Loading...
HomeMy WebLinkAboutBuilding Permit #342-13 - 429 ABBOTT STREET 10/24/2012 O`pORT a1Np BUILDING PERMIT ,ti +. • o� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: ® Date Received �,�o'AM ,+`�• Date Issued: �sSwc►+ug��� IMPORTANT: Applicant must complete all items on this page LOCATION y �� �k S --- , rr Print PROPERTY OWNER I F t`r �.�,� r H�r VIA,&_0 Print MAP NO:C'--�` PARCEL:UI(A ZONING DISTRICT:_.3 Historic District yesrn o Machine Sha Village eso TYPE OF IMPROVEMENT PROPOSED USE Reside Non- Residential ❑ New Building ne family ❑Addition ❑ Two or more family ❑ Industrial ❑AI tion No. of units: ❑ Commercial 21�epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: V1. b (\J C;T,),r, eAVIA r Identification,Please Type or Print Clearly) OWNER: Name ,eP Vt a.v\L2 He r All-CU.s Phone:JS`1- Address: CONTRACTOR Name: �r�uv� DCIJNVAt'�-,l Phone: 3b -3 s4- c., Address._1D,--1 Supervisor's Construction License: c Exp. Date: 9- �S (j Home Improvement License: d'( C) Exp. Date: 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: $ 1 3,51 0 f u� FEE: $ l 3. Check NO.: c)-(, 'N-1_4- Receipt No.: 'I 15�z NOTE: Persons contracting with unregistered contractors do not have access o the g aranry fund i nature of Arient/Owner ---> Sionature of contractor Location 429 No. i� ' Date o • TOWN OF NORTH ANDOVER 0 LED Certificate of Occupancy $ Building/Frame Permit Fee $�43 !( "P, x C J Foundation Permit Fee $ Other Permit Fee $ TOTAL $ ` Check,26P7/ 25876 Building Inspector s i n Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body ❑ Swimming Pools ❑ Art � Well ❑ Tobacco Sales ❑ y' 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 PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Siqnature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments I Water & Sewer Connection/Signature& Date Driveway Permit I DPW Tow,Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at'124 MainStreet Fire Department-signature/date f COMMENTS F 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 Doc.Building Permit Revised 2010 I 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 o Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract Li 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 Li Building Permit Application u Certified Surveyed Plot Plan ❑ Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) a 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) Li Building Permit Application ❑ Certified Proposed Plot Plan Li Photo of H.I.C. And C.S.L. Licenses Li 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 o Mass check Energy Compliance Report o 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 I Doe: Doc.Building Permit Revised 2012 NORTH Town of t E ndover 0 0% No. h ver, Mass, xqo 11144=0 COC NICNI WICK A°44rEo ►P��,�'(y S U BOARD OF HEALTH Food/Kitchen PER VT T LD Septic System THIS CERTIFIES THAT ................. .tfr.1000§041*�. .... BUILDING INSPECTOR has permission to erect..................... ... buildings on .... ........ �... .... Foundation Rough to be occupied as ............. .... Chimney ......... ........�..1... . .... . ............................ 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 6 . PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTJST S Rough 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. SEE REVERSE SIDE R�.