Loading...
3 WILLIAMS ST - BUILDING INSPECTION (2) C.K of(a0Z-7 S 3 The Commonwealth ofMassach IVED Board of Building Regulati� jrlls SEf('V ICES CITY OF Massachusetts State Buildin ode,780 CMR SALEM 1 Revised Mar 1011 � Building Permit Application To Construct dbae I)Ulg h a (hie-or Two-Family e ing This Section For Official Use Only " Buildmg Permit Number " ` t Date pphod s t 4 s .. •'°'fir wu..— .dw. y,� +s: t ;Building Official(Print Name) ' "" ' n.Signature 'j e'..Date' ' SECTION 1:SITE INFORMATION , 1.1 Property Address: 11 Assessors Map&Parcel Numbers 3 WILLIAMS ST UNIT 2 35 35-0162-802 Lla Is this an accepted street?yes_ now Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R2 CONDO Zoning District Proposed Use Lot Area(sq f1) Frontage(ft) 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❑ — Check if ye.0 Municipal O On site disposal system O 'SECTION 2- PROPERTY OWNERSID[Pr 2.1 Owner'of Record: KATHLEEN GEIER SALEM, MA 01970 Name(Print) city,state,ZIP 3 WILLIAMS ST UNIT 2 978-744-2667 No.and Street - Telephone Email Address 'SECTION 3-'DESCRIPTION OF PROPOSED WORK'(check 11 that apply)'— Construction❑ Existing Buildin Owner-Occupied Repairs(s Alteration(s) ❑ 1 Addition ❑ Demolition 13 1 Accessory Bldg.❑ Number of Units Other4 Specify: REPLACEMENT Brief Description of Proposed Work2i REPI ACE 4 WINDOWS.- NOS TRUCTURAL CHANGE y SECTION 4:ESTIMATED CONSTRUCTIONEstimated Costs: Item (Labor and Materials) _ trial Use Ugly 4i 1.Building $ 5,417.00 1 Building Permit Fee.$ w Indu,�e haw fed is determined O Standard City(PownApphceiJon e ' ° 2.Electrical $ .. . []Total Project Cost'>(Item 6)x{multiplier „ i' = a' , u 3.Plumbing $ 2 OBiei Fees $ d 4.Mechanical (HVAC) $ List 5.Mechanical (Fire _ $u ssion $ Total All Fees:$ 6.Total Project Cost: $ 5,417.00 Check No._^Check Amount:." Cash Amount:' U Paid in Full 13 Outstanding Balance Due. 'SECTION 5: 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 No.and Sweet type , Iw, `Desetipnon LYNN, MA 01905 U Unrestricted uildin s up to 35,000 cu.ft. R Restricted 1&2 Family Dwelling City/Town,State,ZIP M.. . Masonry RC Renting Covering WS - Window and Siding SF Solid Fuel Burning Appliances 508-351-2214 I lasulaflon Telephone Email address D - Demoliflon 5.2 Registered Home Improvement Contractor(HIC) 170810 12-23-15 RENEWAL BY ANDERSEN HIC Registration Number FxpimtionDate HIC Company Name or HIC Registrant Name 30 FORBES RD No.and Street 508-351-2214 Email address NORTHBORO MA 01532 City/Town,State ZIP Telephone SECTION 6 WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M G L G 152.g 25C(6)) _M 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.........Nf No...........❑ " SECTION 7s.OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR'APPLIEs FOR$IUDING PERMIT , I,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. Print Owner's Name(Electronic Signature) Date SECTION 7b OWNER!OR AUTHORIZED AGENT DECLARATION ,5,4 0 By entering my name below,I hereby on the pains and penalties of perjury that all of the information contained in this application is true d to the best of my knowledge and understanding. 