90 FREEDOM HOLW - BUILDING INSPECTION What is the current use of the Building? /may
Material of Building? If dwelling, how many units?will the Building,Conform to Law? Asbestos? i"®`
Architect's Name
Address and Phone01/0 (?ED19 Si_ I"%A a"_( ) EKL 953
Mechanic's Name.
"Address and Phone
Construction Supervisors License# 19,�1 9199Q HIC Registration# /44 p,_6 Z,
Estimated Co of Project$ i 6 Permit Fee Calculation
Pemiit Fee _OY2__/ � Estimated Cost X$7/$1000 Residential
Estimated Cost X$11/$1000 Commercial:
An Additional$5.00 is added as an
z _ Administrative charge. "
Make sure that all fields are properly and legibly written to avoid delays in processing.
The undersigned does hereby apply for aBuilding Permitto build to the above st��ated
specifications. Signed under penalty of perjury
h'. Date /
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MA Reg. #146509 0
CT Reg. #0605216
RI Reg. #26463 THE REPLACEMENTwBJDOWPEOPLE Federal ID #20-2625129
Corporate Headquanere:26 Cedar St.,P.O.Box 26% Wobum,MA 01888 (781)933-4100 1-800342-2211
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THIS CONTRACT MADE THE . .q! . . . . . . . . . . day of V 200..f . between . . . . . . . . . . . .
IJA
1 / (Home Owners) (Home Phone) 1 F (Bus./Cell Phone) (Mr./Mrs')
of. � C.C:. st . . l� , . . 't J�, CIn
(Address) (State)1 (zip Code)
the "Owner" and NEWPRO Operating, LLC, "NEWPRO".
NEWPRO hereby agrees that it will for the consideration hereinafter mentioned, furnish all labor and material necessary
to install the following described work at the premises located_at
(Job address) (E-Mail Address)
TOTAL �' NEWPRO �,<Xz Additional Style Oty TOTAL CASH r' _
Windows Purchased Work PRICE } ,
Window Color S eci c _'L"h 1(& Sliding Glass Door DEPOSIT
Capping Color S' eci /_ J/,, Qty Steel Security Door WITH ORDER /K AD
Double Hun ?r
Picture Window Obscure Glass TOP B0170M BALANCE
Stationary Casement Screens HALF, FULL DUE AT
Casement - Model # `" INSTALLATION
2 Lite /3 Lite Slider NEWPRO` does not do any
painting or
Bay/ Bow Frame staining. CASH
Garden Window NEWPRO' Is not responsible for conditions Balance Paid to
or circumstances beyond Its control Including Installer at Installation
Awning condensation resulting from or due to pre-
Other existing conditions. FINANCE Bank Completion
GRIDS ',, ,- , _Colonial,! Diamond' Form Signed at Installation
DESCRIBE WORK: N,• .. T r. U ,b J 'f, it R d J r n
-41
f . r
t
All steel security doors will have a 3/4"aluminum threshold installed over existing threshold.0 Customer Initials
Est. Start Date: ! . J 'f Est. Comp. Date: 4, '1 ; rJ
It shall be the obligation of NEWPRO to obtain any and all permits necessary under this agreement, as the Owner's Agent. The Owners who secure
their own construction-related permits, or deal with unregistered Contractors will be excluded from the guaranty fund provisions of MGLC, 142A.
All Home Improvement Contractors and Subcontractors shall be registered by the Director and any inquiries about a Contractor or Subcontractor
relating to a registration should be directed to: Director, Home Improvement Contractor Registration, One Ashburton Place, Room 1301,
Boston, MA 02108, (617) 727-8598.
If the Owner is obtaining financing by way of a Retail Installment Sales Agreement, such Agreement shall include a time schedule of payments to be
made under said contract and the amount of each payment stated in dollars, including all finance charges. The Retail Installment Sales Agreement
shall be incorporated herein by reference. If the Owner is obtaining a revolving credit line to pay, in whole or in part, for the contract amount herein,
the terms of the revolving line of credit including interest rate and payment terms, shall be clearly set out on the credit application. The portion of the
credit application referencing a time schedule of payment,to be made under this contract,and the amount of each payment stated in dollars, including
all finance charges, shall be incorporated herein by reference.
NEWPRO represents that it carries Workmen's Compensation and Public Liability Insurance in the amount of$100,000-$300,000.
If the Owner refuses to permit NEWPRO to proceed with the work herein,or in the event of any breach of the Owner of this agreement,for any reason
whatsoever shall cause the owner to pay NEWPRO a sum of money equal to thirty-three and one-third percent of the price agreed to be paid,as fixed,
liquidated and ascertained damages, and not as a penalty,without further proof of loss or damage.
NEWPRO shall not be held liable in damages for delays in the performance of this contract due to causes beyond its reasonable control.
