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36-140 (10)
BP--022-0841 256 BROOKSIDE CIR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 36-140-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-0841 PERMISSION'S HEREBY GRANTE I TO: Project# WINDOW/DOOR Contractor: License: Est. Cost: 30807 PELLA PRODUCTS, INC 096558 Const.Class: Exp.Date:03/01/2024 HOUGEN SARAH E& EDWARD T HO GEN & Use Group: Owner: PETER J CURRO& MARY L CURRO Lot Size (sq.ft.) Zoning: URA Applicant: PELLA PRODUCTS, INC Applicant Address Phone: Insurance: 155 MAIN ST 6H 15382 GREENFIELD, MA 01301 ISSUED ON:07/19/2022 TO PERFORM THE FOLLOWING WORK: 30 REPLACEMENT WINDOWS AND 1 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL TION OF ANY OF ITS RULES AND REGULATIONS. Signature: Q T1 Fees Paid: $40.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner i RE ....C___Ei ED. The Commonwealth of Mass,chus ift Board of Building Regulations a d St,ndadtt F Massachusetts State Building C e, 7'.0 CMR 8 2022 M ICI ALITY U E Building Permit Application To Construct,R air,Reny • s- • olish a R ised¶ 20h1ar One-or Two-Family Dwelling"'rQTHAM.'021NSPECT1Orug This Section For Official Use Only Building Permit Number: -.2 • 1 Date Appl. . 1, , 7q Building Official(Print Name) Signature I D e SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Ma Parcel Numbers r 25(Q ex onl(s:cAA C i r N t-t A A PA CAB 3`(0 Q v 1 LI U L Q 00 l ,Cp-j 1.1a Is this an accepted street?yes I no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: el.ls-k:nc' (1eS"ci.1(lt Z c"-1 Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Watex Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage /Dlysposal System: Public d Private 0 Zone: Outside Floodyesi e? Municipal Q On site disposal system 0 Check if yes SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: SO.r&A V1.0 uG e r1 ?I ore.n ca. )4 A 31 oCn 2_ Name(Print) City,State,ZIP IS %roc.Ass'td? a-" y13-2 o-V(CG 5cwacinc„'7777@c1Nmaitrc . No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) (1 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other 0 Specify: Brief Description of Proposed Work2: 0241 C t'r O (0 (...-Vo a o 1..-)S c.r)dk 1 S.i.foil rl ck0o l . U .2.1 *- O .-a 9 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ ' I g t\-1,coo 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee (�C . 0 0 0 Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 0 _00 2. Other Fees: $ 4.Mechanical (HVAC) $ 0 .00 List: 5.Mechanical (Fire Suppression) $ 0.0 0 Total All Fees: $ n 5 ti 140 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS_p q SS S 3/ 1tZy TrNe v ol ()Sc" License Number Expiration Date Name of CSL Holder List CSL Type(see below) U J 6G1 n Description No.and Street Ash,— r` r ��,,` Ol?� i Unrestricted(Buildings up to 35,000 Cu.ft.) l3 0 O• I R Restricted 180 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances U t 3--3((-ci a9 I p�etas Q pa lc�SaL& .r O I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) PP.�I�GI practuC*S R t 2 Z"1 nN 3123 I � HIC Registration Number Expirationn Date HIC Company Name or HIC Registrant Name 165 11ot.1l1S+ P21 e gain s 5 coo"- No.and Street Email address ��2c1kc�elra F�l�otaol u t 3-730--01ZScl City/Town,State,ZIP Telephone SECTION 6: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 Issu a of the building permit. Signed Affidavit Attached? Yes [ No ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTORA�PPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize f""`" ,4OW to act on my behalf,in all matters relative to work authorized by this building permit application. see_ al+FcA kci-eA 7,/s/e2 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER1 OR AUTHORIZED AGENT DECLARATION By enterin e below,I hereby attes der the pains and penalties of perjury that all of the information contain • i 1 t• > e and a. c t the best of my knowledge and understanding. 