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20 FEDERAL ST UNIT 2 - BUILDING INSPECTION The Commonwealth of Massachusetts Board of Building Regulations and Standardst YM Massachusetts State Building Code,780 CMR Revised Mar 201 Building Permit Application To Construct,Repair,Renovate{� p1o1' a One-or Two-Family Dwelling LL�� uu 4 This Section For Official Use Only 9 Building Permit Number: Date lied: Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION I 1.1 Pro Address: 1.2 Assessors Map&Parcel Numbers �4 Lin Is this an accepted street?yes_ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq R) 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❑ SECTION 2: PROPERTY OWNERSIIIP' 2.1 O er'of Record: c ��cccyJ Name(Print) City,State,ZIP "7eD -J= 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 I Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work': — ot/YJp 2v SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials 1.Building $ 1. Building Pemtit Fee:$ Indicate how fee is determined: ❑Standard City/Town Application Fee/ 2.Electrical $ ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ y 4.Mechanical (HVAC) $ List: 5.Mechanical (Five Suppression) $ Total AB Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ ❑Paid in Full ❑Outstanding Balance Due: (, rn • t-e Y_ VN SPS g SECTION 5: CONSTRUCTION SERVICES 5.1 DCornstruction SupervisorLicense(CSL) 3 /6-a-- L ' ". L I Y 0v, ^" r VI 1]` -�, License umber Expiration Date Name of CSI,Hnider List CSL Type(see below)_ -AJ I1To.and Street /IOYPNDescription- .. i ��Hyl_ U Unrestricted(Buildings u to 35,000 cu.ft. , 11^„lam �46� —JLT O t� Restricted 1&2 Family Dwelling Cityffown,State,G1P M I Masonry RC Roofing Covering WS I window and Siding SF Solid Fuel Burning Appliances qlg I Insulation Telephone Email address D Demolition 5. aed orae Improvement Contractor(HIC) p .n3 ter _ �jld W S CdRegistration Number Expiration Date Inc� C�,�o���m���PPPm eine or HIC Registrant Name b i 11l Yh lip Street p. Email address ( ti a4 0 ' -7 Ci /Town, State Tele hone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(ALG.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 f?,� A:: k( xim 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: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 (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 www.mass.eov;oca Information on the Construction Supervisor License can be found at www.ntmss.eov/dns 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”may be substituted for"Total Project Cost" OTY OF SALE14 AAMaRSE BLUDIWDEPAFMMT 120 WA9RCMSUW PROOR R.()78)745.9595. KRAY FAXOn)74o-9846 AUYC R NCUMSTYam DnmcroitcrP=xmaFwY1Btm=wc=mcm Construction Deb& ®®sposa/Afdav®t (required for-all demolition and,.renovatibn work) In accordance with the sixth edition of the State Building Code, 780 CMR, Section 111.5 febris, and the provisions of MGL 00,S S4;Building Permit g 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 1SOA The debris will be transported by: (name of h uler) The debris will be disposed of in: (name of facility) (address of facility) °W 0/ '62— Signature of applicant ®ate 77ie Commonwealth ofjdlassachusetL Department ofFndustriafAceidents 1 Congress Street,Suite 100 Boston,MA 02114--2017 www inassgov/di¢ «'orkers'Compensation Insurance Affidavit:Builders/Contractors/Elech idans/Plumber, TO BE FILED WITH THE PERNHTrJNG AUTHORITY. Applicant Information Please Print LefffiI Name(Busmesz/Organizatio aadividual): Au 0 boort- Address: F— hal 0 L enyisrejziP: l+al A041-1 Phone#: Are you on employer?Check the approprlote bm_ _ Type of project(required)' mm a employer with—Ir—employees(ed1 and/mparttime).° 7. ❑New construction 2.❑Iain a sole proprietor or parwership and bare no employees working fnrmein S. Watodeling -y cap-ify.[No wo kers'comp.immmmze required] 9. El Demolition 3.❑I an a homeownerdoing all workmyself p To workers'comp.in�required.]t 10 Building addition 4.