3 WHITE ST - BUILDING INSPECTION (3) '11 -77 �ZZ4d
RLC640
The Commonwealth of Massachusetts t ITY dF
1 Board of Building Regulations and Standards
Massachusetts State Building Code,780 CMR YUIb APR � ASAt
ewsed,Mlur 1l
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Two-Fmnily Dwelling
This Section ForOfiicial Use Onl
�n Building Permit Number:' DateAppli d:
M Building Oilicial(Print Nome) Signature . ' Date
SECTION I:SITE INFORMATION
1.1 Property�tddress: 1.2.\ssesson Map d Parcel'Numbers( 3 wt-li s";r
(� I.I a Is this an accepted street9 yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District-r Proposed Use Log Area(sy tl) Frontage(It)
1.5 Building Setbacks(R) .
Front Yard . Side Yards Rear Yard' -
ReyoireJ -Providal -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 ZaneT Municipal O On site disposal system 0
Public O PrivateA. — Cbedc if es�
SECTIONZ: PROPERTYOWNERSHIP!
2.1 Ownert of Record:
igM-a a
me-(Print) City,state"zip
3r (r/7 r5S 53/ Y
No.and Strect Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORKr(check all that apply)
New Construction l7 Existing Building 0 Owner-Occupied O Repairs(s) Ckj Alteration(s) O Addition O
Demolition O Accessory Bldg.O Number of Units Other O Specify:
Brief Description of Proposed Work-: it�o ='�rf, r L� �j a c —
Y1/ S r
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
hcm Labor and M iterteis -
I: Building Permit Fee:$ Indicate how fee is Determined:
1. Building $ 00z)
Standard City/Town Application Fee
2. Electrical S •— O❑Total Project Cost!(item 6)x multiplier x -
J. Plumbing $ L'rota:[AII
S
4.Mechanical FIVAC S
�/ d
l )
5.M&Imnical (Fire
Suppression)
Check Amount: Cash Amount:
6. Total Project Cost: SII000 ❑Outstanding Balance Due:
SECTIONS: CONSTRUCTION SERVICES
5.1 ColistructiouSup+ervisorLicense(CSL) � 5,7
License Number Expiration Date
Name of CSL Holder List CSL Type(see below)
C TYPe- - - Description .
No.M Stree[ e
UnresuicteJ� BuilJin a to 35,00 cu. Il.
If-'✓R1--1"C y(!y N wrr' L)/' (`3'-- Restricted I&.2 Famil D+vellin
City/I'u+vn,Slate,ZIP M Masonry
RC Rootin Covcrin
WS Window,and Siding:
SF - Solid Fuel Burning Appliances
I I Insulation
Telephone Email add is D Demolition
5.2 egistered Home Improvement Contractor(HIC)
1�4c(lnlE7dl�(� HIC Registration umber Expiration Date
IIIC Cum any Name or HIC Registrant Name
%ICJ _ hL !%s V
N .and Street Email address
f Street � �i F` Zvi
dtvrrown.State ZIP. Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G?L c.1S2.§25C(ti)}
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Isivance of the building permit.
Signed Affidavit Attached? Yes.......... No...........13
SECTION 7a,OWNER AUTHORIZATION TO BE COMPLETED W HEN•
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING.PERMIT'
I,as Owner of the subject property,hereby authorize
t9 act
on my behalf,in all matters relative to work authorized by this building permit application. /
Print O%mer's Name(Electronic Signature) Date
SECTION 7b:OWNEW 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.
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
___Inot registered in the Home Improvement Contractor(HIC) Program),will 01 have access to the arbitration
p —
program or guaranty fund under�LG.L.c. I J2A..Other im octant infoimanoa on thaHIC1'ro gb
ram can a faun aT
+vww mass eo+:'oca Information on the Construction Supervisor License can be found at
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. 11.) 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"
GUY OF SALEA A ASSAmUSE M
BuLmNcDEPAR1mw
120 WASf•DIVG7MSUM7,31DROOt
TkL(978)745.9595.
