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Building Permit #492-15 - 1575 GREAT POND ROAD 11/20/2014
TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Ct`�� Date Received Date Issued: M ORTANT: Applicant must complete all items on this page LOCATION Print. r k2 P r!?dicr a s PROPERTY OWNER� - - - y rno Print 100 YearOld Structure es MAP NO: PARCEL: ZONING:DISTRICT: Historic District yesMachine Shop Village yes TYPE OF IMPROVEMENT. PROPOSED USE Residential Non- Residential ❑ New Building ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑floodplain 0 Wetlands 0 Watershed District 0 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: 7--f w/NweA.) 5 oa /va S/,,00-,k cl-A e Identification lease Type or rant Clearly) OWNER: Name: �/^f�Ar4e Phone: Address: / -7 CONTRACTOR -Name: st1 /IV, A Choc- Phone:G/ 7 — G_� d l Z, d.S Address: Supervisor's Construction License: /0�2- Exp. Date: l� 01' — 14 ' Home Improvement License: / 70 eP/O Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ q7 00, D D FEE: $ � Check No.: q-67r Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access a guaranty fund _.v_ __ _ __.,r Signature of Agent/Owner `Sema ire S�g�ature of contractor g$ Plans Submitted FL--7J Plans Waived ❑ Certified Plot Planamped Plans ❑ Plans-Submitted ❑ Plans Waivedfl 7._.Certified Plot Plan ❑ Stamped Plans ❑ TYPE OP°:SEWERAGEDiSPOSAL" Public Sewer ❑ Swimmin Tanning/MassageBody Art ❑ g Pools • Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ P.-rivate-{septic tank,etc._ - ❑ Permarieint D"ainpster on-Site El =THE.FOLLOWING SECTIONS FOR OFFICE USE ONLY _ INTERDEPARTMENTAL SIGN OFF - U FORM -DATE REJECTED . DATE:APPR-OVER PLANNING-& DEVELOPMENT` ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature P� 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'TowA-2 Engineer: Signature: Located 384 Osgood Street FIRE DEP RTI I SIT,- Temp Dumpster on site yes no Located7bt 124 Mair Street Fire Depart`me►'it signature/date COMMENTS i Dim-ension Number of Stories: Total square feet of floor area, based on Exterior dimensions. .Total land area; sq. ft. ELECTRICAL: Movement of.Meter.location-, niast 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 B Notified for pickup - Date Doc.Building Permit.Revised 2010 ' i Building Department The fos:.owing is-a 1i'stof the.required-forms to be filled out-forAhe appropriate.permit to`be obtained. Roofivg, Siding, Interior Rehabilitation Permits L ` 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 I nterior Work ❑ Engineering Affidavits for Engineered products 1 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit 1 I Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the apu,•al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Building Permit Revised 2012 Location � No. 2'r Date i t t ZQ • - TOWN OF NORTH ANDOVER " - Certificate of Occupancy $ Building/Frame Permit Fee $ i Foundation Permit Fee Other Permit Fee $ oar'<�k-a i ry- TOTAL $ d— Check# S� LG2J1 Building Inspector j } i f __....__. .. ........ ............ ----._..._...__ .. ..... ..... ._ .._....._....