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24 NORTH ST - BUILDING INSPECTION (4) The Commonwealth of Massachusetts Board df Building Regulations and Standards FOR Massachusetts State Building Code,780 CMR, 7 edition MUNICIPALITY USE. Building Permit Application To Constru epair,R vate Or Demolish a' RevfsedJarruary. " n One-or 71vo-Fam- ellin 1, 2008 " `\�\ T[ris'Seetion F . vial se Only' . Building Permit Number. plied Signature: Building Commission, lnspeetor o4f BMKgs Date SECTION 1:SITE INFORMATION . 1.] Prooperty Address: 1.2 Assessors Map&Parcel Numbers 1.1 a Is this as accepted street?yes_ no Map Number Parcel Number. 1.3 Z ningInformation: 1.4 Property Dimensions: Zoning District Proposed Use � Lot Arts(sq ft) - Frontage - 1.5 BuildingSetbacks (ft). Front Yard - Side Yards Rear lard- Required Provided Required Provided Required Provided L6 Water Supply: (M-G.L a.40,§54) 1.7'Flood Zone Information:. 1.8 Sewage Disposal Systems -.-- Public❑' Private❑ Zane.— Outside Flood Zone?.. Municipal❑ On site disposal system .❑ Cheek ifyesO SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of R1ecord• l w-C, )N� o a1n SZ . Name(Print) Address for Service 8-3 O?-lI Signature - Telephone - - SECTION 3a.DFSCRT.TION OF PROPOSEb WORK=`(check all that Seu Ccns4uctou . ^ ' apply)- uildnb r-Oupcd a C❑ Exr ting Demolition ❑ -Accessory Bld_o. ❑ 1Jumberof Units Othe Brief Dusctiption of Proposed Work'': e— �a� il . f1 � t SECTION 4:ESTIMATED CONSTRUCTION COSTS " Item Estimated Costs:(Labor and Materials Official Use Only i.Building $ 1. Building Permit Fee:$ Indicate how fee is determined:19 0. 2.Electrical $. ❑Standard City(I own Application Fee ' ❑Total Project.Cost'(Item 6)x multiplier x " 3.Plumbing $ 2. Other Fees: $ 4.Mechanical CHVAC) $ List 5.Mechanical (Fire S Suppression) Total All Fees:$ Check No. Check Amount: Cash Amount 6,Total Project Cost: $ p2p-Uu t p 0 Paid in Full ❑ Outstanding Balance Due: SECTION 5: CONSTRUCTION SEELCES 5-1 Licensed Construction Supervisor(CSL) License Number .Expiration Date. Name of CSL Ho]der �� -�` C `C oy-C V-'k 61 bo ListGSL Type(seebelow) - c,:,.., Des..'tion J ,` _ U Unrestricted 12p to M,wo Cu.Ft rgna'S`�ture - .: R Restricted 1&2 Family Dwelling TvI Masonry-Onl RC Resideniai Roofin CMn - - Telephone. ov - WS Residential Wmdow and 5idin _ SF Residential Solid Fuel Burning Appliance Installation Residential Demolition- Registered'Hgme ImprQvemept Contractor(HIC) JI°Ca ✓fie wc �` arH Li Ck (o d ( - H]C Company Name or HPC Reg�`sg�ant Nam�e ll Registration Number Add 3.� nation Date Signature. _ Telephone . . -. SECTION 6:WORKERS, CONlPENSATIOjj!NSURANCE AFFIDAVIT(M.G-L.e.152.§ 25C(6)) . Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide . this affidavit will result in the denial of the Issuance of the building permit - Signed Affidavit Attached? Yes : ..... .�— No- SECTIQN 7a:OWNE&47J.MbIL CATION TO BE-CO M +.0 1DH. ©�VNC+£R'�u AGEN2`/I�jIiC9NTRP:CT�I2 APPLIl;S:FO�BUII�i?TN'G'P,'EIRl1'�T C ' as Qwner of the subject property herd y f authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Sr afore of Oxmer . .. Date _ S C3 ON brO VN) Rtt4RAiJffi�RIP W11= IF~J Ait4 O1N �ti-pubernr A4thcn iztd Agent itetL..iv dcL'IaLC hat the=tatehrents and information on Lhe foregoingappli anon aze true at;d accumte,to the best of my luiowledg�and belt ` .Trine Name . . . Signature of Owner or Authorized Agent Date (Signed under the pains and penalties of iu - NOTES: 1. An Owner who obtains a building.permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in.the Home Improvement Contractor CHIC)Program), will nor liave access to the.arbitration program or guaranty fund under M G.L.c. 142A. Other important,information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780`CMR Regulations 110.R6 and 110.R5,respectively. 