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HomeMy WebLinkAboutBuilding Permit #621-15 - 146 CHESTNUT STREET 1/26/2015 RTfi BUILDING PERMIT 0* p10t%O o qti TOWN OF NORTH ANDOVER oar APPLICATION FOR PLAN EXAMINATION '' ~ Permit No#: ` Date Received ZZ- I`7 �f 0 " 74A�RATeo �SSACHuS�t Date Issued: PORTANT: Applicant must complete all items on this page IPROPE�;Z�T.Y ®)I,VNER. [MAF^�`? G'�_ -sPARCEL' ed ZONINGFD_ IStTRJCTN� propq JHist©rclDistr t yMi 000%211UFT S s`s 4►no Ma_che1,87 p U�Ilagc� yE Win" C TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ane family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other OSeptic; Qood'p aimsWetlands �_1r ❑t Wate shed. ®str �kW ,.s,� ater/kSewer!_ / DESCRIPTION OF WORK TO 7RFORMED: 5 / 1'40&P/_ x Identification- ease Type or Print Clearly OWNER: Name: n f2„L ei; � l/ Phone: ��`�— A� Address: ..!^` ASupemv€sorrs�C`onstruoft ronFLicense _�474,_ / I °€ € /7TH n-. Improv�einent,.License• 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: $ /JT � FEE: $ " )-- Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not-have access= 'e guarantyfund of'A9ent7Owner Signature of contract _ _. .. f Location No. f n Date o - TOWN OF NORTH ANDOVER m o Certificate of Occupancy $ Building/Frame Permit Fee $fro w� Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check 28442 �- Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Typ,,DF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales El Private(septic tank,etc. ❑ Permanent Dempster on Site ❑ i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ ` COMMENTS CONSERVATION Reviewed on Signature I COMMENTS a � r 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 38_4 Osgood Street _ RIRXTODUAN', - Temp ®umpsteron7site�, yes� Y ono„ " p � _ Flre De art is _ t� ,r � ���p„� �ment��sigfnature/date, 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 department use) ❑ Notified for pickup Call Email Date-------------------:Time-Contact Name Doc.Building Pen-nit 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 ❑ 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/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 of 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:Building Permit Revised 2014 NORTH Town of : ndover O - to Z h ver, Mass A_ coc.uc.9 .Cot gas RAreg) #'*? L) BOARD OF HEALTH Food/Kitchen PER D Septic System 1T T • THIS CERTIFIES THAT N .................... BUILDING INSPECTOR .............. ...... ....�........ .... ..... ............... ... ........ ..... . ..... .... . � .. .�. Foundation has permission to erect ...................... buildings on ... ... ...... ..r!' .... ....t................. g p ...&. �,1 �� 0 �� Rough y t0 be occupied as 1 Chimney ...... ....... .. ..... .........;.........................1............. ....................................... 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 CONSTRUCTIO S AR SRough Service . ..................... .. ............... .