-- Renewal - Renewal by Andersen Corporation MA(dome Improvement Contractor J�j�I dersen, 30 Forbes Rd. Northborough,MA 01532 License#170810 (Expires 12/23/2015) wtrrnaw REPLACEMENT (508)351-2200 Fax:(508)-986-7072 Federal ID#41-1918413 Window Specification Sheet .Buyer(s)Name Date of Agreement ARTHUR DEMOULAs DIANE DEMOULAS WED, SEP 17, 2014 :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 the Specification Sheet is part. WINDOW DETAILS Appre, Exterior/Interior Color Hardware Hardware LowE4/ Grille Grille Glass Room # U.I. Window/Door Style Detail Casings Ext-Int Color S e Screens Smartsun Grilles Sash 1/3 Sash 2 Lifts Options Living 1 80 DB sq rail a uaI insert sloped sill Ext.Wrap H/W White Standard FFG Low-E4 GBG 4/2 4/2 No No Living 2 80 DB sq rail equal insert sloped sill Ext.Wrap H/w White Standard FFG Low-E4 GBG 2/2 2/2 No No Dining 1 80 DB scl rail equaI insert sloped sill Ext.Wrap H/W White Standard FFG Low-E4 GBG 4/2 4/2 No No Dining 2 80 DB sq rail equal insert sloped sill Ext.Wrap NH/WF White IStandard FFG I Low-E4 GBG 2/2 2/2 No I No Kitchen 1 100 CD full frame Ext.Wrap NH/WF White Standard FFG I Low-E4 GBG 2/4 2/4 No No Kitchen 1 120 PS Ext.Wrap NH/WF White Standard FFG Low-E4 GBG 3/5 3/5 No No Guest 2 70 DB sq rail equal insert sloped sill Ext.Wrap NH/WF White Standard FFG Low-E4 GBG 2/2 2/2 No No Guest 1 80 PW insert Ext.Wrap NH/WF ----- ----- None Low-E4 GBG 6/4 ----- No No Family 2 80 DB sq rail equal insert sloped sill Ext.Wrap H/W White I Standard FFG Low-E4 GBG 3/2 3/2 No No Family 2 70 DB Sq rail equal insert sloped sill Ext.Wrap H/W White Standard FFG Low-E4 GBG 2/2 2/2 No No Office 2 80 DB sq rail equal insert sloped sill Ext.Wrap H/W White Standard FFG Low-E4 GBG 2/2 2/2 No No Office 1 80 DB sq rail aqual insert sloped sill Ext.Wrap NH/WF White Standard FFG Low-E4 GBG 4/2 4/2 No No Bed 1 2 70 DB sq rail aqual insert sloped sill Ext.Wrap H/w White Standard FFG Low-E4 GBG 2/2 2/2 No No Bed 1 [2+ 80 DB s rail equal insert sloped sill Ext.Wrap6H/WFWhite Standard FFG Low-Ea GBG 4/2 4/2 No No Bed 280 DB s rail equal insert sloped sill Ext.Wrapww White Standard FFG Low-E4 GBG 3/2 3/2 No No Total 24 BAY&BOW DETAIIS *See Ba /Bow Measure Sheet Style Detail/ Approx. Approx. Number Frame Window End Center LowE/ Roof/ Hardware Room Count S e Flankers U.I. Casinos An le Lites Interior I Ext/Int Color Grilles sashes sashes Screens Smartsun Soffit Color 0 0 SPECIALTY WINDOW DETAILS Full/ Approx. LowE/ Specialty BAY/BOW ADDITIONAL WORK NOTES Room Count Style Insert I.I.I. smartsun Grilles Grille Style ExtRnt Color Customer is aware that with ba/bow windows under 72 inches Family 1 S rin line Insert 120 Low-E4 GBG Renaissance WH/WH there will besignificant glass lose. I ADDITIONAL WORK DETAILS: i 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 2 whether alarms or window treatments/hardware will fit after replacement. Customer is also aware in some cases there will be glass loss. If thereis,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 not 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# 1459 $ 564 5 Yes All discounts have been applied to this agreement. b / 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 M odified or varied in any way unless such changes are in writing and signed by both the Buycr(s)and Contractor. Buycr(s)hereby acknowledge that Buyers)has read this Specification :Sheet. :Renewal by Andersen Corporation Buyer(s) Buyer( a. W 'S Signature of Project Manageru n re WILL SALEM A UR E OULAS DIANE DEMO LAS Print Name of Project Manager Print Name Print Name I � NORTIy Town of ndover O No. C, h ver, Mass, 1112a `!4 cor",c„.W'C. y1. S U BOARD OF HEALTH PERMIT T LD Food/Kitchen Septic System THIS CERTIFIES THAT V '�'�t'”' .:: :. 4?!?... ..................... BUILDING INSPECTOR has permission to erect buildings on .��� �� ...... ... �" .:.......... Foundation p ... ............. .... ....... ff Rough to be occupied as � W I!r1(�d!N�,......./......... ......�OD(L 5........................................... 