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5 A HALSEY WAY - BUILDING INSPECTION CITY-OF-IME31 _ PUBLIC PROPERTY DEPARTMENT I �� MOM 13sep9uwTcsr3nsar01AW WASACcsnMMM r�*PLCATION FOR THR R*AJIL &=A,nma%av_ CnMrQ>iLMnN DEMOLPti'ION.OR CHANGZ OF USZ OR OCCMnrr_'v__ Fog ANy =.4Te g STRUCTURK OR BUQ.DtiNd 1.0 WE INFORMATION Lacadan Namm SA Holsev W a Pwopwh Addroow - - - -- -- - - - ---- . - - 5A HQis-ey Wa. Pn*"is kicalsd in a;Cmmw4Wm Am YIN N Milft Ok>W YM F EMPW INFORMATION/a1Land CQkV). Henn-esse 5A HQI way TWpllorw, q-1 €- 1y1-yZI Z.000MPLETE THIS SECTION FOR WORK IN E7IISZ1lIp BUILDINGS ONLY Addition t.xisNnp RenovWon Number of Stork» Renovated Change in Use New DemoUdon ExisslnS connsstructlon a ranovabon oxknateew of Area per Agar(80 Renovated of existing building New add Description of Proposed Work: tncsfo11 ZO replacemer%i- Wkr.)duw-, ivl ex� sfir9 pPevi�r�� NF(LC . I� -- -- --Mail Permit to: /l/ w 2D 6 C s T lyl�oil What is Ute aamzt use of the suddi ft? matw t of sw7dw If gyp'hoW RWW VW to&M*q Conlon"d Las? Asbaslos9 An* Mds Name - Addnss end Phw* 11,6111111c�Name Addrom and Phone 1 y l0 5 $q Lldnp d 2 g o G 0 HIC Repislratiort• cotskuc*Esttntalad m SL $8 Pemtr Fee Catouta M PsrtMt Fee Estl Noted Cost X$71$1000 Residential _- --- - - Esfrnalad Cast X S41/S100A ConsnarWL---An AddNimai SfL.00 Is added as an AdmNisON"dfrse. Make aun that aY flows are propsrb and Isw*w t ten to avoid delays In praeassin0. The wwwsWwd dose hereby appiy for a suwbv Psn*to�btm to the abow stabd �, sgn.a under penaKy o/porpq Date 7 3i 3 � IL CITY OR SALEM, MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET. 3R0 FLOOR:-'. SALEM. MASSACHUSETTS 01970 STANLEY J. USOVICZ, JO. TELEPHONE: /78.741-9898 EXT. 380 MAVOR FAX: 978-740-9646 38Ien,Building Department Debris Disposal Fong In accordance with the provisions of MGL c40 S 54, a condition of your Building Permit is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL Chapter M, S 150 A. The debris will be disposed of in: durnPs}e/ (Location of Facility) 13 h r,<3 Qve W©bura Signature of Applicant 7/1/0e Date AC ORD CERTIFICATE OF LIABILITY INSURANCE OF ID DATE(MMDOf/08 NENPR-1 05/01/08 PR DUCFA THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE American First Ins Agency Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EMEND OR 122 Quincy Shore Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Quincy NA 02171 Phones 617-770-9000 INSURERS AFFORDING COVERAGE NAIC 8 INSURED INSURER A: Arbeila -Protection Ins. Cc INSURER B: NeT0yHr0 p�e rating LLC INSURER C: POO Iloxurn MA96 01601 INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TEAM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY RE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSP DATE TYPEOFINSURANCE POLICY NUMBER MMIDD DATE MIDM LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERWALGENERALLIABILITY 850000010649 01/01/OS Ol/Ol/09 PREMISES Eeoxureboa) $ 50,000 CLAIMS MADE ®OCCUR MED EXP(Any one person) $ 5,000 PERSONAL a ADV INJURY $ 1,000,000 GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: - PRODUCTS-COMP/OP AGG s2,000,000 I ! POLICY PRO- LOC AUTOMOBILELIABIUN COMBINED SINGLE LIMIT $ 1,000,000 A'• aNY Aura 81037400001 12/31/07 12/31/08 (Ea acddenq ALLOWNED AUTOS BODILY INJURY (Per pemm) S X SCHEDULED AUTOS X HIREDAUTOS BODILY INJURY S X NON-OWNED AUTOS (Par accIdeM) PROPERTY DAMAGE $ (Pet acclde f) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANY AUTO - OTHERTHAN EA ACC $ AUTO ONLY: AGG IF E%CESSIUMBRELLA LIABILITY EACH OCCURRENCE 35,000,000 A X OCCUR �CLAIMSMADE 4600010709 01/01/08 01/01/09 AGGREGATE $ 5,000,000 S DEDUCTIBLE $ 1 , RETENTION $ - $ ( 'WORKERS COMPENSATION AND X TORY LIMITS Efl AS 'EMPLOYERS'LIABILITY 90967005 05/01/08 09/01/09 E.L.EACH ACCIDENT 5500,000 ANY PROPRIETORIPARTNERIE)(ECUTIVE OFFICERRAEMBER.EXCLUDED9 E.L.DISEASE-EA EMPLOYEE $ 500,000 B 9ee8'.,dWdbe under E.L.DISEASE-POLICY LIMIT $ 500,000 SI'YECIAL PROVISIONS