01/20/15 Print Owner's or Authorized c(Electronic Signature) Date i ..3k I. An Owner who Aaffis a building permit to do his/her own work,or an owner who hires an unregistered contractor (Trot registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund 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 www.mass. og v/dns 2. When substantial work is planned,provide the information below: Total floor area(sq.fL) (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 of half/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" CITY OF S U ENI, NIASSACHUSEM Bt:1t laL%tG DEPAAItfStENT ' 120 WASHINGTON STRSET,3M°Kooa T8L(978)745.9595 PAX(978)740-9846 KIMBERLEY DROLL MAYOR THomm ST.Pimus dmp-croR or Ptm G PROPERTYISCUMMG CO.W41SWONER 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 Gam 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: RENEWAL BY ANDERSEN (name of healer) The debris will be disposed of in : RENEWAL BY ANDERSEN (name of facility) 30 FORBES ROAD NORTHBORO,MA 01532 (address of facility) tgnaturc of permit applicant 01-20-15 date �i:bT16811.dOC _-_ , - MA HomeiniProvemerd Contractor' Renewal Andersen= Renewal by Andersen Corporation License t170810(Expires 12 2320 Federal Tax ID$41-1918413! 15)1 30 Fortes Rd. Northborough,MA 01532 ! (506)351-22DD Fax:(508)-986-7072 I CUSTOMER WINDOW AND DOOR REMOD]i AGREEMENT E j8uyer(s)Name Date: KATHLEEN GEIER - DECEMBER 30,2014 E !Buyer(s)Street Address City State 'Zip Code 3 WILLIAMS ST. UNIT 2 SALEM MA 01970 !Email Address Home Telephone Number WorkiCeN Telephone Number KGEIER490GMAIL.COM 978-744-2667 207-650-S524 NBuyer(s)hereby jointly and severaty agrees to Purchase me goods and/or services of Renewal by Andersen Corporation('contractor"),in accordance with Ithe terms and conditions described on the front and the reverse of Out agreement and on the attached specification sheet(s)(collectively,this"Agreement") E _'euyer(s)hereby agrees to sign a Completion certificate after Contractor has completed all work under this Agreement. Est.Start Date Method of Payment Total Job Amount $ 5,417 at Ftn®reed$ 9,417 " Deposit Received(33%).$ 0.00 riopmt at my=ea$ 2,708,50 t'ak ChedJCatm 16 to 18 weeks reams Slant of Job(3301)$ 0,00 Cork 6 Baiance,on Substantial nts x: Est.Install Time jZ Credit Card Completion of Job 03%)$ 0A0 Cape ion$ 2:70$.50- 1-2 days. IF ym rw NUYueaemene3,an are esn��r seseeeit da sl L selected.Piaaso rare lIeuyor(s)agrees and understands that this Agreement constitutes the anHrs understanding bebvaen the parties,and that them are no verbal understandings edmnging or nwdlying any of the terms of this Agreement. No saturation to or deviation from this Agreement wig be valid without the signed,whim on consent j jot both Bavaria)and Contractor. Buyers)hereby acknowledges that 8uyads)11 has mad this Agreement,understands the terms of this Agreement,and has lncelmd a completed,signed and dated copy of this Agreement Including the two auached Nodose of Cancellation,on the date first written above and 2)was! orally informed of Buyer's right to carical this Agreement:.DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. 