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4 WALL ST COURT - BPA-11-637 The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR Massachusetts State Building Code,780 CMR, 7" edition IvNNICIPA III' Building Permit Application To Construct, Repair, Renovate Or Demolish a RevfsedJanuary " One-or 74vo-Fami7y Dwelling 1, 2008 This Section F f5cial Use Onl Building Permit Number. Dke Applied:Signature: ,38/Z/ Building Commissioner/Insp ofBuildin Date SECTION 1: INFORMATION 1,I Pro Pr Address} 1.2 Assessors Map&Parcel Numbers r'� I111�( .5 C IS 1.1 a Is this an accepted street?yes_ no Map Number Parcel Number 1.3 Zo ingInformation: f�1 1.4 Property Dimensions: on", Ca AA Zoning District Proposed Use Lot Area(sq ft) - Frontage(R) - 1.5 Building Setbacks (ft) Front Yard Side Yards - Rear Yard - Required Provided - -Required Provided Required Provided - - 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal.System: Zone Outside Flood Zone? . Public❑' Private❑ — MunicipalC On site disposal system ElCheck ifyesC _ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: �ll USIA Name(Print) Address for Service: Signature - Telephone - SECnON 3:DESCRIPTION OF PROPOSED WORK 2-(check all that apply)' . 7,'eu'Coast ia: C "Existi::^$uiPdui^p ^ ^^^' d C °e airs -'A �ticn ) �' :ddi';" C Demolition ❑ Accessory Bldg. C Number of l.lnits Other�Spceifv:-. ..tit Brief Description of Proposed v✓orlc: • A/t� ITN C T-J/1G4 C �LCC- SECTION 4:ESTIMATED CONSTRUCTION COSTS Ite Estimated Costs: m : (Labor and Materials) Official Use Only 1.Building $ a 3 J 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $. ❑Standard City/Town Application Fee ❑Total Project 6,st3 (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: 4.Mechanical (HVAC) $ List 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ 0 12A -d C Paid inFull ❑ Outstanding Man ceDue: SECTION 5: CONSTRUCTT*SE�S 5.1 Licensed Construction Supervisor(CSL) . License Number Expiration Date. Name of CSL-Holds�T (( I 2 ' 'N�x last'CSLType(seebelow) s T e Des."aion _ U Unrestricted(up to 35,000 Cu.Ft Signature - R Restricted I&Z Family Dwelling - - ;� M Masonry Only Telephone. _ - RC Residential Roofing Covenn - WS Residential)Window and Siding, - - - _ SF Residential Solid Fuel Burning Appliance Installation - D Residential Demolition 5 Registered Home Imprn ITrs Contractor(HIC) I �6 1 r vt r i<�` Ll Li ci H1C Compan Name or IC Registrant N e Registration Number ( p� n ,s �i' orb 1X It V Av-- 5L3 3� -el kq-r'qrj a Expiration Date ' Signature. Telephone - - SECTION 6:WORKERS' COMPENSATION!NSURANCE AFFIDAVIT(M.G.L.c.151.•§ 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 AffidayitAttached? Yes ........(7� No...........