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19 BELLEAU RD - BPA-16-756 WINDOWS L12 The Commonwealth of Massachusetts r. Board of Building Regulations and Standards CITY O SALEM Massachusetts State Building Code, 780 CMR Revised Mar 2071 Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Tsoo-Family Dwelling This Section For Official Use Only 5E IV, n Building Permit Number. Date A plied: rN ✓I,FiL- 7 t Building Olticial(Print Name) Signature Date r" SECTION 1: SITE INFORMATION - ttm 1.1 Property Address: 1.2 Assessors Map & Parcel Numbers 14 �elle�iu l`d I.1a Is this an accepted street?yes_ no Map Number Parcel Number Cr 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) 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.].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 yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'ofRecord• Szpp O 0/n7 Name( rint) J City State,ZIP f I I3dAy 6J N No.and Street -Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORW(check all that apply) New Construction ❑JExisting Building Owner-Occupied V Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ I Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work : 74KbA lS 1,01446/ ill 4114dd;t,S 5amr 9W, rSQtw- /o nl No <S rurh f c ` SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials I. Building $ / 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Su ression) Total All Fees:$ I Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) I i - License Number Expiration Dale Nam=of CSL Holden r List CSL Type(see below) �✓ 1 t!4 �r t � 9i {(' No. and S1 eat Type Description '�1' U Unresu-icted(Buildin s u to 35.000 cu. ft.) (,ltll6 Q 1�f R Restricted 1&2 Family Dwelling, Gty/ oi,n, ate,ZIP l f M Masonl RC Roofing Covering WS )Alindow and Sidin SF Solid Fuel Burning Appliances `/''�� D "�i�•5� I Insulation -le phone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) �d�l l` 1?I vg kowtf� � kltyiQ G5o# HIC Reg stint on Number Expiration DateHIC Company Name or HIC R gistrant Na e c� No.and Street Email address (')vf-Iff. PA I on )ft-101 'l Cityrrown,Slate.ZIP Telephone SECTION G:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.GX.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affrdasit wil I result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ..........V- N.—........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES, �/� ES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize / 0 i. I t Loc ni to act on my behalf,in all matters relative to work authorized by this building permit application. 61, I /6 Print Owrl aIs Name(Electronic Signature) Date SECTION 7b:OWNEW OR AUTHORIZED.AGENT DECLARATION' , By entering my name ?AA eattest under the pains and penalties of perjury that all of the information contained in this appl d e d accurate to the best of my knowledge and understanding. Print Owner's or Authorized Agent's (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 mmy.ntass, ov/oca Information on the Construction Supervisor License can be found at A1my.mass.eov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross livir_g area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of halfibaths 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" about:blank Hefonsl Headquarters Cynthia Bourgauit 2501 Seaport Drive,Chester,PA 19013 32-01681 aea-7366335 June 01,2016 WWW.POWERHRG.COM MA HIG rd6616 CUSTOM REMODELING AND IMPROVEMENT AGREEMENT I Buyer(s)'Information and Description of the Property: Project Number:32-01661 June 01,2016 Cynthia Bourgauit (978)706-3036(Home) 19 e Rd Salem, M0.01970 (978)8783179(Cynfhie5 Cell) County:Essex 1 S- Township: Buyers)listed above hereby jointly and severalty agrees to purchase the goods and/or services of Power Home Remodeling Group and its vendors("Contractor')In accordance with the prices and terms described in this 5 page document and the Product Specifications,which we incorporated as part of the Agreement(collectively,this"Agreement"), This Agreement represents a cash sale of goods and services. Buyer(s)agrees to pay the cost of the goods and services purchased as described herein,regardless of timing or approval of any financing Buyer(s)may seek for their purchase. Purchase Price: $15.M.05 _ Pre Installation Inspection Dates: Down Payment: 50.00 Tha s9 oat»ear300paro9pop )"rk Y{p `� Balance Due on S15,B05.05 Estimated Project Start:6 to 7 weeks Substantial Completion: Estimated Project Completion:1 to 2 days d d'Y Method of Payment: Crack auyer(s/eclaweleNJe lhetemlinile scan and camplalbn dams are HOrortN esserca. Delays. ConeaMB Mmrol nal included In celalatinp time tram0e.See DeleyNnkroen Candfier . Buyer(s)hereby acknowledges receipt of copy of tha pamphlet,'The Lead-Sate Certified Guide to Renovate Right",informing 8gyad,Q of the potential risk of lead hazard exposure from reravation activity to be performed in or at Buyer(s)'Property,at the risen above.Buyers)roosNed this pamphlet on the data of this Agreement,before commencement of work Buyer(s)'Initials. greement constitutes the emirs agreement and understanding between the parties,and this Agreement replaces any and all prior negotiations,representallons,or agreements,either written or oral. No amendment,modification or waiver of this Agreement shall be valid or effective unless In writing and signed by both parties. Buyer(s)hereby acknowledges that Buyer(s)1)has read the entire Agreement and has received a completed,signed,and dated ropy of this Agreement,including the two accompanying Notice of Cancellation forms,on the date first written above and 2)was orally Informed of his/her right to cancel this transaction. Buyer(s)also agrees and understands that if Buyer(s)finances ces the work with a third party;the terms of that financing will be contained on separate documents,Inducting arty finance charge.. Future promotions not applicable. DO NOT SIGNTHIS AGREEMENT IF THERE ARE ANY BLANK SPACES I he"mad and received each PNa of this 5 Papa agraamam. PovmrHHH000yyy���000 rill BumatA �G�E2 i/16 d6j,d8/Ot/16 Signature al0amodefing Consultant SignWris Michael Pappas Cynthia Bouriautt . 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 NONCE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIDHT. Juno 01,201618A6 Page 1 of 5 1 of 1 6/21/2016 1:40 PM National Headquarters Cynthia Bourgault 2501 Seaport Drive,Chester,PA 19013 32-01681 888-736-6335 June 01,2016 WWW.POWERHRG.COM MA HIC#168616 PRODUCT SPECIFICATIONS Buyer(s)'Information and Description of the Property: Project Number: 32-01681 June 01,2016 Cynthia Bourgault DffiW of Agree M (978)744-3038(Home) 19 Belleau Rd Salem,MA,01970 (978)979-3179(Cynthia's Cell) County:Essex Township: Buyer(s)listed above hereby jointly and severally agrees to purchase the goods and/or services listed on the accompanying specification sheets, in accordance with the prices and terms described in the Custom Remodeling and Improvement and the Product Specifications (collectively,this"Agreement"). Pre Installation Inspection Date: Your pre installation inspection is tentatively scheduled for Thu 6/9 between 3:00p and 4:00p. Windows-SL 2700 Inclusions: Includes metal reinforced meeting rails and nighttime safety locks on double hung windows only, welded corners,foam injected frames, Sashlite technology, Heatshield, Duraglass, exterior custom capping, installation, clean up and haul away of all.job related debris. It is agreed and understood by and between the parties that the Product Specifications,along with the Custom Remodeling and Improvement Agreement, constitutes the entire understanding between the parties, and replace any and all prior negotiations, representations,or agreements, either written or oral. The Product Specifications may not be changed, modified, or varied in any way unless such changes are in writing and signed by both Buyer(s)and Contractor. Buyer(s)hereby acknowledge that Buyer(s)has read the Product Specifications. I have read and received each page of this 4 page agreement. Power Home Remodeling Group Buyer(s) /06/01/16 /06/01/16 Signature of Remodeling Consultant Signature Michael Pappas Cynthia Bourgault 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 FORM FOR AN EXPLANATION OF THIS RIGHT. June 01, 2016 18:06 IIII IIII IIIIIII II IIIIIII IIIII I IIIIIIIIIIII Page 1 of 4 National Headquarters Cynthia Bourgaull 2501 Seaport Drive,Chester, PA 19013 32-01681 888-736.6335 June 01, 2016 WWW.POWERHRG.COM MA HIC#168616 Project Specifications Windows: Living room 1 36.0"x52.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None rM OPTIONS: Color White/White: Grid Pattern: Both Sashes: Colonial: Contour I Removal Wood I Additional Details None EM Windows: Living room 1 36.0"x52.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattern: Both Sashes: Colonial: Contour I Removal Wood I Additional Details None Windows: Living room 1 36.0"x52.