below OTHER DESCRIPTION OF OPERAT40NS/.LOCATONS/VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS OPERATIONS OF INSURED CERTIFICATE HOLDER CANCELLATION $PECIME SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO:SHALL �. SPECnIEN IMPOSE NO OBLIGATION OR ILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REP9SENTAIWES. >� AUTHORREDR ABBE ATI ACORD 25(2001/08) - ®ACORD CORPORATION 1988 ® ' 4uallfled a all zones ' NEWPRO MANUFACTURING Nnxc 2000 DOUBLE HUNG Cellular PVC frame, Triple glazed, National Fenestration Low E Coating (e=0.034, S2 & 8), - Rating Council Krypton/air filled - - neV-K-20-00001 " ENERGY PERFORMANCE RATINGS U-Factor(U.S./I--P) Solar Heat Gain Coefficient ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Condensation Resistance 0 ,40 Manufacturer stipulates that these ratings conform to applicable NFPC procedures for determining whole product performance. NFBC.fatings are determined for a fixed set of environmental conditions and specific product size.NFNC does not recommend any product and does not warrant the suitability of any .protlacl poreny specific use.Consult manufacturer's literature for other product performance Information. www.nfrc.or GT/.� Board of Suilding.Regula6ons and Standards f -' Construction Supeivisor License. � . Li �� CS 29090 -fiaf1.,/2009 Trk 8131 i , THOMASPFOXOt� 230 WALNUT READING, MA 01867 z",�y..- -Commissioner 67' - l� Board of Building Regulations and Standards j HOME#MPROVEMENT CONTRACT OR `I Regiatfit a JA6589 I Expiration ar/,513009 tt 'GYPfi Supplement Card " NEWPRO OPER4FINGtLL� rp 9 f THOMAS 'FOXON \ . ,;,' ( 26 CEDAR ST WOBURN,MA 01801 - Admin�s�Yafgq, } Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.Qov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print I ggibly Name(Busihess/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 hued 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. ❑ Building addition No workers' comp. insurance 5. ❑ We are a corporation and its [ P� 10.❑ Electrical repairs or additions required.] officers have exercised their 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 o workers' + employees. [N 13.❑ Other insurance required.] comp. insurance required.] *Any applicant that checks box#1 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 name 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 and job site information. Insurance Company Name: ARBELLA PROTECTION INSURANCE Policy#or Self-ins.Lic.#- 90967005 p ' I Expiration Date: 05/01/2008 Job Site Address: �7liL(t/�/� G/f7 City/State/Zip: Attach a copy of the workers' compensation policy declariftion 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 ofperjury that the information provided above is true a d eorr cl. Signature ��f �ir.�—FOR NEWPRO Date• 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 De artmen 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: r � _ ll�� 686aa&fi MA Reg#146589 eomewifometorOW Federal ID#20-2625129 CT Reg#0605216 57041 RI Reg#26463 Windoax siding and More Corporate Headquarters,26 Cedar St,Woburn,MA,(P)800-342-2211 (F)781-933-9626,www.newpro.com / THIS CONTRACT MADE THE day of Tu lY 2069 between Jo;rt+ Grin l�enness� +r 4 7�/i yzlb S268 m/s (Home Owners) (Home Phone) (Bu Cell hone) of � t/ v��y 0/1 61M (Address- (City) (State) (zip) the"Owner"and NEWPRO Operating, LLC, "NEWPRO". ® The job address is a condominium. NEWPRO hereby agrees that it will for the consideration hereinafter mentioned,furnish all labor and material necessary to install the following des�ccr,ibb^e--d___work at the premises located at (Job Address) (E-Mail for proprietary use only TOTAL /_ Additional Model TOTALWindows r CASH Window Colorchased 1f� NE Out: Sliding Glass Door Work Number Q PRICE 7 Capping Color Steel Secunly Door ev 0 I Door color in: t.) ut: rz/ DEPOSIT Model Name Model Numbers Sidelites WITH Double Hung 7155 7407 New Construction Unit Y e,c 1 ORDER 7 Picture Window Storm