Owner warrants that he is the owner of the property on which the work is to be performed or that he is otherwise authorized on behalf of the owners
to enter into this agreement.
This contract represents that entire agreement between the Owner and NEWPRO and cannot be changed except by a writing signed by both the Owner
and NEWPRO.
You are entitled to a copy of the Contract at the time you sign. Keep it to protect your legal rights. We, the aforesaid
owners, certify that immediately after the signing of the aforesaid agreement, a copy was furnished to us.
You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,
which may be his main office, or branch thereof, provided you notify seller in writing at his main office or branch by
ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third business day following the
signing of this agreement. (Saturday is a legal business day).
See the attached notice of cancellation form for an explanation of this right.
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
The Owner has seen "sample" warranties that will be provided by NEWPRO upon installation.
QSample warranties provided to Owner. 0 t /� �//
,IIN' WITNESS WHEREOF, the parties have hereunto signed their names this day of - ' ¢ I 200 j
PC r' fJ EIN# r L� �✓ Signed/ ' t
Marketing Representative Printed Name Owner n
Accepted: NEWPRO Operating, LLC
By Xr"I Signed
Marketing Representative Signature +Owner
WOBURN BRANCH OFFICE SHREWSBURY BRANCH OFFICE WARWICK BRANCH OFFICE
26 Cedar Street 151-153 Memorial Drive BusinesslPark 45 Gilbene Street
Woburn,MA 01801 Suite B-C Warwick,RI 02886
TEL:781-932-8300/EXT:330 Shrewsbury MA 01545 TEL:401-732-2407
800-242-9974(FROM NE) TEL:508-842-6876 800-3563312(FROM NE)
FAX 781.933.0717 800456-0555(FROM NE) FAX:401-732-1371
FAX:508-842-9248
WHITE: Branch Copy YELLOW: Customer's Copy PINK: File Copy GOLD: Finance Copy
US-15 100/PKG. 11105
Ila
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organization/Individual): NEWPRO
Address: 26 CEDAR STREET
City/State/Zip: WOBURN,MA 01801 Phone#: 781-932-8300 Ext.251
Are you an employer?Check the appropriate box: Type of project(required):
1.X I am a employer with 50+ 4. ❑ I am a general contractor and I 6. ❑ New construction
employees(full and/or part-time).* have hired the sub-contractors
2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7. X Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp.insurance. 9
[No workers' comp. insurance 5. ❑ We are a corporation and its ❑ Building addition
required.] officers have exercised their ]0.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, § 1(4),and we have no 12.❑ Roof repairs
insurance required.] + employees. [No workers' 13.❑ Other
comp. insurance required.]
-Any applicant that checks box k I must also fill out the section below showing their workers'compensation policy information.
+Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
$Contractors that check this box must attached an additional sheet showing the time of the sub-contractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees.Below is the policy andlob site information.
Insurance Company Name: ARBELLA PROTECTION INSURANCE
Policy#or Self-ins.Lic. #- 90967005 Expiration Date: 05/01/2008
U
Job Site Address:
90 f-.eEEUOM /ML[A[_c) (/rt]lT City/State/Zip: S'AL r5 /�
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator.Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of per'ur that the information provided above is true and correct.
Signature: `Z^ P FOR NEWPRO Date: ,6 ,SAD
Phone#: 781-953-8146
Official use only.Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1.Board of Health . Building Depart 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
05/01/07 07:16 FAX 16177709683 AMERICAN FIRST INSURANCE IM 002
DATE(MMMD/YYYY)
ACORD CERTIFICATE OF LIABILITY INSURANCE NMPR-1 05/D1/07
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
American First Ins Agency Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
122 Quincy Shore Drive
North Quincy MA 02171 INSURERS AFFORDING COVERAGE NAIC#
Phone- 617-770-9000
INSURER A: Arbella Protection Ins. Co
INSURED
INSURER B:
INSURER C:No ro 0porating LLC INSURER 0PO Eox 2696
Woburn MA 01801 INSURER E:
COVERAGES
