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20 ORIENT WAY - BUILDING INSPECTION (2) -_, - - The Commonwealth of Massachusetts _ " " Board of Building Regulations and Standards FOR mum �I� Massachusetts State'Building Code,7.80 CMR 7ei edition USE Building Permit Application To Construct,Repair,Renovate OrDemohsh a RevisedJarruary. One-or Pwo-Family Dwelling 1, 2008 This-Sention For Official Use Only Bmlding Permit Number- DateAppIied Signature: D/ 3/J Building CoasmissionerlInspeetorofBuildmgs Date SECTION 1:SITE INFORMATION 1.1 Property Address: i e 1.2 Assessors Map &Parcel Numbers :-.0. ("�(Y� } 1.1 a Is this as accepted street?yes % no Map Number Parcel Number. I.3 Zoning Inform afionhh 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq 11) -. Frontage(fi) 1.5 Building Setbacks (ft). Front Yard Side Yards - - Rear Yard Required. Provided -Required Provided Required Provided - I.6 Water.Supply_ (.M-G.L 40, §54) 1.7'Flood Zone Information:_. 1.8 Sewage Disposal.Systemc - Public❑- Private 0 Zonc _ . Outside Flopd Zone?.: Municipal❑ On site disposal system -❑ Check ifyesO . SLCTION 2i .PROPERTY OWNERS;, 2.I Owner'of Reeorrl: \ Name(Print) - Address for Service: - (r,t� Signature Telephone. SECTIt7N 3r.7YESCRIPTION OF PROPOSED WORK Z'(ehenk all that spp)p)' . )Ses'GcanCucticn 07"11 sdng Suilrhrg. :.'ner-�^ opted _ P-_pairs(s)`'. ca(s) L'' Addi is L' Demolition ❑ •AccessnryBlde. ❑ 1JumherofUnitsOi ' GriefGcsctiPti000fProposed Work'': � 'Hs SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item Official Use Only (Labor and Materials) I.Building $ L LIS,3.,w 1. Building Permit Fee:S Indicate how fee is determined: 2 Electrical g. ❑Standard Citylrown Application Fee ❑Total Project Cost'(Item 6)x multiplier . . x .. 3.Plumbing $ 2. OtherEees:.$ 4.Mechanical .(HVAC) $ List 5.Mechanical (Fire Su cession) $ Total All Fees:$ Check No. CheckAmotmt —Cash Amount 6.Total Project Cost $. t I 9 1 0o 0 Paid in Full 0 Outstanding Balance Due: _____ SECTION 5: CONSTRIICp1i'SC£S .. 5_1 -Licensed Constrnction Supervisor(CSL) . "^�'V�:--c { L/t�(11•lrin - �Licrose.Nr�bc Expiration Date. Name of CSL Holder T' n ListCSL Type(sxbelow)f`.. Address . . . li on U Unrestricted(i to 35,OOCu.Ft) - ..Signature - - R Restrictrd 1&2 FamO Dwellin - - . a'g-?C1a0'D .. .M - . M. . .Onl Telephone. RC Residmtial Roofin CDVMn - - - .x .�.So1 8S WS' (Residential Window and Sidin _ _ SF Residenmal Sond Fuel l3umin Appliance lnsWla±i . . - D - Tzoo mat Demolition - 5-( Registered'Home Imp''p\ver• nt Contractor CHIC) H]C Cpmpar�y Name or C Re istran[N�ne1 Registration Number AddrM � S ature �8 3 S1��ad0 Fxpiraf on l)att Sn . .. Telephone 2 SECTION 6:WOR1Lr^RS, CO&Ii F.NSAT-ION INSURANCE A BT- MkVIT(M.G.L.c 152_.g 25C(6)) Workers CompensationInsvrance affidavit must be completed and submitted with this application. Failurt to provide . this affidavit will result in the denial of the Issuance of the building permit Signed Affidavit Attached? 'Yes :;:.----•- No..........❑ SECTION 7a::OF.gIt E'4-VXdMF1Z TIQN TOME-CpMFTXT115z OYJhT£R'�u':4GEI4'�'f38-:CQ``l\TBA-CT?OR APELIES'ItOBBIL7IT���•'-�'P�1'It11�I' . . . as Owner of the subject propetty hereby . authorize ►�/ to 1 l M to act on my behalf in all matters relative to work authorized by this building permit application. - Sr ature of Owner _ - Date - .. . SECOAi �b ti1'tT+ltTL$f 4R f�i]ZIIQRS t,L�"'A C __ ,, nit ,ateOnbecnrAurhauedAtc-ntherebyBe'J haf the,tatcmemfs and information en the fore om application are, tue and accurate, to the best of m;hiioirledgt ant] behalf . �Y .6L .Prinr Name Signature of Owner orAuthdrifed Agent Date (Signed underthe pains and penalties of i 'u - . . - 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 not liavt access to tht.afbitration program or guaranty fund mtder M.G L c-.142A.