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36-247 (19) BP-2024-1048 41 SPRUCE LN COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 36-247-001 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-2024-1048 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2024 Contractor: License: Est. Cost: 21571 RENEWAL BY ANDERSEN 090125 Const.Class: Exp.Date: 10/06/2024 Use Group: Owner: TRUSTEE SHAW, MELINDA B. Lot Size (sq.ft.) Zoning: WSP Applicant: RENEWAL BY ANDERSEN Applicant Address Phone: Insurance: 30 FORBES RD 508-351-227 MWC314158 NORTHBOROUGH, MA 01532 ISSUED ON: 08/19/2024 TO PERFORM THE FOLLOWING WORK: NON STRUCTURAL WINDOW REPLACEMENT 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: Huai: 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: 6/2. Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner RECEIVED & The Commonwealth of Massachusetts AUG 1 9 7024 'iVic). Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780�-A�t DEPT OF BUILDING INSPECT! S ICII'ALITYUSE Building Permit Application To Construct,Repair A TON. a o� edMar 2011 One-or Two-Family Dwelling This S ion For Official Use Only Building Permit Number: op...).y- i a 4.11. Date Applied: / .7 G _ /9- f Building Official(Print Name) -Signature IXite SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 41 SFr uce, lane, 1.la Is thil 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 ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Mkel;rak‘\, 6111M ) lo✓thcr. MA 01047, Name(Print) City,State,ZIP 4l SpYvcL 1OY\.I M13 SIO Gill r Ielkoit[er @AIL cow? 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) ❑ Addition 0 Demolition 0 Accessory Bldg.0 Number of Units Other S ify: rep 4Ac e,.,,,rr1 Brief Description of Proposed Work2: t1pu � rtpin.cc $ ,,.,mows Fi Kt Fw lit", wi\lrt no Slwavd4 c o V- -►u-: O.acl SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ al,s ,6a 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $Suppression) Total All F .�t� J,` Check NobCheck Amount: Cash Amount: ^t 6.Total Project Cost: $ ,6/1 •O6 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) oclnia5 /()/v(P/?L 101i me. L M o%i ri License Number Expiration Date Name of CSL Holder List CSL Type(see below) e").-5 NJ krbLS a No.and Street Type Description NOY Oct ovA\A ivVICI 015 31, U Unrestricted(Buildings up to 35,000 Cu.ft.) �y R Restricted 1&2 Family Dwelling City/Town,State,. M Masonry RC Roofing Covering Window and Siding SF Solid Fuel Burning Appliances ILO 015a 4119. fIJ11GWikk (l�Yl�tJi:Sen Yi'+Ajs o'h I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 1 $1v I W a a/as aenewk U�3f>n U.L. '• B Registration Number Expiation Date HIICompany Nate or HIC Registrant Name S IZA rtrti,dAl Qe,rq ISNo.and Street Ema' a � d�re�s Nthcat , ttiA ols52. (6cl0 45a 4119, City/Town, SO*,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 .......... G✓ 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 applicatio is true: i a e to the best of my knowledge and understanding. AkitsikA Nvblw 1 ,1AI (kffic4trk J '5/2 Print Osiner s or Authorized Agent' ame(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at 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" City of Northampton Q,t H�p "M off, B:. i Massachusetts �;' f. , 1 A ,... *.# i DEPARTMENT OF BUILDING INSPECTIONS `l�. :r 4 212 Main Street • Municipal Building '� Cam "I.: i� Northampton, MA 01060 rSNM 3���J 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: Location of Facility: 30 k,(1x(5 1211 IvMAI\0orco311 MR 3J J �J The debris will be transported by: Name of Hauler: R-Q,1QVJCA Qcei . L-Lc . Signature of Applicant: Date: li /Vg pp OGI71/\j‘ � ALI Z\ The Commonwealth of Massachusetts Department of Industrial Accidents ' r = Office of Investigations _`��'1— Lafayette City Center ff -. "E - 2 Avenue de Lafayette, Boston,MA 02111-1750 C www.mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Renewal By Andersen Address: 30 Forbes Rd City/State/Zip: Northborough, MA 01532 _ phone #: 508-351-2277 Are you an employer? Check the appropriate box: Type of project(required): 1.❑ I am a employer with 30 4. 0 I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. El 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 R Demolition workingfor me in anycapacity. employees and have workers' P tY 9. ❑Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions q ] officers have exercised their 11. 3.❑ I am a homeowner doing all work o right of exemptionper MGL ❑ Plumbing repairs or additions myself. [No workers' comp. P 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no wlndpw/0oor Replacement 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. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the 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: Old Republic Insurance Co Policy#or Self-ins. Lic. #: MWC 314158 23 Expiration Date: 1 0/1/24 Job Site Address: 41 Spruce Ln City/State/Zip: Florence, MA 01062 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 certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: 8/12/24 Phone#: 08-351-2277 Official use only. I)o not write in this area, to be completed by city or town official City or Town: Permit/License # Issuing Authority(check one): 10Board of Health 20 Building Department 3DCity/Town Clerk 4.0 Electrical Inspector 5alumbing Inspector 6.DOther Contact Person: Phone#: RENEWAL BY ANDERSEN SPECIFICATION 8 TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS AND TEST DATA NFRC Total Unit Performance U-Factor Renewal by Andersen" High Performance Glass Type (BTUI(hr ft2 oF)) SHBC 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-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 & Low-E4"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"SmartSunTM Full Divided Light Grilles 0.32 0.29 0.17 0.17 Low-E48SmartSun 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-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"SmartSunTM 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 HeatLock1" 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 Double-Hung DO " Without Grilles 0.33 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 0.21 021 .65 Low-E4"SmartSunTM Full Divided Light Grilles 0.34 0.30 0.19 0.19 lewd,a �� Without rriHa n 77 n as n an n an n_ with HeatLockTM Full Divided Light Grilles 0.30 0.27 0.18 0.18 09-9 COMPANY CONFIDENTIAL- REVISION AA-01 Go Permits, LLC GO 105 Buttonball Lane III 105 CT 06033 PERMITS Scott Doughman \ssio144444.1.0000.0001 "sir"". 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 12/22/2025 - Workers Comp - #MWC 314158 23 — 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: renewalbyandersen(a�gopermits.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 © Commonwealth of Massachusetts C a Construction Division of Occupational Licensure -Budder of�use group which contain Board of Building �Rye�g�Regulations and Standarns less than 35,000 cubic MN(1f1 cutuc meters)of endossd ,- nytOiCLltn SVery I sor space s CS-090125 __r Eires: 10/06/2024 JAIME L MOff fN ' ...A0 .; 54 NOTTINGIfAM i'. RAYMONO MI I.' !i i 10 i`4o/.Lvdl3"J Failure to possess a current edlbon of the leassackseella Cortrrsi.:.tanrr „z,,; t;. �tl�.u. Stale guiding Code is cause for revocation of thus license. C/ For tn!ormation about Otis license Call(I117)7Z7-3200 or visa www.aness.gota Utnce or Consumer Attai(s aria business Kegulatlon 1000 WashingtQ re t- Suite 710 Bostor_Massad usetts-.02118 Home I m ro j",,=- 7. 1.«.. 7 egistration 1 =="------'= aim iffr ---.--I. — �j.Type' Supplement Card RENEWAL BY ANDERSEN LLC , _- ation: 170810 30 FORBES ROAD �'' == E tton: 12/22/2025 NORTHBOROUGH, MA 01532 f"\ w .411.1v /1�� e Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Suppfement Card Office of Consumer Affairs and Business Regulation Registration ' Ebigrat1411 1000 Washington Street •Suite 710 170810 12/22/202,5 Boston.MA 02118 2ENEWAL BY ANDERSEN LLC 4 �y T, emu_ RIME MORIN '4k ,_ < , .›e, ^ f :�f �__ r :0 FORBES ROAD t,' • r''' ` �j,1/�/u A JORTHBOROUGH.MA 01532 Undersecretary Not valid with ut signature 111 1/40 r __ b RENEWAANDERSEhtL SIM now am To '.' hom It May Concern: This letter will authorize the following person(s)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 rinryrs under Macwhusetts State Home Improvement Contractor license number 170810 and Construction Supervisor License number CS-09012S. If you have any questions, please call me at 508,351-2277 ext 6. Authorized person(s): Go Permits LiC Sarah Harnmad David Anderson Maureen Kivel Scott Doughman Ryan B*ndo Sovannara Kuy Mark Foster Glynn Morgan Jennifer Winke• Wendy Holden Gerald Cramer Nick Rago Dane! Vickerrnan Stephen Wilder Katie Grocott Bonnie Myers Carrie Fol'gno Michael Rogers Rachel Orloff amie Morin R.er►evwwal by Andersen tLC HIC 170810 CSL—C5090125 local District Office Address 30 Forbes Rd Northborough, MA 01532 ?eriewal by Anderson U.0 WO iamaua Aire South.Cottage Grove MN SS016 Page 1 of 1 A`O! R ,O� DATE(MMIDDYYY) CERTIFICATE OF LIABILITY INSURANCE 09/21/2023 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. - - c/o 26 Century Blvd PHONE Exit FAX (A/C,(A/C,No): 1-888-467-2378 E-MAIL c P.O. Box 305191 ADDRESS: ertificatea8willis.caa Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Old Republic Insurance Company t 24147 INSURED -------_---- INSURER B: Renewal by Andersen LLC - -- 30 Forbes Road SURER C: _ Northborough, MA 01532 INSURER 0: 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.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP 'MI UMITS LTR INSR MND POLICY NUMBER IMMIDDIYYYY) (MDDIYYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 3,000,000 CLAIMS-MADE Xi OCCUR PREMISESTO(Ea o�ccurEDronos) $ 500,000 A MED EXP(Any are person) S 10,000 MWZY 314161 23 10/01/2023 10/01/2024 PERSONAL 3ADVINJURY S 3,000,000 GENL AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 X POLICY[ I PRC- LOC PRODUCTS•COMP/OP AGG S 6,000,000 OTHER S •AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) S A OWNED SCHEDULED MWTB 314159 23 10/01/2023 10/01/2024 BODILY INJURY(Per accident) S '_ __-A AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) S S UMBRELLA LIAB _ OCCUR EACH OCCURRENCE S _ EXCESS LIAB CLAIMS-MADE AGGREGATE S I DED ! !RETENTION; S WORKERS COMPENSATION X PER OTH - ANDEMPLOYERS'LIABILITY STATl1TE ER A ANYPROPRIETOR/PARTNER/EXECUTIVE YIN ELEACH ACCIDENT ; 1,000,000 OFFICER/MEMBER EXCLUDE D9 n NIA MWC 314158 23 10/01/2023 10/01/2024 (Mandatory In NH) EL.DISEASE-EA EMPLOYEE S 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY UMIT S 1 I I DESCRIPTION OF OPERATIONS f LOCATIONS I 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. AUTHORI�ZZEED�REPRESENTATIVE .J Evidence of Insurance `g `nAL. 14.44 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID 24694639 `v,i'cl'' 3138744 RENEWAL brANDERSEN (ULLWW1 WINDOW 8 DOOR REPt(LNLN! 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 Cop dba RENEWAL BY ANDERSEN OF BOSTON Melinda Shaw Legal Name:Renewal by Andersen LLC I License#HIC#170810 41 Spruce Lane RENEWAL 30 Forbes Road I Northborough,MA 01532 Florence, MA 01062 brANDERSEN Phone:(508)351-2200 I Fax:(508)986-7072 I H:(413)320-6771 FAtyMI!IIMUML tan WI.. RbABostonOrdering@andersencorp.com C:(413)320-6771 Measure Tech:Andrew Pigott,(508)801-5768 Installation Package 41 Spruce Lane Florence, MA 01062 PRODUCTS: 8 WINDOWS: 8 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 0 Updated 7/25/24 BUYER REPRESENTATIVE Melinda Shaw Antoine Tannous 41 Spruce Lane (508)277-5239 Florence, MA 01062 antoine.tannous@andersencorp.co H: (413)320-6771 m C: (413)320-6771 TECH MEASURE Year Built: 1993 melbiker@aol.com Andrew Pigott Est Duration: (508)801 -5768 andrew.pigott@andersencorp.com dba:RENEWAL BY ANDERSEN OF BOSTON Legal Name:Renewal by Andersen LLC I License#HIC#170810 30 Forbes Road I Northborough,MA 01532 Phone:(508)351-2200 I Fax:(508)986-7072 I RbABostonOrdering@andersencorp.com Measure Tech:Andrew Pigott,(508)801-5768 07/25/24 Page 1 / 23 Docusign Envelope ID:8D7OEBE7-982F-4D2D-BCFE-7CED6B2A5AE9 Agreement Document and Payment Terms DBA:RENEWAL BY ANDERSEN OF BOSTON Melinda Show RENEWAL Legal Name:Renewal by Anderson LLC 41 Spruce Lane HIC#170810 Florence,MA 01062 byANDERSEN 30 Forbes Road 1 Northborough,MA 01532 H:(413)320-6771 !ilium VOW 100n Y010((Y(01 Phone:(508)351-2200 I Fax:(508)986-7072 I rbabostonbooking@andersencorp.com C:(413)320-6771 Melinda Shaw 07/25/24 BUYERS)NAME CONTRACT DATE 41 Spruce Lane ,Florence, MA 01062 (413)320-6771 (413)320-6771 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER mel'oiker@aol.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: $21,571 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: $21,571 Estimated Start: Estimated Completion: 10-12 weeks 1 day AMOUNT FINANCED: $21,571 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: 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 07/29/2024 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. DocuSgmd by:/�/ 71 f- 570DeE13A SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE Antoine Tannous Melinda Shaw PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 07/25/24 Page 2 / 33 Docusign Envelope ID:8D7OEBE7-982F-4D2D-BCFE-7CED6B2A5AE9 Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF BOSTON Melinda Show RENEWAL Legal Name:Renewal by Andersen LLC 41 Spruce Lane RENANEWAL HIC#170810 Florence,MA 01062 bY DE e.,xRS 30 Forbes Road I Northborough,MA 01532 H:(413)320-6771 RIIPhone:(508)351-2200 I Fax:(508)986-7072 I rbabostonbooking@andersencorp.com C:(413)320-6771 ID#: ROOM: SIZE: DETAILS: PRICE: 101 Living Window: AcclaimTM Double-Hung (DG) Cottage 2:3 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator: PG Rating: 40 I DP Rating: + 40 / - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: TruScene, Full Screen, Grille Style: No Gri!!e, Misc: None 102 Living Window: AcclaimTM Double-Hung (DG) Cottage 2:3 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator: PG Rating: 40 I DP Rating: + 40 / - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: TruScene, Full Screen, Grille Style: No Grille, Mlsc: None 103 Bedroom Window: AcclaimTM Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator: PG Rating: 40 DP Rating: + 40 / - 40 Glass: AI! Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: TruScene, Full Screen, Grille Style: No Grille, Misc: None 104 Bedroom Window: AcclaimTM Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator: PG Rating: 40 I DP Rating: + 40 / - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: TruScene, Full Screen, Grille Style: No Grille, Mlsc: None 201 Bedroom 1 Window: 07/25/24 Page 3/ 33 Docusign Envelope ID:8D7OEBE7-982F-4D2D-BCFE-7CED6B2A5AE9 Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF BOSTON Melinda Shaw RENEWAL Legal Name:Renewal by Andersen LLC 41 Spruce Lane HIC#170810 Florence,MA 01062 ENL �ERSEN 30 Forbes Road I Northborough.MA 01532 H:(413)320-6771 Phone:(508)351-2200 I Fax:(508)986-7072 I rbabostonbooking 'andersencorp.com C:(413)320-6771 ID#: ROOM: SIZE: DETAILS: PRICE: AcclaimTM Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator: PG Rating: 40 I DP Rating: + 40 / - 40 Glass: Al. Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: TruScene, Full Screen, Grille Style: No Grille, MIsc: None 202 Bedroom 1 Window: AcclaimTM Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator: PG Rating: 40 I DP Rating: + 40 / - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: TruScene, Full Screen, Grille Style: No Grille, MIsc: None 203 Bedroom 2 Window: AcclaimTM Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator: PG Rating: 40 I DP Rating: + 40 / - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: TruScene, Full Screen, Grille Style: No Grille, Misc: None 204 Bedroom 2 Window: AcclaimTM Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator: PG Rating: 40 I DP Rating: + 40 / - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: TruScene, Full Screen, Grille Style: No Grille, Mlsc: None WINDOWS: 8 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 0 TOTAL $21,571 Renewal by Andersen is committed to our customers'safety by complying with the rules and lead-safe work practices specified by the EPA. 07/25/24 Page 4/ 33 Docusign Envelope ID:8D7OEBE7-982F-4D2D-BCFE-7CED6B2A5AE9 va7 Aori Payment Authorization Form DBA:RENEWAL BY ANDERSEN OF BOSTON Melinda Shaw RENEWAL Legal Name:Renewal by Andersen LLC 41 Spruce Lane RENANEWAL HIC#170810 Florence,MA 01062 'Y ERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)320-6771 Plell Phone:(508)351-2200 I Fax:(508)986-7072 I rbabostonbookingOandorsencorp.com C:(413)320-6771 Melinda Shaw BUYER NAME 41 Spruce Lane Florence ADDRESS CITY MA 01062 (413)320-6771 (413)320-6771 STATE ZIP CODE PHONE NUMBER 1 PHONE NUMBER 2 1 SAC $21,571 FINANCE PROGRAM' FINANCE PLAN#' CONTRACT BALANCE Antoine Tannous 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 ($21,571) CASH DEPOSIT(1) FINANCED DEPOSIT(2) SUBSTANTIAL COMPLETION (3) FINANCING $0 $i,1 1 H $1 4.453 (1) CASH DEPOSIT: Renewal by Andersen requires thirty-three percent(33%)of the purchase price paid at Agreement Signing. Buyer(s)may pay through the following payment methods:cash,check,debit card,or credit card("Cash Deposit"). (2) FINANCED DEPOSIT: Renewal by Andersen requires thirty-three percent(33%)of purchase price advanced when the windows and/or doors are ordered. For Buyer(s)that receive approved financing through a Renewal by Andersen lender("Lender"),the Lender will advance this required amount directly to Renewal by Andersen("Financed Deposit"). For open-end credit loans,the Lender will not extend credit to the Buyer(s)and. For all financings,the Buyer(s)will not owe any payments until Substantial Completion(as defined in item 3 below)and the Lender has delivered the remaining balance to Renewal by Andersen. (3) SUBSTANTIAL COMPLETION: Renewal by Andersen requires the final payment(which shall be delivered by the Lender in the case of projects financed through Lenders)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 Change Orders associated with the project covered by this Agreement,the difference in the Job Amount will be reconciled in the final payment requested from the Buyer(or the Lender in the case of a project financed by a Lender)upon Substantial Completion. BY SIGNING BELOW, I/WE,THE BUYER(S): 1. Buyer(s) authorize Renewal by Andersen to transact payments, including with Lenders, based on the amount(s), form of payment(s), and timing as specified in the Payment Authorization Schedule above and, if applicable,final payments in the amount requested by Renewal by Andersen upon the execution of a Change Order. 2. For Buyers that finance a project through a Lender, Buyer(s): (I) understand that the Lender will disburse the Financed Deposit and final payment at Substantial Completion to Renewal by Andersen as specified in the Payment Authorization Schedule,(ii) understand that the Lender will not extend credit to the Buyer(s)for open-end credit loans,(iii)the Buyer(s)will not owe any payments until Substantial Completion,and(iv) acknowledge the use of the loan proceeds for payment upon Substantial Completion will constitute reaffirmation by all Buyer(s) of the loan agreement with the Lender. 3. Buyer(s) agree to notify Renewal by Andersen in writing of any change in payment method at least three business days' prior to the respective payment due date. 4. DocuSiyned by: 4 Ph- Melinda Shaw �'Fa sro B 07/25/24 BUYER NAME SIGNATURE _ DATE 07/25/24 Page 5 / 33 Order Summary 40, dba:RENEWAL BYANDERSEN OF BOSTON Melinda Shaw Legal Name:Renewal by Andersen LLC I license#HIC#170810 41 Spruce Lane RENEWAL 30 Forbes Road I Northborough,MA 01532 Florence,MA 01062 brANDERSEN Phone:(508)351-2200 I Fax:(508)986-7072 I H:(413)320-6771 u y"1°N0Q"1pp1tl°MI`" RbABostonOrderin @andersencor com g P� C:(413)320-6771 Measure Tech:Andrew Pigott,(508)801-5768 ID# ROOM SIZE DETAILS JOB 101 Living 36" 66" Window: AcclaimT" Double-Hung (DG), Cottage 2:3, Slope Sill, Insert Frame, 35-5/8" 65-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 I DP Rating: + 40 / - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern Hardware: White Screen: TruScene, Full Screen Grille Style: No Grille Misc: None Construction: Interior stops 4- sides (1) Material: Foam Can (0.15), Ice & Water 4" (0.2), White paintable DAP (0.1), RBA White Caulk (2), Coil -White 10' (1), L-Trim (White) 1-1/4" (1), Primed 1x4 - 12 (1) SIII Angle: 14° 102 Living 36" 66" Window: AcclaimTM Double-Hung (DG), Cottage 2:3, Slope Sill, Insert Frame, 35-5/8" 65-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 I DP Rating: + 40/ - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern Hardware: White Screen: TruScene, Full Screen Grille Style: No Grille Misc: None Construction: None Material: Foam Can (0.15), Ice & Water 4" (0.2), White paintable DAP (0.1), RBA White Caulk (2), Coil - White 10' (1), L-Trim (White) 1-1/4" (1), Primed 1x4 - 12 (1) Sill Angle: 14° 103 Bedroom 36" 54" Window: AcclaimTM Double-Hung(DG), 1:1, Slope Sill, Insert Frame, 35-5/8" 53-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 I DP Rating: + 40 / - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern Hardware: White Screen: TruScene, Full Screen Grille Style: No Grille Misc: None Construction: None Material: Foam Can (0.15), Ice & Water 4" (0.2), White paintable DAP (0.1), RBA White Caulk (2), Coil - White 10' (1), L-Trim (White) 1-1/4" (1), Primed 1x4 - 12 (1) Sill Angle: 14° 07/25/24 Page 2 / 23 Order Summary 5 dba:RENEWAL BY ANDERSEN OF BOSTON Melinda Shaw RENEWAL Legal Name:Renewal by Andersen LLC I License#HIC#170810 41 Spruce Lane 30 Forbes Road I Northborough,MA 01532 Florence,MA 01062 b/ANDERSEN Phone:(508)351-2200 I Fax:(508)986-7072 I H:(413)320-6771 n.any•w,IOEI°"m" RbABostonOrderingOandersencorp.com C:(413)320-6771 Measure Tech:Andrew Pigott,(508)801-5768 ID# ROOM SIZE DETAILS 104 Bedroom 36" 54" Window: AcclaimTM Double-Hung (DG), 1:1, Slope Sill, Insert Frame, 35-5/8" 53-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 I DP Rating: + 40/ - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern Hardware: White Screen: TruScene, Full Screen Grille Style: No Grille Misc: None Construction: None Material: Foam Can (0.15), Ice & Water 4" (0.2),White paintable DAP (0.1), RBA White Caulk (2), Coil - White 10' (1), L-Trim (White) 1-1/4" (1), Primed 1x4 - 12 (1) SIII Angle: 14° 201 Bedroom 1 36" 54" Window: Acclaim"' Double-Hung(DG), 1:1, Slope Sill, Insert Frame, 35-5/8" 53-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 I DP Rating: + 40 / - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern Hardware: White Screen: TruScene, Full Screen Grille Style: No Grille Misc: None Construction: None Material: Foam Can (0.15), Ice & Water 4" (0.2), White paintable DAP (0.1), RBA White Caulk (2), Coil - White 10' (1), L-Trim (White) 1-1/4" (1), Primed 1x4 - 12 (1) Silt Angle: 14° 202 Bedroom 1 36" 54' Window: Acclaim""" Double-Hung (DG), 1:1, Slope Sill, Insert Frame, 35-5/8" 53-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 I DP Rating: + 40 / - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern Hardware: White Screen: TruScene, Full Screen Grille Style: No Grille Misc: None Construction: None Material: Foam Can (0.15), Ice & Water 4" (0.2), White paintable DAP (0.1), RBA White Caulk (2), Coil - White 10' (1), L-Trim (White) 1-1/4" (1), Primed 1x4 - 12 (1) SIII Angle: 14° 07/25/24 Page 3/23 AgOOPUY Order Summary able RENEWAL BY ANDERSEN OF BOSTON Melinda Shaw Legal Name:Renewal by Andersen LLC I License#HIC#170810 41 Spruce Lane RENEWAL 30 Forbes Road I Northborough,MA 01532 Florence,MA 01062 brANDERSEN Phone:(508)351-2200 I Fax:(508)986-7072 I H:(413)320-6771 umm.op. o RR"IW" RbABostonOrdering@andersencorp.com C:(413)320-6771 Measure Tech:Andrew Pigott,(508)801-5768 ID# ROOM SIZE DETAILS 203 Bedroom 2 36" 54" Window: AcclaimTM Double-Hung (DG), 1:1, Slope Sill, Insert Frame, 35-5/8" 53-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 I DP Rating: + 40 / - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern Hardware: White Screen: TruScene, Full Screen Grille Style: No Grille Misc: None Construction: None Material: Foam Can (0.15), Ice & Water 4" (0.2), White paintable DAP (0.1), RBA White Caulk (2), Coil - White 10' (1), L-Trim (White) 1-1/4" (1), Primed 1x4 - 12 (1) Sill Angle: 14° 204 Bedroom 2 36" 54" Window: Acclaim.," Double-Hung(DG), 1:1, Slope Sill, Insert Frame, 35-5/8' 53-1/4" Traditional Checkrail, Exterior White, Interior White Performance Calculator: PG Rating: 40 I DP Rating: + 40/ - 40 Glass: All Sash: High Performance SmartSun Glass, No Pattern Hardware: White Screen: TruScene, Full Screen Grille Style: No Grille Misc: None Construction: Interior stops 4- sides (1) Material: Foam Can (0.15), Ice & Water 4" (0.2), White paintable DAP (0.1), RBA White Caulk (2), Coil - White 10' (1), L-Trim (White) 1-1/4" (1), Primed 1x4 - 12 (1) SIII Angle: 14° PRODUCTS: 8 WINDOWS: 8 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 0 Updated 7/25/24 JOB NOTES LSWP: NO INSTALLING: 8 DG INSERTS w/interior head stop REMOVAL: vinyl track DH INTERIOR: adding head stop for all windows EXTERIOR: white L-Trim SPECIALTY SETUP/TOOLS: none PARKING/ACCESS LIMITATIONS: shared driveway with #27, house is one on the left, back trailer in Estimated Duration: 07/25/24 Page 4 / 23 Docusign Envelope ID:8D7OEBE7-982F-4D2D-BCFE-7CED6B2A5AE9 If Using a Builder ,✓ DBA:RENEWAL BY ANDERSEN OF BOSTON Melinda Shaw RENEWAL Legal Name:Renewal by Andersen LLC 41 Spruce Lane HIC#170810 Florence,MA 01062 byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)320-6771. fwvnn.eon/roaanrvr Phone:(508)351-2200 I Fax:(508)986-7072 I rbabostonbookingeandersencorp.com C:(413)320-6771 Property Owner Must Complete & Sign This Section If Using A Builder I, as Owner of the said property, hereby authorize Renewal by Andersen LLC to act on my behalf, in all matters relative to building permit application for the property/address indicated on this agreement. —DocuSigned by \-4F 7008843A SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE Antoine Tannous Melinda Shaw PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 07/25/24 Page 28/ 33