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20-009 (4) 486 SYLVES7ER RD BP-2019-1228 GIs#: COMMONWEALTH OF MASSACHUSETTS Mam'Block:20.009 CITY OF NORTHAMPTON Lot, 011 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Categmrv:window reRIKO BUILDING PERMIT Permit# BP-2019-1228 Project JS-2019-001986 Est.Cost:$14242.00 Fee: $105.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group RENEWAL BY ANDERSEN 090125 Lot Size(w.ft.): 114562.80 Owner. AARON AMY I&PATRICIA JENKINS Zoning: Applicant: RENEWAL BY ANDERSEN AT. 486 SYLVESTER RD Applicant Address: Phone: Insurance: 30 FORBES RD (508)919-0900 WC NORTHBOROMA01532 ISSUED ON:5/2/2079 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL 9 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: 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: FeeTvoe: Date Paid: Amount: Building 52120190:00:00 $105.00 212 Main Street.Phone(413)587-1240,Fax:(413)587.1272 Louis Hasbrouck—Building Commissioner Department use only City of Northampton Status of Permit Building De RECEIVED partment Curb Cut/Ddveway Permit 212 Main Street11rimerlSeptic Availability Room 100 WatertWell Availability N 2 2019Northampton, MA 01060 Two Sets of Structural Plans ph ne 13-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify DF.P OF BUILDINGI NORTH STRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: 0 Sylvester Rd. Florence, MA 01060 ��jj//''11 /'`7� Mapes Lot o`er r Unit Zone Overlay District Elm SL DWbkt CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Amy Aaron 6 Sylvester Rd., Florence, MA 01060 Name(Print) wreln Maine"Wd 413-586-7765 See Attached Contract Telephone Signature 2.2 Authorized Anent JAIME MORIN 30 FORBES ROAD NORTHBORO,MA 01532 Name(Prim) Current Mailing Address: 508-351-2277 Sign ureTelephone EC -ESTIMATED CNS UC N COSTI Item Estimated Cost(Dollars)to be Official Use Only completed by permitapplicant 1. Building 14.242 (a) Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 8 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) 14.242 1 Check Number This Section For Official Use Only Building Permit Numbs : Date Issued: Signature: S- Z- 2617 Building Commissionemnspedor of Buildings Date Section 4. ZONING ALL Information Must be Completed.Permit Can Be Denied We To Incomplete Information Existing Proposed Required by Zoning This column to be fillcd in by Building Department Lot Size L Frontage r__ Setbacks Front O O O Side L:0 R:= L:= R:= Rear 0 Building Height Bldg.Square Footage O % Open Space Footage _ % O (Lot area minus bldg a paved O ars #of Parkin Spaces _-_ Fill: volume a Laaatiom) A. Has a Special Permit/Variance/Finding ever been issued for/on the site? NO O DONT KNOW O YES Q IF YES, date issued: IF YES: Was the permit recorded at the Registry of Deeds? NO O DONT KNOW O YES O IF YES: enter Book Page and/or Document#L- B. Does the site contain a brook, body of water or wetlands? NO O DONT KNOW O YES O IF YES, has a permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained O , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: f D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O IF YES, describe size, type and location: E. Will the construction activity disturb(clearing,grading, excavation,or filling)over 1 acre or is it pan of a common plan that will disturb over 1 acre? YES O NO O IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable/ New House ❑ Addition ❑ Replacement Windows Akeretion[s) ❑ Roofing ❑ Or Doors LXJ Accessory Bldg. ❑ Demolition EJ New Signs [0] Decks [0 Siding[O] Other[E] Brief Description of Proposed Work; Replace 9 windows Alteration of existing bedroom_Yes_No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet W.H 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? I. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masacheck Energy Compliance form attached? h. Type of construction 1. 