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49 BRITTANIA CIR - BUILDING INSPECTION t ' $2 t 25 z1 s The Commonwealth of Massachusetts frt�s'i 1 ° Board of Building Regulations and Standards C�'I`I Massachusetts State Building Code,780 CMR SALEM �p C7_ Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling 60 1This S,ec4icn For bi%cial Use Only h Building Permit Number:, Date ied: Btulding Official(Pant Name) .Signature Date SECTION 1:SITE INFORMATION ' 1.1 Pro rty ddres : /!) 1.2 Assessors Map&Parcel Numbers _R1 1217 �,A(4 (!A 1.1 a Is this an accepted street?yes ono Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION2: PROYERTYOWNERSHIFr er'of Record/• f XF2(0,t fyt=!g i SYr dK.� Name(Print) _ City,State,ZIP q5 /3/Zi tf-A-614 • `7P .ZpZS— o.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check aBlhat apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s)K I Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg. ❑ 1Number of Units_ Other ❑ Specify: Brief Description of Proposed Workz: SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: - Item �bOfficial Use Only or and Materials 1.Building $ 3 d D U 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee O Total Project Cost'(Item 6)x multiplier - x_ 3.Plumbing $ 2 Other Fees: $ 4.Mechanical (HVAC) $ . List: �l 5.Mechanical (Fine Session $ Total All Fees:$ u r 6.Total Project Cost: $ Cheek No. Check Amount: Casb Amount: 80 E3 Paid in Full ❑Outstanding Balance Poe: r . 9 SECTION 5: CONSTRUCTION SERVICES f 5.1 Construction Supervisor License(CSL) � q L�- i &,,,- &A ���I ` license umber Expiration Date Name of CSI,Holder List CSL Type(see below) R r� ns No.and Street I IDescription - p U Unrestricted(Buildings u to 35,000 cu.ft. lr;lIli, l Restricted 1&2 Family Dwelling City/town,State,ZIP M Masonry RC Roofing Coverin WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D I Demolition Sstered ome Improvement Contractor(HIC) d �L �b w.k C Registration Number Expiration Date HIC Com an ame or HIC Reg' rant Name MStreet U !�2 ` _7 Email address Ci /Town State, IP 6 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 COMPLET EP WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize 19P 1 t I A-- � I JOA I- 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 76: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. Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will 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 w•tyty. Et L oY. V�oCa Information on the Construction Supervisor License can be found at www.mass.e JXi 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basementlattics,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" � b® "2YlATE ®F LIABILITY INSURANCE 071111:20161:016 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 poliCy(ies)must be 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 endorsement(s). PRODUCER AC DwoAYA Code6,LIC,RPLV Fred C.CbemN.Inc. NAME: 41 Wallman Strad PRONE 978 MT231 FAX Ta 451. Loenot MA 91651 C t: p/C No: ) 1665 NOa)225.1865 E{AIL dmde0plhedOdwrm.com an ES NNmMa�ke MCompa, IX83 VERAGE NAIC4:IMURER OO. 31534INSURED IZ192New England Window 6 Door LLC;Pella Wr dovn 8 Doom65 Fpndl flood8396Haverhill,MA 01832-1302 ce Company 13683 COVERAGES CERTIFICATE NUMBER:s.s93 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 CO LED T OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS WITH TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INEfl p pL5 B LTR TYPE OF INSURANCE POLICYNUMBER MMNDPO Y EFF POLICY E%P UNIT$ OENERALUABILPY FACN OCCURRENCE § 1p00,000 X COMMERCIAL GENERAL LIABIl1TY O 100,996 PRE SES Eao¢urrence S CIAIMSMgpE FTIOCCUR MEDEXP Arryana 0. § 16,660 A % CG6001 MNS161407 7112616 1/12017 PERSONAL&ADV INJURY § 11000.000 GEB6Dtgl AGGREGATE § 2,690,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-CCMPIOPAGG S 3,000,000 POLICY X PRO X LOC § AUTOMOBILELIABILITY COMBINEp§IN LI n eNdad 1,000,000 X ANYAUTO BODILY INJURY(Per