2. When substantial work is planned,provide the information below Total floors area(Sq.Ft). (including garage,finished basement/attics, decks or porch) Gross living area(Sq.Ft) Habitable room count Number of fireplaces Number ofbedrooms Number of bathrooms Numbd ofhalf7baths Type of heating system Number of decks/porches ' Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" 2 d U� I 104 Otis St.,Northborough,MA 01532 J&J.Wmoows,INC.,D/a/A - MA Home Improvement Contractor (508)919-0900•Fax:(774)987-3013 _. Renewal `,License#149601 (Expires 1/24/2012) byAnderser> Federal Tax 11D#83-0404201 WINCCW of Pl10ENEMT mMdcm�fuvl�, CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyers)Name - - Dare of Agreement Beyerlsl sree�Add.e.,,cry,sob,end zip code - 2--V �lor�� . ° �^ t 01 7� W..1 Address Home Tele hcreejNumber Work Telepbane 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. Cr Total Job Amount. 7 d� Estimated Starting Dare: Method of Payment: OCheck ❑Cosh 1AF rionced Deposit Received(33 0)' '1Qr� "' _�w�:` Balance at Start of Job(33%) A - Credit Cards are accepted for deposit Estimated Completion Dare: only— maximum 1/3 of the project cost. Balance on Substantial ' 02- 9'. Please see Credit Card Payment Form. Completion of Job By signing this agreement,you acknowledge that the Balance at Start of Job and the Balance on Substantial Completion of Job cannot be made by credit card and most be made by personal check,bank check,or cash. - Buyer(s) agrees and understands that this Agreement constitutes the entire understanding between the pasties, 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. JasL Windows,Inc.d/b/a Renewal by Andersen Buye�r((s)�/J� Buyer(s) By L.r / t�Gr/✓L12f ! .9'Itl.�.,r�li/.Gv�/ Signat of -duct Manager Signature Signature Print Name.of Product Manager Print Name 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 CAN, SON x NOTICE OF NCELLATON Date of Transaction / 3 . 1 . You may cancel Dote of.Transaction // 1 i� . You may cancel this transaction;without any pens fy or obligation,within this transaction,without on F p nal' or obligation,within three business days from the above date.If you cancel,any three business days from the above date.If you cancel,any property traded in,any payments made by you under the property traded in,any payments made by you under the Contract of Sale,and any negotiable instrument executed by you will be returned wit Contract of Sale,and any negotiable instrument executed hin 10 days following receipt by you will be returned within 10 days following receipt by the Contractor ("Seller") of your cancellation notice, I by the Contractor ("Seller") 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 Contract 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 If you do make the goods available to the Seller and the 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 ?p within 20 days of thedate of our Notice oI your Notice of Cancellation,you may retain or dispose of Cancellation, you may retain or dispose of the goods of the goods without any further obligation.If you fail to wit hout an further a211 ation. If you fail to make the make the goods available to the Seller, or if ou agreree goods available to the Seller,or if you agree to return_ the to return the goods to the Seller and fail to do so, then goods to the Seller and fail to do so,then you remain liable you remain liable for performance of all obligation under 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 signed 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 notice,or send a telegram to Contractor.J&L Windows, &L Windows,Inc.d/b/a Renewal by Andersen, 104 Otis Inc. d/b/o Renewal by Andersen, 104 Otis Street, Street, Norhbo u 01532, BY NOT LATER THAN Northbo'u h,MA01532,BYNOTLATERTHANMIDNIGHT MIDNIGHT OF 'd l .(Date) OF % 1 .(Date) I HEREBY CANCE 1 TRANSACTION. I HEREBY CANCEL THIS TRANSACTION. Bu,,',Stgnamre Prim Name D.I. Buyer',Signolure Pdnt Nam. . Oat. RbA Copy- White Buyer Copy-Yellow Buyer Copy-Pink a wamdowa,umc.aro/a _ 1040[Is Street,Northbomugh,MA 01532 . Renewal _ 'MAKICWceme#149601(expvesl/24/12) Phone 508.919.0900•Fax 774.987.31013 Federal Tax ID# 83-0404201 byAndersen. WINDOW REPtACEtlENT mAMmmCo��y OF GeF mMnsSAaulsrDsn New HM+pstmte WINDOW SPECIFICATION SIEWr Buyer(s)Name �7 �7 Date of Agreemen The Buyers)lusted above hereby)omtly and severally agree to pum ase the goods and/or services listed below,in co ce 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 DETAILS 1.Sgntxactor will Install a total of b windows in Owner's home,using the following individuai quantities: Double Hung(DB) WEqual 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) i Glider/Picture/Glider(GPW) ❑ 1:1:1 or ❑ 1:2:1 Awning Window(AW) Picture Window(PW) Bay or Bcw Window ._.