„,e/�n,,,,ewal MA Home Improvement Contractor "7/rU 1derSen. �•��', – License#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)Name Date of A ement Buyers)Street Address,City,Stateand Zip Code 2 E-Mail Ad rens Home Telephone Num er Work Telephone Number 37 dc)-o Buyer(s)hereby jointly and t everally 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. Estimated Starting Date: Method of Payment: Total Job Amount: Amount Financed,, /C� LLJJ C ❑Check ❑Cash Deposit Received(33%):— S V Oviso/ ❑Discover / Balance at Start of lob(33%):� �sr� D manced OAMEX Estimated Completion Date: If credit card is selected,please Balance on Substantial 4---�] ✓ see Credit Card Payment Form. Completion of Job(33%): 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 orporation Buyer(s Buyer(s) it By. Sig at re of"Produ t Manager Signa Signature Print Name of-Product Manager Print Name 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. �– - – – – – – – - – – - - -9-<- - - - - - - - - – – – – – -�– – – – – – – – – – – – – – – �c NOTICE OF CANCELLATION X NOTICE OF CANCELLATION Date of Transaction . You may cancel Date of Transaction You may cancel this transaction,without any penalty or obligation,within this transaction,without any penalty or obligation,within three business days from the above date.if you cancel,any I three business days from the above date.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 Contract 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 I and any security interest arising out of the transaction will be canceled.If you cancel,you must make available to the 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 I as when received,any goods delivered to you under this this Contract or Sale, or yyou may, if you wish, comply I Contract or Sale;or you may,if You wish,comply with the with the instructions of Hte 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 you 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 ujp within 20 days of the date ofyour Notice of your Notice of Cancellation,you may retain or dispose I of Concellahon,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 the goods available to the Seller, or if you 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 poods to the Seller and fail to do so,then you remain liable you remain liable for performance of all obligations under for 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. notice,or send a telegram to Contractor: Renewal by Andersen Corporation,104 Otis I Renewal by Andersen Corporation, 104 Chis Street, Street, Northborough, MA 01532, BY NOT LATER THAN Northborough,MA 01532,BY NOT LATER THAN MIDNIGHT MIDNIGHT OF .(Date) OF .(Date) I HEREBY CANCEL THIS TRANSACTION. 1 HEREBY CANCEL THIS TRANSACTION. Boyar's Signatra Print Name Date I Buyer's Signature Print Name Date RbA Copy- White Buyer Copy-Yellow Buver Cory-Pink BIBLLP2009.RBA.Ph MANH Renewal --- enewal by Andersen Corporatit MA Home Improvement Contractor b04�� 104 Otis St.,Northborough,MA 01532 License#170810(Expires 12/23/2013) YAnderSen. (508)351-2200•Fax:(651)351-4810 Federal Tax ID#41-1918413 WINDOW REPLACEMENT an Andersen Company WINDOW SPECIFICATION SHEET Buyer(s)Name Date of Agreement The B yer(s)listed above hereby oinlly and severally agree to purchase the goods and/or services listed below,iA 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. WINDOW DETAHS 1. Contractor will Install a total o windows in Owner's home,using the following individual quantities: Ybouble Hun (DB)1�Equal sash_Cottage sash(1/3 top,2/3 bottom)_Oriel sash(2/3 top.1/3 bottom)_Flat sill ast "er(s or $ l $ P P aware or Glass Iris) Casement(CS)_Hinge right_Hinge left(as viewed from exterior) Double Casement(CD) 2 Lite Gliding Window(GW) Casement/Picture/Casement ICE)_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 _#Lights Soffit/Roof Shingle/Copper Specialty Window Patio Doors(Sc separate door spec sheet) Seat to be Primed/Oak/Pine L. v Qty of Windows to be Custom Fit Replacement: 3._ Qty of Windows to be Custom Fit Full frame(INCLUDES NEW INTERIOR&EXTERIOR CASINGS) Exteriongs:_Pine_Maintenance-free material_Factory applied 908 FSbrex brickmold 4.Glazing to be: P Low-E-4 T"' —Tempered —Other If other,please specify: 5.Exterior color to be:_White_Sand anvas_Terratone—Cocoa Bean_Dark Bronze_Forest Green—Black G.Interior color to be:—Whit _Sand—Canvas�ne_Maple_Oak_Same as Exterior Note:Wood interiors need to finished by Owner. 