41-005 (2) Customer: Eve Andrade Project Name: Andrade Eve 1472 Westhampton Road Order Number: 739N2FM061 Quote Number: 5792654
Northampton MA
*Bu3-er(s)has received the Pella Product Limited warranty or reviewed at pella.com/warranty(int.),
Product is finished by Pella and the finish is covered as set forth in the Pella Product warranty(int.)f;Product is not finished by Seller or Pella and Buyer(s)will undertake prompt finishing in
accordance with applicable instructions(int.)_
Refer to Pella Corporate Warranty
❑Project Checklist has been reviewed
Customer Name (Please print) Pella Sales Rep Name (Please print) Order Totals
Taxable Subtotal $15,083.08
Customer Signature Pella Sales Rep Signature Sales Tax @ 6.25% $942.69
Non-taxable Subtotal $7,974.23
Date Date Total $24,000.00
Deposit Received $12,000.00
Credit Card Approval Signature Amount Due $12,000.00
For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 6/12(2014 Contract-Detailed Page 13 of 13
customer: Lve Andrade Project Name: Andrade Eve 1472 Westhampton Road Order Number: 739N2FM061 Quote Number: 5792654
Northampton MA
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 Products Inc 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.
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.
This form constitutes a contract between Buyer and Seller.Estimate does not guarantee availability of any product listed. Pella Products Inc.management has final authority on acceptance of this
order. Your signature confirms the accuracy of the product(s)chosen.
Pella Products assumes no responsibility for accuracy of take offs from drawings or blueprints or that the products listed will be sufficient to complete customer's intended project. The Buyer agrees
that the product(s)listed herein are correct,final and cannot be changed,returned or canceled.
Deposits are partial payment of the contract and are not refundable. The Buyer agrees that if paying by credit card that authorization is granted to the seller to debit the Buyers credit card by signing
this contract. The Buyer agrees that payment discounts do not apply when paying with a credit card. A 1-1/2%SERVICE CHARGE per month(18%PER ANNUM)will be added to all outstanding
balance past our stated terms,plus lawyer and account fees for collecting outstanding accounts.
The Buyer agrees that the customer delivery date is a realistic estimate of when the product is to be delivered. Items remaining in our warehouse for more than 30 days beyond the agreed to delivery
time will be subject to a storage and handling fee of 1%of the net amount of the order($25.00 minimum charge).
The Buyer agrees that the product can be delivered without the Buyer present and agrees to accept the shipping documents as proof of delivery. The Buyer agrees not to hold the Seller responsible for
any damage to driveways,sidewalks,trees and overhead wires caused by the Seller's delivery vehicles.
The Buyer agrees to examine the product(s)upon delivery and within 7 DAYS OF DELIVERY provide the Seller notice of any discrepancy between the product(s)ordered and the products(s)
delivered,including hardware. If the Buyer does not provide notice within 7 days the Buyer accepts the product(s)as is.
This sales agreement consists of and is subject to the Terms and Conditions set forth on subsequent pages of this document as well as the terms and conditions of the applicable Pella
Product Limited Warranties available at pella.com/warranty and Seller's Installation Limited Warranty and Service Agreement and Seller's Finish Limited Warranty(if Seller is
providing finishing services)and referred to collectively as the"Contract".Please read the entire Contract carefully before signing.Contract must be signed within thirty(30)days of
Quoted Date for pricing to remain firm.Contract becomes binding only upon execution by Pella Products,Inc.("Seller")management.
