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6 WHITE ST - BPA-15-734 WINDOWS & DOOR 3132nb IU)39 $ 2 The Commonwealth of Massachusetts Board of Building Regulations and Stagi aftl V ED CITY OF Massachusetts State Building Cpdg I(tNR+L SEA I1DES RevisedMar2011 i Building Permit Application To Construct,Repair,Renovate Or I]emo]i One-or Two-Family Dwe JAL 22 This Section For Official Building Permit Number: Dam Ahled _ - S/ Building Official(Print Name) Signahue Date _ SECTION 1:SITE INFORMATION 1 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 6 White ST Unit 4 Salem. MA 01970 q J—02$$—ipy 1.1 a Is this an accepted street?yes n0 Map Number Parcel Number Ille 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 BuiMiog Setbacks(it) From 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 0 Private O — Check if es❑ Municipal❑ On site disposal system O SECTION2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Sandy Martin Salem. MA 01970 Name(Print) City,Stab-,ZIP 6 White ST Unit 4 978-745-7839 No.and Street Telepboro Bmail Address ,SECTION 3:DESCRIPTION OF PROPOSED WORK'(check an that apply) New Constrodion o Existing Building Ow�r Occupied Repairs(s) Akeaation(s) O Addition 13 Demolition O Acccwsory Bldg.O Number of Units I Other Ifspecifr. Replacement Brief Description of Proposed Work:Replacing 9 Windows and 1 Door, no structural changes. SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Item Costs: Omdal Use Only and Materials 1.Building $18,116.00 1 Building Permit Fee:$ Indicate how See is determined: 2.Electrical $ El Standard Cityffown Application Fee O Total Projed Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees; $ 4.Mechanical OWAC) $ List: 5.Mechanical (Fire $ S •on Total All Foes:$ heck No. Check Amount: Cash Amount: 6.Total Project Cost: $18,116.00 ❑Paid in Full ❑Outstanding Balance Due: 5�-►.3` —I � Z�S SECTIONS: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 90125 10-06-16 Jaime Morin License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 86 Gardiner ST Iype Deslripbon No.and Strut U Umestrioted(Buildings to 35.000 cu.ft. Lynn MA 01905 R Restricted 1&2 Family Dwelling Cilyfrown,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Ruining Appliances 508-351-2200 x 55285 I insulation Tale hone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 170810 12-23-15 Renewal by Andersen HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 30 Forbes RD No.and Street Email address Northborough MA 01532 508-351-2200 x 55285 Cityfrown,State,ZIP Tel one SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.1 2SC(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...........O SECTION 7a:OWNER AUTHORIZATION TO HE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT L as Owner of the subject property,hereby authorize Jaime Morin to act on my behalf;in all matters relative to work authorized by this building permit application. Sandy Martin . Print Owner's Name(Electronic S*aoae) Date SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION, By entering my name below,I tin tee pains and penalties of perjury that all of the information contained in this applicati7,!