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Home My WebLink AboutBuilding Permit #Exception - 129 CARLTON LANE 5/1/2018 (4) 14ORTN BUILDING PERMIT a 3? b��p``D»`•eh°O` TOWN OF NORTH ANDOVER o f� APPLICATION FOR PLAN EXAMINATION Permit NO: J Date Received ' `' I ��SSA '� Aria Date Issued: / CHUS IMPORTANT:Applicant must complete all items on this page LOCATION 129 CARLTON LANE Print PROPERTY OWNER BILL SCHMIDT 106C -0084-0000 Print MAP NO: 106 C PARCEL: ZONING DISTRICT: R2 Historic District yesrn Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial X Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑ Water/Sewer REPLACE 13 WINDOWS-NO STRUCTURAL CHANGE Identification Please Type or Print Clearly) OWNER: Name: BILL SCHMIDT Phone: 978-683-0046 Address: 129 CARLTON LANE NORTH ANDOVER, MA 01845 CONTRACTOR Name: JAIME MORIN Phone: 508-351-2200 X 55285 Address: 104 OTIS ST NORTHBORO,MA 01532 Supervisor's Construction License: 90125 Exp. Date: 10-06-14 Home Improvement License: 170810 Exp. Date: 12-23-15 ARCHITECT/ENGINEER NSA Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ _19,197.00 _ FEE: $ - � Check No.: Oil iReceipt No.: NOTE: Perso cont a ang with unregistered contractors do not have ac ss to the guaranty fund �� ignature of Agent/Owner 5� .�'�rUxSignature of contract. 10 R TIy BUILDING PERMIT X a o��%OR TOWN OF NORTH ANDOVER o2 6...'` OOA APPLICATION FOR PLAN EXAMINATION '' Permit No#: Date Received 9gSACHUSEt Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print v PROPERTY OWNER St Print ' a 100 Year ructure yes no MAP PARCEL: .,. ZONING.DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain n Wetland-s ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name: Phone: Address: Contractor Name: _ _ Phone: _ Address: . Supervisor's Construction License: Exp. Date: Home:Improvement License; Exp. Pate; ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting wi*-unwr7gistered contractors do not have access to the guaranty fund Signature of Agent/Owner Signature of contractor � �-� 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 j ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses a 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 o Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/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 o 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 Doe:Building Permit Revised 2014 1a Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS 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 j Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA—(For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Location Date e - TOWN OF NORTH ANDOVER • Certificate of Occupancy $ Building/Frame Permit Fee -, Foundation Permit Fee $ Other Permit Fee $ r1 ATF o TOTAL $ Check# _t 27 %33 9Gb, � Building Inspector r , V N - W. , ME At .c . : ver 0 1- ,. Z h • .. h ver, Mass, COCKICNRWICK S u BOARD OF HEALTH Food/Kitchen PERIT T LD Septic System THIS CERTIFIES THAT ........... . . ..........S&LV �.. BUILDING INSPECTOR ......................... .................. ........ . Foundation ' has permission to erect .......................... buildings on .....�. ...... A. .. rel...... to be occupied as ...... Rough i ....... ............................................................................ Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 INAM1,0NTYS ELECTRICAL INSPECTOR • UNLESS CONSTR N, RTS Rough Service ........ ............................................................ " Fina BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. Smoke Det. elleWat MA Home Improvement Contractor License#170810(Expires 12/23/2015) IbAndersen.c= Renewal by Andersen Corporation Federal Tax ID#41-1918413 XDOw RErIaeEMENT anAMn,enG"nrnns 104 Otis St. Northborough.MA 01532 (5081351-2200 Fax(508)-986-7072 CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Name Date: BILL SCHMIDT - MAY 23,2014 Buyer(s)Street Address city State Zip Code 129 CARLTON LANE NORTH ANDOVER MA 01845 Email Address Home Telephone Number Work/Cell Telephone Number W I LSCM I DT I OG MAI L.COM 978-683-0046 978-273-2719 Buyer(s)hereby jointly and severally agrees to purchase the goods and/or services of Renewal by Andersen Corporation("Contractor'),in accordance with the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheel(s)(collectively,this"Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount $ 10,632.00 Amount