PAX(978)740.9846
SIIvJ$ERLEYDRISODLL
MAYOR Trx>MMSST.P,xE
DMECXROPPUBUCMCff Y/BMDZW S4cr,=
Construction Debris Disposa/Affidavit
(required for-all demolition and,renovation work)
In accordance with the sixth edition of the State Building Code, 780 CMR, Sedion 111.5 Debris,
and the provisions of MGL c40,S 54; Building Permit g 1 0 is issued with the
condition that the debris resulting from this work shall be disposed of in a property licensed
waste deposit facility as defined by MGL c 111, S 150A.
The debris will be transported by:
j,✓u3 S I-e wr2-x,c o .,, , �
(name of hauler)
The debris will be disposed of in:
(name of facility)
(address of facility)
Signature of applicant
Date
a ,. intaorrn , "=
The Commonwealth Of Mt1SSttCltltsettS - ^-
Department of Industrial Accidents
Office of Investigations
I Congress Street, Suite 100
Boston,MA 02114-2017
www.tnass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organization/Individual): AEf/,j 4_44.10zi(> s LLe
Address: 4�5- ra N Kr
City/State/Zip: L4&ygtziJ.(I AJY3 -2- Phone#:
Are you an employer? Check the appropriate box:
Type of project(required):
1.Ml am a employer with ZS — 4. ❑ 1 am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. remodeling
ship and have no employees These sub-contractors have g, ❑Demolition
working for me in any capacity. employees and have workers'
9. ❑ Building addition
[No workers' comp. insurance comp. insurance.
❑ We are a corporation
required.] 5. oration and its 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.] ' a 152, §1(4),and we have no
employees. [No workers' 13.0 Other
comp. insurance required.]
*Any applicant that checks box#1 must also rill out the section below showing their workers'compensation policy information.
tr Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
iContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-connectors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance for n{v employees. Below is the policy and job site
information.
Insurance Company Name: N t4 ``F fL4 fl LOV e�S -7N S 0 C
Policy#or Self-ins. Lic.#: 40((o y y 1 C) ( Expiration Date: 77—/ /So
Job Site Address: City/State/Zip:
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 MGL 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.
1 do hereby certi 2 under the ains and enaldes of erlury that the information provided above is true and correct.
Siiznature: —�Aj'_�-- - _J Date __ - =A.-
Phone#: 78"
Of use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing 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#:
41
00RE0 CERTIFICATE OF LIABILITY IMSU ��� 85�1�15MIM°°""""'
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the poltcy(ies)must he endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy;certain policies may require an endorsement A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsementfs).
PRODUCER NTA DavaVA CodeO'CAC,RPLU
Fad C.CER Nc MIME:
41 Wellman Street PNDNE g78�231 F C Na: (e}014544065
Lowea,MA 01851
(000)225-1065 E-rMIL tlmRtl®hedcclimtluwm
DRESS.
INSURER AFFORDING COVERAGE NMC9
_ INSURERA: Cadmus trance Company of America 31534
INSURED New Ham We
New England VAndmv a Door LLC INSURERS: P6 EmploYem lnsmence Company 130B3
45 Ford Road - INSURER C:
Have,hN,MA 01832AW2 INSURER D:
INSVRER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:sws7 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED SYPAID CWMS-
rCG090I
AODLS 8R
PE OF INSURANCE vounPOLICY NUMBER MMIOp �F PROVOOY� LIMnS
ILITY 1,000,000
EACH OCCURRENCE 5
ULL GENERAL LIABILITY DAMAG"TOR 100,000
PREMISES Ea omarrencee S
