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Home My WebLink AboutBuilding Permit # 10/29/2015 i TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: t1' LzJd+t' Date Received Date Issued: �: 0 IMPORTANT:Applicant must complete all items on this page z 7 PRQ'.RERTY'r4JWt41ER L�7�Ec+t�` k�:t✓af}Ft''dr� I Pr of PvIAP;NO. p3�RCE1, '' �ONINOISTRIG�t HisfbricDistnryi s yea no- Al, ofuT�,chinehirp�li�lage_'ayes, n"os. TYPE OF IMPROVEMENT PROPOSED USE Residential " Non-Residential New Building ..,..One family" Addition Two or more family Industrial Alteration No.of units: Commercial <<Reeair,.repaceme3t_-> Assessory Bldg Others: Demolition Other �, �e�ticr� dell Floo�i�5lam r 1Meflands WaterShed°DiSfnci DESCRIPTION OF WORK TO BE PERFORMED: Identification Please Type or Print Clearly) OWNER: Name: Phone:Cd 7S-e Address: ( C�h1TlRACTQR NamEi�4ti`�fcs�x,.ae�te-Gfr tom'�slsFhond �2fC �:3 v Tom+ Addressf "+ aaB `nr GfCll. Lfi Supe visor s Cgnstrucfion License E7`rR Date r"i' SGS ` Horkfe,IfiptoyenientLteef�sa; „aF �`�I&. ,.+ ' 4.E>Ep,-Oate �`/Fr.I.�. ARCHITECT/ENGINEER Phone: Address: Reg.No. FEE SCHEDULE:BULDING PERMIT:$11.00 PER$1000.00 OF THE TOTAL ESTIMATED COST cBBASED ON$125.00 PER S.F. Total Project Cost:$ .S,Gu7, � FEE:$ l�C) Check No.: ) Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund Signature of Agent/Ownerc�,_I-,,,.�;y- aL� Signature of contraGhore'Es Plans Submitted Plans Waived Certified Plot Plan Stamped Plans Town ofAndover N^ {l BOARD OF HEALTH PERMIT T ILD optj�sy provided that the person accepting this permit shall in every respect conform to the terms of the application F'.] 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 mthe Zoning orBuilding Regulations Voids this Permit. PERMIT EXPIRES|N0MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION 8 -----------�~~--��i[�/��INSPECTOR- GAS INSPECTOR Occupancy Permit Required to OecupV Building R-gh Diep|uyinoConspicuouoP|mmunthoPmmimm-DoNotRomove Fire NoLathing orDry Wall ToBoDone FIRE DEPARTMENT Until Inspected and Approved bythe Building Inspector. Contract-Detailed Pella Window and Door Showroom of Haverhill Sales Rep Name: Grisetc,Anthony 45 Fondi Rd HIC#1832791 Tax 726-1413183 Sales Rep Phone: 978-490-9666 Haverhill,MA 01832 ' Sales Rep Fax: Phone: (978)373-2500 Fax: 8)373-7274 Sales Rep E-Mail: GRISETOAC@pellaboston.com Customer Information Project/Delivery Address Order Information Caroline Hannache Hannache,Camline,NorthAndover,MA,1639128 Quote Name: 14 Wide Casement Window 31 Bradford St 31 Bradford St Order Number: 741AGO531 NORTH ANDOVER,MA 01845-1103 Lot# Quote Number: 7249377 Primary Phone:(857)7538340 NORTH ANDOVER,MA 01845-1103 Order Type: Installed Sales Mobile Phone: County: ESSEX Payment Terms: WF2240-60 Month No Interest Fax Number: Tax Code: MA TAX 6.25 E-Mail: Quoted Date: 10/9/2015 Great Plains#: 9791765 Customer Number:1007394274 Customer Account: 1003135201 Customer Notes: MA North Andover $12/1000($30 MIN FEE). Customer is required to pay building permit fee with a separate personal check made out to Pella Windows and Doors. Pella shall file for and obtain the permit on behalf of the Customer.Building Permit Fee:$60.00 ALL SALES ARE FINAL WITH NO RETURNS OR CREDITS.PLEASE REVIEW ALL YOUR ORDER PAPERWORK IN DETAIL. This order reflects all available discounts and may not be combined with any other offers,promotions and or discounts past,current or future.All discounting is subject to change with scope of work and/or product changes.All lines are shown net pre-tax and reflect all discounting and adjustments Lne# :_Location Attributes m Delivery Delivery/Setup-Delivery/Setup Item Price Qty Ext'd Price $235.00 1 $235.00 For more information regarding the finishing,maintenance,service and warranty of all Pella@ products,visit the Pella®website at www.pella.com Printed on 10/10/2015 Contract-Detailed Page 1 of 7 Customer',Caroline Hannache Project Name: Hannache,Camline,NorthAndmer,MA,1639128 Order Number:741AGO531 Quote Number:7249377 L ne# -Location: .:Attributes 20 Front Window Pro Line,4-Wide Casement,White Item Price