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3 RIVERBANK RD - BUILDING INSPECTION The C'onunonwealth of Massachusetts CITY Board of Building Regulations and Standards OF SALEM Massachusetts State Building Code, 780 C'MR, 71n edition Revised Jwnarn• Building Permit Application TO Construe Repair, Renovat 'Ur Demolish a 1. 't1nN One-or Ttru-F nUv tvellfrrx This Section For Ot tcial Use O Building Permit Number: at , pplied• S Signature: Building Commissioned Inspector of oil in Dam SECTION 1: S T INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 3 ('�tyE'zY�Antic ko I.la Is this an accepted street?yes no_ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lut Area(sq n) Frontage(11) 1.5 Building Setbacks(it) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.401§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Public❑ Private❑ Check if es❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Ownert of Record: C eat=LiAt Name(Pr p Address forr Service: Telephone Signature SECTION 3: DESCRIPTION OF PROPOSED WORK=(thee"ll that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify: Brief Description of Proposed Work': c� R,F -- 0 5 SECTION d: ESTIMATED CONSTRUCTION COSTS Estimated Costs: Official Use Only (tern L rand Materials I. Building $ 3 7 tl'D"" I. Building Permit Fee: S Indicate how lee is determined: ❑Standard City/Town Application Fee 2. Electrical S — O Total Project Cost' (Item 6)s multiplier s 3. Plumbing $ '— 2. Other Fees: S 4. Mechanical (IIVAC) S — List: 5. Mechanical (Fire S — Total All Fees: S Suppression) _ Check No. Check Amount: Cash Amount: 6. Total Project Cost: S 3?oo ❑ Paid in Full 0 Outstanding Balance Due: r SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) ©f-1,k53 ,�F.u _t (A,-A,l tn� ji tres tS License Number Expiration Date Name W CSI.-I lolder 45— List C'SL Type(see below) Address - Description I!nrestricteJ(tip to 35.000 Cu. Ft. S,�i}}nature - Restricted l&2 Family Dwelling NI I Nfasonry On1 RC' Reiidential Routing C'overin felephone WS Residential Window and Siding SF I Residential Solid Fuel Burning Appliance Installation U Residential Demolition 5.2 R Istered Home Improvement Contractor(HIC)ei (�Gvv�w�.� 1 IC Company Name or f IIC R}}•gisirant Name Rrgistratiun umber _NS Fcrv.ryG 'K'� I-r4�hW Got �"t✓+- DI� 32 Address (" .-1— D, Expiration Date Signature Telephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152. 4 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.......... Et' No........... ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S ACENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I. (�oY'o zed 14 , as Owner of the subject property hereby authorize L A- 14B,+uvrcA,.v S to act on my behalf, in all matters relative too work authorized by this building permit application. C91iF-�'h-Ci� /J • /,/—/2_ Signature of Owner Date // SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION I ll p-c /jt Cop(., ,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. Print Name Signature of Owner or Authorized Agent Date (Signed under the pains and penalties of r'u NOTES: I. 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 Home Improvement Contractor(HIC)Program),will toot 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 730 CMR Regulations I IO.R6 and 110.145,respectively. 2. When substantial work is planned,provide the information below: Total (lours area(Sy. Ft.) (including garage, finished basemen/attics,decks or porch) Gross living area(Sy. FL) I Iabitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half baths Type of heating system Number of decks/porches Type ofcooling system (inclosed Open 3. "Twal Project Square Footage'may he substituted for"Total Project Cost" 1 The Commonwealth of Massachusetts t a L' - , �� Dcl=artfneffi oflndttstrialRcr_itlefats Office of Investigations y 600 Washington Street I p a' Boston, VA 02111 w Yvit'b5r.P71a5'S.uoVi4tECc "VVOC°tC£C55 c9BfBVxPE:P138`LiL°LI IBB5dA3'nul-E Affidavit: BBAAlden`SiC.0I§EC#1G$O="S,fElPC}^_'PL:3a815/P1tA[F°k?P.CS Applicant Infor►-PlAt lease -Print I,egibiv Na1T18 (BasinessiOr,anizatiorJlndivitival': Ie�,ZvtL�- Address:qs- o�tih gill s- ----- - -------- — --- City/State/Zip: I� .1j� L�-_C� Phone Are you an employer? Check the appropriate box: I Type of project(required): cy 4. ❑ I am a .