26 SURREY RD - BUILDING INSPECTION (2) t✓F-
st The Commonwealth of Massachusetts ClThalx . r
W
Board of Building Regulations and Standards �
Massachusetts State Building Code,780 CMR
Revised Mar 2011
(� Building Permit Application To Construct,Repair,Renovate Or Demolish a
V/ One-or Two-Family Dwelling �tOl b INOV 21 12: 4 9
This Section For OfFtcial Use Only'
Building Permit Number: Date Ap ' d:
BuddingOfficialMintName) -- Signature Date
�J SECTION 1:SITE 111FORMATION
1.1 Pro a Address:
P 1.2 Assessors Map&Parcel Numbers
�kz 1Z& keb
1.la Is this an accepted eet?yes �!no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq it) Frontage(it)
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.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP
2.1 Owner]of Record:
Name(Print))- City,State,ZIP
Z-
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK;(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s)K Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work-2:
2.i
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
I.Building $ — 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ R Standard City/Town Application Fee❑Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List: Q
5.Mechanical (Fire Suppression)
$ Total AU Fees:$
Check No.`Check Amount: Cash Amount:
6.Total Project Cost: 6 O0ZS ❑Paid in Full ❑Outstanding Balance Due:
i t ZS' M N t L cn-> 11�
I,
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) a
Lreense� Expiration Date
Name of CSL Holder
List CSL Type(see below)
F0&f:1T-
d Street Description
U J I Unrestricted(Buildings up to 35,000 cu.ft.
I Restricted 1&2 Family Dwelling
Crtylfown,State,ZIP M I Masonry
RC Roofina Coveriniz
WS window and Siding
SF Solid Fuel Burning Appliances
I Insulation
VleEmail address ele hone D Demolition
5.�Reglstered�3ome Improvement Contractor(RIC) G ;I—l3 (� zip/1
7�'J^__�If,( 1K'—tl,A[1,b 1w S CdRegistmtion Number 7Exp iiration Date
HIC Cowan ame orHIC Registrant Name
Vk n� �too end Street Email address
Ir171 u rn�� t� ��2 N -7
City/Town, State 7H 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
I,as Owner of the subject property,hereby authorize Pe 6 P'1 A— 10,6)�J S
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and accurate to the best of my knowledge and understanding.
t
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
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 can be found at
wtivw.massgovloca Information on the Construction Supervisor License can be found at wwii•.mass.eov/dns
2. When substantial work is planned,provide the information below:
Total floor 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"maybe substituted for"Total Project Cost"
Q ®FS E
pq p�auD�
- 120 S/A6GJy7 67=
TAL(978 745.9595.
KBMWIMEYMISCULL PAK 740-9846
kUYCR MMUSSOMM
Dmsc7caoFpuujcpjamy/BULMIGCONMMOM
C®nstrructlon Debris D/sp®sal A *Vlt
(required for all demolition and,renovation work)
in accordance with the sixth edition of the State Building Code, 780 CMR,Section 111.5 Debris,
and the provisions of MGL 00,S 34;Building Permit R is issued with the
condition that the debris resulting from this work shall be disposed of in a properly licensed
waste deposit facility as defined by MGL c 111,S 1S®A.
The debris will be transported by:
o
(name of h uler)
The debris will be disposed of in:
(name of facility)
(address of facility) IW ®/ t 3 7--
Signature of applicant
®ate
The Cominonweah*of Afassachuye&y
Department of Industria[Acridenrs
1 Congress Street,Suite 100
Boston,MA 02114-2017
xnvly massgov/dia
Workers,Compensation Insurance Affidavit_Builders/Confractors/EIec4iciaas/Plumbers.
TO BE FILED WrM THE PERMrT MVG AUrHORITY.