❑I am a homeowner and will be hiring radacmrs to conduct all work on my property. I wdl ensure that all contractors eitberhave workers'compramtion u smance or me sole_ 11.❑Electrical repairs or additions propr mh-with m employees. 12:Q Plumbing repairs or additions 5.❑I son a general contractor and I bove hired the sub- outracmrs listed on the mtarhed sheet 13.❑Roof repairs These sub-cadracmrs have employees and have vrodoza'comp. 14.QOther 6.Q We me a corporation and its offices have emcised r>gli[ o:umph Per their of on MGL o- 152,§I(4k and we have no employers[No workme comp.insmsanerequiad] *Any applicmt that checks box kl most also fill out the section Moor showmgtheir workers'compensation policy iulbmui o. t Homeowners who submit this affidavit indicetmgtbey am domgall workand then bite outside codrectursnvstsulm<it aumaffidavitmdicating such. rCouhactors that chwktlds boxmustdteched an additional sheetshowmg the rmm,of the sub-eodrachrrs and sdkwhether arnotthose entities have employers. If The sub-coffiactos have employees,they muff provide their wod='rnmp.policy mmilrr. gam an employer that is provfdurg workers'compensation insurancefor my employees Below is the policy and job site information- Insurance Nasurance Company Name: g�pgyp P—AbLCAU , M-M Policy#4 Expiration Date. �7— m Job Site Address: City/Statelzip: 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 farm of a STOP WORK ORDER and a fine of rip to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains mrdpenallies ofpedwy that the information provided above is true and carred Sutra' _. Date: Phone# Official use only. Do not write in this area,to be completed by city or town oBMa1 City or Town: PermhUceuse# Issuing Authority(circle one):. 1.Board of Health. 2.Building Department 3.CityfPown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6 Other Contact Person' Phone& A�Mme CERTWICATE ®F LIABOIb� ll B ���UY B611NCE U711DAM IM16 N/00/Yy�rn 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 holtl.T Fs an ADDITIONAL INSURED,the policy(ies)must he endorsed. IF SUBROGATION IS WANED,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 entlorsemen s). PRODUCER Fran C.Cluvrll,Im NAMEA DOIHhIA cumetl,CIC,RPLU 41 WINIrr n SVeel PHONE Lmre0.MA 01 B51 C t: 9I0322]Di (AIC�. (9]0)451-1665 trw)22SIB65 EMAIL emipIIBII�ctlmnTpwn ADDRIM, IMURER AFFORDINGCOVERAGE WICK INSURER A: MemM1 =Company plAmel¢a 31534 INSURED.EHawvNlrtvanm Company 2x92 New En91en0Win0pw 6 OpprUL:Pella WmOpws B Doors INSURER B: 45F0ntli RpaO INSURER C: MaseewseM BaY lmuiN�re 22306 HMHIBI,Mq 616321302 INSURER p: New HampNreErlPlOyem lwanc¢Cwnpany 13083 INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER:5esw VISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED ENAMED 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 BY PAD CLAIMS, INSR LTR TYPE OF INSURANCE 0 e R PpLICY N061BER MMNCYEFF NIOUYEXP LBu1Ir$ OENERALLIABILRY X EACH OCCURRENCE S I,000,OW COMMERCIAL GENERAL LWBILRV FREMIEBOmu w S IO6,m0 CLAa43MA0E OCCURNIED EXP A n6 10000 A R LG6061 ZHN01619m 7/12BI6 )/126P 0 p¢rm) $ 1W0.066 PEgSONALSAW INAIRY S OFNERAL AGGREGATE S 2A00,000 GEhrL AGGREGATED R APPIJES PER PRODUCTS CINOWIOP AOG $ 2.000,000 POLICY LOC $ AUTOMOBILE LW WDtt C 1 NC1E 1,000,000 X ANYAUIO SeecYfN. C AU OlM�ED SCHEDULED aOOIMILYINn1RYift,. o) a AUTOS A1r09 PDN6162159 ]"2016 1112m] ep01LYINA6rY Wtlanl S HIREDAUTOs ALWOWNEO iPeE 1 AUTOS PgOPEAIYDAMAGE r X CAp6p1 er an X UMSRELN I3AB X { OCCUR S 9,000,600 6 EXCESS meEACH OCCUR DEO IMMNTONf CUID`IMADE UHNB16IN5 ]/12016 "12017 AGGREGATE T eAW,Ow EM WGRNFASCONPENABIIATIL r AND EMPLOYERS'l1ARILITY YIN X WC STAm} Om1 O ANYPER44EM a4 ExaLUDED1, CURVE 500,000 OFRCERIMEMM)EXr11mfD] NIA B6m024 111261] EL Er1CHACGpEM T RM.d ar In NHI ]/12016 nye.,eeseHOI,ower EL DISEASE.EA EM a 500.0s, OESCRIPTIONOF OPERATIr1N5 Nelpry ELDISDUM-POLICYLINIT T Men DESCWPMoN OF OPERAnONS/LOCATIONS I VEHICLES tAICwh ACORD 101.AOJNit,nd FNmU SSNetl ,"mpg spam 6rspuiretl] CERTIFICATE HOLDER CANCELLATION New E6BIantl IMMpw 6 OpM LLc 45 Fa¢31i ROed HenrNW,IAA DIM SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE. EXPIRATION BATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REFRESEMAme q. . cMmW - MS1m BO Cert Holtler# - ©1B0&2090 ACORD CORPORATION. All rights reserved. ACORD 26(2010106) The ACORD name and logo are registered marks of ACORD -..a CS-089853 - i W ELLIAM R NICHOLS - 57 PEARTREE RD' HAVERHILL MA01830 .. r 10126/2016 ��, porn rrnrrroerrrr/;i r/ //rr.aure/%rr:;e/Ti , •g,.