDOVER,MA 01845 Lot# Quote Number: 2308657 Day Phone: (978)6553848 NORTH ANDOVER,MA 01845 Order Type: Installed Sales Mobile Phone: County: ESSEX Payment Terms: Fax Number: Tax Code: MA TAX 6.25 E-Mail: Quoted Date: 12/9/2010 Great Plains#: 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 9/21/2011 Contract-Detailed Page 1 of 5 I I Customer:Bonnie Miller Project Name: WLH,MILLER,BONNIE,NORTH ANDOVER Order Number: 741LHO253 Quote Number: 2308657 Line# Location: Attributes 10 FRONT ENTRY Entry Systems,3-Wide Inswing Door,68.5 X 81.5,White,4-9116" Qty 1 1:1480 Sidelight Inswing Door ' PK# Frame Size: 15 1/2 X 81 1/2 General Information: Clad,Standard Sill,Bronze Anodized,Glazed,1/2 Light,Smooth Fiberglass 482 .� Exterior Color/Finish: Standard EnduraClad,White,Unfinished Interior Color/Finish: Unfinished,Primed Interior Glass: Tempered Low E Argon Gas ME 12a Unit Accessories: No Options Viewed From Exterior Grilles: Simulated Divided Lite(SDL),7/8",Traditional,1,3 Frame Size:68.5"X 81.5" Vertical Mull 1: FactoryMull,Standard Joining Mullion-Doors 2:3680 Left Inswing Door Final Wall Depth:4-9/16" Frame Size: 37 1/2 X 81 1/2 General Information: Clad,Standard Sill,Bronze Anodized,Solid,6 Panel,Smooth Fiberglass Exterior Color/Finish: Standard EnduraClad,White,Unfinished Interior Color/Finish: Unfinished,Primed Interior Sash/Panel: No Protective Face Sheet Hardware Options: Latch Bore with Deadbolt,2-3/4",None,Standard Hinge,Brass Unit Accessories: None Vertical Mull 2: FactoryMull,Standard Joining Mullion-Doors 3:1480 Sidelight Inswing Door Frame Size: 15 1/2 X 81 1/2 General Information: Clad,Standard Sill,Bronze Anodized,Glazed,1/2 Light,Smooth Fiberglass Exterior Color/Finish: Standard EnduraClad,White,Unfinished Interior Color/Finish: Unfinished,Primed Interior Glass: Tempered Low E Argon Gas Unit Accessories: No Options Grilles: Simulated Divided Lite(SDL),7/8",Traditional,1,3 Wrapping Information: Foldout Fins,4-9/16"Factory Applied,Perimeter Length=300". ES—Single with SIT-Install Single Entry Door with Sidelight and/or Transom Qty 1 Composite Trim>48-Composite Trim Upgrade>Greater than 48 inches wide Qty 1 Line# Location: Attributes 15 FRONT ENTRY Entry Systems,Fullview Storm Door Interchangeable Unhanded,36 X 81, Black Qty (90509) 1 1:3680 to 81 Unhanded Interchangeable Fullview Storm Door PK# Frame Size: 36 X 81 482 General Information: Clad Exterior Color/Finish: Standard EnduraClad,Black Sash/Panel: 1-5/8"Extruded Glass: Clear Hardware Options: Standard,Brass Viewed From Exterior Grilles: None Frame Size:36"X 81" Model: 4601 Wrapping Information: Perimeter Length=234". ES Storm Door-Install Storm Door Qty 1 Thank You For Purchasing Pella® Products For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Printed on 9/21/2011 Contract-Detailed Page 2 of 5 ` Customer: Bonnie Miller Project Name: WLH,MILLER,BONNIE,NORTH ANDOVER Order Number: 741 LH0253 Quote Number: 2308657 PELLA WARRANTY: Pella products are covered by Pella's limited warranties in effect at the time of sale.All applicable product warranties are incorporated into and become a part of this contract. Please see the warranties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system.Neither Pella Corporation nor Pella Windows&Doors will be bound by any other warranty unless specifically set out in this contract. However,Pella Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening(egress)information does not take into consideration the addition of a 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 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 Durinq 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 For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 9/21/2011 Contract-Detailed Page 3 of 5 Customer: Bonnie Miller Project Name: WLH,MILLER,BONNIE,NORTH ANDOVER Order Number: 741LHO253 Quote Number: 2308657 If Purchased,install exterior primed pine wood trim or Azek.Azek will be unfinished. If Purchased, install interior trim matching wood window finish or White trim for Impervia and Encompass Install non-Pella entry door lockset provided by you. Pella is not responsible for it's quality or performance After the Installation the Homeowner agrees to do the following: Be available for completion and sign off to verify all products purchased are in working order Reinstall existing shutters and awnings Re-install existing shades,drapes,window treatments,wall hangings, and reposition furniture Arrange to have alarm system and doorbells reinstalled Reinstall air conditioners Remove stickers from product and save for energy rebate and tax purposes Wash all interior&exterior glass surfaces Fill nail holes and joints on interior trim if windows are to be stained (after staining) Clean up exterior casing issues due to storm window removal