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HomeMy WebLinkAboutBuilding Permit #460 - 50 TURTLE LANE 12/6/2011TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: 0 _4�Date Issued: JA ` 1 IMPORTANT: Date Received must complete all items on this LOCATION 50 %U/_1 -r1 / C (4/1--/ _- �y Print PROPERTY OWNER (' /ate ( Print MAP NO: PARCEL: (69 ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building cXOne family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial 04epair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ;Septic ®•Well `®!Floodplain .D Wetlands 0 VVatershedtDstnct -Water'/Sewer; i DESCRIPTION OF WORK TO BE PERFORMED: n.DOcU,S /00 C'%�rn Idei}tification Please Type or Print Clearly) _ OWNER: Name: L h A," Address: 36 y&..- kE- CO A/ f -- -GFS—KYe CONTRACTOR Name: ��4 A /�' r l/Y N�+JE �G�'� Phone: V f_fa ­0?,x76 Address: O rC&S - (0/✓� (it,A--C 64_6Er Supervisor's Construction License: 95207 Exp. Date: Home Improvement License: / L/�° C)/ Exp. Date:lIdV //. ARCHITECT/ENGINEER Phone: Address: Reg. No FEE SCHEDULE: BULDING PERMIT. $92.00 PER $9000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. C Total Project Cost: $ �(� G/�`7� FEE: $"I Check No.: Receipt No.: ),q NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Agent/QWnerG,�- Signature of:contractor r; 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, .I-% DATE REJECTED U DATE APPROVED Reviewed on Signature Reviewed on Signature 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 124 Main 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 ® Notified for pickup - Date Doc:.Building Permit Revised 2008 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 ❑ 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 MOTE: 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 -hat the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording nust be submitted with the building application Doc: Doc.Building Permit Revised 2008mi Location -+!i 7-Wjl4 No. Date '40"Th TOWN OF NORTH ANDOVER • OL 9 o j Certificate of Occupancy $ CHU t� Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ w" TOTAL $ Check # % C—I 24E65 Building Inspector O z a W W Cd 44 x O z w a a �w a a z w cn cn LJ o : m c �o c 'E O ` c h o = 0 C.2 v a= R� m= z o :o Ea CE O O •_ v • � d E c C r VO yr -a: ts Cf At CD c E y W co Ql O CO m O :L C C U) O O ECD co 0 m r = O cm O 'p y COM r m ' CC.i m C cm is CL f"y S o `mom 3 N � o CO) .- a +r �� v•flv� O C z O u Cf) WE�J CD O 03 L 0 Z o CL O H Q C w,W w CM CD CO) O 'E m m CD 0 CD CL ~ �+ a) O� O � CL) CD Q Q civ o C- CK � o�Q c o c e�pp O 00 CL J 'p C �..7 y c C .0 C _m d H Q W 0 Y♦ W W 19 W U) '.¢aMEFEIR= rombi lkmc ZT kir-Amat man Colli Amort x ­0419* . _ =�va� 1"Tr+�-+�-...•�r..i-�r•�•-•.�:�---ice • hp INMUMM" AEIE{1F1E �'Fj H-EC2- s nor �Iap�sf X1.1 px,rl ©® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/D° 10/04/20111 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 J.P. McKeone Insurance Agency Inc JP McKeone Insurance Agency, Inc. P.O. Box 333 CONTACT PHONE(734)FAX ac No 662-81 DO A/c No): ADDRESS: INSURERS AFFORDING COVERAGE NAIC 0 Ann Arbor, MI 481060333 INSURER A: Nautilus 19682 10/01/2011 INSURED J&L Windows, Inc. Renewal by Andersen INSURER B : Hartford 37478 104 Otis St. Northborough, MA 01532 INSURER C: TO RFNTED 100,000 INSURER D: INSURER E: 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. INSR LTR - TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF MWDD/YYY POLICYEXP MMIDD/YYY I LIMITS A GENERAL LIABILITY NC958461 10/01/2011 10/01/2012 ' EACH OCCURRENCE $ 1,000,000 TO RFNTED 100,000 COMMERCIAL GENERAL LIABILITY I PREMISES (Ea occurrenDAMAGE ceI $ CLAIMS -MADE OCCUR MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ 1,000,000 I GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000,000 GEWL AGGREGATE LIMIT APPLIES PER: POLICY F-IPERoi 71 LOC I $ AUTOMOBILE LIABILITY 35 MCCXD6390 10/01/2011 10/01/2012 CEa OMBINED SINGLE LIMIT 1,000,000 ccident a _ ANY AUTO I BODILY INJURY (Per person) $ ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS AUTOS NON -OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS _ ' Per accident)$ $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS -MADE I - AGGREGATE $ DED RETENTION$--------- �'----- $ A WORKERS COMPENSATION 35 WECPP1444 02/17/2011 02/17/2012 WCSTATLIMU- OT PP AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/FXECUTIVE E.L. EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE - EA EMPLOYEE $ 500,000 If yes, describe under500,000 DESCRIPTION OF OPERATIONS below E.L DISEASE - POLICY LIMIT $ B PEOOH55500 0507 09/27/2011 09/27/2012 i DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, it more space is required) GtK I INUA 1 t r1ULU 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 ©1988-2010 ACORD CORPORATION. All rights reservea. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD AL.. Massachusetts - Dclrurtme nt of Public S.lfetN VIM 'Boardrof Building- Re,_,ulations and Standard~ Construction Supervisor License License: CS 35707 BRIAN DENNISON r 86 CREST CIRCLE WORCESTER, MA 01603 Expiration: 9/812012 ('unmiivviunrr TrR: 2622 :✓! �orr�a�u�edllfi a��J:�e�t ": .� Office of Consumer Affairs & Business Regulation ' HOME IMPROVEMENT CONTRACTOR Registrationn-�ar01' ExPI 12 . t Card RENEWAL BY :BRIAN DENNIS� (r 1*04 0 STRE NOR THBOROUGH;' Undersecretary 1'Ise ComrnorGwecrHft of Massach Depdrtmcnt of frtduatrtal �4 cot UToffice of fnNestig¢iiolz.s 600 Fr4ldngton Street Basto�, MA 62111 ,mass.ga�0a ' Co ei�sati.an Fnsurance AMC,sQii: $rePlane treic?�. �{fie 'F�orkere nr t Name(Businecsl0rgeaizefioallndzvidnell; a }W� TI ps of project (ri#rad): 6. ❑ Now ooastnm doii 7 . od.Dldag . g m=Hfdon 9. ❑ BuI&9 addiiim 1a,Q �iLCtIICa1 ILpaII7i or addTflnnt' 1LE! F mhing regain ar addiidana 12.[] Roof tapaiss I3.Q 0� �,+,ny eppliraat that Ch 6oi i€1 IauGt aiGo £t11 the FCCtiCm 6r]mr �d� wozi�' eompCOa P6L Kt 31L � taew s�davft indicada� M . am drnuY tIlrrn� and thm outside oon cli }nianaefion t �meosvaen who cuhmltthu e��indirsfmC�7' ®d theswrales off. P ,�Y dioatin� the m� of, the svb-aomh �Can�a t* ohrr.Y this 60= am=t �� � additiomal � ob Site ori Workrra' ca carefinit �a�ee for my emplayerc cRelaTQ"if the poUcy =djob I arx as cmplvjw; that is prarie g. . infarrnatwn. .. ' �n �� I �aL Insurance CDmpany hiamc; ' ' �� Jl (� �� •t �%`f"1--�drafina Data' . PDiicy # dr Scff`ins, Lir #: Q =� w , CitylStatef�p; /1l sg n1,7 001—,lab Rbz Address' data . `� >t;e (showing the olicy cumber ana espirafinn A.ftacli a copy of tha IMrkers' �DrupenssfinnpoIicy dDdErstinn p p DsifiDa of criminal =Rhics of a FWI= in aconin CavMP as req=a under SccfiDn25A afMGL c• 152 OEM m � o �10� � Sn}p WOI EK ORDER and a fns fine Tip-tn S1,.5DD.DD endlor mb-year dmprisonmcnt, as wall ae oivtl penalfirs ' ' t t = viDlstru. SD advisod fhat a copy .of