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29-471 (12) 306 RYAN RD BP-2019-0374 GIs#: COMMONWEALTH OF MASSACHUSETTS MQ.-Block:29-471 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: REPLACEMENT WINDOWS/DOORS BUILDING PERMIT Permit# BP-2019-0374 Proiect# JS-2019-000605 Est. Cost: $37970.00 Fee: $266.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RENEWAL BY ANDERSEN 090125 Lot Size(sq.ft.): 50965.20 Owner: DARABI DANA&ELLEN F Zonin : Applicant: RENEWAL BY ANDERSEN AT. 306 RYAN RD Applicant Address: Phone: Insurance: 30 FORBES RD (508) 919-0900 WC NORTH BOROMA01 532 ISSUED ON:9/26/2018 0:00:00 TO PERFORM THE FOLLOWING WORK.REPLACEMENT WINDOWS AND 4 PATIO DOORS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 9/26/2018 0:00:00 $266.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner to twooW1 wiz RECEIVED Department use only C ty of Northampton Status of Permit: B ilding Department Curb Cut/Driveway Permit SEP 2 4 2018 12 Main Street Sewer/Septic Availability Room 100 Water/Well Availability Nort ampton, MA 01060 Two Sets of Structural Plans DEPT.OF GUILDING Ita p�r��2��3-5 7-1240 Fax 413-587-1272 Plot/Site Plans NORTHAMPTON. A01� 1 Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION )bP-14 - 57 V 1.1 Property Address: 306 Ryan Rd., Florence,MA 01062 This section to be completed by officeL��7/ Map Lot ! /( Unit Zone Overlay District Elm St.District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Ellen&Dara Darabi 306 Ryan Rd. Florence, MA 01062 Name(Print) Current Mailing Address: 413-320-3511 See Attached Contract Telephone Signature 2.2 Authorized Agent: JAIME MORIN 30 FORBES ROAD NORTHBORO,MA 01532 Name(Print) Current Mailing Address: 508-351-2277 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $37,970 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) G 5. Fire Protection 6. Total= 0 +2+3+4+5) $37,970 Check Number oZ This Section For Official Use Only Building Permit Number: Date Issued: Signature: Building Commissioner/Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: R: L: R: Rear Building Height Bldg. Square Footage % Open Space Footage % (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO © DONT KNOW Q YES IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO ® DONT KNOW ® YES IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO ® DONT KNOW ® YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained ® Obtained , Date Issued: C. Do any signs exist on the property? YES © NO IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO O IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES ® NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. 3 SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding[0] Other[0] Brief Description of Proposed Work: Replace 9 windows and 4 patio doors Alteration of existing bedroom Yes No Adding new bedroom Yes No 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 Ellen&Dara Darabi as Owner of the subject property hereby authorize JAIME MORIN to act on my behalf, in all matters relative to work authorized by this building permit application. SEE CONTRACT 9/20/18 Signature of Owner Date JAIME MORIN 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. JAIME MORIN Print Nam 9/20/18 Signatur of wner/Age t Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: JAIME MORIN 90125 License Number 30 Forbes Rd. , Northborough, MA 01532 10-06-18 Addre Expiration Date :7:)�� 508-351-2277 Sigriiatur Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ RENEWAL BY ANDERSEN 170810 Company Name Registration Number 30 FORBES ROAD NORTHBORO,MA 01532 12-22-19 Address Expiration Date gx)n� Telephone508-351-2277 41-11 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... b No...... ❑ 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: 306 Ryan Rd. Northampton, MA 01062 The debris will be transported by: Renewal by Andersen The debris will be received by: Renewal by Andersen Building permit number: Name of Permit Applicant Jaime Morin 9/20/19 Date Signature of Permit Applicant '\ The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston, MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. 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.EJ I am a employer with 30 employees(full and/or part-time).* 7. ❑New construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No v%orkers"comp.insurance required.] 3 FT am a homeowner doing all work myself [No workers 9. El Demolition comp insurance required.) 4.f_1l am a homeowner and will be hiring contractors to conduct all work on my property. 1 will 10 ❑ Building addition ensure that all contractors either have workers compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.17 l am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. 14.[Z]Other Replacement 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 152,§1(4).and we have no employees.[No workers comp.insurance required J *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,the) must provide their workers comp police number I am an employer that is providing workers'compensation insuran cefor int•employees. Below is the policy and job site information. Insurance Company Name:Old Republic Insurance Co. Policy#or Self-ins.Lic.#:MWC 311129 00 _ Expiration Date:10/1/2018 Job Site Address: 306 Ryan Rd. 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 MGL c. 152, s§'25A is a criminal violation punishable by a fine up to 51,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a day against the violator. A copy of this statement may be fonvarded to the Office of Investigations of the DIA for insurance coverage verificati I do l:ereb ert7i ,un�� ainsenalties of perjury that the information provided above is true and correct Si natu Date: /20/18 Phone#:5 1-2277 Official use only. Do not write in this area,to be completed by city or town official. Citv or Town: Permit/License# Issuing Authorih'(circle one): t.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: _ Page 1 of 1 A 09/27/2017 DATE CC>RV CERTIFICATE OF LIABILITY INSURANCE DATE(MM 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(les) 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 of Minnesota, Inc. NAME: C/o 26 Century Blvd =.-.06 1-877-945-7378 FAX.Nol; 1-888-467-2378 EDDRE : Corti ficateaehrillis.cam P.O. Box 305191 R Nashville, TN 372305191 USA INSURERS AFFORDING COVERAGE NAK:$ WSURERA: Old Republic Insurance Company 24147 INSURED — - - -- INSURER 8: Renewal by Andersen LLC 30 Forbes Road INSURERC_ _ Northborough, DCA 01532 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:W3762206 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 NTH 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. WAR TYPE OF INSURANCE USIR� POLICY EFF ' POLICY LTR Wvo POLICY NUMB MWDD/YY'YY MMID I LEE X.COMMERCIALGENER��ALL�LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE I^ II OCCUR I PREMISES(Ea occurrence i 500.000 A MED EXP(An oneerson) 6 p 10,000 MNZY 311132 10/01/2017 10/01/2018 PERSONAL dADV INJURY = 11000,000 GEN'LAGGREGATE LIMIT APPLIES PER: I GENERALAGGREGATE 6 4,000.000 ff X POLICY I I J LOC PRODUCTS-COMP/OP AGG S 4.000,000 OTHER. $ AUTOMOBILE LIABILITY MBINSIN L LIMI S 5,000,000 _ • rl n X ANY AUTO I I BODILY INJURY(Per person) S A OWNED 7 SCHEDULED AUTOS ONLY I AUTOS MWTB 311130 10/01/2017110/01/2028 BODILY INJURY(Per accident) S HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident s .S _ UCLA OCCUR EACH OCCURRENCE 'S EXCESS LIAR !_i__ CLAIMS-MADE AGGREGATE S r- - --._,......,_. DED RETENTION$ S WORKERS COMPENSATION ! X +STAT T � R� AND EMPLOYERS'LIABILITY YIN A ANYPROPRIETORIPARTNEfUEXECUTIVEE.L.EACH ACCIDENT S 1,000,000 OFFICERIMEMBER EXCLUDED? No MIA, NWC 311129 00 10/01/2017 10/01/2018 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEES 1,000,000 If es,describe under 1,000,000 k DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UMI :S f DESCRIPTION OF OPERATIONS I 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. AUTHORIZED REPRESENTATIVE L� Evidence of Insurance ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR in: 15126108 BATCH, 459145 cf _ r ftafu • ,... .. . P ��g egwl �rtions► *alta ami �4�'��if���s W .. I..icepse : CS-090125 e JAJAAE L MORI 86 GARDINER, ,LYN 1' MIR F ,w Office of Consumer Affairs and Business Reguiaflon One Ashburton Place-Suite 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Type: Swie"IffltCard Raglstre8on: 170810 RENEWAL BY ANDERSON LLC. Exphfflm: 12r2=10 30 FORBES RD NORTHBOROUGH,MA 01632 Updaft Addmss and Rsturn Card. 01111t of Consunm Athdm i aawrws AapulMon HOME UAPROVEMENT CONTRACTOR PAgW sdon vaMd for Individual uss orft TYPE Suppiamsrtt Crud bet0 =*&aon data. It found return to: of nM w Afftbs and Wmh ws Rapulydton 170BID 12=0119 1 Part -sulm 5170 RENEWAL BY ANDERSON LLC, fR 02115 JAIME MORIN y -- 30 FORBES RD Not valid without signature NORTHBOROUGH,MA 01692 UnclWascrou" 7 s .ma`s Y'kf+4t . .��d dp- awc*�uwroram�ewr+wr�t+rr 44IN -a,�.q■ru�b..rar■��ra■■�■rr� �■.r�.a.rcw.■r...rw.��.....tilr.�eis�si.- awMsse:s,am�wl�■wcw+� ra�aM 9,qp" .. soxtrn nwKxo�i Zrxoutaw - #uaWWDQO URD P6H ADS IMKLLC!nwvwuolkr"Azk-luII -pIY3ad�ii�+p�d u .=PuWp=M mW aft. ffi�N-Oldld ■d�u�r1P4F7 � ua ,a•�wwrw�a�L a.■■.�asa4. u, �, a voIP � - J rkr+sr W m • fes; v I 9BdO Jud da �swc rear�mnw w�wnra u� I &OLMIN i� •u��W/Yaan�i/uY1�r��7ragiMraw+�Ar�s� •.r�r�rr+.N���t��f�1•x^wrw••rr�ow �+wdrr4A*ar�r�ywMFrrAr+�.wasr.w�+rrwa ._ • 8�'0 ONES ®oumMummi e141s1A 8Z'0 S9'l 6Z'.0 JLMPUPCO UPO PBH jwpB. SONLLVW �MNVMo W=Md ADWS?a 7 o --a3rnPad - �' ti3+�1 coaly IunQ qoodwop PAlP-M . ZOM-N"QMf •rr.Q.rtry A=mw"m roams . max OIMdR�A p - � 4�J1• p i; �i I I u�A4�l Ie9q ueB�11��9 R�P�6IIPm allowu pu ufl . I PRODUCT PERFORMANCE Andtxsen*NRI C Cartified Total Unit Performance(cwmw4 AadwammC Pgmkwt r11--isfta u4bc10e am, W r! Chu b.W Pam a.46 am 0.03 Cl-zrUu-Parc.iLhCAlt- GAS a_% SE LM-E a3a am a-15 Lm::UM QMi 030 M29 M40 '-1 J IIP IMVTA SOMIZu 030 a21 0.49 XP Ldvo-M Sm=KS@n WQIII- 0.31 a.19 Q.-Q Mew Dual Pm 0.46 am 0A4 Owe Ilurl Pow 60 ME 0.45 041 0.57 Lap-r Gza CLM aris IMrE vim raws am 0M a-50 Ctou 0uW Pam 0.44 Ma IN Claw Diol ppn, b Grd4M am 0.57 as Tr.duan WWWW Low-E 0.27 0.34 am Lw-E%fth Wes 027 am am clwnLtw Pam 0.45 0.80 0.63 CZ.-,rGtrJ Pne rM G&IM IL45 cL% ase Quftg Wiwi.. LOW-E 0.30 0M 0.!3 23 t;;�wlb GAWo Ma am DAB .7 '1 LOWS sorgsw 0.30 Vol Q40 r. LOWEZMMS"W&Vffift am a.3A Dow ONJ Noe CAB Ua M0 WM G402. aA3 CL55 am F-i,TYr 4-4 Law-E 0.26 am 056 Clr,j.Up,Mud.- LffiwF.Qh Gdes aas am am lawESnslA M27 am 0.51 :2 IM La�t 59WASM vu Q11. 0.27 42D w Orw Dual Prow QL" OAL am C:pw 0uyl Para voGlides QA6 am "a Lu.1. 0.29 032 0.56 Naurginc' LM-EvockAws 0.30 039 am Js "dig P0.C.- LOW-E SM GAS am 0M AN IMMM%"Qz.i IL31 allT -1$3 UwE smwwwl 022 021 0.50 :3 :3 W LM-E SEEOws vft GlIrs 1130 aig Qwtw Poe 0.4: am 0.84 Qsu Dad Pxm wilb Wes Ma a-MA 066 LVW-E 028 am me wft QFDM 030 0.29 '102 GlIdwd P.tw a.- L*hl&Stm 0.29 0.19 030 LotF'.3w vM G4w; 0.30 EU7 ox, 1MW-n-SMrIVAW 027 0M am j .J.1 Lqw-E&=rdw vAh Galks 0.29 Gig- 0.44 :1 J% Cho OW prFIR 11A3 MAE QA7 - Mr Dual FEE vo 69014 a.43 am MAD - LOWE 0.32 a24 0.41 j M 4jur"d kwfig %ft QM- 033 am M - Lmp-ESun 0.32 uls am tar-E&mvxMGnDta 034 M13 CLIO - Is wE SmurIS- am M-W 0.37 !AWE SMWISM rdh uks am Wu U: Repn,ewal Agreement Document and Payment Terms by V Idemn. dba:Renewal by Andersen of Boston Ellen&Data Darabi Legal Name:Renewal by Andersen LLC 306 Ryan Road WAP NIC#170810 Florence,MA 01062 WINDOW NE tACENENT 30 Forbes Road I Northborough,MA 01532 H:(413)320-3511 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbaboston®gmail.com C:(413)320-3510 Buyer(s) Name: Ellen & Dara Darabi Contract Date: 09/14/18 Buyer(s)Street Address: 306 Ryan Road, Florence, MA 01062 Primary Telephone Number: (413)320-3511 Secondary Telephone Number: (413)320-3510 Primary Email: edarabi@hotmail.com Secondary Email: 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: $37,970 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: $12,655 Balance Due: $25,315 Estimated Start: Estimated Completion: Amount Financed: $25,315 10-12 weeks 3-4 days Method of Payment: Credit Card We schedule installations based on the date of the signed contract and secondarily on Financing the date 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: GS 2732; Deposit 0; Start $12,657; Complete $12,658 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 09/18/2018 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. Legal Name:Renewal by Andersen LLC dba:Rene aI by Andersen of Boston Buyer(s) Signature of Sales Person Signature Signature Jay Podolsky Ellen Darabi Dara Darabi --------------------------------- -- -------- ------------- -- -- - - - -- ---- - Print Name of Sales Person Print Name Print Name UPDATED: 09/14/18 Page 2 / 26 Renewal Itemized Order Receipt b Andersen. dba:Renewal by Andersen of Boston Ellen&Data Darabi ��j. Legal Name:Renewal by Andersen LLC 306 Ryan Road �j�1 HIC#170810 Florence,MA 01062 wl«Dow RE IACEEI[Mi 30 Forbes Road I Northborough,MA 01532 H:(413)320-3511 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbaboston®gmail.com C:(413)320-3510 ROOM: DETAILS: 101 Dining room Patio Door: Gliding, 200 Series Perma-Shield, 2 Panel, Stationary/Active, Exterior Dark Bronze, Interior Dark Bronze, Interior Pre-Finish None, Glass: All Sash: Tempered High Perf. SmartSun Glass, No Pattern, Hardware: Anvers®, Oil Rubbed Bronze, Auxiliary Foot Lock Color Matched, Screen: Gliding, Grille Style: No Grilles, Misc 102 Dining room Patio Door: Gliding, 200 Series Perma-Shield, 2 Panel, Stationary/Active, Exterior Dark Bronze, Interior Dark Bronze, Interior Pre-Finish None, Glass: All Sash: Tempered High Perf. SmartSun Glass, No Pattern, Hardware: Anvers®, Oil Rubbed Bronze, Auxiliary Foot Lock Color Matched, Screen: Gliding, Grille Style: No Grilles, Misc: None 103 Kitchen Window: Gliding, Triple, 1:1:1, EJ Frame, Exterior Dark Bronze, Interior Dark Bronze, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Dark Bronze, Screen: TruScene with Exterior Color Match, Grille Style: No Grilles, Misc: None 104 Family room Patio Door: Gliding, 200 Series Perma-Shield, 2 Panel, Stationary/Active, Exterior Dark Bronze, Interior Dark Bronze, Interior Pre-Finish None, Glass: All Sash: Tempered High Perf. SmartSun Glass, No Pattern, Hardware: Anvers®, Oil Rubbed Bronze, Auxiliary Foot Lock Color Matched, Screen: Gliding, Grille Style: No Grilles, Misc: None UPDATED: 09/14/18 Page 3 / 26 Renewal Itemized Order Receipt b Andersen. dba:Renewal by Andersen of Boston Ellen&Data Darabi � � Legal Name Renewal by Andersen LLC 306 Ryan Road 1 HIC#170810 Florence,MA 01062 WINDOW Of. LAC[M[Mr 30 Forbes Road 1 Northborough,MA 01532 H:(413)320-3511 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbaboston®gmail.com C:(413)320-3510 ROOM: DETAILS: 105 Family room Patio Door: Gliding, 200 Series Perma-Shield, 2 Panel, Active/ Stationary, Exterior Dark Bronze, Interior Dark Bronze, Interior Pre-Finish None, Glass: All Sash: Tempered High Perf. SmartSun Glass, No Pattern, Hardware: Anvers®, Oil Rubbed Bronze, Auxiliary Foot Lock Color Matched, Screen: Gliding, Grille Style: No Grilles, Misc: None 201 Piano room Window: Casement, Triple, 1:2:1, Vented, Base Frame, Exterior Dark Bronze, Interior Oak, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Stone, Screen: TruScene with Wood Veneer, Grille Style: No Grilles, Misc: None 202 Son bdrm Window: Gliding, Double, 1:1, Active/ Passive, Base Frame, Exterior Dark Bronze, Interior Dark Bronze, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Dark Bronze, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: No Grilles, Misc: None 203 Laundry Window: Gliding, Double, 1:1, Active/ Passive, Base Frame, Exterior Dark Bronze, Interior Dark Bronze, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Dark Bronze, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: No Grilles, Misc: None 204 Bath Window: Casement, Single, Left, Base Frame, Exterior Dark Bronze, Interior Dark Bronze, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Dark Bronze, Screen: TruScene with Interior Color Match, Full Screen, Grille Style: No Grilles, Misc: None UPDATED: 09/14/18 Page 4 1 26 Renewal Itemized Order Receipt bAndersen. dba:Renewal by Andersen of Boston Ellen&Dara Darabi *Lr... Legal Name:Renewal by Andersen LLC 306 Ryan Road HIC#170810 Florence,MA 01062 wiwoo30 Forbes Road I Northborough,MA 01532 H:(413)320-3511 Phone.508-351-2200 1 Fax:(508)986-7072 1 rbaboston®gmaii.com C:(413)320-3510 ROOM: DETAILS: 301 Master Bed Window: Gliding, Triple, 1:2:1, Base Frame, Exterior Dark Bronze, Interior Dark Bronze, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Dark Bronze, Screen: TruScene with Exterior Color Match, Grille Style: No Grilles, Misc: None 302 Bath Window; Cdsemeia, Sinyie, reit, bdse Fidiiie, EXLellul Li ilk Bronze, Interior Dark Bronze, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Hardware: Dark Bronze, Screen: TruScene with Interior Color Match, Full Screen, Grille Style: No Grilles, Misc: None 303 Aria Window: Gliding, Triple, 1:2:1, Base Frame, Exterior Dark Bronze, Interior Dark Bronze, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Dark Bronze, Screen: TruScene with Exterior Color Match, Grille Style: No Grilles, Misc: None 304 Guest Window: Gliding, Triple, 1:2:1, Base Frame, Exterior Dark Bronze, Interior Dark Bronze, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Dark Bronze, Screen: TruScene with Exterior Color Match, Grille Style: No Grilles, Misc: None WINDOWS:9 PATIO DOORS:4 SPECIALTY:0 MISC:0 TOTAL $37,970 ---------------- aRenewal by Andersen is committed to our customerr'safety by complying with the rules and lead-safe work practices specified by the EPA. UPDATED: 09/14/18 Page 5 1 26