16 SUNSET RD - BUILDING INSPECTION cl IV OFF T'IR
PUBLIC PROPERTY
DEPARTm&NT
o�
NJMO' 13o w Year•
w+oral•.wcs�nsa�ne
1%a M7464M•FM 9&74&/Ne
*PLcwTI IN FOR Z _roywnonL CQUaro>rrom
DE_KOLTTIOIL OR CHMGZ Of M OR OCCCn NCY FOR Ay MarrnlU
1.0 arm INFORMATION
Lawn Nance I6 VAISET R.
j` S✓vs�T Qd
Properly k1 baled Ina;Conswvadw Arse YM HMdorb qle- YM�.
2.0 OWNERSHIP INFORMATION
2J Owner of Land _
Name:
Addrum /b Sun�sFT 2D
TMWh0rw. 97Y-7 -7S-65-
3A COMPLETE THIS SECTION FOR WORK IN E7t1> nMa StJiLMMGS ONLY
AddWon E)dMft
Ra md[on Number of Storks Renovated
Change In use Now
Oemolifforl
Approximate ( �
eonstructlon Yr renovation Area per floor (at) Renovated
of existing building New
add D*scriptfon of Proposed Work:
g klEgACttitewi W),V6,,,j�
--- -- ---Mail Permit to
Whet is the cunw t us*Of 00 Bud&*?
MsterW atBuidMrO� k dwsllrq,how many�wifs9 :• .
We am*Adrp Cadbrm b Um?
AreltilseCs Naets � , .- —
Addretal and Phan � � 1 , f -i
MsehWa's Na"-ill L z an' ¢Y+I S ui �I/��e.K Rc vu c
Addrom and Peon. ._ w y;D Fl9�S 3 HIC ROgWsoon r 7 7
Cwwwucta,�� r
Es nMad Cost d Projsd P�nrd=C+�
Penra Fees Eadmood Cost X s71SINO R*mWent it
Esdff alad Cant X itll$iOO6 canrrw ck* --An Add ftM s&OO is added w an
Adw"ll olM alwn-
Make aura that an noids are property and Ioow wd ten to avoid dWro M Proc"*I0.
TM Lmdars does hms"apply for s fluudinp Permit to buM to tfw above seated
maw, SWad under Penally Of PWX" /�/NAIL L'C /✓�
Date
�I
9 m
S J
s a ,
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office.oflnvestigadons
600 Washington Street
Boston,MA 02111
www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Auolicant Information , c Please Print LeQtbly
Name (Businesstorgaa;ratioanndividaal): �eI14 w,�n�owS Q�l� T 000-S Ac
Address: i•!S Fah a% U .
city/state/Zip:_.}}+0.yet'�1��1 M�4 0(�3'Z /Pl4(i>� i€yr R���Z�S•72$S
Are you ats employer?Check the appropriate box:
Type"of project(required):
1. I am-aemployer with 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired tfie..sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the altached sheet, t 7.' ❑Remodeling:
ship and.have no employees. 'These sub-contractors have 8: ❑Demolition
working for me in any capacity. workers' comp. insurance. '
9.
[No workers
comp, insurance. 5. ❑ We are a corporation and its ❑Building addition
required-] officers have exercised their 10.11 Electrical repairs or additions
3.❑ I am a homeowner doing ail work . right of exemption per MGL 11.❑Plumbing repairs or additions
myself. [Noworkers' comp: ci 152, §1(4),and we have no 12.❑Roof repairs
ins!ran�required] t' employees. [No worker:' 13.❑ Other
comp.insurance required.]
Any applicant that dwe b box#1 mutt also 5a out the Sation below showing `iJdAferst'' .
t Homeowner who submit this at5du 4ptdi ' compea,4ationpolicy infomtatiou.
Ong Y are doing all wall and then hire outside contrado,i must subioit a new affidavit indicating such.
