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Building Permit #186 - 95 OLD FARM ROAD 9/15/2008
i BUILDING PERMIT o` 14ORTH t �0 1ti TOWN OF NORTH ANDOVER ?44y'''.- . _�'.�° o- APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received — <to r �SSACS Date Issued: ! 'd IMPORTANT:Applicant must complete all items on this page nn rent MSP NO : PARCEL ZOMDI_CT F �stancD►si`ct yeses v rach e M11Jage -Y s TYPE OF IMPROVEMENT PROPOSED USE iz Non- Residential New Building e famil A ition o or more family Industrial Alte No. of units: Commercial Repair,r Assessory Bldg Others: Demolition Other Sephcy W, it Flco'dpla�n `Wetland latetierllstr�ct '+� V1/ater/.Sewer . ; DESCRIPTION OF WORK TO BE PREFORMED: J REP44Y-_K?eti�" 6K � Aan--2 7_O RgPL4Ce K4 eZ;—C Lu Um b O,W --- Identification Identification Please Type or Print Clearly) OWNER: Name: MARIA** Phone: 9'7£-79fl-X91RQ Address: R S p L6 FAA" COIiTRACTORVa �X P6h, 7 F. Supervisiar's Cor�struc#�n 1cekrse Home Frtproume�xt LicenseM X7'7 Epp Qate:: K..; 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: $ �{ �&�� FEE: $ Q Check No.:T� Receipt No.: 0?/. ��0 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature�of,4gent/�u�Iner-�,.�{:...� ;� �S:i`grrature af,=cor�tra.�tar � , Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer 'ranning/MassageBody Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street :F1 E DEPART 1IJEN Tetxlp Dlrrtrapste.res rxo Locatod at 1 24,Mairrstreet Fl. e e artment s� amt re/date,-. .GM:NIENT�S ro' i Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— For department use ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application o Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o 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 o 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 appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 Location No. / Date MORTM TOWN OF NORTH ANDOVER 49 ; Certificate of Occupancy $ s',K ;SEt� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # i 2 i 5 Building Inspector FORTH c 0 Of tAndover , No. o I.A O dover, Mass., ' d COCMICMEWICK AORATED `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........... . .h. .... ........... ..... .�i.. ......... .. . . .. .................................................... Foundation has permission to erect........................................ buildings on ....... .. .......Q�.,��ed......... ,....... Rough • w+I�+ �I • Chimney to be occupied as...... ................................................... provided that the person accepting 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 EMPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU S Tsiao Rough ........ ........ ........................................................................................ Service BUILDING INSPECTOR 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 FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. ' The Commonwealth of Massachusetts , Department of InduMiol Accidents •Offlce of Investigations , 600 Washington'Street Boston,MA 02111 www.massgov/dia Workers' Compensation IN Affidavit: Builders/Contractors/Electricians/Plumbers An>alicant Information � Please Pt let Legibly Name(Businesslocg m;zit Ow ndividual) Pe l'(gk WA-0w.3 Address: qS 'Fv'v%44, U . City/5tate/Zip- l ��1 /�1�4 0412 �IM64 :oe . 7 4.6S.-72SS Are you an employer?Cbeck the 1 appropriate bor. - •'''`` Type'of p ro�ed(required):.. I am'a employer with 2-S ' 4. ❑ I am ageneral contragtor and I employees Mill and%c p—* have hired the.sub�cormia�etors 6. ❑New construction 2.❑ I am a sole proprietor orpartner- listed on the'attacfied-sheet.t 7• ❑Remodeling ship and have no employees• 'these siib4ontriaorai have K .D.Danolition • , workM for me in any capacity. workers'comp.insurance. ' 9;•❑Building addition (No workers'comp.i0surance. 