7JSs/1-Z Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered ontractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitra'on program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 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 cooling system Enclosed Open DocuSign Envelope ID:F3665279-7769-4F93-83E1-506A17832FA7 Pella Products Inc. 155 Main Street Greenfield, MA 01301 To Whom it may Concern: Sarah Hougen , as property owner,give permission to our contractor, Pella Products Inc.to obtain a building permit for the installation of windows and/or doors in my home. Located at; 256 Brookside Cir Florence, MA 01062 Please accept this letter in place of my signature on the permit application. Thank you, ---DocuSigned by: Signature:; S0614, WiLIn. —C145C905F5A84B6_. Date: 6/17/2022 ___....."1 PELLPRO-01 CHRISTINE ACORif) CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYV) �� 12/6/2021 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). CONTACT Christine Sullivan PRODUCER NAME: Phillips Insurance Agency,Inc. PHONE (N ,�):(413)594-5984 F 'NO)`(413 592-8499 97 Center Street Chicopee,MA 01013 ppp :christine@phillipsinsurance.com INSURERS)AFFORDING COVERAGE NAIC 0 INSURER A:EMC Insurance Companies 21415 INSURED INSURER B:Union Insurance Co of Providen - _ Pella Products,Inc INSURER C: _ - 155 Main St INSURER D: Greenfield,MA 01301 INSURER E: _ - INSURER F: 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 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTRMD MD IMMIDD/YYYYI IMINDD/YYYY) 1,000,000 A X COMMERCIAL GENERAL UABILRY EACH OCCURRENCE $ CLAIMS-MADE X OCCUR 6A15382 1/1/2022 1/1/2023 pRF.ML4EEs(Ea occurrence) $ 500,000 MED EXP(Anyone parson) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENTAGGREGATE JECT LIMITo_APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ X ANY AUTO 6Z15382 1/1/2022 1/1/2023 BODILY INJURY(Per person) $ AURTEO�S ONLY SCHEDULEDU��yy BODILY INJURY(Per accident) $PR 1,000,000 AUTOS ONLY _AUTOS ONLYY (Per aca DAMAGE $ l) $ A X UMBRELLA LIAB I 1 OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE 6J15382 1/1/2022 1/1/2023 AGGREGATE $ DED rX I RETENTION$ 10,000 Aggregate $ 4,000,000 B WORKERS COMPENSATION AND EMPLOYERS'LIABILITY STATUTE - ER .. ANY PROPRIETOR/PARTNER/EXECUTIVEYIN 6H15382 1/1/2022 1/1/2023 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? NIA (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Installation Floater 550,000 Included Operations usual to the sale and installation of doors&windows. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Florence(Northampton)Building Commissioner's THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ) 9 ACCORDANCE WITH THE POLICY PROVISIONS. 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 The Commonwealth of Massachusetts Department of Industrial Accidents —a+ Office of Investigations ..7 Lafayette City Center 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 St City/State/Zip:Greenfield,MA 01301 _ Phone#:413-774-0153 Are you an employer?Check the appropriate box: Type of project(required): 1.❑■ I am a employer with 50 4. 0 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El 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.t 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.0 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. 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-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.#:6H15382 Expiration Date:01-01-2023 Job Site Address: Z 7.#rL CY06 C-Ss C €. C ( City/State/Zip: SCE /49_f1 CL µ Pe- Cl I C)Ca."(— 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'ine 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 un the airs and penalties of f at the infarmation provided above is true and correct. Signature: .