Buyer understands the Total Care Guarantee is the Seller's Installation Limited Warranty and Service Agreement and Pella Product limited Warranty(ies)(int.)_
*Buyer(s)has received the Seller's Installation Limited Warranty and Service Agreement for Pella Products(int.)_
For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 6/12/2014 Contract-Detailed Page 12 of 13
customer: the Anoraae Project Name: Andrade Eve 1472 Westhampton Road Order Number: 739N2FM061 Quote Number: 5792654
Northampton MA
Line# Location: Attributes
100 stool,kitchen Wood Products Stool Round 2, Length: 96, Early American Stain.Wood Type: Pine Item Price Qty Ext'd Price
$61.84 1 $61.84
1: Accessory
Frame Size: 1 X 1
PK# General Information: Pine
Interior Color/Finish: Early American Stain Interior
641 Wrapping Information: Perimeter Length=0".
Viewed From Exterior
Line# Location: Attributes
105 PC to order Coil to be white. Not Green. Item Price Qty Ext'd Price
$0.00 1 $0.00
Line# Location:
Attributes
110 OV Changes ... Product Changes for sizing OV Per David White Item Price Qty Ext'd Price
($159.90) 1 ($159.90)
For more information regarding the finishing,maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 6/12/2014 Contract-Detailed Page 11 of 13
Customer: the Anaraae Project Name: Andrade Eve 1472 Westhampton Road Order Number: 739N2FM061 Quote Number: 5792654
Northampton MA
Line# Location: Attributes
85 Upstairs Replacement: Half Screen Only.Architect, Replacement Double Hung, 25 X 52.25 Item Price Qty Ext'd Price
I $61.05 4 $244.20
1:Non-Standard SizeNon-Standard Size Double Hung,Equal
Frame Size: 25 X 52 1/4
PK# General Information: Clad,Pine,4 3/4"
1 Service: Half Screen Only,Feb 2011 -Current
641 Sash/Panel: Standard
Screen: Standard EnduraClad,Hemlock, InViewTM
Viewed From Exterior Wrapping Information: Perimeter Length=155",Glazing Pressure=70.
Rough Opening:25-1/2"X 52-314"
Customer Notes: Hoimeowner request Hemlock screns on DH Units to match exsiting units in home
Line# Location: Attributes
90 kitchen casingstool Wood Products Lattice 2, Length: 96, Early American Stain.Wood Type: Pine Item Price Qty Ext'd Price
$61.84 2 $123.68
1: Accessory
I Frame Size: 1 X 1
PK# General Information: Pine
Interior Color/Finish: Early American Stain Interior
641 Wrapping Information: Perimeter Length=0".
Viewed From Exterior
Line# Location: Attributes
95 Llne#115 Shop to mill &touch up stain Item Price Qty Ext'd Price
$0.00 1 $0.00
For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 6112/2014 Contract-Detailed Page 10 of 13
customer: the Andrade Project Name: Andrade Eve 1472 Westhampton Road Order Number: 739N2FM061 Quote Number: 5792654
Northampton MA
Line# Location: Aftributes
75 Studio Architect, Replacement Casement Left, 25 X 52.25, Hartford Green Item Price Qty Ext d Price
$1,476.49 1 $1,476.49
r'
1:Non-Standard SizeNonStandard Size Left Replacement Casement
Frame Size: 25 X 52 1/4
PK# General Information: Standard,Clad,4",3 1/4",Sill Adapter Included
I Exterior Color/Finish: Standard Enduraclad,Hartford Green
641 Interior Color/Finish: Early American Stain Interior
_
Sash/Panel: Standard
Viewed From Exterior Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Hardware Options: Fold-Away Crank,No Limited Opening Hardware,White
Screen: Full Screen,White,InViewTM
Grille: No Grille,
Wrapping Information: No Exterior Trim, No Interior Trim,Pella Recommended Clearance, Perimeter Length=155",Glazing Pressure=55.
