The URL can be used to link to this page

19 OLIVER ST - BUILDING INSPECTION (4) The Commonwealth of Massachusetts CITY Q Board of Building Regulations and Standards OF SALEM Massachusetts State Building Code, 780 C'MR, 7"edition Revised Jurmnry Building Permit Application To Construct, Repair, Ren'vale Or Demolish a One- n -Funnily Dn'e!ling IS Section or Official Use nl Building Permit Nu er�: y I ate Applied: Signature: iluilding Commissioner nsre toro'nuildings D' e SECT N I:SI IN RMATION 1.1 Pro ei7 Address: .2 Assessors Map& Parcel Numbers �f YEA Sr Parcel Number L l a Is this an accepted street:'yes_✓no_ ap Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Oq It) Frontage(ft) 1.5 Building Setbacks(R) Side Yards Rear Yard Front Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Public❑ Private❑ Check if yesO SECTION 2: PROPERTY OWNERSHIP' --------------------- 2.1 Ownert of Record: Name IPrint) Address for Service: Signature 'telephone SECTION 3: DESCRIPTION OF PROPOSED WORK=(check all that apply) ENew Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) Alterations) ❑ Addition ❑' _ olition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify: Brief-Description of Proposed Work': 5 S SECTION 4: ESTIMATED CONSTRUCTION COSTS Estimated Costs: Official Use Only Item La r and Materials I. Building S D � I. Building Permit Fee:S Indicate how Ice is determined: ❑Standard City/Town Application Fee 2. Electrical S ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing S 2. Other Fees: S 4. Mechanical (IIVAC) S List: 5. Mechanical (Fire S Total All Fees: S Su ression Check No._Check Amount: Cash Amount:_ 6.Total Project Cost: S L16M - ❑Paid in Full ❑Outstanding Balance Due: '�t �� tali dl. Are 017 ver;I/ AA 1 0113�L SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) e 6 t i-6-3 J_,y (/ti A� .'A GN�.1 S License Number ixpim"on Date N;utu of(.'St.- I IuWer List C'SL I')pe Una below)J Address er �� r3Ji?n Description Jress l.y ` It/I l nrestricteJ(tip to 35.000 Cu.Ft.) Restricted 1&2 Family Dwelling Signature M I Masonry Only RC' Kcsidcmial Rooting C'overin I elephone WS RcsiJemiul Window and Siding SF Residential Solid Fuel Burning Appliance Installation 1) 1 Residential Demolition R istered Home Improvement Contractor(H►C) 1 �97)y �t� kl'cn en IIC'Cum any Name or f IIC Re strant Nam Registration Number �kS Address Expiration Date Signature Tc cphonc J SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L,c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... 19� No........... ❑ SECTION 7s:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1• W2zE , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Ck Signature of Owner � �—t7 Date SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION 1, u..�JY ,..- A Jj eke /C -,as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. /` C L ),Ll/ .s<.. Al./n sN Print Name - - Signature oY Owner or Authorized Agent pate (Signed under the pains and penalties of du NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the flome Improvement Contractor(HIC)Program), will nu have access to the arbitration program or guaranty fund under M.G.L. c. 142A.Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.116 and 110.R5, respectively. 2. When substantial work is planned,provide the information below: Total floors area(Sq. Ft.) (including garage, finished basemcnt/attics,decks or porch) Gross living area(Sq. Ft.) Ilabitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system (inclosed Open 7. -Total Project Square Footage—may he substituted for"Total Project Cost" The Commonwealth ofMassaehuselts Department ofdndustrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Blectricians/Plumbers AuDlicant Information Please Print Lel?ibly Name(Business/Organizatiordindividual): P�II/4 k/1 A/0ot✓S P- OOOAI S LLc— Address: 4 S- Fo^ior- tZo CityiState/Zip: 14QEe14ti! Mh 0I932— Phone#: C91l `V-S- -765�_ Are you an employer?Check the appropriate box: Type of project(required): I.®'tam a employer with -Z 4. ® I am a general contractor and I �• employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. Memodeling ship and have no employees These sub-contractors have g• Demolition working for me in saycapacity. employees and have workers' Pa tY� 9. ®Building addition [No workers'comp.insurance room.ittsurence3 10.