-Other important_information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780`C va Regulations 110.R6 and.I10.R5,respectively. 2- When substantial work is planned,providt the information below: - Total floors area,(Sq.Ft). (including garage,finished basemcnt/attics, decks or porch) Gross living area(Sq.Ft) Habitable room count Number of fireplaces Ntmrber ofbedroomzs Number ofbathroams Numbu of-haMaths Type of heating system Number of decks/porches Type of cooling system' Enclosed _ Optn 3. "Total Project Square Footage"maybe substituted'for"Total Project Cost." v A DEBT FORM ' This fora is to is debris to be. disposed of Prbpc*ty Address: C7 n In accordant:�fb @ie pro visiaas of l iCsL.c,40,.§d4,:a c6ndi5an of -Btnildin,Pee. it Numb=is tbat ue acbris resulting ucni this wa 1 shalt bi fispos�d of m.a gZ-0 6p licensed , so3id as~disposal facility as dni nid hp hdGL c. Ill§ 150_A, Tais debris vzi4be ai.-pose3 afro (Location of Fam y) IL azmat=of Pewit_4pplicaaf � � 3 Itz Date Re „�`x'�l . MA Home Improvement Contractor E 1 V Y License#170810(Expires 12/23/2013) byAndersen. ` Federal Tax ID#41-1918413 WINDOW REPLACEMENT -Anden-Comwny Renewal by Andersen Corporation" 104 Otis St,Northborough,NIA 01532 (508)351-2200•Fax:(651)351-4810 CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Dote of Agreement Bu,Iii)Nome Ruye,hl Street Melrose,Cr,Sine,end Zip Code 120 M,C� * t Work Telephone Number Entail Address Home Telephone Number pone nkruSt @ h�-1 � l:-er-. &f7-6 - - dt /7-GZ-o-. y. r 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 sheets) (collectively,this"Agreement").Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total lob Amount: SfY3� Estimated Starting Date: Method of Payment Deposit Received 133%I:-Zel -P I-Cks ❑Check OCash ❑Financed 2Viswo ❑Discover DAMEX Balance at Start of Job(33%):t 227 Estimated Completion Date: lease see Credit Card If credit card is selected, p Balance on Substantial �_ Oss/ Payment Form. Completion of Job(33%):.% 'C� 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 �_ Buyer(s) Buyer(.) B,': l &�- " " Signature of Product Manager Signature Signature r- / M/JRC AEC;w (/? 7/�'/QS /` I��--4 MML f&-1?1;1 �9 y 1'- /� - f LL�[S Print Name of Product il4anager Print Name Pnnt 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. - - - - - - - - -X - - - - - - �- - - - - - - - - � - NOTICE OF CANCELLATION NOTICE OF CANCELLATION Date of Transaction Co-z You may cancel Date of Transaction this transaction,without anyy pea . You may cancel penal or obligation,within this transaction,without any penalty 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 I Contract of Sale,and any nesotiable instrument executed by you will be returned within 10 days following receipt by you will be returned within 10 days following receipt by the Contractor ("Seller") of your cancellation notice, 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 t 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 up within 20 days of the date of your Notice of your Notice of Cancellation,you may retain or dispose of Cancellation, you may retain or dispose of the goods of the rds without any further obligation.If you fail to