Loading...
HomeMy WebLinkAbout0002 PASTURE LANE a ,��e � . �� TOWN OF BARNSTABLB 2b201 Permit No. -----------------"------------- Building Inspector aiaNAMm Cash _ f6yp. / " OCCUPANCY PERMIT Bond ----------------X(� Issued to Baysidde Building Co, Address lot #20 2 Pasture Lane, West fiyannisport Wiring Inspector f �,� ""` Inspection date Plumbing Inspector w Inspection date Gas Inspector { � (� �� � Inspection date � , �� y4F4, Engineering Department, �- � Inspection date Board of health � L 'art c r Inspection date 57..t Y-d 7 Z THIS PERMIT WILL NOT BE�VALID D THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. Building Inspector Asses' rs me!'p and lot number. / ... `. ........... + y1. 5.J' ./ f?NE T l 1 L Y1, M Sewage Permit number :. " � r l, az ..1� o� = ,•INg;'TALLEDIN . LETIaO ARNSTA•B MaraHouse number .... .. . ...... Q..: 039�IS fT N 9� i am r TOWN OFF ' BARNS�TAB�LE '* r BUILDING INSPECTOR APPLICATION FOR PERMIT. TO .i+ � n� !G.. t. � ...... ?a. TYPE OF CONSTRUCTION .....!!1_.dOZCJ .:..............................................................................`.... a ......i.. ,9.3..........................]9S. r+ TO THE INSPECTOR OF BUILDINGS: 1 The undersigned hereby applies for a permit according to the following informati n: Location ......11L .4...........::9-0:............P .......... ..�.. .G..��r......:' ProposedUse .....f�E.. i`.�1 `. ................................ ............... ::................... .................. ...... ....... Zoning District ..... .s ..........................................................Fire District .....i .-t vlAJ..5.......................... ..... .......... ` Name of Owner ...... S�Ia1F......0 ..l .. Address ............... ........................ - ..... ............... Name of Builder, ��->:q. ...... ..Address .................... .................. ... ............ ........... r } Name of Architect .:.. .�.Q.K.:. .5�. .. . .........:.......:.....Address ............. ,4 .::................................:....................... Number of Raoms. .....(`L.............. Foundation ... ..................... 4 'e.T:�^ n .1.............]..�.......... * ........... .. Exterior ....C.I.VL>6A)z_41.,.,/...j�d`��./. .....................Roofing ......... �.c-�--Floors ......4 (y'. .... ....V..1.1 'C�Q............,..:....................Interior ..''.�r�.JiJI'Vt...����!'u...... ............................. Heating .. .F.WA .....G7 - .................................... .Plumbing ....... .V..0 .......( � �.., .....r p ......A rozimate'Cost ..........I:, � Fireplace......` Q�..0 ........ ......�1?.1C!!5.........:...... PP s.. ....... Definitive Plan Approved by Planning Board ----_---------------------------19___=___. Area . .....t Diagram of Lot and Building with Dimensions - Fee .. / . J SUBJECT TO APPROVAL OF BOARD OF HEALTH �7 t , OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree- to conform to all the Rules and Regulations of the Town of Barnstable regarding• the above construction. F Name ...4........ .... �„ ..... ................................. F - _. Construction'Supervisor's License PE-Yside Building , 262�1.. Permit for ...... atory......... - s in le family dwelling : ..................... .. .. .....0.... ......... Pasture LaneLocation - , y. � �_ Y _� •..� . ,' _ � a: ,. West Hyannisport% Owner .........' Bayside Buildings....A........... frame TYPe of Construction ....... .................................. ...... .......................... .r �. Plot ..................... Lot', ........".... #2.0.... = MarchY 23 4 r84 Permit=Granted - ..`-- t -. .....19 r Date of, Inspection ...... ........ .19 , Date_Completed �a �/� ./......1,9 it �• � Jae• _�. 3 `Y ' _ �• a...\ .+�" _ �.. ` +fix✓,.. . Y ) �•T ^P 1. .` N N f t 9, r � t• � f H9 �- . tro .'•.,, U 12 G L-AN r 4�0A /fO (D/21JATa Q. 1 : eft 10,000 �.lr ��Of m CERTIFIED PLOT PLAN R ER UCEHY�4NA/ C Po r EIR�$ ELD E IN eel .01 TffL AghS �ftl su p SCALE, /'�+ya � DATE , a,+,D WkE ENGINMING Ca IN I CERTIFY THAT THE .FauNO���w GL,LENT� ... >I<NOWN ON THIS PLAN 19 LOCATED Eg19TERED FtE019TERED ON THE GROUND A9 INDICATED AND.CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR OF—BARN9:TARL MA83 712 MAIN STREET CN,NY� is E 32/J$ Ii YA N.t� I S, MASS, SHEET, „Qf%„, ; DATE: 'REG. LAND SURVEYOR . i _ '.. `. .i ,;s.