❑ SECTION 7a:OVRNER 4UTH0RJZAiTON TA B&COMPLETED THEN;. OWNER'S AGE ENTDR CONTRACTOR APPLIES.70RBUMDI' g.WI RMIT . . . I, Clp v \� SA `tl c as Owner of the subject property hereby authorize ��,; 4^C✓ 1 ,T to act on my behalf,in all matters relative to work authorizoed by this building permit application- Signature of Owner - Date -``SECTLOIt 7btt©Y((+NER' QR A3TTHORI ED AUEN ;DCL ATi AOh } i clrc+l nr FCEt—F 'i 7OIL eh orAutlurized Agent#iertbv teclnze: dint the=taicinents acid n1b nation bn the faregotn_ so lucatton are true and accurate, to tli�e best of m;kttowledee and behalf. I ' Signature of Owner or Authorized Agent Date _ (Si ed under the pains and penalties of perjuryN - 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(HIC)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 of bedrooms Number of bathrooms Number ofhalf/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. 'Total Project Square Footage"maybe substituted'for"Total Project Cost" a au a DEBRIS FOB This foi n is to be sabnut ed with building permit applications aii never{bye is debris to be disposed o£ prbp=ty Address' l a I S l 1., t In accordanc:v�th the provisions of MGL c.40, §54,:a cbndition of the Bu tom Peffiit Number is that the debris resulting from.this Ao-�shaE be cUsposed of in a properly Bomsed , solid wn,I--disposal facility as(l::E=d by MCTL c. Ill§150A, II This debris will be disposed of in: 1 uat c Ind 1 1_ \I .. �Ptn �"T.� � (rdt)N L� � �N-L S � �I- . . (Locatim of 1''achy) , sipat=e of P=it Applicant Dad I(H Otis Si.,Noithbonaisl,A6V 01532 J&I,1VYW)MS:I.N(.,n/It/.-1 MA Hank Improvement Cortlraclor bf114191 D-f14N1•Y�,.'.,i i-0'flfl7al11`l tR��nnWal _ License#149f111 (Expires l/'L4/2D 12) 'fAnd`•+ersen. Yctteral'I'az Ill#SJ-U4U42111 CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Nome Dore of Agreemem Buyerlsl Street Address.Cmr.Sni e,and Zlo Code ,.JAII Sf Ope,t _ 6Weril w, 01970 Entail Addaas Hum. NoAn W�.k T.I.•hona Number 6uycr(s) ht,eby jointly and Fcvcr:illy aZrces to pnrciiose the II Ilnd/el 5e1'1rlOCS of I & I.WIndOWS,Inc.d/h/o R01CWal by Andersen ("COnInclor"),III aCQil'dajec Willi Tho lei Ills and Uondllions described oil III,,nenl It nit the'averse of this zi4recittetlt and otl the aittlelled slVoIlctlion.vhcel(.v) (NllcCDvelp, Ills irccnn•nl"h. Hayed&)hereby;t¢rccn to Ni,�uacompletion t',rlilicak alley Contildot hits Compleled :dl Work luida'(hie ASrtamenl. Method of Pm ayenl.-IIAZ75-eck ❑Credit Cord UCosh Tot.IJob Amount'. �L?r) Fnimamd Starting Date: ❑Financed Deposit Received(33%):7J Salonce at Start of Job(33%,:7(f Or E,Iimaled Complellon Date I If payment is by Credit Cord, please fill out Bdance on Substantial 7/a7 ,jl_(o„/e,le.,se the Credit Card Receipt of Deposit Form Completion of Job(33/). . .. By initilhnti r c, tic —Ad" Ih t 111,l.,u,�;l smut if I'midth lidhoc, i IS rrli:d(.a nlil h...n Baygr tnilials al lisle I I uurh I i o dit i;u'rl and nnl.t It,'In'Id bo I n m;Il i li I k hank rltt i Ic n rash. Buyer(&) agrees and understands that this Agra.- cut camtihutes 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 consrnt of both Buyer(s) and Contractor.Buyer(s) hereby acknowledges that Bayer(s) 1) has read this Agreement, understands the terms of this Agreement, and has received a completed,signed,and dated ropy of this Agreement,including the two attached Notices of Cancellation,on the date Fast wriaen 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. J&L Wiadowe,Inc,d/b/s enewr l by Andersen Buyer(s) Buyer(.) fti);unutrr pn,r un Ai:uull;,•r Signor... Siµnahnr 116nI .Conn ul'prod",,,M:um,;, ..... Plan S,�mr I".0 N: i" YOU, THE BUYER($), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEETHE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. NOTICE OF CANCELLATION NOTICE OF CANCELLATION Date of Transaction J:.