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HomeMy WebLinkAboutBuilding Permit #148-15 - 777 JOHNSON STREET 8/11/2014 TOWN OF NORTH ANDOVER G APPLICATION FOR PLAN EXAMINATION Permit NO: O'er Date Received Date Issued: IMP(jRTANT:Applicant must complete all items on this page LOCATION '777 J/4s©a Sr Print PROPERTY OWNER Cd-nus�,A 4 ae-yVsS _"q Print 100 Year Old Structure ' yes no MAP NO: 0 PARCEL: "tui ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building B Qne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFOR ED: Identification Please Type or Print Clearly) OWNER: Name: Ct4�7S'-0-rte /D'0—=8eiv.-S Phone: �C-s--'7a-7°7 Address: '7-7-7 is-h4vso t st' CONTRACTOR Name: iA gL,& .,./& , A),Lb Phone: 7k-US-.2V91— Address: 1"r•US-.2VSr"Address: LIS- /-�t)Nj !MA- Ot fr 32. Supervisor's.Construction License: 10 S-y k S& Exp. Date: Home Improvement License: / 2k31-3 Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $'f6Poo ^ FEE: $ - 79. �a Check No.: ��l�1 Receipt No.: X7,'7 7 NOTE: Persons Persons contracting with unregistered contractors do not have access to the guaranty fund ,Signature of Agent/Owner- C,'&,- i 4-±A",—Signature of contractorZ.u.,. ,�----- -- -- Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ 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 Tbib a ]Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 MainStreet 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 Meter location, mast or service drop requires approval of i 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 i El Notified for pickup - Date f 3 t Doe.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. R.00fili°g, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apt.al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm:4ted with the building application Doc: Doc.Bui!ding permit Revised 2012 Location 7 7 7 f D No. �L� Date 6 /i . - TOWN OF NORTH ANDOVER • Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ i Check# t Ouilding Inspector r , NORT11 ve" ,* No. � Z h ver, Mass, /A" A- COCHICHEWICH V� 1 7,e A�R,�TED ►`P�,`'�5 S U BOARD OF HEALTH i Food/Kitchen PERMIT T LD Septic System / /Y BUILDING INSPECTOR THIS CERTIFIES THAT ...........................................1 .........!'f............ !S F s' has permission to erect .......................... buildings on ...7.7.7... 4.."so"..5�........................ , Foundation /� Rough Woof- to be occupied as ................... ...... .�i. .- .G,(Oc9�"....................................................... 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. i PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION TARTS 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 'Toga Do } Until Inspected and App' ,o lay�t Smoke Det, The Coum itivealth of Massachusems V- 1 Department ofIndustrialAccidents Office of ltt�esti;aborts 1 Congress,Street,saile 100 Boston,-114 0211-1-2017 wivie.mass.gorfdia Workers'Compensation Insurance Affidavit:Builders:Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Butt'iBusinesi OrErmi_ation Iudividuali: ���/� ��� C C'a _-address: YS— ���� Citi.State_Zip: L&Vezm-11-tid &Uxlolle-—:--9, V- Are tion an employer?Check the appropriate box: Type of project(required): f.'RI illi a empiover iridl 4. ❑I am a°enei'al COl]tl8ci0r 11111 I (fill]andr'orpui-timet.'H have lured The sub-contractor: C' ❑Newcotlstnictlon zmiilo}°ees ❑ I am a sole proprietor or partner_ listed on the attached sheet. %. Renlodeling ship and have no e ❑ aiplo�.ees These sub-coutracrors have [j ~. ]Demolition Woltillafor . ein)110vees and have RoA.ers .1nsllrance.: Building ttl?ai lt]011 [No workers' COihip.]llsill'allce comp. required.] -'• ❑ We are it corporation and Its 10-❑Electrical repair!,or additions, officers have exercised Their ❑ I am a homeowner doily all wort 11.❑Plumbing repairs or additions myseL. i[No ivorl ers colllp. rilghT of exemption per MGL insurance required.] c. 15'.y 1(-}1,and we have n0 12.