MS40ADE O OCCUR MEO EXP(Any one arson 5 uLOGO
ZONOIS1407 71V2U15 71I2016 1,000000
PERSONALBAOVIN.NRY fGENERAL AGGREGATE 5 zDa0,D00
ATE LIMIT APPLIES PER: 2,GDD,GDO
PRDOIICTS-COMP/OPAGG E% j CQ % Lac E
AUTOMOBILELUABILRY COMBINED LIMIT
Ea acddent61NGLE
ANY AUTO - BODILY INJURY(Perperson) S
ALL OWNED SCHEDULED
AUTOS AUTOS BDDILYINJIIRY(Pefaddenl) 5 -
HIREDAUTOS pGWNFA PROPERTY DA VIGE E
Pea enl
r
UMBRELLA LIAS OCCUR
E%CES6lJAe EACH OCCURRENCE S
CLAIMS-MAOE AGGREGATE S
ING DED EERe COMPENSATION S 5
ANDC#PLOYERS'LVIBRRY X , STTU_ TH-
YIN A
ITS ER
a ANY PROPRIETORIPARTNERIENECUTIVE EL EACH ACCIOEN7 S SW,OOD
OFHCER/MEMSER DICWDED7 NIA 400040JOI 7MR015 711P616
(Mandarory in NH) EL DISEASE-EA EMPLOY S 500,000
If ye6,del=under
DESCRIPTION OF OPERATIONS helow E.L. W DI6EASE-PCY LIMIT S 500,OOD
DESCRIPTIONOF OPERATIONSILOCATIONS IVEHICLES(ANach ACORD 101,Addiffonal RemaAm Schedule,rl meta space WRgwnadl
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESEN VRVE
of Consumer Affairs&Business Regulation License or registration valid,for individul use only
E IMPROVEMENT CONTRACTOR = before the expiration date. If found return to:
Office of Consumer Affairs and Business Regulation
egistration;_ 1 g3279 _ Type: 10 Park Plaza-Suite 5170
Expiration:--9/24/2017 Supplement C:!rd Boston,MA 02116
NEW ENGLAND WIN,DOW,&'DOOR., LLC.
PELLA WINDOWS&.DOORS`- -
William Nichols - 1 45 FONDI ROAD
HAVERHILL,MA 01832 - - Undersecretary Not valid.without signature
4
ARas �„ a eats, 7,e,X.;arfir n of Rublic Safety =,
° a'rf °t`�vli^^wing Pei�ulations and M4h%avds
.C"ominutS�m.Ftptlacn isnr xf. �+'} �: i
License: CS-089853.
W ILLUM R NICHOLS k
17 PEARTREE RIY
fUVERHILL 18311
Explratgft i
.Commissioner 10126/2016 -
,a ;J
Contract - Detailed
Pella Window and Door Showroom of Haverhill W Sales Rep Name: Clancy, Ryan
® 45 Fondi Rd HIC#183279I Tax I13926-1413183 Sales Rep Phone: 978-373-2500
Haverhill, MA 01832 Sales Rep Fax:
Sales Rep E-Mail: clancyrp@pellaboston.com
_
Customer Information Project/Delivery Address. M Oider information
Edward Macdonald Macdonald,Edward,Salem,MA,1692014 Quote Name: 11 Windows
3 White St 3 White St
Order Number: 741RCO291
SALEM,MA 01970-5609 Lot# Quote Number: 7654207
Primary Phone:(617)9559318 SALEM,MA 01970-5609 Order Type: Installed Sales
Mobile Phone: County: ESSEX Payment Terms: Deposit/C.O.D.
Fax Number: Tax Code: MA TAX 6.25
E•Mail: tedmac2l@gmail.com Quoted Date: 3/1512016
Great Plains#: 10494481
Customer Number: 1007833471
Customer Account: 1003666455
I Line#--Location' " � _s — T f __ Attributese--
10 None Assigned DeliverylSetup- Delivery/Setup hem Price Qty Extd Price
$201.28 1 $201.28
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com
Printed on 3/16/2016 Contract-Detailed Page 1 of 9
Customer: Edward Macdonald Project Name: Macdonald,Edward,Salem,MA,1692014 Order Number: 741RCO291 Quote Number: 7654207
15 Stairwell Right Vinyl Windows 1 Doors By Pella, Double Hung, 33.25 X 37.25,White Item Price Qty Ext'd Price
• - $872.19 1 $872.19
1:Nonstandard SizeNonStandard Size Double Hung,Equal
PK# Frame Size: 331/4X 37114
General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",Sill Adapter Included,Head Expander Included
772
Exterior Color/Finish: White
.i Interior Color/Finish: White
Glass: Insulated Tempered Low-E NaturalSun Low-E Insulating Glass Argon Non High Altitude
; Hardware Options: White,Standard Vent Stop,No Limited Opening Hardware
Viewed'From Ext6nor Screen: Full Screen
Frame Size:33.25"X 37.25" Grille: No Grille,
Wrapping information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=141",Glazing Pressure=205.
