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HomeMy WebLinkAboutBuilding Permit #575-2011 - 55 CRICKET LANE 2/22/2011 Ny ID BUILDING PERMIT NORTH eD '6V6 TOWN OF NORTH ANDOVER °9 APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received CHUS�,�� Date Issued: a 2� t� IMPORTANT: Applicant must complete all items on this page LOCATIONh1 G�4f Print PROPERTY OWNER_&J b Print MAP NO:/6'"*ARCEL,r Z/ ' ZONING DISTRICT: Historic District yes no !'Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building etT family Addition Two or more family Industrial Alteration No. of units: Commercial �epair, replacement Assessory Bldg Others: Demolition Other Septic Well Floodplain Wetlands Watershed District Water/Sewer DESCRIPTION OF WORK TO BE PREFORMED: 14 AuIdentificatio Please Type or Print Clearg) OWNER: Name: Phone: S"U�—! c� -0Z262-, Address: CONTRACTOR Name: P,�31 ZoJQt, CQ'i Phone: Address: C ( Supervisor's Construction License: 2& —Qc1a Exp. Date: Home Improvement License: ` Exp. Date: / ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $_ 13�� _ FEE: $ Check No.: // 71—/ Receipt No.: aJ X12 NOTE: Persons contracting with unregistered contractors do not have acc aranty fund Signature of Agent/Ownertc= Signature of contractor Location- . � nG !l r ` �� No. J 7S-Z0 Date a2 ii NORTh TOWN OF NORTH ANDOVER O F R 9 Certificate of Occupancy $ cNusEt�' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # fl .-/ 239 '12 ,Building Inspector 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 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 124 Main Street i Fire Department signature/date COMMENTS k 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 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 Doc:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 Revised 2.2008 ORTH Toof _ 0 Andover . t- LAK E O dover, Mass., COCMICMEWICK �t �oRATE D SS S ` BOARD OF HEALTH Food/Kitchen PERMIT . T D , Septic System THIS CERTIFIES THAT........... BUILDING INSPECTOR .... ...��..�'.��.......�...................................................................................................... // Foundation clAc has permission to erect........................................ buildings on ............................................. ..................... Rough to be occupied as Ao ..C....4-e .....:................................................... Chimney.................. ....... ......: r 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 CONSTRUCTIO TARTS Rough ......................��..... Service ........... ..... .......................................................... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rou h No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. Burner' Street No. SEE REVERSE SIDE j Smoke Det. 104 Otis St.,Northborough,MA 01532 J&L WINDOWS,INC.,D/B/A MA Home Improvement Contractor (508)919-0900•Fax:(774)987-3013 Renewal License#149601 (Expires 1/24/2012) by Andersen. Federal Tax ID#83-0404201 WINDOW REPLACEMENT MAndm C=m V CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Name Date of Agreement ZO —2 --la Buyer(s)Street Address,City,State,and Zip Code V e E-Mail Address Home Telephone tYum6er Work Telephone Number Buyer(s) hereby jointly and severally agrees to purchase the products and/or services of J&L Windows,Inc.d/b/a Renewal by Andersen ("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 VISA Total Job Amount:�� Estimated Starting Da0 Discover 0 Financed,App#: Deposit Received(33D/D(: -16 Z�—(9te: � Name on Credit Card; ('�.� M. Balance at Start of Job(33%): 'U-5E Estimated Completion Date: Credit Card#: Balance on Substantial `s 4—�Q tvef—K S Completion of.Job(33%): 1� 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 Initials 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 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. J&L Windows,Inc.d/b/a Renewal by Andersen uyer(s) Buyer(s) Signature of Product Managery � � I C Signature Signature Print Name of Product Manager Print Name Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY 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- - - - - - - - - - - - - - - - - — — — — — � NOTI=or N NOTICE OF CANCELLATION Date of TransactionYou may cancel Date of Transaction . You may cancel this transaction,withobligation,within I 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 tinder 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 byyou 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, by the Contractor ("Seller'l of your cancellation notice, and any security interest arising out of the transaction will 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 as when received,any goods delivered to you under this this Contract or Sale; or you may, if you wish, comply Control or Sale;or you may,if 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. I the goods at the Seller's expense and risk.If you do make Iffou 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 pick them up within 20 days of the date ofyour Notice of your Notice of Cancellation,you may retain or dispose of Cancellation,you may retain or dispose of the goods of thegoods without an further obligation.If you fail to without any further obligation. If you fail to make the make the goods available to the Seller, or ifou agree goods available to the Seller,or if you agree to return the to return the goods to the Seller and fail to do so, thenDods 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 deliver a signed and st ned 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 I notice,or send a telegram to Contractor.J&L Windows, &L Windows,Inc.d/b/a Renewal by Andersen, 104 Chis Inc. d/b/a Renewal by Andersen, 104 Oris Street, Street, Northborough, MA 01532, BY NOT LATER THAN Northborough,MA 01532,BY NOT LATER THAN MIDNIGHT MIDNIGHT OF 1 ( LQ .(Date) OF .(Date) I HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCEL THIS TRANSACTION. Buyer's Signature Date Buyer's Signature Date RbA Copy- White Buyer Copy-Yellow Buyer Copy-Pink 104 Otis Street,Northborough,MA 01532 J&L Windows,Inc.d/b/a g Renewal MA HIC License# (expires 1/24/12) Phone 508.919.0900•Fax 774.987.3013 .;:. Federaleral Tax x ID# 83-0404201 byAndersen. WINDOW REPLACEMENT =Andersen Company OF GREATm MAssAcHDserrs AND NEw HAMFS m WINDOW SPECIFICATION SHEET 3uyer(s)Name Date of Agreement K I \A f RC1-2 lD The Buyer(s)list above 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 DEPAIIS 1. Contractor will Install a total of JO windows in Owner's home,using the following individual quantities: _Double Hung(DB) C Equal sash [q Cottage sash(1/3 top,2/3 bottom) ❑ Oriel sash(2/3 top.1/3 bottom) Casement(CW) ❑ Hinge 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 ❑ 1:2:1 Awning Window(AW) Picture Window(PW) Bay or Bow Window Patio Doors(see separate Door Specification Sheet) 2. K'Yes ❑ No Qty of Windows to be Custom Fit Replacement: 3. ❑ Yes 64 No Qty of Sills to be replaced by Contractor: 4. [1 Yes t�No Qty of Windows to be New Construction Full frame(includes new interior&exterior casings) Exterior casings: ❑ Pine ❑ Maintenance-free material ❑ Factory applied 908 Fibrex brickmold 5. Glazing to be:X HP Low-E®SmartSunTM (Tax CiditLZigi le) ❑ Other If other,please specify: 6. Exterior color to be: White ❑ Sand ❑ Canvas ❑ Terratone ❑ Cocoa Bean 7. Interior color to be: White ❑ Sand ❑ Canvas ❑ Terratone ❑ Pine ❑ Maple ❑ Oak Note: Interior color can only be white,wood or same color as exterior. Wood interiors need to finished by Owner. S. Hardware:'A,White ❑ Stone ❑ Canvas ❑ Brass ❑ Estate Hardware: Style: 9. ❑ Yes JW No Install Lifts with Double Hung Windows 10. Screens: windows to have: ❑ Half or Z Full screens Screens to be:XL Fiberglass ❑ Aluminum ❑ TruScene GRILLE DETAU.S 11.Windows have grilles: 5(Yes ❑ No If yes:L❑/ Grille Between Glass(GBG)0 Removable Interior Wood aNTm❑ Full Divided Light(rD[J Qty: Qty: Qty:—1— Qty Qty: Qty Qty: L W�Lj ]'I I I I I DH H DH Cw/Picture Glider CPW or G Draw grille patterns above - 'Use additional sheet if needed Owner approved(initials):( ) ADDITIONAL WORK DETARS 12.❑ Yes No Contractor will remove metal frames of windows. Qty of Units: 13.❑ Yes No Contractor will install new paint-ready or stain-ready casings. Interio casing qty of openings: Exterior casings qty of openings: ❑ Pine ❑ Maintenance-free 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 qty of openings: ❑ Pine ❑ Maintenance-free material 15. Owner is aware that Contractor does not do any painting. ( 1 Owner Initials 16.❑ Yes V!–No Contractor will wrap exterior casings with aluminum coil 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-point system to prevent water and air infiltration. 18.' Yes ❑ No A limited warranty shall be issued to Owner upon completion of the job and payment in full. 19.;yr Yes ❑ No Building Permit—Contractor will secure any and all necessary permits. The fee for the permit(s)is not included in the Contract ce and a separate cher 's required at the ' e of sale for this fee. 20. Additional' details: �� � �Y KT2{ ,F 1152%? � 21.Oh Yes ❑ No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment. No fmal 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 signed by both the Buyer(s)and Contractor. Buyer(s)hereby acknowledge that Buyer(s)has read this Specification Sheet. Renewal n of G te,W and NH Buyer(s) Buyer(s) �, ature of 1"Lv Manager Signature Signature Print Name of Product Manager Print Name Print Name The CommmaUA of Afassachrrsetts Departnseni of Industrial Acddents . Of ct of Invesliptiola 600 Fasldngfon Street Boston,MA 02111 WiPW.ntass.gav/dia Workers' Compensation Insurance Affidavit:$tffders/Cantractars/�Iectricia�slPlIImbe�'� A Iicant InformEdon rle:se trizt Le s Name(Business 6rgmimdanAndividn : en IJ[�Iy Art els e Y7 Address: IO q NI, cfty/stSt:P,�Zlp:Ar4 Are you m employer?Check the eppropidate bar. Type of project (regtarred): a employes with• L30 . 4. ❑•I am a general contractor end I �, ❑Ncw constractioa empleyeea(fall'endlorpart-time),*' bm hid the sab-contractors 7ti deliag Z ❑I am a sole proprietor or part= listed Mtn attached sheat t ship and bavo no employees 'These sub-contreatars have S, Dmolifl.on working for me.ia day capacity, w camp.inst:rance. g, ❑$tulding addition [No workers' comp:inmmdoe 5. ❑ We ere a corporation and its 10.❑Electrical re , , or addifions reguired.] officers brm=moised their 3r❑I am a homeowaet doing eII work &of QeniP*perMCsL il.❑I'Inmbiag repairs or additions c.152,j1(4),sad we,bave no 12.0 Roof repairs mysei£(Na worizre' comp: tn►.�*Rse regaiizd.]t employees.-No worlxrs' 13.❑Other cotag.iasoraace regnirod_] *Amy ap a=rt that sheets bcd PI mut also Im out tie section bdnsr cbmving'tbek Ivor=I compmeafiaa Pi"filb matiois t Sameownm who tebmit this efrdavit indicdme an: aMW.e t and&M hire ostside eoatractna mad tobmit a new efiidsvit iadicatine anctt . oahnetos cbes.� hoz matt attsobed Ea eddifiaaal shed tboaiag the name of the tob-coatactoa and their worLna'comp Policy iafamesiiom. I arx are employer that is ' img morkera'corxper #9 LuIlr'ance far 17 employees Belay.jr the polity=d job site ' infanaation. r . Iasurmce Compmy Nm=,. Mry#i or Self ins.Lir.#: ��� �� Eagira&,LDety I i Job Site Address: �-� �`� CityJststelZig: nr l� cAj` Aftacli a copy of the workers' compensation policy declaration pave(showing the policy umber Sad mpiratian da1E). FatInre to seaare coverage as regairod trades Section 251 of MGL c.152 can icad to&5 impositiaa of criminal penalties of e iinc Up-tn$1,500.00 and/or one-year imprisonmcat,as well as cion penalties in the fain of a STOP WORK ORDER and a flue ,of up to 52$0.00 a day against tine violator. Se advised that a copy of this statement may be forwarded to fbe Office of Investigations.of the DIA for ins=nce cov=gm veaficafion. I do hereby ce ase pains artd penaEfies crjury that the information prvvided above ' true-and correct 5ianatru e: Dst:: Phone 4. /f U 9 LIFO Q f f=W use only. Do not Write in this area,to be completed by city or tofrn o f ecirrl City or Tow= permitlLicease# Isstung Authority(cirele ane): • L Bowd of Health 2.BmIdfug Department 3.C ty/To4rn Clerk 4.IIecirical aspectar 5.Plaml}iag Inspector 6,Other Caaiaet Person: Phone P NIX sachusetts - Department of Public Safety Baird of Building Regulations and Staxidart}, 'Construction Supervisor License License: CS 957Q7 BRIAN DENNISON . 86 CREST CRCLE WORCESTER, MA.01 SM.. " Expiration: ScM012 Ca ioner Tri: 2622 . ✓hs �oaar�eonraea�s o�./Kaddat�irr6e� . once of Commer Affairs&A =2Xg L,%fian • OMS IMPRO ENT CONTRACTOR • Reglsfrafia��s� Expl •12 Card . RENEWAL BY BRIAN DENNI _ 104 OTIS S --;�E�•• '�— NORTHBOROUGH, _ L3nderseeretsry AC01R CERTIFICATE OF LIABILITY INSURANCE °ATE(MM'°°"YY"' L-� 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 CONTACT NAME: Joseph McKeone PHONE FAX fAVC JP McKeone Insurance Agency, Inc. E-MAIL 734-662-8100 ac No: ADDRESS: P.O. BOX 333 INSURERS AFFORDING COVERAGE NAIC# Ann Arbor, MI 48106-0333 INSURER A: Hartford Insurance Company INSURED J&L Windows, Inc. Renewal by Andersen INSURER B:Nautilus 104 Otis St. INSURER C Northborough,MA 01532 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCEINSR WVD POLICY NUMBER MM/DD/YYYY MM/DD LIMITS B GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY NC958461 10/01/2010 10/01/2011 PREMISES Ea occurrence $ 100,000 CLAIMS-MADE 7 OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICYPRo- El LOC $ A AUTOMOBILE LIABILITY 35MCCXD6390 10/01/2010 10/01/2011COMBINED SINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ X ALL OWNED NED AUTOESULED BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIABOCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION 35 WECPP1444 02/17/2011 02!17/2012 WC sraru- OTH A AND EMPLOYERS'LIABILITY Y/N - ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 5500 000 OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under - DESCRIPTION OF OPERATIONS below i E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION INSURED COPY 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 reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Renewal byAndersen. 'r%' WINDOW REPLACEMENT an AndmmC`,olnpny ' Wood/Vinyl Composite IF N. �xx Dual Double Hun Low E4 SmartSun 100-00473518-010 'ENERGY PERFORMANCE RATINGS U-Factor(U.S)/I-P Solar Heat Gain Coefficient 0n29 0019 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0 .. 42 Manufaeturar etipuktae that ihess ramps conform to appfsahla NFRC procedures for detarmniny whole product performanca.NFRC ratings am determined for afood set of environmintal conditions and aapactn product sae. NFRC does not recommend any product and does not warrant the su'mhBlty of any product for any specft use. Consult manufacturer's literature for other product performance information. ' n SEA . This product masts Greea -. . .. Sears environmental oMw el .. •:�.. "x.,c••. r;standardrflovemingenerQ/ . �s• affcieney,heavy metals in - • 't'•the frame and sash R•'•:��;, .�:: +:t ^�"'r e� n and consumer LyF ••, eonsumerededucational r&vMRzM0 `�•'•+s;%�* ..S`�•• C�4 matarols. l as.�ta �e`5: '<.^•;yX,4 DESIGN PRESSURE(PSF) r r .rte�re�u�n � H-LC25 - opedmaS RbA DB Sloped Sill DH.TN •. . Tsdrd MIIAFSd2rcAAMAlrA4.lM=IM,1SfAaWOS tAalsdaohie stl oorrtamrartmbtreea !t^zhta stsrinarat. ' Naats or exceeds M.E:C.,C.E.C,i I.f..C.C.A'r InlGltration requinmente WDMA Halmark CadfW bre Program. '