[]Roof 1'epatl' employees. [No workers, I-,.El Other comp. insurance required.] ".til.applicant that check;box=1 lust also fill out the section beton-ihc,iMn2 their workers'comptmationvclicy infornmtiou. t Homeomners t%%o kubilllt this afridaviT i idlcstia9 ih-v are dont?A work-olid then hire outside contract ors mut tsltbruit i nen-affldaSli nldicatnl$iltcll. `Connmaciors that check thli box hunt attached an addinllnal sheet ihott iU2 the imme of the sub-contractors and state whether of nit those entities have elliifi0}'ees. If die silo-contractors have eniplot2eS,they must protide their il-orkers'Conti.(folic_nnnSber. I ani an eniploi'er iliat is providing irorfiersl eonipe7isatiott itistiranCe for iii'eniploi-ees. Below is the polio},any!job site/ inform anion. hisutallce C'o111panv lgame:"rte-.�� /v/ ,�� �a An�•�,�'{9�� s �I��j — Polis}' or Self-ins.Lic.=: 71000 1/0//® � Expiration Date: Job Site Address: City State"Zip: Attach a copy of the workers'compensation policy declaration page(shoving the polio-number and expiration(late). Failure to secure coverage as required tinder SecTlolh 2 4;--�of NIGL c. 1121 can lead io the imposition of criminal penalties of a !sue up to w1. 00.00 andror ue-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a Pule of up to S'50.00 a div against the s-iolator. Be advised that a cope-of this sTa;ement Maybe forwarded to the Office of Investigations of the DL-1 for insurance covera_e verification. I do hereby certify ander the pains and penalties of perjun•tbar the information provided above is true and correct. Signature: Phoue z6s zz Ass ----- — -- ..-. Official use only. Do not write in this area,to be completed b1'city or roan gfpciai. City or Town: PermitlLicense Issuing Anthorin.(circle one): 1.Board of Health 2.Building Department 3.Cit"Town Clerk A.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone r: A CERTIFICATE OF LIABILITY INSURANCE 07/02/DAT 20E 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 Dorothy A.Corlett,CIC,RPLU Fred C.Church,Inc. NAME: 41 Wellman Street PHCNEo 978 3227231 FAX No: (978)454-1865 Lowell,MA 01851 E-MAIL dcorlett@fredcchurch.com (800)225-1865 ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Citizens Insurance Company of America 31534 INSURED INSURER B: New Hampshire Employers Insurance Company 13083 New England Window&Door LLC INSURER C: 45 Fondi Road Haverhill,MA 01832-1302 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:30382 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDD MM/DDIYYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 100,000 PREMISES Ea occurrence $ CLAIMS-MADE FTI OCCUR MED EXP(Any one person) $ 10,000 A ZBN8161407 7/1/2014 7/1/2015 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO X - X LOC I I $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB CCUR EACH OCCURRENCE $ O EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/N L IT NB ANY PROPRIETOR/PARTNER/EXECUTIVE❑ E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? IA 400040101 7/1/2014 7/1/2015 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 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 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Client# Mst# Cert Holder# ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Ci.' sagiiusetts---0eFPa-rtc�Pn± of Public Safety Btiarcl of.Scold ng Regulafi6n' s and St nctareis P i C m-truetion Super%icor 1 3 Lscepse: CS-089853-- , WILLUNN NICAOLS. r 57 PEARTREE RD f'.t HAVERHILL MA 01830 - n 9 E K�Sirattor '{ i6i26/2014 ice a�rzr,ac}au ecrllf a/n/llm'%jt7C zczJe License or registration valid for individul use only Office.of Consumer Affairs&Business Regulation before the expiration date. If found return to: ME IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation egistration: 178383 Type: 10 Park Plaza-Suite 5170 XI iration: 400/2016; Corporation Boston,MA 02116 PELLA WINDOWS AND DOOR i WILLIAM NICHOLS 1 45 FONDE RD HAVERHILL,MA 01832 Undersecretary. Not valid without signature 4 I j Contract - Detailed I Pella Window and Door Showroom of Haverhill Sales Rep Name: Griseto, Anthony 45 Fondi Road Haverhill,Road 01832 Sales Rep Phone: 978-373-2500 Sales Rep Fax: Phone: 9783732500 Fax: 9783737274 Sales Rep E-Mail: GRISETOAC@pellaboston.com Customer Information Project/Delivery Address Order Information Christina And Todd Dennis Dennis,Christina And Todd,NorthAndover,MA,1414545 Quote Name: 1 Entry System 777 Johnson St 777 Johnson St Order Number: 741AG0235 