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 CONSTRUCTIO KkQ T TS Rough Service ..................... ....................................................... Final 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 1 Until Inspected and Approved by the Building Inspector. Burner Street No. i i Smoke Det. i Ii I r enewa Renewal by Andersen Corporation MA Home Improvement Contractor byMdersen. 30 Forbes Rd. Northborough,MA 01532 License#170810 (Expires 12/23/2015) WINDOW REPLACEMERt (508)351-2200 Fax:(508)-986-7072 Federal ID#41-1918413 Window Specification Sheet 'Buyer(s))Name Date of Agreement ARTHUR DEMOULAS DIANE DEMOULAS WED, SEP 17, 2014 :The buyer(s)listed above herebyjoindy 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 DETAIIS Approx. Exterior/Interior Color Hardware Hardware LowE4/ Grille Grille Glass Room p U.I. Window/Door Style Detail Casings EM-Int Color Style Screens Smartsun Grilles Sash 1/3 Sash 2 Lifts 0 tions Bath 1 1 70 DB sq rail equal insert sloped sill Ext.Wrap H/W White Standard FFG Low-E4 GBG 3/2 3/2 No No Bed 3 2 70 DB Sq rail equal insert sloped sill Ext.Wrap H/W White Standard FFG Low-E4 GBG 2/2 2/2 No No Bed 3 1 80 DB sq rail equal insert sloped sill Ext.Wra H/W White Standard FFG Low-E4 GBG 4/2 4/2 No No Bed 4 2 1 80 DB sq rail equal insert sloped sill Ext.Wrap H/W White Standard FFG I Low-E4 GBG 3/2 3/2 No No ManCave 1 120 PS Ext.Wrap H/W White Standard FFG Low-E4 GBG 3/5 3/5 No No Total 7 BAY&BOW DETAILS *See Ba /Bow Measure Sheet Style Detail/ Approx. Approx. Number Frame Window End Center LowE/ Roof/ Hardware Room Count Style Flankers U.I. Casin s Angle Lftes Interior ExtMt Color Grilles sashes sashes Screens Smartsun Soffit Color SPECIALTY WINDOW DETAIIS Full/ Approx. LowE/ Specialty BAY/BOW ADDITIONAL WORK NOTES Room Count a Insert U.I. SmartSun Grilles Grille Style Ext/Int Color Customer is aware that with ba/bow windows under 72 inches there will be significant gims lose. ADDITIONAL WORK DETAILS: 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 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 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. a 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# $ 5 Yes All discounts have been applied to this agreement. 6 V 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 REMODEIING 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 notbe changed or its terms modified or varied in anyway unless such changes are in writing and signed by hoth the Buyers)and Contractor. Buyer(s)hereby acknowledge that Buyer(s)has read this Specification ?Sheet. ;Renewal by Andersen Corporation s)IV - Buyex(s) By IIL�Sa Signature of Project Manager igna ure ig -Y /LL h I /,)Yl , l� WILL SALEM ARTHUR DEMOULAS DIANE DEMOULAS Print Name of Project Manager Print Name Print Name The Commonwedth ofmassachuseas Department oflndustridAcciidents Offke oflnvestigadons 1 Congress Street, Suite 100 BOSton,MA 02114-2017 www mass gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print F�eeibly Name(Business/Organiudon4ndividual): 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.KJ I am a employer with 30 4. T am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. M Remodeling ship and have no employees These sub-contractors have 8. (]Demolition working for me in any capacity. employees and have workers' 9 [No workers' comp. insurance comp.insurance.: ❑Building addition required.] 5. [D We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their l 1.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.Q Roof repairs insurance required.] t C. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box*]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 aaffidavit indicating such. f :Contractors that check this box must attached an additional sheet showing the name of the sub- actors and state whethenr ew or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I ani an employer that rsprovidmg 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. Lie.#:MWC 30293800�C Expiration Date:10/01/15 Job Site Address Z✓ City/State/Zip: �<D 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 under the pains and penalties of perjury that the information provided above is true and correct Si Date: « Poe#d- p§:-:351-220 Official use only. Do not write in this area,to be completed by city or town oJfrcial. City or Town: Permit/License# Issuing Authority(circle one): Ii.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: DL--..Al. �E� ��C � ANDECOR-01 YADAVYO �.•� E OF LIABILITY INSURANCE fflOtIV2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND 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 cerMcde holder Is an ADDITIONAL INSURED,the Polky(les)must be endorsed. M SUBROGATION IS WAIVED,subject to the terms and conditions of the polkyr,corlain po0des may require an endoruenrent. A statement on phis certificate TH not cohhfer bights a the CertlBeate holder In lieu of such endomww s rKpamoshville, 1loot Minnesota Inc. NCAE- CertMC* Ols.00M k Cerhbr Biz PHO" (877 845.7378.Box 30681 (888 4&T-2378 TN 37230-5181 AFFORDIgG CflVERAOE NA1C A INSURED INSURER A:Old Republic insurance Compan 24147 p Renewal by Andersen Corporaton 30 Forbes Road Northborough,MA 01632 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 MATH RESPECT TO VNi1CH 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. NMI LIR TYPE OF INSURANCE POLICY NUMBER ow A X commERciAL GBIERAI.umum LIMITS EACH 00MARENCE f 1,000, 0 � 021140 1010112014 1010112015EACH f soo, MED EXP ale i 10, PERSONAL A ADV RMU Ry 3 1,000, GENL AGGRREGATE LIMIT APPLIES PER PRa GENERAL AGGREGATE f 4,000 X POLICY tOc PRODUCTS-COMPIOP AGO f 4 000 OTHER: s AUTOMOBLE LNa1LJ7Y �odde i 5,000,0001 A X ANY AUTO MWTB302676 10/0111014 10101/2016 a=LY INJURY pw pmm) i ALL OWNEDSCHEDULED AUTOS AUTOS IVNED BODILYINJURY(PammkkM $ HIREDAUTOS AUTOS i UMBRELLA LL48 IOCCUR i ExcFas Lu►B CLAUS41AMI EACH OCCURRENCE i RETENTION AGGREGATE f WOWANDACRS COYPBISIITTON i A � EMPIAMW � OPh�IP�Y Y�NIA 10101RA14 1010111016 E.LEACHACCIDENT yysrmaf 1,000 DESatI OP1h A www ERATIONS below EL DISEASE-EA ETA i 11000 LL.DISEASE-POLICY LMR f 1,000 OESCR P710N OF OPERATIONS I LOCATIONS I VEhfA:1.ES JACORD 1e1.AddpbmI Remtdm Sdoduk my be aftcMd f more epee*Is requk" CER71FICA7E HOLDER CANCELLATION FSHOULD ANY OF THE ABOVE DESCRIBED POLICES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED Oct ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORS REPRESENTRWRE Evidence of lnsumnw - ©1888.2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) Th.Amon na...e...��_____ i Massachusetts -Department of Public Safety Board of Building Regulations and Standards ctli1$tPiICIiOR$upfT17S4i ,. License:CS-090125 ``` I JABS L MORIN 86 GARDINBR S7F LYNN MA 01905 ; p Expiration Commissioner 10/0612016 i i, ffice of Consumer Affairs&Badness Regalatiou i ME IMPROVEMENT CONTRACTOR i Rogisf ton: 4708_It ? 1=�ipiraion: '1?JZ312D15 Supplement'. RENEWAL BY ANDERSONCORPORATION JAIME MORIN 104 OTIS STREET NORTHBOROUGH,MA 01632 eUndersecretary G----q 90o'OOl Ar to - 9Bda)W da er�nsrnavnn nrrpa�►rr - him Pias a Wo ' GONLLVW 3bNYY%K dk9d 7R40[LlaaV- utrww 0 S9'1 6Z'.0 �1fimPo+d - ` J��H/VP�IMPMC, TA►"lt'aMI �f .' . l ITS 3 !44IGS aml log no � 1:aeaan 'crch lnoRw,00.ar„ x � "ICU. 