* Final .............. ra: 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. The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations d I Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 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): 1.0 I am a employer with 30 4. F1 I am a general contractor and 1 employees (full and/or part-time). * have hired the sub-contractors 6 E)New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑■ Remodeling ship and have no employees These sub-contractors have 8. E] Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. $ 9. Building addition required.] 5. EJ We are a corporation and its 10.❑ Electrical repairs or additions 3.n I am a homeowner doing all work officers have exercised their 11.0 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.❑Other comp. insurance required.] 'Any applicant that checks box#1 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 is providing 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 30293800 Expiration Date: 10/01/15 Job Site Address: /7"� City/State/Zip:A0 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 certify derth ains and penalties of perjury that the information provided above is true and correct Simature: Date: Phone#: 508- - 20 a 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#: ANDECOR-01 YADAVYO j CERTIFICATE OF LIABILITY INSURANCE DATMM /rrYY) 100/1/1120/2014 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 endomement(s). PRODUCER CONTACT Willis of Minnesota,Inc. NAME: certifrcates@willis.com PHONE c/o 26 Century Blvd A/c No Eat:(877)945-7378 Arc No:(888)467-2378 P.O.Box 305191 EMAIL Nashville,TN 37230-5191 ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC p INSURER A:Old Republic Insurance Company 24147 INSURED INSURER B: Renewal by Andersen Corporation INSURER 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 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. INSR TYPE OF INSURANCE PO CY EFF PO EXP — LTR POLICY NUMBER MM/DD/YYYY) IMMIDDfYYM LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCt&ADV CE $ 1,000,00 CLAIMS-MADE T OCCUR WZY302940 10/01/2014 10/01/2015 PREMISEEacurrence $ 500,00 MED EXP person) $ 10,00 —— PERSONINJURY E 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,00 X POLICY❑JECT LOC PRODUCTS-COMP/OPAGG $ 4,000,00 OTHER: $ AUTOMOBILE LIABILITY Ea accident)SINGLE LIMIT $ 5,000,00 A X ANY AUTO MWTB302575 10/01/2014 10/01/2015 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED ROPERTY DAMAGE HIRED AUTOS AUTOS PeracddeM $ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE ;AGGREGATE DED RETENTION$ $WORKERS COMPENSATIONAND EMPLOYERS'LIABILITY Y/N STATUTE ERS A ANY OFFICER/MEMBER F-XCLUDER/ECLMVE ®NIA MWC30293800 10/01/2014 10/01/2015 E.L.EACH ACCIDENT $ 1,000,00 (Mandatory In If yes,describe under E.L.DISEASE-EA EMPLOYE $ 1,000,00 nd DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached K more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Evidence of Insurance ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 26(2014/01) The ACORD name and logo are registered marks of ACORD o, Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supenisor License: CS-090125 JAIM L MORIN-` _-- 86 GARDINER ST ,. 1,Ni. - LYNN MA 01905 ` Expiration Commissioner 10IMO16 i — �" _ C-lfie Tpo�nvazoouoea,�o�C��cr»ae/Luaella �. r Rice of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR r ategistretions 171MI0 . Type: r Expirations 12/23/2015 Supplement RENEWAL BY ANIjERSON CORPORATION ! ' Y. t JAIME MORIN 104 OTIS STREET .