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0053 SIXTH AVENUE (HYANNIS)
53 S�X�li q�� - - _ - _ Town of Barnstable Growth Management Department BMWSTABM v MASS Barnstable Historical Commission lEc " www.town.barnstable.ma.uslhistoricalcommission Jo Anne Miller Buntich,Director Marylou Fair,Administrative Assistant COMMISSION MEMBERS: Jessica Rapp Grassetti,Chair George Jessop,AIA,Vice Chair Marilyn Fifield,Clerk Nancy Clark N �, Len Gobeil Nancy Shoemaker C= Laurie Young N u July 25, 2012 , Stephen T. David a 30 Eastbrook Road Dedham, MA 02026CM Dear Mr. David, INITIAL DECISION of the Barnstable Historical Commission, pursuant to the Code off the Tower of Barnstable ss 112.1 through ss 112.7; an application for DEMOLITION of property as follows r 53 Sizth Avenue,•West Hyannisport:MA Map 246, Parcel 169 The Barnstable Historical Commission considered the above referenced application for demolition of the house at the above referenced location at their meeting of July 11, 2012. The Commission found that in accordance with Chapter 112:§3 D the Barnstable Historical Commission does not find that the building located 53 Sixth Avenue, West Hyannisport, Map 246, Parcel 169 intending to be demolished is a Significant Building in accordance with the Definition in Chapter 112, §213. Present and voting were: Jessica Rapp Grassetti, Nancy Shoemaker, Marilyn Fifield, George Jessop, Len Gobeil, Laurie Young Sincerely, (Tessiea l�gap �i�assetti Jessica Rapp Grassetti, Chairman Cc:'Tom Perry, Building Commissioner Linda Hutchenrider, Town Clerk 200 Main Street,Hyannis,MA 02601.(o)508-862A786(t)508-862-4784 367 Main Street,Hyannis,MA 02601 (o)508-862A678(fj 508.862A782 Town of Barnstable 'a i }- Growth Management Department. . "a 3 Barnstable Historical Commission www.town.bamstable.ma.us/histodcalcommission. - `12 JUL -9 A1.0 :05 NOTICE OF INTENT TO DEMOLISH OR MOVE A HISTORIC BUILDING Date of Application Building Address: Vevl V•L:-,- Number Street w4 0H al)a 7- 04 �L/ ' Assessor's Map'# 2y� Assessor's Parcel# I(r Village ZIP Property Owner: S:S&3 P T bl Vi_I� I Fl -Lfl�l 'ho' U Name Phone# :. Property Owner Mailing Address (if different than building address) •30 c A 73'rvc)k /?o,4b �D d ha vm A Property Owner a-mail address: i La!- +' e6 r'I Contractor/Agent: S 14" 04,G Contractor/Agent Mailing Address: 4:jr7—&'cw K ,eu q-b ; .'�nc��rc, V„ i'N :q- Contractor/Agent Contact Name and Phone#: J ES lMTs If= 3 Ok -203 - e6,2,/ Name Phone# Contractor/Agent Contact e-mail address: Existing Building Material: fiTOiVF= )Uv'y-p4-roN ; I/lT!y� S/�il�i i;Lf� draha 4 poX>=S�iiN�� Type of NewConstruction Proposed: 514 C Provide information below to assist the Commission in making the required determination regarding the status of the Building in accordance witti Article 1, § 112 Year built: 19 2 U Additions Year Built' N f✓�- Is the Buildi listed on the National Register of Historic Places or is the building located in a National Register District? No 12 Yes Is the Building associated with one or more.historic persons or events, or with the broad architectural,cultural, political, economic or social history:of the Town or the Commonwealth? N b Is the Building historically or architecturally important in terms of period,style, method ofbuilding construction, or association with a famous architect.or builder either by itself.or in the context of a group of buildings? N o December 2011 opIME ro Town of Barnstable . *Permit# Repires 6 m-oon�ths from,issne date 1MMMBLE, : Regulatory Services Fee Y•. CD 9cb a9. � Thomas F.Geiler,Director AlfD1'AA`A Building Division Bu- g -PRESS PERMIT Tom Perry, Building Commissioner 200 Main Street,.Hyannis,MA 02601 JAN ® & 2008 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not[valid without Red X:Press Imprint Map/parcel Number_ ! L/f!J Property Address S/ residential Value of Work (v C?6© 6 6 Owner's Name&Address �� l I I I S �' v,3 & x rk A_VC. C•U c/iyw/J ►�dr�Ty . Contractor's Name YjY / "h +v- Telephone Number L/J-0 y Home Improvement Contractor License#(if applicable). 