- i 1.�am a employer with '"Ancral contractor and 1 � 6. El construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I listed on the attached sheet. I 7. Remo am a sole proprietor or partner- ' slip and have no employees These sub-contractors have g. [3,nemoiitioa working for me;a any capaatl. etnpiryees aod'nave workers' 9 n Build ng addi tan [\o workers' couz cornp. insurapce.t p, insurance 10.0 Electrical repairs or additions 1 5. We are a corporation and its � required.] 3.El 'am a homeowner doing all work officers have exercised Their 1 i.[]Plumbing repairs or additions i myseit. To workers' cerr,p. right of exemption per T�1Gi. 1 12 ❑ Roof�repairc � C. 152, §1(4), and we have nc i insurance required.] t 13.j] tither—__— employees. Tio workers' --_---- comp. insurance required.] ------- _ *Any applicant that checks box#1 must also fdi out to section below stowing their worker cornpensanon polity in;onnano. - ' Homeowners who suurnit thin affidavit indicating they are doing ail work and;hen hire outside conna:tu,must submit a new affidavit irdicati ag such. tContractors that check this box tnust attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. Itf the sub-conthactnrs have empioyee;,they must provide their workers'corl policy number. —I ails an eniplayer that is providing woi*CIV compensation ins'nranee for my enaplOyees. Below is the policy and job site �^ information. Insurance Company Name: Lai 1f"! ------------ ..l.e ExpirrationDate: Policy#or Self--ins. Lich #: �'--s u2: � ���.j C.f�------ — job Site Address:_ _ _ City%State/Zip:— Attach a copy of the war-ere compensation policy declaration page(showingEbe policy number and expiration date). Failure to secure coverage as required under Section 25A.of IvIGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 andior one-year imprisonment, as well as civil penalties in the feint of a STOP WORK ORDER and a fine of up to$240.00 a day against the violator. Be.advised that a copy of this staterneetmay be forwarded to the Office of invesrttatiens of the 1�1A for insurance coverage,c ificatic I do hei ebv certify'under the pains and penalties of perjury that the information provided above is true and correct. D't Z - -- Dffcial use only �o not IYf1fE In irfs area, fa be contpleferl6y cfty or town official ICity or Tawn: —_.__ PermitUcense#,_ Issnino Authority(circle one): i J.Board of health 2.Building Department 3.Ciiy/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector I` 6. Other---__-_--- II Phone#: Contact DA iW10cff,YYI CERTIFICATE OF LIABILITY INISURAN M t- CONFERS l40 RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE IFICAT CERTIFICATE IS OT AFFIRMATIVELY A Is'6 O OF INFORMATION AMEND ONLY AND THE COVERAGE AFFORDED SY SHE POLICIES BEL01FICATE DOES NOY TEFISEAE NE S NOT C NSTIT , EXTEND 0'R. CT � SELO'dt/. THIS CERTIFICATE OF INSURANCE DOES NOT CONS'diYUYE A CONTRACY Br'ItPdEEN THE ISSUING INSURER(5), AUTHURI7ED REPS ESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. -- suh' epee.to � EP:tPL+RYANT: if Rho Gertifloa.e hD:der is ar.CeUD6YI0NAL:NSLIRED,the poiisy(iaG)trusf bs trdorsed. If SU6ROGATION iS 6`EAIVEC, ! tali^ce ti-i^eta does not confer righis 0 Ella teems anti conditions of the policy,certain gafleie=�may require an endorsement. A s4ateiment ant '_ � — certificate holder in lieu of such endorsement(s). 4 Cor'=n 'iC RFI U F CONTACT OoraNi _ ___._-__ loi PRODUCER (�NAF9�__ !FAM1 .8)454-1Bf$ Fred C.