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattern: Both Sashes: Colonial: Contour I Removal Wood I Additional Details None Windows: Dining room 1 32.5"x52.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None rM OPTIONS: Color White/White: Grid Pattern: Both Sashes: Colonial: Contour I Removal Aluminum/ Vinyl I Additional Details None rM 6—.960.00 Windows: Dining room 1 32.5"x51.0" WINDOWS Models SL 2700 Styles Double Hung Types None Configs None rM OPTIONS: Color White/White: Grid Pattern: Both Sashes: Colonial: Contour I Removal Aluminum/ Vinyl I Additional Details None Windows: Bathroom 1 23.5"x39.5" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattern: Both Sashes: Colonial: Contour I Removal Aluminum/ Vinyl I Additional Details None W June 01, 201618:06 IIII III IIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Page 2 of 4 National Headquarters Cynthia Bourgault 2501 Seaport Drive,Chester,PA 19013 32-01681 888.736.6335 June 01,2016 WWW.POWERHRG.COM MA HIC#168616 Project Specifications Windows: Kitchen 1 32.5"x43.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None rM OPTIONS: Color White/White: Grid Pattern: Both Sashes: Colonial: Contour I Removal Aluminum/ Vinyl I Additional Details None EQJ 1701 Windows: Office 1 32.5"x51.5' WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None rM OPTIONS: Color White/White: Grid Pattern: Both Sashes: Colonial: Contour I Removal Aluminum/ EEU Vinyl I Additional Details None rm Windows: Office 1 29.5x51.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattern: Both Sashes: Colonial: Contour I Removal Aluminum/ Vinyl I Additional Details None Windows: Guest bed 1 32.5"x44.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None rM OPTIONS: Color-White/White: Grid Pattern: Both Sashes: Colonial: Contour I Remova/Aluminum I Vinyl I Additional Details None EM MA Windows: Guest bed 1 32.5x52.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color-White/White: Grid Pattern: Both Sashes: Colonial: Contour I Removal Aluminum/ Vinyl I Additional Details None Windows: 2nd floor bath 1 22.0"x33.5" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None R OPTIONS: Color White/White: Grid Pattern: Both Sashes: Colonial: Contour I Removal Aluminum/ Vinyl I Additional Details None rM June 01, 2016 18:06 III IIIII II III II IIIIIIIIIIIIIIIIIIII III III Page 3 of 4 pv National Headquarters Cynthia Bourgault „",• 2501 Seaport Drive,Chester,PA 19013 32-01681 888-736.6335 June 01,2016 WWW.POWERHRG.COM MA HIC#168616 Project Specifications Windows: Master bed 1 32.5'x43.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White I White: Grid Pattern: Both Sashes: Colonial: Contour I Removal Aluminum I Vinyl I Additional Details None Windows: Master bed 1 32.5x43.0" WINDOWS: Models SL 2700 Styles Double Hung Types None Configs None OPTIONS: Color White/White: Grid Pattern: Both Sashes: Colonial: Contour I Removal Aluminum/ Vinyl I Additional Details None Windows: Kitchen 1 37.0"x32.0" WINDOWS: Models SL 2700 Styles Casement Types Double Configs None OPTIONS: Color White/White: Grid Pattern: Colonial: Contour I Removal Aluminum I Vinyl I Additional Details None June 01, 2016 18:06 IIII IIII IIIIIIIIIIIIIIII IIIIIIIIIIIIII IIIIIIII Page 4 of 4 POWER-1 OP ID:EL ,acoRO" CERTIFICATE OF LIABILITY INSURANCE D 09/1112 Y �i sn vzol5 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 endomement(s). PRODUCER CONTACT NAME: Lacher&Associates Ins Agency PHONE FAx Lacher Insurance Group AIC No E1:215-723-4378 AIc No): 215-723-8604 632 E Broad St P O Box 64398 E-MAIL Souderton,PA 18964 ADDRESS: Chad Lacher INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Harleysville Preferred Ins.Co 35696 INSURED Power Home Remodeling Group, INSURER B:Harleysville Worcester Ins Co 26182 LLC INSURER c:Nationwide Mutual Ins Company 23787 2501 Seaport Drive Ste B110 Chester, PA 19013 INSURER D:Pennsylvania Manufacturers 12262 INSURER E: INSURER 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. INSR TYPE OF INSURANCE ADDL SUBS POLICY EFF POLICY EXP LIMITS LTR POUCYNUMBER MMIDDIYYYY IY MMIDDYVY A X COMMERCIALGENERALLIABILITY EACH OCCURRENCE $ 1,000,00 CLAIMS-MADE T OCCUR MPA00000089793N 10/01/2015 10/01/2016 FIRE MI5E5 Ea ..=`arce $ 1,000,000 MED EXP(Any one person) $ 15,00 PERSONAL B ADV INJURY $ 1,000,00 GEN L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY T PRI � LOC PRODUCTS-COMP/OP AGO 8 2,000,000 OTHER $ AUTOMOBILE LIABILITY CEaOMBINED SINGLE LIMIT acddent $ 1,000300 B X ANY AUTO BA 00000089796N 10/01/2015 10/01/2016 BODILY INJURY(Per person) $ ALLOWNED SCHEDULED BODILY INJURY(Per acdtlenp $ AUTOS AUTOS NON-OWNED _ PROPERTY DAMAGE $ HIREDAUTO$ AUTOS Per acddent $ UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 5,000,00 C X EXCESS LIAR CLAIMS-MADE CMBOOOOOD89794N 10/01/2015 10/01/2016 AGGREGATE $ 5,000,00 DED RETENTION$ $ WORKERS COMPENSATION X PER ERH AND EMPLOYERS'LIABILITY D ANY PROPRIETORIPARTNER/EXECUTIVE YIN 201600-66-20-96-7 10/01/2015 10/01/2016 E.L.EACH ACCIDENT $ 1,000,00 CFFICERIMEMBER EXCLUDED? Y❑ N I A lMantlatory In NHl E.L.DISEASE-EA EMPLOYEE $ 1,000300 If yes,describe under DESCRIPTION OF OPERATIONS below ELDI$EASE-POLICY LIMIT $ 1,000,00 B Mass Auto BA 00000018227P 10/01/2015 10/01/2016 Auto Liab 1,000,000 B NY Auto BA 00000074849R 10/01/2015 10/01/2016 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION SALEM SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Salem 3rd Floor AUTHORQED REPRESENTATIVE 120 Washington St Salalem, MA 01970 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD \ The Commonwealth of Massachusetts l i Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.mass.gov/dio 11 rkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individml):Power Home Remodeling Group Address:2501 Seaport Drive City/State/Zip:Chester PA 1913 Phone 11:608-280-0156 Are you an employer?Cbeck the appropriate boa: Type of project(required): LQ 1 am s employer with 15 employees(full andlor Pan-tr.e).• 7. ❑New construction 2.M I ann a sole proprietor or partnership and have no employees working for me in S. ❑Remodeling any capacity.[No workers'comp.insurance required] 3.Q 1 am a homeowner doing all work mysel[.[No workers'comp.insurance required.]t 9. ❑Demolition 4. 1 am a homeowner and will be hiring contractors to conduct all work an my property,: [will 10❑Building addition . ensure that all conuaciors either have workers compensation insurance or are sole I I.❑Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.Q 1 or,a general contractor and I have hired the subcontractors'.ined on the arlached shen These subcontractors have employees and have workers'com 13.❑Roof reins p,insurance.: 6.1—]We are a corporation and its officers have exercised their right of exemption per MGL c 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required] -Any applicant that checks box MI must also fill out the section below snowing 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, tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Harleysville Worcester Insurance Company Policy#or Self-ins.Lic. k:201500-66-20-96-7 Expiration Date:10/1/2016 Job Site Address: City/StatelZip:_ v(1x.rf'74/t',(1• Attach a copy of the workers'compensation policy declaration page(showing the policy 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 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifi on I do hereby rtify nd th pains and penahies of perjury that the information provided above is ttme)a1nd correct. Sienamre: 4 4Date: Phone 9:508-280-0156 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#: i.,� '-%�t• Y=t�:/..ostnaun�•�/�t�r/�r,:nt'�.gr/G ' V office of ConsumerAffairs.1< Business Regulation License or registration valid for individul use only �� OME IMPROVEMENT CONTRACTOR before the expiration date. It found return to:Re istration: Office of Consumer Affairs and Business Regulation 9 1886]6 TYW- 10 Par Plaza-Suite 5170 Expiration: 3/18/2017 Stpplement :ard Zt 16 POWER HOME REMODELING GROUP LLC. MARK MORDINI 2501 SEAPORT DRIVE STE B110CHESTER,PA 19013 Undersecretary lid without signature �jMassachusetts Department of Public Safety Board of Building Regulations and Standards License:CS-057645 Construction Supervisor MARK E MORDINL• _ „ 18 NEWELL DR Ir,RE i - i N ATTLEBORO 10A 0 = P-jzx CA— Expiration: Commissioner 091182017 S6881% '" �' •a non• .''xr.: ' I t cv�y{�� �� �� d Il Ft.• MAleK; NAITLE80ROUG14,MA 07f6o-1575 s oo oaa-m,a weror-tsmos -,� -_w s � _ ' t� '!l„ DOUBLE aSL2700 DOUBLE HUNG WINDOW 0008-00002 Rating count-11- Bath If) ,yI den/ll6ine..Hj,: CERTif'fED 00107.21 .0100' " 00 ENERGY RATINGS U-Factor(U.S 1 7-Pf SOIarHeaCGain Coefficient `a • ADDITIONAL O- VisibleTnnsmittance Condensation Rc::istancc e � <F �.-•-���s F �� ��`..�� � 1 v'�.--�R;�e.�.-,..- .�..'eta