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23A-093 (22)
BP-2023-1707 17 FAIRFIELD AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-093-001 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-2023-1707 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: Est.Cost: 36223 RENEWAL BY ANDERSEN 090125 Const.Class: Exp.Date: 10/06/2024 Use Group: Owner: N GOTTLIEB SETH G&JENNIFER Lot Size (sq.ft.) Zoning: URB Applicant: RENEWAL BY ANDERSEN Applicant Address Phone: Insurance: 30 FORBES RD 508-351-227 WLRC50668058 NORTHBOROUGH, MA 01532 ISSUED ON: 12/06/2023 TO PERFORM THE FOLLOWING WORK: REPLACE 15 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: ra 51-11 • Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner teit/4 pefirr# I S 0904,kard , f)ft?tc eirllc " d` CJQJ -t, (e,i 'd I (1 y ClAder5e4 C 3c), rr„ ror' 4 tZ, The Commonwealth of Massach setts '-qt.) Board of Building Regulations and • • i �F� FOR Massachusetts State Building Code, 78► I' t' CLPALITY USE 09 T �� .. USE Building Permit Application To Construct,Repair,Reno . e s emoh�slba. ' i., , I ar 2011 One-or Two-Family Dwelling ?''s°'?; > This Section For Official Use Only r3��.,'so Building Permit Number: 6 0-)-- � -1 7 0 7 Date Applied: �0'21-, tS 4./i 6-) `Kos5 ,/f�7 ` l Z-6 Z6Z3 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers I'.. .Oa, 44-e, ,fiat>111 aniP/ el MA• 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: SQ,4I, 60 flerib /Vey, iawifll4n mel olob Z Name(Print) City,State,ZIP f 4 t l%I;-e{d Am- (9/4-gsz- 2 9 56 ScFh e o44 J4e12 ,f n, No.and Street Telephone mail Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) L�' Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other Specify: &Fla.Cefeg11 4.44,4dw Brief Description of Proposed Work': Rept dNc a/I d 4,fAce_ /5' t,,,- c lo,,.., !,lee d,. /,"ke va , . 4o Sfzu.e- et-e Cola e S W 4C 't" f, 30 SECTIO 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 36 22 3 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fee : 'L Check No.q 1 t heck Amount: "1' Cash Amount: 6.Total Project Cost: $ S65 Z. 2- 3 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) /25 0 6 2 y 3:1/4 i A e. Mot 1.7 License Number Expiration ate Name of CSL Holder S. List CSL Type(see below) 3a Forks Ro4✓0 No.and Street Type Description �d/ 1 k�(e. 1.1 37-- U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1 Bt2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofmg Covering Window and Siding SF Solid Fuel Burning Appliances -4132.• '!//Z /rae�,.s.1 s�4ln��iseilev _"m;is. j I Insulation Telephone Email address �V/ D Demolition 5.2 Registered Home Improvement Contractor(HIC) rY a9 A» sen CGG 1 qis 8i n >Z1 /1°�✓ `] HIC Registration Number Expuatio Date HIC Company Name of HIC Registrant Name L� No�and Strew R oA. C t m..4✓J arkie 3ei)ergp e./.4.4. O- /�a/ ►I M h /a'1 f�' Q/'S3Z Se)-'9S"Z- y)1 Email address v City/Town, Statr,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!......... lik•V 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 con ' ed in tl' application is true and accurate to the best of my knowledge and understanding. ,- 1— Z3 's or Autho d Agent's Name(Electronic Signature) 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 %�•" ^- Massachusetts 44' '<< G !I 4 DEPARTMENT OF BUILDING INSPECTIONS S ♦ t �.,f 212 Main Street • Municipal Building %X. • 1,4#'' Northampton, MA 01060 GSM" `1�C 