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04-009 702 KENNEDY RD BP-2020-0364 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 04- 009 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-2020-0364 Proiect# JS-2020-000607 Est.Cost: $37111.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: RENEWAL BY ANDERSEN 090125 Lot Size(sq. ft.): Owner: GRIMM A RONALD&MARY H Zoning: RR(l00)/WSP(l00)/WP(7)/ Applicant: RENEWAL BY ANDERSEN AT. 702 KENNEDY RD Applicant Address: Phone: Insurance: 30 FORBES RD (508) 919-0900 WC NORTH BOROMA01532 ISSUED ON.911812019 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL 12 REPLACEMENT WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: 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 9/18/2019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner IV/ Department use only EL) C y of Northampton Status of Permit: B ilding Department Curb Cut/Driveway Permit SEP 8 2019 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability nfir'T oa N rthampton, MA 01060 Two Sets of Structural Plans NORTHgMHTNGINSP 41 -587-1240 Fax 413-587-1272 Plot/Site Plans ON.MA 0�ru Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION__7 ao ^ 3C1 / 1.1 Property Address: This section to be completed by office 702 Kennedy Rd. Leeds, MA 01053 Map Lot tQ `7 Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Ronald Grimm 702 Kennedy Rd., Leeds, MA 01053 Name(Print) Current Mailing Address: 207-210-5876 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 (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) f6 / n 5. Fire Protection �J 'I v 6. Total = (1 +2 + 3.+4 + 5) Check Number d This Section For Official Use Only Building Permit Number: Date Issued: Signature: Zi 9 lu 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 UE7 RF L:= R:0 0 Rear l� 0 Building Height Bldg. Square Footage % �— Open Space Footage (Lot area minus bldg&paved � C parking) #of Parking Spaces L- Fill: (volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO © DON'T KNOW Q YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document# B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW © YES IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O 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 O NO O 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 Alterations) ❑ Roofing ❑ Or Doors IM Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [p Siding[p] Other[O] Brief Description of Proposed Work: Replace 12 windows 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 Ronald Grimm 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 9/16/2019 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 Name 9/16/2019 Signature of,0 r/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: JAIME MORIN 90125 License Number 30 Forb Rd. , Northborough, MA 01532 10-06-20 Address Expiration Date 508-351-2277 Signature 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 Telephone508-351-2277 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....... ]7 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 �L\ The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass gop/dia Wurkers'Compensation lnsurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTINC AUTHORITY, Applicant Information Please Print Legibly Name(Business Orgam2atiorvindividuaq:Renewal by Andersen Address:30 Forbes Rd. City/State/Zip:Northborough, MA 01532 Phone#:508-351-2277 Are you as employer!Check the appropriate boa: Type of project(required): I.O I am a employer with� employees(full and,or pan-tune).- 7. ❑New construction 2.❑1 am a sok proprietor or pamsenhip orad have no employees working for me in $. Remodeling any capacity.(No worlcis'comp.warance regmred.) 3.Q lam a hmrcowner doing all work myself INo workers'comp insurance required J' 9. El Demolition 10 Q Building addition 4.0 1 am a homeowner and will be lortng conuactars to conduct all work on my property, 1 will ensure that all contractors either have workcts'compensation insurance or are sok 1 1.❑Electrical repairs or additions proprietors with no employees 12. Plumbing repairs or additions 50 1 am a gcnaal convector and I have hued the sutrcommiLt n listed on the atutched sheet 13.