NORTH ANDOVER, MA 01845-5507 Lot# Quote Number: 5829934 Primary Phone:(978)6857077 North Andover, MA 01845-5507 Order Type: Installed Sales j Mobile Phone: County: Payment Terms: WF1145-6 Month no Interest Fax Number: Tax Code: MA TAX 6.25 E-Mail: Quoted Date: 6/24/2014 Great Plains#: Customer Number: 1006912960 Customer Account: 1002374182 Customer Notes: MA North Andover $12/1000($30 MIN FEE). i Customer paid$73.00 building permit fee with check#198 Line# Location: Attributes 10 Delivery Delivery/Setup- Delivery/Setup Item Price Qty Ext'd Price $199.75 1 $199.75 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 7/16/2014 Contract-Detailed Page 1 of 7 =Customer: Christina And Todd Dennis Project Name: Dennis,Christina And Order Number: 741AGO235 Quote Number: 5829934 i Todd,NorthAndover,MA,1414545 Line# Location: Attributes 15 Front Entry Pella Brand, 3-Wide Inswing Entry Door Sidelight, White Item Price Qty EXt'd Price $4,994.18 1 $4,994.18 1: Fixed Inswing Entry Door Sidelight PK# General Information: Clad,Wood,Pine,6 3/8", 1 5/16",5 1/16",Standard Sill,Brown Finish Sill,Oak Threshold �1 Entry Door Panel: Glazed, Fiberglass,Smooth,Smooth, 1/2 Light i S { 651 Exterior Color/Finish: Standard Enduraclad,Painted,White,White Interior Color/Finish: Painted,White,White Glass: Tempered Decorative Madeira Nickel 13 3'=5 t-3-7 Vertical Mull 1: AlignedWith,0.5" Viewed From Exterior 2:Right Inswing Entry Door General Information: Clad,Wood, Pine,6 3/8", 1 5/16",5 1/16",Standard Sill,Brown Finish Sill,Oak Threshold Entry Door Panel: Glazed,Fiberglass,Smooth,Smooth,Craftsman Light Exterior Color/Finish: Standard Enduraclad,Painted, Putty,White*exterior door frame must be putty to match Interior Color/Finish: Painted,White,White Glass: Tempered Decorative Madeira Nickel Hardware Options: Latch Bore with Deadbolt,2 3/8",2 1/8",No Handle Set,Aluminum Adjustable,Satin Nickel Unit Accessories: No Dentil Shelf,No Bang Panel Vertical Mull 2: AlignedWith,0.5" 3:Fixed Inswing Entry Door Sidelight General Information: Clad,Wood,Pine,6 3/8", 1 5/16",5 1/16",Standard Sill,Brown Finish Sill,Oak Threshold Entry Door Panel: Glazed, Fiberglass,Smooth,Smooth, 1/2 Light Exterior Color/Finish: Standard Enduraclad, Painted,White,White Interior Color/Finish: Painted,White,White Glass: Tempered Decorative Madeira Nickel Vertical Mull 1: AlignedWith,0.5" Customer Notes: The exterior aluminum clad frame on the sidelights will be white. The exterior aluminum clad frame on the entry door will be putty. *The sidelight panels and entry door panel will match respectively *the Interior Sidelights,door and frame will all be white. Composite Trim>48-Composite Trim Upgrade>Greater than 48 inches wide Qty 1 Entry Trim Finish-Finish Paint/Stain Entry Interior Trim Only Qty 1 ES_Single with S/T-Install Single Entry Door with Sidelight and/or Transom Qty 1 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 7/16/2014 Contract-Detailed Page 2 of 7 ,Customer: Christina And Todd Dennis Project Name: Dennis,Christina And Order Number: 741AGO235 Quote Number: 5829934 Todd,NorthAndover,MA,1414545 Line# Location: Attributes 20 Storm Door Entry Systems, Storm Door Fullview Rolscreen Unhanded, Putty(P390052862) Item Price Qty Ext'd Price $695.41 1 $695.41 1:to 81 Unhanded Storm Door PK# General Information: Clad �— 651 Exterior Color/Finish: Standard Enduraclad,Putty Sash/Panel: 1 3/8"Extruded Glass: Clear Hardware Options: Standard,Satin Nickel :3 Model: 3900 Viewed From Exterior ES–Storm Door Express-Install Storm Door Express(4601,4602,3900,3010,3020) Qty 1 Thank You For Purchasing Pella® Products PELLA WARRANTY: Pella products are covered by Pella's limited warranties in effect at the time of sale.All applicable product warranties are incorporated into and become a part of this contract. Please see the warranties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system.Neither Pella Corporation nor Pella Windows&Doors will be bound by any other warranty unless specifically set out in this contract. However,Pella Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening(egress)information does not take into consideration the addition of a 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 