'e+�7r+Mwoev newa ®- afue g+.P�iZd�rS�xtl w w4y a.tv�a.M.wi bASlQantII.eiA+r . ANC?-N37 VlnyMood Compos1W Material Oual Argon Low-E4 SmartSun PmcluctType; Fichirs ENERGY PURPORMANCE RATINGS U-Fiactor Soldl Heat Gain Cueffioje t 0.27 1 . 53 0 . 22 U.s.n-P IVIe]rtclsl ADDITIONAL PERFORMANCE RATINGS` V isibleTransmittanoe 0 . 51 M�++�+.a�aepuuwt auevwe resga conlnnn n rpPlcarle IFRC ms arereteamce.rWiG rrvps ae eemrtrhm tura Rea rrr of«w�nd��mnmay rm aa�reee pms �, nFRC goer me�eWnrneno anN PIadYCtinb iblr�Flyd/NIa a o<y4r PearecYa rerrPeollr ur4 Canw+lt�e.ra�...y..asr eewwrs.ecartoeernm . �+rr n ra on a naaw marturnuarw Stand$ RaIn9 WP=aAnMAMOWMA InIA s s UgGas DP prif F-CSO z �� 8iE�1 rin ereruermeev I �'� Orem Sean rrMiwmu—1 ram 4rm 100-0051 t008-00t . Meem ar.mea .,crc,a i=ce 4+neraron re4urerorne wae�►.naenfne ��. d Renewal i KIM.,. byMdersena WINDOW REPLACEMENT AnMdlnstrt ca oy WoodNinyl Composite IF Dual Argon Low E4 SmartSun ! Double Hung 100-00473518-010 ENERGY PERFORMANCE RATINGS I U-Factor(U.S)/I-P Solar Heat Gain Coefficient i i Q . 2 Omlg* 9 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Qm42 I Manufactureatsts conform to applicableNFNC procedures for determin"ugwhole product peAormance.NFNC ratings are determined for a fond set of envienmental eordaiorm and a specific product she. i NFRC does not recommend any product and does rat Warrant the suiabiRy of any product for any specific use. Consul,manufacturer's literature for other product performance information. i s www.nfm.org This product meet.Green sears environmental CMeee �•}.Y"-���. '!t•�,'h�. standards governing energy ', �,;;j.°!,°_ r>• r.,, .f i � r effciency,'hea metab in � r`the frame and sash 4matara4 Paclm9^t9•and YM consumer educational f, 0.S./C.0. v./v.'::.,:.w •. , ntatermb. r. ... t....................................... DESIGN PRESSURE(PSF) r a enmAMIN Ind floor ctbn 1 HI LC25RbA DB Sloped ed me.S Si11 OH IN � Tectid to11AF5-02aA/tdAA'IDi#A/C�47g1ASfA140-0S MaMac4►N st lac CMAermanteb Ota. Ik3Dle stanOleos. � leets or exceeds M.E.C.,C.E.C.E I.E.C.C.Air lallisration requ6aments WMA NaEmark Certification Program. I I i WIND D w$•DOORS � derse ® A i I � I Andersen'NFRC Certified Total Unit Performance (colinued) 4r I Andersen Product Glass Type 1 U-Factor' I SHGC' I VF' i 1 Andersen'Product Glass7ype I, U-Factor' SHGC' VT' r -d Architectural. Series - 028 0.47 ��'"F 400 � - HP Low-E4 032 HP Lor-E4. 0.27 035 0.60 ' -H HP Low-E4 with Grilles 0.28 0.31 0.54 P Law-114 hGfilles 0.32 025 0.42 ® , HP Low-E4 Sun 0.27 021 0.33 i'i ' ' HP Low-174 Sun 0.32 0.17 0.26 Circle Top _ Casement window Casement Window HHP LDvr-E4 Sun with Grilles 0.32 0.16 0.23P lox-E4 Sun with Grilles 0.29 0.19 0.30 {t HP Lor-E4 SmarlSun 0.31 0.18 0.42 1!TMA 13 f HP law-E4 SmartSun 0.26 023 0.54 r' - h ` HP Lax E4 SmanSun w/Grilles 0.28 021 0.49 1 `' NP Urn-EM1 SmartSun w(GriOes 0.31 0-17 0.38 I HP Lour-E4 0.32 028 0.47 HP taw-E4 0.27 035 0.60 Y-' ._. HP Low-E4 with Grilles 0.28 031 0.54 p` HP low-E4 with Grilles 0.32 025 0.42 ' HP Low,E4 Sun 0.32 0.17 HP Lor-E4 Sun 0.27 021 0.33 r FIRFrenchCasement L,! circle&Oval WindowHP Caw-E4 Sun with Grilles 0.29 0-19 0.30 !-# -Wmdorr HP Low-E4 Sun with Grilles 0.32 0-16 023 HP IDw-E4 SmanSun 0.26 023 0-5M1 (�t 1 P HP Low-E4 SmaftSun 0.31 0-I8 0.42 HP Lox-E4 SmartSun w/Gnlles 031 0.17 038 HP Low-E4 SmarlSun w/Grilles 0.28 021 0.49 $3 .