[j Electrieai repairs or additions I required.] 5. El we are a corporation and its P 3.® I am a homeowner doing all work officers have exercised their I IQ Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs . insurance required.]t c.152,§1(4),and wo have no employees.[No workers' 13.®Other comp.insurance required] *Any applicant thatchecks box R Trust also fist out the section belowshowingtheir workers'cortytensadanpolicp infenration. t Homeowners who subndt this affidavit indicating they are doing all work and then kite outside contractars trust subhrdt a new Widavit indicating such. teontractors that check this box must attached an additional sheet showing the nacre ofthe sub-contractors and state whether or not those entities have onVloyees. If the sub-cotttnctors have,e nployees,they thrust provide their workers'comp.policy number. I am an employer that is providing workers'compensation.insurance fir my eniptoyees. Below is the polity and job site information. 1 Insurance Company Name: Ii2� �t� 'C L�}u'TZC_4 -- Policy#or Self-ins.Lie.#: %LOG11.J(_5_7 Lf Expiration Date: '7 — i — i J Jab Site Address: CitylState/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 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 afperjury that the information provided above is true and correct Siunature• 6p„ A A ..s Date: Phone# 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): I 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other I � Contact Person: ?bane M. �I DATE(MMI00!YYYYI AC®RAN CERTIFICATE OF LIABILITY INSURANCE 07102/201009:50 PRODUCER (800)223-1865 ON Y ANDFIGONFERSSNo RIGHTSM PONRTHEICERTIFACA�E R. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Fred C.Church,Inc. HOLDE 41 Wellman Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Lowoll,MA 01851 800-225-1865 INSURERS AFFORDING COVERAGE NAIC q INSURED INSURERA: Citizens lnsmance Company of America New England Window&Door LLC INSURER B: Wausau Underwriters Insurance Company 45 Fondi Road INSURER C: Haverhill,MA 01832.1302 INSURER D: IN6URER E: COVERAGES THEPOLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE F00.THE POLICY PERIOD INDICATED.NOTWITHSTANDINGISUE ANY MAY PERTAIN,THE R TERM OR EQUIREMENT. E AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUB ECT TO ALLTHEOTERMWHIS EXCLUSIONS AND CONS TIONS OF SUCH POLICIES.ACGREGAT.E LIMITS SHOW MAY HAVEBEEN REDUCED BY PAID CLAIMS. INSR D'LIR 7 POLICY ECT VE POLIEYESPIRATION LIMITS POLICYNUMBER A O O E Moo IGOO,000 EACHOCCURRENCE $ GENERALLIABILITY p EMI ES E ccTED a $I00,000 X COMMERCIAL GENERAL LIABILITY 10,000 h1E0 E%P(An one parson) $ CLAIMS MADE �OCCUR A ZBN816I407 7/1/20I0 I 7112011 PERSONAL BAOV INJURY $1,000,000 2,000,0G0 GENERALAOGHECATE E X --- IPROCUCTS•COMP/CPAGG OENLAGGREGLIMITAPPLIES PER: POLICY PRO- LOCJECI =2,G0G�G0 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $I,OG0,UU0 (Ea aacidanq X ANY AUTO BODILY per INJURY $ ALL OWNED AUTOS (Per person) sCHEDULEDAUTOS ADN8162169 7/1/2010 7/(Roll A X Sao a.aca NJURY ,$ HIRED AUTOS (Per acc:dan0 $ X NON-OWNED AUTOS I I 1 I PROPER GE $ (Pet aoddent)denq AUTO ONLY EA ACCIDENT $ GARAGE LIABILITY EAACC 3 OT4ERTHAN ANY AUTO I AUTO CNLY: ASS EAOHOCCURRENCE $9,000,0o0 tX — SSIUMBRELLA LIABILITY AGGREGATE 9�00,000 AOCCUR �CLAIMS MADE Ti/2011 S IJE[N8167305 7/l/2010DEDUCTIBLERETENTION 8 X• WC STATU• OTH• WORKERS COMPENSATION AND I EL EACH ACCIDENT 55003000 EMPLOYERS'LrAeIL1TY WCCZ11259957010 711/2010 TiaOl1 . . -- 500,000 B I ANY PROPR—TOR/PARTNEW'E%aCUTIVE E.L.DISEASE-EA EMPLOYS $ 0 MCEERIMEMBERE%CLUOEOT 5G0,000 Ifyea.daacdba under E.L.DISEASE-PODGY LIMIT $ SPECIAL PROVISIONS below OTHER I � i DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHIGI ES I RXCLU910N-ADDED BV ENOORaEMENT I SPECIAL PROWS DNS Proofoflnsurance CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFo0.ETHE E%PIRAi lD DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN eW England WIndOW&Door LLC _ NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO 00 SO SHALL 5 Fondi Road IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR HE MA 01830 REPRESENTAi1a _ A.L'":HORI3ED REPRESErgenyE Q � r I O ACORD CORPORATION 1988 ACORD 26(2001108) Client n toen Mat R 10-11 GL,UMB,WC, Cart N Auto `Massachusetts- Depaitment of Public Safe(. Board of Building Regulations and Standards Construction Supervisor License License: CS 89853 WILLIAM R NICHCgi0li^5- a P 57 PEARTREE RDi' ?' HAVERHILL MA0ji08ir F' -Expiration.. 