7.Hardware:_White tone_Canvas_Estate Hardware: Style: 8. 4,0 Install Lifts with Double Hung Windows 9. Soreens:windows to have:_Ralf or_Full screens Screens to be: Fiberglass_Aluminum_TruScene GRH�U 10 f igdews have grilles:_Grille Between Glass(GBG) emovable Interior Wood(INTW)_Full Divided Light(FDL) Owner approved(initials) Draw grille patterns below `Use additional sheet if needed Q Qty Qty Qty: Qty Qty Qty: ADDITIONAL WORK DETAILS 11. 11 Qty of_Sills_Sill 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. o for will install new_paint-ready or_stain-ready_Inter or_Exterior stops in_Pine Maintenance-free material 15.( - )Inds Owner is aware that Contractor does not do any painting. 16. on w 11 wrap exterior casings with coil stock of color. ote:Wrapping may be required with storm window removal;removal of storm windows will leave screw holes in casing. 17. Contractor will insulate,caulk and seal windows w th 3-Point system to prevent water and a r 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. 18.I/ t es❑No Buildin>t 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❑No All discounts have been applied to this agreement price. 20.Additional job details: 21.Ves❑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.Buyers)hereby acknowledge that Buyer(s)has read this Specification Sheet. Renewal by Andersen or oration Buyer(s) ,�— Buyer(s) By: � ? v t e Product Manager Si". e Signature M1 Print Name of Product Manager Print Name Print Name . ., •� ' ' _ : The Cor�raco�cwP.alt�i af'j��rssac�tuseff3' kvi ' DCp6r�Rellt.Of.tR� AGG!ll,Ci<Lb' Offwe of brvY �Xfaonr WV Was*gton Stree 'Boston;MA QZ1II W".masiffWdia Workers'Compensation IwwRnce A.M&Ti� $ceders/Coatraefars/Fle-tricisns/Plumbers _ lic�at Iafer�na4ian Please Print-Leefl)Ily Name( wb=a/0rgmmizeficro/lndividnsif: �Nr f\P U)O. u�Add=s:_ 1 a L-( s ST- City1ftte/Zip: %k�.�- - �b d� 'I �s CSI S 3 Phone#: S� ' - S 1-��an6 Are you an empioyer.9 Check the appropaa&'bor Type of project(req h-ed): 1 I am a emplapra with 4. ❑ I aim.11 genal oaatrnctor®d I fi ❑New cams�raetion =Ploy=(fnll and/orpett-fime), bate on d the r:hm sheet �-,�,,e 2.❑ I em a sole proprietor orpartaw— listed an the attached shut= d g Demolition ship and bete no employees T hese snb-caa�ect=have a. ❑ s#and far n na sa5:yaw wado='cD�'��«'. 9• []$nffidiag addition . [No Ivo s' cutup ,,e 5. ❑ We ate a eorporaticm end i>S 10 ❑ respairs ar eactitiaas off==have czeucicad tbair tiam per MCL 11.�]Pb�isg tnpmn Cl additions .3.D I am a hameow=doing all Wc& �of exec P C' 152, §1(4),sad We hive no 12.�Roof tzpairs myself [No wor�as -�. '. insurance roquiiod.] t en4lDYML END workers' 13.0 C>fhcr :comp. i--pimi) ;Amy apphcmC the sheds b=#1 smut elan W MIt tho sec-bmww a wwiag ficr wndaa'eon PoBO9 Homenwnea who aahm$this dBdn.A m3'i— lbay aA&=gall walkand then h=aide aolmdt.i sew et�idavh m�ottmg coed =Camt<aetias'ehtt thu>mz ao eddnaoaal ehowrog the aamc of fbc'eab ao and w�wodar o�P Pte?' I am an ernplaper Scar a'prvw&b7g workw7 compeert�zfian scars-ante for my en,pIayus Brlmv is take po6ry rand job she BM==COmpaay Neme:_ 1 S b Policy#f or S&-ins.lie, © — = Job S"rteA&iress' Ct �J�Ja �`r • C Y TS: i` �� �Lcn ���J`1 �� Aflach a cope of theVmrkma'compensatican policy der-lum nn pts(��g Pow a>mubea and eaptrsbnn date). li Fldlia'e'tn 6'e=coverage'as regmred ander$cairn 25A ofM(3L c. 152 can lead to the imposificm of m+niael peaelfim of a fine-up tD S 1,500.00 and/or one-yrar MTM D anfmf as wolf es cion prnalfim in the f3=6f a MDP WORK ORDER and a fine of up to 5250.00 a day-against the violater. Be advised tbet a copy o`f'thk statammt may-be forWarded.ta the Office of brnrsftgutions of the DIA for mmmincc covemp vrcficaban. Ido her,eby.cerli,{ W'" ofFe� J't7kaa the acformerfinn prt►vided above w true=d corrccL Dad Df eiQl use onFy. De