--� the best of my knowledge and understann�ding. Jaime Morin7 Print Owner's or Author' *gdnt's N ec"nic Signature) Data NOTES: 1. An Owner whq ob a building permit to do his/her own work,or an owner who hires an unregistered contractor (rot registered in the Home Improvement Contractor OWC)Program),will n—a have access to the arbitration program or guaranty find under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.eov/oca Information on the Construction Supervisor License can be found at mMM;lsa jM dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft) (including garage,finished basement/aWca,decks or porch) Gross living area(sq. %) Habitable room count Number of fireplaces_ Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/perches Type of cooling systam Enclosed Open 3. "Total Project Square Footage"maybe substituted for`Total Project Cost" CITY OF SMEN4 UNSSACHUSEM Bumra iG DEPARTAtENT 120 W uHiNG roN STREET,340 FtooA TSL(978)74S-9595 PAX(978)740-9846 KIMBERr cY DRISCOLL MAYOR THOMAB ST.PIERM DmECTOR of PL13LK PROPEM1151:11L.MG COWASSIONER Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code,780 CMR section 111.5 Debris,and the provisions of MGL c 40,S 54; Building Permit# is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111,S 150A. The debris will be transported by: dn2wd. ( A✓�C�✓'Si v� (acme fhaula) The debris will be disposed of in: Renewal By Andersen (name of facility) 30 Forbes RD Northborough, MA 01532 (address of facility) lure pemtit applicant date ��mR� Renewal r ns Home Improvement Contractor, 'Andersen Renewal b Andersen Corporation License Federal (Expires 12 9184 3 Y P Federal Tax ID M41-1918413' 30 Forbes Rd. Northborough,MA 01532 (508)351-2200 Fax(508)-986-7072 i j CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT I 'Buyer(s)Name Date: SANDY MARTIN - CAROL NARANJO JUNE 20, 2015 'Buyer(s)Street Address City State Zip Code 6 WHITE ST UNIT4 SALEM MA 01970 !Email Address Home Telephone Number Work/Cell Telephone Number SAN DYJ MARTI NCAHOTMAIL.COM 9787457839 6175949828 Buyers)hereby jointly and severally agrees to purchase the goods and/or services of Renewal by Andersen Corporation("Contractor"),in accordance with 'the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheets)(collectively,this"Agreement"). Buyers)hereby agrees to sign a completion certificate after Conlractor has completed all work under this Agreement. Est Start Date Method of Payment Total Job Amount $ 18,116 amount Financed$ 0 Deposit Received(33/)$ 6,038.67 Depose at signing$ 0.00 840 weeks d.. Check/Cash Balance Stan of Job(33%)$ 6,038.67 Check It Balance on Substantial At substantial Est Install Time _3:, Credit Card Completion of Job(33%)$ 6,038.67 Completion$ 0.00 - 2-3 days If credit card is selected,please '. No final amemshall the demanded umilall Panses are satisfied I I see Credit Card Payment form Buyers)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 Buyers)and Contractor. Buyers)hereby acknowledges that Buyers)1)has read this Agreement,understands the terms of this Agreement,and has I 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 Buyers right to cancel this Agreement. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. !Renewal by Andersen Corporation -1 Buyer(s), Buyers) �ru .� !color / :By: —, Signature of Consultant Signature' -- Signature -` x FRED BOUCHER SANDY MARTIN CAROL NARANJO Printed Name of Consultant Printed Name Prii Name il YOU,THE BUYERS),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. ___________ __ ___ _____________________,___ -._ _.-________-______________________ i NOTICE OFCAeiCEIJAT10N NOTICE OF( CELLATION f r Date of'h-a..vactbn fi/R0111 You may cancel this Dateof Transaction 6/20/15 You may cancel this !transaction,without any penalty or obligation,within three business drys from the I trolls:coon,without any penalty or obligation,within there business days from the !above date.If you cancel,any property traded in,any payments made by you under I abwe date.If you cancel,any properry traded in,any payments made by you under 31 Ida Contract of Sale,and say negotiable instrument executed by you will