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HomeMy WebLinkAboutBuilding Permit #849-13 - 1634 SALEM STREET 6/5/2013 NORTF/ •1 • ' `` BUILDING PERMIT - 3r b+�'``�..*.`,•:Yo TOWN OF NORTH ANDOVER y APPLICATION FOR PLAN EXAMINATION ; s Permit NO: Date Received �,q< ::.<:,+ • •� 4T IP Date Issued: ,SSACHU'S�� IMPORTANT: Applicant must complete all items on this page LOCATION ')ZA e n,. S P l PROPERTY OWNER ter,r-T, `� r l�o� �„ �-dct wS Print MAP NO:L0(o —PARCEL:005--'l ZONING DISTRICT:( Historic District yes(no Machine Shop Village es TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 9-0-h-e family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial -erIkepair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑Floodplain 0 Wetlands 0 Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: a0 �T LTUrif Identification Please Type or Print Clearly) OWNER: Name:ro evr,c,e 6a r ��N-s Phone: RM - Address: I to314 3a ler-. SA , W)o44N CONTRACTOR Name; S tixe Phone: Sy'S -. S.-1 ,5 8 Address- 10'--A D4 s ST r a `off d1�t I Z Supervisor's Construction License:_: to Exp. Date: L{ c), S 7(„ J Home Improvement License: t d Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ,3) FEE: $ d 0 Check No.: V9 ( q�4' Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access tot a guaranty fund ignature of Aaent/Owner Signature of contractor II Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF-SEWERAGE.DISPOSAL Public Sewer ❑ TanningWassage/BodyArt ❑. . .Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ '❑ COMMENTS f CONSERVATION Reviewed on Signature COMMENTS i 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 & Sevveir connection/Signature� ®ate Driveway Permit DPW Towp_ Engineer: Signature: Located 384 Osgood Street FIRE DEPARTi�i =N'T -Temp Dumpster on site yes no located at 124 airj Strdet � �. Fire ®eParmerit signature/date COMMENTS Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Deter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No VIGL Chapter 166 Section 21A-F and G min.$100-$1000 fine ®TE S and DATA— For department use I . U Notified for pickup - Date f Ioc.Building Permit Revised 2010 I Building Department `fine following is a-list of the required forms to be filled out for the appropriate.permit to be obtained. R.00firig, Siding, Interior Rehabilitation Permits o- Building Permit Application ❑ Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L.- Licenses ❑ Copy of Contract o Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products 10TE: All dumpster.permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) a Engineering Affidavits for Engineered producs CITE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) o Building Permit Application Q Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o 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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit lin 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 apt.al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording roust be subm:Ated with the building application Doc: Doc.Bui?;iing permit Revised 2012 I I I Location I lY�q rA 1" No. L� Date • - TOWN OF NORTH ANDOVER _ o Certificate of Occupancy t $ Building/Frame Permit Fee $ 0 Foundation Permit Fee s $ Other Permit Fee $ TOTAL $ Check (c 26489 Building Inspector OORTH Town of t E ndover 0 No. , h ver, Mass, w! K. 1. C oCNICNlWKK �9S R^TE o AP�`��y U BOARD OF HEALTH Food/Kitchen , PER -MIT, D Septic System THIS CERTIFIES THAT ...... ... ...... ....4... ................ ....... ... . ..A"5........................... BUILDING INSPECTOR has permission to erect .... buildings on16.N .. • Foundation .................. Rough Ir to be occupied as ........... ......10.1W..J.11wis........................