'contrition;that check this box must.attached so additional shed showing the name ofthe sub-contractors.aid their woskas'comp,policy infomuttion. "...
1 am an employer Olw is providing workers'conrematfon insurance for my informarion ernployeer Below is the policy and job silo
Insurance Company Name:
Policy#or Self-ins.Lic. #:_O A'tN (3 AJ L rj 7L J Z Expiration Date: 2 00
Job Site Address: City/State/Zip:
Attach a copy of the workers'compensation policy declaration page.(showing tlie'policy number and expiration date).
Failure to'secure coverage as required under Sectidn.25A of MGL a 152 can lead to the imposition of criminal penalties of a
fine tip to$1,500.00 and/or one-year imprisonrrtent,'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 a*`isi-statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification ,
1 do hereby certify under&e pants mid penalties of perjury that the inforniadon provided above is true and correct
Sienature: GV e. !Z iC/ Date -7 ' Z _-6 6-
Phone#: 7g' Z65•.�f Zss .'.. .
FLMui�ng
use only. Do not write in this area, to be convicted by city or town official
Town: Permi_t/Licenn#
uthority(circle oneof Hettkh..2 8uildiug Iepartment 3.City/Pown Clerk 4.�mtrical Inspector $,Plumbing Inspector. .
�Other ._
Contact Person: '
ACORD, CERTIFICATE OF LIABILITY INSURANCE 07/O�O�0811142m
PRo4ucER •(800)225-1865 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Fmd C.Chumh,lno. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Well
_ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
41 WellmenSemet
41 MA 01851 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
800-225-1865 -
INSURERS AFFORDING COVERAGE - NAIC A.
INSURnnE..D,....����..,,�,I INSURERA CitizeDSTne -Company OfAmerira
45 F England Window BL I)oo[1.1.0 INSURERS: HWDVer lJLsumnce Company
45 FoDdi Road -
Haverhill,MA 01832-1302 INSURER D: MaasachUsetts Bay InauraD"
INSURER D: TxdD City Fire lasursnce Co. 29459
NSURER E:
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTAND114G
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.
INSR PoUCYNUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
GENERAL LIABILITY EACH OCCURRENCE f 1,000,000
X COMMERCIAL GENERAL LIABILITY PREMISES E f 500,000
CLAIMS MADE Q OCCUR MED EXP are $10,000
A ZBN8161407 7/12008 7/12009 PERSONALSADVINIURY f 1,000,000
GENERALAGGREGATE s 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER PROOUCTS•COMPX)P AGG f 2.000.000
POLICY F I PRO-
LOG .
AUTOMOBILE LIABILITY COMBINED SINGLE UNIT s1,000,0()0
X ANY AUTO - (Ea I)
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (� )
C ADN8162169 7/12008 7/12009
X HIREDAUTOS BODILY INJURY $
(Per acdeelU)
X NON-OWNED AUTOS
PROPERTYDAMAGE'. $
GARAGELIAINU11Y AUTO ONLY-EA ACCIDENT f
ANY AUTO - OTHER THAN EA ACC S
AUTO ONLY: - AGG 1f
EXCESSNMSRELLA LIABILITY EACH OCCURRENCE f 9,000,000
.X OCCUR F-1 CLAIMS MADE '
AGGREGATE s 9,000,000
B UHN8167305 7/12008- 7/12009f
DEDUCTIBLE - s
X RETENTION $ $
X WC STATU- OTH-
WORMER9 COMPENSATION AM4 .
EMPLOYERS'LIABILITY EL EACH ACGDENT f 500,000
D OFyeR�CER/MEMBER(EXRCLUDE DTXECUTNE 08WBNL5742 7/12008 7/12009 EL DISEASE-EA EMPLOYE $ 500.000
mIff
` SPECIAL PRWI ONS OeIow _ .. E.L DISEASE-POLICY LIMIT f 500.000 t ....._
OTHER
DESCRIPTION OF OPERATNHNS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROLUSIONS _
Proof of hMumnw
CERTIFICATE HOLDER - - CANCELLATION
New England Window&Door Ltd SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPRATION
5 Fondi Road DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRrrrEN
Haverhill,MA 01830 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR
REPRESENTATIVES. .
