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36-047 (5) BP-2023-1472 20 WINCHESTER TERR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 36-047-001 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-2023-1472 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: Est.Cost: 33036 RENEWAL BY ANDERSEN 090125 Const.Class: Exp.Date: 10/06/2024 Use Group: Owner: U CARPENTER RALPH F&ANN Lot Size (sq.ft.) Zoning: WSP Applicant: RENEWAL BY ANDERSEN Applicant Address Phone: Insurance: 30 FORBES RD 508-351-227 WLRC50668058 NORTHBOROUGH, MA 01532 ISSUED ON: 10/20/2023 TO PERFORM THE FOLLOWING WORK: INSTALL 9 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: a , I • ri Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner u/Ai v! z-CA r /s ar4-latef,e- p l fitC.c-e_ .liK/Leii-G ,6 ppfr(/ @ /qO,/k, ,4t'6-e or) $ , The Commonwealth of Massachusetts R E C E I E D Board of Building Regulations and Standards FOR 14), Massachusetts State Building Code, 780 CMR OCT 1 9 � 1UN:CIPA�LITY USE Building Permit Application To Construct, Repair, Reno✓ate Or Demolish a Revisacl Maf 2011 One-or Two-Family Dwelling DFPT OF RHO r1iNr,w PECTIONS a This Section For Official Use Only NORTHAMPTON,MA 01060 Building gg 6 Permit Number: 3-- // 7.2- Date Applied: Kk=u.._) .a),.> i/ /D-20-70Z3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 2 , ckts •- /'---.- 1.1a 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 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.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system Cl Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: 1"^ M R ®/O6 Ara lD AI ag /r��� ""'`y' Name(Print) City,State,ZIP tO telAeited - 7 c 44'j' 6Z6. 1(o16 r SS rtl.n caSS.nei No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other 2Xpecify;/'r me",1 6101.114 Brief Descrintion of Proposed Work': ,e,'w .‘„ Q►,,,.d Avef/tee 1 ws‘1,C1.,,.� I rt& e Ilk, e-2#L+ An s•tAe ki 401,c,7 kt‘ el . ,zq SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: 3 3�°3�' ❑ 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 $ Suppression) Total All Fee /tD Check No.LP FYI heck Amount: Cash Amount: 6. Total Project Cost: $ 3) p; .c11) 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ©le, zS /o Y y� /U6Z PAC, !tart^ License Number Expiration ate Name of CSL Holder ieS List CSL Type(see below) A-4-15 No.and Street Type Description ' t kdr•V /61/14- D df3 z-- U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofmg Covering c1 Window and Siding SF Solid Fuel Burning Appliances ga disZ'yll Z F /1�Qnd�r�L^("'4.♦ Olt I Insulation Telephone Email address D Demolition 5.2 Registered Home� Improvement� Contractor(HIC) / 8(o i Z1z2,/23 It le«v'�P �y /t4/CW 1" HIC Registration Number Expiration Date H mpanygiarge i Fll Registrant Name / l No.and t �hG�S d /e� �i` Q Ci ien e` pe ri�+�7T•o'� /' I0414 MR" O/�3 L ,so -752—Y/I Z.— City/Town, Email address cJ State,ZIP Telephone SECTION 6: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 ❑V-- No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S 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. Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurat/o th- be of my knowledge and understanding. Print Owner's or Authorized Agent's Name(El s onic/ignature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths 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" .;r The Commonwealth of Massachusetts Department of Industrial Ac cidents ='.Z Office of Investigations =air Lafayette City Center iM IrIW .r,",. 2 Avenue de Lafayette, Boston,MA 02111-i 75f1 - ;.` wii'w.nmass.g,ov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Renewal by Andersen Name (Rust nc.s$rcartizatio individual): Address 30 Forbes Rd, City State/Zip:Northborough, MA 01532 Phone # 508-351-2277 Are you an employer?Check the appropriate hots: I v pc of project(required): 1.IX I am a employer w:th 3° 4. ❑ I am a general contractor and t employes(full aneiJor part-time).* have hired the sub-contractors t' Li Nevi construction 2 ❑ 1 am a sole proprietor or partner- listed on the attached sheet. ❑Remodeling ship and have no employees These sub-contractors have s Demolition workingfor me in anycapacityerrtploye s and have workers' 9. ❑Building addition [No workers' comp.insurance! comp. insurance. required.) 5. (] We are a corporation and its it O Electrical repairs or additions 3.0 I am a homeowner doing all wort officers have exercised their 1 l.❑Plumbing repairs or additions myself Nov.orkers comp. right of exemption per MGL 12.0 Roof repairs insurance required.) ` c. 152,§l(4),and we have no Replacement employees. [No workers' 1.3 Other _ comp. nsurance required.] •Any applicant root sheets box 41 uwst aasu ti 1 out the i.eethxn below'Avowing ttseir wtukors'compensation policy isfotni i un i Hollow fors who submit this affidavit indicating they are doing all wort and liven him_outside contractors must submit a ncv. affidai,;}nd:.ating such 'Contra,tu c,that i heck this buy emus(atta:hed art additional,direr allowing the mime of the hutacontractois and%talc whether or not those entities hose c itltii.,y..`ti. lithe,ut,>-canttraetia.,l.:rrcrri t?Iir,i•ts.they r;tka pie e:dh rlc,u ucrierw ...sip pu,4iy t.na.hcr. I ins in employer thin is providing workers'compensation insurance for mt employee,.. Below is the polio;, and job site information. Insurance Company Name: Old Republic Insurance Co. Policy#or Self-ins. Lie. #; 314158 22_ Expiration Date1010112024 Job Site Address: 20 wlnchester ter CityfStateri_tp Florance,MA 01062 Attach A copy of the workers' compensation polio) declaration page(showing the polity number and expiration date). Failure to secure coverage as required under Seetron 25A of 11461 c. 152 can lead to the imposition of criminal penalties of a line 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 fin of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Otticc of Investigations of the DIA for insurance coscrage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. 40pSignature: / 4.ut". t)atc 10/02/23 'vf Piton.. ._. '6.6 - 91L- (// v Official use only. Do not write in this area,to be completed by city or town official. ( it) or Town: Permit/License # Issuing Authority (check one): -- I❑board of Health 20 Building Department 30CityfTows Clerk 4.0Electrical Inspector 5r3iumbing Inspector b.❑(lther -mm _ Contact Person:_wy Phone*: Page 1 of 1 AC D`� CERTIFICATE OF LIABILITY INSURANCE DATE(MYY) ��.. 09/21/202/2023 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 have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Willis Towers Watson Certificate Center NAME: Willis Towers Watson Midwest, Inc. PHONE 1-877-945-7378 FAX 1-888-467-2378 c/o 26 Century Blvd E-MAIL ceran P.O. Box 305191 ADDRESS: nertificates@willis.comNashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC* INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B: Renewal by Andersen LLC - 30 Forbes Road INSURER C: Northborough, MA 01532 INSURER D: INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: W30224860 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 SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MMIDD/YYYY) JMMIDDIYYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 CLAIMS-MADE X OCCUR DAMAGETO RENTED PREMISES(Ea occurrence) $ A MED EXP(Any one person) $ 10,000 MWZY 314161 23 10/01/2023 10/01/2024 PERSONAL&ADV INJURY $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 X POLICY JECOT- LOC PRODUCTS-COMP/OP AGG $ 6,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED MMTB 314159 23 10/01/2023 10/01/2024 AUTOS ONLY AUTOS BODILY INJURY(Per accdent) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER OTH- ANDEMPLOYERS'LIABILITY STATUTE _ ER YIN A ANYPROPRIETOR/PARTNERIEXECUTIVE EL.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? No NIA MWC 314158 23 10/01/2023 10/01/2024 1,000,000 (Mandatory in NH) EL.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REP�RESENTATIVE Evidence of Insurance effJ i n"/A+ O 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 24694639 BATCH: 3138744 City of Northampton 71 S •'" '` Ns Massachusetts `�? • cf�e141 4 DEPARTMENT OF BUILDING INSPECTIONS 4 212 Main Street • Municipal Building yJti a� Northampton, MA 01060 .Ph, WO° CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: 6,a,s /f't4"aG /1".j. Location of Facility: 38 iks i d /Ui4 iserovvyb p14 va--3 Z The debris will be transported by: Name of Hauler: Jad, / #1/4 /'0 '/ Signature of Applicant: Date: L3 ® Commonwealth o1 Massachusetts ___ +rott fatparti4so► Division of Occupational Licensure Unrestricted.Bu>trtegs of airy use{soup wttictt cotttawt Board of Building.R]�egulations and Standards less than 35,000 cubic het(991 cubic meters)d et�dosed ConstkWI 1404lIS eNiSor sV e .y CS-090125 spires: 10/06/2024 ; JAIME L MO9N 4 54 NOTTINGWAM RD r r '' f _ r RAYMOND NM 030 �r • r'. ,t°, 'CAI` -Tp 'CAI` ' tYd:t - Failure to possess a cUMlottt edition of the toast achusetts C ;fir ^,c % 9t Cads is cam tor revocation of this license, ,...r:lss.�n:r i, f;. 1.ittttut. For trtfonnattoo about this license Car($17)7273200 or Mab'rem.m,.s.gov dpl THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home lmproyernent Co tractor Registration " ' Type: Supplement Gard : t toegisitalion: 170810 RENEWAL BY ANDERSFN LLC sx Expiration 12t222202:) 30 FORBES RD ` - " NORTI-E8OROUGH MA 01532 .- .. ^^ Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSEITS Office of Consumer Affairs&Baseless Regulation Registration valid for individual use onty before:he HOME IMPROYENIENT CONTRACTOR s.pir>+t.on dm,. 14 found return to. TYPE,Suivlemer.l Card Office of Consumer Amurs and Business Regulation RUIVIIMP0 Eminittotl t000 Washington Street -Suds 7t0 1711810 12`22/20 3 Boston,MA 02110 RE N£WAL BY.ANDERSEN LlC JAIME MORIN :to FortBES RD r y,s••' 7 ,4.'4.....+t L. NtJti?HBORCNfCaH,MA 01532 Undersecretary `�/ Not lid without signature 5RENEWAL brANDERSEN �;' FDtLSEEMEEWINDOW&DOOR REPIAaMDIT j . 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 U.S. Canada ENERGY ENERGY 5 o STAR STAR Andersen' Andersen NFRC Certified o o u ui e v 6.0 v 4.1 Product Line& Glass Grille Type Products u u 5 12 5 g Product Type Type Directory Number to A C a f 8 5 w n Z te N N A 2 ni c .. Sl muleted Divided Lit.or Installed Interior Removable AND-N-63-00885-00003 0.26 1.48 N 0.38 0.46 29 <0.2 NC - - Z1 22 - ts Full Divided Lite AND-N43-00891-00001 0.28 1.59 0.38 0.46 26 <02 NC - - 21 - S = a; Fin.Ilghl'"(grilles-lietwesMy(grilles-between-the-glee.) AND-N-63-00897-00001 0.27 1.53 0.43 0.52 31 <02 - - - Z1 22 - 3.0 Annealed or 3.1 Tempered Glass-w/No Grilles and Grilles Less Than 1' No Grilles AND-N-63-00792-00001 0.30 1.70 0.32 0.54 20 <02 - NC - - - - - Simulated Divided Lite or Installed Interior Removable AN041.e3-0079240002 0.30 1.70 0.28 0.45 111 <0.2 - NC - - - - - Full Divided Llt. AND-N-63-00798.00001 0.91 1.76 0.29 0.48 17 <0.2 - Flnellght*•(grilles-between-the-glass) AND-N-63.00810-00001 0.31 1.76 0.28 0.48 17 <02 No Grilles AND-N-63-00793-00001 0.30 1.70 0.20 0.30 14 <0.2 - NC SC :' - - LIJ Simulated Divided Lite or Installed Interior Removable AND-N-63-00793-00002 0.30 1.70 0.18 0.27 12 <0.2 - NC SC - -i 3 - u -, Full Divided Lite AND-N-63-00799-00001 0.31 1.76 0.18 0.27 11 <0.2 - - - - - - o Grilles AND-N-63-00794-00 0.29 1.65 0.21 0.49 15 <0.2 - NC 80 - - as ; Si ulated Divided Lye or Installed Interior Removable AND-N-63-00794-00002 0.29 1.85 0.19 0.43 14 <0.2 - NC 1 - - G C NII Divided Lite AND-N-63-00800-00001 0.30 1.70 0.19 0.43 13 <0.2 - NC - - Flnellght"'(grilles-between-the-glass) AND-N-63-00812-00001 0.31 1.76 0.19 0,43 12 <0.2 - - - - - ', No Grilles AND-N-03-00791-00001 0.31 1.76 0.52 0.60 31 <0.2 - - - - c Simulated Divided Lite or Installed Interior Removable AND-N-63-00791-00002 0.31 1.76 0.46 0.53 27 <0.2 - - - - Z1 - - o -, t7, Full Divided Lite AND-N-63-00797-00001 0.32 1.82 0.46 0.53 26 <0.2 - - - 71 - - o' Finelight'"(grilles-between-the-glass) ANO.N43.0080940001 0.32 1.82 0.48 0.53 29 s02 - - - - Z1 - - No Grilles AND-N-63-00901-00001 0.26 1.45 0.31 0.53 25 <02 NC - - 21 - - w o Simulated Divided Lite or Installed Interior Removable AND-N-83-00901-00002 0.26 1.48 0.28 0.47 23 <02 NC - - 21 - - o = Full Divided Lite AND-N-63-00904-017001 0.28 1.59 0.28 0.47 21 <02 - NC - 21 - - 3 Finelight'•(grilles-between-the-glass) AND•N-83.00910-00001 0.27 1.53 0.28 0.47 22 <02 NC - - 21 - - 200 Series Gliding No Grilles AND-0I-3-00902-00001 0.26 1.48 0.21 0.47 19 <0.2 NC SCA 21 - - C Y yr § 9 Simulated Divided Lite or Installed Interior Removable AND-01-03-00902-00002 0.26 1.48 0.19 0.42 18 <0.2 NC SC S 71 - - 1rd = Full Divided Las ANDS-64-00905-00001 028 1.59 0.19 0.42 15 <0.2 NC SC S - - - 3 Finellght*•(grilles-between-the-glass) AND-N-89-00911.00001 0.27 1.53 0.19 0.42 17 <0.2 NC SC S 71 - No Grilles AND-N-63-00900-00001 0.27 1.63 0.47 0.68 33 <0.2 c f y. ° G Simulated Divided Lite or Installed Interior Removable AND-N-83-00900-00002 0.27 1.53 0.42 0.52 30 <02 - - - 21 22 - 9# � i7 . u '" = Full Divided Lite AND-N-63.00903-00001 0.29 1.55 0.42 0.52 27 <02 6 1 Fln.11 ht'• - - - q (grilles-between-the-glass) AND-N-B3-00909-00001 0.26 1.59 0.42 0.52 29 <02 21 22 3.0 Annealed or 3.1 Tempered Glass-wl Grilles 1"or Greater Simulated Divided Lite or Installed Interior Removable AND-N-63-00792-00003 0.30 1.70 0.25 0A2 18 <02 - NC SC - - - Full Divided Lite AND-N-63-00804-00001 0.31 1.76 0.26 0A2 15 4 02 - - - - • -- FInallght(grilles-between-the-glass) lea Nit Net via n/a n/a n/a - - - Simulated Divided Lite or Installed Interior Removable AND-N-63-00783-00003 0.30 1.70 0.16 0.24 11 4 0.2 - NC - - 9 N Full Divided Lite AND-N-03-00805-00001 0.31 1.76 0.18 0.24 10 <0.2 - - - - - - FinNight'•(grilles-between-the-glass) Na Na Ns Na We Ns n/a - - - y� Simulated Divided Lite or Installed Interior Removable AND•N•83-00794-00003 0.29 1.85 0.17 0.38 13 <02 - NC SCi - - - 3 , - 9 '� Full Divided LiteLib ANDN-89-00506-0D001 0.30 1.70 0.17 0.35 12 <02 NC > i E vi Flnelight'•(grilles-between-the-glass) Na Na Na Ns Ns Na Ne - - - •c Simulated Divided Lite or Installed Interior Removable AND-N-63-00791-00003 0.31 1.76 0.41 0.47 24 4 0.2 E u Z Full Divided Lite AND-N 63-00803-D0001 0.91 1.78 041 0.47 24 <0.2 Pr. Fin.light"(grilles-between-he-gleae) n/a Na Na Na vie n/a No .1 Simulated Divided Lite or Installed Interior Removable AND-N-63-00901-00003 026 1.48 025 0.41 21 <0.2 N NC !IC 21 - - A1 Full Divided Lite AND-N-63-00907-00001 020 1.59 0.25 0.41 19 <0.2 - NC,5C1 • 21 - - ss FInNIgM'•(grilles-between-they; Na Ne lee We nee Na lee This information is for reference only. Date Is current as alecem December 15,2014 and is subject to change. Performance varies by unit size and options selected. Pegs21 of55 See pegs 1 for more information For specific unit performance information,please contact your dealer or Andersen Sales Representative. U.S. Canada c ENERGY ENERGY rg o STAR STAR Andersen. Andersen NFRC Certified g g u w a v 6.0 v 4.1 Product Line& Glass Grille Type Products a o c 05 A r Product Type Type Directory Number i a y 2 T , y_ L A < Rrn c m 2Z 3 U 0 N N N a! 2.2 Annealed Glass-w/No Grilles and Grilles Less Than 1" No Grilles AND-N•59-00849-00001 0.29 1.62 0.32 0.55 22 <02 - NC Simulated Divided Lite or Installed Interior Removable AND-N-59-00649-00002 0.20 1.65 0.29 0.49 20 <02 - NC 3 2 Full Divided Lite AND-N•39-00855•00001 0.31 1.76 029 0.10 17 <02 - - - Fln•llght'"(grilles-between-the-glees) AND-N-59-00867-00001 0.30 1.70 0.20 0.49 19 <02 - NC No Grilles AND-N-59-00850-00001 0.30 1.70 -0.20 0.30 14 <02 - NC SC - - - u+ c Simulated Divided Lite or Installed Interior Removable AND-N-59-00850-00002 0.30 1.70 0.16 0.27 12 s 0.2 - NC SC - - - bi o Full Divided Lite AND-N-59-00856.00001 0.31 1.76 0.18 0.27 11 <0.2 - - - - - - In-li.r" • I •.L.,< -ttr-•lass AND-N-59-00,s. )H 0.91 1.76 0.1' 0.27 11 <0.2 - - - - • - No Grilles AND-N-59.00851-00001 0,29 1.65 0.21 0.49 15 <0.2 NC SC - - - E� 1 m 31 Simulated Divided Lite or Installed Interior Removable AND-N-59-00851-00002 0.29 1.65 0.19 0.44 14 <0.2 - NC SC - - - f 3 s to Divided Lite AND-N-59-00857-00001 0.30 1.70 0.19 0.44 13 <0.T ` NC SC - - - Finellght*(grilles-between-theglass) AND-N-59-00869-00001 0.30 1.70 0.19 0.44 13 <0.2 NC SC - - v, u Simulated Divided Lite or Installed interior Removable AND-N-5940848-00002 0.30 1.70 0.47 0.54 20 <02 - - Z1 - iFull Divided Lite AND-N-5940854.00001 0.31 1.78 047 0.54 28 <0.2 - - - Z1 - - a Finellght*"(grilles-between-the-glass) AND-N-59-00866-00001 0.31 1.76 0.47 0.54 28 <0.2 - - - Z1 - - e No Grilles AND-N59-00969-00001 0.28 1.59 0.31 0.54 22 <0.2 - NC - 21 - - Y . w , Simulated Divided Lite or Installed Interior Removable AND-N59-00989-00002 0.28 1.59 0.28 0.48 21 <02 - NC - 21 - - 3 3 = Full Divided Lite AND-N•58-0097240001 0.28 1.59 0.28 0.48 21 4 02 - NC - Z1 - - 3 Finelight*"(grilles-beMeen-theglaas) AND-N-59-00978-00001 0.28 1.59 0.28 0.48 21 <0.2 - NC - 21 - - No Grilles AND-N-59-00970-00001 0.28 1.59 0.21 0.48 17 <0.2 - NC SC .,. Z1 - - t Itv. 3 9 Simulated Divided Lite or Installed Interior Removable ANO-N-50-00970-00002 0.28 1.59 0.19 0.43 15 <02 - NC SC - - - .. 200 Series -. E 2 Full Divided Lite AND-N-59-0097340001 0.28 1.59 0.19 0.43 15 <02 - NC SC - - - Tilt-Wash "+3 Double-Hung Flnelightm(grilles-between-the-glean) AND-N-59-00979-00001 0.28 1.59 0.19 0.43 15 <02 - NC SC - - - No Grilles AND-N•59-00968-00001 0.28 1.48 0.45 0.59 35 <0.2 - - - 21 23 c iSimulated Divided Lite or Installed Interior Removable AND-NSD-00989-00002 0.28 1.48 0.43 0.52 32 <0.2 - Z1 y x Full Divided Lite AND-N59-00971-00001 0.29 1.65 0.43 0.52 28 <02 - 0. Flnellght'"(grilles-between-the-glass) AND-N-59-00977-00001 0.29 1.65 0.43 0.52 29 <02 2.2 Annealed Glass-w/Grilles 1"or Greater Simulated Divided Lite or Installed Interior Removable AND-N-59-00849-00003 0.29 1.65 0.26 0.43 18 <02 - NC - - - - - 9 Full Divided Lite AND-N-59.00861-00001 0.30 1.70 0.28 0.43 17 402 - NC FInellght*"(grilles-between-the-glee.) AND-N-59-00873-00001 0.31 1.76 0.29 0.49 17 <02 - - - Simulated Divided Lite or Installed Interior Removable AND-N-59.00650-00003 0.30 1.70 0.16 024 11 <02 - NC SO - - - iN Full Divided Lite AND-N-59-00862-00001 0.31 1.76 0.16 024 10 <02 - - - - - Finellght*"(grilles-between•the-o lase) AND•N59-00974-00001 0.32 1.82 0.18 0.27 10 4 0.2 - - - - - - r Simulated Divided Lite or Installed Interior Removable AND-N-59-00851-00003 0.29 1.65 0.17 0.39 13 <0.2 - NC SC - - - W c o Full Divided Lite AND-N59-00863.00001 0.30 1.70 0.17 0.39 12 <02 - NC Sd - - - E to Flnelight*"(grilles-between-the-glees) ANDa4-59-00875-00001 0.31 1.76 0.19 0.44 12 s 02 - - - - - - "c Simulated Divided Lite or Installed Interior Removable AND-N 4940848-00003 0.30 1.70 0.42 047 26 <0.2 ill - - - Z1 - - w N ; Full Divided Lite AND-N-59-00680-00001 0.31 1.76 0.42 0.47 25 <02 - - - Z1 - - a Flnellght*"1 grilles belween-dreg lase) AND-N-59-00872-00001 0.32 1.82 0.47 0.54 27 <02 - - - 21 - - 44 Simulated Divided Lite or installed Interior Removable AND-N59.00969-00003 0.28 1.59 0.25 0.42 19 <0.2 - NC SC S 21 - - w c w Full Divided Lite AND-N59-00975.00001 0.28 1.59 0.25 0.42 19 <0.2 - NC SC 21 - - 3 FInelight*"(9nlles-between-theglase) AND-N59-00981-00001 0.28 1.58 0.28 0.48 21 <0.2 • NC - Z1 - - it Simulated Divided Lite or Installed Interior Removable AND-N-594097040003 0,28 1.59 0.17 0.39 14 4 0.2 - NC SC S - - - '11 Ss 93 ' u Full Divided Lila AND-N-59-00976-00001 0.28 1.59 0.17 0.38 14 <02 - NC SC S - - S H 3 Flnellghl<(gdllea-between-theglass) AND-N•59.00982-03001 0.28 1.59 0.19 0.13 15 <02 - NC SC - - - This information is for reference only. Performance varies byunit size and options selected. P 2ef58 D°eia� °°'aeaf°eoa'°°r'SOOpegs and rmo'e"md"n°e P Pegs Be•page 1 1b mar.Information. For specific unit performance information,please contact your dealer or Andersen Sales Representative. Go Permits, LLC 105 Buttonball Lane GO la Glastonbury, CT 06033 i PEBM1 I S Scott Doughman ,00 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 31415822 — Exp. 10/01/24 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: renewalbyandersenAgopermits.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 RENEWALIII w' I! brANDERSEN �,'*' jil Iijta s{90M L ppH 1EPtXTarEiR To Whom It May Concern; This letter will authorize the following personls)to act as agent(s) on behalf of Renewal by Andersen LIC. 9900 Jamaica Ave Sou tn, Cottage Grove MN 55016 to pull for permits and inspections with respect to the installation, maintenance and repair of windows and entry rinnrc lint-kir Maccarhusetts State Home Improvement Contractor license number 1.70810 and Construction Supervisor License number CS-090125. If you have any questions, please call me at 508 351=2277 ext 6. Authonred person(sl: Go Permits l.LC Sarah Hamm ad David Anderson Maureen Kivei Scott Doughma1 Ryan B ondo Sovannara Kuy Mark.Foster Glynn Norgari Jennifer wtnke Wendy Holden Gerald Cramer Nick. Ratio Panel Vickerrnan Stephen Wilder Katie Grocott Bonnie Myers Carrie Fol?gno Michael Rogers Rachel Orloff 4,da ; / amie Morin n s� Renewal by Andersen tLC HIC 170810 CSL—CS090125 Local District Office Address 30 Forbes Rd Northborou8h, MA 01532 2 Renewal by Andersen LL C 9%0 bmaica Aver Sad%Canopy Grave MN 5SOI6