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17A-209 (5) 119 NORTH MAPLE ST BP-2014-0714 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A-209 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: window replaced BUILDING PERMIT Permit# BP-2014-0714 Project# JS-2014-001208 Est.Cost: $22211.00 Fee: $35.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RENEWAL BY ANDERSEN 065272 Lot Size(sq. ft.): 44431.20 Owner: DOHERTY JOHN C Zoning: URB(83)/URA(17)/ Applicant: RENEWAL BY ANDERSEN AT: 119 NORTH MAPLE ST Applicant Address: Phone: Insurance: 104 OTIS ST (508) 919-0900 WC NORTHBOROMA01532 ISSUED ON:12/9/2013 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 17 REPLACEMENT WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 12/9/2013 0:00:00 $35.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner 7,-;`)I�� City of Northampton �� ( ' I Building Department L DEC - 212 Main Street Room 100 � _� Northampton, MA 01060 I @CtfIC FI Nir � � .__ , s.` "� � 41 Z s�� � saw "� a.. phorld]413-587-1240 Fax 413-587-1272 � pk „ APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: This section to be completed by office 119 NORTH MAPLE ST Map Lot Unit FLORENCE, MA 01062 Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: JOHN & KATHLEEN DOHERTY 119 NORTH MAPLE ST. FLORENCE, MA 01062 Name(Print) Current Mailin dres 413-58Ad4- s: 0143 Telephone Signature 2.2 Authorized Anent: JAMIE MORIN 104 OTIS ST NORTHBORO, MA 01532 Name(Print) - Current Mailing Address: 508-351-2200 X 55285 Signature ( Telephone SECTION 3-EST ED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 22,211.00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6�j 6. Total=(1 +2+3+4+5) 22,211.00 Check Number plq(p *35' This Section For Official Use Only Date Building Permit Number: Issued: Signature: Building Commissioner/Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R:,_ Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DONT KNOW YES 0 IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO 0 DONT KNOW YES 0 IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO Q DONT KNOW (3 YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained I Obtained Q , Date Issued: C. Do any signs exist on the property? YES 0 NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO l IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [E] Siding ED] Other[O] WBroierf k D: eREri� iA E f 1P7 o osed WIND WINDOWS- NO STRUCTURAL CHANGE Alteration of existing bedroom Yes X No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes X No Plans Attached Roll -Sheet 6a.If New house and or addition to existing housing. complete the following: a. Use of building : One Family X Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, JOHN & KATHLEEN DOHERTY ,as Owner of the subject property hereby authorize ME ORIN to act on my behalf, in all matt Fs rel. ' - to work authorized by this building permit applic tion. f � it;■2 (i Signature of Owner Date • JAIME •' as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and ._ - 'es of perjury. JAIME,h/fORIN Print Name I .A f / / Signature of Own:r/Age Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: JAIME MORIN 90125 License Number 86 GARDI ST LYNN, MA 01905 10-06-14 Address / Expiration Date 508-351-2200 X 55285 Signature/ Telephone 9.Registered Home improvement Contractor: Not Applicable ❑ RENEWAL BY ANDERSEN 170810 Company Name Registration Number 104 OTIS SAgga'RTHBORO,MA 01532 12-23-15 Address Expiration Date / Telephone 508-351-2200 X 55285 SECTION 10-WORKERS'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. Signed Affidavit Attached Yes X❑ No ❑ 11. - Home Owner Exemption The rrent exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to a such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as superviso . R 780, Sixth Edition Section 108.3.5.1. Definition of Hom•. .ner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a • • or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who cons cts more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to t : :uilding Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performe' nder the building permit. As acting Construction Supervisor your pres-• e on the job site will be required from time to time,during and upon completion of the work for which this permit is issu- Also be advised that with reference to Chapter 152(Wm.'; 'Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massach -tts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for • pliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massa - setts General Laws Annotated. Homeowner Signature The Commonwealth of Massachusetts ��- .