Financed$ 10,632.00 Est.Start Date Method of Payment Deposit Received(33%)$ 0.00 ❑ Check/Cash 10-12 weeks Balance Start of Job(33%)$ 0.00 Deposit at signing$ 5,316.00 Check It Balance on SubstantialAt Substantial Est.Install Time (] Credit Card Completion of Job(33%)$ 0.00 completion$ 5,316.00 T.B.D. If credit card Is selected,please see Credit Card Payment form 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 Buyers)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 Buyers right to cancel this Agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Renewal by Andersen Corporation Buyer(s) Buyer(s) se Signature of Project ManagerSignature Signature JIM HALLORAN BILL SCHMIDT Printed Name of Project Manager Printed Name Printed Name YOU,THE BUYER(S),MAY CANCELTHIS 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. ------------------------------ r NOTICE OF CANCELLATION NOTICE OF CANCELLATION I Date of Trousaction 5/23/14 .You may cancel this I Date of Transaction 5/23/14 .You may cancel this transaction,without any penalty or obligation,wiZ!,three business days from the tranaaction,without my punalty or obligation,within twee business days from the above date.If you cancel,any property traded in,any payments made by you under . date.If you—1,any property traded Ra,any payments made by yon—der the Contract of Sale,and any negotiable instrument executed by you will be 1 the Contract of Sale,and any negotiable instrument executed try you will be returned within 10 days following receipt by the Contractor("Seller')of your 1 returned within 10 days following receipt by the Contractor("Settler")of your cancellation notice,and any security interest arising out of the transaction will be 1 cancellation notice,and any security interest arising out of the transaction win be canceled. If you cancel,you must make available to the Seller at your residence,in I canceled. If you cancel,you must make available to the Seller at your residence,in substantially as good condition as when received,any goods delivered to yen under I substantially ns good condition ns when received,any goods delivered td you—der this Contract or Sale;or you may,if you wish,comply with the instructions of the I this Contract or Sale;or you may,if you wish,comply with the instructions of the Seller regarding the return shipment of the goods at the Seller's expense and risk. I Seiler regarding the return shipment of the goods at the Seller's expense and risk. If you do make the goods available to the Seller and the Seller does not pick them up I If you do make the goods available to the Seller and the Seller does not pick them up within 20 days of the date of your Notice of Cancellation,you may retain or dispose 1 within 20 days of the date of your Notice of Cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the goods available of the goods without any further obligation. If you fen to make the goods available , to the Seller,or if you agree to return the goods to the Seller and fail to do ao,then1 to the Seller,or if you agree to return the goods to the Seller and fall to do so,then you remain liable for performance of all obligations under the Contract.To cancel 1 you remain liable for performance of all ohligations under the Contract.To cancel this transaction,mail or deliver a signed and dated copy of this cancellation notice 1 this transaction,mail or deliver a signed and dated copy of this cancellation notice or any other written notice,or send a tclegrom to Contractor;Renewal by Andersen,1 or any other written notice,or send a telegram to Contractor: Renewal by Andersen, 104 Otis St. Northborough,MA 01532,BY NOT LATER THAN MIDNIGHT OF 1 104 Otis St.Northborough,MA 01532,BY NOT LATER THAN MLDNIGHT OF 5126/14 .(Date) I HEREBY CANCEL THIS TRANSACTION. 5/26/14 .(Date) I HEREBY CANCEL THIS TRANSACTION. I Buyer`s Sgnalure Pant Name Dete Buyers Sc.— NMN— Date eneWaRenewal by Andersen Corporation MA Home Improvement Contractor byAndersen. 