14 MOULTON AVE - BUILDING INSPECTION (4) EPI'y-OF
PUBLIC PROPERTY
DEPARTMENT
A_*PLCATION FOR nM REPA_M ) My"w _ 0NaIRr►rrrnnr_
DZMDLMCRLORCHANGZOFUSZOItQConmir w�R A_ t][taMG
1.0 UM INFORMATION
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(i--1 M o v I tcq--) Ave_
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2.0 0 EROM IN
2. Owasr of Land _
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Address' I y W o u t to,-) Ave .
Tdaph 9 18 -7 H 5 - 505 9
O III400 ETE THUS SECTION FOR WORK IN EIALDINGS ONLY
Addition Exisgrq
Renovation ENumtories Rerlovatad
Change in Use Never
DemoGtlon Existing ,
Approximate year of r (it) Renovated
construction or renovation
of existing building New
Brut Description of Proposed Work:
r-ifP 0c-cmeV-)t lu�vldDwS
NP2e
--- -- ---Mail Permit
yyhat is go Current use at the BuUdbV?
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Malarial at 8u~ tt dMiaNfrq.how merry unMsT ,
UN to BAdMg Cenbnn to LerR
kchboc s Name
Addrom and Ptw w
M.dw&$Name N� �h� ,� �i
Addrw and Phone 26 �-sful/rB —
Cwtdrtuclforu Bypsviaolf LiCeflrT
ae d O 2y0FO NiC ReghfaWn 0
EsMmdad Cast���ei�`°��� Parnrb Fea C
PermM Fee i .—r EsUmatad Cat X$741000 Resldendd
Esf/nelad Cat X:41/$1000 CanrnarW4--— —
An"Mbnd S&OO Is added as on
Make am that aM flows am propedy and leo*written to avoid delays In Pin%
The urtdenl dam hereby appq far a Building PermR to baud to the above stated
,psdWawAL SWAd under pwwft Of Pe"
Date -�
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CITY OF SALEM9 MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
Sao WA9NINaTON STRER, 3R0 FLO01!=r--
SALEM. MA99ACHUSETTS 01970
9TAML V J. U90ViCZ, JR. TELEPHONE: 9713-743-9593 EXT. 390
"Avon FAX: 979-740-9440
Salem Buffdins! Department
Debris Disposal F rm
In accordance with the provisions of MGL c40 S 54, a condition of your
Building Permit is that the debris resulting from this work shall be disposed
of in a properly licensed solid waste disposal facility as defined by MGL
Chapter III, S 150 A.
The debris will be disposed of in:
(Location of Facility) 3 w h ee 9 A v e
WobUVr\ - tQ0—
Signature of Applicant
Date
CT Reg. #146589 (A® 53885
GY Reg. #0605216 L
RI Reg. #,26463• 7HEREPI-XEMEWIMINDOWPEOPLE Federal ID #20-2625129
Corporate Headquarters:26 Cedar St..P.O.Box 2696 Wobum,MA 0188E (781)9334100 1-a00.342-2211
THIS CONTRACT MADE THE . . . . . . . . . . . . . day of. ;: . �,. „ r 200..'I . between . . . . . . . . . . . .
1
.(Home Owners) . .: ! \ -
(Home Phone) (Bus./Cell Phone) (Mr./Mrs.);
of
(Address) (State) (Zip Code)
the "Owner' and NEWPRO Operating, LLC, "NEWPRO".
NEWPRO hereby agrees that it will for the consideration hereinafter mentioned, furnish all labor and material necessary
to install the following described work at the premises located at
(Job address) .(E-Mail Address) .
