HomeMy WebLinkAboutBuilding Permit #614-14 - 175 GREAT POND ROAD 3/3/2014BUILDING PERMIT
TOWN OF NORTH ANDOVER
(� APPLICATION FOR PLAN EXAMINATION
Permit NO: `�� " 1 Date Received
Date Issue : 4L
TMPORTANTo Applicant must complete all items on this pane
LOCATION /'7S r-Difea-1
PROPERTY OWNER
Print
MAP NO: ;/O PARCEL: ZONING DISTRICT: Historic District
Machine Shop
yes no
ves no
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
0 New Building
❑ One family
0 Addition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
0 Commercial
epair, replacement
❑ Assessory Bldg
❑ Others:
0 Demolition
❑ Other
❑ Septic 0 Well
❑ Floodplain ❑ Wetlands
❑ Watershed District
0 Water/Sewer
/��,a� � / 4JlIVD D t,,) �3 0 06
Identification Please Type or Print Clearly)
OWNER: Name:
5
Address: 75— 4-6/_ 1029�t 4:9(/
CONTRACTOR Name: ?o/7 PY/)_Phone:
cyyc2 i2L�i2 l Vl
Address: 06 /4/4
Supervisor's Construction License: Exp. Date:
Home Improvement License: /70 Flo Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST
BASED OSI $125.00 PER S.F.
Total Project Cost: $ ;�3 3 FEE: $
Check No.: QI„fa 2 --y Receipt No.:
NOTE: Pers contracting with unregistered contractors do not have a ess uaranty fund
Signature of Agent/Owner Signature of contractor
Plans Submitted ❑ Plans Waived -0 _Certified Plot Plan ❑
..5''tamped Plans ❑
:TYPE-,OF-SEWERAGEDiSPOS.AL '
Public Sewer ❑
Tanning/Massage/BodyArt ❑ ...
_Swimming Pools ❑
Well ❑
Tobacco.Sales ❑
:•Food Packaging/Sales ❑
Private:(septic tank,etc: ❑ - - � .
_.
� Permanent Dunpster on -Site ❑
THE. FOLLOWING SECTION'S FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED
PLANNING & DEVELOPMENT
COMMENTS
DATE: APPROVED
CONSERVATION Reviewed on Signature
COMMENTS
r
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes .
Planning Board Decision:
Conservation Decision:
Comments
Comments
Water & Sewer Connection/Signature & Date Driveway Permit
DPW Tool! Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMr NT. TempDumpster on site yes no
Located7btl1 4,Mair .
`Fire DdO tmd6 signature/date _ s ,� , ^ , _;..: ;; • a f
COMMENTS Y, ,
-Dimension -
.Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Tota[ 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
B Notified for pickup - Date
}
Doc.Building Permit Revised 2010
i
Building Department
The Poli,)wing is,=a ii'st of the required -forms to be filled outfor the appropriate. permit to .be obtained.
Roofir?g, Siding, Interior Rehabilitation Permits
B,ailding Permit Application
❑ Workers Comp Affidavit
❑ Photo Copy Of H.I.C. And/O(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/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
Doe: Doc.Building Permit Revised 2012
Location
No. ('91q— ILI Date SIL -2)
Check# 2::�- 1
27322".
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $ L-1
Foundation Permit Fee
Other Permit Fee
TOTAL $
Building Inspector
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The Cenwnweolth ofMOSSW Area
Dept ofndtrstriQl�4cc�de>
Drwe ofInver idga ons
600 Washington S*Wt.
Bolton; MA 02111
www.rnass gov/dio
Workers' Compensation 1"Urance twit:BuRders/Congcton/Etectricfl�es/Ft hers
oplicatet information --
Dame (Busincss0Vpizatio vh.Uvidual):.
AA
U lJ46'hone M 5'
Are you an employer? Check the sapptopriate box:
1 J2,1 am a employer with 4. ❑ I am a general conowtor and I
employees (full and/or P60 -time). a have hired the sub-conhactors
2. ❑ 1 am a sole propriew or pier. listed an the a0ached sheet.
ship and have no employees These sub -contractors have
working for me in any capacity. employees and have workers'
[No workers, comp. insurance comp. insurance.; -
re1uired.] 5• ❑ We are a corporation and its
3. ❑ 1 am a homeowner doing ill work officers have exansed their
Myself [No wo km, comp, right of exemption per MGL
insurance requirad.j t c. 152, § 1(4); and we have no
employees. [No workers'
'.8 - TS i -
Type of project (req ).
