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HomeMy WebLinkAboutBuilding Permit #787 - Exception 5/1/2012TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO:2 �-3— Date Received Date Issued: — 12 -1 -- IMPORTANT: 2-1--IMPOORTANT: Applica-ntt must complete all items on this page LOCATION Print PROPERTY OWNER �`� Z� �qE 1L0 -k M���% Unit # Print MAP NO: (51 6 PARCEL: ZONING DISTRICT: Historic District yes no Machine Shop Village yes no 100 year-old structure yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ AI ation No. of units: ❑ Commercial C?Kepair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition 11Other -rte: ut � ® peptic ' W ells 1 �--�-��-�r OFlooclplain' ®Wetlands � �.�-�- tWatershed District K ®Water/Sewer : • Y' t , . a c . _ ,1 DESCRIPTION OF WORK TO BE PERFORMED: 00 OWNER: N 3 �0Ntoc,�s PleaseType or Print _ i. Address: CONTRACTOR Name: S4J� 1l50( -J Phone: Address: 17 (U n - Supervisor's Construction License: �S�C�� )Exp. Date: Home Improvement License: ( 0 Exp. Date: ARCHITECT/ENGINEER Phone: Address: No. FEE SCHEDULE. BULDING PERMIT. $92.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. v0 ��- Total Project Cost: $ FEE: $ Check No.: Receipt No.: NOTE: Perso s contracting with unregistered contractors do not have access to the guaranty fund Locatio<4 / �Clii No.7?d� Date Check # J56(� f 25252 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $y Other Permit Fee $ TOTAL Building Inspector Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ . Tanning/MassageBody Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales I ❑ 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 DATE REJECTED n DATE APPROVED 0 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.$10041000 fine NOTES and DATA — For department use Notified for pickup - Date Doc:.Building Permit Revised 2011 June/mi 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 o 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) o 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 o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) o Copy of Contract ❑ Mass check Energy Compliance Report o 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: Doc.Building Permit Revised 2008mi U) m X m m X m v m C) A, d CM) CD c� Z t=ip CCD O '0 CL r- 6 c ='c C. F y aco -v loo � o p CD CDCL o cr,* d CD CCD O CCD CCD y� -' CD C. ® CO) CO CD m ca CO) m ® � o C.3 CO3 m a o �, Z 0 �.o vi -4 a -�► Ci o m O O O m y p y O m -y .m 0 ow .. ..j. Oto o�oo:� o y' W o o o0 _ m rTf CL .-. �a o =r ; C0 CO) V) C'3•o 'b c a m nCD lz o .� < �.a y � <p V. � O O H � m we so CD ® .w a CD o �. -o o m ,rC o j.D CA `N tCD M=: o: C7 C2: o =' Co 0, . �q cn � rY cn z Q � ; . 1•"� IT�- V o ��•1 cn 0 o x l I o o �r � �C•) (� `e o Ill w C� /-+ C/) � f�A � a r(r n Q O V yob P;- 0 QA 0 c RenewalMA Home Improvement Contractor A License #170810 (Expires 12/23/2013) byAndersen. Renewal by Andersen Corporation Federal Tax In #41-1918413 WINDOW REPLACEMENT an Andersen Company 104 Otis St., Northborough, MA 01532 (508) 351-2200 • Fax: (651) 351-4810 CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Name Date of Street Address,�CiN, State,. and Zia Code --:-Mail Address _ Home Telephone Number ' Work Telephone Number Buyer(s) hereby jointly and severally agrees to.purchase the products 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: / Deposit Received (33%): Estimated Starting Date: - 1/ -6 I-✓.kT Method of Payment: Check ❑Cash ❑Financed Balance at Start of Job (33%): / % 3 % Balance on Substantial Completion of Job (33%):%J 3 7 - Estimated Completion Date: ❑Visa/MC ❑Discover ❑AMEX If credit card is selected, please see Credit Card Payment Form. 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 Andersen Corporation By: i Signatur�ager q / Z� rint Name of P oduct Manager I Buyer(s) Signature AL[PsEY Print Name Buyer(s) Signature _ 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. — — — — — — — — — — — — — — —�<- — — — — — — NOTICE OF CANCELLATION X 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 I byyou 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. I Ifyou 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 ifyou a ree to return the goods to the Seller and fail to lou 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 I other written notice, or send a telegram to Contractor.. Renewal by Andersen Corporation, 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 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 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: Renewal by Andersen Corporation, 104 Otis Street, Northborough, MA 01532, BY NOT LATER THAN MIDNIGHT OF . (Date) I HEREBY CANCEL THIS TRANSACTION. Buyer's Signature Print Name Date Buyer's Signature Print Name Date RbA Copy - White Buyer Copy - Yellow Buyer Copy - Pink ©JBUP2009.RBA-Ph.MANH •+G— --� Renewalewal by Andersen Corporation MA Home Improvement Contractor bYAndersen. 