104 Otis St. Northborough,MA 01532 License#170810 (Expires 12/23/2015) WINaeW REPLACEMENT enArd—Come+ny (508)351-2200 Fax:(508)-986-7072 Federal ID#41-1918413 Window Specification Sheet Buyer(s)Name Date of Agreement BILL SCHMIDT FRI, MAY 23, 2014 The buyer(s)listed above herebyjointly 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 REMODELING AGREEMENT,of which the Specification Sheet is part. WINDOW DETAILS Approx. ExteriorAnterior Color Hardware Hardwem LowE4/ GrilleGrille Glass Room tl U.I. Window/Door le Detail Casings Ext-intColor Ste screens Smensun Grilles Sash 1 /3 Son Utts Options Bed 1 2 86 DB sci rail equal insert sloped sill Ext.MF 908 WHIWH White Standard HFG Low-E4 GBG 3/2 3/2 No Hall 1 85 DB sq rail equal insert sloped sill Ext.MF 908 WHIWH White Standard HFG Low-E4 GBG 3/2 3/2 No Bed 2 2 85 DB sq rail equal insert sloped sill Ext.MF 908 WHIWH White Standard HFG Low-E4 0130 3/2 3/2 No Bed 3 2 85 DB sq rail equal insert sloped sill Ext.MF 908WH/WH White Standard HFG Low-E4 0130 3/2 3/2 No Total 7 BAY&BOW DETAILS *See Ba /Bow Measure Sheet Style Detail/ Approx. Approx. Number Frame Window End Center LowE/ Roof/ Hardware Room Style Markers U.I. casings Angle Liters Interior Exiont Color Grillas sashes sashes Screens Smartsun Soffit Color SPECIALTY WINDOW DETAILS Full/ Approx. LowE I.1 Specialty BAY/BOW ADDITIONAL WORK NOTES Room Counta InsertU.I. SmertSun Grilles Grille a ExtAnt Color Customer is aware,hat with by/b—windows under 72 inchu ,here will be si ificam lass lose ADDITIONAL WORK DETAIIS: Did, nsall m/f eosins n Iwindm.firstdrne.PJea ppl,m xhW -un firs,floor pble end I No Contractor will wrap exterior casings with coil stock color of [Tuner is aware that Contractor does not do any painting/staining or removal/insiallation of alarm system or window treatmentslhardware.tt is the responsibility,of the homeowner to have the alarm system and window treatments/hardware removed prior to Installation. We make no guarantee as to 2 whether alarms or window treatments/hardware will fit after replacement Customer is also aware in some cases there will be glass loss. If there is,the amount will be dependent on the type of existing windows,type of installation and windows e.We make no tN guarantee as to the amount of glass loss. Customer is aware and understands any and all unseen rot is not included in this contract.Should any rot be found there will be an additional charge for time and materials unless so stated in this contract 3 yes Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration.Removal and disposal of all job related debris, windows,doors,storm windows and vacuum nightly included. Upon completion of the job and payment in full,a limited warranty shall be issued. 4 yes Building Permit--Contractor will secure any and all necessary permits.The fee for the permits)is not included in the Contract Price and a separate check is required at the time of sale for this fee. Check# $ 5 yes All discounts have been applied to this agreement. 6 I✓ Yes [3 No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment/finance form(s). It is agreed and understood by and between the parties that this Specificafion 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 signed by both the Buyer(s)and Contractor.Buyer(s)hereby acknowledge that Buyers)has read this Specification Sheet. Renewal by Andersen Corporation or��o�f Buyer(s) Buyer(s) A Signature of Project Manager Signature Signature JIM HALLORAN BILL SCHMIDT Print Name of Project Manager Print Name Print Name The Commonwealth ofMassaehusetts Department of Industrial Accidents Office of Invesfigations 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation insurance Affidavit: Buffders/Contractors/Electricians/PDambers Applicant Information } t Plebse Print Le¢><bly Name (Business/OrganizationMdividual): K6<)etj c k \per Address:_Lb y . 0-V,S S� . City/State/Zip: j' ��c;r� Cj(S3>hone#: - Tt- oo Armee iyou an employer?Check the appropriate box: Typ 11D 1 am a employer with 3 4) 4• Q I am a general contractor and I I e of project(required): employees(full and/or part-time).* have hired the sub-contractors 6. Q New construction 2.❑ I am a sole'proprietor or partner- listed on the attached sheet. 7. Q,�tnodeling ship and have no employees These sub-contractors have S. Q Demolition working for me in any capacity, employees and.hay..e workers' [No workers' comp.insurance comp.insurance.' 9. [1 Building addition required.] 5. 0 We are a corporation and its 10.El Electrical repairs or additions 3.❑ I am a homeowner`doing all work officers have exercised their 11.Q Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees, [No workers' 13.Q Other comp.insurance required.] *Any applicant that becks box#1 must also fill out the section below showing their workers'ctin�penSation policy information. t Homeowners who submit this affidavit indicating they are-doing all work and then hire outside contractors must suhmit'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. lam an empioyer that is providing workers'compensadon insurance for my employee& Below'is thepolicy�d Job site information. (\ Insurance Company Name: Policy#or Self-ins.Lic.