20 LINDEN AVE - BUILDING INSPECTION (4) The Commonwealth of Massachusetts
Board of Building Regulations and Standards FOR
Massachusetts State Building Code, 790 CMR, 7`" edition bTUNICIPALITY
USE.
Building Permit Appli cation.To Construct,Repair,Renovate Or Demolish a Revised January
One-or Two-Fa7ri7y Dwelling 7, 2008
V /
This Section For O 5cial Use Only
Build;ag Permif Numbe • Date Applied: 1 7-'t O
Signature.
Buil mg Commissioner/InspeotorofBuildings Date
SECTION 1:SITE INFORMATION
1.1 Property.Address: 1.2 Assessors Map &Parcel Numbers
n Lti. IP� zti e/v, IV-IV t610
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 fi) Frontage(fl) - -
1.5 Building Setbacks(ft) - - -
Front Yard Side Yards Rear Yard '
Required Provided Required - Provided I Required - Provided
1.6 Water Supply: (M.G.L c.40,t541;7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑' Private0 e: _ Outside Flood Zone?.
' Check ifyes❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP)
2.1 Owner,of Record:
`Suck y C o L'y d.e.1 at�r S e vow t�7�t U
Name(Print) Address for Service
' cl1 S - S�iti - Sc'rGs
Signature - Telephone SECTION 3:.DESCRIPTION OF PROPOSELI wbRK":(check all thatppply)
l:e:,''w n is ..�y. n c..•�t; n r i :"n ri..,;.;. n........:,, n [+ Ca.rS(S"l�l'� :L•..I 1 n' .dd.+ •,� Gi
Clemrilitinn ❑ .AcnessoryBldg. ❑ Ntunbcrofl]nits Otlier
Brief DuscnptionofFroposedWort:`: i?%:ce l Oft
. 11` o ' S dvt�e>4t%.-Orel . Cr 5 ,•f,e S•
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1.Building I S 10 �ql 1. Building Permit Fee:S Indicate how fee is determined:
2.Electrical S ❑Standard City/Town Application Fee
❑Total Project Costa (Item 6)x multiplier x -
3.Ph:mbing S 2. Other Fees: S
4.Mechanical (HVAC) S 0 List
5.Mechanical (Fire S
Su oression) Total All Fees:$ O
CbeckNo. CheckA.mount: Cash Amount:
6,Total Project Cost: S )ptCO b aid in Full ❑ Outstanding Balance Due:
SECTIONS: CONS TRUCTI;ON'SERVIGES
5.I Licensed Construction Supervisor(CSL) (T, l U� q ` l O
7b 2 yin; S U•�.� License Number Expiration Dzte.
Name of CSL-Holder,
List'CSL Type(see below) t I
pr JutU ot.]"3J- -
dress T'.'. . . . ` -Dcscri tioa . .
AA � r U Unrestricted(dp to 35,000 Cu.Ft)
Signature R Restricted 1&2 Family Dwelling
LQ-_Q 4- M.. Mzsomy Only
Telephone. .1 RC Residential Roofing Covering
WS Residential Window and Siding +
SF Residential Solid Fuel Burning Aotoliance Installation
D Re idential Demolition
2 Registered,HHome mprggvement Co tr ctoIC) q (
� �� IJenn' sdr� 6
C Cgmpan Name or HIC egistrant Nam^ (� Registration Number
10 CCl �i ; S . St . �J �y-f-��,n�, �✓� C11 s31� �.
Expiration Date
Signature Telephone
SECTION 6:WORKERS' COI 1PEINTSA11ON 1NISMANCE A.FFEDAVIT(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
Signed Afiida}rit Attached? Yes ........... M- No...........❑
SECTION 7a,:0TVNER A'UTaa=-A.TZON T.O EE COA1PLETEB iTi'1�N'.. .