be I d,Commune of Sale,and any negotiable instrument canopied by you will be rt cmecord within 10 days fonowing receipt by the Contractor("Seller'") of yoyour, I ceturned.v"n i0 days fonowiug receipt by the Convactor("Seaer") of your ollation notice,end any,sur ecity interest arising out of the tr ansaction will be cellation notice,and any security Interest arising out of the transanion will be ,canceled. If you caned,you most make available to the Seller at year residence.in canceled. If yen cancel,you must make avaiable to the Seller at yaw residence,in subataadany as good condition as when received,any goods delicered to yeti order substantially as good condition as when received,any goods delivered to you under j this Common or Sale; or you may,if you wish,comply with the interactions of the this Contract or Sale; or you may,if You wish,comply with the imm aetiom of the Seger regarding the return shipment of the goads of the Sone.'s calmer and risk. Seller rexpecting the return sbipmem of the goods at the Senei s eapeuse and risk. If you do make the goods available to the Seller and the Seger does ant pick them up If you do make the goods available to Use Seller and the Seller does not pick them up Iwidin 20 dap of the date of yaar Notice of Cancellation,you may,etain or dispose within 20 days of de dote of your Notice of Cancellation,you may rondo or dispose of de goods wldout any further obligation. If you fail to make the goods available of the goods and al any furrier obligation. If you fail to make the goods available i to de Seller,or if can agree a.return de.goods to de Seller and fail to do so,den to the Seller,ar J you agree to return de goods to de Senor and fail to do so,den You remain battle for performance ofell obligations under de Conracn. Tocencel r you remainl;ablefor performanceof sU obligations under de Contract.Tarsal dis transaction,mail or deliver a signed and dated copy of this concrUation notice I ens transaction,mail or denver a signed and dated copy of this caaeeilation entice ! for any ceder written notice,or send a telegram to Coatracrur: Renewol by Andersen,t or any other written notice,or send a telegram to Common— Rene dal by Andersen,. 13017mbos Rd. Northborough,MA 01532. f 30 Forbes Rd.Nod borough,MA 01532. �I HEREBY CANCEL THIS TRANSACTION. THEREBY f.AYCBLTHIS TRANSACTION. I I Buyefs eyna:um PMI Name nPi o,ry+fn Spar re PrIM Name pale — a _ MMewal � 2 Renewal by Andersen Corporation MA Home Improvement Contractor (�+1111dersen. =yam 30 Forbes rd Nodibborough.MA 01532 License#170810 (Expires 12/23/2015) aaw aeeuca.Eet .,,.��,......_, r>.�, (508)351-2200 Fax:(508)-986-7072 Federal ID#41-1918413 Window Specification Sheet 1Ruvell Name Date ofA reorient SANDY MARTIN CAROL NARANJO SAT, JUN 20, 2015 line buyer(e)Lsted abuot hmtbi,Joinil. an 1-c tinily ag c To pumhast,Thin and/< - es lismd hclow,in accordance with the pouts and mans deseiibed inn dre Spaibotion Sb te"Idd ibe Pont and the reverse of the lr;nr upanying CUSTOM WINDOW AND DOOR REMODFLINC AllCMEaN'I.of which Idle Specification Sheet is part. - WINDOW&DOOR DETAILS n _._. Mry T Poeu Exteuralletwor Color HaNwere Hardware LowE</ Glllle Grille Glass Room N Window/Door Style Detail Cases Ext-Ins Color suits screens amaroun Gnllss Sal same Lifts Gainers- Blue Room 201 29 .50 79 Do a,rail a ual Insert slo ed sill WH/PN Stone Standard FFG severtS., You No Blue Room 202 29 50 79 pB mile ual'msert slo etl sill ---- Wrll Stone Standard FFG 3marrissr None Yes No Kitchen 101 29 50 79 DR rape eel Insert slo etl sill Will Stone Standard FFG 3marsur rot y1 Yes No Kitchen 102 29 t,0 79 DBs Haile ual insertslo etl