TOTAL ,/ NEWPRO Additional le 4 TOTAL CASH
Windows Purchased / Work Style PRICE �, 6
Window Color Specify Sliding Glass Door DEPOSIT
Capping Color Specify Qty Steel Security Door WITH ORDER J?` 1
Double Hun f
Picture Window Obscure Glass TOP__ BOTTOM BALANCE
Stationary Casement — Screens HALF ,.FULL DUE AT ✓/ 5��
Casement - Model # INSTALLATION
2 Lite /3 Lite Slider NEWPRO* does not do any painting or
Bay/ Bow Frame staining. CASH
Garden Window NEWPRO* is not responsible for conditions Balance Paid to
or circumstances beyond Its control including installer at Installation
pre-
Awning condensation resulting from or due to pre-
Other existing conditions. FINANC 94ank Completion
GRIDS nial,) Diamond Form Signed at Installation
DESCRIBE WORK: i`- >� , . i fi. r o-� vi -•. r ti . 1 _a <„
All steel security doors will have a 314"aluminum threshold installed over existing threshold. Customer Initials
Est. Start Date: } Est. Comp. Date:
It shall be the obligation of NEWPRO to obtain any and all permits necessary under this agreement, as the Owner's Agent. The Owners who secure
their own construction-related permits, or deal with unregistered Contractors will be excluded from the guaranty fund provisions of MGLC, 142A.
All Home Improvement Contractors and Subcontractors shall be registered by the Director and any inquiries about a Contractor or Subcontractor
relating to a registration should be directed to: Director, Home Improvement Contractor Registration, One Ashburton Place, Room 1301,
Boston MA 02108, (617) 727-8598.
If the Owner is obtaining financing by way of a Retail Installment Sales Agreement, such Agreement shall include a time schedule of payments to be
made under said contract and the amount of each payment stated in dollars, including all finance charges. The Retail Installment Sales Agreement
shall be incorporated herein by reference. If the Owner is obtaining a revolving credit line to pay, in whole or in Dart, for the contract amount herein,
the terms of the revolving line of credit including interest rate and payment terms, shall be clearly set out on the Credit application. The portion of the
credit application referencing a time schedule of payment,to be made under this contract, and the amount of each payment stated in dollars, including
all finance charges, shall be incorporated herein by reference.
NEWPRO represents that it carries Workmen's Compensation and Public Liability Insurance in the amount of$100,000-$300,000.
If the Owner refuses to permit NEWPRO to proceed with the work herein,or in the event of any breach of the Owner of this agreement,for any reason
whatsoever shall cause the owner to pay NEWPRO a sum of money equal to thirty-three and one-third percent of the price agreed to be paid, as fixed,
liquidated and ascertained damages, and not as a penalty, without further proof of loss or damage.
NEWPRO shall not be held liable in damages for delays in the performance of this contract due to causes beyond its reasonable control.
Owner warrants that he is the owner of the property on which the work is to be performed or that he is otherwise authorized on behalf of the owners
to enter into this agreement.
This contract represents that entire agreement between the Owner and NEWPRO and cannot be changed except bj a writing signed by both the Owner
and NEWPRO.
You are entitled to a copy of the Contract at the time you sign. Keep it to protect your legal rights. We, the aforesaid
owners, certify that immediately after the signing of the aforesaid agreement, a copy was furnished to us.
You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,
Which may Ire his main office, or branch thereof, provided you the
seller in writing at his main office or branch by
ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the
signing of this agreement..(Saturtiay is a legal business day).
See the attached notice of cancellation form for an explanation of this right.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
The Ow
r has seen "sample" warranties that will be provided by NEWPRO upon installation.
Sample warranties provided to Owner.
IN WITNESS WHEREOF, the parties have hereunto signed their names this day of -� r / 2001
s-/ � k ' 4 ., EIN# li. ) Signed A
Marketing Representative Printed Name Owner
Accepted: NEWPRO Operating, LLC
By r.'_ . /i Signed `�' ( ✓
Marketing Representative Signature Owner
i
WOBURN BRANCH OFFICE SHREWSBURY BRANCH OFFICE WARWICK BRANCH OFFICE
26 Cedar Street 151-153 Memorial Drive Business Park 45 Gilbane Street
Woburn,MA 01801 Suite B-C Warwick,RI 02886
TEL:781-932-8300/EXT:330 Shrewsbury,MA 01545 TEL:401-732-2407
800-242-9974(FROM NE) TEL:508-842-6876 800-356.3312(FROM NE)
FAX:781-933-0717 800-456-0555(FROM NE) FAX:401-732-1371
FAX:508-942-9248
WHITE: Branch Copy YELLOW: Customer's Copy PINK: File Copy GOLD: Finance Copy
US-15 100/PKG. 11/05
NL07 r. Wndowa/DOo In
JOB III , .House
- Page of J
CJSTOMER
E4"LADDRESS HOME PHONE
DATE 3—UQ �d WOR�HONE_ ��/� —936
� �l ,��'e (Cicle one,
' ADDRESS -
CITY,STATE
BEST DAY TO INSTALL: M T W TH F
�Y O �e�C ,.
