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HomeMy WebLinkAboutBuilding Permit #509-13 - 373 RALEIGH TAVERN LANE 1/14/2013TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION 7 i?� Permit NO: I I/ Date Received I I I I/ Date Issued: [ Iqi [ IMPORTANT: Applicant must complete all items on this page LOCATION 6 �I ` Print PROPERTYOWNER Print 100 Year Old Structure yes MAP NOA0-+. A PARCEL:QQ?, ZONING DISTRICT: 1e Historic Districtyes?no0no Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE ��v"n �e Resident Non- Residential ❑ New Building ne family Sr ❑ Addition 0 Two or more family ❑ Industrial ❑ Al ation No. of units: ❑ Commercial PfRepair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑ Well ❑ Floodplain ❑ Wetlands ❑ Watershed District - El Water/Sewer OWNER: Name: Address: ,n DESCRIPTION OF WORK TO BE PERFORMED: ion Please Type or Print Clearly) 1 VI Lk 0 -�g O� m 33` CONTRACTOR Name: ��v"n �e ►\d\�sa 1 Phone5U3-1S \-a,)vc Address: 1 u ` � � � s Sr I o_1 t os �.v� 0173 V\k6k 0 1 3 Supervisor's Construction License: S� Exp. Date: 4 Home Improvement License: Exp. Date: I o_1 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: $ J3 9 3, 00 FEE: $ W,00 Check No.: c 2?, 2 3S I Receipt No.: 2-60) E6 NOTE: Persons contracting with unregistered contractors do not have access to gmguarantyfund Signature of Agent/Qwher Signature of contractor Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ C a 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 COMMENTS CONSERVATION COMMENTS HEALTH COMMENTS DATE REJECTED DATE APPROVED El Reviewed on Signature Reviewed on Signature Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Com ? Conservation Decision: Comm Water & Sewer Connection/Signature & Date Driveway Permit DPW Towv. Engineer: Signature: Located 3M FIRE DEPARTMENT - Temp Dumpster on site yes no Located at '124 Main Street Fire Departinent•$ignature/date COMMENTS ooa Street 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, MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For department use El Notified for pickup - Date !i F Doc.Building Permit Revised 2010 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 o 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 L3 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 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 Doe: Doc.Building Permit Revised 2012 C a x w 2 u. O Q m C L O LL T N O. (%j p �- Wa of Z z O m O J LCL hJ0 C' C U LL O Z Z m C J d L J w LL D H Z Q W t mo� J CC U (n LL ac U a Z y Q t Jto w 11 z F- o: CL W 0 W W 41 c CO O z `1 N y v Y O N 'I �� 0 CN , -0 •: C cc � as r4" s )dos L 0. 0-0 O a1 Y= O (� W JV y0+ O V/ » V O O _= Qy S� : 'c z r+ N _ ,Q m �m N as Cc U) N W 13- z LLIy 0 zCL M � U _ t — cn ,N2o =.0 a� W a'2 o c W J V .� mL Mom.. m 0 0- N c r = c Q L L C : •Q y O VLLJ m O N t y - Li -;5 u) C O w M=2.2 .O Z 'E v O W L N N 2 t4 L C O '"• = . Q 0 V : M . m E d i ,0 O Z O N I W Q •E m m a0 CD m�� O C v � O o CL a CL CF) Q O A.) J �� O = Z O 0 tU c CL LLI vI W W W W U) RenewalMA Home Improvement Contractor bY/-V IdePSen. ��� • License #170810 (Expires 12/23/2013) Renewal by Andersen Corporation Federal Tax ID #41-1918413 WINDOW REPLACEMENT an Andersen Company J Y ' 104 Otis St., Northborough, MA 01532 (508) 351-2200 • Fax: (651) 351-4810 CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s) hereby jointly and severally agrees to purchase the products and/or services of Renewal' by Andersen Corporation ("Contractor"), in accordance with the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheet(s) (collectively, this "Agreement'). Buyer(s) hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. �% Total Job Amount: � 3 / � Amount Fin ced DepositReceived (33%): O Estimated Starting Do 12 / )� t^' Method of Payment: ❑Check Zs'chover ❑Visa/MC �J/ Balance at Start of Job (33%): nn D Balance on Substantial 9 Completion of Job (33%): / Completion Date: / 0"m ❑Financed ❑AMEXEstimated If credit card 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, 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 �oration By: Signat of odu t Manager Print Name of Product Buyer ) Signature % Print Name Buyer(s) Signature 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. — — — — — NOTICE OF CANCELLATION Date of Transaction / a ^ / !�'— ) 7— . You may cancel this 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 the Contract of Sale, and any negotiable instrument executed by you will be returned wMin 10 days following receipt I by the Contractor ("Seller") of your cancellation notice, and any security interest arising out of the transaction will be canceled. If you cancel, you must make available to the Seller at your residence, in 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 Seller regarding the return shipment of the goods at the Seller's expense and risk. I If you do make the goods available to the Seller and the Seller does not pick them up within 20 days of the date of your Notice of Cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the goods available 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 this transaction, mail or deliver a I signed and dated copy of this cancellation notice or any I other written notice, or send a telegram to Contractor: Renewal by Andersen Corporation, 104 Otis Street, Northborough, MA 01532, BY NOT LATER THAN MIDNIGHT OF 1 02 —/ F —1 -2r, (Date) I HEREBY CANCEL THIS TRANSACTION. I — — — — — — e<— — — — — — — — — — — — — — — x NOTICE OF CANCELLATION Date of Transaction / .1 S--/, . You may cancel this 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 the Contract of Sale, and any negotiable instrument executed by you will be returned within 10 days following receipt by the Contractor ("Seller") of your cancellation notice, and any security interest arising out of the transaction will be canceled. If you cancel, you must make available to the Seller at your residence, in 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 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 within 20 days of the date of your Notice of Cancellation, you may retain or dispose of the goods without any further obligation. If you fail to make the F�Ssrformance available to the Seller, or if you agree to return the to the Seller and fail to do so, then you remain liable of all obligations under the Contract. To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice, or send a telegram to Contractor. Renewal by Andersen Corporation, 104 Otis Street, Northborough, MA01532, BY NOT LATERTHAN MIDNIGHT OF 1,1 2,—IDate) 1 HEREBY CANCEL THIS TRANSACTION. I Buyer's Signature Print Name Data I Buyer's Signature Print Name Date RbA Copy - White Buyer Copy - Yellow Buyer Copy - Pink ©JSLLP2009.RBA-Ph.MANH Renewalr MA Home Improvement Contractor bYAndeCSen. License # 170810 (Expires 12/23/2013) Renewal by Andersen Corporation Federal Tax ID #41-1918413 WINDOW REPLACEMENT an Andersen Company 104 Otis St., Northborough, MA 01532 (508) 351-2200 • Fax: (651) 351-4810 SPECIFICATION SHEET Buyer(s) e Date of Agreement ZZ Z r1S _ T e. Buyer(s) listed above hereby join&.d nd 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 this Specification Sheet is a part. PATIO DOOR 1. Instal otal