Loading...
HomeMy WebLinkAboutBuilding Permit #288-15 - 26 WOODBERRY LANE 9/22/2014 Of NOa oT 6 q�0 BUILDING PERMIT ;tom g'_<:�+ . :. o� TOWN OF NORTH ANDOVER ° o / APPLICATION FOR PLAN EXAMINATION � c Permit NO: Date Received j �9.044Tlo Date Issued: ��� '/ SSgCHUSE IMPORTANT:Ap2licant must complete all items on this page �-t '�.,.s�r F'r �"�S� �R'*a2� 5 �kYs�K 'S��✓.5 �f3 �, Y��Y� Y4 d?,3 *`'�f �q�' '� E '� 1i'� G.'�F� P�#✓��1���'�3ri R�,�1=�RT��SiiL�„�.� �� �h4x l y,, � a��Fr'k Y,�"�� ^N P�fi� ���' ifY �� f9'1,� f1t� 6� 4�'Y'yff Yu N( a Gaf'z:'vv.a2, u,(�6✓. :: .i �yyrX'>$ ,cw+ za'' rI4 k� r . a TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building K One family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial N Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other },{ 11 <7�5" ' �J-Ei° fir, REPLACE 19 WINDOWS AND 1 DOOR-NO STRUCTURAL CHANGE Identification Please Type or Print Clearly) OWNER: Name: ROBERT&CHERYL KETTINGER Phone: 978-688-2930 Address: 26 WOODBERRY LANE, NORTH ANDOVER, MA 01845 s(�y_jffi] ,�^ y .uQX;rF kr ^���„�,#�'�u z,�4"u ' Narnw, �1�1MP M&M IR �'�-y vs°�fRY�c :Y, `�S ��'S, ..c Y k�„E Ad' "x �-'Y�` _ u �:- s °,o�s� � 4 � � ��� �w� �� €�rwx -• �� � :o-W�i�� n a ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ 27,640.00 FEE: $ Check No.: 15 eza /I i2 Receipt No.: NOTE: Persons cow acting with unregistered contractors do not have acce t uaranty fund signature Qf> gentlt�wr�r� _���I " �'�.�. I� ��i�`��fcor `;� �I��„ �r Plans Submitted ❑ Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS r Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE v _ - FIRE DEPARTMENT - Temp Dumpster onsite yes __ _ no. Located at 124 Main-Street Fire Department sigvaturi�!date COMMENTS �- 1 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop Electrical Inspector Yes Nrequires approval of No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 section 21A—F and G min.s100-$1000 fine i NOTES and DATA — (For department use) I I I i 1 ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 _ �� Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign 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) o Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 i + ORTH BUILDING PERMIT � N t e ,Y 'p �qLED 6, TOWN OF NORTH ANDOVERo? ..`6 0 APPLICATION FOR PLAN EXAMINATION '" Permit No#: Date Received �4°0R,T.o 9SSACHU5�4 Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION - - Print !PROPERTY OWNER ---- Print 100 Year Structure yes no MAP _ _PARCEL: - _ _ ZONING DISTRICT:`Historic Qistrict yes no ,I Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑ Industrial + ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑'Floodplain ❑Wetlands El Watershed District I Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: I Identification- Please Type or Print Clearly Y OWNER: Name: Phone: r Address: Contractor,Name: ___ ___ Phone: Address: Supervisor's Construction License: Exp. Date: Home Improvement License: _ _ 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: $ FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/O-wner Signature of contractor Location,,, No. a / Date 0 20d l F . • TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ I-) .