29-448 (6) BP-2023-1519
18 ELLINGTON RD COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
29-448-001 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-2023-1519 PERMISSION IS HEREBY GRANTED TO:
Project# windows 2023 Contractor: License:
Est. Cost: 18718 RENEWAL BY ANDERSEN 090125
Const.Class: Exp.Date: 10/06/2024
Use Group: Owner: A MARONN C MASON &BARBARA
Lot Size (sq.ft.)
Zoning: WSP Applicant: RENEWAL BY ANDERSEN
Applicant Address Phone: Insurance:
30 FORBES RD 508-351-227 WLRC50668058
NORTHBOROUGH, MA 01532
ISSUED ON:10/26/2023
TO PERFORM THE FOLLOWING WORK:
3 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: s /
i ) T,61a,
f
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
kikuen
fl u / ?eta, / a CO y tG °� . , �.c J sew& 5O)y/r,�S ,oc-
The Commonwealth of Massachusetts -C�
Board of Building Regulations and Standar"s OR
',.,,V"J Massachusetts State Building Code, 780 C R , ITY
Building Permit Application To Construct, Repair, Re •vateqs 4 . • ar 2111
One-or Two-Family Dwelling 6-ar o�
This Sect' n For Official Use Only Mo~TNq ,oi�
�,p t �� NSA
rizi
Building P rmit Number: V ) 3j ' l J j Date A fi�.� cr
e�ii... 055 //7 /O 26
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: R � 1.2 Assessors Map& Parcel Numbers
1.la Is this an accepted street?yes ✓ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record: Q
/j'l 45� /'7i,# 'n' �'i i3, fr/ go.Z1)6 I--
Name(Print) City,State,ZIP
is eli,n-k.. y/3- s8Y- 1 6 col a.son/Mardo•in &/dA7c.esf.,% >~
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 E'Specify: { � s•�k a ,,� C
Brief Description of Proposed Work':
/1"NW, OWI I ,/cola re ,3 ,,,,.i elvvsf j,kc 4. //Ire 4r do
3 trkdwed C ila./vrs. tri , LPi'
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ ii, ?-t$ 1. Building Permit Fee: $ Indicate how fee is determined:
❑ Standard City/Town Application Fee
2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire $ i1
Suppression) Total All Fees: ]],, l/�
Check No 4 UCheck Amount: `O Cash Amount:
6. total Project Cost: $ ra l vg, 00 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
Q‘)/ZS" /74 j2,
^ License Number Expiration Date
Name of CSL Holder
30 i�rC-S goo. -� List CSL Type(see below) Of
No.and Street Type Description
`_ Unrestricted(Buildings up to 35,000 Cu.ft.)
/��✓'dg^ p$ .4j A' O/53 2 R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofmg Covering
Qom) Window and Siding
/� SF Solid Fuel Burning Appliances
-9c2-NN Z :C/Y✓,��� aic/icG�Cr qD piol i oc I Insulation
Telephone Email address VV VV D Demolition
5.2 Registered Home Improvement Contractor(HIC)
'a'v8/ /Zl2Z/L3
Xero"` 9 44 aleiesc^ t&G HIC Registration Number Expiration Date
HIC Company Name or HIC Re istrant Name
34e, 'oar/ r Ji ,4446eFeet& o r4 ,o.,
No.and Street Email address'
a ate-A M/q (60-9St- Klty
City/Town, State,ZIP c,es 32- 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........... ❑
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 to e best of m knowledge and understanding.
&et 1,e Citt.eue-r /40 -zce- z,
Print Owner's or Authorized Agent's Name(Electronic ignat 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
o�YNAMP O
Massachusetts 44?
