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HomeMy WebLinkAboutBuilding Permit #322-14 - 36 SAWYER ROAD 10/4/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: v - 1 Date Received Date Issued: 16141 IMPORTANT:Applicant must complete all items on this page 77 1 '&A, 110 # T Nce I A�- -x- .B awirwo r1hp- ,,e DoR,t py 5 t i Re yep, District rc _ S J _ 5ric-15istrict PARCELS( TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential 0 New Building One family 11 Addition D Two or more family 11 Industrial El Alteration No. of units: 0 Commercial 4Zepair, replacement 11 Assessory Bldg 0 Others: 11 Demolition El Other irQ eP tiq 'N iWe,llm - ."' s , o% l bla Wt*QdstiwaterseDistrict At DESCRIPTION OF WCtRK TO BE PERFORMED: Identification le se Type or Print Clearly) i, C- C)—+? OWNER: Name: %' Phone:llyy_�' " 'f-%^\ Address: 3Ce S5LIL AA--, 4n- v.X/' VAI-1"A 0 • A, RtNarne 'C-IT P O e- ,Phone;b �A A IT _V 7777 ei wi, Supervisor 0 fi-§f r-d-birb ON-i-s tj ONPme T-1 b i�e AN" " , _ , 11� - Prne n.. 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: $ L) FEE: $ 1,-2 Check No.: 0 e I ( � Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund u re-of erltlowh6r to r n i--- %Ar_:__i F-1 n-44-P-A 01-4. 01— Plans Submitted ❑ Plans Waived,❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF-SEWERAGEDTSPOSAL Public Sewer ❑ TanningWassageBodyArt ❑. . 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 I PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS 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& Sewer Connection Driveway Permit DIPW 'o'vv )Engineer: Signature: Located 384 Osgood Street FI�E'9E� A�TiT Temp Dumpster on site yes noFoted at124 D Matra Street Fire Deparrnept'sigriature/elate CO>UMENTS 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 requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No AGL Chapter 166 Section 21A�F and G min.$100-$1000 fine ®TES and DATA— For department use ® !Notified for pickup - Date oc.Building Permit Revised 2010 Building Department The folitawing 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 g 9 TOTE: 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 ❑ 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 OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application Q 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 OTE: 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 np!)>al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording mist be submitted with the building application Doc: Doc.Building permit Revised 2012 Locations No. �'� � Date • - TOWN OF NORTH ANDOVER ` Certificate of Occupancy $ f Building/Frame Permit Fee $ 17Zetv Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 'r '7q Check it BuildingInspector { NORTy Town ofAndover : 0 V . h . ver, Mass i3 i O ♦r COC NIC Nl wtt [1t � �•9 q°��rE� V Cl S U BOARD OF HEALTH Food/Kitchen PERMIT T % LD Septic System THIS CERTIFIES THAT ........... ..P90_16'.PA.......... ...................................................... BUILDING INSPECTOR Foundation has permission to erect .......................... buildings on ..� ?..... .... .....�..................................... Rough to be occupied as ..........Is.. . .�1�.11Q1.�.�V 4A.4..I.JJ.'�. ....V4...................................... 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 Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final ` PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service .......... ...... ......... . ..... . .......................'R... Final . . ........ BUIL..DING 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. SEE REVERSE SIDE RenewalMA Home Improvement Contractor bYAndeCSen.CALicense#170810(Expires 12/23/2013) WINDOW REPLACEMENT an Andersen Company Renewal by Andersen Corporation Federal Tax ID#41-1918413 104 Otis St.,Northborough,MA 01532 (508)351-2200•Fax:(651)351-4810 CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Na / Date of Agr ement ^, Buyer(s Street Address,City,State,and Zip Code S;qv e2 Pk t E-Mail Address Home Telephone Number Work Telephone Number 1 m-M) a- I y 2('— a6- t,� r Buyer(s) hereby jointly an 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. Q Es'mated Starting Date: Method of Payment: Total Job Amount: Amount Financed ❑Check ❑Cash Deposit Received(33%): �D �v� OVisa��/MC ODiscover ( ) �lkd�vv ��e, 4-0 i131in nced LIAMEX Balance at Start of Job 33%: Estimated C mpletion Date: If credit card is selected,please Balance on Substantial see Credit Card Payment Form. Completion of Job(33%): / J ��V 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. RenewTy Andersen C rporation Buyer(s) Buyer(s) By: S' o uct Manager Signature d Signature Print Name of Product Manager Print Name I 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. - - — — — — — — — — — — — — —x- — — — — — — — — — — — — — -X— — — — — — — — — — — — — — — }c NOTICE„OF CA—NCEYATION X NOTICE OF CANCELLATION Date of Transaction -*)S :f . You may cancel Date of Transaction . You may cancel this transaction,without any penalty or obligation,within I this transaction,without any penahy or obligation,within three business days from the above .If you cancel,any I three business days from the above hate.