15 1-2 RIVER ST - BUILDING INSPECTION (6) The Commonwealth of Massachuscns Town or
Board of Building Regulations and Standards �w
Massachusclls Slate Building Code. 790 CMR, 7 edition Building Dept
Budding Permit Application To Construct. Repair, Renovate Or Demolish a
One.or Tiro-Fonu/t Dtreff rig
This Section For Official Use Only
BuilJing Permit Number: �J Date Applied:
/l
Signature:
Budding Commositiner/In of Bu dmp Data
SECTION 1: SITE INFORMATION
I.��oyerey ddreu: 1.2 Assessors Map& Parcel Numbers
be
I.la Is this an accepted street!yes ✓ Map'p Num r Parcel Number
IJ Zoning Informstloa: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Ares(sq R) Frontage 1 R)
13 Building Setbeeks(R)
Front Yard Side Yards Rear Yard
Required Provided IProvided Requir=UD
vided
1.6 Water Supply:(M.G.L c.40.154) 1.7 Flood Zone Information: 1.g Sewage :
Zone: _ Outside Flood Zone? Municipal Ostem OPublic O 'Private 0 Check if a0SECTION 2: PROPERTY OWNERSHIP'
t Owoer'of Recoorrdd �r&EME2ESC-V&SJ LIEJiName(Print) Address for Service:
l+�ec� 1-7ft•ignature Telephone
SECTION J: DESCRIPTION OF PROPOSED WORK'(cheek aB thw Construction O Existing Building O Owner-Occupied O Repairs(s) Alteition O
Demolition O Acceswry Bldg. 0 Number of Units_ Other O Specify:
Brief Description of Proposed Work':
F�LFI('f'M¢j{/t Eta y /Jo2s/2 i
v � I
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
Item L and Materials
I. Budding QQ I. Building Permit Fee: S Indicate how fee is determined:
O Standard City/Town Application Fee
2 Electrical S O Total Project Cost'(Item 6)a multiplier a
) Plumbing f 2. Other Fen: S
4. Mechanical IHVAC) S List:
S Mechanical (Fire S Total All Fces: S
Su ression
Check No. _Check Amount: Cash Amount:
n Total Project Cost 00 0 Paid in Full O Outstanding Balance Due
SECTIONS: CONSTRUCTION SERVICES
5.1 Licensed Construction Supersisor ICSL) DF5 f(S3
(y� 6�cAwt Alec/40 License Number Expiration Date
N,yat ul'CSL IIpIJer / List CSL i
I'{a� Fdr1171=n o f��LLF—f/Z(�tu�' �- YOe Isee Alowl
AJJrcss (af g�y Description
U JI Unrestncied u io)1,000 Cu. Ft.
Si)nature Restricted tih2 FamilyDrcllin
M Masonry Only
RC Residential Roofin Covemn
Trk Wphone S Residential Window and Sidin
SF Residential Solid Fuel Summit Applianirg Installation
D Residential Demolition
i�(stared Home Improvement Contractor(HIC)
tJl x/9C3a l S AL 7 7 .
11C Company Name or HIC Reai)trans N Regisuauan Number
Aqqp,tfetss—An.JoT— 40 l�i1f1VP2YFf �1 4$,& /�If-14_
1.i -, Ox- 49 7 Y'ZL5--7�'S" Expiration Date
Signature Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e. ISL ISC(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this a?davit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attachel7 Yee.......... O-' No........... O
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
f 1, E4r 'Z as Owner of the subject properly hemby
authorize iq— I J oiiali Y i [C, to act on my behalf,in all matters
relative to work authorized by this building permit application.
signstureorOwner Data
SECTION7b:OWNER' OR AUTHORIZED AGENT DECLARATION
AJ Lv//la f 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
belulf.
Print Nuns
Ie.��� _�
Signature of Owner or Authorized Agent Data
Si under the sins and nalties of
NOTES:
1. An Owner who oblains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program), will gg have access to the arbitration
program or guaranty fund under M.G.L. c. I42A. Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110 R6 and 110 R3, respectively.
1. When substantial work is planned,provide the information below:
Total floors area(Sq. FL) (including garage, finished basemenNanics, decks or porch)
Gross living area(Sq. Ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half.baths
Tvpe of heating system Number ofJecksr porches
Tvpeof cooling system Enclosed Open
1 "Total Prolcct Syuare Footage'may he.uhsistuici for 'Total Project Cost"
i dt7/1a
Belem Historical Commission
I'LO S^1A,';l ONGTON STREGr, SALEM. MASSAC'rlu.'ir t is G i370
(9i C) 745-9595 EXT.311 FAX (CIM 740-OJfi4
CER-I IFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Constnlction ❑ Moving
❑ Reconstruction Alteration
❑ Demotition ❑ Painting
❑ Siena_c ❑ Other Work
as described below does not involve an exterior architectural Feature or involves a reature covered by the
exemptions or limitations sct forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salcm Historic
Districts Ordinance.
