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23A-134 (17) 83 PINE ST BP-2022-0102 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:23A- 134 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:window replaced BUILDING PERMIT Permit# BP-2022-0102 Project# JS-2022-000173 Est.Cost: $18927.00 Fee: $133.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: PELLA PRODUCTS, INC 096558 Lot Size(sq. ft.): 74052.00 Owner: Hill Institute Zoning: URB(100)/ Applicant: PELLA PRODUCTS, INC AT: 83 PINE ST Applicant Address: Phone: Insurance: 155 MAIN ST (413) 772-0153 WC GREENFIELDMA01301 ISSUED ON:7/27/20210:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 11 REPLACEMENT WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Cgl • Certificate of Occupancy Signature: FeeTvpe: Date Paid: Amount: Building 7/27/2021 0:00:00 $133.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner 0 O/�`9o�0 (yS`✓ )V/ iro5/11 The Commonwealth of Massa u s �c' ° Office of Public Safety and Inspectio ` V' Massachusetts State Building Code(780 CMR) V 2 Building Permit Application for any Building other than a One-or T a Dwellin (This Section For Official Use Only) Building Permit Number6p?� /UL Date Applied: Building Official: SECTION 1:LOCATION lab v3`f No.and Street City/Town Zip Code Name of Building(if applicable) SG3 t?i.af� s—r 1pren�cF. c� tc t-l*. It Ts Assessors Map# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here 0 or check all that apply in the two rows below Existing Building Repair X Alteration 0 Addition 0 Demolition 0 (Please fill out and submit Appendix 2) Change of Use 0 Change of Occupancy 0 Other 0 Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No, Is an Independent Structural Engineering Peer Review required? Yes 0 No XI Brief Description of Proposed Work R C e wi'e uT W TZ-e_p at► c.� LI t.x to4-1)0WS vStauS �K s,4 a"petki> 0 c ti y-e 4-04-0 hs ea..ol,e CSU — -17-AC-ro t = . aq SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1❑ A-2 0 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational Qf F: Factory F-1 0 F2 0 H: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-5 0 I: Institutional I-1 0 I-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2 0 R-3 0 R-4 0 S: Storage S-1 0 S-2 0 U: Utility 0 Special Use 0 and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB ❑ HA 0 IIB 0 ILIA IHB ❑ IV 0 VA VB 0 SECTION 7:SITE INFORMATION(refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information Sewage Disposal: Trench Permit Debris Removal: Public CICheck if outside Flood Zone 0 Indicate municipal 0 A trench will not be Licensed Disposal Site 0 required 0 or trench or specify: Private 0 or indentify Zone: or on site system 0 permit is enclosed 0 Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable 0 Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed 0 Yes 0 or No 0 Yes 0 No 0 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner N--. I 1 TJJSTIT/TF S.3 W,*<t= 5.1- - - I of ear e OlO(pA Name(Print) No.and Street City/Town Zip Property Owne Contact ormation: C h c'► s till E L `I 13 -5i 4 17 ) _ - C I•l a v% At ti L ET (1'.I I'ws;.lb Title Telephone No.(business) Telephone No. (cell) e-mail address .Gv If applicable,the property owner hereby authorizes: Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here O. Otherwise provide construction control forms(see section 107 in the code)as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordinating document submittals) I I 'ems rz Z COS S 4l3-.pia..- 5C1 I. pea. .;+s o?,Ilosa)es Cbm I ' 1 9 Name(Registrant) Telephone No. e-mail address Registration Number l 0 G-cvti(t; S+ Grre r-.e.ld -Ma- 6136 I 3-a3-2.02.7 Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor t�,e I t v... Imo- roc ..3s Z,,t'c- Company Name Trevor 13ros5 CS -09 Co 55 7 — U Name of Person Responsible for Construction License No. and Type if Applicable 1 SS Mat.J ST' Cr 2eeas .i ELD MA- 0 13o I Street Address City/Town State Zip 9'3 -5.1a,- 5CICoS - - ?CAC wi:.+S @?e_,11a gales .Coll Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:W.RKERS'COMPEN ATION INSURANCE AFDAVIT M.G.L.c.152. : 25C 6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes CI No CI SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ I%9 al. SO Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal factor)_$ . 