A IicantInformation
Name(Business(organization/indivianaf): Please Print Le ibl
Address: q sz- Pom n v® Ah
City/State/Zip:�`��1��� e`i aAM � Phone#:_
Areyou an employer?Check
pthee 2ppmPdate bom
am a emPmya wvh=�_®Pl%'ces aud/or a Type of project(required):
Pact tiros).
2.❑I am a sole proprietor or arm 7. ❑New contraction
P mp. and have go working formein
may'capacity.[No workers•wmp.iasmance req�dred.) S. Remodeling
3.❑I am a homeowner doing all wotkmyself[No worker'comp.msnence mquned_]t 9. ❑Demolition
4. Iamahomeowna®dwrltbe mmypropmty-Twill 10 Building addition
l hamt;c®tracmrsm co duc(altyyodcou
� erthethavermh�_mmpmv�tnn-na�ecormewte 1t QElectcaliepausoraddttions
propnetors w>thmemplo9ea:...... ' ._- ...___._
5. I am a enrol 12:❑Plumbing repairs or additions ....
❑ g conhammramd Ihave lined the suFticomhacmrs listed oathe attached shM
These sub-COmeartors have employees and have workers'comp.m mmu,: 13.❑Roof repairs
6.❑We area corporation and tts offices bave exorcised theirrigbt of exemption paMGL c. 14-❑Gthe[
152,§1(41 and we have no employees.[Nowodra'romp.humaacererpwed] ----
*Any applicant that checks box#1 must also fdl and the section belowshowingtheaworkem,co oa o'Homeowners;who submit thus affidavit uxti P gs b mrmetioa
tConaar;tors that cLerktlut boxmust onached�additional sheetshovmgthe then hire outside comiraciprs�stsubmitanewaitidavit imdica�g srch.
empoyem lftbe m6-conyacmrs have 1 �'mg the name ofthemb-conlmcmrsamdsmtewhdbe mwttbmcniities have
1 emp oyee%they must provide their wodans'co rap.paltry mamba, ,
I am an employer that is providing workers'compensation insurance for my employees Behan is&epoacy and job site
fnformadom
InsunanceCompany Name:
EtAI (°����
Policy#or Self-ins.Lie.#: (&D 770 gar
ExpirationDate: �7P 1®,/7_
Job Site Address:
Attach a copy of the workers'compensation Policy declaration page(showing/e�'cypnumber and expiration date).
Failme to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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 fo$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office oflnvestigation of the DU for insurance
coverage verification
I do hereby certify under the pains and penalties,of perjury that the in provided above is true and correct
Si ature:
Phone#:
�R -7 c�����
0QQ dal use only. Do not write in this area,to he completed by dly or town offiiiaL
City or Town: Permit/License#
1%ming Authority(circle one):.
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person• Phone#
f Massachusetts Depart nent OPPublic Safety
Board of Building Regu ations and
License: CS-089853 U'q
Standards
Construction Supervisor
WILLIAM R NICHOLS
57 PEARTREE RD -
HAVERHILL MA 01830:',
Commissioner Expiration:
10/26/2018
{ce of Consumer Affairs&Business Regulation
License or registration.valid:for individul use only
l� NE IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
- egistrabon: `183279 Office TYPe of Consumer Affairs and Business Regulation
� Expvation. - - Supplement - 10 Park Plaza-Suite 5170
NEW ENGLAND WINDOW 8 DOORi.LLC. upplement G ar Boston,MA 02116
PELLA WINDOWS&DOORS
William -
Nichols .. -
'45 FONDI ROAD -
HAVERHIL.L,AAk 01832 \ --.4 • - _
Underse--•.— -
r
Y
✓ir ._l �
Not
N v i al rd without signature
'
Contract ~ Detailed
Pella Window and Door Showroom ofHaverhill Sales Rep Name: Duff, Stephen
45FundiRd /7.�
�J / / k�( Sales Rep Phone: 970-373'250V
Haverhill, k�// +'-
' Sales Rep Fax:
Phone: (978) 873'2500 Fax: (978) 373'7274 Sales Rep E.yNai|; DuffG@pe||abou(on.nnnn
Customer Information Project/Delivery Address ,6rder Information
Sarah Madclux Maddux,Sarah,Salem,MA 1817605 Quote Name: windows Phase 1
26 Surrey Rd 26 Surrey Rd
Order Number: 741SDO503
Day Phone: (508)2641612 Salem,MA 01970-4365 Order Type: Installed Sales
Mobile Phone: County: Payment Terms: Deposit/C.C.D.
