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33 RAVENNA AVE - BUILDING INSPECTION 203 Cr' 12-lo$ I I�Z s The Commonwealth of Massachusetts 4 Board of Building Regulations and Standards pi Massachusetts State Building Code,780 CMR v�� r Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling 201b SEP 33 P : 4b This Section For Official Use Only P11wIdriuit Number; Date Applied: V 1 fficial(Prod Name) - Signature - .. - Date SECTION 1:SITE INFORMATION Ay�rens: 1.2 Assessors Map&Parcel Numbers /�i411C'Kill/f' A-L-c Lla Is this an accepted street?yes '�no Map Number Parcel Number 13 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use _ Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(it) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: 0 4-r2o Lar" Name(Print) ICity,State,ZIP '9-J KM'CA A,[A- Ae c— 57"-&L No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK=(check allthat apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s)K Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify: Brief Description of Proposed Worle: C&-e- �.�6 ten[ (zn.i 1 (.v i �Z✓ SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item Official Use Only Labor and Materials 1.Building $ �C3 D p 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ - ❑Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Five Sup ression) $ Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ ❑Paid in Full ❑Outstanding Balance Due:_ SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) _ 12ki 953 IY LS-�ti �l IZA0 Incense umber Expiration Date Name of older List CSL Type(see below) ( � No.and Street Descaiption ,Ip ��,t,�.t� �i� U Unrestricted(Buildings to 35,000 cu.ft. airy m.+•rl,tQ O�CJ�— Restricted 1&2 Family Dwelling Citylfown,Sta a ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances q197 I IInsulation Telephone Email address D I Demolition 5 e stered ome Improvement Contractor(HIC) G �'�s 9-4-(t-11 �n)IN S CdRegistration Number Expiration Date HIC Com an eine or HIC Re 'strant Name Street Email address oM 7 Ci /Town State Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(NLG.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 ..........4K, No...........0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize PcfI'Lt`A= k� )�.ot)1!.- S to act on my behalf,in all matters relative to work authorized by this building permit application. 04'Z-0 k.4L-5W 16 -3 - 1-C, Print Owner's Namer(Electronic Signature) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. �/�----��-----_ 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 hives 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.eowoca Information on the Construction Supervisor License can be found at www.mass.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 beating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"maybe substituted for"Total Project Cost" OF SALEA A E BEvzacDEFARzwa J20WA9VMMSDW23ADftM 1kL eM745-9595. KUMDRFSXL FAX(M- 790.9846 MAYS DiCUMST.PB DJRECrQROYPH WCMQ PMYIB C®nstruc°t®®n Debris ®®spOSW A dav®t (required f®raii demolition and,renovation won'f In accordance with the sixth edition of the State Building Code, 780 CAR, Section 111.5 iebrk; and the provisions of MGL 00, S S4; Building Permit g is issued with the condition that the debris resulting from this work shall b ddisp®sed of in a properiy(tensed waste deposit facility as defined by MGL c 111,S 150A. The debris will be transported by: (n �ofhr) The debris will be disposed of in: (name of facility) s (address of facility) °tits ®r i3 2— Signature of applicant ®ate The Commonwealth of Massachusetts Department of IndustrialAccidents 1 Congress Street,Suite 100 Boston,MA 0211¢2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FHM WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lgqbl Name(Business/Otga3inati0-audividua1): &0 boon- Ad&ess: q r PON0 Ab �1 City/State/Zip: fl'�' V EP?-d# ( AO 603 7- Phone#: Ila`Z(.C'74,Sr- Are you an employer?Check the appropriate box: ro [ TYPa of project(required): am a employs with lir pl.3.