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Building Permit #184-14 - 91 WEYLAND CIRCLE 8/28/2013
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Q CA Ef(-6NQ (1)2 Print PROPERTY OWNER A44LeLleF 111AC41�1 z Print 100 Year Old Structure yes fnP MAP NO: -PARCEL,?— ZONING DISTRICT: Historic District yes �n Machine Shop Village yes 60 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 9,0ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial KLRepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District, 0 Water/Sewer DESCRIPTION OF ORK TO BE PERFORMED: Uo 6&D�2 S j Ja 54- ..� c` Identification Please Type or Print Clearly) OWNER: Name: 1^ 4gizictg Phone: Address: ( WEILeo t CONTRACTOR Name: :Wk- WIAJOaW sT 1«�...rA1,�trc�is Phone e `ZSr'Zc S 7�SS— a Address: 45- Ec )or ` .31- Supervisor's Construction License:—(D glfc5-3 Exp. Date: 16 2c- y Home Improvement License: /,)-I-7-7)i Exp. Date: 1/1 -`' "` 3 I ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 'ca 3, FEE: $ Check No.: Q�D �' 4 Receipt No.: 6 � � NOTE: .Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/IOwner Signature of contractor 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 0 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 a 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 DEW Tow;! Engineer: signature: Located 384 Osgood Street FIRE DEPARTMENT Temp Dumpster on site yes no Located at 124 Main Street Fire Departinerit 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 Dieter 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 I ® Notified for pickup - Date i Doc.Building Permit Revised 2010 Building Department The folwving 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 Engineeredp roducts 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 ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apu,al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submAted with the building application Doc: Doc-Building Permit Revised 2012 Location /� �'t/�t✓/C�v�� �( No. /If Date 2 t • - TOWN OF NORTH ANDOVER � Certificate of Occupancy $ Building/Frame Permit Fee $ �� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ` Check# J O Building Inspector NORTH own of 2 ,, Andover o - No. —.jq o h , ver, Mass, cocN�cNew�cw �7' A0RATEO )"*' '* S u BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ....... f1. .! BUILDING INSPECTOR ..........................� .............................. has permission to erect ...................... buildings on ...��.i f' `. .�G .............................. Foundation �1 Rough tobe occupied as ................... ..........l:.............................................................................................. 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 CONSTRUCTIODKI STARTS Rough Service ............. ..... ...................................... B DING INSPECTOR Final GAS INSPECTOR Occupancy Permit Required to Occupy Buildinjq Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE The Commonwealth of Massachusetts -_ - Department of Industrial Accidents - Office of Investigations 600 Washington Street Boston,MA 02111 _ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeaffilY Name (Business/Organization/Individual): Address: .5— ` :i�asa—� City/State/Zip: Phone -- - Areryou an employer-MEheck the=appropria#e--box;::.- -- - Type-ofd"roject"requtre ; - 1.bq-d am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0.�emodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' insurance� 9. ❑Building addition [No workers coin comp.insurance p' required.] 5. E] We are a corporation and its 10.F1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' corirp. right of exemption Der MGL i 2.❑ roof repairs insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. Iam an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name: A/1E t 10Le}�,y s -1,y_S n Policy#or Self-ins.Lie.