�.., ce of Consumer Affairs&Business Regulation License or expregiration date.d for found indi return use only a• before the expiration date. If found return to: E IMPROVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation < V egistration: 183299 Type; 10 Park Plaza-Suite 5170 -tom,. Expiration: 9!24/2017 Supplement C'l.ld Boston,MA 02116 NEW ENGLAND:WINDOW-&DOOR,LLC. - - PELLA WINDOWS&DOORS - William Nichols 45 FONDI ROAD Not valid.without signature HAVERHILL,MA 01832 . Undersecretary Contract - Detailed �j Pella Window and Door Showroom of Haverhill Sales Rep Name: Duff, Stephen ` 45 Fondi Rd hSales 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 e P @P Customer Information Oroject1Delivery Address Order Information . Dickson,Jane,Salem,MA Quote Name: Windows Project 20 Federal St Unit 2 Order Number: 741SDO455 Lot# Quote Number: 8161501 Primary Phone: SALEM, MA 01970 Order Type: Installed Sales Mobile Phone: County: ESSEX Payment Terms: Deposit/C.O.D. Fax Number: Tax Code: MA TAX 6.25 E-Mail: Quoted Date: 8/15/2016 Great Plains#: Customer Number: Customer Account: Line# Location: ,.. x Attributes 10 DELIVERY SET UP 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 8/15/2016 Contract-Detailed Page 1 of 6 Customer: Project Name: Dickson,Jane,Salem,MA Order Number: 741SDO455 Quote Number: 8161501 Line# Location: Attributes s = .„, e, *: 15 SIDE Architect, Casement Lek, 35 X 59.5, Brown Qty 1 1:Non-Standard SizeNon-Standard Size Left Casement ..;; PK# Frame Size: 35 X 59 1/2 General Information: Standard,Clad,Pine,5",3 11/16" 816 Exterior Color/Finish: Standard Enduraclad,Brown L `ti Interior Color/Finish: Linen White Interior Sash/Panel: Standard M Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options: Fold-Away Crank,Champagne,No Limited Opening Hardware Screen: Full Screen,Champagne, InViewT- Grille: No Grille, Wrapping Information: Foldout Fins,Factory Applied,No Exterior Trim,No Interior Trim,3 11/16",5',Factory Applied, Pella Recommended Clearance, Perimeter Length=189",Glazing Pressure=60. Frame Size:35'X 59.5' Trim_Stool and Apron-Add Stool and Apron Trim to Picture Frame 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 Line# Location: - .v " a" ._ " - - I e -Attributes 20 SIDE PATIO REPLACE ALL EXTERIOR FLAT STOCK WITH FLAT PVC Qty 1 For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella w0 website at www.pella.com 'Printed on 8/15/2016 Contract-Detailed Page 2 of 6 Customer: Project Name: Dickson,Jane,Salem,MA Order Number: 741SDO455 Quote Number: 8161501 Line# Location: Attributes _ 25 FRONT Architect, Casement Left,38 X 59.5, Brown city rr 1:Non-Standard SizeNonStandard Size Left Casement PK# Frame Size: 38X591/2 General Information: Standard,Clad,Pine,5",3 11/16" ITI 816 Exterior Color/Finish: Standard Enduraclad,Brown •-i „ Interior Color l Finish: Linen White Interior l Sash I Panel: Standard Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options: Side Pivot Hardware,Champagne,No Limited Opening Hardware Screen: Full Screen,Champagne,InView•- Grille: No Grille, Wrapping Information: Foldout Fins,Factory Applied,No Exterior Trim,No Interior Trim,3 11/16",5",Factory Applied,Pella Recommended Clearance, Perimeter Length=195",Glazing Pressure=60. Frame Size:38"X 59.5" Trim_Stool and Apron-Add Stool and Apron Trim to Picture Frame 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 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 perforrtlance.