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 1. An,,Aaron as Owner of the subject property hereby authorize JAIME MORIN to ad on my behalf,in all matters relative to work authorized by this building permit application. SEE CONTRACT 5/1/2019 Signature of Owner Date NEW- 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 5/112019 Sgnature t Agant Dab SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor. Not Applicable ❑ Name of License Holder: JAIME MORIN 90125 License Number 30 Forb_eWRd. , Northborough, MA 01532 10-06-20 Address Expiration Date 508-351-2277 Sig m Telephone 8.Registered Home Improvement Contractor. Not Applicable ❑ RENEWAL BY ANDERSEN 170810 Company Name Registration Number 30 FORBES CAD NORTHBORO,MA 01532 12-22-19 Address Expiration Date Tekphmm508-351-2277 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.C.152,§2SC(S)) 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....... t No...... ❑ 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) u 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 faun 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 buildine Permit As acting Construction Supervisor you 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"cortifies 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 The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street.Suite 100 Homer,MA 02114-2017 w ,naszgoWdiu V\urkrri Comym TO FELE WITH THEmBufldeEING ora HORIF7ectrkia�Plumbert. TO BE FILED WRN THE PERMITTING AUTHORITY. Apolkam Information Pleue Print LAR11,11 Narne(Booneuv✓o pmruowlnaividueD:Renewal by Anderson Address:30 Forbes Ra. CHy/SIMNZip:NaMbwuuyl.MA 01532 ph=#:505.151-7277 Ae.y.a u emNaprt Own Ibe apraartue tma: Type of Project(required): L�Iremptyw.M30 mpbyen u.a.mmrm.,met• 7. ❑New construction 2❑Imamk pomimWvmann.ay.mr.rmaWure.vkw rwmry S. Remodeling m>caprin' INo.Wken rose..,naaum.l r❑I.m.l�vvoxra Jaw dl xwk mlkNf INp xnkni nomp mmm.e�mruaM l' 9. ❑Demolition a.❑I.m.nomeowmue.m Wauapmpov.m aadvtm.okmmrwopny I.nl 10❑Building addition eweummmm.am.emm Wee.mW,s'mnmm.mmmamwvwemle I1.0E1eeuiealnpaivoradditiom �.iaauue,luym. 12.❑Plumbingrepairs nadditions l�I.masmmalrmmwm-ms l as-'s-r— We.or6W rWa. 13. Roofr airs llerembawawt MeemplmmdW.e xnkm.'eine, ouume.: ❑ N a❑W<an•roryaYm aa4 W uaxv.have maratd deonpr oremmpap pm M4L c. 14.00awr RSPlaeement 153,411x).W xe Wre ro emplo,m IW xahai ewap.uewmre naansd 1 •Ny pmt W[asW tru rl uaxl Jw ae w 4 ftvti0n Ulox nma0 Wrr xnkni mmpmuu�polity urm.mim. tHmm.m.rb mama Nu aTWJ ubowa J.ry me morelW.mk.mwm kJ.q.uY cum.nv.s w,l.ubml..n..Ifd..aW lsm6 N'o.avm Au cask Wu b.moa m.c4d m.mii...l,am.baxmx 4 smeNde,.acwmcmn W.me.Wren W.m bw smarm Wn dorm If Je ma-rmuams Wee areal^Yen.Wq muu Fm��d[Jou �crop Wlip mm� L am an rwptayer Gat isprovldiwg wahers'ronpnsrWon Gsnrann/or my eryofoyers eeiarhthe polteyandjobdte in/orwadon Insurance Company Namc:Old Repubk Insuroelea Co. Policy a m Sel&ins.Gc.n MWC 31431500 _ _ Eapimion Due: 1011119 Job Sik Add.: 486 Sylvester Rd. Ciw/Smc)Zip: Florence, MA 01062 Attach a copy of the workers'compeamtion policy decimation page(sbowlmg the poNcy number and expiration date). Failure to secure coverage as required under MGL c. 152,b25A is a criminal violation punishable by a fine up to 81,500.00 and/or one-year impriwnment,in well at civil penalties in the form of a STOP WORK ORDER and a fine of up to 8250.00 a day agunu the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage venf.2 Ido hereerdfy undrrG vmrdDraaldrs o/perjury that the injommrion provided absew b bae andesrnea Date 5/1/2019 phone W. '7277 OJIBcid mar airily. Do not wife 1w chis mai in be eomplrted by city or town a/fataL Cir,or Tost.: Pi rmlul.lceme x lasing Authorltf(clecle one): 1.Board of Health 2.B Ming Departmvot 3.Ciryfrovu Clerk 4.C ectmeml Inspector S.Plumbing Inspector 6.Other Course,Perko.: Ph...n' '—all I.9. 1 of 1 ACOROE CERTIFICATE OF LIABILITY INSURANCE 11 1 10/01/1016 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: N Cie certificate holder Is an ADDITIONAL INSURED,me polkyfles)must MN ADDITIONAL INSURED Provisions or be endorsed. H SUBROGATION IS WANED,subject to the terms and conditions of tM policy.certain policies may require an endorsement. A statement on this certi8ute does not confer ri hfe W the cenlRute holder In lieu of such endorsement(s). 