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B-19-571 - 0020 BARSTOW STREET - Building Permit 2-6 ct< V The Commonwealth of Massachusetts CFTY BoardofBuildin Regulations and Standards OF 9 ALEM:: Massac husetts State Building Code,780 C�a Revised Mar 2011 Building Permit Application To Construct,Repair,Renovate 6DD%AAffsfi3a1 A It 1: 1 q 1,04 One-or Two-Family Dwelling 140 Only D. 9—P _F1_Pjr*operty Alldress: .2 Assessors Map&Farcel Numbers C,a L la Is this an accepted street?yes y"'no Map Number Parcel Number 1.3 Zoning Information: 1.4 ]Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(fl) 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,§J54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: Outside Flood Zone? Municipal E3 On site disposal system 13 Check if yes13 SECTM lo 2.1 )wne?of Record: Name(Print) City,State,ZIP -2-D A-4-r-A�DLAJ 54 Q-79 637 No.and Street Telephone Email Address OSEID Wo (�beck all t apply) ECTION 1-]ASCMIP N OF PRpr RXt 1h# S New Constructi6n'[3 Exi.sting iluilding 0 Owner-Occupied* 0 Repairs(S)K Alteidfi&ig 0 Additi6h Demolition 1131 Accessory Bldg.13 Number of Units Other 0 Specily: Brief Description of Proposed Work-2: t 07'CAI/ SECTION 4-JESTIkATKID CONSTRUCTION COSTS Estimated'C6sts: Item Official Use Only (Labor and Materials) fe & wit how e.is determine L.184 Vqrm Feri�$ ln&�� 1.Building $ 13 Slandard City/Town:Ap plication Fee 2.Electrical $ C.)Total P eC;Cose 0't.pr_6)X Mulfi�her rq In X 3.Plumbing $ 2. other Fees: List: 4.Mechanical (HVAC) $ 5.Mechanical (Fire $ T ptal All Fees:$ Suppression) ___ I . 6.Total Project Cost: 1 $,9700 Check No. Check Amount: CashAmount'. El Paid*in MI 0 QUtsien Balance Due-_ EON. CONS 5.1 Construction Supervisor License(CSL) i9eig-53 hn license Mumber Expiration Date Name of CSL Holder List CSL Type(see below) 4�— Rmf rut— xs Ro.and Street Unrestricted(Buildings up to 35,000 cu.fL) MA- Restricted 1&2 Family Dwellin Cityflb—wn,Stite,-ZT M Masonry -9 RC Roofing Covering Window and Siding SF Solid Fuel Burning Appliances q18 I Insulation 1 Telephone Email address D 'Demolition 5; Istered Forne Improvement Contractor(MC) I kq.� 9AU1 JqC Rigistration Number Expiration Date Inc c 4Vami o;ik Registrant Name 0.7 m&j4r--- vn . Street P/02- Email address M M q1-2 t,ZL Ci 'Town,State,'ZIP TelMkone SWIM&4 WORKM" VU @ML.c.82. 25C(6)) AHMA Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide t ffi his La�davcjt will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes.......... No...........0 AUIM,RJYA� IN ]�t e64#��WI&N �N_. !S -mul" raw 1,as Owner of the subject property,hereby authorize Pe.I I A— �,,Jad S to act on my behalf,in all matters relative to work authorized by this building permit application. ID ,-�;---.?,-1 -15 Print Owner's Name Mectronic Signature) irate I SEC 4�1:16WMR'6R 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 I. An Owner-vvho 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 in&mation—on the HIC Program can be found at wwwjnmUov/oca Information on the Construction Supervisor License can be found at wx"v.mass.goy1dVs 2. When substantial work Wp—lanned,provide the information below: Total floor area(sq.ft.) (including garage,fmished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed open 3. 'Total Project Square Footage"maybe*substituted for"Total Project Cost' No Slide Title aff-bvilders.pdf 2,he Commoltwea&h OfM rM -aff- ,0, ,,,,,,,&://www.mass.gov/lwd/docs/dia/fo s1f builde, Department ofIndnsh7eIAccw&vr2 Office ofInvesfigafiens I Congress Sftet Su&,-]Of Boston,MA 02114-2017 www.mass.gov/d"k W01rker59 COMPIMdOR Imurgaimee AM&Vit-. Applicant �nfbrmafioa please,hilat!nw Name IA- Address:- City/SLate/Zip._A4 JA-La I #J4-..6A2_Phow _V_ wt - 36� Are you am em&yer?Check the appropriate boxi Type of project(required): 1.5�-�a'employerWith 7--f 4. 1 am a general contwtor and I employees(M and/or part-time).* have hired the sub-c0RfraCtVT3 6. El New construction 2.El I Mn a sole Proprietor Or partner- listed on the attached sheet 7. RRemodelizZ s*and have-no eMplOyerS These sub-contactors have 8. El Demolition worl* fior me in any capacity. employees and have warkers [No Workeng comp.ifl�e comp.insumncej 9. Q Building addition required.] 5. We are a corporation and its 10,E] repairs or additions .3. 1 am a homtwwner doing all work officers have exercised their 11.