Rough Opening:25-1/2"X 52-3/4"
LP-1 -Lead safe practices this opening under 150 UI Qty 1
EAC-1 -Exterior Aluminum Capping(Coil Stock)up to 110 UI Qty 1
PF-1 -Interior Pocket Installation for Precision Fit Qty 1
Line# Location: Attributes
80 Door Trim if needed Wood Products Lattice 2, Length: 96, Bright White.Wood Type: Pine Item Price Qty Ext'd Price
$55.27 3 $165.81
1: Accessory
I � Frame Size: 1 X 1
PK# General Information: Pine
Interior Color/Finish: Bright White Interior
641 Wrapping Information: Perimeter Length=0".
Viewed From Exterior
For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 6/12/2014 Contract-Detailed Page 9 of 13
Customer: the Anoraoe Project Name: Andrade Eve 1472 Westhampton Road Order Number: 739N2FM061 Quote Number: 5792654
Northampton MA
Line# Location: Attributes
65 Prefinihsing Dislcai Item Price Q
Prefinsihing Disclaimer tv Ext'd Price
$0.00 1 $0.00
Customer Notes: PRE-FINISH DISCLAIMER
Stained and paint color samples are produced as accurately as possible:however,actual colors may vary from batch. Because
wood is a natural product,each window or door will display its own personality with regards to variation in color,texture and grain
pattern. Natural wood variations include distinctive grain patterns or unusual shadings in color. Due to the nature of using natural
products, Pella Windows and Doors cannot be responsible for the actual degree of variation that may occur in your purchase.
Line# Location: Attributes
70 Master Bed Architect, Replacement Casement Left, 25 X 52.25, Hartford Green Item Price Qty Ext'd Price
j+f+' $1,476.49 2 $2,952.98
1:Nonstandard SizeNon-Standard Size Left Replacement Casement
Frame Size: 25 X 52 1/4
y;`' PK# General Information: Standard,Clad,4",3 1/4",Sill Adapter Included
`- Exterior Color/Finish: Standard Enduraclad, Hartford Green
25 _ 641 Interior Color/Finish: Early American Stain Interior
Sash/Panel: Standard
Viewed From Exterior Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Hardware Options: Fold-Away Crank,No Limited Opening Hardware,White
Screen: Full Screen,White,InViewTM
Grille: No Grille,
Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance,Perimeter Length=155",Glazing Pressure=55.
Rough Opening:25-1/2"X 52-3/4"
PF-1 -Interior Pocket Installation for Precision Fit Qty 1
LP-1 -Lead safe practices this opening under 150 UI Qty 1
EAC-1 -Exterior Aluminum Capping(Coil Stock)up to 110 UI Qty 1
For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella&website at www.pelia.com
Printed on 6/12/2014 Contract-Detailed Page 8 of 13
customer: the Hnaraae Project Name: Andrade Eve 1472 Westhampton Road Order Number: 7391\12FM061 Quote Number: 5792654
Northampton MA
1._ Home was built prior to 1978, Pre Renovation Form signed and"Protecting Your Family From Lead in Your Home"
brochure has been given to the Home Owner.
2._ Are there children under the age of 6 or women who are pregnant?
Pella Will Owner Will
Authorize install of Yard Sign on 1 st day of installation and remove 7 days afterward
_ Finish(paint or stain)product purchased: Trim will be painted by customer
_X_ Ensure someone over age 18 is present at all times while Pella Employees are in the home
_X_ Cut-back or tie trees,bushes,shrubs from exterior wall
_X_ Arrange to have alarm system disconnected and reconnected-
Pella Products can re-route alarm wires but can not reconnect contacts
_X_ Arrange to have any plumbing or electrical repairs or changes by appropriate licensed contractor-
$500 charge for site unprepared on 1 day job
_X_ Remove and reinstall existing window treatments,wall hangings and air conditioning units-
4-5 feet in front/1 foot to side with clear path
_X_ Remove and reposition furniture in work area
_X_ Secure pets in a safe manner
X Remove valuable/breakable items from work area
_X_ Remove snow from area of worksite if necessary
_X_ Deliver and unload products
_X_ Place drop cloths in work areas
X Remove and reinstall interior and exterior trim if applicable
_X_ Remove and reinstall existing shutters and awnings by contract
_X_ Remove existing product and adjust or modify opening as needed
_X_ Provide all equipment necessary to install products
X Cut all wood and other materials outside of home
_X_ Install all products purchased
_X_ Insulate and caulk around products
_X_ Remove stickers and perform initial cleaning of all glass surfaces
_X_ Demonstrate proper operation of products
_X_ Confirm that all products are in working order
_X_ Remove drop cloths,vacuum and remove all old products from premises
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 6/1212014 Contract-Detailed Page 7 of 13
customer: the Hnaraae Project Name: Andrade Eve 1472 Westhampton Road Order Number: 739N2FM061 Quote Number: 5792654
Northampton MA
Line# Location: Attributes
60 Site Responsabilitie Site reposnsabilites ... Item Price Qty ExVd Price
$0.00 1 $0.00
Customer Notes: Site Responsibilities
1. 50%Deposit required at time of order.