without any further obligation. If you fail to make the make the goods available to the Seller, or if yyou agree goods available to the Seller,or if you agree to return the to return the goods to the Seller and fail to do so, then goods to the Seller and fail to do so,then you remain liable you remain liable for performance of all obligations under I for performance of all obligations under the Contract. the Contract.To cancel this transaction, mail or deliver a I To cancel this transaction, mail or deliver a signed and signed and dated copy of this cancellation notice or any dated copy of this cancellation notice or any other written other written notice, or send a telegram to Contractor: notice,or send a telegram to Contractor. -' - -- Renewal by Andersen Corporation, 104 Ohs Renewal by Andersen Corporation, 104 Otis Street, Street, Northborough, MA 01532, BY NOT LATER THAN Northborough,MA01532,BY NOT LATERTHAN MIDNIGHT MIDNIGHT OF .(Date) OF .(Date) I HEREBY CANCEL THIS TRANSACTION. 1 HEREBY CANCEL THIS TRANSACTION. Buyar's Signawre Pdm Nvme Date Buyer's sign Print Name oet. Rb Buyer Copy- White Buyer Copy-fellow Buyer Copy-Pink oigui+zoov.ESA.Ph.,.aNe R1.6LWaI MA Home Improvement Contractor License#170810(Expires.12/23/2013) by'Andersen.CA Renewal by Andersen Corporation Federal Tax ID#41-1918413 WINDOW REPLACEMENT =M&MnC nV 104 Otis St,Northborough,ib1.4 01532 (508)351-2200•Fax:(651)351-4810 SPECIFICATION SHEEP Buyer(s)Name Date of Agreement a.6r } T F -LZ-- lZ 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. PATIO DOOR DETAILS 1. Install total of: Penn ashield Gliding Patio Door(s) ❑ 5'10'x 6'8" Other(not available in 8068) Op.panel is L= g❑ right(as viewed from exterior) Interior and Exterior Color to he: 0 hi. ❑ Canvas ❑ Sandstone ❑ Terratone (Color same inside and out on PS) Hardware: Metro: ❑ White ❑ Stone Bright Brass 20ther—Specify WAIIM,m. RNi- &104+S ❑ Yes Egg No Gliding Patio Door to have sidelight? Size: ❑ Yes Cg--iGo Grilles? If yes: GBG ❑ INTW ❑ FDL(Pattern is standard as viewed in book for all doors) 2. Install total of: Narrowline Gliding Patio Doors) ❑ GO"x 6'8" ❑ Other: Op.panel is❑ left ❑ right(as viewed from exterior) Exterior Color. ❑ White ❑ Canvas ❑ Sandtone ❑ Terratone (merlon is WOOD and customer must paint or stain) Hardware: Metro, ❑ White ❑ Canvas ❑ Stone ❑ Bright Brass ❑ Other—Specify: ❑ Yes ❑ No Gliding Patio door to have sidelight? Size: ❑ Yes ❑ No Grilles? If yes: GBG ❑ INTW ❑ FDL (Pull Divided Light) 3. Install total oh Fre hwood Ghdhng Patio Doors) ❑ GO"x G'8" ❑ Other: Op.panel is❑ left ❑ right(as viewed from exterior) - Exterior Color. ❑ White ❑ Canvas ❑ Sandtone ❑ Terratone Interior Woad: ❑ Pine ❑ Oak ❑ Maple Interior Finish: ❑ Pref nished White(Available only with white exterior) ❑ Unfinished(Paint/stain done by customer) Hardware: Metro; ❑ White ❑ Stone ❑ Bright Brass ❑ Satin Nickel ❑ Yes ❑ No Gliding Patio door to have sidelight? Size: ❑ Yes ❑ No Grilles? If yes: GBG ❑ INTW ❑ FDL (Full Divided Light) 4. Install total of: Prenchwood Hinged Patio Doors) ❑ 610"x 6'8" ❑ Other: ❑ Yes ❑ No Active/Passive Panel?: ❑ Left ❑ Right(viewed from ext.which is active) OR ❑ Yes ❑ No Active/Stationary Panel?: ❑ Left ❑ Right Door Swing: ❑ Inswing ❑ Outlawing Exterior Color: ❑ White ❑ Canvas ❑ Sandtone ❑ Terratone Interior Wood; ❑ Pine ❑ Oak ❑ Maple Interior Finish: ❑ Prefinished White ❑ Unfinished(Paint/stain done by customer) Hardware: Metro: ❑ White ❑ Stone ❑ Bright Brass ❑ Satin Nickel 'NOTE: Canvas Immed screen frame N/A—must choose white or stone if exterior is canvas' ❑ Yes ❑ No Hinged Patio door to have sidelight? Size: ❑ Yes ❑ No Grilles? If yes: GBG ❑ INTW ❑ FDL (Full Divided Light) STORM DOOR DETAILS 5. Install total of: Storm Door(s) 6. ❑ Full View❑ Mid View 7. Color to be: ❑ White ❑ Canvas ❑ Sandtone ❑ Bronze ❑ Forest Green 8. Size to be: ❑ 32" ❑ 34"(White only) ❑ 36" ❑ Custom(10 week lead time) Size: 9. Hardware to be: ❑ Bright Brass ❑ Nickel 10. Additional job details: S i?'