[]Plumbing repainor additions myself (No workers�comp. right of exemption per MGL 12.[]Roof repairs insurance requireed.]t c. 152,§1(4),and we have no employees. [No vmflcers' 13.[J Other comp.UM.Wance req*ed_] *Any 8PPlicawthw check5box#1 mustalso JiU oigthe sectiouWow sho"W thew wcfkmt ccmpensauon policy infulmation. tIlers who su�_-it tfi..ffidr�it indicatinZahey are JoMall work and d=h=crutside contracton saust submit anew affidavit indicating su& 4c—'aact-s that check Aus box must attachedanamtona sheet showingthemame of the sub-conawkm and state uhedier oz not those entities have employees- If the sub-comwors hnre employe,%,they mI&proyide their wo&=, emp.poEcy ,mber. empitow ghal isprowding"'OFAM'MAPemagion ifis9wancefor my employe-ex Below is thepoficy andjob sik informaidon Insurance Company Na=-W- am^oues.-L Policy 4 or Self-im.Lic.#: (�—oono'OtN_H Expiration Date:- Job Site Address: city/state/zip: Attlich a copy of qh(?Werimn,compensation policy declaration psage(showins the policy number$04 01piraflon date). FailtWv to secure coverage as required under Section 25A of MrJLc, 152 can lead to dw imposition of crimiaW penalties of a fine%'P W S 1,500M audJor one-year.�nprisonmeut,as well as civil penalfies in the forin of a STOP WORK ORDER and a fine of up to$250-00 a day against the violator. Be advised that a copy of this statement may be fbrwarded to the office of lnv�e-stigatioms of the DIA for Jasi-Mce coverage verification. I do heFeAV cegdfY ander the paka andpendiles ofperian,that Me WbmaUan proWded above is Yf=and correck Phone Off gleial-use aa4,. Do Yiat%ii�e in this area,Yo be empk&d by cio or 909on official. Cky or Town: PeimdvUcense # ISSUM9 Authelity(eirde one)- 1.Board of Health z.Building Depaytmemj 3.CitYrToWn Clork 4.Me-egriefil Imspector 5.MumMug Inspector 6.Other Contact pe-a-son. CERTIFICATE OF LIABILITY INSURANCE DATE(MMiDDNYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMA I_110-14-0—N—LY----------- 702018 ANU 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 SETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER !MPORTANT If the certificate holder is an ADDI NAL.INSURED,the Policy(les)must have ADDITIONAL INSURED.provisions or be en T--rsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate do.es not confer rights to the certificate holder in lieu of s ch ehdorseme.nt(s). PRODUCER Fred C.Church Insurance 42"'`Jacelin6 Normandin qu_ 41 Wellman Street MUNIZ FAX _IAIC,No�EA,800-226-1865 (A/C.Nol:978-454-1865 Lowell MA 01851 tbMAL _A DREss: inormand!nQfredcchurch.com INSUREELS)AFFORDING COVERA E NAIG INSURED NEWENGL-02 INSURERA:HanoverAmerican Insurance Company 36064 New England Window&Door LLC INSURER B:A.I.M.Mutual Insurance Co 33758 Pella Windows&Doors INSURERC:MEMIC-Maine Employers Mutual Insurance 45 Fondi Road 11030 Haverhill MA 01832 INSURERD: INSURERE: COVE �GES CERTIFICATE NUMBER:1910247929 REVISION NUMBER: ------- THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PFRIO.D INDICATED. NOTW'FHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH RESPECT TO WHICH THIS CERTIFICATE MAY 13E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES.LIMITSSHOVVN MAY HAVE BEEN REDUCED BYPAIDCLAIMS. TNSR LTR TYPE OF INSURANCE ;KDDL ETUBR JR1911_wa POLICYNUMBER POUCY EFF POLICY.EXP (MM/DEIMYY) MWDDNYYY1 A X COMMERCIAL GENERAL LIABILITY ZBN816140T 71112018 T/112019 EA RRENCE -LIMITS F71 U $1,000,000 oCL CLAIMS-MADE OCCUR 'G DACA ITO HE-ED PREMISES(Ea occurrence) $100,000 IMED W(Any one person) $10,000 GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $1,000,000 F71 Rlo� FX] GENERAL AGGREGATE $2.000,000 1 /1 1"C (F OLICY JE LOC THEP, PRODUCTS-COMPIOP AGG $2,000,000 A AUTOMOBILE LIABILITY ADN8162169 T1112018 _T/1j2o19 COMBINE15—SINGLEUMIT Ea accident) $1,000,000 X ANY AUTO L OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY AUTOS BODILY INJURY(Per accidenQ $ HIRED NON-OWNED AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE _(Per accident) $ —A —X —CM13RELLALIAB X OCCUR UHN8187305 �CCLIR 7111201 B 71112019 EXCESS LLAB MS. EACHOCCURRENCE $9.000,000 __MCLAIMS-MADE AGGREGATE $9,000,000 ::�DE�DX RETEN-nON$o E3 wbRKERSCOMPENSATION $ C AND EMPLOYERS'UABILrrY 8007024 71112018 TIIP2019 X PERT H_ ANYPROPRIETOR/PARTNERfEXECUTIVE YIN 1810099952 T1112013 T/112019 TA UTE OE TR OFFICERIMEMBERS(CLUDED? F,� IIA E.L.EACH ACCIDENT $600,000 (Mandatory in NH) If yes,deserbe under E.L.DISEASE-EA EMPLOYEE $500.00o DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY UMrr $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if morespace is required) Confirmation of Coverage CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN New England Window&Door LLC ACCORDANCE WITH THE POLICY PROVISIONS. 