AUTHORIZED REPRESENTATIVE _ ... .
ACORD 25(2001/08) dent# 2960 hist# GL,LIMB WC
# O ACORD CORPORATION 1988
Auto
_ ✓Items ' �"�rL'ea(.(fw'�f�Y '�'8 XAo[f(P��,�
Q O 6U19F, REt t A74ON
Lipen'Sq, bNSTRI�C��N 5tiP�iSOR
c
.y _
t� �iEe �iommwnu�ea/U o�./�amat�uiaelta��
— Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Reglstra, s, 129774
n }%2/2009
: rq
Su�lement Card
PELLA WINDOWS RND 'Of }'
WILLIAM NICHOL' =� {� /r+f
ll r
. HAVERHILL MA 01832"' Administrator {
{
Contract
Pella Windows&Doors,Inc.
45 FONDI ROAD /1
® HAVERHILL
MA 01832
Phone: 800-866-9886 Fax: 978-373-7274
Customer - Project/Ship -To Order
DON JEFFREY JEFFREY-SALEM Date 00/00/00
Quote No. JEFFREY
16 SUNSET RD 16 SUNSET RD Order No.
Need Date 00/00/00
SALEM,MA 01970 SALEM, MA 01970 Sales Rep.Name Gould,Rick/WME
ESSEX ESSEX Prepared by
Payment Terms Deposit/C.O.D.
Owner: DON JEFFREY Architect
Bus.Phone: ( ) - Bus.Phone: Jamb Depth
Bus. Fax: ( ) - Home Phone: (978)744-7505 P.O.No.
Cellular: ( ) - Branch Order No.
Home Phone: (978)744-7505 Order Type Installed Sales Order
Glazing Design 20.00 psf.
Pressure
Branch Name Pella Windows&Doors,Inc. Branch Address 45 FONDI ROAD
Phone 800-866-9886 City HAVERHILL
Fax 978-373-7274 1 State MA 01832
Comments: Customer has paid$4,585.07 deposit(50%of contract Total)
Customer has paid using a(credit Card)
The Remaining$4,585.07Final 50%)will be paid upon substantial Completion of installation
Customer will be paying balance with(credit Card
For information regarding the finishing, maintenance, service, and warranty for all Pella products,visit the Pella Website at
www.pella.com.
Printed 07/02/08 Contract-Page 1 of 6
Z .
Contract for Customer DON JEFFREY Project: JEFFREY-SALEM Order No.:
Outside View Item No. Oty. Summary Descrintion Unit Price' Extended Price
Item#10 Qty: 1 Vent-DH Luxury Edition Precision Fit Window,Make Size:30- 1,070.93 1,070.93
Location:DINING RM 3/4 X 51-1/2:Architect Series,Clad,Model 3,White,Half Vent
R.O:2'7-1/4" X 4'4" /match Half Vent,5/8"InsulShld IG Glazing,Half Screen,White Lock
Only,3/4"REM Traditional Grille(Grille Lites Wide=03,Grille Lites
High Upper Sash=02,Grille Lites High Lower Sash=02)
Value Added Items: Standard P-Fit Install-Qty 1
Paint Window Dove White-Qty 1
Disposal per Unit-Qty 1
Notes:
I
Outside View Item No. Ori. Summary Description Unit Price Extended
Item#20 Qty: 1 Vent-DH Luxury Edition Precision Fit Window,Make Size:30- 1,024.70 1,024.70
Location:DINING RM 3/4 X 43-1/2:Architect Series,Clad,Model 3,White,Half Vent
R.O:2'7-1/4" X 3'8" /match Half Vent,5/8"hisulShld IG Glazing,Half Screen,White Lock
Only,3/4"REM Traditional Grille(Grille Lites Wide=03,Grille Lites
High Upper Sash=02,Grille Lites High Lower Sash=02)
Value Added Items:Paint Window Dove White-Qty 1
Disposal per Unit-Qty 1
Standard P-Fit Install-Qty 1
Notes:
For information regarding the finishing, maintenance, service,and warranty for all Pella products,visit the Pella Website at
www.pelia.com.