` HP Low-E4 032 028 0.47 F" HP Law-Ell 028 0-33 0.58 r. HP Lour-E4 with Grilles 0.29 0.30 0-52 'A t= HP Low-E4 with Grilles 0.32 025 0.42 I%i HP lDw-E4 Sun 028 020 0.31 �;! ,` lip Lor-E4 Sun 0.32 0-17 0.26 r, Arch Window Awning Window HP Low-E4 Sun with Grilles 0.32 0.16 0.23 HP Low-E4 Sun with Grilles 0.29 0-18 0.28 HP Law-E4 SmartSun 0.31 0.18 0-42 `'f' HP Law-E4 SmanSun 027 023 0.52 13 f_a. HP lour-E4 SmartSun w/Gnlles 0.28 021 0.46 "i HP Low-E4 SmanSun w/Grilles 0.31 0.17 0.38 HP Lor-E4 0.31 032 0.55 HP IDw-E4 0.27 033 0.58 1'� e? HP Law-E4 with Grilles 0.28 0.30 0.52 i'9 _ HP Low-E4 with Grilles 0.31 029 0.49 M; n Casement/AwningHP Low-E4 Sun 0.31 020 0.31 HP Low-E4 Sun 0.27 020 0.31 Flealtrame'window - HP Lor-E4 Sun with Grilles 0.29 0.18 018 ;!-.1 _ Pichrre Window HP LDw-E4 Sun with Grilles 0.31 0.18 0.28 cr! I HP Low-E4 SmanSun 0.26 M L1 023 0.52 lFi : ' HP Low-E4 SmarlSun 0.31 021 0-50 "' HP!Dw-E4 SmarlSun w/Gnlles 0.26 0.21 0.46 Cl `M HP Lmv-E4 SmanSun w/Grilles 0.31 0.19 0.44 HP low-E4 0.31 033 0.58 HP for-E4 030 037 . 7 -e tip Low-E4 with Grilles 0.32 030 0.52 r' lip Low-E4 with Grilles 0.30 033 0 0.557 r lip Lor-Eq Sun 0.31 020 031 ' HP Low-E4 Sun 0.31 0-22 0.36 springline"Window Specialty WindowHp Low-E4 Sun with Grilles 0.31 020 0.32 HP for-E4 Sun with Grilles 0.33 0.16 028 Hp Low-E4 SmartSun 0.30 0 0.58 ` ) HP lox-E4 Smar[Sun 0.30 023 0.52 24 :F- HP lox-E4 SmartSun w/G611es 0.32 021 0.46 [s' HP I ow-E4 SmartSun w/Gnlles 0.30 022 0.52 ' HP for-E4 0.30 0.27 0.45 1 E' HP Lor-E4 0-32 022 037 HP Low-E4 with Grilles 0.33 020 0.33 HP Lou-Ell with Grilles 0.32 023 0.39 HP Lori-E4 Sun 0.33 0-14 0.21 - Frenchwood' HP Low-E4 Sun 0.31 0-16 025 �'.� i M Hinged Inswing. _ Gliding Poto Door HP Lou-E4 Sun with Grilles 0.32 0.14 0.22 );i "� French Door HP Law-E4 Sun with Grilles 0.34 0.13 0.18 HP Low-E4 SmanSun 0.30 0.18 0.41 D:! !'M HP low-E4 SmanSun 032 0.15 0.33 � IIP Inv-E4 SmarlSun w/Gnlles 0.33 0-14 0.30 HP Low-E4 SmanSun w/Grilles 0.31 0.16 0.35 FX F' NP Law-E4 0.33 025 0.41 HP Lou or -Ell 0.31 '024 0.41 ?�+ ! _ me tIP Tow-E4 with Grilles 03M1 0.71 0.36 0 HP Lor-E4 with Grilles 0.32 021 0.35 1"S HPtoy-E4 Sun 0.33 0.16 0.23 0.1 HP Low-E4 Sun 0.31 5 023 � (i M Hinged Outswing _ Frenchwood'Hinged i French Door HP Lor-E4 Sun with Grilles 0.35 0.14 0.20 o m Inswing Patio Door HP tDw-E4 Sun wlh Grilles 0.32 0-13 0.19 L.i fIP lax-E4 SmartSun 0.32 0.17 037 R. HP Low-E4 SmartSun 0.30 0.16 0.37 ++ _ I tip log-E4 SmartSun w/Grilles 0.31 0-14 0.31 E'� �r'. - HP Imr{4 SmanSun w/Gnlles 034 0.15 0.32 _ E o '1 HP Lou E4 033 023 0.38 L�10 HP Low-E4 0.31 025 0.41 �`7 _ HP Low-E4 with Grilles 0,33 021 0.34 HP Low-E4 with Grilles 0.32 011 0.35 �'? I + - HP lox-E4 Sun 033 0-14 021 - LDw-E4 Sun 0-31 0.15 0.23 kTi ° Fired French Door- FrenchrrooA'Hinged HP f Sidelight NP Low-E4 Sun with Grilles 0.34 0.13 0:19 outswing pa He Door HP Low-E4 Sun Law -E4 Grilles 0.32 0.13 0.19 ^r lip t -E4 SmarlSun 0.32 0.15 0.34 . HP Law-E4 SmartSun 0.30 0.17 0.37 . ') HP Law-E4 SmartSun w/Grilles 0.33 0-14 0.30 - i HP Lor-E4 SmartSun w/Grilles 0.31 015 0.31 HP lox-E4 0.32 025 0.41 - ! HP Lor-E4 0.31 0.22 0.37a 'r" - - HP Low-E4 with Grilles 0.33 022 0-37 - HP Low-E4 with Grilles 0.32 020 0.33 _Tr. HP Loy-E4 Sun 0.32 0-15 0.23 - '' !`i, Fued Transom Frenchwoucr HP Low-E4 Sun -0.32 0-14 021 €;, _ HP low-E4 Sun with Gnlles 0.32 0.13 0.18 ( French Door HP lox-E4 Sun with Grilles 0.33 0.14 0.20 Pato Door§ideligbt. - HPlax-E4 SmartSun 0.32 0.16 0.37 HP Low-E4 SmartSun 0.31 0-t5 0.33 x 1"!Eli HP Lax-E4 SmartSun w/Grilles 0.32 OAS 0.33 - o4 mar4wHPL0.32 0.14 0.29 Ui "': HP Lor-174 0.35 026 0.44 - HP Lor-E4 0.30 024 040 t't lip Low-E4 with Grilles 0.36 023 0.38 - HP i,,E4 with Grilles 0.30 021 0.35 ! HP Lax-E4 Sun 0.35 0.16 024 - '! Frenchwood' HP low-E4 Sun 0.30 0-15 0.22 Folding Door HP