District: Nlclntire
Address of Property: IS " River `;1=1 -
Namc of Record Owncr.— .P' r & h N Escb izier --
Description of Work Proposed:
Replacement of esisting sijlgle pctttel .vliding dour with two Pellet L'rench doors, cune(ttiunul that they are tint
1 isihle Bunn the public u'cn. Mn,?-applicable due to being non-visible fi'utn the public wcay,
Dated: Auvust 24. 2010 SALE IS RI . CON4MISSIONt
By:
file homeowner has the option not to commence the work (unless it relates to resolving an outstanding
violation). All \cork commenced must be completed within one year from this date unless other\vise indicated.
TI[IS IS NO-1 :A M ILDIN(; PERIMI I . Please he sure to obtain the a r
ppropriate permits From the Insp r ecto of
Buildings (or any other necessary permits or approvals) prior to coil,mcncing work.
CITY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
raR NI h.l "Niw 'I I
\I J"N I i� VP.\iI II\b:��V$1'Nkt'T &S.\I111, St.Ni.\I -
I'FI: 97S-74 9595 1'.\:l:978.7407.9.446
Construction Debris Disposal Affidavit
(required I'ur all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 730 CMR section 111.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit M _ _ is issued with the condition that the debris resulting from
this work shall he disposed of in a properly licensed waste disposal facility as defined by MGL c
l l 1. S 150A.
The debris will be transported by:
Iname UK hauler) -
'I'lie debris will be disposed of in
-
(n:une 17ac1 facility)
�V&
(1lddre1%In facility) UlkJ—L-- II C
.ignature apermit applicant
date
- —
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mas&gov/dia
ricianslplumbers
Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleplease Print Legibly
A licant Information
Name (Business/organiaation/Individual):
tr + /JooQ LL�-
Address: 457 Fors n l A
( M� 0lfl3� phone#:
1$'
City/State/Zip: '�^-^ ,e "2-4� k --
Type of project(required):
Are you an employer? Check the appropriate boa: general contractor and I 6• New construction
4. ❑ Iama
1.[]Tam a employer with LS * have hired the sub-contractors 7. 0 Remodeling
employees (full and/orpart=time)•
listed on the attached sheet $ s � Demolition
2.0 I am a sole proprietor or partner- These sub-contractors have
ship and have no employees insurance. 9. Building addition
for me in any capacity. workers' comp. ❑
working 5, 0 We are a corporation and its 10•O.Electricalrepairs or additions
workers' comp•insurance
offigers have exercised their 11:0 Plumbingrepairs or additions
[No
required:]'" right of exemption per NIGL
3. I am a homeowner doing all work c.152,-§1(4),and we have no 12:0 Roof repairs
myself. [No workers' comp. employees. [No workers' 13.0 Other
insurance required.]t . . comp.insurance required.] .
spry applicant that checks box#1 must also fill out the section below showing their workers'.compensation policy information'
IL
the name of tlie.sub•contmotm and theit workers'comp.policy information.
t Homeowners who submit this 1 matt indicating they are doing all work and then hire outsde contmetm must subn it a new affidavit indicating suc
ii;
tContracmts that check this box must attached an additional sheet showing - l0 ees:-Below is the policy and job site
i are an employer that is providing workers'cornpensadon insurance for my amp Y
information 1
Insurance Company Name: �fLF� tt
Expiration Date:
Policy#or Self-ins.Lic.#: l�gtN
City/State/Zip:
Job Site Address: the policy number and expiration date),
Attach a copy of the workers' compensation policy declaration page(showing P
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of a STOP Wcriminal penalties of i
fine up to$i,500.00 and/or one-year imprisonment;as well as civil penalties in the form be forwarded to the office ORK p d a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may
Investigations of the DIP:for insurance coverage verification.
I do hereby certify under the pains and penait. of perjury that the information provided above is true and correct
tl
Signature: t� G
Phone#:
F6. only. Do not write in this area,to be completed by city or town off'
Permit/License#
n:
hority (circle one): .