paned) s IULLC �FD E�ULEO ]12016 ] 201]A , �OBoOILYIwURY(Pa acdAd) E HIREDAUTOS ANVONOMEDTOS PROPERTY DAMAGE '% cmao1 eracdden E E % UMBRELLALWB X OCCUR EACH OCCURRENCE § 9.000,000 B ESCESS LAB L NSN1ADE UHN8157305 7112916 TI1201] AGGREGATE E 9A60,009 DED RETENTIONS § MARTER5 COMPENUT1ON X WG GTgT} OTM ANDEMPLOYER&'LIABILITY YIN D ANY PROPRIEmRIPARTNEIUEXEClI11VE EL EACR ACLIOENi § 500,op0 OFFICERIMEMBEREXCLWED? ❑ NIA 8097024 T/12015 TIf2n1] IMerolod.y In NMI EL.OISEASE-FA EMPL E 56D909 Ifiree.deee fte under DESCRIPTION OF OPERATIONS below EL DISEASE POLICYUNIT § "DODO EEWMPPON OF OPEU"ONS ILOCAnONS I VEHICLES(AMCh ACORO 191,AddMOM Remwns ScNedvlq I1 more space w mWimd) CERTIFICATE HOLDER CANCELLATION New ENlend W1Mow&poor LLC 45 Fonds Road Heewll6l,MA ol"D SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOWED REPRESENTATIVE ) C55 k# Mel# Cart HolderIf ©19882010 ACORD CORPORATION. All rights reserved. ACORD 26(2010105) The ACORD name and logo are registered marks of ACORD TY OF SALEA AAZAaASEM BLUnBCDEPAMW 120 WASWW7MSUW rRDM TAL(97)7459595. KDADERLEYMMOM PAx(978)740.9846 MYCR 1Y SSTAIM gDmEcwac +Pd C 3T/ELS Construction Debris DispOSW AfdeWit (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 c40, S 54, Building Permit g is issued with the condition that the debris resulting from this work shall be disposed of is a properiy licensed waste deposit facility as defined by MGL c 111,S 150 . The debris will be transported by: LA (name of h uler) 'rhe debris will be disposed of in: (name of facility) Lf (address of facility) ° A- ®/ 'C32— Signature of applicant ®ate ` The Commonwealth ofllfarsaehusetts Department ofIndustria[Accidents 1 Congress Street,Suite 100 Boston,IM 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit Builders/Contractors/Electricians/Plumben. TO BE FILED WITH THE PERMITTING AUTHORITY. ApplicamtInformation Please Print 'bl Name(Business/Organic on/fndividtml): Amo bwrL- Address: qs�7 P0616.L /IL Ah City/State/Zip: +AVE�dPo`( Aft 61831 Phone#: �7 �(�e7� Are you an employer?Check the appropriate box. Type of project(required): *14 can a employer with A employ.(fa and!¢rpart-tone).° 7. ❑New construction 2.❑Iam a soleproprietor orpartnership and haven employees working formein 8. C@2Zemcuieling any cal—fly.[No workers'camp.insurance required] 9. ❑Demolition 3.❑ m I aa bo acowner doing all work myself[No workers'comp.insurance required]1 4.❑I am a homeowour and will be hiring eon actorsto conduct all work o¢mYP roPAY I will 1D❑Building addition ensare that all contractors either have workers'compensation insua --or are sole_ 11.❑Electrical repairs or additions proprietors with n employers' .12:[-]Plumbing repairs or additions 5.❑I am a general contractor and I have hired the sub-contractors listed on the atlacbrd sheet 13.❑RDofrepairs These sub-contrzcmrs have employees and have workvs'comp. 6.❑Wee a corporation and its officers have exorcised their right of exemptim par MGL c. 14.E]Other ar 152,§1(4).and we have no employees.LNo wakes'comp.insurance required-] 'Any apphcaotthat rlinr kh box#1 must also fill out the section below showing tbcuvrorkera'compensation policy information. t Homeowners who submit this aSdevitindicaling they are doing all work and then hue outside contractors most submit anew of6davitindi�ng such. :Contractors that ehwktbls box must mtsched en additional sheet showing the nate of the sub-conuachrs and state whether or not those entities have employees. If tare sub-contractors;have employees,they must provide their workers'comp.polirymnber. I am an employer that is providing workers'compensation insurancefor my employees Below Ls the policy and job site information Insurance Company Name: Na 64y-k (.®V_�19s� 1:eU S C® Policy#or Self-ins.Lic.