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8 WITCH HILL RD - BUILDING INSPECTION Z' The Commonwealth of Massachusetts ' Board of Building Regulations and Standards FOR. MUNICIPALITY, Massachusetts State Building Code, 7.80 CMR, 7 h.edition 'USE. Building Permit Application To Construct,Repair,Renovate Or Demolish a RevisedJarruary. One-or No-Family Dwelling 1, 2008 1` Tlris Section For Ofi5cialUse Only' . U Building Permit N ber ate Applied- Sig ature; Building { ector ofB ' ings Date i SECTION 1:SITE INFORMATION 1.1 Property Address- • . 1.2 Assessors Map&Parcel Numbers LARA p Ndmbcr 1.1 a Is this an accepted street?yes_ no Ma Parcel Number. , 1.3 Zoning Information: i 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq it) - Frontage(fi) - - 1.5 Building Setbacks (ft). -Front Yard Side Yai ds Rear Yard Required. Provided -Required Provided Required Provided - L6 Water Supply: (tvLG.L a 40,§54) f.7 Flood Zone Information:.... 1.8 Sewage Disposal.System: Zone: Outside Flood Zone?.. Public❑' Private[ Check ifyes❑ — - Municipal-❑ On site disposal system ❑ ' SECTION 2i .PROPERTB OWNFRSHI P' 2.1 wnerr of Pecor d[: [7 , \ Name(Print) Address for Service: Signature - Telephone. . . - . SECTION 3..DESCRIPTION OF PROPOSED WORK='(check'all that apply)". Ilex'Ccasmtctign ❑ isting Bui,Rlin^7 O.:cer upfcd ❑ Fep Ex airs(s)'.❑ Itwatio (s) GT dditlor, ❑ ..._ _ .. 6 ..e Demolition ❑ Accessory Bldg. ❑ Number off)nits Other Specify:_:._ R Brief Description of Proposed Work': 1J t ' SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials 1.Building $ O I_ Building Permit Fee:S Indicate how fee is determined: 2.Electrical g ❑Standard City/Town Application Fee Q Total Project Cosa(Item 6)x multip&er . -.. x . 3.Plumbing S 2. Other Fees: S 4.Mechanical (HVAC) S List 5.Mechanical. (Fire $ Suppression) Total All Fees:S Check No. Check Amount: Cash Amount 6,Total Proj ect Cost: S.gl (�Ck� Uu ❑Paid in Full ❑ Outstanding BalanceDue- SECTIONS.- CONSTRUCR,_0N SE£Z!VCT+S 5.1 Licensed Construction Supervisor(CSL) . 4-6 n t,. ,1 Ito /�t•c u n License.Number -.Expitation Daze. . Name of^CSL Holder(1 Lis[CSL Type(seebelow) ` . .lion U Unresh-icfed(UP to 35 000 Cu.FL) Signature - .. R RestricRd I& r!EtJy Dwrian - f7 tc("UC(q o7 M Masonry Only Telephone. RC Residential Roofin Covein - - WS Residential VTmdow and Sidui SF Residential Solid Fuel tsunling Appliance installation . . D - Re 'dential Demolition . - 5 Registered Ham; Improv�tne Contractor(HIC) h �4nolerlCv - HICCompanyNameo,H]L<RegtstrantN e - Registration.Number - Ad`-l . �1t. \ . ��alS3Z ���sgQ�� —�/ -a � �(� S�$'�[l�(i)�tr'I Z ..Expiration Date $ignaturre—i.G Telephone SECTION 6:WORKER$' COTvrPENSATION INSURANCE AFFIDAVIT(M.G.L.c isi.g 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 bmldiag permit Signed Affidavit Attached? Yes :......... No. ........ SECTYON 7a:OkWQEB UTHBi;i�43ION TO BE•CONe.. -ET-D,V RN'.. C virr-MR�'SAGENT;0Sk'C-03! �RAPPLIES.F.ORBIJIiA N PEIR11 T I, ITS r1 1\ t as Owner of the subject property hereby ' authorize r S to act on my behalf in all matters relative to work authorized by tbis building permit application. . - - Signature of Owner . .. -- Data SECSLOfI�` _b 9WNERitPRAUTR©,RIgEA`'? l SCE a3 Qubet pr'Attrhniizgd Agent 45etehv dcSlfliE that the=tatcatents and information on LL artftcand sccaralr to the best of nsy.]uiowledge and behalf.���'C .Print Name Signature of Owner or Autharizcd Agent Date (Signed underthe pains and penalties of c 'u - - - NOTES: L 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(HIq Program), will not liave access to the arbitration program or guaranty fund under M.G.L. c..142A.Other mTortant.information on the HIC Program and Construction Supervisor Licensing(CSL) can be found in 780`CMR Regulations 110.R6 and 110R5,respectively. 