0 Construction Supervisor's License.#(if applicable) 4 9 C/ 216rkman's Compensation Insurance Check one; ❑ I am a sole proprietor ❑ I am the Homeowner [j2-fhave Worker's Compensation Insurance Insurance Company Named) Workman's Comp.Policy# W G 20 a t' Cl t ' Permit Request(check box) Re-roof(stripping old shingles), D V byt3 To C4 5 I I C, S'u K L G1. a ❑Re-roof(not stripping. Going over existing layers of roof) Re-side . ❑ Replacement Windows. U-Value (maximum.44) ❑ Other(specify) I *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. Signature Q:Forms:expmtrg Revised 121901 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/Organization/Individual): �)LP+,✓% e- Address:( 1 S 1 City/State/Zip: cf 1ir✓ Cif+ Phone#:_2 Are you an employer?Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in capacity. employees and have workers' any � ty• $ 9. ❑Building addition [No workers'comp.insurance comp.insurance. required] 5. ❑ We are a corporation and its ME]Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12. toof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] ;Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the subcontractors 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: Policy#or Self-ins.Lic.#: JaC W C �6 I a 1° Expiration Date: Job Site Address: Ilive— City/State/Zip: Cep ►VT`,,,,��s62 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). 7 Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thepains andpenakks ofperjury that the information provided above is true and correct Signature: Date: ` — 0 13 d Phone#: 3 l 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#: Regrul Or,'Services $ Thomas F.Gamer,Director Building Divisloll Tom Perry, Building Commissioner 200 Main Street Hyannis,MA 02601 w v.toWn.barnstable.ma.us - Office: 508-862-403 8 Fax- 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of jb subject property hereb7 authorize to act on my behalf, : . in all shatters relative to work authorized by this l; ' . ��pen=application for, . (Address of Job) �a Signaturz o Owner o o '' Date Print Ndine WORz MOWINW E MISSION s s 7-7 7777-7777-777T777777 ! acxe UAelti iZgard of Buildiug Regulatlohs aptl StAndards a L�censi or registrat,oti valid for mdrvtdul use;;6n!} NbME IMPROVIE UT CO TRAC pa JJ T # hefure tha expiration"elate If ,found return toi >I Registration 9-50363 B a c3'of Buildsn :"!a$Regulations andndards Eirprationi 3/27/2008 :° `ane Ashburton Place Rm F1301 ` TypeA ' Heston;ti4a 02108 x 1(E�iIE CON'STRUG t3ARFtY I<EE�iE ;r r SANDII�ACH``MA 02563 � s �` �-- —•-- -` ;° , ,Ip>�iuty;Adnun�btratar Ir , �and�tithoutsigrature� S Town of Barnstable *Permit Expires 6 months from issue date Regulatory Services ., Fee X-PRESS .PERMIT Thomas F.Geiler,Director JUL 13 2006 Building Division Tom Perry,CBO, Building Commissioner TOWN OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 www.town,barnstable.ma.us Officer 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY �n (mot Valid without Red X-Press Imprint Map/parcel Number t9 (�l �C Property Address 50jA) Residential Value of Work ?�]S. / Minimum fee of$25.00 for work under$6000.010 , Owner's Name&Address (�hy it 3 S:x�G, S4- Contractor's Name�CC (I"A'40cilS -Telephone Number 50 -474- p;LO Home Improvement Contractor License#(if applicable) r Q a IJ 3N j T q TT o Construction Supervisor's License#(if applicable) S 6 8./ Sy 3 orkman's Compensation Insurance Check one: ❑ I am a sole proprietor EI,Tm the Homeowner I have Worker's Compensation Insurance Insurance Company Name?pier es S QrIL' Workman's Comp.Policy# W c,,. So X40 7 % Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re ;-.Replacement Windows/doors/sliders. U-Value (maximum.44 ) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: ropefty Owner must sign Property Owner Letter of Permission, 11 A copy of the Ho rovement Contractors License is required. �cl. _ i vL� SIGNATURE: Q:Forms:expmtrg Revise061306 S �e Q Vt_ -F� SL l rsG vJ 311 KYYK✓.