> ✓..r Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# � 230 4 Building Inspector tAORTH own of s E : �� ndover 0 ON C% - No. dut -0, h Zh ver, Mass C% > > [OC Ic"tWICNIG KC .t �1' X1,95 R�reo �P���S U BOARD OF HEALTH Food/Kitchen PERM D Septic System THIS CERTIFIES THAT ........ � '!�!�./ If` BUILDING INSPECTOR .. has permission to erect .......................... buildings on .z.G........ o........ .. .... ..... .. .1 Foundation Rough to be occupied as ....I... ...... .!! !! ..... .r �... ........�........�. ...... Chimney provided that the person accepting is 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MO HS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION RT Rough 3 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. ReC1eWa� syN MA Home Improvement Contractor, License#170810(Expires 12/23/2015)1 byAnde1-Sell Renewal by Andersen Corporation Federal Tax ID#41-19184131 WINDOW REPLAC£AtENi +h:u>;kxxa;+a:.x',µraI 104 Otis St. Northborouah.MA 01532 1 (508)351-2200 Fax(508)-986-7072 1 ( CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT i 1 Buyer(s)Name Date: i CHERYL KETTINGER - ROBERT KETTINGER AUGUST 23, 2014 i Buyer(s)Street Address Ci State Zip Code 1 `i 26 WOODBERRY LANE NORTH ANDOVER MA 01845 E ;Email Address Home Telephone Number Work/Cell Telephone Number KETTINGERC@COMCAST.NET 9786882930 Buyer(s)hereby jointly and severally agrees to purchase the goods and/or services of Renewal by Andersen Corporation("Contractor"),in accordance with ithe 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. i Total Job Amount $ 27,650.00 Amount Financed$ 27,650.00 Est.Start Date Method of Payment Deposit Received(33%)$ 0.00 Check/Cash°- � 10-12 weeks [ Balance Start of Job(33%)$ 0.00 Deposit at signing$ 13,825.00 Check# l Balance on Substantial Est.Install Time At Substantial Credit Card Completion of Job(33%)$ 0.00 completion$ 13,825.004-5 days If credit card is selected,please see Credit Card Payment form I 1 IBuyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings 1 [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 lof 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 1received 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 Buyer(s) Buyer(s) By. Signature of Project Manager Signature ggnature DAVID BARRY CHERYL KETTINGER ROBERT KETTINGER I Printed Name of Project Manager Printed Name Printed Name fI 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. l SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. NOTICE OF CANCELLATION NOTICE OF CANCELLATION € I i Date of Transaction 9/23/14 You may cancel this I Date of Transaction 8/23/14 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 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 lreturned within 10 days following receipt by the Contractor("Seller")of your returned within 10 days following receipt by the Contractor("Seller")of your i 'cancellation notice,and any security interest arising out of the transaction will be I cancellation notice,and any security interest arising out of the transaction will be ticanceled. If you cancel,you must make available to the Seller at your residence,in I canceled. If you cancel,you must make available to the Seller at your residence,in I (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 I 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 expense and