of: / Permashield Gliding Patio DooV11ft ' 10" x 6'8" a not avail5Jste in 8068) Op. panel is ❑ right (as viewed from exterior) I terior and Exterior Co r to be: White ❑ Canvas ❑ Sandstone ❑ Terratone (Color same inside and out on PS) Hardware: Metro: VWhite ❑ Stone ❑ Bright Brass ❑ Other—Specify ❑ Yes ❑ No Gliding Patio Door to have sidelight? Size:42 t ❑ Yes ❑ No Grilles? If yes: GBG ❑ INTW ❑ FDL (Pattern is standard as viewed in book for all doors) 2. Install.total of: Narrowline Gliding Patio Door(s) ❑ 610" x 618" ❑ Other: Op. panel is ❑ left ❑ right (as viewed from exterior) Exterior Color: ❑ White ❑ Canvas ❑ Sandtone ❑ Terratone (Interior is WOOD and customer must paint or stain) Hardware: Metro: ❑ White ❑ Canvas ❑ Stone ❑ Bright Brass ❑ Other—Specify: ❑ Yes ❑ No Gliding Patio door to have sidelight? Size: ❑ Yes ❑ No Grilles? If yes: GBG ❑ INTW` ❑ FDL (Pull Divided Light) 3. Install total of: Frenchwood Gliding Patio Door(s) ❑ 6'0" x 6'8" ❑ Other: Op. panel is ❑ left ❑ right (as viewed from exterior)' Exterior Color: ❑ White ❑ Canvas ❑ Sandtone ❑ Terratone V" Interior Wood: ❑ Pine ❑ Oak ❑ Maple .--�- { J C Interior Finish: ❑ Prefinished White (Available only with white exterior) ❑ Unfinished (Paint /stain done by customer) Hardware: Metro: ❑ White ❑ Stone ❑ Bright Brass ❑ Satin Nickel ❑ Yes ❑ No Gliding Patio door to have sidelight? Size: ❑ Yes ❑ No Grilles? If yes: GBG ❑ INTW ❑ FDL (Full Divided Light) 4. Install total of: Frenchwood Hinged Patio Door(s) ❑ 6'0" x 6'8" ❑ Other: ❑ Yes ❑ No Active/ Passive Panel?: ❑ Left ❑ Right (viewed from ext. which is active) OR ❑ Yes ❑ No Active / Stationary Panel?: ❑ Left ❑ Right Door Swing: ❑ Inswing ❑ Outswing Exterior Color: ❑ White ❑ Canvas ❑ Sandtone ❑ Terratone Interior Wood: ❑ Pine ❑ Oak ❑ Maple Interior Finish: ❑ Prefinished White ❑ Unfinished (Paint / stain done by customer) Hardware: Metro: ❑ White ❑ Stone ❑ Bright Brass ❑ Satin Nickel 'NOTE: Canvas hinged screen frame N/A—must choose white or stone if exterior is canvas' ❑ Yes ❑ No Hinged Patio door to have sidelight? Size: ❑ Yes ❑ No Grilles? If yes: GBG ❑ 94TW ❑ FDL (Full Divided Light) STORM DOOR DETAILS 5. Install total of: Storm Door(s) 6. ❑ Full View ❑ Mid View 7. Color to be: ❑ White ❑ Canvas ❑ Sandtone ❑ Bronze ❑ Forest Green 8. Size to be: ❑ 32" ❑ 34" (White only) ❑ 36" ❑ Custom (10 week lead time) Size: 9. Hardware to be: ❑ Bright Brass ❑ Nickel 10. Additional job V 11.JZ Yes ❑ No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment. No final payment shall he demanded until the contract is completed to the satisfaction of all parties. 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. By: Corporation Ag.nalur of oduct Manager Print Name of Product Manager Buyer(s) Buyer(s) Signature Signature rl S�1 'V -G 114 -5 Print Name Print Name ' � ' _ :The Crra�a�wealth of �assacitrrs�s . . Depwrcent.of InAxtrid Acid&xts Office of brpa*ra olir 600 was� street 'Boston; MA UZIII " . www.Vu=gai►/iia WorkersCompensation jasm•ance AffWaPit: BridersiContr=tDrs/Mectricisns/PhMberS A.pghmnt: Ingarmslion Please Print Lett Dame �s/Orgwzaho duri1: �,rn P )G, y� r1�ei'Ce Adcifess: '� b L4�'i�-'� S 197 city/S�e/ : PhMe Are yon an employer.? Check i6e appropaah'baX am a emplapW with 3 y 4. ❑ I em a gmaral comtrector ®d I cupiclym (fMil and/orpart-tmb),c haw lamed the snh-canLra ms 2. ❑ I am a sole pivpzietX orpertaea- listed on tho attechod sheet t WW and have no eaapinyees T heochive wa�img fnr me m any �P y �voo�' �• M2MM M [No wo�ss, coup, iasmaaee s. ❑ We an a aeaporatiaa and its � ❑ doing DffLcen have euraisod their . r& of ==Ptcm Per MCrL 3 , I am a hraneow= all w6& inlyaolf [No wad=' -comp. c. 152, ¢ 1(¢ 1(4), and'we hive no iaeun�neG ret�vued ] t employers. [NO wor3aers gyp. itvirt49 Type of pro}ed (regdr 4: ti. ❑ New cometrnc6oa 7, modeling 8. [3 9. 