#: 6Jl✓ Expiration Date: 7 . Job Site Address: City/St&rap: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure 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 foam of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of lavestigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Sitmature: L1_X -A 1p� Date: Phone#' -7 aS - Official use only. Do not write in this arra,to be completed by city or town off daL 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#: - V i{h' txS x i'a•"e: sJ `' '3t iT+,:gr PUbir ,ar „a r a i ing. et�uPatioi7s an6- { accts n i iI! �iY tlon i�p'ptr, 1'`; �- ' '�Sr`4 411 h Licen4e 6S-089853 WILLIAM R NICHOLS / •¢ � PEARTREE RD' HAVERHILL MA-0183"'Q', - e. . Commissioner10/2612016 <Jqj . _ y r i License or registratiorvvalid:Tor individuluse only o ce of Consumer Affairs&Business Regulation . � i " before the expiration date. IT found return to: . E IMPROVEMENT CONTRACTOR office of Consumer Affairs and Business Regulation egistration 183279 Type: 10 Park Plaza-Suite 5170 Supplement C 11rd Boston,MA 02116 - Expiration: 9124/201.7 NEW ENGLANDWINDOW&DOOR,;LLC. . _ PELLA WINDOWS&DOORS'. , William Nichols 45 FONDI ROAD _ Not valid,without signature HAVERHILL,MA 01832 Undersecretary . Contract - Detailed Pella Window and Door Showroom of Haverhill Sales Rep Name: Duff, Stephen ® 45 Fondi Rd IDI ' Sales Rep Phone: 978-373-2500 Haverhill, MA 01832 Sales Rep Fax: Phone: (978) 373-2500 Fax: (978) 373-7274 Sales Re E-Mail: DuffS@pellaboston.com � P @P Customer Information Project/Delivery Address Order Information Patricia Bergstrom Bergstrom,Patdcia,Salem,MA1760743 Quote Name: PHASE 2 49 Brittania Cir 49 Brittania Cir Order Number: 741 SDO445 SALEM, MA 01970-6848 Lot# Quote Number: 8093354 Primary Phone:(978)7292025 Salem,MA 01970-6848 Order Type: Installed Sales Mobile Phone: County: Payment Terms: Fax Number: Tax Code: MA TAX 6.25 E-Mail: pmrbergstrom1986@gmail.com Quoted Date: 7/2612016 Great Plains#: Customer Number. 1008029305 Customer Account: 1003934839 Line# Location: - Attributes 10 None Assigned Delivery/Setup-Delivery/Setup City i For more information regarding the finishing, maintenance, service and warranty of all Pella@ products, visit the Pella®website at www.pella.com Printed on 7/27/2016 Contract-Detailed Page 1 of 6 Customer: Patricia Bergstrom Project Name: Bergstrom,Pat6cia,Salem,MA1760743 Order Number: 741SDO445 Quote Number: 8093354 Line# Location: Attributes 15 GUEST ROOM SIDE Vinyl Windows 1 Doors By Pella, Sliding Window Vent Right I Fixed, 47.5 X 47.5, White Qty i7:4848 Vent Right/Fixed Double Slider PK# Frame Size: 471/2X471/2 .y 811 General Information: Standard,Vinyl,Nail Fin,2 11/16", 1 1/8",1 9/16" _ Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude -- Hardware Options: Cam-Action Lock,White,No Limited Opening Hardware Viewed From Exterior Screen: Half Screen Performance Information: CPD Not Rated,Performance Class R,PG 30,Calculated Positive DP Rating 30,Calculated Negative DP Rating 30,Year Rated 08111 Grille: No Grille, Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=190",Glazing Pressure=60. Venting Width: Equal Frame Size:47.5"X 47.5" PVC Upgrade<48 -PVC Upgrade less than 48 inches Qty 1 FF<48 wide-Install Full Frame Window 48 inches or less wide Qty 1 - Finish FF Trim-Finish Paintstain FF Interior Trim Only Qty 1 Line# Location: . - Attributes 20 LIVING ROOM SIDE Vinyl Windows 1 Doors By Pella, Sliding Window Vent Right 1 Fixed,47.5 X 47.5,White Qty 11 t:4848 Vent Right/Fixed Double Slider PK# Frame Size: 471/2X471/2 811 General Information: Standard,Vinyl,Nail Fin,2 11/16",1 1/8", 1 9/16" Exterior Color/Finish: White Interior Color/Finish: White J Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: Cam-Action Lock,White,No Limited Opening Hardware Viewed From Exterior Screen: Half Screen - Performance Information: CPD Not Rated,Performance Class R,PG 30,Calculated Positive DP Rating 30,Calculated Negative DP Rating 30,Year Rated 08111 Grille: No Grille, Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=190",Glazing Pressure=60. Venting Width: Equal Frame