risk. [If you do make the goods available to the Seller and the Seller does not pick them up I If you do make the goods available to the Seller and the Seller does not pick them up I 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 for 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 1 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 'you remain liable for performance of all obligations under the Contract.To cancel you remain liable for performance of all obligations under the Contract.To cancel i this transaction,mail 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 i jor any other written notice,or send a telegram to Contractor:Renewal by Andersen,I or any other written notice,or send a telegram to Contractor: Renewal by Andersen, 1104 Otis St. Northborough,MA 01532,BY NOT]LATER THAN MIDNIGHT OF I 104 Otis St.Nortbborough,MA 01532,BY NOT LATER THAN MIDNIGHT OF j 8/27/14 .(Date) (HEREBY CANCEL THIS TRANSACTION. � .(Date) THEREBY CANCEL THIS TRANSACTION. i l Buyer's Signalure Print Name Dale Buyer's Signature Print Name Dale ± A........... ___..._..._.................... Re-newa , - Renewal by Andersen Corporation MA Home Improvement Contractor byAndersen, 104 Otis St. Northborough,MA 01532 License#170810 (Expires 12/23/2015) WINDOW REPLACEMENT (508)351-2200 Fax:(508)-986-7072 Federal ID#41-1918413 Window Specification Sheet !Buyer(s)Name Date of Agreement CHERYL KETTINGER ROBERT KETTINGER SAT, AUG 23, 2014 (The buycr(s)listed above hereby jointly and severally agree to purchase the goads 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 Approx. Exterior/Interior Color Hardware Hardware LowE4/ qGrIIIeGrille Glass Room # U.I. Window/Door S le Detail Casin s Ext-Int Color S e Saeens Smartsun Grilles Sash2 Lifts 0 tions Kitchen 1 Eft ND-C Ext./Int.MF Flat ST/WH Sat.Nickl Anvers FFG martSu None ----- ----- Tem er Kitchen 1 72 DB s rail ual insert slo ed sill Ext.Wra ST/WH White Standard FFG martSu None ----- No No Dinin 2 80 DB s rail a ual insert slo ed sill Ext.Wra ST/WH White Standard FFG martSu None ----- No No Livin 2 90 DB s rail a ual insert slo ed sill Ext.Wra ST/WH White Standard FFG martSu None ----- No No Lending 1 40 AN full frame Ext.Wrap ST/WH White Standard FFG IsmartSur None ----- ----- No Tem er Family 2 90 DB sq rail equal insert sloped sill Ext.Wrap ST/wH White Standard FFG 3martsur None ----- No No Bath 1 1 75 DB sg rail equal insert sloped sill Ext.Wrap ST/WH White Standard FFG 3martSur None ----- No No Bed 1 L-85 DB sq rail equal insert sloped sill Ext.Wrap ST/wti White Standard FFG 3martSur Nona No No Bath 2 1 75 DB sq rail equal insert sloped sill Ext.Wrap ST/NH White Standard FFG 3martSurl None ----- ----- No No Bath 3 1 75 DB sq rail equal insert sloped sill Ext.Wrap ST/WH White IStanclard FFG 3martSur None ---- ----- No Temper Bed 2 2 85 DB sq rail equal insert sloped sill Ext.Wrap ST/WH White Standard FFG 3manSur None ----- ----- No No Bed 3 2 85 DB sq rail equal insert slo ed sill Ext.Wrap ST/wH White Standard FFG 3martSur None ----- ----- No No Office 1 85 DB sq ail a nal insert slo ed sill Ext.Wrap ST/WH White Standard FFG 3martSur None ----- ----- No No Total 20 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. Gasin s An le Lites Interior Ext/Int Color Grilles sashes sashes Screens Smartsun Soffit Color SPECIALTY WINDOW DETAILS Full/ Approx. LowE/ Specialty BAY/BOW ADDITIONAL WORK NOTES Room Count ale Insert U.I. Sma,Sun Grilles Grille S le Ext/Int Color Customer is aware that with bar/1—windo under 72 inches there will Ix si mificant lass Into. ADDITIONAL WORK DETAE S: I yes Contractor will wrap exterior casings with coil stock color of Sandstone Owner is aware that Contractor does not do any painting/staining or removal/installation of alarm system or window treatments/hardware.It is the j 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. I 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 i check is required at the time of sale for this fee. Check# 3508 $ 336 j s yes All discounts have been applied to this agreement. 16 ✓ Yes No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment/finance form(s). jl(is agreed and understood by and between the parties that this Specification Sheet,along with the CUSfONI WINDO\V AND DOOR RENIODE1 ING AGREF.NIE F,,constitutes the lentire understanding between the panics,and there are no verbal understandings changing or modilying any of the terns. This Specification Sheet may not he 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 lhiyeris)has read this Specification iSheet. (Renewal by Andersen Corporation Buycr(s) B13, u}'cr, P5�_7_ C h��-.�1 c� � � L n, Signature of Project Manager Signature Signature DAVID BARRY CHERYL KETTINGER ROBERT KETTINGER j Print Name of Project Manager Print Name Print Name The Commonwealth ofMassachuseus Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,'AM 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers AyRficant Information (� Please Print Legibly Name(Business/Organization/Individual): �e�l x w C,,1 \014 1-3 V �p rScy Address: 3o Forbes a�-- City/State/Zip: (j(S3hone#:_ 5 R - 3S(- Are you an employer?Check the appropriate box: Type of project(required): 1.2'1 am a employer with 3y 4• ❑ I 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. 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 comp.insurance) 9. [1 Building addition required.] 5. 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 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.] I "Any applicant that checks box#I 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 oontrictors must submit a"new affidavit indicating such. #Contractors that check this bark must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they.must provide their;workers'comp^policy number. I am an employer that is providing workers'compensation insurance for my eivloyees Below'is the p of `and M site P 1' information. � � _ • Insurance Company Name: Policy#or Self-ins.Lic.#: W '91 0 6 Expiration Date: 10r ) i �{ Job Site Address: CSP O D I� L `� ✓t City/State/Zip: , • /� Q 1 S 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 ce under a pains and penalties of perjury that the information provided above is true and correct Si ature: Date: Phone#: Official use only. Ito not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): L Board of Health 2.Building(Department 3.City/Town Clerk 4.Electricals Inspector 5.Plumbing Inspector 6:Other Contact Person: Phone#: ACV CERTIFICATE OF LIABILITY INSURANCE DATE l X(MMIDD M /2013 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(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 Hays Companies NAME: PHONE 612-333-3323 FAX 80 South 8th Street Ei1AIL ac 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 Otte 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 S BR LTR I TYPE OF INSURANCE INRO POLICY NUMBER Pip EFF INYroD UP LIMBS A GENERAL LIABILITY MNZY 300361 10/01/1 10/01/14 EACHOCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY A T D 500,000 PREMISES Ea occurrenceS CLAIMS-MADE 1-il OCCUR MED EXP(Any one person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $4,000,000 GEN'POLICY ODUCTS- GATE LIMIT APPLIES PER: PRCOMP/OP AGG $4,000,000 --X PRO- LOC jECT $ A AUTOMOBILE LIABILITY MINTS 300026 10/01/1' MBINED SINGL 10 01 14 COE LIMIT Ea accident 5,000,000 A X ANYAUTOBODILY INJURY(Per person) $ AUTOS OS SCHEDULED TOS � AUTOS BODILY INJURY(Per accident) E X HIRED AUTOS X NON-OWNED . PROPERTY DAMAGE Per aocideM $ E B X EXCESSUMBRELLA LIAB X OCCUR 20562235 DICESSLIAB 10/01/1 10/01/19 EACH OCCURRENCE E 25,000,000 CLAIMS-MADE AGGREGATE $25,000,000 DED X RETENTION$25,000 E A WORKERS COMPENSATION MNC 300359 00 WC STATU- OTH- ANDEMPLOYERS'LIABILITY YIN 10/01/1 10/01/14 X ANY PROPRIETORIPARTNERIEXECUTNE $11000,000 OFFICER/MEMBER EXCLUDED? a N/A E.L.EACH ACCIDENT (Mandatory In NH)and E.L.DISEASE-EA EMPLOYE $ 11000,000 K describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE- P,+Li$1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,K more space is squired) 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. 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 �Massachusefts -Department of Public Safety s Board of Bujlding Regulations and Standards' ' Construction Super�7sor License: CS490125 JAIME L MORIN S&GARDINAR S LYNN M U190f 'Expiration "'i*66mmissioner 1010612014 SCA 1 € 20M-05/11 .A ���zmw7uoeaa��� ac�iu�ta �\ ffice of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR Registration::=170810, Ex irad Type: p ,12%23f2015` Supplement r: RENEWAL BY ANRSO DEN`CQRPORATION JAIME MORIN 4 104 OTIS STREET a NORTHBOROUGH,MA 01532 Undersecretary l �-f = ReneWalAnee rL �� i. Ni11Bd®��Vt WPaaCftQI:ae jmAndewmY IF I Lm E4 a Hum . gaIP.G 87 X6-010 ENERGY PEWORMICE PATjj7GS U-Factor(U.S)/C-P War Meet Gain Coefficient ;q IWIPTIOML PEWORIWICE .to.s.on.o..c�.e�.la re�a.cR�ge...lre�oe�aoc wRc a �D1�"° 1me�soarel Wow.as � r .mmitamt, dam. DESIGN PRESSURE(pS� SOY .:P..IIi4F � � , ►�rsr-�. l�ts� D!I SY®p�t9 Ill Dig 11K . �m��ta��iec�,sa� a�misr nen Mooee«amaMnN��.,�E�C.GIEQL'.Ata ' Do not remove until final code inspeabon. Save label for future reference. • aI '. C�atla_ j • .. � S Brm sB1-20f� tS My. 1141=01k ' C tm O w d K ,L Q ` C d I. U W m lu T 888 782-7037 energyaurgw C Renewal byAndersen. WINDOW REPLACEMENT m4ndmac:nQnmpary AND-N-1 03 ij;:�cxlr'hy: Wood/Vinyl-Composite = ....... Dual Argon Low-E4 Product Type: Awning ENERGY PERFORMANCE RATINGS U-Factor Solar Heat Gain Coefficient 0. 29• 1 . 65 0e28 U•v-P Metric/SI i. ADDITIONAL PERFORMANCE RATINGS Visible Transmittance O 'IN 48 Msnurracbffu sdpumbms that these radngs mmmm to apphcahle NERC pmures tar determ"whole protlud permnnance.NERC ratings are determined tar a IbW set at enoronmentel condmomariadh aa spec pmduct sts. NFRC does not recommend any productand does not warrant am sullawrty at any product tar any spwnc use• Coogan manutacWrer's Otetaorre for otherpmduct penonnanze mmmmaon wmvNrcary wwe m Andersen Corporation:RbA Awninpnow Wmrure=rer stipulates conformance to ins loliomng standarw Standard Rating NAFM2ornAnNMMNCSAI01AZIM44'm DPpsf DP40 Tins pnaduet meats Green sears •�.