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50 B PICKMAN RD - BUILDING INSPECTIONr The Commonwealth of Massachusetts ° Board of Building Regulations and Standards FOR Massachusetts State Building Code,780 CMR, 7i6 edition MUNICIPALITY USE. Building Permit Application To Construct,Repair,Renovate Or Demolish a RevfsedJanuary One-or Two-Family Dwelling 1, 2008 tt This Section For Official Use Only . Building Permit Number. Date Applied: n Signature: Building Commissioner/Inspector of Buildings Date . rj SECTION 1:SITE INFORMATION 1.1 Pro e AdlId 1.2 Assessors Map&Parcel Numbers �17 ��iC�y�An1°l� ���M Ol�i1D 1.1 a Is this an accepted street?yes_ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq fl) 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: - - Public❑ Private❑ - Zone: _ Outside Flood Zone?. Check if yes❑ Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'otRecord- .Gk� e �f-c� So ® � ckv`g� R�1 Sa��.vt o1coo Name(Print) Address for Service: SS It Signature - - Telephone - SECTION 3:DESCRIPTION OF PROPOSED WOWK.(check all that apply) . ;�` 'vnnutrt:^L°n•.n Ek1S Build. O^ •'O^ ..pied ❑ .Re.pa.rs(sl''� ';^� :uc(s) ^' . . .��1 d ❑ Demolhion ❑ AccessoryBldo: ❑ Nuniberofllnits Other O Spcelrp:_:__ .-.., Brief Description of Proposed v✓orlc: e S - .c n SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor Materials) 1.Building $ C3 l: Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ O 2. Other Fees: $ �J 4.Mechanical (HVAC) $ List 7 �r 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ --I I O 11 Paid in Full 0 Outstanding Balance Due- SECTION 5: CONSTRUCTION SER.SES , 5.1 Licensed Construction Supervisor(CSL) 1- )r i 4 on n V e o✓l i.5� License Number Expiration Date. Name ofCSL- ofld5 Hoer' LC)V4 �� n')II ro olf3 List Type N (see below) y� �. dressy T. e a,;, .,; Description J � U Unrestricted(up to 35,000 Cu.Ft. - Signature R Restricted 1&2Family Dwelling - .fD� -Ci[Ci --0993, M Masomy Only RC Residential Roofing Covering Telephone. WS Residential Window and Siding - - SF Residential Solid Fuel Burning Appliance Installation D I.Residential Demolition - 2 Reg gis [Geried gome mp o�vement Ftr H1C Company Name or t�7�Registrant Nam I Registration Number L O�-is Nu�+ �1�01 iMA ots31 ( -dY -I a dress l K-t4-1,,—'�11& M S� � -�(C�.p�'er� Expiration Date Signature Telephone SECTION 6:WORKERS, COMPENSATION INSURANCE AFFIDAVIT(M.G1.c.152. 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 building permit Signed Affidavit Attached? Yes .,........ (9/ No...........❑ SECTION lac OWNER AUTHORIZATION TO BE COMPLETED WFIEN .... .. . OWNER'S AGENT OR:CONTRACTUR APPLIES FORBIIILDING PERMIT"" I, as Owner of the subject property hereby authorize to act on my behalf,in all matters relative to work authorized by this bttildirfg permit application. Signature of Owner Date SEC3I.ON 7b:.OWNER'OR XITHOlq. AGENT DEMATiATZON" 0vInct or: tzed Agent erebv t clnxe < ' tliai the=tatcmetils atiduifonriation ori the fo:egeiu_s application"are.irue aiid accurate, to the best of niy ktio�rledee and _ bryl� f .. . .: . • . . . t�t �G✓_� �Pnvt StJt'1 nt Name - Signature of Owner or AutlmrfffDate (Signedunderthe ains anena ties of a 'u - NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not]iave access to the arbitration program or guaranty fund under M.G.L. c. 142A.Other important information on the MC Program and Construction Supervisor Licensing(CSL)can be found in 780`CMR Regulations 110.R6 and 110.85,respectively. 