if full wrap or new exterior trim is not purchased Project ChKklist has been reviewed Customer initial Product Only Addendum has been reviewed Customer initial Credit Card Account#: Last 4 Digits I Expiration Date: / I Charge final payment to same account (Upon substantial completion) Customer initial I 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 912112011 Contract-Detailed Page 4 of 5 Customer: Bonnie Miller Project Name: WLH,MILLER,BONNIE,NORTH ANDOVER Order Number: 741LHO253 Quote Number: 2308657 ❑Project Checklist has been reviewed Order Totals 1 �_ Taxable Subtotal $2,244.40 redit Card Approval Signature Sales Tax @ 6.25% $140.28 �v Non-taxable Subtotal $1,018.21 h _Z C E �AV646Total $3,402.89 Custo er Name (Please print) Pella Sales Rep Name (Please print) Deposit Received $1,701.36 179- _( Amount Due $1,701.53 7— tomer Signature Pella Sales Rep Signature Z:L zc�c1 Date Date For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 912112011 Contract-Detailed Page 5 of 5 -)Q14iu�25�3 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 Terns and Conditions are an integral part ofthe 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 perforin 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 contmet. ofthe Contract,if notified in writing by the Owner within two years after the Completion Date or,i f earlier,the date on which the Work is substantially 2. OWNER completed and payment ofthe 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 ofthe 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 9. 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 for coordinating all portions ofthe 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 will provide and pay CONSEQUENTIAL.INCIDENTAL,INDIRECT,OR SPECIAL DAMAGES, for all labor,materials,equipment,tools and machinery.transportation,and WHETHER FORESEEN OR UNFORESEEN. other facilities and services necessary for the proper execution and completion ofthe 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 pennitted,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. 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 Improvement Contractor Registration. improper or insufficient maintenance,improper operation or normal wear and One Ashburton Place,Boston,MA(12108,oveme 7-5 98 tear. Pella will keep the premises and surrounding area free flora accumulation of waste materials or rubbish caused by performance ofthe 12. PERMITS(MA customers only) Work. Peyd is obliga��d�'�to and will obtain the following permits for this project: 4. CILANGF.1 ' f Vj0(.VL-?tHomeowners who secure their own permits will be excluded from the 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 i f 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 Dade(including any extensions g`reerilent. contemplated above),but is substantially completed by such date,i.c.,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 parts or work to be completed is acceptable.However,the holdback will not ills right. exceed the amount ofthe completion costs or 10%ofthe remaining unpaid balance ofthe Price,whichever is less. Do not sign this contract if there are ani'blank spaces. 6. FINANCING Ifpaynient ofthe Price is financed with a financial institution through Pella,all Financing paperwork must be completed upon signing of this Contract and the requisite approvals and authorizations for the lull amount ofthe requested F linancing shall have been received from the financial institution. C t .er sian ure Date -N/ ►�-zS ppDISPUTES Job Name Date o I ! 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 Contractor / '�U/ i t� TM Homeowner NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THF OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. NOTICE OF CANCELLATION Customer Name: AZ,1,L-7Z (Please print) Date of transaction: D — f 2-011 You may cancel this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, any property traded in, any payments made by you under the agreement, and any negotiable instrument executed by you will be returned within ten business days following receipt by the seller of your cancellation notice, and any security interest arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received, any goods delivered to you under this agreement; or you may if you wish, comply with the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. 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 018 32 not later-than midnight ofZ; (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) JONATHAN HAROLD MILLER -74gA'.4C-;2-" mySmart Cash Account® 1305 BONNIE MAZE MILLER - 80-558/1012 72 PADDOCK LN NORTH ANDOVER,MA 01845 �t"� Date Pay to the I ��I Order tof h a 6 Dollars UMB Bank,N.A. /NVE ST MEN iS WarsaN•,MO l �1M For14 � -- -- I: L0120S68111: L30Sill 7710746 9846011'