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HomeMy WebLinkAboutBuilding Permit #532 - 136 HEATH ROAD 1/10/2012 BUILDING PERMIT X10 RTy of BLED , 'qq, TOWN OF NORTH ANDOVER °�2.h`�'`- APPLICATION FOR PLAN EXAMINATION IL 1 Permit NO: 32' Date ReceivedArED // � ACHIJs���� Date Issued: IMPORTANT:Applicant must complete all items on this page u _..�._ r_..- - {LOCATION ,_ PROPERI•Y401NNER \ P10. Gf .y TPrint = r 'MAP NO `j_ ,PARCEL -ZONING bIS RICT. AHistor`ic'Dis_tnct yes no 'Machine $hop Vltage yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building eine family ❑Addition ❑Two or more family ❑ Industrial ❑Aeration No. of units: ❑ Commercial fllkepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Ei_-86-ptic f1flnell ❑ Floodplain IhWetlands ❑. V1/atersfiedaDistrict El",Water/Sewof DESCRIPTION OF WORK TO BE PREFORMED: Identification Please Type or Print Clearly) OWNER: Name: `7aJRn-q_ CEJ Phone` -/7�'(��,3 —�97�c( Address: Wit\ CONTRACTOR Name:_ 3�*"F�-j'S, - N �.SU ._ Phone Address.:. Supervisor's'C.onsfruction'Licenses�7c ? Exp: `®ate Hometlrrproyement.License; 7 Cec�f Exp r �Dq I Date 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: $ 1935 0 FEE: $ Check No.: a 0 I (10ReceiptNo.: 0 ,4R `C(D NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund S gnattareaof Agent/Ownert S_�i Cc ^. -Signature of contractor _T - J 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 ❑ 0 Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ COMMENTS CONSERVATION Reviewed on Signature I COMMFNTS i HEALTH Reviewed on Signature COMMENTS I 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 onsite yes no. Locatedtat 124.Main Street `FireDepartment�sgnature/date ___ _ COMMENTS. �._- L I f 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 I NOTES and DATA— For department use i ❑ Notified for pickup - Date Doc.Building Permit Revised 200871 f - - J 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 i ❑ 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 pp 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 2.2008 �I`F:''FalIVIIVICIV11.7. — Location No. Date WORTh TOWN OF NORTH ANDOVER 0 AL9 Certificate of Occupancy $ ...,.:.. . 0 0 CMUsE<�' Building/Frame Permit Fee $ Foundation Permit Fee $ A' Other Permit Fee $ TOTAL $ Check # 24946 Building Inspector NORTH Town of TO No. �3� =_ X 0 , dover, Mass., 0 /d LAKE CoCMIC.E.CK ��S�RATED P'P�,`�� BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT...................RIV&....... .......................................................................................... Foundation has permission to erect........................................ buildings on.... 31P........ �............................... Rough to be occupied as ��S ® Chimney p ............................. ............ ...t�;-m ..... .................................................. provided that the person accepting this perm 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 Ale PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR WP UNLESS CONSTRUCTI TS Rough ................... .......................... .... ......................... 