#:_�V,j[, �C)(� �� . (� Expiration Date: 10— Job 0—]ob Site Address:__ Lj t.-< City/State/Zip: Iv, O S� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the foim 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 Investigatio )ks of the IA for insurance coverage verification. I do hereb c e pains and penalties of perjury that the informd1on provided above is true and correct S' attire: Date: Phone#: 3D`g '- C i- FFOther only. Do not write in tris area,to be completed by city'or town ofj'rcial n: Permit/License# hority(circle one): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son• Phone#: A� CERTIFICATE OF LIABILITY INSURANCE �';,Dl," 2013 THIS CERTIFICATE 15 15SUED 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 pollcy'(1631Y must be endorsed. H SUBROGATION IS WAIVED,suphd 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 endoreemen s). PRODUCER 1-612-333-3323 CONT Bays Companies NAM : PNONE . BD South 8th Street 612-333-3323 FAX •612-373-7770 Suite 700 -ADDRESS; HinuLpolie, BAT 55402 INS AFFORDING COVERAGE NAIC4 INSURED INSURERA:OLD RISFOBLIC INS CO 24147 Renewal By Andersen Corporation INSURERS:HATIOMM TJNION FIRE INS CO OF FI1TS 19445 INSURER C. 104 Otte Street INSURER o Northborou9L, MA 01532 INSURERE: . INSURER F, COVERAGES CERTIFICATE NUMBER: 36122490 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. IIITSR TYPE OF INSURANCEIms SU POLICY NUMBER PO11CY EFF POLICY EXP �� A GENERAL LIABILITY IN ZY 300361 10/0S/l 10/01/14 Y COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $1,000,000 g E ISS $500,000 CLNMS-MADE ❑OCCUR 1uEDEXP naw W S 10,000 PERSONAL B ADV INJURY $1.000,000 GENERAL AGGREGATE $4,000,000 i GM AGGREGATE LIMIT APPLIES PER: X p..y PRIFCT LOC PRODUCTS-COMP/OPAGG 6 4,000,000 A AUTOMOBILE LIABILITY JXNTB 300026 1 N SIN IT 6 Y ,AUTO 5,000,000 ALL OWNED SCHEDULED BODILYIhUIIRY(Pwperw 6 AUTOS AUTOS NED BODILY INJURY(per emiden0 6 Y HIRED AUTOS Y AVTOS PROPERTY DAMAGE rva $ 6 B X UMBRELLA UAS X OCCUR 20562235 10/02/1 10/01/14 EACH OCCURRENCE EXCESS tlAB CLANISAIADE 625,000,000 AGGREGATE 6 25,000,000 DED I X I REnNnms 25,000 A AND COMPENSATION MNC 300359 00 10/01/1 10/01/14 X �ATU OT►4 6 ANY PROPRIETOWARTNERIEXECUTNE OFFICERI AMFR EXCLUDED? a NIA E.LEACH ACCIDENT 6 11000,000 (Mendatm,MN!0 990under f.L DISEASE-EA EMPLOYEE 6 1.000.000 nON OF OPERATIONS Ealow EL DISEASE-POUCY UMR 6 1,000.000 DESCRIPTION OF OPERAT1ONS I LOCATIONS IVENICLEs(Awoh ACORD 101,AddRieml Remnb schmwb,m ewre,,.M rpeld) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE To Whom It May Concern THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED M For Inauraace Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORO:ED REPRESENTATIVE 0 1988-2010 ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD ACORD CORPORATION. All fights reserved. jbargrove 36122490 �MassachusettS -bepartr eiit of Public afet� 1 Board of Building Regulations and 5tsn'•ariis'• Construction$upernixor License:C5.,09.0125 ' JAIME L M01tIN; 86 GARDINER SZ' f 0&MA 01905 f v 1 S si i� Expiration .Commissioner 101061201.4, SCA 1 CO 00M-05/11 C free of Consumer Affairs&Business Regulation 'ME IMPR0VEMENT CONTRACTOR Registration 1 - Expiration ,12%23f2tf1 ' Type: RENEWAL BY ANL?ERSOI� pORATION Supplement c JAIME MORIN 104 0TIS STREET NORTHBOROUGH,MA 01532 Undersecretary • • Y Renewal 1 PIG 1-YAndersen W1140DW REHLACURENT 4rAndmm0rogpvV x i WoodNinyl CompoSlte IF Dual Argon Low E4 Smaftm x� Double Hung 100-00473518-010 ENERGY PERFORI!!tWE RUINGS U-Factor(U.S)/I-p Solar Heat Gain Coefficient r 91� U01 j' ABOITIONWL PERFORMWE RATINGS Visible Tmnsm'Itt qce in 4 'i Maoalaewa�alpelM�afMt roua wid6 aenlarm feappiw4A N/RC p�acMrti/arNlawTipraeY pwe+el . paeomanw.NHfO wNpcaw aarnninee urafoe�danv:enw�MMceneiarawaapa�/e Me4a�i.. NFR6 ee.e as nmmm.ae any proAaofaaeaoa oa aarra�a Gw wheByaanypro�a baigap�ei6e ma Caisu�mandaamA t�naan kraMr paGaa WAenpna iMormtion. - 1yMnvnt�gp �G, 6nh aavienmaaal .' to �4.lrvyaugpN � i J• ANMM�IaaM a�eaul� ODIIYMMlW11Cab71y DESIGN PRESSURE(Psq - C25 RbA DB Sl ped Sf11 DH IN it+aaulliPSOTrMMA�YPAUMSAtBIASrAppg MaMeerr mnaman�uh aWprae. . e.aaaaco..a MSI.G.M&LK z.#k Mamie"