^.hmch,Inc iPHONE c?e 322;N1 _ (�✓J---_--_—___ AI Wa!Imar.Street L,(W-W4.,E#a' Leaa5,MA 01551 IE-.'MA!L dcoue'w!reJ ^urch.cnm__ (BWi`e25-iB65 A69R'>e S: NAIC!' INRIIRERIS:AFFOROIf"G CQVERfivE�31534 _ IISURERA: Ci!!zens lnN�aeve Company cf A;narica —tE2242 1 INSUnER 6: Hanover N'u=t'''ce Company _ INSUREp 2.$U6 hew Ee and Window00=or LLC I --Massac`.c:P!!s Bxy!nsurance — 1 _ 9� !iNSURER C: 13053 45 Fundi Rod IN GI RE a: Net44smPh'ro Emp!oysrs!nsumnca Company _1 _ - —� !ua ffiiA,MA C1032-1302 INSURERE^__ INSURERF: v c GERTIFiCATE NUPABER:'-z°°' P.EVISfON NUMBER: _ CO.ERAGEb� THIS IS TO CERTIFY THAT''+RE POLICIES OF INSURANCE LISTED SELOIJV HAVE BEEN ISSUED TO?RE INSURED NArr1£0 ABOVE FOR THE POLICY PERIOD INMCATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLCCES DESCRIBED HEREIN IS SUBJEC?TO ALI.THE TERh15, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REF L Y EBY FAF CLAIMPS. —„ UYIrS NSR ^—AOOL SUCK pOlICY NUhAEER MhVODIYYYY NKiSOKFYf {', TYFE OFENSURANCB Y a t,^50,CCU Il= GENEILIT—^-- ----` ! ^ EACH OCCURRENCE 5 I DAMA-E TO RENTED 10y05U i x CGMMER.Gh+.L GENERAL L;AEIL!TY i I r-EFFISONAL i IEXP!Afy CnePMIM',LGENN'L M�MApE I`j OCCUR i I 1 T/1r'e012 ?!1I20131,UUanoo 2BNS1B:40T 6AOV INJ!JRYdERAL.AGGR[6:P.tE E 2,000:050 —_ z.ecs,eec PRCD'JCTS-Cam".PIDP f GG ff—AT1E LIMIT'Za APPLIES PER: I ' $I PRO- X '-OC—_ I _�---h—�SINGcE LI,"AIT 1,U:Jp00 AL!ABIIUI �!, 5 I I BOOILY!NJURYiPerperrn) E r 1_� ANY AUTO pe!J^e0 i'L 1!i2013 1 R'1;P=_r s!ciCenl lS —_—'---J ADN31S21BB BODILY I. ! 1ALL OWNED AUTOS!ULED �I ! 1 PROPERTY DAMAGE g A-M NON-OWNED I rPsr^c•'d r•t) I HIRED AUTOS AUTOS I I 1 �— �5 -----` F. sots°sB i BEACH OCCURRENCE X UM6RELI_A LIA9 % I GGGVR i —_ ?11J?012 I T!1!2013 s.assaes C ' E%CESS UAC U4N3!S?305 AGGREGATE E J 1 LIC'uNIVIS-MADE i I r S CEO RETENT!ON5 ,��,.,,. r K I VdCSTATU- Tr`'� 1 __LTiBYLL17ii5.1._sJLI-- 'NORR@RSCOMPENSATION ! I - ROD$[) AND EMPLOYERS'UADfl.ITY YINl ! _ 1JIL81 e.+.•3 1e! pAOM ACS!OENT I5 M ANY GPRDFRiETORI?ARTNGR;Pl.ECUTi;rE.•--! I i GC000'250!c%S 2 ?:iL - -- LQyEi 00 CG'u D FF!C �:CVJOED4 L_j NIA EL.DIEEASE-i,A EhiPL'u'E�c : •____ P,txnda.ary InER!MEhSEER NHj � rr 550,05U f DESCRIPTION OFF _— Ii:,L.Cb'EAEE-POLICY LIMIT $ __ DESCRIPTION OF OPERATIONS➢cicw �-- i DESCRIPTION OF OPERATIONS r L000.TiDN5 I VEHICLES(Anach ADGRD W I.Add:Itanal Remarks Schedule,N more space Irrequ!rad! Pmpr oansurancs i CANCELLATION CERTIFICATE HOLDER Heel Eng!ard NSndon&Uaor LLC SHOULD ANY OF FHE ABOVE DESCRIBED POLICIES RE CANCELLED BEFORE: f 45 Pcntli Raad T41S E%PIRAT!O;ti OATS 'HEREOF, NOTICE N:ILL 0E DELI-VERED IN IIII l4avmhil!,Nit. D1530 f THE L`W`N THE POLICY PROVISIONS. _J.--- I NUTNORRcO REFREsiNTATM 9 L Cart HLIder 7It <'9:?8-204u A':•O.D CO P.A S,PUTION All Tights reserved. LlientM EJatN ac1fRD 25(ze±Oros) The ACORC,name anG lcago are regists-Fsd mares of ACOR0 Massachusetts - Department of Public Safety Board of Building Regulations and Standards Construction Supemsoi License: CS-089853 W ELLLAM R NICIIOLS 57PEARTREEED HAVERHILL MA 01830 f Expiration Commissioner 10/26/2014 a'. ✓die c;aniinHizweac o�n,�'��aa�ac/a ems"` ` \ Oflice 0CConsnmer AGA &B,sliie-s Regulatieo OME IMPROLEMENTCONTRACTOR Registration; 74 Expirat -n -- - - ion s7 t/2/2013 _ Type' Supplement i. PECLA WINDOWS ANDJDOORS ' - WILLIAM NICHO'ifS� - 45 FONDI RD, HAVERHILL, MA 01832 -. - Undersecrerary ® Contract - Detailed Pella Windows& Doors Sales Rep Name: Badalaty; Bruce uo HIC#129774/Tax ID#26-1413183 45 Fondi Road Sales Rep Phone: 978-423-4691 Haverhill, MA 01832 Sales Rep Fax: ®® Phone: (978)373-2500 Fax: (978)373-7274 666 Sales Rep E-Mail: BadaiatyBP@pellaboston.com Customer Information Project/Delivery Address Order Information Jacqueline Corona Corona,Jacqueline,1150793,Salem Quote Name: 3 Proline CO and TR 3 Riverbank Rd 3 Riverbank Rd Order Number: 741 BB0142 SALEM, MA 01970-5311 Lot# Quote Number: 4077520 Day Phone: (978)7412429 Salem,MA 01970-5311 Order Type: Installed Sales Mobile Phone: County: Essex Payment Terms: Deposif/C.O.D. Fax Number: Tax Code: MA TAX 6.25 