� t NORTHBOROUGH,MA 01532 G Undersecretary .,4 •t d we'N Pro swse'v a it),ins I /Andersen NERC Certified Total Unit Performance (conun 4 -:,,; Andersen.-product ' Glass Type U-Factor' ! SHGC' Ver i pnderseti Product Glass Type I U-Factor' SHGC' VP Series` do nal. 400 ral, HP torr-E4. 027 035" 0 60 - HP Low-E4 032 028 OAT 'F NP for-E4 vnlh Gilles 028 031 0 54 .- HP lmv-E4 with.Giffies 032 025 0.42 �-': HP Law-E4 G Sun 0.27 021 0.33 ,! .�� HP tmv{4 Sun 0.32 0.17 026 Circle Top Casement Window Casement Wmdory HP Low-E4 Sun with Grilles 0.29 0.19 030 ± s HP Low-E4 Sun with Grilles 0.32 0.16 023 T'4; HP tour-E4 SmartSun 0.26 023 054 HP Low-E4 SmortSun 031 0.18 DA2 'E•1 .,yr }a; i HP Law-E4 SmanlSan w/Gilles 028 021 0.49 lip Lor-E4 SmortSun w/Gdaes 031 0.17 0.38 •`.n •, �., HP low-E4 032 028 0.47 m I HP taw-E4 027 035 0.60 ; HP Low-E4 with Gilles 028 031 0.54 i`t - HP rile-E4 with Grilles 032 025 0.42s". W HP tow-E 1 Sun 027 021 033 '(?� French Comment HP tor-E4 Sun 0.32 0.17 026 1-7 Circle&OaY WiridoryHP low-E4 Sun with Grilles 029 0.19 030 - window- HP Low-E4 Sun with Gibes 0.32 0.16 023 Y HP law�4 Smartsun 026 023 0.54 HP Imr-E4 SmetSun 031 0.18 0.42 "1 _ MP taw-E4 SmartSun w/Gilles 02B 021 M' HP Luw.E4 SmartSun w/Grilles 031 0.17 038 ) ;_ HP law E4 028 033 0.58 HP Low-E4 032 028 0.47 HP lmv E4 with 6nlles 0.29 030 0.52 1 HP Low-E4 with Gilles 032 025 0.42 ILow-E4i HP Low-E4 Sun 028 010 031 : - HP Law-E4 Sun 032 0.17 026 l'7 M W iniaw Awning Window0.16 !'d -E4 Sun with Gimes 029 0.18 026 �i HP Low-E4 Sun with Gilles 0.32 HP Law 023 Arch HP law-E4 SmartSun 027 023 052 '�"•° HP Low-154 Smartsun 031 0.16 0.42 v ! HP Low-E4 SmartSun w/Gilles 031 0.17 038 r'':In HP Low-E4 Smarlsun w/Gilles 028 021 0.46 '.i HP►atv-E4 0.27 033 056 t="3 HP tow-154 031 032 055 -s HP taw-E4 with Grilles 028 030 0.521 HP tour-E4 with Gilles 0.31 029 0.49 -., ''HP Low-E4 Sun 031 020 031 . HP Law-E4 Sun 017 010 0.31 �"nCaaemeat/Awnhhg., , flerdhame'Madan, - HP law-E4 Sun with Gnlies 029 0.18 028 > '`. Picture HP rile-E4 Sun with Grilles 031 0.18 028 1 HP law-E4 SmartSun 026 023 0.52 "s 1 HP Low-E4 SmanSun 0.31 021 0.50 i.�. HI,!ov-E4 SmartSun w/GNles 0.28 021 OA6 (" fF" HP Law-E4 SmartSun w/Gilles 031 0.19 0.44 HP Lor-E4 030 037 0.64 '1 HP(or-E4 031 - 033 056 HP law-FA with Gilles 032 03D 0.52 HP law-E4 with Lilies 030 033 057 HP Low-E4 Sun 031 020 031 HP law-E4 Sun 0.31 022 038 l Spingline'Window SpecialbHfmdow HP Lvx-E4 Sun with Grilles 031 020 0.32 HP Iaxr-E4 Sun with Grilles 033 0.18 028 •` i HP tow-E4 SmartSun 030 023 052 i 1 HP law-FA SmarlSrn 030 014 058 lip Law-E4 SmartSun w/Gfilles 032 021 DAG � �lam". HP Uow-E4 Smartsun or/Gimes 0.30 022 052 • -s HP law-E4 0.32 022 037 ,�. .'•�. P Low-E4 0.30 027 0.45 r`, '�.- 7!9 with Gilles 032 023 0.39 (-C "' HP Law-E4 with Gilles 033 020 0.33 - t, HP low-154 Sun 033 0.14 021 - Frenchw000w-E4 Sun 031 0.18. 