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 Until Inspected and Approved by the Building Inspector. FIRE-DEPARTMENT Burner - Street No. SEE REVERSE SIDE smoke Det. 104 Otis St.,Northborough,NIA 01532 J&L WINDOWS,INC.,I)/B/u\ MA Home Improvement Contractor (508)919-0900•Pax:(774)987-3013 Renewal ,icense#149601 (Expires 1/24/2012) . %' Federal Tax ID#83-0404201 byAndersen. '- WINDOW REPLACEMENT an Andersen Company CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyerlsl Name Date of Agreement iJ c 6r,C�_r-J I L Buyerlsl (reef Address,City,State,and Zip Code p I — J. JOU J�� E-Mail Address Home Telephone Number Work Telephone Number _ 01-) 6 7 r Buyer(s) hereby jointly and severally agrees to purchase the products and/or services of J&L Windows,Inc.d/b/a Renewal by Andersen ("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'93 Estimated Starting Dare: Method of Payment:&(Gheck E4Cash ❑Financed Deposit Received(33%): a �y s w1c S ��Balance at Start of Job(33%): 2 Credit Cards are accepted for deposit Estimated Completion Date: only—maximum 1/3 of the project cost. Balance on Substantial 1 _ z Please see Credit Card Payment Form. Completion of Job(33%):I-4 S 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 comp , , dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was o informed of Buyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE LANK SPACE . J L Wi d , d/b/a al by Ande en Buyer(s) Buyer(s) u o ro ucCManager Signature Signature t f�lJ Pnnt ame of Product Manager Print Name Print 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 I FOR AN EXPLANATION OF THIS RIGHT. — - - - - - - - - — -2<- - - - --- - - - - - - -�<- - - - - - - - - - - - - - - NOTICE?F fCANCELLATION NOTICE OF CANCELLATION Date of Transaction I V�I-0\ You,may cancel Date of Transaction 1"0 -t . 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 three business days from the above date.If you cancel,any property traded in,any payments made by you under the 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 1 by you will be returned within 10 days following receipt by the Contractor ("Seller") of your cancellation notice, by the Contractor ("Seller") of your cancellation notice, and any security interest arising out of the transaction will I 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 I as when received,any goods delivered to you under this this Contract or Sale; or 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 return instructions 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 you 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 ujp within 20 days of the date of your 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 ifou agree goods available to the Seller,or if you agree to return the to return the goods to the Seller and fail to do so, then I oods to the Seller and fail to do so,then you remain liable you remain liable for performance of all obligations under I 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 notice,or send a telegram to Contractor:J&L Windows, &L Windows,Inc.d/b/a Renewal by Andersen, 104 Otis Inc. d/b/a Renewal by Andersen, 104 Otis Street, Street, NorthborougF,, MA 01532, BY NOT LATER THAN Northb'roug ,MA 01532,BY NOT LATER THAN MIDNIGHT MIDNIGHT OF S l .(Date) OF .(Date) I HEREBY CANCEL THS TRANSACTION. I HEREBY CANCEL THIS TRANSACTION. Buyer's Signature Print Name Date Buyer's Signature Print Nome Data RbA Copy- White Buyer Copy-Yellow Buyer Copy-Pink Renewalo RENEWAL BY ANDERSEN IVLA HIC License#149601 �p�� (expires 1/24/12) byMdersen. OF GREATER]MASSACHUSETTS AND NEW HAMPSHIRE Federal Tax ID# 83-0404201 WINDOW REPLACEMENT a„Anders«COmpany 104 Otis Street•Northborough,Massachusetts 01532 Phone 508.919.0900•Fax 774.987.3013 SPECIFICATION SHEET Buyer(s)Name p Date of Agreement J h W IE_ G {L L4 I LI iz 11 t The Buyer(s)listed above hereby jointly 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 this Specification Sheet is a part. PATIO DOOR DETAILS 1. Install total of: c� Permashield Glidina Patio Door s ❑ T10"x 6'8" [Other(not