5. Q We are a corporation and its. required.] officers have exercised their 10.0 Electrical repairs or•additions 3.0 lam.a homeowner doing all.work . right of exemption per MGI; I Lo Pititnbing repairs or additions myself.[No workers' comp: ' f ci 152, §1(4),and we have no 12.0 Roof repairs insurance roquired,j't employees. [No workers' 13:❑Other comp.insurance required:] 'AAy applicant that dwe b box dl mint 84.0 511 omt the'fection blow showingj ' t'Homeawner,who tobrtit this at5dat►tt:�dt P_ I apoliry.it fonddion. tftiy ire doing all wak tad then tiire pmtside aoo4a�;tort mutt tublpit'a'mew a1i' a`vit indicating su h. =ConlrsCtbrs that check thii hoz must.attiched an;"iomd sheet.showing the name 44c subeonbactm gad their wodiets''camp.policy Won"on. I am on employer dlot.is piovtdtng*vrkm eonlpensatton insurance jor my employees*Beloiv isthe policy;and job site . '.injorncotton. • '.. - - .. .. Insurance Company Name: �t�eo1 C , C�Vra�► ' Policy#or self-ins.Lie:#: D57127 2 dp Expiration Date• Job Site Address- Attack.© of the workers' compensation policy declaration page.(showiog fli`e policyiiiimbef'and espgation•date): Failure tb secure�covefage as requiod-under Sectitin.25A of MGL c.•152 can lead to the imposition of ociminal penalties of a fineup to$1,500.00 and/or onayear imprisonment,'as well as•ciKil penalties in-the form of a ST OP WORK.ORDER and a fin of up to$250.00 a day against the violator. Be advised that a copjr ,�yis'stateMent jnay be'forWarded to the Office of Investigations of the MA for insurdnce coverage verification. I do hereby eertlfy undo dee pokes and penaldes of perjury that the infoniw x provided above•ts true and correct si¢nature: f✓ AL, �/;_— Date 9' . Oficial use o*. Do'not tvr<ti In this area to be cenokW by city or town arkial City or Town: PermitUcense# L4suing-Anthority(circle • - ' .•. , - .; . Ic Boaraof Heda..2.8aiMinons):e Department 3.City/Town Clerk '4 Electrical .4.Otber Inspector 5.Ptambiag Inspector ::�.�-��, ACON.'. CERTIFICATE OF LIABILITY INSURANCE 07ro2n0081 ) . PRODUCER %(800)225-1965 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Fred C.Church,Inc, ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 41 Wellman Street HOLDER. THIS CERTIFICATE DOES NOT'AMEND, EXTEND OR Lowell,MA 01851 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 800-225-1865 INSURERS AFFORDING COVERAGE• NAIC#. INSURED New England Wmdow&Door LLC INSURER A: Citizens InsU==Company of America, 45 Fondi Road INSURER B: HODOVer Insurance COmpanY Haverhill,MA 01832-1302 INSURER C: Ma=ChuSettS BaY Inst=CC INSURER 0, Twin City Fire Insurance Co. 129459 . INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW'HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERMOR 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADWI POLICYNUMBER POLICYEFFECTIVE POLICYEXPIRATION LIMITS GENERAL LIABILITY EACH OCCURRENCE 11,000,000 X COMMERCIAL GENERAL LIABILITY PREM Me O=Mvmi 000,000 CWMSMADE ®OCCUR MED EXP one $10,000 A ZBN8161407 7/1/2008 7/1/2009 PERSONAL a ADV INJURY $1,000,000 GENERAL AGGREGATE f 2,000,000 GEN'LAGGREGATEUMITAPPLIESPER: PRODUCTS-COMAGG $2,000,000 POLICY PRO- El JECT LOC AUTOMOBILE LIABILITY X ANY AUTO (Ea Bax d-O ED ANGLE LIMIT $1,000,000 ALL OWNED AUTOS BODILY INJURY f C SCHEDULED AUTOS ADN8162169 7/1/2008 7/1/2009 (P*P—) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (per aocidsnl) f PROPERTY DAMAGE•.