�o✓✓--✓ ` Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston, MA,02111 . www mas&gov/dia Workers' Compensation•Insurance Affidavit: Builders/Contractors/Electricians/Plun abers Applicant Information Please Print LeObly Name (Business/orpnization/Individual):--- L (,6"dBws Address: (9_A 1"Q9 City/State/Zip: 4�Zt1� �i'ut� . INIIa 02Whone#: ;;L0 Are yo an employer? Check appropriate bog: Type of project(required): 1,D am a employer with z 4• ❑ I am a general contractor and I 6 ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet$ ❑ Remodeling ship and have no employees These sub-contractors have 8: ❑ Demolition working for me in any capacity. workers' comp,insurance. 9. ❑ Building addition o workers' Gump,insurance 5. ❑ We are a corporation and its � 10.❑ Electrical repairs og additions required:] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Phtmbing repairs ox additions myself.[No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t . employees. (No workers' 13.0 Other . comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below ahowing their workers'compensation policy information: ' t Homeowners who submit ibis affidavit indicating they are doing all work andthen hire. outside contractors must submit a new affidavit indicatiing such IContractara.that check this box must attached an additional sheet showing the name of the sub-contractors and Their workers'comp,policy infoz=nation. lam an employer that Is providing workers'compensation Insurance for my employees. Below is the pollcy and job site Information. Insurance Company Name: AmiL-essC ICJ Policy#or Self-ins.Lie.#: IA C RC7 2.. qb 7� Expiration Date: Q Job Site Address: � St Auc, . City/State*: 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 cri ninal 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. 1 do hereby ce nder the pains p alties of perjury that the information provided above is true and correct Si afar Date: ' Phone# Official use only. Do not write in this area,to be completed by city or town q fjieiaL City or Town: Permit/License# Issuing Authority(circle one): 1:Board of Realth 2.Building Departmeht 3.City/Town Clerk 4.Electrical inspector.5.Plumbing Inspector 6. Otther Contact Ferson: Phone#: —e Information and Instructions Massachusetts General Laws chapter 152 requires all empIoyers to provide workers' compensation for their emp-ter• under an contract of . person in the service of another �. employee is defined as"...every Y . Pursuant to this statute, an �Y P - e ess or implied,oral or written." An employer is defined as"an individual,partnership,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 trustee of an individual,partnership, association or other legal entity,employing employees. However the owner of a 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 building appurtenant thereto shall notbecause"of such employment4be deemed Lobe an employer." MGL chapter 152, §25C(6)also states that,"every state or local licensing agency shall withhold the issuance or renewal of alicense.or permit to`operate a business or to constrict buildings in t>ie corriaionwealtb for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of-ooirrpliance with the insurance requirements of this chapter have been presented to 1&e 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-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s) of insurance. Limited Liability Companies(LLQ or Limited Liability Partnerships(LLP)with no employees other than the members