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 parry 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.pella.com Printed on 8/15/2016 Contract-Detailed Page 3 of 6 Customer: Project Name: Dickson,Jane,Salem,MA Order Number: 741SDO455 Quote Number: 8161501 (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 parry.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.pelia.com Printed on 8/15/2016 Contract-Detailed Page 4 of 6 Customer: Project Name: Dickson,Jane,Salem,MA Order Number: 741SDO455 Quote Number: 8161501 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 47' *— 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 8/15/2016 Contract-Detailed Page 5 of 6 Customer: Project Name: Dickson,Jane,Salem,MA Order Number: 741SDO455 Quote Number: 8161501 ❑Project Checklist has been reviewed Jane Dickson Steve Duff Order Totals Customer Namle' (please print) Pella Sales�R"-e-p Nam Taxable\ pb se prinq Taxable Subtotal $2,400.64 Sales Tax @ 6.25% $150.04 Customer Signature Pella Sales Rep Signature Non-taxable Subtotal $1,440.70 .9/15116 8/15/16 Total $3,991.38 Date Date Deposit Received $1,995.69 4u.�*--- Amount Due $1,995.69 Credit Card Approval Signature For more information regarding the finishing, maintenance,service and warranty of all Pella@ products, visit the Pella@ website at www.pella.com Printed on 8/15/2016 Contract-Detailed Page 6 of 6 PELLA WINDOWS AND DOORS CONTRACT 7. PAYMENTS 1. TERMS AND CONDITIONS Pella shall be entitled to stop the Work upon written notice to Owner for any material default or failure by Owner,including but not limited to,the Owner's These Terms and Conditions are an integral 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 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 Data 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 me 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 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 pm.(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 DISCLAVv%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 wer 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 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 lmprovement 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 my of its subcontractors identified m 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, Lou. Pella will keep the premises and surrounding area free from or Park Plaza,Room t l at Boston,MA ass.go 617-973.8787,888-283-3757 accumulation of waste materials or rubbish caused by performance of the or visit the HIC website at hrip://www.mass.gov/ocnbr/ _ Work 12. PERMITS(MA customers only) 4. CHANGES Pella is obligated to and will obtain the following permits for this project: B u l ld IITg . Homeowners who secure their own permits will be The Owner may order m 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. 13. NOTICE OF CANCELLATION 5. SUBSTANTIAL COMPLETION 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 Y financing paperwork must be completed upon signing of this Contract and the ` ., requisite approvals and authorizations for the full amount of the requested financing shall have been received from the financial institution. Customer signature 8/15/16 - 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 P VIDED IN M.G.L.c. 142A Contras or 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 8/15/16 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 8/18/16 (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) 08-30-'16 15:28 FROM- Pella Windows 9783737274 T-646 P0001/0001 F-113 New Salem I Condominium Association 20 Federal Street Salem, MA 01970 August 15,2016 City of Salem Inspectional Services 120 Washington St.,3rd Floor Salem,MA 01970 To Whom It May Concern: The New Salem I Condominium Association is aware of the work that is being done by Pella Windows and Doors to replace windows in Units 2 and 5. Please let me know if you have any questions or require any further information. Sincerely, Jane E. Dickson Cando Association President 781-913-4547 2-o FCS a rLA-L- S'- AL Z /AN P �