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: 3° - c),Cs Ad Nd/Akrb A Nib a - 2_ The debris will be transported by: Name of Hauler: kiez<4 M44zywie4/ Signature of Applicant: Date: P-r- Z 3 The Commonwealth of Massachusetts Department of Industrial Accidents gi { oi) Office of Investigations Lafayette City Center 2 Avenue de Lafayette, Boston,MA 02111-I 7S0 wwu:mass.govidia Workers'Compensation Insurance Affidavit: Builders/f'ontractorsiLlectricianslPlumbers Applicant Information Please Print Legibly Renewal by Andersen Name (Roans, anizati ra]ndividual): . ,w Address 30 Forbes Rd. City/State Z:'p;Northborough, MA 01532 Phone # 508-351 2277 Are you an employer?Check the appropriate hot: 'I's pc of project(required): i.iga I am a employer with .34 _.__. 4. ❑ 1 am a general contractor and I 6. ❑>tcw construction employees(full an;,+or part-time).* have hired the sub-contractors 2.LI l am a sole proprietor or partner- ship listed on the attaclt�d sheet 7. II]Remodeli ng ship and have no employees These sub-contractors have S. fl Demolition workingfor me in anycapacity employees and have workers' P h' 9. ❑build ng addition [No workers' comp.insurance comp. insurance. required.].] 5_ ❑ We are a corporation and its Ili.❑Electrical repairs or additions 3.0 I am a homeowner doing all worts officers have exercised their 11. Plumbing repairs or additions myself [No workers' comp_ right of exemption per MGL p 12.0 hoof rcpa:rs insurance n ired C. 152.§1(4),and we have no qu �''` 13.]$[other Replacementemployer... [No workers' comp.insurance required.] *Any spplivattt bat eta:atbOX Mt muss siva fill out its:atetisin bek ly in,ttkets M ortas`coettpetlsutcur policy information f Honiecw iti 'A tI4 submit this afftdas'it indicating tbcy are doing art wort and then hire outaidcclonaactors must:nitwit a nes,affidavit Mid.vtinssu.h_ rCaelmoun that clln.r:k this.loss must aa,s:trrd an additianat start showing the now:of the subcontractors and tare whether or not those entities hate enployeea. Iran:,ut+-court.:Idol,Live'any.I tti.‘;.,.this) must provide tlt,:it V.Utiiclh':omp.potiq natstts.^t. I sin an employer that is providing workers'compensation insurance for my employees,. Below is the policy and job site information. insurance company Name: Old Republic Insurance Co. folic., i$or SeIf ins_ Lie,#: MWC 314158 22 Expiration Date 10/01/2024 Job Site Address /7 _, li,Ci?ICI ITit, . C tale.' p /L0,14@t4 (09 0/0(s Z. .Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the intp ssition of criminal penalties of a tine up to$1.50O.00 and or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a finoc of up to S25().00 a day against the violator. He advised that a copy of this statement may he forwarded to the Office of lnvcsttcntions of the [MA for msuratrce coverage rettficattcln. /do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. 5igrutturc; CC-4-all.41 2lfL - . _. -__ _. D.Ite: 10/1/23 Phone r: bbO - %SZ- c//12_ .w. r Official use only. Do not write in this area,to he completed by city or fo's°n official City or Town: ,.------- Permit/License p l suing Authority (check one): IDlinard ofliealth 2D Building Department 30('ity"Town Clerk 4.Dl.lectrical inspector 4E31utnhintt Inspector G.DOther Contact Person: Phony is ,4,7,,,, ,,, R E N E WA L ' -4 « byANDERSEN c FOIL SERVICE WINDOW 8 DOOR REPLACEMENT j 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 U.S. Canada ENERGY ENERGY eL o STAR STAR Andersen° Andersen NFRC Certified g g u 6w = v 6.0 v 4.1 Product Line& Glass Grille Type Products m a i t9 $ c Product Type Type Directory Number > j tq 2 `= h a cw 8 < c c t m u o Z U U fa N N N ui 2.2 Annealed Glass-w/No Grilles and Grilles Less Than 1" No Grilles AND-N.59-00849-00001 0.29 1.65 0.32 0.55 22 <02 - NC - - - - - ILI Simulated Divided Lite or Installed Interior Removable AND-N-59-00849-00002 0.29 1.65 0.29 0.49 20 <02 - NC Full Divided Lite AND-N•59-00655-00001 0.31 1.76 0.29 0.49 17 <02 FinNlghtm(grilles-between-the-game) AND-N-59-00867-00001 0.30 1.70 0.29 0.49 19 <02 - NC No Grilles AND-N•59-00850-00001 0.30 1.70 0.20 0.30 14 <02 - NC Q, - - - Simulated Divided Lite or Installed Interior Removable AND-N59-00650-00002 0.30 1.70 0.16 0.27 12 <0.2 - NC SC - - - 1 c Full Divided Lite AND-N-59.00856-00001 0.31 1.76 0.18 0.27 11 <0.2 - - - - - - Fine119hl' lgrllles-between-me-heel_ AND-N•59-00868-00001v 0.31 1.76 0.16, 0.27 11 1 <0.2 - - - - - Grilles AND-NS9-00851-00001 0.29 1.65 0.21 0.49 15 <0.2 - NC SC - - - ur § Si ulated Divided Lite or Installed Interior Removable AND-N-59-00851-00002 0.29 1.65 0.19 0,44 14 <0.2 - NC SC - - - s - E F Divided Lite AND-N-59-00857-00001 0.30 1.70 0.19 0.44 13 <0.2 NC SC 11 N / Finell let'"(grilles•between•t s) AND-N-59-00869-000f1 -0 1.70 0.19 0.44 13 <0.2 - NC SC - - - IA.,v.-um,. ....moo` .,.n -� r; - - - e ur Simulated Divided Lite or Installed Interior Removable AND•N59-00646.00002 0.90 1.70 0.47 0.54 29 <02 N - - - 21 54▪ Full Divided Lite AND-N-59-00854.00001 0.31 1.76 047 0.54 28 <0.2 - - - - Z1 - - a Finelighti°(grilles-between-the-glass) ANDN59-00866-00001 0.31 1.75 0.47 0.54 28 <0.2 - - - - Z1 - - No Grilles AND-N59-00969.00001 0.28 1.59 0.31 0.54 22 <0.2 - NC - - Z1 - - 1 Y u Simulated Divided Lite or Installed Interior Removable AND-N-59-00969-00002 0.28 1.59 0.28 0.48 21 <02 - NC - - Z1 - - g▪ = Full Divided Lite AND-N•59.00972-00001 0.28 1.59 D.28 0.48 21 <02 - NC - - -Z1 - - 3 Fineligmm(grilles-between-the-glass) AND-N-59-00978-00001 0.28 1.59 0.28 0.48 21 <02 - NC - - Z1 - - No Grilles AND-N-59.00970-00001 0.28 1.59 0.21 0.48 17 4 02 - NC SC It - - • o Simulated Divided Lite or Installed Interior Removable AND-N-59-00970-00002 0.28 1.59 0.19 0.43 15 <0.2 - NC SC - - • Y m 200 Series ° E = Full Divided Lite AND-N-59-00973-00001 0.28 1.59 0.19 0.43 15 <02 - NC SC - - - Tilt-Wash ' -. Double-Hung Finelightm(grONsbetween-the-glees) AND-N-59-00979-00001 0.29 1.59 0.19 0.43 15 <0.2 - NC SC"f - f No Grilles AND-N-59-00968-00001 0.28 1.48 0.48 0.59 35 <0.2 N - - - Z1 Z3 e rn Simulated Divided Lite or Installed interior Removable AND-N-59-00968-00002 0.26 1.44 0.43 0.52 32 <0.2 N - - - Z1 - °d= Full Divided Lite AND-N59-00971-00001 0.29 1.65 0.43 0.52 28 <02 N 21 is Flnellghtr"(grillesbetween-thsg less) ANDN-59-00977-00001 0.29 1.55 0.43 0.52 28 <02 N - - - Z1 - - 2.2 Annealed Glass-w/Grilles 1"or Greater Simulated Divided LJte or Installed Interior Removable ANDN-59-00849-00009 0.29 1.65 0.26 0.43 15 402 - NC - - - - 1 Full Divided Lite AND.N.59-00861-00001 0.30 1.70 0.26 0.43 17 <02 - NC - - - - - Flnelight'a(grilles-between-the-glass) ANO-N-59-00073-00001 0.31 1.78 0.29 0.49 17 <02 Simulated Divided Lite or Installed Interior Removable AND-N-9.00850-00003 0.30 1.70 0.16 0.24 11 <0.2 - NC SC - - - S g Full Divided Lite AND-N-59-00862-00001 0.31 1.75 0.16 0.24 10 <0.2 - - - _- - - N Finalight'°(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-N59-00851-00003 0.29 1.66 0.17 0.39 13 <0.2 - NC SC - - - e Ill 'V Full Divided Lite AND-N 39-00863-00001 0.30 1.70 0.17 0.39 -12 <02 NC SC - - - vE+ Finellght'"(grilles-between-the-glass) AND-N-59-00875-00001 0.31 1.76 0.19 0.44 12 <0.2 - - - - - - ec Simulated Divided Lite or Installed Interior Removable ANDN-59-00848-00003 0.30 1.70 0.42 047 29 <02 © - - - Z1 - - 9 i Full Divided Lite ANDN59-00560-00001 0.31 1.78 0.42 0.47 25 <02 - - - Z1 - - a. Flnelightr'(grilles-between-the-glass) ANDN-59-00872-00001 0.32 1.82 0.47 0.54 27 <02 - - - - Z1 - - fir Simulated Divided Lite or Installed Interior Removable ANDN-59-00969-00003 0.25 1.59 0.25 0.42 19 <0.2 - NC SC Zt - - 1 Z Full Divided Lite AND-N-59-00975-00001 0.28 1.59 0.25 0.42 19 <0.2 - NC SC Z1 - - x i Flndight`°(grllleebetween-the-glass) ANDN59.00981-00001 0.28 1.59 0.26 0.48 21 <0.2 - NC - Z1 - - c l Simulated Divided Lite or Installed Interior Removable ANDN-59.00970-00003 0.28 1.59 0.17 0.38 14 <0.2 - NC SO - - - 1 Full Divided Ltte AND-N-59-00978-00001 0.28 1.590.17 0.38 14 <02 - NC SC - - - 2 in 3 Flnelight'°(grilles-between-the-glass) AND-N-59.00982-00001 0.28 1.59 0.19 0.43 15 <02 - NC SC - - - This information is for reference only. Data is current as of December 15,2014 and le subject to charge. Performance varies by unit size and options selected. Psg62 of N See pegs for more information. For specific unit performance information,please contact your dealer or Andersen Sales Representative. diritC� Agreement Document and Payment Terms DBA:RENEWAL BY ANDERSEN OF BOSTON Seth&Jen Gottlieb ,, 1 Legal Name:Renewal by Andersen LLC 17 Fairfield Ave RENEWAL HIC#170810 Northamton,MA 01062 brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(617)852-2956 Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(617)852-2956 Seth &Jen Gottlieb 11/20/23 BUYER(S)NAME CONTRACT DATE 17 Fairfield Ave,Northamton,MA 01062 (617)852-2956 (617)852-2956 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER seth@gottlieb.im 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: $36,223 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: $36,223 Estimated Start: Estimated Completion: 12-14 weeks 1-2 days AMOUNT FINANCED: $36,223 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 11/24/2023 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. jf e SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE Antoine Tannous Seth Gottlieb Jen Gottlieb PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 11/20/23 Page 2/ 38 5 Itemized Order Receipt �" DBA:RENEWAL BY ANDERSEN OF BOSTON Seth&Jen Gottlieb RENEWAL Legal Name:Renewal by Andersen LLC 17 Fairfield Ave RENAEWAL HIC#170810 Northamton,MA 01062 by Neo-n:roaoEe.EN 30 Forbes Road I Northborough,MA 01532 H:(617)852-2956 teu Mal Phone:(508)351-2200 I Fax:(508)986-7072 i rbabostonegmail.com C:(617)852-2956 ID#: ROOM: SIZE: DETAILS: PRICE: 101 Living Window Double-Hung (DG) 1:1 Slope 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, TruScene, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, Sash 1: Colonial 3w x 2h, Sash 2: No Grille, Mlsc, None , 102 Dining Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator PG Rating: 40 1 DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, White, Screen, TruScene, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, Sash 1: Colonial 3w x 2h, Sash 2: No Grille, Mlsc, None , 103 Dining Window Double-Hung (DG) 1:1 Slope 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, TruScene, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, Sash 1: Colonial 3w x 2h, Sash 2: No Grille, Mlsc, None , 104 Kitchen Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator 11/20/23 Page 3/ 38 Itemized Order Receipt �_.J, - 40„, DBA:RENEWAL BY ANDERSEN OF BOSTON Seth&Jen Gottlieb Legal Name:Renewal by Andersen LLC 17 Fairfield Ave RENEWAL N RENEWAL RSE L HIC#170810 Northamton,MA 01062 b ENDMI MON t 30 Forbes Road I Northborough,MA 01532 H:(617)852-2956 Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston#gmail.com C:(617)852-2956 ID#: ROOM: SIZE: DETAILS: PRICE: 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, Grilles Between Glass (GBG), Grille Pattern, Sash 1: Colonial 3w x 2h, Sash 2: No Grille, MIsc, None , 105 Foyer Window Gliding Double 1:1 Active / Passive, Base Frame, 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, Fiberglass, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, All Sash: Colonial 3w x 4h, MIsc, None , 201 office Window Double-Hung (DG) 1:1 Slope 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, Fiberglass, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, Sash 1: Colonial 3w x 2h, Sash 2: No Grille, MIsc, None , 202 office Window Double-Hung (DG) 1:1 Slope 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, Fiberglass, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, Sash 1: Colonial 3w x 2h, Sash 2: No Grille, Mlsc, None , 203 tv room Window 11/20/23 Page 4/ 38 Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF BOSTON Seth&Jen Gottlieb RENEWAL Legal Name:Renewal by Andersen LLC 17 Fairfield Ave HIC#170810 Northamton,MA 01062 brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(617)852-2956 Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston®gmail.com C:(617)852-2956 ID#: ROOM: SIZE: DETAILS: PRICE: Double-Hung(DG) 1:1 Slope 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, Fiberglass, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, Sash 1: Colonial 3w x 2h, Sash 2: No Grille, Mlsc, None , 204 tv room Window Double-Hung (DG) 1:1 Slope 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, Fiberglass, Full Screen, Grille Style,Grilles Between Glass (GBG), Grille Pattern, Sash 1: Colonial 3w x 2h, Sash 2: No Grille, Mlsc, None , 205 Primary Bedroom Window Double-Hung (DG) 1:1 Slope 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, Fiberglass, Full Screen, Grille Style,Grilles Between Glass (GBG), Grille Pattern, Sash 1: Colonial 3w x 2h, Sash 2: No Grille, Mlsc, None , 206 Primary Bedroom Window Double-Hung (DG) 1:1 Slope 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, Fiberglass, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, Sash 1: Colonial 3w x 2h, Sash 2: No Grille, Mlsc, None , 207 Primary Bedroom Window 11/20/23 Page 5/ 38 • Itemized Order Receipt �` DBA:RENEWAL BY ANDERSEN OF BOSTON Seth&Jen Gottlieb RENEWAL Legal Name:Renewal by Andersen LLC 17 Fairfield Ave RENANEWAL HIC#170810 Northamton,MA 01062 byNDERSEN 30 Forbes Road I Northborough,MA 01532 H:(617)852-2956 Phone:(508)351-2200 i Fax:(508)986-7072 i rbaboston@gmail.com C:(617)852-2956 ID#: ROOM: SIZE: DETAILS: PRICE: Double-Hung (DG) 1:1 Slope 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, Fiberglass, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, Sash 1: Colonial 3w x 2h, Sash 2: No Grille, Misc, None , 208 Primary Bedroom Window Double-Hung (DG) 1:1 Slope 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, Fiberglass, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, Sash 1: Colonial 3w x 2h, Sash 2: No Grille, Misc, None , 209 stairs Window Gliding Double 1:1 Active / Passive, Base Frame, Exterior White, Interior White, Performance Calculator PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Hardware, White, Screen, Fiberglass, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, All Sash: Colonial 3w x 4h, Mlsc, None , 301 stairs Window Gliding Double 1:1 Active / Passive, Base Frame, Exterior White, Interior White, Performance Calculator PG Rating: 40 DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Hardware, White, Screen, Fiberglass, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, All Sash: Colonial 3w x 4h, Mlsc, None , WINDOWS: 15 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 0 TOTAL $36,223 15- Renewal by Andersen is committed to our customers'safety by ( 4SE J, complying with the rules and lead-safe work practices specified by the EPA. , 11/20/23 Page 6/ 38 �C Payment Authorization Form .010, DBA:RENEWAL BY ANDERSEN OF BOSTON Seth&Jen Gottlieb Legal Name:Renewal by Andersen LLC 17 Fairfield Ave RENEWAL HIC#170810 Northamton,MA 01062 brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(617)852-2956 ,tL *1NW tDDDIA[ft1((MIYI Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail-com C:(617)852-2956 Seth Gottlieb Jen Gottlieb BUYER NAME CO-BUYER NAME 17 Fairfield Ave Northamton ADDRESS CITY MA 01062 (617)852-2956 (617)852-2956 STATE ZIP CODE PHONE NUMBER 1 PHONE NUMBER 2 1 year SAC 4521 $36,223 FINANCE PROGRAM" FINANCE PLAN#" CONTRACT BALANCE Antoine Tannous 2332404435 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 ($36,223) CASH DEPOSIT(1) FINANCED DEPOSIT (2) SUBSTANTIAL COMPLETION (3) FINANCING $0 $12,073 $24,150 (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"). For open-end credit loans,the Lender will not extend credit to the Buyer(s). For all financings,the 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)for open-end credit loans,(iii)the Buyer(s)will not owe any payments until Substantial Completion, and (iv) 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. Seth Gottlieb ` 11/20/23 BUYER NAME _ SIGNATURE DATE 11/20/23 Page 7/ 38 Jen Gottlieb 11/20/23 CO-BUYER NAME SIGNATURE DATE Go Permits, LLC 105 Buttonball Lane GOI Glastonbury, CT 06033 PERMITS Scott Doughman 411101.. 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 12/22/2025 - Workers Comp -#MWC 314158 23 — 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 cr 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 Commonwealth of Massachusetts Construction Supervisor itDivision of Occupational Licensure unrestricted-Buildings of any use group sAekh coedits Board of Building Regulations and Standards less than 35,000 cubic teat(1191 cubic meters)o1 aldoe.d Constoffik.rt Slipervi$Or space s CS-090125 spires. 1010612024 JAIME L MOl*N r 54 NOTTINGNAM RD RAYMOND MN 03077 /�,, v 7 a Fatiure to possess a current When of the Massachusetts State Building Code is cause for revocation of this license r'-^---..-sioncr r !i. •+++; .. For information about this license Cali(1117)777-3200 or visit www.mess.govfdpf Unice of Uonsumer Affairs and business Kegulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Cp_tractor^Registration nrot olWroma Ai Type: Supplement Card 14II :.�....... : ttation. 170810 RENEWAL BY ANDERSEN LLC ,.�..... Lw' " :7 E (Station: 12/22/2025 30 FORBES ROAD `A. i,:. ,^ , `i NORTHBOROUGH. MA 01532 \ \ =tV. M ; %tsar ..g orliim ;//s,.k/ ti+ Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE: Supplement Card Office of Consumer Affairs and Business Regulation Reytration ExpirdtiQn 1000 Washington Street •Suite 710 170810 1212212025 Boston,MA 02118 ENEWAL BY ANDERSEN LW 4, t� a L_____ 2_, . NIME MORIN i • }�P. r d- O FORBES ROAD ,v ORTHBOROUGH.MA 01532 Undersecretary Not valid with ut signature 11111 �� RENEWAL brANDERSEN • To Whom It May Concern This letter will authortte the following personls) to act as agent(s) on behalf of Renewal by Andersen LLC, 9900 Jamaica Ave South, Cottage Grove MN 5S016 :o pull for pet'nits and inspections with respect to the installation, maintenance and repair of windows Jno entry rinnrc limier Macc u-hucetts State Home improvement Contractor license number 170$1O and Construction Supervisor License number CS-090125. If you have a'y questions. please call me at 508 351 2277 a*t 6 Authorizer! person(s)' Go Permits LLC Sarah Hamrnad David Anderson Maureen Kivel Scott Doughman Ryan p ondo Sovannara Kuy Mark Foster Glynn Horgan Jennifer Wirke Wendy Holden Gerald (tamer Nick Raeo Dare' V,cker*nan Stephen Wilder Katie Grocott Bonnie Myers Carrie Fol gno Michael Rogers Rachel Orloff 1/42sesa, / _,_...--fi . ..._ amie Morin Renewal by Andersen LLC HIC 170810 CSL—C5090125 local District Office Address 30 Forbes Rd Northh0rou8h, MA 01532 Renewal by Andersen LL: .9900 bmakca Me Sash CCttiRsr GrOVIR MN S50.>t0 /-"IN Page 1 of 1 A ROB DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 09/21/2023 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 Willis Towers Watson Certificate Center NAME: Willis Towers Watson Midwest, Inc. FAX (A/C No.Ea): ( No):1-877-945-7378 1-888-467-2378 c/o 26 Century Blvd E-MAIL certificates@willis.com P.O. Box 305191 ADDRESS: Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAICS INSURER A: Old Republic Insurance Company 24147 INSURED INSURERS: Renewal by Andersen LLC 30 Forbes Road INSURER C: Northborough, MA 01532 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W30224860 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP MI - LIMITS LTR INSR VD POLICY NUMBER (MMIDDIYYYYI (MMIDDIYYYY► X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 DAGE TO RENTED CLAIMS-MADE .X OCCUR PR PREMISES(Ea occurrence) $ 500,000 A MED EXP(Any one person) $ 10,000 MWZY 314161 23 10/01/2023 10/01/2024 PERSONAL BADVINJURY $ 3,000,000 GEN'L AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 X POLICY JECTT LOC PRODUCTS-COMP/OP AGG $ 6,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED MWTB 314159 23 10/01/2023 10/01/2024 BODILYINJURY(Peraccident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) i $ UMBRELLA LIAB — OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ERH A ANYPROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? No NIA Mr 314158 23 10/01/2023 10/01/2024 (Mandatory in NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY UMIT $ 1,000,000 DESCRIPTION OF OPERATIONS!LOCATIONS!VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE I.egnA Evidence of Insurance OC / ,, .4J ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 24694639 BATCH: 3138744