3.Plumbing $ .2/ 4.Mechanical (HVAC) $ ,s' Note:Minimum fee=$ 'v (contact municipality) 5.Mechanical (Other) $ 0- Enclose check payable to 6.Total Cost $ I i y").-1. 50 (contact municipality)and write check number here 7,2 iM- SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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. Z.e bo ro...1rt` -L •e f — ....(�C i, Co t u�r fel al Coord'iNeb2_-4 13- 51 a.— $9 Please print and sign name Title Telephone No. Date 1 c S fro.-%.)..) ST G-r•e7e_iv�►-4,11:1 $ Oi?0 l d it ltea peIIssal.es.c)AA Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: l,(7/ / 2fro-MZ.l P P PP PPr Name Date Pella Products, Inc. 155 Main Street Greenfield, MA 01301 Office:413-773-1157 Ext.317 Cell:413-834-8799 To: Building inspector From:Trevor Bross—Installation Manager Date: February 21, 2021 Subject: Building Permit Applications& Designees Pella Products Incorporated is in the business of replacing windows and doors for our customers. Our process includes providing a building permit for each and every project. I am a licensed Construction Supervisor. Building Permits will be applied for using my CSL#CS-096558 and my HIC# 142279. Please find a copy of my licenses below. Commonwealth of Massachusetts Construction supervisor f Drv�ston of Processional Licensutre Unrestricted-Buildings of any use group which contain Board of Building Reygulations and Standards less than 35,000 cubic feet 1991 cubic meters)of enclosed Co nst,ucttgtl DUp.►visor space. C S-096558 Expires:03/0112022 TREVOR BROSS 10 GEORGE STREET GREENFIELD MA 01301 Failure to possess a current edition of the Massachusetts Commissioner fi -e State Building Code is caust for revocation of this license. r� For information about this license Call(617)7273200 or visit wow.mass.govtdpl e „ 7.-ICI. e.seas Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Corporation before the expiration date. If found return to: Registration expiration Office of Consumer Affairs and Business Regulation 142279 03/23/2022 1000 Washington Street -Suite 710 PELLA PRODUCTS,INC. Boston,MA 02116 i /f ^ ELWIN HERRINGSHAW . L/v �-- 155 MAIN STREET GREENFIELD,MA 01301 Undersecretary Not valid without signa e Each Installation will be staffed by our installers who are all licensed in accordance with current building codes. Below listed are our installers and their license numbers. Please accept these individuals as my designees. Willard Brown CS106010 Vladimir Shevchuk CSSL099209 Scott Bowdish CSSL100232 Bill Leger CS89338 Christian Lambert CS065102 Robert Kairnes CS113305 Igor Kravchuk C3094911 PELLA PRODUCTS INC. 155 MAIN STREET GREENFIELD, MA. 01301 Date: f c.. 3 - I To: v. 1 OC-ekiG� Subject: Disposal of Debris The purpose of this letter is to certify that all debris from any project undertaken by Pella Products, Inc. in your town will be transported to a dumpster at our main facility; 155 Main Street, Greenfield, MA. Pella Products, Inc. is under contract with Waste Management of Massachusetts For the disposal of the contents of this dumpster. Very truly yours, PELLA PRODUCTS, INC. Denise Chartier Accounting Manager The Commonwealth of Massachusetts j Department of Industrial Accidents , ►., ' Office of Investigations _ !1 Lafayette City Center 1147'/ 2 Avenue de Lafayette, Boston, MA 02111-1750 www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): PELLA PRODUCTS, INC Address: 155 MAIN STREET City/State/Zip: GREENFIELD, MA 01301 Phone #:413-772-0153 Are you an employer? Check the appropriate box: Type of project(required): 1.El I am a employer with 50 4. in I am a general contractor and I 6. ID 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. 7. ® Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition workingfor me in anycapacity. employees and have workers' P n' 9. ❑ Building addition [No workers' comp. insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.1=1 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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 state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: EMC INSURANCE COMPANIES Policy#or Self-ins. Lic. #:6H 15382 Expiration Date:01-01-2022 Job Site Address: Z 3 -P-,JCS Ste- City/State/Zip1- loYe rVC-.e.IP A 0 10(oa 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 nd the pains and p na ' of perjury that the information provided above is true and correct Signature: Date: 1 - I - - a. I Phone#: '-( 3- 5 I. . - 544 7 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): 10Board of Health 20 Building Department 3❑City/Town Clerk 4.0 Electrical Inspector 50/Plumbing Inspector 6.0Other Contact Person: Phone#: ___—...'....,,, PELLPRO-01 CHRISTINE ACORI CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) �-� 12/21/2020 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER cAMEo9t�A:CT Christine Sullivan Si Phillips Insurance Agency,Inc. PHONE FAX s7 Center Street lac,No,Ext):(413)58�-5984 I WC,so:(413)592.8499 Chicopee,MA 01013 j DaRiss:christine@phUOpsinsurance.com INSURER'S)AFFORDING COVERAGE NAIC ft POURER A:EMC Insurance Companies 21415 INSURED INSURER B:Union Insurance Co of Provlden Pella Products,Inc INSURER C: 155 Main St INSURER D Greenfield,MA 01301 INSURER E: INSURER P: COVERAGES CERTIFICATE NUMBER: 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 POUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCWSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SUSit L R TYPE OF INSURANCE INNSSDL?ND POLICY NUMBER aZirs "YI I MIMl UMTn A X COMMERCIAL GENERAL(.)ABILITY EpAACMHA OCCURRENCET�Esl _3__ 1,000,000 1 CLAIMS-MADE X OCCUR 6A15382 1/1/2021 1/1/2022 PREY SES( E enoei $ 500,000 _.._ MEDEXP(Any ono person) .$ 10,000 PERSONAL&ADV INJURY $ 1,000.000 GEM A GATE UNIT APPLIES PER: GENERAL AGGREGATE $ 2.000,000 POLICY X P LOC PRODUCTS-COMP/OP AGG $ - 2,000,000 i OTHER: f S A AUTOMOBILE LIABILITY OM NEDtSINGLE LIMIT $ 1,000,000 X ANY AUTO _ 6Z16382 1/1/2021 1/1/2022 BODI LYINJURY(Per person) $ OWNED I SCHEDULED AUTOS ONLY _ AUTOS yy BODILY INJUPROPERTY RY(PeratlddsnB $ HIRED ONLY AUOTOS ONLY (Perr accident)DAMAGE 3 1 $ A X UMBRELLA LIAR li X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS UAB i CLAIMS-MADE 6.115382 1/1/2021 1/1/2022AGGRE GATE $ 4,000,000 DED X RETENTION$ 10,000 B WORKERS COMPENSATION X AND EMPLOYERS'UABIUTY STATUTE gRTN- ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 6H15362 1/1/2021 1/1/2022 EL EACH ACCIDENT $ 500 ram OFFIICCEER Mi^N R EXCLUDED? N NIA 500,000 1(M B' ) EL DISEASE-EA EMPLOYEE$ (H yes describe under 500,000 DESCRIPTION OF OPERATONS below E.C.DISEASE-POLICY UNIT $ • DESCRIPTION OF OPERATIONS/LOCATIONS f VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Installation Floater$50,000 Included Operations usual to the sale and installation of doors&windows. CERTIFICATE HOLDEN_,. — CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPTION ATE THEREOF, Town of Florence(Northampton)Building Commissioner's ACCORDANCE WITH THE POUCYPROVISIONS.NOTICE WILL BE DELIVERED IN Office 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Contract - Detailed ?A, Pella Window and Door Showroom of West SpringfieldSales Rep Name: Schabacker, Don 69 Ashley Avenue Sales Rep Phone: (413) 736-9239 West Springfield, MA 01089 Sales Rep Fax: 413-527-3620 Phone:(413) 736-9239 Fax: (413) 736-3390 Sales Rep E-Mail: dschabacker@pellasales.com Customer Information Project/Delivery Address Order Information Hill Institute Hill Institute 2nd Floor 83 Pine St Florence MA Quote Name: contract 7-12-21 83 Pine St 83 Pine St Order Number: 184W8HS101 FLORENCE, MA 01062-1924 Lot# Quote Number: 14028869 Primary Phone:(413)5841725 FLORENCE, MA 01062 Order Type: Installed Sales Mobile Phone: County: HAMPSHIRE Wall Depth: Fax Number: Owner Name: Payment Terms: C.O.D. E-Mail: Hill Institute Tax Code: MAEXEMPT Contact Name: Owner Phone: (413)5841725 Cust Delivery Date: 12/27/2021 Quoted Date: 5/3/2021 Great Plains#: 1006226370 Contracted Date: 7/12/2021 Customer Number: 1010071487 Booked Date: 7/12/2021 Customer Account: 1006226370 Customer PO#: Line# Location: Attributes 10 None Assigned Architect, Traditional, Double Hung, 33.25 X 85, White Item Price Qty Ext'd Price I $1,674.62 6 $10,047.72 II 1:Traditional,Non-Standard SizeNon-Standard Size Double Hung,Equal x Frame Size: 33 1/4 X 85 II PK# General Information: Standard,Style,Clad, Pine,5",3 11/16" Exterior Color/Finish: Painted,Standard Enduraclad,White 335, 2091 Interior Color/Finish: Linen White Paint Interior Sash/Panel: Ogee,Ogee,Standard, No Sash Lugs Viewed From Exterior Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: Cam-Action Lock, White, No Window Opening Control Device, No Limited Opening Hardware, Order Sash Lift, No Integrated Sensor Screen: Full Screen,Standard EnduraClad,White, Premium, InViewTM Performance Information: U-Factor 0.29, SHGC 0.25,VLT 0.47, CPD PEL-N-232-00255-00001, Performance Class CW,PG 30, Calculated Positive DP Rating 30, Calculated Negative DP Rating 30,Year Rated 08111, Egress Meets Typical 5.7 sqft(E) (United States Only) Grille: ILT, No Custom Grille,7/8",Traditional(2W1 H/2W1 H), Putty Glaze,Ogee Wrapping Information: No Exterior Trim, 4 11/16", 6", Standard Four Sided Jamb Extension, Factory Applied, User Defined Rough Opening Clearance, 1/4", 1/4", 1/4", 1/4", Perimeter Length=237". Rough Opening:33-3/4"X 85-1/2" MP-4-1 Wide Modified Pocket Installation Qty 1 For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 7/14/2021 Contract-Detailed Page 1 of 8 Customer: Hill Institute Project Name: Hit Institute 2nd Floor 83 Pine St Florence MA Order Number: 184W8HS101 Quote Number: 14028869 AC-9B2-OTHER-2 Qty 1 Line# Location: Attributes 15 None Assigned Architect, Traditional, Double Hung, 39.75 X 85,White Item Price Qty Ext'd Price $1,571.40 5 $7,857.00 w � 1:Traditional,Nonstandard SizeNon-Standard Size Double Hung,Equal �' Frame Size: 39 3/4 X 85 PK# General Information: Standard,Style,Clad, Pine,5",3 11/16" Exterior Color/Finish: Painted,Standard Enduraclad,White . a ;, . 2091 Interior Color/Finish: Linen White Paint Interior Sash/Panel: Ogee,Ogee,Standard, No Sash Lugs Viewed From Exterior Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: Cam-Action Lock, White, No Window Opening Control Device, No Limited Opening Hardware, Order Sash Lift, No Integrated Sensor Screen: Full Screen,Standard EnduraClad,White,Premium,InViewTM Performance Information: U-Factor 0.29, SHGC 0.25,VLT 0,47, CPD PEL-N-232-00255-00001,Performance Class CW, PG 30,Calculated Positive DP Rating 30, Calculated Negative DP Rating 30, Year Rated 08111, Egress Meets Typical 5.7 sqft(E) (United States Only) Grille: ILT,No Custom Grille,7/8",Traditional(2W1 H/2W1 H), Putty Glaze,Ogee Wrapping Information: No Exterior Trim, 4 11/16", 6", Standard Four Sided Jamb Extension, Factory Applied, User Defined Rough Opening Clearance, 1/4", 1/4", 1/4", 1/4", Perimeter Length=250". Rough Opening:40-1/4"X 85-1/2" AC-9B3-OTHER-3 Qty 1 MP-4-1 Wide Modified Pocket Installation Qty 1 Line# Location: Attributes 20 Interior Stops 17 pieces of 1 x 4 x 96" Poplar stock painted in shop in Line white Item Price Qty Ext'd Price $291.94 1 $291.94 LW-Pella Linen White Semi-Gloss Paint Qty 1 For more information regarding the finishing, maintenance, service and warranty of all Pella® products, visit the Pella®website at www.pella.com Printed on 7/14/2021 Contract-Detailed Page 2 of 8 Customer:Hill Institute Project Name: Hill Institute 2nd Floor 83 Pine St Florence MA Order Number: 184W8HS101 Quote Number: 14028869 ❑Project Checklist has been reviewed Order Totals Customer Name (Please print) Pella Sales Rep Name (Please print) Taxable Subtotal $12,080.50 Sales Tax c 0% $0.00 Customer Signature Pella Sales Rep Signature Non-taxable Subtotal $6,847.00 Total $18,927.50 Date Date Deposit Received $9,463.75 Amount Due $9,463.75 Credit Card Approval Signature For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 7/14/2021 Contract-Detailed Page 8 of 8 Customer Hill Institute Project Name: Hill Institute 2nd Floor Order Number: 184 Quote Number. 14028869 f7 G ha'1,..4 PiDe.so _ a be. Order Totals Cust mer N e (Please print) P es Rep Name (Please print) Taxable Subtotal $12,330.50 7 _ T �cci urn(' ,� Sales Tax @ 0% $fl.00 Customer Signature Pella Sales Rep Si nature �j Non-taxable Subtotal $6,597.00 0-- /a/gip //iZ' Z--✓ Total $18,927.50 Date Date Deposit Received $0.00 Amount Due $18,927.50 Credit Card Approval Signature For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 7/7/2021 Contract-Detailed Page 8 of 8