#: :,n Ll Expiration Date: Job Site Address: City/State/Zip: - Attach a copy of the workerscompensation 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. I do hereby certify under the pains and penalties of perju►y that the information provided above is true and correct. Signature: LA_i,,. <3 Date: Phone#: ql. .. -7 J S C Official use only. Do not write in this area,to be completed by city or town off ciaL 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#: AC®R®r DATE(MMrOD iIYYYI) k DATE OF LIABILITY INSURANCE 07/08/2013 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 NTA T Fred C.Church,Inc. NAME: Dorothy A.Cddelt,CIC,RPLU 41 Wellman Stree1851 PHONE 978 3227231 FAX (878)454-1665 Lowell,MA 01851 A1C No Ext: AIC No (800)2251865 E-MAIL dcodett@kedcchurch.com ADDRESS: INSURER,5 AFFORDING COVERAGE NAIC# INSURED INSURERA: Citizens Insurance Company of America 31534 New England Window 8 Door LLC INSURERS: Hanoverinsurance Company 22292 45 Fondl Road INSURER C Massachusetts Bay insurance 72306 Haverhill,MA 01832-1302 INSURER D: New Hampshire Employers Insurance Company 13063 INSURER E: INSURER F _.. _ ..._ COVERAGES. ____ _...__. -CERTIFICATE NUMBER;2632s _ . _ . ._ _ aEVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TN TSR AODL SUER LTR TYPE OF INSURANCE POLICY NUMBER MWD�Y MMILIODY EXP LIMITS GENERAL LIABILITY X EACH OCCURRENCE $ 1,000,000 COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 1001000 PREMISES Ea occurrence) $ CLAIMS-MADE X OCCUR 10,000 A MED EXP(Any one person) $ ZBN8161407 7/1/2013 7/1/2014 1,000,000 PERSONAL 8 ADV INJURY $ GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP XGG $ 2,000,000 POLICY X PRO- X LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 Ee accident $ ANY AUTO BODILY INJURY(Perperson) $ C AALLDOS OWNED SCHEDULED ADNO162169 AUTOS 7/112013 711/2014 BODILY INJURY(Per accident) $ HIREDAUTOSNON-OWNED AUTOS PROPERTY DAMAGE $ Per accident X UMBRELLA LIAR X $ OCCUR 9,000,000 EXCESS LIAR B EACH OCCURRENCE $ CLAIMS-MADE UHN8167305 7/1/2013 711/2014 AGGREGATE $ 9,000,000 DEO RETENTION$ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY X VvC STATU- OTH- ANY PROPRIETORIPARTNER/EXECUTIVE /N R I ITER 0 OF EXCLUDED? ❑ N/A 400040101 7/1/2013 E.L.EACH ACCIDENT $ 500,000 (Mandatory In NH) 7/112014 If yes,describe under E.L.DISEASE-EA EMPLOYE $ 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,IF more space Is required) CERTIFICATE HOLDER CANCELLATION I 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(2010105) The ACORD name and logo are registered marks of ACORD 1 I Office of-.Consume► Afra s&Business Regulation OME IMPR0VEMENT CONTRA( TOR Reg istratior:"-1123774: Tyl*; Ex irafip ' P. 19f2/2011.3, Supplement N I PELLA WINDOWS AND DQQRS x � k WILLIAM NICHOLs� 45 FONDI RD. HAVERHILL, MA 01832 == Llnderscretary I i I - i R lrlassachusetts -Department of Pubo is Safety `-� Board so, Building Reguiations and Standards Construction supen ism- License: CS-089853 - t WILLIAM R NICHHOLS .� 57 PEARTIdt RD ; HAVERHILL MA 01830' r::``''' ;r,;ss >rer 10/26/2014 I Contract - Detailed a Pella Window an Door Showroom of Haverhill 45 Fondi Road Sales Rep Name: Whelan, Kevin ® Sales Rep Phone: 978-373-2500 Haverhill, MA 01, 2 � Sales Rep Fax: Phone: 978373 00 Fax: 9783737274 Sales Rep E-Mail: WHELANKM@pellaboston.com Customer information Project/Delivery Address Order Information Maurice Martini Martini,Maurice,1273911 Quote Name: Vinyl Exterior Pocket 91 Weyland Cir 91 Weyland Cir Order Number: 741KWO052 NORTH ANDOVER,MA 01845-4933 Lot# Quote Number: 4915931 Day Phone: (978)9899484 North Andover, MA 01845-4933 Order Type: Installed Sales Mobile Phone: County: Payment Terms: Deposit/C.O.D. Fax Number: Tax Code: MA TAX 6.25 E-Mail: mp@martinimail.net Quoted Date: 7/27/2013 Great Plains#: 7372115 Customer Number: 1006581993 Customer Account: 1002054432 Customer Notes: Permit Fee Payed$2 Line# Location: Attributes 10 None Assigned Df IeryiSetup-Delivery/Setup Item Price Qty Ext'd Price $200.00 1 $200.00 i For more informatioi Igarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com DAM-4 nn DIA10011 (`nnirnn# rN.fnilcrl Dn 1 n4 1!1 Customer: Maurice Martini Project Name: Martini,Maurice,1273911 Order Number: 741KWO052 Quote Number: 4915931 Line# Location: Attributes 15 Dining Room NO Sill Vinyl Windows/Doors By Pella, Double Hung, 27 X 62,White Item Price Qty ExVd Price $933.13 3 $2,799.39 1:Nonstandard SizeNon-Standard Size Double Hung,Equal PK# Frame Size: 27 X 62 Gel 577 General Information: Standard,Vinyl, Block Frame With Mull Groove,3 1/4",3 1/4",20 Series,Sill Adapter Included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:27"X 62" Wrapping Information: No Exterior Trim,No Interior