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11 SAUNDERS ST - BUILDING INSPECTION The Commonwealth of Massachusetts >y�y Board of Building Regulations and Standards Town of �y Massachusetts State Building Code, 780 CMR, 7"edition Building Dept Building Permit Application To Construct, Repair, Renovate Or Demolish a ne-or Taco-Family Divelling V This Section For Official Use Only Building Permit Numb Date Applied: / ) Signature: Building C issi r/Inspector of Buildings Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers /l Saunders S4, I.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear 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? Public❑ Private❑ Check ifyes0 Municipal ❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: ban and Kfit l bUgevy /I Jaundevs S'-L - .Sal-ern, Kt-1 Name(Print) Address for Service: ,ate 9 t-)8 - o f-IS -d-)5 8 Signature Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) Alteration(s) ❑ 1 Addition ❑ Demolition ❑ 1 Accessory Bldg. ❑ Number of Units_ I Other ❑ Specify: Brief Description of Proposed Work: Ir)s{C11 a rPDlGcci- lin+ Lutvldowi 1s1 eXIShna t SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1. Building $ 2 O5 u) 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost(Item 6)x multiplier x 3. Plumbing S 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ od �.()5. ❑ Paid in Full ❑Outstanding Balance Due: rly- ,Jb Ck�,k -0�0,Jr l� SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) a q U GO r :'r'�"-�bI'�}`lQ S P , f'Lj 7C cr) License Number Expiration Date Name of CSL-Helder VVOb(-(( 1 List CSL Type(see below)__ Type Description Address U Unrestricted(up to 35,000 Cu. F[.) R Restricted 1&2 Family Dwelling Signature M Masonry Only -7$1 -93a-s,506 RC Residential Roofing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 Registered Home Improvement Contractor(HIC) I L' �5 Q HIC Company Name or HIC Registrant Name Registration Number r , + VV0DU(n 5 -5 -0c) Addres '7 11 -4�3a-t:jQQ Expiration Date Signature Telephone 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 .......... No........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, Dan Or K ell D U q e r y as Owner of the subject property hereby authorize tir v u i2r o to act on my behalf, in all matters relative to work authorized by this building permit application. 'cei &&ii;� Signature of Owner Date SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION 1 ?Y,omGs P FoxO✓" ,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. Th orn a s P F-cv- a-� Print Name - .-= env eZ 3Ile �9 Signature of Owner of Authorize N �a Date (Signed under the pains and penalties of er u /v 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 Home Improvement Contractor(HIC)Program),will not 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 I 10.116 and I IO.RS, respectively. 2. When substantial work is planned,provide the information below: Total floors area(Sq. Ft.) (including garage, finished basement/attics,decks or porch) Gross living area(Sq. Ft.) Habitable 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 Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" CITY OF SALEM as PUBLIC PROPRERTY DEPARTMENT I-'CAN,111M..,!N 1 IS II T • 1.\I I M. NI\1i\, :P ii 1 , 11:1: 978-1-1i-'/i'15 • 1:.