E-Mail: jcorona3@comeast.net Quoted Date: 9/9/2012 Great Plains#: 6662620 Customer Number: 1006207998 Customer Account: 1001800526 Customer Notes, Permit Fee Pad chk#2426 $33.00 Line# Location: Attributes 10 None Assigned ProLine,Casement Left, 17 X 46,White, 3-11/16" ary 1:Non-Standard Size Left Casement PI Frame Size: 17 X 46 .S 530 General Information: Clad,None Exterior Color/Finish: Standard EndursClad,White Interior Color Finish: Unfinished Interior Glass: Insulated Tempered Low E Advanced Argon Gas I7 Hardware Options: Standard Roto Operator,None,White Viewed From Exterior Screen: Full Screen,White,InView Frame Size:17"X46" Grille: RMB,No,3/4",Traditional(2W3H),Unfinished Wood, Unfinished Wood,Shipped Separate Wrapping Information: Foldout Fins,Factory Applied,3-11/16"Factory Applied,Perimeter Length=126",Glazing Pressure=205, Final Wall Deplh:3-11/16" FF<48 wide-Install Full Frame Window 48 inches or less wide Qty 1 Composite Trim<48-Composite Upgrade.48 Inches or Less Wide Oty 1 Trim—Stool and Apron-Add Stool and Apron Trim to Picture Frame Qty 1 For more information regarding the finishing,maintenance,service and warranty of all Pella@ products,visit the Pella®website at www.pella.com Customer:Jacqueline Corona Project Naine;: Corone,J icqueline,1150793,Salem Order Number: 7416BO142 Quote Number: 4077520 Line# Location: _ _ Attributes 25 Kitchen Prol-ine,3-Wide Casement,71 X 46,White, 3.11/16" taty 1 1:Non-Standard Size Loft Casement PK N Frame Size: 18 X 46 530 Genoml Information: Clad,Nonc Exterior Color I Finish: Slnnrlant EndmaClad,White ill Interior Color/Finish: Unfinishod lnlarior — Glass: Insulator]Low F.Advnncad Argon Gas Hardwaru Options: Standard Role Operator,None,White Viewed From Exterior Screen: full Srroen,With[:,InVlew Frame Size:71"X 46" Grillo: RMU,No,314",Trndllional(2W3H),Unfinished Wood,Unfinished Wood,Shipped Separate Vertical Mult is I-ectoryMul],Stundard(Vertical Factory)(0") Final Wall Depth:3-11/16" 2:Non-Standard Size Fixed Casement Framo Sizo: 35 X 46 General Information: Clad,None Exterior Color/Fln[Mv Standard EnduraClad,White Interior Color/Finish: Unfinished Interior Glass: Insulated Low E Advanced Argon Gas Grillo: RMR,No,3/4",Traditional(3W3H).Unfinished Wood,Unfinished Wood,Shipped Separate Vertical Mull 2: r-'actoryMull,Standard(Vertical Factory)(0") 3:Non-Standard Size Right Casement Frame Size: I X 46 General Information: Clad,None Exterior Color I Finish: Standard EnduraClad,White Interior Color I Flnlah: Unfinished Interior Glass: Insulatod Low F_Advancer]Argon Gas Hardware Options: Standard Roto Operator,None,White Screen: Full Scroon.White,InVlew Grille: RMB,No,3/4",-rmrlltional(2W311),Unfinished Wood,Unfinished Wood,Shipped Separate Wrapping Information: Foldout Fins,Factory Applied,3-11/16"Factory Applied,Perimeter Length=234",Glazing Pressure=75. Trim—Stool and Apron-Add Stool and Apron Trim to Picture Frame Qty 1 Composite Trim>48-Composite Trim Upgrade>Greater than 48 inches wide Qty 'I FF_48-96 wide-Install Full Frame Window_48-96 inches wide Oty 1 Line# Location: _ Attributes 30 None Assigned Delivery[Setup-Delivery/Setup aty 1 For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella@website at www.pella.com Customec Jacqueline Corona Pro]er,Wame: Corona,Jacqu+;line,1150783,Salem Order Number: 741BB0142 Quote Number: 4077520 Line# Location: _ Attributes 35 10 act rebate September Rebate-September Rebate City 1 Llne# Location: Attributes 40 5 urgency September Promo-September Promotion Qty_ 1 Thank You For Purchasing Pella® Products PELLA WARRANTY: Pella products are covered by Pella's limited warranties in effect at the time of sale.All applicable product warranties are incorporated into and become a part of this contract. Please see the warranties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system.Neither Pella Corporation nor Pella Windows&.Doors will be bound by any other warranty unless