PI_Ext Trim-Pocket w/Exterior Trim Qty 1
Composite Upgrade<48-Composite Upgrade 48 inches or less Qty 1
Line#'
20 Kitchen Vinyl Windows 1 Doors By Pella, Double Hung, 33.25 X 37.25,White Item Price Qty Ext'd Price
., -- $774.77 1 $774.77
)t! f 1:Non-Standard SizeNonStandard Size Double Hung,Equal
r•- i= PK# Frame Size: 33 114 X 37114
772 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 114",Sill Adapter Included,Head Expander Included
Exterior Color/Finish: White
Interior Color/Finish: White
Glass: Insulated Low-E NaturaiSun Low-E Insulating Glass Argon Non High Altitude
"1 >: :_-_r - Hardware Options: White,Standard Vent Stop,No Limited Opening Hardware
ViewedFroin Exterior Screen: Full Screen
Frame Size:33.25"X 37.25" Grille: No Grille,
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=141",Glazing Pressure=115.
PI_Ext Trim-Pocket w/Exterior Trim Cry 1
Composite Upgrade<48-Composite Upgrade 48 inches or less 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 3/1612016 Contract-Detailed Page 2 of 9
Customer. Edward Macdonald Project Name: Macdonald,Edward,Salem,MA,1692014 Order Number: 741RCO291 Quote Number: 7654207
n
— -- —
Line#"y Location, � � --- Attributes
25 Stairwell Left Vinyl Windows I Doors By Pella, Double Hung, 33.25 X 37.25,White Item Price Qty Ext'd Price
$872.19 1 $872.19
1:Non-Standard SizeNonStandard Size Double Hung,Equal
PK# Frame Size: 331/4X 37114
772 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 114",Sill Adapter Included,Head Expander Included
Exterior Color/Finish: White
Interior Color/Finish: White
Glass: Insulated Tempered Low-E NaturalSun Low-E Insulating Glass Argon Non High Altitude
—v - Hardware Options: White,Standard VentStop,No Limited Opening Hardware
Viewed Froi`n Exterior Screen: Full Screen
Frame Size:33.25"X 37.25" Grille: No Grille,
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=141",Glazing Pressure=205.
PI_Ext Trim-Pocket wl Exterior Trim Qty 1
Composite Upgrade<48-Composite Upgrade 48 inches or less Qty 1
"lids# -�Location: �.. � -..-_.-.a ,_ _.- _. ,-.r„ -..___ ._----- - Attributes,:---` : ..
30 Guest Room yWindows/ - B Y g 34 •- - - - -Vinyl Doors B Pella, Double Hun 34.5 X 50,White Item Price Qty Ext'd Price
$1.091.76 1 $1,091.76
'A
1:Non-Standard SizeNonStandard Size Double Hung,Equal
'AFr PK# Frame Size: 34 1/2 X 50
!. __
K,. , 772 General Information: Standard,Vinyl,Nail Fin,4 3/16",1 5/8",2 9/16"
Exterior Color/Finish: White
Interior Color/Finish: White
Glass: Insulated Low-E NaturalSun Low-E Insulating Glass Argon Non High Altitude
ems, ,nyai' Hardware Options: White,Standard Vent Stop,No Limited Opening Hardware
Viewed From Eztenor Screen: Full Screen
Frame Size:34.5"X 50" Grille: No Grille,
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=169",Glazing Pressure= 100.
