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HomeMy WebLinkAboutMiscellaneous - 5 SKYVIEW TERRACE 8/4/2015 �ORY 011 4 BUILDING PERMIT TOWN OF NORTH ANDOVER I APPLICATION FOR PLAN EXAMINATION 0 Permit No#: Date Received �RQORAreo reap.e�7 S C Date Issued: US IMPORTANT: Applicant must complete all items on this page LOCATION 4`lfw- -)el? Print PROPERTY OWNER 711" Ple_t�01?f-lli Print 100 Year Structure yesLno MAP cgo9 13 PARCEL: 00-?,5- ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building elGne family 11 Addition [_1 Two or more family 11 Industrial 11 Alteration No. of units: 11 Commercial Kepair, replacement [I Assessory Bldg 11 Others: El Demolition El Other mx/g// rp 11 F/I V NJ,/1111111 11111S DESCRIPTION OF WORK TO BE PERFORMED: e9L,04,e_R / �,/ 11VP_-"0ev 5- A& 4dentJ i icalion- Please Type or Print Clearly M OWNER: Name: lbV7 -41,0'eg Phone: Address: CkA/ Contractor Name: Phone: 6,17 -fZe'le 6V-12-- Email: ' d . Address: AM-1111-1140-6 11_161v Supervisor's Construction License: J01 A 57— -Exp. Date: &) -76 S0 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: $ 0, FEE: $ U Check No.: '9 Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to guaranty fund tt® 'TH own of EAndover 0% ®- ® C, ..__ h ver, ass i4 LAKE coc"ICHEwic. �.9 AOR�TEc) S U BOARD OF HEALTH Food/Kitchen . PERMIT T LD Septic System THIS CERTIFIES THAT c—� - o BUILDING INSPECTOR has permission to erect ...... buildings on ., .. .... . ��� �.''�Cf Foundation Rough / to be occupied as .................. F /, Gr.......1 ......��....1w1 .0 c�1 ............................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application Final on file in 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 16 MONTHS ELECTRICAL INSPECTOR LESS CONSTRUCTIO/J4 STARTS Rough Service .............. .�t,,,lG� .................................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Reguired to Occupy Building Rough Islay 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. Smoke Det. Renewal j -r MA Home improvement Contractor; byAndersen "" � Renewal by Andersen Corporation License r 170810(Expires 12/23/2015)anew arateccm en1 ,,,. Federal Tax ID#41-1918413 30 Forbes Rd. Northborough,MA 01532 (508)35142200 Fax(508)986-7072 CUSTOMER 18INDOW AND DOOR REMODELING AGREEMENT iBuyer(S)Name Date: JIM PETTORELLI - MAY 30 2015 Buyer(s)Street Address City State Zip Code 5 SKYVIEW TERRACE NORTH ANDOVER MA 01845 'Email Address Home Telephone Number Work/Cell Telephone Number KERNAPOR@COMCAST.NET 978-208-7198= 617-817-8303 Buyer(s)hereby jointly and severally agrees to purchase the goods and/or services of Renewal by Andersen Corporation("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. Total Job Amount $ 24,426 Amount Financed S 0 Est.Start Date Method of Payment Deposit Received(3390$ 8,142.00 o.psjt at at--=,y S 0.00 ChecWCash 8-10 weeks Balance Start of Job(33°0)$ 8,142.00 Check{ Balance on SubstantialEst.Install Time At Suo_t—tial ✓ Credit Card Completion of Job(33%)$ 8,142.00 C xnp n S 0.00 3-4 days If credit card Is selected,please No final a,. £sr,s-lr+i be demanded oats au Wies we es>✓ld s Credit Card Payment form i 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 Teceived 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 