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 Control 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") of your cancellation notice, I by the Contractor ("Seller") of your cancellation notice, and any security interest arising out of the transaction will and any security interest arising out of the transaction will be canceled.if you cancel,you must make available to theI be canceled.If you cancel,you must make available to the Seller at your residence,in substantially as good condition Seller at your residence,in substantially as good condition as when received, any goods delivered to you under as when received,any goods delivered to you under this this Contract or Sale, or you may, if you wish, comply 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 goods at the Seller's expense and risk. I the goods at the Seller's expense and risk.If you do make If Tou 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 u.p within 20 days of the date of Your Notice of your Notice of Cancellation,you may retain or dispose I of Cancellation,you may retain or dispose of the goods of the goods without any further obligation.If you fail to without any further obligation. If you fail to make the make thegoods 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..,I goods to the Seller and fail to do so,then lou remain liable you remain liable for performance of all obliges ions under"I r performance of all obligations under the Contract. the Contract.To cancel this transaction, mail or deliver a I To cancel this transaction, mail or deliver a signed and signed 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 Chis 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) 1 HEREBY CANCEL THIS TRANSACTION. i I HEREBY CANCEL THIS TRANSACTION. Buyer's Signature Print Name Date I Buyer's SignaturePrint Name Date RbA Copy- White Buyer Copy-Yellow Buyer Copy-Pink OJ8LLP2009.R8APh.MANH Renewal renewal by Andersen Corporation' MA Home Improvement Contractor 104 Otis St.,Northborough,MA 01532 License#1708 10(Expires 12/23/2013) byAndersen. Federal Tax ID#41-1918413 WINDOW REPLACEMENT an Andersen Company (508)351-2200'Fax:(508)986-7072 WINDOW SPECIFICATION SHEET Buyer(s)N Date of Agreement CL The uyer(s)lisled above hereby jointly and severaVy agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on tile.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. C tractor will Install a total of windows in Owner's home,using the following individual quantities: Double Hung(DB) 11. al sas _Cottage sash(1/3 top,2/3 bottom)_Oriel sash(2/3 top.1/3 bottom)_Flat sill (eustomer iso( _Square Check Rail VCurve Check Rail aware of Glass loss) Casement(CS)_Hinge right_Hinge left(as viewed from exterior) Double Casement(CD) 2 Lite Gliding Window(GW) Casement/Picture/Casement(CT)_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 _#Lites Soffit/Roof Shingle/Copper Specialty Window Patio Doors(See Sepamle door spec sheep Seat to be Primed/Oak/Pine 2. G1Qty of Windows to be.Custom Fit Replacement: 3._ 0 Qty of Windows to be Custom Fit Full frame(INCLUDES NEW INTERIOR&EXTERIOR CASINGS) Exterior cas' ._Pine_Maintenance-free material_Factory applied 908 Fibrex brickmold 4.Glazing to I _HP Loww-E iv _SmartsunTM _Tempered _Other If other,please specify: 5.Exterior color to be: ✓Whit _Sand_Canvas_Terratone_Cocoa Bean_Dark Bronze_Forest Green_Black_Red Rock 6.Interior color to be: hite_Canvas_Pine_Maple_Oak_Same as Exterior Note:Wood interiors need to finished by Owner. 7.Hardware:��iite_Stone_Canvas_Estate Hardware: Style: 8.Z Install Lifts with Double ng Windows 9. Screens:windows to have: alf 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 approved(initials) Draw grille patterns below `Use additional sheet if needed Qty: Qty: Qty: Qty. Qty: Qty-. Qty: ADDITIONAL WORK DETAIL it. Qty of_Sills_SiB 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_Pine_Maintenance-free material /14. Contractor will install new_paint-ready or_stain-ready_Interior_Exterior stops in_Pine_Maintenance-free material S.�)Intls-Owner is aware,contractor does not do any painting or removal/installation of alarm system/hardware. It is the 111 responsibility of the homeowner to have the alarm syste /hardware removed prior to installation. 