orpartners,are notrequired to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Dep art rent 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-the application for the permit or license is being requested, not the Department 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 sbadd enter 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 tiie affidavit for y0i to fill out in the event the Office of Investigations has to codtactyou regarding the applicant. Please be.sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant - 'thatm ust sub� nitlple ermit4icense applications in any ' en year,need only submit one-affidavit indicating current policy information(if necessary)and under"Job Site Address"1he applicant should write"all locations in_ - (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that.a valid affidavit is on file for fixture permits or licenses, Anew affidavit must be filled out each ' year.where a home owner or citizen is obtaining a license orpermit notrelated 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 affidavit The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. ,v The Department's address,telephone and fax n=ber: ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406'br 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 .www.mass.gov/ciia _ 7k �om�no�uaea/l� o��acla eaelta 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: Registration;::149840 Board of Building Regulations and Standards -_� One Ashburton Place Rm 1301 (-Expiration -4/.13/2008 Boston,Ma.02108 wT Type'Ltd Liability Corporation PELLA WINDOWS�AND DOORSv STEPHEN DICKINSON. 1325 AIRPORT ROAD FALL RIVER, MA 02720 Administrator �N.?valid without signature _ ... ✓JLG �OhNYY�.U/Gf/NNG 4 BOARD OF QUIWING R G`UTATION$ t,,.License CON$TRUCTI"ON+.SUPERVISOR {, • , ,�r Number CS 0$1843 I : EXpies 02/06`/20Q8 Tr.no: 17237 k STE!PHEN T QICKINSON MERRIMA'C, MA 01�860 '"' Commissioner f _ I ACORD CERTIFICATE OF LIABILITY INSURANCE OP ID 27 DATE(MMIDDIYYYY) PELLA-1 07/11/06 PRODUCER 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 Acuisition, LLC INSURER A: Peerless insurance Company 24198 q dba: Pella Windows & Doors INSURERS: 1325 Airport Road Acquisition INSURERC: LLC 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.AGGREGATI3NMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE(MMIDDIYY) DATE(MMIDDIYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 HrNlrU A X COMMERCIAL GENERAL LIABILITY CBP8022572 - 05/01/06 05/01/07 PREMISES(Eaoccurence) s300,000 CLAIMS MADE Fx_1 OCCUR IVIED EXP(Any one person) $1 D,0 0 0 rGEIL 'L PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $2,006,000 GREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 ICY jE7 LOC Emp Ben. 1,000,000 AUTOMOBILE LIABILITY " COMBINED SINGLE LIMIT $1,000,000 A ANY AUTO BAB022972 05/01/06 05/01/07 (Ea accident) ALL OWNED AUTOS BODILY INJURY X SCHEDULED AUTOS (Per person) $ X HIRED AUTOS BODILY INJURY (Per accident) $ X NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $10,000,000 A X OCCUR CLAIMSMADE CU8024072 05/01/06 05/01/07 AGGREGATE $10,000,000 DEDUCTIBLE $ }{ RETENTION - -$10,000 1 $ WORKERS COMPENSATION AND X TORY LIMITSI ER EMPLOYERS'LIABILITY A WC8023972 05/01/06 05/01/07 E.L.EACH ACC DENT $1,000,000 ANY PROPRIETOR/PARTNERIEXECUTIVE - OFFICERIMEMBEREXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,000 It yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION TOWNBAR 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 Divi s ion IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street Hyannis MA 02601 AUTHORIZED REPRE AUTHO ¢ED R�TIVE ACORD 25(2001108) 4++_Q ©ACORD CORPORATION 1988 Pella Windows & Doors � 1325 AIRPORT ROAD W 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 g 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 Contract Pella Windows& Doors Westerly RI,Centerville MA,Wakefield RI Seekonk NIA,Dartmouth MA Serving Massachusetts&Rhode Island Phone: Fax: U) O100r`04 ce Sit Barns,Phym.I Date 0 Ave— ; No. Need Date 00/00/00 m W y/Rw n.J�t7/1� 17 ! Sales Rep.Name �/ I Prepared by � in Payment germs `I I Owner:Mrs.Phyllis Burns. Architect m I3ns.Phone:(.SaB)775-24i9 Dist.Order No. Bus. Phone:( l - i Bus.Fax:( Name Phone: ) - i Cellular:( ) - Home Phone: -.