FF<48 wide-Install Full Frame Window 48 inches or less wide Qty 1
Finish FF Trim-Finish Paint/Stain FF Interior Trim Only Qty 1
Composite Upgrade<48-Composite Upgrade 48 inches or less Qty 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.pelia.com
Printed on 3/1612016 Contract-Detailed Page 3 of 9
Customer: Edward Macdonald Project Name: Macdonald,Edward,Salem,MA,1692014 Order Number. 741 RCO291 Quote Number: 7654207
Line# - "Attributes
35 Game Room Vinyl Windows I Doors By Pella, Double Hung, 33.25 X 49.25,White Item Price City Ext'a Price
$813.12 1 $813.12
E
t:Non-Standard SizeNonStandard Size Double Hung,Equal
PK# Frame Size: 331/4X49114
772General information: Standard,Vinyl,Block Frame With Mull Groove,3 14',3 1/4",Sill Adapter Included,Head Expander Included
Exterior Color/Finish: White
Interior Color/Finish: White
r', Glass: Insulated Low-E NaturaiSun Low-E Insulating Glass Argon Non High Altitude
Hardware Options: White,Standard Vent Stop,No Limited Opening Hardware
Viewed From Exterior Screen: Full Screen
Grille: No Grille,
Frame Size:33.25"X 49.25°
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=165",Glazing Pressure=105.
PI_Ext Trim-Pocket wl Exterior Trim Qty 1
Composite Upgrade<48-Composite Upgrade 48 inches or less Qty 1
-Line#- Loiation: Attributes ,
40 Bottom 2nd FI Stairs Vinyl Windows I Doors By Pella, Double Hung, 33.25 X 37.25,White Item Price Qty Ext'd Price
;• - $872.19 1 $872.19
};� f 1:Non-Standard SizeNonStandard Size Double Hung,Equal
PK# Frame Size: 331/4X 37114
c�
-•" ' 772 General Information: Standard,Vinyl,Block Frame With Mull Groove,3 tl4",3 114",Sill Adapter Included,Head Expander Included
Exterior Color/Finish: White
1 !._ Interior Color/Finish: White
Glass: Insulated Tempered Low-E NaturalSun Low-E Insulating Glass Argon Non High Altitude
Hardware Options: White,Standard Vent Stop,No Limited Opening Hardware
Vii:wedFromSeteriar Screen: Full Screen
Frame Size:33.25"X 37.25" Grille: No Grille,
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=141",Glazing Pressure=205.
PI_Ext Trim-Pocket wl Exterior Trim Qty 1
Composite Upgrade<48-Composite Upgrade 48 inches or less 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 3/16/2016 Contract-Detailed Page 4 of 9
Customer: Edward Macdonald Project Name: Macdonald,Edward,Salem,MA,1692014 Order Number: 741RCO291 Quote Number: 7654207
--- — —
Gne# Locahoni 4 .. Attributes
45 Top of 2nd FI Stairs Vinyl Windows/Doors By Pella, Double Hung,34.5 X 57.5,White Item Price Qty Ext'd Price
$1,340.80 1 $1,340.80
11:Nonstandard SlzeNonStandard Size Double Hung,Equal
PK# Frame Size: 34 1/2 X 57 1/2
i General Information: Standard,Vinyl,Nail Fin,4 3116", 1 5/8",2 9/16"
772
Exterior Color/Finish: White
13 I Interior Color/Finish: While
Glass: Insulated Tempered Low-E NaturalSun Low-E Insulating Glass Argon Non High Altitude
Hardware Options: While,Standard Vent Stop,No Limited Opening Hardware
Viewed From Exterior Screen: Full Screen
Grille: No Grille,
Frame Sae:34.5"X 57.5"
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length= 184",Glazing Pressure=205.
Trim Stool and Apron-Add Stool and Apron Trim to Picture Frame Qty 1
Composite Upgrade<48-Composite Upgrade 48 inches or less Qty 1
Finish FF Trim-Finish PaintlStain FF Interior Trim Only Qty 1
FF<48 wide-Install Full Frame Window 48 inches or less wide Qty 1
3rd Story and Above->30ft To Top Of Window- Install Charge(per unit) Qty 1
Line#- "Location:`_-_ ._.. ,.-__._._-------_-- _.._....__ . -- _.-..._-.._ Attributes --
50 Bedroom Back Vinyl Windows I Doors By Pella, Double Hung,33.25 X 57.25,White Item Price Qty Ext'd Price
$988.20 1 $988.20
1:Nonstandard SizeNonStandard Size Double Hung,Equal
! Yil PK# Frame Size: 331/4X 571/4
General Information: Standard,Vinyl,Nail Fin,4 3116", 1 5/8",2 9/16"
772 Exterior Color/Finish: White
5
Interior Color/Finish: White
J. Glass: Insulated Low-E NaturalSun Low-E Insulating Glass Argon Non High Altitude
-:; ;33;25=s"'*� Hardware Options: White,Standard Vent Stop,No Limited Opening Hardware
Viewed From Exterior Screen: Full Screen
Frame Size:33.25"X 57.25" Grille: No Grille,
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=181",Glazing Pressure=90.