2. Final payment is to be made to installation team on the morning of the last day of installation.
3. If the customer will not be present at time of install,payment is to be made prior.
4. Checks returned NSF will be assessed a fee of$50.00 to cover fees incurred by Pella. Failure to pay your final bill will result in
finance charges of 1-1/2%per month(18%Annual)and legal fees associated in the collection of owed monies.
5. Due to inclement weather or site conditions,it may be necessary to reschedule.
6. We cannot and will not guarantee specific dates or days of the week for installation.
7. Time given to complete a job is an estimate,extension of time is possible.
8. An install appointment will be confirmed at Verification. A courtesy reminder cal will be placed 1 week prior.
9. Unforeseen rot repair will be quoted on site as additional work via a Change Order.
10. Substantial completion is achieved when all available products have been installed and are operational. Items such as missing
or broken parts and service adjustments are covered by Warranty and do not affect the status of a project from being Substantially
Complete.
11. In the event that any products are unable to be installed,the final payment will be recalculated. The cost of the products not
installed will be subtracted from the balance due. A subsequent and final payment equal to the cost of products not installed as
scheduled will be due upon final completion.
12. Order is not binding until approved by Pella Products management.
13. Pella will secure all necessary Building Permits.
Type of Installation:
New Construction: (tear out installation-existing frame is disposed of)
_Remove interior and exterior Trim,remove existing window frame,install new window in rough opening,trim both interior and
exterior of window/door.
Pocket Install: (sash replacement,existing frame remains)
Remove interior or exterior stops,install new window in existing sash opening,re-use existing or replace window stops(interior
or exterior). Glass loss will occur.
Lead Paint Discloser:
For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 6/12/2014 Contract-Detailed Page 6 of 13
Uustomer: Eve Andrade Project Name: Andrade Eve 1472 Westhampton Road Order Number: 739N2FM061 Quote Number: 5792654
Northampton MA
Line# Location: Attributes
50 Kitchen int Trim Wood Products Stop Colonial 3, Length: 96, Early American Stain.Wood Type: Pine Item Price Qty Ext'd Price
$32.13 4 $128.52
1: Accessory
Frame Size: 1 X 1
PK# General Information: Pine
Interior Color/Finish: Early American Stain Interior
641 Wrapping Information: Perimeter Length=0".
Viewed From Exterior
Line# Location:
Attributes
55 Front Storm Entry Systems, Storm Door Fullview Interchangeable Left,33 X 81.5, Hartford Green Item Price Qty Ext'd Price
$1,479.15 1 $1,479.15
1:Non-Standard SizeNon-Standard Size Left Storm Door
a 5' Frame Size: 33 X 81 112
PK# General Information: Clad
Exterior Color/Finish: Standard Enduraclad,Hartford Green
y 641 Sash/Panel: 1 5/8"Extruded
33 Glass: Clear
Viewed From Exterior Hardware Options: Standard,Bright Brass
Model: 4601
Wrapping Information: Perimeter Length=229".
