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32A-217 (2) BP-2023-0499 14 HANCOCK ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32A-217-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-0499 PERMISSION IS HEREBY GRANTED TO: Project# 2023 ROOF Contractor: License: Est. Cost: 22337 RENEWAL BY ANDERSEN 090125 Const.Class: Exp.Date: 10/06/2024I Use Group: Owner: LEVINSON ARNOLD G&MARILYN ROBIN Lot Size (sq.ft.) Zoning: URC Applicant: RENEWAL BY ANDERSEN Applicant Address Phone: Insurance: 30 FORBES RD 508-351-227 MWC31415822 NORTHBOROUGH, MA 01532 ISSUED ON: 04/24/2023 TO PERFORM THE FOLLOWING WORK: REPLACE 4 NON-STRUCTURAL 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: i Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: yQy '1 • II Fees Paid: S40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner Department use only I 6AI City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit - -:I C-71 : .. ; 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability ry G-7."=1 Northampton, MA 01060 Two Sets of Structural Plans w phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify 1 1 AI PUICATIQN TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: i'/- Map 3 2 ?- Lot `J C� �CD CA— { Unit C ( Ale, n�I J i7 /„9 0/06o Zone °Re Overlay District Elm St.District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: '�` ,t 'c 0/4f( J iji>7.5-0,2 1y N.,-7 oci__ Y� 44,- 1a.4 !/ h mo Name Print) Current ailing Address: O L UEr0 l �/3 - 3 � - a9el 6' Telephone atur 2.2 Authorized Agent: �r Getz 1 C L . c2 r?P,r T2 / 5 6 -Ira , Ba.� c C�/4)14,4 4 e Name(Print Current Mailing Address: 6/6d ICO - 1`5"2— yl/7-- Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building At 2 2/ 33? Jo (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee ...0. g_v 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) CR 2 a, 33 7, Check Number t 2.S'I 2-- //�� This Section For Official Use Only Building Permit Number: 8p_ 2D23 O i ?1 Date Issued: Signature: �/2 LI-ZLI 2Z3 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 ev r been issued for/on the site? NO Q DON'T KNOW YES Q IF YES, date issued: IF YES: Was the permit recorded at the Regis of Deeds? NO O DON'T KNOW YES Q IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained Q Obtained Q , Date Issued: C. Do any signs exist on the property? YES Q NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO a IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,exc Lion,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES 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 Wi aI'ows Alteration(s) n Roofing D Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [El] Decks [Q Siding [0] Other[El] Brief De ription of Propos I J Work: Q/rlff►u., c a-[',Pi .J�✓��Uws /!ram 1� ev , "v S�� Alteration of existing bedroom G Yes 17No Adding new bedroom Yes ✓ No oa. Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building : One Family 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, ,as Owner 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 I, Gera.)d L. (.ia rke,r q2 ,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 penalties of perjury. Print Name ( — zo z) Signature of Owner gent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: ,Ja,'/✓k /11 - i' 141t//I 0 / D I15- License Number 3 D (2sht5 , /14 4" li 104 015 32 /0/6L Z y Ads,ss )) Expiration Date AGrect4. / P q j wir ignatt 1 ` Telephone 9.Re istered Home Improvement Contractor: Not Applicable 0 e /41'41 -) /qnekerS (Li-' / =f-C, g 7 0 Company Name Registration Number SO .r,,rhr? 4 el /t)d 614boro.01• pi 4 -o /c 3 Z (2-/ z z1/ z Address ,� (, Expiration Date Q�e)Telephone - 95e--Li/Z SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit ust be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildin ermit. Signed Affidavit Attached Yes No 0 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner: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 one or two family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts 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 compliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature City of Northampton 212 Main Street, Northampton, MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111 , S 150A. Address of the work: /' /'1cotit- //0 a i)14 i4/ of oho The debris will be transported by: fit,, Cfa6µe ' r' " The debris will be received by: Wctif /14a -e444 ekti Building permit number: Name of Permit Applicant (oaf-a"d C. Crot x- J2 tg- Date Signature of Permit Applicant ,,,.. The Commonwealth of Massachusetts Department of Industrial Accidents .',. .e.._; Office of Investigations Lafayette City Center -,' -;r•1• --- - 2 Avenue fie Lafayette. Boston,MA 02111-1750 • www.mass.govidia Workers'Compensation Insurance Affidavit: Buildersit'ontractorsiElectricians/Plumbers Applicant Information Please Print Legibly Renewal by Andersen Name(Business°OrgartuationAndi vidual): Address: 30 Forbes Rd , , City/State:Lip:Northborough, MA 015_32 Phone tt:508-351-2277 Are you an employer?Check the appropriate box: Type of project(required i 1.0:4 I am a employer with 30 4. ID 1 am a general contractor and I 6. 0 New construction employees(full and'or part-time).* have hind the sub-contractors listed on the attached sheet. 7. 0 Remodeling 2.D I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. Ei Demolition working for me in any capacity. employees and have worker,: 9. 0 Building addition [No workers' comp.insurance comp. insurance.: required.) 5. El We are a corporation and its 10.0 Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised then 1 1.0 Plumbing repairs or additions myself. (No workers' comp, right of exemption per MU_ 12.0 Roof repairs insurance required.) ' C. 152.4104).and we have no 1 3.18/other Replacement employees. [No workers' comp. insurance required.] °An y applivain that ciweks box#1 must also fill our the seviieri below siwiwing their\visite&cottons:mon policy infoornation. + Homeowner,who submit this Aida+.a indii:ating the are doing all woli and then hire outside contractors must submit a new affidavit indicating such. :r.unitise:tors that closet this but must attached an additional sheet showing filename of the sub-conaractots and state whether or not those entities has Cfnflk.) . If the•tilf-1..t)Itif.A.Elit.\Li\C 014,10±...-c...the:!, ni of pilt\tdc then 'A of k..'r\'comp.rwiliev nuintsei. I am an employer that is providing worlters•contpenstition insurance for my employees. Below 15 the policy and job site infOrmation. Insurance company Name Old Republic Insurance Co. Policy 4 or Self-ins. Lie. MWC 314158 22 Expiration inc. 10/01/2023 lob Site Address. 14 HANCOCK ST CityStaie tip NORTHAMPTON, MA 01060 Attach at cops of the vs+fawn° compensation polio declaration page ts.hipoing the policy number and expiration date). Failure to see urs. ,,,\eiage as requosJ under Section 25A of Wit.c. 152 can lead to the imposition of criminal ps.:..ntieN of a fine up to S1.5tXI_00 antler orie-sear imprisonment, as well as civil penalties in the tOrin of a STOP WORK ORDER and a fine of up to$250.01)a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of lmestigations of the DIA tot in-mance s to.,cra.2%.• N.\litication. I do hereby certify under the'pains and penalties of perjury that the information provided abate is true and correct. Siguiturc: kield4OP 4401Z Ra, 4/13/2023 Phone 4 9 -?00 - qsz Official use only. Do not write in this area.to he completed by city or town official ( it% or Town: Permit/been kr # a Issuing Authorit icheek one): 101Inard of Health 20 Building Department 33 itylovin Clerk 4.0 t R,irit.:il Inspector Salunibirit Inspector 6.00ther ( optic'*Pertain: l'h.,ii, -. . . Page 1 of 1 ACCPROr CERTIFICATE OF LIABILITY INSURANCE osnlr o 'THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER. IAPORTANT: N the caetMate holder Is an ADDITIONAL INSURED.the pobcy(lee)must have ADDmONAL INSURED provisions or be endorsed. If SUBROGATION IS WANED.subject to the terms and conditions of the policy,certain polid'ss may require an endorsement. A statement on this certitude does not confer tights to the atlM.ate holder In lieu of such endoresmem(s). PNOOUCER COMACT NA NE. 11111.111 Torero Watson C.rtificat. C..tar Rill i. 20.ar. N.taoa Wawa t, lee. PRONE c/o 26 caetuey laird .a� 1-077-945-7379 I,FA"s.NaL 1-ee11-467-2374 EARL P.O. act 305191 Armamu cer tlf icat..lmillia.ma Markel 11a, 151 372305191 Con Nµp19VS)AFFOm.O COVERAGE NAIL* NNIRERA. Old a publ1c insurance Company 24117 IMUIED NsWER$: ll..a.mal by•.dense. LLC 30 rumba* bead Ne1RERC: Nortbbere.pb, NA 01532 NIUER D DIMMER E INSURER F. COVERAGES CERTIFICATE NUMBER:N26007451 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NSURED 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. TIE 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. LIR TYPE OF NaURANCE POLcr wnalER ereormn, r urns X CORG1301214.GEIERAIUMIJTY EACH OCOM ENCE 6 2,009,000 UNNSICIETCINurreu ' 1 I CWMSMAOE X OCCUR PREMISES iSe 0401nenan t SOO,000 A RED EXP(Net orr DANORI ; 10,000 1N1T 314161 22 10/01/2022 10/01/2023 PER96NAL A AWINAIRy f 2,000,000 GEM.AGGREGATE UNIT/PRIES PER: GENERAL AGGREGATE ; 4,ODD,000 PCUCV Q AC [J 10C PROoucrs-COMFMDP AGO a 4.000,000 I OTHER. AUTOGOGLE UMUTY LCOOAaPI D SINGLE LSAT $ 5.000,000 blirb 0-+ X ANY AUTO BODILY INJURY(Per p.rmoni I A ~OMNED ._9C3EDULED MOM 314159 22 10/01/2022 10/01/2023 BODILY NARY(Per ac dent $ OS HAD ONLY �� AUTNObbsNED PNOPERTY DAMAGE AUTOS ONLY AUTOS OILY *Per amemm rW`I r A UAB _J OCCUR EACH OCCURRENCE e EXCESS LIAR CLASIBJMDE AGGREGATE ; DED I I RETENTION; ; MIOIe®sCOMIPENIA710N X I STATIRE i I Will- AND BILOYER6'LAAdLRY A AIMPROPtIETOWPARTNER,EXECUTNE Y)N EL EACH ACCIDENT $ 1.000,000 OFFCERMELr3EREXCLUOED7 El N/A I! 3141Se 22 10/01/2022 10/01/2023 U7..611rs NINON EL DISEASE-EA EMPLOYEE t 1,000,000 OErCR. 00O PERATON6 O.or EL DISEASE PCUCY UNIT t 1, 0,000 osscassor OF OPERATIONS/LOCATIONS I M6MC US IACORO IM.A4ee...1 alaMaa GROG A as/5.AaMdud Rant yem.Y rb9M.M CERTIFICATE HOLDER CANCELLATION SHOULD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIATION DATE THEREOF. NOTICE WILL BE DELNERED N ACCORDANCE WITH THE POLICY PROVISIONS. AUTNONRE0$E,5U®RATNE ` � - d1d..o. .t Insurance' 01111111-2016 ACORD CORPORATION. Al rights!monad. ACORD 25(2016/03) The ACORD name and logo me registered marls of ACORD aw ID: 23076070 nx.: 267 632 4 V Commonwealth of Massachusetts COaialftwratt111aar Division of Occupational Licensure Doraaenctod_B+ililla s of tw l to ti group w hit h contort • Board of Building Regulations and Standards less than gpp topic Mal OM cubic anlat:)of andouisd cnstort-rt"714 on IS rvtsor 'a p CS 090125 spires; 10/06/2024 JAIME L 161041171 i 54 NOTTINGRAM RD RAYMOND Nit 0307T: -L;t:: li..,, .44)aval FMlws to possess a curls*salba ot the StawdNaaMs CcaTur s.s:oncr `""Q /. i3,aacg+t. sub etdbilog Coda Is come for macaw ofthis Mn oae. For wdormation about Ibis license Cal 017)71T-32S or visit wwts.ws.goatdp1 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washingty Strom-Suite 710 Boston, Massachusetts 02118 Home lmproyeine11.Contractor epistration ,n=7 Type Supplement Card --:Reg abod, 170010 RENEWAL BY ANDERSEN LLC Ertpfatton 12/22/2023 30 FORBES RD NORTI4sOROUGH.MA 01532 J1,4.f, t.., Update Address and Raton Card. THE COMMONWEALTH OF MASSACHUSETTS Registration valid for individual use only before the pthcs of Cornunwr Affairs Si Business Regulation Rem oo therm N Mond rotten to HOME IMPTYPE.ROVEMENT Sig 4Ile CONTRACTOR tit Office of Consumer.Affabrs and Business Regulation RIO01 �Yx+ wnt finaliees Loop wuAlngton Street -Suite 710 170410 1211212023 Boston,MA 02111 RENEWAL BY ANDERSEN LLC 30 FORSWORE) ;,,,,,.,r r a4d..t �j -- NOp�OROuGH.MA 01532 Undersecretary Not lid without s19ri3tura ‘Iffit RENEWAL 2./trt brANDERSEN filkiEnG►MMOON;CON t� sages To Whom It May COMM: This letter will authordtt the ffi1ow=ng personls) to act as agent(s)on behalf of Renewal by Andersen LLC, 9900 Jamaica Ave South, Cottage Grove MN 55016 to pull for permits and inspections with respect to the installation, maintenance and repair of windows and entry doors EntiPr Massachusetts State Home Improvement Contractor license number 170810 and Construction Supervisor License number CS-090125. If you have any questions, please call me at 508.351-2277 ext 6 Authorized person(si: Go Permits L1.0 Sarah Hammad David Anderson Maureen Kivel Scott Doughman Ryan Bkondo Sovannara Kuy Mark Foster Wynn Norgan Jennifer w►nke Wendy Holden Gerald Cramer Nick Raeo Dane!Vitkerrnan Stepher Wilder Katie Grocott Bonnie Myers Carrie 1oligno Michael Rogers Rachel Orloff . amie Morin_ w._. Renewal by Andersen lit H IC 170810 CSL—CS090125 local District Office Address 30 Forbes Rd 14crthboraugh, MAO1532 41 issf Andersen Lit 9900tarnxtrsAwe South,(COW nae MV SSCi1G , _ RENEWAL y:, brANDERSEN FULLNCE WINDOW&DOOR REPLACEMENT J SER Re: Massachusetts Solid Waste Affidavit Good day, Please find attached location where the installers will bring their debris from the jobs.These are all Renewal by Andersen location. • WASTE MANAGEMENT—30 FORBES RD, NORTHBOROUGH, MA 01532 When filling out any solid waste affidavit, it's the installer whom will be removing the garbage and dumping the trash at the Renewal by Andersen dumpster locations closest to that job. Thank you, Go Permits RENEWAL BY ANDERSEN SPECIFICATION Et TECHNICAL MANUAL PERFORMANCE RATINGS AND TEST DATA NFRC Total Unit Performance .,.. r u-Factor Renewal by Andersen High Performance Glass Type (Bit)1(hr ft2 oF)) SHGCyr Product Air HP Gas Blend Air HP Gas Blend Without Grilles 0.42 0.41 0.51 0.51 .82 Clear Full Divided Light Grilles 0.43 0.41 0.46 0.46 Without Grilles 0.31 0.28 0.28 0.27 .72 Low-E4® Full Divided Light Grilles 0.32 0.29 0.25 0.25 Casement Without Grilles 0.32 0.29 0.17 0.17 .40 G Low-E4E Sun Fixed Full Divided Light Grilles 0.33 0.30 0.16 0.15 Without Grilles 0.31 0.28 0.19 0.18 .65 Low-E4®SmartSun,u Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E4®SmartSun Without Grilles 0.26 0.24 0.18 0.18 .63 with Heatlocki" Full Divided Light Grilles 0.26 0.24 0.17 0.16 Without Grilles 0.43 0.41 0.51 0.51 .82 Clear Full Divided light Grilles 0.43 0.41 0.46 0.46 Without Grilles 0.31 0.28 0.28 0.27 .72 Low-E4® Full Divided Light Grilles 0.32 0.29 0.25 0.25 Without Grilles 0.32 0.29 0.17 0.17 .40 Awning Low-E4®Sun Full Divided Light Grilles 0.33 0.30 0.16 0.15 Without Grilles 0.31 0.28 0.19 0.18 .65 Low-E4®SmartSun1° Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E4®SmartSun Without Grilles 0.27 0.25 0.18 0.18 .63 with HeatLockTM Full Divided Light Grilles 0.27 0.25 0.17 0.16 Without Grilles 0.46 - 0.58 - .82 Clear Full Divided Light Grilles 0.46 - 0.52 - Without Grilles 0.33 0.30 0.31 0.31 .72 Low-E4" Full Divided Light Grilles 0.34 0.31 0.28 0.28 uble-Hung Without Grilles 0.33 0.30 0.20 0.19 .40 IN (All Frames} Low-E4 Sun Full Divided light Grilles 0.35 0.31 0.18 0.17 Without Grilles 0.32 0,29 0.21 0.21 .65 Clow-E4®SmartSun ivided Light Grip 0.34 (fs , 0.19 0.19 ___fur � Without rrillpc n n n 25 n 2n n 2q Al oil with Heatlock"" Full Divided Light Grilles 0.30 0.27 0.18 0.18 09-9 COMPANY CONFIDENTIAL- REVISION AA-Ol RENEWAL BY ANDERSEN SPECIFICATION &TECHNICAL MANUAL PERFORMANCE RATINGS AND TEST DATA NFr 0-Factor SHGC f Renewal by Andersen High Performance Glass Type (BlU/(hr ft2 oIl) VT Product Air HP Gas Blend Air HP Gas Blend Without Grilles 0.42 0.41 0.51 0.51 .82 Clear Full Divided Light Grilles 0.43 0.41 0.46 0.46 Without Grilles 0.31 0.28 0.28 0.27 .72 Low-E4e [ run uroiaea trgnr urines use u.ca u.cn 0.25 Casement Without Grilles 0.32 0.29 0.17 0.17 .40 a Low-E4 Sun Fixed Full Divided Light Grilles 0.33 0.30 0.16 0.15 ithuut 6rilfes� 0.31 0.2: 0.19 0.18 .65 Low E4�SmartSunT" Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E0 SmartSun Without Grilles 0.26 0.24 0.18 0.18 .63 with Heatlock'" Full Divided Light Grilles 0.26 0.24 0.17 0.16 Without Grilles 0.43 0.41 0.51 0.51 .82 Clear Full Divided Light Grilles 0.43 0.41 0.46 0.46 Without Grilles 0.31 0.28 0.28 0.27 .72 Low-E4m Full Divided Light Grilles 0.32 0.29 0.25 0.25 Without Grilles 0.32 0.29 0.17 0.17 .40 Awning Low-E4C Sun Full Divided Light Grilles 0.33 0.30 0.16 0.15 Without Grilles 0.31 0.28 0.19 0.18 .65 Low-E4®SmartSunw Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E43 SmartSun Without Grilles 0.27 0.25 0.18 0.18 .63 with HeatLockTM Full Divided Light Grilles 0.27 0.25 0.17 0.16 Without Grilles 0.46 - 0.58 - .82 Clear Full Divided Light Grilles 0.46 - 0.52 - Without Grilles 0.33 0.30 0.31 0.31 .72 Low-E40 Full Divided Light Grilles 0.34 0.31 0.28 0.28 Double-Hung OG Without Grilles 0.33 I 0.30 0.20 0.19 .40 (All Frames) Low-E4 Sun Full Divided Light Grilles 0.35 0.31 0.18 0.17 Without Grilles 0.32 0.29 0.21 0.21 .65 Low-E4®SmartSunr" Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E4$SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLockr" Full Divided Light Grilles 0.30 0.27 0.18 0.18 09-9 COMPANY CONFIDENTIAL- PEVISION AA-01 Agreement Document and Payment Terms DBA:RENEWAL BY ANDERSEN OF BOSTON Arnold Levinson kfr,Ds 0^ t Legal Name:Renewal by Andersen LLC 14 Hancock St RENEWAL HIC#170810 Northampton,MA 01060 byANDERSEN 30 Forbes Road I Northborough,MA 01532 I H:(413)320-6982 Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(413)584-3034 Arnold Levinson 04/07/23 BUYER(S)NAME CONTRACT DATE 14 Hancock St, Northampton , MA 01060 (413)320-6982 (413)584-3034 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER toarnie41@gmail.com PRIMARY EMAIL SECONDARY EMAIL NOTES: 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: $22,337 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: $0 BALANCE DUE: $22,337 Estimated Start: Estimated Completion: 14 weeks 2 days AMOUNT FINANCED: $22,337 We schedule installations based on the date of the signed contract and secondarily on the date METHOD OF PAYMENT: Financing 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: 12 month SAC 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 04/11/2023 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. ___--- --- - ___---- ---------.__...--- SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE William Abdelnour Arnold Levinson PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 04/07/23 Page 2/ 33 A Itemized Order Receipt AWA DBA:RENEWAL BY ANDERSEN OF BOSTON Arnold Levinson Legal Name:Renewal by Andersen LLC 14 Hancock St RENEWAL HIC#170810 Northampton,MA 01060 byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)320-6982 Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(413)584-3034 ID#: ROOM: SIZE: DETAILS: PRICE: 101 Sun rm Window Casement Triple 1:1.:.1 Left Vent/ Stat / Right Vent, Base Frame, Exterior White Interior White. Performance Calculator PG Rating: 35 I DP Rating: + 35 / - 35 Glass,All Sash: High Performance SmartSun Glass. No Pattern, Hardware, White. Screen,Aluminum, Full Screen. Grille Style, No Grille. Misc, None 201 Bedroom Window Double-Hung tDG, :1 Slope Sill. Insert Frame. Traditional Checkrail, Exterior Black. Interior White, Performance Calculator P Rating: 40 I DP Rating: + 40/ - 40 Glass, All Sash: High P rformance SmartSun Glass. No Pattern, Hardware, White, creen, Aluminum. Full Screen, Grille Style, Grilles Betwee i Glass (GBG). Grille Pattern,All Sash: Colonial 2w x lh, MI c, None ' 202 Wifes Bath Window Double-Hung (DG1:1 Slope Sill. Insert Frame. Traditional Checkrail. Exter or Black. Interior White, Performance Calculator P Rating: 40 I DP Rating: + 40/ 40 Glass, All Sash: High P rformance SmartSun Glass. No Pattern, Tempered Glass, ardware, White. Screen, Aluminum, Full Screen, Gri le Style, Grilles Between Glass (GBG), Grille Pattern, All Sash: Colonial 2w x lh. Misc, None 203 Wifes Bath Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame. Traditional Checkrail, Exterior Black. Interior White, Performance Calculator PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass. Hardware, White. Screen, Aluminum, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, All Sash: Colonial 2w x 1h. Misc, None 301 third floor Specialty 04/07/23 Page 3/ 33 At. Itemized Order Receipt ‘410, DBA:RENEWAL BY ANDERSEN OF BOSTON Arnold Levinson RENEWAL Legal Name:Renewal by Andersen LLC 14 Hancock St HIC#170810 Northampton,MA 01060 byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)320-6982 UI'.Si41'-!;MO.COR4ir„t(;ylf Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(413)584-3034 ID#: ROOM: SIZE: DETAILS: PRICE: Springline Base Frame. Exterior Black. Interior White, Performance Calculator PG Rating: 50 I DP Rating: + 50 / - 50 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass. Grille Style, Grilles Between Glass (GBG). Grille Pattern. All Sash: Colonial 2w x 2h, Misc, Custom. Replacement of window frame and sash, includes casing that does NOT require a knife. WINDOWS: 4 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 1 MISC: 0 TOTAL $22,337 Renewal by Andersen is committed to our customers'safety by complying with the rules and lead-safe work practices specified by the EPA. 04/07/23 Page 4/ 33 Payment Authorization Form 1111 A r DBA:RENEWAL BY ANDERSEN OF BOSTON Arnold Levinson RENEWAL E Legal Name:Renewal by Andersen LLC I 14 Hancock St EN HIC#170810 Northampton,MA 01060 ,u ANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)320-6982 umaroomommumw Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(413)584-3034 Arnold Levinson BUYER NAME 14 Hancock St Northampton ADDRESS CITY MA 01060 (413)320-6982 (413)584-3034 STATE ZIP CODE PHONE NUMBER 1 PHONE NUMBER 2 4521 $22,337 FINANCE PROGRAM" FINANCE PLAN#" CONTRACT BALANCE William Abdelnour 2309701823 SALES REP APPLICATION ID OFFER EXPIRATION DATE *If your financing is pending,the Finance Program and Finance Plan Number are subject to change PAYMENT SCHEDULE ($22,337) CASH DEPOSIT(1) FINANCE DEPOSIT(2) START OF JOB(3) SUBSTANTIAL COMPLETION(4) FINANCING $0 $7,445 $7,445 $7,447 (1)CASH DEPOSIT: 1/3 of the purchase price is due at Contract Signing. This may be paid in part or in whole by cash,check,or credit card ("Cash Deposit"). I (2) FINANCE DEPOSIT: 1/3 of the purchase price is due at Contract Signing. This may be paid in part or in whole with financing("Finance Deposit"). I (3) START OF JOB: 1/3 of the purchase price is due at Start of Job. (4) SUBSTANTIAL COMPLETION:Final payment is due on the day of installation when all windows and/or doors included in this agreement have been installed into their openings and any interior and exterior trims have been applied( Substantial Completion").If there are any outstanding warranty claims or service items,customer may retain an amount equal to the value of the outstanding item(s)or work to be done,not to exceed 10%of the total purchase price.Due to project changes after Contract Signing,the final paym nt is subject to change. BY SIGNING BELOW, I/WE,THE BUYER(S): 1.Authorize Renewal by Andersen to transact payments based on the amount(s),form of payment(s),and timing specified in the Payment Authorization Schedule above. 2.Acknowledge the use of the loan to make a purchase will constitute acceptance by all Borrowers of the Loan Agreement. 3. Instruct the Lender(if applicable)to disburse the proceeds of the loan to Renewal by Andersen as identified above in the amount(s) and timing specified in the Payment Authorization Schedule. 4. Understand that Renewal by Andersen must be notified in writing of a change in payment method in advance of the respective payment. Arnold Levinson N"tX",) f -�tl�� 04/07/23 BUYER NAME SIGNATURE DATE 04/07/23 Page 5/ 33 Go Permits, LLC 105 Buttonball Lane G0011111 Glastonbury, CT 06033 PEilMU1S Scott Doughman Phone: 860-952-4112 Fax: 860-430-6719 scottdoughman@gopermits.org Re: Building Permit Application - Licenses Good day, Please find attached permit application, licenses and supporting documents. Renewal by Andersen sold the job and is the G.C. and CSL - CSL #CS-090125 — Exp. 10/06/24 - HIC #170810 -- Exp 12/22/23 - Workers Comp -#MWC 3145822 — Exp. 10/01/23 Old Republic Insurance Co All licenses and insurances are attached. Once the permit is ready: • Please fax or e-mail a copy of the permit and receipt to the below address and mail the original to the homeowner: Fax: 860-430-6719 Email: renewal byandersenAgopermits.orq • If you unable to mail the permit to the homeowner please send to the below address and we will ensure the permit is at the home posted at the time of installation: Go Permits, LLC 105 Buttonball Lane Glastonbury, CT 06033 If we are required to pick up the permit in at the building department, please call 860-952- 4112 once it's ready and we will come to get it. Thank you, Go Permits