6. ❑ New construction
7.modesling
8• ❑ Demolition
9. ❑ Building addition
10.❑ ffiectdcel VePiairs or additions
11.0 Plumbing repairs or additions
12.0 Roof fel airs
13.❑ Other
wtin*
*HAny aPP� hist checb box #1 must also fill out 1he section below a>iatid their Pot imam
omoownM who this in
deaatin8they aoadObg ill Wak mad them bne euW& cMft& ton Merit SWbffi 1t.a W, sheet td�vit>tiditNUsg sett
2Contractors that chak this bdx mast attached on additional showing the name ot'the and state VA"d a or not those entities have
employees. W&C sub-oomno b.m emPorm they aW Puvide their weshas' caUP. pe y mom;
Isar an eaypioyer thathproviding workerseo
iafora at. mlpmsadobWarancefor fey p� kYOM ilow h Oe policy "gjbb SlkInsurance Company Name:-�f"kie VC- � Vn C . i� n
Policy # or Self -ins. Lic: #:_ W C, ���1'� GE . Q 6.
113viratiae Date:
Job Site Address: �%' tz2A�
Attach a copy of the workers' ewm
pensotioa policy declamation page (showing the policy number and expiration date).
liailure to secure coverage as req�d under Section 25A of MGL c. 152 -can lead to the
fine up to $1,500.00 and/or one-year ' �° °f aminal penalties of a
of to $250.00 a da imprisonment, as well as civil penalties in the form of a STOP WOU altl)BR and a fine
up y age the violator. Be advised that a copy of this statement may be fo warded to
Investigations of the DIA for insurance coverage verification. Office of
Ido hereby c the paba and pefi&&W 0
fPerjUrY&Wheh1ronrratJon
P obove is bra and coma
ullWW nese only. Do not write in this area, to be tofirkkd by Illy -or town oo'uiaL
,/Lf — /A%
City or Town: PermitUcense #
Issuing Authority (circle one):
L Board of Health 2. Building Department 1 City/T'own Clerk 4. Electrical Inspector 5, Plumbing ]inspector
6: Other
Contact Person: Phone #•
.Massachusetts - Department of Public: Safety
Board of Building Regulations and Stanajarde'-
Constriction Supervisor
`
License: CS4*0126
`
86G
'OD sr-
LYW U& 6190 {
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F -x i r p' anon '
Commissioner .
1094
C- Fire %m'n.,—,Wd /GAao,06.0 j
ce of Consumer Affairs & Badness Regulation
ME IMPROVEMENT CONTRACTOR
ME
'170816.
E>Witi}},.•,12%23>Z015 Supplement it
RENEWAL BY AND`ERPORATION
JAIME MORIN
904 OTIS STREET
NORTHBOROUGH, MA 01532
Undersecretary
4
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tssaroeht iNlndnr
poop boor Tmiuoin `'.: HP land4 Sun w7tlr Gnlles
031
0.13
020
1 � •.
• .' ,
HP tow -E4 SmartSun
029
016
036
r E! IN
HP Luna Sm94sun w/Gnlles
030'
014
032
sawfloed on 1lalpap
• For NERC certified total unit performance on units with capllary breather tubes for high attitudes, please vrsitandersenwindolisimm.
• -Kgh-Perfmmana Law -E4" (IP tow-E4),'IOgh-Pedarmance-Low-FA' SmaASun" (HP Low -E4 SmartSun) and'M1gt-Performance low -W Sun' (HP law•E4 Sun) sit Andersen trademarks for'l owl grass
' U -Factor defines the amount of beat loss through the total unit in M/hrM ft'F The luwerthe value, the las hartislosttinough the entire product Window values reprasalt non-lempeled glass. Use aftempered glass tan
increase 11-19actor wGngs. See endersemfindows com forspecfic perkfmsncevalues. Doarvaluestepmsenttampemd glass
Solar Heat6ain Coeficient (SHM) defines tke fraction olsolar radialion admitted through the glass both directly tri msmiteed and absorbed and subse4uantly released inwatd.The bwerlhe value,Ore hss kertktransmllted
through the product
YaibleTransmRtance (Nr) measures how mach GIM coma through a product (glass and frame). The higherthe value, from Dto 1, the more dayWilre product lets in averthe product's total wi tmea.Yun'bleTlanamRtante
is measured overthe 380 to T60 nanometerpordon of the sclaf specWm.
• NFRC ratings are based on modeling by a third party agency as validated by an independerlttest lab in compliance with NFRC program and procedural requirements.
