HomeMy WebLinkAboutBuilding Permit # 8/20/2015 � �10RYIy '
BUILDING PERMIT ® 16.QL&D �"Y
TOWN F NORTH ANDOVER
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APPLICATION FOR PLAN EXAMINATION o
Permit No#: Date Received
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Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION �
Print
PROPERTY OWNER G *CCS ..
MAP M- PARCEL: � `�' ZONING DISTRICTPrint 100 Year Structure yes no
_ �Historic District yes no
C" Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Buildingne family
El Addition IT' = or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
s:dZepair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
y�. ,.ri/r/ r / / J %,/i, i r/( �r /.f� / .. i, //1 ✓//// / r, r / .. / ,.,✓/ �i°T/l�Lf.//„/� (f/�.� / r /1 L,.
S tic ❑Well. � ,/,/ ❑,F ood lai, //��❑Wefla ds ��/ ,� ❑//Waters e f/D stnc /r//, ,,
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DESCRIPTION OF WORK TO BE PERFORMED:
Identification- Please Type or Print Clearly
OWNER: Name: Ad _ Phone:
Address: 50 T,4�1
Contractor Name:
P,-,Phone: 2 7 r I ,-,, ,,,: ...
Email:
Address:
Supervisor's Construction License: 6) c ii „ .... Exp. Date: - ”
Home Improvement License: Exp. Date:
ARCH ITECTENGINEER 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: $ FEE: $_
L
Check No.: ��) Receipt No.: �
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
,,. 77
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tkORT H
Town of
Andover
® =• ; Rs
No. 0
h ver Mass
O LAKE
COCKICHEWICK 1'
'QQ `v
�.4
04ATEo
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BOARD OF HEALTH
Food/Kitchen
i7ERMIT T LD Septic System
G' !`Gl �_S BUILDING INSPECTOR
THIS CERTIFIES THAT ....... ... ....f..:1. ................................................... ...............................
Foundation
has permission to erect ................... buildings on C— ... ..�r.7.....d::....................................
....... ........
Rough
to be occupied as ............ C"��.�.C'.�.f � �?../-.v'!: rL�OGti�.................................................... 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
LESSCTI T RTS Rough
Service
.............. ..... ............. ............................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Reguired to Occupy Building Rough
Islay in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approvedthe Building Inspector. Burner
Street No.
Smoke Det.
The Cotiitiioinveaifth of maassatchusetts
Depair'tment of'Industrial Aecidents
Office of Investigations
1 Congress Street,Suite 100
Bostota, MA 02114-201
jvw.mass.gov1dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print LLeg bly
Nalile(Business/Organization/Individual); , g//A Vi ,_y S f ,cw ,-(ate
Address:
City/State/Zip: `r' ,t ViDU- Phone#: C77?)-K63'-7-)-5_1Z
Are you an employer? Check the appropriate box: Type of project(required):
1.W1 am a employer with 4. ❑ I am a general contractor and I
employees(full and/or part-time).
have hired the sub-contractors6. ❑New construction
•
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ;Remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
working for me in any capacity. employees and have workers' 9. ❑Building addition
[No workers'comp. insurance comp. insurance.
required] corporation We are a�. oration and its 10.[] Electrical repairs or additions
❑ P
officers have exercised their
3.El am a homeowner doing all work: 11.❑ Plumbing repairs or additions
myself No workers' con . right of exemption per MGL
y ' � P 12.0 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 till out the section below showing their workers'compensation policy utrormation.
'•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.
I am an employer that is providing workers'compensation insurancefor my employees. Below is thepolicy and joh site
information.
Insurance Company Name: -!e�z s ZiN S !
Policy#or Self-ins. Lie.#: C,-6a.,L4 L ay Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL e. 152 can lead to the imposition of criminal penalties of a
tine 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 tine
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.