OWNER'S AGENT OR:CONTR:SC.TOR APPLLF'SFORBLFL➢iTG.P�GFt1t�1FT
I, as Ownsr of the subject property hereby .
authorize to act on my behalf,in all matters
relative to work authorized by this building permit application. .
Signature of Owner - Date
SECTIE3AT7b 03TTI�TERIORAU'ffiORFZf+r3 A�EIE?�'IiEG"�4'I2_4TZOI�?'":' -1 '
tl]al the$tatCn?Cnl_i al]d llL1D1111at10!]0!1 tl?e i����Oln�_app4�aLu!i aretru�and accu!ai'e,tD rile beS1 Df niy l,a]p�cJtdee 211d
.Print Name
Signature of Owner o orized A.-ij Date
(Si ed underthe gins and o_ ofTeriu ) - -
NOTES:
]. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not Have access to the arbitration
program or guaranty fund under M.G.L. c. 142A Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780`CMR Regulations 110.R6 and 110.115,respectively.
2. When substantial work is planned,provide the information below:
Total floors area(Sq.Ft.). (including garage,finished basement/attics, decl:s or porch)
Gross living area(Sq.Ft.) Habitable room count
Number of fireplaces Number ofbedrooms
Number of bathrooms Number of halffbaths
Type of heating system Number of decks/porches '
Type of cooling system Enclosed Open
3. "Total Project Square Footage" may be substituted for"Total Project Cost'
k
DEBRIS FORM
This form is to be submitted via building permit applications wheacver there is debris to be
disposed of.
Property Address: ohc Q n n• t� v Se� e M do Ol�i 10
C).
In accordance with the provisions of MCYL c.40,§54,.a condition of the Build g Permit
Number is that the debris resulting from this work shall bi disposed of in a properly H=rised
solid Was*t:disposal facility as defined by MCTL c. Ill§150A.
1 \- �„Tf�ri�s d bris mill bqe di�s/pos,�,i 1ofin: 1 I(J� �7 �
to.
(Location of Facility)
a .
Simatare of Permit Applicant
Date
Board 9[Building Regulations and$tandards '
I Constriction.Supervisor License,•
Lice,n;;e;•CS •96707
Blcth3e19--P/811982 .
pirafioil �ZQ10 Tr# 95707
BRIAN DENNISOty y5� ya'
86 CREST CIRCLE
WORCESTER,MA 0160 �J�1 Copimissioner
RENEWAL BYANDERSON
BRIAN DENNISON
104 OTIS STREET
NORTHBOROUGH, MA 01532
DPS-CA1 0 SOM-07107-PC8490
Office of Consumer Affairs&Business Regulation
HOMEIMPROVEN CONTRACTOR
Registrations g601
Ex pir' ---=t-
-3�
`12
' e dEgg_—* t CardRENEWALBY AM
BRIAN DENNIS�I
104 OTIS STREE`�",„ __
NORTHSOROUGH \ ' --MS o9'852
Undersecretary'—
S
I
f&A�Q�Q�R�DCATE OF LIABILITY INSURANCEDATEIMMDpYY Y)02/10/2010
Joseph McKeone THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEJP IvlcKeone Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. BOX 333 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOWAnn Arbor, MI 48106-0333INSURERS AFFORDING COVERAGE Renewal by Andersen NAIL u
INSURERA: H O d l $ ran n
J Bnd'L Windows, Inc.104 Otis St INSURERS: Nautilus
Northborough,MA 01532 INSURERC: -'
INSURER D: -' -
COVERAGES INSURER E: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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.MR DL
POLICYNUMBER PODCYEFFECTNE POLICYEXPIRATION — -----
8 GENERALLIASILITY NC958461 LIMITS
COMMERCIAL GENERAL LIABILITY 10/01/2009 10/01/2010 EACMOCCURRENCE S 1000000
CLAIMS MADE ❑OCCUR PREMIS S Ea ocOua $ 100000