Rough Opening:33"X 81.5'
ED-9-Storm Door Install on Existing Entry Door QtY 1
AC-9133-OTHER-3 QtY 1
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pelia.com
Printed on 6/12/2014 Contract-Detailed Page 5 of 13
Uuslomer: the Anoraoe Project Name: Andrade Eve 1472 Westhampton Road Order Number: 739N2FM061 Quote Number: 5792654
Northampton MA
Line# Location:
Attributes
40 Lilving Room Architect, Replacement Casement Left, 25 X 52.25, Hartford Green Item Price Qty Ext'd Price
$1,476.49 5 $7,382.45
�+ 1:Non-Standard SizeNon-Standard Size Left Replacement Casement
Frame Size: 25 X 52 1/4
I '�•� PK# General Information: Standard,Clad,4",3 1/4",Sill Adapter Included
1 Exterior Color/Finish: Standard Enduraclad, Hartford Green
_ 641 Interior Color/Finish: Early American Stain Interior
Sash/Panel: Standard
Viewed From Exterior Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Hardware Options: Fold-Away Crank,No Limited Opening Hardware,White
Screen: Full Screen,White, InViewTM
Grille: No Grille,
Wrapping Information: No Exterior Trim,No Interior Trim, Pella Recommended Clearance, Perimeter Length=155",Glazing Pressure=55.
Rough Opening:25-1/2"X 52-3/4"
PF-1 -Interior Pocket Installation for Precision Fit Qty 1
EAC-1 -Exterior Aluminum Capping(Coil Stock)up to 110 UI QtY 1
LP-1 -Lead safe practices this opening under 150 UI Qty 1
Line# Location: Attributes
45 Kitchen Architect, Replacement Casement Left, 25 X 52.25, Hartford Green Item Price Qty Ext'd Price
$1,639.49 1 $1,639.49
I �
1:Non-Standard SizeNon-Standard Size Left Replacement Casement
Frame Size: 25 X 52 1/4
General Information: Standard,Clad,4",3 1/4",Sill Adapter Included
PK# Color/I Exterior Finish: Standard Enduraclad, Hartford Green
_ ~* 641 Interior Color/Finish: Early American Stain Interior
_
Sash/Panel: Standard
Viewed From Exterior Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Hardware Options: Fold-Away Crank,No Limited Opening Hardware,White
Screen: Full Screen,White, InViewTM
Grille: No Grille,
Wrapping Information: No Exterior Trim,No Interior Trim, Pella Recommended Clearance, Perimeter Length=155",Glazing Pressure=55.
Rough Opening:25-1/2"X 52-3/4"
PF-1 -Interior Pocket Installation for Precision Fit Qty 1
LP-1 -Lead safe practices this opening under 150 UI Qty 1
EAC-1 -Exterior Aluminum Capping(Coil Stock)up to 110 UI Qty 1
PF-6-New Interior Trim(Picture or sill with apron) 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 6/12/2014 Contract-Detailed Page 4 of 13
Uus>omer: the Anaraae Project Name: Andrade Eve 1472 Westhampton Road Order Number: 739N2FM061 Quote Number: 5792654
Northampton MA
Line# Location: Attributes
25 Product Promo Product Promotion --- Item Price Qty ExVd Price
($2,650.00) 1 ($2,650.00)
Line# Location: Attributes
30 Local Promo National Promotion ...
Item Price Qty ExVd Price
($1,031.77) 1 ($1,031.77)
Line# Location: Attributes
35 Basement Vinyl Windows/Doors By Pella, Replacement Double Hung, 25.25 X 52.25,White Item Price Qty Ext'd Price
t $770.22 2 $1,540.44
1: Non-Standard SizeNon-Standard Size Double Hung,Equal
Frame Size: 25 1/4 X 52 1/4
PK# General Information: Standard,Vinyl,Block Frame With Mull Groove,3 1/4",3 1/4",Sill Adapter Included,Head Expander Included
Exterior Color/Finish: White
641 Interior Color I Finish: White
Glass: Insulated Low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Viewed From Exterior Hardware Options: White
Screen: Full Screen
Grille: No Grille,
Wrapping Information: No Exterior Trim, No Interior Trim, Pella Recommended Clearance, Perimeter Length=155",Glazing Pressure=130.
