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HomeMy WebLinkAboutBuilding Permit #319-14 - 235 CANDLESTICK ROAD 10/4/2013 TOWN OF NORTH ANDOVER I APPLICATION FOR PLAN EXAMINATION Permit N0: 4- Date Received Date Issued: td IMPORTANT:Applicant must complete all items on this page �tr�- 9 x_�.2 rK. {xx rim� - ht%�."rs'� i3 �,�i� 'fir f J: 7�i'tR. 'f' '+ }^�j ss R' 'a� ���i, �zx4� S+�',H•9ti r rt,+ ,. --ie s r• +` r -�. r ..7t I 4 2 t � s x tryy �t:��{{r'' w.� ..t� .. i �, { i• .�_`? ` "^...a. a., � � ."� � '� rl�"',,,• � y, J'�� t �s��" A" Q,Y`� ! Z*. € "�!,it-._.k.a?,ri':.i� r' •*a t,r:. +aj �LtOCATIONs 'J. `1��' k a r ��.'f,t�n'a.W�•F"P5:'"*1'....'T'.y'"."FF'^k'-« wa±� a,a .w�,w.ti..-�wti � �`+� aqr r `rw��t.�,t+--'- y •- `ta t';j PR®Ei JSiR u6� "f 8rw+a. •.` tPnnt RTIYOWNER �Jrn# Larrs�� 9 Sa x 4�' `7tn* a`✓ — rt�c ria F; a=+�� +*.s�rw 'w urw Punt 7100 Year Old Structure yes in M P No .�Ob3 ARCED 0Z®'NjN Q� DISTRICT H Di . , isforic is 9e iY t.A no�xr TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑New Building /&One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial pair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other ,Sepfic,£ �1lVell rz .�O=Floo,. nf� ®WetlandsF ��Y tom❑ Watershed D str ct� q Y ` vi ; ?.at�r *fir F ra �lt`t �Y<z iI ��,Water/,Sewer '���.�r� � �..��,,-'_-; t,.� ;•. t�rc-.-:z�.t',. .�� '� a. ?�_�:e_t�:,:��. DESCRIPTIO OF WORK TO BE PERFORMED: a,4 W« " - (\6 Identification Please Type or Print Clearly) OWNER: Name: \K, M n cr, ck-r,re.A- Phone: �1�$;3N -qq t� Address:_ V 4:� �ty'�Y C®N RAq;�TT Name - -� ". i aTi YK 7�Ra^ Xl ri'iYti ?Y ew.t'+X" yy.�f't'2 �{ 1 F e } ! , �1' 24 C i > ! - Tw Address ��� '` �� x ..�1' xx �s r av��e9r►13.a €S^f -Y'�' a � x„ic e+ x Snrna,r*-� ,� ��'-ca•c� r +z«+ s Ri 5 4 'k-*ra,.. v,wy,r"ts� - rr ��Supe�rvtis+.�o'is+r,, s " ait�i� �'2`°jt`.}• ~' E"'x7p."� sCoPit o [ices* �unLe 45 i7i-•�D`a-atM�e�;V�i�'v-,'%�` '. ,r i'�j�\'`�h`� �����}"°`1' i��'��''arJr �`'� `�3� , "� � �,jr�* � ,¢ •���`'� ..,�1;#ta�} ��'ir ^�s�,� �`��=s'r��r�`��: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ n 1-4 . u 0 FEE: $ 39q . O VI Check No.: 411 to `4- Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to guarantyfund I Location No. t r 1� Date (� TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $�$ i Foundation Permit Fee $ Other Permit Fee $ TOTAL $ i Check 2� 26954 Building Inspector i Plans Submitted ❑ Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF•SEWERAGEDISPOSAL Public Sewer ❑ Swimming Pools ❑ Tanning/Massage/BodyArt ❑• • _ 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 !, E PLANNING & DEVELOPMENT ❑ 0 COMMENTS CONSERVATION Reviewed on Signature COMMENTS �► HEALTH Reviewed on Signature r COMMENTS I Zoning Board of Appeals:Variance, Petition No: Zoning Decisionfreceipt submitted yes Planning Board Decision: Comments _ I Conservation Decision: Comments, I ca. inter&Sewer ConnectioniSignature& Date Driveway Permit the 1 be. DIRV Tovv Engineer: Signature: Located 384 Osgood Street FIRE�DEPAIKTIAENT -Temp Dumpster on site yes no Doc Located at•124 Mair]Street Fire Depart.i-herit•signatureld;Ate r•:nnrnn�nii-� - i dimension lumber of Stories: Total square feet of floor area, based on Exterior dimensions. otal land area, sq. ft.: LECTRICAL: Movement of Dieter location, mast or service drop requires approval of ;lectrical Inspector Yes No BANGER ZONE LITERATURE: Yes No GL Chapter 966 section 21A-F and G min.$100-$1000 fine ®TES and DATA—(For department use 0 Notified for pickup - Date c.Building Permit Revised 2010 I Building Department The¢ai►-awing is a list of the required forms to be filled out for the appropriate.permit to be obtained. R00fir0l 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 i®TE: All dumpster.permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks l ❑ Building Permit Application ❑ Certified Surveyed ed 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 Ai idavits for Engineered products DTE: 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 3-TE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit [n 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 app>al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording j -Host UP,uUm:tted with the building application Doc: Doc.Building Permit Revised 2012 I NORTH Town of 1Andover 0 0 to No. * �"t _ ,� E y h ver, Mass a o ACHE 1 > & COCHICHIwtCH V U BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ` BUILDING INSPECTOR ('� .. . .. Foundation has permission to erect .......................... buildings on ... . ',�1....4.A.�... ...................................... /1` �i�. f _, Rough to be occupied as ........ .. a, ......., ..4.......1�1N.J A.W�............................... 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 RTS Rough Service ..................:..... ... .......................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Buildinz 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. SEE REVERSE SIDE Re. leWa� MA Home Improvement Contractor Andersen. License#170810(Expires 12/23/2013' tWINeOw REPLACEMENT ,,.4 c„ Renewalby Andersen Corporation Federal Tax ID 941-1918413 104 Otis St. Northborough,MA 01532 EE (508)351-2200 Fax(508)-986-7072 CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Name pyre; WILLIAM C BARRETT - DORIS BARRETT SEPTEMBER 7, 2013 Buyer(s)Street Address,City,State and Zip Code ! 235 CANDLESTICK RD NORTH ANDOVER MA 01845 j Email Address Home Telephone Number Work/Cell Telephone Number Doris barrett@yahoo.com 978-314-9916 Buyer(s)hereby jointly and severally agrees to purchase the goods and/or services of Renewal by Andersen Corporation("Contractor"),in accordance j 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$ 32,017.00 Amount Financed $ 25,000.00 Est.Start Date Method of Payment i Deposit Received(33%)$ 0.00 Check/Cash 7-10 weeks Balance Start of Job(331/6)$ 7,017.00 Front Deposit(509/6)$ 12,500.00 Est,Install Time Credit Card Balance on Substantial Substantial Completion of Job(33%)$ 0.00 Completion (50%)$ 12,500.00 TB.Q If credit is selected,please see 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,1 on the date first written above and 2)was orally informed of Buyers right to cancel this Agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Renewal by Andersen Corporation Buyers Buyer(s) ? By: 1� V id sz& W I Signature of Project Manager - Signature Signature WILL SALEM WILLIAM C BARRETT DORIS BARRETT i Printed Name of Project Manager Printed Name 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. i ----------------------------------------------------------- ' NOTICE OF CANCELIATION ; NOTICE OF CANCELLATION i jDate of Transaction 9/7/13 .You may cancel this Date of Transaction 9/7/13 You may cancel this i 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, I traded in,any payments made by you under the Contract of Sale, and any negotiable instrument executed by you will be returned I and any negotiable instrument executed by you will be returned 'thin 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 the transaction willbe canceled. If you cancel,you must make I 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 Hader � 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 within I available to the Seller and the Seller does not pick them up within i 20 days of the date of your Notice of Cancellation,you may 1 20 days of the date of your Notice of Cancellation,you may retain I retain or.dispose of the goods without any further obligation. If I or dispose of the goods without any further obligation. If you fail I you fail to make the goods available to the Seller,or if you agree 1 to make the goods available to the Seller,or if you agree to return I to return the goods to the Seller and fail to do so,then you remain I the goods to the Seller and fail to do so,then you remain liable for liable for performance of all obligations under the Contract.To 1 performance of all obligations under the Contract. To cancel this i cancel this transaction,mail or deliver a signed and dated copy transaction,mail or deliver a signed and dated copy of this of this cancellation notice or any other written notice,or send a 1 cancellation notice or any other written notice,or send a telegram j telegram to Contractor. Renewal by Andersen,104 Otis St I to Contractor. Renewal by Andersen,104 Otis St.Northborough, - I Northboroueh,MA 01532,BY NOT LATER THAN NMNIGFTT I MA 01532, BY NOT LATER JUAN MIDNIGHT OF 9/10/13 (Date) I HEREBY CANCEL THIS TRANSACTION. I OF 9/10/13 .(Date) 1 HEREBY CANCEL THIS TRANSACTION. 1 I Buyer's SignaWre P.iru Name Date I Buyer's Signature Print Name _ Date l I - 1 i Renewal b Andersen Corporation MA Home Improvement Contractor Renewal - -. y � p yAndersen, 104 Otis St. Northborough,MA 01532 License#170810 (Expires 12/23/2013) wtt400w REPLACEMENT an.�;l�,,�,r.�,.,g„r (508)351-2200 Fax:(508)-986-7072 Federal ID#41-1918413 Window Specification Sheet !Bu e s Name Date of Aggreerrlent WILLIAM C BARRETT - DORIS BARRETT Se tember7,2013 The buyers)listed above herebyjointly 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. WUgDOW DETAILS Style Full/ United Exterior Interior Hardware Hardware L—E4/ Grille Grille 'Temper/ -Room # Style Detail Insert Inches Casings Sills Color Color Color Style Screens Smartsun Grilles Sash 1/3 Sash 2 Lifts Laminated Dining 2 DB:S uare Equal Insert 80 No Slo ed WH WH White Standard FTS Low-E4 trrlw 4/3 4/3 No No Sunroom 1 DB:S uare Equal Insert 80 No Slo ed WH PN White Standard FTS Low-E4 im-w 4/3 4/3 No No Livin 4 DB:S uare Equal Insert 80 No Slo ed WH WH White Standard FTS iow-E4 INII'J 4/3 4/3 No No Bath 1 I DB:S uare Equal 1 Insert 80 1 No Sloped I WH I WH White Standard FTS Low-E#I IN-1w 3/2 3/2 No No Laundry I DB:S uare Equal Insert 80 No Sloped WH WH White Standard FTS I.o,,.-E4 Irrtw 3/2 3/2 No No Family 2 DB:S uare Equal Insert 80 No Sloped WH PN White Standard FTS Low-E4 IN'1W 4/3 4/3 No No Bed 1 3 DB:S uare Equal Insert 80 No Sloped WH WH White Standard FTS law-E4 INl'4V 4/3 4/3 No No Bath 2 1 DB:S uare Equal Insert 80 No Sloped WH WH White Standard FTS Low.E4 arnv 3/2 3/2 No No Bed 2 2 DB:S uare Equal Insert 80 No 1 Sloped WH WH I White Standard FTS Low-E4 INI'w 4/3 4/3 No No Bed 3 3 DB:S uare Equal Insert80 No Sloped. WH WH White Stmdardl FTS tow-E4 INlw 4/3 4/3 No No Bed 4 2 DB:S uare Equal Insert 80 No Sloped WH WH White Standard FTS Low-E4 INIw 4/3 4/3 No No Garage 2 DB:S uare Equal Insert 80 No Slo ed WH WH White Standard FTS Low-E4 IN11v 3/2 3/2 No No -- 0 0 0 0 Total 24 BAY&BOW DETAIM *See Ba /Bow Measure Sheet I Style Detail/ United Appmx. Number Exterior Interior Center LowE/ �11 HardwareRoom Count Stvle Flank— inch Casin An le fates Color Color Grilles End sashes sashes Screens Smartsun tit Color 0 0 Full/ United LowE/ ADDITIONAL WORK DETAIL NOTES Room Count style Insert Inches SmsrtSun Grilles Grille Style lanager has informed customer that Bay and bow windows 0 Under 72"will have significantglass loss 0 0 0 ADDITIONAL WORK DETAIELS I No Qty of 0 Sills 0 Sill noses to be replaced by Contractor. 2 No Contractor will remove metal frames of windows. 13 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 installnew 0 paint-ready or 0 Stain-ready 0 Interior 0 Exterior stops in 0 Pine 0 Maintenance-free material = 5 No Contractor will wrap exterior casings with coil stock of color. 6 Owner is aware that Contractor does not do any painting/staining or removal/installation of alarm system/hardware.It is the ( espansibility of the homeowner to have the alarm system/hardware removed prior to installation. Customer is aware in some cases there 1 - will be glass loss.If there is,the amount will be dependent on the type of eusting windows,type of installation,insert or 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 *.A� . —— Should any rot he found them wiU he ass.additional charim for time and materials unless so stated in this contract. 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, i storm windows and vacuum nightly included. Upon completion of the job and payment in full,a limited warranty shall be issued. 1 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# 581 S 384 e Yes All discounts have been applied to this agreement. l0 Z Yes No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment/finance form(s). j—,agreed and understood by and between the parties that this Specification Shect,along with the CUSTOM WINDOW AND DOOR REMODELING AGREEMLNT,constitutes the entire Eunderstanding 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 Buyers)and Contractor.Buyer(s)hereby acknowledge that Buyer(s)has read this Specification Sheet. iRenewal by Andersen Corporation Buyers) Byers) ar Wil SZ& G v y Signature of Project Manager - Signature Signature WILL SALEM WILLIAM C BARRETT DORIS BARRETT I Print Name of Project Manager Print Name Print Name 1 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information l (� Please Print Legibly Name(Business/Organization/Individual): �6n ew C, I Address: [A►S City/State/Zip: �� j` ��catU ®�S3>hone#: S)D o6. Are you an employer?Check the appropriate box: Type of project(required): 1,21 am a employer with 3y 4. ❑ I am a general contractor and I ew employees(full and/or part-time).* have hired the sub-contractors 6. ❑ ,N, construction, 2.❑ I am a sole proprietor orartner- listed on the attached sheet. 7. E'ICemodelin P g ship and have no employees These sub-contractors have g• ❑Demolition working for me in any capacity. employees and have workers' insurance.: 9. C]Building addition comp.[No workers' comp.insurance P• required.] We are a corporation and its 10.❑Electrical re q ] 5. ❑ rp parrs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑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'co mpensation 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,theymust provide their workers'comp.policy number. I I am an employer that is providing workers'compensation Insurance for my employees Below is the policy and job site information. 1 Insurance Company Name:_ t,� Policy#or Self-ins.Lic.