025 �` Hinged hrsrving - ending Pawith,Gilles 0.32 0.14 022 French Door HP lanrE4 Sun with 6n71es 034 0.13 0.18 SmailSun 0.30 0.18 0.41 r- iHP Iaw-E4 SmarlSun 032 015 033n w/Gilles 0.31 0.16 035 HP tow-114 SnmrlSun w/Gimes 0.33 014 030 - HP Low-E4 0.31 024 0.41 i ; HP Lor-FA 0.33 025 0.41 �v so j--------------- HP tow�4 with Gilles 0.32 021 035 F`) >) HP L ow-E4 with Grilles 034 022 036 - HP Low-154 Sun 0.31 0.15 023 7 i § Winged Ootso ing HP Iaw-E4 Sum 033 0.16 023 O Fyencmroath Hinged .; French Door - HP Low-E4 Sun with Grilles 035 0.14 020 - e Inswing Path;Ddor HP law{4 Sun with 6d01es 0.32 0.13 0.19 Vie.; �. .7 IIP 1cw-E4 SmartSun 032 0.17 037 )."'3 IV:,I Mg HP law-EA SmartSun 0.30 0.16 037 �"-. �'•. HP law-E4 SmartSun w/Gdmes 031 0.14 031 41 P HP lorE4 SmartSun w/Gilles 034 0.15 032 - v HP Low-E4 031 025 0.41 t: � HP Low-E4 0.33 023 038 - c4ir eller 0.33 021 034 HP Low-E4 with Grilles 0.32 021 035 � I HP Law-E4 with G _ HP lmv-E4 Sun 031 0.15 023 nisei French Door- HP Low-154 Sun 033 0.14 021 flenlA°0°d,Hinged` • Sidelight HP Low-E4 Sun month Grilles 034 0.13 0:19 - Outswing Patio Door 'I HP tow-E4 Sun with Gdmes 0.32 0.13 0.19 ==i HP lrnv-FA SmartSun 030 017 037 �:�+, '"•� HP for-E4 SmartSun 032 0.16 034 - i HP taw_E4 SmortSun w/Gilles 031 0.15 031 HP law-E4 smartSon w/Galles 033 0.14 030 - R> HP tor-E4 032 025 0.41 - HP tow-E4 0.31 O.Z2 037 -' HP Low-E4 with Gilles 0.32 020 0.33 i; `:� HP Lor-E4 with Gilles 0.33 022 037 - _ HP to-E4 Sun 032 0.14 021 ' ? 'Fixed Transom HP law-E4 Sun 032 0.15 023 - F7enchnuouF "French Door HP law-E4 Sun with Gilles 033 0.14 020 - Patio Door S(Aefight. HP Lmv-154 Sun with Grilles 032 0.13 0.18 i'.t" M HP tow-1144 SmartSun 031 015 033 k�'! --. HP Lmvr E4 SmartSun 032 0.16 037 - ' HP law-E4 SmartSun w/Gdmles 032 0.14 029 k I 7tu HP law-E4 SmortSun w/Gimes 032 15 0.33 - HP Low-E4 030 024 DAO HP toff-F4 035 0 026 0.44 - HP Low-E4 with Gilles 030 021 0.35 ` r HP Low-E4 with Gilles 036 023 038 or HP Low-E4 Sun 030 0.15 022 f--d NP Low-F4 Sun 0.35 0.16 024 - Frenchwood• Folding Dom - Patio Door Transom IIP Low-E4 Sum with Grilles mv- lles 0.31 0.13 020 ' HP LE4 Sun with Gilles 038 0.14 021 HP law-E4 SmartSun 0.29 0.16 0.36 _I HP taw-E4 SmortSun 0.34 0.17 039 - HP Loi-E4 SmanSun w/Gilles030 0.14 032 1 ! NP law-E4 SmartSun w/Gnlles 036 0.15 034 - continued on next page •For NFRC certified total unit performance on units with capillary breather tubes for high altitudes,please visit andersenwindows corn. •'Nigh-Performance"Low-E4"(HP low-FA),'High-Performance"low-E4'SmartSun"'(HP Low-Et SmartSun)and"High-Performance tow-E4'Sun'(HP Law-E4 Sun)are Andersen trademarks for'Low-E'glass- ' 11-Factor defines the amount of heat loss through the total unit in BTU/hr sq.M The lower the value,the less heat is lost through the entire product,Window values represent non-[emPered glass.Use of tempered glass can Increase U-Faclor ratings.See andersenwindows.com tar specific performance values.Door values represent tempered glass. Solar Heat Gain Coefficient(SHGC)defines the fraction of solar radiation admitted through the glass both directly transmitted and absorbed and subsequently released Inward-The(ower the valve,the less heat is transmitted through the product Visible Transmittance(Vf)measures how much light comes through a product(glass and frame).The higher the value,from 0 to 1,the more dury6ghtthe product lets in over the product's total unit area.Visible Transmittance Is measured over the 380 to 760 nanometer portion of the solaf spectrum. •NFRC ratings are based on modeling by a third