Trim, Pella Recommended Clearance, Perimeter Length=178",Glazing Pressure=50. PI—Ext Trim-Pocket w/Exterior Trim Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 Composite Trim<48-Composite Upgrade-48 Inches or Less Wide Qty 1 Line# Location: Attributes 7-71 20 Dining Room With Sil Vinyl Windows/Doors By Pella, Double Hung, 27 X 62,White Item Price Qty Ext'd Price $933.13 2 $1,866.26 1:Nonstandard SizeNon-Standard Size Double Hung,Equal PK# Frame Size: 27 X 62 577 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",20 Series,Sill Adapter Included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude 27 Screen: Full Screen Viewed From Exterior Grille: GBG, 3/4"Contour,Traditional(3W2H/3W2H) Wrapping Information: No Exterior Trim, No Interior Trim, Pella Recommended Clearance,Perimeter Length=178",Glazing Pressure=50. Frame Size:27"X 62" I PI—Ext Trim-Pocket w/Exterior Trim Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 Composite Trim<48-Composite Upgrade-48 Inches or Less Wide Qty 1 i For more information regarding the finishing, maintenance, service and warranty of ail Pella®products, visit the Pella®website at www.pella.com 17.:..1..4.... O/C Inn•f9 /''....i.....1 x1-4-:1..4 rf--- 0 -4 An Customer: Maurice Martini Project Name: Martini,Maurice,1273911 Order Number: 741KW0052 Quote Number: 4915931 Line# Location: Attributes 25 Kitchen With Sill Vinyl Windows/Doors By Pella, Double Hung, 31 X 38, White Item Price Qty Ext'd Price $836.59 1 $836.59 1:Non-Standard SizeNon-.Standard Size Double Hung,Equal PK# Frame Size: 31 X 38 F3 577 General Information: Standard,Vinyl,Biock Frame With Mull Groove,3 1/4",3 1/4",20 Series,Sill Adapter Included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude �— –^ Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,'Traditional(3W2H/3W2H) Frame Size:31"X 38" Wrapping Information: No Exterior Trim, No Interior Trim,Pella Recommended Clearance,Perimeter Length=138",Glazing Pressure=60. PI Ext Trim-Pocket w/Exterior Trim Qty 1 No Ext Wrap/Cap-No Exterior Wrap/Cap Qty 1 Composite Trim<48-Composite Upgrade.48 Inches or Less Wide Qty 1 Line# Location: Attributes 30 Kitchen No Sill Vinyl Windows 1 Doors By Pella, Double Hung, 27 X 54,White Item Price Qty Ext'd Price $908.56 3 $2,725.68 1:Nonstandard SizeNon-Standard Size Double Hung,Equal PK# Frame Size: 27 X 54 577 General Information: Standard,Vinyl, Block Frame With Mull Groove,3 1/4",3 1/4",20 Series,Sill Adapter Included, Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:27"X54" Wrapping Information: No Exterior Trim, No Interior Trim,Pella Recommended Clearance,Perimeter Length=162",Glazing Pressure=45. PI Ext Trim-Pocket w/Exterior Trim Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 Composite Trim<48-Composite Upgrade-48 Inches or Less Wide Qty 1 For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com n.4-d-4-- 0/C10n49 r1. 4.. 4 n..i..tl..d n.,.... O -4 4n Customer: Maurice Martini Project Name: Martini,Maurice,1273911 Order Number: 741KWO052 Quote Number: 4915931 Line# Location: Attributes 35 Master Bed Vinyl Windows/Doors By Pella, Double Hung, 27 X 54,White Item Price Qty Ext'd Price $908.56 2 $1,817.12 1:Non-Standard SizeNon-,Standard Size Double Hung,Equal PK# Frame Size: 27 X 54 577 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",20 Series,Sill Adapter Included, Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Ito Glass: Insulated Low E Advanced Argon Non High Altitude T• Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:27"X54" Wrapping Information: No Exterior Trim, No Interior Trim, Pella Recommended Clearance,Perimeter Length= 162",Glazing Pressure=45. PI—Ext Trim-Pocket w/Exterior Trim Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 Composite Trim<48-Composite Upgrade-48 Inches or Less Wide Qty 1 Line# Location: Attributes 40 Family Room Vinyl Windows/Doors By Pella, Double Hung, 27 X 66,White Item Price Qty Ext'd Price $945.41 3 $2,836.23 1:Non-Standard SizeNon-Standard Size Double Hung,Equal PK# Frame Size: 27 X 66 8 577 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",20 Series,Sill Adapter Included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude • 2i - Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:27"X 66" Wrapping Information: No Exterior Trim, No Interior Trim,Pella