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HomeMy WebLinkAboutBuilding Permit #529 - 1029 JOHNSON STREET 1/10/2012 b TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �� Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION �C�a� O�►� Print PROPERTY OWNER `M� fkti Env:i C-C) / Print ' MAP NO: 1 U'7 PARCEL:ISS ZONING DISTRICT: Historic District yes no Machine Shop Village yes no i TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building P-0fi-e family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial @411'epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other q,Septrc Well ®Floodplainetlands �' '� 57Vatershed�Distnct I DESCRIPTION OF WORK TO BE PERFORMED: 1 (AJ c V1 OCU- ' a cJr-w�( Identification Please Type or Print Clea ) OWNER: Name: VXI " V--L,1>Y*,, kc� Phone: 92� - 4g& ,-301 Address: CONTRACTOR Name: Q) i fs� Phone: (j -5i -0?F6 Address: 7(`a C+WS�, 0" Supervisor's Construction License: C/5 Exp. Date: Home Improvement License: G-01 Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12"00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Gv 8"O Total Project Cost: $ 1 'DM, FEE: $ 03. Check No.:,;) Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of,°Agent/Owner Sc }4+�,,a -Signature_ofcontractor s.4: Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/MassageBody Art ❑ Swimming Pools ❑ j Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature - i COMMENTS e' HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 section 21A—F and G min.$10041000 fine NOTES and DATA— For department use ® Notified for pickup - Date Doc:.Building Permit Revised 2008 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All sign require dumpster permits re p p q off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ' ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New ConstructionSin le and Two Family) � g Y) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products :40TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals :hat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording Bust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Locationloo� — No. Date NORTq TOWN OF NORTH ANDOVER 9 L Ie Certificate of Occupancy $ r sACMUst<� Building/Frame Permit Fee $ a� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # So 1(0 24944 Building Inspector NpRT►y 0 0Andover ° No. "y z vu AIA Z , dower, Mass., 0 C,,� /O / COCHICMEwICK �tf ADRATED 7`s BOARD OF HEALTH Food/Kitchen 'PERMIT T D Septic System BUILDING INSPECTOR /, ,oer�i THIS CERTIFIES THAT.... .. ./h�.l..`..!!'S.............�......................C.�........... �......................../�S 0 ............................... Foundation has permission to erect........................................ buildings on ........ ........ ..............;Z.d ........N..... ..�........ Rough to be occupied as mn..................... .`................... ............. ... ..........W..%.!'1��.��........:................... Chimney e provided that the person accepting this permit shall in every respect conform to the terms of the application on filein Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUC T S Rough q%jj f ��� ................................................................................................................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do, Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Dec 18 11 12:13a Kevin Michaud 207.2105580+ p.7 104 Otis Si..Northlxuongh.RIA 01532 _J&L Wj.,,%ows,INC.,a/B/:n ,bIA Monte Improvement Contractor :50;1.919-0(00-Fax:(77.1)987-3`)13 Renewal Liceisc#149601 (Expired/Z4/2012) byAndersen. = Fcdcral Tax IP.