PI_Ext Trim-Pocket w/Exterior Trim Qty 1
3rd Story and Above->30ft To Top Of Window- Install Charge(per unit) Qty 1
Composite Upgrade<48-Composite Upgrade 48 inches or less Qty 1
For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 3/16/2016 Contract-Detailed Page 5 of 9
Customer: Edward Macdonald Project Name: Macdonald,Edward,Salem,MA,1692014 Order Number: 741RCO291 Quote Number: 7654207
Line _..._Location:r.. ---_ ..__. . . .—.., - ._.. ._ —Attributes
55 Bedroom Front Vinyl Windows 1 Doors By Pella, Double Hung,33.25 X 57.25,White Item Price aty Ext'd Price
$988.20 1 $988.20
1:Nonstandard SizeNonStandard Size Double Hung,Equal
�4 i PK# Frame Size: 33 114 X 57 1/4
` General Information: Standard,Vinyl,Nail Fin,4 3116",1 5/8",2 9/16"
F 772 Exterior Color/Finish: White
u Interior Color/Finish: White
Glass: Insulated Low-E NaturalSun Low-E Insulating Glass Argon Non High Attitude
Hardware Options: White,Standard Vent Stop,No Limited Opening Hardware
Viewed FF6i Exterior Screen: Full Screen
Frame Size:33.25"X 57.25" Grille: No Grille,
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=181",Glazing Pressure=90.
PI Ext Trim-Pocket wl Exterior Trim Qty 1
3rd Story and Above->30ft To Top Of Window- Install Charge(per unit) Qty 1
Composite Upgrade<48-Composite Upgrade 48 inches or less Qty 1
Linelt Location:".._ '� � - Y. _ —Attributes. � -
60 Right of Bed Vinyl Windows I Doors By Pella, Double Hung,34.5 X 57.5,White Item Price Qty ExCd Price
$1,340.80 1 $1,340.80
ft !1 1:Non-Standard SizeNonStandard Size Double Hung,Equal
?;? " PK8 Frame Size: 341/2X 571/2
i General Information: Standard,Vinyl,Nail Fin,4 3116", 1 5/8",2 9116"
772
Exterior Color/Finish: White
Interior Color/Finish: White
Glass: Insulated Tempered Low-E NaturalSun Low-E Insulating Glass Argon Non High Altitude
'.,~,r; 4 !r,- Hardware Options: White,Standard Vent Stop,No Limited Opening Hardware
Viewed From Exterior Screen: Full Screen
Frame Size:34.5"X 57.5" Grille: No Grille,
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=184",Glazing Pressure=205. .
3rd Story and Above->30ft To Top Of Window- install Charge(per unit) Qty 1
Trim Stool and Apron-Add Stool and Apron Trim to Picture Frame Qty 1
Composite Upgrade<48-Composite Upgrade 48 inches or less Qty 1
Finish FF Trim-Finish Paint/Stain FF Interior Trim Only Qty 1
FF<48 wide-Install Full Frame Window 48 inches or less wide Qty 1
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com
Printed on 3/16/2016 Contract-Detailed Page 6 of 9
Customer: Edward Macdonald Project Name: Macdonald,Edward,Salem,MA,1692014 Order Number: 74IRCO291 Quote Number: 7654207
_Attributes —� __ __
," ..._.