Recommended Clearance, Perimeter Length=186",Glazing Pressure=45. Composite Trim<48-Composite Upgrade-48 Inches or Less Wade Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 PI—Ext Trim-Pocket w/Exterior Trim Qty 1 1 For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Customer: Maurice Martini Project Name: Martini,Maurice,1273911 Order Number: 741KWO052 Quote Number: 4915931 Line# Location: Attributes 45 Upstairs Bath Vinyl Windows/Doors By Pella, Double Hung, 27 X 54,White Item Price Qty Ext'd Price $1,010.98 1 $1,010.98 1:Non-Standard SlzeNon-Standard Size Double Hung,Equal PK# Frame Size: 27 X 54 577 General Information: Standard,Vinyl, Block Frame With Mull Groove,3 1/4",3 1/4",20 Series,Sill Adapter Included, Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Tempered Low E Advanced Argon Non High Altitude T — Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:27"X54" Wrapping Information: No Exterior Trim, No Interior Trim,Pella Recommended Clearance,Perimeter Length=162",Glazing Pressure=205. PI—Ext Trim-Pocket w/Exterior Trim Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 Composite Trim<48-Composite Upgrade-48 Inches or Less Wade Qty 1 Line# Location: Attributes 50 Front Bed Vinyl Windows/Doors By Pella, Double Hung, 27 X 54,White Item Price Qty Ext'd Price $908.56 1 $908.56 f1: Non-Standard SizeNon-Standard Size Double Hung,Equal PK# Frame Size: 27 X 54 577 General Information: Standard,Vinyl, Block Frame With Mull Groove,3 1/4",3 1/4",20 Series,Sill Adapter Included, Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude 27 — Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:27"X54" Wrapping Information: No Exterior Trim, No Interior Trim,Pella Recommended Clearance,Perimeter Length=162",Glazing Pressure=45. Composite Trim<48-Composite Upgrade-48 Inches or Less Wide Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 PI—Ext Trim-Pocket w/Exterior Trim Qty 1 For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella(D website at www.pelia.com na + + 0101')n4'3 n .a. a r%-4-;I-A n--- c -4; �n Customer: Maurice Martini Project iVame: Martini,Maurice,1273911 Order Number: 741 KW0052 Quote Number: 4915931 Fun-e# Location: Attributes 55 Back Bed Vinyl Windows/Doors By Pella, Double Hung, 27 X 54,White Item Price Qty Ext'd Price $908.56 2 $1,817.12 1: Non-Standard SizeNon-Standard Size Double Hung,Equal PK# Frame Size: 27 X 54 577 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",20 Series,Sill Adapter Included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude 27 -- Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:27"X 54" Wrapping Information: No Exterior Trim, No Interior Trim,Pella Recommended Clearance, Perimeter Length= 162",Glazing Pressure=45. Composite Trim<48-Composite Upgrade-48 Inches or Less Wide Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 PI—Ext Trim-Pocket w/Exterior Trim Qty 1 Line# Location: Attributes 60 Basement Vinyl Windows/Doors By Pella, Double Hung, 27.5 X 37.5,White _ Item Price aty Ext'd Price j $834.41 1 $834.41 1: Non-Standard SizeNon-Standard Size Double Hung,Equal PK# Frame Size: 27 1/2 X 37 1/2 P50 a General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",20 Series,Sill Adapter Included,Head Expander Included 577 Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude Screen: Full Screen Viewed From Exterior Grille: GBG,3/4"Contour,Traditional(3W2H/3W2H) Frame Size:27.5"X 37.5" Wrapping Information: No Exterior Trim, No Interior Trim,Pella Recommended Clearance,Perimeter Length=130",Glazing Pressure=65. PI—Ext Trim-Pocket w/Exterior Trim Qty 1 No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1 Composite Trim<48-Composite Upgrade-48 Inches or Less Wide Qty 1 For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Customer: Maurice Martini Project Name: Martini,Maurice,1273911 Order Number: 741KWO052 Quote Number: 4915931 Line# Location: Attributes 65 Living Room Vinyl Windows/Doors By Pella, Casement Left, 22.5 X 58.5,White Item Price qty ExVd Price $1,249.97 2 $2,499.94 % 1:Non-Standard SizeNon-Standard Size Left Casement kn PK# Frame Size: 22 1/2 X 58 1/2 Is 577 General Information: Standard,Vinyl, Nail Fin,3 3/8", 1 7/16", 1 15116",25 Series Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low E Advanced Argon Non High Altitude Hardware