1 do hereby certify under the pains and penalties of perjury that the inforrnatian provided above is true and correct:
Date' - - --- - - ----
Phone#:
Of use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
.issuing Authority(circle one):
1. Board of health 2.Building Department 3.City/Town Cleric 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#-
CERTIFICATE OF LIABILITY INSURANCE [06129/2015MWDDTY"
DATE
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(les)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 TACT Dorothy A.Corlett,CIC,RPLU
Fred C.Church,Inc. NAME:
41 Wellman Street PHONE 9783227231 AC No• (976)454-1665
Lowell,MA 01651 E-MAIL
(800)225-1865 ADDRESS: dcorlett@fredcchurch.com
INSURER(S) AFFORDING COVERAGE NAIC 8
INSURER A: Citizens Insurance Company of America 31534
INSURED INSURER B:
New Hampshire Employers Insurance Company 13083
New England Window&Door LLC
45 Fondi Road INSURER C:
Haverhill,MA 01832-1302 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:54457 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.
/NSR ADDL SUER POLICY EFF POLICY EXP LIMITS
TYPE OF INSURANCE POLICY NUMBER MM/DD MWDD
GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000
X D MAGE TO RENTED 100,000
COMMERCIAL GENERAL LIABILITY
PREMISES Ea occurrence $
CLAIMS-MADE a OCCUR MED EXP(Any one person) s 10,000
A X CG0001 ZBN8161407 7/1/2015 71112016 1,000,000
PERSONAL&ADV INJURY $
GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG S 2.000,000
POLICY X PRO- X
J LOC S
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea ac dent)
ANY AUTO BODILY INJURY(Per person) $
ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) S
HIREDAUTOS NON-OWNED PROPERTY DAMAGE
AUTOS Peraccident $
$
UMBRELLA LIAR OCCUR
EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE
AGGREGATE $
DED I I RETENTIONS g
WORKERS COMPENSATION X WC STATU- 0TH-
AND EMPLOYERS'LIABWTY YIN LIMITS E 500,000
ANY PROPRIETORIPARTNER/EXECUTIVE 16
B ❑ E.L.EACH ACCIDENT S
OFFICER/MEMBER EXCLUDED? NIA 400040101 7/112015 7/1120
(Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 500,000
If yes,describe under 500,000
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $
DESCRIPTION OF OPERATIONS I LOCATIONS I 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 it MstIt Cert Holder# 384137 @ 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25(20.10105) The ACORD name and logo are registered marks of ACORD
Y O.91 ? 1
CS-089853
WILLIAM R NICH0LS
57 PEARTREE RI?
HAVERHILL NLk 01830
b, c
o n- 10/26/2016
,.. 7 Q C7•JJCt'['ICJ __ -_. - ....
Office.of Consumer Affairs&Business Regulation License or registration laud for individul use only,
ME IMPROVEMENT'CONTRACTOR .before the expiration date.'If found return to:
egistration: 178383 Type: Office of Consumer Affairs and Business Regulation
xpiration: 4/10/2016 Corporation 10 Park Plaza-Suite 5170
r Boston,MA 02116
PELLA WINDOWS AND DOOR
3
WILLIAM NICHOLS
. 45 FONDE RD
HAVERHILL,MA 01832
Undersecretary Not valid without signature
Contract - Detailed d
Pella Window and Door Showroom of Haverhill
Sales Rep Name. Simpson, Jeffrey
® 45 Fondi Road Sales Rep Phone: 978-373-2500
Haverhill, MA 01832 Sales Rep Fax:
Phone: (978) 373-2500 Fax: (978) 373-7274 Sales Rep E-Mail: SimpsonJS@Pellaboston.com
Customer Information Project/Delivery Address Order Information
Allan Marcus Marcus,Allan,N Andover,MA,1600237 Quote Name: Family Room Vinyls
50 Jay Rd 50 Jay Rd
Order Number: 741JS0370
NORTH ANDOVER,MA 01845-5503 Lot# Quote Number: 6990711
Primary Phone:(978)6971268 NORTH ANDOVER,MA 01845-5503 Order Type: Installed Sales
Mobile Phone: County: ESSEX Payment Terms: Deposit/C.O.D.