(full anW.,,p-t-time).° 7. ❑New construction In I am a sole proprietor or partnership and have no employees working formein S. Remodeling any capwify.[No workers'comp.ias mince required.] 3.❑I am a homeownerdoiug all work myself[Na workers' insurance t 9. ❑Demolition comp. required.] tac 4 I am a homeowner and wdl be contors to-conduct_au_wmk.on 10 E]Building addition ._ . hw.___— my_propedy_.Lwd1_____ - ensure that all coutracto s either have workers'compensation insurance or are sole_ 11.El Electrical repairs or additions proprietors with no employees. 12:❑Plumbing repairs or additions 5.❑Iamag®cormacurs have 1 contractor rind Ihm¢hired an havebo orker 'arslisted on the mmebed shreC 13.❑Roof repairs '1"hese subrorsxactors have employees and have wo[lxrs'comp.r���.,�r 2 6. We are a corporation and its officers have exercised 14.❑Other ❑ n" right of exemption per MGL e. 152,§1(4),and we have no=ploy=.[No workers'comp.iosmance requite ] -Any appli®t that ebech box#1 must also fill our the section below showingthen workers'wmpe�ion polity information. t Homeowners who submit this affidavit indicabngthry are doing all work and then him outside coum u.c most submit anew affidavit imEcaing such. ICrmm-to -that check this bme must atmebed an additioml sheetshowing the name of the sub-conhactms and state whether mnot those entities have- employes. If the subcoffiactms have employees,ibey most provide thea wodrcs'comp-policy number. lam an employer that is providing workers'compensation insuranrefor my employees. Below is the policy and job site information_ - InmranceCompanyName:N4_ slkA pT_�yM� Map C �® Policy#or Self-ins.Lic.#: ��� r(� Expiration Date: 77,1-0 Job Site Address: City/Ststamp: 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 impiisomnent,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.A copy of this statement may be forwarded to the Office oflnvestigatioas of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofpedury that the information provided above is true and correct. Si afore: Date: Phone# official use only. Do not write in this area,to he completed by city or town official City or Town: Permit/Licease# Issuing Authority(cirrle one): 1.Board of Health 2.Building Department 3.Ci(y/Iown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ^, CS 89853 WILLIAM R PiIC1iOLS 57 PEARTREERD HAVERIIILL MA 01830 1 . 10/28/x018 19vce of Consumer Affairs&Business Regulation License or registration valid for individul use only E IMPROVEMENT CONTRACTOR _ - before the expiration date. If found return to:. e istratioo Office of Consumer Affairs and Business Regulation 9 :q 83279 Tye; 10 Park Plaza-Suite 5170 ` Expiration:P =9/24/201.7 Suppleme t C',ird Boston,MA 02116 NEW ENGLAND WINDOW+&DOOR, LLC. PELLA WINDOWS&DOORS_ - William Nichols - 45 FONDI ROAD HAVERHILL,MA Q1832 - Undersecretary Not validwithout signature A �® CERTIFICATE OF LIABILITY INSURANCE 071D1142016 THIS '°" " 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(les)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 CONTACT Dorothy A.Collet,CIC,RPLU Fred C.Church,Inc NAME: 41 Willman Street PHONE W. 978 V27231 FAX No. (9]0),150.1885 Lonalt MA01051 EMAIL d0�0 cadeedcchurrh.alm INC, (000)IIS-la05 ADDRESS: INSURERSAFFORDING COVERAGE NAIC# INEURERA: carers lnsumnre Criminal PfAmenca 31534 INSURED INSURER B: Harmer Insurance Company 22292 Nex En01anE Wntlow fl Door LLC;Pelle WnEowa A Doors INSURERC: M...Umaddram Ir once 22306 45 Front Road New Ham{5him Employers Insurance Company 13083 Havmhil,MA 01&4-1302 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:56593 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 BY PAID CLAIMS. INSR TYPE OF INSURANCE AOOL SUBR POLICY EFF POLICYEXP LTR POLICY NUMBER MKIDD MM,D° LIMITS GENERAL LIABILITY I CURRENCE $ 1.000,000 ;q. COMMERCIAL GENERAL LIABILITY TO E T D 100,000 S Eaaowmnw $ CIAIMSMAOE OCCUR (Any one person) g 10,000 A CG0001 2BN8101,10] ]I1R018 ]/1,209 PERSONAL ADVINJURY $ 1000,000 LAGGREGATE $ 3000,000 GEN'L AGGREGATELIM7 APPLIES PER: TS-COMP/OP AGG B 2,000,000 POLICY % PROF % LOC $ AUTOMOBILE LABILITY D ROLE LIMIT 1000,000 ntIf X ANYAUTO U RY(Perperson) $ CALL OWNED aOHEDULED ADN0163169 ]/1(1016 711,2017 BODILY INJURY per accent) $ AIRCS ALI HIRED AUTOS NON-OWNED PROPER TDAMAGE $ AUTOG awoanl % CA0001 $ X UMBRELUWIB % OCCUR EACH OCCURRENCE $ 9000,000 B EXCESS L LLAIMSMADE UHNS167305 7/10016 7/12017 AGGREGATE $ 9,000.000 DED RETENTION$ $ MARKERS COMPENSATIONX WL STAN- OTR AND EMPLOYERS'LIABILITY YIN D ANY PROPRIETOWPARTNER/EXECUl --] EL EACH ACCIDENT $ 500,000 OFFICEWMEMBER EXCLUDED? N/A 800)024 ]/10016 ]/10017 (Mandatmym NH) E.L.DISEASE-EA EMPLOYE $ S00000 DESCRPTON OF OPERATIONS red. E.L.DISEASE-POLICY LIMIT 1$ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Reach ACORO 101,Additional Remarks School H mon apace is"mord) CERTIFICATE HOLDER CANCELLATION Nee,England Kirin A Door U-C 45 Fondi Road SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE HavemOI,MA 01830 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATNE Loentx Ms(x b8593 Cert Holder p ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD r Contract - Detailed Pella Window and Door Showroom of Haverhill Sales Rep Name: Griseto, Anthony ® 45 Fondi Rd () (--7 )' Sales Rep Phone: 978-490-9666 Haverhill, MA 01832 Sales Rep Fax: Phone: (978) 373-2500 Fax: (978) 373-7274 Sales Re E-Mail: GRISETOAC � p @pellaboston.com _151 Oe _.rRl ,,i iti�l i rP 7kitt 'i i ma �c 'i: r- A}'t� 3� �tt7MER 'n=ni -m;�rs i rs� PUNN ..__. .5: c'. aNO : Carolyn Walsh Walsh,Carolyn,Salem,MA,1684907 Quote Name: 2 Slider,2 Entry Doors,2 Windows 33 Ravenna Ave 33 Ravenna Ave Order Number: 741AG0711 SALEM,MA 01970.1749 Lot# Quote Number: 7633717 Primary Phone:(518)6699628 SALEM,MA 01970-1749 Order Type: Installed Sales Mobile Phone: County: Payment Terms: DeposiUC.O.D. Fax Number: Tax Code: MA TAX 6.25 E-Mail: crwalsh09@gmail.com Quoted Date: 319/2016 Great Plains#: 10445278 Customer Number: 1007798507 Customer Account: 1003623384 #iriJfl` .��sArs.__......�nYil 's7a�,". 3idi£FE`��N.1�, `ale.e.w -s a9as 't7� 11.19; iyr ....,._:_ �� , ,,a.:a._�u'r c-. _.-.,.aaiuz 3_ _ 'inn .s= ?�Sx`z. ,. ym 3'L x - d9 - zat FFS srg e i n ._. _ tl ....___.� »..-..a >�{� ..: aii_JaDclrmev ffSL�rtNi..n__.,=_: --L.' 10 Delivery Delivery/Setup-Delivery/Setup Item Price Qty Exed Price $230.30 1 $230.30 For more information regarding the finishing,maintenance,service and warranty of all Pella@ products,visit the Pella®website at www.pelia.com Printed on 9123/2016 Contract-Detailed Paoe 1 of 9 Cust,gtomer: Carolyn Walsh Project Name: Walsh,Carolyn,Salem,MA,1684907 Order Number 741AGO711 Quote Number: 7633717 .3..i 1' Rt S �, -Ira�qq,, v i „� eJFU$r}a: t - Zit _ - ..:i3';,w:� Siia�ic�t,"n ..4_._, 4a a„ ._. c.?�r �-., , —a% 15 15 Kif/Basement Slide Pella 350 Series, Double Sliding Door Vent Right I Fixed, White Item Price Qty Exfd Price $4,444.78 2 $8,889.56 1:Vent Right/Fixed Double Sliding Door �.. PK5 General Information: Yes,Standard,+/-50,+/-50,Vinyl,Nail Fin,Foam Insulated,6",13/8".4 518",No Sill Riser 819 Exterior Color/Finish: White Interior Color/Finish:White Glass: Insulated Dual Tempered Low-E Advanced Law-E Insulating Glass Air Filled Non High Attitude Hardware Options: Keylodx Included,White,Satin Nickel,Steel Screen: Rolscreen®,White,Conventional Fiberglass Viewed From Exterior Unh Accessories: No Accessory Option PerformanceInformation: LI-Factor 0.33,SHGC 0.27,VLT 0.51,CPD PEL-N-161-00937-00001,Performance Class R,PG 50,Calculated Positive DP Rating 50,Calculated Negative DP Rating 50 Grille: No Grille, Extra Layer EXT-Extra Layer Exterior Trim Qty 1 Finish Patio Trim-Finish Paint/Stain Patio Door Interior Trim Only Qty 1 PD-2 Wide-Install 2-Wide Sliding Patio Door Qty 1 �y PVC Upgrade>48-PVC Upgrade greater than 48 inches Qty 1 t'_k1e ':,?"^ 4Frins ,gym ,.aas t' znrJ„r�.n' "P�F'y-m�,.rawa' im -'�r .,t to ac ;a* e"',n _ n��ea ..i . ...