-/&-y You may cancel Date of Transaction z-1&-t/ You may cancel this transaction,without any penaly or obligation,within this transaction,whGout any pence or obligation,within three business days from the above date.if you cancel,any three business days from the abovell .'you cancel,any in a ins made b under the Traded in,an payments made under the property f Sale • ^Y payments u You Contract Y PaYme , by You Contract of Sala,and any ne$ohabk<instrument executed Contend of Sale,end any ntx�otrable instrument executed by u will be returned within, 10 days following receipt by you will be returned within 10 days following receipt by It the Contactor ("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.it you cancel,you must make available to the be canceled.if you cancel,you must make avaiable to the Seller at your residence,in substantially as good condition Seller at your residence,in substamiolly as good condition as when received, any goads delivered to you under as where received,any goods delivered to you under this this Contract or Sale; ar you may, if you wish, comply Contract ar Sale;or you may,if you wish,comply with the with the instructions of the Seller regarding the rebut 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 old de make the goods available to the Seller and the the goods awilable to the Seller and the Seller does not Seller does nor pick them up within 20 days of the date pick them up within 20 days of the dale of your Notice at your Notice of cancellation,you may retain or disease of Cancellation, you ma retain a dispose of the geed& of the goods without arty further obligation.t you fail to without arty further ablygohon. If you fail to make the make the goods available to t hie Seller, or if yau agFee goads available to the Seller,er H 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 Tor performance of all obligations under the Contract. the Contract.To cancel this transaction, mail or deliver a I To cancel this transaction, mad or deliver a signed and signed and dated copy of this cancellation notice or any dated copy of this concelktia i notice or any other written other written notice,or send a telegram to Contractor:J l notice,or send a telegram to Contractor.J&L Windows, &L Windows,Inc.d/b/a Renewal by Andersen, 104 Otis l Inc. d/b/a Renewal by Andersen, 104 Otis Street, Street, Northborroug1h, MA 01532, BY NOT LATER THAN Nonhboroough,NW 01532,BY NOT LITER THAN MIDNIGHT MIDNIGHT OF J-/ .(Dale) OF 1-r�L-11 (Date) 1 HEREBY CANCEL THIS TRANSACTION. 