Health 2.Building Department 3:CitylTowu Clerk 4.Electrical.Inspector 5.Plumbing inspector
Phone#:son•
ACORD- CERTIFICATE OF LIABILITY INSURANCE D2/201009:50 Y)
O7DATE(10IDDM
PRODUCER (800)225.1865 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Fred C.Church,Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
DER. S CERTIFICATE DOES NT AMEN EXTEND OR
41 Wellman Street ALTER THEHCOVERAGE AFFORDED BY THE POLICI S BELOW.
Lowell,MA 01851
800-225-1865
INSURERS AFFORDING COVERAGE NAIC#
INSURED INSURER A: Citizen insurance Company of America
New En#land Window&Door LLC INSURER B: Wausau Underwriters insurance Company
45 Fondt Road
Haverhill,MA 01832-1302 INSURER C:
INSURER 0:
NSURER S:
COVERAGES
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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NSR D' POL CY EFFECTIVE POLICYE%PIRATION LIMITS
L POLICYNUMBER O �E O O D
GENERALLUIBILITY EACH OCCURRENCE $1,000,000
X PREM 9 S e a¢v enm $100,000
COMMERCIAL GENERAL LIABILITY
CLAIMS MADE
aOCCUR MED EXP(Any oneperson) $10,000 p ZBN8I61407 7/1/2010 7l1/2011 PERSONAL eaOV INJURY $1,000,000
GENERALAGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO S 2,000,000
POLICY T PRO• LOC
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $1,000,000
X ANY AUTO (Ea accident)
ALL OWNED AUTOS BODILY INJURY $
(Perperson)
A SCHEOULEDALTTOS ADN8162169 7/1/2010 7/1/2011
X HIRED AUTOS BODILYINJURY $
(Per audden0
X NON-OWNED AUTOS
PROPERTY DAMAGE S
(Per acclden0
GARAGE LIABILITY AUTO ONLY-EA AWS—
WORKERS
ANY AUTO OTHER THAN
AUTO ONLY:
NXCESSIUMBRELLA LIABILITY EACH OCCURRENOCCUR CLAIMS MADE AGGREGATEA UHNS167305 7/1/2010 7/1/2011DEDUCTIBLERETENTION E g WC LIRA OTH-
COMPENSATION ANO DRY
EMPLOYERS'LIABILITY E.L.EACH ACCIDENT 11500,000
B ANY PROPRIETORIPARTNERIEXECUTIVE WCCZ 11259957010 7/1/2010 7/I I2011 500,000
OFFICERIMEMBER EXCLUDED? E.L.DISEASE•EA EMPLOYEE $
If yes,describe undo, E.L.DISEASE-POLICY LIMIT S500,000
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
Proof of Insurance
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
New England Window&Door LLC NOTICE TO THE CERTIFICATE 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
Haverhill,MA 01830 REPRESENTATIVES.
AUTHORU:ED REPRESENTATIVE
ACORD 25(2001108) Client it TOAn Mst# 10-11 GL,UMB,WC, Can# ',(trf ACOrRD CORPORATION 1985
Auto
tvI nvachu 6H ; Dcpartmcnt of Public Safctc
Boaid:el tldint, I>ati� itnifz$ttndards
_:CgnstructiOn Sup h6t. Licerlse
L�censeiCS ,69853
Restricted to?;00
?r
WILLIAM R NICHOLS ^.4
57 PEARTREE,RD._
HAVERHILL, MA 01830 r• -'"
Ezkelonl`1t112612010
(bnuniesi�mer Trp: 5196
. :. e .i J�fu$'loyin �- � ./�QeaaFlivaelD
e / i
i�,/� '.�'� Os��lusjimerYlSftirs-'&:B loeys Reg'ufstion
B IP t6VEM5NTCONTRACTOR;,f,;.t.,
' ton 29774
E>Epiratlon 11/2/2011
hype Supploent Card
PELLAyVIPoD.Msm4DOORS.% -
WILtIA7N;NicH605 HAVERwi1LLi;
" Vadersecre'tary° '
1
Contract - Detailed
Pella Windows 8 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(ftellaboston.co
Customer Information ectDelive, ; _ reas , f _ a 01111190111111
PETER ESCHAUZIER WLH,ESCHAUZIER,PETER,SALEM Quote Name: WINDOW OR DOOR PROJECT
151/2 RIVER STREET 151/2 RIVER STREET
Order Number: 741 LHO137
SALEM, MA 01970 Lot# Quote Number: 1916407
Day Phone: (978)594.1439 SALEM,MA 01970 Order Type: Installed Sales
Mobile Phone: County: ESSEX Payment Terms: Deposit/C.O.D.