-/ n %./ tl WA h.I 14 ./ ^'-t- I?R4-c5 T.Ucia II o S'✓�-'1- F b� a�,it 72e% s li-,- 11. dyes ❑ 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 ofall partles. 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 by Andersen Corporation Buyer(s) Buyer(s) �/n� By: f vV . : �G'�/hn.�l.✓r� �� -�ZO'.�1 /�- Y&% Signature of Product Manager Signatu/rse Signature .✓iJ1-Itr ;<FrS':9Z/YI'i/cf S' /'. l/S fP7'-P/u'L[�R� !� Print Name of Product Manager Print Name Print Name The amk Condoininium Trust. July 6,2012 Kelley Donahue Renewal by Anderson 104 Otis Street Northborough,MA 01532 RE: 20 ORIENT WAY(FAULS) Dear Ms. Donahue: On behalf of the Trustees at Hamlet Condominium,please accept this letter as approval for the owners(Thomas&Brenda Fauls) of 20 Orient Way to install a Perm Shield Slider Door(white interior/exterior,no grilles)as presented. Should you have any questions,please contact this office at 978-532-4800. Sin r ly, P erman, As Managing Agent for Hamlet Condominium T(nnn�ed Ry Croii,n.i7uhie(d'Mmial7entett.t Corp, t8 Crowninshieffsri-eet, Tea6ody %I-A 01960 vhor (978)532-4800 Jax(978)3321-6023 vw.r.crnwttitts/rie(d.cbm • � Tie Corxrrarewe¢tth of ltf¢ssac�Crese.74e DeemEMert of Indu&tia-rAccidints Office of FrvesFig€2eorzs 600 p7agEaing,on St-eef Boston; 3L4 UMI tvwrt-Fnass gvildca F(,rkers' -Compensatio)R isssurance Affi avit S�liers/Cofffraetars/ leetrieiaus/Pfnmbers Lzmkficazict Lufor�sfian (� # P6ease Priest LET b1 A^i res: �bL4 �i�1s ST arty/StzteZig: J�a ���;�I orpy CIS3 Plaane#: 56? - 35- Qa:) Are pun an employer.? Check the epproprmtr'bm Type of project(regmre3j; . ..L.EI I am a=PLoy�wifh y 4. ❑ I am a general cm�achs®d I 6. ❑New c afr� (fan andlar a :'rt-tb have hied the snb cnntrnctr s �Pto 5'�s ( P }� 7. M,�Zmd�chng I❑ I am a sole propdetar orperl - hsrted°n fhe at acht�d sheet t ship ead have ao employees These sob-contractr m have E. ❑Dcroahtinn wa±mg for me in auy capacity. comp.ingu=M. g, O,gu5±lng AM"On . o workers' c msmance 5, ❑ We are a cmpoxafion and its� °mP• 10.❑Flcctacal impairs or eadiEions xmq*sred) ofncers have=ataised 1 3.❑ I am a.bomeowncr doing aH wdrk ., dgbf of esemptios.per ItfiC 1 LEI Phmibiag repairs or additions myself [No wadzrs'.comp. - c. 152, §1(,} and we liar no - LIE]Roof impats Maiiza„ce reTMmd-] t employees [No Workers' L3.❑ Other . . . . .:camp.in6nrmct iegased_-) - - `Amy appCi�r tbat c6m'a box El mub2 else E)ov[fhe M=dm b_bW dmwhsg tboQ wod='aompeasa i,p,b y in5�utioa . t$omeow�ea who m*= this davit mdiehing�9=d ovag a➢wort and thm Eve r>onjde c®trua.+a must submit a am eindavh intiicating soap a(.`�'fbat cherb this b=most et h,�'an aAati®el ihr showing the nmac of fhi snb-eona:t=®L tbe'a wei=' eomp policy iafm'msbo I Qtt �a.eosplgy�that is pruF&d rg worlxrs'coatperas¢fion rosin-once far rry employees Belvw is the po&cy amdjob she .Fnsm-�ceCompanyName;_ \� 1P- \ C �t� S 70b . Policy#or Self-ina, Lal. P, � w C 1�I L Edpirat on IIatz; C� I - 'I .Sob S'i'te Adaress: .A tfacI,a copy of the workers' comp5MI-Cron Policy dIeCiRrafion,PPP.