1 HEREBY CANCEL THIS TRANSACTION. hoar',5hnalin Pool Name Gal B„pr',sgna we enm rvamo Dom 5/1.it El0ELr66LLL « 00A0 LtrZ0il0Z &L Windows,Inc.d/b/a 101 OIISSircl,Non,bortnlgh•M.101 C;{3 Renewal MA HW lkol u•N 1491Xn 1capivc>1/24/12) h...ua 50S,11111.0900•1'us 774'IS7:101 a 1'rder ',ix IUM 8%-0404201 byAndersen. Or titW M MASSACWT=awn New tiAMPSHme ' WINDOW SPECIFICATION SHOT nuycr(s)Name Datc of Agrccmcnt The Iluyer(s)Ilsled nlx,vc hclebyjohnly and xtvcrally a,¢ree Io purvh;ve the;{t.W and/nr verb listal h:L,w,in meordance with the prices and enns durribrd.n,Ihr Siv_.itlnJioa till+nod the 611,11:u1d the nvvrst of III.""onipanyiug CUSTOM WINDOW AND IrrX)H KIW1011LING A61trliMFNI, of which this>I't'Cificalion shed is it pert. WINDOW DEfABS I. Cmtractor will hlslnll a trt:�d of /4�0 windows in OWIII'"home,usiriA the following individual quantities: -,.. -Ikmblr Ilnnq(I)Pl�s r's01a1 Fish ❑ C011 a!;C nosh f i/3 n+p,2/a fwunnU ❑ Oriel Fish(2/31op. 1/3 bollornl Qlxlmmnt(CW) ❑ I{ills right ❑ Ilinyc left(us ricwed Gow cnle,'o1'1; ❑ Slandmdhandle ❑ Metrohandle Dohblc Cnscnlcnl(CDW) ❑ Slandardhan 1v ❑ Ivien'ohandlo Gucmenl/Part wv/Cxfcnlcul(C'PW) ❑ 1:1:1 or ❑ 1:2:1 ❑ Slendat cl handle ❑ Metro haralk, L 1AC Glidil;,{W'ind"W(L;W) Glider/licture/Glider(61'W) ❑ 1:1:1 or❑ 1:2:1 Awning Window(AW) t Fich.,Window Q WI �b.v'Bay o,'Dow Window F01 io Dtl+l'.J(eri scpw nlc bear.ryrrilhation S WC0 2. q o [] No Illy of wirdOW-as I,On'lnnl l'il Kephtcnnrnl: 60 ❑ Ye.v'r�rN''n Qtynf.Sills tO lx I•cplaeed by COntTlICI r: 4. yet,p��,vo Qty Of Windows la 1,New Conanuli.vl Full 11d;1W 011c11gLs new interior&exterior ensinl'")+Inrl ideal _ ILdcrio, r.,tin;;s: ❑ fine ❑ Mailncnn nee-Lr;Inalo i:d ❑ 1'actnry applied 908 Fibre.brickmold C. GIIIZMg to tx:,E 'l if le+w-1:4'" El Other II'nlhcr,Please si—ity: .. (1. 1',.10i la Color to tar. 5a7Whno ❑ sand ❑ Cnuvas ❑"I'cI')ulone ❑ Ct4YP1 Bc:ul 7, IntCrllT Color to bCi jt�-ISWlite ❑ S:uul ❑ Cra,11, ❑ Tcrr:tonc ❑ Finc ❑ Maplc ❑ Oak Note: hua'iol colul'can only IV while,wo,tl,+r wane color ns cxlcrton Wo xi inlerion need In litlished by Owner. S. Ihu'dwalr -,JN:�Whill ❑ Stoic ❑ Q111V1,5 ❑ thass ❑ Ksbdc Ifi,rdw:nv: Style: 9. ❑ Yes 'r Svo It6hltl Lill.,Willi OJahlp Ihill Window.IC. Scrc ,u.: ❑ Hall r / , Alumtlmnr ❑'truScene GRILLE DETABS 11.Windows Iu,Ye gritIce ❑ V- �o If yet:❑ GI'ille ii twco,Oa, ,,lava❑ &nro-ille Iola for W od r+,+rw,❑ ndl I,ividrd Light 0'nu Ql}:—.__..... Qly:... Qly: Q1y: Qtv: Qly: Qty: nM CII GN UN CW/R[bie Glipr CPN a,GPM Dr'nw grille pallcrn.c above 'l'st nddilinnul xhcCl if needed Owner epptwed(ittitialsl:f 1 ADDITIONAL WORK DETAILS 2.❑ Yes No Coil ratite'will na»ovc Inchll Baines of windows. Qly of Units: ('ts ❑ No Conlrsclor will ins tall nowp:li11"i^IdyorstAin.rcady Casings. Interior casing qly of openaigs:-44 -- Uxlerior cu.ain,¢s yty Of c(wnigxs e3 ❑ fine, ❑ Maintenance five material 74.❑ Yes�No 4nnru4or will install urw l...... fca1),Of st nitsidc.slops yly Cl nponingc hnCrinr sin se Iv ofn •rings: _. 1slrrit aops qty Ofn 'n in>+s: ❑ Fine ❑ Mainlenmse,frec material 15 Owner is aware that Contractor does not do any p - tong. ( C ' ) Whela If, Yes ❑ Nn Contractor will wrap eVcrior easiugs - 1:dunu awn Lail OI'_ Nate: \V,I{I„im.i nlaY g Ix rc uiretl Willi ntoru,wiuddw rduovl l;rcn nnal of Florin windows will leave screw holes In casing. 