#: Maj C (���G( . Q(� Expiration Date: [ 0— City/St 7— ) Job Site Address: ?3��(1 A �l e, I-� lG '1 City/State/Zip: 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. Ido hereby c i er the pains and penalties of perjury that the information provided above Ls true and correct. Si ature: Date: Phone#: Oficial use only. Do not write in this area,to be completed by city or town ojjiciaL City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M A CERTIFICATE OF LIABILITY INSURANCE °�0/0�/20 3Y' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 1-612-333-3323 CONTACT Bays Companies NAME: PNCNo . 612-333-3323 80 South 8th Street E-MAIL uc No: 612-373-7270 Suite 700 ADDRESS: Minneapolis, MN 55402 INSURERS AFFORDING COVERAGE NAIC0 INSURER A: OLD REPUBLIC INS CO 24147 INSURED INSURER B:NATIONAL UNION FIRE INS CO OF PITTS 19445 Renewal By Andersen Corporation INSURER C: 104 Otis Street . INSURER D: Northborough, MA 01532 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 36122490 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 ADDL SUER LTR TYPE OF INSURANCEINSR POLICY NUMBER POLICY EFF POLICY EXP WVnM/DD MMIDD LIMBS A GENERAL LIABILITY —MWZY 300361 10/01/1 10/01/14 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RN ED 500,000 PREMISES(Ea occurrence $ CLAIMS-MADE ri-I OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE $4,000,000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS.COMP/OP AGG $4,000,000 X POLICY PRO- LOC A AUTOMOBILE LIABILITY MINTS 300026 10/01/1" 10/01/14 COMBINED SINGLE LIMIT EaaeGdent 5,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ X HIRED ALTOS X AUTOSWHED PROPERTY DAMAGE $ Peracddent $ i B X UMBRELLA LIAB X OCCUR 20562235 10/01/1 10/01/14 EACH OCCURRENCE $25,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $25,000,000 DED I X I RETENTION$25,000 1 $ A WORKERS COMPENSATION MWC 300359 00 C STATU• OTH- ANDEMPLOYERS'LIABILITY YIN 10/01/1 10/01/14 X W ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 1,000,000 OFFICERIMEMBER EXCLUDED? _N] N I A (Mandatory In NN) E.L.DISEASE-EA EMPLOYE $1,000,000 K es,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N more space Is required( III� CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE To Whom It May Concern THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN For Insurance Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS. I AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD jhargrove 36122490 I I I Cff�re�panvnzaouuecc��i o�e/�a�ac/zuoel2a ffice of Consumer Affairs&Business Regulation I ME IMPROVEMENT CONTRACTOR egistration: 1708'10 Type' Expiration: 12/23/2013 Supplement ! RENEWAL BY ANDERSON CORPORATION JOSEPH REZZA 104 OTIS STREET NORTHBOROUGH,MA 01532 Undersecretary i - ' I Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen•isor License: CS-065272I Is k JOSEPH P REZZ9` 168 KELLEY BLVD ' N ATTLEBORO 1VIA } Expiration Commissioner 04/25/2014 I i -Ren' ' Andersen. WINDOW Raft"ke M[NT aaAnd&rw►Csl ny WOodMnYl COmpOSIte IF Dual Argon • low E4 SmanSun Double Hung 100-00473618-010 ENEPAY PERFORNMCE RATINGS U-Factor(U.Syl-P Solar Heat Gain Coefficient Oiw'29---- UM19* . . 1 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0.w42 Mrrrarww rliwrfM f W fMr rrHYf«rMw rM�iYr W110/w�www w NtMri�lywbr�r�f r.«piwi�aw.aw.r«. «ww.w.swYYpaean A46 NFw COOP"rMW@wWwf s Mrra4Iw�W Mr�r wrrr rM a�Yrt�r d�rp YwCrol w ryr�yq��. INOYCi f/MIMt/pK�MwMlif� _ I WWII.rdpolq ��IG► rrb«wYMr.MrI 'M/ "OvM aIy iw rMl arA • >�ci�rr�d�rgOlb�w . ♦ orwirh rr.i DESIGN PRESSURE(PSF) §Nq �r r ri-LC25 RbA DB Sloped'Si 1 DH•IN •TW1/UlNfiIfAMIM1AIM'JAUIFfIA�Mi ff IIS y • wwu�r�wowO�M.I.C.C,f.C.�LY.O.C.Air MlrrfM w�rr�w WOMI►II�Y�wlrCun/brrw� 1