�...r .�� �Y ak�� �. ♦,.; .'� ... - I U( `� ��-�i+.�t� y` IrG. L('•�� r�4••�1 r.J�r .. r Assessors map and lot number ,..f.� .....'ram" .............:. THE roe Sewage Permit- number = ..�17r!?�:.. ..... .1..:......... Z BAUSTAXE, i House number ........................:........... ......... ................ 900 "639 \0 O MA-1 a' TOWN OF BARNSTABLE.. BUILDING INSPECTOR APPLICATION FOR PERMIT TO..L(.;.4T12� UCA....:1.1 rl �6°...`�Gu!!4../ .............................. ;TYPE OF CONSTRUCTION ..... :.... . . ,u ..:..................................................................................... r 1 ` I . ..�. 7 ..........................19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit ,according to thef following informaatiJon: Location ......!' ....... .0............ �:�...�1�.. ........X`. Q,,.. .. _ .. . Proposed Use j7?.P5.0.1A.e13Cj` ......... .. .. ....... .. ................................./..........................�........... ..... ............... p ZoningDistrict .... ...............................................................Fire District ......N. .4...✓1 ................................................. Name of Owner ......� U`i�.f�...... ,),I ��i!(.K ................Address .............. ........................................................ Nameof Builder ...... .............................................Address .....................r................................................................ Name of Architect 0. ...........................Address ............ 5 ........................................................... Number of Rooms ........................................Foundation ... 'a?ar`c'c�....Cav�c{ F. ............................. Exterior ....dAT.. r1,4,,h,./.,.:. �h!`.! .�E',5.....................Roofing .................................................. .....�. _ �r�... �/ f ,,,,,/,,,�� IVw f n Interior nn Floors >, !....... ....(T� 5.00V\...../tl..{.e.e........................ Heating' �s,4 / �na?J�Z. .,....r�.....,..e.� ...�...�:.�................�.�..........................................Plumbing ........ ....�....�...:........ ..... Fireplace .... R.!..d1.......:e�7...... .(4 Cj :............................Approximate. Cost .......... z).... ....................... Definitive Plan Approved by Planning Board -------------------_-----------19________. Area .......................................... Diagram of Lot and Building,with Dimensions Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH tY OCCUPANCY PERMITS REQUIRED'-FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... ........................... Construction Supervisor's License /,/i J`../.............. Bayside Building A=248-255 No 26.2.0.1 Permit for .,,,one story ................................ single family dwelling ........................................................ ..................... Location ...............2 Pasture Lane ........................................... ..............................West Hyannispo-.rt ....................... • Owner .................PaXSide Building............... Type of.Construct&ame .......................................... ................................. ............................................ Plot ............................ Lot .......29..................... Permit Granted Mar�dh 23........1.9 84 .................:- f............ Date of Inspection.....................................19 Date Completed .....................................19 a PERMIT PAYMENT RECEIPT t TOWN OF BARNSTABLEz BUILDING DEPARTMENT 200 MAIN STREET HYANNIS, MA 02601 i DATE: 08/23/06 TIME: 12:07 -----------------TOTALS----------------- PERMIT $ PAID 25.00 AMT TENDERED: 25.00 AMT APPLIED: 25.00 CHANGE: .00 APPLICATION NUMBER: 20062729 PAYMENT METH: CHECK PAYMENT REF: 5023 A'lven?hAM•.V.M•vM1h"h A�Mf.w�,�.SF•.AhhA hM1 hV/..�i.n�w.M1.•.. . �...rn+•.die al A ¢ ti L`.} I Town of Barnstable *Permit# 'Y Expires 6 mont s from issue date X_PRESS PERMIT Regulatory Services Fee Thomas F.Geiler,Director AUG 2 3 2006 Building Division TOWN OF BARNSTABLdom Perry,CBO, Building Commissioner C(� 200 Main Street,Hyannis,MA 02601 f — www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint :ap/parcel Numbe y90 5 r / � .operty Address Tip. �Q Residential Value of Work Minimum fee of$25.00 for work under$6000.00 wner's Name&Address AQ iC1em f'i !a -TAP_- -� .