r THE POLICIESANY REQUIREMENT TERM ORCONDITIONLISTED
BELOW
OF HAVE
V CONTRACTOR OTHER ER DOCUMENT WITH R THE INSURED NAMED ESPECT VE TO WHICH CH THE ITHIS CERTIF CERTIFICATE MAY BE ISSUED R DI
POLICES.AMAY IGGPEGIN
ATEULRIMITSESHOW AFFORDED BY THE
HAVE BEEN RIEDVCED BY PDID CLAIMS.HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
LIMITS
LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MIDD/V DATE MNVOU/YY EACH OCCURRENCE $ 1 r O00,000
GENERAL LIABILITY $ 50 2'0O0
Ol/O1/07 01/O1/OB PREMISES(Ea occdronca)
A X CDMMERCIALGENERAL LIABILITY 850000010649 MED EXP(Any one Person) 85.000
CLAIMS MADE a OCCUR PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 'Zr UUUjUOO
PRODUCTS-COMP/OP AGG $ 2�000i OOO
GEN'L AGGREGATE UMR APPLIES PER:
POLIP11CV IF
O LOG
AVTOMOBIIE LIABILITY COMBINED SINGLE LIMIT $ 1,000i000
A ANY AUTO 81037400001
12/31/06 3.2/31/07 (Es'I"'
BODILY INJURY g
ALL OWNED AUTOS (Per person)
X SCHEDULED AUTOS BODILY INJURY
$
X HIRED AUTOS
(Per aaident)
X NON-OWNEDAUTOS
PROPERTY DAMAGE $
(Per accident)
AUTO ONLY-EA ACCIDENT $
GARAGE LIABILITY OTHERTHAN EA ACC S
ANY AUTO AUTO ONLY: qGG $
EACH OCCURRENCE $S�OOO�OOO
EXCESSNMBRELLA LIABILITY $S OOO OOO
01/01/07 01/01/OB
A X OCCUR El CLAIMSMADE 4 6 0 0 010709
AGGREGATE $ I
DEDUCTIBLE $ [
RETENTION $ X TORV LIMITS ER
WORKERS COMPENSATION. I
EMPLOYERS'LIABILITY 90967005 05/01/07 OS/O1/O8 E.L.EACH ACCIDENT $ SOO�OOO
p' .ANY PROPRIET0WPARTNER/EXECUTIVE EL.DISEASE-EA EMPLOYEE $ SOOT OOO
OFFICER/MEMBER EXCLVDEO? - E.L.DISEASE-POLICY LIMIT $SOO�000 '
d yes,describe under
SPECIAL PROVISIONS below
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS
OPERATIONS OF INSURED
CANCELLATION
CERTIFICATE HOLDER SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRA
SPECIME
DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL SO DAYS WRITTI
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SH)
SPECIMEN IMPOS O IOATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REP SENT IVES.
AUTH RD:EO PRESE A E
J en'
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ACORD 25(2001/08)
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tionsRod Standard H•
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- MEIMPROVE NT CONTRACTOR Numbei°�cS 029090
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NEW PROOPEZATI LI: t 1
• .., I , THOMAS.F FOXO���
THOMAS FOXO� ,'{ 230 WALNUT
'26CEDAR ST. t READING MA 01867 °c" ' CommisslDner
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01891 Administrator / }-4, "3 a { rl
- WOBURN M � �
Board of Building Regulations and Standards
- HOME IMPROVEMENT CONTRACTOR
ReBistratlo6'_146532
iratlon V28/2009 Tr# 129806
1 YP4 Trust
NEWPRO BUSINE$$_TRuS'T- 1 -
NICHOLAS COGLIANI
- 26 CEDAR STREET -.
WOBURN,MA 01801 Administrator _
y
ENERGYA' Qualified
in Highlighted Regions
®_Qualified in all zones
TFWestmtion
DEVCO PRODUCTS, INC.
Newpro/Denali 3000 Double Hung
Vinyl frame, Double glazed,
Low E coaling (e=0.034,S3),
Rating Council Argon/air filled
DEV-K-13-00003
ENERGY PERFORMANCE RATINGS
U-Factor (U.S./I-P) Solar Heat Gain Coefficient
0n26 0 .38
ADDITIONAL PERFORMANCE RATINGS
Visible Transmittance Air Leakage (U.S./I-P)
0051 0A
Condensation Resistance
60
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.Consuft manullacturer's literature for other product performance information.
www.nfre.org
' PUBLIC PROPERTY
' DEPARTNIENT
KISBOMEY DRISCULL �/�����
MAYOR 1?0 WASHINGTON S1REEr•SAtEd,. %MACHL5K1-M 01970
TEL:978-745-9595 4 FAx 978-740-99"
APPLICATION FOR THE REPAIR, RENOVATION, CONSTRUCTION.
DEMOLITION. OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING
STRUCTURE OR BUILDING
1.0 SITE INFORMATION
Location Name: Building:
Property Address:
96 F�e=6/-1 H,0LLo%J , uN /7- 96
Property is located in a; Conservation Area Y/N Historic District YIN
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land
Name: C041/NNE HRIVAI / /N6
Address: 9v W&—ED6M 1Y6 L-LOLcJ, ON % 90
Telephone: 9960 J/
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing
Renovation Number of Stories Renovated
Pihangs in Use New
Demolition Existing
Approximate year of Area per floor (sf) Renovated
construction or renovation New
of existing building
Brief Description of Proposed Work:
4EP -"q0E 2 G(JJAJDou)S iAJ -6)
CXIS77AI ap�N��IC�S ,
Mail Permit to:
D