Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
35-222 (15)
BP-2023-0833 38 LADYSLIPPER LANE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 35-222-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-0833 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: Est. Cost: 30824 RENEWAL BY ANDERSEN 090125 Const.Class: Exp.Date: 10/06/2024 Use Group: Owner: CARLEVARO SCHMALE JEFFREY &CARRIE Lot Size (sq.ft.) Zoning: WSP Applicant: CARLEVARO SCHMALE JEFFREY & CARRIE Applicant Address Phone: Insurance: 38 LADYSPLIPPER LN FLORENCE, MA 01062 ISSUED ON: 06/23/2023 TO PERFORM THE FOLLOWING WORK: 13 REPLACEMENT WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: ; i Akft Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner R�EI VET The Commonwealth of Mas chu efts : V)"' Board of Building Regulations d S dardsCIP FOR ITY Massachusetts State Building C de, 7 0 alit 2 3 ma USE Building Permit Application To Construct. Re air, vate Or Demolish a R ised Mar 2011 One-or Two-Family D elliiie j of run DING INEpECT1nnu TIT -TVN.MA01060 This Section For Official Use Building Permit Number:3V 4- 2j — 53 3 Date Ap lied: ?I. . :,11 ,d V.PY,9-3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers as sI f fer La.,4 1.la Is this an accepted street?yes t - 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 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2. Owner'of Record: �f=E Sch rv.a,te-- no relit e MA O)062 Name(Print) City,State,ZIP 32 Lot d6st Ce" La,*. 4 V3-- 365-021E 11'444e6ret„Men@Mecc.c.,oM No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other [iieSrpecify:�,,� LCALC/I Brief Description of Proposed Work2: ((' IAWlc ow-S &Ai ALL 44C Reeled IAndws Iiki is )i e. w4.4, —710 5714.e,fb rei ckae v-o G al- • 2 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 30 / gz y,du 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ e � Check No N1q�1heck Amount: V Cash Amount: 6. Total Project Cost: $ go) VV. 0-0 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 0i645- /0/06/21/ Oa M MO;A License Number Expiration Date Name o CWA- ISL Holder (" 30 FV b� List CSL Type(see below) No. and Street 1� Type Description /V -/�+ 60�� �, I'w I� ©r�3 2 U Unrestricted(Buildings up to 35,000 Cu.ft.) do ''`r9 R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry ab Roofing Covering Window and Siding SF Solid Fuel Burning Appliances 96 952-Y//a P expi1 @� et1Mi .61 I Insulation Telephone Email`address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 1,0 cries 12/ZE IRCIVAra j ttv M1 tler " HIC Registration Number Expiration Date IC Company Name orIIIC Registrant Name o. and trect a address oro t 5L iM1} D/02. Wo -95 2• Quiz-Z City/Town, State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes No 0 SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate VALI e best of my knowledge and understanding. Ge tall l • Cerkit f 6 —2 201 3 Print Owner's or Authorized Agent's Name( .c Sign.e) 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 �tt `a Massachusetts ;..-�! q t 9 DEPARTMENT OF BUILDING INSPECTIXONS : 212 Main Street • Municipal Building Northampton, MA 01060 rsNjyo<��l 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: Oaf 110 e Location of Facility: . o r\fa-e_s (Zd i h�fo tA V A o, s3 2 The debris will be transported by: CP" 0014, Name of Hauler: (/O ce4 C 0114A-alevfrttij OF I Signature of Applicant: Date: ‘' 2/ 'Z3 The Commonwealth of Massachusetts _. Department of Industrial Accidents Office of Investigations w Lafayette City Center , 2.4venue de Lafayette. Boston,MA OpII-17S4 . ' s: www.mas.c.Rot/dia Workers'Compensation Insurance Affidavit: Builders/Coiotractors/ElectriciansiPlumbers Applicant information Please Print Legibly Name (BusinessOrganization Individual): Renewal by Andersen Address: 30 Forbes Rd. Cite State Zip:Northborough, MA 01532 Phone#:508-351-2277 .kre you an employer?('heck the appropriate box: Type of project(required): I.X I am a employer with 30 4. ❑ I am a general contractor and[ 6. ❑New construction employees(fd and/or part tiitw).' have hired the sub-contractors listed on the attached sheet. 7. 0 Remodeling 2.❑ I am a sole proprietor or partner- ship and have no employees These sub-contractors have 8. 0 Demolition workingfor me in any c employees and have workers' Y 'city. 9. 