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31A-071 (6) 218 ELM ST BP-2019-0732 GIs#: COMMONWEALTH OF MASSACHUSETTS Map-.Block:3 1 A-071 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:window replaced BUILDING PERMIT Permit# BP-2019-0732 Project# JS-2019-001205 Est.Cost: $21157.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group_ RENEWAL BY ANDERSEN 090125 Lot Size(sa. ft.): 8450.64 Owner: Hugh Jones Zoning:URB(100)/ Applicant: RENEWAL BY ANDERSEN AT. 218 ELM ST Applicant Address: Phone: Insurance: 30 FORBES RD (508) 919-0900 WC NORTHBOROMA01532 ISSUED ON:1/18/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL REPLACEMENT 10 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department 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. Certificate of Occupancy Signature: [ FeeTvpe: Date Paid: Amount: Building 1/18/20190:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use only, ; City of Northampton P It Pill Building Department Cf1r64PVDrjveway,Permit 212 Main Street SewerlSepttcAva�abilty Room 100 Wate6Nellla7utity Northampton, MA 01060 Two Sets ot�w , ^uuraw.j s phone 413-587-1240 Fax 413-587-1272 Plot/1;ite:Plants- Other APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Property Address: 218 Elm St,Northampton, MA 01060 This section to be completed by office Map 3`/'re Lot IJl( Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Hugh Jones&Stephen Watson 218 Elm St. Northampton, MA 01060 Name(Print) Current Mailing Address: 413-727-8199 See Attached Contract Telephone Signature 2.2 Authorized Aoent: JAIME MORIN 30 FORBES ROAD NORTHBORO,MA 01532 Name(Print) Current Mailing Address: 508-351-2277 Signature Telephone SECTI -ESTIMATED CONSTRUCTION COSTS _l Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building $21,157.00 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) �� 5. Fire Protection 6. Total=(1 +2+3+4+5) $21,157.00 Check Number This Section For Official Use Only BuildingPermit Number: Date Issued: r Q Signature: L 1D//yy'�7 Building Commissioner/Inspector of Buildings Date Section 4. ZONING All Information Must Be Completed. Permit Can Be Denied Due To Incomplete Information Existing Proposed Required by Zoning This column to be filled in by Building Department Lot Size Frontage Setbacks Front Side L: - R: L:. R: Rear Building Height Bldg. Square Footage Open Space Footage (Lot area minus bldg&paved parking) #of Parking Spaces Fill: volume&Location A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO Q DONT KNOW YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO Q DONT KNOW Q YES IF YES: enter Book Page and/or Document#± B. Does the site contain a brook, body of water or wetlands? NO DONT KNOW Q YES 0 IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained 0 Obtained Q , Date Issued: C. Do any signs exist on the property? YES NO Q IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES 0 NO IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading,excavation,or filling)over 1 acre or is it part of a common plan that will disturb over 1 acre? YES Q NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all analicable) New House ❑ Addition ❑ Replacement Windows Iteration(s) Roofing Q Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [r-3] Decks [p Siding[0] Other[E3) Brief Description of Proposed Work: Replace 10 windows Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If`New'house and or addition to existing housing, complete the following: a. Use of building: One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT Hugh Jones&Stephen Watson 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 CONTRACT 12/17/18 Signature of Owner Date JAIME MORIN as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. JAIME MORIN Print Name �;,V��7 12/17/18 Signature of O er/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: JAIME MORIN 90125 License Number 30 Forbes Rd. , Northborough, MA 01532 10-06-20 Address Expiration Date 508-351-2277 Signat a Telephone 9. eaistered Home Improvement Contractor: Not Applicable ❑ RENEWAL BY ANDERSEN 170810 Company Name Registration Number 30 FORBES ROAD NORTHBORO,MA 01532 12-22-19 Address Expiration Date Telephone 508-351-2277 SECTION 10-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....... .b No...... ❑ 11. - Horne Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature City of Northampton 212 Main Street,Northampton,MA 01060 Solid Waste Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as e condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. Address