MEOEXP(Artyoi%Per ) 3 5,00(0
PERSONALS ADV INJURY 3 1000 00
GENL AGGPEUATE LIMIT APPLIES PER: GENERAL AGGREGATE S 200 0O0
POLICY PRO. - PRODUCTS-CAMPIOPAGG S
LOC 2000 0000
A I AUrOMOBR.E LIABILITY 35MCC XD 6390 10/01/2009 1 10/01/2010 COMBINEDSING
ANYAUTO (Ea O=OAI) LE LIMIT
I$ 1,000,000
X ALLOWNEDAUTOS --
SCHEDULED AUTOS BODILYINJURY
HIRED AUTOS IPar Peno^( S
NON-OWNEDAUTOS BODILY INJURY S
(Parrc m)
fPar'amOanq AMA GE S —
GARAGE LIABILITY
ANYAUTO AUTO ONLY-EAACCIOENT S
OTHER THAN EAACC 3 --
AUTOONLY: ADD $
EXCESSNMBRELIA LIABIUIY
OCCUR Cl MADE EACHOCCURRENCE f
AGGREGATE S
DEDUCTIBLE 3 _
RETENTION S 3
A Y^DNKER9COMPIry ON AND 35 WECPP 1444 WC STATU• 3 EMPLOYERS-LIAIIIB�urc 02l17/2010 02/17/2011 orw
ANY PROPRIETOR,PARTNERIEREOUTNE E.L.EACH ACCIDENT S -
OFRCERMEMSER EXCLUDED? 500.000
S ft. COO PROVISIONS
'E.L.DISEASE-EA EMPLOYEE S 500000
It ft. LPROVISION$Oebw
OTHER - E.L.DISEASE-POLICY LIMIT $ SOOOO
i
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMEMI SPECIAL.PROVISION$
I
ffi
1
CERTIFICATE HOLDER CANCELLATION _
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 1
INSURED CCPY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MALL 10 DAYS WR TTEN
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TD DD SO SHALL
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR
REPRESENTATIVES.
AUTHORIZEp REPRESENTATIVE rjT�
t-RD25- 1IUOI a e
®ACORD CORPORATION 1968
I
The Commonwealth of Massachusetts
Department of Industrial 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/Orgmization/Individual): Alez)fe;Ja aV , /i /I er3e6
T
Address:_ /0)l
City/State/Zip: Alarm bo fo/U 6F).,91,_ Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
Lal am a employer with 00 4. El 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 t 7• odeling
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
required.] officers have exercised their 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.❑ Other
comp. insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing thew 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.
tContmemrs 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. / M
Insurance Company Name: n e lYI G r'd Y/C
i I
Policy#or Self-ins. Lic.#: J [t� t!{{� � /��f� Expiration Date: �//7/,��•
Job Site Address: L� ed1 Y�U C Ciry/State/Zip:Jam' JV�A CYCt 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 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 cer y u er the pains and penalties,of perjury that the information provided above is true and correct
Signature Date
Phone#:
FFIssuing
l use only. Do not write in this area,to be completed by city or town official
r Town: Permit/License#
Authority(circle one):
. oard of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
FROM : KIMBLY FRX NO. : 6033629675 Mar. 15 2010 11:25RM R3
Renewal '
hs'Andersen
vi. il�.Ifts x36no.+tol
nr GI:[. 'fl:r, :til:ws:u In sr r'I:, :lw .Nm4 Hn.�lrxuu;r:
Inl 06'siir.ml•Sr,ithhntn XI:11t 1:3Y
I'houc:IM 219.UN10•14rx jn6�llp,DUt1:I
CUSTOM WINDOW AND DOOR REMODELING AGREEMENT
o t.raii Ayrc t -
Ll
ffB YIN t IAdd...e,l,iry Stol and Lips do
tMod Addt�a Homy.role NvI RSr4'elepY..,,-N-.