'Renewal by Andersen Corporation Buyer(s) Byer(s) i� ) j Mgr I�c�rLrr�r�xrlLfJ�• 1 Q � I Signature of ConsultantA itWra Sgnasta, { x RICHARD WALSH KATHLEEN GEIER Punted Namee aftQl&aedm - Posted Name Rkasd None, I t TW,TKE aUYEA(81uAY CANCEL TWaTAANBAC1lbN AT ANYTWE PAIUP TO titmNiGHT OFTNE TNAHlaUSINEBB PAY AFTF.n THE OAFe OF TFHB TAANBACTION. SEE.TIME ATtACHEp NOTICE OF CANCE.IATmN FONIKS.FOA AN EXPLANATION OF THIS MK. ! i j NOTtDC dFr:.wraulrluN � NUrI('LUrCAN(:k:bLYl'10.N I 1 Dat.r�.,"- rsr,a✓ti. .Yet way eatudthis DeRe o4'l'ranaacdaa 1<i tiJ-try. ,You maycnncel Win {f nni+v.ebv;wrekmaavy penaky arobbg uoa,witMe ohm.bml..d.,wf Rbe ma..rneuan.,.tnbnn..nT"..by ar abuywnn,»tench-m.ee imwnnn". r mehe i }aba darn 1f you rsa 4 any property waded to,say Pat..tuadakyym wader i al .dau.If yaaraael,any property waded h,any paymeara mad.byynn aadar j imete:she Conn sail 510da avy wpodabkt bythe ear.aeeated by yaaw f t. i the(:maacr of 90&aY. el.An,daee' y t.0 ( bae],a he t llation : e,sad rob»lag m.6u bF meCmerarrmhBeier^}tioam ;. t-r.nr1146on unto dare asyne;wr yr.yn cry<"bef,"Ia t .vaoe^ ark% ! lrxmehadaa voice,sad say ve veCLy imaeawr asking am Mtaa teanszction uitlbe � cearerW:an amiss,ami nny aermtty:uictesem4eiag sat of ohs tramattian will he I ..b,. .d D you eaare4 yaarma<m�ke ava2laMefe the tieOeretyam rcatdenee,ie a .ens-sled. It yw amrelr}nu met makeantivble ufke Sellev as yi,n.res:a.nre,io. sadally ex aewicautlitku.as whey rcc.fve4.any goods deliv.r.du yen aad.r i nbstaotieayaagood enedidm as»tray rcctr7ard,say ,wly degaereduym tinder isedbC Oklisr then eymmatiif}au wish,eo,nttht Uretnumniaas of urt i daa Camrancg Sv4i er ghl,uy,ir yewlhag s"fly,lheeebuepv' enenf ebe aNlee regaedWgike e.turn ubfp,nea�Weh.gaedsm the Seuee'e eapeme and.iek. , F.Ibrregaedtvg rb.seems xhtpvvena of ebe gavels mtbe SrJhr'a eapease aid rick. (iE yea do xuake nde goods avatiabh iv ehShaer and she Shaer does cot pki ebem opt ffyan tlo cosies the gao4o ara0ak/eufhe Selby and ibe Seeerdaes vm pick etie,n,tp. � lw9Wte 2adays of the dateaf yeue:Naekn of rlaatxi6tiayyw mayxwnin or dL:poae� wbhtn.20drysaf ties.dnU uf}wnrNwitt of CaaceOuion.yen m.y reRatn ar dlnp,a. i :MRbf geode w3ehmt m,yr..har;N:Bnann..Ir you raa to m.A.,be tea,:a.•.anbk ' and».geodswiW m ynrteeraN:gatmn. v;;an r.ii,amakeeM gmiu aveaahk 1youm ais Ii ley rpl... l aema tbepa ll.ii tlrc sdg tka draa wdo a .. utm s.vaq ivy ageeam.,at eti gwig tee ooaa wCao mdo o., idfif is�uaz, carp rmexelga aWlgadaasnmtaf,hb,nm Hbd—.eveat yen reauin rjaNerorperfdi.,,..igva ami"Ieao mdmthi Covtract.]ace Ike lrhiatrnwarttna.moors.I:».soilga.aanadarearnpyariMrr�a<eeaaanmel�. I ew.t..naa.snn,m.wars.u..ra:lsadmddat.d.opyorwiec;o..unaonwtue ! i�aoymbrwHnm meraq ur sewatei.gre.n ro(:antractan aemwnl by Andeuen,l ar any aihar:«einea vauca,mseed ae.t.gn'Nee C'IATIErurt NNODdbgandeeaea. !9a F_arbes Rd. Nawkbarmugly hlA ei5e2;aY NfYI't.YIV.R't'tL4N MIDN1Cifl'OF I 9at:nbes Hal.Narthha+nngb,MA a15:32,BY NCIT IATERT]fAN MIDNIOH'r tlr i i/'GI[5 .fDaw1.YRFIIFBYLiANCC}.TD(S'ItUiGSLCRUN, i?'L I6 .0).W IFIEaFBY CANCEL TfLL5T3tf,150.47YON. i I j rryer'sy+a.3. NnW c>aa I oye;s$4iw:r F,ueN R+rt _J Renewal — __ _ —�T ReneWSi t1Y Andefeen CDfpO[atiOn MA Home fmprovnment Contractor •�ewN Ide��no 30 Forbes to Nodhborough,MA 01532 License#170810 (Expires 12123YL015) wteoow etrcnosmasr .,:n,.t..m,.ta (508)351.2200 Fax:(508)�988.7072 Federal ID'/141-1 91 8 41 3 Window'.Specification Sheet �IlArvcr(si Name flat[;of Agmonent KATHLEEN GEIER TUE, DEC 30, 2014 'T lwbuyers}h>redrbma:hatrrlaeJoind9 and sncerallg anrneto pwrhasethe heron;inatcnmlance with the pritssandterms ,de!mnlxxl on tilt 5ix:citicsdion Riteet and the tront71nr1 tuft tuvetxc ui'dtr accompanying Ca.?