Contract-Page 2 of 6
Contract for Customer DON JEFFREY Project: JEFFREY-SALEM Order No.:
Outside View Item No. Otv. Summary Descrintion Unit Price Extended Price
Item#25 Qty: 1 Vent-DH Luxury Edition Precision Fit Window,Make Size:30- 1,024.70 1,924.70
Location:DINING RM 3/4 X 43-1/2: Architect Series,Clad,Model 3,White,Half Vent
ILO:2'7-1/4" X 3'8" /match Half Vent,518"InsulShid IG Glazing,Half Screen,White Lock
Only,3/4"REM Traditional Grille(Grille Lites Wide=03,Grille Lites
High Upper Sash=02,Grille Lites High Lower Sash=02)
Value Added.Items:Paint Window Dove White-Qty 1
Disposal per Unit-Qty 1
Standard P-Fit Install-Qty 1
Notes:
Outside View Item No. Otv. Summary Descriotion Unit Price Extended Price
Item#30 Qty: 1 Vent-DH Luxury Edition Precision Fit Window,Make Size:35- 1,162.00 1,162.00
Location: KITCHEN 3/4 X 35-3/4:Architect Series,Clad,Model 3,White,Half Vent
PLO: 3'0-1/4" X 3'0-1/4" /match Half Vent,5/8"InsulShid IG Glazing,Half Vivid View Screen,
Brass Lock Only,3/4"REM Traditional Grille(Grille Lites Wide=03,
Grille Lites High Upper Sash=02,Grille Lites High Lower Sash-02)
Value Added Items:Paint Window Dove White-Qty 1
Disposal per Unit-Qty I
Standard P-Fit Install-Qty 1
Notes:
For information regarding the finishing, maintenance,service,and warranty for all Pella products,visit the Pella Website at
www.t)ella.com.
Contract-Page 3 of 6
Contract for Customer DON JEFFREY Project: JEFFREY-SALEM Order No.:
Outside View Item No. Otv. Summary Descrintinn unit Price, Extended Price
Item#35 Qty: 1 Vent-DH Luxury Edition Precision Fit Window,Make Size:30 1,070.93 11070.93
Location: FRONT HALLWAY 3/4 X 51-1/2:Architect Series,Clad,Model 3,White,Half Vent
ILO: 2'7-1/4" X 4'4" /match Half Vent,518"InsulShld IG Glazing,Half Screen,White Lock
Only,3/4"REM Traditional Grille(Grille Lites Wide=03,Grille Lites
High Upper Sash=02,Grille Lites High Lower Sash=02)
Value Added,Items:Paint Window Dove White-Qty 1
Disposal per Unit-Qty 1
Standard P-Fit Install-Qty 1
Notes:
Outside View Item No. OIL Summary Description Unit Price Extended Price
Item#40 Qty: 1 Vent-DH Luxury Edition Precision Fit Window,Make Size:30- 1,155.37 1,155.37
Location: FIRE RM 3/4 X 51-1/2:Architect Series,Clad,Model 3,White,Half Vent
R.O:2'7-1/4" X 4'4" /match Half Vent, 5/8"InsulShld IG Glazing,Half Vivid View Screen,
White Lock Only,3/4"REM Traditional Grille(Grille Lites
Wide=03,Grille Lites High Upper Sash=02,Grille Lites High Lower
Sash=02)
Value Added Items:Paint Window Dove White-Qty 1
Disposal per Unit-Qty 1
Standard P-Fit Install-Qty 1
Notes:
For information regarding the finishing,maintenance, service, and warranty for all Pella products,visit the Pella Website at
www.i)ella.com.
