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HomeMy WebLinkAboutBuilding Permit #117 - 69 OLD VILLAGE LANE 8/10/2009 BUILDING PERMITo `'oRT►i '+ti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION '" 7D Date Received Permit NO: � p�RwTeo SPP` y CHU`��� Date Issued: ez& IMPORTANT:Applicant must complete all items on this page LOCATION nt PROPERTY OWNERt i I , Print MAP NO:- PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no li 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 DESCRIPTION OF-WORK TO BE PREFORMED: dentificatio Please Type or Print Clearly) OWNER: Name: ' PTA- Phone: Address: G 0 l CONTRACTOR `Name: k Pw J # C G . _ Phone: Address: .t3f` 11 Supervisor's Construction:License: � � Exp. Date: C Home Improvement License: Exp. Date: E �f 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: $ C( �� FEE: $ Check No.: �/ S Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty d signature of A�ent/Owner f S '` ignature;flf contract " Plans Submitted Plans Waived Certified Plot Plan Stamped Plans I 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 A 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. I 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:Building Permit Application Revised 2.2008 XAORTH ® of : 4Andover . No. O 117 �. o A Edover, Mass., \ COCHICHE w ICK y1. ADRATED PPa '`C:) S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System 4-7 L� THIS CERTIFIES THAT r�^r f_4 I r�GBUILDING INSPECTOR ....................................... ............� ..... oun...................................... Foundation ation has permission to erect........................................ buildings on c ff... ct.q..�...�G9!r'�............... Rough to be occupied as ��' /. Chimney that ..................................................... ....... 0.... . Z��?/ .................................................................... providedat 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 CONSTRUCTION TAR Rough ............................................................... ...................................... Service BUILDING INSPECTOR 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. Tl ENEWAL BY ^ NDE Sr T MA License#decal T (expires 041/24/101201 ,va] - 1 V V V j 1—Ljv i� J Federal Tax ID#83-0404201 -jersen. ew REPLACEMENT .,A�d."e Gc ,,, OF GREATER MASSACHUSETTS AND NEW HAMPSHIRE 104 Otis Street•Northborough,MA 01532 Phone 508.919.0900•Fax 508.919.0903 CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Name Date of Agreement Buyer(s)Street Address,City,State,and Zip Code I'il E-Mail Address Home Telephone Number Work Telephone Number 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. " DV Method of Pymnt:O Cash C�eh'Bck Cl Mastercard O VISA Total Job Amount: Estimated S rting Date: p ❑Discover CI Financed,App#:00 0 Deposit Received(33%): S Name on Credit Card: f Balance at Start of Job(33%): ` Estimated Com letion Date: 6 P Credit Card#: Balance on Substantial /r/— Completion of Job(33%): r?UV 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. Renewal by Ander en of Greater MA and NH Buyer(s) Buyer(s) By: u Signa e of&oduct Manager Signature Signature Print Name of Product Manager Print Name r 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. �c— — — — — — — — — — — — — — —3�<-.— — — — — — — --- — — — — - — — — — — — — — — — — — — — — NOTICE OF CANCELLATION X XNOTICE OF CANCELLATION , Date of Transaction - .You may cancel I Date of Transaction (0,9-0 .You may cancel this transaction without any penalor obligation,within I this transaction without any pens or obligation,within three business gays from the above ate.If you cancel,any three business days from the above ate.If you cancel,any Eroperty traded in,any payments made by you under the roperty traded in,any payments made by you under the ontract of Sale,and any negotiable instrument executed 1 �ontract of Sale,and any negotiable instrument executed by you will be returned within 10 days following receipt I by you will be returned within 10 days following receipt by the Seller of your cancellation notice,and any security I by the Seller of your cancellation notice,and any security interest arising out of the transaction will be canceled. I 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 1 your residence, in substantially as good condition as when received, any goods delivered to you under this I 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 Kinstructions of the Seller regarding the return shipment of the goods at the Sellers expense and risk.If You do make I the goods at the Seller's expense and risk.If You do make the goods available to the Seller and the Seller does not1 the goods available to the Seller and the Seller does not pick them up within 20 days of the date of your Notice pick them up within 20 days of the date of Your Notice of Cancellation,you may retain or dispose of the goods I of Cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the I without any further obligation. If you fail to make the goods available to the Seller,or if you agree to return the 1 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 Igoods to the Seller and fail to do so,thenyou remain liable for performance of all obligations under the Contract. for performance of all obligations under 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 1 dated copy of this cancellation notice or any other written notice, or send a telegram to Renewal by Andersen 1 notice, or send a telegram to Renewal by Andersen of Greater Massachusetts and New Hampshire, 104 1 of Greater Massachusetts and New Hampshire, 104 Otis Street,Northb rough,MA 01532, NOT LATER THAN I Otis Street,Northb rough,MA 01532,NOT LATER THAN MIDNIGHT OF - .(Date) MIDNIGHT OF O —.(Date) I HEREBY CANCEL THIS TRANSACTION. I HEREBY CANCEL THIS TRANSACTION. I Consumer's Signature Date Consumer's Signature Date ®1BLLP2009.RBA-Ph.MANH RbA Copy � Renewal Ilwll�\ 7pT R�7 Arm�p e��T MA License 149601(expires 1/24/10) bYAnderSen.00 11LM11/�r�L1�1L/L L}1�I11111 M 1, ��II r F2det+alTgulD# 83-0404201 WINDOW REPLACEMENT an Ardersrn Company C"-GREATER MASSACHUSPITs AND NEW HAw,,,,iRE 104 Otis Street I Northborough,Massachusetts 01532 Phone 508.919.0900•Fax 508.919.0903 SPECIFICATION SHM Buyer(s)Name Date of Agreement The Buyer(s)listed 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 DEFAILS 1. Contractor will Install a total of windows in Owner's home,using the following individual quantities: Double Hung(DB) ❑ Equal sash ❑ 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(FW) Bay or Bow Window Patio Doors(see separate Door Specification Sheet) 2. Yes [�o Qty of Windows to be Custom Fit Replacement: 3. ❑ Yes [e}P�o Qty of Sills to be replaced by Contractor: 4. es ❑ No Qty of Windows to be New Construction Full frame(includes new interior&exterior casings) Exterior casings: ❑ Pine 5 .Maffttenance-free material ❑.Factory applied 908 Fibrex brickmold 5. Glazing to be: �Low-E®SmartSunTM (Tax )redttfkole) ❑ Other If other,please specify: 6. Exterior color to be: lite ❑ Sand ❑ Canvas ❑ Terratone ❑ Cocoa Bean 7. Interior color to be: ❑ White ❑ Sand ❑ Canvas ❑ Terratone Ca.Pitte ❑ Maple ❑ Oak Note: Interior color can only be white,wood or same color as exterior. Wood interiors need to finished by Owner. 8. Hardware: ❑ White [t�'SEone ❑ Canvas ❑ Brass Double Hung: 9. ❑ Yeso Install Lifts with Double Hu Windows 10. Screens: windows to have: F] Half or Full screens Screens to be: W Fiberglass ❑ Aluminum ❑TruScene GRILLE DETAILS 11.Windows have grilles:.❑ Yes 5oIf yes:❑ Grille Between Glass(GBG)❑ Removable Interior Wood mn"M❑ Full Divided Light(mL) Qty Qty: Qty Qt' Qty: Qty Qty: DH DH DH DH CW/Picture Glider 1_[CPWorGPA1 Draw grille patterns above 'Use additional sheet if needed Owner approved(initials):( I ADDITIONAL WORK DETAILS , 12. Yes ❑ No Contractor will remove metal frames of windows. Qty of Units: 13.P-es ❑ No Contractor will install ne amt-ready or stain-ready casings. Interior casing qty of openings: Exterior casings qty of openings: ❑ Pine Rt�-➢Qaintenance-free material 14.❑ Yes ❑ No Contractor will install n aint-ready or stain-ready inside or outsid ps qty of openings: Interior stops qty of openings: Exterior stops qty of openings ❑ Pine [g"1G1�intenance-free material 15. Owner is aware that Contractor does any painting. ( 1 r Initials 16.❑ Yes E! o Contractor will wrap exterior casings with aluminum coil stock of color. N e: Wrapping may be required with storm window removal;removal of storm windows will leave screw holes in casing. 17. es ❑ No Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration. 18. es No A limited warranty shall be issued to Owner upon completion of the job And payment in full. 19. es ❑ No Buil ' 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 t Is fee. 20. Additional job details: ALL5bkt 1:Da 4n jz- RT }.lh+. dF CN;7i'Y rC 21. kles ❑ 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 signed by both the Buyer(s)and Contractor. Buyer(s)hereby acknowledge that Buyer(s)has read this Specification Sheet. Renewal Andersen reater MA and NH Buyer(s) Buyer(s) Si ture of Pr duct Manager Signature Signature < 2 /�A r,{"CL,„A: PICO'd Print Name of Product Manager Print Name Print Name RbA Copy The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 TVashington Street Boston,MA 02111 .uq� www.mass gov/dia Workers' Compensation Insurance Affidavit: Buflders/Contractors/Electricians/Plumbers A lica_nt Information Please Print Legibly Name(Business/Organizadon/Individual): &nei)r" y �y)deYS a 4 Address: /0,/ yZ-1, S L, Tre t City/State/Zip:,—Alar bo1^0, 1V 6').5Jc Phone#: Are'you an employer?Check the appropriate box: Type of project (required): 1.&I.am a employer with JC) 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet z 7.(;91-Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. workers' comp.insurance.— 9. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 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' 13.[1 Other comp.insurance required.] *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 workers'comp.policy information. I am an employer that isproviding workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: .1' �(' Keo rG n C£' Policy#or Self-ins.Lic.#: w h � � I�Lf _ Expiration Date: Job Site Address: Sq V l L [ �, City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). 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. Ido here# cer y une r the pains and penalties,of perjury that the information provided abov is true and correct Si nature: Date: Phone#: >` Official use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# 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#: j: Board of Building Regulations and Standards 'Construction Supervisor License.. , License; CS 95707 .� Birtfieaie'= A 1982 = Tr# 95707 a-2010 i4 Y= I s f BRIAN DENNISO ` 86 CREST CIRCLE WORCESTER;MA 01603"' . Colnm3ssloner J. RENEWAL BY ANDERSON BRIAN DENNISON 104.OTIS STREET NbRTHBOROUGH, MA.0.1532 . DPS-CAI E3 50M-07/07•PC8//490 :_.r. . ..... .... ,.,�IZ6.'t069Y1/J)20�L[lJ2QA.GJL G�✓(/G�JO¢ClLl1Q2LLrl _ ._-. Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registrafion, 149601 . - E_z=��ra�►on_�1Z4;/2010 LPplement Card ,I wg, i r-= ., . RENEWAL BY AN�DEt. 01J^^ , BRIAN DENNISO,f�; =�=T 104 OTIS STREET`w � 'NORTHBOROUGH,MA!)1532 Administrator WORD CERTIFICATE OF UABILITY INSURANCE DATE(MI" tAYYY) 02/17/2009 PRODUCER02117/2009 CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Joseph McKeone ONLY AND CONFERS. NO RIGHTS UPON THE CERTIFICATE JP McKeone lns�renCe Agency, Inca AHOLDR THE COVERIS AGECAFFORDED DOES �THEPOL�CIES BEDLOW P.O. Box 333 Ann Arbor, MI 48106-0333. INSURERS AFFORDING COVERAGE R9AIC# INSURED Ann by Anderson INSURERA: Dartford Insurance Com an J&L Windows,Inc. INSURER B: Hermitage 104 Otis St INSURERC: 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 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,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IONSRTR R POLICY EFFECTNE POLICY EAPIP.ATION E POLICY NUMBt71 LWTS g GEMERALUABIUTv HCP 507 404 09107/2008 09/07/2009 EACHOCCURRENCE S 1 OOO OOO CAMMERCtAL GENERAL LIABILITY DAMAGE TO-RERM PREIWISES EsC=unncoS loo Doo CLAIMS MADE ©OCCUR MED EXP(An one person) S _ 5,000 PERSONAL&ADV INJURY S 1,000,000 GENERAL AGGREGATE S 2,000.000 GENLAGGREGA�T"eUMRAPPLtESPER:. PRODUCTS•COMP/OPAGO S 2.000000 ( POLICY I i.PcRa F-I LOC A AtrtDtat181L LIABILITY 35 MCC XD 6390 10/01/2008 10/01/09 COMBINED SINGLE LIMIT ANYAUTO (Eeeeoidem) S 1,000,000 X ALL OWNED AUTOS SCHEDULEDALROS SODILYIWURY S(Per person) . HIRED AUTOS BODILY INJURY . S NON-OWNED AUTOS (Per aadont) PROPERTY DAMAGE S. (Per.acident) GARAGE LJABILITY AUTO ONLY,EA ACCIDENT Is ANY AUTO OTHER THAN _LA ACC S AUTO ONLY: AGO 1 5 EXCESSIUMBRELLA LABILTY EACH OCCURRENCE J S OCCUR . a CLAIMS MADE AGGREGATE S S DEDUCTIBLE S RETENTION S I S ,q woRKERs COMPENSATION mo 35 l!�►EC PP 1444 02/17/2009 02/17/2010 WC STATU• I DTH•I EMPLOYERS'UABILM ANY PROPRIETOWPARTNERIE✓,ECUiME E.L.EACH ACCIDENT S 500,000 OFFICERIMEMBER FXCLUDED7. E.L.DISEASE•EA EMPLOYEE S 500,000 Hgyea,ALPRounder SPECWL PROEL DISEASE.POLICY LIMB S 500,000 VISIONS below OTHER DESCRIPTION OF OPERATIONS/LOOA710NS!lEHiCLES I MCLUSIDkS ADDED BY ENO0R5EAtEWT l SPEDIAL PROVISIONS CERTIFICATE HOLDER CANCELLA11ON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION INSURED COPY DATE THER=OF,THE ISSUWO INSURER"LL ENDEAVOR TO lL9AIL 90 DAYS WRITTEN NOTICE TO THE MR71FICATE HOLDER NAMM TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBUGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR RI-PRESENTATIV-rS. AU'rHORLTEDREPRESey,TATiVE ACORD 25(2001108) Ji�1_J/(J 4.v�©ACORD CORPORATION 1983 400 Frenchwood®Gliding Pagel of 2 s Andersen®400 Series Frenchwood®Gliding Patio Door Performance Center of Glass Performance Data t" 'r�4s� .'"`77, I` _,� ... Y4r `s. ;. 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S^.:: 5' s t6', �'�S,utS � tR�"tIG.S'si � cmwertt„J ft Tolwa _ `�w T +i�•.--s+,--.a, �.r,z'G' jC ^' l JS x4Ka.4.� t� 1`�•` ■` 1 w �S ? r"•'nc "�- iii s -z r.�` NO Alf;'- . __ i ractsoarrIitimulft:CA w DNP � 0.36 (} ' 76 fiy, a,tet' k% ' S8 `� zy ,L a (SMO 1"ar (A1� . �Y 0.35 13 ii '7j4 r� t 5 �. 34G , � _57'��yo' v.V Glii � _ ewveanvnn�:�F ��*..uuo'mw 3 .ri1kyi``� IC � ''£' DInt ...,...... t�r f >¢ 1khtf e �frTefi' P�f� r t s- tR.FMI r 13 i' �a ----_ p, ro �4XIdr�118#�$tC�1 .• f{" ..._ �} "x � �� too TM(} Sao o� 3 _ 3 Roof Sft, 73 \ "High-Performance”(HP Low-E)and"High-Performance Sun”(HP Sun)are Andersen trademarks fnr I nw-F nlaee Location L No. Date o a �oRT� TOWN OF NORTH ANDOVER ,•�tio0L 0 a Certificate of Occupancy $ J;ACMUS t�' Building/Frame Permit Fee $ sa ` Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 2252 ,t ng inspector