7� - (Please arck oriel p PRODUCT SPECIALIST 1 M X ti S S!1- BRANCH: 1,Jj i6j' ESTIMATED START DATE
TOTAL i OF i OF DOORS WINDOW COLOR '
WINDOWS >X OF BOW/BAY/GARDEN S". .sews.PMb hrawwq, CAP COLOR
OPENING SIZE STOPS
NO, STYLE W x H U.I. LOCATION RID SCRI IN I OUT ADDITIONS OPENING CUT
t9p5st ,V 71 11� 6 V di - x x
a d r 34WI 71 o a __ _ x x
3 27) 'M(s3
�-2 i¢ 4S
x x
x x
G
x x
x x
x x
x x
J
x x
x x
�.a
x x
S
z x
Y
/ x x
�1
x x
l
Measureman: x x
Initials Dale Crew Size Needed Time Frame to complete job Capping Type
Special Installation Instructions:
Directions to site.
RwiwA tAt
DATE(MM1001YY
, CQRD, -CERTIFICATE OF LIABILITY INSURANC . NTR1 1TION 7
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PRODUCER i - ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR-
ATRerican First Ins Agency Inc _ ALTER THE COVERAGE AFFORD E�BY THE POLICIES BELOW.
122 Quincy Shore0Drive
NAIC H
North QuiiLcy MA INSURERS AFFORDING COVERAGE
Phone: 617-770-9000 INSURERA: Arbella Protection Ins. Cc
INSURED INSURER 5-
INSURER C.
NeW)ro Ojerating LLC - INSURER D:
Woburn MA 01801 - INSURER E:
COVERAGES
THE POLICIES OF INSNT, URANCE
OR BELOW HAVE BEEN
OF ANY CONTfl1SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY ACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CRERTIFICATE MAY BE ISSUED OR DING
ANY MAY PERTAIN. HEI
POLICIES.AGG@EGA EULM SE AFFORDED BY THE SHOWN MAY HAVE BEEN RIEDUDCED BY PAID CLAIMS.AIMS.EIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH LIMITS
POLC EF E 1
TYPE OF INSURANCE POLICY NUMBER DATE(MMI D/YY) DATE(h1NVOD/YY EACH OCCURRENCE s 1,000,000
IL IT NSR
GENERAL LIABILITY - 01/01/08 01/01/09 PH MISES(ECe(seortc-•^la) $ SQv QQQ
A X GOMMEROIALGENERALUABUTY SS0000010649 MEDEXP(Any one person) $ 5,000 .
CLAIMS MADEIK OCCUR PERSONRL&ADV INJURY $ 1v 000,000
GENERAL AGGREGATE - S2v OOOv OOO
' - - PRODUCTSCOMPlOP AGG S2,000a OOO
GEN'L AGGREGATE LIMIT APPLIES PER:
PRO-
POLICY JECT 0 TIC COMBINED SINGLE LIMIT . a1,000,000
AUTOMOBILE LIABILITY 12/31/07 12/31/08 (Ea accident)
A ANY AUTO 81037400001
ALL OW NED AVTOS -
(Pe person)
$
X SCHEDULED AUTOS BODILY INJURY S
X HIREOAUTOS (Per accident)
X NOPI-OWNCD AUTOS - PROPERLY DAMAGE $
(Per accidanl)
_ - - AD TO ONLY-RA ACCIDENT S
.GARAGE LIABILITY EA ACC S
OTHER THAN
ANY AUTO - AUTOONLY: AGG $
EACH OCCURRENCE SS,000,000
EXCESSIUMGRELLA LIABILITY 01/Q]�/Q8 01/01/09 AGGREGATE $ S.000v000
A X OCCUR CLAIMS MADE 4600010709 $
$
DEDUCTIBLE
RETENTION S X TORY LIMITS ER
WORKERS COMPENSATION AND 05/01/07 05/01/08 E.L.EACH ACCIDENT $ 500,000
EMPLOYERS'LIABILITY 90967005 - E.L.DISEASE EAEMPLOYEE $ 500,000
f, 1tvYPROPRIErUWPAFtTN'EpfEXECUTIVE
000
OFFICER/MEMBER EXCLUDED? - - E.L.OISEFlSE-POLICYUP;111' $ SO0=
II yyes,describe under
5PECIAL PROVISIONS below
OTHER
DESCRIPH NOF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
OpINRATIONS OF INSURED
CANCELLATION BEFORE TI{E EXPIRATiC
-
CERTIFICATEHOLDER _ SPECINE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALI
POSE NO BLIGATION OR L I
SPECIMEN TV OF ANY KIND UPON THE INSURER,ITS AGENTS OR
_ REPRESENT TR ES.