10/26/2012 Ponnnisybmcr Tr#: 4529 tP � t L)� ✓YMM31�rc�($Jy'✓fIU@�� ry�,,, � 1 �`� ( Q.Ya".^tllrYl��711rh RL� tlC�l!tEStl ahOn p��p�"#GViEMENF•CONTRA�F OR' � F Ir F 5 ! • � .��b2$7y7d ;.. ' �'eft Gard PEM3N.1Nt'7�OVSfAIU . AV�,i '�Mhfl'FB�Ti� :� �' �J�dceeea�etarq. • . - Contract - Detailed 5 I Pella Windows& Doors Sales Rep Name: Havens, Lou HIC#129774/Tax ID#26-1413183 45 Fondi Road Sales Rep Phone: 978-360-9325 Haverhill, MA 01832 Sales Rep Fax: 978-739-9300 Phone: (978)373-2500 Fax: (978)373-7274 Sales Rep E-Mail: LHavens@pellaboston.com Customer Information Project/Delivery Address Order Information Marie Fouhey WLH,FOUHEY,MARIE,SALEM Quote Name: NEW PROJECT 19 Oliver St. 19 Oliver St. Order Number: 741LHO205 SALEM,MA 01970 Lot# Quote Number: 2607283 Day Phone: (978)7454628 Salem,MA 01970 Order Type: I Installed Sales Mobile Phone: County: Payment Terms: Fax Number: Tax Code: NIA TAX 6.25 E-Mail: Quoted Date: 4/13/2011 Great Plains#: - Linea Location: Attributes 10 ATTIC Architect, Double Hung, 29 X 46,White, 3-11/16" City 2 1:Non-Standard Size Double Hung,Equal Split .I n Frame Size: 29 X 46 y' General Information: Standard,Style Edition,Clad,Pine,None L - ( Exterior ColorI Finish: Standard EnduraClad,White Interior Color I Finish: Prennished White Interior Glass: Insulated Low E Advanced Argon Gas '29 Hardware Options: Spoon Lock,None,White,No Sash Lift Viewed From Exterior Screen: Half Screen,Invow Frame Size:29"X 46" Grille: IL-,No.7/8",Traditional i3W2H 13W2H) Wrapping Information: Foldout Fins,Factory Applied,3-11116"Factory Applied,Perimeter Length= 150",Glazing Pressure= 125. Final Wall Depth:3-11/16" 3rd Story and Above->30ft To Top Of Window- Install Charge(per unit) Qty 1 FF<48 wide-Install Full Frame Window 48 inches or less wide Qty 1 Composite Trim<48-Composite Upgrade-48 Inches or Less Wide cry 1 For more information regarding the finishing, maintenance, service and warranty of all Pella@A products, visit the Pella®website at www.pella.com Printed on 4/19/2011 Contract-Detailed Page 1 of 4 Customer: Marie Fouhey Project Name. VJLH, FOUHEY,MARIE,SALEM Order Number: 741LHO205 Quoo Number: 2607283 Line# Location: x Attributess 15 BACK STAIRCASE Vinyl Windows I Doors by Pella,rpouble Hung, 25 X 50,White"None Qty 2 I l 1:Non-Standard Size Double Hung,Equal Split Frame Size: 25 X 50 R, I General Information: Standard,Vinyl,Block Frame with Mull Groove(3-1/4"OAW),20 Series,Adapter Included,None Included Exterior Color I Finish: White Interior Color I Finish: White Interior _-� Glass: Insulated Low E Advanced Argon Gas Screen: Half Screen Viewed From Exterior Grille: GBG,No,3/4"Contour,Traditional(3W2.H 13W2H) Frame Size:25"X 50" Wrapping Information: Perimeter Length=150",Glazing Pressure=135. Final Wall Depth:None Composite Trim<48-Composite Upgrade-48 Inches or Less Wide City 1 PI_Ext Trim-Pocket wl Exterior Trim City 1 Line# Location: Attributes 20 None Assigned Lead Containment- Lead Containment Areas Qty 2 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 orthis 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 R Doors will be bound by any other warranty unless specifically set out in(his 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 Rescreen[or any other accessoryj 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 5nished upon receipt prior to installing and ref niched annually,thereafter. Variations in wood grain,color,texture or natural characteristics are not covered under the limited warranty. Project Checklist Review (Installed Orders Only) Before the Installation the Homeowner agrees to do the following: Obtain Condo Association Approval Obtain Historic Approval Remove existing shutters and awnings For more information regarding the finishing, maintenance, service and warranty of all Pella@ products,visit the Pella@ website at www.pella,coal Printed on 4119/2011 Contract-Detailed Page 2 of 4 Customer: Marie Fouhey Project Name: WLH,FOU HEY,MARIE,SALEM Oder Number 7411-1-0205 Quote Number: 2607283 Remove air conditioners Remove existing shades, drapes, window treatments, wall hangings, and personal belongings Move furniture at least 3 feet away from work area Tie or cut back trees, bushes and shrubs in the work area Arrange to have alarm system and doorbells disconnected Arrange to have any plumbing and electrical repairs or changes made by appropriate licensed contractor Provide a door handle and lockset for entry door if Pella handle and lockset is not purchased. 