Size:47.5"X 47.5" -PVC Upgrade<48 -PVC Upgrade less than 48 inches Qty 1 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 For more information regarding the finishing, maintenance service and warranty of all Pella®products, visit the Pella®website at www.pelia.com 9 9 9, b P p Printed on 7/27/2016 Contract-Detailed Page 2 of 6 Customer: Patricia Bergstrom Project Name: Bergstrom,Patricia,Salem,MA1760743 Order Number: 741SDO445 Quote Number: 8093354 Line# Location: - Attributes 25 SINK Vinyl Windows 1 Doors By Pella, Sliding Window Vent Right/Fixed, 59.5 X 35.5,White Ori 1 r 1:6036 Vent Right/Fixed Double Slider PK# Frame Size: 591/2 X 35 1/2 _® 811 General Information: Standard,Vinyl,Nail Fin,2 11/16",1 1/8 1 9/16.. Exterior Color/Finish: White + Interior Color/Finish: White - SCIS Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: Cam-Action Lock,White,No Limited Opening Hardware Viewed From Exterior Screen: Half Screen Performance Information: CPD Not Rated,Performance Class R,PG 35,Calculated Positive DP Rating 35,Calculated Negative DP Rating 35,Year Rated 08111 Grille: No Grille, Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=190",Glazing Pressure=70. Venting Width: Equal Frame Size:59.5"X 35.5" Finish FF Trim-Finish Paint/Stain FF Interior Trim Only Qty 1 PVC Upgrade<48 -PVC Upgrade less than 48 inches Qty 1 FF-48-96 wide-Install Full Frame Window-48-96 inches wide 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. 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 For.more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Printed on 7/27/2016 Contract-Detailed Page 3 of 6 Customer: Patricia Bergstrom Project Name: Bergstrom,Patdcia,Salem,MA1760743 Order Number: 741SDO445 Quote Number: 8093354 (WDIVIA).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.pella.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 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 For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com - Printed on 7/27/2016 Contract-Detailed Page 4 of 6 Customer: Patricia Bergstrom Project Name: Bergstrom,Patdcia,Salem,MA1760743 Order Number: 741SDO445 Quote Number: 8093354 Reinstall existing shutters and awnings Re-install existing shades, drapes, window treatments, wall hangings, and reposition furniture Arrange to have alarm system and doorbells reinstalled Reinstall air conditioners Remove stickers from product and save for energy rebate and tax purposes Wash all interior&exterior glass surfaces Fill nail holes and joints on interior trim if windows are to be stained (after staining) Clean up exterior casing issues due to storm window removal if full wrap or new exterior trim is not purchased ,"� Project Checklist has been reviewed Customer initial Product Only Addendum has been reviewed Customer initial Credit Card Account#: Last 4 Digits Expiration Date: / Charge final payment to same account (Upon substantial completion) 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 7/27/2016 Contract-Detailed Page 5 of 6 Customer: Patricia Bergstrom Project Name: Bergstrom,Patdcia,Salem,MA1760743 Order Number: 741SDO445 Quote Number: 8093354 Project Checklist has been reviewed Patricia Bergstrom Steve Duff Customer Name (Please print) Pella Sales ReUNalease print) Ofd@rTrJtaIS Taxable Subtotal $880.29 Customer Signature Pella Saes ReSales Tax @ 6.25% $55.02 7/27/16 7127116) Non-taxable Subtotal $2,324.00 Date Date Total $3,259.31 Deposit Received $3,259.31 Credit Card Approval Signature - Amount 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 7/27/2016 Contract-Detailed Page 6 of 6 r PELLA WINDOWS AND DOORS CONTRACT 7 PAYMENTS t. 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 aro 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 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 par[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;vuticals,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 am and 6:00 p.m.