(t.hawiag the poficy nombar and ezpn- ,, dzte}. Farlurm to sea=coverage as reguiredtmdterSecfim 25A ofMGL a 152 can lead to the impogitlzan of cric iIIal penalties of a foe-up to &'1500.00 and/or one-year imptisonmaQ as THE es civil penalties in the a for of a STDP WDP.K-ORDER-and a fine of up m T250.0o a dap agaimst.the violator. 'Be.advisedfihat a copy of this ga�maybe frawmdcd,to the Office of . 2ii^-^t- was of fhe Da for ' snr �a=covdrage veeaiion. . .. n . I des Fcereby:caYify refa2a: a pies rid percaXres of p,7wy dw the mfarmaf mi prm>Fded above rs bW mrd cVrrec[ Data• L,��cialTV-W VD1,7L De notwrdi in f=.m e¢, w be con?Lainnd bP city or mwn offranL . • VLL+p Br 1�wlr..• ( .. y Pi'RE5(�.IfY+R@P# 7=bw Boat- ofHe�h Ie Sm'ldmg Degarkmrnt 3 CltglTowtt Clerk 4,E�SecFacal h:sperttar fi D6aw Coact Pei sos Phelne 0 GERTIRGATE DF LIABUTY ENSURANG % ¢ THIS CERTIFICATE IS-ISSUED AS A MATTER DF INFORMATIDN ONLY AND CONFERS NC PLIGHTS UPON THE CERTIFCATE HOLDER THIS CERTTFfC4TE DDES MDT AFFIRDW7MELY DR'h1E0A71VELY AMEND, ErrEND-OR ALTER THE'COVERAE:E AFFORDED BY THE POLICIES . BELOW THIS CERTIFICATE OF INSURANCE DOES NOT CDN57UVT'E A CONTRACT BETWEEN THE I.SS'UING INSURER(SJ, AUTHOP= REFRESENTATWE-DR PRODUCER AND THE CERTIFICATE HOLDER- tMRORTANT: If fine cerffic te'bDiderlm an ADDITIONAL INSURE), the poflcKiies) must be endorsed If SUBROE,ATIDN IS WAIVEIl, subject tc fbe far and condffionc of.fhe poflcy,certain policies may require an andomame L A statamant on fhfs carafiFsk daas not confer rights is the rFivncde hoider in flea of such endorsemenf�s}, - PROQUCEit' - - 1-612-333-33Z3 bonelI. ll.' a or ya-tie Psimoe - Hapc Coamaaiee PHDIJE 612_333-33 Z3 f I�C,Nu C32-373-7Z7n SO &oath &th 8tfeat - AODRESe; Smote .7DD - PRDaDCER "• " INSDf�t AFi91mMD COVERAGE NAIC6 DSIIttF3tA: CLD..rjzpDE SC CBS Do 2A <_7 ken.nj By 3aAe en Cocpatdtioa - M6DRER e; SAIMORn T. DEM. PIE& CBS CD of P= R LP4:1 - 1D6 Dtis Rt .t - MSmP.B c: - - . 13orthhotvagh,. D .ha 01532 DSURHt ; W&DREISE: - COVERAGES CERTIFICATE NUMBER 2m.L42v REVISIDR NUMBER: t111DI O CERTIFY THAT THE POLICIES OF INSURANCE LISTED BE-OW HAVE.BEEN ISSUED TD 7}{E INSURED NAMED-ABOVE'FOR THE POLICY PERIOD D.. NDTWITHSTANDINC ANY REOUIREMDNT,TERM OR CONDITION OF ANY CDWi;ACT OR OTHER DOCUMENT WITH RESPELT TO WHICH THIS ATE MAY BE ISSUED-OR MAY PERTAIN, .THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SLJaiEr-T TD ALL THE TERMS, NS AND CONDMONS'OF SUCH POLICIES.LIMFM SHOWN MAY HAVE BEEN REDUCEITBY PAID,CLAIMS Q 5 R PmjIL POLICYEDTTYPE OFR PmDOYNDM ER iM Mine LllNV= 5H313 LD/OBI LQ/01,/12 EACH OCSSDWiF 6 1,DDD,DDD MMEoWM6-MAIE OD=UR - WED MTTA .P n) a,ODD,DOD GFaLMAM i 3,00n,ODD ICY PRCi LDC F - ,3 AlfiilMn61LE ,nnD_ITT T31K+2B ZD377 1D/Dl,! 1D/nl/]2 rdNffiIN®HWGIELIM¢ F.3,0DD,DD0 _ AM'.ALtiD DDDILY.INJDRY(P P,mv F ALL OWI•!m AViO6 WDLY INJURY fPceaalmtD F SCHEnU ADTD6 - PROPH2T'DAMADE F . FnRED AU195 1�mrJdenp z NON-0WNED AU79F i i 8 �txDR 2503O51S ID./ULI 1D/UL/ 2 EgLyl'D=URR CE F 25,0DD,D0D Exr'�Llrta CWMSJwmE ADGREFAiE i ZS,DD0.,001) DSDLICTIeLE S RETHJiION t 25,DDD wow wmwHO.SAnON NM1171'tn OD 10/D1/ 10/¢1/]2 S Wm 6TAnL DT AIm E�1nYEas LfAeD11'Y_ TINEE l,DOD,DDh'ANYPROPR�TOR/PAR'f1J6UE�IJ}IVE EI EACH ACCIDEM i - O rF10ERIN g E>LWOlD9 - �. RLA (�r1'b N hffH) .;,I,0D0,000 P9e.tlec.TDw DF s D 1,000,Van mE6'CR�TJON OF P9iF nON56elex ' E1�D6EASE-POLCY-LIMIT F Z-ZiPT1mN OF DPER Mn f LmC MM 1 VEHICLE (ACdiAC9M M,Adcfin. l P.emettr S .de g frmeagm¢6 n:p,me� :TiFICATE HCILDER CANCELL-4770110 