Fax Number: Tax Code: MA TAX 6.25
Great Plains#:
Line# Location: Affributes
10 None Assigned Delivery/Setup^Delivery/Setup Qty--
1
For more information regarding the finishing, maintenance, service and warranty of all PellaOD products, visit the PellaO website at www.pelia.com
' Printed on11/16/2010 Contract'Detailed Page 1of 9
Customer: Sarah Maddux Project Name: Maddux,Sarah,Salem,MA 1817605 Order Number: 741SDO503 Quote Number: 8444612
Line Attributes,,.-Location:
15 1/2 BATH Vinyl Windows I Doors By Pella, Double Hung, 27.5 X 37.5,White Qty
J1:Non-Standard SizeNon-Standard Size Double Hung,Equal
-A PK# Frame Size: 27 1/2 X 37 1/2
F5 824 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",Sill Adapter Included,Head Expander Included
Exterior Color/Finish: White
Interior Color I Finish: White
Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Hardware Options: White, Standard Vent Stop, No Limited Opening Hardware
Viewed From Exterior Screen: Half Screen
Frame Size:27.5"X 37.5" Performance Information: U-Factor 0.30,SHGC 0.25,VLT 0.47,CPD PEL-N-I 08-00116-00002,Performance Class R,PG 35,Calculated Positive DP
Rating 35,Calculated Negative DP Rating 35,Year Rated 08
Grille: GBG,No Custom Grille,3/4"Contour,Traditional(3W2H/3W2H)
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=130".
Material.Pocket Material Qty 1
Pocket Installation-Pocket Installation Qty 1
No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1
Lead Safe Install Lead Safe Install Qty 1
Line# Location: -Attributes
20 LIVING ROOM Vinyl Windows Doors By Pella, Double Hung, 39.5 X 45.5,White Qty
1:Non-Standard SizeNon-Standard Size Double Hung,Equal
PK# Frame Size: 39 112 X 45 1/2
824 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4", 3 1/4",Sill Adapter Included,Head Expander Included
Exterior Color/Finish: White
Interior Color/Finish: White
Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Hardware Options: White,Standard Vent Stop,No Limited Opening Hardware
Viewed From Exterior Screen: Half Screen
Frame Size:39.5"X 45.5" Performance Information: U-Factor 0.30,SHGC 0.25,VLT 0.47,CPD PEL-N-108-00116-00002,Performance Class R,PG 25,Calculated Positive DP
Rating 25,Calculated Negative DID Rating 25,Year Rated 08
Grille: GBG,No Custom Grille,3/4"Contour,Traditional(4W2H/4W2H)
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance, Perimeter Length= 170".
Material-Pocket Material Qty 1
Pocket Installation-Pocket Installation Qty I
No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1
Lead Safe Install-Lead Safe Install 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 11/16/2016 Contract-Detailed Page 2 of 9
1
Customer: Sarah Maddux Project Name: Maddux,Sarah,Salem,MA 1817605 Order Number: 741SDO503 Quote Number: 8444612
Line# Location: -?^' Attributes
25 SIDE DINING Vinyl Windows/Doors By Pella, Double Hung, 33.5 X 45.5, White oty
1
1: Non-Standard SizeNonStandard Size Double Hung,Equal
PK# Frame Size: 33 112 X 45 1/2
1 824 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",Sill Adapter Included,Head Expander Included
Exterior Color/Finish: White
Interior Color/Finish: White
Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
— — Hardware Options: White,Standard Vent Stop,No Limited Opening Hardware
Viewed From Exterior Screen: Half Screen
Frame Size:33.5'X 45.5" Performance Information: U-Factor 0.30,SHGC 0.25,VLT 0.47,CPD PEL-N-108-00116-00002,Performance Class R,PG 35,Calculated Positive DP
Rating 35,Calculated Negative DP Rating 35,Year Rated 08
Grille: GBG, No Custom Grille,3/4"Contour,Traditional(3W2H/3W2H)
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=158".