Rough Opening:25-3/4"X 52-3/4"
PF-1 -Interior Pocket Installation for Precision Fit Qty 1
EAC-1 -Exterior Aluminum Capping(Coil Stock)up to 110 UI Qty 1
LP-1 -Lead safe practices this opening under 150 UI 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 6/12/2014 Contract-Detailed Page 3 of 13
customer: Lve Andrade Project Name: Andrade Eve 1472 Westhampton Road Order Number: 739N2FM061 Quote Number: 5792654
Northampton MA
Line# Location:
Attributes
15 Upstairs Architect, Replacement Double Hung,25 X 52.25, Hartford Green Item Price Qty Ext'd Price
r flIMMOMM $1,468.60 4 $5,874.40
1:Non-Standard SizeNonStandard Size Double Hung,Equal
Frame Size: 25 X 52 1/4
PK# General Information: Luxury,Clad, Pine,4 3/4",3 1/4"
Exterior Color/Finish: Standard Enduraclad,Hartford Green
j 641 Interior Color/Finish: Early American Stain Interior
Sash/Panel: Standard
Viewed From Exterior Glass: Insulated low-E Advanced Low-E Insulating Glass Argon Non High Altitude
Hardware Options: Cam-Action Lock,No Limited Opening Hardware,White,Order Sash Lift
Screen: No Screen
Grille: No Grille,
Wrapping Information: No Exterior Trim, No Interior Trim,Pella Recommended Clearance,Perimeter Length=155",Glazing Pressure=125.
Rough Opening:25-1/2"X 52-314"
PF-1 -Interior Pocket Installation for Precision Fit Qty 1
LP-1 -Lead safe practices this opening under 150 UI Qty 1
EAC-1 -Exterior Aluminum Capping(Coil Stock)up to 110 UI Qty 1
Line# Location: Attributes
20 Building Permit fee INSTALLATION - INSTALLATION Item Price Qty ExVd Price
$120.00 1 $120.00
For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com
Printed on 6/12/2014 Contract-Detailed Page 2 of 13
Contract - Detailed
Pella Window and Door Showroom of West Springfield Sales Rep Name: McKay, Kevin
69 Ashley Avenue Sales Rep Phone: (413) 736-9239
West Springfield, MA 01089 / / Sales Rep Fax: (413) 736-3390 l
Phone:4137369239 Fax: 4137363390 Sales Rep E-Mail: kmckay @184.pellapdsn.com
Customer Information Project/Delivery Address Order Information
Eve Andrade Andrade Eve 1472 Westhampton Road Northampton MA Quote Name: 1408736 AS Windows Entry/Storm(413)
1472 Westhampton Rd 1472 Westhampton Rd 586-9120
Order Number: 739N2FM061
NORTHAMPTON,MA 01062-9752 Lot# Quote Number: 5792654
Primary Phone:(413)5869120 NORTHAMPTON,MA 01062-9752 Order Type: Installed Sales
Mobile Phone: County: HAMPSHIRE Wall Depth:
Fax Number: Owner Name: Payment Terms: C.O.D.
E-Mail: Eve Andrade Tax Code: MASS
Contact Name: Owner Phone: (413)5869120 Cust Delivery Date: 07/14/2014
Quoted Date: 6/12/2014
Great Plains#: 521-15869120 Contracted Date: 6112/2014
Customer Number: 1006690170 Booked Date:
Customer Account: 1002140585 Customer PO#:
Line# Location:
Attributes
10 Upstairs Door Pella Brand, Inswing Entry Door Right, 37.5 X 81.75, Hartford Green, 5 3/16" Item Price Qty Ext'd Price
y $3,709.53 1 $3,709.53
1:3680 Right Inswing Entry Door
Frame Size: 37 1/2 X 81 3/4
PK# General Information: No Fire Rating,No Fire Rating,Clad,Wood,Pine,6 1/2", 1 5/16",5 3/16",Standard Sill,Mill Finish Sill,Oak Threshold
Entry Door Panel: Glazed,Fiberglass,Oak,Oak, 1/2 Light
641 Exterior Color/Finish: Standard Enduraclad, Painted,Hartford Green, Hartford Green
375 - Interior Color/Finish: Stained,Early American,Early American
Viewed From Exterior Glass: Tempered Low-E
Hardware Options: Latch Bore with Deadbolt,2 3/4",2 1/8",Ghent Lever,Gardiner Int/Ext Keyed Cylinder,Ghent Lever, Bright Brass,Standard Steel,
Brasstone Zinc Dichromate
Unit Accessories: No Bang Panel
Grilles: No Grille
Wrapping Information: Nail Fin,Factory Applied,No Exterior Trim,Ready Trim Knock Down,Craftsman,3 1/2"Craftsman 1, Factory Supplied,Knock
Down,Pine,Prefinished White,5 3/16",6 1/2", Factory Applied, Pella Recommended Clearance,Perimeter Length=239".