16. Contractor will wrap exterior casings with coil stock of Lor. Note:Wrapping may be required with storm window removal;removal of storm windows will leave screw holes in casing. A7 .tractor 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,storm windows and vacuum nightly included. Upon completion of the job and payment in full,a limited warranty shall be issued. Customer is aware in some cases there will be glass loss If there is glass loss,the amount will be dependent on the type of existing window,type of installation,insert or full frame pdtlie window style. We make no guarantee as to the amount of glass loss Customer is also aware and understands that any and all unseen rot is noI' ed in this contract.Should any rot be found there will be an additional charge for time and materials unless so stated in this contract. 18.Vff Yes❑Not ding 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# $ 19. es E3 No All discounts have been applied to this agreement price. 20.Additional job details: 21.QglesEl 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. Renewal y ndersen o oration Buyer(s) Buyer(s) By: gnature f oduct Manager Signature Signature en ` Print Name of roduct Manager Print Name Print Name The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information l (� Please Print Legibly Name(Business/Organization/Individual): e(1 Address: b y 0 ► City/State/Zip: y S3> one#: 8 — Are you an employer?Check the appropriate box: �-,� Type of project(required): 1,LJ 1 am a employer with [j 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 ❑New constriction 2.[1 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 ❑Building addition ~ required.] 5. (] We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing* work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12-El Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit 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,they.must provide their workers'comp.policy number. 1 am an employer that isproviding,workers'compensation insurance for my employees. Below is thepolicy and job site information. (� Insurance Company Name:_Dk +lj� t, 'X n S �.f1 Policy#or Self-ins.Lilc.#:_mw c, �35 cl 06 Expiration Date: [(- ) — Job Site Address:_3l� Sawu r City/State/Zip: J r 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. 1 do hereby:�epahts and penalties of perjury that the information provided above is true and correct Si Date: / Phone#: 0 _ ob Official use only. Do not write in this area,to be completed by city or town official 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#: '4� CERTIFICATE OF LIABILITY INSURANCE °�0 01/20113 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 Hays Companies NAME: PHONo . 612-333-3323 80 South 8th Street MA-1 NC No: 612-373-7270 Suite 700 ADDRESS: Minneapolis, MN 55402 INSURERS AFFORDING COVERAGE MAIC# INSURER A: OLD REFUBLIC 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 REOUIREMENT,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. ILTR TYPE OF INSURANCE A DL SWVD BR POLICY NUMBER P L°I pY EFF POLICY EXP LIMBS A GENERAL LIABILITY MNZY 300361 10/01/1 10/01/14 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 500,000 PREMISES Ea occurrence $ CLAIMS-MADE r_x1 OCCUR MED EXP(Any one person) $10,000 PERSONAL B ADV INJURY $1,000,000 GENERAL AGGREGATE $4,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $4,000,000 X POLICY PRO-JECTLOC A AUTOM0131LE LIABILITY MWTB 300026 10/01/1' -1670-1-TI-4 COMBINED SINGLE LIMIT Ea accident 5,000,000 ALL OWNED SCHEDULED X ANY AUTO BODILY INJURY(Per person) $ AUTOS AUTOS BODILY INJURY(Per.ccident) $ X HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS Per ecd lent $ $ B X I UMBRELLA LIAB X OCCUR 20562235 10/01/1 10/01/14 EACH OCCURRENCE $25,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE DED X RETENTION 825,000 $25,000,000 $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN MWC 300359 00 10/01/1 10/01/14 X WCSTATU- OTH- ANYPROPRIETOR/PARTNERIEXECUTIVEE.L.EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N❑ N/A (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) 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 C-�TfzP�oo�nmu�zueall�z o�e��a.�aac1 u�eGte ffice of Consumer Affairs&Business Regulation ME IMPROVEMENT CONTRACTOR egistration: 1!W10 Type: Expiration: 12/23/20.13 Supplement d RENEWAL BY ANDERSON CORPORATION JOSEPH REZZA 104 OTIS STREET > NORTHBOROUGH,MA 01532 Undersecretary Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supen•isor License: CS-065272 JOSEPH P REZZei)-` 168 KELLEY BLVD N ATTLEBORO MA .. ; Expiration Commissioner 04/25/2014 1 renewal byAnderserL WINDOW RHtLACMENT *%And.wnCc ny W004MFUI Composite IF Rqs� Dual DouArgon -bt H p LOW E4 SmartSun 1004W736 18-010 ENERGY PERFORMANCE RATINGS U-Factor(U.Sy1-P Solar Heat Gain Coefficient IN19* ADDITIONAL PERFORMANCE RATINGS Visible Transmittagce 0. 42 1 w...rmw..rrrLuw uw�rw w1w.«rrw byrtLMr WAD rrrrrw rr d"ema*4wMr p.M, Mrwr�w reaM�rrwarrni�.r wrrrwwrrbd+hrY � ..mpeaft ' aarrr�.nrra.r«.wr.r.aaw.rwYra r.A«4p.o.:awie.. t�wwaAwaR A� Y3 -Nel.,.rwry.rrrr si.wiwww . �Ic Nr.�LL .ubi DESIGN PRESSURE(PSF) i .L-ImaLC25 R DB Sloped'Si 1 DH IN rrlrrgMSQrAMAMYDwYL7Atn�ulNs wnowrw towlawaL. w.u.i wwa w.L.Q.c f.C.•LECA.AY Mftm r�M.wyr M'OMAMW.rkGil/IpY1r rwow. 1 ' 1 ' I I