--__--- j Comments_ ------ -- - ----- -- — _ -- - .. escrt t«� QTO °rice Egten ci (?tafsidt:Vier At€oa p: r .�t I,Za9.4 item#10 Qty:2 Yeat Double-Dung,Frame:27 314 X 44-V2.Pella Impervia,Alternative 'I Location:upstairs-bads Material,Model 1 ,Half Vent[match Half Vent,White,11.116"hisulShld IG r- Q varc + " + +� Fu115cree White Hardware,Precision Fit Frame-3 1/4" IL=_ PLO!2 4-i1d X 3 9 Glazing, n, vt�tWallCand: 1 11/16"(Fin to Roornside) Value Added Items:TnsWI Precision-Fit(3- l0 units)-Qty £ Disposal fee per wdoldoor-Qty 1 b o -- -� Item[#15 Qty' 3 Vent nimble-Hung,t<rame.33-1/4 X 52-1a:Pella inipervia,Alternative 680.13 2,040.39 Location:upstairs-side Material,Model 1,half Vent[match Half Vent,White, 11116'Ins►lSbid IG L=_ Qvyi R.O:2+9-314" X 4'5" GL9zing,pull Screen,Wl15te hardware,Precision Fit Frame-3 114" �4 WAICond: l 11116"(Fin to Roomside) Value Added Items: Install Precision-Fit(3 - I units)-Qty I Disposal fee per wdoldoor-Qty I Hates: ---- m m LID - - - _-_ Gonlract Page 9 of 2 Project:Burns,Phyllis 1 order No- s Confrtct fur Customer .. - .t. _ H tame .:,it erg3' Dcra�a#lm� Unit) ��: I1Cfedt"all W - Item#20 Qty•2 Vent Double-Hung,Frnme:33-If4 X 42-112:fella Cinpervia,AlieriDative 680.13 1,360.26 I.Qe$tion ist 0 dining side Material,Model 1 ,Half Vent/match Half Vent,White, l 1116" InstalShld Itocn PLO:2'9-314" X 4'5" Glazing,Full screen,White Hardware,(Precision Pit Frame-3 1/4" Y"` Vfir�OlConef: 1 11!lb"{Fin to Rc�omside) Value.Added Items:Wall Precision-Fit(3- 10 units)-Qty 1 , j Disposal fee per wdoldoor-Qty w —._. — - - -- - OG 1' a� kot F�o� tceswo t �� lcft� _ . _.. - Lrr ACISNOWLEDGEMENI'OF C.S.R.Rf,,VII W WMI 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 Capon review and acceptance by authorized Pella Wis.dowslnc corporate representative in Fall River,MA. All promises of shipment are estimates only,and our best efi'orts are used in every case to slip within the time promised,but there is no uuarantee 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 aft;correct and may not be changed or cancelled. The Scheduling Dept will call you with your delivery date. We provide tailgate delivery only , please arrange to have assistance on site at time of delivery. For Installed orders, 50%deposit required at time of order,and 5WIo upon completion. fia�-aes�ge Taxable subtotal - $3,341.07j P Signature -- _-- ----- ---- 'MA at 5.00°!0 __ 165.05 Nonei- at 0.(l0°/4 _.__.-- -0.{10 None at 4.00% _ — 9.0� e Non-taxable Subtotal ' 1,30-.00 CO- 4 GA 4,775.12 Date— -— -- -- Date ------- - posit Received ya5A va0 3 S�ll2t� /f8!v its `� ��, V00 WARRANTY: Pella products are covered by Pella's limited warranties in effect at the time of sale. All applicable produce warranties are incorporated note of the two important notice section into and become a part of this contract.Please sce the warranties for complete details,taking special regarding installation of Pella products and proper management of moisture within the wall system.Neither Pella Corporation nor branch will be bound by any other.warranty Curless 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 ritten warranties. Clear opening(egress) information does not take �r into consideration the addition of a Rolscreen(or any other aecesscw j to the product. You should consult Your local building code to ensure your Pella products meet local egress requirements. G) m __ - --- -_�- _- --= — ---- -- --- (;ontmct-Page 2 of 2 ^