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HomeMy WebLinkAboutBuilding Permit #114 - 461 SUMMER STREET 8/10/2009 BUILDING PERMIT o` No RT" qti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �yPermit NO: Date Received gSSACHUSEt Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION o� ctiMyv�f ' Print j PROPERTY OWNER Print MAP NO: PARCEL. ZONING DISTRICT: Historic District - yes no Machine Shop Village yes no i I . TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family ✓'" Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District. Water/Sewer ,m DESCRIPTION OF WORK TO BE PREFORMED: � L Identification PI e se Type or Print Clearly) OWNER: Name: Phone: Address: CONTRACTOR Name: P�-U, 1� aLU�d` Phone: S�-' C;.k'l Supervisor's Construction License: 95�)O'J Exp. Date: 6 , Horne Improvement License: I fCed 'Exp. Date:____Lt D 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: $ FEE: $ Check No.: S� Receipt No.: 2 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ignature of Agen#/Ownet4 ;r` Signature of contrac — 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 i DATE REJECTED DATE APPROVED 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/Signature &Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124Main Street fire Department signature/date _ COMMENTS 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 i I I s ❑ Notified for pickup - Date --..._....._........._._...__..._._......_ ........._......._................_.._-...._....._...........__................----......................._.....................-...._...........----._......__-._..........................--..__... --._.......................................... Doc.Building Permit Revised 2008 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 ❑ 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 o 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 I Doc:Building Permit Application Revised 2.2008 Location No. ��� Date NORTH TOWN OF NORTH ANDOVER 00 Certificate of Occupancy $ ;�s"'•'°'t<� Building/Frame Permit Fee $ _ s�CHus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # / ( 22509 ,fes E iu IIng Inspector ORT#i TONM o Andover 0 No. over, Mass.,_9/1o/" 0 LA E COCHICHEWICK IT oj�'ArE D P'*1 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System THIS CERTIFIES THAT............ ............................( BUILDING INSPECTOR ...... /..... Foundation has permission to erect........................................ buildings on ..../ 1c),I.V'r ... ......................................... A T(� Rough tobe occupied as........................................f7...... ..................................................................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final 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 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU=O -$TART Rough ...... ........... ... ............ ....................... .......................... ............... BUILDING INSPECTOR Service Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. SEE REVERSE SIDE Smoke Det. Renewal MA License#149601 (expires 1/24/10) o00 E E y AL B i A DERS�' Federal Tax ID#83-0404201 byAndersen WINDOW REPLACEMENT u,A°dv nCo p,,y OF GREATER MASSACHUSETTS AND NEW HAMPSHIRE 104 Otis Street<Northborough,MA 01532 Phone 508.919.0900•Fax 508.919.0903 CUSTOM WINDOW ARID DOOR REMODELING AGREEMENT Buyerlsl, o e - Date of Agreement KL�M' 14 1� , (-11,WA Z��a h2e Buyerisl.Street Addre ity,State,and Zip Code r E-Mail AddressHome Tele hone Num/bfr Work Telephoone Number bo Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of j&L Windows,Inc.dba Renewal by Andersen of Greater Massachusetts and New Hampshire("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. ) Method of Pymnt:0 Cash 0 Check 0 Mastercard 0 VISA Total Job Amount: I Estimated Starring ate: El Discover F' cad,App#: i Deposit Received(33%): Name on Credit Card: Balance at Start of Job(33%):/ Est' ote mpletio Date: Credit Card#: Balance on Substantial Completion of Job 33%): / EE�� CC Exp.Date: CC Security Code: By initialing here,you acknowledge that the Balance at Start of job and the Balance on Substantial Completion Buyer Ini ' s of job cannot be made by credit card and must be made by personal check,bank check,or cash. Buyer(s) agrees and understands that this Agreement constitutes the enddre 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 BLAND SPACES. Renewal bi AncLersenreateIMA and NH Buyer(s) Buyer(s) . } 1 �� Sigtaature oyProduct Ma Qer _ Siaiuiei ��� Signature rint Name of Pro uct 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. — — — — — — — — — — — — — — —X- — — — — — — — — — — — — -�<— — — — — — — — — — — — — NC9TICE OF CANC L IONX NOTICE OF-CANCELLA70ON Date of Transoction . You may cancel I Date of Transaction . You may Cancel this transaction,withoeb ny p lea or obligation,within I this transoetion,without any ena or obligation,within three business days frothe above date.If you cancel,any three business days from the above ate.If you cancel,any property traded in,any payments made by you under thei pr®perty traded in,any payments anode by you under the Contract of Sale,and any negotiable instrument executed I Contract of Sale,and any neeotiable instrument executed by you will be returned within 10 days following receipt I by you will be returned within I0 days following receipt by the Seller of your Cancellation notice,and any security I by the Seller of your Cancellation notice,and any securi[[� interest arising out of the transaction will be canceled. 1 interest arising out of the transaction will be canceled(. If you cancel, you must make available to the Seller at if you cancel, you must make available to the Seller at your residence, in substantially as good Condition as your residence, in substantially as good condition as . when received, any goods delivered to-you under this when received, any goods delivered to you under this Contract or Sale;or you may,if you wish,comply with the I Contract or Sale;or you may,if you wish,comply with the instructions of the Seller regarding the return shipment of Xinstructions of the Seller regarding the return shipment of the goods at the Sellers expense and risk.If you do make the goods at the Sellers expense and risk.Ifyou do make the goods available to the Seller and the Seller does not the goods available to the Seller and the Sealer does not pick them up within 20 days of the date of your Notice I pick them up within 20 days of the date of our Notice I Cancellation,you seen retain or dispose of the goods I ofr Cancellation,you ma retain or dispose o�the goods without any further obb11c�ation. If you fail to make the I without any further obi.g�ation. If you fail to make the goods available to the Seller,or if you agree to return the I goods available to the SeIer,or if you agree to return the goods to the Seller and fail fro do so,thenyou remain liable oods to the Seller and fail to do so,then yyou remain Liable For performance of oil obligations under the Contract. For performance of all obligations undler the Contract. To cancel this transaction, mail or deliver a signed and To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written dated Copy of this Cancellation notice or any other written notice, or send o telegram to Renewal by Andersen I notice, or send a telegram to Renewal by Andersen of Greater Massachusetts and New Hampshire, 104 1 of Greater Massachusetts and New Hampshire, 1104 Otis Street, Noct bo:oatgh6 Kutp1532,NOT LATER THAN Otis Street,Noou lx, 1532, N07 LATER'THAN 91MIDNIG'HT OF .(Date) MIDNIGHT OF 2b0 � .(Date) I HEREBY CANCEL TkS T h9S CTICEN. X I EIERE�y CANCEL' I-0IS TRANS CTION. I Consumer's Signature Date I Consumer's Signature Date RbA Copy- White Customer Copy-Yellow Customer Copy-Pink Renewal RENEWAL BY ANDERSEN MA License#149601(expires 1/24/10) Andersen. Di ART MASSACHUSETTS CC C2T c ♦w ISI HAMPSHIRE c DL Federal Tax ID# 53-0404201 WINDOW REPLACEMENT .n dasm'o,p , OF GREATER MASSACHUSETTS AND NEW HAMPSHIRE 104 Otis Street•Northborough,Massachusetts 01532 Phone 508.919.0900•Fax 508.919.0903 SPECIFICATION SHEET Buyer(s Tame Date of Agree rat V j The Buyers)listed 4 ove hereby jointly and 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. WINDOW DETAILS 1. tractor will Install a total of windows in Owner's home,using the following individual quantities: Double Hung(DB) [&<Ual sash A'(ttage sash(1/3 top,2/3 bottom) ❑ Oriel sash(2/3 top.1/3 bottom) Casement(CW) /g>hnge right ❑ Hinge left(as viewed from exterior): ❑ Standard handle ❑ Metro handle Double Casement(CDW) ❑ Standard handle ❑ Metro handle Casement/Picture/Casement(CPW) ❑ 1:1:1 or ❑ 1:2:1 ❑ Standard handle ❑ Metro handle 2 Lite Gliding Window(GW) Glider/Picture/Glider(GFW) ❑ 1:1:1 or '3 Awning Window(AW) Picture Window(PW) Bay or Bow Window Pdio Doors(see separate Door Specification Sheet) 2. �-., �N�o Qty of Windows to be Custom Fit Replacement: - LCJ�o 3. ❑ Yes Qty of Sills to be replaced by Contractor: 4. E14es ❑ No Qty of Windows to be New Construction Full frame(includes new interior&exterior casings) Exterior casin • ❑ Pine ❑ Maintenance-free material ❑ Factory applied 908 Fibrex brickmold 5. Glazing to be: P Low;P&SmartSunTM (Tex CreditEkole) ❑ Other If other,please specify: 6. Exterior color to be: [ hite ❑ Sand ❑ Canvas ❑ Terratone ❑ Cocoa Bean 7. Interioncolor to be: 5—shite ❑ Sand ❑ Canvas ❑ Terratone ❑ Pine ❑ Maple ❑ Oak Note: Irate r color can only be white,wood or same color as exterior. Wood interiors need to finished by Owner. 8. Hardware: ite ❑ Stone ❑ Canvas ❑ Brass Double Hung: 9. ❑ Yes Install Lifts with Double Hung dows 10. Screens: windows to have: E] Half or ulI screens Screens to be: fiberglass ❑ Aluminum ❑ TruScene / GRILLE DEME S i 11.Windows ve grilles: ® Yes ❑ No If yes:P Grille Between GI s(GSG)❑ Removable Interior Wood oxrW)❑ Full Divided Light(FDL) QtT Qty:— Qty:J— Qty: Qty: Qty: I Qty: I d t If C' H DH CH DH ictu ide, CPW I Draw grille patterns above "Use additional sheet if need; Own approved(inti ADDITIONAL WORK DETAILS 12.❑ Yes Contractor will remove metal frames of windows. Qty of Units: 13.F-1Yes Er No Contractor will install new paint-ready or stain-ready casings. Interiorasmg qty of openings: Exterior casings qty of openings: ❑ Pine ❑ Maintenance-free material 14.EJ Yes oContractor will install new paint-ready or stain-ready inside or outside stops qty of openings: Interior stops qty of openings: Exterior stcV-P�um—EC-0ii!St�Ock ❑ Pine ❑ Maintenance-free material 15. Owner is aw that Contractor does not do any painwner Initials 16.❑ Yes o Contractor will wrap exterior casings wit 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. Y s ❑ No A limited warranty shall be issued to Owner upon completion of the job and payment in full. 19. P ❑ 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 time of sale for this fee. 20. Additional job details: 21. 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 be 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 igned by both the Buyer(s)and Contractor. Buyer(s)hereby acknowledge that Buyer(s)has read this Specification Sheet. Renewal b de. of an Buyer(s) Buyer(s) ) v S' fire p�f Pro !ct Manager Signature X) Signature X/7:-; Print Name Product Manager Print Name Print Name RbA Copy- White Customer Copy-Yellow The Commonwealth of 3fassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Colitractors/Electriciains/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Rer)e0r.) / �nder-Se,4 Address: /D q Ui City/State/Zip —A f jo ro f Phone#: o 00 Are'you an employer?Check the appropriate box: Type of project (required): L aI.am a employer with J C) 4. El am a general contractor and I have hired the sub-contractors 6. ❑New construction employees(full and/or part-time).* '7.• emodelin 2.❑ I am a sole proprietor or partner- listed on the attached sheet. x g ship and have no employees These sub-contractors have 8. Demolition working. for me in an capacity. workers'comp.insurance: g Y P h'• 9. E]Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its 10. Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs insurance required.]t employees.[No workers' comp.insurance required.] 13.7 Other *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 their worker;'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees Below.is thepolicy and job site information. )) Insurance Company Name: . ' �C Ke-0 r)-P— /n n Policy#or Self-ins.Lic..#: J `�� ��� l'�`} _ Expiration Date: »�,f Job Site Address:_ 5� -� City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration ate). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of.a. fine up to$1;500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy.of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer un��rtlepains and penalties.of perjury that the information provided above is true and correct Sienature: I Date: Q/�)5 Phone#: % - d CYJ Official use only. Do not write in this area,to be completed by city or town officiaG City or Town: PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: �'�'�;. ::` ��ie�joy�ym4�uaea��i a�✓4Lcraaac� Board of Building Itegulatipns and Standards . A. _ 'Construction Supervisor License License;,CS 95707 6i trate ;91a/1982 i E, ration-928/2010 Tri 95707 Rests _ •l;t r•�; •(`_r_7 tri BRIAN DENNISOIx � _ l+ 86 CREST CIRCLE WORCESTER-,MA 01603 Commissioner; RENEWAL BY ANDERSON ON BRIAN .DENN1S. 104.OTIS STREET NORTHBOROUGH, MA 01532 DPS•CA1 C, SOM-07167•PC8490 O __F. ✓/ie [Doawnwouaeai ✓�GaJa¢c�zube�la Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registrafi.011, 149601 rE_x_Qira i^:o124/2010 Upplement Card RENEWAL BY P[lI7.E�f�QN_:tc� BRIAN DENNIS r.;J 104 OTIS STREET` S;; `NORTHBOROUGH,MA 01532 Administrator ���RD � � °� F UABILI INSURANCE DATE(mmpluff � 02/17/2009 PRODUCERTHIS CERTIFICATE IS ISSUED AS A'MATTER OF INFORMATION Joseph McKeone ONLY AND COFFERS NO RIGHTS UPON THE CERTIFICATE JP McKeone Insurance Agency, Inca HOLDER. THIS CERTIFICATE DOES MOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES.BELOW. P.O. Box 333 Ann Arbor, MI 46105-0333. INSURERS AFFORDING COVERAGE MAIC# `D Renewal by Anderson INSURER A: Hartford Insurance Comps iy J&L Windows,Inc, INSURER B: Hermitage 104 Otis St INSURER C: Northborough,MA 01532 INSURER 0: I INSURER E: COVERAGES 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 ETHER 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D L POLICY EFrECTME POLJCY ERPIPATION LTR NSR e F POUCYNUMBER LIH{TS B: GENERAL LIABILITY HCP 507 404 09/07/2006 09/07/2009 EACH OCCURRENCE I S 1 Z0,000 COMM ERCU+L GENERaAL UABILIIY _ DAWGE To PREMISES Me a=saen� S 10Q 00Q CLAIMS MADE ®OCCUR OMED EXP(Anyone person) S 5 000 PERSONALBADV INJURY s 1000 000 GENERALAG'REGATE S 2.000 000 GENLAGGRE(GA�TELIMIT APPLIES PER:. PRODUCTS•COmP/OPAGO S 2,000000 POLICY I P F"COT LOC A AUTOMOBILE uABtury 35 MCC XD 6390 10101/2008 10/01/09 COMBINED SINGLE LIMIT ANYAUTO (EBeWdenl) a 1,000,000 X ALL OWNED AUTOS SODILYINJURY SCHEDULED AUTOS (Per person) S HIRED AUTOS NON•OWNEDAUTOS p0er$L�ntjRY S PROPERTY DAMAGE (Peracidenq S• GARAGE LABILITY AUTO ONLY,EA ACCIDENT I S ANY AUTO OTHER THAN EA ACC S AUTO ONLY: AGG S EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE Is OCCUR . a CLAIMS,MADE AGGREGATE $ S DEDUCTIBLE S RETENTION A WORKERS coMPENSAnoNAND 35 VVEC PP 1444 02/17/2009 0211"!/2010JTS WesrArU. IoTH.I FR EMPLOYERr UABJLCTY ANY PROPRIETORLPARTNERIE:ECUTWE E.L.EACH ACCIDEPIT S 500,000 OFFICERIMEMSER EXCLUDED?. E.L.DISEASE.EA EMPLOYEE S 500,000 Uea,AL PROVISIONS polow o under s�EDwL PREL DISEASP.POLICY LIMIT S 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I ErCLUSIONS ADDED BY ENCORS&.1111T I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION plc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPUdAT{ON INSURED COPY DATE THEREOF,THE ISSUING INSURER WALL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER I'MED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO 013UGATION OR LIABILITY OF AIN KNO UPON THE INSURER,ITS AGENTS OR REPRESENTATPrr.S. AU'IHORMEO REPRESENTATIVE ACORD 25(2001108) 0 ACORD CORPORATION 1993 �pRC re al NMv�t1.1;v" pn INoodNioyl Composite'Frame Rump GixricAA DUAI, k9on low E Piclure ENERGY PERFORMANCE:RATINGS U-Factor(U;S)ll.P" Solar Neat Gain Coefficient - 0- -3-2 ADDITIONAL PERFORMANCE RATINGS I visible.Transmittance ; ' hNn�►c+YnrO�yV+•,MIN•'••I•tMP••nh�n•N.hl•�t,t,jq^0 rt•r fr � ., , rrr•�rNM•. Ih'r� Mhr'441nE 7Mih�I�IMt . . • NMC AIM/►M I•bOMy1 air•k•I!•t N MWNII►MJsiM�n.�A•}q•NII•M!y!"t 1h., . Nf�c�t:•nt♦Ih��,,,Ml iA+1•alN/I»t�»I+rwn)M••.W�1/1/:/rY/holy""Ffn vpwoll•. . - �O•q►uRT•nuq•tur1r,11•MiwhrN�.r I.tM., 'hM11M1•Ib . ) �' . DESIGN.PRESSURE'(PSF) .50 -021 0 4 ukl V k ' M•,u��••q/•KEA.0,EC.It WC,0-/IrIeMN�•n w�Ylh+f.RK WOMA II•Mrk CwV,c,E.y�nMT •• r • o RJre al BY ANDAAM' WoodNinyl Composite FrameLow E tjajbrial F0e*GVa M' Dual Argon. Rating Catmcitt:�l Glider ENERGY PERFORMANCE RATINGS - U-Factor(U-S)4-P Solar Heat Gain Coefficient 030 111.34 . . �. ADDITIONAL PERFORMANCE RATINGS - Visible Transmittance 00. 49 ,.:. manufacturer sdpuletes that loose ardjrnil9ncd lora Axed satlol envlron�mental condltio sandtee rmIpeNAe produc size. performance.NERC.tgtln944[!!d_.........,.,„• NFRC does not recommend any productand does oo"Artant'Iho'sulfab111ty otanypraduct{oteny epoeltic uae... ConsultmanufocturorsaterajuratorotherproduetperfomuneaLlnt6mmtl n• www.nfte:o ' n • DESIGN PRESSURE(PSS ndoa aor s Do0 Menu pssodeTim -WW.ww.w�dmn:com ' HS L C 2 5 100-00296313-006 Toledm ANSIIMMArNet'WDA 101 .52.91orNAF9-01. Meau[Murer sti" letumntomucrz to theaexNe dnndxrd+. i Meets or exceeds M.E.C.;C.E.C.S I.E.C.C.Nr lnflatmtlon requlnments WDMA Haltrnerk Cartlflceaon Pm9rem• . Y is .. . .. ••� .' r Nriaiilfbif� Wood,Ninyl,Gornpgs(lr�+'zm� :• i third Dual Pane Mppn• Cow E Ca men i sa [ .. Jim i { ENERGY PERFORMANCE RATINGS zr(U-VICoefficient ' •, U•Facto ( ,)1. Solarjieat Gain 30- AD.Dftl.ONAL'PERF.QRMANCE"RATINGS. VisiVe•T•ransmitVance.' ` M+nV�orUnr itlputalµc hl,l Nri�i htkgs conro�b rppHwbb M;bi dores,la a q knoll . � Dfoducl pdrfoml,nu,,lrt�{C nlMpi,tr aeth�l+►re for r ru�O,nL er rpr6on!n�pu1 Wnd�tionru+e� • ' '. ipecil(cp►od'ud�Irt.Con:�lrmi�Ul,oluier'ltillnru��{oro ►,rptoeuofpiAanlano�inloligdlon:• . •�'vr.NrCrO'. ' 1 • --� .. . . ate'. - - '.. '� , . ... • .-�x`.:-�'�="-'x•• Design Pressure(PSS r � • ■■w-,- V.'A(7 y• �M.il►.pr1Lq lir•Merr���0t .,orut�r Y f��.nllral..b�brh. .. .. � OArlo NfN rA Lr.r g11.w+rn t. . Meil�or t2cudi M.EO;,�tA,1 I,E;O G AirInllllishm AtgUITti ienti WOMA Haim"le GeNfkillan►IMful' j k r re at, gC BY ANDERSEN' wood/Vinyl composite Frame pleta�at Feriesbabvn Dual Argon. 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