\s:778 N .' S46 Construction Debris Disposal Affidavit (rcyuired for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 1 1 L5 Dcbris, and the provisions of MGL c 40, S 54; Building Permit # - - is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c I 11. S 150A. The debris will be transported by: New�it0 6111 (name of hauler) The debris will be disposed of in dumps k - (name of facility) /3 Whrrl_tna (?yr. WObu(n (address of acility) denature of permit appl cant zalD ,late -- 1/9/2009 12:07 PM FROM: Mackint;re Insurance Mackintire Insurance Agency TO: 9,17919320860 PAGE: 002 OF 003 QCORD CERTIFICATE OF LIABILITY INSURANCE 0f/oiz 9 PRODUCER (508)366-6161 FAX (508)366-5202 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Mackintire Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE.DOES NOT AMEND,EXTEND OR 11 West Main Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Westborough, MA 01581-1931 INSURERS AFFORDING COVERAGE NAIC# INSURED Newpro Operating LLC INSURERA: Peerless Insurance Co. 24198 26 Cedar St. INSURER B: Woburn, MA 01801 WSURER C: INSURER D: INSURER E: 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;THEINSURANCE 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. INSR D' TYPE OF INSURANCE POLICY NUMBER POLICVEFFEMMMCTIVE POUCYEXPIRATION LIMITS GENERAL LIABILITY TBD 01/01/2009 01/01/2010 EACHOCCURRENCE $ 1,000,000 . X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 CLAIMS MADE FX] OCCUR MED EXP(My one person) If 5,()00 A PERSONAL 8 ADV INJURY - $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER:. - PRODUCTS-COMPMP AGO $ 2,000,000 POLICY JECi LOC AUTOMOBILE LIABILITY TOD 12/31/2008 12/31/2,009 COMBINED SINGLE LIMIT ANY AUTO (ES accident) $ 1,000,000 � - - ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) A X HIRED AUTOS BODILY INJURY X NON-OWNEDAUTOS (Pareedded) $PROPERTY DAMAGE $ (Per ecddent) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER 7HAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLAL"FLIW TBD 01/01/2009 01/01/2010 EACH OCCURRENCE $ 5.000.000 X OCCUR CLAIMS MADE AGGREGATE $ 5,000.00 A $ DEDUCTIBLE $ hX RETENTION If 10,00C $ WC STATU- OTR EMPLOYERS' L[AEIJSATION AND EMPLOYERIETOR/RAF - - E.L.EACH ACCIDENT $ ANV PROP EMB R/PARTNER/EXECUI'IVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-Fh EMPLOYE If If as.desodbe under E.L.DISEASE-POLICY LIMIT $ SPECIAL PROVISIONS be. OTHER DESCRIPTIONOFOPERATIONS I LOCATIONS IVEHICLES#EXCLUSIONS ADDED BY ENDORSEMENTI SPECIAL PROVISIONS CERTIFICATE HOLDER CANC L TIO SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL _ 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY RIND UPON THE INSURER,IRS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Timothy Mo na h ACORD 25(2001/08) OACORD CORPORATION 1989 01/09/09 09:43 FAX 16177709683 AMERICAN FIRST INSURANCE I91UU1-------------- _ OP ID DC OATE(MWDDnlYYY) ACOm,. CERTIFICATE OF LIABILITY INSURANCE IS CER FICATE IS EDASA NEWPATTEROFINFOR 01 0 /09 PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE American First ins Agency Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 122 Quincy Shore Drive North Quincy MA 02171 INSURERS AFFORDING COVERAGE NAIC# Phone: 617-770-9000 INSURER Arbella Protection Ina. Co INSURED INSURER B: wp Op - INSURER C: PO 8oX 23erating LLC INSURER D: 96 Woburn MA 01801 INSURER E ..COVERAGES---------... ..----._._ _----._. __:._---. ._ NSURED NAMED ABOVE FOR THE ICY AVE BEEN SSUED TO TH THEPOLI REQUIIES OF REMENT,TERM OR LCON CONDITION OF ISTED BELOW H/WY CONTRIACT ON OTHEAE(DOCUMENT WITH RESPECT TO WHICH THIS CRERTIFICATE MAY BE NOTWITHSTANDING OR POLICIMAY ES.AO.THE INSURANCE ELSS OWAFFORDED BY THE EBEEN BEPOLICIES DESCRIBED BY NOCLAINI SUBJECT TO ALLTHE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH TYPE OFINSURANCE POLICY NUMBER DATE MWOD DATE MWODIYY LIMITS LTR NSR - EACH OCCURRENCE $ GENERAL LIABILITY PREMISES Ee oxurence $ COMMERCIAL GENERAL LIABILITY. MED EXP(AnY ono