DEPARTMENT OF BUILDING INSPECTIONS a4
a, r Z 'Zast 212 Main Street • Municipal Building 90
a!"}W`.+' Northampton, MA 01060 ssfiV VD°
CONSTRUCTION DEBRIS AFFIDAVIT
(FOR ALL DEMOLITION AND RENOVATION PROJECTS)
In accordance of the provisions of MGL c 40, S54, a condition of Building Permit
Number is that all debris resulting from this work shall be disposed of in a
properly licensed waste disposal facility, as defined by MGL c 111, S 150A.
The debris will be disposed of in:
Location of Facility: 30 ,l'cs ,d 4io.-1-4i dro tt. c,f5-5
The debris will be transported by:
Name of Hauler: Wa,s4c
Signature of Applicant: Date: /0 f 14 - lis
The Commonwealth of Massachusetts
Department of Industrial Accidents
•=:.l Office of Investigations
Lafayette City Center
• °° *4 2 Avenue de Lafayette, Boston,MA 02 f I1-f?Stl
WPM.mass.govittia
Workers'Compensation Insurance Affidavit: Boilders/ContractorsiElectricianslPlumhers
Applicant Information Please Print Legib1
Renewal by Andersen
?dame alusincss Orcanieatic lndividua]); ^„
Address 30 Forbes Rd.
City State:Zi:p:Northborough, MA 01532 Phone # 508-351-2277
Are you an employer?t'heck the appropriate hos: I t pi: of project(required):
1. ►:4 lam a employer w th 34 4. ❑ 1 am a general contractor and I
employees(full andior part-time).* have hired the sub-contractors r' New cunsructiult
at
2 ❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling
ship and have no employees These sub-contractors have g. [ Demolition
workingfor in capacityemployees and have workers'
me any 9. Build ng addition
[No workers' comp.insurance comp. insurance.
required.] 5. [] We are a corporation and its 1..0 Electrical repairs or additions
3.121 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
.myself No workers' com right of exemption per MGL
{ p 12.0 Roof repairs
insurance required.] '' c. 152, §l(4),and we have no
employees. [%o workers' 13.1X Other Replacement
comp. ;nsurance required.]
s any applicant that checks box t mist also fctt out the M ction below stowing their workers'compensation policy information
liouuottacrs who submit this affidavit indicating they are doing all wort:and then hire outside contractors must submit a nev. afftdavii indicting such
1Contracturs that check this hos must attached an additional sheet showing the name of the wb-eoniractots and rrare Whether ur not thoseentiticr has
employee,. if the sues.coloractors 11 ,c,•irployees.the,latest pi ide,ti,•a wl+rkcis'comp.policy numFs.t.
am an employer thin is providing workers"'compensation insurance for my employee,.. Below is the police and job sire
information.
Insurance Company Name: Old Republic Insurance Co.
Policy#or Self-ins. Lic. #: MWC 314158 22 Expiration Dote: 10/01/2024
Job Site Address: 18 Ellington Road City Sta#e/Zip Northampton , MA 01062
Attach a copy of the tsorkers' compensation policy declaration page(.hosing the policy number and espiratiun date).
Failure to secure cover'agge as required under Se tlon 25A of M4tGL c. 152 can lead to the►npoiltron of criminal penalties of a
tine up to$1,590.00 and or one-year tmprtsonnient. as well as civil penalties in the form of a STOP WORK ORDER and a tine
of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the l)I A for in urance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Stgnaturc 7/149'4it Date, 10/02/23
Phone e: 6o- 9 Z-
Official use only. Do not write in this area.to be completed by cite'or town official.
City or os n: Perntitll.icense #
Issuing Authority (check one):
10Board of health 20 Building Department 30eit down Clerk 41:IHtecirical Inspector SE'lumbin
Inspector G.[]othe•r
Contact Person: Mae I:
Commonwealth at Massachusetts Constructor'Supttrvnror
Division of Occupational Licensure l nmittnded-Buildings of any use group which cambia
Board of Building Regulations and Standards less than 36,000 cubic fast(11tJ1 cultic meters)or enclosed
C a rastortkinn IS1SOslytttor space.
d
CS-090125 Spires: 10,06/2024
JAIME L MOREN -
54 NOTTINGHAM RD
IS
RAYMOND NM 03077# :. t r i
30
A/.xYds1 Failure to possess a current aditton ot the MassadMMtti
CQrnmsssscncr d'�, K. Bit,d.,i.:_ *Ai Soliding Code is cause for rrvoetlion of this license.
