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51 LAFAYETTE ST - BUILDING INSPECTION (7) rorAL- ) The Commonwealth of Massachusetts F O` Board of Building Regulations and Standards CITY iTY� Massachusetts State Building Code, 780 CMR Revis�ALE 10l! Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Divelling This Section For Official Use Only . Building Permit Number: Date plied: Building Official(Print Name). - Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: �, 1.2 Assessors Map Br Parcel Numbers S' �}F4 ,Ef 4,f $� S _7 1.1 a Is this an accdpltecl street?yes ✓no_ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sy R) Frontage(It) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.O.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION2: PROPERTY OWNERSHIP' 2._L.Qwnerl of Record: i2 t_4 L A-Ltll-i4_ Ntnae(Print) City,State,ZIP 5C LA6�6f s�— qlF-�,f --st— No.and Stmet Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK](check all that apply) New Construction ❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) Altemtion(s) ❑ I Addition ❑ Demolition ❑ Accessory Bldg. ❑ 1 Number of Units_ Other ❑ Specify: Brief Description of Proposed Work': - klew,07 SECTION a: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and iblaterials) I. Building S �Vp� �' I. Building Permit Fee:$ Indicate how fee is determined: ?. Electrical S ❑Standard City/Town Application Fee _ ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing S 1. Other Fees: .$ 4. Mcchanical (11VAC) S List: 5. Mshauical (Fire S Suppression) Total All Fees:S _ Check No._Check Amount: Cash Amount:_ 6. Total Project Cost: S ,5000 ❑ Paid in Full 0 Outstanding Balance Due: r r SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) c nk�85 3lb-7G^/ I/V�,I f0!i` () License Number Expiration Date Name ofCSL Holder 0 List CSL'rype(see below) No.and Street 'rype - Descriptions U Unrestricted(Buildings u to 35,000 cu. 11.) by.wk- t7LP3' — Restricted 1&2 Fanuily Dwelling City own,State,ZIP NI Nlasonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 1 Insulation Tdc hung Email address D Demolition 5.2 Registered-Home Improvement Contractor(HIC)f. 77f•td .4— —ri II C Registration Number E.eptra[iun D ue 11C Cont my Name or IIIC Registrant Name Nt.anted Stre S Email address yt,L-02 44L1 /M/� A(G3 L.L. 'IF' 7d i /Town, State,ZIP 'rele hone SECTION 6:WORKERS'CONIPENSATION INSURANCE AFFIDAVIT(M.G.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 .........�K', No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING.PERMIT 1,as Owner of the subject property,hereby authorize 9 ! 'l g.4L,(Z@r� t j act on my behalf, in all matters relative to work authorized by As building permit application. Print Owner's Nmne(Elect�ni Signature) Date SECTION 7b:OWNERI 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. ze Pn"I't Owner s or Authorize I Agent's Name(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do hisiher own work,or an owner who hires an unregistered contractor (not registered in the Flome 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.ntass o.�� voca Information on the Construction Supervisor License can be found at www.ntass. ov!J tLs 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage, finished 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 coolingsys[em Enclosed Open 3. "rotal Project Square Footage"may be substituted for"Total Project Cost" CITY OF S�1LE1I, NLUSACHUSETTS BL•ILDLNG DEPARTMENT N 130 WASHLNGTON STREET, 3AO FLOOR T FL. (978) 745-9595 FAX(978) 740-9846 Kj,%tBFRT FY DRISCOLL MAYOR THo.%w ST.PIEm DIRECTOR OF PUBLIC PROPERTY/BUILDING COSOQSSIONER Construction Debris . Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit# is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111, S 150A. The debris will be transported by: (nAc of hauler) The debris will be disposed of in : (name f facility) (address of facility) O(b.-Z v signature of permit applicant date dcbi i>o 1�:Jx — Department oflndustrial 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 � rr Name(Business/Orgaoization/Iudividual): ,A Nafe Address: f4,5 �!Ivt_lz_ r-;,per City/State/Zip: o-/11jl=_J �l 1��f) t fdS �- Phone#: -7, -Are you an employer? Check the appropriate box; 1 a general contractor and.I. Typebf-project`(required): m a ---_—__1J!c13nLa-CmplO-yELw1t}Lr-.�:_`__:❑_^_g _ _ .. .. e have_hired-the-sub_contractois�_ ©New conshucttvn --- employees-(fuH-and/or-part-time)- — 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. &Rtmodeling slip and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp. insurance? required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' camp. right of exemption Der MGL i2.❑ oof repair insurance required.]t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] 'My applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit ind icating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. TContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-conoactors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: /V/�EAgia&t(f�f? .J')y-s [nit Policy#or Self-ins.Lic.