person) $ CLAIMS MADE a OCCUR PERSONAL&ADV INJURY $ GENERALAGGREGATE $ PRODUCTS-COMP/OP ADS $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY JECf LOC I M C AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ CO BKED ANY AUTO BODILY ALLOWNEDAUTOS (Per person) SCHEDULED AUTOS BODILY INJURY $ HIRED AUTOS (PeYaccltlenU NON-OWNED AUTOS j dd PROPERTY $ Pera AUTO ONLY-EA ACCIDENT $ GARAGELIABILITY EA AGO $ OTHERTBAN ANY AUTO AUTO ONLY: AGG $ EACH OCCURRENCE $ EXCESSIUMBRELLA LIABILITY AGGREGATE $ OCCUR CLAIMS MADE $ $ DEDUCTIBLE $ RETENTION $ X TORY LIMITS ER WORKERS COMPENSATION AND EL EACH ACCIDENT eSOO�OOO A EMPLOYERS'LIABILITY 90967005 05/01/08 05/01/09. ANY PROMREMSERE%CTNER)E E�IVE E.L.DISEASE-EA EMPLOYE $500,000 OFF( Ee MEMBER ELOISEASE-POLICY LIMIT $ 500,000 SPEes CIAL PROVISIONS below OTHER DESCRIPTION OF OPERWEW7U5EATIONS I VENICLE9/E%CL11310N5 ADDED BV ENDORSEMENT/SPECIAL PROVISIONS CANCELLATION CERTIFICATE HOLDER SPEC001 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYSWRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO So SHALL SPECIMEN IMPOSE No OBLIGATION OR LIABILITY OF AN UPON THE INSURER.ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE James J. Farren CPC ®A C pPORATION 1980 .....nn nc rnnnl DID% buu wasnington 61reer u www mass. ov/dia Workers' Compensation Insurallce Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information P-Iease Print LesriblY Name(Business/Organization/In(fvidual): NEWPRO Address: 26 CEDAR STREET City/State/Zip: WOBURN,MAD1801 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 1 6. ❑ New construction . employees(fall and/or'part-t me).* --have hired the sub-contractors - -- - - ---- -- - ---- __ _ .. 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7• Remodeling ship and have no employees These sub-contractors have B. ❑ Demolition workers' comp. insurance. working for me in any capacity. 9. ❑ Building addition o workers' coin insurance 5. ❑ We are a corporation and its [N p• 10:❑ Electrical repairs oradditions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL i 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#1 must also fill out the section below showing their workers'compensation policy infdruntion. - - +Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must sabmit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp.policy information. I am an employer that is providing workers'compensatt ri insurance for my employees.Bolowis the policy and job site Information.. Insurance Company Name:- ARBELLA PROTECTION INSURANCE Policy#or Self-ins.Lie.#- 90967005 n Expiration Date: 05/01/200q Job Site Address: /( SaUn d_er' �t �\t-/e 1,tL, City/State/Zip: /t 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 MOL.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 un er the pains�dpevollieso erjury that floe information provided above rs true rind correct. o Signature: / FORNEWPRO Date: :t �dP � � Phone#: 781-953-8146 Official use only.Do not write in this area,to be completed by city or town official. City or Town: PermitMeense# Issuing Authority (circle one):' - 1.-Board of Health[j�Building Departmen 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: ' � Y�' I _ '�r Poahno„wralr/z o�✓�aao�r+.Juue� � " Roar(LolPailding Regulations au.Q'StantlaYds ConsFructforlBUpervisor License - L,i CS9 29090 , � /9/2009 Tr# 8131 r„ stti; THOMAS P FOX( F-BJJ�J - 230GWALNUTST !