avaijAble in 8068) Op.panel is left M right(as viewed from exterior) Interior and Exterior Color to be: White ❑ Canvas ❑ Sandstone ❑ Terratone (Color same inside and out on PS) Hardware: Metro: ❑ White [_1 Stone ❑ Bright Brass 2/Other—Specify `�\J Mb t� 4;-1 . I��c k r ~ F] Yes Hardware: Gliding Patio Door to have sidelight? Size: ❑ Yes MNo Grilles? If yes: GBG ❑ BVTW ❑ FDL(Pattern is standard as viewed in book for all doors) 2. Install total of: Narrowline Gliding Patio Door(s) ❑ 6'0"x 6'8" ❑ Other: Op.panel is❑ left ❑ right(as viewed from exterior) Exterior Color: ❑ White ❑ Canvas ❑ Sandtone ❑ Terratone (Interior is WOOD and customer must paint or stain) Hardware: Metro: ❑ White ❑ Canvas ❑ Stone ❑ Bright Brass ❑ Other—Specify: ❑ Yes ❑ No Gliding Patio door to have sidelight? Size: ❑ Yes ❑ No Grilles? If yes: GBG ❑ BVTW ❑ FDL (Full Divided Light) 3. Install total of: Frenchwood Gliding Patio Door(s) ` ❑ 00"x 6'8" ❑ Other: Op.panel is❑ left ❑ right(as viewed from exterior) Exterior Color: ❑ White ❑ Canvas ❑ Sandtone ❑ Terratone Interior Wood: ❑ Pine ❑ Oak ❑ Maple Interior Finish: ❑ Prefinished White(Available only with white exterior) ❑ Unfinished(Paint/stain done by customer) Hardware: Metro: ❑ White ❑ Stone ❑ Bright Brass ❑ Satin Nickel ❑ Yes ❑ No Gliding Patio door to have sidelight? Size: ❑ Yes ❑ No Grilles? If yes: GBG ❑ INTW ❑ FDL (Full Divided Light) 4. Install total of: Frenchwood Hinged Patio Door(s) ❑ 6'0"x 6'8" ❑ Other: ❑ Yes ❑ No Active/Passive Panel?: ❑ Left ❑ Right(viewed from ext.which is active) OR , ❑ Yes ❑ No Active/Stationary Panel?: ❑ Left ❑ Right Door Swine: ❑ Inswing ❑ Outswing Exterior Color: ❑ White ❑ Canvas ❑ Sandtone ❑ Terratone Interior Wood: ❑ Pine ❑ Oak ❑ Maple Interior Finish: ❑ Prefinished White ❑ Unfinished(Paint/stain done by customer) Hardware: Metro: ❑ White ❑ Stone ❑ Bright Brass ❑ Satin Nickel 'NOTE: Canvas hinged screen frame N/A—must choose white or stone if exterior is canvas" ❑ Yes ❑ No Hinged Patio door to have sidelight? Size: ❑ Yes ❑ No Grilles? If yes: GBG ❑ INTW ❑ FDL (Full Divided Light) STORM DOOR DETAILS 5. Install total of: Storm Door(s) 6. ❑ Full View❑ Mid View 7. Color to be: ❑ White ❑ Canvas ❑ Sandtone ❑ Bronze ❑ Forest Green 8. Size to be: ❑ 32" ❑ 34"(White only) ❑ 36" ❑ Custom(10 week lead time) Size: 9. Hardware to be: ❑ Bright Brass ❑ Nickel 10. Additional job details: 11. FA Yes ❑ No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment. No final payment shall be demanded until the contract is completed to the satisfaction 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 raid signed by both the Buyer(s)and Contractor. Buyers)hereby acknowledge that Buyer(s)'.-gas read this Specification Sheet. i i J ewal 'dersen o r MA and NH uyer(s) Buyer(s) a eoff Product Manager Signature Signature fi I iJ SCK Alc, m %/zC<,J t Name of Product Manager Print Name Print Name Tlse Coz rm fwiaRjt of De ild a f�izdustrial Accidents p �of f�pe�ffiorr� . . SDQ�¢sfungtart Street Bnstaa,M-4 62111 FQr�err' Compeassfian fnsursnca Affids gcders/Cantractarsles��b� Effi A iicsnt fufarmafiaa' onlfndvidue)` a er• Nam[Ss�rinecs►Organizefi . phone#: — G`ify�SfZtg,_� • to baa T` pa of project (required)t Ate?,on trn eanploycrP Check&a&pproP� coal oonimtor and I E, (]9DW const=tine L�?-t am a�np�9ar�eifh: 4. �'I am e � • ��d tha sub-contractors ZF dafizLg employees (if andtAr part-fimc), DA4 m tha attached she.t$ Z.[] I=-a sols pmpririrr Orper.tner- ;1'nese.sah-Gonixactara have B. D�Iifian ship end hevo nn tgAT pos i � Going,insurenee g, []$u�7a?ng a ddifion Waring for ma is say eapar�tp. []We are a GorpDmfioa end ifs ID.