For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 7/16/2014 Contract-Detailed Page 3 of 7 .Customer: Christina And Todd Dennis Project Name: Dennis,Christina And Order Number: 741AGO235 Quote Number: 5829934 Todd,NorthAndover,MA,1414545 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 ollowing:Obtain Building Permit (When required) Prefinish products when purchased in contract During the Installation the Homeowner agrees to do the following: Keep pets safely away from work area Keep children safely away from work area Allow Pella Installer room to work safely within your home During the Installation Pella agrees to do the following: Deliver and unload products purchased per contract Place and remove drop cloths in work area then vacuum, and remove all debris at end of day Remove existing product, including storm windows, and dispose of it unless otherwise specified Install all products using method specified in contract per Pella Installation Instructions Replace interior and/or exterior trim only if purchased If Purchased, install exterior primed pine wood trim or Composite. Composite will be unfinished. If Purchased, install interior trim matching wood window finish or White trim for Impervia and Encompass Install non-Pella entry door lockset provided by you. Pella is not responsible for it's quality or performance After the Installation the Homeowner agrees to do the following: Be available for completion and sign off to verify all products purchased are in working order Reinstall existing shutters and awnings Re-install existing shades, drapes, window treatments, wall hangings, and reposition furniture Arrange to have alarm system and doorbells reinstalled Reinstall air conditioners Remove stickers from product and save for energy rebate and tax purposes Wash all interior&exterior glass surfaces Fi it holes and joints on interior trim if windows are to be stained (after staining) u e terior casing issues due to storm window removal if full wrap or new exterior trim is not purchased Project Checklist has been reviewed Customer initial Product Only Addendum has been reviewed Customer initial Credit Card Account#: Last 4 Digits 7 2 9 3 Expiration Date: / For more information regarding the finishing, maintenance, service and warranty of all Pella@ products, visit the Pella@ website at www.pelia.com Printed on 7/16/2014 Contract-Detailed Page 4 of 7 'Customer: Christina And Todd Dennis Project Name: Dennis,Christina And Order Number: 741AGO235 Quote Number: 5829934 • Todd,NorthAndover,MA,1414545 AAAAI Charge final payment to same account (Upon substantial completion) Customer initial roject Checklist has been reviewed � Christina & Todd Dennis Anthony Griseto Cu s er a (Please print) Pe ep N e Please print) Order Totals Taxable Subtotal $4,567.59 C er Signature Pella Sales RJp Signa re Sales Tax @ 6.25% $285.47 7/16/2014 7/16/2014 Non-taxable Subtotal $1,321.75 e Date Total $6,174.81 #"Al Deposit Received $3,087.41 dit Card Approval Signature Amount Due $3,087.40 I I 1 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 7/16/2014 Contract-Detailed Page 5 of 7 NOTICE OF CANCELLATION Date of transaction: 7/16/2014 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 01832 not later than midnight of 7/19/2014 (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) r DISPUTES 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 Pella Windows & Doors Contractor Homeowner NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. 1 PELLA WINDOWS AND DOORS CONTRACT 7. PAYMENTS 1. TERMS AND CONDITIONS Pella shall be entitled to stop the Work upon written notice to Owner for any material default or failure by Owner,including but not limited to,the Owner's These Terms and Conditions are an integral part of the contract set forth on the failure to pay Pella the amount due within seven days after the date payment is Product Order(the"Contract")between New England Window and Door LLC due. dba Pella Windows&Doors,Inc.