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B-19-1075 - 0063 BROAD STREET - Building Permiti YE ' -The Commonwealth of Massachusetts Y`i' `> Board of Building Regulations and Standards,`; & CITY OF Massachusetts State Building Code,780 CMftzl�s '" � EM I i�ri Mar 2011 Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family L)welling - - This'Section For Official Use Daly- �-- B ulding Petmit',Nvmber:F Date Applied Building Official(Pent Name) Signature Dade s t MI N r SECTION 1:SITE E FORMATI 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers } 63 Broad St 25 1.1 a Is this an accepted street?yes X no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq'ft) Frontage(ft) 1.5 Building Setbacks(tt), 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? Municipal❑ On site disposal system ❑ Check if yes13 F SECTION 2 PROPERTY OWNERSHIPI 2.1 Owner'of Record: _. Ellenm Mcardie Salem, MA 01970 Name(Print) City,State,ZIP' 63 Broad St 978-594-4220 ellenmcardle@gmail.com No.and Street "' Telephone Email Address _ . ION 3:DESCRIPTION OF PROPOSED WORK=(cbeck all tbat aFP1Y) ._ New Construction❑ Existing Building M Owner-Occupied,M I Repairs(s) ❑ Alteration(s) ® I Addition ❑ Demolition ❑ Accessory Bldg.0 1 Number of Units Other E Specify:-Replacement Brief Description of Proposed World: Replacement of 23 windows -° SEGTION:4:ESTIMATED CONSTRUCTION COSTS _ _- _ Estimated Costs: - Item (Labor and Materials OfflcialkUse Only j 1,Building $ 36260 1 r,Biulding Permmit Fee:'$ Indicate how'fee is determined." . - - . 2.Electrical $ ❑Standard Cily/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2 ,Othei Fees- $ - 4.Mechanical (HVAC) $ 'List. 9 5.Mechanical (Fire Total All Feast Suppression) $ - Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ 36,260 ❑Paid in Full ❑Outstanding Balance Due: C ov'L4rc--- � I SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 90125 10-06-20 Jamie Morin License Number Expiration Date Name of CSL Holder List CSL Type(see below) U 30 Forbes Road No.and Street Type ' Description Northborough, MA 01532 U Unrestricted uildin s up to 35,000 cu.R R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry 'RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 508-351-2277 rbabostobpermitting(cDandersencorp.com I Insulation Telephone Email address D Demolition 5.2 Registered Rome Improvement Contractor(IHC) 170810 12-22-19 Renewal by Andersen HIC Company Name or HIC Registrant Name HIC Registration Number Expiration Date 30 Forbes Rd raoson ermittin _ bbtp g@andersencorp.com No.and Street Email address' Northborough, MA 01532 508-351-2277 Ci /Town,State,ZIP Telephone SECTION6c'WOR1KERS'COMPENSATION"INSURANCE AFFIDAVIT(M.G.L.c:152 § 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_ i Signed Affidavit Attached? Yes SECTION 7a;OWNER AU" RIZATIgXTO BE COMPLETED WHEN OWNER'S AGENT_OR CONTRACT,4R APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize Jamie Morin I to act on my behalf,in all matters relative to-work authorized by this building permit application. See attached contract 9/19/2019 Print Owner's Name(Electronic Signature) Date s ' SECTION'7b:`OWNE4 OR AUTHORIZED AGENT DECLARATIONr By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information ; contained in this application is true and accurate to the best of my knowledge and understanding.- Jaime Morin 9/19/2019 Print Owner's or Authorized Agent's Name(Electronic Signature) Date 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 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.gov/oca Information on the Construction Supervisor License can be found at www.rn s. v/dns 2. When substantial work is planned,provide the information below; Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.fL) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms _ Number of half/batlts -' I Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"maybe substituted for"Total Project Cast" f ,f Cn Y OF SALEM, LtiLUSACHUSEM HUMDLNG DEPAMErrr 120 W uHINc;mN ST it an,r FLooR TEL(979)74S.9595 PAX(978)740-9846 M USERL�E�Y►]DRISCOLL * ♦ Ai�OR THOU"STYMME Dtl WMIL OF PUBLIC PaoPEM/vLjwtNG coN allSStONER 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 4o,S 54; Building Permit# is issued with the condition that the debris resulting frmm 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 h=sported by: Renewal by Andersen (name of hauler) The debris will be disposed of in : Renewal by Andersen (nacre of facility) 30 Forbes Rd, Northborough, MA 01532 (address of facility) sign400mit applicant w, 9/19/2019 date kbrisafTdac i '\ The Commonwealth of-Massachusetts Department of Indostrial Accidents 1 Congress Street;Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidaavir.'Buflders/ContractorsMectricions/Plumbem TO BEFILED WITH THE:PERMITrlNG,AUTHORITY. Applicant Information. Please Print Lwjblv Name(Businessrorganiz it onAndividual):Renewal,by Andersen .Address:30 Forbes Rd. W City/Stategip:NoMborough,MA 01532 Phone-#:508-351-2277 Are yoa.ao empbyerr Cheek.1he Wnpiate boil: Type of project(required): 1.21 i em a:e W*.witb: uaployccs(full ao&or p ni time).• 7. Q New-construction 2 I am a.sok proprietor or p rue st ip and love no employees working forme is 8. 0 Remodeling any capxity.(No'workbis'comp.insurance requircd.J on 3;Q 1 am a homeowner doing all work myself.)No workers'comp..insurance required.)' 9. ❑BuildinDemolgs 4.[]l am a bomeowmerand will be hiring contractors to conduct all work on my property. ]will 10. Building.addition erasure t*411 contractors eitber have workers'compensation u urance or ore sok l l.[3 Electrical repairs or additions Proprietors with no employees 12.0Plumbing repairs or additions 5:31 am a general contractor amd.l Lava hired the:subcommctots listed on the unached sheer. Thew sub-contrectors have emptoyees'amd have workers'comp root m; 13.[]Roof repairs. ti:D We are a t:orporation;and its officers hove exercised their right of cxcmptiom pu MGL c. 14.00ther Replacement ;I S2,.J1(41:vid�wc have no employecs..iNo workers'comp:insurance required:) Any appl ca t that check box A must-also'fill.outibe section.below.show•ing due workers'compensation policy information: t Homeowners whosubmit'this affidavit indicating they ore.doing as work end then hire outside contractors must submit a sew affidavit indicating such. =Contractors that cheek this box mustadacbed an odditional sheet showing the name of the sub-conttacttoss and state whether or not those entities have attployem If the sabcontractorshave employees,theyy must providetheirr workers'comp..policy number. iva an ployer dw-is provWtog workers.'compensaflon insurance for my,employees. Below is the policy and Job site Insurance Company Name:Odd Republic Insurance.Co. Policy-#.or Self-ins.,Lic,M. MWC 31431500 Expiration Date:.���1/19 Job Site Address- 63 Broad St City/Statelzip: Salem,MA 01970 Attach a copy of the workers'compensation policy declaration page:(sbowing Oe,poltcy number,and expiration date). Failure to secure coverage as required under-MGL c.152,§25A is.a criminal violation punishable by a fine up to$1,500.00 andfor:one-year`imprisonment,as weh:as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator..A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage vvificat' . I do hat a dfy Phone fl under th ns and penaldes of pedwy that the lnformadon provided above is sue-and correct 9/19/2019 1-2277 'Offlelal use•only. Do not rwite.in this area,to be completed by city or town offreial r . City or Town: Permitlucense N Issuing Authority(circle one): 1..8oard of Health 2.Building Department 3.City/Town Clerk 4.Electrical.Inspector 5.Plumbing.lospector 6.other Contact Person: Phone N: f Page 1 of 1 ACORU� CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDDAYYY) }� 10/02/2016 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 poiicy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT NAME: Willis of Minnesota, Inc. PHONE 1-877-945-7378 FAX 1-688-467-2378 c/o 26 Century Blvd EfifAIL AIC No P.O. Box 305191 ADDRESS: certificatesOwillis.com Nashville, TN 37.2305191 USA INSURERS AFFORDING COVERAGE NAIC0 INSURERA: Old Republic Insurance Company 24147 INSURED INSURER B: Renewal by Andersen LLC 30 C Forbes Road INSURER C: Northborough, MA 01532 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W831774e REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR - ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY) IMM/DDfYYYY1 LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR DAMAGE To500,000 PREMISESS Ea occurrence $ A _MED EXP(Any one person) $ 10,000 MWZY 314161 10/01/2018 10/01/2019 PERSONAL BADVINJURY $ 11000,000 GENT AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 4,000,000 X POLICY 0 JOT- LOC PRODUCTS-COMP/OPAGG S 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000 Ea accident X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED MWTB 314159 10/01/2018 10/01/2019 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH AND EMPLOYERS'LIABILITY A ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 11000,000 OFFICER/MEMBEREXCLUDED7 INo1 NIA MWC 314158 00 10/01/2018 10/01/2019 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ Ues,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) This Voids and Replaces Previously Issued Certificate Dated 10/01/2018 WITH ID: W8291089. 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 Evidence of Insurance 9 rJvf� ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 811 ]Dr 16836288 BATCH: 892974 V "e" a Vderserr. WINDOW$EPLACMENT ea AtldesoeRC,amp�aY WaodMnyl Composite IF I g Dual Dou6n tow E4 WnwMun X. 100-004735 _9 E_NEROYTERFOR ICE. RkTIgRS U+Factor(U.$YJ! p .Solar Heat Gain Coefficient AD®ITIONAM PERFORifiv, R� IlI1CS Visible fetuamlba.Transmittance • I�aaae�..nimaeara�aewaver�eom.m�maaaTo..ena..sy�rrvroa .a t'anmumotw.Aild�p�=anaannaat.awrpum.ad��ya.rryP,ortuator.ar�Oa�on e. ... _Prcacw P.�aasor ., :: www.Nieap • #b�_ � Thky�ee+cta�.fe6nen`, � Pgiy� _9. iffiWemCy���ll'met�aa� �.Xd'�L �'��r���•- �i �. e ~ :nnHrloR loaf f.Va . DESIGN RRESSuHE'(PSF), �- " igbA DD Sloped Sill pH IN �bgAwaav�uw,�weav�O6, mma..ao.s Ica .. Wombw rld.E.Co.C•�d`n A!1°.C.C.AY-IaaiR®t6a ngtL MUU WWA f.1mwkCwjMwran ft q.,):. P ll r' ►e` o�x« t 1 Vb x l f-F' for BOW Heat'GWn Goofflo(ent i,2 7 ntmrnomL_pwFoft&nn cLe M-nwa V*Jbtd Trwisn kanos ao.aoar.ow.mrA. �m�OraRr.rwrwra +r�r �r�e �arr �erw.�ga+seea �en,r aisura+rr.iaransea"° ' a+me�c.err.«�r�ar�raabs�cderr�e�Yra�ecWr�. t goo-ac��toos-ao.� vK 1� i I i 1 9� 7 t .:, , i�fne ireorstiore Construdion Su Bawd 4 R4�afa9"41�nd St hdards elnrestI ded-Buildings of any u group which contain i Const, 4 rvisor less than 36,000 cubic feet(991 cubic nie8ers)of endosed r ice, Csf125oto6r�20 F 3 U 8._ JAIME L MOM � ,r LYW MA 019 18� = sl,CyjS'��3* �3 J '. Frlp7oee to poss�zss s C00rlflt e4066 ofthe f1AnaSeohux6t9S r �!lSSln Stab BaaDdnno Cede is Ce�Ise for romw.0,on of think kense.For iroforrti®n tt�sce<iae �•". wy.. C40(fi11)7V' 0 c$0* ,nl ,®ovldpi Office of Consumer Affairs and Business Regulation 1000 Washin410111 Street- Suite 710 Bost0N1V0a, husetts 02118 Home lmprodem*W411 tractor Registration 1,„ ---_ ---— Type: Supplement Card RENEWAL BYANDERSON LLC. z ri/ on: 170810 30 FORBI:,S RD ( EViretlon: 12/22/2019 NORTHBOROUGH,MA o1532 SCA 1 0 OW-06 r bale Address and Return Card. ofnee of Consumed•Affairs&Business Roguiatlon HOME IU!PR01fEfllENT CONTRACTOR TYPE:dement CWd Registration vdld for i vidrrai use only before tfie expiration dale. ®found return to: 1T1 1d1.. 12�22%201g Office of Consumer Affaors mW rreas Rfegadation RENEWAL BY F' 1000 Washington Street Suite 710 Boston,MA 02118 JAIME MORIN0"Ar 30 FORBES AD � • NDRTHBOROUGH,MA 01532 Undersecretary' NOt valid alid ` ®utt 619 re I I I • I Renewal Agreement Document and Payment Terms byAndersen. dba:Renewal by Andersen of Boston Ellen McArdle ���� Legal Name:Renewal by Andersen LLC 63 Broad St �j�� HIC#170810 Salem,MA 01970 WINDOW NE LACEAtENT 30 Forbes Road I Northborough,MA 01532 H:(978)594-4220 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbabostonbooking®andersencorp.com C:6786463572 Buyer(s)Name: Ellen McArdle Contract Date: 09/12/19 Buyer(s)Street Address: 63 Broad St, Salem , MA 01970 Primary Telephone Number: (978)594-4220 Secondary Telephone Number: 6786463572 Primary Email: ellenfmcardle@gmail.com Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Renewal by Andersen LLC d/b/a Renewal by Andersen of Boston("Contractor"), in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement").Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount: $36,260 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed must be made by personal check,bank check,credit card,or cash. Deposit Received: $12,085 Balance Due: $24,175 Estimated Start: Estimated Completion: Amount Financed: $24,175 8-10 weeks 3-4 days Method of Payment: Credit Card We schedule installations based on the date of the signed contract and secondarily on Financing the date in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date.Rain and extreme weather are the most common causes for delay. Notes: CC 1/3 $12085; Start 1/3 $12085; Subs Comp 1/3 $12085 Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the 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. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER,MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 09/16/2019 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. Legal Name:Renewal by Andersen LLC dba:Re by An r of Boston Buyer(s) 4,VAUJIV�— Signature of Sales Person Signature Signature Joe Najjar Ellen McArdle Print Name of Sales Person Print Name Print Name UPDATED: 09/12/19 Page 2 / 28 Renewal Itemized Order Receipt byAndersen. dba:Renewal by Andersen of Boston Ellen MtArdle X�AMIM Legal Name:Renewal by Andersen LLC 63 Broad St HIG#170810 Salem,MA 01970 WINDOWNE 30 Forbes Road I Northborough,MA 01532 H:(978)594-4220 Phone:508-351-2200 1 fax:(508)986-7072 1 rbabostonbooking@andersencorp.com C:6786463572 • ROOM: 101 diving Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 102 living Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 103 living Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 104 living Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 105 dining Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 106 dining Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen:TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None UPDATED: 09/12/19 Page 3 / 28 Renewal Itemized Order Receipt byAndersen. dba:Renewal by Andersen of Boston Ellen McArdle Legal Name:Renewal by Andersen LLC 63 Broad St HIC#170810 Salem,MA 01970 WINDOW FE LACENIEN. 30 Forbes Road I Northborough,MA 01532 H:(978)594-4220 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbabostonbooking®andersencorp.com C:6786463572 107 dining Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 108 kitchen Window: Picture, Full Frame, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Grille Style: No Grille, All Sash: , Misc: None 109 kitchen Window: Double-Hung, 1:1, Full Frame, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 110 Stair Window: Picture, Full Frame, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Grille Style: No Grille, All Sash: , Misc: None 208 master Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 209 master Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None UPDATED: 09/12/19 Page 4 / 28 Renewal Itemized Order Receipt byAndersen. dba:Renewal by Andersen of Boston Ellen McArdle WEI ���� Legal Name:Renewal by Andersen LLC 63 Broad St ���i HIC#170810 Salem,MA 01970 WINDOW RE LACEAIENT 30 Forbes Road I Northborough,MA 01532 H:(978)594-4220 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbabostonbooking@andersencorp.com C:6786463572 1�11)#­' •M DETAILS: 210 master Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen:TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 211 master Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 212 2 bed Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 213 2 bed Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 214 3 bed Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 215 3 bed Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None UPDATED: 09/12/19 Page 5 / 28 Renewal Itemized Order Receipt byAndersen. dba:Renewal by Andersen of Boston Ellen McArdle Legal Name:Renewal by Andersen LLC 63 Broad St HI C#170810 Salem,MA 01970 WINDOW REPLACEMENT 30 Forbes Road I Northborough,MA 01532 H:(978)594-4220 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbabostonbooking®andersencorp.com C:6786463572 •i• 216 bath Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: Sash 1: High Performance SmartSun Glass, No Pattern, Sash 2: High Performance SmartSun Glass, Obscure, Tempered Glass, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 316 3rd fl 1 Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 317 3rd fl 1 Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 318 3rd fl 2 Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None 319 3rd fl 2 Window: Double-Hung, 1:1, Slope Sill Insert, Exterior Black, Interior Black, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Black, Screen: TruScene, Half Screen, Grille Style: No Grille, All Sash: , Misc: None WINDOWS:23 PATIO DOORS:0 SPECIALTY:0 MISC:0 TOTAL $36,260 Renewal by Andersen is committed to our customers'safety by complying with the rules and lead-safe work practices specified by the EPA. UPDATED: 09/12/19 Page 6 / 28