Fax Number: Tax Code: MA TAX 6.25
E-Mail: Quoted Date: 8/2112010
Great Plains#:
One I Location:
15 DINING ROOM Architect,Outswing Door, Outswing Door, 111.125 X 79.5,Classic White, 6.9/16" Qty
1
U� m
1:7280 Active I Passive Outswing Door
Frame Size: 71 1/4 X 79 1/2
General Information: Standard,Clad,Pine,None,Standard Sill,Standard Frame Stops
Exterior ColorI Finish: Standard EnduraClad,Classic White
Interior Color/Finish: Prefinished White Interior
Glass: Insulated Tempered Low E SunDefense Dual LowE Argon Gas
Hardware Options: Multipoint Lock,Order Handle Set,Oil-Rubbed Bronze
Viewed From Exterior Grille: None,
Frame Size: 2:3880 Fixed Outswing Door
Frame Size: 37 7/8 X 79 1/2
Final Wall Depth:6-9116" General Information: Standard,Clad,Pine,None,Standard Sill,Standard Frame Stops
Exterior Color I Finish: Standard EnduraClad,Classic White
Interior Color I Finish: Prefinished White Interior
Glass: Insulated Tempered Low E SunDefense Dual LowE Argon Gas
Grille: None,
Wrapping Information: Foldout Fins,Factory Applied,6-9/16"Factory Applied,Perimeter Length=382",Glazing Pressure=200.
Trim-Exterior-Standard Exterior Trim Qty 1
Trim-Interior-Picture Frame-Interior trim City 1
Lead Paint-Lead Paint Install Qty 1
PD 3 wide-Install 3-Wide Qty 1
For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pelia.com
Printed on 9/1/2010 Contract-Detailed Page 1 of 3
Castomer. PETER ESCHAUZIER Project Name: WLH,ESCHAUZIER,PETER,SALEM Order Number: 741LHO137 Quote Number: 1916407
line I Location: �a�rt. ..� .'Z, r F.t a k A.R> w
20 None Assigned OBLTBZ01 • Keylock,Oil Rubbed Bronze, Random Qty
t
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.
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 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
For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pelia.com
Printed on 9/1/2010 Contract-Detailed Page 2 of 3
Customer: PETER ESCHAUZIER Project Name: WLH,ESCHAUZIER,PETER,SALEM Order Number: 741LHO137 Quote Number: 1916407
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 Azek.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
Product only addendum has been reviewed
❑Project Checklist has been reviewed
-
Taxable Subtotal $5,936.31
Credit Card Approval Signature Sales Tax @ 6.25% $371.02
Non-taxable Subtotal $1,120.60
Customer Name (Please print) Pella Sales Rep Name (Please print) Total $7,427.93
Deposit Received $3,713.97
Amount Due $3,713.96
Customer Signature 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.pelia.com
Printed on 9/1/2010 Contract-Detailed Page 3 of 3
PELLA WINDOWS AND DOORS CONTRACT 7 PAYMENTS
Pella shall be entitled In stop the Work upon written notice to Owner for any
1. 'PERMS AND CONDITIONS material default or failure by Owner,including but not limited to,the Owner's
These Ternrs and Conditions arr an integral pan of the contract set Ilnth on the failure to pay Pella the amount due within seven days after the date payment is
Product Order(the`Conuaci')between New England Window and Door LLC due,
ditto Pella Windows&Doors,Inc.("Pella")and the person(,)identified on the
Product Order("Owner')m supply the products(the"ProdrrelF'),and perform 8. CORRECTION OF WORK
the work(the"Work')described or referred to in such Conrad. Fur Product
Onlv purchases.a signed"Product Onlr Addendum is a required part of the Pella shall correct installation Work not in conformance with the requirements
of the Contract,if notified in writing by the Owner within two years after the
contract.
Completion Date or.it earlier,the drag an 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 re_sponsihie fill Lilly existing mconty sysicnu.s.Owner shall remove remedy for defective workmanship.and is provided in lieu of any and all other
all shade-a;rertic-tots.blinds.cantons,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 this.
responsible for the renxnal or installation of these lypes of ilems. Pella is not
responsible far plc-existing window coverings fitting on newly installed Pella 9, LIMITED PRODUCT WARRANTY
windows.