Material-Pocket Material Qty 1
Pocket Installation-Pocket Installation Qty 1
No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1
Lead Safe Install-Lead Safe Install Qty 1
Line# Location: Attributes
30 KITCHEN SINK Vinyl Windows/Doors By Pella, 2-Wide Casement, 35.25 X 38.25,White Qty
If � t. 1:17.37538.25 Lek Casement
R ,% "'�, PK# Frame Size: 17 3/8 X 38 1/4
" 824 General Information: Standard,Vinyl,Nail Fin,3 3/8",1 7/16", 1 15116"
'� �• Exterior Color/Finish: White
i Interior Color l Finish: White
1 Glass: Insulated Low-E Advanced Low.E Insulating Glass Argon Non High Altitude
Hardware Options: Standard,Fold-Away Crank,White,No Limited Opening Hardware
Viewed From Exterior Screen: Full Screen
Frame Size:35.25"X 38.25" Performance Information: U-Factor 0.26,SHGC 0.23,VLT 0.44,CPD PEL-N-135-00033-00001
Grille: No Grille,
Vertical Mull 1: FactoryMull, 1/2"Integral Mullion
2:17.37538.25 Right Casement
Frame Size: 17 3/8 X 38 114
General Information: Standard,Vinyl,Nail Fin,3 3/8", 1 7/16", 1 15/16"
Exterior Color I Finish: White
Interior Color/Finish: White
Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Hardware Options: Standard,Fold-Away Crank,White,No Limited Opening Hardware
Screen: Full Screen
Performance Information: U-Factor 0.26,SHGC 0.23,VLT 0.44,CPD PEL-N-135-00033-00001
Grille: No Grille,
Vertical Mull 1: FactoryMull, 1/2"Integral Mullion
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length= 147".
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.pelia.com
Printed on 11/16/2016 Contract-Detailed Page 3 of 9
Customer: Sarah Maddux Project Name: Maddux,Sarah,Salem,MA 1817605 Order Number: 741SDO503 Quote Number: 8444612
Finish FF Trim-Finish Paint(Stain FF Interior Trim Only Oty 1
FF<48 wide-Install Full Frame Window 48 inches or less wide Qty 1
Lead Safe Install-Lead Safe Install Qty 1
PVC Upgrade<48 -PVC Upgrade less than 48 inches Qty 1
` ,Attributes _F %, "" '
Line# - Location:'. ' .-t - ` It -
35 HENRYS Vinyl Windows/Doors By Pella, Double Hung, 33.5 X 41.5,White Qt'
2
i1:Non-Standard SizeNonStandard Size Double Hung,Equal
y PK# Frame Size: 33 112 X 41 1/2
824 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",Sill Adapter Included, Head Expander Included
Exterior Color/Finish: White
«r Interior Color I Finish: White
1 Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Hardware Options: White,Standard Vent Stop,No Limited Opening Hardware
Viewed From Exterior Screen: Half Screen
Frame Size:33.5"X 41.5" Performance Information: U-Factor 0.30,SHGC 0.25,VLT 0.47,CPD PEL-N-108-00116-00002,Performance Class R,PG 35,Calculated Positive DP
Rating 35,Calculated Negative DP Rating 35,Year Rated 08
Grille: GBG, No Custom Grille,3/4"Contour,Traditional(3W2H/3W2H)
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length= 150".