lance of T^m>^� - SHOULD ANYOFTHEABOVEDERMWED PAUCE56E.GANICEIFD BEFORE . THE '*03 BM&MV DATE THERS]F, NOTICE 'WILL HE Da PERM .IN AGf.33RDANLFWITH7EE POLILYPROVISIONS ' sac - _ 919SB-ZlIDS ACORD CDRPOR,4T DX AD ngiAs MsW Lad. ,(=EEWIS; - ..Ttte ACDRD.eT-uue and logo are.ragis,�ae nrac_ Of ACORD' - . i.. >lassachusctts- Dcp:u-Tntcnt of Public Safer ? -Board of Buildim_ Rc_ulatiuns and Standard.N Construction Supervisor License - License: CS 95707 BRIAN DENNISON 86 CREST CIRCLE 'I WORCESTER, MA 01603 Expiration: 9/82012 (ln nm i+siwwr Tr=: 2622 ,per Consumer ✓Na egullation�a l office of Consumer Affairs&Business Regulation THOME IMPROVEMENT CONTRACTOR Registration -170810 Type: Expiration 12232013 Corporation I WAL BY ANDERSENCDk?$6RATION r BRIAN DENNISON,, -" 104 OTIS ST NORTHBOROUGH MA-,0%32 I Undersecretary g Far-' 4 PRODUCT PERFORMANCE I , Andersen'NF'tr C Certified Total Unit Performance (cananued) 1' Andersen'Product Glass Type ., 0.Patiar' ; SHGC' : VP .2005enas -- _ - Clear Dual Pane 0.45 0.60 0.63 Clear Dual Pam•rim Galles 0.45 05 0.56 . _lllt-Waah Imv-E 0.30 am 0-55 DamhlP-HUrg,3wwdm wim Qdfl. 030 02 9AID _] HP 1m 4Smar San 030 021 0.49 2 Ell 2 -..... 1:.� HP is 45mar5unw/Galles 0.31 Dag 0-43 Clear Dual Pane 0.45 161 0.64 Clear Dual Pane 1 M Giles 0.45 C-4 0.57 - 0 bl Nua Wlndaw 0 - 030 032 0.56 _ Imv-E siN Gales 0.31 029 050 - e 6Taar Dual Pane 0A" 0.0 0.66 N 0 Il e' Clear Dual Pane wlm Gllm C." 03] 0.59 T nm Winduw tal- 027 D34 MIS wu Ew. Gnllea 0.21 030 Clear Oval Pane 0.45 0-0 0.fi3 CI.r Oual Pere,w4b G.M. 0.45 OS . 056 taw{ 0.30 032 0.55 GI ln6 Wntlow- tnrwt=wm,Ganes 030 029 D.49 WwE snra San 030 021 0.49 S :30 Lae- SnertSun eim Galles 0.31 0.19 0.43 Clear Dual Pane 0.43 161 0-65 Clear Dual Pan¢elh Gnllea 0.43 OSo " 0.58 E US CM 056 pmle:Tup'Media l ,E wih Giles 0.P8 030 0.50 SmarcSun p2] D22 0-51 � W,w{Smeared efita Galles 027 010 0.45 CI.,Dml Pane - a." Obi 0.64 Gear Dual Pane wM Gnllea 0.45 05 0.56 - . -.,...[i:-- •.:` Imes 029 Gil 0.Sfi - . Narmbne', IaHE wim Grilles 0.30 029 0.49 GI d g Patio D... , Imr-E Sun 029 020 0.31 tmrE Sunaim Giles 031 118 VV lae- sanmr un 028 021 0.50 lmr-E SmarcSun rite Giles 030 0.19 0." Clear Dual Pane 0.43 0.61 0.64 Clear Dual Pane w G.M. 0.43 034 U.56 Iaw-E 028 D32 036 Imv-E':ft Giles 0.30 029 0.49 GI d g Patlo Goh law£Sun 029 019 0.30 _ _ low{Sun rite Galles 0.30 0.17 027 •"_' lmr-E S..r n 027 0.22 0.50 Uaa{s .a Sun wOb Giles 029 C39 0.44 Gm Dual Pane - 0.43 0.45 0.47 Clear Oual Pane whh Gull. 0.43 mg 0.40 032 024 0.41 NI ged I g - l wlm Grilles 033 DM ll 5 --Pafi D - IsrE Sun 032 015 023 tmv-E Sun site GnW. 034 D13 119 W ESnrrtSua Cm 116 0.37 - law-E smart5un whh Giles 0.33 LL14 031 - 8� r r i WINDOWS•POORS !: Mdersenw Andersen NFRC Certified Total Unit Performance (contra l Andersen Product ' Glass Type U Factor' SHGC' VP Andemen'ProduM Glass Type• U Faa4or SHGC' VP ArcNtechtal ''f 400 S rtes f. ' HP tm E4 02] 035 060 HPLmm E4 032 028 0.4T -`© UP WrE4 with Grilles 0.28 031054 E3 primer wMr Sides 0.32 025 0.42 H F?® - HP low-EA,Sun 0,32 O.1T 0.26 ?J nHill UP lax-E4 Sun 02T 011 033 CImIeTp Gaseme[Wndox HP low-E4 Sun wM Gnllu 0.32 O.lfi 0.23 [ 1 ® EJ dasem t W dos, HP Ww-E4 Son who Grilles 0.29 0-19 030 [' NP lax-EC SummSun 0.26 02 054 @ I%!® HP law-E45mad6un 0.31 0.18 0.38 F �® j HP Una Ed Small w/Galles 0.31 0.17 0.38 '. j® ` ,ICI HP laaE45maRSun w/Grilles 0.28 011 049 H� ! ® HP low-E4 0.- 028 0.4T 'J NPlax-EO 0.27 035 0.60 Ionl HP lax-E4 who Gnllu 0.32 015 0.42 ^�+® ,l HP I -E4 wilt Galles 0.28 031 054 ON HP law-Ed Sun 0.32 O.1T 0.26 ?