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST S 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 Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. F. SEE REVERSE SIDE RenewalMA Home Improvement Contractor /�,,,, ������ License#170810(Expires 12/23/2013) WINDO 1delCSen. �� Renewal by Andersen Corporation Federal Tax ID#41-1918413 WINDOW REPLACEMENT an Andersen Company 104 Otis St.,Northborough,MA 01532 (508)351-2200•Fax:(651)351-4810 CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Name 4 Date of Agreement Buyer(s(Street Address,City,State,and Zip Code /el 3 E-Mail Address Home Telephone Number Work.Telephone Number - -a 7 Buyer(s)hereby jointly and severally agrees to purchase the products 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. 3 3 Estimated Starting Date: Meth of Payment: Total Job Amount: (� / Amount Financed n/ heck ❑Cash -7-799— 0 �` T S Deposit Received(33%): 7.73-2— OVi`6/mc ❑Discover Financed OAMEX Balance at Start of Job(33%): D Estimated Completion Date: If credit card is selected,please Balance on Substantial !J see Credit Card Payment Form. Completion of Job(33%(: / Buyer(s) agrees and understands that this Agreement constitutes the entire understanding between the parties, and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alteration to or deviation from this Agreement will be valid without the signed,written consent of both Buyer(s) and Contractor. Buyer(s) hereby acknowledges that Buyer(s) 1) has read this Agreement, understands the terms of this Agreement, and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Renewal by Anderse Co oration Buyer(s)y rP uy (s) Buyers) By: ( _�' rcpt. �Sii9-/-re of Pra Manager /Sigr6t he �i / Si ature /oaf'/��X47 Print Name 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 FOR AN EXPLANATION OF THIS RIGHT. - - - = - - - - - - - - - - - - - - - - - - - - - - - - -9-<- - - - - - - - - - - - - - - NOTICE OF CANCELLATION X NOTICE OF CANCELLATION Date of Transaction . You may cancel Date of Transaction . 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 I three business days from the above date.If you cancel,any property traded in,any payments made by you under the I 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 I by you will be returned within 10 days following receipt by the Contractor ("Seller'l of your cancellation notice, I 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 I 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 I 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 ploods 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 I pick them ujp within 20 days of the date ofyour Notice of your Notice of Cancellation,you may retain or dispose I of Cancellation,you may retain or dispose of the goods of thegoads 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 I 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 Igoods to the Seller and fail to do so,then you remain liable you remain liable for performance of all obligation under for performance of all obligations under the Contract. the Contract.To cancel this transaction,mail or deliver a To cancel this transaction, mail or deliver a signed and sigred 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: I notice,or send a telegram to Contractor. Renewal by Andersen Corporation, 104 Otis I Renewal by Andersen Corporation, 104 Otis Street, Street, Northborough, MA 01532, BY NOT LATER THAN Northborough,MA 01532,BY NOT LATER THAN MIDNIGHT MIDNIGHT OF .(Date) OF . Date I HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCEL THIS TRANSACTION. I Buyer's Signature Print Name Dale I Buyer's Signature Print Name Date RbA Copy- White Buyer Copy-Yellow Buyer Copy-Pink ©JBlLP2009.RBA-Ph.MANH •� enewal by Andersen Corporath_ MA Home Improvement Contractor Renewal 104 Otis St.,Northborough,MA 01532 License#170810(Expires 12/23/2013) b .