�-/2'� » � Date: ,1 J Phone#: 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): 1❑Board of Health 2❑Building Department 30City/Town Clerk 4.0 Electrical Inspector 50Plumbing Inspector 6.0Other Contact Person: Phone#: PELLA PRODUCTS INC. 155 MAIN STREET GREENFIELD, MA. 01301 Date: '1! 22 To: Ft .✓�f C 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. Joy Grover Accounting Manager Pella Products, Inc. 155 Main Street Greenfield, MA 01301 Office:413-512-5968 Cell:413-834-8799 To: Building inspector From:Trevor Bross—Installation Manager Date: February 17,2022 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 U( Division of Occupational Licensure Unrestricted -Buildings of any use group which contain Board of Building ReOulabons and Standards less than 35,000 cubic feet(991 cubic meters)of enclosed tl Conat�Ion Svisor space. CS-096558 - l ires:03101/2024 TREVOR BRASS 10 GEORGE STREET GREENFIELD MA 01 1j�f.tYA'J3. Failure to possess a current edition of the Massachusetts Commissioner a/1 / G�j_ State Building Code Is cause for revocation of this license. C_Jpf`I/Rr ►1 t�cm For Information about this license Call(617)727-3200 or visa www-nurss.gov/dpl THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Supplement Card Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 142279 03/23/2024 Boston,MA 02118 'ELLA PRODUCTS.INC. 7 -REVOR BROSS v 55 MAIN STREET SREENFIELD,MA 01301: *., Undersecretary Not valid without signature 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 CS094911 Contract - Detailed ?ViO Pella Window and Door Showroom of West Springfield Sales Rep Name: Lukomski,Adam 69 Ashley Avenue Sales Rep Phone: (413)335-3237 West Springfield, MA 01089 — Sales Rep Fax: 413-774-6348 Phone:(413)736-9239 Fax: (413)736-3390 Sales Rep E-Mail: alukomski@pellasales.com Customer Information Project/Delivery Address Order Information Sarah Hougen Hougen Sarah 256 Brookside Cir Florence MA Quote Name: Vinyl 250 Series 413-320-2405 256 Brookside Cir STORE 52 256 Brookside Cir Order Number: 739X2GL061 FLORENCE,MA 01062-3513 Lot# Quote Number: 15210037 Primary Phone:(413)3202405 FLORENCE,MA 01062-3513 Order Type: Installed Sales Mobile Phone: County: HAMPSHIRE Wall Depth: Fax Number: Owner Name: Payment Terms: GreenSky Financing E-Mail: sarafina7777@gmail.com Sarah Hougen Tax Code: MASS Contact Name: Owner Phone: (413)3202405 Cust Delivery Date: 10/11/2022 Quoted Date: 3/4/2022 Great Plains#: 1006606263 Contracted Date: 6/17/2022 Customer Number: 1010419508 Booked Date: 6/30/2022 Customer Account: 1006606263 Customer PO#: For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 7/5/2022 Contract-Detailed Page 1 of 16 Customer:Sarah Hougen Project Name: Hougen Sarah 256 Brookside Cir Florence MA Order Number: 739X2GL061 Quote Number: 15210037 Line# Location: Attributes 10 Dining Room Pella 250 Series,2-Wide Double Hung,74.5 X 47,White Item Price Qty Ext'd Price $3,299.31 1 $3,299.31 n17-1 1:Non-Standard SizeNon-Standard Size Double Hung,Equal Q Frame Size: 37 X 47 L_J PK I General Information: Standard,Vinyl,Nail Fin,Foam Insulated,3 1/4",1 1/8",2 1/8" +475. Exterior Color/Finish: White 2118 Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options: Cam-Action Lock,White,Standard Vent Stop,No Limited Opening Hardware Screen: Full Screen,InViewm" Performance Information: U-Factor 0.27,SHGC 0.28,VLT 0.53,CPD PEL-N-211-00072-00001,Performance Class R,PG 35,Calculated Positive DP Rating 35,Calculated Negative DP Rating 35,Year Rated 08111,Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Vertical Mull 1: FactoryMull,1/2"Integral Mullion 2:Non-Standard SizeNon-Standard Size Double Hung,Equal Frame Size: 37 X 47 General Information: Standard,Vinyl,Nail