specifically set out in this contract. However,Pella Corporation will not be liable I'or branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. Clear opening(egress)inRnmation does not take into consideration the addition of a Rolscreen for 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. For more information regarding the finishing,maintenance,service and warranty of all Pellam products,visit the Pella®website at www.pella.com Customer:Jacqueline Corona Project Name: Corona,Jarquoline,1150793,Salem Order Number: 741BB0142 Quote Number:4077520 Project Checklist Review (installed Orders Only) Before the Installation the Homeowner agrees to do the JAjg11t+,,; Obtain Condo Association Approval Obtain Historic Approval Remove existing shutters and awnings Remove air conditioners Remove existing shades, drapes, window treatments,well Ir ugliru�s,, rend persomal belongings Move furniture at least 3 feet away from work aiea Tie or cut back trees, bushes and shrubs in the work area Arrange to have alarm system and doorbells(%ronnerted Arrange to have any plumbing and electrical repairs or changes made by appropriate licensed contractor Provide a door handle and lockset for entry door if Pella handle and lockset is not purchased. Before the Installation Pella agrees to do the following: Obtain Building Permit(When required) Prefinish products when purchased in contract During the Installation the Homeowner agrees to do the following: Keep pets safely away from work area Keep children safely away from work area Allow Pella Installer room to work safely within your home During the Installation Pella agrees to do the following: Deliver and unload products purchased per contract Place and remove drop cloths in work area then vacuum, and remove all debris at end of day Remove existing product, including storm windows, and dispose of it unless otherwise specified Install all products using method specified in contract per Pella Installation Instructions Replace interior and/or exterior trim only if purchased If Purchased, install exterior primed pine wood trim or Composite. Composite will be unfinished. If Purchased, install interior trim matching wood window finish or White trim for Impervia and Encompass Install non-Pella entry door lockset provided by you. Pella is not responsible for it's quality or performance After the Installation the Homeowner agrees to do the following: Be available for completion and sign off to verify all products purchased are in working order Reinstall existing shutters and awnings Re-install existing shades, drapes,window treatments,wall hangings, and reposition furniture Arrange to have alarm system and doorbells reinstalled Reinstall air conditioners Remove stickers from product and save for energy rebate and tax purposes Wash all interior&exterior glass surfaces Fill nail holes and joints on interior trim if windows are to be stained (after staining) Clean up exterior casing issues due to storm window removal if full wrap or new exterior trim is not purchased For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at vmv.pella.com Customer:Jacqueline Corona Project Name: Corona,Jacqueline,1150793,Salem Order Number: 7418130142 Quote Number:4077520 i Project Checklist has been reviewed Cus p�er initial Product Only Addendum has been reviewed Customer initial y Credit Card Account#: Last 4 Digits L/ Expiration Date: Charge final payment to same account �� (Upon substantial completion) C I For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pelia.com cCustomer:Jacqueline Corona Protect Name: Corona,Jacquelirie,1'150793,Salem Order Number: 7416BO142 Quote,Number:407752.0 (�Project Checklist has been reviewed c ' Custo Name; (i'v "print) Is Sa qs Rep N:imu '� e:��„��i„iw) Order Totals V` G� '\ Taxable Subtotal_ $1.979.01 C omer Signatur Pella salon 2ep Sig1rature Safes Tax @ 6,25/a _ $123.69 ( G I I U / /� Non-taxable Subtotal $1,544A4 