45 Fondi Road Haverhill MA 0 1830 AUTHORIZED REPRESENTATIVE 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and iogo are registered marks of ACORD .......... Commonwealth of Massachusetts Division of Professional Licen'�Ure Board of Building R"Wations and Standards Co nst'�' 4!'�Visor CS-089853 E4pires: 10/26/2020 VVILLIAM R..Olkm 18 CARTER A. SALISBURY MA0,Q N) J CO Mrnissioner ........... -----------............................. J ,ev .14 6n: h RAC.xO.A L 10C)OR'' L 45.:F;.,U.NO P,ll _�P '.,'.H'XV., NI:1: Contract - Detailed Pella Windows and Doors Sales Rep Name: Clancy, Ryan HIC# 183279/Tax ID#26-1413183 45 Fondi Road Sales Rep Phone: 978-373-2500 Phone: Haverhill, MA 01832 Sales Rep Fax: 978) 373-2500 Fax: Sales Rep E-Mail: clancyrp@pellaboston.com Customer Information Pro ecttl)elivery ,�kddress 6rdor information Gail Owens Owens,Gail,Salem,MA,2275591 Quote Name: I Window 20 Barstow St 20 Barstow St Order Number: 741RC0792 SALEM,MA 01970-2304 Lot# Quote Number: 11329728 Primary Phone:(978)8577022 SALEM,MA 01970-2304 Order Type: Installed Sales Mobile Phone: County: ESSEX Payment Terms: Deposit/C.O.D. Fax Number: Tax Code: MA TAX 6.25 E-Mail: gowens3@vedzon.net Quoted Date: 5/6/2019 Great Plains#: 12821845 Customer Number: 1008699162 Customer Account: 1004697777 Line# - Location: Attributes 10 None Assigned Delivery/Setup- Delivery/Setup Item Price Qty ExVd Price $213.05 1 $213.05 For more information regarding the finishing, maintenance,service and warranty of all Pella@ products, visit the Pella@ website at www.pella.com Printed on 5/7/2019 Contract-Detailed Page 1 of 9 Customer: Gail Owens Project Name: Owens,Gail,Salem,MA,2275591 OrderNumber: 741RC0792 Quote Number: 11329728 Line# Location: Attributes, 15 None Assigned Min.Order Quantity- Min. Order Under 3 FF or 5 PF Item Price Qty Ext'd Price $268.00 1 $268.00 Line,# Location: Attribute' s 20 Kitchen Lifestyle, 2-Wide Casement, 39 X 34,White Item Price Qty Ext'd Price $2,215.53 1 $2,215.53 1:Non-Standard Size Non-Sta nda rd Size Left Casement PK# Frame Size: 19 1/2 X 34 IN General Information: No Package,Without Hinged Glass Panel,Clad,Pine,5",3 11/16" 2034 Exterior Color I Finish: Standard Enduraclad,White Interior Color/Finish: Bright White Paint Interior Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: Wash Hinge Hardware,Fold-Away Crank,White,No Limited Opening Hardware,No Integrated Sensor Viewed From Exterior Screen: Full Screen,Bright White, InVieWT11 Performance Information: U-Factor 0.29,SHGC 0.27,VLT 0.51,CPD PEL-N-14-00467-00001,Performance Class LC,PG 50,Calculated Positive DP Rating 50,Calculated Negative DID Rating 50,Year Rated 08111,Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Vertical Mull 1: FactoryMull,Standard Joining Mullion,Mull Design Pressure-20 2:Non-Standard SizeNon-Standard Size Right Casement Frame Size: 19 1/2 X 34 General Information: No Package,Without Hinged Glass Panel,Clad,Pine,5",3 11/16" Exterior Color i Finish: Standard Enduraclad,White Interior Color/Finish: Bright White Paint Interior Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: Wash Hinge Hardware,Fold-Away Crank,White,No Limited Opening Hardware,No Integrated Sensor Screen: Full Screen,Bright White,InVieWTM Performance Information: U-Factor 0.29,SHGC 0.27,VLT 0.51,CPD PEL-N-14-00467-00001,Performance Class LC,PG 50,Calculated Positive DP Rating 50,Calculated Negative DP Rating 50,Year Rated 08111,Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: Foldout Fins,Factory Applied,No Exterior Trim,3 11/16",5",Factory Applied,Pella Recommended Clearance,Perimeter Length 146". Frame Size:39"X 34" FF—<48 wide-Install Full Frame<48 inches wide Qty 1 Lead Safe Install-Lead Safe Install Qty 1 For more information regarding the finishing, maintenance, service and warranty of all Pella(D products, visit the Pella@ website at www.pella.com Printed on 5/7/2019 Contract-Detailed Page 2 of 9 Customer: Gail Owens Project Name: Owens,Gail,Salem,MA,2275591 OrderNumber: 741RC0792 Quote Number: 11329728 PVC Upgrade-PVC Upgrade Qty 1 Remove/Reinstall