❑Roof repairs These has a employees and have workers'comp insurance 6-[3 We sec a corporation and"olTicm have exorcised thea n&of pti exemon pct MGL c. 14.Q Other Replacement 152,¢1(4),and we have no employees INo%%akcrs'camp insurance required 1 -Any applicant that checks box a 1 muse a6o fill oui the section below shoes ung their workers'compensation policy information. t Honeowacm who submit this affidavit indicating they re doing all work and then hire outside corwxton must submit a new affidavit indicating such. tConnutors that chock this box must attached an additional stmxi show ing the name of the sub-cum rwicits and state wbetha or not those enuucs have employees. If the subwnuacuxv have employees.Lbry must provide dnen workers comp policy ntunber I am an employer that is providing workers'compensation insurance for ml,employees. Below is the policy and job site information. Insurance Company Name:Old Republic Insurance Co. Policy s or Self-itis.Lic.h: MWC 31431500 Expiration Date. 10/1/19 Job Site Address: 702 Kennedy Rd. CitylStateiZip: Leeds , MA 01053 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration dace). Failure to secure coverage as required under MGL c. 152,y§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verificat I do hereb ertify under tit ains and penalties of perjury that the informtadan provided above is nue rued correct sin Date: 9/16/2019 Phone q: 1-2277 Official use only. Do not write in this area,to be completed by city or town official. City or Town: _ Permit/License N Issuing 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#: p� Page 1 of 1 Al�40R" CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) fir 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(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 NAME: Willis of Minnesota, Inc. PHONE 1-877-945-7378 F�1-888-467-3378 c/o 26 Century Blvd (A(C.No.Extt: —[(AIC •Not: EMAIL cartificatea4lwillis.caa P.O. Box 305191 ADDRESS: Nashville, TN 372305191 USA INSU 8 AFFORDING COVERAGE NAILS INSURERA: Old Republic Insurance Caopaay 24147 INSURED INSURER B Renewal by Andersen LLC 30 C Forbes Road INSURERC: Northborough, NA 01532 OSA INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:x$317748 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. ILT NSRR ADDTYPE OF INSURANCE L SUER POSY NUMBER POLICY EFF YMMfppNYyyI IM ITS X COMMERCIAL GENERAL LIABILITY CURRENCE $ 11000,000 EACH OC CLAIMS-MADE OCCUR PREMISES Me occurrenoe i 500,000 A MED EXP(Arty one person) $ 10,000 KNZY 314161 10/01/2018 10/01/2019 PERSONAL&AOV INJURY $ 1,000,000 GEWLAGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ 4,000,000 X POLY JECT LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT .. Ea acddent) $ 5,000,030 X ANY AUTO BODILY INJURY(Per person) S A OWNED SCHEDULED KWTB 314159 10/01/2018 10/01/2019 BODILY INJURY(Per aocident) $ f AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY par accident $ UMBRELLALIA9 OCCUR EACHOCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ WORKERS COMPENSATION XH- AND EMPLOYERS'LUIBILITY STATUTE ER A ANYPROPRIETOR/PARTNER/EXECUTIVE No NIA E.L.EACH ACCIDENT 6 11000,000 OFFK:ER/MEMBEREXCLUDED? MNC 314158 00 10/01/2018 10/01/2019 1,000.000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If es,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I 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 ` Evidence of Insurance 9• `l vel-_ ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD SR ID: 16836288 eATce: 892974 '.'f"VA IIO• am s�7aq A mY11V. L 0"00 900-clo rrdawoMUMMsse j�,tl'��Vf' �a�11A� i flfifMirfJV:OU a' x f 1 i fl�`� 1�dC7 . svvneOCs'►�ul v�rrmMnmrA to-s-r+M 'ow.400a�,.qv�w.�laorr.•oasw�vw.rr was�M.N.I�v.onu�my.,r�eeu,.oe od 'eoevwMawM�r�w w�a•� 1f Mf�71.� w�p�+wra�fwn�4c•auwwrwy. r - w�a�I w.y.MMW� .atrr�fy y�il auuquva°fLti.r +wwy�rr� $DNLLV%i a7aM_'W1io�d3d 7V1JCStl IUSIOUPOO U!20 41MH^*KSS 1 SONllbti 3�NVNRigy1L>ad J.trt�N� iOO/WIA'AA Lf�"N-CJN�d OEM I •� rs I f I ! a i Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construction Supervisor Con strti-VbpQrvisor Unrestricted-Buildings of any use group which contain i less than 35,000 cubic feet(991 cubic meters)of enclosed CS490125 space. le Wires: 10/0612020 f r i JAIME L MORIN 86 GARDIfiER T LYNN MA 018 6�, `�U1.53.1�fi f a � Failure to possess a current edition of the Massachusetts �. C,pmmissianer State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpi Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card RENEWAL BY ANDERSON LLC, " Registration: 170810 30 FORBES RD t�� Expiration: 12/22/2019 NORTHBOROUGH,MA 01532 Update Address and Return Card. SCA 1 6 20M-OW 17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Suaalement Card before the expiration date. If found return to: Registration EV ifation Office of Consumer Affairs and Business Regulation 170810 12.!22/2019 1000 Washington Street -Suite 710 RENEWAL BY ANDERSON LLC Boston,MA 02118 ,MIME MORIN 30 FORBES RD -- NORTHBOROUGH,MA 01532 Undersecretary Not valid ithout 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: 702 Kennedy Rd., Leeds, MA 01053 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 9/16/2019 Date Signature of Permit Applicant Renewal Agreement Document and Payment Terms byAndersen. dba:Renewal by Andersen of Boston Ronald Grimm ��j� Legal Name:Renewal by Andersen LLC 702 Kennedy Rd * HIC#170810 Leeds,MA 01053 w1"oow AE ...... 30 Forbes Road I Northborough,MA 01532 H:(207)210-5876 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbabostonbooking®andersencorp.com Buyer(s)Name: Ronald Grimm Contract Date: 09/11/19 Buyer(s)Street Address: 702 Kennedy Rd, Leeds, MA 01053 Primary Telephone Number: (207)210-5876 Secondary Telephone Number: Primary Email: Grimm.ron@gmail.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: $37,111 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: $37,111 Estimated Start: Estimated Completion: Amount Financed $37,111 8-10 weeks 4-5 Method of Payment: Financing 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: GS#2541; 1/3 Deposit $12,370.00; 1/3 Start $12,370.00; 1/3 Comp.$12,371.00 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 09/14/2019 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• enewal by Andersen L dba:Ren al d�ersen/of B on Buyers/l Signature of Sales Person Signature Signature Mark Salem Ronald Grimm Print Name of Sales Person Print Name Print Name UPDATED: 09/11/19 Page 2 / 26 Renewal Itemized Order Receipt byAndersen. dba:Renewal by Andersen of Boston Ronald Grimm Legal Name:Renewal by Andersen LLC 702 Kennedy Rd HIC#170810 Leeds,MA 01053 wIMoow AE LACEnEMT 30 Forbes Road I Northborough,MA 01532 H:(207)210-5876 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbabostonbooking®andersencorp.com • ROOM: 101 Family Window: Picture, Full Frame, Exterior Dark Bronze, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Grille Style: No Grille, All Sash: , Misc: Cedar Siding and mulls, AZEK Bottom exterior 102 Family Window: Picture, Full Frame, Exterior Dark Bronze, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Grille Style: No Grille, All Sash: , Misc: Cedar Siding and mulls, AZEK Bottom exterior, Mull Deduct, Per opening. 103 Family Window: Picture, Full Frame, Exterior Dark Bronze, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Grille Style: No Grille, All Sash: , Misc: Cedar Siding and mulls, AZEK Bottom exterior 104 Family Window: Picture, Full Frame, Exterior Dark Bronze, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Grille Style: No Grille, All Sash: , Misc: Cedar Siding and mulls, AZEK Bottom exterior, Mull Deduct, Per opening. 105 Family Window: Picture, Full Frame, Exterior Dark Bronze, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Grille Style: No Grille, All Sash: , Misc: Cedar Siding and mulls, AZEK Bottom exterior 106 Family Window: Picture, Full Frame, Exterior Dark Bronze, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Grille Style: No Grille, All Sash: , Misc: Cedar Siding and mulls, AZEK Bottom exterior, Mull Deduct, Per opening. UPDATED: 09/11/19 Page 3 / 26 Renewal Itemized Order Receipt b Andersen. dba:Renewal by Andersen of Boston Ronald Grimm Legal Name:Renewal by Andersen LLC 702 Kennedy Rd HIC#170810 Leeds,MA 01053 wtRDOW RE LACEMENT 30 Forbes Road I Northborough,MA 01532 H:(207)210-5876 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbabostonbooking@andersencorp.com • ROOM: 107 Family Window: Picture, Full Frame, Exterior Dark Bronze, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Grille Style: No Grille, All Sash: , Misc: Cedar Siding and mulls, AZEK Bottom exterior, Mull Deduct, Per opening. 108 Family Window: Picture, Full Frame, Exterior Dark Bronze, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Grille Style: No Grille, All Sash: , Misc: Cedar Siding and mulls, AZEK Bottom exterior 109 Family Window: Picture, Full Frame, Exterior Dark Bronze, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Grille Style: No Grille, All Sash: , Misc: Cedar Siding and mulls, AZEK Bottom exterior 110 Family Window: Picture, Full Frame, Exterior Dark Bronze, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Grille Style: No Grille, All Sash: , Misc: Cedar Siding and mulls, AZEK Bottom exterior, Mull Deduct, Per opening. 111 Family Window: Picture, Full Frame, Exterior Dark Bronze, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Grille Style: No Grille, All Sash: , Misc: AZEK Bottom exterior 112 Family Window: Picture, Full Frame, Exterior Dark Bronze, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Grille Style: No Grille, All Sash: , Misc: AZEK Bottom exterior, Mull Deduct, Per opening. WINDOWS: 12 PATIO DOORS:0 SPECIALTY:0 MISC:0 TOTAL $37,111 Renewal by Andersen is committed to our customers'safety by zEA4 complying with the rules and lead-safe work practices specified by the EPA. UPDATED: 09/11/19 Page 4 / 26