Contract-Page 4 of 6
Contract for Customer DON JEFFREY Project: JEFFREY-SALEM Order No.:
Outside View Item No. Ori. Summary Description Unit Price, Extended Price
Item#45 Qty: 1 Vent-DH Luxury Edition Precision Fit Window,Make Size:30- 1,155.37 1,155.37
Location: FIRE RM 3/4 X 51-1/2: Architect Series,Clad,Model 3,White,Half Vent
R.O: 2'7-1/4" X 4'4" /match Half Vent,5/8"InsulShld IG Glazing,Half Vivid View Screen,
White Lock Only,3/4"REM Traditional Grille(Grille Lites
Wide=03,Grille Lites High Upper Sash=02,Grille Lites High Lower
Sash=02) 41 ,
Value Added Items: Paint Window Dove White-Qty 1
Disposal per Unit-Qty 1
Standard P-Fit Install-Qty 1
Notes:
Outside View Item Nn. Otv. Summary Desccrrintion Unit Price Extended Price
Item#50 Qty: I Vent-DH Luxury Edition Precision Fit Window,Make Size:30- 1,155.37 1,155.37
Location:FIRE RM 3/4 X 51-1/2:Architect Series,Clad,Model 3,White,Half Vent
RO:2'7-1/4" X 4'4" /match Half Vent,1/8"InsulShld IG Glazing,Half Vivid View Screen,
EWhite Lock Only,3/4"REM Traditional Grille(Grille Lites
Wide=03,Grille Lites High Upper Sash=02,Grille Lites High Lower
Sash=02)
Value Added Items:Standard P-Fit Install-Qty 1
Paint Window Dove White-Qty I
Disposal per Unit-Qty I
Notes:
Thank You For Purchasing Pella Products
For information regarding the finishing,maintenance,service,and warranty for all Pella products,visit the Pella Website at
www.nelia.com.
Contract-Page 5 of 6
Contract for Customer DON JfJTUY ject: JE Y-SALEM Order No.:
Taxable Subtotal $7,015.37
Cu tomer Signature Pella Sales Representative Signature Sales Tax at 5.0000% 350.77
tv Non-taxable Subtotal 1,804.00
6 - 2- 7- 0 9 45/-Z 7" 0 q Total $9,170.14
Date Date Deposit Received $4,585.07
Remaining Balance $4,585.07
WARRANTY: Pella products are covered by Pelia'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,Inc. 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.
Contract-Page 6 of 6
NOTICE OF CANCELLATION
Date of transaction:
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 Lthree business days from the date of
transaction above).
I hereby cancel this transaction.
(Date) (Buyer's signature)
PELLA WINDOWS AND DOORS CONTRACT
7. PAYMENTS
1. TERMS AND CONDITIONS Pella shall be entitled to stop the Work upon written notice to Owner for any
material default or failure by Owner,including but not limited to,the`Owner's
These Terms and Conditions are an integral parrof the contract set forth on the failure to pay Pella the amount due within seven days after the date payment is
Product Order(the"Contracf')between New England Window and Door LLC due.
dba Pella Windows&Doors,Inc.("Pella")and the person(s)identified on the
Product Order("Owner")to supply the products(the"Products"),and perform S CORRECTION OF WORK
the work(the"Work")described or referred to in such Contract. For Product -
Only purchases,a signed"Product Only Addendum'is a required part of the Pella shall correct installation Work not in conformance with the requirements
contract. of the Contract,if notified in writing by the Owner within two years after the
Completion Date or,if earlier,the date on which the Work is substantially
2. OWNER completed and payment of the Purchase Price made subject to a holdback as
provided above.Correction of Work as herein provided shall be Owner's sole
Pella is not responsible for any existing security systems.Owner shall remove remedy for defective workmanship,and is provided in lieu of any and all other
all shades;verticals,blinds,curtains,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 due.
responsible for the removal or installation of these types of items. Pella is not
responsible for pre-existing window coverings fitting on newly installed Pella 9. LIMITED PRODUCT WARRANTY
windows.