#: gL'no`l o /e—,I Expiration Date: .Job Site Address: City/State/Zip:. Attach a copy of the workers' compensation policy declaration page(showiug 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 perjury that the information provided above is true and correct Signature: AD` �_ Date: -7 Phone#: C c .. -- 7 Fther only. Do not write in this area, to be completed by city or town off ciai n: Permit/License# ority(circle one): Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: av® CERTIFICATE ®F LIABILITY INSURANCE 0]/0&20S13MM ODIYYYY 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(ies) 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 endomement(s). PRODUCER CONTACT DomthyA.Corlett,CIC,RPLU Fred C.Church,Inc. NAME: 41 Weliman Street PHONE 978 322T231 FAX (970)454-1 865 Lowell,MA 01851 C NoINC,Rol, (800)2251865 E"MAIL doode861fredschundr.com ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURERA: Citizens Insurance Company of America 315N INSURED New England Window 8 Door LLC INSURERS: Hanover Insurance Company 22292 45 Fondi Road INSURER C: Massachusetts Bay Insurance 22306 _INSURERO.:-..New Hampshire Employers Insurance Company 13083 .... ... ____ --._-._ -INSURERS': —- - --INSURER F— -- COVERAGES CERTIFICATE NUMBER:2029 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 ADOL UBR POLICYEFF POLICY UP LTR TYPE OF INSURANCEABEL-WE POLICY NUMBER MMDD MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 % COMMERCIAL GENERAL LIABILITY A' T N 0 100,000 PREMISES Ea occuPence $ CLAIMS-MADE OCCUR M ED EXP(Anyone person) $ 10,000 A ZBN8161407 7/112013 7/112014 PERSONAL S ADV INJURY $ 1.000,000 GENERAL AGGREGATE $ 2.000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY % PRO- X LOG $ AUTOMOBILE LIABILITY COMBINED t SINGLE LIMIT(Ea1,000,000 X ANY AUTO BODILY INJURY(Per person) $ C ALLOVINED SCHEDULED AON8162169 ]/12013 T/1/201d AUTOS AUTOS BODILY INJURY(Pere¢itlent) $ HIRED AUTOS NON-OWNED PROPERTY DAMAGE AUTOS Peraccident $ $ X UMBRELLA LAB X OCCUR 9,000,000 EACH OCCURRENCE $ B EXCESS LIAR CLAIMS-MADE UHNS167305 7/l/2013 711/2014 AGGREGATE $ 9,000,000 DED RETENTIONS $ WORKERS COMPENSATION % Vr45TATU- OTH- ANDEMPLOYERS'LUIBIUTY YIN D ANY PROPRIETOR/PARTNEWEXECUTIVE❑ E.L.EACH ACCIDENT $ 500.000 OFNCER/MEMBER EXCLUDED? NIA 400040101 7/112013 7/112014 (Mandatory........ E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,descd0 under [ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ `v00,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Atldltionel Remarks schedule,If more space Is requiretll CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE P P]f- "�i� Glent# Met# 26U9 Cart Holder# 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD - f lslassachuse Its - Department of public Satety Board pf 8uilciing Rec,ulaiiops and, standards U!nstructi n superaf or _icense CS-089853 ,� , a - W ILLIAM R NICHOLS ,, �^t�5'''r' 57 PEARTREE RD HAVERHILL MA 01830 9,si 10/26/2014 - I `�Cwiewo"mCCA/"AD 41r»odruerid . Vtti ffice of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR . — egistration: 429774 Type. Expiration: 1j62015 Supplement r: PELLA WINDOWS AND DOORS - WILLIAM NICHOLS 45 FONDI RD, HAVERHILL, MA 01832 Undersecretary Contract - Detailed Pella.Window and Door Showroom of Haverhill Sales Rep Name: Duff, Stephen 45 Fondi Road Sales Rep Phone: 978-373-2500 Haverhill, MA 01832 Sales Rep Fax: Phone: 9783732500 Fax: 9783737274 Sales Rep E-Mail: 'DuffS@pellaboston.com Customer formation Project/Delivery Address Order Information SHIRLY WALKER WALKER,8HlRLY,SALEM,MA,126g770 Quote Name: PATIO DOOR 51 LAFAYETTE STREET#507 51 Latfayette St.Unit 507 Order Number: 741 SALEM, MA 01970 Lot# Quote Number: 4861405 Day Phone: Salem,MA 01970 Order Type: Installed Sales Mobile Phone: County: Payment Terms: DeposiUC.O.D. Fax Number: Tax Code: MA TAX 6.25 E•Mail: Quoted Date: 719I2013 Great Plains#: Customer Number: 1004696990 Customer Account: 1001138412 Accessories Managed I Delivery Date Door Handles 10/4/2013 Customer Notes: Permit Fee Paid:$40 Line# Location: Attributes 10 None Assigned Delivery/Setup-Delivery/Setup Qty 1 For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com DAM.Ann ln/nronia r`nnlrnM_n.4/ ;I.A Dine + nr F Customer: SHIRLY WALKER Project Name: WALKER;SHIRLY,SALEM,MA,1269770 Order Number: 741 Quote Number: 4861405 Line# Location: Attributes 15 Balcony Patio Door Architect, Outswing Door, Architect,Transom,36 X 105.5,.Morning Sky Gray,4.9/16" oty 1 1:3682 Left Outswing Door PK# Frame Size: 36 X 81 1/2 587 General Information: Standard,Clad,Pine,None,Standard Sill,Brown Finish Sill,Standard Frame Stops - Exterior Color I Finish: Standard EnduraClad,Morning Sky Gray .Interior Color I Finish: Bright White Interior Glass: Insulated Tempered Low E Advanced Argon.Gas Hardware Options: Multipoint Lock,Order Handle Set,Satin Nickel,Random,Stainless Steel Viewed From Exterior Grille: None, Frame Size: Horizontal Mull 1: FieldMull,Standard(Horizontal Field)IV) 2: Non-Standard Size Transom Final Wall Depth:4-9/16" Frame Size: 36 X 24 General Information: Standard,Clad,Pine,None Exterior Color I Finish: Standard EndursClad,Morning Sky Gray Interior Color/Finish: Bright White Interior Glass: Insulated Low E Advanced Argon Gas Grille: None, Wrapping Infornatlon:ieWsWFieerFactory Applied,Mullion Cover,Standard Flat,4-9/16"Factory Applied,Perimeter Length=283 Glazing Pressure= 135. 