2. When substantial work is planned,provide the information below: Total floors area(Sq.FC). (including garage,finished basementlattics, 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"may be substituted for"Total Project Cost" 6 DEBRIS FORM This form is to be submitted with building permit applications whinever there is debris to be disposed of. Property Address: So aJ (I,'—&\Co. Le D I. O In accordanrr with the provisions of MGL e.40,§54,a condition of the Building P=uit Number is that the debris resdting from this work shall ba disposed of is a properly licensed solid waste disposal facility as defined by MGL c.Il l§150A This debris will be disposed of s Rene wd1 �y eQe✓ c� lc)-( b-7� IyU� � advts:31 (Location of Faclity) Signature of Permit Applicant Date i DEBRJS FORM This form is to be submitted with building peniut applications wli never{here is debris to be disposed of Property Address: S� !�• rn,c(L r�4n. ��. a�e MA U I.ct7 (D In accordance with the provisions of MGL o.40,§54„a condition of the Building Permit Number is that the debris resulting from this work shall be disposed of is a properly licensed solid waste disposal facility as defnc by MGL c. l l l§i50A Th(iii debris will be disposed of in . e�e r i(j-1 IS S� . Noy h N� OSS 31 (Location of Facility) Signature of Pemiit Applicant v\ Date ' I I I i i APR-01-2009 WED 01 : 19 PM APT FINANCIAL SERVICES FAX N0, 7819354289 P. 02 American Properties Team, Inc. TO: Mr. & Mrs. Guy Lento— 50B Picicman Road FROM: Jennifer Pappas, Property Manager RE: Window Replacement DATE: April 1, 2009 Please be advised that the Board of Trustees for Pic$anan Park has approved replacement windows for the above referenced unit. This approval is contingent upon them matching the existing windows and that they fit in the existing opening. They must be the same in appearance from the exterior. The Board will not allow windows with grids, crank outs, etc. We also require that permits be pulled in advance (regardless of what your contractor may tell you), and then a copy of the final approved permit once completed must be sent to APT for the unit file as well. We also recommend that owners obtain a certificate of insurance from the licensed contractor. You will need to bring a copy of this letter to the Salem Building Department in order to receive your permit. Should you have any questions or require additional infortnation, please feel free to call me directly at(781)932-9229. cc: Unit File 500 WEST CUMMINGS PARK-SUITE 6080, WOBURN -MA •01801.7a1-832.9229 -FAX 7a1-836.4289 1- '^ JB''�onvrna�xraeal!/,�.� etd. I Board of Building Regulations and Standards _ Construction.Supervisor License.",,;• License;,CS •95707 .• Birthda`ts' 98/1982 Rg5�piratI9,1 �{8f2070 Tr# 95707 . tt c♦:ion�4f!u .. � BRIAN DENNI50 �3 r 86 CREST CIRCLE WORCESTER,MA01fi �'. Commissioner -� RENEWAL BY ANDERSON BRIAN DENNISON 104OTIS STREET NORTHBOROUGH, MA 01532 DPS-CAt 0 SOM-07/07-PC8490 - T/m ecmwld Board of Buildiag Regulations and Standards - - j HOME IMPROVEMENTCONTRACTOR - Registraiionk 149601 ExpBa4on /24/2010- n YP UpPlement Card - - RENEWAL BY BRIAN DENNISOI,� ' 104 OTIS STREEC:; , _ NORTHBORODUH,MA01532_ - Administrator i` ACORQ.