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HomeMy WebLinkAboutBuilding Permit #160-2011 - 11 PHILLIPS COMMON 8/24/2010 BUILDING PERMIT of AORDT 6 qti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received s7 � Arm P.- �SSACHUS Date Issued: �� ' IMPORTANT:Applicant must complete all items on this page ' "PM '� 3 b C `P3 'ERT 'r� IER },r r h r z r� w. .. ¢ �,cyrc; �,'y4 .a iy i� 3-R-nh0t .s 9%0- 51. _ ,� .;c, a i.,k c F r rm �'�-"r ""t'` � "'z .r� i r = r, r S-tr fir- e $ t x x x {� PARCELI11GI1TROT �srar�c 1 �slractf e.-.?','.a - ni TYPE OF IMPROVEMENT ~. PROPOSED USE }, Residential Non- Residential New Building ne famil Addition Two or more family industFial Alteration No. of units: Commercial C�air, replacemen Assessory Bldg Others: Demolition Other epticr 1/e l, � _ Floz�d�laan r< alfileflands f r k 11 a#ers#�ed D�str� s r tr ,a ^r�3' � ��ater/Sewer DESCRIPTION OF WORK TO BE PREFORMED: e 44 .4 kj n SNV'ot,Zyg-,0, c� Identification Please Type or Print Clearly) OWNER: NameA_�Lr \_0f_fAP_ \e_rrr. Phone: 2 Address: "ZIN G01TRACTOR Name T.,. F (� � lhone;�= Ff s� v a ':5 F t x S- .,.;f ,ur t,t �: i, �.,,� �,z t� F ., r a e' + hr ,a' a -h.a't: t1s-`' z xAda reSS , � 4w w § a§ 4 �4711�r fZ. ;c..v a g'- " r n a 4 S p�rv�sor�W.GlonstrUctioa �JcenseDft ade x C-" a IN Horne xlmµ'r`ovement License *r P� fiz ' ` . Date ` ... h< w :P. _ r II ARCHITECT/ENGINEER Phone: I Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. "1L Total Project Cost: $ 3a, FEE: $ Check No.: S (4 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund .�✓ 77 Signature.of ggent/Owner = , 1;+ - -ignatur� of contractor i Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL j I Public Sewer Tanning/Massage/Body Art Swimming Pools 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 DATE REJECTED DATE APPROVED CONSERVATION COMMENTS DATE REJECTED DATE APPROVED HEALTH COMMENTS i Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes r ,Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/signature& Date Drivewav Permit Located at 384 Osgood Street pDuFIRE DEPARTME yes ter on ite no Located at 12 Marn Street _ x Are- ate `C011�11111EN7'S �` 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 2 1 A—F and G min.$100-$1000 fine NOTES and DATA— For department use) �i I� i i ❑ Notified for pickup - Date Doc.Building Permit Revised 2007 I L _ I M 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 PP Permit Application (cation ❑ 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 dumpster permits require sign 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 Construction (Single and Two Family) ❑ 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 NOTE: 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 that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2007 Location �� ' %-�-� CG'401No. D Date � --f 1 ,.ORTp TOWN OF NORTH ANDOVER Certificate of Occupancy $ MUSE<�' Building/Frame Permit Fee $ 3�4 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # �� 72 233 ��t Building Inspector NORTH 0 f 6 Andover No. - olover Mass.,- s� a Q � lAK 1 coCHICHEMCK 7�ADRATED PPp,��Cy `s U BOARD OF HEALTH Food/Kitchen Septic System PERMI I T 0 BUILDING INSPECTOR THIS CERTIFIES THAT.............. C!'....... ..�..�?. ,5.��� .. ... Foundation has permission to erect...............:........................ buildings on .// ��� //,��- '. ..�� ..:�© ................ Rough .................... .............. to be occupied as p...9..