• f ' (Per--chid) s GARAGE LIABILITY•• AUTO ONLY-EA ACCIDENT f ANY AUTO EAACC $ OTHER THAN AUTO ONLY: . AGO f EXCESSAIMBRELLA LIABILITY EACH OCCURRENCE $9,000,000 X OCCUR F•CLAIMSMADE AGGREGATE $9,000,000 B 1UHN8167305 7/1/2008 7/1/2009 'f. DEDUCTIBLE $ Hx RETENTION S f WORKERS COMPENSATION AND X WC STATU 0TH- EMPLOYERS'LIABILITY D ANY PROPRIETORMARTNEWEXECUTIVE OBWBNL5742 7/1/20087/1/2009 E.L.EACH ACCIDENT s500,000 OFFICERIMEMSEREXCLUDED? E,L.DISEASE,EAEMPLOYEE $500,000 K desalts under SPECIAL PROVISIONS bebws } E.L.DISEASE-POLICY LIMIT $500,000 __ ...._ OTHER . DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/.EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Proof of Insurance CERTIFICATE HOLDER CANCELLATION New England Window&Door LLC SHOULD ANY OF THE ABOVE DESCRIBE6 POLICIES BE CANCELLED BEFORE THE EXPIRATION 5 Fondi Road DATE THEREOF,THE ISSUING INSURER WALL ENDEAVOR TO MAIL 30 DAYS WRITTEN Haverhill,MA 01830 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE No OBLIGATION OR LIABILITY OF ANY IOND,UPON THE INSURER,ITS AGENTS OR REPRESENTATNES. AUTRORIZEO REPRESENTATIVE ::::::: ACORD 25(2001/08) Client# 2960 Mst# 08-09 GL,UMB,WC, Cert# ©ACORD CORPORATION 1988 Auto - ��`' ✓Ice �o�,i.,ca�uoeal!/t o�-�faeeacluQck3 BOARD OF BUILDING REGULATIONS .: License: CONSTRUCTION SUPERVISOR - Number: CS 089853 Birthdate: 10/26/1960 Expires: 10/26/2008 , Tr.no: 89853 Restricted: 00 WILLIAM R NICHOLS 57 E � G HAVERHILLRHILL, MAA 01830 // Commissioner, '✓le �omm�are�aeall�z o� llakuzc�.uaelld Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 129774 Expiration: 11/2/2009 Type: Supplement Card PELLA WINDOWS AND DOORS WILLIAM NICHOLS 45 FONDI RD. HAVERHILL,MA 01832 Administrator Contract / Pella Windows&Doors,Inc. 45 FONDI ROAD HAVERHILL MA 01832 HIC# 129774 /TAX ID 26-1413183 �r Phone: 800-866-9886 Fax: 978-373-7274 Customer ro ec .. ..: . a rder: GRIlVIMETT WME N.ANDOVER grimmett WME N ANDOVER Date 00/00/00 Quote No. GRIMMETT 95 OLD FARM RD 95 OLD FARM RD Order No. Need Date 00/00/00 N ANDOVER,MA 01845 N ANDOVER,MA 01845 Sales Rep.Name McLellan,Mike/WME ESSEX ESSEX Prepared by Payment Terms Deposit/C.O.D, Owner:Ms.MARTHA GRE%E%IETT Architect Bus.Phone: ( ) - Bus.Phone: Jamb Depth Bus.Fax: ( ) - Home Phone:(978)794-8589 P.O.No. Cellular: ( - Branch Order No. Home Phone:( ) - Order Type Installed Sales Order Glazing Design 20.00 psf. Pressure Branch Name Pella Windows&Doors,Inc. Branch Address 45 FONDI ROAD Phone 800-866-9886 City HAVERHILL MA 01832 Fax 978-373-7274 1 State HIC# 129774 /TAX ID 26-1413183 Comments:DEPOSIT CHECK$ 10,432. BAL.DUE$11,433.. PERMIT$252. 'THIS CONTRACT SUPERSEDES CONTRACT OF 8-28-08 For information regarding the finishing, maintenance,service,and warranty for all Pella products,visit the Pella Website at www.nella.com. Printed 09/08/08 Contract-Page 1 of 7 1 ` Contract for Customer GRIlVIlVIETT WME N. ANDOVER Project: grimmett WME N ANDOVER Order No.: Outside View law No- ntw. Sim�mg_ryDescEWti3O Unit Price Extended Price Item#10 Qty: 1 Twin 8x6 Lite Panel w/Half Sidelieht 5,070.09 5,070.09 o® Location: A: 110"x 618" Fixed--used with In-swing Entry Door Sidelight, CBS R.O: 5'5-1/4" X 6' 101' Frame:13-1/2 X 81-1/2:Entry Systems,Clad,Half Lite,Model 2, LL, WallCond:4-9/16" White,Wood-Grain Fiberglass, V Temp Decorative Glass-Guinevere Doug Glazing,Exterior White/Interior White,Primed,Bronze Anodized Sill w/Adj Oak Threshold,Fins(per design) B:310"x 618"Right Hinge In-swing Entry Door,Frame:37-1/2 X 81-1/2:Entry Systems,Clad,Twin 8 x 6 Lite,Model 2,White, 1/2" Clear Temp Glazing,Wood-Grain Fiberglass,Exterior White/Interior White,Latch Bore with Deadbolt,2-3/4"Backset,Polished Brass Hinge,Primed,Bronze Anodized Sill w/Adj Oak Threshold,Fins(per design) C: 110"x 618"Fixed--used with In-swing Entry Door Sidelight, Frame:13-1/2 X 81-1/2:Entry Systems,Clad,Half Lite,Model 2, White,Wood-Grain Fiberglass, V Temp Decorative Glass-Guinevere Glazing,Exterior White/Interior White,Primed,Bronze Anodized Sill w/Adj Oak Threshold,Fins(per design) Value Added Items:Disposal per Unit-Qty 1 Single Entry Door with Sidelights OR Transoms-Qty 1 Azek Exterior Trim for Windows or Doors Full