• This data Is accurate as of December2010. Due to ongoing product changes, updated testresults or new industry Standards orrequirements, this data may change overtime. Ratings an forsuesspeaTrcd by NERC for
Dialling and cerdficatioa Ratings may vary depending on use of tempered glass, diffamm,grale options, glass for high attitudes, etc
• PassiveSun' glass values are available online at endersemrindowstom.
'
(
AndwsW Product GlaWIW
U Fadorr
SHW
i VP
r IIre111heNa1
-
.
I HP 1aw•E4
0.32
028
047
.
HP taw-rA 11111hr4les
0.32
025
0.42
.�,JM
tssaroeht iNlndnr
HP 1.00-154 Sun
0.32
017
026
} �
•
• HPtaw-E4Sim wMWhis
0.32
016
029
r E! IN
i NP1owE4SMMGim
031
016
042
HP tow61 smadSlm w/Gn'uois
0.31
017
0.36
HP law -E4
0.92
026
0.47
j
HP low E4 wfidr Galles
032
025
0.42
:: F V
Bench wemea
I HP tow66sun
032
017
026
IKndow
HP law -E4 Sun vruh Gilles
032
016
023
C
HP law6E4 SmartSua
031
016
042
HP }ow FA SmayMin w/Gnlha
031
017
0.38
j$Jj
I HPI9wE4
032
028047
F
HP Low -154 weh Glues
032
025
042
' HP Iow-1594 Sw
032
017
026
-w*w6iow
I lip Lv*•64Sun wMGoes
032
016
023
I4l�
HP Low-MmarlSn
631
018
042
? ' fin
HP tow66 SMrSrn w/G Ota
031
017
036
' HPIOFU
031
032
055
HP lar4;4 with Was
031
029
049
f;1
PasueaF/liwakrg' i HPIMUSun
031
020
031
:Fl®
Plain N7ndap:
' .. ; W low£4 Sun of Garlics
031
018
028
; F
' HP taw -E4 Smvrm
031
021
0.50
I!Pi
W Lima sma"Sun w/6Oks
031
019
0.44
: rilc
HPlar-El
030
035
0.64
I
HP Low tY1t16191l4
63D
033
051,
.
Sperlq Ilirdow
HPImwNsun
031
0.22
036
S `®
- HP taw64 Son Ift GIRM
031
0.20
032
F{
HP Iaw64 SmadSun
030
014
0.511
jFt '
' HP losrf4 Sma tsun W/Qmn
030
072
GM
NP tawE4
0.32
022
037
•. M. El
llplo*riwmia
`
033
020
033
w ,
Wtawd4San
033
014
021
-
iseacbtlari
HPlowd4Son wMeffies
034
0.13
048
-
HP Iaw{4 Smarm
032
015
033
j' f-7
NP Low -M Sim w/GdOes
033
014
030
HP Low"
033
025
Q41
HPLonF4srrll
034
022
036
-
HA1ged pdaft
HP lewd# Sun
033
016
023
:+ercEOior -
HPtawl4Son WMWas
035
014
020
-
lip twaraSMNLSLO
0.32
017
037
HP1ow64SmOStmw/Mes.
034
0.15
032
-
HP lowE4
0.33
023
all
-
im iANa IM WM
033
021
034
-
rAw-pa A Diner 1W lawd4Sun
033
014
021
-
! HPlaw{4SmvMCMn 034
013
0.19
-
I H1`Iow4z4Smn1Son
0.32
015
0.34
-
1'
HP 10*a smvftn w/Gon
033
0-14
030
-
t •
WIawF4
032
CA
041
HP low.E4,M QMU
033
022
037
-
' Raid Tmesaar
, .. HP LAIMPO Sun
032
045
on
-
,
j Read1 lhwi
HP Ima So 90 Ores
033
014
020
-
1
I HP law E4 SmadSun
032
016
037
-
! HP law{4 Sm>reSun w/6dpes
032
015
033
!
HPlaw[4
035_
026
0.44
HP IowE4 90 Was
036
023
038
-
NP Iowa Sun
035
016
024
-
Nldlrq Dom
W 11106E4 Sun wOh Gan
036
014
021
-
HP 1aw64 SmarlSim
034
0.17
0.99
-
HP law{4 SmarlSun w/"w
036
015
0.34
-
sawfloed on 1lalpap
• For NERC certified total unit performance on units with capllary breather tubes for high attitudes, please vrsitandersenwindolisimm.
