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HomeMy WebLinkAboutBuilding Permit #754-2011 - 44 OLD VILLAGE LANE 5/9/2011Building 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/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 ❑ 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 2008 O z. H �O �O VN C O cm CD s cm c m `o Of C �C N co t 0 2 co 0 O O O � Z p, O y � C O OM i O D _ A O O •E m m 0 CD CL 3 -o CD O 0 i ca�Q c .o o cc O ca C Z � V � h O C C C CO)cc CL cm ul !9d LU N W W ce W U) O w 0C � U) O G p w O w .G U G w O0 r p n: G w" R w W p w v U) C w d 0 w � i�. G c4 � cn `` .hG cn H �O �O VN C O cm CD s cm c m `o Of C �C N co t 0 2 co 0 O O O � Z p, O y � C O OM i O D _ A O O •E m m 0 CD CL 3 -o CD O 0 i ca�Q c .o o cc O ca C Z � V � h O C C C CO)cc CL cm ul !9d LU N W W ce W U) Apr011107:18a David Sullivan 19784105478 p.8 104 Otis St., Nurthburough, %f:101552 J&L 4flNuows, h'C., U/ei,t NIA Home Improvement Contractor i508'� 919-0900 • Fa.: (7741987-3013 Renewal License #149601 (Expires 1/24/2012) Federal Tax ID #83-0404-901 byAndersen. WINDOW AE.UCEMEni a•. Aru:sen(impor, CUSTOM WINDOW AND DOOR REMODELING AGREEMENT B e' me � � Cale of Ac eement Buyer(s) SreetAddress, City. S:ote, and Zip Code 5/ E -Mail Address Hone Telephone Number Work Telephone Number Guver(s) licrcby jointly and severally agrccs to purchase the products and/or services of ,I & L.Windows, I»c. d/b/a Renewal by Andersen ("ontraclor" ), in accordance with the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheets) (callxiively, this " eemc 16uyer(s) hereby rces to sign a 'otuIddon certiticate atter (: ontrac,tor has completed all work wider this Agreement. . SU46 j� G 1 r D /� � P,l�e) OF � )VaNeh j XA/cs o/L 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 SPA S. J L Win omrs c. / "SPA tL-Is dersen Buyer(s) Buyer(s) Signatwe of odut'i Man;tger Signature Signature Print Name. of Product Manager Print Name. Prin: 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- - - - - - - - - - - - - - - - - - - - - - - - - - - - -- NOTICE OF CANCELLATION X NOTICE OF CANCELLATION Date of Transaction . You may cancel I Date of Transaction You may cancel this transaction, without any penalty or obligation, within this transaction, without any pena y or obligation, within three businessd days from the above ate. If you cancel, any l three business days from the above date. If you cancel, any property traded in, any payments made by you under the l property traded in, any payments made by you under the Contract of Sale, and any ne9atiable instrument executed I Contract of Sale, and any negotiable instrument executed by you wit! be returned within 10 days following receipt l by you will be returned within 10 days following receipt by the Contractor ("Seller'q of your cancellation notice, 1 by the Contractor ("Seller"j 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 I 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 you may, if you wish, comply I Contract or Sale; or you may, i 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. l the goods at the Seller's expense and risk. If you do make Ifou do make the goods available to the Seller and the I the goods available to the Seller and the Seiler does not Seller does not pick them up within 20 days of the date 1 pick them up 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 the goods available to the Seller, ori u agree l goods ova, c ro the Seller, or if you agree to return the to return the yoods to the Seller and foil to do so, then Dods to the Seller and fail to do so, then you remain liable you remain liable for performance of all obligations under i 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 deriver 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. J l notice, or send a telegram to Contractor. J & L Windows, & L Windows, Inc. d/b/a Renewal by Andersen, 104 Otis Inc. d/b/a RI by Andersen, 104 Cnis Street, Street, Northborough, MA 01532, BY NOT LATER THAN Northbo nighF,1 532, BY NOT LATER THAN MIDNIGHT MIDNIGHT OF . (Date) OF 3 . (Date) I HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCEL THIS TRANSACTION. Buyer's Signature Print Noma Dale B7', signature Print Name Dole Aho Cnrnr - NVhitr R—, C ...: _ VA lnu, Rv-- (-n.