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 orAzek.Azek 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 Project Checklist has been reviewed Customer initial Product Only Addendum has been reviewed Customer Initial For more information regarding the finishing,maintenance, service and warranty of all Pella®products, visit the Pella0 website at www.pella com Printed on 4/19/2011 Contract-Detailed Page 3 of 4 Customer: Marie Fouhey Project Name: WLK FOUHEY,�MRIE, SALEM Order Number: 741LHO205 Quote Number: 2607283 Credit Card Account#: Last 4 Digits I Expiration Date: Charge final payment to same account (Upon substantial completion) �us omec.ini ai ❑Project Checklist has been reviewed Order Totals j-9 4Taxable Subtotal $2,815.44 Cred2iI1*., _,p�,.va4I4na;ne Sales Tax @ 6.25% $175.97 Non-taxable Subtotal $1,900.60 P)AWY0 /'0 �� JL"�" Total $4,892.01 Cus omer Name (Please print Pella Sales Rep Name (Please print — Deposit Received $2,446.00 4&2A, ` u-'`� �7��`�-i-� Amount Due $2,446.01 Custerfie iggnature - ,f Pella Sales Rep Signature Date' / Date ) For more information regarding the finishing, maintenance, service and warranty of all Pella@ products,visit the Pella®website at www.pella.com Printed on 4/19/2011 Contract-Detailed Page 4 of 4 PELLA WINDOWS AND DOORS CONTRACT 7 PAYMENTS 1. TERMS AND CONDITIONS Pella shall be entitled to stop the Work dean written notice to Owner for any mate,ial default or failure by Owner-including but not limited to,the Owner's These Terms and Conditions are an intcgtal part of the contract set forth on the failure to pay Pella the an:ounl due within seven days after the dale payment is Product Order(the Comfort)between New Fngland Window and Dom LLC due. chat Pella Windows R,Doors.Inc.("Pella')and the person(s)identified on the Product Order('-Owner")to supply the produces(the"Products'),and perform 8 CORRECTION'OF WORK the work(file"Wet k')closaibed or referred tit tit such Contract. Fur Produce Only purchases a signed"Product Only Addenduni'is a required pan of the Pella shall correct installation Work not in confont,mee with the requirements contract of the Contract.if notified in writing by the Owner within two years after the Completion Dale or,if earlier.the dale on which the Won is substantially 2. OWNER completed and payment of the Purchase Price made subject to a huldback as provided above.Correction of Work as herein pros ided shall be Owner's sole Pella is not responsible for any existing secui fly systems Owner shall icutote remedy for defective warknianship,;md is provided in lieu of env and all ocher all shades:verticals-blinds.curtains,drapes or window mounted tit, I'enicdics-Pella obligation to correct Work is conditioned on Pella's prior conditioners.prior to the installrniun of the Products.Pella's installers are not receipt of all pnytuenls then due. responsible For the removal or installation of these types of leans. Pella is not responsible for pic-existing window coverines filling On newly installed Pella y. LIMITED P120O11CT W.1R12AN"Pl' windows. Pella shall ,it ant all Pella Products.hue only in accordance with the Pella The Ownel'shall novide complete access to the work site between the hours Windows&Doors Limited Warranty.Ti[IS LIMITED WARRANTY SHALL of 7 00 a.m.and 6:00 p.m.(Monday through Friday)for Pella installers to BE THE SOLE WARRANTY WITH RESPECT TO THE PRODUCTS AND deliver the Products and perform the Work. PELLA SPECIFICALLY DISCLAIMS ALL OTHFR 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 portions of the Work.Pella will be responsible for the Work of its Pella 10. NO CONSEQUEN"1'IAL DAMAGES Connactots who will install the Products. UNDER NO CIRCUhIS I ANCFS SHALL PELLA BE LIABLE FOR Unless'provided otherwise fit the Work descri1 p ros lion.Pella will ide and ay CONSEQUENTIAL,INCIDENTAL.,INDIRECT,OR SPECIAL DAMAGES, P . WHETHER FORESEEN OR UNFORESEEN. It)[ all labor.nmmrials.cnluipment,tools andnmchinery,transporcuion,and other facilities and