91u0e64n Auss Ylilia of Ymg iat., xnc. - - -- c/o 26 Century a1M wg'kltc[' 1-0]] 9E3-TIT] _ _ �jA4.M A RE .1 1-666_66)-]STs --'Aa e _ P.O. a 103191 AD0e8:..c.,f CMllie.eee_ aeMHlle, i3r 371305191 08A NauRFIpaINiOImaNCWEIMOE YMta N6URERA: Old aepupalo xuaaa— Ceelevy 16117 NSURED a. .l by aeytsu LLC NeU11ERB: .. l° C .. ae.6 NeNYat: bKaLoiou9a. Y N.12 08A Nuarem D. _ NNI®IE: F. COVERAGES CERTIFICATE NUMBER:Re11TT6e REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWONSTANDING ANY REQUIREMENT.TERM OR CONDITION OF MY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MY BE ISSUED OR WY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY NAVE BEEN REDUCED BY PAID CIAIMS. LWIP YFi PQYFV I..- ..._.- LYllle MEp N61XNNCE X WYIBKNLOErIEMLIYYIrY " !EACH OCCURRENCE 5 1,000.000 GAIMSMAOE X_ OCCURpg' 9ESd(F. S $00.00° • __ ___ MED EA' Polxn 1 10.000 _. R1ISy 314161 10/01ry018 10/01n010 pensoNALaAw slArRr s 1.oeo.000 DFNLADOIEDMEIYrIPPYF6 PER aENERKPOLAEGATE f 6,000.000 X El AM E]LOC pRODULTs.COMp,OPID6 $ 6.000.000 OTHER: a araffuserr AIIIOYOaL[LMaaRY NN ^� f $,000,000 X ANY AUTO bbLY INJURY(pw ryun) S AUTDS ONLY AUTOS atm 1161$5 10/01/2028 30/01/2019 0001 NJVR I^s amEml $ _AUTOS CYIY AUTOS _ • OwNEo AUTO AUT 0.OID TVOVNCE $ �f VusaELLALD.B CCCIN FACNOCLURRpa£ S ___ iE%CE66 WB 'i 'r fCWM6-DINE AWRFLMT DELI RETENTIONS S Wtll%ERb LO1PF116ATpN X R - A RO FTORNAmNEWEXECUTNE b YIA E.L EACH ACCNERr S 1.°0°.000 OFF¢ERmEMBERC UUDEM M 116159 00 10/01/2018 10/01/1all 1.000.000 IYwnaWlvyln MM) FL OIOE/SE-FA i IOESLRUp OF RATIONS tMar FL gSEASE-PoIKVLYar f 1.000.00 FF 0l8CRYMce Julo issupla es Prariousily PLA° CaJd,ificats MWW.MNMYe1MY11TH Mt 1291 Fhie Volda aYa MDleese PreVlOmly Laub Certitieeb Dated 10/OS/]018 1111TH IDr N9191089. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED N ACCORDANCE WITH THE POLICY PROVISIONS. AUIMORDEDREPREEE/M��A..TNE C /if avidenc. of 1ceN / ®1088-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016101) The ACORD name and logo an registered marks of ACORD N lm 16836188 Nxe- 892974 D o u b l e H u n Repnewaf "MCI bYA nderser.t - _ta n000weeruceaewr ,..v.e.,w=�mwv WO MnMI Congw5lem IF Duel Argon low E651nari5un Dwem NnPg tgo-oatnsta-oto ENERGY?ERFORM ICER RIGS U-Factor(U.S)A-P Solar Heat Gain Coefficient _ , 0— oe . 0 a�m�a�.aEw•oRcE Ra:lxes Visible Ttansmittence 42..,.p..,.. xcv..w....w�erow>vw.4 ewx.NrtP mS. w�ugnr� H-LC25 N6A 93oped 5111 DH IN .w....rw,oua.emwz uewi..rw.���.o am..a.se,eso..uFc yr vWu.r...a...raen..r.c...�ew,nw.. '011 NCB160NM WN3K]q 1 kA. olRu 1 MOM MIMM 00 q ygaq��pq�uya�eygga M0101NLL=m4mlw w" ?!�Orp11dd11pP11�N./11 . pm ,,,,��rruuyy.... '0'11110wOONA'1YIIliv1 am gpmpsm %up* i ( wi�wM-�alduoln9�wwD t P��941N+N�pO W pW0 14MddNd.WMINi�Mtl/11Flit ILLNi.a � �4�IiiM��Mp1.MP1✓e! 'gg7aNP.dlpMnis<Mw..1...7�q.� ' i 7�IaPn11gP..Illwpuu• q.q./ va.N ' ' W.Na.+P(ualaw alC�a lddlW awta 000'91 uo47aM � ' �Wl1..m�6oan Auap•aflVP6-C.VI.P+.11 aaroneiro rnron�..n � j r "Mill lwAw man f 4 snowso P. .0 a Y �nrvµ&���.ww�awwaoe ..Id11.?Il N..MMI.�d P.Wa W 0 .. NF..WMNWM WnM�7 's Renewal Agreement Document and Payment Terms M'Andersen. dba:Reouval by Andersen of Boston Any Aaron or Legal Name:Renewal by Andersen LLC ass Syberter Rd. i� MIC 0170810 Florence,MA 01062 ��Illl���I"ll,'��„W►►►►►v.. 30 Forbes Road I Nonbboroug4 MA 01532 K(413)586-7765 Phone:50B-351-22001 Fax (508)SW 70721 rbangtonbookin90andersencorp.corn Buyer(s)Name: Amy Aaron Contract Date: 04/16/19 Buyer(s)Street Address: 466 Sylvester Rd., Florence,MA 01062 PrimaryTtlephone Number. (413)586-7765 Secondary Telephone Noughts. Primary Email: aaronamy490gmail.com Secondary Email: Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Renewal by Andersen I.I.0 d/b/a Renewal by Andersen of Boston("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Term,any doamenrs lured in the Table of Contents.and any other document attached No chis