• -Kgh-Perfmmana Law -E4" (IP tow-E4),'IOgh-Pedarmance-Low-FA' SmaASun" (HP Low -E4 SmartSun) and'M1gt-Performance low -W Sun' (HP law•E4 Sun) sit Andersen trademarks for'l owl grass
' U -Factor defines the amount of beat loss through the total unit in M/hrM ft'F The luwerthe value, the las hartislosttinough the entire product Window values reprasalt non-lempeled glass. Use aftempered glass tan
increase 11-19actor wGngs. See endersemfindows com forspecfic perkfmsncevalues. Doarvaluestepmsenttampemd glass
Solar Heat6ain Coeficient (SHM) defines tke fraction olsolar radialion admitted through the glass both directly tri msmiteed and absorbed and subse4uantly released inwatd.The bwerlhe value,Ore hss kertktransmllted
through the product
YaibleTransmRtance (Nr) measures how mach GIM coma through a product (glass and frame). The higherthe value, from Dto 1, the more dayWilre product lets in averthe product's total wi tmea.Yun'bleTlanamRtante
is measured overthe 380 to T60 nanometerpordon of the sclaf specWm.
• NFRC ratings are based on modeling by a third party agency as validated by an independerlttest lab in compliance with NFRC program and procedural requirements.
• This data Is accurate as of December2010. Due to ongoing product changes, updated testresults or new industry Standards orrequirements, this data may change overtime. Ratings an forsuesspeaTrcd by NERC for
Dialling and cerdficatioa Ratings may vary depending on use of tempered glass, diffamm,grale options, glass for high attitudes, etc
• PassiveSun' glass values are available online at endersemrindowstom.
CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS ISSUED AS A MASTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE NOLDER, TOS
CERTIFICATE DOES NOT AFFIRMATRPEL.Y OR NEGATIVELY RAGE
T
R AMEND,
BELOW. THUS CERTIFICATE OF INSURANCE DOES NOT EXTEND OR ALTER COVE AFFORDED BY THE POUtBEi
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE CMOONSTRUTE A CONTRACT R LOER. BETWEEN VE ISSUUKi INSURER(S), AUT"OR{ZEp
IMPORTANT: If the eertlflpte holler is sn ADDITIONAL IMS
the terms end oondlllons of the P OIIGY, earhln policies may rsqule On poOMemv must be a ant end. s SUBROGATION Ui WAIVE.
cOrdli la holder in IMu of such endomemengs). e1d A °menton thin oertftte dm not r Ilorls to IM
mays ceepanles
80 Bosth ith street
Butte 700
ltitmeap011e, 101 55402
612-333.
MMNIEO Mi mmA: OW MUPMLZC raB OD 24147
RUMM2 By Andereeo Corporetlen Mire S. R#TZO>NAL =20m Tilts Me CO of PZ�B 19445
marimp
NiWM— c :
104 Otis etrat WOURER 0 •
morthboroush, MR 01532 E;
COVERAO CERTIFlCATE NUMBER: 36122490 REtillilOHl NER:
THIS IS TO CERnFY THAT THE POLICIES OF INSURANCE LISTW BELOW HAVE BEEN ISSUED To THE INSURED NAMFD ABOyE FOR THE POLICY pER10p
INMATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHBt DOIXBA� {�
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE MSURANCE AFFpRDW BY THE Rt'SPECT TO WHICH
OCCLUSIONS AND CONDITIONS OF SUCH POLICIES. I&= SHOWN MAY WRI HAVE BEEN THEPOL SY PAID SCRIBED FWWN IS SUBJECT TO ALL THE TERMS,
OR TTPEOFelseMANCE rw wn wr. POe1CYEFF _
MMUERCI 1L liOMM Ory � U4-800.000 1.000.000
Mi M Z� pCglp P MEDEW erw FER60NALtAOVMAeeYOBfIAGCREdITELidRAFPLt;�FETtGE . NEWA�OITE Z Pp fC,y B • OOMP/OPAOG
AOTGOIN E LVALM lxWm= 3 0 i
ANYAUTD5,000,000
ABUT AIn" eODLYeB{etY(grpntq,I i
Z HMAMOS _ ebaLYlwuRrP.,,e„o i
i
a NulteIELLAUAa Z OCCUR 20562235 20/01/2410/01/14 E/1Cf1 i
WMMLVA fmAA�Arr323_one _amA
A ANDeeY1�Y6tMllitOtilTY Yf N �� 300359 00
AW
pOCIeIDEDT a N/A
DEiCWMM OF CPERAY10Ms I LOCATIONS I VDOCLn (Apeeei ACOItD X01 A4tikgel tlfeAtipA eerefnlo, BwMp epee k
vhm It may oonce:a
• lummemoe purposes only
000
II OULO ANY OF THE ABOVE OESMED POUCU SE CANCELLED Bt7VORE
YK EVIRATION DATE TNuW AW, NOTICE WALL BE DEUYERED IN
ACCORDANCE WITH YNE POLICY HMOVIBMS.