("Pella")and the person(s)identified on the Product Order("Owner")to supply the products(the"Products"),and perform 8 CORRECTION OF WORK the work(the"Work")described or referred to in such Contract. For Product Only purchases,a signed"Product Only Addendum"is a required part of the Pella shall correct installation Work not in conformance with the requirements contract. of the Contract,if notified in writing by the Owner within two years after the Completion Date or,if earlier,the date on which the Work is substantially 2. OWNER completed and payment of the Purchase Price made subject to a holdback as provided above.Correction of Work as herein provided shall be Owner's sole Pella is not responsible for any existing security systems.Owner shall remove remedy for defective workmanship,and is provided in lieu of any and all other all shades;verticals,blinds,curtains,drapes or window mounted air remedies.Pella's obligation to correct Work is conditioned on Pella's prior conditioners,prior to the installation of the Products.Pella's installers are not receipt of all payments then due. responsible for the removal or installation of these types of items. Pella is not responsible for pre-existing window coverings fitting on newly installed Pella 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. PEL A L 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 of the Work.Pella will be responsible for the Work of its Pella 10. NO CONSEQUENTIAL DAMAGES Contractors who will install the Products. UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR Unless provided otherwise in the Work description,Pella 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 of the Work. 11. HOME IMPROVEMENT CONTRACTORS The materials and equipment furnished under the Contract will be good quality All home improvement contractors and subcontractors shall be registered with and new unless otherwise required or permitted,the Work will be free from the director of the Home Improvement Contractor Registration Program defects not inherent in the quality required or permitted,and the Work administered by the Board of Building Regulations and Standards. Pella and conform with the requirements of this Contract.Pella shall not be responsible any of its subcontractors identified in this agreement have been registered. for damages or defects caused by abuse,modifications not executed by Pella, Any inquires about Pella or any of its subcontractors relating to registration improper or insufficient maintenance,improper operation or normal wear and should be directed to:Director,Home Improvement Contractor Registration, tear. Pella will keep the premises and surrounding area free from One Ashburton Place,Boston,MA 02108,617-727-8598 accumulation of waste materials or rubbish caused by performance of the 12. PERMITS(MA customers only) Work. PellaU lg�ed to and will obtain the following permits for this project: 6Ul�ding . Homeowners who secure their own permits will be 4. CHANGES 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 if the time to complete the Work is affected by conduct of the Owner,weather,labor the seller in writing at his main office or branch by ordinary disputes,availability of subcontractors,acts of God,fire or other causes mail posted,by telegram sent or by delivery,not later than reasonably beyond Pella's control.If for any reason the Work is not fully midnight of the third business day following the signing of this completed by the Substantial Completion Date(including any extensions agreement. contemplated above),but is substantially completed by such date,i.e.,the Product has been installed,but minor parts or components are missing or need See the attached Notice of Cancellation for an explanation of to be replaced or repaired,a hold back proportionate to the cost of remaining this right. parts or work to be completed is acceptable.However,the holdback will not g exceed the amount of the completion costs or 10%of the remaining unpaid balance of the Price,whichever is less. 6. FINANCING Do not s t tract if there are any blank spaces. If payment of the Price is financed with a financial institution through Pella,all financing paperwork must be completed upon signing of this Contract and the requisite approvals and authorizations for the full amount of the requested financing shall have been received from the financial institution. Customer signature 7/16/2014 Date