` i errAronmenml standard . ZSYr gowerniq crew y .1. n ,haaW metals . ' In the name and sash q,£, 4`(� crosumcr educal orral . 'materrala. 100-00518940-015 Meets onmeeeas MP.C..FEC,d I.EC.C.Air Inmmon regW2ments mms,Nalmnadt Ceranmaon Pmp ®g PRODUCT PERFORMANCE CE i Andersen' NFRC Cerfiaied Total Unit Performance (cunlinued) i Andersen'ProductGlass Type Mactor' SHGC' Vi' 200 Series. Clear Dual Pane 0.45 0.60 0.63 Clear Dual Pane,.ft Grilles 0.45 0.54 0.56 - Tilt-Wash Low-E 0.30 0.32 0.55 Douhle flung.Window- Law-E with Gdlles 0.30 029 0.49 :{ HP Low-E4 SmartSun 0.30 021 0.49 *s HP Low-E4 SmanSun w/Galles 0.31 0.19 0.43 1-1 21 Clear Dual Pane 0.45 0.61 0.64 - Narreline' Clear Dual Pane with Grilles 0.45 0.5.1 0.57 - Douhlh-Hung Window Low-E 0.30 0.32 0.56 Low-E rdth Grilles 0.31 0.229 0.50 Clear Dual Pane 0.44 0.63 0.66 - Narroline, Clear Dual Pane with Grilles 0.44 0.57 0.59 - Tiansom Window Low-E 0.27 034 0.58 - Low-E with Galles 027 030 0.52 5 2 Clear Dual Pane 0.45 0.60 0.63 - Clear Dual Pane wn Grilles 0.45 0.54 . 0.56 - '" Low-E 0.30 0320.55 y Gliding Window Low-E with Grilles 0.30 029 0.49 Low-E SmartSun 0.30 021 0.49 E 21 Low-E SmartSun with Galles 0.31 0.19 0.43 a Clear Dual Pane 0.43 0-61 0.655 - Clear Dual Pane with Galles 0.43 0.55 ' 0.58 - Fixed,Transom;. Low-E 0.28 0.33 0.56 Circle Top'Wnd'ow Low-E with Galles 0.28 030 0.50 711 Low-E SmartSun 027 0-22 0.51 Low-E SmartSun with Galles 027 020 0-45 ;�- V7CIear earDualPane 0.44 0.61 0.64 ne vft Grilles 0.45 0.53 0.56ow-E 0.29 032 0.56Narraline' -E with Grilles 0.30 029 0.49 Gliding Patio Lav-E Sun 029 020 031un with Grilles 0.31 0.18 027,v{SmadSun 0.28 021 0.50 Law{SmartSun with Gnlles 0.30 0.19 0.44 - Clear Dual Pane 0.43 0.61 0.64 - _ Clear Dual Pane with Grilles 0.43 054 0.56 - Lmv-E 028 0.32 0.56 - Perma-Shield'. Lm,�E with Galles 0.30 029 0.49 Gliding Patio Doors Low-E Sun 029 0.19 0.30 Law{Sun with Grilles 0.30 0.17 027 �,� Low-ESmartSun 0.27 0.22 0.50 Lav{SmartSun with Grilles 029 0.19 0.44 Clear Dual Pane 0.43 0.45 0.47 - - Clear Dual Pane with Galles 0.43 039 0.40 - Lm E 0.32 024 0.41 Hingnd.Inswing Lav-E with Grilles 0.33 021 0.35 - Patio Doors, - Law-E Sun 032 0-15 023 Lav{Sun with Grilles 0.34 0.13 0.19 - Low-E SmartSun 0.32 0-16 0.37 ,,,] Law{SmarlSun with Galles 0.33 0.14 0.31 - ss• r Andersen. Andersen'NFRC Certified Total Unit Performance (cowuated) :5 m" ..{ Andersen'Product Glass Type I Um=--n I SLIGC' VI' m Andersen`Product Glass Type U-Factory ! SHGCz I Vi' c I Architectural 400 Series IIPLmv-E4 0.37. 0.7.8 0,47 - up Low-E4. 0.27 0.35 0.60 _ - up Low-E4 with Galles 0.28 0.31 0.54 c t Hp[ v-E4with Grilles 0.32 U.25_„ 0.42 -'.E'!' HP Low-EM1 Sun 0.32 0.17 0.26 { Circle Top up Lour-E4 Sun 0.27 0.21 033 Casement Window IIP ton-EA Sun wolf Gdlles 0.32 0.16 0.23 �< Casement Window HP Low-E4 Sun Willi Grilles 0.29 0.19 0.30 " Hp Low-Ell SmartSun 0.31 0.16 0.42 F»Vi 13 up Low-E4 SmartSun 0.26 023 0.54 I f IP Lox-E4 SmartSun w/Grilles 0.28 0.71 l 13 0.49 �" HP ler-EA SmartSun w/Grilles 0.31 0.17 0.38 r, 77 _nr Lmv-En a3z o.z6 0.47 � I up Law-E4 0.27 0.35 0.60 �` _ _ HP lour-EA with Grilles 0.32 015 0.42 IIP Law-EA with Gnlles 0.28 0.31 0.54 IIP Low-E4 Sun 0.27 021 0.33 French Casement ._ IfP low-E4 Sun 0.32 0.17 0.26 I �.