Avnwk tEO MPRMWA11WE
i OR (2010106) The ACORD name tnQ ® IM -4010 AcoRD CORPORAMN. All r1EMe
Iodo see raghMered marks of ACORD
39122490
Renewal MA Home Improvement Contractor'
by
Andersen, License #170810 (Expires 12/23/2013),
wiNOOW REPLACEMENT anAndJ--Cn-pny Renewal by Andersen Corporation Federal Tax ID #41-1918413:
104 Otis St. Northborough, MA 01532
(508)351-2200 Fax (508)-986-7072
CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT
1
Buyer(s) Name Date:
1
WALTER DOWGIALLO - TONI DOWGIALLO NOVEMBER 20. 2013 ?
Buyer(s) Street Address, City, State and Zip Code
175 GREAT POND ROAD NORTH ANDOVER MA 01845
;Email Address Home Telephone Number Work/Cell Telenhone Number
wdow[a-ciowlndustrles.com ( 978-975-4334 1 978-436-0324
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 atter Contractor has completed all work under this Agreement.
Total Job Amount $ 23,328.00 I Amount Financed $ 0.00
Deposit Received (33/) $ - 7,776.00
Start of Job (339/6) $ 7,776.00 I Front Deposit (50%) $ 0.00
Balance on Substantial Substantial
Completion of Job (33%) $ 7,776.00 Completion (50%) $ 0.00
Est. Start Date Method of Payment
Check / Cash
8-10 weeks
Est. Install TimeI ✓ Credit Card
3-4 days If credit is selected, please
ouyertbf agrees anu unuerstanus mat mis rtgreement consinums the entire unaerstanaing oetween ine parties, ano tnat tnere 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. Buyers) hereby acknowledges that Buyer(s) 1) has read this Agreement, understands the
terms of this Agreement, and has received a completed, signed and dated copy of this Agreement, Including the two attached Notices of Cancellation,
on the date first written above and 2) was orally Informed of Buyer's right to cancel this Agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE
ANY BLANK SPACES.
Renewal by Andersen Corporation
Signature of Project Manager
GREG ARSENAULT
Printed Name of Project Manager
Buyer( Buyers)
Signature
WALTER DOWGIALLO
Printed Name
Signature
TONI DOWGIALLO
Printed Name
YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE
DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTCIE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT.
--————————————————————————————
--------------------------
NOTICE OF CANCELLATION? NOTICE OF CANCELLATION
Date of Transaction 11/20/13 . You may cancel this I
Date of Transaction 11/20/13 . You may cancel this
transaction, without any penalty or obligation, within three - I
transaction, without any penalty or obligation, within three
business days from the above date. If you cancel, any property I
business days from the above date. If you cancel, any property
traded in, any payments made by you under the Contract of Sale,
traded in, any payments made by you under the Contract of Sale,
and any negotiable instrument executed by you will be returned
and any negotiable instrument executed by you willbe returned
within 10 days following receipt by the Contractor ("Seller") of
within 10 days following receipt by the Contractor ("Seller") of
your cancellation notice, and any security interest arising out of I
your cancellation notice, and any security interest arising out of
the transaction will be canceled. If you cancel, you most make I
the transaction will be canceled. If you cancel, you must make
available to the Seller at your residence, in substantially as good I
available to the Seller at your residence, in substantially as good
condition as when received, any goods delivered to you under 1
condition as when received, any goods delivered to you under this
this Contract or Sale; or you may, if you wish, comply with the I
Contract or Sale; or you may, if you wish, comply with the
instructions of the Seller regarding the return shipment of the I
instructions of the Seller regarding the return shipment of the
goods at the Seller's expense and risk. If you do make the goods I
goods at the Seller's expense and risk. If you do make the goods
available to the Seller and the Seller does not pick them up 1
available to the Seller and the Seller does not pick them up within
within 20 days of the date of your Notice of Cancellation, you 1
20 days of the date of your Notice of Cancellation, you may retain
may retain or dispose of the goods without any further I
or dispose of the goods without any further obligation. If you fail
obligation. If you fail to make the goods available to the Seller,
to make the goods available to the Seller, or if you agree to return
or if you agree to return the goods to the Seller and fail to do so, I
the goods to the Seller and fail to do so, then you remain liable for
then you remain liable for performance of all obligations under I
performance of all obligations under the Contract. To cancel this
the Contract. To cancel this transaction, mail or deliver a signed I
transaction, mail or deliver a signed and dated copy of this
and dated copy of this cancellation notice or any other written I
cancellation notice or any other written notice, or send a telegram
notice, or send a telegram to Contractor. Renewal by Andersen, I
to Contractor. Renewal by Andersen, 104 Otis St. Northborough,
104 Otis St. Northborough, MA 01532, BY NOT LATER THAN I
MA 01532, BY NOT LATER THAN MIDNIGHT
OF 11/23/13 .(Date) I HEREBY CANCEL THIS TRANSACTION. I
I
OF 11/23/13 . (Date) I HEREBY CANCEL THIS TRANSACTION.