\`�` �%�c7"G" ,READING MA:01867 � Oomndssioner ' Board of Building Regulations and Standards - HOMEIMPROVEMENTCONTRACTORI Re is,--t0l;;,_g6589 rl� r� ifi (,g009 /, iyFuFFlementCard NEWPROOPERA �'-11 THOMAS FOXON`> 26 CEDAR ST. � r WOBURN, MA 01801 Ad Ad sirs_ ENERGYj. in Highlighted Regions =qualified In all zones iilmseve ra NEWPRO MANUFACTURING NEWPRO 2000 DOUBLE HUNG Cellular PVC frame,Triple glazed, ensdNeGan Low E coating (e-0.034, S2&5), psgco, Krypton/Argon/air filled DEV-K-2T•00015.00001 RGY PERFORMANCE RA71NG5 (U.S.A--P) Solar Meat Gain Coeffiaent 19 0,27 ONAL PERFORMANCE RATINGS nnssmittance Air Leakage (U.s./I-P) 400.1on Resistance 7� tdenWaclulet stlDUletea MatDnseroNnas Denfena'a aPPI eNFltCPfaaedumlucdeE¢nhlnW while DiDdaDlPeilumsnce.NFAC retlnW era detanniud(aahuautd adoesnnoi"Wme°."�mm:n�"i°mnityy Diem epec,IlDt claim NfACd0aenil RDDm-megsroo ONduD1 BhY epeDlhaYm uhtnenukaNR0lnl�e�ht aalerPnMlDGtpeNofmuwe lnhtmRUOn, MA Reg. #146589 ( Jr 1J 4 2 CT Reg.'#0605216 L RI Reg. #26463 THEREPLACEMENTWINDOWPEOPLE Federal ID#20-2625129 Corporate Headquarters:26 Cedar St.,P.O.Box 2696 Wobum,MA 01888 (781)933.4100 1-800.342-2211 THIS CONTRACT MADE THE. . . . . . . . . !. day of. � 20097 . between . . . . .. -71 1. . . . . ome ov�Sers � 1.71�-� �-l) -2�.� 0. . .�(. .t� b� i ( ) (Ho ne) (Bu``s"�/C�e�Phone) (Mr./Mrs.) (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 SIQ , . . . . . (Job address)o (E-Mail Address) TOTAL � NEWPRO afkx Additional Style TOTAL CASH Windows Purchased Work � PRICE 3au Window Color Specify Sliding Glass Door DEPOSIT Capping Color Specify L,,,1.,i"p Qty Steel Security Door WITH ORDER 200 Double Hun Picture Window — Obscure Glass T OM BALANCE Stations Casement — Screens ALF FULL DUE AT Casement - Model# — INSTALLATION 2 Lite/ 3 Lite Slider NEWPR06 does not do any painting or J(e) Bay/Bow Frame staining. CASH Garden Window NEWPRO' Is not responsible for conditions Balance Paid f0 or circumstances beyond Its control Including Installer at Installation Awning; condensation resulting from or due to pre- Other existing conditions. FINANCE Bank Completion GRIDS 1,10 —Form Signed at Installation DESCRIBE WORK: �� , wL,� t,.� -Scc,- POSC v �y All steel security doors will have a V4n aluminum threshold installed over existing reshold.E� customer initials Est. Start Date: 3 Est. Camp, Date: It shall be the obligation of N PR to obtain any and all permits necessary unlier this agreement,as the Owner's Agent.The Owners who secure their own construction-related perni s, 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 part, 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 by 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 be his main office, or branch thereof, provided you notify 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. (Saturday 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 Owner 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 . u. 200�_ —9�11Cez2 EIN# 2SZIU'Li Signed':'.- Marketing Representative Printed Name Owner Accepted: NEyY _n , LLC BY // Signed Marketin— gRpresentative Signature Owner WOBURN BRANCH OFFICE SHREWSBURY BRANCH OFFICE WARWICK BRANCH OFFICE 26 Cedar Street 151-153 Memorial Drive Business Park 24 Minnesota Avenue Woburn,MA 01801 Suite B-C Warwick,RI 02888 TEL:781-932-8300/EXT:330 Shrewsbury MA 01545 TEL:401-732-2407 800-242-9974(FROM NE) TEL:508-842-6876 800-3563312(FROM NE)" FAX:781.933-0717. 800-456-0555(FROM NE) FAX:401-732-1371 FAX:508-842-9248 WHITE: Branch Copy YELLOW: Customer's Copy PINK: File Copy GOLD: Finance Copy US-15 100/PKG. (Rev8/07) � 'yXUdowslPoor�ln, TXfi aEPLRCENENT WINOCW P4 PLfi � I Pa a— JOB# _ CUSTOMER E-MAIL ADDRESS HOME PHONE DATE WORK/CELL PHONE� . C (Circle one) ADDRESS ,1 ✓ BEST DAY TO INSTALL: M T W TH F j. . .{ _._.. ..... .. ._, .._._ . .