`iCCAM NVINt)OW AND t7OOK Rl:,"t[t317EI.,LNf': AGRELMEN'C,.of which the Specification$two is part, WINDOW DETAILS ' ,tiq. APP ppca EFiMiunntaiar Coia, Mrrdww. fio,u. Law i fvie Csac Guns Room M w+un noon w. WnddwfDaar Style Detai Ext-tit Colo, Stl'e eaeBn£5`mA— Grilles Seat In Sun? Ulu, options Bail 1 1 40 50 90 be scout ,a ins..sioped sill None HfWH White Standard HFG aqs,, rot &I Yes No auction ) 40 50 90 DB sgrai{equw insert Sloped ails Norte H(Wtif White Standard HFG snmoi9u, rot, all You No Dan 2 -10 50 ge be unroll equal insert s! oil all Noire HAYH White buindsrd HFG ivransv, rot. till Yes No Total 3 RAY&DOW DETAILS stiff,oaa I MAN ARgar. Numhar, Flame WirWow- Ei,d oaa. tawEI RoofI iftoo m Roam 0ount S flarim Utas knedor FxtNa Cab, nialin I rashes I anaha I Sareans Smiftwo Soffit. Odor SPECIALTY WINDOW DETAILS Punt Apomx 10 yh, BAY/BOW ADDITIONAL WORK NOTES Room cdmt S 'ie N98rt U.I. u=.1 GM Grlila Style EoflmColo' t'au ou,l,aw—;&,ievhlurrbm 1— th""fil.r Ataw l:+a-. ADDITIONAL WORK DETAILS: Special order oo the gricis,as heforoklov,11,2013,lice 4X 1'tehforks.Faelu ao .em .Discena t. I No Contractor will wrap exterior casings with coil stock color of Owner if aware that Contractor does not do artype/rtNrrgiatemmif or remOvMflnstattetton o/alarm System or window 6EatrrBntsft vote.R i5 the responwlbilify of the homeownerto have the alarm system and window traalmentsfhardwam remawad poor to instat7etian. ft make out guatantoe a,to whether alarms or window ttaetrnentsthardwere tviH fitattar reptacarrmn[. Custameriset5cowareinsomecas sthe2W171begiassfoss, tftht ts,theamo twiftbedepende tf Me '�- eve of existing windows,type of Installation and window 5fyhi."Make e i gu mirlive as to the amount of glass Ion Customer 4 aware and Understands any arul aR Women for is not included in Lots contract,Should any tot be found there wig ba an additional charge for time and materefs unless so stated in this. contract. 3 yea Contsator will Insulafa,caulk and seal windows with 3-point system to prevent water son air intlftratlon.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 womanly shall be issued. I Yes Building Permit—Contractor,will secure any and all necessary permtts.,The fee for the.perevis)is not included in.the Contract Prica.and a separate check is required at the time of sale for this fee.. Check R. 0 $ 47 Yes All discounts have been applied to this agraemant. G ;ri. yew '", No Owner agrees to be present on the final day of knetatialion for final inspection and to deliver final peymentLf finance monfsi. -1,is agirr M I l undcrtcsirl by arul txrv.egn iftcpnriie,tfhw do,Sfgr,iluatu!n$6xeq ntnnx w nh the GCS I OM AV]"In v iXt)DWA kfNK) . l-fSG:V R ITAII-N I m,.umces tum mats mn•icnunrdme bexwmt the µanus and themare nn+srhdnnrhs,mmnd ,,{Laaxingo aoddyn!gany of th felts'I ias Slertfenaw Slmt am}n+c La tihanGoh xr its mrnu mafifircu or vtriud io t���}unli..,u<6rh:u+Y+'snmrtant ioc+uul ugne{I bybw3r46e6n tta,mld in no,nnr Rn+as,hiv IN.u^inar-'4!dgnd tR+;.r:y h.y.e ad tbia filyenlL.rdou 5hret. iRelierral.by Andersen Corporation Duv+sit} io}1r,'s. r r , a._ I\dirt/4 rUrtfe>p- .'I�,,�ly Signature.of Consultant _ ( ' ignatwe _r — Signature RICHARD WALSH. KATHLEEN GEIER Print Name of