Blinds-Remove/Reinstall Blinds Qty 1 Thank You For Purchasing PellaO Products For more information regarding the finishing, maintenance, service and warranty of all Pella@ products,visit the Pella@ website at www.pella.com Printed on 5/7/2019 Contract-Detailed Page 3 of 9 Customer: Gail Owens Project Name: Owens,Gail,Salem,MA,2275591 Order Number: 741 RC0792 Quote Number: 11329728 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 apart ofthis contract. Please see the warr anties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management ofmoisture within the wall system.Neither Pella Corporation nor the Seller 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. i Clear opening(egress)information does not take into consideration the addition of a Roiscreen [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.pelia.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. ARBITRATION AND CLASS ACTION WAIVER("ARBITRATION AGREEMENT") YOU and Pella and its subsidiaries and the Pella Branded Distributor AGREE TO ARBITRATE DISPUTES ARISING OUT OF OR RELATING TO YOUR PELLA PRODUCTS(INCLUDES PELLA GOODS AND PELLA SERVICES)AND WAIVE THE RIGHT TO HAVE A COURT OR JURY DECIDE DISPUTES.YOU WAIVE ALL RIGHTS TO PROCEED AS A MEMBER OR REPRESENTATIVE OF A CLASS ACTION,INCLUDING CLASS ARBITRATION,REGARDING DISPUTES ARISING OUT OF OR RELATING TO YOUR PELLA PRODUCTS.You may opt out of this Arbitration Agreement by providing notice to Pella no later than ninety(90)calendar days from the date You purchased or otherwise took ownership of Your Pella Goods.To opt out,You must send notice by e-mail to pellawebsupportgpella.com,with the subject line:"Arbitration Opt Out"or by calling(877)473-5527.Opting out of the Arbitration Agreement will not affect the coverage provided by any applicable limited warranty pertaining to Your Pella Products.For complete information, including the full t,erms and conditions of this Arbitration Agreement, which are incorporated herein by reference,please visit www.pella.com/arbitration or e-mail to pellawebsuppo[!@pelia.com,with the subject line: "Arbitration Details"or call (877)473-5527.D'ARBITRAGE ET RENONCIATION AU RECOURS COLLECTIF("convention d'arbitrage")EN FRANQAIS SEE PELLA.COMJARBITRATION. DE ARBITRAJE Y RENUNCIA COLECTIVA("acuerdo de arbitraje")EN ESPA&OL VER PELLA.COM/ARBITRATION. 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),Perfortnance Class,and Performance Grade(PG)are certified by a third party organization,in many cases the Window and Door Manufacturers Association (WDMA).The certification requires the performance of at least one product of the product line to be tested in accordance with the applicable performance standards and verified by an independent party.The certification indicates that the product(s)of the product line passed the applicable tests.The certification does not apply to mulled and/or product combinations unless noted.Actual product results will vary and change over the products life. For more performance information along with information on Florida Product Approval System(FPAS)Number and Texas Dept.of Insurance(TDI)number go to www.pella.com/performance. For more information regarding the finishing, maintenance, service and warranty of all Pella@ products,visit the Pella@ website at www.pella.com Printed on 5/7/2019 Contract-Detailed Page 4 of 9 Customer: Gail Owens Project Name: Owens,Gail,Salem,MA,2275591 OrderNumber: 741RC0792 Quote Number: 11329728 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 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 For more information regarding the finishing, maintenance, service and warranty of all Pella@ products, visit the Pella@ website at www.pella.com Printed on 5/7/2019 Contract-Detailed Page 5 of 9 Customer: Gail Owens Project Name: Owens,Gail,Salem,MA,2275591 OrderNumber: 741RC0792 Quote Number: 11329728 9- 10==f<—) Project Checklist has been reviewed /Customer initial Product Only Addendum has been reviewed C t fial Final payment is due upon Substantial Completion per the Terms and Conditions Removal and reinstallation of blinds are the responsibility of the homeowner. If for any reason blinds are not removed,you will be charged to remove the blinds and we are not responsible for any damage that might occur to the existing blinds. Pella will not reinstall blinds and does not guaranty