Material-Pocket Material Qty 1
Pocket Installation-Pocket Installation Qty 1
No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1
Lead Safe Install-Lead Safe Install Qty 1
Line# .. .,Location:,, r _, ,-.. ,., .. Attributes
r v
40 GUEST Vinyl Windows/Doors By Pella, Double Hung, 33.5 X 41.5, White Qty
3
i - 1:Nonstandard SizeNon-Standard Size Double Hung,Equal
PK# Frame Size: 33 112 X 41 112
824 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",Sill Adapter Included,Head Expander Included
Exterior Color/Finish: While
Interior Color/Finish: White
1 Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
. Hardware Options: White,Standard Vent Stop,No Limited Opening Hardware
Viewed From Exterior Screen: Half Screen
Frame Size:33.5"X 41.5" Performance Information: U-Factor 0.30,SHGC 0.25,VLT 0.47,CPD PEL-N-108-00116-00002,Performance Class R,PG 35,Calculated Positive DP
Rating 35,Calculated Negative DP Rating 35,Year Rated 08
Grille: GBG,No Custom Grille,3/4"Contour,Traditional(3W2H/3W2H)
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length= 150".
Material-Pocket Material Qty 1
Pocket Installation-Pocket Installation Qty 1
No Ext.Wrap/Cap-No Exterior Wrap/Cap Qty 1
Lead Safe Install-Lead Safe Install 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 11/16/2016 Contract-Detailed Page 4 of 9
Customer: Sarah Maddox Project Name: Maddux,Sarah,Salem,MA 1817605 Order Number: 741SDO503 Quote Number: 8444612
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.
tNSYNCTIVE PRODUCTS: In addition,Pella Insynctive Products are covered by the Pella Insynctive Products Software License Agreement and Pella Insynctive Products
Privacy Policy in effect at the time of sale,which can be found at Insynctive.pella.com. By installing or using Your Insynctive Products you are acknowledging the Insynctive
Software Agreement and Privacy Policy are part of the terms of sale.
Product Performance Information:
U-Factor, Solar Heat Gain Coefficient(SHGC),and Visible Light Transmittance(VLT)are certified by the National Fenestration Rating Council(NFRC). Manufacturer stipulates
that these ratings conform to applicable NFRC procedures for determining whole product performance.NFRC ratings are determined for a fixed set of environmental conditions
and a specific product size.NFRC does not recommend any products and does not warrant the suitability of any product for any specific use.
Design Pressure(DP),Performance Class,and Performance Grade(PG)are certified by a third party organization, in many cases the Window and Door Manufacturers Association
(WDMA). The certification requires the performance of at least one product of the product line to be tested in accordance with the applicable performance standards and verified
by an independent party. The certification indicates that the product(s)of the product line passed the applicable tests. The certification does not apply to mulled and/or product
combinations unless noted.Actual product results will vary and change over the products life.
For more performance information along with information on Florida Product Approval System (FPAS)Number and Texas Dept.of Insurance(TDI)number go to www.yella.com
/performance.
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
For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pelia.com
Printed on 11/16/2016 Contract-Detailed Page 5 of 9
Customer: Sarah Maddux Project Name: Maddux,Sarah,Salem,MA 1817605 Order Number: 741SDO503 Quote Number: 8444612
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 upexterior casing issues due to storm window removal if full wrap or new exterior trim is not purchased
9-1nn y ��`'4't" Project Checklist has been reviewed
Customer initial
Product Only Addendum has been reviewed
Customer initial
Credit Card Account#: Last 4 Digits
Expiration 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 11/16/2016 Contract-Detailed Page 6 of 9
Customer: Sarah Maddux Project Name: Maddux,Sarah,Salem,MA 1817605 Order Number: 741SDO503 Quote Number: 8444612
Charge final payment to same account
(Upon substantial completion) Customer initial
❑Project Checklist has been reviewed
,Order Totals ,-
Taxable Subtotal $3,620.54
Credit Card Approval Signature Sales Tax @ 6.25% $226.28
Sarah Maddux Steve Duff Non-taxable Subtotal $2,952.00
Customer Name (Please print) Pella Sales Rep e ( ase print)
Total $6,798.82
C." Deposit Received $3,399.41
Amount Due $3,399.41
Customer Signature Pella Sales Rep Signature
11 / 16 / 16 11 / 16 / 16
Date Date
For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com
'Printed on 11/16/2016 Contract-Detailed Page 7 of 9
PELLA WINDOWS AND DOORS CONTRACT
7. PAYMENTS
7. 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 part of the contract set forth on the failure to pay Pella the amount due within seven days after the date payment is
Product Order(the"Contract")between New England Window and Door LLC due.