17.J 1'as ❑ Nn Contl'uClnr will inxrdnlc,cnJk:md aril windows Willi i.lx,inl system tnpreverlt wales'and air infiltration. I£t es ❑No (',1, r rip;Ili pill mLrtrd dI IHil iuCludiup„Id wludr,sve tei116r rrrnnw'd.VsCIRIIYn niKhdy ❑ No A limited wanamry•shell Le issuCJ to OwuCr upon completion of IhC ioL+:md papncnl in(all. M 3J�Pcs ❑ No Buildvry Perttit-Qnr vach•r will xcorc any and all necessary paeans. 'nw h'C tot the iwnnlns)is not included in the Coln rain I4iee and a set,u:ue cheek ix r,quitut al the time of xilc for this Ica. 21. ❑No All dlvn,uit'h;n=,.1--. ,1q,14d to shoe apnrnunl p,irr. 12. Addition,11JOb 11CLUB; 21 n No Owner;gtnx•s Ie he plcw`n1.m Ill'fwal day of iasLdhtinn for final imrTtion and w ddiva'final payment. N 1hta10•aymrnl s1Ia1/lx•1d•rn;w,leA 111111 Ulr en111ML 111 c i,mp/Bell Al l0e S3d.1%nf11p11 p(a/1 paHies. It is agreed and understood by end between the parties that this Specification Sheet,alot%with the CUSTOM WnVDOW AND DOOR REMODELING AGREEMENT,constitutes the entire understanding between the pared,and there are no verbal understandings ehangtgg or modifying any of the term& This specification Sheet may not be changed or its terms modined or varied in any way unlea such changes are in wrim{g and signed by both the Buyer(s)and Contractor. Buyer )hereby acknowledge that 11uyerle)has read t his Specification Sheet Rcncwal ter MA and rl�L-Buyer(s) ;;; Buyer(s) Signamur c of Product Manager (/ Slgnatyre `.... $�eiatnre Print Name of Product Manalizer Print Name Print Name S/Zd El0EL8E4LLl cc t0:00 Ll-Z0-IIOZ -�E�JQ`E:PEFF� Rf�f�PLg�7'€ff1.�CCCLPYsL4 Q�/ECE fFf�IwVESEE�6F4R 6€�0 Ff'¢s'lz�c��t 5`�eet BusLux;MA U2111 Lf luf Drm�un f n P�e�se Prat Lee f c UlLip: /VDf � Sofia A 6153� Fbane# ��bo� �ll ��OG Chark ffn. sp_wvprnzs bay - Et�]D proj=t(rz�raEL):a olopvr with 3 O . 4. D'I em a gm=al cnntractnr andIew c efi-or;onIDYM= (faT and/or part-+tee}. bi ed�e seb-co�ctn�i a sole pmpric tx or paztnw- &sued on foe attached sheet -�""'and haw= employees T.bese sab-c r-�,rt.,r�haw. . �oFiiialong for me Eny capacity. °O� =aEm�diag adddioaward=' comp. insvzaace 5. ❑ We are a cotpo�nb and itsElechacalrpirs m A.iriit;nnhave m=e:=ed Lair of s Minn ¢MCAPlmmhiaezepei�n a hilmeDW=doing au wow Psee.f [No wofl-s' Comm: 5 152, g1(4}, and we have aoRDof repairsy Dtilm co=. mg T,=„ce regained] . zr t=nc�c x hcs ml r�also nIm=�EmmamSs:�w s1mw.��� °�'�.,P°�'. who schmit this amdavit'ffi—•� they,dmPaIl Val'm d t e h=outade cr.»aobsa ',aaEchet pia 6v�nm`t ". 'aa-a..^.r;,,.,-1 a,.+sbowmEthe a oithe mS�- and$te's wo[L�'eomR P°Try?"��1°b . r,�nlcryei�dff s prvvEdezgtworl�r'g'ac,p Narwn€nsw-azace for my=ggvyae &plmv.is'tFtep any anal fob Ste fvr cnapaIIy Na+*�P• �� � �J r K� �� I n�.r{ r-� n c z • Dr s�1 -ms r r ��' 6J e r { tt Date: ����.q s Capp of use WEmrl:Br6' M=pe€nsatu PDY=p a5C 2l -R IM passe(slnvwlatg the PQBVp ber and erpirmfi m D secm�coverage as requa-ed ceder Sectim 25A of lOM c- I52 can L=ad to fhe�osifzna of r�ma1 peaa]fres of a a $1500.00 and/or one-yem:impIison=LmlT as wr.0 as civa penalties m fhe form of a STOP WC)=DRDER and a fine KISD9D a day against the violates. Be advised fhat a copy of gain gtgtc odor maybe fiawatded ID the OfEnc of 3.,o of the DIA$a•lamn D tovei ge V,=a e oo - . •ebpc rimer flee pahag and pe azE ies.afperf ury t2 the irfarma oa psvPided¢hove is irree ar d correct Date: (� I ���U�� 1�1f d1nL3'J ceG!rzse areEp.