+ Patio Doors(see separate Door Specification Sheet) 2. {d,Yes ❑ No Qty of Windows to be Custom Fit Replacement: C/ 3. ❑ Yes 5� No Qty of Sills to be replaced by Contractor: 4. ❑ Yes R[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: g.HP Low-E-4 Tt+ ❑ Other If other,please specify: 6. Exterior color to be: E0 White ❑ Sand ❑ Canvas ❑ Terratone ❑ Cocoa Bean 7. Interior color to be: K 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 2.No Install Lifts with Double Hung Windows 10. Screens: windows to have: KHaIf or ❑ Rill screens Screens to be: ELbberglus ❑ Aluminum ❑ TrScene GRILLE DETAILS I I.Windows eve grilles: -Yes ❑ No If yes:�Grille Between Glass GDG)❑ Removable Interior Wood ax wl❑ Full Divided Light trap Q.Y b0 Qty Qty Qty Orr Qty' Qty: oN oN oN - ON cwnry w,e Glider crvo,c Draw grille patterns above 'Use additional sheet if needed Owner approved(ini ADDITIONAL WORK DETAILS 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. inte__riPPr casing qty of openings: Exterior casings qty of openings: ❑ Pine ❑ Maintenance-free material 14.❑ Yes �f�',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 o enhgs: ❑ Pine ❑ Maintenance-free material 15. Owner is aware that Contractor.does not do any pamtin Owner Initials l 6.❑ Yes R 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. IN] Yes ❑No Clean up all job related debris including old windows will be removed.Vacuum nightly. 19.M Yes ❑ No A limited warranty shall be issued to Owner upon completion of the job and payment in full. 20.E.Yes ❑ No Building_Pernv't—Contractor will secure any and a6 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.R Yes ❑No All discounts havr.,bee}r.applied t0 this agreement price. / 22. Additional job details: 1` /Q'./&lYC rY- ��V s r LQ 1 23.6 Yes ❑ No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment. No final payment shall to demanded until the contract is completed to the satisfaction ofall 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 charging or modifying any of the _ terms. This Specification Sheet may not be charged or its terms modified or varied in any way unless such changes are in writing and signed by both the Buyer(a)and Contractor. Buyers)hereby acknowledge that Buyer(s)has read this Specification Sheet Renewal by Andresen of Greater MA and NH Buyers CUL Buyer s�� sip uct Manager signmarve Signature - - �� ��L�ia- c,�P Print Name of Product Manager Pratt Name Print Natne The Commonwealth of Massachusetts 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 n I Please Print Legibly Name(Business/Organization/Individual): le n L ua IL S'e n Address: /6/V JiS ��fce I City/State/Zip: A/c r A b 6 u, /II/1 d'133vZ Phone#: (Vjo lF) 7/9-6 9 D o Are you an employer?Check the appropriate box: Type of project(required): 1.aI am a employer with �9 00 4. ❑ I am a general contractor and I 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. t 7. 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 ME]Electrical repairs or additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL I LEJ 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.❑ Other comp. insurance required.] *My 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. iContmctors that check this box most attached an additional sheet showing the name of the subcontractors and thew workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. (' �•y��t //y/ Insurance Company Name: 1J / � f Policy#or Self-ins. Lic.#: 3:9/ G(/�C� �Hy� Expiration Date: x ni",/) I./ t p� Job Site Address: Yy 4 S r - City/State/Zip:. 3a bvl. 1" b 19 74-6 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 c rt' under th pain and penalties o r' ry that the information provided above is true and correct Si mature: Date: LU I C?