Fin,Foam Insulated,3 1/4",1 1/8",2 1/8" Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: Cam-Action Lock,White,Standard Vent Stop,No Limited Opening Hardware Screen: Full Screen,InViewim Performance Information: U-Factor 0.27,SHGC 0.28,VLT 0.53,CPD PEL-N-211-00072-00001,Performance Class R,PG 35,Calculated Positive DP Rating 35,Calculated Negative DP Rating 35,Year Rated 08111,Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: Factory Applied,Pella Recommended Clearance,Perimeter Length=243". Rough Opening: 75"X 47.5" EAC-1 -Exterior Aluminum Capping(Coil Stock) Qty 1 LP-1 -Lead safe practices this opening Qty 1 FF-7-2 Wide Full Frame Tear Out 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 7/5/2022 Contract-Detailed Page 2 of 16 Customer: Sarah Hougen Project Name: Hougen Sarah 256 Brookside Cir Florence MA Order Number: 739X2GL061 Quote Number: 15210037 Line# Location: Attributes 15 Addition Pella 250 Series, Double Hung,25 X 39,White Item Price Qty Ext'd Price $1,784.12 2 $3,568.24 _ 1:Non-Standard SizeNon-Standard Size Double Hung,Equal • Frame Size: 25 X 39 PK# General Information: Standard,Vinyl,Nail Fin,Foam Insulated,3 1/4",1 1/8",2 1/8" Exterior Color/Finish: White 2118 Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options: Cam-Action Lock,White,Standard Vent Stop,No Limited Opening Hardware Screen: Full Screen,InViewn, Performance Information: U-Factor 0.27,SHGC 0.28,VLT 0.53,CPD PEL-N-211-00072-00001,Performance Class R,PG 35,Calculated Positive DP Rating 35,Calculated Negative DP Rating 35,Year Rated 08111,Clear Opening Width 19.954,Clear Opening Height 14.089,Clear Opening Area 1.952305, Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: Factory Applied,Pella Recommended Clearance,Perimeter Length=128". Rough Opening: 25-1/2"X 39-1/2" FF-4-1 Wide Full Frame Tear Out Installation Qty 1 LP-1-Lead safe practices this opening Qty 1 EAC-1 -Exterior Aluminum Capping(Coil Stock) Qty 1 Line# Location: Attributes 20 Addition Pella 250 Series, Double Hung,29 X 47,White Item Price Qty Ext'd Price Fin $1,857.16 1 $1,857.16 - 1:Non-Standard SizeNon-Standard Size Double Hung,Equal Frame Size: 29 X 47 1! PK# General Information: Standard,Vinyl,Nail Fin,Foam Insulated,3 1/4",1 1/8",2 1/8" �� Exterior Color/Finish: White 2118 Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options: Cam-Action Lock,White,Standard Vent Stop,No Limited Opening Hardware Screen: Full Screen,InViewT"' Performance Information: U-Factor 0.27,SHGC 0.28,VLT 0.53,CPD PEL-N-211-00072-00001,Performance Class R,PG 35,Calculated Positive DP Rating 35,Calculated Negative DP Rating 35,Year Rated 08111,Clear Opening Width 23.954,Clear Opening Height 18.089,Clear Opening Area 3.009055, Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: Factory Applied,Pella Recommended Clearance,Perimeter Length=152". Rough Opening: 29-1/2"X 47-1/2" LP-1-Lead safe practices this opening Qty 1 FF-4-1 Wide Full Frame Tear Out Installation Qty 1 EAC-1 -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 7/5/2022 Contract-Detailed Page 3 of 16 Customer:Sarah Hougen Project Name: Hougen Sarah 256 Brookside Cir Florence MA Order Number: 739X2GL061 Quote Number: 15210037 Line# Location: Attributes 25 Addition Pella 250 Series, Double Sliding Door, Fixed 1 Vent Left,71.5 X 79.5,White Item Price Qty Ext'd Price �— $4,810.19_ 1_ $4,810.19 1:7280 Fixed/Vent Left Double Sliding Door Frame Size: 71 1/2 X 79 1/2 PK# General Information: Factory Assembled,Standard,Vinyl,Nail Fin,Foam Insulated,5",1 1/8",3 7/8",No Sill Pan Exterior Color/Finish: White , — 2118 Interior Color/Finish: White Glass: Insulated Dual Tempered Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options: White,Keylock Included,White,White,Steel Screen: Sliding Screen,White,Premium,InViewT" Unit