- Do not TW-4re in €€dg area to be casrpleted by S'ar Sarno aj[cz . � dF`E6h"'II: - �PSEGE�'W •nran„5e t'� . :aa-d Df FCratth 2.3W3djMg Dell-r+nient 3. Cty/TUca Clerk 4.mectical impectar 5,pI-=hh g Faspectnr 4Clner - ftffict Pei-gps phme#: ® CERTIFICATE OF LIABILITY INSURANCE DATE(MM,°°YY" ACO/20 �' 02/09/2011 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 OP 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 CONTACT NAME: Joseph MCKeQne PHONE FAX N JP McKeone Insurance Agency, Inc. E-MAIL E : 734-662-8100 AID,No: ADDRESS: P.O. Box 333 INSURERS AFFORDING COVERAGE NAIC# Ann Arbor, MI 48106-0333 INSURER A: Hartford Insurance Company INSURED J&L Windows, Inc. Renewal by Andersen INSURER B:Nautilus 104 Otis St. INSURER C Northborough, MA C1532 INSUR D: INSURERER 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. INSR rypE OF ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MM/DD/YYYY MMIDD/YYY B GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 DAMAGE TO RENTED COMMERCIAL GENERAL LIABILITY NC958461 10/01/2010 10/01/2011 PREMISES Eaocnrrence $ 100000 CLAIMS-MADE ®OCCUR MED EXP(Any one personI S 5,000 PERSONAL&ADV INJURY $ 1.000.000 GENERAL AGGREGATE $ 2,000,000 GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC $ A AUTOMOBILE LIABILITY 35MCCXD6390 10/01/2010 10/01/2011 COMBINED SINGLE LIMB 1,000,000 ANY AUTO BODILY INJURY(Per perean) $ X ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ UTOS NON-OWNED ' PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per eccltlen $ UMBRELLA DAB OCCUR EACH OCCURRENCE $ EXCESS DAB CLAIMS-MADE I AGGREGATE $ DED I I RETENTION$ $ AWORKERS COMPENSATION YIN 35 WECPP7444 02/17/2011 02/17/2012 WC sraru- OTH- AND EMPLOYERS'UABILnY ANY PROPRIETOR/PARTNERIEXECUTWE N/A i EL EACH ACCIDENT $ 5DO000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 It yes,descdbe under I DESCRIPTION OF OPERATIONS below I E.L.DISEASE-POLICY LIMn $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 10t,Additional gemarks Schetlule,If more space is repaired) CERTIFICATE HOLDER CANCELLATION INSURED COPY 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 m 1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD n '-• Massachusetts - Department of Public Safet'N - 4 Board of Building Regulations and Standards Construction Supervisor License License: CS 101952 Restricted to: 00' DAVID BANCROFT 5JOHNSTON AVENUE WHITINSVILLE, MA 01588 Expiration: 3/19/2012 - (' nmii-sioncr Tr#: 101952 ,sue ✓���,y,�,.,,�a�. �'.,�ta �\ Office of Consumer Affairs&Business Reenlatian _ lu U OME IMPROVEMENT CONTRACTOR Registrations 9S01 - Expirat%;E, 12 ' _ g :pl.-LEnt Card RENEWAL BY - 1 DAVE BANCRO "� r ,l _ 104 OTIS STREEF� — NORTHBOROUGH,ffA'1•C(9_'4Ta32 Undersecretary, _ re a1 Woo"inyl composlle Frame :;Nano 9r[410ft Dual _ Argon I.ow E Fklt 4 � Awning RES97. ENEIIGY PEflFOflMANCE RATINGS U-Factor.