0 Building addition [No workers' comp. insurance comp. insurance.: required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.0 1 am a homeowner doing all work officers have exercised then 11.0 Plumbing repairs or additions myself. [No workers' coal►. right of exemption per M(JL 12.0 Roof repairs insurance required.) + c. 152,*1(4),and we have no Replacement employees. [No workers' 13.�Other comp. insurance required.] *Any applicant that checks box>r 1 must also fill out the section below showing their workers'compensation policy information. +Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicting weh- :Contractors that check this box must attached an additional sheet show uut the name of the sub-cafthacton and state whether uc not those entitiee have anploy.es. lf the sub-cantracwrs have mph,.c. .lict mi..,Iia•.o.dciheit tuikc-ts'comp.policy number. I am an employer that is providing is oriters'compensation insurance for my employees. Below is the police•and job site in Orntation. In,utance Company Name: Old Republic Insurance Co. — Policy#or Self-ins. Lic.#: MWC 314158 22 Expiration Date: 10/01/2023 Job Site Address: 3$ Cetab S 11P L.4 tsJ_- City State 7.r p:__-Fb(e4-re M'I IQ O)0 b Z Attack a copy of the ssorkers' compensation policy declaration page(shossiag the policy Gunther and expiration date). Failure to secure coscrage as required under Section 25A of MtiL c. 152 can lead to the imposition of crununal penalties at a fine up to S1,500.O0 and or one-year imprisonment. as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S250.00 a day against the violator. Be ads ised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coscraee s ertlieation. i do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: p� c rate 03/31/23 Phiane Dt0O' 7Sz " C/// ii t Official use only. Do not write in this area.to be completed bycity or town official ('its or Iossn: Permit License ._ Issuing f,uthorit (check one): -- 1❑Board of!leak h 2❑liuildintlhpartment 3tCity/TowaClerk Elettrlcallaspert«' SLL'lumhiui, Inspector 6.IDOther Contact Person: Phone : • __. RENEWAL ;, 1 brANDERSEN FDt1SERVICE WINDOW&DOOR REPLACEMENT 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 RENEWAL BY ANDERSEN SPECIFICATION Ft TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS AND TEST DATA NFRC Total Unit Performance U-Factor Renewal by Andersen' `'` ~" ft2 SNBC Product High Performance Stass*. BTU!hr` ( ( oF)) yr 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 6 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-E4®SmartSun Without Grilles 0.26 0.24 0.18 0.18 .63 with HeatLockTM 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'SmartSun"' 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 HeatLockTM 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 Licht Grilles 0 34 0 31 0 28 0.28 t�x+u .m, e,sx�A�,xw n_arw j+r..u-,..va+v&�,n,,F..�-m.s,� ,.���..,.rn ,.,.« F..� . kfl.n......:._. nn, H. Double-Hung D8 ® 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 ithout Grilles 0.32 0.29 0.21 0.21 .65 Low-E4'SmartSunTM Full Divided Light Grilles 0.34 0.30 0.19 0.19 .' :�.. Wiithnrd Arillac fl 27 n 25 n 2n . n 211 R3 „.' with HeatLockTM Full Divided Light Grilles 0.30 027 0.18 0.18 09-9 COMPANY CONFIDENTIAL-REVISION AA-Q1 Agreement Document and Payment Terms yr DBA:RENEWAL BY ANDERSEN OF BOSTON Jeff Schmale " &Carrie Carlevaro RENEWAL Legal Name:Renewal by Andersen LLC 38 Ladyslipper Ln HIC#170810 Florence,MA 01062 brANDERSEN 30 Forbes Road Northborough,MA 01532 H:(443)865-0278 ;mum MOM 000110110111111 Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail-com C:(443)690-8002 Jeff Schmale * &Carrie Carlevaro 06/14/23 BUYER(S)NAME CONTRACT DATE 38 Ladyslipper Ln , Florence , MA 01062 (443)865-0278 (443)690-8002 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER littlegreenmen@mac.