65 Bottom 2nd FI Stairs Vinyl Windows 1 Doors By Pella, Double Hung,33.25 X 37.25,White Item Price Qty Ext'd Price
r - $872.41 1 $872.41
/ V 1:Nonstandard SlzeNonStandard Size Double Hung,Equal
'i PK# Frame Sae: 331/4X 371/4
` .t 772 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
,J Interior Color/Finish: White
Glass: Insulated Low-E NaturalSun Low-E Insulating Glass Argon Non High Altitude
Hardware Options: White,Standard VentStop,No Limited Opening Hardware
Viewed From Exterior Screen: Full Screen
Grille: No Grille,
Frame Size:33.25"X 37.25"
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=141",Glazing Pressure=115.
Composite Upgrade<48-Composite Upgrade 48 inches or less Qty 1
PI_Ext Trim-Pocket w/Exterior Trim Qty 1
3rd Story and Above->30ft To Top Of Window- Install Charge(per unit) 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 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.
INSYNCTIVE 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.
Project Checklist Review (Installed Orders Only)
Before the Installation the Homeowner agrees to do the following:
Obtain Condo Association Approval
Obtain Historic Approval
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 3/16/2016 Contract-Detailed Page 7 of 9
Customer: Edward Macdonald Project Name: Macdonald,Edward,Salem,MA,1692014 Order Number. 741RCO291 Quote Number: 7654207
Remove existing shutters and awnings
Remove air conditioners
Remove existing shades, drapes, window treatments,wall hangings, and personal belongings
Move furniture at least 3 feet away from work area
Tie or cut back trees, bushes and shrubs in the work area
Arrange to have alarm system and doorbells disconnected
Arrange to have any plumbing and electrical repairs or changes made by appropriate licensed contractor
Provide a door handle and lockset for entry door if Pella handle and lockset is not purchased.
Before the Installation Pella agrees to do the following:
Obtain Building Permit(When required)
Prefinish products when purchased in contract
During the Installation the Homeowner agrees to do the following:
Keep pets safely away from work area
Keep children safely away from work area
Allow Pella Installer room to work safely within your home
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 specked
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)
CI p exterior casing issues due to storm window removal if full wrap or new exterior trim is not purchased
MProject Checklist has been reviewed
Customer initial
Product Only Addendum has been reviewed
Customer initial
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 3/16/2016 Contract-Detailed Page 8 of 9
Customer: Edward Macdonald Project Name: Macdonald,Edward,Salem,MA,1692014 Order Number: 741RCO291 Quote Number: 7654207
Credit Card Account#: Last 4 Digits
Expiration Date: /
Charge final payment to same account
(Upon substantial completion) Customer initial
Project Checklist has been reviewed
Edward Macdonald R Clanc r 1� - ° — -
Custom ame (Please print) pe}a es Rep Nan (Please print) Order;TOtaIS � t
Taxable Subtotal W $5,013.40
Custo— m�f re Sales Rep ! n Are Sales Tax @ 6.25% $313.34
3/16/16 3116/16 Non-taxable Subtotal $6,014.51
Date Date Total $11,341.25
Deposit Received $11,341.25
Credit Card Approval Signature jAmount Due $0.00
For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 3/16/2016 Contract-Detailed Page 9 of 9
PELLA WINDOWS AND DOORS CONTRACT 7 PAYMENTS
d. 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 person(s)identified on the
Product Order("Owner")to supply the products(the"Products"),and perform g 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. 11. HOME IMPROVEMENT CONTRACTORS
The materials and equipment famished 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 and should be directed to:Director,Home Improvement Contractor Registration,
tear. Pella will keep the premises 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 brio:/Avww.mass.rov/ocabar/
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 reserves 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.
5. 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,labor
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 Pella'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 Date(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
exceed the amount of the completion costs or 10%of the remaining unpaid this right.
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 / ��� /1
financing paperwork must be completed upon signing of this Contract and the %/
requisite approvals and authorizations for the full amount of the requested Customer signature
financing shall have been received from the financial institution. 3/16/16
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
Pella Windows & Doors
Contractor
�� 41-ZA
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
Date of transaction: 3/16/16
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 3/19/16 (three business days from the date of
transaction above).
I hereby cancel this transaction.
(Date) (Buyer's signature)