ton-E4 Sun with Grilles 0.36 0-14 0.21 - Pato Door Transom IIP for-E4 Sun with Grilles 0.31 0-13 0.20 N HP lou-E4 SmartSun 0.34 0.17 0.39 - HP lou-E4 SmartSun 029 0.16 0.36 i%`! { HP t..1-E4 SmartSun w/Grilles 0.36 0.15 0-34 - HP Low-E4 s-r-ISun w/Grilles 030 0-14 0.32 '1 continued on reit pad •For NFRC certified total unit performance on units with capillary breather tubes for high altitudes,please visit andersenwindows-com- •'High-Performance"Low-E4'-INP Lohv-E4),'High-Performance"t.ow-E4'SmartSun"'(HP Low-E4 SmartSun)and"itigh-Performance Low-E4'Sun'(IIP law-E4 Sun)are Andersen trademarks for'Low-E"glass- ' U-Factor defines the amount or heat loss through the total unit in BTU/fir sq.MF The lewerthe value,the less heat is lost through the entre product Window values represent non-tempered glass.Use of tempered glass can increase U-Factor ratings-See andersenwindows.cam for specific performance values-Door values represent tempered glass- 'Solar Heat Gain Coefficient(SHGC)defines the traction of solar radiation admitted through the glass both directly transmitted and absorbed and subsequently released inward.The lower the value,the less heat is transmitted through the product. 'Visible Transmittance(VT)measures how much light comes through a product(glass and frame).The higher the value,from 0 to 1,the more daylight the 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. • nt les[lab in compliance villi NFRC program and procedural requirements. NFRC ratings are based on modeling by a third party agency as validated by an independe • uct changes,updated test results or new industry standards or requirements,this data may change over time This data is actuate as of December 2010-Due to ongoing prod -Ratings are for sizes specified by NFRC far testing and certification-Ratings may vary depending on use of tempered glass,different grille options,glass for high altitudes,etc. •PassiveSuhi glass values are available online at andersenwindows-com- 277 s; , PRODUCT PERFORMANCE Andersen' NERC Cartified Total Unit Performance (condnued) Andetsen'.Produci . Glass Type Mactorr SHGC' VP ._200 Series. Clear Dual Pane 0.45 0.60 0.63 - . . Clear Dual Pane with Grilles 0.45 0.54 0.56 - Tilt-Wash - Low-E 0.30 032 0.55 - Deubie-Hung•Wmdow- Low-E with Grilles 0.30 029 0.49 HP Low-E4 SmartSun 0.30 021 0.49 -I HP Lmr{4 SmanSun w/Gnlles 0.31 0.19 0.43 - Clear Dual Pane 0.45 0.61 0.64 - Narmlihe' Clear Dual Pane with Grilles 0.45 0.54 0.57 Double-Hung Window Low{ 0.30 032 0.56 Lmv{with Grilles 0.31 029 0.50 Clear Dual Pane 0.44 0-63 0.66 - Narroune:' Clear Dual Pane with Galles 0.44 0.57 0.59 - Transom Window Lon{ 0.27 034 0.58 Low-E with Grilles 027 C 30 0.52 - Clear Dual Pane 0.45 0.60 0.63 - Clear Dual PaneAh Galles 0.45 0.54 .0.56 - Lnw-E 0.30 032 0.55 --' Gliding Window - - Inn{with Grilles 030 029 0.49 Law-E SmartSun 030 021 0.49 Low-E SmartSun slrth Grilles 0.31 0.19 0.43 Clear Dual Pane 0.43 0.61 0.65 - Clear Dual Pane with Galles 0.43 0.55 0.58 - Med;Transom;. Low-E 028 033 0.56 _7 Circle Tap Wmd'ow Urr E with Galles 028 030 0.50 'moi Low-E SmanSim 017 022 0.51 - Low-E SmartSun with Galles 027 020 0.45 Clear Dual Pane 0.44 0.61 0.64 - .. Clear Dual Pane MM Gdlles 0.45 0.53 0.56 - Lor{ 019 032 0.56 - NartoDne' Low-E with Galles 0.30 029 0.49 Gliding Patio Doan Lmr-E San 029 020 0.31 Low-E Sun with Grilles 031 0.18 0.27, cam. Lnw-E SmartSun 028 0-21----650 Low-E SmartSun with Galles 0.30 0.19 0.44 Clear Dual Pane 0.43 0.61 0.64 - - Clear Dual Pane with Galles 0.43 0.54 0.56 - Low-E 018 032 0.56 - Perna-Shield'... Low-E with Galles 0.30 029 0.49 Gliding Patio Doors Low{Sun 0.29 0.19 030 Low-E Sun with Galles 0.30 0-17 027 �_°• low-E SmartSun 027 022 0.50 m Law{SmanSun with Gnlles 0.29 0-19 0.44 '*- -. Clear Dual Pane 0.43 0.45 0.47 Clear Dual Pane with Galles 0.43 039 0.40 - Low-E 0.32. 