sill _ _ WH/PN Chi Standard FFG 3rearsia Holt 3/1 Yes No Living t03 33 RO 1113 PWH sin le rofo InVExt MF Flat Al BrCBrass Newbu .3mil Now - Temper Mst Bed 203 29 0 79 OB s Halle ual insad slP ed sill _ _--_---- WR/PN S10_2 Standard FFG mort3u Nane Yes No did Bad 201 29 )(1 79 L US so rail equal insert slowed sill ------- IWWPNI Stone Standam FFG marten Na,m Yes No Bad 1 20.5 29 90 79 DBs roll a ual Ireerl slo etl sill ----- Will Stone Standard FFG Trans. Nane Yes No Bed 1 206 29 50 , 79 oB sq rail equal insert slaped all -------- Carl Stone Standard FFG starts. Nov. Yes No Hall '30'2 29 50 ]9 DBsa all coni insad slo etl all ------- WH/PN Stone Standard FFG manse ann. Yes Tern r I I I j Total to r BAY BOW&BUILD OUT DETAILS _.i gvPProx �-' yy Sryl.neiall/ -tllM1/ Approx. Number FrameL Wrntlow Eno Center LowE/ Rojo HaNware noom Count I St ,l Flankers Gesln c An le Gtes enroll el' Colo Grilles s chre, sashes Screens Smans.n SoRlt Color 1 - i— SFF.CTALTY WINDOW DETARS_- Cull/ BAY/HOW ADDITIONAL WORKNOTES Appmx. LowE/ apes ally Room Grant t sty Inert UI mot£-n^I Grilles Grille fire Comet Color 1 I , 'I h-11 'm III, I _inrfin S t 1 ! ,M1an.nll I. ' ADDITIONAL WORK D_ETMILS: W'der at coin:with?ONmr.euo imedpiwneedstoberep/aced. I No Contractor will wra exterior cast s with coil stock Color of Ownerthehousaware that Contrathectordoeste anddo windotiny/Wa:ningorrervem removed offal toins system or windowhe atments/haldwwears.It is the responsibilityOr ndw the homeowner to have the a after r system and Customer ire is also aware in coremovM prior to installation.loss, make no guarantee a to whether alarms or window heedents,windware will fit alter replacement. Customer is also aware in come cases there will be englass loss. I/there is,the amount will understands erstan s any the type / of existing win eo s,(ype of installation and window Cl e f make he guarantee as to the amount o/glass loss.Customer is aware and understands any and all unseen of is net included in this contract.Should any mt be round there will be an additional charge for time and materials unless so stated in this contract. yes Contractor will insulate,caulk and seal windows with 3-paint system to prevent water and all infiltration.Removal and disposal of all job related debris, windows,doors,storm windows and vacuum nightly included. Upon completion of the lob and payment in full,a limited warranty shall be issued. + Yes Building Permit-Contractor will secure any and all necessary permits. The fee for the permits)is included in the total contract price. 15 Yes All discounts have been applied to this agreement. e :a: Yes No Owner,agrees to be present on'he first day of installation for final inspection and to deliver final payment/finance form(sl. it is ag,it.ndt:dt'voodl:u,db m c;r 1- r ;fill flax Sill u9ogmthd erIIDIO>I GINDOIPAND DOOR kEN10DF11INGAGRr M1\1 o .imeadat Haire �undvrrand Sl . rthe parr. e:d 111M -ribal tr lroc Iiu-dlfr psilifinegarn if(lit s 'rhir Sli,othrinion Sl.rt IruN Tutlidcrond t,r...... mdli or-6,dm anv va/ul i I gc rd._mtil Jx,M1N Buorn,frundCarou,... I4 (tit, :1 k illf,fu l4 (:)1 reaidr Spc`I a:ion Slma. Renewal6y Md. nC f avon Ibri') Signature of Cpnsultant Signature - '"Signature ! FRED BOUCIAER SANDY MARTIN CAROL NARANJO Print Name of Consultant Print Name Print Name I Renewa nd rs . , ; COIVL>OmtNI l+y ? tndacctnnt �OdRM t3tlt , F n�ltr OW ^41&%yar& Or &KIA, armorwia ft&f b& f4p.i1+� MY+'l CV R v WiJ�'�.( 0 4Asf YN/�4 LW Y°`y�M1.'vT �mzgl1ER+Mi .k "'Y'-.tom a* 6 WtniatG. U"V,S, � MA, ,?70 f? by 50,%ct..a � ,t Comma Astir M ruprJfdx akw.ea.&arr. ar 9+o-�r PC"-.dv 6*—'t fID-,M-" Day#'# u,crk�1 —row.