services nceessary for the proper esecueion and compledon af[he Work. It. HOME IMPROVEMENT CONTRACTORS The inaoniats and equip lead fwniahed under the Conu'ucl will be good quality .All home improvement contractors sod Subconlraelors shall be registered with and dew unless otherwise required or pitinamed,the Work will be free from the director of ate liome Improvement Cunuatena Registration Program defects not inherent in lire quality rz direct of >t.nuillzd,and the Work adelinisteed by to the Boami of Building Regulations and standards. Pella and cl -1 ' ativ of its subo cntracrs identilico in this agreement have been mmstened. confomt wish the requirements of this Contract.Pella shall not be responsible Ali, inquires about Pella at air of its subcontractors relating ea ragislodion for damages or defects caused by abuse,modifications not executed by Palia' sitnuld hP directed in:Dire:un:Flonw Improvenrum Gmlrackx Registration. improper a insufficient maintenance,improper operation or normal wear and One Ashhunon Phmc-Boston.MA 02109.617-727-8599 jet,,. Pella will keep the premises and smmunding area free from accumulation of waste materials ur rubbish caused by performance of the 12. PEItV7t'TS(a'IA customers only) Work. Pella-is ublie;ucd to and will ubinin the following permits for this pl'nject a. CHANGES �4=� Homeowners who secure their own Portals will be escluded front file guaranty fiord pnrrrsiors Of Massachusetts General Laws. The Owner may order in writing changes in the Work consisting o(addirions. chapter 182A. deletions.or modifications("Change Order'). Any Change Order shall include an adjusuvem to the Price add the Substantial Completion Date,as In addition to the rights unit wcoantics eauntemted in this agreement.)rod may determined by Pella Pella rcserees rite right to approre or disapprove any have additional rights under Massachusens General Laws.chapter 142A and Chong-Order and any such Change Order nius:be signed by both Owner and 780 Code of Massechusens Regulations R6. Pella to be effective. 13. NOTICE OF CANCELLATION _. SUBSTANTIAL CONIPLETION You may cancel this agreement it it has been .signed by a party Owner understands and agtccs that the Substantial Completion Dole is;"' thereto at a place Other than an address of the seller', which estimate only and that the actual dale On which the Work is completed may be filmy be his main Office or branch lhercor, provided you note ly extedded lu:dhow for Change Orders nequeseel by Owner or if the lime to . . umpl- -the Work a is frected be.cunduc• 1 h Ower.t weather.labor file seller in Re Hn at his main of hcc or branch by ordinary disputcc availability Of subcontractors,acts of God.fife or Ulu causes mail posted by Ielegiarn Neill or by delivery, not later than reasonably beyond Pens's curool.If for any reason the Work is not rally midnight of the third business day following the signing of this ambpletecl by the Substantial Completion Date(includingany esmnsions aoicenlenl. comengrtae'd above).but is suhsirnotilly completed by.such date-i.e_the ` Product has been installed,bur minor palls or components are missing or need see file attached Notice Of Cancellation for an explanation Ol to he neplacerl or repaired,a hold back pmpurtionale In the cost of remaining_ pails or work to be completed is acceptable-However.the holdback will not this 1i tiflhL. exceed the amcnne of the completion costs or 10`7n ofnc�retrain ire ultpaid balance of the Price.nthlellever is less. Do not sign this contract if there are any blank spaces. 6. FINANCING 11'payment it the Price is financed with a financial institution through Pella,all All" ✓; 7 financing paperwork must be conrplzleA upon signing of this Contract and the t/ 9 4v;'�� requisite approvals and authorizations for the full amount of the requested f C/0 >/ L `c-9i financing shall have been received from the financial fnstiadion. Cusco to signaturev � S,� /, NOTICE OF CANCELLATION Customer Name: /(!-Ali� k z)U14b-A/ (Please print) Date of transaction: 1 1 L 01 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 y �4= (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) DISPUTES Job Name Date i l 201,/ 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 Contractor IQAn05 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.