014 0.41 Hinged.Inswing Low-E with Grilles 0.33 021 035 - ::Patio Deers Low-E Sun 032 0.15 023 Low-E Sun with Gilles 0.34 0.13 0.19 - _ Low-E SmartSun 0.32 016 0.37 Low-E SmartSun with Galles 0.33 0.14 0.31 - so f Renewal MA Home Improvement Contractor: bYAt1C E'CSen Renewal by Andersen Corporation License#170810(Expires 12/23/2015) '.e1NDOw aePIACEM£Nt Federal Tax ID#41-1918413 30 Forbes Rd. Northborouah.MA 01532 (508)351-2200 Fax(508)-986-7072 i CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT i i iBuyer(s)Name Date: i ARTHUR DEMOULAS - DIANE DEMOULAS SEPTEMBER 17, 2014 Buyer(s)Street Address City State Zip Code 1575 GREAT POND ROAD NORTH ANDOVER MA 01845 ;Email Address Home Telephone Number Work/Cell Telephone Number ADEMOULAS01887CaGMAIL.COM 978-697-8125 978-857-6124 '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 $ 47,200.00 Amount Financed$ 0.00 Est.Start Date Method of Payment Deposit Received(33%)$ 15,734.00 Check/Cash 12-16 weeks Balance Start of Job(33%)$ 15,733.00 Deposit at signing$ 0.00 Check# Balance on SubstantialEst.Install Time At Substantial __` Credit Card Completion of Job(33%)$ 15,733.00 Completion$ 0.00 FB.,D. If credit card is selected,please S: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 byAndersen �Corporation Q er(s) Buyer(s) i By: !�V��S�Ce��� Signature of Project Manager na /� r"i i WILL SALEM UM*R T-4AM LA DIANE DEMOULAS Printed Name of Project Manager Printed Name Printed Name i i 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 1 I Date of Transaction 9/17/14 You may cancel this Date of Transaction 9/17/14 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 f 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 I 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("Saler")of your I returned within 10 days following receipt by the Contractor("Seller")of your Icancellation notice,and any security interest arising out of the transaction wBl be I cancellation notice,and any security interest arising out of the transaction will be i canceled. If you cancel,you must make available to the Seller at your residence,in I canceled. If you cancel,you mast 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 1 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 ezpense and risk. I If you do make the goods available to the Seller and the Seller does not pick them up 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 I 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 I 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 1 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,mal 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 Controcton Renewal by Andersen,I or any other written notice,or send a telegram to Contractor: Renewal by Andersen, i 104 Otis St. Northborough,MA 01532,BY NOT LATER THAN MIDNIGHT OF I 104 Otis St.Northborough,MA 01532,BY NOT LATER THAN MIDNIGHT OF .(Date) I HEREBY CANCEL THIS TRANSACTION. .(Date) I HEREBY CANCEL THIS TRANSACTION. 1 I Buyer's Sgnstum Print Nemo Date Buyer's Signature PrM Nemo Date i_....._......___.._..._....._.._..__..........__..____........__......................_...-...._..._...._........................._.._... .___._.._....._.........._..__._._.._.._._._.._.._._._..................._._......__.__.___._..____...__....__.__..............—...._....................................._.......