- CERTIFICATE OF LIABILITY INSURANCE DATE IMMIMM " 02/17/2009 PaDDueoe THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Joseph MCKeone ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE OR JP McKeon Insurance Agency, Inc. ALTER THE OR COVERAGEHOLDER. THIS CAFFOROED BYATE DO THE POAMENLICIES BELOW. P.O. Box 333 Ann Arbor, MI 48106-0333. INSURERS AFFORDING COVERAGE MAIC 0 INSURED - Renewal by Anderson INSURERK 0 Insure ce Coa Hartford n m� r J&L Windows, Inc. INSURERS: Hermitage 104 Obs SI INSURERC: Northborough,MA 01532 INSURER o: INSURER E; COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. - R7GENLAGWGREGATE - POLICY EFFECTIVE POLICY EXPIRATION Lm POULY NuMBFA DAM IMM?QQfYYI IDOTs BHCP 507 404 09/07/2008 09/07/2009 EACH OCCURRENCE s 1,000,000 ENERAL LIABILITY PREMSE$ axCARKa - S 100.D00 DE ©OCCUR - MEDEXP( atm,pe n) f _ 5.000 .. PERSONAL SADV INJURY s 1000000 GENERAL AGGREGATE $ 2,000,000 MITAPPLIES PER:. PRODUCTS-COMPIOPAGG s 2000000 PRO. LOC A AUTO NOBLE LIABILITY 35 MCC XD 6390 10/01/2008 10/01109 COMBINED SINGLE LIMIT A14YAUTO Ee_awaam) S 1,000,000 X ALLOWNEDAUTOS SOOILYWJURY f . SCHEOULEDAUTOS _ (Par Parton).. .. HIREDAUTOS BODILYWJURY S . NON-0WNEDAUTQS - � (Poraodaun0 PROPERTYDAMAGE s (Per aOJCeNN) GARAGE LIABILITY - AUTO ONLY•EA ACCIDENT Is ANYAIJTO OTHER THAN EA ACC S AUTOONLY: AGO f EXCESSNMORPII LIABILITY EACHOCCURRENCE Is OCCUR. �.CLAIMS MADE AGGREGATE S f DEDUCTIBLE S RETENTIONS A WORKERS COMPENSATION AND 35 WEC PP 1444 02/17/2009 02/17/2010wcsTATu. DTH- . EMPLOYERVUJIBUM - ANY PROPRIETOR,PARTNEAIEXECUTNE E_L EACH ACCIDENT $' 500 000 OFFICERAAEMBER EXCLUDED?. EL DISEASE-EA EMPLOYEE S 500 ODO ISPECyee.IaAL PRDVIewmoanSearIONS Debw EL DISEASP•POLICY LIMIT 13 500,000 OTHER OESCNPTION OF OPERATIONS ILOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT SPECIAL PROVISIONS CERTIFICATE HOLDER - CANCELLATION SHOULD ANY OF TILE ABOVE DESCRIBED,POLICIES BE CANCELLED BEFORE THE EXPIRATION INSURED COPY - DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MALL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO W$O SHALL IMPOSE NO DOUGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR . REPRESENTATIVES. _ AUTHORIZED REPRESENTATIVE [�/!/*1 _ Ce" ACORD 25(2001/08) ��//I/ OACORD CORPORATION 1986 The Commonwealth ofMassaehusetts Department oflndustrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): Rene j a i ;BV An dk r s e_n l Address: nnl0�l Q/ 5 Lec f City/State/Zip: /VOf4boro� e),QZ Phone#: Are you an employer?Check the appropriate box: Type of project(required): .. 1.fZ-I am a employer with -30 4, ❑ I am a general contractor and I 6. ❑New construction employees(full arid/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet t 7• modeling 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. ❑ We are a corporation and its officers have exercised their 10.[]Electrical repairs'or additions required.] 3.❑ I am a homeowner doing all work right of exemption per MGL I L❑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.❑Other comp.insurance required.] *Any applicant that checks box#1 must 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. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors 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. ,�l //��e r)2 ),15: Insurance Company.Name: I //l C /1 o lyd Y1 C Policy#or Self-ins.Lic.#: �'J h)�c� _?? /`f`}1 Expiration Date: 1;_/ Job Site Address: C7 ��ZC�MaIv �e1 City/State/Zip: �Gt1e m M Q OL� 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 eer u �er the pains and penalties.ofperjury that the information provided above is true and correct. S1Qnature % Date: O Phone*: 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): I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector.5.Plumbing Inspector . 6.Other Contact Person: Phone#: Renewal2o RENEWAL BY ANDERSEN MA License x 149601(expires 1124nO bl'f�Fl(�CfSf1. Federal TaxlDft 53-0404201 veers OF uREATER MASSACHUSETTS AND NEW HAMPSruRE 104 Otis Street•Northborough,Massachusetts 01532 Phone 508.919.0900•Fax 508.919.0903 SPECIFICATION SHEET Buyer(s)Name Date of Agreement QUY s -4"A/ l e.i� ,3 I 09 The Buyer(s)listed above herebyjointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on the Specification Sheet and the front and the reverse of the accompanying CUSTOM WINDOW AND DOOR REMODELING AGREEMENT of which this Specification Sheet is a part. WINDOW DETAILS - 1. Contractor will Install a total of windows in Owner's home,using the following individual quantities: --7—Double Hung(DB)X Equal sash ❑ Cottage sash(1/3 top,2/3 bottom) ❑ Oriel sash(2/3 top.I/3 bottom)' Casement(CW) ❑ Hinge tight ❑ 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 - Z Lite Gliding Window(GW) - Glider/Picture/Glider(GVW) ❑ 1:1:1 or ❑ 1:2:1 Awning Window(AW) - Picture Window(FW) - Bay or Bow Window Patio Doors(see separate Door Specification Sheet) 2. Y's ❑ No Qty of Windows to be Custom Fit Replacement: 3. ❑ Yes Pf No Qty of Sills to be replaced by Contractor. 4. ❑ Yes XNo Qty of Windows to be New Construction Full frame(includes new interior&exterior casings) Exterior casings: ❑ Pine ❑ Maintenance-free material E] Factory applied 908 Fibrex brickmold 5. Glazing to be: Nf HP Low-E®SmartSu nA (Tar CtinStEkpble) ❑ Other If other,please specify - G. Exterior color to be: X White ❑ Sand ❑ Canvas ❑Terratone ❑ Cocoa Bean 7. Interior color to be: White E] Sand ❑ Canvas E] Terratone ❑ Pine ElMaple ❑ Oak - -Note: Interior IN color can only be white,wood or same color as exterior. Wood interiors need to finished by Owner. 8. Hardware:?9 White ❑ Stone ❑ Canvas ❑ Brass Double Hung 9. ❑ Yes 0 No Install Lifts with Double Hung Windows 10. Screens: windows to have:/"9 Half or E] Full screens Screens to be: MFiberglass ❑ Aluminum E] TruScene GRILLE DETAILS - I I.Windows have grilles: ❑ Yes No If yes:❑ Grille Between Glass(GBG)❑ Removable Interior Wood aNrvn❑ Hall Divided Light orn) - Qty Qty Qty Qty= Qty Qty: Qty on on os ou cwnrure Daae, cvw occw Draw grille patterns above 'Use additional sheet if needed Owner approved(initials):( 1 ADDITIONAL WORK DETAILS 12. Yes No Contractor will remove metal frames of windows. Qty of Units: 13.❑ Yes No Contractor will install new paint-ready or stain-ready casings. In nor casing qty of openings: Exterior casings qty of openings: ❑ Pine ❑ Maintenance-free material 14.❑ Yes In No Contractor will install new paint-reedy or stain-ready inside or outside stops qty of openings: Interior stops qty of openings: Exterior stops qty of openings: ❑ Pine ❑ Maintenance-free material 15. Own ertf��"pwere that Contractor Aces not do any painting. ( 1 Owner Initials 16.❑ 1'es 'P' No 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. Yes ❑ No Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration. 18. Yes ❑ No A limited warranty shall be issued to Owner upon completion of the job and payment in full. 19. Yes ❑ No BROWS Permit Contractor will secure any and all necessary permits. The fee for the permits)is not included in the Contract Price and a separate check is required at the time of sale for this fee. - 20. ,Affdd�ditional job details: - 21. [X Yes ❑ No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment. Aro final pa}nnentshall be demanded until the contract is 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 AGREPMQVT,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 sac changes are in writing and signed by both the Buyer(a)and Contractor. Buyer(s)hereby acknowledge that Buyer(s)has read this ifition eet. - Renewal by Andersen of G este MA and NH Buyer(s) / Buyer(s) Signature of Pro act Manager Signa Signature �j7��1 eEks fv L 1377 1 na�Jn> dn3'iz1 Print Name of Product Manager Print Name Print Name RbA Copy I T MA license#149601 (expires 4 Renewal LTEWAL BYANDEnCr Federal Tax Diff 03OA04201 byAndersen. g WINDOW REPLACEMENTm OF GREATER MASSACHUSETTS AND Nov HA\4PSHIRE 104 Otis Street•Northborough,il4A 01532 Phone 508.919.0900•Fax 508.919.0903 - CUSTOM WINDOW AND DOOR REMODELING AGREEMENT Buyetlel Nam. Date of Agreement EA/-l-p .✓ Bayer(s)Str et Address,Ciiy,Sate,and Zip Code - So 3 F/ C MMA/ 73,6 SAL,5^1 Wad Address Home Telephone Number Work Telephone Number R-7yy- : Buyer(s)hembyjoindy and severally agrees to purchase the products and/or services of J&L Windows,Inc.dba Renewal by Andersen of Greater Massachusetts and New Hampshire("Contractor"),in accordance with the terms and conditions described on the front and the reverse of this - agreement and on the attached specification sheets)(collectively,this"Agreement").Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement Method of Pymnt:C]Cash ❑Check O Mastercard ❑VISA Total Job Amount.''X710. Estimated Storting Date: Deposit Received(33%): O Discover �manced,APP#:G03 � ock. - Name on Credit Card:. Balance at Start of Job 133%1: T— Estimated Completion Dale: Credit Card Balance on Substantial y-(e[(lL2a Completion of Job(33%); CC Exp.Date: CC Security Code: By initialing here,you acknowledge that the Balance at Start of Job and the Balance on Substantial Completion Buyer Ivitials 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. Renewal by Andersen of Greater MA and NH Buyer(s) Buyer(') By / Signature of P oduct Manager Signa ure (Sl'1l buy A6.Aj-1V �oawU 1 �vro Print Name of Product Manager ITPrint 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 LANCE � LATION I NOTICE O NCELLATION Date of Transaction D .You may cancel I Date of Transaction J"Y 0 .You may cancel this transaction with any pens yy or obligation,within this transaction without any enalffyy or obligation,within three business days from fheabovedate.Ifyoucancel,any three business Joys from the abovedaM.Ifyoucancel,any property traded in,any payments made by you under the roperty traded in,any payments made by you under the Contract of Sale,and any negotiable instrument executed Contract of Sale,and any negotiable instrument executed by you will be returned within 10 days following receipt i by you will be returned within 10 days following receipt by the Seiler of your cancellation notice,and any security i by the Seller of your cancellation notice,and any security interest arising out of the transaction will be canceled. I interest arising out of the transaction will be canceled. If you cancel, you must make available to the Seller of If you cancel,you must make available to the Seller at your residence, in substantially as good condition as your residence, in substantially as good condition as when received, any goods delivered to you under this when received, any goods delivered to you under this Contract or Sale'or you may,if you wish,comply with the I Contract or Sale;or you may,if you wish,comply with the instructions of the Seller regarding the return shipment of instructions of the Seller regarding the return shipment of the goods at the Seller's expense and risk.Ifou do make the goods at the Seller's expense and risk.if you do make y toes available to the Seller and the Seller does not t the goods available to the Seller and the Seller does not pickthemup within 20 days of the date of your Notice I pickthemup within 20 days of the date of your Notice of Cancellation,you may retain or dispose of the goods 1 of Cancellation,you may retain or dispose of the goods without any further obligation. If you fail to make the without any further obligation. If you fail to make the goods available to the Seller,or if you agree to return the goods available to the Seller,or if you agree to return the ?nods to the Seller and fail to do so,then you remain liable goods to the Seller and fail to do so,then you remain liable for performance of all obligations under the Contract. for performance of all obligations under the Contract. To cancel this transaction, mail or deliver a signed and To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other wriBen 1 dated copy of this cancellation notice or any other written. - nofice,.or send a telegram to Renewal_by Andersen notice, or send a telegram to Renewal by Andersen a of Greater Massachusetts and New Hampshire, 104 1 of Greater Mossachuseffs and New Hampshire, 104 OKs Street,Northbo u MA 01532,NOT LATER THAN Ofis Street, Norfhbo ugh MA 01532, NOT LATER THAN MIDNIGHT OF 3 O .(Date) MIDNIGHT OFg�-��•(Date) I HEREBY CANCEL THIS TRANSACTION. X I HEREBY CANCEL THIS TRANSACTION. Consumer'.signature DOM Consumer's Signature DEN I ®10W2009:RBAPF MANN RhA Cnnv u Renewal RC yAndersene - WINDOW REPLACEMENT nnAnd.McMpaay VaionaiFe straTon WoodNinylCompositeIF RafmgG.�.lnti(�: . Dual Argon Low E Double Hung p 100-DD4145B5-007 ENERGY PERFORMANCE RATINGS U-Factor(U.S)A-P Solar Heat Gain Coefficient. 0 -30: 0 . 31 ADDITIONAL PERFORMANCE RA,IRI=S• Visible Transmittance 0 . 53 " - MenWeemreruupumms metnn¢e wunp¢wmem,m.pplunla Nppe pmnaamvs mrenmmimmawnnln pmennt O.Cd.. NpaOnenpseWpmdudatlbrefao¢ nntn asoabMeonanypmdu eordcpsol eumn - N'Ac ands netnmmmentl esryproeuetentl tivasmiwemntme eNmaNty efenypmtluctloreiry¢puelLuu. ' Cen¢WlmanulecWiaf¢Ilmmmn mroNmpmtluctpaMimeneo mlommfivR NM1NV.n Org p' ��SE.4C Thlspmductmeets Gi tl m• .., f 7� ., 5ee15 envimnmentli W standardsgovernlll x.- energy efficiency, e rte ;' A metals in the frame - '" sash materials, .packaging,and ' edueetlonmsted� u aLLi �"• -r' `' DESIGN PRESSURE(PSF)' 11111Is r ¢ Nevem cm�mm �B' I I If LC25 RbA DB Sloped Sill DH IN w Teneam NAFS-0^m AAASAMD}dAl6A]OITSIAYnM Miavfecmrtrsfbvl.nsmv(emvvxroiheimntieblen�md,mds Mwm er¢¢evees N.EC.,C.EL,81E6C.AU mmmeonrvgWmma�YlCMAXel6nesk CeeNeetlen Pmpmm. ' j Renewal byAndersen. 1a WINDOW REPLACEMENT an Andersen Company 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 and postage paid envelope and would request that when the permit application has been processed; that you 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 Rating ❑ Signed Contract from customer ❑ Permit Fee (if accepted at time of applying) If you have any question regarding this application please call me at (508) 919-0992. Best Regards, Mary Ellen Rudsit Permit Coordinator 104 Otis Street 1 Northborough,MA,01532 Phone(508)919-0900 Fax(508)919-0903 Website:aN n vxenewalbvandersen.00tn