�o, Ise. ennlmi:.. -.e--�y,�,>E �"h �.eE��.. yet a�` 'S< 3Fa -:.i yo.",pvj n' nL,i2. `� St 20 Porch Window Pella 250 Series, Double Hung, White Item Price Qty Ext'd Price $737.25 1 $737.25 JD1:Size Double Hung,Equal PKt General Information: Standard,Vinyl,Block,Foam Insulated,3 114",3 114",Sill Adapter Included,Head Expander Included 819 Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Atthude Hardware Options: Gam-Action Lock,White,Standard Vent Stop,No Limited Opening Hardware Screen: Half Screen Viewed From Exterior Performance Information: LI-Factor 0.27,SHGC 0.28,VLT 0.53,CPD PEL-N-211-00025-00001,Performance Class R,PG 35,Calculated Positive OP Rating 35,Calculated Negative DP Rating 35 Grille: No Grille, PI—Insulate Pockets-Insulate Weight Pockets Qty 1 PI—Express-Express Pocket Qty 1 No Ext Wrap/Gap-No Exterior Wrap/Cap 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 912312016 Contract-Detailed Pace 2 of 9 Customer:Carolyn Walsh Project Name: Walsh,Carolyn,Salem,MA,1684907 Order Number. 741AG0711 Quote Number: 7633717 ir�-fl�e� '�fl` .,r� Qbe7rz n� s':, i a�if✓vita^I�i a� t 11:;5i Y' .u.i`i_,> >Fie li'-7 �iaiwc.v ...�fl � e. �fl" i _.._ G 25 Hall Window Pella 250 Series, Double Hung, White - Item Price Qty Ext'd Price $820.55 1 $820.55 1:Size Double Hung,Equal PK# General Information: Standard,Vinyl,Block,Foam Insulated,3 1/4",3 1/4",Sill Adapter Included,Head Expander Included 819 Exterior Color l Finish: White Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced low-E Insulating Glass Argon Non High Altitude Hardware Options: Cam-Action Lode,White,Standard Vent Stop,No Limited Opening Hardware Screen: Half Screen Viewed From Exterior Performance Information: U-Factor 0.27,SHGC 0.28,VLT 0.53,CPD PEL-N-211-00025-00001,Performance Class R,PG 35,Calculated Posftive DP Rating 35,Calculated Negative DP Rating 35 Grille: No Grille, PI—Insulate,Pockets-Insulate Weight Pockets City 1 PI Pocket Integrated Stop-Pocket Integrated Stop Qty 1- ,ffiIOii __y_.i:,a'u,: ,�a.. Ps; c,.., Em g,� aesv�pT'�C tv fl `� y- `,d ' ._ice Ec EAr R-1 RUIN 3ii� I' vi c�'�;- li�i `1Yo"L7 :..:r.....r,i.,_i,Id A.i _. .... ¢..._._.. _.._.. sm ,n.U�.nd �2...a a_... 40 Porch Stone Entry Systems, Storm Door Fullview Interchangeable Unhanded, White(91002) Item Price Qty ExVd Price" $760.08 1 $780.118 1:to 81 Unhanded Storm Door PK# General information: Clad 819 Exterior Color/Finish: Standard Enduraclad,White Sash/Panel: 15/8"Extruded Glass: Clear Hardware Options: Standard,Satin Nickel Model: 4601 Viewed From Exterior ES—Storm Door Express-Install Storm Door Express(4601,4602,3900,3010,3020) Qty 1 L71te! '�w"�IAF lt ": i°"N: {e. 'M"4 �'ik,�+'('1EIt e e ias..w ! i rb 2�flN id .. -�.k't r"` nI,L Z su.i&"..n...._ir,"m' ,, iF° R1 : . 617s c711Rijii.PIf of." , _. ,.i.,r� _a-fin`='� 45 Front storm Entry Systems, Storm Door Fullview Interchangeable Unhanded, White(91001) Item Price Qty Ext d Price $780.08 1 $780.08 !.=�' 1:to 81 Unhanded Storm Door PKI General Information: Clad " rFh9'W 810 Exterior Color l Finish: Standard Enduraclad,White iti fa Sash/Panel: 15/8"Extruded -___ Glass: Clear Hardware Options: Standard,Satin Nickel Model: 4601 Viewed From Extedor For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 9/23/2016 Contract-Detailed Pace 3 of 9 Customer: Carolyn Walsh Project Name: Wa1sh,CamIyn,Salem,MA,1684907 Order Number. 741AGO711 Quote Number: 7633717 ES—Storm Door Express-Install Storm Door Express(4601,4602,3900,3010,3020) Qty, 1 �itl tw...L #Ifem rtt:. st x� +. �fi3F . . r i..: .. .....,ii t 3 db.