0 Buaft addition . 1 O.E] Mectsieal ropai n or additions 11.❑ Pbmhin repairs or additions 12.❑ Roof repairs 13.o Other 'Any apph tW o,,� baa #1=Nt ileo fM and the sxstiaa bCWW &6 their wa3MZe Pffi-5 t B=Wwnea wim caI " this affidavit i.,fi g &T am daiagati wmkmd fbeo Lire —Ac co6®it ►neo e�dtvk ia�eatmg s this box wast aftnabcd n alditiaoel dwdt dwwicB &eta M oft z ubeoahww a a && WO M, m®p Palley . I aac eon ,easploper � is provrdiirg warfxra' coa�pe:ssatian assurance fnr m}' enrP[?1'er� Below is the poFlry Lard job � . bzrm= Company Namc,_ Policy # or S& -ins. Lir'. Job S& Arl&=:� �. ► /i In• �'�4 r✓1 L y. Te_ .At+n A a copy of the ' wmpellsatin pesky sinr amfim page (sdwwbg &e policy nmaber .and eSglra�Il fdzt e). FaikM 'tD PWM eo#=p* as required m4dw Swtkm 25A ofMQ, c. 152- cam lmdtD le impositiaa of erizninal pe val6w of a imc -up to $1,500.00 andlar one -pray m>prismi emt; as well as civsl Penalties in the fam of a MP WORK ORDER and a fine of up to 5250.00 a day 'pint the violabr. Be advised •that a copy oif_tlus ststrmeat maybe kffww&d.tD the Office of ITM4gidiaw of tine Daft imeoiaace wveaage vxfficfiam. .I do hcr,aby.=*b, p=aw of pajxV7' 6ja 6he a#kww ica provided -aboVe Zr >ruc ww coals= . • . - tom- - D,�icial trot° onriy. Do not write izc *jp.m A m -be wn plded try city or mw Of j c . City w Tow= L Board of Hetet 2. BiQliitiimg Dqwizmw .3. MrT. m Clerk 4; Eie� bwpedar S. Plmn M4 UR=tur ' -ConbOf 3115M,= I,- 1a c®RLTCERTIFICATE OF LIABILITY INSURANCE a "' TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT X25/""" 0 2 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THE 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 tc 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 endomemen s , PRODUCER 1-612-333-3323 Hays Companies 80 South 8th StreetL Suite 700 Minneapolis, MN 55402 Jonelle Hargrove or Eric Johnson PSE .612-333-3323 � No;612-373-7270 PRODuc:Ea CUSTOMER 8) 06 INSU S AFFORDING COVERAGE MAIC s INSURED Renewal BY Andersen Corporation 104 Otis Street INSURER A: OLD REPUBLIC INS CO 24147 INSURERS: NATIONAL UNION FIRE INS CO OF p M S 19445 INSURER C: INSURER D: Northborough, NA 01532 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 29229436 Ibesncmnu uuaaftle r.■v.v.� ��a,mr,crt: 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. IL RR TYPE OF INSURANCE L S BR POLICY EFF POLICY fi—W— wun POLICY NUMBER MIDD MMD LIMITS A GENERAL LIABILITY MIrZY 59828 10/01/1 10/01/13 EACH OCCURRENCE S 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 500, 000 PREMISES a occurrenceEMED EXP (Any one person) $ 10,000 CLAIMS -MADE OCCUR PERSONAL 3ADV INJURY $1,600,000 GENERAL AGGREGATE $4,000,000 GENT AGGREGATE LIMIT APPLES PER: PRODUCTS - COMP/OP AGG $3,000,000 X POLICY J`FR0- CT LOC $ A AUTOMOBILE LABILITY MNTB 21700 10 01 1 107-0-1-11-3 COMBINED SINGLE LIMIT X ANYAUTO (Eaecdderd) $ 3,000,000 BODILY INJURY (Per person) f ALL OWNED AUTOS BODILY INJURY (Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE S (Per acdderrt) XHIRED AUTOS , X NON -OWNED AUTOS $ S B X UMBRELLA LIAB X OCCUR 13273355 10/01/1 10/01/13 EACH OCCURRENCE :25,000,000 EXCESS LU�B CLAIMS -MADE AGGREGATE ' = 25, 000, 000 DEDUCTIBLE X RETENTION S 25,000 $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY HIPC 117948 00 10/01/1 10/01/13 $ X WCSTATU DTH - YIN ANY PROPRIETORIPARTNERIEXECUTIVE� OFFICERIMEMBER EXCLUDED? - NIA E.L. EACH ACCIDENT S 1,000,000 i i (Mandatory In NH) Myes describe under E.L. DISEASE -EAEMPLO S 1,000,000 DISEASE -POLICY umrr s 1, 000, 000 DESCRIPTION OF OPERATIONS bebwE.L. DESCRIPTION OF OPERATIONS /LOCATION— /VEHICLES (Atlaeh ACORD lot. add 1 -r a 1- CA -d..! w— Evidence of Insurance. of Insurance erica space is nqulnd) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Massachusetts - Department of public Safety Board of Building Regulations and Standards Construction Saperi isor License: CS -095707 BRIAN D DENNISON - VK 7 LAMBS POND CIRC Chariton MA 01507 a I Expiration Commissioner 09108/2014 ✓le Poryvrzo�u„ealC/ o�✓Giaaoaclu�aetla Office of Consumer Affairs & B siness Regulation HOME IMPROVEMENT CONTRACTOR Registration: ,.,?470810 Type: Expiration: # 1,23/2013 Corporation URRWALBYAND'- ERSEN (;p-00RATION BRIAN DENNISON._ -;j 104 OTIS ST. 3 NORTHBOROUGH MAbi332 Undersecretary PRODUCT PERFORMANCE Andersen' NFRC Carbfied btal UnF,. Performance (continued) 0.32 024 141 Law -E with Grilles 0.33 O -Z .4eis n.:Pro�u: A "ect�: Glass Type 11 -Factor' SHGC, VrI 015 am 200. Udev LMV-E Sun v Gnues 034 0A3 0-19 Clear Dual Pane 145 0.60 0.63 Law{ SmarlSurt wft Grilles Clear Dual ParivabGrilles 0.45 0.54 056 Loi -E 0.30 032 0.55 .-'Dcobfe-Hun.g,Vsndow.-.! Low-Ewith Galles 0.30 029 0.49 RP LurR SmartSun 030 0.21 0.49 HP Lov�& SmErLSun w/GnIles 031 0-19 DA ;q Clear Dual Pane 0.45 0-61 0.64 am ine, Clear Dual Poe r0fth Grilles 0.45 054 0.57 Doubl"ung-Windw Law -E 030 032 0.56 L= -E with Galles 0.31 029 0.50 Clear Dual Pane 0.44 0-63 0.66 Clear Dual Pane with Gnlles 0.44 057 059 M indow Irpfiso Ar Law -E 0.27 0.34 0.58 lnv-E wft GnIles 027 030 0.52 Clear Dual Pane 0.45 0.60 0.63 Clear Dual Pane withGnales 0.45 054 056 Low -E 030 032 0.55 Ibv-E with Giffles 030 0.29 0.49 Lovv-E SrnartSan 0.30 Ul 0.49 -9 Zia tovIE SmartSun with Grilles 0-31 019 0.43 0 Clear Dual Pane 0.43 051 0.65 Clear Dual Pane vAM Grates 0.43 055 = 058 Low -E 0.280.33 056 .Circde.TnpM M, LUW_E milk Grilles 0.28 030 0: -50 LMv-E SmartSun 027 0.22 0.51 Lo% -E SmartSun with Gn -nes 0.27 0.20 0.45 -M Clear Dual Pane 0.44 0-61 0.64 - Dear Dual Pane w8h Galles 0.45 am 0.56 - Lo�E 029 Q32 0.56 - !4a . n . offn e. Lv*-E Mb Grilles 030 0.29 0.49 Doors .% Lu* -E San 029 020 031 0 M M • Low -E San whh Grilles 0.31 us 62V Lock Smartsm 0.28 021 0.50 Lmy-E SmartSun with Grilles 030 0.19 0.44 1 g Clear Dual Pane 0.43 0.61 0.64 Clear Dual Pane with Grilles 0.43 0.54 0.56 Low -E 028 032 056 Lovv-E with Grilles 030 0.29 0.49 LoviE Son am 019 030 Inw,-E So with Ganes 0.30 017 017 3 alp law -E SmartSun 0.27 022 0.50 Lmv-E SmartSun with Grilles 0.29 019 O44 Clear Dual Pane 0.43 0.45 0.47 Char Dual Pane wft Grilles 0.43 am 0.40 lnv-E 0.32 024 141 Law -E with Grilles 0.33 O -Z 035 Low -E Sun 0.32 015 am LMV-E Sun v Gnues 034 0A3 0-19 Law{SmartSun 032 016 0.37 Law{ SmarlSurt wft Grilles 033 014 031 dORSersee Andersen' NFRC Certified Total Unit Performance (con6naed) • For NFRC certified total unit performance on units with capillary breather tubes for high altitudes, please visit andersenwindows-com. • 'High-PerformanceLow-E4'-(HP Low-E4),'High-Performance' Low -E4' SmartSun (HP Low -E4 SmartSun) and'High-Performance Low -E4' Sun- (HP Low -E4 Sun) are Andersen trademarks for"Low-E' glass. ' U -Factor the amount of heat loss though the total unit in 8IU/hr sq. tL"F The lower the value, the less heat is lost through the entire product Window values representnon-tempered glass. Use oftempered glass can rs Increase U -Factor ratings. See andeenwindows.com for specific performance values. Door values represent tempered glass. 1 Solar Heat Gain Coet6cient.