For information ilis$ sill
CM(017)77T-32N or tied vapaimatipirollftl )
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington► S 'oet - Suite 710
Boston, Massachusetts 02118
Home im oven-lent • tractor Registration
I
14 i
7:' i Type Supplement Gard
+ -""^ T t ftcgtStrRlia�, 1 T0810
RENEWAL BY ANDERSEN LLC # Expitat�n t2122r202t
30 FORBES RD \ � " -
NOR.THBOROUGH.MA 01532
't ,
,a ,. Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs it Durum/ore Regulation Registration valid for individual use only before:he
HOME IMPROVEMENT CONTRACTOR a•r'r*e'^n rf'M" N found return to:
TYPE,Sugx,itetwol Card Office et Consumer ARil s and easiness Regulaton
�A IONYvattuangton Street -Suite 730
RtallifORO110810 1222/22022 Bost4n,MA 02110
Fitt4EWAL t*Y.ANDERt3L N Lit;
JAIME MORIN /` /`
30 FOES RD ,,,,,r••v.r , ., «,.r, L- .,�...—,-7.— ._.
NOR THBOR(NIfaH,MA 01932 Undersecrcl,uy . Not lid without sigrilttaw
U.S. Canada
c ENERGY ENERGY
Andersen" Andersen c 14. w 0 STAR STAR
I NFRC Certified g g„32le v 8.0 v 4.1
Product Line& Glass Grille Type Products 2s'
Product Type Type Directory Number C. j la t l ',
Z . d 0 c c Oe
L' N N N
Z tri
2.2 Annealed Glass-w/No Grilles and Grilles Less Than 1"
No Grilles AND-N-59-00849470001 0.29 1.85 0.32 0.55 22 <02 - NC - - - - -
Simulated Divided Lite or Installed Interior Removable AND-N-59-00849-00002 0.29 1.65 0.29 0.49 20 <0.2 - NC - - - - -
3
0
� Full Divided Lite AND•N•59.00855-00001 0.31 1.76 0.29 0.49 17 <02
Flnelight`•(grilles-between-theilsae) AND.N-59-00867-00001 0.30 1.70 0.29 0.49 19 4 0.2 NC
No Grilles AND-N•59-00850.00001 0.30 1.70 0.20 0.30 14 <02 - NC so - - -
1 S imuIMed Divided Lite or installed Interior Removable AND-N-59-00850-00002 0.30 1.70 0.18 0.27 12 4 0.2 - NC SC - - -
N
Full Divided Lite AND•N59-00888-00001 0.31 1.78 0.18 0.27 11 <0.2 - - - - - -
F Men ht.Igrllle.-between-the- less l AND-N 59.705...d"". . 1 1. • .. . ...4 1 <i.2 _ - -
.,.•Sk iEiia - oR,,A'aNhH MNITIMMsx.'A311ffiWliViier..,;
No Grilles AND-N-59-00851-00001 0.29 1.65 0.21 0.49 10 <0.2 NC ats. - - -
W ,.
5 Simulated Divided Lite or Installed Interior Removable AND-N-59-00851-00002 0.29 1.65 0.19 0.44 14 <0.2 - NC -
e.
o
AI
-� E Full Divided Lite AND•N-59-00857-00001 0.30 1.70 0.19 0.44 13 <0.2 - NC SC - - -
FlnelighN"(grilles-between•theglass) AND-N•59-00869.00001 0.30 1.70 0.19 0.44 13 <0.2 - NC SC - - -
411.emra, 1.111.t ..--..- - �-....- ,,,,,,- --..- I.. - - - Z1 -
c
ul i Simulated Divided Lite or Installed Interior Removable AND-N-59-001348-00002 0.90 1.70 0.47 0.54 29 <0.2 N - - - Z1 . -
1 .q Full Divided Lite AND•N59-00854.00001 0.31 1.76 0.47 0.54 28 <0.2 - - - - Z1 - -
a.