104 Otis St., Northborough, MA 01532 License #170810 (Expires 12/23/2013) WINDOW REPLACEMENT an Andersen Company (508) 351-2200 • Fax: (651) 351-4810 Federal Tax ID #41-1918413 WINDOW SPECIFICATION SHEET Buyer(s) Name Date of Agreement The Buyer(sylisted above hereby jointly Ad 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. WINDOWDETAILS 1. Contractor will Install a total of 3 windows in Owner's home, using the following individual quantities: Double Hung (DB) n 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 (PW) Bay or Bow Window Patio Doors (see separate Door Specification Sheet) 2. F1 Yes ❑ No Qty of Windows to be Custom Fit Replacement: 3. ❑ Yes •[Sk" No Qty of Sills to be replaced by Contractor: 4. ❑ Yes D' No Qty of Windows to be New Construction Full frame (includes new interior & exterior casings) and actual Exterior casings: ❑ Pine ❑ Maintenance -free material ❑ Factory applied 908 Fibrex brickmold 5. Glazing to be: �Z HP Low- E-4 T"' ❑ 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. 8. Hardware: [ White ❑ Stone ❑ Canvas ❑ Brass ❑ Estate Hardware: Style: 9. ❑ Yes N No Install Lifts with Double Hung Windows 10. Screens: windows to have: ❑ Half or )/ Full screens Screens to be: ❑ Fiberglass Aluminum ❑ TruScene GRII,LE DETAILS 11. Windows have grilles: ❑ Yes No If yes: ❑ Grille Between Glass (GBG) ❑ Removable Interior Wood (MW ❑ Full Divided Light (FDL) Qty: Qty: Qty: OtT Otv: ntv: r) - Y'J DH DH DH DH CW/Picture Glitler CPW or G Draw grille patterns above `Use additional sheet if needed Owner approved (initials): ( ) ADDITIONAL WORK DETAILS 12. H Yes K No Contractor will remove metal frames of windows. Qty of Units: 13. ❑ Yes N No Contractor will install new paint -ready or stain -ready casings. Interior casing qty of openings: Exterior casings qty of openings: ❑ Pine ❑ Maintenance -free material 14. ❑ Yes Rf 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. ( ) Owner Initials 16..]C Yes ❑ No Contractor will wrap exterior casings with aluminum coil stock of Al# 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 Clean up all job related debris including old windows will be removed. Vacuum nightly. 19.7 Yes ❑ No A limited warranty shall be issued to Owner upon completion of the job and payment in full. 20. © Yes ❑ No hg9ding BuildingPermit--Contractor will secure any and all necessary permits. The fee for the permit (s) is not included in the Contract Price and a separate check is required at the time of sale for this fee. 21.10 Yes ❑ No All discounts have been applied to this agreement price. 22. Additional job details: 2) P--� 7j Q _.. . 23. � 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 Andersen Corporation By: ture of Product Manager Print Name of Product Manager Buyers) /! Buyers) Signature ALL -_'SPS' YE; SMS y Signature Print Name Print Name The Commonwealth of Massacliusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): �_A Address: t-( City/State/Zip: lDoC,�npJ, ln26. (VIS3 Phonet 5_6? - S5 -I' (2a00 Are you an employer? Check the appropriate box: 1. EII am. a employer withy 4. ❑ I am a general contractor and I employees (fall and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. I ship and have no employees These sub -contractors have working for me in any capacity. workers' comp, insurance. [No workers' comp. insurance 5• ❑ We are a corporation and its required.] officers have exercised their 3. ❑ I am a homeowner doing all work right of exemption per MGL myself. [No workers' comp. c, 152, § 1(4), and we have no insurance required.] t employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7.. remodeling. 8, ❑ Demolition 9, ❑ Building addition 10.❑ Electrical repairs or additions 11.❑ Plumbing repairs or additions 12'.❑ Roof repairs 13.❑ Other 'Any applicant that checks box .fl 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:_ v e. C t1 S Cb Policy # or Self -ins. Lic. #: V C I 1 I �� �' Expiration Date: (D } — i a Job Site Address:_ � "` - City/State/Zip: Attach a copy of the workers' compensation policy declaration page (shopping 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 lavestigations of the DIA for insurance coverage verification I do hereby certify pin and penalties of perjury that the information provided above is true and correct. i Offecial use only. Do not write in this area, to be completed by city or town officiaC City or Town: PermitfLicense # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical.inspector 5. Plumbing Inspector -b. Other Contact Person: Phone #.