(SHGC) defines the fraction of solar radiation admitted through the glass both directly transmitted and absorbed and subsequently released inward. The lowerthe value, the less heat istransmitted ' thrthrough the product ong the pr duct (Vl) measures how much light comes though a product (glass and frame). The higherthe value, Imo 0 ro 1, the more dayfigh[the product lets in overthe product's total unit area. Visible Transmittance Is measured overthe 380 to -760 nanometer porion of the solat spectrum. • NFRC ratings are based on modeling by a third party agency as validated by an independen[testlab it compliance with NFRC program and procedural requirements-ecifiedb NERC for • This data is accurate as of December 2010. Due to ongoing product changes, updated [est insults or new industry standards or requirements, this data may changeover time. Ratings are for saes sp Y testing and certification. Ratings may vary depending on use of tempered glass, different grille options, glass for high altitudes, etc • PassiveSun glass values are available online at andersemrindows.com. 277 iWIT; I I i I tm Andersen Product I U -Factor' I VP Qu Andersen; Product ' Glass Type U -Factor' SHW VP r > 400 Series` ... 032 .. 0.42 _ .: HP Lour -E4 . 027 035 0.6u Casement Window• HP Low -E4 Sun with Grilles032 j HP Low -E4 with Gilles 028 031 0.54 HP Low{4 SmarSun 031 .�..,;,, HP low -E4 Sun 027 021 033 0.31 0-iT Circle Top" casement winihn" . HP Low -E4 Sun with Grilles 0.29 0.19 030 026 OAT �cq HP lax -E4 SmartSun 026 023 0.54 0.42 lax -E4 SmanSun w/Gnlles 028 021 0.49 026 �. ® ;1 HP tow -154 0.27 035 0.60 •`:P 1 HP Low -E4 SmartSun HP Low -E4 with Grilles 0.28 031 0.54 ® . j HP Imv-E4 SmartSun w/Gnlles 031 HPlmr{4Sun 027 021 033 F9 ;91 Clreie. &, Dal tylfigdow,; HP Low -E4 Sun with Grilles 029 0.19 030 R. 025 I HP lax -E4 SmartSun 0.26 023 0.54 0.17 026 HP Low -E4 SmartSun w/Grilles 028 021 0.49 0.16 d HP taw -E4018 _'� HP Low -E4 SmartSun 033 0.56 0.42 .,�: HP law -E4 with Grilles 029 030 0.52 19 f HP Lmr{4 HP Low -E4 Sun 028 020 031 Lg.' lith Arch Win dOW, i:,�.,..•; HP taw -E4 Sun with Grilles 029 0.18 028 ' HP Law -E4 Sun .j rrl® l HP taw -E4 SmartSun 027 023 052 0.18 028 ' HP tow-" SmartSun w/Gdlles 028 021 0.46 021 0.50 I HP Low -E4 027 033 0.58 ... NP low -E4 with Grilles 028 030 0.52 ffl j'.i - '• �`•i Hp Low -E4 with Gnlles HP taw -E4 Sun 027 020 0.31 ! HP tow -E4 Sun Flesifreme Window .`{ HP lmv-E4 Sun with Grilles. 029 0.18 028 : HP Low{4 Sun with Grilles 031 I HP Iox-E4 SmartSun 026 023. 0.52 [ I - { HP Law -E4 SmartSun w/Gnlles 028 021 0.46 0.30 t '. .; HP Low -E4 031 033 0.58 022 037 HP Low -E4 with Grilles 032 030 052 033 - Hinged Inswing.. HP Low -E4 Sun 0.31 020 031 - - Freireh Door `:: Springtime"_Window HP Low -E4 � Sun vrith Gilles 0.33 0.18 028 ,. i:? FA -. 0.32 HP Low -E4 SmartSun 0.30 023 0.52 F 0.14 Hp Low -E4 SmartSun w/Gdlies 0.32 021 0.46 015 .?'+® HP low -E4 030 027 0.45 M I.:T; El HP Law -E4 Sun 033 HP lax -E4 with Grilles 0.32 023 039 R Fin Frcachwood' k �;' " �'• HP low -E4 Sun 031 0.16 025 037 ,.: Gilding_ Patio :DobC:.'.':1 HPLow{4Sun with Grilles 032 0.14 022 #9 HP law -E4 033 023 HP Iow-E4 SmartSun 030 0.18 0.41 FR ". F I HP Low -E4 SmartSun w/Gnlles 0.31 0.16 0.35 - `! HP low -E4 Sun with Grilles 0.34 HP Law -114 031 024 0.411 HP low -E4 SmartSun 032 0.15 ;I HP Low -E4 with Grilles 032 021 035 030 'h Fmrrawood Hinged HP Wv-E4 Sun 031 0.15 023 - ?i HP Lox -E4 with Grilles 033 Inswing PtlUo Door`.,:.:, HP lmr{4 Sun with Grilles 0.32 0-13 0.19 -_eit• 023 - HPlavrE4SmartSun 030 016 0.37 - i.., . `.� HP Low-E_45martSun %Y/Grilles 0.31 0.14 031 HP Law -E4 SmanSun w/Gnlies 032 0.15 HP Low -E4 031 025 0.41 026 0.44 ..i HP Low -E4 with Grilles 032 021 035 'iGi ("' - <•i Frenehrdooif'.HingeG.';; HPLow-E4Sun 031 0.15 023 . n:. Dutswing Paho Door. ;',i HP law -E4 Sun with Grilles 032 0.13 0.19 i FT; Uj - HP Low -E4 SmartSun 030 0.1T 037 B � HP Linv-E4 SmartSun w/Grilles 0.31 0.15 031 HP Low -E4 0.31 022 037 HP Low -E4 with Grilles 032 020 0.33 !? i ' Frencitwoo8 ) HP low -E4 Sun 0.32 0.14 021. f` 1 F86 Doo_'r Sidelight HP lax -E4 Sun with Gnlles 0.32 0.13 0.18 199' ' HP Low -E4 SmartSun 0.31 0.15 033 HP Low -E4 SmartSun w/Gnlles 0.32 0.14 029 HP Low -E4 0.30 024 0.40 HP Low -E4 with Grilles 030 021 035 �'d ... i�.•'. HPLow{4Sun 0.30 0.15 022. M Patio boon Transom '. HP Low -E4 Sun with Gilles 031 0.13 020 HP Loi -E4 SmartSun 0.29 0.16 0.36 HP LmrE4 SmanSun w/ riles 0.30 0.14 032'.' • For NFRC certified total unit performance on units with capillary breather tubes for high altitudes, please visit andersenwindows-com. • 'High-PerformanceLow-E4'-(HP Low-E4),'High-Performance' Low -E4' SmartSun (HP Low -E4 SmartSun) and'High-Performance Low -E4' Sun- (HP Low -E4 Sun) are Andersen trademarks for"Low-E' glass. ' U -Factor the amount of heat loss though the total unit in 8IU/hr sq. tL"F The lower the value, the less heat is lost through the entire product Window values representnon-tempered glass. Use oftempered glass can rs Increase U -Factor ratings. See andeenwindows.com for specific performance values. Door values represent tempered glass. 1 Solar Heat Gain Coet6cient.(SHGC) defines the fraction of solar radiation admitted through the glass both directly transmitted and absorbed and subsequently released inward. The lowerthe value, the less heat istransmitted ' thrthrough the product ong the pr duct (Vl) measures how much light comes though a product (glass and frame). The higherthe value, Imo 0 ro 1, the more dayfigh[the product lets in overthe product's total unit area. Visible Transmittance Is measured overthe 380 to -760 nanometer porion of the solat spectrum. • NFRC ratings are based on modeling by a third party agency as validated by an independen[testlab it compliance with NFRC program and procedural requirements-ecifiedb NERC for • This data is accurate as of December 2010. Due to ongoing product changes, updated [est insults or new industry standards or requirements, this data may changeover time. Ratings are for saes sp Y testing and certification. Ratings may vary depending on use of tempered glass, different grille options, glass for high altitudes, etc • PassiveSun glass values are available online at andersemrindows.com. 277 I I i I tm Andersen Product Glass Type U -Factor' SHGCt ! VP Qu Architectural.,; HP toff -E4 032 028 0.47 - - HP tmr{4 with Gilles 032 025 0.42 _ HP Law -E4 Sun 032 0.17 026._: Casement Window• HP Low -E4 Sun with Grilles032 016 023 F HP Low{4 SmarSun 031 0.18 0.42. f+_ HP Low -E4 SmanSun w/Gdlles 0.31 0-iT 038 i HP tow -E4 032 026 OAT �cq HP Low -154 with Grilles 0.32 025 0.42 French Casemeid . ) HP Lov-E4 Sun 032 0.17 026 Window: '�' HP Low -E4 Sun with Grilles 032 0.16 023 •`:P 1 HP Low -E4 SmartSun 031 0.18 0.42 j HP Imv-E4 SmartSun w/Gnlles 031 017 038 - 7. HP low -E4 032 028 0.47 HP Low-E4wrlh Gnlles 0.32 025 0.42 j HP Low -154 Sun 032 0.17 026 Awning Window : Law -E4 Sun with Gdfles 032 0.16 023 • _'� HP Low -E4 SmartSun 031 018 0.42 .,�: - ' HP law -E4 SmartSun w/Grilles 031 017 036 HP Lmr{4 031 032 0.55 HP Low.E4 with Was 031 029 0.49 In Casament/Awning ' HP Law -E4 Sun .j 031 020 031 Plchhre window HP Low -E4 Sun with Grilles 031 0.18 028 ,' .. ... . _i..i® HP taw -E4 SmartSun 0.31 021 0.50 HP law -E4 Sman5un w/Gnlles 031 0.19 0.44 HPtax{4 030 037 0.64 ffl j'.i - '• �`•i Hp Low -E4 with Gnlles 030 033 0.57 ?'