1
Buyer's Signature Pant Name Date I
Buyer's Signature Print Name Date
enew� Renewal by Andersen Corporation MA Home Improvement Contractor
b'Yjitldei5en. ���•• 104 Otis St. Northborough, MA 01532 License #170810 (Expires 12/23/2013)
wtnoow REPLACEMENT nn AmA .anC<mpw y (508) 351-2200 Fax: (508)-986-7072 Federal ID #41-1918413
Window Specification Sheet
Buyer(s) Name Date of Agreement
WALTER DOWGIALLO TONI DOWGIALLO November 20, 2013
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
Style Full / Approx. Exterior Interior Hardware Hardware LowE4 / GrilleGrille Glass
Room # Style Detail Insert U.I. Casin s Db Sills Color Color Color Style Screens Smartsun Grilles Sash 1/3 Sash 2 Lifts options
Kitchen 1 CD Equal Full 90 Full Cv CV Sat.Nick Estate FFG Low -E4 None ----- ----- ----- No
Living 2 FWG Equal Full 6' Full Cv PN rt.Bras ovin to FFG Low -E4 None ----- ----- ----- No
Livina 1 FWH Equal Full 3' Full Cv PN rt.Bras Estate None Low -E4 None ---- ----- ----- No
Dininq 1 1 FWG Equal I Full 6' 1 Full Cv PN 3rt.Brastovingtoi FFG Low -E4 None ----- ----- ----- No
Total S BAY & BOW DETAILS *See Ba /Bow Measure Sheet
Style Detail / Approx. Approx. Number Exterior Interior End Center LowE / Roof / Hardware
Room Count Style Flankers u . Casings Angle LRes Color Color Grilles sashes sashes I Screens smartsun Soffit Color
0
0
SPECIALTY WINDOW DETAILS
Full/ Approx. LowE / Exterior Interior ADDITIONAL WORK DETAIL NOTES
Room Count Style Insert U.I. SmartSun Grilles Grille Style Color Color Customer is aware that with ba /bow windows under 72 inches
0 there will be sigftificant glass lose.
0
0
0
ADDITIONAL WORK DETAILS
1 No Qty of 0 Sills 0 Sill noses to be replaced by Contractor.
2 No Contractor will remove metal frames of windows.
3 No Contractor will install new 0 paint -ready or 0 Stain -ready 0 Interior 0 Exterior casings in 0 Pine 0 Maintenance -free material
4 No Contractor will install new 0 paint -ready or 0 Stain -ready 0 Interior 0 Exterior stops in 0 Pine 0 Maintenance -free material
g No Contractor will wrap exterior casings with coil stock of color.
1
Owner is aware that Contractor does not do any painting/staining or removal/installation of alarm system, window treatments/hardware. It is the
j 6 f
j�
responsibility of the homeowner to have the alarm system, window treatments/hardware removed prior to installation. We make no guarantee as to
whether alarms, 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, insertor full frame 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.
i 7 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.
8 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 # $ 288
9 Yes All discounts have been applied to this agreement.
10 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 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
lin any way unless such changes are in writing and signed by both the Buyer(s) and Contractor. Buyer(s) hereby acknowledge that Buyer(s) has read this Specification Sheet.
Renewal by Andersen Corporation Buy5*��T a4' - :-'L, , Buyer(s)
�^
By qrq /`t/SCILlLI d""�"'
Signature of Project Manager Signature Signature
GREG ARSENAULT WALTER DOWGIALLO TONI DOWGIALLO
Print Name of Project Manager Print Name Print Name