Fax Number: Tax Code: MA TAX 6.25
E-Mail: allanpainting@gmail..com Quoted Date: 7/27/2015
Great Plains#: 9536514
Customer Number: 1007280071
Customer Account: 1002988222
Line# Location: Attributes
10 None Assigned Delivery/Setup-Delivery/Setup Item Price Qty Ext'd Price
$178.88 1 $178.88
For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 7/28/2015 Contract-Detailed Page 1 of 4
Customer:Allan Marcus Project Name: Marcus,Allan,N Andover,MA,1600237 Order Number: 741JS0370 Quote Number: 6990711
Line# Location: Attributes
25 Family Room Vinyl Windows/Doors By Pella, Double Hung, 32 X 49.5,White Item Price Qty Ext'd Price
$550.73 4 $2,202.92
J.—J-1 1:Non-Standard SizeNon-Standard Size Double Hung,Equal
PK# Frame Size: 32 X 49 1/2
718 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",Sill Adapter Included,No Head Expander
' Exterior Color/Finish: White
Interior Color/Finish: White
Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
?a Hardware Options: White,Standard Vent Stop
Viewed From Exterior Screen: Half Screen
Frame Size:32"X 49.5" Grille: GBG,No Custom Grille,3/4"Contour,Traditional(3W2H/3W2H)
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=163",Glazing Pressure=105.
PI—Pocket Integrated Stop-Pocket Integrated Stop Qty 1
Replace Interior Stops-Replace Interior Stops 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.
INSYNCTIVE PRODUCTS:In addition,Pella Insynctive Products are covered by the Pella Insynctive Products Software License Agreement and Pella Insynctive Products
Privacy Policy in effect at the time of sale,which can be found at Insynctive.pella.com. By installing or using Your Insynctive Products you are acknowledging the Insynctive
Software Agreement and Privacy Policy are part of the terms of sale.
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
For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 7/28/2015 Contract-Detailed Page 2 of 4
Customer:Allan Marcus Project Name: Marcus,Allan,N Andover,MA,1600237 Order Number: 741JS0370 Quote Number: 6990711
Remove existing shades, drapes, window treatments, wall hangings, and personal belongings
Move furniture at least 3 feet away from work area
Tie or cut back trees, bushes and shrubs in the work area
Arrange to have alarm system and doorbells disconnected
Arrange to have any plumbing and electrical repairs or changes made by appropriate licensed contractor
Provide a door handle and lockset for entry door if Pella handle and lockset is not purchased.
Before the Installation Pella agrees to do the following:
Obtain Building Permit (When required)
Prefinish products when purchased in contract
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
Fill nail holes and joints on interior trim if windows are to be stained (after staining)
Clean up exterior casing issues due to storm window removal if full wrap or new exterior trim is not purchased
' Z� Project Checklist has been reviewed
Customer initial
Product Only Addendum has been reviewed
Customer initial
Credit Card Account#: Last 4 Digits
For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com
Printed on 7/28/2015 Contract-Detailed Page 3 of 4
Customer:Allan Marcus Project Name: Marcus,Allan,N Andover,MA,1600237 Order Number: 741JS0370 Quote Number: 6990711
Expiration Date: /
Charge final payment to same account
(Upon substantial completion) customer initial
Project Checklist has been reviewed
Allan Marcus Jeff Simpson
Customer Name (Please print) Pella Sales Rep Name (Please print) Order Totals
Taxable Subtotal $1,091.56
Customer Signature es Rep Signature Sales Tax @ 6.25% $68.22
7/28/15 7/28/15 Non-taxable Subtotal $1,290.24
Date Date Total $2,450.02
Deposit Received $2,450.00
Credit Card Approval Signature Amount Due $0.02
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 7/28/2015 Contract-Detailed Page 4 of 4
NOTICE OF CANCELLATION
Date of transaction: 7/28/15
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 7/31/15 (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
Pella shall be entitled to stop the Work upon written notice to Owner for any
1. TERMS AND CONDITIONS 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 Pella shall correct installation Work not in conformance with the requirements of
Only purchases,a signed"Product Only Addendum"is a required part of the the Contract,if notified in writing by the Owner within two years after the
contract. Completion Date or,if earlier,the date on which the Work is substantially
completed and payment of the Purchase Price made subject to a holdback as
2. OWNER 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 all remedy for defective workmanship,and is provided in lieu of any and all other
shades;verticals,blinds,curtains,drapes or window mounted air conditioners, remedies.Pella's obligation to correct Work is conditioned on Pella's prior
prior to the installation of the Products.Pella's installers are not responsible for receipt of all payments then due.