Pella shall warrant all Pella produce,but only in accordance with the Pella
Tire Owner shall provide complete access to the work site between the hue rs Window..,S Doors Limited Warranty.THIS LIMITED WARRANTY SHALL
of 7:00 a.m.and 6:00 p.nr-(Monday thrwch Fridavl lot Pella,installers to RE THE SOLE WARRANTY WITH RESPECT TO THE PRODUCTS AND
deliver the Products and perform the Work. PEI..LA SPECIFICALLY DISCLAIMS ALL OTHER WARRANTIES,
EXPRESS OR IMPLIED. WRITTEN OR ORAL(INCLUDING WITHOUT
} PELLA A LIMITATION ANY WARRANTY OF MF,RCHANTABILITY OR FITNESS
FOR A PARTICULAR PURPOSE).
Pella will be respunsiblc for'and have control liver construction metals,
methods,tecltmquc' SCqtlClwCS and pn eedue-a and for cootdunting all 111 NO CONSEQUENTIAL DAMAGES
potions at tile Work.Pella will 1. responsible Far the Work of its Pella
Contractors echo will install fhc Produce. UNDER NO CIRCUMs LANCES SHALL PELLA BE LIABLE FOR
Unless mc•idal otherwise in the Work desari rtion,Pella will Provide and r CONSEQUENTIAL.INCIDENTAL.INDIRECT,OR SPECIAL DAMAGES,
p I p Pay WFIETIIFR FORESEEN OR UNFORESEEN.
for till labor.mmcritds.equipmen,toils and machinery,trutsporution.and
other facilities and ser,wee necessary for the proper execution and completion
f tile Work. It. HOME IMPROVEMENT CON'CRACTORS
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 ilea-unless olbumi.se required or permitted.the Work will be free from administered by the Bred 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 rcquimments of this Contract.Pella shall not be responsible Any inquires about Pella or any of its subcontractors relating to registration
for damages or detect,caused by abuse,modifications not executed by Pch should be directed to: Director,Home Improvement Contractor Registration,
improper sir 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 nrbbish caused by perCornnnce of the 12. PERMITS(IMA customers only)
Work.
Pella�is•uhligatcd to and will obtain the following permits fur this projccC
-iA L _ Homeowners who secure their own permits will be
4. CHANGES eseluded from tire guaranty fund previsions of Massachusetts General Laws,
The Owner may older In writing changes in the Work consisting or addinolm chapter 142A,
deletions,or nadific:aions(`Changc Older"). Any Change Ordershall
include an udjustm a n
enl to the Price and the Sub-aainial Completion Date, In addition Ito If,,rights and warranoes enumerated in this agreement,You may
determined by Pella. Pella reserves the right m approve ar disapprove any have additional rights nuclei Massachusetts General Laws,chapter 142A and
Change Order and all such Change Older must be sianecl by both Owner and 780 Coale of Massachusetts Regulations R6.
Pella to be effective. 13. NOTICE OF CANCELLATION
5. SUBSTANTIAL COMPLETION You may cancel this mneenlent if it has been Signed by a party
Owner und,,stand,and agree,that me Sanslaotlal Completion Date is an thereto at a place other than sin address of the seller, which
estimate only and that the actual date on which the Work,.......plotted rnav 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 no the seller in writinn at his main office or branch by ordinary
ct tnplcr the Work e allected bv conduct of the Owner a e taller.labor
li
mail posted, by telegram sent or delivery,, not later than
dr:pates,tinulabd uy of subcontractors,acts of God,fire or xhzr causes Y
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 a,neernent.
contemplated above),but is substantially completed by such date,i.e.,the e
Product Ins been Installed,but minor pans or components are missing or need See the attached Notice of Cancellation for all explanation of
to be replaced or mpaied.a hold back proportionate to the cost orremaining this right.
pets'or work to be completed is acceptable.However.the holdback will not
exceed the amount of the completion costs ar 10 Sh of the remaining unpaid
balance of the Po ice.whichever is less.
Po not sign this contract if there are any blank spaces.
6. FINANCING
If prp•nrent nfthe Price is financed with a financial institution through Pella.all
financing paperwork must be completed upon signing of this Contmet and the
requisite approvals and aulh i tuitions for the full tunoam of the requested
financial,shall have been received from the financial Insulation. Cuuonrcr-signature
Ai ' 8 L,2S �O o
Dated 1
t ,
X1 UXIO-
gry
NOTICE OF CANCELLATION
Customer Name: /2 T�32SCiJd�L�l��L.
(Plemeprint)
Date of transaction: /t-'C 7, • h I G
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 Act ;3r Alto ,(three business days from the date of
transaction above).
I hereby cancel this transaction.
(Date) (Buyer's signature)
DISPUT
ES
Job Name C 5e'ltL4A r am[C-7Z
Date �S[,1d �01 0
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
pt-�La l�'«dn��•s
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.