Frame(Per Unit-Qty 1 Notes: 1 x 8 azek trim 1 x 6 azek trim azek crown molding azek band molding 2 1/2" colonial pw 1 1/4"mull covers pw 1 x 4 oak for flooring For information regarding the finishing, maintenance,service,and warranty for all Pella products,visit the Pella Website at www.aelia.com. Contract-Page 2 of 7 ` Contract for Customer GRIMIVIETT WME N. ANDOVER Project: grimmett WME N ANDOVER Order No.: Q t aidje,Voew Ite■++No. ,t^; Sn=m_a Demscintioe Unit Price Extended Price Item#15 Qty: 4 Vent Double-Hung,Frame:31-1/4 X 58-1/2:Pella Impervia, 750.39 3,001.56 Location:FRONT Alternative Material,Model 1 ,Half Vent/match Half Vent,White, R.O:2'7-3/4" X 4' 11" 11/16"InsulShld IG Glazing,Full Screen,White Hardware,Precision WallCond: 1 11/16"(Fin to Roomside) Fit Frame-3 1/4"F-1 Value Added Items:Disposal per Unit-Qty 1 Integrated Stop P-Fit-Qty 1 Notes: Ottaide Yjew Item No. Otv. �m�ar'+Desedplia Unit Price r'r end .dg„Price Item#20 Qty: 1 Vent Double-Hung,Frame:30-1/4 X 36-1/4:Pella Impervia, 637.55 637.55 Location:BATH Alternative Material,Model 1 ,Half Vent/match Half Vent,White, ILO:26-3/4" X 3'0-3/4" 11/16"InsulShld IG Glazing,Full Screen,White Hardware,Precision WaliCond: 1 11/16"(Fin to Roomside) Fit Frame-3 1/4" Value Added Items:Disposal per Unit-Qty 1 Integrated Stop P-Fit-Qty 1 Notes: Qntci�de View item No. DZ Summary Dead Unit Prue Extended Price Item#25 Qty: 1 Fixed/Vent OX Sliding Window,Frame:39 X 39-1/2:Pella 953.05 953.05 Location:KIT Impervia, Alternative Material,Model 1 ,White, 11/16"InsulShld IG ILO:3'3-1/211 X 314" Glazing,Half Screen,White Hardware,Block Frame w/Std Fin ° WallCond: 1 11/16"(Fin to Roomside) Value Added Items:Azek Exterior Trim for Windows or Doors Full Frame(Per Unit-Qty 1 Impervia Full Frame Replacement-Qty i Disposal per Unit-Qty 1 Notes:21/2"colonial pelta white 2"azek sillnose 2"AZEK BRICKMOULD 1X 5 ROUNDED SELL PW 1X 6 JAMBS PW For information regarding the finishing, maintenance,service,and warranty for all Pella products,visit the Pella Website at www.aella.com. Contract-Page 3 of 7 Contract for Customer GRIMMETT WME N. ANDOVER Project: grimmett WME N ANDOVER Order No.: nn aide Yjew item Nn. Otv. 5nmm �esed to inn Unites Extended Price Item#35 Qty: 3 Vent Double-Hung,Frame:31-1/4 X 58-1/2:Pella Impervia, 633.24 1,899.72 F] Location: SIT Alternative Material,Model 1 ,Half Vent/match Half Vent,White, ILO:2'7-3/4" X 4' 11" 11/16"InsulShld IG Glazing,Full Screen,White Hardware,Precision WallCond: 1 11/16"(Fin to Roomside) Fit Frame-3 1/4" Value Added Items:Disposal per Unit-Qty I Impervia DH P-Fit-Qty 1 Notes: On aid .View Item No_ Otv. Summary Dejgdgaon Unit Priicce� Fztend��ed Price Item#40 Qty: 1 Vent Double-Hung,Frame:31-1/4 X 58-1/4:Pella Impervia, 750.39 750.39 Location: SIDE Alternative Material,Model 1 ,Half Vent/match Half Vent,White, ILO:2'7-3/4" X 4' 10-3/4" 11/16"InsulShld IG Glazing,Full Screen,White Hardware,Precision WallCond: 1 11/16"(Fin to Roomside) Fit Frame-3 1/4" L I Value Added Items:Disposal per Unit-Qty I Integrated Stop P-Fit-Qty 1 Notes: Qntgide View Item Nn. Otv. Summa DescriFtinn Unk Price F.ztended Price Item#200 Qty: 10 Vent Double-Hung,Frame:31-1/4 X 58-1/2:Pella Impervia, 750.39 7,503.90 ❑ Location:2ND Alternative Material,Model 1 ,Half Vent/match Half Vent,White, R.O:2'7-3/4" X 4' 11" 11/16"InsulShld IG Glazing,Full Screen,White Hardware,Precision WallCond: 1 11/16"(Fin to Roomside) Fit Frame-3 1/4" Value Added Items:Disposal per Unit-Qty 1 Integrated Stop P Fit-Qty 1 Notes: For information regarding the finishing, maintenance,service,and warranty for all Pella products,visit the Pella Website at www.uella.com. Contract-Page 4 of 7 Contract for Customer GRB4M ETT WME N.ANDOVER Project: grimmett WME N ANDOVER Order No.: Outaid�View Item Nn. otv_ La Price Fxtg-n,dedY-rice Item#205 Qty: 1 Vent Double-Hung,Frame.