Accessories: No Accessory Option Performance Information: U-Factor 0.28,SHGC 0.28,VLT 0.52,CPD PEL-N-251-00047-00001,Performance Class R,PG 35,Calculated Positive DP Rating 35,Calculated Negative DP Rating 35,Year Rated 11 Grille: No Grille, Wrapping Information: Pella Recommended Clearance,Perimeter Length=302". Rough Opening: 72"X 80" PD-1-Patio Door Install up to 6FT in width Qty 1 EAC-1 -Exterior Aluminum Capping(Coil Stock) Qty 1 LP-1-Lead safe practices this opening Qty 1 Line# Location: Attributes 35 Addition Wood Products Lattice 2, Length: 96, Provincial Stain.Wood Type: Pine Item Price Qty Ext'd Price $117.05 20 $2,341.00 ( l 1: Accessory Frame Size: 1 X 1 PK# General Information: Pine,Lattice 2 Interior Color/Finish: Provincial Stain Interior 2118 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 7/5/2022 Contract-Detailed Page 4 of 16 Customer:Sarah Hougen Project Name: Hougen Sarah 256 Brookside Cir Florence MA Order Number: 739X2GL061 Quote Number: 15210037 Line# Location: Attributes 40 Addition Wood Products Stool Round 2, Length:96, Natural Stain.Wood Type: Oak Item Price Qty Ext'd Price $153.68 1 $153.68 I } 1: Accessory Frame Size: 1 X 1 PK# General Information: Oak,Stool Round 2 Interior Color/Finish: Natural Stain Interior 2118 Wrapping Information: Perimeter Length=0". Viewed From Exterior Line# Location: Attributes 45 Bedroom 1 Pella 250 Series, Double Hung,29 X 47,White Item Price Qty Ext'd Price F71 $1,857.16 2 $3,714.32 1:Non-Standard SizeNon-Standard Size Double Hung,Equal Frame Size: 29 X 47 PKq General Information: Standard,Vinyl,Nail Fin,Foam Insulated,3 1/4", 1 1/8",2 1/8" Exterior Color/Finish: White • — 2118 Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options: Cam-Action Lock,White,Standard Vent Stop,No Limited Opening Hardware Screen: Full Screen,InView'" Performance Information: U-Factor 0.27,SHGC 0.28,VLT 0.53,CPD PEL-N-211-00072-00001,Performance Class R,PG 35,Calculated Positive DP Rating 35,Calculated Negative DP Rating 35,Year Rated 08111,Clear Opening Width 23.954,Clear Opening Height 18.089,Clear Opening Area 3.009055, Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: Factory Applied,Pella Recommended Clearance,Perimeter Length=152". Rough Opening: 29-1/2"X 47-1/2" LP-1-Lead safe practices this opening Qty 1 EAC-1 -Exterior Aluminum Capping(Coil Stock) Qty 1 FF-4-1 Wide Full Frame Tear Out 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 7/5/2022 Contract-Detailed Page 5 of 16 Customer: Sarah Hougen Project Name: Hougen Sarah 256 Brookside Cir Florence MA Order Number: 739X2GL061 Quote Number: 15210037 Line# Location: Attributes 50 Bedroom 2 Pella 250 Series, Double Hung,29 X 47,White Item Price Qty Ext'd Price I pl $1,857.16 1 $1,857.16 1:Non-Standard SizeNon-Standard Size Double Hung,Equal Frame Size: 29 X 47 L_I PK# General Information: Standard,Vinyl,Nail Fin,Foam Insulated,3 1/4",1 1/8",2 1/8" Exterior Color/Finish: White 2118 Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options: Cam-Action Lock,White,Standard Vent Stop,No Limited Opening Hardware Screen: Full Screen,InViewT*' Performance Information: U-Factor 0.27,SHGC 0.28,VLT 0.53,CPD PEL-N-211-00072-00001,Performance Class R,PG 35,Calculated Positive DP Rating 35,Calculated Negative DP Rating 35,Year Rated 08111,Clear Opening Width 23.954,Clear Opening Height 18.089,Clear Opening Area 3.009055, Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: Factory Applied,Pella Recommended Clearance,Perimeter Length=152". Rough Opening:29-1/2"X 47-1/2" LP-1-Lead safe practices this opening Qty 1 EAC-1 -Exterior Aluminum Capping(Coil Stock) Qty 1 FF-4-1 Wide Full Frame Tear Out Installation Qty 1 Line# Location: Attributes 55 Bedroom 3 Pella 250 Series, Double Hung,29 X 47,White Item Price Qty Ext'd Price $1,857.16 2 $3,714.32 