Qty Ext'd Price 54,395.96 1 $4,395.96 1:tr2o onStandard Size Left Casement PK# General Information: Clad 5",311116",No Camh lon 727 Exterior Color/Finish:Standard Entluraclad,White Interior Color l Finish:Bright White Interior Glass:Insulatetl Low-E Advanced Lo-E Insulating Glass Argon Non High Alrt— Hartlware Options:Fold-Away Crank,White,No Limited Opening Hardware Screen:Full Screen,Bright White,InV,,w Viewed From Exterior Grille:GBG,No Custom Grille,3/4"Contour,Traditional(3W41F),White,White Vertical Mull 1:FactoryMUII,Stantlartl Joining Mullion 2:SizeNon-Stantlartl Size Left Casement GeneralInformation: Clad,5'•,311116",Na Cartifcation Exterior Color/Finish:Standard Entluraclad,White Interior Color l Finish:Bright White Interior Glass:Insulatetl Lovu-E Advanced Low-E Insulating Glass Argon Non High Altitude Hartlware Options:Fold-Away Crank,White,No Limited Opening Hartlware Screen:Full Screen,Bright White,Inview*'^ Grille:GBG,No Gusto.Grille,3/4"Contour,Traditional(3W4H),White,White Vertical Mull 2:FaIt.,10 11,Standard Joining Mullion 3:Si-NonStandard Size Right Casement General Information: Clad,5",311/16'.No Certifcation Exterior Color/Finish:Standard Entluraclad,White Interior Color l Finish:Bright White Interior Glass:Insulated Low-E Ativanmot Low-E Insulating Glass Argon Non High Altitude Hardware Options:Fold-Away Crank.White,No Limited Opening Hardware Screen:Full Screen.Bright VMite,Inview'" Grille:GBG,No Custom Grille,3/4"Contour,Traditional QW41F),White,White Vertical Mull 3:FactoryMull,Standard Joining Mullion 4:SizeN.—tandard Size Right Casement General Information: Clad,5",311/16",No Certifcation Exerior Color/Finish:Standard End...laid,White Interior Colorl Finish:BrightV itelnbnJior Glass:Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options:Foltl-Away Crank,White,No Limited Opening Hartlware screen:Full Screen,Bright White,InViewn- Grille:GBG,No Custom Grille,3l4"Unionr,Traditional(3—H),Write,,ah e Vertical Mull 1:FactoryMull,Standard Joining Mullion FF<48wide-Install F,IIFame Window48inchesorlesswide Qty 1 Finish FF Trim-Finish Paint/Stain FF Interior Trim Only Qty 1 Comp Trim<48-Composite Upgrade-481nchesor Less Wide Qty 1 Trim_Stool and Apron-Add Stool and Apron Trim to Picture Fame Qty 1 For more Information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the P.11.0 website at—uMlla.com Printed on 10/1012015 Contract-Detailed Page 2 of 7 Customer:Caroline Hannache Project Name: Hannache,Camline,NorthAndover,MA.1639128 Order Number:741AG0531 Quote Number:7249377 Line# Location: Attributes 25 Mm order Minimum Unit Value Add-Min.Order Setup VA 3 or Less Windows Item Price Qty Eed Price $200.00 1 $200.00 Thank You For Purchasing Pella®Products PELLA WARRANTY: Pella products are covered by Pella's limited wu,mti,s in effect at the time of sale.All applicable product warranties are incorporated into and become a part ofthis 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 Pelle Windows&Doors will be bound by any other warranry 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(,gess)information does not take into consideration the addition of a Rolscrcen[or any other accessory]to the product.You should consult your local building code to ensues your Pella products meet local cgress 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,ogler,to=,,or natural characteristics are not covered under the limited warranty. INSYNCTiVE PRODUCTS:in addition,Pella Lrsynctive Products are covered by the Pella heynetive Products Software License Agreement and Pella Insynctive Products Priv cv Policy in effect at the time of sale,which can be found at Iusynctive.pella.cone.By installing or using Your fnsynetive Products you are acknowledging the lnsynctive 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 Remove existing-shades,:drapes,window treatments'.wall hangings,and,personalbelongings Move furniture at least 3 feet away fromzwork area For more Information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 1011012015 Contract-Detailed Page 3 of 7 Customer:Caroline Hannache Project Name: Hannache,Caroline,NodhAndover,MA,1639128 Order Number:741AG0531 Quote Number 7249377 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 follcwino: Obtain Building Permit,(When required) Prefinish products when purchased mcoritract 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 threat vacuum and remove all debnaat end of day Remove ewsti lyproduct,'including storm w ndowspand dispose of Runless oth—ise specified Install'all products using method specified in dontract;per Pella Installation Instructions Replace intenor sndror exterior tr m oply ifipurcharsed If Purchased install exterlor'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,lnstallat on the Homeowner:agrees to do7the following: Be available for.completion and sigmoff'to venfyall products purchased`are in working order Reinstall existing shutters and awnings Re install 6xistmg shadeg drapes,w odow treatments;wall hangings and reposition furniture Arrange to have alarm system and doorbells reinstalled Reinstall air conditioners Remove stickers from product and same for energy rebate and tax purposes Wash all interior&exterior glass surfaces Fill nail holes a joints en interior trim if windows are to be stained(after staining) lea i +eter casing issues due to storm window removal if full wrap or new exterior trim is not purchased rolect Checklist has been reviewed c Product Only Addendum has been reviewed Curtomer initial Credit Card Account#:Last 4 Digits 6 8 6 1 For more Information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printedon 10/1012015 Contract-Detailed Page 4 of 7 Customer:Caroline Hannache Project Nems: Hannache,Caroline,NorthAndover,MA,1639128 Order Number:741AGO531 Quote Number:7249377 Expiration Date: / A Charge final payment to same account � AM �J�/,({/,r• (Upon substantial completion) a i�n,o YI Project Checklist has been reviewed % nthony Griseto �` I' e nache C 'Pa n Pena sale: ee"i Order Totals 12J] L�I�' + Taxable Subtotal $3,640.96 Customer Sifi Pella Sale Sales Tax @ 6.25% $227.56 10/ / 01 10/10 5 Non-taxable Subtotal $1,190.00 Date Total $5,058.52 Deposit Received $2,529.26 Cma''alrdapp—al Signature Amount Due $2,529.26 "'mom information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella@O website at www.pella.com Printedon 10110/2015 Contract-Detailed Page 5 of 7 pow ajJ111 I t 1116 11 rMOT 51 MIT a 5A i 1 T go U u 0 Mau' 1 Bag O 2 WHIM v M t F-0-Ins 1 gy, .Mogs!. lHown I Q , MI. a win 4 SO I a T I IN u 19 l HUM a got 411 a b g f Al9- too US 1 1 1=n -25 a Wild Se4k R to unLL NOW 1. 111112 HUM 111 i 1 list I Rv '''- to 41; 1 pR will at 111 �o NOW 11 Ify 201 lost!2w 11811 .g. I—E- 803 Eli- 111 MU !,a lit yo,'flj]jjjg E -11 SAN 1w. �A FA 111122-'UH ills tj will 'Q. Jim 05! ASUM 'Hip 1 Hip 111110 12 15113i MH -M All MAN .-M 0rJto gmj- �sh i 2 pxmo of ANN 11,111 v JIM "it oda 1111 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 1N M.G.L.o.142A Pella Windows&Doors Contractor Hlamcow NOTICE:THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PAKIIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY TILE CONTRACTOR.THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THUS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. NOTICE OF CANCELLATION Date of transaction: 10/10/2015 You may cancel this transaction,without any penalty or obligation,within three business days from the above date. Ifyou cancel,any property traded in,any payments made by you under the agreement, and any negotiable instmment 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 pondi Rd.,Haverhill MA 018321 not later than midnight of10/14/2015_ (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) The Commonwealth of r�%tuss6cheasetGs 1➢epse®rhteent of lndustraaal�l ceidenty Office oflavestigatdous 1 Congress Street,Suite 100 Boston,MA 0-7114-2017 wrovw.enasa.gov/dia Workers'Compensation Insurance Affidavits Builders/Contractors/El➢ectriciaps/Plupnbers Applicant Information /� Please Print Legibly Name(Business/Organiwtionftdividuul): '&IIJ. f /pin e a- /�3 rJ UV Address: 4a Imo P City/State/Lip: _ ( / Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.04 am a employer with --Zs— 4.