parry agency as validated by an independent test lab in compliance with NFRC program and procedural requirements_ •This data is accurate as of December 2010.Due to ongoing product changes,updated test results or new industry standards or requirements,this data may change overtime.Ratings are for sans specified by NFRC for testing and certification.Ratings may vary depending an use of tempered glass,different grille options,glass for high altitudes,etc •PassiveSun"glass values are available online at sndersenwindows-com. 277 PRODUCT PERFORMANCE Andersen' NFRC Certified Total Unit Performance (continued) Andersen*.Pmducl.: Glass Type U-Factur' SHGC' VP .'200 Series. : . -.-_.:.,_-.. •.�.._:� : - - pearDual Pane O.dS 0.60 0.63 - - . . 'Gear Dual Pane wbGO-Res OAS 0-53 0.56 - Tot-Wash - Low-E 0.30 032 0.55 Double-Hung•Window- Lmr Ewith Wes .0.30 019 0.49 _ HP lvw ER SmadSun 0.30 0.21 0.4.9 _ HP Lo*-E4 SmartSun w/Gnlies 0.31 0-19 0.43 rhe Our Dual Pane 0.45 D-61 0.64 - Narro6ne' Clear Dual Pane with Was 0.45 054 0.57 Dauhle-HungWindaw; Lmv-E 030 032 0.56 .. Lm-,E with Grilles 0.31 0.29 050 Clear Dual Pane 0.44 0-63 0.66 - NarruBne _ Clear Dual Pane wilt Grilles 0.44 0.57 0-59 Ttaasom.Window Law-E 027 034 0.58 Lmv-E with Gnlles 027 030 052 Gear Dual Pane 0.45 0-60 0.63 - Clear Dual Pane wah Grilles 0.45 054 .056 - Law-E 0.30 032 0.55 a GlidiingVifludow Luw EwithGrab 030 019 0.49 92 3 .. .. Low-E SfuarlSun 030 0.21 0.49 . - Law-E SrrmrtSun with Grilles 0.31 0.19 OA3 ._ Clear Dual Pane 0.43 0.61 0.65 - Clear Dual Pane wnh Was 0.43 0.55 _ 0.58 - Fixed Transom:" - Law-E 028 0.33 0.56 Circle T.P'Wmdhw Law-E with Grilles 028 020 un M J ..-.. . Wm E SmartStm 027 022 0.51 . Law-ESmartSun withGrilles 027 010 0.45', Clear Dual Pane 0.44 0.61 0.64 - Clear Dual Pane with Gri les 145 0.53 0.56 - . Lmr-E 029 032 0.56 - Nawn6ne' Law-E with Colles 0.30 029 0.49 `-',�' D M G6diug Patio Doors Lmv-E San 019 C 20 031 . ... Law-E Sun with Colles 031 0.16 0.271 � Low-ESmadSun 028 021 0.5o . - LmwE Smartsan wilt Glues 0.30 0.19 0.44 fxparlhtal Pare 0.43 0.61 0.64 - dear Dual Pane wan 6nlles 0.43 054 056 - Law-E 028 032 0.56 - .,"Perna-shid�.:: Lmv-E writ Grilles 0.30 019 0.49 Gwng Paco Doors Low-E Sun 019 019 030 . LearE Sun with Grilles 0.30 017 0.27 Law-E SmartSun 027 012 050 ..... - Law-E SmaitSon wilt Grilles 0.29 019 0.44 Clear Dual Pane 0.43 0-45 0.47 - • _ clear Dual Pane wht Grilles 0.43 039 0.40 - _ Law-E 032 014 0.41 Law-EwithGnlles 033 021 am - -P200 Dootr ... Low-E Sun 0.32 0.15 013 LOW-E Sun with Gem C 34 0.13 0.19 - Law-E SmartSon 032 016 037 0.14 0.31 W.,E SmartSun with Grilles 0.33 - sw 1 Da ut rmnAr6 mdC tml ade la�llou tinYe Wd ibrom lowoaa �endersen. - owr It�uomm. �• , a AND4&102 DualNfoduotlyp4�onLoa�Fd, EN19 f PERFURMANCE PA71NM 11 FeAtcr Sdw.Had GWn Caen .. . 0•.29 1.65 0.28: Vkrlble Tmrmmtfiwm i 0:48 • - _ "rte'.� II • skrdad p�np wear wtilla�rma DPWDM Al 0 10am61a87�Cpl Renewal MA Home Improvement Contractor! t-MRenewal Andersen Co ' oration License#'170810(Expires 12/23/2015), b?'