��tC p 5b"6 76.6 9 ao ontractor's Name �� /,(l i1 n�0(,t/ Telephone Number :ome Improvement Contractor License#(if applicable) 9 a To �+ -- •-- -- •sor's-L�censE-#-(��appiicabiej—� �Q'- � orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Larn the Homeowner I have Worker's Compensation Insurance' isurance Company Name P J(/e ss !!�d ' 7orkman's Comp.Policy#__ W C. 90 o,,.Y6 7 opy of Insurance Compliance Certificate must be on file. emut Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side eplacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. [GNATURE: Forms:expmtrg vise061306- k. Massachuseirs Y _ Department oflndustrialAccidents Office of Investigations 600 Washington Street Boston, MA 02111 rvww massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/]Electrician/Plum)bers Applicant Information Please Print Le 'bl Name (Business/organization/Individual): Address: ` 3�t 5 N*rpo(�- go( City/State/Zip:A(( j2f j P_i(. M A • Phone#: ��^� 7�0" CQ�'to ArKyan employer? Chec t appropriate bog: Type of project'(regaired): a employer with � !� 4. ❑ 1 am a general contractor and I employees (fall and/or part-time).* have hired the sub-contractors. s' El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet t 7 .❑ Remodeling ship and have no employees These sub-contractors have s: ❑ Demolition working for me in any capacity. workers' comp.insurance. . 9. ❑ Building addition [No workers' CAmp.insurance S. ❑ We are a corporation and its 10.❑ Electrica]r airs or additions required,] officers have exercised their eP 3.❑ 1 am a homeowner doing.all work right of exemption per MGL 11.❑ Plambi ng repairs or additions myself.[No workers' comp, c. 152, §1(4), and we have no 1217 Roof repairs insurance required.] t empoloyees. [No workers' comp. insurance required.] j . 13.[] Other #Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policyinfon=tiow . t Homeownen who submit this affidavit indicating they are doing all work and then hire outside contactors must submit anew a$davit indicating such rCoatractm that check this box must attached an additional sheet showing the amne ofthe sub-contractors and their workers'comp,pot cy.infaz=nstion. ram an employer that is providing workers'compensation insurance for my employees. Below is the policy And job site information. Insurance Company Name:Aer/esss' Policy#or Sclf-ins..Lic. #: l!1[i Q Oc9 7V �� Expiration Date:/ d Job Site Address:,t ffjsLurf �An e_ ` City/5tate/Zip: Attach a copy of the workers' compensation palicy declaration page(showing the policy nu ber and expiration date). Failure to secure coverage as required under Section 25A of MGL a. 152 can lead to the imposition of criminal penalties of a fine up to$1,500,:00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$Z50.00 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. 1 do herehy ee #rthepainsan pe hies of perjury that the information provided above is true and correct Si a Date: Phone#: 4;t Q Official use only. Do not*rite in this area,to be completed by city or town ofjeiaL City or Town: Permit/License# Issuing Authority (circle one): 1.Board of health 3. Building Department 3.City/T•oiNm Cleric a.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"_everyperson in the service of another under any contract of hire, express cr ixuplied,.6i-A Or written." An employer is defined as-"an individual,parmership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and 'including the legal representatives of a deceased employer, or the . receiver or tmstee of an individual,partnership, association or other legal entity, employing employees. However the owner of dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on'the grounds or binding appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall t�ithhold the issuance or renewal of a license or.permit to operate a business or to construct buildings In the commonwealth for any applicant who has not produced Acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)slates"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if, necessary,supply sub-contractors)name(s),address(es) and phone numbers) along with their certificate(s) of insurance. Limited Liability Companies(LLQ or Limited LiabilityPartnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure.to sign and date the affidavit. The-affidavit should be returned to the city or town that tie application for the permit or license is being requested,-not theDeparirnent of . Industrial Accidents'. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies-should meter their self-insurance license number on-the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly; The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant = Please be sure to fill in the pennitlticense number which will be used as a reference number. In addition;an applicant that mist submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current policy-information(if necessary)and under`Job.Site Address"the applicant should write "all locations in (city or town)."xA copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof thata valid affidavit is an file for future permits or licenses. Anew affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this aiddavit. The Office of Investigations would like to thank you in advance fox your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Ynvestigations 600 Washington Street Boston, MA 02111 Tel:.# 617-727-4900 ext 406 or 1-S77-M-ASSAFE. Revised 5-26-05 Fax#1 6 17-727-7749 w wrw.mass.,OV/M i ✓l e Coam�noouupa/C� o�,/�/�Craaaclzrcae�a Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Regjstra#on 149840 One Ashburton Place Rm 1301 Epirat�on Y /1r /2008 Boston,Ma.02108 'Type : Ltd Liability Corporation PELLA WINDOW;§AND;DO RSY' a 1. STEPHEN DICKI'N'S 1325 AIRPORT ROACH FALL RIVER, MA 02720 Administrator Not valid without signature !' ;/fze Vr oorurrco�uoea�C� o�..� a� ; ;1 S1F UI p AICy f EaCYU'�L�ZOOMS � ' i.ic�nse CC}taISTRIYCTI'0 qis RI f V3Y.S R ! • Uuiitia`12 r G5 Q8Ii84 R14 Tr.no 17237 �_q STE-PH, N f RIGI�UIQ yr i ME-?FitF�I�AC, l�tiA "0�18ti0�'"' Carnes"i�sioner' � .I rr I Pella Windows & Doors r. 1325 AIRPORT ROAD FALL RIVER,MA 02720 TEL.508-676-6820 FAX 508-676-6823 June 19, 2006 To: Whom It May Concern RE: Contractor and HIC License I hereby give permission for Steve Correia to use my Contractor Supervisor's License #CS081843 and my HIC Registration#149840 to pull permits in the State of Massachusetts for all projects related to work performed for Pella Windows & Doors, Inc. Steve Dickinson Operations Manager Pella Windows & Doors, Inc Windows,Doors & Skylights ACORD CERTIFICATE OF LIABILITY INSURANCE OPID 27 DATE(MM/DDIYYIY) PELLA-1 07/11/06 RODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION The Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. East Greenwich RI 02818-0810 Phone:401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIC# INSURED PFR Ac INSURER A: Peerless Insurance Company 24198 quisition, LLC dba: Pella Windows & Doors INSURERB: 1325 Airport Road Acquisition LLC INSURERC:' 1325 Airport Rd INSURER D: Fall River MA 02720 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,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.AGGREGAT&HMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR INSRE TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDIYY) DATE(MMIDD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY CBP8022572 05/01/06 05/01/07 PREMISES(Eaoccurence) $300,000 CLAIMS MADE [X]OCCUR - MED EXP(Any one person) $ 10,000 X EBL PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,0 0 0,00 0 POLICY PEa Fj Loc Emp Ben. 1;000,000 AUTOMOBILE LIABILrTY COMBINED SINGLE LIMIT $ 1,000,000 A ANY AUTO BA8022972 05/01/06 05/01/07 (Eeaccident) ALL OWNED AUTOS BODILY INJURY _ $ X SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY $ X NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ - EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ 10,000,000 A X OCCUR DCLAIMSMADE CU8024072 05/01/06 05/01/07 AGGREGATE $10,000,000 DEDUCTIBLE $ X RETENTION $10,000 $ WORKERS COMPENSATION AND X TORY LIMITS I I ER A EMPLOYERS'LIABILITY WC8023972 05/01/06 05/01/07 E.L.EACH ACCIDENT $1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,0 0 0,0 0 0' If yes,describe under SPECIAL PROVISIONS below - E.L.DISEASE-POLICY