+. ! HP tow -E4 Sun 031 022 036 '-''' Specially WtridoW .-,-,, : HP Low{4 Sun with Grilles 031 020 032 HP tow -E4 SmartSun 0.30 024 0.58 EEi 1: HP low -E4 SmartSun vi/Grilles 0.30 022 0.52 -HP LOW -E4 032 022 037 Hp Low with Grilles 0.33 020 033 - Hinged Inswing.. i HPtaw E4 Sun 033 0-14 021 - - Freireh Door `:: HP Low -E4 Sun with Grilles 0.34 0.13 0.18. - ,. HP Lor -E4 SmartSun 0.32 0.15 0.33 i HP tow -E4 SmartSun w/Grilles 033 0.14 030 - . , i HP Low -E4 033 015 0.41 - HP tow -E4 with Gnlles 034 0.22 036 - Hinged Oulswing HP Law -E4 Sun 033 0.16 023 French Doar i HP Low.E4 Sun with Grilles 035 0.14 0.20 - - HP Low-154SmarlSun 032 0.17 037 . HP low -E4 Smad5un w/Gnlles 034 0.15 0.32v. - HP law -E4 033 023 038 - HP lox{4 with Grilles 033 021 034 - Faed French Door HP low -E4 Sun 0.33 0.14 021 - Welight'',"`:':'...:- HP low -E4 Sun with Grilles 0.34 013 0.19 - - HP low -E4 SmartSun 032 0.15 034 - i �.I HP Low -154 SmartSun w/Gnlles 033 0.14 030 - I, ;. HP law -E4 032 025. 0.41 - - ?i HP Lox -E4 with Grilles 033 0.22 037 - !: Fored Transom:.` HPtow-E4Sun 032 015 023 - ' French Dooir I HP w{4 Sun with Gilles 033 0.14 020 - I,_'.,; HP law -E4 SmartSun 032 0.16 037 - HP Law -E4 SmanSun w/Gnlies 032 0.15 0.33 - ' HP tow -E4 035 026 0.44 - - ! HP Wv{4 with Grilles 036 023 038 - ' HP lmr{4 Sun 035 0.16 024 - . Folding Door Hp ( -E4 Sun wiOl Gilles 036 0.14 021 - .. HP Lour -E4 SmanS 034 0.17 039 - - " HP Low -E4 Smart$Inl w/Gdfles 036 0.15 034 - condnued on ned page • For NFRC certified total unit performance on units with capillary breather tubes for high altitudes, please visit andersenwindows-com. • 'High-PerformanceLow-E4'-(HP Low-E4),'High-Performance' Low -E4' SmartSun (HP Low -E4 SmartSun) and'High-Performance Low -E4' Sun- (HP Low -E4 Sun) are Andersen trademarks for"Low-E' glass. ' U -Factor the amount of heat loss though the total unit in 8IU/hr sq. tL"F The lower the value, the less heat is lost through the entire product Window values representnon-tempered glass. Use oftempered glass can rs Increase U -Factor ratings. See andeenwindows.com for specific performance values. Door values represent tempered glass. 1 Solar Heat Gain Coet6cient.(SHGC) defines the fraction of solar radiation admitted through the glass both directly transmitted and absorbed and subsequently released inward. The lowerthe value, the less heat istransmitted ' thrthrough the product ong the pr duct (Vl) measures how much light comes though a product (glass and frame). The higherthe value, Imo 0 ro 1, the more dayfigh[the product lets in overthe product's total unit area. Visible Transmittance Is measured overthe 380 to -760 nanometer porion of the solat spectrum. • NFRC ratings are based on modeling by a third party agency as validated by an independen[testlab it compliance with NFRC program and procedural requirements-ecifiedb NERC for • This data is accurate as of December 2010. Due to ongoing product changes, updated [est insults or new industry standards or requirements, this data may changeover time. Ratings are for saes sp Y testing and certification. Ratings may vary depending on use of tempered glass, different grille options, glass for high altitudes, etc • PassiveSun glass values are available online at andersemrindows.com. 277 Location �gt) 6 1 ��`"' CAOer-�J No.-5Date J—L -- TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ �� Foundation Permit Fee $ Other Permit Fee $ ' TOTAL $ Check # 26085 Building Inspector