0 1:Non-Standard SizeNon-Standard Size Double Hung,Equal Frame Size: 29 X 47 L_I PK# General Information: Standard,Vinyl,Nail Fin,Foam Insulated,3 1/4", 1 1/8",2 1/8" Exterior Color/Finish: White 2118 Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options: Cam-Action Lock,White,Standard Vent Stop,No Limited Opening Hardware Screen: Full Screen,InViewTTM Performance Information: U-Factor 0.27,SHGC 0.28,VLT 0.53,CPD PEL-N-211-00072-00001,Performance Class R,PG 35,Calculated Positive DP Rating 35,Calculated Negative DP Rating 35,Year Rated 08111,Clear Opening Width 23.954,Clear Opening Height 18.089,Clear Opening Area 3.009055, Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: Factory Applied,Pella Recommended Clearance,Perimeter Length=152". Rough Opening:29-1/2"X 47-1/2" FF-4-1 Wide Full Frame Tear Out Installation Qty 1 LP-1-Lead safe practices this opening Qty 1 EAC-1 -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 7/5/2022 Contract-Detailed Page 6 of 16 Customer:Sarah Hougen Project Name: Hougen Sarah 256 Brookside Cir Florence MA Order Number: 739X2GL061 Quote Number: 15210037 Line# Location: Attributes 75 Bathroom Pella 250 Series, Sliding Window, Fixed I Vent Left,33.25 X 17.75,White Item Price Qty Ext'd Price $1,289.78 1 $1,289.78 1:Non-Standard SizeNon-Standard Size Fixed/Vent Left Double Slider Illl_ Frame Size: 33 1/4 X 17 3/4 PK# General Information: Standard,Vinyl,Block,Foam Insulated,3 1/4",3 1/4",Sill Adapter Included,Head Expander Included Exterior Color/Finish: White 2118 Interior Color/Finish: White Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Viewed From Exterior Hardware Options: Cam-Action Lock,1 Lock,White,No Limited Opening Hardware Screen: Half Screen,InViewT"' Performance Information: U-Factor 0.27,SHGC 0.29,VLT 0.55,CPD PEL-N-210-00055-00001,Performance Class R,PG 35,Calculated Positive DP Rating 35,Calculated Negative DP Rating 35,Year Rated 08111,Clear Opening Width 11.667,Clear Opening Height 13.5,Clear Opening Area 1.093781, Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: Pella Recommended Clearance,Perimeter Length=102". Venting Width: Equal Rough Opening: 33-3/4"X 18-1/4" EAC-1-Exterior Aluminum Capping(Coil Stock) Qty 1 LP-1-Lead safe practices this opening Qty 1 EXTTRIM10-PVC Ripped for stops Qty 2 MP-4-1 Wide Modified Pocket Installation Qty 1 Line# Location: Attributes 80 Building Permit BPC-Permit-subject to change if actual cost greater than shown Item Price Qty Ext'd Price $90.00 1 $90.00 For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 7/5/2022 Contract-Detailed Page 8 of 16 DocuSign Envelope ID:F3665279-7769-4F93-83E1-506A17832FA7 uustonter.aaran riougen rroject(Jame: Hougen Sarah 256 Brookside Cir Florence MA Order Number: 739X2GL061 Quote Number: 15210037 [Project Checklist has been reviewed Sarah Hougen Adam Lukomski Order Totals Customer Name (Please print) Pella Sales Rep Name (Please print) Taxable Subtotal $12,159.06 DocuSigned by: ,---DocuSigned by: Sill/Alt (kOu to aI tLANSt,1 Sales Tax @ 6.25% $759.94 4�cgord>fa�c, ignature \..___g k ep Signature 6/17/2022 6/17/2022 Non-taxable Subtotal $11,781.00 Total $24,700.00 Date Date Deposit Received $24,700.00 Amount Due $0.00 Credit Card Approval Signature The date given for installation is an approximate date. Due to unprecedented demand and global shortages of raw materials, your installation date is subject and likely to change. Pella Products Inc. cannot be held Dg responsible for any additional costs, or lost time associated with manufacturing delays outside of our LScontract. Although we will do our very best to meet these dates, we ask for your understanding and `' patience during these times **Initials: For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 6/17/2022 Contract-Detailed Page 13 of 13