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31A-287 95 WASHINGTON AVE BP-2019-0440 GIs#: COMMONWEALTH OF MASSACHUSETTS Map_Block: 3 1 A-287 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:window replaced BUILDING PERMIT Permit# BP-2019-0440 Proiect# JS-2019-000715 Est.Cost: $50161.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.,Class: Contractor: License: Use Groin: RENEWAL BY ANDERSEN 090125 Lot Size(sq.ft.): 8624.88 Owner: MORTQN MARY F M Zoning:URB(100)/ Applicant: RENEWAL BY ANDERSEN AT: 95 WASHINGTON AVE Applicant Address: Phone: Insurance: 30 FORBES RD (50$) 919-0900 WC NORTHBOROMA01532 ISSUED ON.1011212018 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE 24 WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 10/12/2018 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Cv!/V ww-3 RECEIVED C y of Northampton B ilding Department 12 Main Street OCT 1 0 2018 Room 100 ort ampton, MA 01060 DEPT.OFt U)ING 3-5 7-1240 Fax 413-587-1272 NORTHAMPTON,MA 01090 APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILYDWELLING SECTION 1 -SITE INFORMATION op— `-/ — `L/yo 1.1 Property Address: 95 Washington Ave. Northampton, MA 01060 Thi section to be completed by office Map Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Mary Morton 95 Washington Ave., Northampton, MA 01060 Name(Print) Current Mailing Address: 413-586-4503 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 50,161 (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee ,Q 4. Mechanical (HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) 50,161 Check Number 19 co I This Section For Official Use Only BuildingPermit Number: Date Issued: Signature: /��t Building Commissioner/Inspector of Buildings Date .._..__e.. . �...,..,,... _� { t k 7 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 a_. R:-1-- _._.. L:;_ _ R Rear __... Building Height Bldg. Square Footage Open Space Footage ° (Lot area minus bldg&paved parking) #of Parking Spaces Fill: (volume&Location) "___.-_.__.._" A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO 0 DON'T KNOW ® YES Q IF YES, date issued:1 IF YES: Was the permit recorded at the Registry of Deeds? NO Q DON'T KNOW © YES Q IF YES: enter Book Page:, and/or Document# B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW 0 YES Q IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained O , Date Issued: C. Do any signs exist on the property? YES 0 NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES © NO 0 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 0 NO IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors IM Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [p Siding [[:3] Other[d] Brief Description of Proposed Work: Replace 24 windows Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet sa. 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 Mary Morton 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 10/8/2018 Signature of Owner Date l 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 Name 10/8/2018 Signature of ner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: JAIME MORIN 9 012 5 License Number 30 Forbes Rd. , Northborough, MA 01532 10-06-20 Address Expiration Date 508-351-2277 Signature Telephone 9.Reaistered 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 Telephone 508-351-2277 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....... It No...... ❑ 11. - HomeOwner 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: 95 Washington Ave., Northampton, MA 01060 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 10/8/2018 Date S' ature of Permit Applicant The Commonwealth of Massachusetts D"rmmt ofIndustrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 wwmntass gotVg a lkrkm'Compensation Insurance Affldavio Budders/ContractorNE nwiciaus/Plumbers. TO BE FILED WITH THEPERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Btuinesc/Orgaai=iomtadivW W):Renewal by Andersen Address:30 Forbes Rd. City/State/Zip:Nodhborough.MA 01532 phone#:508-351-2277 wra yw ru stapbyeK CfeticiYe apprepriaq You Type of protect(required): 110 lam a employer with 30 ®ploy«.(full andfor pan-ume).- 7. []New construction 2.