Pella shall warrant all Pella products,but only in accordance with the Pella
The Owner shall provide complete access to the work site between the hours Windows&Doors Limited Warranty.THIS LIMITED WARRANTY SHALL
of 7:00 a.m.and 6:00 p.m.(Monday through Friday)for Pella's installers to BE THE SOLE WARRANTY WITH RESPECT TO THE PRODUCTS AND
deliver the Products and perform the Work. PELLA SPECIFICALLY DISCLAIMS ALL OTHER 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 CONSEQUENTIAL DAMAGES
Contractors who will install the Products. UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR
Unless provided otherwise in the Work description,Pella will provide and pay CONSEQUENTIAL,INCIDENTAL,INDIRECT,OR SPECIAL DAMAGES,
for all labor,materials,equipment,tools and machinery,transportation,and WHETHER FORESEEN OR UNFORESEEN.
other facilities and services necessary for the proper execution and completion
of the Work. it. HOME IMPROVEMENT CONTRACTORS
The materials and equipment furnished under the Contract will be good quality All home improvement contractors and subcontractors shall be registered with
and new unless otherwise required or permitted,the Work will be free from the director of the Home Improvement Contractor Registration Program
defects not inherent in the quality required or permitted,and the Work administered by the Board of Building Regulations and Standards. Pella and
conform with the requirements of this Contract.Pella shall not be responsible any of its subcontractors identified in this agreement have been registered.
for damages or defects caused by abuse,modifications not executed by Pella, Any inquires about Pella or any of its subcontractors relating to registration
improper or insufficient maintenance,improper operation or normal wear an should be directed to:Director,Home Improvement Contractor Registration,
One Ashburton Place,Boston,MA 02108,b17-727-8598
tear. Pella will keep the premises and surrounding area free from ;
accumulation of waste materials or rubbish caused by performance of the 12. PERMITS(MA customers only) .
Work.
Pell 's P�i led to and will obtain the following permits for this project
4. CHANGES �. Homeowners who secure their own permits will he
excluded from the guaranty fund provisions of Massachusetts General Laws,
The Owner may order in writing changes in the Work consisting of additions, chapter 142A.
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 rights and warranties enumerated in this agreement,you may
determined by Pella. Pella reserves the right to approve or disapprove any have additional rights under Massachusetts General Laws,chapter 142A and
Change Order and any such Change Order must be signed by both Owner and 780 Code of Massachusetts Regulations R6.
Pella to be effective. 13. NOTICE OF CANCELLATION
5. SUBSTANTIAL COMPLETION You may cancel this agreement if it has been signed by a party
Owner understands and agrees that the Substantial Completion Date is an thereto at a place other than an address of the seller,which
estimate only and that the actual date on which the Work is completed may 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 to
complete the Work is affected by conduct of the Owner,weather,labor the seller in Writing at his main office or branch by ordinary
disputes,availability of subcontractors,acts of God,fire or other causes mail posted,by telegram sent or by delivery,not later than
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 agreement.
contemplated above),but is substantially completed by such date,i.e.,the
Product has been installed,but minor parts or components are missing or need See the attached Notice of Cancellation for an explanation of
to be replaced or repaired,a hold back proportionate to the cost of remaining
parts or work to be completed is acceptable.However,the holdback will not this right.
exceed the amount of the completion costs or 10%of the remaining unpaid
balance of the Price,whichever is less.
Do not sign this contract if there are any blank spaces.