�! Circle&Oval Window IfP LOW-E4 Sun Willi Grilles 0.29 0.19 0.30 (%� Window up Low-E4 Sun with Grilles 0.32 0. 0.23 _ HP Lary-EM1 SmartSun 0.31 0.18 0.42 f'? Hp Low-E4 SmaitSun 0.26 013 0.5M1 ti's Hp L:ox-EA SmattSun w/Grilles 0.31 0.17 0.38 NP law-[A SmartSun W/Gliiles 0.28 0.7.1 0.49 HP Lev-E4 0.32 0.28 0.47 � I IP Low-E4 0.28 0.33 0.58 rIr HP Lox-E4 with Grilles 0.37. 0.25 0.42 lip Low•E4 with Grilles 0.29 0.30 0.57. III'Law-E4 Sun 0.32 0.17 016 _ HP Lan-Eh Sun 0.28 020 0.31 :� ..T Awning Window Arch Window HP Lox-EA Sun vriUi Grilles 0.37. 0.16 0.23 HP Low-E4 Sun with Grilles 0.29 0.16 0.28 f ''' - RP Low-114 SmartSun 0.31 0.18 0.42 ' '1@ 13 HP Low-EA SmartSun 0.27 023 0.57, Fi l HP Lwf•Eti SmartSun arlSles 0.26 021 0.46 Hp Lmv-E4 Smarl.Son w/Grilles 0.31 0.17 0.38 Hp LOW-E4 0.31 0.32 0.55 _ HP Lmv-E4 0.27 0.33 0.58 ��� -- fel IIP tmx-E4 with Grilles O les 0.31 .A9 IIp Low-E4 With Grilles 0.28 0.30 0.52 I Ci'lasement/Awning Awnin up Lon-E4 Sun -0.31 020 0.31 HP Low-E4 Sun 0.27 010 0.31 ' b g ---- Flexiframe"Window up lour-E4 Sun vrith Grilles 0.29 0.16 0.26 G+� f Picture Marlow ftp LBW-E4 Sun with Ghillrs 0.31 0.16 0.7.8 n 13 13 _ tip Low-E4 SmariSon 0.31 021 0.50 " ' HP Low-E4 SmartSun 0.26 023 0.57_ P� _ -- _ Fay Ilp Lim-E4 SmartSun w/Grilles 0.31 0.19 0.44 6)it Hp Law-E4 Sma tSon w/Grilles 028 021 0.46 tIP Low-E4 0.30 037 0.64 lip Imv-EA 0.31. 0.33 0.58_ _ HP ler-EM1 with Grilles 0.30 0.33 057 l Up L.-E4 with Grilles 0.32 0.30 0.57. _ IIP len-EA U21. 0 Sun 0.31 .36 VII M lip Low-F4 Sun 0.31 020 0.31 "re Specialty Window HP Low-E4 Sun with Grilles 0.31 o2U 0.32 k a Springilne Window IIP Low-E4 Still with Grilles 0.33 018 0.28 tIP Low-E4 SmartSun 0.30 014 0.58 r1).D IIP Low-EA SmartSun 0.30 0.23 0.52 P Hp LOW SnhahiSun w/Gnlles 0.30 D.72 0.52 k IIP LO'x-E4 SmartSun yr/Gdllrs 0.32 0.21 0.46 tip tmv-EA 0.37. 0.22 H.37 HP Lmv-E4 0.30 0.27 0.45 i g Hp Low-E4 with Grilles 0.33 0.9,0 0.33 - IIP Imv-E4 with Grilles 0.32 023 D.39 S - Hp LOW-E4 Sun 0.33 o.lA 0.21 - HP Low-E4 Sun 0.31 0.16 0.25 r` M Hinged Inswing _ Frencimood" 4t%a French Door HP Law-EA Sun With Grilles 0.34 0.13 0.18 Gliding Patio Door ftp Imv-E4 Sun with Grlies 0.32 0.14 0.22 --- -lIP Low-114 SmartSun 0.32 0.15 0.33 Hp Low-114 SmartSun 0.30 0.18 0.41 Il 5'1 CI - - _ IIP tmv-E4 SmartSun w/Gillies 0.33 0.14 0.30 i Hr Invr-E4 SmartSun yr/Grillrs 0.31 0.16 0.35 I lip Imv.E4 0.33 015 0.41 up Lmv-E4 0.31 0.24 0.41022 t (' - me IIP Lnw-F4 with Grilles 0.34 . 0.36 E lip Law-E4 with Grilles 0.32 (121 0.35 '� lip tow-Ell Sun 0.33 0.16 up LOW-E4 Sun 0.31 0.15 0.23 R t'".M- Hinged outswing _ o Frenclmood'Hinged - t,�) French Door IIP tmv-E4 Sun with Grilles 0.35 0.14 0.20 Inswing Patio Door HP lour-E4 Sun With Grilles 0.32 0.13 0.19 - _ IIP Lw-E4 SmarlSnn 0.32 0.17 0.37 @i �'{'.'� HP Lmf-EA SmartSun 0.30 0.16 0.37 Grilles 0.34 0.15 7. 1 - IIP Low-E4 SmmlSun w/ 0.32 E o IlP Low-E4 SmartSun W/Gdlles 0.31 014 0.316 Hp v_E4 0.33 023 0.36 - vo x. - HP Lon-F.4 0.31 025 0.41 y Hp Lox-E4 With Grilles 0.33 021 0.34 HP Low-E4 with Grilles 0.32 _021 0.35 '-) - Frenchwaod'Hinged',. HP Low-EM1 Sun 0.31 0.15 023 �%� I Fixed French Door- HP Imv-EM1 Sun 0.33 O.lA 0.21 _ .,.