—}Ti lL c T:A to 3 a A ._11-1.1" in ina.w„ 50 Front Door Pella Brand, Entry Door Inswing, White, 4 9116" Item Price Qty Ext'd Price $2,904.84 1 $2,904.84 1: Entry Door - - PK# Unit Type: Right Inswing,Standard Sill,No Fire Rating,No Fire Rating 819 Dimension Options: No Cut Down General Information: 5 7/8",15/16",4 9/16" Panel Style: Twin Colonial Light Glass: Tempered Low-E Air Filled Grilles: No Grille Viewed From Exterior Panel Selection: Smooth,Painted,Real Red,Painted,White Frame Selection: Clad,Pine,Oak Threshold,No Panel Reinforcement,Standard Enduraclad,White,Wood,White Hardware Options: Latch Bore with Deadbo8,2 318",2 1/8",No Integrated Sensor,No Handle Set,Aluminum Adjustable,Satin Nickel,Brown Finish Sill Unit Accessories: No Wrought Iron,No Bang Panel PVC Upgrade>48-PVC Upgrade greater than 48 inches Qty 1 Lead Safe Install-Lead Safe Install Qty 1 ES—Single-Install Single Entry Door Qty 1 Entry Trim Finish-Finish PaintiStain Entry interior Trim Only Qty 1 Extra Layer EXT-Extra Layer Exterior Trim Qty 1 IIt a. Lecatm ,m'. _p.. t yf ISR "Mit 5ti' r a� N sc'-z 6,3c a xr eS 3 :'s ism ii r r _ t m i 6 ,I....„F:.�w,.. o 55 Porch Door Pella Brand, Entry Door Inswing, White, 4 9116" Item Price Qty Ext'd Price $2,904.84 1 $2,904.84 1: Entry Door ----- PK# Unit Type: Right Inswing,Standard Sill, No Fire Rating,No Fire Rating 819 Dimension Options: No Cut Down General Information: 5 7/8", 15/16",4 9/16" t Panel Style: Twin Colonial Light Glass: Tempered Low-E Air Filled Grilles: No Grille Viewed From Exterior Panel Selection: Smooth,Painted,Real Red,Painted,White Frame Selection: Clad,Pine,Oak Threshold,No Panel Reinforcement,Standard Enduracad,White,Wood,White Hardware Options: Latch Bore with Deadboft,2 3/8",2 1/8",No Integrated Sensor,No Handle Set,Aluminum Adjustable,Satin Nickel,Brown Finish Sill Unit Accessories: No Wrought Iron,No Bang Panel Extra Layer EXT-Extra Layer Exterior Trim Qty 1 Entry Trim Finish-Finish PaintlStain Entry Interior Trim Only Qty 1 ES Single-Install Single Entry Door Qty 1 Lead Safe Install-Lead Safe Install Qty 1 PVC Upgrade>48-PVC Upgrade greater than 48 inches 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 9/23/2016 Contract-Detailed Page 4 of 9 Customer:Carolyn Walsh Project Name: Walsh,Carolyn,Salem,MA,1684907 Order Number. 741AG0711 Quote Number. 7633717 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 hrsynctive Software Agreement and Privacy Policy are part of the terms of sale. Product Performance Information: U-Factor,Solar Heat Gain Coefficient(SHGC),and Visible Light Transmittance(VLT)are certified by the National Fenestration Rating Council(NFRC).Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance.NFRC ratings are determined for a fixed set of environmental conditions and a specific product size.NFRC does not recommend any products and does not warrant the suitability of any product for any specific use. Design Pressure(DP),Performance Class,and Performance Grade(PG)are certified by a third party organization,in many cases the Window and Door Manufacturers Association (WDMA).The certification requires the performance of at least one product of the product line to be tested in accordance with the applicable performance standards and verified by an independent party.The certification indicates that the product(s)of the product line passed the applicable tests.The certification does not apply to mulled and/or product combinations unless noted.Actual product results will vary and change over the products life. For more performance information along with information on Florida Product Approval System(FPAS)Number and Texas Dept of Insurance(TDI)number go to jnnL. .com. ;performance. Project Checklist Review (Installed Orders Only) Before the Installation the Homeowner aarees to do the following: Obtain Condo Association Approval Obtain Historic Approval Remove existing shutters and awnings Remove air conditioners Remove existing shades, drapes,window treatments,wall hangings, and personal belongings Move furniture at least 3 feet away from work area Tie or cut back trees, bushes and shrubs in the work area Arrange to have alarm system and doorbells disconnected For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 9123/2016 Contract-Detailed Page 5 ,of 9 Customer: Carolyn Walsh Project Name: Walsh,Carolyn,Salem,MA,1684907 Order Number: 741AG0711 Quote Number: 7633717 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 aarees 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 Durina the