�ndersen Federal Tax ID#41-181.84113 i win UtllV NCYtAGEMCkt' r. 4'1 ,e i,< 30 Forbes Rd Northborough,SAA 01532 (508)351.2200 Fax(508)-986.7072 CUSTOMER WINDOW AND DOOR REMODELING A43REEM NT I i 'Buyer(s)Flame Date: ROBERT MARCONI - SEPTEMBER 13, 2014 Buyer(s) Street Address Ci $tate Zi Code i I 146 CHESTNUT ST J NORTH /ANDOVER MA 01845 =EmallAddress Horne Telephone Number Work/Cell Telephone Number shermarconi @ver izo n,net 1 978-682-5725 97 8886342,3 Buyers)hereby jointly and severally agrees to purchase the goods and/or services of Renewal by Andersen Corporation("Contractor),In accordance with Atha 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 cettificate after Contractor has completed all work under this Agreement. I t i .Da Total Job Amount $ 17,140 mount Ftasrtced Est..Start te S 15,000.00 Date Method of Payment Nposit Received(33%) Check/Cash 12-14 weeks Balance Start of Job(33%) 2,140 want tiupwit(W,$ � 750000 G'tttxk e ,rvurrxl,�t,fiul �ij„�i � l 8olutllcl on SubstantialCounpkt a Credit Card { Completion of Job WIN$ 0 $ fi,800.00 ,3 tfAyra if credit cant ip sckaiad,Ploy&q seri Crit hard Payment form Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings j 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 a ensent _. 'ot both Buyer(s)and Contractor, Buyer(a)hereby acknowledges that Buyer(s)1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed and darted copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was i orally Informed of Buyer's right to cancel this Agreorment, 00 NOT SIGN THIS CONTRACT iF THEAE ARE ANY BLANK$PACER, E i Renewal by Andersen Corporation Buyer(s) Buyer(s) By. Signature of Project Manager Signature Signature Michael Butter Hobert Marconi Printed Nanus of Ptojeo manager Prlhtotf Name Printed Mime YOU THE BUY MAY ER OA CANCEL THIS TRANSACTION AT Y' RR T ! , fel, G"t' AN TIME PRIOR TO fvEtONIflN OF THE THIRD BUSINESS DAY AFTER THE OATS OF THIS TRANSACTION, SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT, _..... __...____..___..__-.._-____----..----_ .._..._-__-- --- ..____.__..____.___..-..._____- - - NOTICE Of CANCELLATION NOTICE � NOTICE OF CANCELLATink t Date of`transaction 01"Wt4 You may canoe{tarts Date of Transaction e115114 You may cancel this transaction,without any oonaitr pr oa I gaitan,iolthin throo business days from the I transaction,without anypenalty or utsriga#ion,w th)n itireo business days from the i above data,If you oanool,any property traded In,any payments made by you tinder i above date.If you caricas,any property trsdod in,any psymenfa made by you under the Contract of Sole,and any negotiable Instrument executed by you will be I the Contract of Salo,and any nogotlabin Instrument axocuted by you wlll bo returned within til days following receipt bythe Contractor("Seller') of your. I returned within 10 days following rocefpt by the Contractor(*Seller") of your concollation 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. It you cancel,you must make avaltable to the Seller at your residence,in I cancer. If you cancel,you must make available to the Seller at your residence,in i substantially as goad condition as when received,any goods delivered to you I substantially as good condition as when received,any goods delivered to you t 'under this Contract or Sale, or you may,it you wish,comply with Ohs insiruclions I under this Contract or Sale, or you may,If you wish,comply with the instructions of of the Seiler regarding the return shipment of Isle goods at the Solices expense and I the Seller regarding the return shipment of the goods at the Saber=;expense and risk. U you do make the goods available to the Safter and the Seller does not pick i risk. U you db make the goods available to the Sailor and the Seiler does not pick them up within 20 days of the data of your Pieties of Cancellation,you may retain or them up within 20 days of the dant of your Notice of Cancellation,you may retain of dispose of the goods without any further obligation, If you fall to makes the goods i dispose of the goods without any further obligation, if you fail to mako the goods savatlahla to the Sailor.at If you agree to return the goods to the Seller and fail to do I available to the Sailor,or if you agree to return the goods to the Seller and fall to do l sa,than you remora ischio for performance of all obligations under the Contract, To I So,than you remain Uabte for performance of all obligations under the Contract.To 'cancel this transaction,mall or deliver a signed and dated copy of this cancellation I cancel 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 I notice 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 I Anderson,104 Otis St.Northborough,MA 01532, BY NOT CATER THAN MIDNIGHT € W1804 .{Date) I HEREBY CANCEL THIS TRANSACTION. 9#tPiti4 ,{trate{ t HEREBY CANCEL THIS TRANSACTION. I I [I�yrx Szr+.�se %�tEnB e.�aie� __, th+^� I rs�ya�3 ais,,iicv+D fi,nr MMne! d>�� I y. _ en104 Otis St. Northborough-Rel iEEWc� bRerrtal by Andersen Corporation, 'MA mane tmprovemem contractor' ndersen»» borough,MA 01532 License#170810 (Expires 1212312015) Wih.R6iN PolflRSlORE.IK.t .wi m-rz (508)351-2200 Fax:(508)-986-7072 Federal ID#41-1918413 Window Specification Sheet Jluymis):lame Dztte of Ag-reenlent ROBERT MARCONI SAT, SEP 13, 2014 '.Ttit't2EtVY'.2'S)lit4'£l+"AtXYt,°C t7f.'3'f;i)R' E31rEttt":112(1t':5'C:i'a1j:V i€�IY'.t'tC1 l7ttCC3lSf'I.f.'SaCY4K�S 3i?f�ft?i,:C t'4'i(:f:StS"tf'l�32('lEE\5";Ell'EC:Y;YTIY.t3EEf:f:tt`Si?E1Ef:l7ttE'4.'S 2EIE{i ii:i'i?34 (lest rllxl£1 oil t1E1 S1oY c€#it rtt(o1E 1E(f°t and div front and(tit reverse of divaccompanyirsg C L:S 1'C)\t 1V1ti1)()11`.L\l}1)C�C)1 RI AI()t�l't.ING :iC;REEN[I.M'cel--which die Specification Sheei,is part. WINDOW DETAILS A 1rox. Ederiors7nIo6ot Codon flardwase tiar6vam Lows",✓ Gras+. Grubs Glass Rooms - U.I. wirdowt)OW St*detail Castrgs Ext-pili Calor SEy1e sc.e S€mttsun Grilles Sash V3 Sash 2 Lifts. bp'.r"ons. Family 2 129 CT 1:2.1 full frame Ext.MF 908 HAA White Standard FFG m—lsu None Far"1 2 99 CS:Lfull frame Ext.MF 908 VVI*WH White Standard FFG azar-tsu Nam ----- F �3(a Far7tity 1 6068 Ft'dG Ext,MF 908 WRIWH Sat.Nickl wtittrote, FFG smartsurom lrrxiper -. Total 6 RAY&BOW DETAILS *See Bay/RawMeasure Sheet style oetaii t Approx. Appmx. Atumbrf rramo Window End Center LowE/ Roof t Marcwaro Room Count Style Elankers. U.i_ Ca 1,,– Arm Utes Interior ExbinYColor Grilles sashes sasses Sneers Smartsun Sof€it Color SPECIALTY WINDOW DETAILS 13AYt'11OW/BUILD OUT Fun/ Approx.xro. Lw.E; Specialty ADDITIONAL WORK.NOTES Room Count style Wert U.I. Srnarsun: Grilles Grtttestyle Ext'IreColor Farnity, Choat Full 99 ma-tsun No U4+KVH ADDITIONAL WORK DETAILS: F`I:VG to be