2. When substantial work is planned,provide the information below. Total floors area(Sq.FL). (including garage,finished basement/attics, decks or porch) Gross living area(Sq.Ft) Habitable room count Number of fireplaces Number ofbedrooms Number of bathrooms Number ofhaMaths Type ofheating system Number of decks!porches ' Type of cooling system - Enclosed Open - 3. "Total Project Square Footage"may be substituted for"Total Project Cost" 104 Otis St.,Nonhbomu h,MA 01532 J&L Wsmaws,INC.,n/B/w S MA Home Improvement Contractor (508)919-0900•Fax:(774)987-3013 R e_newal l License#149601 (Expires 1/24/2012) lbyA Idef$efl. Federal Tax ID#83-0404201 1 a eeeunewenr .nnmem�, - CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyorlal Nam. Done of Agreement An N Air Buyer(s)street Address,City,Smte,and Zip Code 0� 6u ` l-h k0 l /U- Sa Lim M(J-- o/I-70 Ehrrtl Address Hama Telephone Number I Work Telephone Number ge- -/ys- .S// Buyer(s) hereby jointly and severally agrees to purchase the products and/or services of &L Windows,Inc.d/b/a Renewal by Andersen ("Contractor"),in accordance with the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheet(s) (collectively,this"Agreement").Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amoant2&00 Estimated Starting Date: Method of Payment: OCheck ❑Cash X-1-anced Deposit Received(33%): Balance at Start 133%l: Credit Cards are accepted for deposit Estimated Completion Date: only— maximum 1/3 of the project cost. Balance o Substantial Please see Credit Card Payment Form. Completion off Job 133%l: Y By signing this agreement,you acknowledge that the Balance at Start of Job and the Balance on Substantial Completion of Job cannot be made by credit card and must be made by personal check,bank check,or cash. 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. J&L Windows,Inc.d/b/a Reneewal by Andersen Buyer(s) Buyer(s) By: ikolwlft Signature of Product Manager Signature Signature R0(cl not Pe(uc-,l-ter pc A-o i 4- Print Name of Product Manager Print Name Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _,_ _ _ _ _ _ _ .�_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ NOTICE OF CANC ELATION X NOTICE OF CANCELLATION Date of Transaction D /- O/ You may cancel Date of Transaction . You may cancel this transaction,without any penal v or obligation,within I- this transaction,without any penal or obligation,within three business days from the above date.If you cancel,any three business days from the above dilate.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 Contract of Sole,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 ("Selleel of your cancellation-notice, and any security interest arising out of the transaction will and any security interest arising out of the transaction will be canceled.If you cancel,you must make available to the be canceled.If you cancel,you must make available to the Seller at your residence,in substantially as good condition Seller at your residence,in substantially as good condition as when received, any goods delivered to you under as when received,any goods delivered to you under this this Contract or Sale; or you may, if you wish, comply Contract or Sale;or you may,if you wish,comply with the with the instructions of the Seller regarding the return instructions of the Seller regarding the return shipment of shipment of the goods at the Seller's expense and risk. I the goods at the Seller's expense and risk.If you do make If you do make the goods available to the Seller and the the goods available to the Seller and the Seller does not Seller does not pick them up within 20 days of the date pick emu within 20 days of the date of your Notice of your Notice of Cancellation,you may retain or dispose of Conmilahon,you may