(/411 ....o'v.S....................................... .. Chimney . . . . . .. . . . . . . .. . .. ........................... .......................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in 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 CONSTRUCTION STARTS Rough �/.. Service BUIL . INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the -Premises — Do Not Remove 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. 104 Otis St.,Noxrht-wough,MA 01532 J&L W1Nllow5,INC,,D/B/A MA Hume Iwprovcment Contractor (508)910-0900•1`4x;(774)987 3075Licelnse#149W]:(Expires '1/24/2012) R6howal , ;� F�deral'1',7 KID 983-0404201 �►lndersen: WINDOW REPLACEMENT .,,kA=(' p,ap CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Name Doic of Agreement /_zn� 9 sem.. Buyerk)Street Addrns,City,State,and Zip Code L / /Z , (/7 E-Mail Addre.3 Homn Talc hone Number vyyk Tolaphono Number liuyer(s) herebir jointly and severally agrees to purchase the products arid/or service:,of J&L Windows,Inc.d,l b/a Renewal by Andersen ("Contractor"): in accordance with the trims and conditions described on the front and the reverse of this agrec'nen't and on the attached specification sPeet(s) (collectively,this"Agreemerif").Buyers)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Method of Pymnt.U Cash Q Checl; ❑Mastercard VISA total Job Amount: f1. Estimated Starting Date; G Discover U Financed,App#: ._z Deposi I Received(33%)-. - Name em Credit Card: Balance at Slort of Job(33%)2455.2- Estimated Completion Date: P Credit Card Balarce on Substantial o� Completion of Job(3 3%)Jd�1 .... - `-""' -- rc,-Exp.Date: CC Security Codo: By,itntraling ht rt,youniJCnowledgr that the Balance at'tart of Jo ane lir Uarur.f ri Substantial Completion Buyer Initild- of Jub cannot lie madeby eicdit,card avid-must be nnacle by prrsonal ch ck banl 9)le Glc or cash. Buyer(s) agrees and understands that this Agreement constitutes the entire understanding bet .a 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 Coni+actor-Buyer(s) hereby acknowledgelr that Buyer(s) 1) has read this Agreement, understands the terms of this Agreemont, and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written abovs:and 2)was orally informed of Buyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE kNY BLANK SPACES, J&L Wiu wa,Inc.d/b/a Renewal by Andersen Bu ' Buyer(s) 7 - Sign tt•e Product Manager Signature I Signature i Print Name of roducL Manager Print Name Print Nam YOU, THE ItU'YER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDN GMT OF THE THIRD BUSINESS D kY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF C�J4CELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. _ _ _ _ _ I. - _ _ _ - - - - - - - - - - - - - - - - —;c• - - - - - - - - - - _ - _ - .{TI -F � lil� NOTICE OF CANCELLATION Date of Transaction . You may cancel Date of Transaction . You may cancel this transaction without any penalty or obligation,within this transaction,without any pens Oy or obligation,within three busine ss days from the obovee date.If you cancel,any. three business days from the abo date.If you cancel,any property traded in,any payments made by you under the I property traded in,any payments,-node by you under the Contract of!;ale,and any negotiable instrument executed I Contract of Sale,and any In otia rle instrument executed by you will be returned within 10 days following receipt I by you will be returned within 1 days following receipt by the Conllractor ("Seller") of