#53-0404201 WINDOW REPLACEMENT -A.3—MI:-M., CUSTOM WINDOIV AND DOOR REMODELING AGREEMENT Bryer(s(Nome Dale of Agreemenl Bayerls)Street Address,CiN.Slate,cnd Zip Cade 71 v E Mad Aduess Home Tele one Number Q W4 Telepho-NNamber �J Buvcr(s) hereby jointly and severally agrees to purchase the products and%or services of I&L Windows,Inc.d/b/a Renewal by Andersen ("Contractor"),in accordance with the terms and conditions descr*cd on the front and the reverse of this agreement and on the attached specification sh=l(s) (colleclively,this`Agreement").Buver(s)Itcroby agrees to sign a completion certificate after Contractor has completed all work touter this Agreement. I To`al Job Amount:�b Z3 3 Estimated Starting Date: Method of Payment: ❑Check ❑Cas Financed Deposit Rece*ved(33%):__ Credit Cords are accepted for deposit Balance at Start of Job 133,.): 15i Estimated Ccmpletion Date: only—maximum 1/3 of the project cost. Balance on SubstantialL/J jj �(� Please see Credit Card Payment Form. Completion of Job(33%):.-t ! (L' By signing this agreement,you acknowledge that the Balance at Start of Job and the Balance on Substantial Completion of job cannot be made by credit card and must be made by personal check,bank check,or cash. Buyer(s) agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alteration to or deviation from this Agreement will be valid without the signed, written consent of both Buyer(s) and Contractor. Buyer(s)hereby acknowledges that Buyer(s) 1) has read this Agreement, understands the terms of this Agreement, and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. &L rn o;s,,/Inc.d/ba R ersen u Buyer(s) Bv: x SC •.�' , v� tort: IC Product tial- r Si,� urr Signature 0_J_Z_1 K �1 17Al Print Name of Product AAana. er Print Name Print\line YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. "<— — — — — — — — — — — — — — — - — — — — — — — — — — — — — -x— — — — — — — — — — — — — — — NOTICE OF CANCELLATION X° NOTICE OF CANCELLATION Date of Transaction . You may cancel Date of Transaction . You may cancel this transaction,without any penalty or obligation,within I this transaction,without any penalty or obligation,within three business days from the above date.If you cancel,any i three business days from the above date.If you cancel,any property traded in,any payments made by you under the I property traded in,any payments made by you under the Contract of Sale,and any negotiable instrument executed I Contract of Sale,and any negotiable instrument executed by you will be returned within 10 days following receipt I byyou will be returned within 10 days following receipt by the Contractor ("Seller") of your concellartion notice, by the Contractor ("Seller") of your cancellation notice, and any security interest arising out of the transaction will and any security interest arising out of the transaction will be canceled.If you cancel,you must make available to the be canceled.If you cancel,you must make available to the Seller at your residence,in substantially as good condition Seller at your residence,in substantially as good condition as when received, any goods delivered to you under as when received,any goods delivered to you under this this Contract or Sale; Io You may, if you wish, comply Contract or Sale;or you may,if you wish,comply with the with the instructions of the Seller regarding the returninstructions of the Seller