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: $30,824 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: $30,824 Estimated Start: Estimated Completion: 8-12 Weeks 3-4 Days AMOUNT FINANCED: $30,824 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: 1/3 Deposit ; 1/3 Start of Project ; 1/3 Substantial Completion 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 06/17/2023 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. v (tV SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE Wayne Gremo Jeff Schmale * Carrie Carlevaro PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 06/14/23 Page 2 / 30 Itemized Order Receipt V/ OBA:RENEWAL BY ANDERSEN OF BOSTON Jeff Schmale ` &Carrie Carlevaro RENEWAL Legal Name:Renewal by Andersen LLC 38 Ladyslipper Ln HIC#170810 Florence,MA 01062 brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(443)865-0278 ,,,,vim('MOM t DOOR I I,IY I W M Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(443)690-8002 ID#: ROOM: SIZE: DETAILS: PRICE: 101 Front Living Rm Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator Ma ual PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: Hi h Performance SmartSun Glass, No Pattern, Hardware, White Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, None 102 Front Living Rm Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator Manual PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, WhiteF Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, None 103 Front Living Rm Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator Manual PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: H�gh Performance SmartSun Glass, No Pattern, Hardware, Whit ,Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc,/None 104 Dining Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator Manual PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, White,Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, None 106 Back Living Rm Window 06/14/23 Page 3/ 30 Itemized Order Receipt V DBA: RENEWAL BY ANDERSEN OF BOSTON Jeff Schmale " &Carrie Carlevaro RENEWAL Legal Name: Renewal by Andersen LLC 38 Ladyslipper Ln HIC#170810 Florence,MA 01062 byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(443)865-0278 .ULL WWI MOM IXO II&MI IO Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(443)690-8002 ID#: ROOM: SIZE: DETAILS: PRICE: Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Intrior White, Performance Calculator Manual PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, White, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Mlsc, None 107 Back Living Rm Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator Manual PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, White, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Mlsc,!None 108 Back Living Rm Window Double-Hung (DG) 1r1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator Manual PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, White,Screen, Fiberglass, Full Screen, Grille Style, No Grille, Mlsc,None 201 Stella's Bedroom Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator Manual PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware,White, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, None 202 Audrey A dre Bedroom Window 06/14/23 Page 4/ 30 J7: Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF BOSTON Jeff Schmale ' &Carrie Carlevaro RENEWAL Legal Name:Renewal by Andersen LLC 38 Ladyslipper Ln HIC#170810 Florence,MA 01062 brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(443)865-0278 ;uu SIMI Roots 1 MO nrtW(k,' Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(443)690-8002 ID#: ROOM: SIZE: DETAILS: PRICE: Double-Hung (DG) 1:1 Slope ill, Insert Frame, Traditional Checkrail, Exterior White, Int rior White, Performance Calculator Manual PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, White, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, None 203 Audrey Bedroom Window Double Hung (DG) 1.1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator Manual PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, White, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Mlsc, None 204 Master Bedroom Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator Manual PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, White, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Mlac, None 205 Carrie's Office Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator Manual PG Rating: 40 ( DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware,White, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, None 206 Carrie's Office Window 06/14/23 Page 5/ 30 Itemized Order Receipt /l' DBA: RENEWAL BY ANDERSEN OF BOSTON Jeff Schmale ' &Carrie Carlevaro RENEWAL Legal Name:Renewal by Andersen LLC 38 Ladyslipper Ln HIC#170810 Florence,MA 01062 brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(443)865-0278 Rut WWI MOM 100011tNuIMtt Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.corn C:(443)690-8002 ID#: ROOM: SIZE: DETAILS: PRICE: Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator Manual PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High PerforI'Iance SmartSun Glass, No Pattern, Hardware, White, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Mlsc,lNone WINDOWS: 13 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 0 TOTAL $30,824 r Renewal by Andersen is committed to our cus omers'safety by complying with the rules and lead-safe work ,ractices specified by the EPA. 06/14/23 Page 6/ 30 �' Performance Report , ' DBA:RENEWAL BY ANDERSEN OF BOSTON Jeff Schmale ` &Carrie Carlevaro RENEWAL Legal Name:Renewal by Andersen LLC 38 Ladyslipper Ln HIC#170810 Florence,MA 01062 brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(443)865-0278 still WW1 MEOWlEE,rn.Ml n Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(443)690-8002 The following table identifies fenestration performance requirements using the listed code, values, and coefficients. Calculation is based on the Winde application if the Zone and GCp values are populated to the individual unit calculations table. If GCp and Zone are listed as N/A, required unit performance rating was manually defined. The RbA retailer is responsible for disclaimer language regarding the acceptance of this report in their market as reviewed by their legal counsel and code officials. This report should NOT be used in market unless a thorough review has been completed and this language is updated accordingly. INDIVIDUAL UNIT CALCULATIONS REQUIRED UNIT UNIT PRODUCT UNIT SIZE UNIT/TWA ACTUAL ACTUAL APPROVAL ID ROOM TYPE (in) AREA(fl2) ZONE GCp PERFORMANCE UNIT PG UNIT DP IMPACT NUMBER(S) RATING RATED 101 Front Living Double-Hung 36 x 61 15.25 N/A i N/A +0/-0 1 40 + 40/ -40 ; NO N/A Rm (DG) 102 Front Living Double-Hung 36 x 61 15.25 N/A N/A +0/-0 40 + 40/-40 NO N/A Rm (DG) _ 103 ! Front Living Double-Hung �36 x 61 15.25 N/A 1 N/A +0/-0 40 I +40/-40 NO N/A Rm (DG) 104 Dining Double-Hung 36 x 61 15.25 N/A N/A +0/-0 40 +40/-40 NO N/A (DG) _ 106 Back Living Doub- le-Hung 36 x 61 15.25 N/A N/A +0/-0 , 40 +40/-40 NO N/A Rm (DG) _ 107 Back Living Doub- le-Hung 36 x 61 15.25 N/A N/A +0/-0 40 +40/-40 NO N/A Rm (DG) 108 Back Living Double-Hung 36 x 61 15.25 N/A N/A +0/-0 40 +40/-40 NO N/A Rm (DG) 201 Stella's Double-Hung 36 x 49 12.25 N/A N/A +0/-0 40 +40/-40 NO N/A Bedroom (DG) 202 Audrey Double-Hung 36 x 49 12.25 N/A N/A +0/-0 40 +40/-40 NO N/A Bedroom (DG) 203 Audrey Double-Hung 36 x 49 12.25 N/A N/A +0/-0 40 +40/ -40 NO N/A Bedroom (DG) 204 Master Double-Hung 36 x 49 12.25 N/A N/A +0/-0 40 +40/-40 NO ~ N/A Bedroom (DG) 205 Carrie's Double-Hung 36 x 49 12.25 N/A N/A +0/-0 40 +40/-40 NO N/A 1 Office (DG) 206 Carrie's Double-Hung 136 x 49 12.25 N/A N/A +0/-0 40 +40/-40 NO N/A Office (DG) L _I.... Values and assumptions used for Design Pressure Calculations: Design Pressure calculations are based on ASCE 7-16. Directionally factor K. of 0.85 No topographical effects(Kr at 1.0) Velocity Pressure(PSF)based on all selection building and site conditions •Velocity pressure exposure coefficient(K2)is captured per site Internal pressure coefficient(GCpi)is+/-0.18 specific conditions External pressure coefficient(GCp)is captured on individual unit calculations Windborne Debris Regions require that window and door openings have opening protection via: An impact rated window or door,or An impact rated shutter or other impact rated coverings,or • Wood structural panels of a certain type,thickness,and fasteners,etc. This Performance Report and the information within this Performance Report may only be used in connection with Renewal by Andersen products, only at the address listed above,only for the products identified above,and only for the homeowner listed above. Performance of other units not listed may vary. The information in this Performance Report must be confirmed by the local Renewal by Andersen retailer with your local building code official.This Performance Report is issued solely by the legal entity listed under"Legal Name" above. 06/14/23 Page 7/ 30 II Payment Authorization Form i' DBA:RENEWAL BY ANDERSEN OF BOSTON Jeff Schmale " &Carrie Carlevaro Legal Name:Renewal by Andersen LLC 38 Ladyslipper Ln RENEWAL HIC#170810 Florence,MA 01062 byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(443)865-0278 imismumw onmourn Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmaiLcom C:(443)690-8002 Jeff Schmale * Carrie Carlevaro BUYER NAME CO-BUYER NAME 38 Ladyslipper Ln Florence ADDRESS CITY MA 01062 (443)865-0278 (443)690-8002 STATE ZIP CODE PHONE NUMBER 1 PHONE NUMBER 2 4521 $30,824 FINANCE PROGRAM' FINANCE PLAN II' CONTRACT BALANCE Wayne Gremo 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 ($30,824) CASH DEPOSIT(1) FINANCE DEPOSIT(2) START OF JOB(3) SUBSTANTIAL COMPLETION(4) FINANCING $0 $10,274 $10,275 $10,275 (1) CASH DEPOSIT: 1/3 of the purchase price is due at Contract Signing. This may be paid in part or in whole by cash,check,or credit card ("Cash Deposit"). (2) FINANCE DEPOSIT: 1/3 of the purchase price is due at Contract Signing. This may be paid in part or in whole with financing("Finance Deposit"). (3) START OF JOB: 1/3 of the purchase price is due at Start of Job. (4) SUBSTANTIAL COMPLETION: Final payment is due 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 any outstanding warranty claims or service items,customer may retain an amount equal to the value of the outstanding item(s)or work to be done,not to exceed 10%of the total purchase price. Due to project changes after Contract Signing,the final payment is subject to change. BY SIGNING BELOW, I/WE,THE BUYER(S): 1. Authorize Renewal by Andersen to transact payments based on the amount(s),form of payment(s),and timing specified in the Payment Authorization Schedule above. 2. Acknowledge the use of the loan to make a purchase will constitute acceptance by all Borrowers of the Loan Agreement. 3. Instruct the Lender(if applicable)to disburse the proceeds of the loan to Renewal by Andersen as identified above in the amount(s) and timing specified in the Payment Authorization Schedule. 4. Understand that Renewal by Andersen must be notified in writing of a change in payment method in advance of the respective payment. Jeff Schmale * �--, 06/14/23 BUYER NAME SIGNATURE DATE r (\ Carrie Carlevaro (f't� 06/14/23 CO-BUYER NAME SIGNATURE DATE 06/14/23 Page 8/ 30 Go Permits, LLC 105 Buttonball Lane GO II Glastonbury, CT 06033 PERMITS Scott Doughman Phone: 860-952-4112 Fax: 860-430-6719 scottdoughman@gopermits.org Re: Building Permit Application - Licenses Good day, Please find attached permit application, licenses and supporting documents. Renewal by Andersen sold the job and is the G.C. and CSL - CSL #CS-090125 — Exp. 10/06/24 - HIC #170810 -- Exp 12/22/23 - Workers Comp -#MWC 3145822 — Exp. 10/01/23 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 Peg. 1 of 1 AC�R�° DATE IMN'Oa.YYYY? CERTIFICATE OF LIABILITY INSURANCE 09/21/2022 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 policyflee)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED.sub)ect 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). PROOUCFA coal'VANEACT 10.111e Tours Watson CectlflCa La Canter wa11aa Taws Mauua Nadaaat. -,-,. PHONE, !Doti, 1-177- 5-7371 I C.NCL 1-ass-467-2 7,8 _.� 26 Century alyd p90. boa 305191 AEE` oar tlflealupr111L-cam Naabva114, TSt 372305191 USA 10RIRNIOIN AFFORDING COVERAGE ANC NgueERA. 01G Republic Iasuran C. Company 24141 INSURED INSURER B aamaval by Ards raom Lit 39 Warta, Road INSURER C. Nor taborom91a, MA 01532 NSUAER0. INSURER E _INSURER F COVERAGES CERTIFICATE NUMBER:U26007651 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. NOTWITHSTANDNNG 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 ItERErN IS SUBJECT 70 ALL THE TERMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS mSR AWLB5iC POLICY EFF POLICY EX► F,R TYPE OF INSURANCE ANIDAEIND. POLICY WIRIER Y'l frfl UNITS X COSINERCML GENERAL LWa1.RY EACH OCCURRENCE 5 2,000,000 CLAIMS-RADE 0 OCCLR PREAREES ma=LaircOI $ 500,000 A MEO ESP,Art tvv Prsoni S 10,000 RIMY 314161 22 10/01/2022 10/01/2023 PERSONAL IADVWAJRY I 2.000,000 GENT AGGREGATE UNIT APPLES PER GENERAL AGGREGATE $ 4.000,000 1C PCUCYQ JEPRper ElLOC PRODUCTS-CONPOP AGO 1 4,000,000 OTHER f AUTONOSILEUNNUTY CONFINED SINGLE LIST t 5,000,000 tEa madam X ANY AUTO BOOBY INJURY{Perpa+acni f A ~-'OARED SO•EDULEC tarns 314159 22 10/01/2022 10/01/2023 BODILY INJURY,Per accident} I „....AUTOS ONLY AUTOS NNED NCIAGANE0 'PROPERTY DAMAGE f AUTOS ONLY AUTOS 091.Y -Pat accelenD f UININIELLAUMI DocuR EACH OCCURRENCE ; —~ EXCESS UM CLAMS-MADE AGGREGATE t _OEO I I RETENTIONS 5 INCRINERS COMPENSATION PER GT F.M H- AND PLOYERB'LIABILITY I STATUTE I I EB A AN,PR;JFRiE T OR+A INEREXECUTN Rn E i 1.000,000 EL EACH ACCIDENT 1 OFF CER-rE►EE REM:WCED? N,'A NEC 314158 22 1C 01..2C22 :0%C1/2023 1..000,000 IIINANINA la NME L DISEASE-EA EMPLOYEE $ !t vas ass‘tAraI O DESCRIPTION OFF 1 009.000 OPERATIONS bears EL DISEASE-POLICY UNIT II DESCRIPTION Of OPERATIONS;LOCATIONS i VEHICLES IACORD Ili.A/NMaiIN Rama.SI Sct a/.ee,may kwasactird It N Mryaae1l ap CERTIFICATE HOLDER CANCELLATION SHOULD ANY OR THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF. NOTICE WLL BE DELNERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESEITA1NE Evident•. of Insurance �_ '' C 1988-2016 ACORD CORPORATION. All rights reserved ACORD 25(2016f03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Gegelnsdtott Supervisor of Occupational Licensure Unrestricted• of toe group which contain I Board of Building Regulations and Standards pens than Sfi,900 cubic feet S0!1 cubic mete neJ s)of sealid IConst,`t r1°SloperVisor space 4 f CS-090125 Empires 10/06/2024 1 s JAIME I_MOI 4N f 54 NOTTINGHAM RD 1,. RAYMOND NM 03077 y 4 y"' 4!LVdi1k�0 Farure le possess a case*euiloe of Vie liassechuaatis "Ana.,...... Sleds Oa lding Code is came tot'avocados of this license. I Commissioner �;. For inlonnatiop about this ikmese f! Call Mtn 77f-3200 or visit eirovr meos.Savidpl i THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Strom- Suite 710 Boston, Massachusetts 02118 Home lrn ro ent Co tractor Registration �� w i , •'w'" . w... - t ''Type Supplement Card i _ Redisttation. 170810 RENFWAL BY ANDERSEN LIC " Ett cation 12/2212023 30 FORBES RD "' NORTHBOROU(3H-MA 01532 ,,,„., Art t - % ,, L Adresse end Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Reyistrauon vend for individual Uyn onty before the HOME IMPROVEMENT CONTRACTUtt ..pirrev>n AM". H found return to: TYPE:Supplegrem Cant Office of Consumer Affairs and Bustnean Regulation 1000 Westungton Street •Suns 710 170410 12,22/2033 Boston,MA 02110 RENEWAL 8 .t.iot SEN LLC r) JAIME MORIN ,2," 30 FORBES RD li.w•A.'t ,<4esi - ' NORTFBOROUGH,MA t31532 Undersecretary Not NotYVS � lid without sign—Store *11 RENEWAL , 1 e*ANDERSEN mew 010110 i 0411 t81 To Whom 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'o pull for permits and Inspections with respect to the installation, maintenance and repair of windows and entry doors t+nriar Mac4.achusetts State Home Improvement Contractor license number 170810 and Construction Supervisor license number CS-090125. If you have any questions, please call me at 508.351.2277 eft 6. Authorizedn pers�o {s): Go Permits LLC Sarah Hammad David.Ander#on Maureen Kivet Scott Doughman Ryan Beondo Sovannara Kuy Mark Foster Glynn Nargan Jennifer Winke Wendy Holden Gerald Cramer Nick Rago Dane!Vickerman Stepher Wilder Katie Grocott Bonnie Myers Carrie Fol gno Michael Rogers Rachel Orloff mie Morin Renewal by Andersen (.IC HIC 170810 CSL—CS090125 Local District Office Address 30 Forbes Rd Northborough, MA 01532 Rcnrwal by Arocicr.cn L,C. Stl larnaira Ayr South,(Otago Grvue Mh:�5tltfs THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 WashingtaO 5 - Suite 710 Boston,Massachusetts 02118 Home improvement ' stor Registration 0 � - Type: Supplerttsnt Card a , . Rn: 170810 RENEWAL BY ANDERSEN LLC E1001163n 12l22/2023 30 FORBES RD . NORTHBOROUGH.MA 01532 ' " Update Address and Return Card. I THE COMMOWWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Repiatration valid for individual use only before the ...ores..r.daft. W found return to: HOME IMPROVEMENT CONTRACTOR Ofics of Consumer Affairs and fBueineee Regulation KltaiNUIPS TYPE:Sure 1110010 1000 Washington Street -Some 710 170810 1122?.'C7' Boston,MA 02118 RENEWAL BY ANDERSEN 1LC JAIME MORIN 30 NORTHBOE RROUGH,MA 01832 ef9 Not lid without sigtfMuc