��� yAndersen. (508)351-2200•Fax:(651)351-4810 Federal Tax ID#41-1918413 WINDOW REPLACEMENT an Andersen Company WINDOW SPECIFICATION SHEET Buyer(s)Name Date of Agreement 4,7 The Buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed be ow,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. WINDOW DETAILS 1. Contractor will Install a total of windows in Owner's home,using the following individual quantities: _ - Dou le Hung(DB)L Equal sash b Cottage sash(1/3 top,2/3 bottom)_Oriel sash(2/3 top.1/3 bottom)—Flat sill a ( s of a to er's loss) Square Check Rail_Curve Check Rail Casement(CS)_Hinge right_Hinge left(as viewed from exterior) Double Casement(CD) 2 Lite Gliding Window(GW) Casement/Picture/Casement(CF)_1:1:1 or_1:2:1 Glider/Picture/Glider(GPW)_1:1:1 or_1:2:1 Picture Window Bay or Bow Awning Window _#Lights Soffit/Roof Shingle/Copper Specialty Window Patio Doors(See separate door spec sheet) Seat to be Primed/Oak/Pine ILI -1 11 IL I E:11:1 2. Qty of Windows to be Custom Fit Replacement: 3. Qty of Win ows to be Custom Fit FuII frame(INCLUDES NEW INTERIOR&EXTERIOR CASINGS) Exterior rags:_Pine_Maintenance-free material_Factory applied 908 Fibrex brickmold 4.Glazing to be: HP Lo E-4 TM Tempered —Other If other,please specify: 5.Exterior color to be: V yLhite_Sand_Canvas_Terratone_Cocoa Bean_Dark Bronze_Forest Green_Black 6.Interior color to White_Canvas_Pine_Maple_Oak_Same as Exterior Note:Wood interiors need to finished by Owner. 7.Hardware: White_Stone_Canvas_Estate Hardware: Style: 8. — Install Lifts with Doubb Hung Windows / f r�� 9. Screens:windows to have: /Half or_Full screens Screens to be:_Fiberglass_Aluminum_/TruScene ' GRILLE DETAILS 10. Windows have grilles: Grille Between Glass(GBG)_Removable Interior Wood(INTW)_Full Divided Light(FDL) ( Owner approv d(initials) Draw grille patterns below `Use additional sheet if needed Qty: Qty: Qty: C>�— Qty: 1 7'- Qt' Qt' Qty: �ri ADDITIONAL WORK DETAILS 11. Qty of_Sills_Sill noses to be replaced by Contractor 12. Contractor will remove metal frames of windows. 13. Contractor will install new_paint-ready or—stain-ready—Interior Exterior casings in_fine—Maintenance-free material 14. ctor will install new_paint-ready or_stain-ready—Interior—Exterior stops in—Pine_Maintenance-free material 1 .( ) Us-Owner is aware,contractor does not do any painting or removal/installation of alarm system/hardware. It is the responsibility of the homeowner to have the alarm system/hardware removed prior to installation. 16. i Contractor will wrap exterior casings with coil stock of-color., Note:Wrapping may be required with storm window4emoval;removal of storm windows will leave screw holes in casing. 17.Comm for will insulate,caulk and seal windows with 3-Point system to prevent water and air infiltration. Removal and disposal of all job related debris,win- q0A storm windows and vacuum nightly included. Upon completion of the job and payment in full,a limited warranty shall be issued. 18.! Ye No 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. Ck# $ I9. Yes❑No All discounts have been applied to this agreement price. 20.Additional job details: 21.VYes❑No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment/finance form(s). It is agreed and understood by and between the parties that this Specification Sheet,along with the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT,constitutes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms.This Specification Sheet may not be changed or its terms modified or.varied in any way unless such changes are in writing and signed by both the Buyer(s)and Contractor.Buyer(s)hereby acknowledge that Buyer(s)has read this Specification Sheet. Renewalnt_ rporation Buyer(s) Buyer(s) By: Signa e/o/(f�Plro cMaa�nager Sig t e Signature Print Name of Product Manager Print Name Print Name The Contwnwea&h ofMassachusel& Department ofIndustrial Accidence Offee oflnvestigadons 600 Washington Street Boston,MA 02111 www mass gov/dla Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plalnbers Analicant Information � Blease Plrint LtWbly Name(BusinessQrgz&adoniindividuai)• a, << Address: 101 City/State/Zip: U-0-f_"L r (S 2 c3 Phone#: Are you an employer?Check the a - .PPropriate box: . 1.P6 I am a employer 4. I Type of project(required). p er with ,3� ❑ am a general con Y tractor g and I employees(full and/or part-time).* have hired the sub-con 6. ❑New construction part ) tractors Ghon 2.❑ I am a sole'proprietor or partner- listed on the attached sheet. 7. ['Remodeling ship and have no employees These sub-contractors have g ❑Demolition working for me in any capacity, employees and have workers' [No workers'comp.insurance gip.insurance.! 9. ❑Building addition required.] 5. 0 We are a corporation and its 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11. Plumbing myself. [No woikers'comp, right of exemption per MGL repan or additions insurance required.]t c. 152, §1(4),and we have no 12.❑Roof repairs employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also Ill out the section below showing thea workers' Homeownootrgiensation policy infomration. Homeowners who submit thio afdavit indicating they am.doing all work and then hire outside eontt tum;must submit a ' :Contractors that check this box mast attached an additional sheet showing the name ofthe and state whether new not thosew slidavit indicating such. employees. Ifthe sub-contractors have employees,they must prvvide thea workers'comp.policy numberentities have . I am an wrioyer that is providing workers'convensavion insurance for my e�rrptoyeesr Below Ls the o AWformadom P ►ey and job site Insurance Company Name: C Policy#or Self-ins. ILic. M LA_G Epson Date. Job Site AddressSIA* L", City/State/Zip: • tip Attach a copy of the workers'compensation policy declaration Failure to secure page(showing the policy number and expiration datej.� 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/orai one-year imprisonment,as well as civil penalties in.the form of a STOP WORK ORDER and a fine of up to$250.00 t 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 the pains and penaUla ofperjury that the information rovided f p above Ls true and correct S ature - Phone f QjJcial use only. Do not write ire this area,to be Completed by city-or townEInspecto City or Town: PermitlLicense Issuing Authority(circle one): 1•Board of Health Z.Building Department 3.City/Town Clerk 4.ElecIPhambing Inspector6:Other .ContactPerson• Phone CERTIFICATE OF LIABILITY INSURANCEo X25/2 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: H the certificate holder Is an ADDITIONAL INSURED,the policy(les)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 1-612-333-3323 CONTACT SAME- Jonelie Hargrove or Eric Johnson Rays Companies PHONELMMp . 612-333-3323FAX 612-373-7270 80 South 8th Street MC.No: Suite 700 2OD110ER Minneapolis, MN 55402 CUSTOMER ID A, INSURED INSURER(S) AFFORDING COVERAGE NAI;S Renewal By Andersen Corporation INSURERA: OLD REPUBLIC INS CO 24147 INSURER B: NATIONAL UNION FIRE INS CO OF PITTS 19445 104 Otis Street INSURER C: Northborough, HA 01532 INSURER D: INSURERE, INSURER F COVERAGES CERTIFICATE NUMBER: 29229436 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. MSR LTR TYPE OF INSURANCE POLICY EFF POLICY EXP wunPOLICY NUMBER IJn1T'S R GENERAL LIABILITY MIrZY 59828 10/01/1 10/01/13 EACH