regarding the return shipment of shipment of the goods at the Seller's expense and risk. I the goods at the Seller's expense and risk.If you do make If ou do make the goods available to the Seller and the I the goods available to the Seller and the Seller does not Seller does not pick them up within 20 days of the date pick them up within 20 days of the date ofyour Notice of your Notice of Cancellation,you may retain or dispose of Cancellation, you may retain or dispose of the goods Of the goods without any further obligation. If you fail to without any further obligation. If you fail to make the make the goods available to the Seller, or if you agree goods ovaable to the Seller,or if you agree to return the to return the goods to the Seller and fail to do so,then I cods to the Seller and fail to do so,then you remain liable you remain liable for performance of all obligations under for performance of all obligations under the Contract. the Contract.To cancel this transaction, mail or deliver a I To cancel this transaction, mail or deliver a signed and signed and dated copy of this cancellation notice or any I dated copy of this cancellation notice or any other written other written notice, or send a telegram to Contractor:J I notice,or send a telegram to Contractor:J&L windows, &L Windows,Inc,d/b/o Renewal by Andersen,104 Otis Inc. d/b/o Renewal by Andersen, 104. Otis Street, Street, Northborough, MA 01532, BY NOT LATER THAN Northborough,MA 01532,BY NOT LATER THAN MIDNIGHT MIDNIGHT OF .(Date) OF (Date) 1 HEREBY CANCEL THIS TRANSACTION. i I HEREBY CANCEL THIS TRANSACTION. I I Buyer's Signature Print Name Dare Buyer's 5ignatere Pnar Nam. Dal< RbA Copy- Whit- Buyer Copy-Yellow Buyer Copy-15nk Dec 18 11 12:13a Kevin Michaud 207.2105580+ p.8 J&L Windows,Inc.d/b/a 104OlisStreet,Vcrchrorough,:NA 0153 MA 149601(cspics(/24!12) Phore 5C8.919.C900•Fax 774.987.30(3 Renewal -. Fedora!Tat]Dti 83-04042C1 �Anderseno WINDOW REPLACEMENT —A.nd--C;n pP V Or GREATER M.4ssACHuse1TS AND New HA&esHiRE W94DOW SPECIFICATION SHEET Buyers)Name Date of Agreement A c j -sian e The Buyers)listed above hercb�,jcintly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on the Specification Sheet and the front and the reverse of the accompanying CUSTOM WINDOW AND DOOR RFMODFI.TNG AGREErNIEW, of which this Specification Shcct is a part. WINDOW DETAILS 1. Contractor will Install a total of windows in Owticr's home,using the following individual quantities: Double Hung(DB))Z Equal sash ❑ Cottage sash(113 top,2/3 bottom) ❑ Oricl sash(2/3 top.1/3 bottom) Casement(CW) ❑ Hingc right ❑ Hinge left(as viewed from exterior): ❑ Standard handle ❑ Aictro handle Double Casement(CDW) ❑ Standard handle ❑Metro handle Casement/Picture/Casement(CPV) ❑ 1:1:1 or ❑ 1:2:1 [] Standard handle ❑ Metro handle 2 Lite Gliding Window(GW) Glider/Picture/Glider(GFW) [ 1:1:1 or k l:Z:1 Awning Window(AW) Picture Window(PW) Bay or Bow Window Patio Doors(see separate Doer Specification Sheet) 2. g-Yes ❑ No Qty of Windows to be Custom Fit Replacement: 7 3. R-Yes ❑ No Qty,of Sills to be replaced by Contractor: + �7 4. ❑ Ycs g;„jk� Qty of Windows to be New Construction Full frame(includes new interior&exterior casings)and actual Exterior casings: ❑ Fine ❑ Maintenance-free material ❑ Factory applied 908 Fibrex brickniold 3. Glazing to be:.g_HP Low-E-4'1 ❑ Other If other,please specify: 6. Exterior color to be:*White ❑ Sand ❑ Canvas ❑ 'rerratone ❑ Cocoa Bean 7. Interior color lobe: �hits ❑ Sand ❑ Canvas ❑ Terratone ❑ Fine ❑ map)e ❑ Oak Note: hrterior color can only be white,wood or sante color as exterior. Wood interiors need to finished by Owner. S. Hardware: White ❑ Stone ❑ Canvas ❑ Brass ❑ Estate Hardware: Style: 9. ❑ Yes ❑ No Install lifts with Double Hung Windows 10. Screens: windows to have: ❑ Half or Q�r_Full screens Screens to be:�KFibe glass ❑ Mumimim ❑ TruScene GRILLE DETAILS 11.Windows have grilles: ❑ Ycs13•No If yes:❑ Grille Between Glass(coo)❑ Removable Interior Wood oNiw)❑ Full Divided light(rm.) Qty: Qty: Qty: Qty Qty: Qty: Qty: i DH DH DH Dh CwfPicWre Glider CPN70r GP Draw grille patterns above 'Use additional sheet if needed Owner approved(initials): ADDITIONAL WORK.DETAE S 12.❑ Yes R No Contractor will remove metal frames of windows. Qty of Units: 13.❑ Ycs R�o Contractor will install new paint-ready or stain-ready casings. bitcrior casing qiy of openings: Exterior casings qty of openings: ❑ Pine Maintenance-free material 14. Yes ❑ No Contractor will install new paint-ready or stain-ready inside or outside stops qty of openings: Interior stops qtv of openings:= Exterior st a 'ngs: ❑ Pine F] Maintenance-free material 13. Owner is aware that Contractor does not do any painting. Owner Initials I G.❑ Yes,�ro Contractor will wrap exterior casings with alumincoil stock of color. Note: Wrapping may be required with storm window rcmova,removal of stern windows will leave screw holes in casing. 17�QYes ❑ No Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration. 18.. Ycs ❑No Clean up alljob related debris including old windows will be removed.Vacuum nightlg. 19�W Yes F-1No A limited warranty shall be issum Wired to Owner upon completion of thejob and payment in full. 20j�a Yes [I No Btrildin Pg ermit—C'onfracior nzll secure any and all necessary permits. The fee for the permit(s)is not included in the Contract Price and a separate check is required at the time of sale for this fee. 21 K Yes ❑No All discounts have been applied to this agreement price. 22. Additicnaljobdelails: yb'J"6 ( Elt 17zz �.i L.1 3p Dcti>rc 0 23. Yes E] No Owner agrees to It present on the final day of installation for final inspection and to deliver final payment. ��r fin.rl Eery menl shall be demanded until lire contract it completed to the safisfactlon of all parties. It is agreed and understood by and between the parties that this Specification Sheet,along with the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT,constitutes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms. This Specification Sheet may not be changed or its terms modified or varied in any way unless such changes are in writing and s Vied by both the Buyer(s)and Contractor. Buyer(s)hereby acknowledge that Buyer(s)has rethis Specification Sheet. Rene d s 'f C MEd NH Buy ) B er(s) By: metre of Pr t ger a Signature Print Name of Product manager Print Name Print Narne Tfie Coamma idltft o,f Margathuseft Department of kdua'triid Accidea� D tcc of, bzfesdygiorts SDI lfrirfdn.9tnn,�keet Bna�atz,Iii OZIII • , . .Ma &ffcridia � '� afian�irrsnca Affids�$rii�iars/Cam'actor�l�Iectriciaa.slP{Bmbe ..'WDrker� Campans Please Pr!n LeP Iieent Fuforms�.an' . . ' cnhndividnaI�; a er . 2�sme(gi,sinrrs►Organizeti , Address;. tr4` ro tiste b=' TI pe of pr'dject (rGgtur ed�. Are you an employar?Check the&pp p 4. [�I am a genarel contractar sndI fi []N constrncfion L.E-i am a rmpb'ccwiffi L- -0* bund rho sub-contmatal ,,p3Dyers (fu mr jorr plLt tiny , Mai m fa ahmbed sheet x sm-a sole proprietor orp - Thesa,sub-eontreGtoa have 91 Dr�molifiQn ship and bm nn empluros j wml= comp.ftmmnm. 9. []$ru7dmg ad, wo6Hng for mo m nay capacity, S. ❑ 'a are IL rmpoia i n and its 1(1.(]Blnctrieel t epaita or additions �Tocrr'comp.insursace oificca have�arcised thou nus or additions of eraaipddn per MCH, LL.[]Rlumbir�nP a.hommv�nar doing an Work �EL( �and we hM zu; 1Z.�]RDofiepai=s inysclt o world' comp. �p}cy�cs,(No vao�'cre' I3.[�D* ' in�rapDe=q=d-I t pmp,ice required-] tfiu6 kAay applicant t3��tun�I�eke fi11�the pediaa befox�heteiaF'thehr�vn�s'e�p�adinn p°LcY minrm . t gcaaeownrn wbo cvhmlt this '¢ �°�F°� end thm bite antsidc aonhectc� to.�s�sCft iadinsfin inch end tluds�'omP Po �3 °5on sni tiu n�of foo- 6o =ffi ' �Gnnhsetett tlsat r�rsY this hoz pm+�eft>abr�ea ob site arkrr'a'ea etrrokna r�sza-¢tree far my employersr �elatQ•is the Po*and j I ata an cntpZaf�cr thatt�proNid"crsg. mP, . Nc� Inmasncc Cr�mpanpemc; 41 •3�� ���� •t��_ �girstinaDatc, PDHq or Sof€ins,Lit: N Sob Om Ada=se; �(���paFicy umliber end espirefinn de ). Attach a espy of the mnrkerc' cuarpeusefian policy der�sraPtinn n$ �nen lead to imposifina of criminal pcnsNdcs of a FILI=to eeGuro.cDvmp as regained=&z ecfion?SA of m e f�•of d 37op wc)AR DOER and d fine fine tip-to$1,SDII.QD andlor ono-ycar impriscammn aawcll ss citral pcndbfz' be fnra�ardnd to Dfficc of tofu to Max a day�inst thio vinlatot So adrtsad fbst a oogp Of tris statLmcnt mai' I�cstigafioma of fhn 1]IA fm insuranLa co�ge'��?� , Ida here e ¢ er the pa=and pcnaftics erJury that the ho mofiatt prnyided ubv�e U truc¢rsd correct _ Dam t O.� ED in Phis area,to be completed by city ar tarn uncial D,�cia1 usa artEy. Da nuttm�tc City nr Ta•ecut Irsi}iag A-athor4(cir'r3a anent 4. �bmp=tor 5,Plambmg lnspr—tnr L Boerl.of Ilzzlth I g Dep¢rfmt ut 3,C /ToeFn clerk. ,. fi, Offs . Pbana Caut�et Persona �. Massachusetts - Departmrnt orf Public Safctn •Boar•dlof Building Re�,ulatinns and Standards Construction Supervisor License License: CS 95707 BRIAN DENNISON 85 CRE.ST'CIRCLE WORCESTER, MA 01503 Expiration: 9/8(2012 ('nmmiv�iuncr Tr,; 2522 t ' • Office of Consumer Affairs &Business Regulation ' HOME ItlflPROVEMENT CONTRACTQIR ' _. Registiatio `•'• E01• . Expi 12 y, t Card T 'w RENEWAL by BRIAN. DENNIS r+ l iO4 OTiS STRE `.k' NORTHBOROUGH, ` �' �2 Undcrsccretary J l .® DATE(MMIDDYYYI� / A�E CERTIFICATE.OF LIABILITY INSURANCE1(0/04/2011 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 poiicy(ies)must be endorsed. If.SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in.lieu of such endorsement(s). PRODUCER CONTACT J.P. McKeone Insurance Agency Inc PHONE 8100 FAX No: JP McKeone Insurance Agency, Inc. A/c (734)662 P.O.Box 333 ADDRESS: E-MAIL Ann Arbor,MI 481060333 INSURERS AFFORDING COVERAGE NAIC I INSURER A: Nautilus 19682 INSURED J&L Windows,Inc.Renewal by Andersen INSURER B: Hartford 37478 104 Otis St. Northborough,MA 01532 INSURER c INSURER D: 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. I�jp TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP POLICY NUMBER MM/DD MMIDD/ LIMITS A GENERAL LIABILITY NC95B461 10/01/2011 10/01/2012EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY - PREMISES Ea occurrence $ 10D,OOD 77 CLAIMS-MADE IV OCCUR MED EXP(Any oneperson) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 I GENERAL AGGREGATE $ 2,000,000 —GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO-JECTLOC $ AUTOMOBILE LIABILITY 35 MCCXD6390- 10/01/2011 10/01/2012 COMBINED SINGLE LIMIT 1,QQD,ODO _ Ea accident ANY AUTO I BODILY INJURY(Per person) $ ALL OWNED