�] dtribe l repairs or adnifiDnc �Io cvc�rkcra'comp.insBrsace 5. oficca have=M-Distld 6* .❑ ra4 °d-] ' �gStt Df=Mjp{#,por MGL IL Plumbing nP6T ar addifinne 3.[Q I am m haia senor dniag in sao a, ad we hzve no 12.[]Rogof�i:e*n 133's [236 vanrl rte' GOmg. 0*y�s.�In wail r6' 13.❑�F''� 4r,�T,-awe¢quirGd]t ins=ure required.] •G the wow'oamp=;Z&a pohcY cfiva *AM n2pfi=zt*t 6=13 6aL B35D fill urs ibq r. � id*,m hire outside oonha�jaa mud��tae sfi�sYit indi�adaE� . t 5"..wbn cbmlttbuof aavtmdi-fmr* J =tanfms sad th��'oomP gnFicy infa®eb°a additiu®s1 r�e�d1°r of fha onta�tt tbof r�r.:Y thu ho=mint d=bd ea and'ob sC�e markers'ca cnsafwa itesur'artce for nzy cmpinyers, �elatQ.ta thepvfiry I¢ra aa.cmplv��cr that is praYidiKg. °. ircfarrnaaYan. InsuffinGe company I,Tama � � I?ate Pobcy az Scl€ins,Lie �; 3LO City�state �A-D0JEr r'hA Job 9ftL Address ,=-- fian s (shoeing fha pDky fiber ena eX.pirafiin data). Attach a eapy of the vmrkBrs' C..Dmpeu�s�xdnn.palicp derlsrs P 152 can lead to$�e imposifina of Grit<ZZinttl=o=nes of a F`91�IIL�tD UDCIIre.cav=F u rngnimed unu� uGGfIL7IL of MER ar im ' nnmrnt,ds wi;Il as rid P=Ihim is fire fium'Df a STC)p W�fha�Q$icG of�. find up-6 S1,5DUO miler linelz . � , afup to 5254.D0 a day against$�vinlafnr. Be ad4isad ihat a DDpy.Df�stetLmLnt 3'ba farwiriL Invesfigef=of fhe DIA fir insumence cov=go rued p I do harclry a the pains azalf s er�ury t`hd the ynfarm¢fiaa prar►ided above is i*tec'¢nd correct phone# JOp ere to be cnmpicted by�or tarn a�cial D,f tial use anEy, Aa oat• e In . 1; •• • p�mitllicenHe# • C4 ar Toew suing AufhDriip(cII Cle ane): k 4,mac{ pectnr 5.Plamhiug inrpectnr L Banerd of Htalth Z Buil DeParimeut 3,CITown(� ,. Phanc� , Ca�c�persatr . i Massachusetts - Depactn nt of Public Safet'I 'Boardrof Building, Reniations and Standar-lis Construction Supervisor License License: CS 9S707 BRIAN DENNISONI 86 CREST'CIRCLE - WORCESTER, PIA 01603 —G--�� Expiration: 9/8!2012 ('ntuntivciuncr TF,: 2522 } Office of Com m&Affairs &Business Regukafion . '• HOME IMPROVEMENT CONTRACTOR Re s' �p1' Expi 10� 12 . t Cad RENEWAL BY "BRIAN. DENNIS f '104 OTiSS E r: 1/I• �. . . NORTHBOROUGH,�` Undersecretary CERTIFICATE.OF LIABILITY INSURANCE DATE 0/04/2D 1 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 policy(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 CNAME: ON ACT J.P. McKeone Insurance Agency Inc PHONE PAX JP McKeone Insurance Agency,Inc. A/C Nn . (734)662-8100 AIc No: P.O.Box 333 ADDRESS : Ann Arbor,MI 481060333 INSURER( AFFORDING COVERAGE NAIC fi INSURER A: Nautilus 19682 INSURED J&L Windows,Inc. Renewal by Andersen INSURER B: Hartford 37478 1 D4 Otis St. Northborough,MA 01532 INSURERC: 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. ILT R ADDTYPE OF INSURANCE NSR SUER _ POLICY NUMBER POLICY EFF MMIDD EXP I LIMITS LTR A GENERAL LIABILITY NC9513461 10/01/2011 10/01/2012!EACH OCCURRENCE $ 1,000,000 AMAGE TO RENTED COMMERCIAL GENERAL LIABILITY I PREM IS Ea occurrencel $ 100,000 CLAIMS-MADE OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 I GENERALAGGREGATE $ 2,000,000 GEML AGGREGATE LIMIT APPLIES PER: _ PRODUCTS-COMPIOP AGG $ 2,000,Aoo POLICY PRO- LOCI $ AUTOMOBILE LIABILITY 35 MCCXD6390 10/01/2011 10/01/2012 COMBINED SINGLE LIMIT 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNEDSCHEDULED I BODILY INJURY(Per accident) $ AUTOS AUTOS NON-OWNED i PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-NADEI I AGGREGATE $ DED $ A WORKERscoMPENsaT1ON 35 WECPP1444 OZ/17/2011 02/17/2012 i wCSTATU GR- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUIIVE N/A