of the work: 218 Elm St., Northampton, MA 01060 The debris will be transported by: Renewal by Andersen The debris will be received by: Renewal by Andersen Building permit number: Name of Permit Applicant Jaime Morin 12/17/18 Date re of Permit Applicant I E The Commonwealth of Massachusetts Department ofIndustrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass goWdia Workers'Compensation Insurance Affidavit:HuDders/Contractors/Electrichuwplumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. ARo kant Information Please Print Legibly NameRenewal by Andersen Address.30 Forbes fad. City/Studzip:Northborough.AAA 01532 Phone#:508-351-2277 Are you an employer!awckt a aWsprim boa: 1. 1 am aemp(oyerwith 30 eopbyea(fa Anwar part4 uw).• Type of precut(r 7. ❑New constructioctio(required): ed)n 2.0 I as a sole proprietor a parmasbp and have no raaployess warkW for mew 6. 0 Remodeling any capacity.[No workers'comp.inswance requir4l 9. ❑Demolition 3.01 am a homeowner doing All work myself.[No workers'comp.insurance required.]• 11 4.01 am a homeowner and will be lunaQ contractors to conduct all work on my property. 1 will 0(]Building addition cam that as contractors either have workers'compensation insurance or are sok 11.0 Electrical repairs or addictions propriaors with rto employees 12.[]Plumbing repairs or additions 3C3 1 am a so"counactor and 1 have hired the sab­com actor listed on the aawbod,sheer. These sub-oontractots have employees And 13.have workers'camp.inturar>ce.t []Roof repairs 6.0 We area corporation and its olI'was have exacisod their richt ofexemption per MGL c. 14.QOdw Replacement 152,$1(4},and wa hwe no employees.[No workers'comp.insurance required.] "Any ttpplieam that chocks boa s1 must Aw 60 our the section below gowing their workers'compensation policy information t Homeowners who submit this affidavit Wicarin`they arc doims all work and them hitt outside conewtors mos submit a new affidavit indicating such, tContraeton ebatcheck this box must attached an additional sbom slow ins the aatae of tie wbcauractots and state whether or not those caustics have a pbyees. If the abeaatractors have cwployom they must provide their workers'stomp.policy number. law an ew*yer drat is providueg workers'eonVensadon insurance for my emoppees Below fs the paey and job site lnfwmedm Insurance Company Name:Cid Republic Insurance Co. Policy#or Self-ins.Lic.#: M WC 31431500 Expiration Date: 10/1/19 Job Site Address' 218 Elm St. City/State/Zip: Northampton, MA 01060 Attach a copy of the worker'compensation policy dedaratba page(sbowing aloe policy number and expiation date). Failure to secure coverage as required under MGL c.152,§25A is a criminal violation punishable by 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 5250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage vaifi I doart0y under eh and penddes of pedary that the fa jorwadon provided above fs true and correct 12/17/18 -atZ6 Picone u -2277 O�@'ldsj use only. Do not write in this area,to be cowpleted by efty or town official City or Town: Permit/L(cense q Issuing Authority(circle one): 1.Board of Ele" 2.Building Department 3.Cityrrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone M Page 1 of 1 ACORD` CERTIFICATE OF LIABILITY INSURANCE 0/02/20 8 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(les)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 NAME: Millis of Minnesota, Inc. PHONE FAX c/o 26 Century Blvd 1-877-945-7378 No: 1-888-467-2378 P.O. Box 305191 ADDRESS: certificatesewil1is.com Nashville, TN 372305191 IISA INSURER(S)AFFORDING COVERAGE NAIC/ _ INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B: Renewal by Andersen LLC 30 C Forbes Road INSURER C Northborough, NA 01532 USA INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER:W8317748 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 ADOL SUBR POLICY NUMBER POLICY EFF LMIDDNYYYI POLICY EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACHOCCURRENCE $ 1,000,000 CLAIMS-MADE CI OCCUR PREMISES Ea occurrenceI $ 500,000 A MED EXP(Any one person) $ 10,000 NWZY 314161 10/01/2018 10/01/2019 PERSONAL&ADV INJURY $ 1,000,000 GE_NI AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4 1000,000 X POLICY L]PRO- F7 LOC PRODUCTS-COMP/OP AGG $ 4,000,000 JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE 1 $ 5,000,000 a acddent X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED NWTB 314159 10/01/2018 10/01/2019 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident $ UMBRELLA LIAS OCCUR EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE AGGREGATE $ DED —FIRETENTION$ I $ WORKERS COMPENSATION X J STATUTE I I ERS AND EMPLOYERS'LIABILITY YIN 1,000,000 A ANYPROPRIETOR/PARTNERJEXECUTIVE a NIA 1IWC 314158 00 10/01/2018 10/01/2019 E.LEACHACCIDENT $ !OFFICERIMEMBEREXCLUDED4 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 H s,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I i DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) This Voids and Replaces Previously Issued Certificate Dated 10/01/2018 WITH ID: W8291089. 