-c.. 8' "•:'j ., '', ,.`+i.�; .a June 23,,2015 �i9rWiHx' chi`-s^+ada-Ase�rindams'Repx�teirt-:twtr`,'d"i#4.L: D,xf4- s acnl di 90 f'trattBetat ('dnu tF fftV-.a- UHtr 39'Forbes Rd, A r hkot h;..htk 01.Sn F$xxu+{SIRBy3SI�F.':33 Fax(500)gw7m lt�en+i¢:s•.•.au.e v�tnnalEn �*i4'bt4tff, 1 f The Commonwealth ofMassackuseta Depar[nrent of Industrial Accidents Office of Investigations I Congress Street,Smite 100 Boston,MA 02114-2017 www mass govIt is Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbets Applicant Information Please Print Legibly Name(Business/Organizadon/Individual): RENEWAL BY ANDERSEN Addgs:30 FORBES ROAD City/State/Zip:NORTHBORO, MA 01532 Phone#:508-351-2200 Are you an employer?Check the appropriate box: Type of project(required): 1.M■ I am a employer with 30 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. El Now construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ©Remodeling ship and have no employees These subcontractors have S. ❑Demolition working for me in any capacity, employees and have workers' eon insurance.: 9. Building addition [No workers comp.insurance P• required,] 5. Q We are a corporation and its 10.0 Electrical repairs or additions officers have exercised their 3.� 1 am a homeowner doing all work ]I.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MOL 12.❑Roof repairs insurance required.] t c. 15Z §1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] 'Any applicmt that ebecks box 01 must also fill out the section below showing theirworlmrs'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hive outside contractors must submit a new affidavit indicating such. tConttactms that check this box must attached an additional sheet showing the name of the sub-wnuacwrs and am whether or mt time entities have employees. If the subcontmctms have employees,they must provide their workers'romp,policy number. lam an employer that isproviding workers'rompenwdon knurancefor my employees Below is the policy and job site Mformadva. Insurance Company Name:OLD REPUBLIC INS. CO. Policy#or Self-ins. Lie. 4:MWC 30293800 Expiration Date: 10/01/15 Job Site Address: F WhitP ST Unit 4 City/State/Zip: Salem, MA 01970 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 MOL 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do het eby aC ,/ the pales and penalties ofperfary tbat tke informadon provided above is hoe and onrect Signature: Date: phone#: 508-351-2200 OMW am only. Do not write In this area,to be completed by city or town offlelef. City or Town: Permit/Ucense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#• ANDECOR-01 YA DAWO ,4`oRv CERTIFICATE OF LIABILITY INSURANCE DAn`"i` " 101112014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder lean ADDITIONAL INSURED,the pollcy(les)must be endorsed. H SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endamemem. A statement on this certifcate does not corder rights to the certificate holder In lieu of such endonsome s. COWtACT PRODUCER wwE: certMcatss@WRlbE.com Wllib of Minneaoota,,Inc. ""o"B pr:(877)946-7378 FAX Ne.(888)467-2378 do 28 Century BNd P.O.Box 305191 sa: Nashville,T H 37230-5191 INSU AFFORDING COVEMDE NAIC/ INSIMRI Old Republic Insurance Company 24147 INSURED INSURER B: Renewal by Andersen Corporation INSURER a: 30 Forbes Road WSURPn D: Northborough,MA 01632 W/UM E: WauRERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VATH 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 PAm CLAIMS. IMER la TTPE OF INSURANCE POLICY NUMBER mmnrvym Lam A X COMMCIALOEWERALLIABLLITY EACHOCCURRENCE i - 1,000, CLAIMS-MADE T OCCUR MWZY302040 1010112014 110/0112015 PREMISES omme,m & Soo, MED EXP Wry ore pawn) i 10,00 PERSONAL&ADV INJURY f 1,ODO100 GENL AGGREGATE URNIIT APPLIES PER GENERAL AGGREGATE f 4,000,00 X POLICY JECT LOC PRODUCTS.COMPPDPAGG f 4,OD0,00 OTHER: f �NNED Bali Lima"Tomas"�� a E 6,000,00 A X ANYALI 75 10101I2014 1010112015 BODILY INJURY(Pa pawn) i AAUTW EO SCHEDULED BODILY INJURY(Pere®&a TQ f E AUT HIREDAUTOS AUUTTOSINNED E i UMBRau UAF OCCUR EACH OCCURRENCE f EXCESS UAR CLNM"ADE AGGREGATE f DED I I RETENTION I i WORKERS COMPENSATION X I STATUTE I I ER AND LOYERs UAMLr[Y MWC302MM 1010V2014 10101/2015 A ANYRIOFWETORIPARTNERIEXECUTIVE YIN NIA E.L EACH ACCIDENT i 1,000, (MNMWMM ExcwoEm yyeeac, E.L.pSEASE-FA EMPLOYE f 1,000,001 DESCRI OFOPERATIONS OMOP E.L DISEASE-POLICY LIMIT 3 1,000,0 01 DESCRWICNOPOPERATIONSlL TNXNSILRICLEg(ACDRa+a,A&albml RMrorb eclaaWa,nuyb AlbaalaNNNII�dIr.yuf.al 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. AInHmSMED REPREMENVATN! Evidence of Insurance 01988.2014 ACORD CORPORATION. All rights reserved. ACORD 2512014101) The ACORD name and logo are registered marks of ACORD 1�t Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License:ppp_�—��p1'pppp���IItS2b y JAIIYIBLMOHIN,`' :rr, -�,T,, 86 GA1RD111BJ3 SI ;t�va ` �� �C • �i iu ' Expiration R Commissioner 10/06/2010 t ... � c-P,��oera+roow.oaldf�eo�rn MINEW l"'m of Coneomer Alioirs&BiWous Rnalodon IMPROVEMENT CONTRACTOR �em i Re8islnw am 170fi10 Explration. itra2015 SupplemeMoF ' .• RENEWAL BY ANOERSOWCORPORATION I;•�'. i._ JAIME MORIN t 104 OTIS STREET NORTHBOROUGH,MA 01532 Usderseere ft*".. i renewal byAndersen. OR wINUOW REPLACEMENT anhndar=Comyanv ,.acts xrt�r�e;Nac�.; wuuwvinyl Composite IF Dual Argon Low E4 SmartSun . Double Hung 100-00473518-010 ENERGY PERFORMANCE RATINGS U-Factor(U.S)/I-P Solar Heat Gain Coefficient 019 0019 - ADDITIONAL PERFORMANCE RATINGS Visible Transmittance OA2 ManuleelurernTu WenrMr rneea ralvgrconbem bapp6x04 NFAC proceGurea breeurmcing wlrob p,W ua perlom:enae,NfflC mlvgeara Galannime brel'aM pr el envwnmemelcdWn'rneanEaapecfw prMucl Arta. NFNC dces na rerommeM any product and dma not warrant IM mdand'eyeleny produce for mryspacd'u oea. Canmp manu6dureYo fna2lure IororMr PrcV ucl PeMmrance Nlonvaton. . CL� WWw.nlR.plg SEA" TF's prWucl meetSGraen (pE Seale apvionmemal _.penrre� •e R; �stanEarEsgovamin9enargy @,K. IlciancY.Mavy malatro -+m."11i )., •....n••. s`m.name and.un . 04s�jmWer4l Packagu:g,and xyp epnmmeredaemenal i DESIGN PRESSURE(PS F) e wnanw«4 m« u n4nu�ememraae4tM H-LC25 RbA DB Sloped SillDN IN TazHdmNKSozmA4 N,n5puYSF IN�&MWM Flareeanv«sl wmmomwmuvna rrao4:umaras. daelser excaa6a FLE.C.,GE.q fi LE.GC.q'e In101mian reQuiremems WpMq Ha4nark Canilcatun Progran. Mde"fir"s"e' Andersen' NFRC Certified Total Unit Performance (command) Andersen:Product Glass Type i U-Factor' ! SHG6d I VP Andersen Product GlassType 0-FaMr' SHGC' Tv }d 40tr Series - Architectural HP Imr{4 027 035 0.60 lip lmr-Ee 032 028 0 1.47 '. HP Imr-E4 wen Giles 028 0.31 0.59 HP Imr-E4 with GNIa 0.32 015 0.42 :E? 4a. HP Ivw{4 Sun 027 021 033 ties,'; - HP hair{9 Sun 0.32 U-16 a." `(•'i Grde Top Casement R4nduw up fini Sun with Gneiss 0.32 0.16 0.23 ' Casement eYmtlww Hp lanEd Sun with Grilles 0.29 0.19 030 Ry HP lax{4 SmaMup 0.26 013 0.54 HP Lax-E4 Sman dun 0.31 0.18 OA2 r: HPIaxE45malu5un w/Grilles 0.28 021 OA9 "{SI - - HP low-E4 SmaM1Sun w/Gnlles 031 0.17 Na fimbaow E4 027 035 0.60 HP Lyn Ea 0.32 028 UA7 rt NP law-E4 wIN Grilles E28 031 0.54 HP lavA4 vnN Games 0.32 025 0.42 [ -- NP Lac{4 Sun 027 Oil 033 - ' A Fianna Casemem San wou 4 s.n 032 U-16 023 Ell 4( Grcle 8 Oral WIMo% -'- Window HP lax-E4 Sun rvM Gnlles 031 0.18 023 T HP imv-E45un with Grua 019 0.19 030 � HP lax-E45man5un 031 0.18 042 _� HP lax-E4 SendSun 0.26 a" 0.54 t F`% -m HP LyxE4 Sman3un Wadden 028 O21 0.49 t'E HP 4an-Ee SmarGw w/6nlla 031 01T 038 F. •g IIP Lmv-E4 028 033 0.58 1 HP Iva E4 032 028 0.47 -- NPlaw-E4 with Gnlles 0.29 030 052 n. HP lmr{4 mllh Gnlla 0.32 015 0.42 '�•".r - NPlax-E45un 018 020 031 lip Low-E4Sun 032 0.11 0.26 '.1 . avoiding Window IIP IawE45un with Data 0.32 O.ifi 023 ` Erse each Window "a 1d E4 Sun with and- o29 0.18 b.28 1� - NPlmv{45mvh5w 02i 023 0.52 -- Hp Lao-E4 SrtarlSun D 0.18 0.42 .31 E'd HP Ian E45marlSun w/Grillo 0.28 all 0.46 ! IE.v HP taw-E4 Smar6.n w/Gnlles 031 0.17 038 {4 027 033 rd.HP G,, 031 032 0.55 HP lyp �l - IlP law{4 nth Gnll 0.31 029 0A9 !'.� A HP LOw£4 with Gnlles 0.28 0.30 0.52 HP taeEd Sun 017 010 0.31 baseuwnl/Pwing lip law{45un 031 01D 0.31 ltE! FlWframe 4Nvdon' -- Rome Window NP Lmv-Eb Suit veto Gnlles 031 0./8 OZB EiE rap marR Sun wIN under b29 0.18 028 :';mil NP lax£45man5un 0.31 NP law-,45mm,,m 026 023 0.52 `_ HP law-E95manSun wraiths0.2 8 0.21 0.46 HP lax-E9 SmarGun w/6dnes 031 HP lox£4 031 033 0.58 HP Law-E4 03U 037 0.64 ". HP Ivw-E4 with GO. 030 033 057 Fn y HP ImrE4 wlh Grtlla 032 030 0.52 HPI 4San 0.31 am 036 y ,o, NP Lan-E4 Sum 0,31 030 Speelalry Wand. s Spdngliam Window lip Imr{4 Sun wmr Gen. 033 0.18 Up HP Lm'-E9 Sun won 6NIa 031 020 0.32 HP tax{4 GmarGun 030 013 0.52 [, HPl Iiil Srmurl 030 024 0.58 C" HIP low-E4 Sunni..w/Gull. 0.32 611 OAS - HP tmx-E4 Smad5lm w/Giles 0.30 022 0.52 ['.®. HP Imr-E4 030 027 OA5 IIP taw-E4 032 am 037 HP IvnE4 rvdh GO. a.32 am 0.39 ":l " HP haw{4 with Gallia am020 0.33 HP IanE4 sun 031 0.16 0.25 {-'t Nivgetl laMng NP tpo{4 Sun am 0.14 0.21 = Finacatwaod' French Door NP tan-E9 Sun wTh 6nlla 0.34 0.13 0.18 Gliing Pope Door HP IvnE9 bun with Gll. 0.3T 0.14 0.22 `I lip tow.D4 SamnS. 032 0.15 0.33 FH -^ ' HP Law£45manSLn 0.30 0.18 0.41 - L'". - IIP Ww-E4 Seems.er/Gill. am 0.14 030 old - Hp lmv-E4 Sm morn w/Gill. 0.31 0.16 0.35 ` '( NP IowEq 033 025 041 R HP Law-E4 03l 024 0.41 30 "IEe7 --Hp Lar-E4 with GM. 11.30 022 036 - -p HP1 4ahh W. 0.32 021 035 HP Lan{4Sam o.33 0.16 0.23 pQ Frnrcbwa d Hidden! Hp tan-Ed Sun 0.31 OA5 013 Fiil Hinged oubwled r m leaded P Ho Dom Up WwF4 Sun what Gila 032 0.13 019 1 t°: French Door HP low-"Sun with 6nlla 0.35 014 0.20 d NP lvw-E4 SmalS.n 030 0.16 037 1. - HP Low E4 HP Lna£45maaSun 032 0.17 03i `7 = f$1 __ SmmGw w/Gnlles 0.34 0.15 0.32 E e HP law-E4 S..I.a/GNIa 031 0.14 0.31 si Nplmr-Eq OJ3 023 03g - c3hi HP Lmv-E4 031 025 0.41 f:j Hp ImPE9 wiry Gila 033 021 039 - Hplaa-Ed wlh Ell. 0.32 021 035 Lcf .El gplpw£4Sun am 0.14 0.21 - HPluw-EeSun D.31 0.15 0.23 ylv Food Frence Door- - FrepcwoodHanged'; SWiigM' - "lax-E4 Sun with G.T. 0.34 0.13 0.19 Embedded POO Door 1 IlP tan{45un arm Gnlles 032 0.13 DID �d `� far flP lanE4 SmahlSun 0.32 0.15 034 - NP lax-E4 SmalLSun y.30 U17 037 ;`e: _ HP Ian£95manSun w/Gill. 0.31 0.15 031 p$ HP LpmE4 SmndSmi w/GNIa 033 0.14 0.30 NP Law£a 031 022 0.3i - i+3 - HP lvn-E4 032 025 OAl _ HP lanE4 wNh GNIa 033 022 0.37 NP lye-E4 wrath Grtlla 0.32 020 0.33 HP Lan Es Sun all 0.15 023 rotational, HP taw-E45un 032 0.30 021 (:+� ILmd Tmmvm - PativOvarSMeligM IlP lowE45un with Gil. 0.32 0.13 0.38 reach Dom 10'tax-EISunwhh 6nll. 033 0.14 020 RP law{4 Smarts.. 031 OAS 0.33 ':"rl i'" HP Lax-Ed Smar15un 032 0.16 037 HPIaw{45malL5un 032 0.14 029 w/Gina �� ' (lees mc HIP LawE43maM1Sanw/Gila 3T 0. 033 NP Ian-14 030 024 0.40 "`t -Hp Law-El D35 026 trade = -HP Uw£4 vih Grill. 036 02T tradeHP Ls+E4 rvPoh Gn9. 0.30 021 0.35 F ❑P lyre-E45un 035 0.16 024 - % penehwodd HP 1pwbl Sun 0.30 0-15 022 ! �� Fuldbhg Doer HP tan-FASun whh Giles 0.36 0.14 0.21 - PaOo Do.,T..... IIP Imv-E9 Sun with Gll_. 