❑.1 am a sok proprietor or puwasltip and have m employees work ft for mein B. 0 Remodeling any capacity.(No workers'camp.karsacc noquuad J 3.Q1 am a homeowner domes all work myself(No workers'comp.unurance required.]' 9. ❑Demolition10 Q Buildinildn Building addition 4.[]l am a homeowner and will be hiring cowractors to conduct ail work an my property. l will casure dw as eooaaaon eidkes have workers'compensation insurance or arc sale 11.Q Electrical repairs or additions proprietors with no employees 12.Q Plumbing repairs or additions S.3 I am a lteaad caasmaor and I have hired the sutrcootmpors listed on the attached sheet. 13.QRoof repairs These subcooWntors have employees arta have workers'eomp.in uum.: 6.0 We are a cmpaatioa and its otrw=have cx=ned their rWk ofesemption per MGI.c. 14.DOthef R@plaeemtsnt IS2.41(41mW,%w have no employees.[No workers'comp.im mmm required] `Any eppiianrdot chocks box#1 mm also BU out the soctiou beim awwzw Onk worlms'aompeoss'. policy wormsdoa. t Homwwaers wbo attbmt tlot afBdeve radwatme they are dams as work and thea hwe outside cognamrs must srrbma a new afridava m4watma-Yell. lContmean that cbxk dds bot mus anad sed an additmW shit showwS the now of the subcounwmrs and swe wbetber or am those ensures bave employees. If the wbcaotiaaas have employees.they must provide their workers'comp.policy mnnber. I amr an entpfoyer that is provi&xg workers'congwnsadon insurance for ray employees. Below is the pallcy and fab site Woraaadon. Insurance Company Name:Old Republic Insurance Co. Policy ilk or Self-ins.Lie.#: MWC 31431500 Expiration Data 10/1/19 Job Site Address: 95 Washington Ave. City/S1aUe/zip: Northamton, MA 01060 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to some coverage as required under MGL c.152,§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$250.00 a day against.the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifi I do is7r&[order th ns and penaldes of pedwy dial rhe In ormation provided above is true and correct S i M.? >5;7� Date: 10/8/2018 Phong 1-2277 Offldal use a*. Do not wrke In this area,to be completed by city or sawn*BkiaL City or Town: Permit/License N Lsniq Authority(circle one): 1.Board of!Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.other Contact Person• Phone#• Page 1 of 1 CORo® CERTIFICATE OF LIABILITY INSURANCE DATE 10/02/2018 10/02/2018 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 NAME: Willis of Minnesota, Inc. PHONE 1-877-945-7378 FAX 1-888-467-2378 c/o 26 Century Blvd A/C No E-MAIL certificates®willis.com P.O. Box 305191 ADDRESS: Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC8 INSURERA: Old Republic Insurance Company 24147 INSURED INSURERS: Renewal by Andersen LLC 30 C Forbes Road INSURERC: Northborough, NA 01532 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W8317748 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 ADDLTYPE OF INSURANCE IM SU n POLICY NUMBER MM/DD/EFF MWDDY� LIMITS LTR X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 DAMAGE TOO ReTNTED CLAIMS-MADE Fx—]OCCUR PREMISES Ea occurrence) $ 500,000 A MED EXP(Any one person) $ 10,000 MWZY 314161 10/01/2018 10/01/2019 PERSONAL BADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY E JEC7 LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY (E, SINGLE LIMIT Ea ecaiden0 $ 5,000,000 _ X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED MWTB 314159 10/01/2018 10/01/2019 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident UMBRELLA LIAO OCCUR EACH OCCURRENCE Is EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED T RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY X STA UTE ETR A ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 11000.000 OFFICER/MEMBEREXCLUDED9 No NIA MWC 314158 00 10/01/2018 10/01/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 11000,000 Byes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1$ I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) This Voids and Replaces Previously Issued Certificate Dated 10/01/2018 WITH ID: W8291089. 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 Bvidence of Insurance 5�r' bvl- 01988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD SR ZD, 16836288 BATCH: 892974 Ra�bssNN� �{q 1�'Hlnt�l0ilt�Cll M ++-- Rl�i�! Slav=$ C►�ti y�111� � uNMa MMS�� TO .,.�.�a X11 AI�II�IM�}��"^"� �'"'� ��jtl�Yl1�1'AM10����� +W�► ■.sgswr wit w s+v�1�►wa�rw�s•wso 7�r0►�INF 1�"�*MIN/ArM�ll I�g1�0�tea!M1N110�10� Vn N0mRi1R w AA"ltlJYNrm go= a mi -somd W ao uopigna v imom pin aww mRt nu*1►a m ••�qw���• �waaa�na asr� � sanmp vw map uamps nua s saau 0 as+fid pssmus m(smpnu am"led day awo 000'sc uwa ss" uppm qaW dnoA am Auw p Ounn-gun mstn+sdns uai 'J N tlIQlNKA NI ' 1MVI ,os u00 a pug 4 dummppjom ammo l NuMsolod P uOPPW s�irm�pasaY!14 � � Renewal byAndersen. WINDOW REPtACK Uff en4rJft aCMP%vq ... -: WoodMnyl Composite IF Duel Argon Low R StnartSun Double Hung 10"0473518-010 -ERERGT PERFORNWICE RATINGS U-Factor(U.S)li-P Solar Heat Gain Coefficient AWN U ,29 ADDITIONAL PERFORMUCE WFINGS Visible Transmittance Aft a dramu4z&% ' ,mwwM¢uttp"r6u.rKiN "r,lean.Isappiaa4w Nfi1C prarfOwar farau.mUiwwro►proem pMmAraar.dA4D ral�lpssre deaMiked Were"doe of anviprwMNeeMl4saaaea.faro proeuet ak.. rIFAC eeeeroe rooswrNO enyproeaetend geaeaa errpal fM wiae�yafwey prodoat raenyapraflb are. oarsuu ewu6atwr40aeewa forefMrproeor Adamaer Waemrtlow Wl,IY.tt11Ca0 aaQ 711s presat rormfinee wo. roruYrtAf.76A�C DESIGN PRESSURE"F) nSIIJILRbA DB IN Ne+r aaeaMeed.lJi.C.l.Q a El.OR Alp le�eufar�etrraenb 1hIGMA fOMwtkf:enf�e�ar P+oprr+- Renewal Agreement Document and Payment Terms bYACldersen. dba:Renewal by Andersen of Boston Mary Morton X Legal Name:Renewal by Andersen LLC 95 Washington Ave HIC#170810 Northamton,MA 01060 WINDOW 30 Forbes Road I Northborough,MA 01532 H:(413)586-4503 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbabostonegmail.com C:(413)570-6003 Buyer(s)Name: Mary Morton Contract Date: 10/02/18 Buyer(s)Street Address: 95 Washington Ave, Northamton, MA 01060 Primary Telephone Number: (413)586-4503 Secondary Telephone Number: (413)570-6003 Primary Email: 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: $50,161 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: $16,720 Balance Due: $33,441 Estimated Start: Estimated Completion: Amount Financed: $0 14-16 weeks 3-4 days Method of Payment: Cash/Check We schedule installations based on the date of the signed contract and secondarily on 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: Chk# 1002; 1/3 dep $16720; 1/3 start $16721; 1/3 complete $16720 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 10/05/2018 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:Renewal by Andersen of Boston Buyer(s) Signature of Sales Person Signature Signature Marc Festa Mary Morton Print Name of Sales Person Print Name Print Name UPDATED: 10/02/18 Page 2 / 31 Renewal Itemized Order Receipt bvAndersen. dba;Renewal by Andersen of Boston Mary Morton MRIACKMIMT Legal Name:Renewal by Andersen LLC 95 Washington Ave HIC#170810 Northamton,MA 01060 30 Forbes Road I Northborough,MA 01532 H:(413)586-4503 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbabostonOgmail.com C:(413)570-6003 D• ROOM: 101 Family room Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass(GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap 102 Family room Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screed, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap 103 Family room Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap UPDATED: 10/02/18 Page 3 / 31 Renewal Itemized Order Receipt byAndemrt dba;Renewal by Andersen of Boston Mary Morton Legal Name:Renewal by Andersen LLC 95 Washington Ave HIC#170810 Northamton,MA 01060 C, WINDOW RE uClMENT 30 Forbes Road I Northborough,MA 01532 H:(413)586-4503 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbaboston®gmail.com C:(413)570-6003 • ROOM: 104 Family room Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap 105 Family room Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap 107 Porch Window: Double-Hung, Equal, Full-Frame, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: None UPDATED: 10/02/18 Page 4 / 31 Renewal Itemized Order Receipt byAndemm dba:Renewal by Andersen of Boston Mary Morton Legal Name:Renewal by Andersen LLC 95 Washington Ave HIC#170810 Northamton,MA 01060 t, WINDOW ae ucerrxr 30 Forbes Road I Northborough,MA 01532 H:(413)586-4503 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbaboston®gmail.com C:(413)570-6003 ROOM: 108 Porch Window: Double-Hung, Equal, Full-Frame, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: None 109 Porch Window: Double-Hung, Equal, Full-Frame, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: None 110 Porch Window: Double-Hung, Equal, Full-Frame, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: None UPDATED: 10/02/18 Page 5 / 31 Renewal Itemized Order Receipt byAndersm dbae Renewal by Andersen of Boston Mary Morton Legal Name:Renewal by Andersen LLC 95 Washington Ave e4*_40V HIC#170810 Northamton,MA 01060 WINDOW ■s LAcam ar 30 Forbes Road I Northborough,MA 01532 H:(413)586-4503 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbaboston®gmail.com C:(413)570-6003 • ROOM: 111 Porch Window: Double-Hung, Equal, Full-Frame, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: None 112 Den Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: None 113 Den Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass(GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminurn Wrap, Aluminum Wrap UPDATED: 10/02/18 Page 6 / 31 Renewal Itemized Order Receipt MrAndeMrL dba:Renewal by Andersen of Boston Mary Morton PFP �� Legal Name:Renewal by Andersen LLC 95 Washington Ave "OQ�i HIC#170810 Northamton,MA 01060 WINDOW RffiYFLACENSPIT 30 Forbes Road I Northborough,MA 01532 H:(413)586-4503 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbaboston0'Pgmail.com C:(413)570-6003 • ROOM: 114 Den Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass(GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap 115 Bath Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap 116 Kitchen Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap UPDATED: 10/02/18 Page 7 / 31 Renewal Itemized Order Receipt byAnders n dba:Renewal by Andersen of Boston Mary Morton Legal Name:Renewal by Andersen LLC 95 Washington Ave HIC#170810 Northamton,MA 01060 MNNCCW BE LACEMENT 30 Forbes Road I Northborough,MA 01532 H:(413)586-4503 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbabostonOgmail.com C:(413)570-6003 ROOM: DETAILS: 117 Kitchen Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass(GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap 118 Kitchen Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap 119 Dining room Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap UPDATED: 10/02/18 Page 8 / 31 Renewal Itemized Order Receipt byAndersim dba:Renewal by Andersen of Boston Mary Morton =3121 Legal Name:Renewal by Andersen LLC 95 Washington Ave HIC#170810 Northamton,MA 01060 WINDOW NE LACEMENT 30 Forbes Road I Northborough,MA 01532 H:(413)586-4503 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbaboston*gmail.com C:(413)570-6003 • ROOM: 120 Dining room Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap 201 Bed 1 Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap 202 Bed 1 Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap UPDATED: 10/02/18 Page 9 1 31 Renewal Itemized Order Receipt bYAfldelsen. dba:Renewal by Andersen of Boston Mary Morton Legal Name:Renewal by Andersen LLC 95 Washington Ave HIC#170810 Northamton,MA 01060 wi[Qow [c LAQ[MENT 30 Forbes Road I Northborough,MA 01532 H:(413)586-4503 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbaboston®gmail.com C:(413)570-6003 D• ROOM: 203 Bath 2 Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap 204 Bed 2 Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass (GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap 205 Bed 2 Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior Canvas, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: Canvas, Standard Color Hand Lift, Screen: TruScene with Exterior Color Match, Full Screen, Grille Style: Grilles Between Glass(GBG), Grille Pattern: All Sash: Colonial 2w x 1 h, Misc: Aluminum Wrap, Aluminum Wrap WINDOWS:24 PATIO DOORS:0 SPECIALTY:0 MISC:0 TOTAL $50,161 Renewal by Andersen is committed to our customers'safety by complying with the rules and lead-safe work practices specified by the EPA. UPDATED: 10/02/18 Page 10 / 31