Consultant. Print Name Print Name Renews byArWemn,. Qm WINDOW REPLACEMENT aspaW �� iSSiOiid 1�Eiq,�11I+i€: fit' 'Windows am cumm ortiered and tlse Orderwill.notbesubmitUd to theAwtoryuptil Approval form is signed ref trnri$Wecoudo we,3 Wffilams SMTt Co Eaw'rrust beftig ft duh,authariwd repnmeMUVea, Have riMewed the specIlicadons thr'unpiroem to Owned by Ka. Cci Tile Como A` ' ow MA&WnMCo pany Agreft beatthe aboveowomhampetat` " peffmft and as camy out the Proposed wmk kj Sl�gyltLre�1' - �tiBtaYus��iLiL .. in ticu ot`th@i forma a6dre.on tht Condomirducn Mari Gom r� maybesubsfatuttd4 A Forbes Gd: NoNwoogb,SM,Mn Eaa(508)91&. Wchdic r The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www mass.gov/dia *Workompensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Busi ess/Organization/Individual): RENEWAL BY ANDERSEN Address:3 FORBES ROAD City/State/ ip: NORTHBORO, MA 01532 Phone#:508-351-2200 Are you an a ployer? Check the appropriate box: Type of project(required): ].❑ I am a e 30 4.ployer with ❑ 1 am a general contractor and I 6. —1 New construction employ' s (full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑■ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working .for me in any capacity. employees and have workers' insurance.t 9. ❑ Building addition comp.[No wor ers' comp. insurance p• required] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3. officers have exercised their 1 am a homeowner doing all work 1 l.❑ Plumbing repairs or additions myself 11 No workers' comp. right of exemption per MGL 12.❑ Roof repairs insuranc required.] t c. 152, §1(4),and we have no employees. [No workers' 13.[1 Other comp. insurance required.] *Any applicamthal checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners whc submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. tContmetors that cl eck this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. if the b-contractors have employees,they must provide their workers'comp.policy number. I am an emploj er that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Com any Name:OLD REPUBLIC INS. CO. Policy#or Sel, ins. Lic. #:M111WC 30293800 Expiration Date: 10/101/15 Job Site Addres :_3 W s LA-A.x JA . �� City/State/Zip: JG \G,- . M q p1Gq'�-b Attach a copy; f the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secur coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,50 .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$250.0 P 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 ce t u pains and penalties of perjury that the information provided above is true and correct Signature: Date: Phone#: 508 351-2200 Official use,i only. Do not write in this area,to be completed by city or town official. City or Tow : Permit/License# Issuing Ant It ority(circle one): 1.Board of i I lealth 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6.Other Contact Pe' on: Phone#: ANDECOR-01 YADAVYO CERTIFICATE OF LIABILITY INSURANCE DATE 01112DIY 1 /1/2074 4 THIS CERTIFIC TE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE I DES 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 REPRESENTATI 61E OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: I the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and I onditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holds,in lieu of such endorsement(s). PRODUCER CONTNAME ACT ceRificates@wNlis.com Willis of Minnesota,Inc. PHONE C/o 28 Century BIV I INC,No,Eal:(877)945-7378 _ ac Ne: BBB 467-2378 P.O.Box 305191 E-MAIL — — Nashville,TN 3723 5191 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:Old Republic Insurance Company 24147 INSURED INSURER B Rene val by Andersen Corporation INSURER C: 30 Forbes Road INSURER D: Nortt borough,MA 01532 _INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CER IFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NO WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE W Y BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AN CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AODL SUER POLICY NUMBER MMIDDIIYYYY MOLIICYDIYYYY LIMITS LTR A X COMMERCH L GENERAL LIABILITY EACH OCCURRENCE $ 1,000,00 _ CLAIM MADE X OCCUR MWZY302940 10/01/2014 10/0112015 REMISET6RENTyr ❑ PREMISES IEacwlnenra $ 500,00 MED EXP(Any dire person) $ 10,00 PERSONAL S ADV INJURY $ 1,000,00 GEN'L AGGREGA E LIMIT APPLIES PER: GENERAL AGGREGATE $ 42000,00 X POLICY PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,00 OTHER $ AUTOMOBILE LNi BIUTY COMBINED SING LIMIT $ 5,000,00 (Ea a¢itlentl A X ANY AUTO MWTB302576 1010V2014 1010112015 BODILY INJURY(Per person) $ A OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS _ NON-OAMED PROPERTY DAMAGE HIRED AUi AUTOS (Per amideno $ __ $ UMBRELLA JAB OCCUR EACH OCCURRENCE $ EXCESS LIA, CLAIMS-MADE AGGREGATE $ DED ETENTION$ $ INORNERSCOMP NSATION X PER OTH- AND EMPLOYERS LIABILITY STATUTE ER A ANY PROPRIETO PARTNERIEXECUTIVE YIN NIA MWC30293800 10/0112014 10/0112015 EL EACH ACCIDENT _ $ 1,000,00 IN FICERNEMBE EXCLUDED? - (MandatorylnNH) E.L.DISEASE-EA EMPLOYE 8 1,000,00 If es,describe uri r DESCRIPTIONOF OPERATIONS be. E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPOF 4TIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is reefulreC) I 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. AUTHORIZED REPRESENTATIVE Evili e nce of Insurance ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014 1) The ACORD name and logo are registered marks of ACORD 1�l Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen isor License: CS-M125 ; n JAl1YfiE L MORIN� 86 GARDINER Si LYNN MA 01905 ' F ` Expiration Commissioner 10/06/2016 ffice of Consumer Affairs&Business Regulation OME:IMPROVEMENT CONTRACTOR Registrah0n ,770810 , Ty pet Expiration12/23l2015- Supplement 0 RENEWALBYANDERS��O��NCORPORATION t JAIME A90RIN io i OTIS STREET NORTHBOROUGH,MA 01532 y Undersecretary u 1 j Renewal M� byAnderserL WINDOW REPLACENENT AnAndeumO,Ymy T WOOdMnyl Composite IF Dual Argon Low E4 SmertSml DOUMe Huig 100-004736MM O „. ENERGY PERFORMANCE RATINGS U-Factor(U.SUI-P Solar Heat Gain Coefficient E; 29 001 ' ADDITIONAL.PERFORMANCE RATINGS Visible Transmittance 0 ,. 42 b..w....x.mlpmx...er xr.w:w...A.m r ygAe W x xam rx......•x.ax.mi4A ww pxa.m p.Mmv.o..NfPO wbAaoa.rM..ea.9,mra.nime..wm.au.....o..gam p.m.n.r. xFla a.e.mt re vne.W W P�utlGo+eea w.nw W wi!n�Ytl.MP�b.nl'N...6v m. Cmv.e m.nabp.nh Ya,.,me b,AA..Pxxuel P. bin,rtbo. VIINYJIIR..,9 atlMAaw Won, p,i i 1 YO DESIGN PRESSURE(PS9 P� Hi L,C25 W r NbA D8 Slopedd Sill WIN . r.AxxIVFSmauAuxawRaewxe+Maa .xvmnxxenn u..v.,..e..m x�c.c.ec,:.ecc..r.d...x.wgWm.m.rmxAxrwxanxmt,b pox. . I