- Ntas.aikhusetts - Depai-trnent of Public Safet. Brfard of Buildin�� Rc��ulatinrts and Stantlartls Construction Supervisor License License: CS 95707 BRIAN DENNISON 86 CREST CIRCLE �- WORCESTER, MA 01603 Expiration: 9/8/2042 C nnniissiunrr TrT: 2622 Office of Consumer Affairs & Business Reguiation HOME IMPROVEMENT CONTRACTOR Registration: _1,70810 Type: . Expiration_ =1:212312013 Corporation R c WAL BY ANDERS'E1 --00T 'ORATION _ BRIAN DENNISOR,: ~— 104 OTIS ST. Q,4 �Q NORTHBOROUGH, MAOT532;:-' Undersecretary. ! ....... ---------- — ; T CERTIFICATE OF:LIABILITY INSURANCE DATE (MWODNYYY) 01/11/2012. 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 1-612-333-3323 Hays Companies ' BD South 6th Street Suite .7DD Minneapolis, MN 55402 CONTACT Jonelle Hargrove or Katie Psimoe PHONE A AIC No Ezt: 612-333-3323 AIC,No: 612-373-7270 E-MAIL AD PRODURESS: CER CUSTOMER IDA- INSURER(S) AFFORDING COVERAGE NAIC A INSURED Renewal By Andersen Corporation 104 Otis Street INSURERA: OLD REPUBLIC INS CO 24147 INSURER B: NATIONAL TRZION FIRS INS CO OF PITTS 19445 INSURER C: INSURER D: Northborough, MA 01532: ' INSURER E: - - INSURER F 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 EFF POLICY EXP POLICY NUMBER (MM/DD (MMIDD LIMITS A GENERAL LIABILITY MWZY 59313 10/01/1 10/01/12 EACH OCCURRENCE $ 1, 000, ODO X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED 500,00.0 PREMISES Ee Occurrence $ MED EXP (Anyone person) $ 1D, D 0 0 CLAIMS MADE OCCUR PERSONAL BADV INJURY $ 1,ODO,000 GENERAL AGGREGATE $ 4,000,000 GEN'LAGGREGATELIMIT.APPLIES PER PRODUCTS -COMPIOPAGG S 3,000,000 POLICY PRO- LOC fT$ A -AUTOMOBILE LIABILITY MWTB 21377 10/01/1 10/01/12 COMBINED S. INGLE LIMIT X $ 3,000,000 (Ea accident) ANY AUTO BODILY INJURY (Per person) $ ALL OWNED AUTOS BODILY INJURY (Per accident) 'S SCHEDULED AUTOS PROPERTY DAMAGE (Per accident) $ X HIRED AUTOS X NON OWNED AUTOS $ $ B X UMBRELLA LIAB X OCCUR 25030513 10/01/1 10/01/12 EACH OCCURRENCE $ 25,000,000 EXCESS LLA13 CLAIMS -MADE AGGREGATE $ 25,000,000 DEDUCTIBLE S - X RETENTION S 25,600 S A WORKERS COMPENSATION EMPLOYERS'LIABILRY MWC 117140-00 10/01/1410/02./1.2CSTATU- DTHAND Y/N ANY PROPRIETOR/PARTNER/EXECUTIVECH DFFICER/MEMBEREYCLUDED7NIA(yas,dorybeundEASE-EAEMPLO ACCIDENT $ 1,000,000 $ 1,000,000 If yes, descdbe underDESCRIPTION EASE-POLICYLIM(T $ 1,DA0,000 OF OPERATIONS below DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 1 Dt, Additional Remarks Schedule, if more space is required) &v-idence of Insurence. -- — — — %1P\Itl1.1zLL.fi I ILAN Evidence of Inm farce SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHOR® REPRESENT'ATNE . R. r---- 91SISS-2009 ACORD CORPORATION. All rights reserved. ACORD 25.(2009/09) The.ACORD name and logo are registered marks of ACORD 25114267 . I Renewal.mloz yAndersen. 1 r who—ad cm p p L»nuw fwW wOm tTlvn V a P WIKDO1N REPLACEMENT anAndec3anCnmpany RbA DB. Sloped Sill'DH IN Wood/Vinyl Composite IF AiarLrtaCnrCl sll laltff wntnrmartce to the a nIKaUN, starnardi. Dual Argon Law E4 SmartSun Double Hung 100-00473518-010 ENERGY PERFORMANCE RATINGS U -Fac'to'r (U.S)A-P solar Heat Gain: Coefficient U mzu 0 al ADDfTIONAL PERFORMANCE RATINGS Visible Transmittance -0m42' hianulanurarmipubtaa that chase Wrings..M.—toappf—bk NFRC pro.:eduras for dete,W.mg whota product pedomnncn, NFRC ntiugsar datamtiaad fora fa<ad sat of anvnanmantaleondil'nnsand aspecife product s¢e. . NFRC doaa not reeommand any produef and doss mol war..1 tha suhahfihy of any product for any speeir- usL C -1i manuhcturar's litantum Idi othar product padorn}anee informatran. www.ntr.org Th•a: product masts G. Saal's ctaitdariis wvamino an orgy atf.ia..V "heavy matafs iu02 _ ::.the Rama and sash ENRON - - ��; ^'.+ .tv�•`'�^_ ,.r..� ,.., rl•:. � ; ~• r.,` 'h , ✓' ""O r-� �tF ,; Y s�.matara4 padoging, and i'Lk'�•'�r`� ' Z�4 consumar du—final I DESIGN.PRESSURE (PS9 . 1 r who—ad cm p p L»nuw fwW wOm tTlvn V a P "C25 . RbA DB. Sloped Sill'DH IN lest.d to IUFS-02 tK AIL•tM'IONA/f5At0t,1SIh410� AiarLrtaCnrCl sll laltff wntnrmartce to the a nIKaUN, starnardi. Wants dr aw:B�ds Ai '.G., C.EC, 6 LE.C.0-Air lnf(inntiou requiramants WDUA Hallmark Carifmv an PmgnnL