6. FINANCING
If payment of the Price is financed with a financial institution through Pella,all
financing paperwork must be completed upon signing of this Contract and the O
requisite approvals and authorizations for the full amount of the requested
financing shall have been received from the financial institution. Customer signature — ^
L
Date
\\ DISPUTES
Job Name J 2 C e
Date �� 7— BS
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
Home wner
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.
Rcvived 6-23-06
PELLA WINDOWS &DOORS-INSTALLATION SCOPE OF WORK REVIEW
M
Customer Name: s7`�/i• Consultant Name:
Not Applicable /
Homeowner Will A�i+�� L'
Pella Will -S'��p /
r _ a \
❑ � Obta' ondo Association Approval
❑ btain Historic Approval ��JJ
❑ ❑ Remove and reinstall existing shutters and awnings
❑ A Remove and install existing shades, drapes, window treatments, wall hangings, and reposition furniture
❑ /❑ Tie or Cut back trees, bushes and shrubs in the work area
❑ 11 ❑ Arrange to have alarm system and doorbells disconnected and reinstalled
❑ ❑ Arrange to have any plumbing and electrical repairs or changes made by appropriate licensed contractor
❑ ❑ Remove stickers from product
❑ /❑ Wash all interior&exterior glass surfaces
❑ / ❑ Provide a door handle and lockset for entry door if Pella Handle and lockset is not purchased. Pella will
install non-Pella system but is not responsible for it's quality or performance.
❑ ❑/ Keep pets away from work area
❑ ❑ VY Fill nail holes and joints on interior trim if windows are to be stained
❑ ❑ Cd/Obtain Building Permit
❑ ❑ �m// Paint products when purchased in contract
❑ ❑ *// Deliver and Unload Products purchased per contract
❑ ❑ Place and Remove drop clothes in work area then vacuum, and remove all debris at end of day
❑ ❑ Remove existing product from opening and dispose of it unless otherwise specified
❑ ❑ Install all products as specified in contract.
Standard installation into framed opening (Full Frame Replacement): Install doors/windows Into a new opening or
an existing opening where the old door or window frame is entirely removed
❑ ❑ ❑ Install all interior trim that will match the interior color of door/window. (If unfinished, the trim will be
unfinished)
❑ ❑ ❑ install all new exterior trim. (Will be primed only)
❑ ❑ ❑ Insulate and caulk around installed product
❑ ❑ ❑ Apply sealant around windows and doors
Windows only; Standard Precision Fit installation: Remove the old sashes of your existing window,and replace it
with a new7fndow unit
❑ ❑ Remove interior window stops, sashes,jambs, and parting bead
❑ ❑ Insulate weight pockets
❑ ❑ Ild Reuse original stops; exterior trim Femains in place
❑ ❑ Remove storm windows
❑ ❑ Clean up any exterior casing issues with the storm window removal (fill holes, paint',or add
aluminum wrap)
❑ El 0 Be available for completion and sign off to verify all products purchased are in working order
❑ ❑ ❑ Other:
I have received a copy of the pamphlet, Protect Your Family From Lead In Your Home,Informing me of the potential risk of
lead hazard exposure from renovation activity to be performed In my dwelling unit.I received this pamphlet before the work
began. -�7
Customer Signature: r Date: �- Z/' Q
^j
= CITY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
Construction Debris Disposal Affidavit
(rcquitcd for all dcnwlition and renovation work)
In accordance \�ith the sixth edition of the State Building Code, 780 CMR scclion 1 1 1.5
Debris, and the provisions of.ti1GL c 40, S 54:
Building Permit it is issued with the condition that the debris resulting from
(his work shall he disposed of in a properly licensed waste disposal facility as defined by MGL c
I t 1. S 150A.
The debris will be hansported by:
AIIAS tiT
(i ame of hauler)
I he debris will be disposed of in
V=:A "A-
( mmne of facility)
01 ? J 2)
IudJrew of gcvlilvf
agna(urc of prnnn al±plicant
`7 — 2-2
,fate