this ststemmt msy bo forwarded in EbD Office of •Dftzp to $25(1.DD a day agains fnvC ,f ptio a of tale IIIA for ftor M CDV=BD VCdfiMfi= Ida hereby ce� the patar and pea that the infvrmafian prvYided ubvve is rruc arta corr��� ,iJ NA F#T� 0j=- j l usa vniy, Dv nvtwrite in thin area, tv be eampleted by city or toff+n nfftci¢1 • petu,itlLi�ense # . Chy or Torre: Iasuiag A_athority (ca cis tule): ectDr 5. PLambing FIIspe�tor L Bnerii of Healfil 7.. $ f; Daparfmant 3, TC.tt�dToern Clerk 4. IIEciric®I n6p , 6, Ofi�r• . Ph.ane CoIIt`�et Person G`�ty/Sfat�Ltg; • Q f �'�i 60 >^a � r --'- Are yon an Wnployw? Check the appropride b= 4. Q I am a 9-=1 Dontravtar and I D L. EI'I am a CmpkryDr with — claw hirzd thD sub-cnatraotm % eMpjcymrB (for amdfor part-time), as attanbDd shoot r 2. ❑ I Mna sole propriator' arparinar- TnrsD.sub-aontieC� have ship and have M.emploros � � �, ' e. wa=king for IIID ITL say Capacity. S. ❑ vp are a GOCPOI3fjoll Wj its [No w�rkrie' comp. insursricD off eta havD exercised thein regtIdred j. right Df osoIIip5# Por b L 3: Q I am a hnmDDVPner Ming9work e1ST @IC¢}. � we hzvo no ]uysta [ND wpr� =, r,=P. �4"" d' 1NO wmi= inscsraace ryquirLd.j t DD= Wince r�qudlT:d_] TI ps of project (ri#rad): 6. ❑ Now ooastnm doii 7 . od.Dldag . g m=Hfdon 9. ❑ BuI&9 addiiim 1a,Q �iLCtIICa1 ILpaII7i or addTflnnt' 1LE! F mhing regain ar addiidana 12.[] Roof tapaiss I3.Q 0� �,+,ny eppliraat that Ch 6oi i€1 IauGt aiGo £t11 the FCCtiCm 6r]mr �d� wozi�' eompCOa P6L Kt 31L � taew s�davft indicada� M . am drnuY tIlrrn� and thm outside oon cli }nianaefion t �meosvaen who cuhmltthu e��indirsfmC�7' ®d theswrales off. P ,�Y dioatin� the m� of, the svb-aomh �Can�a t* ohrr.Y this 60= am=t �� � additiomal � ob Site ori Workrra' ca carefinit �a�ee for my emplayerc cRelaTQ"if the poUcy =djob I arx as cmplvjw; that is prarie g. . infarrnatwn. .. ' �n �� I �aL Insurance CDmpany hiamc; ' ' �� Jl (� �� •t �%`f"1--�drafina Data' . PDiicy # dr Scff`ins, Lir #: Q =� w , CitylStatef�p; /1l sg n1,7 001—,lab Rbz Address' data . `� >t;e (showing the olicy cumber ana espirafinn A.ftacli a copy of tha IMrkers' �DrupenssfinnpoIicy dDdErstinn p p DsifiDa of criminal =Rhics of a FWI= in aconin CavMP as req=a under SccfiDn25A afMGL c• 152 OEM m � o �10� � Sn}p WOI EK ORDER and a fns fine Tip-tn S1,.5DD.DD endlor mb-year dmprisonmcnt, as wall ae oivtl penalfirs ' ' t t = viDlstru. SD advisod fhat a copy .of this ststemmt msy bo forwarded in EbD Office of •Dftzp to $25(1.DD a day agains fnvC ,f ptio a of tale IIIA for ftor M CDV=BD VCdfiMfi= Ida hereby ce� the patar and pea that the infvrmafian prvYided ubvve is rruc arta corr��� ,iJ NA F#T� 0j=- j l usa vniy, Dv nvtwrite in thin area, tv be eampleted by city or toff+n nfftci¢1 • petu,itlLi�ense # . Chy or Torre: Iasuiag A_athority (ca cis tule): ectDr 5. PLambing FIIspe�tor L Bnerii of Healfil 7.. $ f; Daparfmant 3, TC.tt�dToern Clerk 4. IIEciric®I n6p , 6, Ofi�r• . Ph.ane CoIIt`�et Person 104 Otis Street, Northborough, MA 01532 Phone X08.919.0900 • Fax 774.987.3013 Buyer(s) Name J & L Windows, Inc. d/b/a -Renewal byAndersen.m WINDOW REPLACEMENT -Ad—C­,_, OF GREATER MASSACHUSETTS AND NEW HAMPaW WINDOW SPECIFICATION SHEET MA FDC License # 149601 (expires 1/24, Federal Tax ID# 83-0404 Date of Agreement The Buyer(s) listedabove herebyjointly and severally agree to purchase the goods and/or services listed belo , in a or a with the prices and term described on the Specification Sheet and the front and the reverse of the accompanying CUSTOM WINDOW of which this Specification Sheet is a part. AND DOOR REMODELING AGREEMEN WINDOW DETAILS 1. Contractor will Install a total of �_ windows in Owner's home, using the following individual quantities: I i Double Hung (DB) Equal sash Cottage sash (1/3 top, 2/3 bottom) Casement (CW) ❑Oriel sash (2/3 top. 1/3 bottom) a ❑ Hinge right ❑ Hinge left (as viewed from exterior): ❑ Standard handle ❑ Metro handle e� 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 (GPW) ❑ 1:1:1 or ❑ 1:2:1 Awning Window (AW) Picture Window (PW) ay or Bow Window Patio Doors (see separate Door Specification Sheet) 2. VYes ❑ No of Windows to be Custom Fit Replacement- 3. eplacement3. ❑ YesQty of Sills to be replaced by Contractor: 4. ❑ Yes No Qty of Windows to be New Construction Pull frame (includes new interior & exterior casings) and actual Exterior casings: ❑ Pine ❑ Maintenance -free material ❑ Factory applied 908 Fibrex brickmold 5. Glazing to be: ❑ HP Low- E-4 TM . ❑ Other If of r, please specify: 6. Exterior color to be: ❑ White ❑ Sand ❑ Canvas 2Terratone ❑ Cocoa Bean 7. Interior color to be: ❑ White ❑ Sand ❑ Canvas ❑ Terratonei[�. 'Pule ❑ Maple Note: IntEWhitc or c only be white, wood or same color as exterior. Wood nteri❑orss need to finished by Owner. 8. Hardware : Stone ❑ Canvas ❑ Brass ❑ Estate Hardware: Style: 9. ❑ Yes Noifts withble Hung Windows 10. Screens: windows to have: Rr Half or ❑ Full screens Screens to be: �t Fiberglass ❑ Aluminum ❑ TruScene GRILLE DETAILS 11. Windows have grilles: Yes ❑ No If yes: Grille Between Glass (GBG) ❑ Removable Interior Wood (INTW) ❑ Full Vvided Light (FDL) Q�'� Qty: Qty' Qty' Qty:Qty Qty; t y, �t 1 11 1 -1 1 In DH III OH !I CW/PicNre I Glider I CPW Draw grille patterns above Use additional sheet if needed Owner approved (initials): ADDITIONAL WORK DETAILS 12. ❑ Yes No Contractor will remove metal frames of windows. Qty of Units: 13. ❑ Yes No Contractor will install new pant -ready or stain -ready casings. Int e 'or casing qty of openings: Exterior casings qty of openings: Pine 14. ❑ Yes XNo Contractor will install new pant -ready or st ' s side or outside stops ❑ ❑Maintenance -free material p qty of openings: Interior stops qty of openings: Exterior sto s of o en gs: ❑ Pine ❑ Maintenance -free material 15. Owner is aware that Contractor does not do any painting. Owner Initials 16. ❑ YesNo Contractor will wrap exterior casings with oil stock 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 -pont system to prevent water and air infiltration. 18. Yes ❑ No Clean up all job related debris including old windows will be removed. Vacuum nightly. 19. Yes E]No A limited warranty shall be issued to Owner upon completion of the job and payment n full. 20. Yes ❑ No Building Permit—Contractor will secure any and all necessary permits. The fee for the permit(s) is not 21'4 included in the Contract Price and a separate check is required at the time of sale for this fee. -Yes ❑ No All discounts have been applied to this agreement p e. 22. Additional job details: . / 23.;�] 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 c or mo terms. This Specification Sheet may not be changed or its terms modified or varied in any way unless such c g � any of the the Buyer(s) and Contractor. Buyer(s) hereacknowledge that � writing ander by bath by 8 Buyer(s) has read this Specification Sheet. Renewal by And � of�ter and NH` Buyer(s) � � Buyer(s) ye `/ Y By: t^M t Signa of Product J ge Situ c ) oene Print Name of Product Manager Print Name Signature Print Name MA License # 149601 (expires 1/24/12) enewa .:.. RENEWAL BY ANDERSEN Federal Tax ID# 83-0404201 byRnder$en, OF GREATER MASSACHUSETTS AND NEW HAMFSHIRE WINDOW REPLACEMENT .mAndcn,•r.i:ump.ro: 104 Otis Street • Northborough, Massachusetts 01532 Phone 508.919.0900 • Fax 774.987.3013 ComitAcr AMtCNDMEmr This Amendment ("Amendment') is to the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT ("Agreement") by and between J&L Windows, Inc. dba Renewal by Andersen of Greater Massachusetts and New Hampshire and CARL SCHOENE ("buyers"). Contractor and Buyer (s) hereby agree to amend and modify the Agreement as indicated below. Other than as specifically indicated below, all the terms and conditions of the Agreement will remain in full force and effect. This Amendment is subject to the terms and conditions of the Agreement. The following additions, alterations, or deletions to the products and services Buyer(s) ordered are being made: CHANGE TO INTW GRILLES ON EXISTING CONTRACT NO ADDITIONAL CHARGE As a result of these changes, the following terms of the Agreement are also changing (if there is no change, an item will be left blank or marked as "N/A", indicating that no change applies: NEW Total Job Amount: $16484.00 New Deposit Received (331.): $5494.00 RECEIVED New Balance at Start of Job (33%): $5495.00 CUSTOMER New Balance on Substantial Completion of Job (33%): $5495.00 CUSTOMER New EstimatedI Method of ✓ Cash ✓ Check 11Financed Starting Date: Payment: Credit cards are accepted for deposit New Estimated only—maximum 113 of the project cost. Completion Date: Please see Credit Card Payment Form By signing this contract amendment, you acknowledge that the Balance at Start of Job and the Balance on Substantial Completion of Job cannot be made by credit card and must be made by personal check; bank check, or cash. It is agreed and understood by and between the parties that this Amendment and the original Agreement constitute the entire understanding between the parties, and there are no verbal understandings changing or modifying any of the terms of this Amendment. Buyer(s) hereby acknowledges that Buyer(s) has read this Amendment and has received a completed, signed, and dated copy of this Amendment on the date written below. By: Renewal by Andersen of Greater MA and NH Buyer(s) Signature of Product Manager SHAWN MAYNARD Print Name of Product Manager Doc ID: 20111013134356430 Sertifi Electronic Signature E -Signed i 101`13/2011 1:54;29 Pill CST Car! M. Schoene carlschoena corncast.net IP, 24.62.194,194 w-wwrr _ O.c10:. 201110131.34:35643x0 Signature 10/13/2011 Date Date 104 Otis St., Northborough, MA 01532 J&L WINDows, INC., D/B/A (508) 919-0900 •Fax: (774) 987-3013 MA Home Improvement ontractor Renewal —License #149601 (Expires /24/201: byAndersen. 111111111111JINIM Federal Tax ID #83-0404201 WINDOW REPLACEMENT =Andm nCM,,Ty y� CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s) Name Date of Agrr\eementtj''''' Buyer(s) f JJ \f r, C( 2 ry, rase and Gip Code %Vi ��c L� c„.p / V r c�w�%i✓l(� E -Mail Address Ho Tel�nOneiD Work Telephone Number 97,T /If Buyer(s) hereby jointly and severally agrees to purchase the products and/or services of J & L Windows, Inc. d/b/a Renewal by Anders ("Contractor"), in accordance with the terms and conditions described on the front and the reverse of this agreementand on the attach specification sheet(s) (collectively, this "Agreement"). Buyer(s) hereby agrees to sign a completion certificate after Contractor his complet all work under this Agreement. Total Job Amount: L Estimated Starting Date: rr 9 Method of Payment: OCheckdo sh ❑Financed Deposit Received (33%): 4 Balance at Start of Job (33%): L ` Credit Cards are accepted for deposit Estimated Completion Date: only — maximum 1 /3 of the project cost. Balance on Substantial Completion of Job (33%): 0u. Please see Credit Card Payment F rm. By signing this agreement, you acknowledge that the Balance at Start of Job and the Balance on Substantial Co pletion 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 entire understanding between the partied, and thh; there are no verbal understandings changing or modifying any of the terms of this Agreement. No alteration to or deviatio from this Agreement will be valid without the signed, written consent of both Buyer(s) and Contractor. Buyer(s) hereb acknowledges that Buyer(s) 1) has read this Agreement, understands the terms of this Agreement, and has received completed, signed, and dated copy of this Agreement, including the two attached Notices of Cancellation, on thell date firs written above and 2) was orally informed of Buyer's right to cancel this Agreement. DO NOT SIGN THIS CONTRACT I. THERE ARE ANY BLANK SPACES. J & L Windows, Inc. d/b/a Renewal by Andersen Buyer(s) Buyer(s) Bv: `raj -lel No Signature f Product Manager / ( Signature r Signature co-ir`l �7cjoe-:1C Print Name of Product ager Print Name Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF TH1 THIRT BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM! FOR AN EXPLANATION OF THIS RIGHT. - - � - - - - - - - - - - - - - - -� NOTICE OF CANCELLATION Date of Transaction . 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 goods available to the Seller, or ifou 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 signed and dated copy of this cancellation notice or any other written notice, or send a telegram to Contractor: J & L Windows, Inc. d/b/a Renewal by Andersen, 104 Otis Street, Northborough, MA 01532, BY NOT LATER THAN MIDNIGHT OF . (Date) I HEREBY CANCEL THIS TRANSACTION. NOTICE OF CANCELLATION Date of Transaction . You mar cancel this transaction, without any penalty or obligation, within three business days from the above date. If you cancel, an property traded in, any payments made by you under the Contract of Sale, and any negotiable instrument e*ecuted I 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 i the goods at the Seller's expense and risk. If you do make I the goods available to the Seller and the Seller does not pick them u.p within 20 days of the date of your, Notice of Cancellation, you may retain or dispose of the goods without any further obligation. Ifou fail to mdke 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 signed and dated copy of this cancellation notice or any other written notice, or send a telegram to Contractor: J & L Windows, Inc d/b/a Renewal by Andersen, 104 Otis Street, Northborough, MA 01532, BY NOT LATER THAN MIDNIGHT OF . (Date) I HEREBY CANCEL Tests TRANcecnnm Buyer's Signature Print Name Date Buyer's Signature Print Name RbA Copy - White Buyer Copy - Yellow Buyer Copy - Pink