retain or dispose of N+e goods of the goods 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 u 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 gDods to the Seller and fail to do so,then you remain liable you remain liable for performance of all obligations under for performance of all obligations under the Contrast. the Contract.To cancel this transaction, mail or deliver a To cancel this transaction, mail or deliver a signed and signed and dated copy of this cancellation notice or any I dated copy of this cancellation notice or any other written other written notice, or send a telegram to Contractor. J notice,or send a telegram to Contractor.J&L Windows, &L Windows,Inc.d/b/o Renewal by Andersen, 104 Otis Inc. d/b/a Renewd by Andersen, 104 Otis Street, Street, Northborough �11532, BY NOT LATER THAN Nordrborough,NIA01532,BY NOT IATERTHAN MIDNIGHT MIDNIGHT OF - ' ot0/.(Date) OF .(Date) I HEREBY CANCEL THIS TRANSACTION. 1 HEREBY CANCEL THIS TRANSACTION. I Buyei r5ignamm AintNoma Bnte Buyer',Sig nonn a Aim Nome NO. RbA Copy- White Buyer Copy-Yellow Buyer Copy-Pink 104 Otis Street,Northbornigh,M 01532 T&L Windows,Inc.d/b/a Renewal IAA WC License.#149001(expires 1/24/I Phone 508.919.0900•Fax]]4.9Sy.3013 ' � Federal Tax lD# 83-040421 brAndersen. WINDOW REPLACEMENT �Co y OF GNssarx MASGCHUSEI]S AND NEW HA1.gim,, WINDOW SPECIFICATION SHEET Buyer(s)Name - Date of Agreement S -e rThe /O Buyers) by) try and severally agmx to purchase the goods and/or services ILsted below,m 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. WINDOW DEPABS - I. Contractor will Install a total of windows in Owner's home,using the following individual quantities: Double Hung(LB) ❑ Equal sash ❑ Cottage sash(1/3 top,2/3 bottom) ❑ Oriel sash(2/3 top.1/3 bottom) Casement(C W) ❑ Hinge right ❑ Hinge left(as viewed from exterior): ❑ Standard handle ❑ Metro handle Double Casement(CDW) ❑ Standard handle ❑ Metro handle Casement/Picture/Casement(CPW) ❑ 1:1:1 or ❑ 1:2:1 ❑ Standard handle ❑ Metro handle 2 Lite Gliding Window(GW) Glider/Picture/Glider(GFW) ❑ 1:1:1 or ❑ 1:2:1 Awning Window(AW) Picture Window(FW) Bay o Bo Window Patio Doors(see separate Door Specification Sheet) 2. ❑ Yes;<,No Qty of Windows to be Custom Fit Replacement: 3. ❑ Yes,ELNo Qty of Sills to be replaced by.Contractor: 4. �Y s ❑ No Qty of Windows to be New Construction Full frame(includes new interior&exterior casings)and actual Exterior casings: ❑ Pine 0[ -maintenance-free material ❑ Factory applied 908 Fibrex brickmold 5. Glazing to be:011P Low-E-4 rr•I ❑ Other If other,please specify: B. Exterior color to be:XWhite ❑ Sand ❑ Canvas ❑ Terratone ❑ Cocoa Bean 7. Interior color to be: White ❑ Sand ❑ Canvas ❑ Terratone ❑ Pine ❑ Maple ❑ Oak Note: Interior color can only be white,wood or same color as exterior. Wood interiors need to finished by Owner. 8. Hardware:XWh1te ❑ Stone ❑ Canvas ❑ Brass ❑ Estate Hardware: Style: 9. ❑ Yes XNo Install Lifts with Double Hung Windows 10. Screens: windows to have: ❑ Half crjQ_Full screens Screens to be:,Zg Fiberglass ❑ Aluminum ❑ TruScene GRILLE DETAILS 11.Windows have grilles: ❑ Yes§�_No If yes:❑ Grille Between Glass(GSG)❑ Removable Interior Wood avrwl❑ Fall Divided Light unu Qty: Qty' Qty: Qty: Qty: Qty Qty: LJHF 711F 711LN/IPICNre came, IFF1711 Draw grille patterns above 'Use additional sheet if needed Owner approved(initials): ADDITIONAL WORK DEPAUS 12,❑ Yes 24�..No Contractor will remove metal frames of windows. Qty of Units: 13.,N Yes ❑ No Contractor will install new paint-ready Or stain-ready casings. Interior'�casing q , City of openings:�— Exterior casings qty of openings:_� ❑ Pine Maintenance-free material 14.❑ Yes Q) o Contractor will install new paint-ready or stain-ready inside or outside stops qty of openings: Interior stops qty of openings: Exterior stops qty of openings. ❑ Pine ❑ Maintenance$ee material 15. Owner is aware that Contractor does not do any painting. ( )Owner Initials I B.❑ Yes jdjYo Contractor will wrap exterior casings with aluminum coil stock of color. Note: Wrapping may be required with storm window removal;removal of storm windows will leave screw holes in casing. 17. es ❑ No Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration. 18 Yes ❑No Clean up alljob related debris including old windows will be removed.Vacuum nightly. 19.X Yes ❑ No A limited warranty shall be issued to Owner upon completion of the job and payment in full. 20.XYes ❑ No Building Permit--Contractor will secure any and all necessary permits. The fee for the permit(s)is not included in the Contract Price and a separate check is required at the time of sale for this fee. 21;Fl-yes ❑No All discounts have been applied w this ag�rreement price. 22. Additionaljob details: Fi pYl _ _+ : Ll,�-2. i S Li�P 6o-r,L� 23.6klym ❑ No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment. No final paymeenshall be demarsded until the contmctis completed to the satisfaction of all parties. It is agreed and understood by and between the parties that this Specification Sheet,along with the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT,constitutes the entire understanding between the parties,and there are no verbal understandings 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. Rosser(.)hereby acknowledge that Buyer(.)has read the Specification Sheet. Renewal by Andersen of Greater MA and NH Buyyerr((s))/,�/ Buyer(.) _ By: �Q��.-sh P/pz> i� /"LiC�(.ulrlit/D'YL� Signature of Product Manage' Siglature Signature Print Name of Product Manager Print Name Print Name The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 low www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name (Business/Orgmization/Individual):// TP n G t)G 1 -Ek nI /-/&& S(f n Address: /b 7i S SDf ee IL ! \ City/State/Zip: Vo rlh 6 r,A� (1 3� Phone #: Are you an employer?Check the appropriate box: Type of project(required): 1.&I am a employer with �90 4. ❑ 1 am a general contractor and I 6. ❑New construction employees(full and/or part-time).* _ have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. # ?•. ,�Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. [1 We are a corporation and its required.] officers have exercised thew 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.0 Other comp.insurance required.] Any applicant that checks box#I most also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContmctors that check this box must attached an additional sheet showing the time of the subcontractors and their workers'comp:policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. / Insurance Company Name: �J f �C� � /1),sg r1CI II C e__ n / / q Policy#or Self-ins. Lic.#: ,3.�J W)1�t�7R i'my Expiration DateC�(_�� a_ Job Site Address: _kA Al 1, fU City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing.the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c rtify under th pain and penalties o rjury that the information provided above is true and correct. Si nature: - Date: Phone#: Z '6 Lt te V Lo o Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: ® - DATE(MXVDD/YYYY) Av CERTIFICATE OF LIABILITY INSURANCE 10/04/2011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CORPRODUCER NAME J.P. McKeone Insurance Agency Inc - PHONE FAX JP McKeone Insurance Agency, Inc. A,c . (734)662-8100 we No)' P.O. Box 333 ADDRESS Ann- Ann Arbor, MI 481060333 INSURER(§)_A F RDINGCOVERAGE _ NAICP INSURER A. Nautilus 19682 INSURED J&L Windows,Inc.Renewal by Andersen INSURER B: Hartford 37478 104 Otis St. INSUflER C Northborough,MA 01532 INSURER D INSURER E: NSURER 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. AODL SUER POLICY EFF POLICY EXP ILTF TYPE OF INSURANCE POLICY NUMBER MWDDIYYY MMIDD/YYY I LIMITS A GENERAL LIABILITY NC958461 10/01/2011 10/01/2012:EACH OCCURRENCE $ 1,000,000 DAMAGETO RENTED 100,000 COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $ CLAIMS-MADE V OCCUR MED EXP(My one person $ 5,000 PERSONAL B ADV INJURY $ 1,000,000 (_GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPrDP ASS $ 2,000,000 POLICY PR T LED $ AUTOMOBILE LIABILITY 35 MCCXD6390 10/01/2011 10/01/2012 COMBINED SINGLE LIMIT 1,000,000 Eaac dirmt ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED I BODILY INJURY(Peraccltlent) $ AUTOS AUTO OWNED l PROPERTY DAMAGE $ HIRED AUTOS ADIOS - Per accHent I $ UMBRELLA LIAR Ll OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE I AGGREGATE DELI RETENTION$ t $ A WORKERS COMPENSATION 35 WECPP1444 OP/17/2011 02/17/2012 WC STATU- OEB TH IMELS AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN E.L.EACH ACCIDENT Is 500,000 OFFICERIMEMBER IXCLODED4 NIA SDO,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe antler :E.L.DISEASE POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS below 8 PEOOH55500 0507 09/27/2011 09/27/2012 i - - i I _ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD .. \lassachu,ett, - Department of Public Safct' -Board of Buildin_ Re-ulations and Standard, Construction Supervisor License License: CS 95707 BRIAN DENNISON _ _ 86 CREST CIRCLE - WORCESTER, MA 01603 Expiration: 9/8/2012 ('inn nn"j„n". Tr--: 2622 .. ✓!se Po�„neo>`unealrY o�.�Lfamar/eeeeCO . Office of Consumer Affairs&Business Regulation r. HOME IMPROVEMENT CONTRACTOR Reg istratr ori�`,1.49601 .Expir.�M 12 11 P-P emont Card RENEWAL BY,gI- -- SOi . BRIAN DENNIS �..a � IN OTIS STREE NORTHBOR 01532 Undersecretary -. Do.not remove Unfl!final code Inspection. Save label forthn reference. N � m m Z o Q m c m -U Lu y 'o rase 7a 7= C enet�cgw m . Renewal rt'1 c wAndersen. ' WIN.YW REPLACEMENT m�ndmiuiC.mpmq r 'rdrEa .,. AND-N-IO2 . '.I�11'xl+stt�c�v Wood/Vlnyl Composite - ____------__-- Dual Argon Low-E4, • Product Type: Casement ENERGY PERFORMANCE RATINGS U-Factor - Solar Heat Gain Coefficient 0 . 29 1 . 65 0 . 28 U.SS-P Metriclsrl ADDrrIONAL PERFORMANCE RATINGS Vislbie Transmittance MON 0948 - ManummuvaOpWaG memos rzprys rnNmm.m wwumle NRS P�^�'� mrGo-amiunnu�'R°a"� ' - P.Im^^a�.ruRcnnnmmaetr�mer-a rtaam sae�m em�mmnam�mwieom aM.meeie woauc� ' �-.�,�wcemmmm�uv�on.r-a+wMn_�m��camauap�mm�,^R mm�m+nmdi zvmp�wcm",y'r�'� ersen Co c on, A Casemen now sap ccmormm�� a omma no standard Rating wAAMAAS9NNc5+.VUIs A"D-05 DP psf DP35 . w.a.anPm- ,�, � vnvomnuml�mm. " QMaielrwea�aaN W fie.aam I a, C£R<y4 �e�m too-oc513g72-0oi M16wmtea+MEt..cEc.6{ELL.AV aaoermmi�CgWrtmenII lWW.Naae.R LvmcaemiPmpram Renewal W-0 by Andersen. =t WINDOW REPLACEMENT 24tA18crseaCotatpatay To whom It May Concern, . Enclosed is a permit application package for a project we have been contracted to do in your town. Thank you in advance for receiving this package by mail. As we work in every town in the state, it greatly helps us in our process. We have also enclosed a self addressed n has been envelstage paid ope and ped, that you would request that when the permit application would mail it back to us. Enclosed for you review in this package is: ❑ Permit Application ❑ Home improvement Contractor License ❑ Construction Supervisor License ❑ Proof of insurance ❑ Proof of Energy Efficiency Eating ❑ Signed Contract from customer ❑ Permit Fee (if accepted at time of applying) if you have any question regarding this application please call ire at (508) 919-0992. Best Regards, Kelley Donahue Permit Coordinator 104 Otis Street 1 Northborough,MA,01532 Phone(508)919-0900 Fax(508)919-0903 Website:www.renewnlbvandersen.corn