kuyv,(s)t,oilyl 'ndy nl ", rtlly;t91 sty to puMIIII, lilt ptool Is and/( armcv. l fl le 1.N'I tdoswl _.dDtFo.rr dby Arl
M9 s:chux❑ ;md jN1 w H Iva sh f r nr en f[rarer
p c, (n Irtetol in at rntrlonce w¢h the um"slid enndumns rh a Illd nn rile fttnst and the rlvr r of this.rrecnlcnt and on Iht tow hed,prp(cdnnr shee!(s)("Ilithin"A,gic,il ').IBlyor(s)heir,by agnics To sign a co ttplcrion rrtWo:atr a,llcr t• w,,l,.ton has c,otnplrlcd AI wr;rk unMdrr Thus 1Agrrcmatt.
/j t �7/,t Method of Pyri fJ Cash ❑Check - aslercard 'J VISA
Total!oh Amoum: vim, V Es,im Ted Storting Dote:
Cl7r ? / /} U Discover O Financed,Appk,
Deposit Received 133%):3!J'✓/ la V
Nome on Credit
Bolonce al Stan of Job(33%)' 5661T
Eslimmed Completion Dole: Credit Cord
Balance on 5ubslnmial ZY . Cc?
Completion of Job(33%):_ �- CC Exp.Dat ecuriy Cod
11 By initialing Leto,gnu ackstmvledgc that Tile.Bohannon!Stunt nl'Jo,slod the lLslancc an�5ubaatttial CLmq,lrtinn
Buyer Inii s
^�-� Job rannnl be nmdc by audit card:utd must Lc made by personal chock.back A,,k,or,asI,
Buyer(s)agrees and understands that this Agreement reactivates the entire understanding between the parties, and that
there are no verbal unchn standici 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
acknoavledges that fici s) 1) has read this Agreement, understands the terms of this Agreement, mid 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 Ruyer's right to cancel this Agreement.DO NOT SIGN THIS CONTRACT IF
THERE ARE ANY RLAN'R SPACES.
Renewal b)'Andersen ttf Greater MA and NH Buyers) Buycr(s)
1�r$,t\/(//m/'uyrns rC lu \q.t l7a<fierl /Simnaturc
l.Print Vane•of,)'nxhrrl Print Nam. Print Nmm:
YOU, THE IRIYER(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
F'OR AN EXPLANATION OF THIS RIGHT.
,c_ _ _ _ ;c. _ _ _ _ _ _ _ _ _ _ _ _ .gc... _ _ _ _, _ _ _ _ _ _ .. _�
DICE OF CANCELLATION I ,k NOTICE OF CANCELN
Date of Transaction �"l3 f fI .You may cancel pate of Tansaction 3-/3-�l0 You may cancel
this transaction,without any penalyy or obligation,within this transaction without any penal tyry or obligation,within
three business days from the abovedateJfyoucaneel,any three business aays from the abovedate.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 I 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 Seller of your cancellation notice,and any securiy 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 at If you cancel,you must make available to the Seller at
your residence, in substantially as good condition as I. 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 ar 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.If you do make the goods at the Seller's expense and risk.If you do make
'he goods available to the Seller and the Seller does not the goods available to the Seller and the Sol:r does not
sick them up-within 20 days of'.th-e date of your Notice pick them up within 20 days of the date of your Notice
A Cancellation,you may retain or dispose of the goods I. of Cancellation,you may retain or dispose of the goods
without any further obligation, ]]f you foil to make the I without any further obligation. If you fail to make the
loads ovailable to the Seller,or if you agree to retum the I goods available to the Seller,or if you agree to return the
loads tothe5ellerandfailtodoso,thenyouremainliable oodsto the Seller and fail todo so,thenYyou remain liable
or performance of all obligations under the Contract. for performance of all obligations untler the Contract.
o cancel this transaction, mail or deliver a signed and To cancel this transaction, mall or deliver a signed and
lated copy of this cancellation notice or any other written dated copy of this cancellation notice or any other written
lotice, or send a telegram to (Renewal by Andersen I notice, or send a telegram to Renewal by Andersen
if Greater Massachusens and ;New Hamppshire, 104 I of Greater Massachusetts and New Hampshire, 104
)tis Street, Northbo ugh,MA 01532,NOT LATER THAN Otis Street,Norl� rough,MA Ot$32,NOT LATER THAN
AIDNIGNTOF(X�11') _,.(pate) MIDNIGHT OF <`S—P6//J� _(Date)
HEREBY CANCEL THIS TRANSACTION. K 1 HEREBY CANCEL THIS TRANSACTION.
v vmer's si9namre --- — 'i pole I Censumerl synarore pare '-'
RUA Copy- White Customer Conv-rennin rnr.,....,..:,.«« n...I.
FROM : NIMBLY FAX NO. : 6033629675 Mar. 15 2010 11:26RM P4
Kenewal .S
byf�fld@f52f1 LINCWAI lfVANfTN.M:N nla wrr1 al .'cal
01 Un1 A'n h MAsSA,Iff St:I Iv AND M:w I hrAv:uuer. , A ra.r ll, t t nsc.....
1 041)tis.4b'od•Nnnliho.... h....... IIGi2
Phan'SIIN.oI o.a"Ott-Fua?IINAI'1.119g1
SPECIFICATION SIIEM'
I t ry t t )\ u
:rI ayu( I I:v d dy, " It t tot,Coll sUul Y c.vtr,ll y t fe::10 puu.har t he good, vgood,rod/Ot u b l 9 Mow
I n d u1 t Ihp ppcc Wcnfi"' ]heal old the Lpnl sad the wV'rac of the u,cninpanvu)g (:Lil`IOMe WINDOW.,d NT)cD00R
kt:Mc)Ut LI\C A('ti1 f b111,V I',01'cote,.]]fh,s S pudiuthnu S
heel is:a »oi.
WINDOW Drl'Alls
7. C h'aclerwi 11...sln 11 a,o'aloh whrdmvs in Owner
hole,rising the following Individual quantities:
Douhle IlrutS(DR) fdplttl sash ❑ Cbtta$c sash(I/S top,2/S toolbar) ❑ Oricl sash(2/3lop.1/3 botlonil Casement((m ❑ 111n,Xe tight ❑ Hi11gC left(:tx viewed from extctim); ❑ Standard handle ❑ NO handle.
DOW*Can.nterd(COW) ❑ Standard handle ❑ ,Dgerro hilydlc.
(GW)atl(CYW) ❑ 1:i:1 Or❑ 1:2:1 ❑ Standard hamllc. ❑ Metro hand],
Zl.ilc Clidirlg Wltldow(i]W)
_�Caidcr/Fu'e/Glidtr(GI'W) ❑ I:1:1 Of :L:1
Awning Window(AW)
—. Pict'lle Window QM1v) r
Ray Or lk.w Wiudew
/AnO f lags(s•e fipardne Door Sp„ificutlon Shact)
2. 'cs ] No Ley of Windows to be Canton,pit ReplacCIUCt, .. -
3 ❑lc. [,�Ls,li o qly of s1l)3 fo lx "'laced by Contractor:_
4. Z14" ❑ \o O,y if Windows to l New Con truOhul Nall frame(includes new mttnar&oat"",cusiag.0 ' �nnsl Fins
kahriv Crsmgv I'i110 ARiunonnnec,f ee nraerial ❑ Factory npphcd 9081Ybfcs bnekmold
$, Glamuy to}w, IFL)w-I:dUSmmlSwlTMa (Tar L)Wjt 67lgtTile) ❑ Other If other,please sp,aify:_
6. ExleClar co:Of foLn: Ilk Sand ❑ ❑Cocoa&an
�/��q -❑ J ❑ Canvass T'crrn Nnc
7. Inteviot'e.Io,'folic El Whirr tan u [] d F] Canvnx ❑ Taratona❑ lint ❑ Mapic ❑ Oak
ate: LIIC br Color c:m oaly be white,wmi or saatc color as exterior. WOOd interiors neat to finished by Owner.
8. Ilrvr vale: kdtc❑ stun, ❑ Canvas ❑ Brass DOablu Hung:
No Illslall Lifts with Double Hung'A' cows
IO. sercom; window..,In have: ❑ Half Or' ell seams Scrccna to krc: ba ❑$aA Alumina Rt ❑Tl'a&cnP
GRILLE DFrAIls
11.Windows Ih�al,o grilics: Yes ❑ NO If yes:❑ Clrilk 14;,waei,Gkws(M) �.,tots Inferior tvo«I nn"so[] Pull Drvldtu Light,mu
_ Qly. — Qly_ QDY--21— Uy:tn
...
ell [joh 1[:0H li
Draw grille pattcrr,s nkrovc •I lse additional sheet if needed Owner approved(huba Y( ,
ADDITIONAL WORK DrEMlS
I2,❑ Ycs ,�,/��yp ibtln'setOr will r move mctai fna tes of windows. (11y Of 11nils: _
IS❑ Yes It+SNIO Conllr,nOr will l tist;dl new paint-ready Or stain-ready casitigi.
inl"t of ea sing qty of opcmhsgs rxearior casings qty of openings: ❑ Pine ❑Mcdnleiumc-fre m e :dcriai
74.❑Yes 11Conu:la'.III,will pAtall now paint.ready or stain-ready inside Or outside slops qty of openings:
hne,inr slops qty oC Opanin;{s:.. Extcri'r Stops u ,S, fhla .�— ❑ ❑ Maintena,lce-free nlatetiel
15. Own ct is aw .that Cmttraebr does not do any pain wrier Initials
16.❑ Ye o Contractor will wrap Cslerior casings with t - m mil stock Of
Color.
ate, Wrappm; nay be ru3pircd With storm m window reoval t'elnoval of slam,window,Will le vc screw holes incasing,
17.4I��Vacs ElNO C vllr ,tor will insulate caulk and scnl Windows Willi 3-pOi,,ll systern 10 pmvclu water and air in(illl'ahon.
i 1.[2e4 [I No Alarmed warranty sitDLl 1,0 issued to OWna corn,]upon
I I etion of]unitsb and paymuu in full.
7 Y. in ❑ No Rie c"¢Pkrtnit-COntrnctor will secure,on and nB nocessnr Con'Y y p as, "Ihe fee fur the petanit(s)i5�naj,u dudad in the Cc airs,]Fricc and a separate check Is requited ut the Hoar of sale for this Wt. r-Q[/s� (ter !it
2i� A thfan 7l job iegnls �7
21 Owne,ago.to be prevent on the final day of installation for final inspection and to delivOr final Went
_.-7rG ! 1/-)z,iau li,IJL'c$inirri fur/il Mc cog,act is cwnp/et:nftufHa asnsrsu1 .of a/l path.v
It is agreed and understood by and between the parties that this Specification Sheet,along Wall the CUSTOM WBVDOW AND DOOR
REMODM ING AGREEh7EN'i•,constitutes the entire undea'standu><g between the parties,and there are no vahai understandings changin or
maddying any of the terms. Thus Speeifieahon Starlet may not be changed or its terms noidified or varied in any way unless such changes are
in writing and signed by bell,the Bayer(s)and Contractor. Buyer(s)hereby acknowledge that Buyor(s)has read this Specification Sheet.
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Renewal
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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 egards,co+J"U'` p
�� A
Mary Elleih Rudsit
Permit Coordinator
104 Otis street 1
Northborough,MA,01532
Phone(508)919-0900
Fax(508)919-0903
Website:wwww.renewalbvandersen.com