Options: Standard,Standard Roto Operator Viewed From Exterior Screen: Full Screen Grille: GBG,3/4"Contour,Traditional(2W4H) Frame Size:22.5"X 58.5" Wrapping Information: No Extedor Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length= 162",Glazing Pressure=55. FF<48 wide-Install Full Frame Window 48 inches or less wide Qty 1 Finish FF Trim-Finish Paint/Stain FF Interior Trim Only Qty 1 Composite Trim<48-Composite Upgrade-48 Inches or Less Wide Qty 1 Trim Stool and Apron-Add Stool and Apron Trim to Picture Frame Qty 1 Line# Location: Attributes 70 2 Doors Vinyl Windows/Doors By Pella, Double Sliding Door Vent/Fixed, 70.75.X 79.5,White Item Price qty Ext'd Price $2,349.52 2 $4,699.04 1:7280 Vent/Fixed Double Sliding Door PK# Frame Size: 70 3/4 X 79 1/2 577 General Information: Standard,Vinyl, Nail Fin With Mullion Groove,4 112", 1 7/16",3 1/16", 10 Series Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Tempered Low E Advanced Argon Non High Altitude 7075 Hardware Options: White,White Viewed From Exterior Screen: Sliding Screen,Premium Frame Size:70.75"X 79.5" Unit Accessories: No Options Grille: GBG,3/4"Contour,Traditional(3VV6H/3W6H) Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance, Perimeter Length=301'°,Glazing Pressure=90. PD—2 Wide-Install 2-Wide Patio Door Qty 1 Finish Patio Trim-Finish Paint(Stain Patio Door Interior Trim Only Qty 1 Composite Trim>48-Comj)osite Trim Upgrade>Greater than 48 inches wide Qty 1 For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Customer: Maurice Martini Project Name: Martini,Maurice,1273911 Order Number: 741KWO052 Quote Number: 4915931 Line# Location: Attributes 75 10 PCT OFF July Promo -July Promotion Item Price Qty Ext'd Price ($2,485.13) 1 ($2,485.13) 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 consideraticn the addition of a R.olscreen [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. For more information regarding the finishing, maintenance, service and warranty of ail Pella®products,visit the Pella®website at www.pelia.com ori.+e,+— Qia/Onl z r...,+.,.+ nmao.+ o.,..e Q -f in Customer: Maurice Martini Project Name: Martini,Maurice,1273911 Order Number: 741 KWO052 Quote Number: 4915931 Before the Installation Pella agrees to do the following, Obtain Building Permit(When required) Prefinish products when purchased in contract During the'lnstallation 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 pinewood 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 aarees 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) aCleaquperior casing issues due to storm window removal if full wrap or new exterior trim is not purchased Project Checklist has been reviewed Product Only Addendum has been reviewed Customer initial Credit Card Account#: Last 4 Digits Expiration Date: / For more information regarding the finishing, maintenance, service and warranty of ail Pella®products,visit the Pella®website at www.pelia.com Customer: Maurice Martini Project Name: Martini,Maurice,1273911 Order Number: 741KWO052 Quote Number: 4915931 Charge final payment to same account (Upon substantial completion) Atom iUal /project Checklist has been reviewed { A 6J(Arica ���d i lni ���e✓i�� �/�a ��i.v�. Customer N e (Please print) Sales Rep Name (Please print) Order Totals Taxable Subtotal $10,490.19 Custoffier Signat a ella Sales Rep Signature Sales Tax @ 6.25% $655.64 Non-taxable Subtotal $11,876.00 Date Dat Total $23,021.83 Z141/)W Deposit Received $11,510.92 Cre it Card ApI#6val Signature mount Due $11,510.91 I i For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Dri nfnri nn G/R/7(11'1 rnnirnnf rlcfnilnrf Dn 40 of 4n NOTICE OF CANCELLATION Customer Name: !V`u k r;r e— M a y f i l ,' (Please print) Date of transaction: �S aoi 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 goons 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 01.832 not later than midnight of (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) PELLA WINDOWS AND DOORS CONTRACT 7. PAYMENTS 1. TERMS AND CONDITIONS Pella shall be entitled to stop the Work upon written notice to Owner for any material default or failure by Owner,including but not limited to,the Owner's These Terms and Conditions are an integral part of the contract set forth on the failure to pay Pella the amount due within seven days after the date payment is Product Order(the"Contract")between New England Window and Door LLC due. dba Pella Windows&Doors,Inc.