3rd Story and Above->30ft To Top Of Window- Install Charge(per unit) City 1 Finish Patio Trim-Finish Paint(Stain Patio Door Interior Trim Only Oty 1 PD_Single-Install Single Patio Door Oty 1 Field Mull Win/Dr-Mull Window or Door in Field Oly 1 Line# Location: Attributes 20 None Assigned October Rebate•October Rebate City 1 Thank You For Purchasing Pella® Products PELLA WARRANTY: Pella products are covered by Pella's limited warranties in effect at the time of sale.All applicable product warranties are incorporated into and become a part of this contract. Please see the warranties for complete details,taking special note of the two important notice sections regarding installation of Pella products and proper management of moisture within the wall system.Neither Pella Corporation nor Pella Windows&Doors will be bound by any other warranty unless specifically set out in this contract. However,Pella Corporation will not be liable for branch warranties which create obligations in addition to or obligations which are inconsistent with Pella written warranties. For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com oa„wa,.., 1n1A lOM 9 Customer: SHIRLY WALKER Project Name: WALKER,SHIRLY,SALEM,MA,1269770 Order Number: 741 Quote Number: 4861405 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. Project Checklist Review (installed Orders Only) Before the Installation the Homeowner aarees to do the followina: 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 aarees to do the followina: Obtain Building Permit(When required) Prefinish products when purchased in contract Durina the Installation the Homeowner aarees to do the followina: 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 aarees to do the followina: 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 aarees to do the followina: Be available for completion and sign off to verify all products purchased are in working order For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com Customer: SHIRLY WALKER project Name: WALKER,SHIRLY,SALEM,MA,1269770 Order Number: 741 Quote Number: 4861405 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 Project Checklist has been reviewed Customer initial Product Only Addendum has been reviewed Customer initial Credit Card Account#: Last 4 Digits Expiration Date: / Charge final payment to same account (Upon substantial completion) Customer initial For more information regarding the finishing, maintenance,service and warranty of ail Pella®products,visit the Pella®website at www.pella.com o.:.._a.., 4nIe,anAo n...a..,,.. n.,,.,:o.d n--- a „r c Customer:SHIRLY WALKER Project Name: WALKER,SHIRLY,SALEM,MA,1269770 Order Number: 741 Quote Number: 4861405 j Project Checklist has been reviewed SktA(,r LJktxvt2 Custgger Name (Please print) Pal a Sale ep a (Please Print) Orden Totals Taxable Subtotal $2,894,41 Customer Signature / Pella Sales to g ature Sales Tax @ 6.25% $180.90 to 4 //3 Non-taxable Subtotal $1,379.00 Date Date I f Total $4,454.31 Deposit Received $2,227.16 Credit Card Approval Signature Amount Due $2,227.16 For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com ca.a.A.. 1 NAMM 9 PELLA WINDOWS AND DOORS CONTRACT 7 PAYMENTS 1. TERMS AND CONDITIONS Pella shall be entitled to stop the Work upon written notice to Owner for any material default or failure by Owner,including but not limited to,the Owner's These Terms and Conditions are an integral part of the contract set forth on the failure to pay Pella the amonrm due within seven days after the date payment is Product Order(the"Contract")between New England Window and Door LLC due. dha Pella Windows&Doors,Inc.