Flnelight`•(grilles-between-the-glue) AND-N59-013866-00001 0.31 1.78 0.47 0.54 28 <0.2 - Z1 - -
! No Grilles AND-N-59-00969-00001 0.28 1.59 0.31 0.54 22 <0.2 - NC -
IAJ Simulated Divided Lite or Installed Interior Removable AND-N59-00969-00002 0.28 1.58 0.29 0.48 21 <02 - NC - - Z1 - -
i Full Divided Lite AND-N-59.00972-00001 0.28 1.59 0.28 0.48 21 <02 - NC - - Z1 - -
3
FineligM.(grilles-between-the-glees) AND-N-59-00978-00001 0.28 1.59 0.28 0.48 21 <0.2 - NC - - Zt - -
No Grilles AND-N-59-00970-00001 0.28 1.59 0.21 0.48 17 <0.2 - NC SC Z1 - -
! Sr
c , Simulated Divided Lite or installed Interior Removable AND-N-59-00970-00002 0.28 1.59 D.19 0.43 15 <02 - NC SC
3 C
200 Series 3 E 1 Full Divided Lite AND-N-59-00973-00001 0.28 1.59 0.19 0.43 15 <02 - NC SC - - -
Tilt-Wash v,---
Double-Hung Flnelight`•(grilles-between-the-glees) AND-N-59-00979-00001 0.26 1.59 0.19 0.43 15 402 _ NC SC - - -
No Grilles AND-N-59-00968-00001 0.28 148 0.48 0.59 35 <0.2 N - - - 21 Z2 Z3
e
o• Simulated Divided Lite or Installed interior Removable AND9-00988-00002 0.26 1.18 0.43 0.52 32 <0.2 N - - - Z1 Z2 -
S = -015 Full Divided Lite AND-N-59-00971.00001 0.29 1.85 0.43 0.52 26 <02 N - - - 71 - -
a. ; Flnellght'v(grilles-between-theg lees) AND-N-59-00977-00001 0.29 1.65 0.43 0.52 28 <02 N • - 21 - -
2.2 Annealed Glass-wl Grilles 1"or Greater
Simulated Divided Lite or installed interior Removable AND-N-59-00849-00009 0.29 1.65 0.26 0.43 18 <02 - NC
iFull Divided Lite AND•N-59.00861-00001 0.30 1.70 0,28 0.43 17 <02 - NC
FinellghV (grille.-between-the-glee.) AND-N-59-00873-00001 0.31 1.76 0.29 0.49 17 <02 - - -
Simulated Divided Lite or Installed Interior Removable AND-N-59.00850.0000J 0.30 1.70 0.111 024 11 <02 - NC SC - - -
▪ 2 Full Divided Lite AND-N-59-00862-00001 0.31 1.78 0.16 024 10 <0.2 - - - - _ -
J Flnelight'•(grilles-between-the-glass) AND-N59.00874.00001 0.32 1.82 0.18 0.27 10 <0.2 - - - - - -
! Simulated Divided Lite or Installed Interior Removable AND-N-59-00851-00003 0.29 1.65 0.17 0.39 13 40.2 - NC SC - - -
c
9 � Full Divided Lite AND-N-59.70883.00001 0.30 1.70 0.17 0.39 12 <02 - NC SC 8 - - -
ee
N FlneligM"(grilles-between-tMglass) AND-N-59-00875-00001 0.31 1.78 0.19 0.44 12 <02 - - - S - - -
Simulated Divided Lite or Installed Interior Removable ANDS-59-00648-00003 0.30 1.70 0.42 0.47 28 <02 CIL - - - Z1 - -
u N
} s Full Divided Lite AND-N-59-00860-00001 0.31 1.76 0.42 0.47 25 <02 - - 21 - -
I
a. Flnelight`•(grilles-between-helpless) AND-N.59-00872-00001 0.32 1.62 0.47 0.54 27 <02 - - - - Z1 -
Simulated Divided Lite or Installed interior Removable AND-N-59-00969-00003 0.28 1.59 0.25 0.42 19 <0.2 - NC 8C 21 - -
- -. -
u
• Full Divided Lite AND-NJ'9-0OD7S-00001 0.28 1.59 0.25 0.42 19 <0.2 NC Z 21 - -
2
Flnelight^'(grilles-between-the-glass) AND-11•59.00951-0080I 0.28 1.59 0.28 0.48 21 <0.2 - NC • - Z1 - -
sr. Simulated Divided Lite or Installed Interior Removable AND-N-52-00970.00003 0.28 1.59 0.17 0.38 14 <0.2 -r NC SC, - - -
c - _
�q
'� 1Full Divided Lite ANO-N-59-00978-00001 0.25 1.58 0.17 0.38 14 <02 NC SC
E _
v+; Flnelight'•(grilles-between-theglass) AND-N-59-00982-00001 028 1.59 0.19 0.13 15 <02 - NC SC - -
This information is for reference only.
Performance varies by unit size and options selected. Paget o155 °°u 1.wneaa.dDeosnne,�„end le aeval to change.
page,/«man Information
For specific unit performance information,please contact your dealer or Andersen Sales Representative.
I. RENEWAL
""1 brANDERSEN
-- —-_---
FUU:SERNCE WINDOW 8 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
Go Permits, LLC
G0` 105 Buttonball Lane
IIII Glastonbury, CT 06033
PERMIT,\..............S 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 31415822 — Exp. 10/01/24
Old Republic Insurance Co
All licenses and insurances are attached.
Once the permit is ready:
• Please fax or e-mail a copy of the permit and receipt to the below address and mail
the original to the homeowner:
Fax: 860-430-6719
Email: renewalbyandersen(a)gopermits.orq
• If you unable to mail the permit to the homeowner please send to the below address
and we will ensure the permit is at the home posted at the time of installation:
Go Permits, LLC
105 Buttonball Lane
Glastonbury, CT 06033
If we are required to pick up the permit in at the building department, please call 860-952-
4112 once it's ready and we will come to get it.
Thank you,
Go Permits
111111
RENEWAL
ANDERSEN
MOM MOM cox�trty�rt�r
To W r om It May Concern:
This letter will authorize the follawing person(s) to act as agent(s)on behalf of Renewal by
Andersen LLC., 9900 Jamaica Ave South, Cottage Grove MN 55016 to pull for pernts and
inspections WV) respect to the installation, maintenance and repair of windows and entry
doors uoriar Macc.rhiucetts State Home improvement Contractor license number 170810 and
Consttuctiun Supervisor License number CS-090125.
if you have any questions, please call me jt 508.351.2277 ext 6.
Authorized person(sf:
Go Permits LLC Sarah Hammad David Anderson Maureen Kivel
Scott Doughman Ryan 8sondo Sovannara Kuy Mark Foster
Glynn P4organ Jennifer W►rke Wendy ►roldert t.0 rald Cramer
Nick Rago Danel%Acker,man Stepher Wilder Katie Grocott
Bonnie Myers Carrie Folbgno Michael Rogers Rachel Orloff
�.. _
Jamie Morin
Renewal krV Andersen tIC
HIC 170810
CSL—C509012 5
Local District Office Address
30 Forbes Rd
Northborou8h, MA 01532
Renewal b4 AndCr n l._C. 4 11 tamau.a Asir South Ccltmo. Grave MN SS OIL ii
Agreement Document and Payment Terms
DBA:RENEWAL BY ANDERSEN OF BOSTON Mason&Barbaro Maronn
RENEWAL Legal Name:Renewal by Andersen LLC 18 Ellington Road
RE
RE HIC#170810 Northampton ,MA 01062
NDER A
30 Forbes Road I Northborough,MA 01532 H:(413)584-3196
Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com
Mason & Barbara Maronn 10/18/23
BUYER(S)NAME CONTRACT DATE
18 Ellington Road, Northampton , MA 01062 (413)584-3196
BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER
cmasonmaronn@comcast.net
PRIMARY EMAIL SECONDARY EMAIL
NOTES: 3 windows, 2 doors & storm door
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 fisted 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: $18,718 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: $18,718 Estimated Start: Estimated Completion:
10-12weeks 1-2days
AMOUNT FINANCED: $18,718
We schedule installations based on the date of the signed contract and secondarily on the date
METHOD OF PAYMENT: Financing in which we complete the technical measurements.The installation date that we are providing at
this time is only an estimate.We will communicate an official date and time at a later date. Rain
and extreme weather are the most common causes for delay.
NOTES:
Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal
understandings changing or modifying any of the terms of this Agreement. No alterations to or deviations from this Agreement will be valid without the
signed,written consent of both the Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s)1)has read this Agreement,understands the
terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on
the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement.
NOTICE TO BUYER: Do not sign this contract if blank. You are entitled to a copy of the contract at the time you sign.
YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 10/21/2023 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.
61A0k/��-0'[(r-n/)7-�
SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE
Randy Buck Mason Maronn Barbara Maronn
PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME
10/18/23 Page 2/ 40
t� Itemized Order Receipt
� DBA:RENEWAL BY ANDERSEN OF BOSTON Mason&Barbara Maronn
RENEWAL Legal Name:Renewal by Andersen LLC 18 Ellington Road
HIC#170810 Northampton,MA 01062
byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)584-3196
auumn MOM t KOK o[wtnw!
Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com
ID#: ROOM: SIZE: DETAILS: PRICE:
101 daughter bedroom Window Double-Hung (DG) 1:1 Flat Sill, Insert Frame,
Traditional Checkrail, Exterior White, Interior White,
Performance Calculator PG Rating: 40 I DP Rating: + 40 / -
40 Glass, All Sash: High Performance SmartSun Glass, No
Pattern, Hardware, White, Screen, Aluminum, Half Screen,
Grille Style, No Grille, Mlsc, Aluminum Wrap Casing,
Aluminum wrap of exterior casing.,
102 daughter bedroom Window Double-Hung (DG) 1:1 Flat Sill, Insert Frame,
Traditional Checkrail, Exterior White, Interior White,
Performance Calculator PG Rating: 40 I DP Rating: + 40 / -
40 Glass, All Sash: High Performance SmartSun Glass, No
Pattern, Hardware, White, Screen, Aluminum, Half Screen,
Grille Style, No Grille, Mlsc, Aluminum Wrap Casing,
Aluminum wrap of exterior casing.,
103 master bedroom Window Double-Hung (DG) 1:1 Flat Sill, Insert Frame,
Traditional Checkrail, Exterior White, Interior White,
Performance Calculator PG Rating: 40 I DP Rating: + 40 / -
40 Glass, All Sash: High Performance SmartSun Glass, No
Pattern, Hardware, White, Screen, Aluminum, Half Screen,
Grille Style, No Grille, Misc, Aluminum Wrap Casing,
Aluminum wrap of exterior casing.,
108 ProVia Front Door Misc Misc, ProVia, Entry Door System, Quantity 1, See
attachment for details.
109 ProVia Storm Misc Misc, ProVia, Storm Door System, Quantity 1, See
attachment for details.
110 ProVia Door Misc Misc, ProVia, Entry Door System, Quantity 1, See
attachment for details.
10/18/23 Page 3/ 40
Itemized Order Receipt
DBA:RENEWAL BY ANDERSEN OF BOSTON Mason&Barbara Maronn
RENEWAL Legal Name:Renewal by Andersen LLC 18 Ellington Road
HIC#170810 Northampton,MA 01062
brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)584-3196
Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com
ID#: ROOM: SIZE: DETAILS: PRICE:
WINDOWS: 3 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 3 TOTAL $18,718
a�AO" AFe Renewal by Andersen is committed to our customers'safety by
complying with the rules and lead-safe work practices specified by the EPA.
10/18/23 Page 4/ 40
�� Payment Authorization Form
DBA:RENEWAL BY ANDERSEN OF BOSTON Mason& Barbara Maronn
RENEWAL Legal Name:Renewal by Andersen LLC 18 Ellington Road
HIC#170810 Northampton,MA 01062
brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)584-3196
IOU SIM MN.0001101AMIT
Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com
Mason Maronn Barbara Maronn
BUYER NAME CO-BUYER NAME
18 Ellington Road Northampton
ADDRESS CITY
MA 01062 (413)584-3196
STATE ZIP CODE PHONE NUMBER 1 PHONE NUMBER 2
4569 $18,718
FINANCE PROGRAM* FINANCE PLAN#* CONTRACT BALANCE
Randy Buck
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 ($18,718)
CASH DEPOSIT(1) FINANCED DEPOSIT(2) SUBSTANTIAL COMPLETION (3)
FINANCINO $0 $6,239 $12,47 9
(1) CASH DEPOSIT: Renewal by Andersen requires thirty-three percent(33%)of the purchase price paid at Agreement Signing. Buyer(s)may pay
through the following payment methods:cash,check,debit card,or credit card("Cash Deposit").
(2) FINANCED DEPOSIT: Renewal by Andersen requires thirty-three percent(33%)of the purchase price advanced at Agreement Signing. For
Buyer(s)that receive approved financing through a Renewal by Andersen lender("Lender"),the Lender will advance this required amount directly to
Renewal by Andersen("Financed Deposit").The Lender will not extend credit to the Buyer(s)and Buyer(s)will not owe any payments until Substantial
Completion(as defined in item 3 below)and the Lender has advanced or otherwise delivered the remaining balance to Renewal by Andersen.
(3) SUBSTANTIAL COMPLETION: Renewal by Andersen requires the final payment(which shall be delivered by the Lender in the case of
projects financed through Lenders)on the day of installation when all windows and/or doors included in this Agreement have been installed into their
openings and any interior and exterior trims have been applied("Substantial Completion"). If there are Change Orders associated with the project
covered by this Agreement,the difference in the Job Amount will be reconciled in the final payment requested from the Buyer(or the Lender in the
case of a project financed by a Lender)upon Substantial Completion.
BY SIGNING BELOW, I/WE,THE BUYER(S):
1. Buyer(s) authorize Renewal by Andersen to transact payments, including with Lenders, based on the amount(s),form of payment(s),
and timing as specified in the Payment Authorization Schedule above and, if applicable,final payments in the amount requested by
Renewal by Andersen upon the execution of a Change Order.
2. For Buyers that finance a project through a Lender, Buyer(s): (i) understand that the Lender will disburse the Financed Deposit and final
payment at Substantial Completion to Renewal by Andersen as specified in the Payment Authorization Schedule,(ii) understand that the
Lender will not extend credit to the Buyer(s)and Buyer(s)will not owe any payments until Substantial Completion,and (iii)acknowledge
the use of the loan proceeds for payment upon Substantial Completion will constitute reaffirmation by all Buyer(s) of the loan agreement
with the Lender.
3. Buyer(s) agree to notify Renewal by Andersen in writing of any change in payment method at least three business days' prior to the
respective payment due date.
4.
Mason Maronn C X.n,—›-N. 7„f 10/18/23
OB�UYgE�R NAME SIGNATURE DATE
1 ear ara Maronn ��, 10/18/23 Page 5/ 40
CO-BUYER NAME SIGNATURE DATE