-30-1/4 X 36-1/4:Pella Impervia, 706.31 706.31 Location:BATH Alternative Material,Model 1 ,Half Vent/match Half Vent,White, ILO:26-3/4" X 3'0-3/41' 11/16"InsulShld Temp IG Glazing,Full Screen,White Hardware, WallCond: 1 11/16"(Fin to Roomside) Precision Fit Frame-3 1/4" Value Added Items:Disposal per Unit-Qty 1 Integrated Stop P-Fit-Qty 1 Notes: nutaid�V Item Nn- Ot �n��w npacrintinn iTni pri 1Txtende�l Prize. Item#210 Qty: 1 Vent Double-Hung,Frame:30-1/4 X 36-1/4:Pella Impervia, 637.55 637.55 ❑ Location:BATH Alternative Material,Model 1 ,Half Vent/match Half Vent,White, ILO:216-3/411 X 3'0-3/4" 11/16"InsulShld IG Glazing,Full Screen,White Hardware,Precision WallCond: 1 11/16"(Fin to Roomside) Fit Frame-3 1/4" Value Added Items:Disposal per Unit-Qty 1 Integrated Stop P-Fit-Qty 1 Notes: Thank You For Purchasing Pella Products Taxable Subtotal $ 14,103.79 Customer Signature Pella Sales Representative Signature Sales Tax at 5.0000% 705.19 Non-taxable Subtotal 7,056.33 Total $21,865.31 Date Date Deposit Received $ 0.00 For information regarding the finishing, maintenance,service,and warranty for all Pella products,visit the Pella Website at www.t)ella.com. Contract-Page 5 of 7 Contract for Customer GRB METT WME N.ANDOVER Project: grimmett WME N ANDOVER Order No.: 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,Inc. 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 for 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. Contract-Page 6 of 7 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 26 ontractor h4lvw110 omeowner 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. n 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 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 CONSEQUENTIAL DAMAGES portions of the Work.Pella will be responsible for the Work of its Pella 10. NO CONSE Q 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 All home improvement contractors and subcontractors shall be registered with The materials and equipment furnished under the Contract will be good quality the director of the Home Improvement Contractor Registration Program and new unless otherwise required or permitted,the Work will be free from administered by the Board of Building Regulations and Standards. Pella and defects not inherent in the quality required or permitted,and the Work any of its subcontractors identified in this agreement have been registered. conform with the requirements of this Contract.Pella shall not be responsible Any inquires about Pella or any of its subcontractors relating to registration for damages or defects caused by abuse,modifications not executed by Pella, should be directed to:Director,Home Improvement Contractor Registration, improper or insufficient maintenance,improper operation or normal wear and 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 bli at to and will obtain the following permits for this project: Homeowners who secure their own permits will be 4. CHANGES exclu ed fro 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 the seller in writing at his main office or branch by ordinary complete the Work is affected by conduct of the Owner,weather,labor disputes,availability of subcontractors,acts of God,fire or other causes mail posted,by telegram sent or by delivery,not later than reasonably beyond Pella's control.If for any reason the Work is not 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 the Price is financed with a financial institution through Pella,all financing / �J L[✓(,� nancing 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 Date / NOTICE OF CANCELLATION Date of transaction: ' - ') y - [, 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 l "three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature)