22B-056 (2) BP-2024-1295
46 SPRING ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
22B-056-001 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-2024-1295 PERMISSION IS HEREBY GRANTED TO:
Project# WINDOWS 2024 Contractor: License:
Est. Cost: 14805 RENEWAL BY ANDERSEN 090125
Const.Class: Exp.Date: 10/06/2026
GRALA DORIS M &SUZANNE L GRALA &
Use Group: Owner: CYNTHIA A GRALA
Lot Size(sq.ft.)
Zoning: WP/WSP Applicant: RENEWAL BY ANDERSEN
Applicant Address Phone: Insurance:
30 FORBES RD 508-351-227 MWC314158
NORTHBOROUGH, MA 01532
ISSUED ON: 10/10/2024
TO PERFORM THE FOLLOWING WORK:
5 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:
Final: Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature: ( /".*
Fees Paid: $60.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
c)
c-)
The Commonwealth of Massachusetts
Board of Building Regulations and Standards FOR
( / Massachusetts State Building Code, 780 CMR MUNICIPALITY
/ USE
Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: .01 'c7 V'/014S Date Applied:
5)-et,e `i'<ta /010-2 y
Building Official(Print Name) Si re Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
46 Spring St,Florence MA
1.1 a 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❑ Private❑ Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check ifyes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record:
Suzanne Grala Florence,MA 01062
Name(Print) City,State,ZIP
46 Spring St (413)320-3507 s.grala(a3comcast.net
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check an that apply)
New Construction 0 Existing Building a Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0
Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: WINDOWS
Brief Description of Proposed Work2:
TO REMOVE AND REPLACE(5)WINDOWS.LIKE FOR LIKE;NO STRUCTURAL ALTERATIONS.
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building $ 14,805 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ CIStandard City/Town Application Fee
0 Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire
Suppression) Total All Fees:$
Check No keck Amount: it Cash Amount:
6.Total Project Cost: $ 14,805 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
CS-090125 10/06/26
JAIME MORIN License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
30 FORBES RD
No.and Street Type Description
NORTHBOROUGH MA 01532 U Unrestricted(Buildings up to 35,000 cu.ft.)
City/Town,State,ZIP R Restricted 1&2 Family Dwelling
yM Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
860-952-4112 SANDERS N@OOPERMITS.ORAP I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 170810 12/22/25
RENEWAL BY ANDERSEN HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
30 FORBES RD RENEWALBYANDERSEN c@GOPERMITS.ORO
No.and Street Email address
NORTHBOROUGH MA 01532 860-952-4112
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 OZ 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 JAIME MORIN/RENEWAL BY ANDERSEN
to act on my behalf:,in all matters relative to work authorized by this building permit application.
SEE SIGNED CONTRACT
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 the best of my knowledge and understanding.
JAIME MORIN 0926/24
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 goi 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 halflbaths
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
......sic
Massachusetts 4?"' !<<
DEPARTMENT OF BUILDING INSPECTIONS ?St 212 Main Street • Municipal Building rJ . y 1�
Northampton, MA 01060 i JPS10
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:
30 FORBES RD NORTHBOROUGH MA 01532
Location of Facility:
The debris will be transported by:
Name of Hauler: RENEWAL BY ANDERSEN
09/26/24
Signature of Applicant: Date:
Go Permits, LLC
` 105 Buttonball Lane
GCPO_ 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. 10/06/26
- HIC #170810 -- Exp 12/22/2025
- Workers Comp -#MWC 314158 24 — Exp. 10/01/25
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(o�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
The Commonwealth of Massachusetts
. Department of Industrial Accidents
=M
_� ► r Office of Investigations
= - It. Lafayette City Center
—i 2 Avenue de Lafayette, Boston,MA 02111-1750
www.mass.gov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/organization/individual): Renewal By Andersen
Address: 30 Forbes Rd
City/State/Zip: Northborough, MA 01532 Phone#: 508-351-2277
Are you an employer? Check the appropriate box:
I am ageneral contractor and I Type of project(required):
30 4.
1.® I am a employer with ❑ 6. 0 New construction
employees (full and/or part-time).* have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have 8. 0 Demolition
workingfor me in anycapacity. employees and have workers'
ty 9. ❑Building addition
[No workers' comp. insurance comp. insurance.*
required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs
insurance required.] t c. 152, §1(4),and we have no Window/Door Replacement
employees. [No workers' 13.® Other
comp. insurance required.]
"Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
*Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am 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
Policy#or Self-ins. Lic. #: MWC 314158 24 Expiration Date: 10/1/25
Job Site Address: 46 Spring St City/State/Zip: Florence, MA 01062
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 imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature: Date: 9/26/24
Phone#: 508-351-2277
Official use only. Do not write in this area,to be completed by city or town officiaL
City or Town: Permit/License #
Issuing Authority(check one):
l❑Board of Health 20 Building Department 31:City/Town Clerk 4.0 Electrical Inspector 5Elumbing
Inspector 6.0Other
Contact Person: Phone#:
$ RENEWAL
byANDERSEN
FULLSfRYI(E MOW&DOOR REPLMENT
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
Uttice o1 consumer Attars ana Business Kegulation
1000 Washingtq re t- Suite 710
Boston- ,—O 118
Home Imwo• - .',_,,-- -- -.istration
ell ..___osissme 2. 1
r` -a .. � y,, Type: Supplement Card
X ? aI_____ -.-1 ation: 170810
RENEWAL BY ANDERSEN LLC E $ation: 12/22/2025
30 FORBES ROAD • -
NORTHBOROUGH,MA 01532 1ti 't t� w 7
\--"":"
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: Suuptsn ent Gard Office of Consumer Affairs and Business Regulation
Re415t( til411 )�Cittiat 1000 Washington Street •Suite 710
1/0810 , ry 7 12/22/2025 Boston,MA 02118
2ENEWAL BY ANDERS 1
�f3 �,/�
AIME MORIN ‘e �. L'7 r g II"
0 FORBES ROAD
JORTHBOROUGH.MA 01532
Undersecretary Not valid with ut signature
® Commonwealth of Massachusetts Construction Supervisor
Division of Occupational Licensure Unrestricted-Buildings of any use group which contain less than
Board of Building Regu[5&l�ations and Standards 35,000 cubic feet(991 cubic meters)of enclosed space.
Cons Ip&H rvisor
:it.._ tP
CS-090125 : .A * elpires: 10/06/2026
JAIME L MOIgIN AC m
54 NOTTINGHAM R'_, O
RAYMOND N%030 ?'
?`MDlJ;ddi1��O
Failure to possess a current edition of the Massachusetts State
Building Code is cause for revocation of this license.
Commissioner . ew,u;r— Contact OPSI:(617)727-3200 or visit www.mass.govldpllopsl
RENEWAL1111
byANDERSEN
ismainsionasia imam
To Whom It May Concern:
•
This letter will authorize the following person(s)to act as agent(s)on behalf of Renewal by
Andersen LIC, 9900 Jamaica Ave South, Cottage Grove MN 55016 to pull for permits and
inspections with respect to the installation, maintenance and repair of windows and entry
+innrc ,inrlar Maccachusetts 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 ext 6.
Authonzed person(s);
Go Permits U.0 Sarah Hamrnad David Anderson Maureen Kivel
Scott Doughman Ryan B4ondo Sovannara Kuy Mark Foster
Glynn r organ Jennifer winke Wendy Holden Gerald Cramer
Nick Raeo Oahe!Vickerman Stephen Wilder Katie Grocott
Bonnie Myers Carrie Foligno Michael Rogers Rachel Orloff
ame Morin
Renewal by Andersen LLC
HIC 170810
al-CS090125
local District Office Address
30 Forbes Rd
Northborough, MA 01532
Thal a
RENEWAL BY ANDERSEN SPECIFICATION&TECHNICAL MANUAL 'TECHNICAL INFORMAIION
PERFORMANCE RATINGS AND TEST DATA
NFRC Total Unit Performance
MSC
(81W(Nrfl20F)) : - ..i. VT
`•' Air HP 68s ear r Air HP Gas Blend
Without Grilles 0A2 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 0.28 027 .72
Low-E4"
Full Divided Light Grilles 0.32 0.29 025 0.25
Casement Without Grilles 0.32 0.29 0.17 0.17 .40
& 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"SmartSunr"
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 Heattock"' 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 D.32 0.29 0.5 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 HeatLock"' Full Divided Light Grilles 027 0.25 0.17 0.16
Without Grilles 0.48 - 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 Light Grilles 0.34 0.31 0.28 0.28
Double-Hung De " Without Grilles 0.33 0.30 0.20 0.19 .40
(Al Frames) Low-E4 Sun
Full Divided Light Grilles 0.35 0.31 0.18 0.17
Without Grilles 0.32 0.29 0.21 0.21 .65
Low-E4•SmartSun"' kl
Full Divided Light Grilles 0.34 0.30 0.19 0.19
� E_ �� Withrnd Grilles 0 27 D AAN)_ -
with Heat Lode' Full Divided Light Grilles 0.30 0.27 0.18 0.18
09 9 COMPANY CONFIDENTIAL- REVISION AA-01
/.• DRA:RENEWAL BY ANDERSEN OF BOSTON Doris Grohs
Legal Name:Renewal by Andersen LLC 46 Spring St
HIC<170810 Florence,MA 01062
30 Forbes Road I Northborough,MA 01532 H:4135849320
RENEWAL Phone:(508)351-2200 I Fax:(508)986-7072 I rbabostonbookingOandersencorp.com C:(413)320-3507
by ANDERSEN
.M aeon toot enamor.
Thank you for your order
Please find, enclosed for your convenience, the contents of your agreement with Renewal by Andersen LLC d/b/
a Renewal By Andersen of Boston
Table of Contents
Agreement Document and Payment Terms 2
Itemized Order Receipt 3
Payment Authorization Form 5
Notice of Cancellation 6
RbA 20-5-10 Warranty 7
MA Addendum 9
RbA Insurance 12
Terms and Conditions of Sale 13
Lead-Safe Form 16
Waiver 17
If Using a Builder 19
Electronic Consent 20
Project Preparation Expectation 22
Release Agreement 24
Price Presentation Discounts 26
09/18/24 Page 1 / 26
Agreement Document and Payment Terms
DBA:RENEWAL BY ANDERSEN OF BOSTON Dorm Orals
Legal Name:Renewal by Andersen LLC 46 Spring St
RENEWAL HICS 170810 Florence,MA 01062
byANDERSEN 30 Forbes Road I Northborough,MA 01532 H: 4135849320
11111111112 MOM
Phone:(508)351-2200 I Fax:(508)986-7072 I rbabostonbooking@andersencorp.com C:(413)320-3507
Doris Grala 09/18/24
BUYERS)NAME CONTRACT DAZE
46 Spring St,Florence,MA 01062 4135849320 (413)320-3507
BUYER(S)STREET ADDRESS PRIMARY MUMMER SECONDARY NUMBER
s.grala®comcast.net
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").Buyers)hereby agrees to sign a completion certificate after Contractor has completed
all work under this Agreement.
TOTAL JOB AMOUNT: $14,805 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: $4,885
BALANCE DUE: $9,920 Estimated Start Estimated Completion:
8-12 Weeks 1-2 days
AMOUNT FINANCED: SO
We schedule Installations based on the date of the signed contract and secondarily on the date
METHOD OF PAYMENT: Check 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 09/21/2024 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.
7/71Y/4027C) B.,„;
SIGNATURE OP SALES PERSON SIGNATURE SIGNATURE
Matthew D'Amato Doris Grala
POUT NAME Of SA M POISON POINT NAME PRINT NAME
09/18/24 Pape 2 / 26
Itemized Order Receipt
DRAB RENEWAL IT ANDERSEN OF ROSTON Doris Orola
Legal Name:Renewal by Andersen LLC 46 Spring St
RENEWAL
RENDERL HIC#170810 Florence,MA 01062
byA30 Forbes Road I Northborough,MA 01532 H:4135849320
Phone:(508)351-2200 I Fax:(508)986-7072 I rbabostonbookingeandersencorp.com C:(413)320-3507
ID#: ROOM: SIZE: DETAILS: PRICE:
101 Living Window: AcclaimTM 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, Standard Color Recessed Hand
Lift, Screen: TruScene, Full Screen, Grille Style: No Grille,
Mlsc: Aluminum Wrap Casing, Aluminum wrap of exterior
casing.
102 Kitchen Window: AcclaimlM 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. Tempered Glass, Hardware: White, Standard Color
Recessed Hand Lift, Screen: TruScene, Full Screen, Grille
Style: No Grille, Misc: Aluminum Wrap Casing, Aluminum
wrap of exterior casing.
103 Living Window: AcclaimTM 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, Standard Color Recessed Hand
Lift, Screen: TruScene, Full Screen, Grille Style: No Grille,
Misc: Aluminum Wrap Casing, Aluminum wrap of exterior
casing.
09/18/24 Page 3/ 26
44Q) Itemized Order Receipt
terjDM RENEWAL BY ANDERSEN OF BOSTON Doris drola
Legal Name:Renewal by Andersen LLC 46 Spring St
R E N E WA L HIC#170810 Florence,MA 01062
brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:4135849320
Phone:(508)351-2200 I Fax:(508)986.7072 I rbabostonbooking•Oandersencorp.com C:(413)320-3507
ID#: ROOM: SIZE: DETAILS: PRICE:
201 Primary Bedroom Window: AcclaimTM 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, Window Opening Control Device,
Standard Color Recessed Hand Lift, Screen: TruScene, Full
Screen, Grille Style: No Grille, Misc: Aluminum Wrap Casing,
Aluminum wrap of exterior casing.
202 Primary Bedroom Window: AcclaimTM 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, Standard Color Recessed Hand
Lift, Screen: TruScene, Full Screen, Grille Style: No Grille,
Misc: Aluminum Wrap Casing, Aluminum wrap of exterior
casing.
WINDOWS: 5 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 0 TOTAL $14,805
,e" `0tf Renewal by Andersen is committed to our customers'safety by
• ,777,,r,.,,• complying with the rules and lead-safe work practices specified by the EPA.
09/18/24 Page 4/ 26
If Using a Builder
Mkt RENEWAL BY ANDERSEN OF ROSTON Doris Duda
Legal Name:Renewal by Andersen LLC 46 Spring St
RENEWAL HIC#170810 Florence,MA 01062
byEN RERSENNEWAL
L
30 Forbes Road I Northborough,MA 01532 H:4135849320
Phone:(508)351-2200 i Fax:(508)986-7072 I rbabostonbooking@andersencorp.corn C:(413)320-3507
Property Owner Must Complete & Sign This Section If Using A Builder
I, as Owner of the said property, hereby authorize Renewal by Andersen LLC to act on my behalf, in all matters relative to
building permit application for the property/address indicated on this agreement.
OlderC7 a.;4...G.
SIGNATURE Of SALES PERSON SIONATNB SIGNATURE
Matthew D'Amato Doris Grala
PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME
09/18/24 Page 19/ 26