Agmensent 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. Tod Job Amount: $14,242 By signing this Agreement,you acknowledge that the Balance Due.and the Amount Financed most be made by persoml check,bank check,credit card,or cash. Deposit Raeived: 54,746 Balance Dere: 59,496 Estimated Start: Estimated Completion: Amount Financed: So B-10 weeks 1.2 days Method of Payment: Credit Card We schedule installations based on the date of the signed contnet and secondarily on 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 ea reme weather arc the most common causes for delay. Notes: Visa 1/20$4,746; Start 1/3 54,748; Sub.Comp. 1/3 $4,748 Buyer(s)aaggrees and understands that this Agreement constitutes the entire Understandings between the parties and that there are no verbal understandiupt changing or modifying any of the terms of this Agreement.No alterations to or deviations from this Agreement will be valid without the signed,wrinen consent of both the Buyer(s)and Contractor.Buyer(s)hereby acknowledges that Buyer(s) I)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 one 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 ANYTIME NOT LATER THAN MIDNIGHT OF 04/19/2019 OR THE THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION, WHICHEVER DATE IS LATER.SEE THE ATTACHED NOTICE OF CANCELLATION AT ION FORM FOR AN � LA� 06T, N OF THIS RIGH Signature of Sties Person Signature signature Mkchell Toro Amy Aaron Print Name of Sales Person Pint Name Print Name UPDATED: 04/16/19 Page 2 /25 Renewal Itemized Order Receipt MAndersen. dbe:Renewal by Andersen of Boston Amy Aaron 1 p� Legal Name:Renewal by Andersen LLC 486 Sylooter Rd. HIC#170810 Florence,MA 01062 a..o. .n..e..... 30 Forbes Read I Nonnibmough.MA 01532 H:(413)SM-7765 onions:SOB-a51¢mg 1 Fax (508)986-70721 NabononbookingWnderseM9rp.com ROOM: 101 bath 1 Window: Double-Hung, Equal, Slope Sill Insert, Contemporary Checkrail, Exterior White, Interior White, Glass:All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Hardware:White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles. Misc: None 107 living Window: Double-Hung, Equal, Slope Sill Insert, Contemporary 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: None 103 living Window: Double-Hung, Equal, Slope Sill Insert, Contemporary Checkrail, Exterior While, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Hardware:White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc None 201 bed I Window: Double-Hung, Equal, Slope Sill Insert, Contemporary i 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: None 202 bed I Window: Double-Hung, Equal, Slope Sill Insert, Contemporary 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: None UPDATED: 04/16/19 Page 3/25 ReL_nJe—wal Itemized Order Receipt bYAndersen' dba:Aeoewal by And—of Boer.. may Aaron Legal Name:Renewal by Andersen LLC 486 Sylvester Rd. HIC#170810 Florence.MA 01062 mese a raemnr 30 Forbes Road I Northborough,MA 01532 R(413)586.7765 Mom:50&351-22001 Fax:(508)98fi-)O)21 NabostonbookingOandenemoro wm a •• 203 bath 2 Window: Double-Hung, Equal, Slope Sill Insert, Contemporary Checkrail, Exterior White, Interior White, Glass:All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Hardware:White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Ii None 204 bed 2 Window: Double-Hung, Equal, Slope Sill Insert, Contemporary 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: None 205 bed 2 Window: Double-Hung, Equal, Slope Sill Insert, Contemporary Checkrail, EWerior White, Interior White, Glass:All Sash: High Performance SmartSun Glass, No Pattern, Hardware:White, Screen: Fiberglass, Full Screen, Grille Style: No Grilles, Misc: None 206 bed 2 Window: Double-Hung, Equal, Slope Sill Insert, Contemporary 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: None WINDOWS:9 MTIO DOORS:0 SIPMACIN.0 MISCO TOTAL $14,242 ® Renewal by Andersen it committed to our cmromed.ra asy by complying with the rules and lead-safe work pmetien specified by the EPA. UPDATED: 04116119 Page 4 t 25