your cancellat;on,notice, I ,by theContractor ("Seller") of aur cancellation notice, and any security interest arising out of the transaction will: and airy security.interest arising a (t of the transaction will be canceled,Of you cancel,you must mance availabWto the: 1 be canceled.If you cancel,you mu it make available to the Sellar at your residence,;n substantially as good condition Seller at your residence,in substa tially as good condition as when ntceived, any goods delivered to you under I as when received,any goods de vered to you under this this Conhact or Sale; or you may, if you wish,. comply I Contract or$ale;.or you may,if Y�j wish,comply with the with the instructions of the Seller regarding the return instructions of the Seller regdrdm,;the return shipment e shipment of the goods at the Seller's expense and risk. i the goods at the Seller's expense Ind risk.If you do make If' ou.do make"tMe goods available•fo-the Seller and-the r'-tho-goods ovo;lable-to--the.Seller-and the Seller does not Seller does not pick them up within 30 days of the,date I pick t em M within:."10 days f to date af. our.Notice you ma retatrs p � B the of your Nol ice of Cancellation,you may natarrr or dispose I of fa�lrlxllcattQr+ Y of the goods without am further obligation.If you fail to vviH+ol►t oods arFy;fueto t ob t�ron make lite Ible oods available to the Seller, or if yyou agree goods available to the Se r,or 'y agree bn you nainretu alba to return to goods to the Seller and fail to do so,%on oods to the Seller and fail to do s r, you remain liable for performance of all obligations under I for performance of all obligatiae its under the Contract. the Contrail,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 malice or anyother written other written notice,or send a telegram to Contractor:J I notice,or send a telegram to Cor tractor-J&L Windows, &L Windolas,Inc.d/b/a Renewal b Anderson, 104 Otis I Inc. d/b/a Renews by Andoesen, 104 Oliis Street, Street, Northborough, MA 01532, BY NOT LATER THAN Northborough,MA01532,BYNClTWTER.THANMIDNIGHT MIDNIGHT OF .(Date) OF�. _.(Date) 1 HEItEBY CANCEL THIS TRANSACTION. � (HEREBY CANCEL THIS 7RANSAC I ION. fluyer'c Signliwre Date - Buyer's Signmure pari°' I hA CAgy - Wlulc Buyer Copy-Yell,)w tltt)rer Copy-Pink 104 Otis Suck t,Northb wrou h,MA 01532 ) b Windows,Inc.d/b/a x RenewalW7 , nM rllC Li:ensC tt 148607 (expirrs l/'L4/1L) Fltonc 5011.9';7A000•Fax y7a,387,301.iFdcrt1l'rax ID# 83-0404207 byAndersen. WINDOW NCMLacCM CNY un Anicrnun Cumpunv ' .OF GREATER MASSe1CHllS9 AND NEW HAWSHIRE ;WINDOW SPECIFICATION SHFET ` Buyer(s)Nacre Date of Agreerrwrtt The BuycrN above herebyjointly and severally agree to purchase the goods and/or sv viees listed below,in accord.3 nee with the prices and terms described or the Specification Sheet and the front and the reverse of the a00tripunying CUSTOM WINDOW AND DOO; REMODELING ACREEMENT, of which Phi:.Specification Sheet is a part. WINDOW DETAILS 1. Contractor will Install s total of_m!�windows in Owner's hone,using the following individual quantities! 7 Clouble Hung(DB) 'Equal sash ❑ Cottage sash(1/3 top,2/3 bottom) [] Oricl sash(2/$top.1/; bottom) Casement(CW) ❑ Hinge right ❑ Hinge left(as viewed from exterior): (] Standard handle ❑ Mr-ro handle Double Casement(CDW) ❑ Standard handle ❑ Metro handle Casement/Picture./Casement(CPW) ❑ 1:1:1 or ❑ 1;2:1 ❑ Standard handle ❑ Metro handle 2 Lite Gliding Window(GW) Clide.r/Picture/Glider(GPW) ❑ 1:1:1 or ❑ 1:2:1 Awning Window(AW) Picture Window(PW) Bay or Bow Window Patio Doors(sec separate Door Specification Sheet) 2. Yes ❑ No Qty of Windows to be Custom lit Replaoemettt; 3. ❑ Yes j No Qty of Sills to be replaced by Contractor: 4. ❑ Yes No Qty of Windows to be New Construction Full frame(includes new interior&exterior casings.: Exxrior casings: ❑ Pine ❑ Maintenance-free material ❑ Factory applied 908 Fibrcx bricloriold 5. Glazing o be:Jam•HP Low-M, SmartSunTM (Tax&edit4VS&Ja) ❑ Other if other,please specify: G. Exterior color to be; ❑ White ❑ Sand Canvas ❑ Terratone ❑ Cocoa Bean 7. Interior color to be: ❑ White ❑ Sand Canvas ❑ Tcrratonc © Pinc ❑ Maple ❑ Oat: Note! interior color can only be white,wood or same color as exterior. Wood interiors rued to finished Iiy Owner. 6. Hardware:, ❑ White ❑ Sl6n6 j2'Cants❑ Brass ❑,estate Hardware: Style: 9. ❑ Yes [l] No Install Lifts with Double kdrig Windows 10, Screens: 'avindows to have: ❑ Half or Z tall screens Screens to tx-: �'llberglass ❑ Aluminum ❑T.,uScene GRILu I9mms 11.Windows have grilles; 91'os ❑ No if yes:❑ Grille Between Glass(coc>JR Removable Interior Wood(WrW)❑ full Divided Light tent,) qty:— Qty Qty: Qtr Qh' Qty' _ Qty: ]h D� OH OH ON i;WlPlcturoLder CPWorG Draw grille patterns above t � p Tse additional sheet if needed. Owner appr:vel(initiat3):( ) ADI7'MCNAL WORK MAILS 12.❑ Yes iR No Contractor will remove metal frames of windows. Qty of Units:_ 1 S.❑ Yes lS�No C:onttvactor will install flew paint-ready or stain-ready casings. Interior casing qty Of openings: Exterior casings qty of Opening's;__ ❑ Pine 14. Yec ❑ M;;irttcnance-free material ❑ 7k:No Contractor will install new paint-ready or stain-ready inside or outside stops qty of openings: lnttirior stops qty of openings: Exterior stops qty of openings:__ ❑ Pine ❑ Maint:nance•frw material 15. Owner is aware that Contractor does not do any painting, ( 1 Owner Initials 16.ZYes [] No Contractor will wrap exterior casings with aluminum coil stock of_Cts• color. Not C: Wrapping maybe required with storm window removal;removal of storm windows will leave scns•N holes in casing, 17.•Yes [] No Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration, 18.541Yes [] No A limited warranty shall be issued to Owner upon completion of the job and payment in full, 19.9 Yes IDNO $uildin A—Contractor will secure any and all necessary permits, The fee for the permi:;s)is not included in the Contract Price and a Separate check is required at the;time of dale for this fee. 20�gdditionaljob details. iC - " �` �� 1,J'lL�4' /�^'ice �, {-� J L • 24. ------No Owner agrees LO-Ix present OiUhe final day of installation for final i4;pection and to deliver nal payment. NO tuusl pruyrcrcnt shall&derllatfdcd until the ccv1ttAtet is cortlplete'i to tiro satlsiecrllin of all parties. It is agrerd and understood by and betwoen the parties that this Specification Sheet,along with the CUSTOM WINDOW qND DOOR REMODELING AGREEMENT,constitutes the entire understanding between the parties,and there am no nsrbal understandings chaOW 3 or DOORmoddtany of the terms. This SFr ciftpahOn Sheet may not be changed or its tetms modified or varied in any way unless such changes are ir.writing and signed by both rhe>luyer(s)al id Contractor. Buyer(s)hereby aelolowledge that Buyer(s)has read this Specification Sheet, Renew %rsen of Greater MA and NH Buyers) Buyers) By: attu•e a£Product Manager Signature Sisxtature k' )ernt:41 rtTlj t* Print Xime of Product Manager Print Name Prl nt Name The Commonwealth of Massachusetts Ch Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 wmmass gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electriciaus/Plumbers Applicant Information Please Print Legibly Name(Business/OrganizadorAndividua): �le-n u) -,I N V Ande)-3 e YI .Address:. bll` S3+rer_�_ City/State%Zip: /V rf boto; Phone#: Are you an employer?Check the appropriate boz. Type of project (required): I.EZ-1 am a employer with D 4. []'1 ara a general contractor and I 6• ❑New construction employees full and/or art-time).* have hired the sub-contractors ( P 7: modeling 2.❑ I am a sole proprietor or partner- .listed on the attached sheet ship and have no employees nese.sab-contractors have S. Demolition working forme in any capacity. workers' comp,insurance. g• ❑Building addition [No.workers'comp.insurance 5• ❑ We area corporation and its 10.❑Electrical repairs or additions• required.]: officers have exercised their. 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Rlumbing repairs or additions myself[No workers comp. c.152,§,1(4),and we have no 12.0 Roof repairs insurance required.]t employees..[No workers' 13.E]other comp.iastuance required.] 'Any applicant that checks boz#1 must also fill out the section below showingtheir workers'compensa$on policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. 3Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees Below.is the policy and job site information. Insurance Company Name: % ?/ ^n !rl C410 e- h,Stl jrG YJ C e- Policy#or Self-ins.Lic.#: �y� '��7;! Expiration Date: �. Job Site Address: City/State/Zip: Attach a copy of the workers'compensa on policy declaration page(showing the policy number and expiration dafe). 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 faim-of a STOP WORK ORDER and a fine -of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby cer u er the pains and penalties.ofperjury that the information provided above is ue-and correct . Sittnature: Date: Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.C14,/Town Clerk 4.Electrical Inspector 5•Plumbino,Inspector 6.Other IL-Contact Person: Phone#: • :,.;�.._."�:`'.w ' ale•P����� , I Board of Bunftu l te9dAdp; and$tapdards . ConStruc60n•pupervisatLicansa•��,,;, A.`:h%. t . Llc&k CS •96707 ' i' • 8icth�a�e��l.6f1962 � •• -�- 12010 Tri 95707 • . r�o SAF: • 6 ..M NISO . • IAP!DEN . N�• �'�• iy .1 86 C 'f CIRCLE 1NORCESTER;MA 01603 Copugfssianer f 0e Posiacaaruseall�a�✓�aaeacfiueetYd Office of Consumer Affairs&Business Regulation IMEMPHOME IMPROENT CONTRACTOR Registration 501 Expl p .12 . t Card RENEWAL SY 4 e n "+ BRIAN DENNIS 104 OTIS STRE NORTHBOROLIGH,!' Undersecretary I ' ACORD. CERTIFICATE OF LIABILITY INSURANCE 02110/2010 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Joseph MCKeone ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR JP McKeone Insurance Agency, Inc, ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 333 Ann Arbor, Mi 48106-0333 INSURERS AFFORDING COVERAGE NAIC# INSURED Renewal by Andersen INSURER k Hartford Insurance ComDany J and L Windows,Inc. INSURER it Nautilus 104 Otis St INSURER C'. — Northborough,MA 01532 1 INSURER Ir. INSURER M COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REOUIREMENT,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,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDIICED.BY PAID CLAIMS. �^ rB D'L TYPEPOLICY NUl1SBt7IDATE IMMrDDNYI DATE IMMIDDEM-- POLICY EFFECTIVE POLICY EXPIRATION LIMITS '15.0 GENERAL UABIUTY NC958461 10/01/2009 10/01/2010 EACH OCCURRENCE 1 1000000 COMMERCLAL GENERAL LIABILITY PREMISES(Ea,ooxrenee $ 100.000 CLAIMS MADE 7 OCCUR ACED EXP(Any cm parson) S 5AQ PERSONAL i ADV INJURY S 1 000 00 GENERAL AGGREGATE $ 2.0Q0.000 GEM•AGGPCjATE LIMIT APPLIES PER PRODUCTS-COMPIOP AGO 1 2,000,0000 POLICY PRO-jECT 7 LOC A AUTOMOBLELIABILITY 35MCC XD 6390 10/0112009 10/01/2010 COMBINED SINGLE LIMIT 1 1,000,000_ ANY AUTO (Eo accident) X ALL OWNED AUTOS BODILY INJURY 1 SCHEDULED AUTOS (Par person) HIRED AUTOS BODILY INJURY 1 NON-OWNED AUTO$ (Par amdeny PROPERTYDAJAAGE S (Por&=ant) OARAGE LIABILITY AUTO ONLY•EAACCIDENT S -_- ANY AUTO OTHER THAN EA ACC S • AUTO ONLY. AGO S EXCESSRudBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION 5' 1 A wQwxR&.COMPENSAnONAND 35 WECPP 1444 02/17/2010 02/17/2011 WCSTATU• DTH- EMPLOYERT IJAIVV rY E.L.EACH ACCIDENT S SOO,DOD ANY PROPRIETORIPARTNEWEXECUTNE OFFICERMEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE S 500.000 It atbo under FadesE.L.DISEASE-POLICY LIMB S 500,000 SIAL PROVISIONS balow OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS I • I . I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION INSURED COPY DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE To THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. • AVTHOR¢EDREPRESENTAINE ACORD 25(2D011DB) C ACORD CORPORATION 1988 i �^^r��. .;.: '::.�-;�-'=---•. -;;ram-, ..�� „ -..;� --- --. _.. .. .. , a e' eW, ` . .. NIFR � 3 �\ - V' aodtl�itfy!C. ss _ f�ttt Ptah.-Low Egg t t Ap t ' rt57Et54d . ENERGY PERFORMANCE.RATINGS , . t1-Fahr(U.S.!. War Heat Gak!>d6 �t � . 3 ADDITIONAL PERFORMA� GE.RATDNGS fig - Manofaclurer stlpulatds that these m 1nos conform to appWle IARC procedures for datenninlnp whole . predoct partormegce.NERC rat p.arc determined for a fold set of environmental condition and a " specific product sfzee.Consult manufacturer's Marahrre for other product pertormance information. wWWArt3 9 Design Pretsure.(PSF� Mees or ebrxebMX-G C E C,ri LEU.Air InOmdon Requira fflM.WOMA Wfi mark Cartliloadon ftpram 7 w* al byAndersena WINDOW REPLACEMENT anMdersen(:ompmy ' "laf,.�;�}f, �;,.: Wood/Vinyl Composite IF �" ` Dual Argon Low E4 SmartSun Double Hung 100-00473518-010 ENERGY PERFORMANCE. MANCE RATINGS U-Factor(U.S)/I-P Solar Heat Gain Coefficient i 019 0019 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0042 htanuhcturarstipularas that these ratings conform to applicabls NERC procedures for determining whole product performance.NERC ratings era datanninad lora foxed sat of environmental cond'sions and aspecde product size. NERC does not recommend any product and does not warrant the suitabiley of any product for any spaesie use. Conus manufacturer's 108ratuAS for other product performance information. www.nim.org This product moats Greened {�. Sears environmental Standards governetg anergy ' affalenry,haavy metals le ' ` :••, <•:�` ^'the frdma and sash rt,p"matareA packaging.and caf •f:'i:, .;•A;M1„•.,•,ti•,:y":- J E F>Z ' �consumer aduional �f •,v tt<Y3'r.: t.��`.^;tn•' ' c materials. rtxiRa f ::.;�: `•-.•Y.cY_b:}•'k:+"y rLfl Lw------1----------- .. �t DESIGN PRESSURE(PSF) maim Mom and Door Mlautacasam Aamcutbn HLC25RbA www'wdmawm DB Sloped Sill DH IN Testas to NAFSd12orAAMAAMW1SA1mASlANsdi ManAaeaiy stl letrs asntermanee to thea Iiraola starl0atds. +r♦aats or exceeds M.E:C..C.E.C,81.E.C.C.Ks Infhhration requirements WOMA Hallmark Canif"' ion Pogam.rr 4