(Please circle one) -CITY,STATE _. ., PRODUCT SPECIALIST BRANCH: ESTIMATED START DATE TOTAL#OF . - #OF DOORS WINDOW COLOR - WINDOWS #OF BOW/BAY/GARDEN smrm,Steel,� InaldeKWide� CAP COLOR r� �__-___-� tut OPENING SIZE STOPS NO. STYLE W x H U.I. LOCATION GRID SCR IN OUT ADDITIONS PENING CUT x x x x x x " x x kL I x . .X, Ili x _ x ryLv x x x x x x �. x x x x x x x x x x Measurema(p ' Ftp,��n—g�Ty]peyj Initials ate Crew Size Needed Time Fra to complete job a - Special Installation Instructions: Directions to site: t Rem.ea IAl 03-11-'09 0125 FROM-Newpro-WheelingAve 1-781-932-0860 T-541 P001/004 F-602 ATTN: Building Department FROM: Lynne Newpro DATE: March 11, 2009 This morning Tom Foxon will be coming in to pull a building permit for one of our customers. Following are three pages necessary for us to pull a building permit for our customer located at o Clark Ave. in Salem, MA. Could you please be sure he gets these forms when he arrives. Thanks. 03-11-'09 09:25 FROM-Newpro-WheelingAve 1-781-932-0860 T-541 P00/22/00100.4 F-602 MA Reg.#146589 ,1.,/ 5 433 CT Reg.#0605216 RI Reg,#26465 E WPBoac Federal #20-2625129 Cerporeu HrdReedem:Ea pedrr Bc.P.O.Box sae wopvn,MA omem tTalsss4la tamarceptl THIS CONTRACCJ�M/,pDE THFF-. D ,(5 . . day of !4^% . /{/.//. . Ll /. .eU. 2005 between. . . . . . . . . . . . lrU, y 'Z ���-a� 9L7� g78-, a7sg-. Zw83 Of (Hon1 ) (Hems Phone) (BusJCall PhalB) (Ma/MrsJ a . .GQgljL . e. . . . . . . . . fi—�. . .��-. . . . . . . . . Gd�r7 (Addtass) (state) 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 . . . . . . . . . . . . . . . . . . (Joli aCtlraes) . ' ' ' . (E-Mail Adtlrass) TOTAL NEWPRO Additional Style TOTAL CASH 0 windows Purchased Work OtY PRICE Window Color S cl nt Slidi Glass Door DEPOSIT C in Color S i Steel Secud Door WITH ORDER 2—L70 Double Hun Picture Window Obscure Glass TOP BO M BALANCE Stations Casement Screens HALF FULL DUE AT Casement-Model# INSTALLATION e/3 ate Slider NEwPROe does eat do any panting ar Sa Bow Freme owning CASH NEWPRO' It not ressoostbler for conationa Balance Paid to artlen Window w clroamitancea beyond too mnfrol ensure., Installer at Installation Awning condarreation m m., from or due to pra- Oiher _ easung candtUens.I'JP� FINANCE gook Campleaon GRIDS Colonial Diamon Form Signed at Insfa/la0'on DESCRI E WORK: E .CR eo a4[ e2A.tr__ C,157,W Y '.2u> LvtA.I W L r 40 Px o V 10 a l W eA4 WI// u l rJ N✓ a .C�[E__rN�tu/4A CjkjuI b c_ aaJ A11 steel security doors M have a 14e aluminum threshold installed over som g threehom.��, Customer Inyals J Eat Start Date: —/Z<-0 Est Comp.Date: p lt shall be the obligation of NEWPRO fe obtain any and all pothole frobassinvt unifier MIS agreement,as fete rs who secure a constmctlCn-related pamat, or des with Untegisteretl Contraetprs will be exd,deit from the auaranry fund pprovisions of MGLC, 142A. their mprovamem Conaadors and Subcontractors shall be registered by the Dirtx3ar and any inquires,scam a COMfader or 3ubconuede, raising to a registration Should be directed to: Director, Home Improvement Conredor Registration, One Ashburton Plaaa, Hoom 1301, Beaton,MA 02108,(617)727-e5619. If me Owner is obtaining financing by way of a Retail Installment Sales ApMera.L sash Agreement shall include a time schedule of payment to Inn made under void conbuct and the mount of earn payment seem i in do0=inductingg al linanoe charges.The Retail Installment Sales Ag shell be incorporated herein by reference.ll Rr0 Owner is obWning fl revolving credk IInB to pay,in wools Y in par4 mr Me mn[red anwunt Jerre n,the Iam1a of the revolving line M credd including arerest rate and paymom terms,shell