(U.S)/I-R Solar Heai Gain coefficient 0 OF13 33*h ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0 .. - 04 .. accd n I 0 I m� i,q ana.PcbdJd ._ NenWc.unrrJPubroc rn.r m.n mmv.wnr �m•Pv ^^^'O rod Im..nY.vpmc p•rtarPnnu.NFRO ryxnp.end•1•ITbe�^.naa a.nel'nmm�HM.NIMp�„h niM1�nrp• y.A,kprodvm .In.NfdC am.nul ncemmmd nnr Pr^ uc •.CaP.uh.lunundunL xnrolun br egmpndud p•xamenu iMJmn\bn.c DESIGN PRES SURE(PS F) P-M 100-0022 615-001 N.Yu on.c•N•Mf.6,GIEq LLE.CA.IJr MPIM1nllon npJY.mwn WON•H.IrMhc.xmullon Pnpron. Do not remove until final code inspection. Save label for future reference. I Qualifiedq for area indicated. 12 Canada � enet9Ystdrnroan- 1 ? ('.�'/,�9•:. O Ol•C � - Q as ILI q lI.S[EJI. �- rclgyStRrgov ®=p�liffedJAdmissible Renewal i fvxRL; byAndersentl unSasGsrunGaNp+ny wtR90w--R£V!ACEbtE%T... p�� AND-N-34 .tcrraEF.;,asr. �ss Wood/Vinyl Composite IF .•.---.-------- Dual Argon Low-E4 SmartSun - " Product Type:" Glider ENERGY PERFORMANCE RATINGS U-Factor Solar Heat Gain Coefficient 0649 1965 - -0019 U.S.A-P (Metric/Si) ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 0e43 MEW Manufaaurer sup-am" mat mesa songs comonn m aPpAaw a NFRC procepures for eetemrring'nos,produa ,.a.an.r<a.NFRC 24`Ba are CBlennmea m,a MEG a.of em,1.ma.nw cmrai uma 8no a spBGifit am.Y.abo. NFRC case nor recommeW airy pmoum no was net warrant me suseumv of an,om um for any apacma use. lMlol4YCftfCmM'Jr�..tlet'pCllomlt.^.sC4^MTotlan:•-•.-._..-....•. WnLCw ano Door � e M9nuf8[[ufEfs _____ Ander e�ae consen Co oration: RbA Glidin Window —Iienurec rer pu rormanca a ro ovnng s ar s Standard Rating NAPS-02 or AAMAMDkWcsA 10tn.s.7/Aa4P05 DP psf HS-C35 N lG t„4i Green.n-s.va eEb"s G ma et f emimnmenta;amnoeme pie guaming energy in me" .an.mete: in m h.,p.a.,ma n stem reaucaboni matananreoucauona; 100-0051140e-012 MBaCorFXCaaoa M.E.C.,C.E.C,&I.E.C.C.Nr;ammoon requirements t u Me;Man,CBNficnoon Program. Renewal Andersen. _ mnuuw eEYucv¢En'r mAodme�mmywn. WondNuyrl LbrtnQost ff AftDual Dut2uB Um E4 S'^�:,� ioo-oo4rasyam o ung -ENERGY PERFORM MGE RATUiGS U-Factor(U.S)(-P Solar Heat Gain Coeffipient 01-929 0 -119 kDommu PERFORMANCE RATINGS Visible TtansrMtkance 0 . 42 . u.m.mvrp.`.�eru��e.Pamsi e.ppfae�YF�,r�ee.m��aeumib�Yp 1m . p.�alh]s.rbw..e®.1..¢tr.rrsrse..or�®m�esr..p.ct.pmu.s . tQiC e.�va.�.ea�'w�rea�.r�.ns A.�+bT9r�eIP^'e^a�lR�d - . �c�..sme.C�rm.rmvpdinP�� . DESIGN PRESSURE(PSF) ' ' nil in RhA ➢B Sloped .SLU DH TH umxeNtssrww�umxm�aea um�.r.m�r..�ass • ' WO Raw Flai-L&CE EXV A Campi�zy 7' cayr E acarri, $ is a permit appHcatioo package for a pr€ ject we hn-- ae been :ad to do in y c)ur tmvn. Thank y-au in advance fmr receiving this tpy €hall. As- we work in every tDw n in the Stater it greatly helP25 US in also a nc ased a sa6f addressed and PE�Pstage pa€d ou alDpe and _quest that nr ho n the parz-nit appOcatian has bean pro'cessed, that yo'u J for y Du review in this package is. sr€i it AppfiicadDn vtEne rnprDrvarna nt Can"Li attar License a ��r�nct€gin Suparves©r Lice-nse -Dcf Df Insurance -coDf €sf Energy ETnc€aney Rating geed Ca ntract fr€arcl Customer =_rmit Fee [if accepted at time ©f applyri ng) gave any questfpcm regarding this applica-ban please call n a at [598) Eg� �gatdsr �e�nal�exe C acrd"enamr oa ors six 1 Nmtk�b=Mgal'If A' 01.>32 . Fhme(509)914-0900 _ F�(509)919-OK3 . - Wehsh�wwwreocwaIln�d¢s�cam -