`E ® mo HP law-E4 Sun 0.27 kill 0.33 f9 I''.® French 0 m [ G1relhg al met dow �1 HP Imo-E4 Sun wM Galles 0.29 0.19 030 tj'---® Wed. UP ljel Sun wilt Galles 032 016 023 l HPIWx-E45marlSun 0.26 013 054 IA HP taw-E4 SmallSun 0.31 0.18 0.42 :'1W19 '{ UP Law-E45maa5un w/Grilles 0.28 kill 0.49 ER 1,19 i HP law-E45mall5un w/Galles 031 GAT 038 =.FF.I� UP lax-E4 old 033 0.58 � HP low-E4 0.32 015 042 '. HP Imo-E4 wD1t Galles 029 0.30 0 52 P 174 RE HP Ww{q will Grill¢ 0.32 025 r142 't ` HP lox-E4Sun 0.32 017 026 Via® HP Ww-E4 Sun 018' 010 0.31 IN '1[a Awing Window Arab W Low HP lmv{4 Sun with Galles 0.29 0-18 U.I. W 1I® NP taw-Et Sun with Sol. 0.32 0Sfi 0 23 ` !� HP law-E45mart8un 02T 023 052 �{ tl® HPl E4 SmartSun 0.31 0.18 042 IfM!m HP Worl SmanSun w/Gilles 018 021 0.46 °.`�® ': .38 HP lox-E45maRSun w/Galles 031 01T 055 Ily •'I UP IWx-E4 U21 033 058 me HP Wx-E4 0.31 032 0.55 " Hp War with Galles 028 030 0 52 [^� 7 HP law-E4 with Galles 0.31 029 0.49 n �0 HP law-E4Sun 02] D20 031 ^® casame t/Awal L NP lox-E4Sun ki31 020 031 Flasil me W tlowr ,`! UP low-E4 Sun wM Galles 029 0.18 0 28 6 E?�® Plchirh W d w HP lax-E4Sun with Guiles 0.31 0.18 0 28 id HP lax-E4 SmadSun 0.26 023 0 52 � ® HP lee-E4 ScomMun 031 kill 0 50 'I ". mad8un w/Gallas 0.28 kill OA6 f I:i® HP law-E4 Simn.Sun w/Galles 0.31 0.19 044 fEH1® iJ HP lax-E4 0.31 D33 0.58 HP lax-E4 D30 D3T 0.64 HP lav-E95 .i HPlax-E4 with G811u 0.32 030 0.52 }1I UP tax{4 with Galles 0.30 033 057 ® 'S HP lmv-E4Sun 0.31 010 031 lFUP lax-E4 Sun 0.31 kill 036 ® Specialty Window HP lax-E4 Sun with GNlu 0.31 020 032 Svc® SDtlngl Wood HP troy-E4 Sun with Galles 0.33 01B 02B !:"® HP lax-E45mad8un 0.30 024 058 E lk1M HP lax-E¢Smar6un 0.30 023 052 99 1 HP 32 law-E45m rt3 aun w/Galles 0. 021 0.46 .{'.Is I ® HP low-E45maRSun w/Galles 0.30 kill 052 � ;��"q® HPtmv-E4 32 HP low-E4 032 012 037 ® "IM® UP -E4 with Grow 0.33 02D 0.33 - HP lax-E4 with Galles 0.32 023 039 I".h® ' HP IWx-E4 Sun 0.33 0.14 0.21 - Frba hw ad HP W v-E4 Sun 0.31 016 0.25 9rQ F1® Hinged lobbying gpop Dor xP Low-E4 Sun with Grilles 032 0.14 0.22 M'-(14{® FrebchO - HP low{45un with Grilles 0.34 0.13 018 Gliding !I rya lmv{45ma25un 03D 0.18 041 F'ii �'199 HP lax-E4 SnWdSn 032 0.15 033 HP law{45maa6un w/Grilles 033 0.14 030 - syi HPlax-E4 Son.Mae W(bbu 0.31 016 035 - FF�I® HP law-E4 0.33 015 0.41 rim '! HPUal 0.31 024 041 I: ® me HP tan-E4 wM Galles 0.32 021 0 35 � ii' ® HP l -E4 with Galles 034 13 2 036 it HP lorv{45un 0.33 0.16 Frei hw Od Nngetl},I, HP IarE45un 0.31 0.15 023 n"['t® Ninged 0ulsmg _ eL 'Inswing P.U.Ooor -.,i HP Iox-E4 Sun with Gnllu 0.32 0.13 0.19 9 i;+® FrenchD r HP lax-E4 Sun wdh Galles 035 0.10 020 =i HP tan-E¢SmamSun 0.3D 0.16 D3] NPIWx-Cd SmaM1Sun 032 0.1] 037 ® '- ® �� I HPlax-E4SnWrUimw/Galles 0.31 014 031 'a® HP lax-E4 SmamSun w/GnIPs 034 0.15 0.32 ev UP lay-E4 0.31 025 D.41 43 °'® HP Lwe{4 033 013 03B - - eai ••� HP lax-E4 wM Galles 0.32 kill 035 F�' %® ryP tax{4 with Glides 033 021 0.34 = _ HP lax-E4Sun 0.33 0.14 011 Fmnchwo d Hmgetl:! HP Imo-E4 Sun U.I. 015 023 [IIf i ® Sidelight tl Fit h Ooor Hp�, Sun with Galles 0.34 0.13 0.19 - Du[srn gP h Dom,�(I HP 1mrE4 Sun with Galles 032 0.13 0.19 'I'� HPIWn-E4 Smocapn U32 Up howl 0.15 034 - E4 Sail Ulu 0.1] 0.37 � '?i� _ %j HP ImnE45mad5un rv/Grilles 0.31 015 031 _'� HP lax-E4 SmarlSm w/Grill¢ 0.33 0.14 0.30 - UP lax-E4 0.31 am 0.31 l>31® NP lax-E4 0.32 025 0.41 = HP lox-E4 with Galles 033 am 0.37 HP 1mr-E4 wth Galles 0.32 020 0.33 f ill® rya law-E4 Sun 0.32 0-15 023 - Prenlnv d UP law-E4San 0.32 0-14 kill 1` � flied Tm - Pen D r Sidelight `I UP l -E4 Sun who Gnllrs 0.32 0.13 OAS _li f� Frei h Door HP lax-E4Sun Sri Galles 0.33' 0.14 0.20 - NPlaw-E45marl5un 0.32 0.16 0.3] HP lax-E45mart3un 0.31 0.15 0.33 � Ic® -i HP lux-E4 Smardied b/Grilles 0.32 0.15 0,33 - HP tow-E4 SmartSun n/Galles 0.32 014 0.29 ® +i® _ HP turel 0.35 026 044 HP lax{4 D.30 014 0 EO E-^I4 ' ® HP low-E4 wM Grilles 036 023 0.38 - UPlow-E4 with Galles 0.30 Oil 0.35 IR . 