be d9aoy set oW on MB tired.application.The portion either credit applieelio ea,Shell be ineo a schedule of payment,to be made antler this wntracl,and,te amount of eadt paymsM Stated i' fiolfu&,including ell finance char, rpomtetl the by reference. NEWPRO represents that i[cartiea Wprkmen's Compensa,on end Public LiabiRy Insurance in dra emeurf of$100,000-$00o,000. If me Owner refuses to Ise NEWPRO to pproceed with the went herein,or in the event of any breach of the Otrrter d Nis agreemen4 for arty reason whatsoever shall cause the owner to pay NEy/PRO a sum of money equal to thirty-three and one-MiN percent of the price agreed to be pall,as fixed, Pquitlaetl and ascenairretl damages.and rro[aS a penalty,widrout fanner proof of loss w damage. re '- t snap not bo MN liable In . nano fir delays In me onnamarwe of this mnirad fine to reuses beyond Re reaSpnab1.con Vol. Owner warrants Mat he is Ma owner of me property an which the w.'is to be pertomretl nr misfire is omerwisa authorized on beha t of me owners la enter Into tN9 agreement. This contract represents that entire agreement between the Owner and NEWPRO and ounrwt be changoo oxoapl by a writing•goad by both the Ovmer east NEWPHO. You are entitled to a copy of the Contract at the time you sign. Keep it to protect your IegaI rights.We,the aforesaid owners,certify that Immediately after the signing of the aforesaid agreement,a copy Wes famished to us. You may cancel rhea agreement ff h has been siggned by a party thereto at a place other than an address of the seller, which may be his main office,or branch theredf,provldetl you rrotify seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delWery,not later than midnight o1 the third business day following the signing of this agreement(Saturday is a legal business day). See the attacht>O notice of cancellation form for an explanation of this right DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. The Ow as seen"sample"warranties mat will be Drovidad by NEWPRO upon installation. Sample warrantes provided to Owner. _ / —� IN W 7NESS WHEQREOF.' thee" rues have hereunto signed ineir names this �" day of 200 Et Signed _✓ L-�C Q l/ Markets. e Re senlative Pri d N Owner Accepts PR O e t LC By Signed Marketing Rep r entative Signal Owner WMURN eMNplt OFFICE SHREWSNIRY BPANCH OFFlCa WARWICK SIMCn wnce Ceder Speer tat-153AsmopM gryvd avarwm Peh V MnnmohAvsnun W.Wm,MAetapt 011� TM 761-aay.alpw .ssa SM1rewWvy.IAA p156a TELial- -a 7 800- 24 f2701.9 71 gC0-4.54ars5#84YE0y1' Bro353' 2(FROMINE) FNCa14a1262ga WHITE:Breach Copy YELLOW:Cuse none Copy PINK. File Copy GOLD:Finance Copy us-ts tovarca.me+eron 03-11-'09 09:25 FROM-Newpro-WbeehngAve 1-781-932-0860 T-541 P003/0004FFF--602 • r •. hom Ow HomxN roan._ / //� NLIVM JOBg . ..whol wY.or gexdmom Page,-ol I—" CUSTOMER /•v ZedJU 'I EMAIL ADDRESS HOME PHONE DATE ] a / WORIQUELL PHONE �Ep / (Circle oneJ ADDRESS BEST DAY TO INSTALL: M T W TH F CITY,STATE =?'n. lti (P/easo ovia One) PRODUCT SPECIALIST (bC/$ BRANCH: ESTIMATED START DATE �Z d TOTAL M OF. SOFDOORS WINDOW COLOR . WINDOWS ROFSOW/BAY/GARDEN seeftshw no CAP COLOR 0 [Q� aa-czo OPENING SIZE STOPS NO. STYLE WXH U.I_ LOCATION GRID SCR IN OUT ADDITIONS OENING C !oI a7 3A 99x !oL qqIhx ' Y x X % Y X x x x % x X z i' I x x A k X tin) Ix X X X d % % ✓' x ' % k � nI i0als ate wS�i Needed Time Frame la complete IoE Capping Type special Instanation l r.pN �/ Se 4-+Yl"� (1P#17 — w/ P rcj&00 'C.19eaf3'10 7Ac . Direcliansmsile: -- 03-11-'09 09:26 FROM-Newpro-WheelingAve 1-781-932-0860 T-541 P004/004 F-602 A)Gl1'Y1E . 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