Painted White..Interior r No Contractor will wrap exterior casings with co€1 stock color of -------- amoneris aware Mat Contractor does not do any painting/staining orremovalfinstallalm of atarm system or mridotw rmatmentsthsrawere.Itis the responstbilify of the hcrneowner to have the alarm system and window treatmentslhardware removed prior to installation. We make no guarantee as to whether alarms or window treatmeratslhardware tulip fit after replacement. Customer is also aware in some cases there MU be glass loss. If there is;In& amount will be dependant on the type of existing windows,type of Installation and window style.l9te make.no guarantee as to the amount of glass toss. Customer is aware and understands any and all unseen sot is not included in this contract.Should any rot he found there will be an additional cha..ge for dime and materials unless so stated in this contract. :3 yes Contractor will insufate,caulk and seat windows with 3-point system to prevent water and air infiltration-flemoval 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 shalt be issued. 3 ales 8uitding Perm t--Contractor velli secure any and all necessary permits. The fee for the permR(s)is not inc ude£(in the Contract Price and a separate check is required at the time of sate for this fee. Check If $ 204 yes All discounts have been applied to this agreement. , . Y�7z No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment 1 finance fcrin(sl. If is ltgrrCd alert t11"k.f1tw'd Im and inn- cn the pnnii^ rhal rfiis;Siaxeifn,ititxr Sh"t,along wid.-du: i13N f?C)1i,,4ND DOOR REAi0DEI.i\i,AGR[A\fl F+:ria x:zucrs dw 011 irk-anElerst:ani ire —ttrai lrwq*sirg or a+uliliim�ant or i 1g,Et rnr_. 'IY'u,.S}ieniita ion Slrarur ay iu;t_tar al Y's its terns r?xadifxxttaeeariv.diii an4-s.x,•euxltisinEc.han s,itY^tills+ritaEasiE3.,3£22iftb}I iItlaeIfuF: u(c9C:nntraese,rl:ee.•t"tleorrelzt• f:kn. v9Eaf�e.il;:itIhilcn• hasreslihit Slacifiaiiota Renewal by Andersen Corporation C1t25("r,s 12ac et?+; Signature of Project Manager Signature Signature MICHAEL BUTLER ROBERT MARCONI Print blame of Project lManager Print Name Print Mame I den .a I Renew �y Andersen Corporation . .Y#4,Y_x,:S.r rF•L.�`.we,4.�a AIN Mm 104 Otiswct £ t� rlsusn a�0eWINDOW OFFILAC'EMI �is#1Xsryst;r*c it: �:P.J�.3��Y��� �t•F"ct_"r1i. Ti.it<Attt�.*i'iif r atl(',gym iukNat")is t'at io 01"MIM WINEX1ti 5 V411 IX. %)V.REA- :30MING rq�and, b4:Gwecl"I L:.ftewaj 1:v,klik�t as ;aixt kic,,robw.;igC�i.'.ioxt'fa:nd ii:i'7dtii'Icmidy,A-" sit"i `,i r Yl st;,:P1�IAaii t G i Vit` otho- .r thart 3f 4' tl'it a 6 61JiL'Aw tx;10w.ai;lt dw Uv sikg,iwnier .dill, i mwwi akt full, L 3ktt.PM11109JAA riex 8a.t'a'ViSiOth��A it1 L%tI;1,-IPt lt- ductiori of intrtct pie due to poor crrmmonk-itkm an niar pati ,ms a,t'eiIJ s`tE t:^klit gg"i_Uw kAmviri,..R le'rml fired tho v Aso ,11 :re 1% iL, cti:ngg% :ori ik ri MR be .Ui t:ank or imt [ tt it I t a mi crib@i#: I �'tRs�i' Payment Mctho& :"A%.i~ &'Lme GUurt-'r zt,Sian a0o . 4°BUXII 'e ri r Card,LCheck 'rwRaLvu.a;cif. "€PF t i �l�" k iiiits 'Pleas Note-Your job will be,detayred!until amendment is _. .... . _ signed and rivid; this t x 11 d � +�1 and . tip.Amnimmt m 4wc wriftm thaw, i ti:cii a"ti at tta�� t ... .ny Sher Marconi' tai