Door Sqcl BALANCE Casement — Obscure Glass T BOTTOM DUE AT re pprry� 2 Lite/3 Lite Slider — — Scens .H FULL INSTALL �O U Bay/Bow Frame — — Please Initial: Roof.' ❑ Soffit: ❑ Customer understands that NEWPRO®does not CASH Garden Window — do any painting or staining. Ile:when removing Balance paid to installer at installation Awning or replacing interior stops or trim) - Hopper — NEWPRO@ is not responsible for conditions or Shaped — circumstances beyond its control including cbn- . FINANCE Other densation resulting from or due to pre-existing Bank cc FINANCE at installation G conditions. DESCRIBE WORK: Q W;,7C4,1 p'e C�g -hr'rr. ° svle rd �' sn �F �' t`2 w•` fSc a !n Est.Start Date: 2;^Z+ Wir, Customer understands this is an"estimated date" Est. Comp.Date: b ^2-4.0% niLa s Initials ustomer understands all steel security doors will have a 3/4"aluminum threshold installed over existing threshold. It shall be4fe 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 PI,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 dearly 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 the entire agreement between Owner and NEWPRO and cannot be changed except in 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 orsurr,Xpra O sg .rt "°'•""""`•-'-`_`v -lr .siness day). See the attached notice of cancellation DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. 4The owner has seen"sample-warranties that will be provided by NEWPRO upon iznssttallation. Sample warranties Provided to Owner. IN WITNESS ZNESS WHEREOF,the parties have hereunto signed their names this /- f (,� lenry �3�Sf day of20 EIN# Signed Marketing Representative Printed Name Owner Accepted: NE P 0Operating,LLC z x Signed CORPORATE OFFICE 0 ner 26 Cedar 01 SHREWSBURY BRANCH OFFICE WARWICK BRANCH OFFICE 151-153 Memorial Drive Business Wobum,MA 801 Pk 24 Minnesota Ave Suite B-C P 800-242-9974(From NE) ShrpwCh.,, AAA niFnc Warwick,RI 02888 x rom Out Hem to yours... 5+au ' 04440 is ns N L07 ,: 0 JOB# 4 .,,. i _ Page_of ' Windows,9din and More — CUSTOMER 'j 0 iYl i D,� } E-MAIL ADDRESS_. HOME PHONE 7IV I ' ly 2J DATE '7 L-`f'Lj`GYi' WORKJq LI�PHONE `.SLVJ ' ,S,atyLl eVIRS ADDRESS J A a (circle o 1� BEST DAY TO INSTALL: M T W TH F CITY,STATE r2< tcn'1 i�./a - (Please circle one) - PRODUCT SPECIALIST 61z55 BRANCH: WC>b ESTIMATED START DATE ' 2,6'« TOTAL#OF #OF DOORS WINDOW COLOR ' WINDOWS #OF BOW/BAY/GARDEN � sell. i � inside/Out• sid; � CAP COLOR� 4 � OPENING SIZE STOPS NO. STYLE W x H U.I. LOCATION GRIDE SCR IN OUT ADDITIONS OPENING CUT ls2 ISr Zf, �14 iV 0 L 9' x 7✓' x 7 t�3 7S S� Z>5 x(14" 7 U✓ /rz. x ,S x !) 7f t'� Zi+ X Q'b 7 - /e 0 A xq x -7y 91M x . ICY) y(9 "9� k 'f Q 7- Hs L �,t ^!�+ �Jj l �j / G r x OY �� ZffiX TIrY �y IL-/�T W A O % J J7 % x ( x S `!S Ito '75 j-- a, x4VC7 7ij t°tl f J y- 1S %qS x I I 115-4 % f t3 rCv x r t 7$j �Yr K y� -7(f dij7 /y x w- x t I 7S'S'- Zpt Y& 7y r �x FJ !// f x x x . Measurema';) InitiaCAI l ate Cre �¢e Needed Time Frame to complete job C ppi� n/g Type / Special Installation Instructions: ( , VOL 0 D (l n/ i-�S U wIV 140Vf6 Directions to site: t .o� G 5 Pe- Revised 1101' s rom 'mto ours... NL07 ♦ JOB# Windows,Siding and More ` Page_of_ CUSTOMER x E-MAIL ADDRESS HOME PHONE DATE -2 I'd WORKICELL PHONE (Circle one) ADDRESS BEST DAY TO INSTALL: M T W TH F CITY,STATE � • (Please circle one) PRODUCT SPECIALIST - ?Lt-SS BRANCH: ESTIMATED START DATE TOTAL#OF #OF DOORS WINDOW COLOR WINDOWS - #OF BOW/BAY/GARDEN Slonn,Steel,Patio Insideroutslde CAP COLOR OPENING SIZE - STOPS NO. STYLE W x H U.I. LOCATION GRIDE SCR O ADDITIONS OPENING CUT x L s' ALK'6C) Fwn{ xOf x xgo RKmcd- bl x x x x x x x x x x x x x x x x x x x x x x x x Measureman: Initials Date //jj,, Crew Size Needed Time Frame to complete job Capping Type Special Installation Instructions: �"'yy� /6Lk�.,vn 4 l v "n S� / / Z �/ .S-Ao4,&1 }, ;-Fs ex�-1,�r �i�� .al�t:� P el 211 Je— 051A s dz- 11 Directions to site: V j O - 4'll- Lie1A I