�: Sidelight HP Lo'x-EA Sun with Grilles 0.34 0.13 0.19 outswing Patio Dour IIP Law-E4 Sun with Grilles 0.32 0.13 0.19 lip Lorr-E4 Smarlsim 0.32 0.15 0.34 - ,_ HP lo'.v-E4 SmartSun 0.30 0.17 0.37 rr FIP Lex-FM1 snmrtSun yr/Grilles 0.33 0.14 0.30 - Hp Lnvr-EA SmartSun w/Gnlles 0.31 0.15 0.31 " ;�) tip low-14 0.32 025 0.41 - up Law-EA 0.31 0.22 0.37 .'d +' Hp Low-E4 with Grilles 0.33 0.72. 0.37 HP Lavr-E4 with Grilles 0.32. 020 0.33 til 1{p Low-E4 Sun 0.32 0.15 0.2.3 - a I"y Fixed Transom Frenclmaod' HP lour-EA Sun o.31. 0.14 0.71. M. � - French Door Hp Low-EA Sun With Grilles 0.33 0.14 0.20 Patio Door Sidelight tip Low-E4 Sun with Gillos 0.32 0.13 0.1.8 Hp Law-E4 SmartSun 0.16 0.37 - Hr Low•EM1 SnmrtSun 0.31 0.15 0.33 {�z - - tip Lnw-E4 SmartSun w/Grilles 0.32 0.14 0.29 r d 49 tip Low-Ell SmartSun%.//Grilles 0.32 0.15 0.33 HP La+r-E4 0.35 0.26 0.44 - HP Low-L=4 0.30 0.24 0.40 r) �,.'I L9 Hp Lmv_FA With Grilles 0.36 0.23 0.38 - Hp Low-E4 with Gnlles 0.30 021 0.35 1'„1 '1 -" HP Lor-E4 Sun 0.35 0.16 0244 - Frenchwaod- IIP Low-F4 Sun 0.30 0.15_0.7-7. (' ''t Folding Door Hp�.+r_Eq Sun with Grilles U.36 0.14 021 - Patio Door Transom IIp ter-EA Sun with Grilles 0.31 0.13 0.20 31'� � In,Low-Ell SmartSun 0.34 0.17 039 - r HP Low-F4 SmartSun 029 0.16 3636 fR+ , ' HP Imrr-E4 SmartSun w/Gnlles 0.36 0.15 0.34 - lip Low-E4 SmartSun yr/Grilles 0.30 0.14 0.32 J 1 °H continued on next page •Far NFRC certified total unit performance on units with capillary breather tubes for high altitudes-please visit andersemvindows.com. ^'High-performance"Low-F4 (IIP Lmv-EA),"High-Per(omrance"Low-E4•SmOrtSIM-(ILP Low-E4 SmarlSun)and Iligh-performance"Law-FA•Sun"(tip Low-E4 Sun)are And trademarks for"Low-E"glass. -" erthe value,the less heatis lost through the entire product Window values represent non-tempered glass.Use of tempered glass can ' ll-Factor defines the amount of treat lass ihraugh the total unit in GM/lir sq.f[."F.The low increase til-Factor ratings.See andmsenwindows.com for specific,performance values.Door values repmsent tempered glass. 'Solar Heat Gain Coefficient(SHGC)defines the fraction of solar radiation admitted through the glass bolt directly transmitted and absorbed and subsequently released inward.The Inver tile.value,the less heat is transmitted through the product (film 0 to 1,the more daylight the product lets in over the pmducCs total unit area.Visible Transmittance 'Visible Transmittance(V)measures how much light fomes tuough a product(glass and(rime).The higher the value. is measured over the 380 to 760 nanometer porion of the saint spectrum. •NFRC ratings are based an modeling by a third party agency as validated by an indepeadmht lest fall in complianre with NFRC program and procedural requirements. •This data is accurate as of December 7.010.Due to ongoing pmd,let changes,updated test results or new industry standards or requirements,this data may change over time.Beings are for sizes s pecified by NFlIC for testing and certification.Ratings may vary depending an use of tempered glass,different grille options,glass for high altiludus,are- testing glass values are available online it andersenwindows.com. 277