(Monday through Friday)for Pefia'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,Pena will provide and a CONSEQUENTIAL,INCIDENTAL,INDIRECT,OR SPECIAL DAMAGES, p p P pay for all labor,materials,equipment,tools and machinery,transportation,and WHETHER FORESEEN OR UNFORESEEN, i other facilities and services necessary for the proper execution and completion of the Work it. 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 lmi rovement 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 snd 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. Pena will keep the premises and surrounding area free from 10 Perk 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://w ,moss.gov/ocebr/ 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 ander 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 esth ate 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 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,an financing paperwork must be completed upon signing of this Contract and the X N requisite approvals and authorizations for the full amount of the requested financing shall have been received from the financial institution. Customer signature 7/27/16 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 P 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: 7/27/16 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 7/30/16 (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) r Mariner Village Condominium Trust c% Crowninshield Management Corp. 18 Crowninshield Street Peabody, MA 01960 (978)532-4800 June 30, 2015 Mr. &Mrs. Richard Bergstrom 49 Brittania Circle Salem, MA 01970 RE: Replacement Sliders and Windows—Mariner Village Condominiums Dear Mr. & Mrs. Bergstrom: Thank you for your inquiry regarding window replacements at your unit. Please be advised that the Board of Trustees for Mariner Village Condominiums does not object to the replacement of these slider doors or windows providing that they match in appearance (no crank outs, for French doors, etc.) from the existing, they must fit in the existing opening, molding size must remain the same and they will not allow grids etc. We also require the permits be pulled in advance, and that a copy of the final approved permit once completed is also submitted to our office. We require that you hire only a licensed contractor, with adequate insurance. You will most likely need to show a copy of this letter to the Building Department in order to obtain your permit. Should you have any questions or require additional information, please feel free to call me directly at(978)532-4800 ext#232. Sincerely, Jill Fama Regional Property Manager Crowninshield Management Corp. Managing Agent for Mariner Village Condominiums Marcia Kirkpatrick From: Thomas St. Pierre Sent: Tuesday, August 02, 2016 8:03 AM To: Marcia Kirkpatrick Subject: FW: Pella Replacement Windows Attachments: Window and door replacement letter 49 Brittania - 2016.doc fyi From:Jill Fama [mailto:jfama@crowninshield.com] Sent: Monday,August 01, 2016 11:30 AM To: 'Patricia Bergstrom'<pmrbergstrom1986@gmail.com> Cc:Thomas St. Pierre<TStpierre@Salem.com> Subject: RE: Pella Replacement Windows Hi Pat, Here is a revised letter. I have cc: the Salem Building Inspector so your contractor should be able to pull the necessary permit. Let me know if you have any questions or concerns. Jill From: Patricia Bergstrom [mailto:pmrbergstrom1986@gmail.com] Sent: Thursday, July 28, 2016 12:14 PM To: jfama@crowninshield.com Subject: Pella Replacement Windows Hi Jill, I have attached the Pella contract for the last three windows that I want to replace.at 49 Brittania Circle, Salem. If you could forward a letter of approval for this project I would appreciate it. Thank you, Pat Bergstrom Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal officials are public records. FMI please refer to: http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 1