the removal or installation of these types of items. Pella is not responsible for
pre-existing window coverings fitting on newly installed Pella windows. 9. LIMITED PRODUCT WARRANTY
The Owner shall provide complete access to the work site between the hours of Pella shall warrant all Pella products,but only in accordance with the Pella
7:00 a.m.and 6:00 p.m.(Monday through Friday)for Pella's installers to deliver Windows&Doors Limited Warranty.THIS LIMITED WARRANTY SHALL
the Products and perform the Work. BE THE SOLE WARRANTY WITH RESPECT TO THE PRODUCTS AND
PELLA SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES,
3. PELLA EXPRESS OR IMPLIED, WRITTEN OR ORAL(INCLUDING WITHOUT
LIMITATION ANY WARRANTY OF MERCHANTABILITY OR FITNESS
Pella will be responsible for and have control over construction means,methods, FOR A PARTICULAR PURPOSE).
techniques,sequences and procedures and for coordinating all portions of the
Work.Pella will be responsible for the Work of its Pella Contractors who will 10. NO CONSEQUENTIAL DAMAGES UNDER NO
install the Products. CIRCUMSTANCES SHALL PELLA BE LIABLE FOR CONSEQUENTIAL,
Unless provided otherwise in the Work description,Pella will provide and pay for INCIDENTAL,INDIRECT,OR SPECIAL DAMAGES,WHETHER
all labor,materials,equipment,tools and machinery,transportation,and other FORESEEN OR UNFORESEEN.
facilities and services necessary for the proper execution and completion of the
Work. it. 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 any
defects not inherent in the quality required or permitted,and the Work conform of its subcontractors identified in this agreement have been registered. Any
with the requirements of this Contract.Pella shall not be responsible for inquires about Pella or any of its subcontractors relating to registration should be
damages or defects caused by abuse,modifications not executed by Pella, directed to:Director,Home Improvement Contractor Registration,One
improper or insufficient maintenance,improper operation or normal wear and 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 Work. 12. PERMITS(MA customers only)
Pella is obligated to and will obtain the following permits for this project:
4. CHANGES Byl i(fl i rin . Homeowners who secure their own permits will be
The Owner may order in writing changes in the Work consisting of additions, excluded from the guaranty fund provisions of Massachusetts General Laws,
deletions,or modifications("Change Order"). Any Change Order shall include chapter 142A.
an adjustment to the Price and the Substantial Completion Date,as determined
by Pella. Pella reserves the right to approve or disapprove any Change Order In addition to the rights and warranties enumerated in this agreement,you may
and any such Change Order must be signed by both Owner and Pella to be have additional rights under Massachusetts General Laws,chapter 142A and 780
effective. Code of Massachusetts Regulations R6.
5. SUBSTANTIAL COMPLETION 13. NOTICE OF CANCELLATION
Owner understands and agrees that the Substantial Completion Date is an You may cancel this agreement if it has been signed by a patty
estimate only and that the actual date on which the Work is completed may be thereto at a place other than an address of the seller,which may
extended to allow for Change Orders requested by Owner or if the time to be his main office or branch thereof,provided you notify the
complete the Work is affected by conduct of the Owner,weather,labor disputes,
availability of subcontractors,acts of God,fire or other causes reasonably beyond seller in writing at his main office or branch by ordinary mail
Pella's control.If for any reason the Work is not fully completed by the posted,by telegram sent or by delivery,not later than midnight of
Substantial Completion Date(including any extensions contemplated above),but the third business day following the signing of this agreement.
is substantially completed by such date,i.e.,the Product has been installed,but
minor parts or components are missing or need to be replaced or repaired,a hold See the attached Notice of Cancellation for an explanation of this
back proportionate to the cost of remaining parts or work to be completed is light.
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. 7/28/15
Date
Customer'signature
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.