Total $3,747.14 Date Date Deposit Received $1,873.57 tc ��� Amount Due $1,873.57 Credit Card F pp7ova Signature For more information regarding the finishing,maintenance,service and warranty of all PellaO products,visit the PellaU9 website at www,pella.com NOTICE OF CANCELLATION Customer Name: (Please print) Date of transaction: Z � � � I You may cancel this transaction, without any penalty or obl _a=c:- nss days from the above date. I _ If you cancel, any property traded in, any payments made by and any negotiable instrument executed by you will be returned c _ems da_% following receipt by the seller of your cancellation notice. and an.::. s arising out of the transaction will be cancelled. If you cancel, you must make available to the seller at your reside_:ce. good condition as when received, any goods delivered to you under you may if you wish, comply with the instructions of the seller re2anJ= ae 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 _r_ot pick v within twenty days of the date of your notice of cancellation, you ma% re-_i-0-1 d_aSD0se of the goods without any further obligation. If you fail to make the Rcods seller, or if you agree to return the goods to the seller and fail to do so. he _o_--'Main liable for performance of all obligations under the contract. To cancel this transaction, mail or deliver a signed and dated copy of this caace_anon notice or any other written notice, or send a telegram to Pella Windows and Doors, at 45 Fondi Rd., Haverhill. -LA,0183) not later than midnight of ( ? ) L (three business days from tee date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) PELLA WINDOWS AND DOORS CONTRACT 7. PAYME\T I. TERMS AND CONDITIONS Pella shall be entitled to step =---- material default or failure by O}.__. i nu:Terms and Conditions are an integral part of the contact set forth on time failure to pay Pella the tams;::: Product Order(time"Contract")between New England Window and Door LLC due. doa Pella Windows&Doors.Inc.("Pella l and the persons)identified on the Product Order("Owner")to supply the products(the"Products"),and perform 8. CORRECTION OF R O�ti the work(the"Work')described or refctred to in such Contract. For Product ONy purchases,a signed"Product Oaly Addendum"is a required part of the Pella shall correct insallatier.P:.:=,:--_::__'—___r=_r��'=++ contract. of(lre Conbact,ifnotin`edin',t _ -'- Completion Date or.ifearlie.:_ --'- 2. OWNER completed and payment ofthe?_ provided above Comnctior, Pella is not responsible for any existing secunry systems.Owner shall remove remedy for defective woJI - _. - all shades;verticals,blinds,curtains,dramas or window mounted air remedies.Pella's obligation tw 2=-: _- conditioners,prior to the installation of the Products.Pella's installers are net receipt of all payraents then due. responsible for the removal or installation ofthese types ofitems. Pella is not responsible for pre-existing window coverings fitting on newly installed Pella 9. LIMITED PRODUCT V.-=.=t_`•-± windows. Pella shall warrant all Pella p%_-_'_ - - ----.__ -----__- r - • The Owner shall provide complete access to the work site between the hours Windows&Doors Limited 1:a::__-. _- _v==a-" of 7:00 a.m.and 6:00 p.m.(Monddv through Friday)for Pella's installers to BE THE SOLF WARRANT`.:t deliver die Products and perform the Work. PELLA SPECIFICALLY DISC_1?.Sa --- -3'_t_ EXPRESS OR IMPLIED, N\d Y 3. PELLA LIMITATION ANY WARRA-X T-"._F r,•=7.__-_-_-= i= -- Pellawill beresponsible forandhavecontrol overconstruction means, FORA PARTICULAR PURPOS-. 