existing blinds will fit in to the new windows. Customer Initial A 1.5%FINANCE CHARGE PER MONTH WILL BE ASSESSED TO ALL BALANCES OLDER THAN 30 DAYS Credit Card Account#: Last 4 Digits 8830 Expiration Date: 07/20 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 5/7/2019 Contract-Detailed Page 6 of 9 Customer: Gail Owens Project Name: Owens,Gail,Salem,MA,2275591 OrderNumber: 741RC0792 Quote Number: 11329728 M Project Checklist has been reviewed Gail Owens Ryan Clancy Order Totals -' Customer Name (Please print) Pella Sales Rep Name (Please print) Taxable Subtotal $1,419.17 5)�� 11_ Sales Tax@ 6.25% $88.70 Customer Signature Pella Sales Rep Signature Non-taxable Subtotal $1,277.41 5/7/19 5/7/19 Total $2,785.28 late Date Deposit Received $1,392.64 Amount Due $1,392.64 Credit Card Approval Signature For more information regarding the finishing, maintenance,service and warranty of all Pella(D products, visit the Pella@ website at www.pelia.com Printed on 5/7/2019 Contract-Detailed Page 7 of 9 Customer: Gail Owens Project Name: Owens,Gail,Salem,MA,2275591 OrderNumber: 741RC0792 Quote Number: 11329728 Lead Safe Installation Customer Performance Expectations In order to ensure a proper Lead Safe Installation, it is essential that we have you complete the below tasks prior to your installation: F� ALL furniture needs to be moved at least 8 feet away from any window or door being replaced ALL personal items, wall hangings, and collectibles must be removed prior to your installation date All blinds and any interior window treatments need to be removed prior to your installation date Any non-movable furniture (for example: pianos, entertainment centers, built in cabinets, etc) must be cleared of items and be surface dusted prior to installation You will be responsible for replacing all furniture and personal items after your installation Other items: What to Expect the Containment/\/\/ork Area to Look Like in order to ensure your safety, we will be taking measures to minimize dust/debris does not spread beyond our work area. This may include the use of plastic sheeting on the floors and/or walls, caution signs, sealing of heating and cooling air vents, and asking that you turn off your HVAC system during our work. E] During your Lead Safe Installation, you may also see your installation professional wearing Personal Protection Equipment. For your own safety, we are not permitted to allow you inside the work area during the removal of your current product or the installation of your new windows/doors. By signing the form below, I am affirming that I understand all the expectations noted above and that I have agreed to have all items completed prior to my installation commencing. I understand that failure to have these items completed will result in the re-scheduling of my installation and that my installation date will be scheduled for the next available date. )Jt,/1�_ 5/7/19 Customer Signature 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 5/7/2019 Contract-Detailed Page 8 of 9 Customer: Gail Owens Project Name: Owens,Gail,Salem,MA,2275591 OrderNumber: 741RC0792 Quote Number: 11329728 Pre-Renovation Form Occupant Confirmation Pamphlet Receipt I have received a copy of the lead hazard information pamphlet informing me of the potential risk of lead hazard exposure from renovation activity to be performed in my dwelling unit. I received this pamphlet before the work began. Gail Owens P e of Owner-occupant 7�Z'�.A (�� ,,� 5/7/19 6gnature of Owner-occupant Signature Date Renovator's Self Certification Option(for tenant-occupied dwellings only) Instructions to Renovator.-If the lead hazard information pamphlet was delivered but a tenant signature was not obtainable, you may check the appropriate box below. Declined - I certify that I have made a good faith effort to deliver the lead hazard information pamphlet to the rental dwelling unit listed below at the date and time indicated and that the occupant declined to sign the confirmation of receipt. I further certify that I have left a copy of the pamphlet at the unit with the occupant. Unavailable for signature - I certify that I have made a good faith effort to deliver the lead hazard information pamphlet to the rental dwelling unit listed below and that the occupant was unavailable to sign the confirmation of receipt. I further certify that I have left a copy of the pamphlet at the unit by sliding it under the door or by: (Fill in how pamphlet was left) Printed Name of Person Certifying Delivery Attempted Delivery Date Signature of Person Certifying Delivery Unit Address N t n—.-e Reaarding Mailing Option —As an alternative to delivery in person, you may mail the lead hazard information pamphlet to the owner and/or tenant. Pamphlet must be mailed at least 7 days before renovation. Mailing must be documented by a certificate of mailing from the post office. For more information regarding the finishing, maintenance, service and warranty of all Pella@ products, visit the Pella@ website at www.pella.com Printed on 5/7/2019 Contract-Detailed Page 9 of 9 PELLA ININDOWS 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 ofthe contract set forth on the failure to pay Pella the amount due within seven days after the date payment is Product Order(the"Contracf')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 8. 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. ofthe 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 ofWork 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 ofany and ail other all shades;ver.ticals,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 ofthe Products.Pella's installers are not receipt ofall payments then due. responsible for the removal or installation of these types of items. Pellaisnot responsible fm 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 of7:00 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 ofthe 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. it. HOME IMPROVEMENT CONTRACTORS The materials and equipment furnished under the Contract will be good quality All home improvement contractors and subcontractors shall be registered with and new unless otherwise required or permitted,the Work will be free from the director ofthe Home Improvement Contractor Registration Program defects not inherent in the quality required or permitted,and the Work administered by the Board of Building Regulations and Standards. Pella and conform with the requirements ofthis Contract.Pella shall not be responsible any of its subcontractors identified in this agreement have been registered. for damages or defects caused by abuse,modifications not executed by Pella, Any inquires about Pella or any of its subcontractors relating to registration improper or insufficient maintenance,improper operation or normal wear and should be directed to:Director,Home Improvement Contractor Registration, tear. Pella will keep the premises and surrounding area free from 10 Park Plaza,Room 5170,Boston,MA,02116,617-973-8787,888-283-3757 accumulation ofwaste materials or rubbish caused by performance ofthe or visit the HIC website at http://www.mass.gov/ocabar/ Work. 12. PERMITS(MA customers only) 4. C14ANGES Pella is obligated to and will obtain the following permits for this project: ___AujWjng_. Homeowners who secure their own permits will be The Owner may order in writing changes in the Work consisting ofadditions, 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 effiective. 780 Code of Massachusetts Regulations R6. 5. SUBSTANTIAL COMPLETION 13. NOTICE OF CANCELLATION Owner understands and agrees that the Substantial Completion Date is an You may cancel this agreement if it has been signed by a party estimate only and that the actual date on which the Work is completed may be thereto at a place other than an address ofthe 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 notif� complete the Work is affected by conduct ofthe Owner,weather,labor disputes,availability of subcontractors,acts ofGod,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 ofthe third business day following the signing ofthis 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 ofremaining 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%ofthe remaining unpaid this right. balance of the Price,whichever is less. 6. FINANCING Do not A th* t It if there are any blank spaces. lfpayment ofthe Price is financed with a financial institution through Pella,all financing paperwork must be completed upon signing ofthis Contract and the 7Z�7 requisite approvals and authorizations for the full amount ofthe requested Customer signature financing shall have been received from the financial institution. 5/7/19 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.