SCHEDULED I BODILY INJURY(Per accident). $ AUTOS AUTOS NON-OWNED i PROPERTY DAMAGE HIRED AUTOS AUTOS ' Peraccident $ i $ UMBRELLA LIAB OCCUR - EACH OCCURRENCE $ EXCESS LIAB ---CLAIMS-MADE I - AGGREGATE $ DED RETENTION$ ---- �' $ H.WORKERS COMPENSATION 35 WECPP1444 02/17/2011 02/17/2012 we sraru= or AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECU11VE � N/A, E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDEDI (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $ 500,000 It yes,describe under 50D,DOD DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ B PEOOH55500 0507 09/27/2011 09/27/2012 i DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE .WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Do not remove until final code inspection. Save label for future reference. 1 12. , pour as Wgions inditiludes. Canada S ,L `�•..I ; 7 ;enertlystarnrcan- . -. U) LLI a)- r:rgystargov =qualified/Admissible Renewal byAndersent Wfk�oV!r--R£P!4GE�EI�T-un.!_SossenCuiupuny AND-N-34 WoodNinyl Composite IF Ei3S�i�viv r> Dual Argon Low-E4 SmartSun ' * Product Type:.Glider ENERGY PERFORMANCE RATINGS U-FactorSolar Heat Gain Coefficient 4 - -0619 U.SJI-P Metric/SI ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Oo43- . . manufacturer stlpular�mat mese ratings cantnran to applicnne NFRC proceaurm for eetennlning wnole proaucc performance.NFRC ratings are aemrminetl tort faraa set of environmental commons ana a specific proaua sem. NFRC caes nat recommano any proauct ana aces not warrant me sulmmay at arty proaum tar any specific use. ca,nuc mon�tacsr'er'c lMEranxeiarcmerpr 'eat-perfWnt;me•InMnnaaan:------...—_. wwwnfrc.org wlntltiwano•oaor � Andersen Co oration:RbA Glidin Window anurac Far-punas conrorrnsnca aro ow ngn ar s Standard Rating NAFS-02 orA.AMNWDhWCSA101A.S.2/A441XIS DP psf HS-C35 g ` t -prod.ticmeats ' Green Seat's le environmental smnaartls Cit governing energy a efficiency,neavy memis . al me frame ana sasn _ A, mamdsl,pacNaging,ana �4+� consur eoucational materials. 100-00511408-012 MEEM or axcaaas M.2.c.,n c.S mc.c.Ar aaliiaation requirement:wur.,HailmarK cartif cation Program. i Renewal byAndersena wMDOW REPLACEMENT an ArdecsenCOmPAnY WoodNinyl Composite IF t Argon Low E4 SmartSun : .:c#u;:•;.�'' Double Hung 100-00473518-010 ENERGY PERFORMANCE RATINGS U-Factor(U.S)/I-P Solar Heat Gain Coefficient 0 . 29 0 . 1. 9• ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0 A2 hlanufacturar miputates that masa Wrings conlorm to applicabH NFRC procedures for datamninung whoH product performance.NFRC ratings arc determined for a lured ser of environmental conditions and a specific product sea. NFRC does not recommend any product and does not warrant the suitability of any product for any specili:.use. ConsuU manufacturer's I'rtamtum for other product pedout)ance information. vlww.nfrc.otg This product meats Green �M �h+,+ Seal's environmental a.aeds .. '�•'� "-t •::?-. _ �� ?standards governing anergy ,Ow O.r-1000 ryLy.. iit-_,.1....:,... .-'• dtr.j..y,'hdavy mela6 In � ?��•;."7:r„� � ��” •'•`thaframaandsasA mataral,Packaging.and :i;=:PP?ej�;rr'!'-•~•'' consumer aducalional ''vti •�:`•'•%•,'•:- '. �:+" _ ______ ___________________ DESIGN PRESSURE(PSF) MR r s Widowta9nd Door e ' �vrvvmvimwdmna�c�hlW H-LC25 RbA DB Sloped Sill DH IN Testedto11AFS020c AM.INV ..INCSAt01,1S1AM0US hlAWgc; "stipulates oonformance to U*applicable slaMards. deet.or exceeds ht.E.C.•C.E.C.&I.E.C.C.Air 1.011ration requirements WDhfA Hallmark CadAicatlon Program. r