❑I stn a general coanntor and I employees(full and/or part-time).' have hued the sub-conkacmts 6.❑New constriction 2.❑1 am a sole proprietor or partner- listed on the attached sheet. 7.Mcnhodeling ship and have no employees These sub-contractors have g,F1Demolition working for me in any capacity. employees sod have workers y ❑Building addition [No workers,comp.insurance comp.insurmce.k required] 5.❑We are a coipontism sad its 10.❑Electrical repairs or additions 3.❑I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12❑Roof repairs insurance required.]f c.152,§1(4),and we have as - employees.[No workers' 13.0 Other comp.insurance required.] =Any applicant Ibar check bus kl mus[oko Illi out the section below showing their workers'compensetian policy idb.aw. ,Homeowners who sahmit ThisnRdavit iadie.impheyam doingoll workand nrahimorbita -dais must submirurareaffidnvil indicating such. tCoaweters u,.check thk bar—1 istoched an additiaovl sheer showing the name of the sub-cans.tars and$rete whether or nor Ihase annus$hove employees.Ifihe sub-connectors have employees,they mutt provide their worlmrs comp.policyaamber. lam an employer dint is providing workers'compensation insurance for my employees.Balmv is the policy and)ob site ixformado. Insurance Comptmy Name: N(4 L aA-p ta.eJ is& •l-ig s O C Policy#or Self-los.Lie.#: L f000 Y 0)G3( Expiration Date: Job Site Address: City/statrizip: Attach a copy of the workers'compensation policy declaration page(showiag the policy number and expiration date). Failure to secure coverage as required order Section 25A of MGL c.152 can lead to the imposition of criminal penalties-fa fine up to$1,500.00 and/or ane-year imprisonment,as well as civil penalties to he form of a STOP WORK ORDER and a fine of up to$250.00 a day gains[the violator.Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and ffnalties of erfnry that the infirmarian provided above is true and correct. Sieoature. Phone# ®ffrcial use only.Do not write in this mea,to be completed by city ar town official. City or Torvn: permit/License# issuiag Authority(cir,teone): 1.Board of Stealth 2.Badldmg Department 3.City/Towo Clerk 4.Eteetdcmi fnspectaer$.Phembbs-taspeotor 6.Other— i A� CERTIFICATE OF LIABILITY INSURANCE DATESMWDD m ® THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE BHOLDER.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(!,,)must be e,d,,,d.If SUBROGATION IS WAIVED,subject to the terms and wndlfions of the policy,certain policies may require an endorsement.Astatement oa this certificate does not confer rights to the certificate holder In lieu of,mch entlorsement(s). m AConen.mc,R ePLU °fW Iw61°s°-fees lero)�zzspiess onen®rrea ORI€^c a,I AFFORDING COv,RA COVERAGES CERTIFICATE NUMBER M0 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,NOTIMTHETANDING ANY REQUIREMENT,TERM OR CONDITION OF AN V CONTRACT OR OTHER DOCUMENT—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 CDOMERIDT MAGENERAL 19...DUN zONOt6t°0] 1-15 ]rflz6fs %Pl m'arsonl — IFNFRATAGGRESATE 0'— $z, oBICE unelutt COMINED SINGLE 111T ADYACTO BODILY Rvryerpme,nl D RVIPereaumll s TREDAUTOD MoiR�ryE B„'EX WOEOx nvEO x °660°mm ]IirzotS ]Itrzw511 n 5 so 05 RiP 9CNPTION OF OP,mn-e I LOCATION,IVEHICLES I—.ACOBGtet,AtlmuonaI aemarxa Sl,eaule.Irmo p requ,real 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. TNORREO REPxESENTAnVE c,en s Cert P.M.,ft 01980-2010 ACORD CORPORATION.All right,reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD mer Affahs&Bosluess Regaladon License or regisaration valid for iodividul use only ofConso before the expiration date.Iffound return m: EIMPROVEINENTGONTRACTOR Office of Consumer Affairs and Business Regulation egistratiomt83279 Type: IO Park Plaza-Suite 5170 off. 17 Supplement Card Boston,MA 02116 Expiration::9/24/20 NEW ENGLAND WINDOW&DOOR,LLC. PELLA WI NDOWS B DOORS William Nichols - 45FOND]RCAD Not valid wdhout mgnature HAVERHILL,MA 01832 wonersecrem.y r + ep >�'afih Vgl WILLIAM R NICKS _ 57 PtARTREE RD HAVLRIIILL MA; '� "�' 76/2612096,;