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 Evidence of Insurance �. /" rte` ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR IDS 16836288 BATCH: 892974 a � ConsnonwUetth d Mtdtadwastia i t�Ation d Pnoli�alonM Lkenaure Board d 8uN/hq :and standwds Cons sor C>Z�lb128 �. � �pirga:1O1�dIZD�O NOAM LYNN MAN 3 w I r cornlndsolo1w.. Corsaftclion supervisor UeraUldsd-Bu*fts of any use group whidcortdn Ins than 3UN cubic fast pit m9ft m"O of ancloW SIMS. FARM to pospss a currant adMm dthe Mussetwoofta stat•OdOW Cods Fm iI dowaft almd 06 lesneed tMs Nwnee. Carl(#In 7v4m a vbR-rM►.nw.a,00,►roa 0010 at COINU ar Aura OW&9*n RIOUMM Cnr AM*WW Phar-SUM 1309 Ondn & M @dNM O Q390d H" - Wr l Conum or ftwA Hm amd RN4MftNYANPlRKJNLLO. swum 3a Fa Ro NOR IMMIaUfi LM&O1aB Arrwa aa/litaaw tiff i ot�w w a Wr* Yell for kwhAmal we o* lalll~tlrttllQlrllllrlllfir tx>rrtlrAtt+art 7TM swakmolo dare a.f11 2 Mip. rt*wW mbm tx SIMMONS 04 of saorwr l�flio s�Mi MNlnors Ilprwr ITNIS IsumsaAr�eMona+ �MsHril REMMA.SY ANDEPA l UC. Om �--- 1utmA em -----�----- Nat VWsM9 Renewa byderserm. WINDOW, IIEFILAGIMENT 1taAftkM06Cwv%" .. WoodlVitgd composite IF c Duel Afgan Lwty 64 StnartSw Double Hung 100-0047361!3 010 -ENERGY PERFORfi ME RATINGS U-Factor(U.W-P Solar Heat Gain Coefficient 0 0 l 9 ee ' . al ADDITIONAL PERFOMANCE UTINQS Visible Transmittance 0 . 42. , . �1�fdMaff��a w�N�w�+a�waMaM wap�te4�amc�nwwwla aMa.�fiMw•vae��rea.m ��Of.1N9101M1�p�a�a��Y1MifA*fR Rid MI�i/I�YOYMIIM1aMa��MA f+�fe�f plWMOtfhl4 w�+aae.ffa w.ew.warrn�•��Aefaaarrpwrf wiet�y.rf+rn�•a�er.m.p.on.r.e. o.wrrwi+�wP�Au�w.i»�arKM+a�otr.�ar«wwl�o�fUo. ' vrfMr tAr �wa.anw..� 1A .. DESIGN PREMURE"F) ti r ec M, !i IN b N�Nf etffondrM.R.Q R.fJB ElAA.AY Ig4leMdf Md�r MUM Prop�w. 1/18/2019 City of Northampton Mail-Fwd:218 elm st.order form >t y 0 Kevin Ross <kross@northamptonma.gov> w� UK Sur _.. _-_................. ........... ........11. ........_. ........__. _ ..__... ......... Fwd: 218 elm St. order form 2 messages Sarah LaValley<s lava lley@north ampton ma.gov> Fri, Jan 18, 2019 at 1:07 PM To: Kevin Ross<kross@northamptonma.gov> Hi Kevin- The spec sheet indicates that the windows are full divided 6/6,so that meets the Historical Commission's requirements. These were the only windows ordered,so I didn't ask for additional plans. Thanks very much- Sarag Sarah I.LaValley Conservation,Preservation and Land Use Planner Northampton Office of Planning and Sustainability City Hall,210 Main Street, 2nd Floor Northampton MA,01060 413-587-1263 y, �n ---------- Forwarded message --------- From: Nulty, Ryan <Ryan.Nulty@andersencorp.com> Date: Fri, Jan 18, 2019 at 12:15 PM Subject: 218 elm st.order form To: slavalley@northamptonma.gov <slavalley@northamptonma.gov> Here's the order form. I will call to explain to make it easier for you. Ryan Nulty Permit Coordinator Renewal by Andersen 508-351-2279 https:Hmail.goog le.com/mai Vu/0?ik=6c393b23d b&view=pt&search=all&permthid=thread-f%3Al623022479904625054&simpl=msg-f%3Al 6230224799... 1/2 RECEIVED DEC 19 2018 DEPTNORjHAMPDTON!MA 01060 ING NS Renewal Renewal by Andersen C 30 Forbes Road•Northborough,Massachusetts 01532 MA Home Improvement contractor byAndersem Phone(508)351-2200•Fax(508)986-7072 MA License#170810(expires WINDOW REPLACEMENT anAndersen Company 12/22/2019Federal Tax ID# 41-1918413 CONPBACr L1YlG►\LM This Amendment("Amendment")is to the CUSTOM WINDOW AND DOOR REMODELING AGREEMENT("Agreement")by and between Renewal by Andersen Corporation Hugh Jones ("buyers"). Contractor and Buyer(s) hereby agree to amend and modify the Agree- ment as indicated below. Other than as specifically indicated below,all the terms and conditions of the Agreement will remain in full force and effect. This Amendment is subject to the terms and conditions of the Agreement. The following additions,alterations,or deletions to the products and services Buyer(s)ordered are being made: Changes to current agreement: Due to Historical District required aesthetics: 1. Adding Full Divided Lite profiled grilles on all sashes for the following units: #111,112(Ma's room),#115(1/2 bath), #202 (Master Bath),#203,204(Master Bedroom),#209,210(Office)and#211,212(Guest Room). 2. Eliminating all other units from the current agreement. End of changes: George Holt Product Specialist 774.293.0566 As a result of these changes, the following terms of the Agreement are also changing (if there is no change, an item will be left blank or marked as"N/A",indicating that no change applies: Total Job Amount: $21,157.00 Payment Method/Comments: New Deposit Received:$10,043.00 Credit Card New Balance at Start of job:$7,052.00 GreenSky New Balance on GreenSky Substantial Completion of Job:$7,052.00 Amount to refund CC:$2,991.00 Once CC information is provided It is agreed and understood by and between the parties that this Amendment and the original Agreement constitute the entire understanding be- tween the parties,and there are no verbal understandhW changing or modif W any of the terms of this Amendment. Buyer(s) hereby acknowl- edges that Buyer(s)has read this Amendment and has received a completed,signed,and dated copy of this Amendment on the date written below. Renewal by Andersen Corporation Buyer(s) Renewal Agreement Document and Payment Terms byAndersen. dba:Renewal b Andersen of Boston Y Hugh Jones&Stephen Watson Legal Name:Renewal by Andersen LLC 218 Elm Street HIC#170810 Northampton,MA 01060 wiNoow RE uarrcNr 30 Forbes Road I Northborough,MA 01532 H:(413)727-8199 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbaboston@gmail.com C:(617)232-0080 Buyer(s) Name: Hugh Jones& Stephen Watson Contract Date: 07/14/18 Buyer(s)Street Address: 218 Elm Street, Northampton, MA 01060 Primary Telephone Number: (413)727-8199 Secondary Telephone Number: (617)232-0080 Primary Email: 444steve36gmail.com Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Renewal by Andersen LLC d/b/a Renewal by Andersen of Boston("Contractor"), in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and incorporated herein by reference(collectively,this"Agreement'). Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed all work under this Agreement. Scc AwrnAJrc"T Total Job Amount: -$-jffM3— 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: $10,043 Balance Due: $20,090 Estimated Start: Estimated Completion: Amount Financed: $20,090 8-12 weeks 3-4 days Method of Payment: Credit Card We schedule installations based on the date of the signed contract and secondarily on Financing the date 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: Deposit paid via M/C; 1/3 due * installation ; 1/3 due 0 completion Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s) and Contractor. Buyer(s)hereby acknowledges that Buyer(s) 1) has read this Agreement,understands the terms of this Agreement,and has received a completed,signed, and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER Do not sign this contract if blank You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 07/18/2018 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. Legal Name..Renewal by Andersen LLC dba:Rene�Andersenof Boston Buyer(s) Signature of Sales Person Signature Signature George Holt Hugh Jones Stephen Watson Print Name of Sales Person Print Name Print Name UPDATED: 07/14/18 Page 2 / 24 Renewal Itemized Order Receipt Andersen. dba:Renewal by Andersen of Boston Hugh Jones&Stephen Watson �� 1 Legal Name:Renewal by Andersen LLC 218 Elm Street A�1 HIC#170810 Northampton,MA 01060 WINDOW as ue[Y[Nr 30 Forbes Road I Northborough, MA 01532 H:(413)727-8199 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbaboston@gmail.com C:(617)232-0080 ID#: ROOM: DETAILS: "x 101 Dining Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc x102 Dining Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc x103 Dining Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc x 104 Dining Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc 105 Living Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc X106 Living Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc UPDATED: 07/14/18 Page 3 / 24 Renewal Itemized Order Receipt Andersen. dba:Renewal by Andersen of Boston Hugh Jones&Stephen Watson may. Legal Name:Renewal by Andersen LLC 218 Elm Street ♦�♦♦ HIC#170810 Northampton,MA 01060 w:rnow ■c ucuACMr 30 Forbes Road I Northborough,MA 01532 H:(413)727-8199 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbaboston@gmail.com C:(617)232-0080 ROOM: 1.,07 Living Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc Y, 108 