("Pella')and the person(s)identified on the Product Order("Owner")to supply the products(the"Products"),and perform B CORRECTION OF WORK the work(the"Work")described or referred to in such Camracl. For Product Only purchases,a signed"Product Only Addendum"is a required part of the Pella shall correct installation Work not in comermance with the requirements contract. of 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 provided and payment of the Porchrse Prig'made subject to a holdback as provided above.Correction of Work as herein provided shall be Owner's sole Pella is not responsible for any existing security systems.Owner shall remove remedy for defective workmanship,and is provided in lieu of any and all other all shades;verticals,blinds,contains,drapes or window mounted air remedies.Pellet's obligation to correct Work is conditioned on Pella's prior conditioners,prior to the installation of the Products.Pella's installers are not receipt of all payments then due. responsible for the removal or installation of these types of items. Pella is net responsible for pre-existing window coverings fining on newly installed Pella 9. LI117TM PRODUCT WARRANTY windows. Pella shall warrant all Pella products,but only in accordance with the Feller 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 OFMERCHANTABILITY OR FITNESS Pella will be responsible for and have control over conxtmaion means, FOR A PARTICULAR PURPOSE). methods,techniques,sequences and procedures and for coordinating all portions of the We&.Pella will be responsible for the Work of its Pella 10. NO CONSEQUENTIAL DAMAGES Contactors who will install the Products. UNDER NO CIRCUMSTANCES SHALL PELLA BE FABLE FOR Unless provided otherwise in the Wad:description,Pella will provide and pay CONSEQUENTIAL,INCIDENTAL,INDIRECT,OR SPECIAL DAMAGES, for all labor,materials,equipmem,tools and machinery,tri mspmtation,and WHETHER FORESEEN OR UNFORESEEN. other facilities and services necessary for the proper execution and completion - of the Work. If. HOME IMPROVEMENT CONTRACTORS The materials and equipment furnished under The Contract will be good quality All home improvement contractors and subcontractors shall be registered with and new unless otherwise required or permitted,the Work will be free from the director of the Home dopmvemtent Contractor Registration Program defects not inherent in the quality required or permitted,and the Work my of its subcontractors co the Board of Building Regulations and Standards.re Pella and conform with the requirements of this Contract.Pella shall net be responsible An of its subcontractors identified in this agreement have been registered. for damages or defect.%caused by abuse,modifications net executed by Pella, Any ld be diir about Pella ec any of its subcontractors. relating to registration improper or insufficient maimemnce,improper operation or normal wear and should h urton Place- to:Director,Home Improvement Contractor Registration, test. Pella will keep the premises and surrounding area fire from One Ashburton Flare.Boston,MA 02108,617-727-8598 accumulation of waste materials or rubbish caused by performannce of the 12. PERMITS(MA customers only) Work. Pel 's IJgatd to and will obtain the following permits for this project: d. CHANGES cl Homossumens who secure their own permits will be 4� excluded from a guaranty fund previsions of Massachusetts General Laws, The Owner may order in writing changes in the Work consisting of additions, chapter 142A. deletions,or modifications("Change Order"). Any Change Order shall include an adjustment to the Price and the Substantial Completion Date,as In addition to due rights and warranties enumerated 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 Oder and any such Change Oder must be signed by bah 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 allow 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 Cad,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 net 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 is substantially completed by such date,i.e.,the Product has been installed,but minor pans 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 pans 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 Price,whichever is less. Do not sign this contract if there are any blank spaces. 6. FINANCING S��� If payment of the Price is financed with a financial institution through Pella,allfinancing paperwork must be completed upon signing of this Contract and thel/iC/1] requisite approvals and authorizations for the full amount of the requested Financing shall have been received from the financial institution. Customer signature (, Date l DISPUTES Job Name Date 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 ONSUM[ER SHALL BE REQUIRED TO SUBMIT TO SUCH ARBITRATION A ROVIDED IN M.G.L.c. 142A Contra for omeowner NOTICE: THE SIGNATURE OF THE PARTIES ABOVE APPLY ONLY TO THE AGREEMENT OF THE PARTIES TO ALTERNATIVE DISPUTE SETTLEMENT INITIATED BY THE CONTRACTOR. THE OWNER MAY INITIATE ALTERNATIVE DISPUTE RESOLUTION EVEN WHERE THIS SECTION IS NOT SEPARATELY SIGNED BY THE PARTIES. NOTICE OF CANCELLATION Customer Name: OCAC—e_( rr PI print) Date of transaction: l� , 7 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 sellers 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 (three business days from the date of transaction above). I hereby cancel this transaction. (Date) (Buyer's signature)