Rough Opening:38-1/4"X 82-1/4"
LP-2-Lead safe practices this opening over 150 UI Qty 1
ED-1 -Entry Door Installation w/o Sidelight Qty 1
ED-6-ED Exterior Aluminum Capping(Coil Stock) 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 6/12/2014 Contract-Detailed Page 1 of 13
PELLA PRODUCTS INC
165 MAIN STREET
GREENFIELD, MA 01301
Uve p(na
G k h Docke-4
Disposal Of Debas
The purpose of this letter is to cartify that all the debris resulting from any project undertaken by
Pella Products Inc. in your Town will 130 transported to a dumpster at our main facility at 155 main
Street, Greenfield, MA-
Peila Products Inc.is under contract with Waste Management Of Massachusetts for the disposal
of the contents Of this dumpster.
v&ry Truly Yours,
PELLA PRODUCTS INC.
John P. Benjamin
accounting Manage,.
The Commonwealth of Massachusetts
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/Organizatiort/Individual): pla
Address:
City/State/Zip: 013 Phone #: �{
Are you an employer?Check the appropriate box: Type of project(required):
1.9I am a employer with_ 3� 4• ❑ I am a general contractor and I
employees(full and/or part-time).
* have hired the sub-contractors 6. New construction
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
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.
$ 9. E] Building addition
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' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] { c. 152, §1(4), and we have no
employees. [No workers' 13.UOther Y2�>\cGC-+`s�c\2�^.�
comp. insurance required.] Wit�cScS 4 dc� S
*Any applicant that checks box 41 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: j� ,��,r � � ran)% p QC1214 min
Policy#or Self-ins. Li-c7.#:���{� q��9 g2ID0 2-- k Expiration Date: 1 1
Job Site Address: �4 !? 11 f �' ��(,� City/State/Zip: 1 knlx t,VA&V- 0
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 e. 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 cert y under the pains and pen hies of perjury that the information provided above is true and correct.
Si nature: C, Date:
Phone#: f 1 3 _ — 912,E2cl
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 2. Building Department 3. City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: Phone#:
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder:— � � � lqq(0
License Numbe
l� 1��111
fiftL � Llu? 131 I �S
Address Expiration Da e
773 � li 57
Signature Telep ne
9.Registered Home Im rovement Contractor: Not Applicable ❑
Rll x pra be c-
Company Name Registration umber
Sbmw 4
Addr s Expiration Nate
l
MA D/�JIJ I Telephone 77 � �S7
-T—
SECTION 10-WORKERS'COMPENSATION 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....... V No...... ❑
11. - Home Owner Exemption
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families
and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts
as supervisor.CMR 780 Sixth Edition Section 108.3.5.1.
Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there
is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm
structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner.
Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be
responsible for all such work performed under the building permit.
As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon
completion of the work for which this permit is issued.
Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to
Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s)
you hire to perform work for you under this permit.
The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of
Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated.