----fi Department of Industrial Accidents =-=�. Office of Investigations A ' 600 Washington Street 'ii41/4,, �_' Boston,MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ` Please Print Legibly Name (Business/Organization/Individual): NG''Cl Q,W c, \p,_ (✓�.G�E,�'Scv Address: 1 b Lk . o ±) S City/State/Zip: 1A 0 1 0of O \ Pko, G(S3 hone#: 5-0S' - 35-1,-j(306 Are you an employer?Check the appropriate box: Type of project(required): 1.171 1 am a employer with 3 4. 0 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. -Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp. insurance comp.insurance? 10. Electrical re required.] 5. [J We are a corporation and its repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 l.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 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 state whether or not those entities have employees. If the sub-contractors 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: D\ Re, k,kc- XIn S , C(C . Policy#or Self-ins.Lic.#: 'tY11 C, 30b 35 61 D t) Expiration Date: t (7° 1 * 1 L Job Site Address: 1 ∎ N , y ) S 1 • City/State/Zip: VA,O re.1 c e to /1 VA. O 10 b a 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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigatio4 of the IA for insurance coverage verification. I do hereb :Ti a1 + he pains and penalties ofperjury that the information provided above ' tru and correct. Signature: Date: / /3 Phone#: 5 (-'3.r\ c Ov Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Renewal GY� MA Home Improvement Contractor License#170810(Expires 12/23/2013) Andersen �� Renewal b WINDOW REP MCEMENT n.1ra -< v..n. by Andersen Corporation Federal Tax ID#41-1918413 104 Otis St. Northborough,MA 01532 (508)351-2200 Fax(508)-986-7072 CUSTOMER WINDOW AND DOOR REMODELING AGREEMENT Buyer(s)Name Date: JOHN DOHERTY - KATHLEEN DOHERTY _ OCTOBER 28, 2013 Buyer(s)Street Address,City,State and Zip Code 119 NORTH MAPLE STREET FLORENCE MA 01062 Email Address Home Telephone Number Work/Cell Telephone Number Jdoherty @smith.edu 413-584-0143 I Buyer(s)hereby jointly and severally agrees to purchase the goods and/or services of Renewal by Andersen Corporation("Contractor"),in accordance with the terms and conditions described on the front and the reverse of this agreement and on the attached specification sheet(s)(collectively,this "Agreement"). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Total Job Amount$ 22,211.00 Amount Financed$ 0.00 Est.Start Date Method of Payment Deposit Received(33%) 7404. le Check/Cash 10-12 weeks Balance Start of Job(33%) 7404. Front Deposit(50%)$ 0.00 Est.Install Time Credit Card Balance on Substantial Substantial Completion of Job(33%) 7403. Completion (50%)$ 0.00 3-4 days If credit is selected,phase see Credit Card Payment Form. 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 Corporation Buyer(s) /� Buyer(s) By: CdGP� & r 4 9)1 Dti/1 ",f� 4 lae(rl Pci_. .."\I-8 Signature of Project Manager Signature U Signature CATHIE DIGRAZIA JOHN DOHERTY KATHLEEN DOHERTY Printed Name of Project Manager Printed Name Printed 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 NOTCIE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. • • T NOTICE OF CANCELLATION I NOTICE OF CANCELLATION Date of Transaction 10/28/13 .You may cancel this I Date of Transaction 10/28/13 . You may cancel this transaction,without any penalty or obligation,within three transaction,without any penalty or obligation,within three business days from the above date.If you cancel,any property business days from the above date.If you cancel,any property traded in,any payments made by you under the Contract of Sale, traded in,any payments made by you under the Contract of Sale, and any negotiable instrument executed by you will be returned I and any negotiable instrument executed by you will be returned within 10 days following receipt by the Contractor("Seller") of I within 10 days following receipt by the Contractor("Seller") of your cancellation notice,and any security interest arising out of I your cancellation notice,and any security interest arising out of the the transaction will be canceled. If you cancel,you must make I transaction will be canceled. If you cancel,you must make available to the Seller at your residence,in substantially as good I available to the Seller at your residence,in substantially as good condition as when received,any goods delivered to you under I condition as when received,any goods delivered to you under this 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 the I instructions of the Seller regarding the return shipment of the goods at the Seller's expense and risk. If you do make the goods I goods at the Seller's expense and risk. If you do make the goods .available to the Seller and the Seller does not pick them up within I available to the Seller and the Seller does not pick them up within 20 days of the date of your Notice of Cancellation,you may 20 days of the date of your Notice of Cancellation,you may retain retain or dispose of the goods without any further obligation. If or dispose of the goods without any further obligation. If you fail you fail to make the goods available to the Seller,or if you agree to make the goods available to the Seler,or if you agree to return to return the goods to the Seller and fail to do so,then you remain 1 the goods to the Seller and fail to do so,then you remain liable for liable for performance of all obligations under the Contract.To I performance of all obligations under the Contract. To cancel this cancel this transaction,mail or deliver a signed and dated copy I transaction,mail or deliver a signed and dated copy of this . of this cancellation notice or any other written notice,or send a I cancellation notice or any other written notice,or send a telegram telegram to Contractor. Renewal by Andersen,104 Otis St. 1 to Contractor. Renewal by Andersen,104 Otis St.Northborough, Northborouah,MA 01532,BY NOT LATER THAN MIDNIGHT I MA 01532,BY NOT LATER THAN MIDNIGHT OF 10/31/13 .(Date) I HEREBY CANCEL THIS TRANSACTION. : OF 10/31/13 .(Date) I HEREBY CANCEL THIS TRANSACTION. Buyers Signature Pant Name Date Buyer's Signature Pant Name Date 1 Renewal by Andersen Corporation Improvement tR Renewal ewal �3u.✓�,7�� MA Home Im Contractor yJ\ IderJen- 104 Otis St. Northborough,MA 01532 License#170810 (Expires 12/23/2013) ,W4 NOON, REPLACEMENT an An (508)351-2200 Fax:(508)-986-7072 Federal ID#41-1918413 Window Specification Sheet Buyer(s)Name Date of Agreement JOHN DOHERTY KATHLEEN DOHERTY 'October 28,2013 The buyer(s)listed above hereby jointly 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 the Specification Sheet is part. WINDOW DETAILS Style Full/ Approx. Exterior Interior Hardware Hardware LowE4/ Grille Grille Glass Room k Style Detail Insert U.I. Casings Db Sills Color Color Color Style Screens Smartsun- Grilles Sash 1/3 Sash 2 Lifts Options Office 7 DB:Square Equal Insert 81 Wrap Sloped WH WH White Standarc FFG SmartSun None Bath 1 1 DB:Square Equal Insert 81 Wrap Sloped WH WH White Standarc FFG smartsun None Kitchen 2 DB:Square Equal Insert 81 Wrap Sloped WH WH White Standarc FFG smartsun None Living 3 DB:Square Equal Insert 81 Wrap Sloped WH WH White Standarc FFG smartsun None Bed 1 3 DB:Square Equal Insert 81 Wrap Sloped WH WH White Standarc FFG SmartSun None Landing 1 AN Full 50 Wrap Sloped WH WH White Standarc FFG SmartSun None Total 17 BAY&BOW DETAILS *See Bay/Bow Measure Sheet Style Detail/ Approx. Approx. Number Exterior Interior End Center LowE/ Roof/ Hardware Room Count Style Flankers - U.I. Casings Angle Lites Color Color Grilles sashes sashes Screens Smartsun Soffit Color 0 0 SPECIALTY WINDQW DETAILS Full/ Approx. LowE/ Exterior Interior ADDITIONAL WORK DETAIL NOTES Room Count Style Insert U.I. SmartSun Grilles Grille Style Color Color Customer is aware that with bay/bow windows under 72 inches 0 there will be significant glass lose. 0 0 0 ADDITIONAL WORK DETAILS I No Qty of 0 Sills 0 Sill noses to be replaced by Contractor. 2 No Contractor will remove metal frames of windows. 3 No Contractor will install new 0 paint-ready or 0 Stain-ready 0 Interior 0 Exterior casings in 0 Pine 0 Maintenance-free material 4 No Contractor will install new 0 paint-ready or 0 Stain-ready 0 Interior 0 Exterior stops in 0 Pine 0 Maintenance-free material g Yes Contractor will wrap exterior casings with coil stock of White color. Owner is aware that Contractor does not do any painting/staining or removal/installation of alarm system,window treatments/hardware.It is the responsibility of the homeowner to have the alarm system,window treatments/hardware removed prior to installation. We make no guarantee as to 6 if whether alarms,window treatments,hardware will fit after replacement. Customer is also aware in some cases there will be glass loss. If there is,the amount will be dependent on the type of existing windows,type of installation,insert or full frame and window style.We make no guarantee as to the amount of glass loss.Customer is aware and understands any and all unseen rot is not included in this contract.Should any rot be found there will be an additional charge for time and materials unless so stated in this contract. 7 Yes Contractor will insulate,caulk and seal windows with 3-point system to prevent water and air infiltration.Removal and disposal of all job related debris windows,doors,storm windows and vacuum nightly included. Upon completion of the job and payment in full,a limited warranty shall be issued. 8 Yes Building Permit--Contractor will secure any and all necessary permits. The fee for the permit(s)is not included in the Contract Price and a separate check is required at the time of sale for this fee. Check# 9639 $ 35 9 Yes All discounts have been applied to this agreement. 10 se Yes .,;,, No Owner agrees to be present on the final day of installation for final inspection and to deliver final payment/finance form(s). iIt is agreed and understood by and between the parties that this Specification Sheet,along with the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT,constitutes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms.This Specification Sheet may not be changed or its terms modified or varied in any way unless such changes are in writing and signed by both the Buyer(s)and Contractor.Buyer(s)hereby acknowledge that Buyer(s)has read this Specification Sheet. 'Renewal by Andersen Corporation Buyer(s) ,. Buyer(s) Signature of Project Manager Signature Signature CATHIE DIGRAZIA JOHN DOHERTY KATHLEEN DOHERTY Print Name of Project Manager Print Name Print Name 1 A CERTIFICATE OF LIABILITY INSURANCE D1e 01/""'°3 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. H 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 1-612-333-3323 CONTACT NAME: Says Companies PHONE 612-333-3323 FAX N 1AfC . NoExti, IA1C. ol, 612-373-7270 80 South 8th Street DDRE ADDRESS: Suite 700 Minneapolis, 1Or 55402 INSURER(S)AFFORDING COVERAGE RAC It INSURER A:014) REPUBLIC INS CO 24147 INSU-RED INSURER B: NATIONAL UNION FIRE INS CO OF PITTS 19445 Renewal By Andersen Corporation INSURER C: 104 Otis Street INSURER 0: Northborough, MA 01532 INSURER E: INSURER F: _ CO-VERAGES CERTIFICATE NUMBER: 36122490 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. r`•1 :rI�*-. POLICY EFF POLICY DIP _i is TYPE OF INSURANCE INSR WID POLICY NUMBER AIM= IMMIDDIYVYYI LIMITS A GENERAL LIABILITY MOIST 300361 10/01/13 10/01/14 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LUIBILRY DAMAGE nce) $500•000 ICLAIMS-MADE I X OCCUR MED EXP(Arty are peraan) $10,000 PERSONAL S ADV INJURY $1,000,000 I GENERAL AGGREGATE $4,000,000 GENT.AGGREGATE UMIT APPLIES PER PRODUCTS-COMP/OP AGG ;4,000,000 1 POLCY_ PRO- f]LOC $ A AUTOMOBILE LIABILITY MNTB 300026 10/01/13 10/01/14 (Ea COM�D SINGLE UMIT $5,000,000 X ANY AUTO BODILY INJURY(Per person) $ ALL OWNED —SCHEDULED BODILY INJURY(Per accident) $ , AUTOS AUTOS X HIRED AUTOS �,AUrON-0WNED (/Per accident _ S B X UMBRELLALIAB X OCCUR 20562235 10/01/13 10/01/14 EACH OCCURRENCE $25,000,000 EXCESS LAB CLAIMS-MADE AGGREGATE $25,000,000 DED I X J RETENTION;25,000 _ $ ' A WORKERS COMPENSATION MC 300359 00 10/01/1: 10/01/14 X 1TORyilAh S- I 1°R- AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETORRARTNERJEXECUTNE© N/A E.L.EACH ACCIDENT $1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE$1,000,000 Y desvibe under DESCRIPTION OF OPERATIONS below s.Si.DISEASE-POLICY UNIT $1,000,000 — DESCRIPTION OF OPERATONS I LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,N mare space Is meshed) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE To Whom It May Concern THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN For Insurance Purposes Only ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE S - 01988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD jhargrove 36122/90 ifMassachusetts -Department of Public Safety Board of Building Regulations and Standards' Construction Supers isor ° t License: CS-090125 � °r_ JAIME L MORIN 86 GARDINER ST 1 LYNN MA 0190 a 2....�1J�tSl�.. " °t' Expiration Commissioner 10/06/2014 SCA 1 0 20M-05/11 eil,e °Po9 mtonwealtx°/P° aaa Celt P \°s ffice of Consumer Affairs&Business Regulation X1' c/ m OME IMPROVEMENT CONTRACTOR 't,, ` Registration: 170810 Expiration: 12/23/2015 Type: RENEWAL BY ANDERSON CORPORATION Supplement�; JAIME MORIN 104 OTIS STREET NORTHBOROUGH, MA 01532 Undersecretary ►� r • Renewal 1 e byAndersena ■" WINDOW REPLACEMENT tnAndenen(:nmptny WoodMnyl Composite IF ff0:17' Dual Argon Low E4 SmartSun Rag 6.Ex `R Double Hung 100-00473518-010 ENERGY PERFORMANCE RATINGS • U-Factor(U.S)/I-P Solar Heat Gain Coefficient 0 : 2 9 0 . 1. 9' ADDITIONAL PERFORMANCE RATINGS Visible Transmittance • 0 . 42 Manufacturer stipulate Mai Mw ratings conform to appWala%FRC proc.duroe for d.Iermining*Mole product performance.NFRC ratings are dat.nMned for a find s.t of.nvinnnraaleendiiar and•p.cMie prodeet site. NFRC dens not acer.msnd any produet'and does not warrant tea sstabgty of any prod.ct fee any ep.ei a rw. Cormut nrnulactanra Moraines for other product p.Aorrpanca information. www.nfrcAp • _ taw - SEA L 4C4 Sears.nvionmantai enn... •,. J.tandadJs pov..ning*away 1 f« r _ ;....r • efeciertcy,TUVy instals in • 'e'•es kern.and sank �- S' .van•. fl4.mat.ris4 packaging,and consumer rc tennis.educational . DESIGN PRESSURE(PSF) WDMA HAL11i:1P,1{ CERTIFIED II-LC25 RbA DB Sloped Sill DH IN Tested loft/ME 0444M014A/M1014901404i Mrsfoct►N • tss om5ornarosw tr a,, • aMOOrds. 11.01.ot.xeaads M_E.C.,C.E.C,t I.E.C.C.Ak MIYNatio•epok m.n1aIR MA IMinarkGntieatie.Program. • • • • • • • • • • • . I. . . . . . . • • . . . . . . • • •• . . . • • . . .. . . . . . . . Do not remove until tnal code inspection. Save libel for future reference. • • • . i Oualtflpd for ii:r!+•;••41:1••0 rea. 1 iiiipoml aux exigences pour Is ri:Dions dr:r;:r!..:•.:(0.,. . . •1 ' w • Cigna- • . .. - ,_- ,.. g,_ ¶BOO so-aaao , . . . . . I CV c pa .--------- • . . Ci fo ;ft / • • 4 ix = • ,-4e.,.•;,*. ''4 .1.11.... . . 44 I" g i f'.1[1',(3 i Sif',F., • ti) WS • (-) = . 6 • u.s.I La. ELI al 17 ¶um 4112-7037 • .. . C" energyster.gov cc . - . . . . . • • . . . • lA4i .-•4 AP, . Renewal • Adersen. !r4 .,, . • • WIN DOW REPLACEMENT anAndoorniQuoporm • • • .NrsKirg r•br.faVkle, , AND-N-103 • . . .Rovavorix!:: - WoodNinyi:Composite • IMMO= Argon Dual Product Type: Awning ow-E4 ENERGY PERFORMANCE RATINGS Li-Factor • Solar Heat Gain Coefficient . -. 0 . 2 9 [ 1 . 6 5 0 . 2.8 i i . - (U.S./4-P) (Metric/SD •_ , 1 • . ADDITIONAL PERFORMANCE RATINGS . • • Visible Transmittance 0 •48 . _ eanurodunt stoulated that dose ratings cordone to applicable*MC procedures tor determirerN*toe proem partonnencc/FRC retinas are determined tree feed set at eneronmardal corrilions end a apeent pmcluct to, WPC do m not reconniand any product end does not nowt the arAablety at Ire product for any speak use, consult nenutadurers enature for other product pestormance nromMon. Mocrer.orp . . • . • 11111.■al!Ow . 111.101....■/....Mole progdoamon ■ AncTirsen orporation:RbA Awning Window Manufacturer saleits conformance to Eve follomnp standeras ' Standard Rating • • . • 11A55-02 Or AAMANDMNCSA 11111SIM441)-D5 DP psf DP40 .,. , . • -i . . " . . . . . . I 1 • ‘4,* Ms prodUct Meets 44t• ' =ieOn M mInesalauermt toeSemr.a ehe rd es . envionmen*au aen cvad rmay rt timen etnes tetaaai l nld .• i n naeial,roc . s cc • • . . 1 00-130518940-015 ' feeds Proceeds M. C.CE.C.&LE.C•C.Per IntliestIon trquiremares!NOMA flallarmic CartModian Program. • . •