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 CONSF.QUENTL.i_D--V Contractors who will install the Products. UNDER NO CIRCUMSTINCE: 5-=__- - _ -_-_ Unless provided otherwise in the Work description,Pella will provide and pay CONSEQUENTIAL,INCIDEITA=3=3 =__3-zz____:_'•': =i-. for all labor,materials,equipment,tools and machinery,tansporcation,and WHETHER FORESEEN OR LU:FCB-z—'•- other facilities and services necessary for the proper execution and completion of the Work. 11. HOME IMPROA-EME,17 CO}— The materials and equipment furnished under the Contract will be good quality All home improvement coeracma`'_ and new unless otherwise required or permitted,the Work will be free from the director of the Home Imp - defects not inherent in the quality required or perrrutted,and the Work administered by to Board of Bud confomi with the requirements ofthis Contact.Pella shall not be responsible any ofits subcontractors identifiedM for damages or defects caused by abuse,modifications not executed by Pella, Any inquires about Pella or a n improper or insufficient maintenance,improper operation or normal wear and should be directed to:Director,FI-- -cr \LA i�_i� Boston... i.e - -;=:S tear- Pella will keep the pt'emises and Surrounding area free from One Ashburton Place. - accumulation ofwaste materials or rubbish caused by performance ofdme 12. PERMITS(MA customers a-y. Work. P a is o6(i_e led to d will ob a ' '`-'7 Horn 4. CHANGES duded from the gu�anr-fa.,�.,� _ The Owner may order in venting changes in the Work consisting of additions, chapter 14>_.A- deletions,or modifications("Change Order"). Any Change Order shall include an adjustment to the Price and the Substantial Completion Date.as In addition to the righu and determined by Pella. Pella reserves the right to approve or disapprove any have additional right antic 1_ss=- C�-- =-r -:a=_, Charge Order and any such Change Order must be signed by both Owner and 780 Code ufA1assachss �s=:>_ Pella to be effective. 13. NOTICE OF CA-NCr_+ L o eft 5. SUBSTANTIAL COMPLETION You may cancel L _ Owner understands and agars that the Substantial Completion Date is an thereto at a pia_e c-- --a- estimate only and that the actual date on which the W ork is completed maybe maybe his m°Ll oS:? extended to allow for Change Orders requested by Owner or if the time to _ -` - - - complete the W ork is affected by conduct of the Owner,weather,labor the Seller to^.r__g__: _ _-_=_: __ _.___ _ disputes,availability ofsubcontractors,acts ofGod,fire or other causes mail pos-'e'I reasonably beyond Pella's control.lffor any reason the Work is not fully midai2hr oP ehe x__i. ['_'— s1 '_'io-::"=Td_-_"i_p completed by the Substantial Completion Date(including airy extensions aHie2m2ai. contemplated above),but is substantially completed by such date,i.e.,the ' Product has be=installed,but minor parts or components are missing or need See to aracIl:u ScT_c_Caac_=izrca t^be i:placed or repaired,a hold back proportionate to the cost ofremaining [lri3 rioht. parts or work to be completed is acceptable.However,the holdback will not exceed the amount ofthe completion costs or 10%ofthe remaining unpaid balance of the Price,whichever is less. Do not si--n this cuntract if there are any blank spaces. 6. FINANCLNG ffpayment ofthe Price is financed with a financial institution through Pella,all '/�' •� financing paperwork must be completed upon signing of this Contract and the j requisitee approvals and anthor'v_ations for the ffill amount ofte requested �•i.//� / 4j/-�-- financino steal;have been received from the financial institution. Date f 1 A DISPUTES Job Name Date g j v / �2— THE CONTRACTOR AND THE HOMEOWNER HEREBY MUTUALLY ADVANCE ADVANCE THAT IN THE EVENT PELLA HAS A DISPUTE CO\C- X� 7_ *_ CONTRACT, PELLA MAY SUBMIT SUCH DISPUTE TO A PRIVATE ARBITRATION SERVICE WHICH HAS BEEN APPROVED BY THE SEC-y�- I OF THE EXECUTIVE OFFICE OF CONSUMER AFFAIRS AND BUSI -ES- REGULATIONS AND THE CONSUMER SHALL BE REQUIRED TO Sz J\-_ Ti) SUCH ARBITRATION AS PROVIDED IN M.G.L.c. 142A Contractor ineorvner NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TC! THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETT L E -Nl INITIATED BY THE CONTRACTOR. THE OWNER MAY INITL�,TE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES.