HomeMy WebLinkAboutBuilding Permit #643-15 - 130 HEATH ROAD 2/10/2015 BUILDING PERMIT NORrM
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TOWN OF NORTH ANDOVER o R
APPLICATION FOR PLAN EXAMINATION
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Date Received �s4^*"re 0, 5
Permit No#: �SSgcHus��c
Date Issued: J 1-5 -
IMPORTANT: Applicant must complete all items on this page
LOCATION
Print _
PROPERTY OWNER /SIC' ge ev
Print 100 Year Structure yesno
MAP G y7, PARCEL: �f�` ZONING DISTRICT: -Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building C-6ne family
❑Addition ❑Two or more family ❑ Industrial
❑Alwation No. of units: ❑ Commercial
epair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
0 Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
2 //V//
Identification- Please Type or Print Clearly
OWNER: Name: J� NP 61?&,e1/ Phone:
T
Address:
��1�'��
I"�/14 Phone: I
CS - S�/
Contractor Name � A
Address: �L r�E"
Supervisor's Construction License: &i��� � }- �_ Exp. Date:
Home Im rovement License: _ 17Q7 �1=' Exp. Date: / > �" �.✓ `"'���
p
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BAASSED125.00 PER S.F.
Total Project Cost: $ S 7`4�4• eo FEE: $ L1 `
Check No.: 9
lwzV1 Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
S g ture of Agent/Owner t p-v�&Av _ Signature of contractor T �I
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
-[-7
TYPF OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swinnning 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
I
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
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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
L
I
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.$100-$1000 fine
NOTES and DATA — (For For department p use)
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❑ Notified for pickup Call Email
Date Time
Contact Name
Doc.Building Pennit Revised 2014 —
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 dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
j ❑ Building Permit Application
❑ Certified Surveyed Plot Plan
❑ Workers Comp Affidavit
j ❑ 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
❑ 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
o 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 required the Town Clerks office must stamp the decision from the Board of Appeals
p p was
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:Building Permit Revised 2014
c� --� ea tv, .
Location�
No. Date
� r
e - TOWN OF NORTH ANDOVER�
Certificate of Occupancy $ I
Building/Frame Permit Fee $
a Foundation Permit dee $
�' Other Permit Fee $
- TOTAL $
Check#—�v6a
20475
Building Inspector j
NORTH
Town of . � EAndover
0
No. TC6
verMass +�-� �� 2b1D
T O LAKE 1 1 --
COCKICKEWICK
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S U
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD UtA.,� Septic System
THIS CERTIFIES THAT . e�" BUILDING INSPECTOR
.............. . ...................................................................................................
... � � Q0 G,p� Foundation
has permission to erect .......................... buildings on ............ ................................................................
r� Rough
to be occupied as .........f.1..... ...
........................ ....... `'........................................................ 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 IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION START Rough
Service
......... ...... . .......................
.................................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildin 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.
The Commonwealth of Massachusetts
roff Department oflndustrialAccidents
IP Office of Invesfigadons
1 Congress Street, Suite 100
Boston,MA 02114-2017
UIV www mass gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leaibly
Name (Business/Organization/Individual): RENEWAL BY ANDERSEN
Address:30 FORBES ROAD
City/State/Zip:NORTHBORO, MA 01532 Phone#:508-351-2200
Are you an employer?Check the appropriate box: Type of project(required):
1.E I am a employer with 30 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. 0 Remodeling
ship and have no employees These sub-contractors have g. Demolition
working for me in any capacity. employees and have workers'
[No workers' comp. insurance comp. insurance.t 9• E]Building addition
required.] 5. [3 We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 1 I.[]Plumbing repairs or additions
myself. [No workers' comp, right of exemption per MGL
12.0 Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.0 Other
comp. insurance required.]
*My applicant that checks box*I 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 sub-contractors 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 isproviding workers'compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:OLD REPUBLIC INS. CO.
Policy#or Self-ins. Lic.#:MWC 302__9,,3..,,/800 Expiration Date: 10/01/15
Job Site Address: /,-?6 �'�'`"c(7 R-D
City/State/Zip:_/Vy •1/c�o
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 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 cert under pains and penalties of perjury that the information provided above is true and correct.
Si ature: Date:
Phone#: 508-el220
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#:
CERTIFICATE OF LI ANDECOR-01 YADAVYO
�EILt1Y INSURANCE DATE,MMUMM
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFO1011/2014
RMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEp,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: H the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. it 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 fights the
certificate holder In lieu of such endorsements.
PRODUCER REACT comficate8 Ilis.com
Willis of Minnesota,Inc.
c/o 28 Century Blvd PHONE tt:(877 945-7378
P.O.Box 305191 EMAIL A/C No:(888)467-2378
Nashville,TN 37230-5191
INSURE S AFFORDING COVERAGE MAIC S
ADDRESS
INSURER A:Old Republic Insurance Compan 24147
INSURED
INSURER 0:
Renewal by Andersen Corporation MsuRFR c: _
30 Forbes Road INSURER D:
Northborough,MA 01532
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 CONTRACTOR 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.
Do
L'R TYPE OF INSURANCE POLICY NUMBER
A X COMMERCIAL GENERAL LIABILITY MMIDD M LIMITS
EACH OCCURRENCE _ f 1,000,00
CLAIMS MADE X OCCUR YVZY302940 10/01/2014 10/01/2015 PREMISES EsOcaxrence S 500,00
MED EXP(Any one person $ 10,0
PERSONAL 8 ADV INJURY S 1,000,00
GEML AGGREGATE LIMIT APPLIES PER:
X POLICY,a PRO-JECT LOC GENERALAGGREGATE S 4,000,00
OTHER:
PRODUCTS-COMp/OP AGG S 4,000,00
AUTOMOBILE LIABILITY $a aodde 1 $
5,000,00
A X ANY AUTO 02575 10/01/2014 10/01/2015 BODILY INJURY(Perpeison) S
ALL OWNED SCHEDULED
AUTOS AUTOS
7BODILY INJURY
HIREDAUTOS AUTO ED ROS (�acddent) S
UMBRELLA UAB 11 =
OCCUR
EACH OCCURRENCE j
EXCESS UAB CLAIMS-MADE
AGGREGATE S
DED RETENTIONS
WORKERS COMPENSATION S
AND EMPLOVERSLIAOILITIr X
A ANY PROPRIETOR/PARTNERAEXECUTIVE YNN 0W293800 10/01/2014 10/01/2015 STATUTE ERS : 1,000,
OFFICERIMEMBER EXCLUDED? NIA E.L.EACH ACCIDENT
(Msn bbxy in NH)
Hyes deao:ibe under E.L.DISEASE-EA EMPLOY S 1,000,00
DEsd pn"M OF OPERATIONS below
E.LDISEASE-POLICY LIMIT $ 1,000,00
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,AddlBonat Rangrks SeMdule,eny be sgad"M more space Is nauktd)
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.
AUTNORI�D REPRESENTATIVE
Evidence of Insurance
ACORD 26(2014101) The ACORD name and logo are registered marks2of ACORD CORPORATION. All rights reserved.
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Massachusetts-Department of Public Safety
Board of Building Regulations and Standards
Construction sulwi-I isoj-
License: CS-090125
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JAIME L MORIN
86 GARDINER ST ' ''`, ,
LYNN MA 01905'
Expiration
Commissioner
' 10/06/2016
fit �,` CJ/zeW.....aau<Palt�o C�/�a�aacluJells
ffice of Consumer Affairs&Business Regulation
OME IMPROVEMENT CONTRACTOR
Registration: 170810 Type..,
3 Expiration: 12%23/2015 Supplement Cf
RENEWAL BY ANDERSON CORPORATION
JAIME MORIN
104 OTIS STREET �� _ ;•
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NORTHBOROUGH,MA 01532 Undersecretary
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RenewMA Home Improvement Contractor
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.'.' License#170810(Expires 12/23/2015)
Andersen. Renewal by Andersen Corporation Federal Tax ID#41-1918413
WINDOW REPLACEMENT an Aruteex•nt'nm y
30 Forbes Rd. Northborough,MA 01532
(508)351-2200 Fax(508)-986-7072
CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT
Bu er s Name Date:
JANE GREEN - DECEMBER 18, 2014
Buyer(s)Street Address City StateZi Code
136 HEATH RD NORTH ANDOVER MA 01845
Email Address Home Telephone Number Work/Cell Telephone Number
978-683-6769
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 sheet(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 $ 5,744 Amount Financed$ 0 Est.Start Date Method of Payment
Deposit Received(33%)$ 1,914.00 Deposit at signing$ 0.00 16 weeks Check/Cash
Balance Start of Job(33%)$ 1,915.00 Check#
Balance on Substantial At Substantial Est.Install Time ✓ Credit Card
Completion of Job(33%)$ 1,915.00 Completion$ 0.00
1-2 days If credit card Is selected,please
No final payment shall be demanded until all parties are satisfied I I 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 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.
Renewal by Andersen Corporation Buyer(s) Buyer(s)
By: q q/`l��/'"'dj V �
Signature of Consultant Signature Signature
x GREG ARSENAULT —JANE GREEN
Printed Name of Consultant Printed Name Printed Name
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.