Installation Pella agrees to do the following- Deliver and unload products purchased per contract Place and remove drop cloths in work area then vacuum, and remove all debris at end of day Remove existing product, including storm windows, and dispose of it unless otherwise specified Install all products using method specified in contract per Pella Installation Instructions Replace interior and/or exterior trim only if purchased If Purchased, install exterior primed pine wood trim or Composite. Composite will be unfinished. If Purchased, install interior trim matching wood window finish or White trim for Impervia and Encompass Install non-Pella entry door lockset provided by you. Pella is not responsible for it's quality or performance After the Installation the Homeowner agrees to do the following: Be available for completion and sign off to verify all products purchased are in working order Reinstall existing shutters and awnings Re-install existing shades, drapes, window treatments, wall hangings,and reposition furniture Arrange to have alarm system and doorbells reinstalled Reinstall air conditioners Remove stickers from product and save for energy rebate and tax purposes Wash all interior&exterior glass surfaces Fill nail holes and joints on interior trim if windows are to be stained (after staining) Clean up exterior casing issues due to storm window removal if full wrap or new exterior trim is not purchased AProject Checklist has been reviewed Customer mitis, Product Only Addendum has been reviewed Customer initial Credit Card Account#: last 4 Digits ` Expiration Date: / For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 9123/2016 Contract-Detailed Page 6 of 9 Customer: Carolyn Walsh Project Name: Walsh,Carolyn,Salem,MA,1684907 Order Number: 741AG0711 Quote Number: 7633717 Charge final payment to same account \(Upon substantial completion) Customerinitial �Q Project Checklist has been reviewed 3nsc Dl, w .. Ortder U Customer Nam (Please print) Pella les p Taxable Subtotal $11,579.50 Sales Tax @ 6.25% $723.7 Custdmi3r Signblure s n ?i/IP _ Non-taxable Subtotal $6,468.0 (/ /� �(/ otal $ 1.22 Date Date Deposit Received $0.00 �y LLI- U rdj LAmount Due $18,77 \� �\Creel and Approval Signature `px� `V For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 9/2312016 Contract-Detailed Pace 7 of 9 PELLA WINDOWS AND DOORS CONTRACT 7. PAYMENTS 1. TERMS AND CONDMONS Pella shag 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 m 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"ContraceD between New England Window and Door LLC due. dba Pella Windows&Doors,Inc.("Pella")and the person(s)identified an the Product Order("Owner')to supply the products(tire"Products"),and perform S. CORRECTION OF WORK the work(the"Work')described or referred to in such Contract. For Product Only purchases,a signed'Pmduct Only Addendum"is a required part of the Pella shall correct installation Work not in conformance with the requirements contractof 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 arty and all other all shades;verticals,blinds,curtains,drapes or window mounted air remedies.Pella's obligation to comet Work is conditioned on Pella'sP rior conditionersnu to the installation of Products.Pella's installers are not P _ receipt of all payments then due. installation for the removal or stellahon of these types of dams. Pelle 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 forthe Work of its Pella 10. NO CONSEQUENTIAL DAMAGES Contractors who will install the Products. UNDER NO CIRCUMSTANCES SHALL PELLA BE LIABLE FOR Unless provided otherwise in the Work description,Pella will provide and pay CONSEQUENTIAL,INCIDENTAL,INDIRECT,OR SPECIAL DAMAGES, for all labor,materials,equipment,tools and machinery,transportation,and WHETHER FORESEEN OR UNFORESEEN. other facilities and services necessary for the proper execution and completion of the Work. It. HOME IMPROVEMENT CONTRACTORS The materials and equipment furnished under the Contract will be