Living Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc x109 Living Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, As Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc 111 Ma Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Inters a�rWhiit�te, Glass: All Sash: High Performance SmartSun Glass, ��Wei fn, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc IWA12 Ma Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, Ph•Rat#e , Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc 113 Ma Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc UPDATED: 07/14/18 Page 4 / 24 Re/�n .,ewal Itemized Order Receipt Andersen. dba:Renewal by Andersen of Boston Hugh Jones&Stephen Watson Legal Name:Renewal by Andersen LLC 218 Elm Street j� HIC#170810 Northampton,MA 01060 WINDOW RE LAOEMRMT 30 Forbes Road Northborough,MA 01532 H:(413)727-8199 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbaboston@gmail.com C:(617)232-0080 • ROOM: X114 Ma Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc 4 115 1/2 Bath Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior hi` Glass: All Sash: High Performance SmartSun Glass, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style:f embpO s, Misc 202 Bath Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Oro Performance SmartSun Glass, No-094Hardware: White, Screen: Fiberglass, Full Screen, Grille Style:fir, Misc: None 203 Master Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Haftre: White, Screen: Fiberglass, Full Screen, Grille Style: Ws, Misc: None ' 204 Master Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, HarddwaarLe: White, VO Screen: Fiberglass, Full Screen, Grille Style: mss, Misc: None UPDATED: 07/14/18 Page 5 / 24 Renewal Itemized Order Receipt Andersen. dba:Renewal by Andersen of Boston Hugh Jones&Stephen Watson Legal Name:Renewal by Andersen LLC 218 Elm Street HIC#170810 Northampton,MA 01060 WINDOW ar ucrrcar 30 Forbes Road I Northborough, MA 01532 H:(413)727-8199 Phone:508-351-2200 1 Fax:(508)986-7072 1 rbaboston@gmail.com C:(617)232-0080 ROOM: DETAILS: OA09 Office Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Har reWhite, Screen: Fiberglass, Full Screen, Grille Style: . Misc: None J210 Office Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: 6e iii"es, Misc: None V0LW 211 Guest Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: files, Misc: None VOL f212 Guest Window: Double-Hung, Equal, Slope Sill Insert, Traditional Checkrail, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware: White, Screen: Fiberglass, Full Screen, Grille Style: Wax&FyUs, Misc: None F. WINDOWS:21 PATIO DOORS:0 SPECIALTY:0 MISC:0 TOTAL $30,133 0 Renewal by Andersen is committed to our customers'safety by complying with the rules and lead-safe work practices specified by the EPA. UPDATED: 07/14/18 Page 6 / 24 � NORTHAMPTvON HIS N(JRNORTHAMPTON,MACITY HALL 210 STREET SSACHUSETTS Uia o CITY HALL William Fenno Prattn^_8 _U Architect,IS49 -' Historic District Commission Decision: The Northampton Historical Commission voted unanimously on October 29, 2018 to grant a certificate of appropriateness pursuant to Section 195 of the Northampton Code for window replacement at 218 Elm Street, Map ID 31A-071, as submitted by Hugh Jones and Stephen Watson/Renewal by Andersen. The Commission finds that the work proposed,with required additional conditions, conforms to the performance standards of the Ordinance and Historic District Design Guidelines by considering compatibility with the existing parcel and the District. Additional Conditions: Prior to any work,the applicant shall provide revised plans and detail sheets for staff review and approval that include: "Six over six"window replacement of all windows visible from Elm Street and Harrison Avenue Divisions on windows shall be full divided light or true divided light, stick-on muntins or divisions between glass layers shall not be utilized I,Sarah LaValley, as agent to the Historical Commission,certify that this is a true and accurate decision made by the Historical Commission, and certify that a copy of this and all plans have been filed with the Commission and the City Clerk. I certify that this decision has been mailed to the owner and applicant. Any person aggrieved by a determination of the Commission may, within 20 days after the filing of the notice of such determination with the City Clerk,file a written request with the Commission for a de novo review by a person or persons of competence and experience in such matters, designated by the Pioneer Valley Planning Commission.