OCCU%- C s 1,000,000 COMMERCIAL GENERAL LIABILITY AMA TO PREMISES E 500,000 CLAIMS-MADE tI OCCURMED EXPS 10,000 PERSONAL s 1,000,000 GENERALAs 4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER. PRODUCTS G s 3,000,000 X POLICY JFrT PRO- LOC s A AUTOMOBBFLWBIUIY MRTB 21700 10/01/1, 10/01/13 COMBINED SINGLE LIMB S 3,000,000 X ANY AUTO (Ea aoddent ALL OWNED AUTOS BODILY INJURY(Per person) $ SCHEDULED AUTOS BODILY INJURY(Per aodderd) $ X IORED AUTOS PROPERTY DAMAGE s (Per aoddent) X NDN-OWNED AUTOS t $ B X UMBRELLA UAB X OCCUR 13273355 10/01/1 10/01/13 EACH OCCURRENCE $ 25,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE s 25,000,000 DEDUCTIBLE X RETENTION $ 25,000 s )A WORKERS COMPENSATION $ AND EMPLOYEW LIABILITY YIN 1BIC 117948 00 10/01/1 10/01/13 X WCSTATU 07H. ANY PROPRIEfORMARTNERAEXECUTWE OFFICER/MEMBER EXCLUDED? N/A E L EACH ACCIDENT s 2,000,000 (Mendstary NN) EL.DISEASE-EAEMPLO s 1,000,000 ff describe under OESCRIPTI OF OPERATIONS below E.L.DISEASE-POLICY UMIT $ 1,000,000 I - I T DESCRIPTION OF OPERATIONS I LOCA1gN5/VEHICLES (AB+ddr ACORD IK AddlNonsl Renyrks Sdudule,Nmone span b roqulnd) Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION Evidence of Insurance SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORMED REPRESENTATIVE ericACORD 25 120091021 The acj ©1988 2009 ACORD CORPORATION. All rights reserved. nan name onto I,.,.,._._....r_._...r__..._ fficc of Consumer Affairs&B e s Rhon ac�iiaela ME IMPROVEMENT CONTRACTOR egistradon. 17©8 Expiration; 1y23> 013 Type: RENEWAL gY ANDERSON CORPORATION Supplement r JOSEPH REZZA 104 OTIS STREET ' NORTHBOROUGH, -- MA 01532 i Undersecretary i s • j { a i Massachusetts -Department of Public Safety Board of Building Regulations and Standards . Construction Supen-isor License: CS-065272 I IS JOSEPH P REZW 168 KELLEY BLVD N ATTLEBORO MA Expiration Commissioner 04/25/2014 I Renewal i byAndersenn WINooW' REPLACEMENT anMdetsen(oDgkAnY i Wood/Vinyl Composite IF Dual Argon Low E4 SmartSun Double Hung 100-00473518-010 ENERGY PERFORMANCE RATINGS U-Factor(U.S)/I-P Solar Heat Gain coefficient 001 rd 1111 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 4A ■ . Manuheturer atiPutatesthat thae0 ratings oonlorm to apPh'abb NFRC procedures br determv+ingwhole Product performawe.NFRC ratings are determined for a laud sat of environmental conditions and a speciTic Prodwt ace• NFRC does"I recommend any product and does not warrant the suilabaNy o1 any Product la any speed::use. Consult manufacturer's fdamlure for other product performance information. i www.nfrc.org 'e'fh ✓� This product meats Green ,•� ,f y SeaPs envaonm0 ceneea +••_i•.•`•.•Y^'.t R,!>-rte standardsgommingenergy a,vu,�;q';^;. t>y •�_.,' L+ efficiency.heavy metals n *.•:'%ri"^o-r ;oK• •:.the frame and bash fC�materiat, packaging.and �iv/y'i•b %.i, consumer aduwlioml '•r •^:_ .�.},�. i the materelrs. i5 •�•,; •. �i .r...+ww.,.ru::: ..- ..•a ::;:a..,nww•..,i..m- A DESIGN PRESSURE(PS F) k wnaox ane Door ' . t hunulae wra�9 Assoc®non ��� www. me.S .a RbA DB Sloped Sill DH IN i' 7&0eetot1AFSV0F)MAAy�UAlMjMASA401K Raarutautasr st tae conformance to M a IreaDtl atanaaras. } toasts or exceeds M.E.C.,C.E.C.S,I.E.C.C.Au Inln3r lion requirements wDMA Hallmark Cedifkation Program. iI I I I I � I I it I I I i ddF >, yu F ilk.i I IL AND-N-37 MINVOW COmpasiba Material Ducal Argon Law�E4 SmartSun Product Tjrpa: Picture ENERGY PERFORMANCE fiAT114= - U-Fo ctor Solar Heat Gain C.o Oofent 0.27 1 . 53 0, 22 .S P (1101"'IC01) MMIMONO&L PERROAMMCI` AA"PI( ffi uialbie Transmitianoe 005 1 r�r .1..1..E D care.cnawisaa�rN +.wlw.Me.wre�rtrMsway.o�..:' CM NOW s WSUM WAMUANNAAftA IM1 wo OP puf F-4=0 �tiE nur GLVMMK i WN �`{��ti're �aararll� - 1OO-0 ItOCW-wl .eam ar ,esc.. w�ml�wrm wo/w '