not wr*in*Vanes, m-be eomp[eted by a*y or tmrn offu id . OfY or Tour Permirr/Lic�e# beg A"fhor#tp-(cdrele-onejt 1. Board of Seams ;L talk mg Department I MtrT.Tu Cie& 4;EWt ical Iacpeetnr S Pkmbbg bwPbdar ' 6 Dthw. contact PP.tsaa Mime ®�� CERTIFICATE OF LIABILITY INSURANCE DATE 5/20°12 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: N 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 NAME ONCT Jonelle Hargrove or Eric Johnson Hays Conpanies PHONE -333-3323 -373-7270612o 80 South 8th Street ADDRE-MNEsL s: Suite 700 PRODUCER Minneapolis, NK 55402 INSURER(S)AFFORDING COVERAGE NAIL li INSURED INSURER A: OLD REPUBLIC INS CO 24147 Renewal By Andersen Corporation INSURER 6: NATIONAL IINION FIRM INS CO OF PITTS 19445 104 Otis Street INSURER C: Northborough, NA 01532 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 29229436 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 TYPE OF INSURANCE AD L SUBR POLICY EFF POLN EXP LTR POLICY NUMBER MM/DD MOD LIMITS A GENERAL LIABILITY MWZY 59828 10/01/1 10/01/13 EACH OCCURRENCE E_1,000,000 X COMMERCIAL GENERAL LIABILITY PREMISES Me occurrence $ SOD,000 CLAIMS-MADE a OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 4,000,000 GEN'LAGGREGATELIMIT APPLIES PER: PRODUCTS-COMP/OPAGG S 3,000,000 X POLICY PRO- LOC $ A AUTOMOBILE L11181Lfry XKTB 21700 10/01/1, 10/01/13 COMBINED SINGLE LIMB $ 3,000,000 X ANY AUTO (Ea sodded) ALL OWNED AUTOS BODILY INJURY(Per person) $ BODILY INJURY(Per acddent) $ SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS (Per accident) $ X NON-OWNED AUTOS t $ B X UMBRELLALIAB % OCCUR 13273355 10/01/1 10/01/13 EACH OCCURRENCE : 25,000,000 li EXCESSI. CLAIMS-MADE AGGREGATE $ 25,000,000 DEDUCTIBLE X RETENTION $ 25,000 $ S A WORKERS COMPENSATION NNC 117948 00 10/O1/1 10/01/13 X WCSTATU 0&AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ 2,000,000 OFFICERNEMBER EXCLUDED? N❑ N I A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 N s,descdbe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT : 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Add@Ionat Remarks Schedule,N mon space U nquhad) Evidence of Insurance. CERTIFICATE HOLDER CANCELLATION Evidence of insurance 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 erica n minas soon anwww wwwwww.�.�.. ....._... Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction SuperN isor License: CS-095707 BRIAN D DENNISbN 7 LAMBS POND CIRC" = j Charlton MA 01507 J Expiration Commissioner 09/08/2014 �o�ar-/s& o�✓ss Keg lata elt i Office of Consumer Affairs&B siness RegalaHou f HOME IMPROVEMENT CONTRACTOR i Registration 170810 Expiration I�W/2013 Type: Corporation R WAL BY ANDRS>rij°°C{1}ZpORgTION I BRIAN DENNISON"!}� t 104 OTIS ST. "` r NORTHBOROUGH,MA Undersecretary I 1 { DAM byAndecsem B�NpCM RC�UICEMENT epAndeppt WoodMfw CGMPosite IF DI�1 D AW Low R btnmMm 26100-0047366&010 ENERGY PERFORMi NCE RATINGS U-Factor'(U.S)A-P Solar Heat Gain Coefficient 9" t� w ADDITIONk PERFORMANCE RATINGS Visible Transmittagce Owl , M.e�!«..r�da..�w B.w�Mkpaedeie Yap��aar Nfnc�se�a.M W M�rnpiy tNiea AwsYM . MManrne�.M/RD�MPaAN�n�M�OleraWw wt ef�K�e��stmMYleMawa�pe6b��e/p Mr. ►ffnc ea...a wee�e wr�+'4e aw wa wroM n...ta�yaMyrsare+wryp�alGe.... �, CeneYY.md.amn a.tim b auxP��M�Paa MQerw�tbn. . i r+rw,d �,� &L's�' T►p,ee�.nk mrMe � : wev �wn r 4pr-111v DESIGN PRESSURE(P5F1 1'�-LCZ,5 RM DB Sloped Sf11 DN IH II '7rYae�Ws�irAilraNMONl�ttoU�MN� �onesrr - en �taa�rpafp�Ot M.EA.C.E.C,t IEC.C.AG IM rMbl wq�ia��erY011A1YwukCa p�pap�n,; a 12 � 1 I L O m C e.wa r r-� Nly"dyrrA C�am4 tsn Dual RrnduatT�n Glider ��IE -G!Y PEE'F6ZA LJ-Fau'nr sonar Hal Gr-tn�s�i�Yezt 65 u ell -19 • ' Vlst`b1e Ttansmtl�c� -0 r3 • • "m'o`m.'����POf-''rc�aamrn+l �+mc,�ar��r�"� Andef�h PbAt�Gdm4'V�iuuian hnsnura�� mrw� us m�fip 9` t+a�maAa�wwotu tmra�as DP Psf♦'` I . � - _ j�-d�i!�C r�r.'Ff Ff. -y-Td�(PffiG•inkL Hfi1�IC �®'