0.31 0.13 020 '+1 ryp tmwEe SmahGun 034 0.17 039 - HPlaw-Ed BmanSun 029 0.16 0.36 r" HP lmr-RSmad.9dn n/Gnlles U36 0.15 0.34 - HPLm+E45manSupw/Gina 0.30 mntlxmC w mall page •For pi certified total unit perfarmance on units wife capillary brealhertubes ear high adGNd.,please visit apdereandmilaws.cvm. •'HigM1-PeRormana'Low-E4"INP law-E4),'High-Pedormanci Law-E4"SmanSun'"(Hp Low-E4 Smar,,rd)ana•Iligh-perfmmance7Law-E4'Sun'(IlP haw-Ed Sun)are Pntlemen trademaAs fvr•Law-F glass. ' U-Factarfarman defines tee amount of heat lossMmugM1 We Latin unit in BN/hr ref[-F the lower On value,late less heal is lost although theenfire dialect.Window values command non-tempered gain.Use interested glass an increase I1Fecuuratings.See anderservalmews.cam for specific performance values.Damralu ereP..att.p.re glace 'Salad Heat Gain CoeGcieal lSHGC)defines the faction at solar decathlon admitted mrvugh fee glass boat directly ba.mi0ed and absorbed and subsequently released inward.Be learmade value,the Is heat istransmittetl through fee p.d.cL mo0ucf a total unit area.VisTle Tmnsmiltanm 'Vlable Transmittance 4WD mnas.res how much light comes Nmugh a product(glass andfame).him higher Ue value,from 0 to 1,Me mare daydightthe product lets in everMe is measured over the 380 t0 760 departure,human of Me 5010 spectrum. •NMC mings are based on modeling by a third parry agency as validated by an independent lest lab incompliance with NFRC pmgrem and pmcecaurzl requirements. •This data is escarole as of December2030.Due m ongoing pd0tlbe,changes,updated test anvils orread intlwsby Standards or man iremants.ads dales may Change over home.eadngs are harem.specified by NFBC far Waring and cmmficalan.Marriage may vary depending an use of tempered glass,different grille options.glass far high attitudes,etc. •pessveSun-glass values are nonviable anfine at andersendindows.com. 277 PRODUCT PERFORMANCE Andersen' NRC Certified Total Unit Performance (.unaad) i' A de.n Pradaal'. Glass Type OFnw,l SHGC' VP Clear Dual Pane 0.45 Il60 0.63 - U.,DualPanewlOGda. OA5 Il54 056 -Tlit-Weah I>M'� 0.30 032 0.55 Dnable-Nung VIM-- I ,E wah W. 030 019 a.49 J NPI 4S..M1 n 0.30 D11 0.49 �j .`..3.® HP Ian E45man.w/Gll. 031 Ills 0. 3 LNarOwi Pane 0.0. 0.61 0.64 Nart4liilel. Clear Oval Pare wiM 6411. 045 054 0.57 - Onuble-Nung Window Im+E 0.30 n av 0.56 I ,E rlb Glles 031 019 0.50 _ Clear olal Pane 0.44 (1m 0.66 Nartallm: Clear Dwl Panew fill. a." 05] a.59 - T....Window Imv{ 017 034 0.56 Z2 . .-- ... I EnMG 11. 017 030 0M .� ClearOmi➢am 0.45 a 0.0 M1 r Oval Pane o85 Gnll. 145 034 0.56 Inwf 03a a32 a.55 - . 0lldng Window Imv£4aN fill. 030 Ills 0.49 = - - tnw-E SmadSun 0.30 0.21 0.49 � �� tww£SmanSun wiM Gll. 031 039 O-Q 11M pear Oual Pane 0.43 061 0.65 Clear Dwl Pane w 6n11. OA3 a!Z ° 0.58 Fved,Tra., law-E 018 033 OSfi Clyde T.P"W dow Inw-E n3h Gna. 018 030 050 9 J tnmESmadSun O9 0]2 0.51 :3 12 1mnE SrrrsdSun wiM 6nl1. O2] 020 0.45 y� Clear OualPmx 0A4 0.61 O.fib Clear Dual Pane wiN fill. O45 053 O36 Imr-E 019 031 0.56 .Narrdiim' ' ImrEwgh 6M1. UD 019 049 -' �15 Glidiug Pnlia Danrs - lmn.E Sun 019 a10 0.31 Inw£Sun wM fill. 031 IlS6 UP 1mw£6�d5m 018 all 050 l ,ESmanSun wtlh 6nl. 030 019 0.44 ]® Clear Oval Pane 0.43 161 O.E4 Oear Oval Pane wiN Grill. 0.<1 031 0.56 - Imr-E a E a32 Q56 Penba6bidd'- Imr-E with 6nlNs 030 a19 0.49 6atling PaiW Doors law{Sun 019 019 030 � �� Imr{SnwSun 017 012 05O lnw£SmanSun wnh bra. 019 1EI 0.44 20 CI®r Oual Pane 0.43 045 0.47 Gear Du'd Pane whh Gnll. 0.63 039 0.40 Imrf 032 a14 0.41 Nm6�� � - WrE weM1 fill. 033 023 035 Pala Oavrs ImrESun am 115 OM Imv-E S.aM GA. 034 0l3 019 _ I E 032 ImwE SmarlSun niN G.T. 033 014 a31