-� 1 Phone#: [iQ Qo 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#: A D® CERTIFICATE OF LIABILITY INSURANCE °p 0/04/2011 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). C Ac PRODUCER NAME: J.P. McKeone Insurance Agency Inc - PNONE FAX JP McKeone Insurance Agency,Inc. W. . (734)662-8100 ac No: P.O.Box 333 ADDRESS: Ann Arbor, MI 481060333 _ INSURERS AAF.MRDING COVERAGE NAICit INSURER A: Nautilus -. 19662 INSURED J&L Windows, Inc. Renewal by Andersen INSURER B: Hartford 37478 104 Ohs 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. ADDL SUBR POLICY EFF POLICY E%P ILTq TYPE OF INSURANCE POLICY NUMBER MWODINY MMIDDI I LIMITS A GENERA-LIABILITY NC958461 10/01/2011 _10/0112012 EACH OCCURRENCE s 1,000,000 PAAGETEMSESfl NTE oalnence $ 100,000 COMMERCIAL GENERAL LIABILITY ° CLAIMS-MADE IV OCCUR MED EXP An-one emon) $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 I GENERAL AGGREGATE $ 2,000,000 GENLAGGRE LIMIT GATE APPLIES PER: `PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO- LOC $ AUTOMOBILE LIABILITY 35 MCCXD6390 10/01/2011 10/01/20121 Ea eoc,deNSINGLE LIMIT 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOOWNED I PROPERTY DAMAGENON- $ HIRED AUTOS AUTOS ftl Perecclder $ IUMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE _ 8 —DED RETENTION$ $ A WORKERS COMPENSATION 35 WECPP1444 02/17/2011 02/17/20121 we sraTu- orq AND EMPLOYERS'UABILITY YIN ANY PROPRIETOWPARTNER/EXECUMIE E.L.EACH ACCIDENT $ SOO,000 OFFICER/MEMBER EXCLUDED? NIA 500,000 (Mandatory In NH) - - E.L.DISEASE-EA EMPLOYEE $ If es,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ R PEOOH55500 0507 09/27/2011 09/27/2012 I - - DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 1Di,Additional Remarks Schedule,if more space la 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. AUTHORQED REPRESENTATIVE 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD F .+=. Massachusetts - Department of Public Sefet� . Board of Builtlin_ Rcutilations and Standards Construction Supervisor License - License: CS 95707 BRIAN DENNISON 86 CREST CIRCLE WORCESTER, MA 016U3 Expiration: 9/8/2012 ('inumi..inner Tr;: 2622 Office of Consumer Affairs&Business Regulation • HOME IMPROVEMENT CONTRACTOR - - Registtatiot} �gg01 .ExptrIV], sT}.2$/1?2� - . '; p7eJilent Card RENEWAL BY BRIAN DENNIS l 1b4 OTIS STIR — NORTHBOROUGH0'1'532 Undersecretary NMI Renewal r K� byA derser-L WINDOW REPLACEMENT ALM&= aUUMM WoodMrgtl Composite IF Duel Argon Low E4 SinartSun rl�c�1R -- Hung ' 1 0 0.0 OD47 047351 8-01 0 -ENERGY PERFORMANCE RATINGS I' U-Factor(U.S)II-P Solar Heat Gain Coefficient O i 2g ® rin ADDITIONAL PERFORMANCE RATINGS Visible Transmittance ® r42. ' FlanuhCmrnquWulhY lhar n�apemnlorm u+PPfohY NFflC Pr^�+euv Iota+umtio'v;pwhotl Pmauy OEM paaamlma NFliC nHhm+n aaumlmC rorc(z+tl ml nl+vnimmvmulmMi"omanaccpc�4:prMmaa� ' "' - - Nr'IK mmnm mcnmm+oa mypmar-rmtl Omnnm vvram lha srhahSeyolcny pmaum lormycpa�+s ' ammFmmuhmunrc 6+mlma lvr vfh+rpmEum p+ammmm klomulkc ' Rwwnlwry I , t�•t41t &E:4{ ThkPmaum m+arcGnm. . . u' ': . I 4wrat p+pmq•mk' C'-u..swu+n DESIGN PRESSURE(PSF) • F Novewma mtt` ' � r F�•�n�cirhG _HI-LC25 _RbA__DB_Sloped Sill DH IN ' iutLm11.48@YAANMHLIA�AIWIJAN4G1 F1mt.ehte ap We.mnmmtwbMa f�aYSWVwc Ha+lcmmce+as At�C.G�.C•LLEGG.AMICNTr+lon m9n'vamamvWpAU;NaYm+h Gn.Pmim Prgam i 1 !i T II li I Kenewal :.� byA dersene WINDOW REPLACEMENT mAndtrsenCOMPIny To Whom It May Concern, . Enclosed is a permit application package for a project we have been contracted to do in your town. Thank you in advance for receiving this package by snail. As we work in every town in the state, it greatly helps us in our process. We have also enclosed a self addressed and postage paid envelope and would request that when the permit application has been processed, that you would avail it back to us. Enclosed for you review in this package is: ❑ Permit Application ❑ Home improvement Contractor License ❑ Construction Supervisor License ❑ proof of Insurance ❑ Proof of Energy Efficiency Stating ❑ Signed Contract from customer ❑ Permit Fee (if accepted at time of applying) If you have any question regarding this application please call .me at (508) 919-€4992. Best €tegards, Kelley Donahue Permit Coordinator 104 Otis Street _ 1 Northborough,MA,01532 Phone(508)919-0900 Pax(508)919-0903 Website: w .renewalbvandersen.com