Andersen Corporationuyer(s) Buyers) By: Signature of Consultant Signature Signature X MICHAEL BUTLER JIM PETTORELLI Printed Name of Consultant Panted Name Printed Name YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY nME 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. ---------------------------------------------------------------------------�I NOTICE OF CANCELLATION i NOTICE OF CANCELL&TION ! I Date of're—i cttou ;/.;Ili IS You nay cancel this 1 Date.17,11— etia V 1W IS lbu nmy cancel Ods (transaction,without any penalty or ohligatIon,w•itbiss three business days iron live transaction,without any penalty or obligation,within three business days Cron the above dale.If you cancel,any properly traded In,any payments made by you under I above dale.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 I the Contract or Satc,and any negotiable Instrument executed by you will be returned within 10 days following recapt by the Contractor("Seller") or your I returned within 10 days following receipt by the Contractor("Seller") of your caucelladon notice,and any security interest arising out of the transaction will be 1 cancellation notice,and any security interest arising out of the transaction will be canceled. If you cancel,you rust make available to the Sellcr at your residence,in 1 canceled. If you cancel,you must.cake available to the Seller at your residence,in i :substantially as good condition as when received,any goods delivered to you under I s.bstandally as good condition as when received,any goods delivered t.you u.der j this Contract or Safe;or you may,if you vvish,comply with the Instructions of the I this Contract or Sale; or you may;if you vvish,comply with the htstructions of the Seller regarding the return shipment of the goods at the Sell—'.expense and risk. I Seller regarding the return shipment or the goods at the Seller's expe.sc—it risk. !If you do make the goods available to the Seller and the Seller does not pick there up I If you do snake the goods available to the Seller and the Seiler does not pick them up within 20 days of the date of your Notice of Cancellation,you may retain or dispose I within 20 days of the date of your Notice of Cancellation,you may retain or d6pose oC the goods without any further.bllgstion. IC you CaB to make the goods available I of die goods without any further obligation. If vuu Call to snake the goods ay.Lable to elle Safer,or if you agree to return the goods to the Seller and rail to do so,then I to the Seller,or if you agree to return the goods to the Seller and fail t.do so,the. you remain liable for performance of all obligatio.s under the Contract.To cancel you remain liable for performance of all obligations under the Contract. To cancel this transaction,nail or deliver a signed..it dated ropy.f this canccllxtio.notice I this transaction,mail or deliver a signed and dated copy of this cancellation notice i or any odter written notice,or send a telegr n to Contractor;Renewal by Andersen,I or any other written notice,or send a telegram to Contractor. Renewal by Atidersery 30 Forbes ltd. Northborough,NLA 01532. I 30 Forbes Rd.Northborough,AtA 01532. iI HEREBY CANCEL THIS TRANSACTION. I 1 HEREBY CANCELTHIS TRANSACTION. ' I I � e _:Sy.s'.�ra Pons N.e,.,. Da<+• I Q r _.c Frill N^rr 0,2, Renewal Renewal by Andersen Corporation MA Home improvement Contractor � rP hyA derse�1„ � P 30 Forbes rd Northborough,MA 01532 License#170810 (Expires 12123/2015) WINDOW eeaLAcemcN>` s 1 .,c: „.. (508)351-2200 Fax:(508)-986-7072 Federal ID#41-1918413 Window Specification Sheet 13uyt t',i Namc Daw of n Agrccusll JIM PETTORELLI _ _ SAT, MAY 30, 2015 The butctjsj listed atom hereby Ioindt and s tcrally nlree to pnti-hase the goods 111(1/or settices liter)below,in accordance still)the price.and terms described 'on the Specification Slicel and the h'ont and the rev(nse of tho arconipanVing CL'STON-I WINDOW.1ND DOOR R N40I)LLINGI AGi2LCA4ENI;of tthidt the Spvcthcation Sheet is part. WINDOW&DOOR DETAILS APP. APP APR% Exteriodintenor Color Hardware Hard—e c Gn1ie Gn!In Pias Room k �re,h nefght 11.1. Wmdov+lDdor 5t le Detail _ its Livinc ---1 3`2 62 94 DBF;cott,s_-ail xt MF 908/Int In FH/WH White Standard 5FTS5 ,nartSur Gram!illoss Sa3/3+a._ -53/22 -No "Dm nr r Living 2 32 62 94 DBF,cott,sq all,, -xt MF 908/Int on H/WH White Standard FTS 3.artsuc iNTw 3/3 3/2 No Temper Office i 32 62 94 DBF,cott,sq rail,, xt MF 908/int pin HANH White Standard FTS 3,aartsur INTW 3/3 3/2 No Temper Office 32 rig 94 DBFcottsq rail_ t MF.908Ant pin: HALM White Standard FTS sma,tsu 1NTW 313 3/2 No Temper P9st Bed i 32 lit 94 DBl,equalsq railslope slit Ext_MF 908 _ H/WH White Standard FTS martSur iNrav _ 3/2 3/2 No No PAst Bed 6 32 62 94 DBI,equal,sq rail,siope sill Ext.MF 908 H+WH White Standard FTS madSur urrw 312 312 No No Bed 1 ? :9`2 tit 94 DBl,equal,sq rail,slope sill Ext.MF 908 HA'VH White _Standard FTS 3rnartSur iNTw 3/2 3/2 No No Bed 1 8 i2 62 94 DBI,equal,sq ailslope sill Fact.MF 908 HANH White Standard FTS marts iN1w 3/2 3/2 No No cI 10 - 11 12 I3 IT tit L' 20 21 22 23 24 - 2; - DAY&BOW DETAILS _... Approx Style Dotail/ width/ Approx. Number Fratno Window End Center LowE! Roof I Hardwara Raam Count Styla Flankers flak hl Ca_urge Anglo Liles Interior ExVlnt Cnlor Gnites sashas sashes Screens Smansun Soffit Color SPEC IAi; Y WINDOW DETAILS Full/ Approx. L..E/ Speclairy BAY/BOW ADDITIONAL WORK NOTES Roam Count Style fnsext U.I. Sm.Asun Grilles G6110 Styln_ ExVlnt Color Living 2 Circle Top Full 50 SmartSun No WH/VJH Office 2 Circle Top Full 50 Smansun - No - WH/WH - ADDITIONAL WORK DETAILS: -- _ - _ N(.a•..r'mid6.nn 1-om„t h..r. IIT ., , 1 , Contractor will wrap exterior casings with coil stock color of Owner is aware that Contractor does not do any paintingistaining orremoval/installation of alarm system or window treatments/hardware.It is the responsibility of the homeowner to have the alarm system and window Treatments/hardware removed prior,to installation. We make no guarantee as to whether alarms or window _2 treatments/hardware will fit after replacement. Customer is also aware in some cases there will be glass loss. If there is,the amount will be dependent on the type of existing windows,type of installation and window style.We make no guarantee as to the amount o/glass loss.Customer is aware and understands eny and all unseen rot is not included in this contract.Should any rot be found there will be an additional charge for lime and materials unless so stated in this contract. Yes Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration.Removal and disposal of all job related debris, windows,doors,storm windows and vacuum nightly included. Upon completion of the job and payment in full,a limited warranty shall be issued. Yi s Building Permit--Contractor will secure any and all necessary permits. The fee for the permit(s)is included in the total contract price. Yes All discounts have been applied to this agreement. e ✓ lis No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment/finance form(s). It i u,n erI and and r t 7 xt by 111(1 6 u rrn th p nuc'Il)a tLr Spc it noun Sl),t,aline{tridr tltr(IUS'TO\I\\'1VDO\\':\t\D DOOR RG\fUDLLING,:1GREF.RIh\i;routitwca the cwirr ur I nt.edurr,Ix tsrr n tlr prru ur I Ther u- t 7�r6al uadrniuu Ln cLmi ru r w umdrit❑rq err ul dr r❑nn. 1 htc Sprrilicatinu Short nut unt 6 rLanl,ed m it mrrna uuxlitlyd or va7icd in .urt xa�-uulrs.sur 6 thang a are at mrtdnj{au d'yned by ImIIi the It it n;;?and(.one arwr Buyrn,,i hru,by a,kii l_-1,,r that Bul >_;h;,t"Ad iLi,Sper du motion Shcv�h Renewal by Andersen Corporation IA rt'n;'.;) Suhrr;s) Signature of Consultant Signature Signature MICHAEL BUTLER JIM PETTORELLI Print Name of Consultant Print Name Print Name WIHDOWS•DOORS Andersen, CC. Andersen'N,FRC Certified Total Unit Performance (continued) z ; Andersen Product Glass Type U-Factor' SHGT VP h.`, Andersen'Product Giasslype U-Factor SHGC �'. ! Architectural y 400 Series HP torr-E4 0.32 028 0.47 (7gi HP Low-E4. 0.27 035 O.fiO _ tip Lo - with Goll" 0.32 025 0.42 ` '�'' wE4 4'. HP Low-E4 with Gilles0.28 031 0.54 0.17 0.26 _ Hp Low-E4 Sun 0.32 HP tmr-E4 Sun 027 021 033 t Casement Window Circle Top" HP Low-E4 Sun with Gilles 0.32 016 0.23 (! casement Window HP Low-E4 Sun with Grilles 0.29 0.19 0.30 7 �'� Hp Lown-E4 SmartSun 0.31 0.18 HP Luff-E4 SmartSun 026 023 0.54 '•` ' F Hp Law{q SmarlSun w/Guiles 0.31 0.17 0.38 ' HP lox-E4 Smansun w/Gdlles 0.28 021 0.49 - ' t" _ HPImrE4 032 028 0-47 HP LowE4 0.27 035 0.60 _ HP row-E4 with Guiles 0.32 025 0.42 HP Low-E4 with Gilles 0a8-0.3 1 0.54 HP law-E4 Sun 0.32 0.17 0.26 ` ri HP low-E4 Sun 0.27 021 �33 - French Casement -_- Circle&Ma(Widdow 0.19 `, Window tip Low-E4 Sun with Grilles 0.32 0.16 023 HP lox-E4 Sun wrih G411es 0.29 HP lmr-E4 SmarlSun 0.31 0.18 0.42 !HP Lox-E4 SmartSun 026 023 - �" HPlox-E4Smansunw/Gilles 0.31 0.17 03BHP Low-E4 SmartSun w/Grilles 028 0.21 0.49 '. G HP lox-E4 032 028 0.47 HP inw-E4 028 0-33 0.560.3 _ HP Law-E4 with Grilles 2 025 0.Law-E442 tiplav,{4 with Gilles 0.29 0-30 0.52 - lip inw-E4Sun 0.32 0.17 0.26 CIF, tip Low-E4 Sun 0.28 020 031 Awning Window HP Lox-E4 Sun with Gilles 032 0.16 Arcb Window HP Luwf4 Sun with Grilles 0.29 0.18 b.28 , HP lox-E45martSun 0.31 0.18 0.42 t.. ------ t' HP Law-E4 SmartSun 027 023 0.52 f') Hp Low-E4 smartSUn w/Gilles 028 021 0.46 ? ` F5 HP low{4 SmarlSul w/Gilles 031 032 0.38 t�' _ - HP taw-E4 031 032 0.55 HP Law-E4 0.27 033 0.58 f aaa r l IIP law-E4 with Onlles 0.31 029 0.49 HP Law-E4 wfu0.30 052 r Gilles 0.28 _ HP lax-E-4 Sun 031 020 0.31 I F-i HP Law-E4 Sun 027 020 0.31 r2, Casement/Awning 0.18 028 r 9I FlexHrame'Widdoiv Picture Windom HP low-E4 Sun with Grilles 031 ' Hp Law-E4 Sun with Gnlles 0.29 0.18 0.28 HP Low-E4 SmartSun 0.31 021 0.50 Fn Q HP tDw-E4 Smanson 0.26 023 0.52 lip Low-E4 Smansun vi/Grilles0.31 0.19 0.44 HP Law-E4 SmartSun w/Grilles 0-28 021 0.46 - f' IP Low-E4 030 U37 0.64 Hp row•{4 031 033 0.58 Hpiax{4with Grilles 030 033 0.57 i +' HP low-E4 wrth Grilles 0.32 030 0.52 --' Hp Low-E4 Sun 0.31 0.22 0.36 '• Hp lox-E4 Sun 0.31 020 0.31 r SpeclaltyWndOw Hw E4 P LoSun with Grilles 031 020 0.32 . springOne Window lip low{4 Sun v,ith Grilles 0.33 0.18 028 024 0.511 . HPimr-E4SmarlSun 03D HP Law-E4 SmattSun 0.30 023 0.52 ( j 021 0.46 -• R HP iron-E4 SmartSun w/Grilles 0.30 022 0.52 7{p Lor,{4 SamnSun w/Gilles 032 HP ton-E4 0.32 022 D.37 -' . Hp Law-E4 0.30 0.2T 0.45 t I HP Low-E4 with Grilles 033 020 0.33 - lip Lov-E4 with Grilles 0.32 023 0.39 `-=1 •Vii; HP Low-F4 Sun 033 0.14 0.21 - HPlow-E4 Sun 031 0.16 0.25 ! ` Hinged Inswing 0.13 0.18 - Frenchwood' -+ -t French Door HPlmr-E45unwhhGnlles 034 0.14 V.I. �• .� Gliding Patio Door 7 HP low-E4 Sun vnlh.Grilles 0.32 lip(raw{4 SmerrSun 032 0.15 0.33 - t• HP Low-E4 SmartSun 030 01a 0.41 0.33 0og 11P Lmv-E4 Smar45un w/Grilles .14 030 HP livA4 SmadSun w/Grilles 0.31 0.16 0.35 f- HP tow-E4 033 025 0.41 �a c HP LDw-E4 0.31 024 0.41 l i HP Law,-E4vM Grilles 0.34 022 0.36 - 021 0.35 j HP LowE4 wilJl Grilles 0.32 low-E4 Sun . . 033 016 0.23 HP e� I HP lov-E4 Sun 0-31 0.15 0.23 ' 'F Hinged Oulswing - ^0. Frenchwood'Hinged _ - French Door HP lore-E4 Sun vino Gdiles 035 0.14 020 Inswing Patio Door 'I HP lov-E4 Sun v81h Grilles 0.32 0.13 0.19 ='i - lip{ay{4 Smansun 032 0.17 0.37 R I �'� HP low-E4 SmartSun 0.30 0.16 0.3HP Low-E4 Smartsun w/Gilles 034 HP low-E45madSunw/Guttas 031 0.14 0.31 t� - - Hptaw{4 033 023 0.36 - ccaa HP low-E4 031 (725 0.41 HP lax-E4 wrCl Gilles 033 021 0.34 - HP tow-E4 with Grilles 0.32 021 0.35 ! t Fuad French Door- HP Law-E4 Sun 033 0.14 021 - Franehwood'Hinged„! Hp Low-E4 Sun 0.31 0.15 0.23 _ - Sidelight' HP iron-E4 Sun with Gilles 034 0.13 0.19 outsering Patio Door lip Low-E4 Sun with Gilles 0.32 0.13 0.19 lip tart-E4 SmartSun 0.32 0.15 034 HP Low-E4 SmartSun 030 0.1T 0.37 '.° HP Lox-E4 Smansun w/Grilles D33 0.14 0.30 - HPLan{4SmartSunw/Gdfles 031 0.15 0.31 C' _ HP L - mr-E4 032 025 0.41 HP low-E4 0.31 0.22 037 Hp Low-E4 with Grilles 0.33 022 0.37 - HP lm,-E4 wIFI Gnlies 0.32 0-2 033 1"' HP lmr-E4 Sun 032 17.15 023 - •Flxed Transom Renchweod',. HP Imr-E4 Sun 0.32 0.14 0.21 - _ ^ French Door �. � HP low-E4 Sun with Gillies 0.33 0.14 0.20 Patio Door Sidelight IIP Ltm{4 Sun vnlh Gilles 0.32 0.13 0.18 -t HP Law{4 Smansun 032 0.15 037 HP lox-E4 Smansun 0.31 0.15 0.33 Hp Lori-E4 SmartSun w/Gilles 032 0.15 033 - lip Lox-E4 smartSun w/Gnlles 0.32 0.14 17.29 l+ ": "5 3P Lum-E4 0.35 026 0.44 - HP low-E4 0.30 024 0.40 `� HP Low-E4 with Grilles 0.36 023 038 - HP law-E4 with Grilles 0.30 021 0.35 - 0.15 0.22 � HP lm,-E4 Sun 0.35 0.16 024 - NP Low-E4 Sun 0.30 _ '`• Folding Door Frenchwood' 0.13 0.20 ':`( HP Low-E4 sun with Gilles 0.36 0.14 021 - Patio Door Transom IIP Lou-E4 Sun vinh Galles 0.31 ...F, HP LmE4 SmartSim 0.34 0.17 039 - HP Low-E4 Smartsun 0.29 0.16 0.3_ 6 .��- - 0.14 0.32 •.�i 1 HP lou-E4 Smadsvn w/Gilles 0.36 0.15 0.34 con - Hp ImrE4SmarlSunw/Gilles 0.30 - continued on nail page •For NERC certified total unitperfannanceonunitswiNcapillarybreathertubesforhigh LoNdes,pleasevisitanderseperfor ance "High-Performance"total unit erfo Low-EQ, -Performance"Low-E4'Smansun"'(HPlow-E4 SmartSun) -performance Low-E4'Low-E4'Sun'(HP Low-E4 Sun)are Andersen trademarks gloss.Use glass- For 'High-U-Faca defines the amount of P Low-at ss through fee total unit in BTU/hrsq.ft°F The lower the value,the less heat is lost urrough the an0re producC Window values represen[non-tempered glass.Use of tempered glass can Increase U-Factor ratings-See andersenwindows.canr for specific performance values-Door values represent tempered glass. 'Solar Heat Gain Coefficient(SHGC)defines the fraction of solar radiation admitted through the glass both directly transmitted and absorbed and subsequently released inward.The lower the value,the less heat is transmitted through the product ' Visible Transmittance rotance(Vp measures how much light comes ihraugheproduct(glass and fame).Thehigher the value,from Oto 1,the more daylighithe product lets in over the product's total unit area.Visible Transmittance is is measured over the 380 to 760 nanometer portion of the solat spectrum. •NMG ratings are based on modeling by a third party agency as validated by an independent test lab in compliance with NRC program and procedural this at rmay than •This date Is accurate as of December 2010-Due to ongoing product changes,updated test results or new industry standards or requirements,this data may changeover time-Ratings are for sizes specified by NFRC for testing and certification.Ratings may vary depending on use of tempered glass,different grille options,glass for high attitudes,etc PassiveSun'glass values are available online at andersenwindows-cos. 277 Renewal byAndersen, wINDOW' REPLACEMENT An Andctsen(k-mrAoy WoodNinyl Composite IF Dual Argon Low E4 SmartSun Double Hung 100-00473518-010 ENERGY PERFORMANCE RATINGS U-Factor(U.S)/I-P Solar Heat Gain Coefficient 0 , 29 0019v ADDITIONAL PERFORMANCE RATINGS Visible Transmittance am ffm 0 612 Al an ufacturar svputates that these ratings conform to applicable NFRC procedures for detarmining whole product padormance.NFRC slings are date nnined fora fixed sat of environmental cond'eionsand aspecific product sae. NFRCdoes not recommend any product and does not warrant the suitahitty of any product for any specific use. Consuh manufacturer's raaratura for other product perfomtance informalion. " www.nirc.org r � '�tfc "T•' This product meats Green t Sears environmental ' standards governing anergy e.,�r0,�„gy°,°j- rj. •�•••• ra;- Wconlulleleduc9ationat ciency,heavy matersFt y'.: . 'AAthe frame and sash matareling,and �-V v +�Mr.uaa.r C .�..O..Mne/nmrv'Nor DESIGN PRESSURE(PSF) a � ` t II, witdolr and mor ' htanuhcvrers fasociatlon w.vw--M.', com ® RbA DB Sloped Sill DH IN Tested tollAFS M orAN..1)VY 4VCSAt01AS'A4" KtanAaueror stipulates wrtfomlancA to cna lif�hl6 standaros. daets or exceeds M.E.C.,C.E.C,81.E.C.C.Air Inflitlrnlion raquiranwt.WOMA Hallmark Candioation Program. The Commonwealth of Massachusetts Department oflndustrialAccidents Office of Investigations ' 1 Congress Street,Suite 100 Boston,SIA 02114-2017 www mass gov/dra Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name (Business/Organization/Individual): RENEWAL BY ANDERSEN Address:30 FORBES ROAD City/State/Zip:NORTHBORO, MA 01532 Phone#:508-351-2200 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 30 4. ❑ 1 am a general contractor and 1 employees (full and/or part-time). have hired the sub-contractors 6 ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8, 0 Demolition working for me in any capacity, employees and have workers' insurance. 4• E]Building addition cam [No workers' comp. insurance p• required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3111 1 am a homeowner doing all work officers have exercised their 11.[I Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] Any applicant that checks box#i1 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name:OLD REPUBLIC INS. CO. Policy#or Self-ins. Lic. 4:MWC 30293800 Expiration Date: 10/01/15 Job Site Address: 5 Skyview Terr City/State/Zip: North Andover, MA 01845 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce rfy nder the pains and penalties ofperjury that the information provided above(is true and correct Signature: Date: �✓ ! �/5_� Phone 8-351-220 Ofjlclal use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M ANDECOR-01 YADAVYO 8... /0 CERTIFICATE LIABILITY OATE(MMIDONM) 10/1/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTANAME:CT certificatesewillis.COm Willis of Minnesota Inc. PHONE FAX c/o 26 Century Blvd Arc No Ext:(6�)945-737$ Arc No):(888)467-2378 P.O.Box 305191 EMAIL ADDRESS: Nashville,TN 37230.5191 INSURER(S)AFFORDING COVERAGE NAIC fI INSURER A:Old Republic Insurance Company 24147 INSURED INSURER B Renewal by Andersen Corporation INSURER C: 30 Forbes Road INSURER D: Northborough,MA 01632 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 NAMEDABOVE 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. MLTR SR I POLICY EXP TYPE OF INSURANCE ADD POLICY NUMBER MIIMMUDDY EFF MMfDDNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE 0 OCCUR MWZY302940 10/01/2014 10101/2015 PREMISES Ea occurrenceS 500,00 MED EXP(Any one person) S 10,00 PERSONAL BADVINJURY $ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,00 X POLICY JELOC PRODUCTS-COMPIOPAGG $ 4,000,00 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ 5,000,00 A X ANY AUTO MWTB302676 10101/2014 10/01/2015 BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIREDAUTOS AUTOS (Pars dent) $ UMBRELLA UAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ '.. WORKERS COMPENSATION X PER Ol'H- AND EMPLOYERS'UABIU TY STATUTE ER A ANFICER/PROPRIETOR/PARTNER/EX EXCLUDED?ECUTIVE YDWI N r A MWC30293800 10/0112014 10101/2015 E.L.EACH ACCIDENT $ 1,000,00 '.. (Mandatory In NH) E.L.DISEASE-EA EMPLOYEO$ 1,000,00 Ifyes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS I LOCATIONS r VEHICLES(ACORD 101,AddlUonal Roma rks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION 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 Evidence of Insurance ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD Massachusetts -Department of Public Safety � Board of Building Regulations and Standards Construction Supervisor License:CS-090125 'NILti1 L I is 5 " JArM L MORIN 96 GARDIMR ST LYNN ice. 0190 � tiQ )I lit .rV Expiration Commissioner 10/06/2016 86ie tparxnnanurea�a�C�!�iraaac�ia�olti ffice of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR Registration: 170810 Type: Expiration: 12123/2015 Supplement t '. RENEWAL BY ANDERSON CORPORATION ds; JAIME MORIN 104 OTIS STREET NORTHBOROUGH,MA 01532 Undersecretary 4