Homeowner Signature
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable)
New House ❑ Addition ❑ Replacement Windows Alteration(s) Roofing ❑
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [p Siding[[31 Other[0]
Brief Descriptio oTProposed
Work: G ()) 9rbf Yv,door
Alteratidn of existing D room Yes No Adding ne\Wbedroom Yes No +
Attached Narrative Renovating unfinished basement Yes No
Plans Attached Roll -Sheet
6a. If New house and or addition to existing housing complete the following:
a. Use of building : One Family Two Family Other
b. Number of rooms in each family unit: Number of Bathrooms
c. Is there a garage attached?_
d. Proposed Square footage of new construction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction l Ai nw $ :o-
i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No
j. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No .
1. Septic Tank City Sewer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
E-4"P- Y1dr A as Owner of the subject
property
hereby authorize 1�
to act on half, in all matters r ative to wo Ik authorizedJIby this building permit application.
�2
a ure of Owner Date
-Da,V4 lam► dtt as Owner/Authorized
Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Print Name
Signature o weer/ Date
Agent
Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This column to be filled in by
Building Department
Lot Size
Frontage
Setbacks Front
Side L: R: L: _R:
Rear
Building Height
Bldg. Square Footage %
Open Space Footage %
(Lot area minus bldg&paved
parking)
#of Parking Spaces
Fill:
volume&Location
A. Has a Special Permit/Variance/Finding ever been issued for/on the site?
NO ® DON'T KNOW ® YES
IF YES, date issued:
IF YES: Was the permit recorded at the Registry of Deeds?
NO ® DONT KNOW ® YES O
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 0 DONT KNOW YES
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained ® Obtained , Date Issued:
C. Do any signs exist on the property? YES ® NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO Q
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing, grading,excavation, or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES ® NO 0
IF YES,then a Northampton Storm Water Management Permit from the DPW is required.
MEOW
Department use only
`' ' City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
\� \1 --i 1212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
as`rSpeN® � ampton, MA 01060 Two Sets of Structural Plans
jbNn9 p - 87-1240 Fax 413-587-1272 Plot/Site Plans
E0ec�t�Nocth�m 0n Other Specify
APPLICATION TO CONSTRUCT,ALTER, REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address:
This section to be completed by office
J y-7 Z W e&44 Xi l 2uG%-Cll Map Lot Unit
� 1y
d f rn 1 IDI O to 2 Zone Overlay District
Elm St.District CB District
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner of Record:
V c� 1412- 1kkQ:hM9126 bad
Name(Print) � Current ling Ad r ss:
Telephon
Signature
2.2 Authorized Agent:
D av d l,UW4�- 156 Qvsed
Name(Print) Current Mailing Address:
0QJCL )h-1L --1� x--11,57
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by ermit applicant
1. Building (�li (a)Building Permit Fee
2. Electrical f'1 (b)Estimated Total Cost of
V Construction from 6
3. Plumbing a Building Permit Fee
4. Mechanical (HVAC) 0
5. Fire Protection V
6. Total =0 +2 +3+4+5) 2 l Q(l .C� Check Number
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature:
Building Commissioner/Inspector of Buildings Date
1472 WESTHAMPTON RD BP-2014-1368
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map:Block:41 -005 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-2014-1368
Project# JS-2014-002304
Est. Cost: $24000.00
Fee: $35.00 PERMISSION IS HEREBY GRANTED TO:
Const. Class: Contractor: License:
Use Group: PELLA PRODUCTS, INC 091496
Lot Size(sq. ft.): 261360.00 Owner: ANDRADE EVE L
Zoning-: Applicant: PELLA PRODUCTS, INC
AT. 1472 WESTHAMPTON RD
Applicant Address: Phone: Insurance:
155 MAIN ST (413) 772-0153 WC
GREENFIELDMA01301 ISSUED ON.612012014 0:00:00
TO PERFORM THE FOLLOWING WORK.INSTALL1 9 REPLACEMENT WINDOWS &
ENTRY DOOR
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.
Certificate of Occupancy signature:
FeeTvpe: Date Paid: Amount:
Building 6/2.0/2014 0:00:00 $35.00
212 Main Street,Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner