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13-079 (2)
BP-2024-0171 100 MARIAN ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 13-079-001 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-2024-0171 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2024 Contractor: License: Est. Cost: 10941 RENEWAL BY ANDERSEN 090125 Const.Class: Exp.Date: 10/06/2024 Use Group: Owner: MARVELLI CLAUDETTE M Lot Size (sq.ft.) Zoning: RI/SR Applicant: RENEWAL BY ANDERSEN Applicant Address Phone: Insurance: 30 FORBES RD 508-351-227 WLRC50668058 NORTHBOROUGH, MA 01532 ISSUED ON: 02/20/2024 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: Q , .1 0 Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner perm cc 30 c ( 1i+SeOri 311 Jpbss ► .0(k_ ,p kq Oval I a C )pj c7-r (ssu-t d p in , /,.-t ()0‘" The Commonwealth of MassachusWi — --______-___ Board of Building Regulations and S dare E C E 14d� L, ° QR Massachusetts State Building Code, 7 0 CMR--- ----:---IC,PALITY UpE Building Permit Application To Construct, Repair, j novate Oi lish Re✓ised vfar 2011 One-or Two-Family Dwelling ` d 2024 This Section For Official Us Onl t Building Permit Number: R P— q-/7 / Date Applie : nr r('^null n'^.r INcPECTIoNs /eu i Ni &,s5 / - 2- 2.0-746Z14 Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers AO 0 Ala eign S+ No r'u1orA+4 1.la Is this an accepted street?yes ✓ no `' ° ' Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: toning 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 ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: A/a.1 /19 aryl/I,' /l/v/At ko i. '04 D/O b d Name(Print) City,State,ZIP /00 /'14t1 1' Sfrec ± ylg- 5—/6-3?56 a Ma."e/t C2 srn,1 ,eci 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 ❑ Accessory Bldg. 0 Number of Units Other B -Specify:"40l ae&1e L,,.,rcku Brief Description of Proposed Work': l eerh14-e` c'.,cc Pie e)4C< 3 i4.,;el dew C ,', ke -6 h l�G iv M /1 0 S 'f'k C(-K r;,--t' o lit a ruy s LA..- fit c._- , -, o'l, 2 & - SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ /p , 9 ty/a, 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 Fees: $ ��.os Check Noffig .. Check Amount: Cash Amount: 6.Total Project Cost: $ /0 'c// Paid in Full 0 Outstanding Balance Due: / I SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) e)/�� _pa:, 6 . 7Q t/ t. �0(;/, License Number Exn ate Name of CSL Holder 30 F. /be S Rd List CSL Type(see below) (NS No.and Street Type Description N4 ��v • O/;3 L U Unrestricted(Buildings up to 35,000 Cu.ft.) �"'l ` R Restricted 1&2 Family Dwelling City/Town,State,I M Masonry RC Roofing Covering (WV Window and Siding /� SF Solid Fuel Burning Appliances 452-— "//Z , ?I,Ails'C•_p�ar,i,/I .D I Insulation Telephone {/ E ddress D Demolition 5.2 Registered Home Improvement Contractor(HIC) J enamel i 09r�%� HIC Registration Number E irati n Date HI Compan Name�C Registrant Name �> 30 ibes G1 d /hh4" No.and Street 01/:S3 .' address A/V,h fQ L L /41 di0-952 City/Town, State,Z1P 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 Issuances f 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 a to the best of my knowledge and understanding. Gera l - Ceeti ,LN J 1 CerrILA L I /6a/Z�/ Print Owner's or Authorized 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 oaSM titp4., ,�lOt . Massachusetts �� A. '<< !l 4,..4 DEPARTMENT OF BUILDING INSPECTIONS Q�'4. r 212 Main Street • Municipal Building vti. � } Northampton, MA 01060 . ,�O 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 : "h S P ci 1W r c,d,, k (2j'j oI S3Z The debris will be transported by: Name of Hauler: iticot.0 I14/t ine", Signature of Applicant: �j Date: /2 76 Z- V ', The Commonwealth of Massachusetts . om Department of IndustrialAccidents Office of Investigations ��tgS'iiii Lafayette Cite Center .. ' .l 2 Avenue de Lafayette, Boston,MA 02111-1750 a, ` '; �. wwwntass.gov°/ilia Workers'Compensation Insurance Affidas.it: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legiblv Renewal by Andersen Name (8usim,s Sir fl eatic individual); ..- Address 30 Forbes Rd. City,State/Zip,Northborough, MA 01532 Phone /#_508-351-2277 Are you an employer? ('heck the appropriate hos: I s pc of project(required): 1.X I am a employer with 30 4. 1 am a tieneral contractor and l employee.(full andlorpart-time).* have hired the sub-contractors (' ID Ne" construction 2.❑ i am a sole proprietor or partner- listed on the attach•.d shut. 7_ ❑Remodeling ship and has a no emplaces These sub-contractors have K. ❑Demolition workingfor me in an capacity employees and have workers' Y P t3` 9_ ❑Build rig addition [No workers' comp_insurance comp_ insurances required] 5. ❑ N'e are a corporation and its list] Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself [No worker,' comp. right of exemption per MGL 12.0 Roof repairs insurance required.]` c. 152.§l(4),and we have noReplacement employees. [No workers' 13.�other eP comp_ aisurance required.] . 'Amy applicant East chocks boot c t muss also fill out the seuion below showing their workers'compensation polies;informatiat. t Hom Dowers who submit Buis affidavit indicating they, at doing all work and then hire altsidecontractors must submit a n., affidavit indw.atiat sus:h_ +Contra.tors that.I cc I.ibis boa must attached an addtuonat.lust slaw utg the name u4t111e sub-contractors arid.ate whether or not those entities have employee.. if the sub-contractorslai+.eemployees.they in um ptuc tile tlaiI Si I krrs'lump.pulls akimbo. i son an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance c.ompany Name: Old Republic Insurance Co. Policy#or Self-ins. Lie_ #: MWC 314158 22 Expiration Date 10/01/2024 Job Site Address: /00 /l f+'a ;. S } CitylStatelfip°a /V,,A`az rki' /yf A ci/OE 0 Attach a copy of the workers'compensation police deelaradonpage(showing the policy number and espiration date). Failure to secure coverage as required tinder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a tine up to S1.500A0 and+or one-year imprisonment. as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the s iolaior_ Be adstscd that a copy of this statement may be forwarded to the Othee of Investigations of the DIA for Insurance sttticr-1 e ,.ei lire atio 1_ ids hereby cerW 'under the pain.s and penalties ul perjure that the information provided above is true and correct. Signature: 'u� 1).11cc 10/02/23 Phone#: ?le214.0t41,_, • c - I cz - c'// L Official use only. Do not write in this area.hi be completed by city or town official ('it) or'i`o‘in: -.� Permit/License 0 Issuing;,%utharits. (check one): i0Board of!lean 20Building i)epartment 3E1'it sI Iown('lerk 4.DElectrical Inspector 5L3'Iurohintt Inspector 6.Dothrr Contact Person: Phone 0: Page 1 of 1 ACC71R[7 CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYVY) 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 PH ( C No.�); 1-877-945-7378 ( Not 1-888-467-2378 c/o 26 Century Blvd A/ P.O. Box 305191 E-MAIL certificates@willis.com ADDRESS: Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC�1 INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B: Renewal by Andersen -- 30 Forbes Road INSURERC: 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 LIMITS LTR INSD WVD POLICY NUMBER IMMIDDIYYYY1,(MWDDIYYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 CLAIMS MADE X OCCUR DAMAGE TO RENTED 500,000 PREMISES(Ea occurrence) $ A MED EXP(Any one person) $ 10,000 MWZY 314161 23 10/01/2023 10/01/2024 PERSONAL8ADVINJURY $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 X POLICY JECT 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 BODILY INJURY(Per acddent) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION X PER OTH- ANDEMPLOYERS'LIABILITY STATUTE ER YIN A ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? No NIA MC 314158 23 10/01/2023 10/01/2024 1,000,000 (Mandatory in NH) EL.DISEASE-EA EMPLOYEE $ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 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 RI�/�'U+Evidence of Insurance " ? )4414 ©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 Unice of c.;onsumer Affairs and business Kegulation 1000 Washingtt -4tre.,et - Suite 710 Boston, Massachusetts 02118 Home Im roverent *. *actor egistration ' ' aR11118ltir.111 .vlrr • atj9. ata Type: Supplement Card RENEWAL BY ANDERSEN LLC mg -- =�` "`"""`"" • ation 170810 30 FORBES ROAD �n .r..Y. — ., E Iation: 12/22/2025 M a I NORTHBOROUGH, MA 01532 lilt it f- J c NM r'. > ztr `1; •lb n� 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 Gard Office of Consumer Affairs and Business Regulation Reiltatration EAp.l[tiQn 1000 Washington Street -Suite 710 170810 12722l20Z5 Boston,MA 02118 :ENEVVAL BY ANDERSEN LLC t., t , AIME MORIN � - Q �'t2 f/ IORTHBOROUGH,MA 01534Wrci' Undersecretary Not valid with ut signature IV Commonwealth of Massachusetts C011aallCron Division of Occupational Licensure Unrastrlclad ElulMimes ot III tut group which contain Board of Building Regulations and Standards less than 35,000 cubic Omit(WIcubic meters)of enclosed t .oJss;tuttl�n S ervnsor spats. CS 090125 w fit_. Spires: 10/06/2024 JAIME L MOf�iN 54 NOTTINGNAM RD ' T. T RAYMOND Ntt 030T7 3 K' =; 8 -Y/l wail') Faluea I.potions a curoutt maw of Ilse tMsaadiwstb x Camrnisssancr ,y4if. >:t .�a, Stale~ Foatlo�stlon about Ms Won oda it cause tar ravocalion of tfMs ilosnswe. Can(1117)77r-3200 or visit www.wess goYlalpl } U.S. Canada ENERGY ENERGY re o STAR STAR Andersen' Andersen NFRC Certified `o `o u w v 6.0 v 4.1 Product Line& Glass Grille Type Products u `o - i 11:- tm t Product Type Type Directory Number Z of ° . A m w M U {m d v Q r t E t Z U U N o N N N 2 N c Simulated Divided Lite or Installed Interior Removable AND-N-1-01262-00003 0.24 1.36 0.17 0.39 20 <0.2 NC SC 1 21 - W m 13 FullDivided Lite AND-N-1-01271-0OOD7 0.26 1.48 0.17 0.39 17 <0.2 NC soZt - - 2 E _ v+3 Finelighl"(grilles-between-the-glass) Na Na n/a Na n/a Na n/a - - - - - ' Y Simulated Divided Lite or Installed Interior Removable AND-N-1-01260-00003 0.25 1.42 0.39 0.47 31 <0.2 NC - - 21 - w � 4 1 m Full Divided Lite AND-N-1-01269-00001 0.27 1.53 0.39 0.47 29 <0.2 NC - - Z1 - S a 3 Finelightr"(grilles-between-the-glass) Na Na n/a Na nla n/a Na - - - - 3.0 Annealed or 3.1 Tempered Pattern Glass-w/No Grilles and Grilles Less than 1" No Grilles AND-N-1-01175.00004 0.29 1.65 0.31 0.54 22 <0.2 - NC ferW Simulated Divided Lite or Installed Interior Removable AND-N-1-01175-00005 0.29 1.85 0.29 0.49 20 <0.2 - NC 2 Full Divided Lite Na n/a n/a Na n/a Na n/a - - - Finelight^'(grilles-between-the-glass) Na Na n/a Na n/a Na n/a - - - - - - - No Grilles ANDt4d-01176-00004 0.29 1.65 0.20 0.30 15 <0.2 - NC SID - - - W c Simulated Divided Lite or Installed Interior Removable AND-N-1.01176-00005 0.29 1.65 0.18 0.27 14 <0.2 - NC SC - - - rn 2 Full Divided Lite Na Na n/a Na n/a Na n/a - - • - FinelightTM(grilles-betweenthe-glass) Na Na n/a Na n/a n/a Na - - - - - • ___'� No Grilles ANDtt-1-01177-000 0.28),1.59 0.21 0.48 17 <0.2 - NC 3C Zt - - r :I. `; )Si r rrrr. 0.28 1.59 0.19 0.44 16 c 0.2 NC SO 21 - - 1e ' F n/a Na n/a Na ilia Na Series 1 9 E/ Casement �� n/a Na n/a Na n/a Na N rrrr 0.29 1.65 0.51 0.59 33 <0.2 c "eat Simulated Divided Lite or Installed0.29 1.65 0.47 0.53 31 <0.2 - - - Z1 2 .)n Full Divided Lite rile Na n/a Na n/a Na n/a - - - - - 6 FI _ Na n/a Na n/a Na n/a - - - - - - - 3.e Greater Simulated rrrr: 0.29 1.65 0.26 0.44 19 <0.2 - NC 'e 0 F Na n/a Na n/a Na n/a - - J Ff - Na n/a Na Na Na n/a - • - • - Simulated Divided Lite or Installed0.29 1.65 0.17 0.24 13 <0.2 - NC SC, - - - 0 N• Full Divided Lite Na Na n/a Na n/a Na n/a s Fi Na n/a n/a n/a Na n/a - - r Si rrrr: 0.28 1.59 0.18 0.39 15 <0.2 - NC - - - W C ..• Full Divided Lite Na Na n/a Na n/a Na n/a - - - - - - 2 E vt Fi Na n/a Na n/a Na n/a - - • Si r r r r i 0.29 1.65 0.43 0.48 29 <0.2 ii - - - Zt ' - w F n/a Na n/a Na n/a Na - - - - - - - a Fi n/a Na n/a Na n/a Na - - - - - - - This information is for reference only. Performance vanes byunit size and options selected. r 4of 155 Denis current as of December 15,S S2ee 4e1 for more inect formation. change. p ape S..page 1 more information. For specific unit performance information,please contact your dealer or Andersen Sales Representative. RENEWAL byANDERSEN J ry FULL SERW(E 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 Go Permits, LLC GO 105 Buttonball Lane 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 12/22/2025 - 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: renewalbyandersenAgopermits.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 DocuSign Envelope ID:980BCFE6-DCC5-41 E1-Al78-0F1 E40B94919 joi �r Agreement Document and Payment Terms QDBA:RENEWAL BY ANDERSEN OF BOSTON Alan Marvelli RENEWAL Legal Name:Renewal by Andersen LLC 100 Marian St HIC#170810 Northampton,MA 01060 brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)586-3756 Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(413)231-7263 Alan Marvelli 02/08/24 BUYER(S)NAME CONTRACT DATE 100 Marian St, Northampton,MA 01060 (413)586-3756 (413)231-7263 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER amarvell@smith.edu 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: $10,941 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: $10,941 Estimated Start: Estimated Completion: 8-12 Weeks 1-2 Days AMOUNT FINANCED: $10,941 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 02/12/2024 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. Docu Signed by: A IO<M eavtif,i _5260EE07A48649C SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE Jesse Kaminski Alan Marvelli PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 02/08/24 Page 2 / 23 DocuSign Envelope ID:980BCFE6-DCC5-41 E1-A178-OF1 E40B94919 ffyItemized Order Receipt �_ DBA:RENEWAL BY ANDERSEN OF BOSTON Alan Marvelli RENEWAL Legal Name:Renewal by Andersen LLC 100 Marian St HIC#170810 Northampton,MA 01060 byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)586-3756 Ilk AI EY.11iU0r t DOOR If1114911.I Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(413)231-7263 ID#: ROOM: SIZE: DETAILS: PRICE: 101 Kitchen Window Acclaim Casement Single Right, Base Frame, Exterior White, Interior Canvas, Performance Calculator PG Rating: 40 l DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Canvas, Screen, Fiberglass, Full Screen, Grille Style, Interior Wood Only (INTW), Grille Pattern, All Sash: Colonial 2w x 3h, Misc, None , 101 Kitchen Bay Roof Misc Misc, Bay & Bow, Shingled Hip Roof, Quantity 1, 102 Kitchen Window Acclaim Casement Single Left, Base Frame, Exterior White, Interior Canvas, Performance Calculator PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Canvas, Screen, Fiberglass, Full Screen, Grille Style, Interior Wood Only (INTW), Grille Pattern, All Sash: Colonial 2w x 3h, Misc, None , 103 Kitchen Window AcclaimTM Casement Fixed Window Base Frame, Exterior White, Interior Canvas, Performance Calculator PG Rating: 40 ( DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Grille Style, Interior Wood Only (INTW), Grille Pattern, All Sash: Colonial 4w x 3h, Misc, None , WINDOWS: 3 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 1 TOTAL $10,941 Renewal by Andersen is committed to our customers'safety by complying with the rules and lead-safe work practices specified by the EPA. 02/08/24 Page 3/ 23