A 12E REPgFS NTA IVE
J Farre PM 0 ACORD CORPORATION 19
7*
7w7
I
a DEVCO PRODUCTS, INC. '
Hvac Newpro/Denali 2000 Double Hung
Vinyl trama,Trlpl.gier.d,
. . WNaYFwrpsn . Low 5 eaa1ln9 1•-0.034.S2 L 5),
.. w.gcwra ItryptoNArpon/alr filled,Olvldera
e
ENERGY PERFORMANCE RATINGS
U Factor(U.S'/l P} Solar Neat Cain Coeffident '
. . . 0.19 0.25
ADDITIONAL PERFORMANCE RATINGS
Visible Transmittance Air Leakage(U.S.A-P)
k .36 0a
sation Resistance
73
mca�nmYu, .,r,d»r..aanno »�mrcm
. www.ntrccom
, N Board ofBuitdmg Reg6!ationsandStaridards�
ConstructiQn'Supe"isor License
I Lic,- CS 29090
_jf td- d/1((.�/2009, Tr# 8131
THpMAS P FOXO NO, h
/_T
230 WALNUT.ST � f�„G--
_ READING; MA 0,1867Eommissioncr
Board of Building Regulations and Standards
y - HOME IMPROVEMENT CONTRACTOR
Registrat'i4 146589
Expiraflori 5/5/2009
Type Supplement Card
NEWPRO OPERATINQI-LLC
THOMAS FOXON -
26 CEDAR ST .....�.
WOBURN, MA 01801 Administrator
Department of Industrial Accidents
Office oflnvestigations
600 Washington Street
Boston, MA 02111-U1V -
www.mass. oy1dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print LeObly
Name (Business/OrganizatiorOndividual): NEWPRO
Address: 26 CEDAR STREET
City/State/Zip: WOBURN,MA 01801 Phone #: 781-932-8300 Ext.251
Are you an employer? Check the appropriate box: Type of project(required):
1.X I am a employer with 50+ 4. ❑ I am a general contractor and I 6. ❑ New construction
employees (frill and/or part-time).* have hired the sub-contractors
listed on the attached sheet. 7. X Remodeling
2. ❑ I am a sole proprietor or partner- �.
ship and have no employees These sub-contractors have 8. ❑ Demolition
i' comp. insurance.working for me in any capacity. workers 9 ❑ Building addition
[No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
required.] officers have exercised their
3. ❑ I am a homeowner doing all work right of exemption per MGL l 1.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, § 1(4), and we have no 12.❑ Roof repairs
insurance required.] + employees. [No workers' 13.❑ Other
comp. insurance required.]
"Any applicant that checks box Al must also fill out the section below showing their workers'compensation policy information.
+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 their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information.
Insurance Company Name: ARBELLA PROTECTION INSURANCE
Policy#or Self-ins.Lic.#- 90967005 Expiration Date: 05/01/2008
Job Site Address: /y 6&fz ma's'! /tiUG City/State/Zip:_�i! �.
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 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 perfury.that the information provided above is true and correct.
��
Signature FORNEWPRO Date:
Phone#: 781-953-8146
Official 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 . Buildin De artmen 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6. Other
Contact Person: Phone#:
. � . .
_ s