-------------------------------------------------------------------------'I
NOTICE OF CANCELLATION NOTICE OF CANCELLATION I
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Date of Transaction 12/18/14 .You may cancel this I Date of Transaction 12/18/14 .You may cancel this
transaction,without any penalty or obligation,within three business days from the I transaction,without any penalty or obligation,within three business days from the
above date.If you cancel,any property traded in,any payments made by you under I above date.If you cancel,any property traded in,any payments made by you under
the Contract of Sale,and any negotiable instrument executed by you will be I the Contract of Sale,and any negotiable instrument executed by you will be
returned within 10 days following receipt by the Contractor("Seller") of your I returned within 10 days following receipt by the Contractor("Seller") of your
cancellation notice,and any security interest arising out of the transaction will be I cancellation notice,and any security interest arising out of the transaction will be
canceled. If you cancel,you must make available to the Seller at your residence,in I canceled. If you cancel,you most make available to the Seller at your residence,in
substantially as good condition as when received,any goods delivered to you under I substantially as good condition as when received,any goods delivered to you under
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 Seller 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 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 1 of the goods without any further obligation. If you fail to make the goods available
to the Seller,or if you agree to return the goods to the Seller and fail to do so,then I to the Seller,or if you agree to return the goods to the Seller and fail to do so,then
you remain liable for performance of all obligations under the Contract.To cancel I you remain liable for performance of all obligations under the Contract.To cancel
this transaction,mail or deliver a signed and dated copy of this cancellation notice I this transaction,mail or deliver a signed and dated copy of this cancellation notice
or any other written notice,or send a telegram to Contractor:Renewal by Andersen,I or any other written notice,or send a telegram to Contractor: Renewal by Andersen,
30 Forbes Rd. Northborough,MA 01532,BY NOT LATER THAN MIDNIGHT OF 1 30 Forbes Rd.Northborough,MA 01532,BY NOT LATER THAN MIDNIGHT OF
12/22/14 .(Date) I HEREBY CANCEL THIS TRANSACTION. 12/22/14 .(Date) I HEREBY CANCEL THIS TRANSACTION.
I
Buyer's signature PAN Name Date ; Buyers Signature Print Name Date
RenewalRenewal by Andersen Corporation MA Home Improvement Contractor
byAndersen. 30 Forbes rd Northborough,MA 01532 License#170810 (Expires 12/23/2015)
WINDOW REPLACEMENT ,.AodC. .y (508)351-2200 Fax:(508)-986-7072 Federal ID#41-1918413
Window Specification Sheet
Buyer(s)Name Date of Agreement
JANE GREEN THU, DEC 18, 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
App. App. Appx ExterlorAnterior Color Hard Ware Hardware La E4/ Grille Grille Glass
Room # Worn Night Ula Window/Door Style Detail Casings Ext-Int Color Style Screens Smartsun Grilles Sash 1/3 Sash 2 Lifts Options
Kitchen 1 72 51 123 GT full frame 1:1:1 Ext.MF 908WH/WH White Standard FFG Low-E4 GBG No No
Entry 48 51 99 GW full frame lafo Ext.MF 908WH/WH White Standard FFG Low-E4 GBG No No
Total 2 BAY&BOW DETAILS
Approx
Sty a Detail/ width/ Approx. Number Frame Window End Center LowE/ Root/ Hardware
Room Count Style Flankers h. M Casings An le Lltes Interior ExtAnt Color Grilles sashes sashes Screens Smartsun Soffit Color
SPECIALTY WINDOW DETAILS
Full/ Approx. LowE/ Specialty BAY/BOW ADDITIONAL WORK NOTES
Room Count le Insert U.I. Smartsun Grilles Grille Is Exurnt Color Customer is aware that with ba/bow windows under 72 inches
there will be si ''es lass lose.
ADDITIONAL WORK DETAILS:
Diamond ane-with r7ill,beween glass as is tods .
I No Contractor will wrap exterior casings with coil stock color of
Owner Is aware that Contractor does not do any painting/staining or removal/installation of alarm system or window treatments/hardware.It 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 whether alarms or window
2 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 window style.We make no 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 permit(s)is not Included In the Contract Price and a separate
check is required at the time of sale for this fee. Check# 2447 $ 72
5 Yes All discounts have been applied to this agreement.
6 ✓ Yes ,) 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 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 signed by both the Buyer(s)and Contractor.Buyer(s)hereby acknowledge that Buyer(s)has read this Specification Sheet.
Renewal by Andersen Corporation Buyers) Buyers)
By
Signature of Consultant Signature Signature
GREG ARSENAULT JANE GREEN
Print Name of Consultant Print Name Print Name