4",� HP tan-Eli Sun 0.35 0.16 024 - Frenchwvotl UP Lew-E4Sun 0.30 0.15 022 ® ..Folding D NP-E4Sun Oath Galles 0.36 U-14 0.21 - PageD r Tmamm HP Iml{4 Sun with Galles - 0.31 0.13 020 In+ !.T� HP law£4 Smar6un 0.34 0.17 0.39 - NPImv-E45marl8un UP lax-E45mart5un w/Gaeu 036 015 0.34 - :--�'I HP Law-E43man5un w/Ganes 0.30- 014 032 �d!�` '��'® mn4nuM an nut pale •For NFRC certified total unit pm,mmnce an units with capillary breather tubes for high alGNdes.please is,andersenwindows.cpm. - -'HigMPeAormance'Low-E4'-(HP Inw-E4),"High-Per(ortnance-law-E4'SaWnSun'"(HP lax-E45ma tSun)and'High-Pedmmance"Low-EV Sun'(HP larl Sun)are Andersen trademarNs far'Low-E glass. ' 0-Facmrdefimonce- ..-E4*rse Me amount( PUm-ssthmughthemtal unit BfU/hrsa ft•Elbe ldwerthevalue,Me Was heat is lost through the entire product-Window values represent non-tempered glass.use of tempered glass can increasef heat u-Factor slags.See andemenwindows.com for specific performance values.Goal values repruent tempered glass. Solar Heal Gain Coefficienl(SHGC)tlefines Me fraction of solar radiation admitted through the glass ham directly transmitted and absorbed and subsequently released inward.The Wmarthe value,the less heat to transmitted through the pmdrM home)_Me higherthe value.from O m 1.the more daylight Me pmducllels in over Me products dotal unit area.Visible Transmittance 'visible Transmittance(Vn measures how much light comes through a P oducl(glass and is measured over the 380 to 760 manometer portion of the solaf spectral NRC NFRC ratings are based an modeling by a thbd party agency as validated by an indtlaetpeeeriden tesld past ts or new industry sla tab in compliance nldaNs arrrequ remelts,this data may change over time.Ratings are for so.specfhed by NFRC far •This dual is occumle as of December2010-Due to ongoing pmdoetchanges,up testing and mmficabvn-Ratings may vary depending on use of tempered glass,different gone Options,glass for high a16[udu.etc. •Passive3un glass value are available online at antlers-moadmes-cam 277 -Renewal . - ee To �i�m lt'I�ay ConcerII.: E.aoloSed is a pamlitapp£fc2fion package for a pro)ect we have been coatractEd to do in your tDvm Thank you.in advance foz receiving.this package by maaL As we`cork m every town m the state, it pre3l helps as . in our Process. We hsve also enclosed.a self aridressed and postage paid envelope and would request that when the peffi appl cation has been processed, that you would mail it back to U.I. Enclosed for you eview in this package is: ❑ PermitApp�ca�an ❑ aome Improvement Contractor l acersse ❑ Con&tmccdon STrperwisor Ilieen€e ❑ Pre-of of Insm-a ce ❑ Proof of Ihnergp Ffiseiency R:a'Gb-t; Signed Contract from Gv,stomer ❑ Permit Fee (if A ccegted at time of$ppbi!tg) If.yon have any guesti=rega -dmg this application please call me at 508 351-2200 X 55205 �eeU ey.Drxriahr� Pit Co�rdil�kbr i 104.Otis Shtet _ . .. l3mthhmnngb...M A. Q25'32 . Far(50.)7.7¢991-3013 . Uinhc'rir' wvlm m_nemnlhvrmrlerscnlrna _ _ - .. .