LIMIT $ 1,000,000 OTHER DESCRIPTION OF OPERATIONS 1 LOCATIONS/VEHICLES 1 EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOMBAR SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Town Of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Attn: Building Di V i s i on - IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street Hyannis.MA 02601 REPRESENTATIVES. AUTHO IZEDIZED REPRESENTATIVE ACORD 25(2001/08) ©ACORD CORPORATION 1988 Contract Pella Windows &Doors Westerly RI, Centerville MA, Wakefield RI ifA)Nft ` �"(,'F;;:;;L&W%NCr Seekonk MA, Dartmouth MA, Plymouth MA Serving Massachusetts & Rhode Island Phone: Fax: _. ..,.. ANNA RITA FLEM G Date (p 00/00/00 pZ PQ� No. Need Date 00/00/00 Sales Rep.Name Prepared by Payment Terms Owner: Mrs.ANNA RITA FLEMING Architect Bus.Phone: ( ) - Bus.Phone: Dist.Order No. Bus.Fax: ( ) - Home Phone:(508)775-3317 Cellular:( ) - Home Phone: Comments: ENTRY DOOR AND STORM DOOR WITH INSTALLATION PROVIDED BY PELLA. ENJAMIN MOORE PAINT ON ENTRY DOOR PROVIDED BY PELLA....EXTERIOR SIDE OF DOOR AND EXTERIOR TRIM TO BE PAINTED DEL MAR BLUE#704 AND INTERIOR OF DOOR AND INTERIOR TRIM TO BE PAINTED LILY OF THE VALLEY#905. *MA SALES TAX HOLIDAY APPLIED TO CONTRACT. COMMON ATTRIBUTES: Unless otherwise noted under"Description" all units contain the following attributes.Fixed units to not contain screens or hardware. Product Brand: TFrime Glass: Screen: Fins: Exterior Mat'1: I DGP Color/Glass: Muntin: Brickmould: Color: I Shade: Hardware: <r,Wnr- ,,.. - r Item#10 Qty: 1 2'8" x 6'8"Right Hinge In-swing Entry Door,Frame:33-1/2 X 81-1/2: 2,137.36 �. 2,137.36 Location: BACK DOOR Entry Systems,Clad,Full Lite,Model 2,White, 1"InsulShld Temp IG-GBG R.O: 2' 10-1/4" X 6' 10" Glazing,Wood-Grain Fiberglass,Latch Bore with Deadbolt,2-3/8"Backset, WallCond: 4-9/16" 3/4"Trad GBG-White/White(muntin pattern:3Wx5H),Brasstone Zinc Dichromate Hinge, Ghent Pry Levr w/Gardiner Dual Cyl DdBlt Brnz,Include 2-3/8"Backset Kit,Mill Finish Sill w/Adj Comp Threshold,Fins(single unit per design) Value Added Items:Install Entry/Sliding Doors/French-1 panel-Qty 1 Disposal fee per wdo/door-Qty 1 Pre-finished Single Entry Door-Qty 1 Notes: i Contract-Page 1 of 3 j Contract for Customer Project:ANNA RITA FLEMING Order No: ,n H .� u .,: ,. ,�a .,.. Lam, .,5 a. ,... : �: sa I. _ ,r, F . ,t"Y� � ,M. s. b. '� �r ., ..., �. 'k.. ,K�, p..�.n. N,.. I > .....� �,. .,� I I ' , ,».,� � ..b . , ., Item# 15 Qty: 1 32 x(80 to 81)Interchangeable Storm Door,Opening:32 X 81: Entry 609.73 609.73 Location: BACK DOOR Systems,Clad,Fullview,Model 1 , 1-5/8"Extruded, White,Plain Glass/Clear, ;J R.O:2'8" X 6 9" Oil Rubbed Bronze Handle, With Hinges,4601-STD 1-5/8"Ext FV Plain Glass Value Added Items:Install Storm Door-Qty 1 Disposal fee per wdo/door-Qty I Notes Item#20 Qty: 1 EXTERIOR 2-1/2"BRICKMOULD TRIM PAINTED DEL MAR BLUE 75.00 75.00 Location:EXTERIOR TRIM #704 Picture Value Added Items: Prefmish Exterior Trim per Unit-Qty 1 Not Available Notes: ACKNOWLEDGEMENT OF C.S.R. REVIEW WITH CUSTOMER(Customer initials): Terms and conditions: This order is made especially for you, the customer.No cancellations are possible after 3 business days of the signing of this order. This agreement becomes a binding contract only upon review and acceptance by authorized Pella Windows and Doors corporate representative in Fall River, MA. All promises of shipment are estimates only, and our best efforts are used in every case to ship within the time promised, but there is no guarantee to do so. Seller shall not be liable for any direct, indirect or consequential damage caused by delay in shipment. For non-installed orders the customer represents that the window/door sizes and specifications shown on this order are correct and may not be changed or cancelled. The Scheduling Dept will I you with your delivery date. We provide tailgate delivery only, please arrange to have assistance on site at time of del' For Ins a ers /o deposit required at time of order, and 50%upon completion. Taxable Subtotal $0.00 Cus e4Signat&e Pella Sales Representative Signature MA at 5.00% 0.00 None at 0.00% 0.00 None at 0.00% 0.00 S//Zl/D� �1��,0( Non-taxable Subtotal 2,822.09 ( Total $2,822.09 Date Date Deposit Received $0.00 Contract-Page 2 of 3