("Pella")and the person(s)identified on the Product Order("Owner")to supply the products(the"Products"),and perform 8 CORRECTION OF WORK the work(the"Work")described or referred to in such Contract. For Product Only purchases,a signed"Product Only Addendum"is a required part of the Pella shall correct installation Work not in conformance with the requirements contract. of the Contract,if notified in writing by the Owner within two years after the 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. PELLA SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, WRITTEN OR ORAL(INCLUDING WITHOUT 3. PELLA LIMITATION ANY WARRANTY OF MERCRANTABILITY 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 famished 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, One Ashburton Place,Boston,MA 02108,617-727-8598 tear. Pella will keep the premises and surrounding area free from accumulation of waste materials or rubbish caused by performance of the 12. PERMITS(MA customers only) Work. Pella is obligated to and will obtain the following permits for this project: 4. CHANGES M em' . Homeowners who secure their own permits will be excluded from tht guaranty fund provisions of Massachusetts General Laws, The Owner may order in writing changes in the Work consisting of additions, chapter 142A. deletions,or modifications("Change Order"). Any Change Order shall include an adjustment to the Price and the Substantial Completion Date,as In addition to the rights and warranties enumerated in this agreement,you may determined by Pella. Pella reserves the right to approve or disapprove any have additional rights under Massachusetts General Laws,chapter 142A and Change Order and any such Change Order must be signed by both Owner and 780 Code of Massachusetts Regulations R6. Pella to be effective. 13. NOTICE OF CANCELLATION 5. SUBSTANTIAL COMPLETION You may cancel this agreement if it has been signed by a party Owner understands and agrees that the Substantial Completion Date is an thereto at a place other than an address of the seller,which estimate only and that the actual date on which the Work is completed may be may be his main office or branch thereof,provided you notify extended to allow for Change Orders requested by Owner or if the time to complete the Work is affected by conduct of the Owner,weather,labor the seller in writing at his main office or branch by ordinary disputes,availability of subcontractors,acts of God,fire or other causes mail posted,by telegram sent or by delivery,not later than reasonably beyond Pella's control.If for any reason the Work is not fully midnight of the third business day following the signing of this completed by the Substantial Completion Date(including any extensions agreement. contemplated above),but is substantially completed by such date,i.e.,the Product has been installed,but minor parts or components are missing or need See the attached Notice of Cancellation for an explanation of to be replaced or repaired,a hold back proportionate to the cost of remaining this right. parts or work to be completed is acceptable.However,the holdback will not exceed the amount of the completion costs or 10%of the remaining unpaid balance of the Price,whichever is less. Do not sign this contract if there are any blank spaces. 6. FINANCING If payment of the Price is financed with a financial institution through Pella,all financing paperwork must be completed upon signing of this Contract and the requisite approvals and authorizations for the full amount of the requested financing shall have been received from the financial institution. Customer signature 6 aoi3 Date DISPUTES Job Name /AAhv% k1 Date THE CONTRACTOR AND THE HOMEOWNER HEREBY MUTUALLY AGREE IN ADVANCE THAT IN THE EVENT PELLA HAS A DISPUTE CONCERNING THIS CONTRACT, PELLA MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SECRETARY OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSINESS REGULATIONS AND THE CONSUMER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION AS PROVIDED IN M.G.L.c. 142A Contr ctor Homeow er NOTICE: THE SIGNATURE OF THE PART IES 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 T HE PARTIES.