-., Estimated 51Drting Cale: Method of Payment: ❑Check ❑Credit Card ❑Cash Total Job Amount:/.-.... W�� 12financed Deposit Received {33%):_..._.~�.... Balance at Start of Job {33io):___�� _�- Estimated Completion Date: If payment iis by Credit Card, please fill out Bolonce on Substantial the Credit Carel Receipt of Deposit Form Completion of Job 133 Ry signing thi3 agreement, you ackno%vledge. that the.Balancu at Start of Job and the Balance un Subsumtial Cumpittiun of Joh cannot be madt by credit card and must be made by persona: check. bank check, or cash. 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 SPA S. J L Win omrs c. / "SPA tL-Is dersen Buyer(s) Buyer(s) Signatwe of odut'i Man;tger Signature Signature Print Name. of Product Manager Print Name. Prin: 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- - - - - - - - - - - - - - - - - - - - - - - - - - - - -- NOTICE OF CANCELLATION X NOTICE OF CANCELLATION Date of Transaction . You may cancel I Date of Transaction You may cancel this transaction, without any penalty or obligation, within this transaction, without any pena y or obligation, within three businessd days from the above ate. If you cancel, any l three business days from the above date. If you cancel, any property traded in, any payments made by you under the l property traded in, any payments made by you under the Contract of Sale, and any ne9atiable instrument executed I Contract of Sale, and any negotiable instrument executed by you wit! be returned within 10 days following receipt l by you will be returned within 10 days following receipt by the Contractor ("Seller'q of your cancellation notice, 1 by the Contractor ("Seller"j 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 I 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 you may, if you wish, comply I Contract or Sale; or you may, i 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. l the goods at the Seller's expense and risk. If you do make Ifou do make the goods available to the Seller and the I the goods available to the Seller and the Seiler does not Seller does not pick them up within 20 days of the date 1 pick them up 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 the goods available to the Seller, ori u agree l goods ova, c ro the Seller, or if you agree to return the to return the yoods to the Seller and foil to do so, then Dods to the Seller and fail to do so, then you remain liable you remain liable for performance of all obligations under i 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 deriver 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. J l notice, or send a telegram to Contractor. J & L Windows, & L Windows, Inc. d/b/a Renewal by Andersen, 104 Otis Inc. d/b/a RI by Andersen, 104 Cnis Street, Street, Northborough, MA 01532, BY NOT LATER THAN Northbo nighF,1 532, BY NOT LATER THAN MIDNIGHT MIDNIGHT OF . (Date) OF 3 . (Date) I HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCEL THIS TRANSACTION. Buyer's Signature Print Noma Dale B7', signature Print Name Dole Aho Cnrnr - NVhitr R—, C ...: _ VA lnu, Rv-- (-n.-., Apr011107:18a David Sullivan 104 O(is Slreel, Norlhtnn'euKh, AIA 01 552 Phonc 3093 19.0900 • I'nx 774.997.3013 Buyer(s) Name J & 1 Windows, Inc. d/b/a Renewal byAndersenv WINDOW REPLACEMENT mnnda Q p=y Or GRFA7r.R MASSACFfUs= arm NEw HAAfrsnutE WINDOW SPECMCATION SHEET 19784105478 p.7 MAA HIC Liccnse k 149601 (expires I/ 24i 12) Federal Tax [I)# 83-0404201 Date of /K49QA?- 46A I 3 /al /i The Buver(s) listed above hereby jointly and severally agree to purchase the goods and/or services listed below, in accordance with the prices and tens described on the Specification Sheet and the front and the reverse of the accompanying CUSTOM WINDOW AND DOOR REMODELING AGREEMENT, of w1iich this Specification Sheet is a part. WINDOW DETAILS C ntra&or will Install a toal of _ WE in Owner's home, using the following individual quantities: Double Hung (DB) Equal sash ❑ Cottage sash (1 /3 top, 2/3 bottom) F1Oriel sash (2/3 top. 113 bottom) Casement (CW) Hingc right ❑ Hinge left (as viewed from exterior): ❑ Standard handle ❑ Metro handle Double Casement (CDM ❑ Standard handle ❑ Meh•o handle Casement / Picture./ Casement (CPW) ❑ 1:1:1 or ❑ 1:2:1 ❑ Standard handle ❑ Metro handle 2 Lite Gliding Window (GW) Glidcr / Picture / Glider (GF\k) ❑ 1:1:1 or ❑ 1:2:1 Awning Window (AW) Fictwr- Window (PW) Bay or Bow Window Patio Doors (see separate Door Specification Sheet) 2.�z] Yes ❑ No Qty of Windows Lo be Custom Fit Replacement: 3. Ycs'&j No Qty of Sills to be replaced by Contractor. / $/D e. 4-1A_ d 4. ❑ Yes q No Qty of Windows to be New Construction Full frame (includes new interior R exterior casings) and actual Exterior -kings: ❑ Pine ❑ tManitcriance-fico material ❑ Factory applied 908 Fibrex brickinold F. Glazing to b�� NQ\Lvhi�e IN' ❑ Other If other, please specify: G. E rterior color to b'HI❑ Sand ❑ Canvas ❑ Terratone ❑ Cocoa Bean 7. Interior color to be:❑ Sand ❑ Canvas ❑ Terratone ❑ Fine ❑ Maplc ❑ Oak- Note: akNote: Lit m]or can only be white, wood or same color as exterior. Wood interiors need to finished by Owner. S. Hardware : ❑ Stonc ❑ Canvas ❑ Brass ❑ Estate Hardware: Style: 9. ❑ Yes ❑ No Install Lifts with Double Hung Windows 10. Screens: windows to have: * half" or ❑ Full screens screens to be: X Fiberglass ❑ Aluminum ❑ Tr•uscene GRILLE DETAILS 11. Windows have grilles :K� Yes ❑ No if vcs:_n Grille Between Glass (Gsc) ❑ Removable Interior Wood (unit,) ❑ Full Divided Iighr (Fnu Qty: -2 Qtr• Qlr Qty: Qty: Qty: Qtr DH DH DA LL--11:1E:1E1 Draw grille patterns above :'Use additional sheet if needed Owner approved (initials) ADDITIONAL WORK DETAILS ~ yJ 1 ').-V,7 Yes ❑ No Contractor will remove metal frames of windows. Qty of Units: C4 P 1 Yes ❑ No Contractor will install new paint -ready or stain -ready casings. .� Interior casing qty of openings: Exterior casings qty of openings: ❑Pine Maintenance-ftce material 14. ❑ Yes ® No Contractor will install new paint -ready or stain -ready inside or outside stops qty of openings: Interior stops qty of openings: Exterior stops - t s: ❑ Pine 71 Main ten ance -free material 15. Owner is aware that Contractor does not do any painting. ( )ywner Initials IG. ❑ Ye!A No Contractor will wrap exterior casings with alums t stook of color. Note: Wrapping may be required with storm window removal; removal of storm windows will leave screw holes in casing. 17. Yes ❑ No Contractor will insulate, caulk and seal windows with 3 -point system to prevent water and air infiltration. 18_M Vas ❑ No Clean up all job related debris including old windows wilt he removed. Vacuum nightly: 19.21 Yes ❑ No A limited warranty shall be issued to Owner upon completion of the job and payment in full. 209 Yes ❑ No Building Permit—Contractor will secure any and all necessary permits. The fee for the permit(s) is not included in the Contract Price and a separate check is required at the titne of sale for this fee. 21. Yes ❑ 1\o Alp discounts have been a lied this azmement price. 2... Additional job details: i� S� �_ l N ®lJ U1 NS %1 /4i �e4 / f //^' `"' " , !I - iu/ eve r. Y dui n.C? .._ .Y6 /h<,nj7milt o iLi7',OJU t sb'e <k / 7- T� a 1Y ro &14.2 � (:-v Arm & e QJ e, W • l Qt_ s- c it Ller� 23_�K Ycs ❑ No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment. NO dunandcd wiail tic con(ma is completed to flee satisfaction ofall parries. It is agreed and understood by and between the parties that this Specification Sheet, along with the CUSTOM R'INDOW AND DOOR REMODELING AGREEMENT, constitutes th ent' understanding between the parties, and there are no verbal understandings changing or modifying any of the terms This Specification S t m trot be ohar�ged or its terms modified or varied in any way unless such changes are in writing and signed by both the Buyers) and Contract u (s) aclotawledge that Buyer(s) has Hard this Specification Sheet. Rene by de r d NH Buver(s) Buyer(s) Signature of duct Ma pager Signature Signattrre Print Name of Product Manager Print Name Print Name Tke Cammorcweaitfi of h2rrssacFzu�ettF ; Dapaltmerd of fadustid �4cciderci D,cu of �npestigatiorz b©D FrOtbigl`an Street B,7dOY;1A 62111 FW.mux.gavlFja Wcirk=' Comp6nsLdan Inwrsace fffidVi S derslCaafractars/ Ieatr�ciaaf.r'rrhers 91p�ea �PsrT.Pa-fF►}' A.A 11Cii�}.L 11t1u1 uta�[.uu , CitytSfatelZig� i o �a d13� `Pbnne Are pDII En =Plum? Check fbe r-pproprigte ban Type of project (required); L E -1 am a ernpioyw w h 4. Q' I am a genesai coatmrtar aad I E, Q ITOW =gtrt nn CIDpIDyCCa (fS1lI Bnb%OrpHLt-tLmCl lim bima file m3l>-rm t=t= listed on em attaGbcd shock $ �T:� , Z, ❑ I am a sole pmpziotar or partner- 7=r sob -•Cont mzt m have 9, Detnalito &hip d hm no ampioyeC6 ba wwkins fOr=.In 'cica n . Wpd ' Do=. 0. P. Q RrT�i 'in 9 ddltldn !�' ��� 0, inerrtRriee S. ❑ Wt am a CDLpDa6= sad Its . oficets ban =orciscd fheit. LD.❑ EI :60x1 rCpaia Cr addifiDIIt' ���� , . 3r❑ I am a h =DSi = doing au wart � Df emea�pfioap�sl�GL ll.[]Rhimhiag repairs or additioas traysrii (1,To- wori�ta' oomg; c.152' 11(4), aad we have no L2.❑ Roof repaint t cmPioYeesu'[9° VD±! s' 13.❑ Dfl, .. C:D* MMW5 2 . 9J7 eepplieaszi the ebeetz hoz PI mutt On b o� the �e�Eioa ban mbwinr6:ir �da' r= pe m& 0. P �Y t 5nmeom= wkm =b=it thu of ddi$kiws=fimg tom. mz a has dutsi8e a rmtraettm~ matt w dn�ds� in¢sea5mF mels �Camnetuu� theE abrrh 4su baz muck e[taehr� ea ed3itioaal Fheet�'ia� the m� of for Hb-eontactaa adtheit a was' ' r eons. Policy iaf=� ght I am as mmpdvf►er' that is prcrfmg work-+,' corrrpearafiaa fasarartce far any earpTayces �elarv.is the pafsry and job iaforraation. f Ia m=c c mpmy L�BIIi�-n 1 s� �. zi��: ?.lam # A Job bite Address, �� �'� (�_ 1, l � ( �-- • Att rli a ea y of the vrorlmrs' ooacpenssfi,D Lpoiicy derlsretinn pave (showing the poiicy amber and eipiraaiou date P D of riminsl penelfics of a Faure to sem covorage as required trader Section 25A Df MM c. Ls2 can Icad to fbe imp fmc ap-n $L,SDtl.00 aadior ono -year haprlsDnmr 34 *won as civl penLIdm in ffie {rte of a 5T1�P i�DR� aR1�ER and a E= $ie vinlator. };e advised fiat a copy Df this statement may bo fnrwardod to the Dffice Df �fup to $2Sf1.DD a day e.aPeinst InvestLpfiana.of fbe DIA for ftmmoce cDvaragz veafil*'qiinn. I do hcrxby ce r the pains aztd penaifiaa erjtrry that Sse infirmarian prodded above is irme-and carrmd Silrne�reDais; � Phone 0��ictal use arefy.' Da natwrite in ads area, to be completed by city or tom Oftlat CSfy or Totem permiflLicease # Iss'g AafhDr4 (circle Qne): actor .S. Plamh' Q ectnr L 8orrd of Health 2. �uildrag Depmrfineut 3. C�tylTm C�.wk 4, It Iecfricel lisp �, P , fi, Offer cDui�ct Persau: Phan �I:t.4sachasett.5 - Department of Public Sgfety -Board of Bsiiic�in� Regulations and Standard Construction Supervisor License License: CS 35707 i BRIAN DENNISON. Be CREST CIRCLE WORCESTER, MA51603., Expiration: 9I8 012 Commissioner Tri 2E22 Office ar Cnasamrr Affair: ZCc $usiaess'$e�ul=fiva , ' OMS IMPRO EI -IT COWrRACTOR • RegisfratiQt��� 01 Ezpira -12 e Card REIT EML BY BRIAN DENNIS I a4 OTIS STRE - NORTHBOROUGH, Lindetsmerehry T® ACORO CERTIFICATE OF LIABILITY INSURANCE . �.I DATE (MM/DD/YYYY) 1 02/09/2011 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 Joseph McKeone JP McKeone insurance Agency, Inc. P.O. BOX 333 Ann Arbor, MI 48106-0333 CONTACT NAME: NE FAX En :734 662-8100 ac No: E-MAIL ADDRESS: INSURERS AFFORDING COVERAGE NAIC# INSURER A: Hartford Insurance Company INSURED J&L Windows, Inc. Renewal by Andersen INSURER B : Nautilus INSURER C: 104 Otis St. INSURER D: Northborough, MA 01532 INSURER E: GEN L AGGREGATE LIMfT APPLIES PER POLICY JFCTPRO .LOCI INSURER F: $ COVERAGES CERTIFICATE NUMBER: 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, LTR TYPE OF INSURANCE A SU POLICY NUMBER POLICY EFF MM/DDKYYY POLICY EXP MMIDD % - LIMITS B GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS -MADE © OCCUR NC956461 • I 10/01/2010 10/01/2011 EACH OCCURRENCE $ 1. 000 000 AMA O RE PREMISES E occurrence S 100,000 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN L AGGREGATE LIMfT APPLIES PER POLICY JFCTPRO .LOCI PRODUCTS - COMP/OP AGG $ 2,000,000 $ AUTOMOBILE X LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS NON -OWNED HIRED AUTOS AUTOS atSINLMfA Ea..,de1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE S . fPer accident $ UMBRELLA LIAR EXCESS LIAB HCLAIMS-MADE OCCUR I EACH OCCURRENCE S AGGREGATE S DED RETENTION $ $ WORKERS COMPENSATION35 ANYAND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVEE.L OFFICER/MEMBER EXCLUDED? (Mandatory In NH) If yes, describe under DESCRIPTION OF OPERATIONS below N / A WECPP1444 02/17/2011 02/17/2012 ' WC STAT U- ICY - EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYEE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500 000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space is required) ' L;tK I U" IL;A It ML)LUCK INSURED COPY I 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 ©1968-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD Haas or eseeeds aI.ET:. C.1c.C, i MC.M.4k InflAm ion mgWfflmws WOMA ffaiadc Cad%dnn Pmpmm. ' v Renew* al bAndersena WINDOW REPLACEMENT anAndetrenCotnpntiy ' wooMinyl Composite IF '= ,,^e r :I g A% Dual Argon Low E4 SinartSun Double. Hung 100-00473518-010 PERFORMANCE RATINGS ENERGY U-Factor (U.S)A-P Solar Heat Gain Coefficient 0:19 0219 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance O-E-42 .'anutwtunratipub mdrat thea ratigp canferm toappLi b NFfiC pmeedum for dautmuinpaAde produ.Y psdormarrs. NFAC stintfen datnmiudfmaf6ud M1 atamrioeminnl mnd'eonsand aspeaft pnCuctaaa. NMC dans sat nmmmand miry product and dans not w.rmm the auiahr8y at arty product fur any speCTC uaa. Causal maubctumft fumlum for other product pedommuco infor®tfon. ' wwwArcafp . { Th: product masts GmnSeats emrimemsmafa.sr� standardspmiaminpearyy „�,��aMnisncy, heavy mtak in wo 'o• the }mum and ash WY:'' • J*amta,* pacfmpina and ''--� y •w. �y,' : commaraduntinoWC>.,,,",' ...� 1F mataritc CA .1.. •�r�ia_� /t i .� DESIGN PRESSURE (PSF) ` �rmnY 1 RbA DB Sloped Sill H-LC25 DKIN hstfdmflAF5d2tr:WAAfiA11AR5A10fA50NISAi M»&cttst.stltsdtmemrCamratiranar mnr:atnaree. Haas or eseeeds aI.ET:. C.1c.C, i MC.M.4k InflAm ion mgWfflmws WOMA ffaiadc Cad%dnn Pmpmm. ' v Location �t 2 i No. Z Date NORTp TOWN OF NORTH ANDOVER _ L • ;e ificate of Occupancy $ Building/Frame /Frame Permit Fee $ r� s,+cMuse 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 241 .b Building Inspector R