dba Pella Windows&Doors,Inc.("Pella")and the persoo(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 pert of the Pella shall comet 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 than 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 y 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 Pelts 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 ETHER 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
any of its subcontractors identified in this agreement have been registered.
conform with the requirements of this Contract Pella shall not be responsible Any inquires about Pella or any of its subcontractors relating to registration
for damages or defects caused by abuse,modifications not executed by Pella, should be directed to:Director,Herne Improvement Contractor Registration,
improper or insufficient maintenance,improper operation or normal weer and tear. Pella will keep the premise and surrounding area free from 10 Park Plaza,Room 5170,Boston,MA 02116,617-973.8787,888-283-3757 accumulation of waste materials or rubbish caused by performance of the or visit the HIC website at http://www.man.gov/ocabr/
work 12. PERMITS(MA customers only)
4. CHANGES Pella is obligated to and will obtain the following permits for this project:
Building . Homeowners who secure their own permits will be
The Owner may order in writing changes in the Work consisting of additions, excluded from the guaranty fund provisions of Massachusetts General Laws,
deletions,or modifications("Change Order"). Any Change Order shall chapter 142A
include an adjustment to the Price and the Substantial Completion Date,as
determined by Pella. Pella reserve the right to approve or disapprove any In addition to the rights and warranties enumerated in this agreement,you may
Change Order and any such Change Order must be signed by both Owner and have additional rights under Massachusetts General Laws,chapter 142A and
Pella to be effective. 780 Code of Massachusetts Regulations R6.
S. SUBSTANTIAL COMPLETION 13. NOTICE OF CANCELLATION
Owner understands and agrees that the Substantial Completion Date is an You may cancel this agreement if it has been signed by a party
estimate only and that the actual date on which the Work is completed may be thereto at a place other than an address of the seller,which
extended to allow for Change Orders requested by owner or if the time to may be his main office or branch thereof,provided you notify
complete the Work is affected by conduct of the Owner,weather,tabu
disputes,availability of subcontractors,acts of God,fire or other causes the seller in writing at his main office or branch by ordinary
reasonably beyond Polls's control.If for any reason the Work is not fully mail posted,by telegram sent or by delivery,not later than
completed by the Substantial Completion Data(including any extensions midnight of the third business day following the signing of this
contemplated above),but is substantially completed by such date,i.e.,the agreement.
Product has been installed,but minor parts or components are missing or need
to be replaced or repaired,a hold back proportionate to the cost of remaining See the attached Notice of Cancellation for an explanation of
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.
6. FINANCING Do not sign this contract if there are any blank spaces.
If payment of the Price is financed with a financial institution through Pella,all �l /.IW�'A11'/'I/t1t�
financing paperwork must he completed upon signing of this Contract and the
requisite approvals and authorizations for the full amount of the requested L
financing shall have been received from the financial institution.
QtAA
Customer signature 11 / 16 / 16
• Date
DISPUTES
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 G A
_v V '
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.
NOTICE OF CANCELLATION
11/16/16
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 11/19/16 (three business days from the date of
transaction above).
I hereby cancel this transaction.
(Date) (Buyer's signature)