E.LEACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) `E.L DISEASE-EA EMPLOYEE $ 500,000 It yes,describe under, - 500,000 DESCRIPTION OF OPERATIONS below I I E.L DISEASE-POLICY LIMIT $ B PEOOH555DO 0507 09/27/2011 09/27/2012 i j. DESCRIPTION OF OPERATIONS I 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. AUTHORED REPRESENTATIVE - ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD dWIMDa WS•DDeRS Anersen. IF VoteGlessType" ll�acmr' SHGCa VP wP,_jn o GIa4Type' 1lfacmr' SHGC' ViaFRC% _� IT�^nJ NFRG s Wp. -'d, _��:.,i�r-y�Ue.�i�1•�-i�w__ Y:4''. Y.• �, 1'Y•'c.:4.5��f+�42''��'�''^�i.'y T•�x,��-FST+4:-•`- _ _,L'iF'v�� 1 �.:�,,,'-,-:• __ - Y,_ ptiileriea.ArefiiterSfurSfl;-' �/indersen',400Senes..�'".::"- 'r'•�..-'`.5-�"•�':••k�.'':'+-� .F2r:. -ear- _ ,mt�.„�--- -- -- --:�'`•�5;=.;,:.��_. 41k. �_ ;r �..H ^- :::esU HP law E4 0.32 028 0.47 ' ?_ P Lmr-E4 028 _ 033. 058 L.µ�e-� ' ;t•=--Fc'-'.c 'HO Law-E4 with Gallas 032 025 0.42 HP law-E4w8h Grilles. 029 •030 452 �;,,� � = ' =-ice• ••,;: HP law-E4 Sun a2B 020 031 '+• -11-2 2 _3•.��:• . . y,• .' HP Low-E4 Sun - 032. 0-17 026' '� iQ _ V.-• HP Low-E4 Sun wah Grilles 029 •0.18 "' OB 3�'• T'_ .�,.� '6 ' -y HP Lowrc -E4 Sun with Grilles 0.32 016 029 L 4 `, { HP law E4 SmartSun 031 018 0.42 mss••-^! • HP Low-E4 SmartSun 027 023 0.52 �.7]� _ � -.:'-.. HP Lew-E4 SmartSun w/Grilles 08 021 0.46 .1 t� r.. c >`��. HP LwrK SmartSun w/Galles 031 017 0.38 ® 3+"F, HP Low-E4 027 "033 ''056 HP Low-E4 031 032 a55 21 . 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" a'a HP Low-E4 am ail 0.47 = ELDw61e Nin WlnaDw, lnw� 030 032 0.56 r•.- f� u Imv-EwbGrilles 031 029 450 ='I HP Low-E4 with Grilles 032 08 0.42 �. ® L: ��_ Clear Dual Pane 0.44 463 466 - r.Esendi-.f5nmen�:y7 HP Lmx-E4 Sun 032 0.17 026 '=1.90 ? r Clear Dual Pane with Grilles a.44 0.57 0.59 HP Low-E4 Sun with Grilles am 0.16 a23 �3 NarmltD �!�• .. t. -' .•.-''�' � HP Law-E4 SmartSun 031 - 0.18 0.42 _I:7'f® w=Tiahiom_Wfedmw: Lax-E 0.28 034 458 HP Low-E4SmartSun w/Grilles 031 0.17 03B Lvw-EwdhGnlLas "028 0.30 0.52 R:J3 emranued an nee pa& PRODUCT PERFORMANCE Andersen' NFRd Certified Total Unit Performance.(con6nuL parodu �_- Glass Type I U-fachori I SHG& NF,RC:sy� I Clear Dual Pane 0.45 0.60 0.63 .. - Ciear.Dual Pane with Guiles D.45 0.54 0.56 GgiifngNlihdoYr Low-E 0.30 0.32 0.55 �N. - Lnw E.with Grilles 030 029 0.49 Clear Dual Pane 0.43 0.61 0.65 - " ° Clear Dual Pane with Grilles 0.43 0.55 0.58 - d;Transom ; x;� - . . . CI ele,TuR VYfndo . Lowy 028. 0.33 0.55 Low-E with Grilles 028 0.30 0.50 - Gear Dual Pane. 0.46 0.59 0.63 - .. ... ... .. 'y: xs �+:* Clear Dual Pane with Grilles 0.45 0.52 0.55 . - u R4a Low.{ 0.29 032 : 0.55 - Low-E with Grilles 031 028 0.48 �a inch Ifdln . a. . n Low-E Sun with Grilles020 0.30 Low-E Sun 0.31 Q-A017 026 o ` Low-E SmartSun 028 0.22 0.50 11 - MR n -� Lnw-E SmartSun with Grilles 0.30 0.19 0.44. i5: Clear Dual Pane 0.44 0.51 0,64 - _ Clear Dual Pane with Gnlies.. 0.44 0.54 0.56::; -Low-E 026 032 0.56. rhe aSf�iii fd=_" Low-E with Grilles .:..' 0.30 029 0:49 Ifalh Low-E Sun. : 029 0.19 . 030 _ ...cw c-.."„ter•,,,..:c-• - _. Lowes Sun with Grilles' 030 0.17 027 e a . Lnw E SmartSun D28 0.72 0.50 i;379 2 Low-E SmartSun with Gnlles� 029 0.19 0.44 -•� Clear Dual Pane GA 0.45 0.47 - �� ��,-�x. '=``"� Clear Dual Pane with Gdiles 0.44 0.39 0.40 ���•�':- .'.:__ 024 0.41 �.a..�® 021 0.35 -. Low-E .. 0.32 .': pFlinged-PatioP.00rs- �'-E with Grilles -0.33 4 r Low-E Sun D32 0.15 .- 023 i N Low-E Sun with Grilles' ' 0.34 D.13 D:19 - " Low-E SmartSun 031 0.16 0.37 � r=` Law-E SmartSun with Grilles 033 .0.14: 0.31 -