good quality All home improvement contractors and subcontractors shall be registered with end new unless otherwise required or permitted,the Work will befree from the director of the Home Improvement Contractor Registration Program defects not inherent in the quality required or permitted,and the Work administered by the Board of Building Regulations and Standards. Pella and any of its subcontractors identified in this agreement have been registered, � confam with the requirementscti caused y a this Contract.Pella shell not be responsible Any inquires about Pella or any of its subcontractors relating to registration for damages or defects caused by abuse,modifications not executed by Pella, should be directed to:Director,Home Improvement Contractor Re nsnatio improper or insufficient maintenance,improper operation or normal wear and P B "• One Ashburton Place,Boston,MA 02108,617-T27-8598 tear. Pella will keep the premises and surrounding area free from accumulation of waste materials or rubbish caused by performance of the 12. PERMITS(MA customers only) Work. Pella is obligated wand will obtain the following permits for this project: 4 CHANGES 8111 X2 . Homeowners who secure their own permits will be The Owner may order in writing ch excluded from the guaranty fund provisions of Massachusetts General Laws, y g ar ges in the Work consisting of additions, chapter 142A. deletions,or modifications("Changa Ordeel. Any Change Order shall include an adjustment to the Price and the Substantial Completion Date,as In addition to the rights and wananties commuted in this agreement,you may determined by Pella. Pella reserves the right to approve or disapprove any have additional rights under Massachusetts General Laws,chapter 142A and Change Order and any such Change Order must be signed by both Owner and 780 Code of Massachusetts Regulations R6. Pella to be effective 13. NOTICE OF CANCELLATION S. SUBSTANTIAL COMPLETION You may cancel this agreement if it has been signed by a party Owner understands and agrees that the Substantial Completion Date is an thereto at a place other than an address of the seller,which estimate only and that the actual date on which the Work is completed may be may be his main office or branch thereof,provided you notify extended to allm for Change Orders requested by Owner or if the time to complete the Work is affected by conduct of the Owner,weather,labor the seller in writing at his main office or branch by ordinary . disputes,availability of subcontractors,acts of Ood,fire or other causes mail posted,by telegram sent or by delivery,not later than reasonably beyond Pella's control.If for any reason the Work is not fully midnight of the third business day following the signing of this completed by the Substantial Completion Date(including any extensions agreement.contemplated above),but b substantially completed by such date,i.e.,the Product has been installed,but minor parts or components are missing or need See the attached Notice of Cancellation for an explanation of to be replaced or repaired,a hold back proportionate to the cost of remaining parts or work to be completed is acceptable.However,the holdback will not this right' exceed the amount of the completion costs or 10%of the remaining unpaid balance of the Pnce,whichever is less. Do not sign this contract if there are any blank spaces. 6. FINANCING If payment of the Price is financed with a financial institution through Pella,all financing paperwork must be completed upon signing of this Contract and the requisite approvals and authorizations for the fug amount of the requested financing shall have been received from the financial institution. Customer si r 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 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 ,O1 F/CANCELLATION Date of transaction: v/, 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 L �w (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature) Do NOT sign here unless you wish to cancel