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04-14 BP-2022-0056 547 AUDUBON RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 04-014-001 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-2022-0056 PERMISSION IS HEREBY GRANTED TO: Project# window/doors Contractor: License: Est. Cost: 22015 RENEWAL BY ANDERSEN 090125 Const.Class: Exp.Date: 10/06/2022 Use Group: Owner: MCBRIDE ALAN F& HEATHER B Lot Size (sq.ft.) Zoning: RR/WP/WSP Applicant: RENEWAL BY ANDERSEN Applicant Address Phone: Insuranve: 30 FORBES RD 508-351-227 MWC31415820 NORTHBOROUGH, MA 01532 ISSUED ON:01/20/2022 TO PERFORM THE FOLLOWING WORK: REPLACEMENT OF 1 WINDOW AND 6 DOORS 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: IL,Ls, O . • yQ Fees Paid: $40.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner . • The Commonwealth of Massachusetts Board of Building Regulations and Standards • FOR Massachusetts State Building Code,780 CMR MUNICIPALITY USE NBuilding Permit Application To Construct,Repair,Renovate Or Demolish a 'Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number6A, 2, -cC,I Date Applied: I/?409c). Building Official(Print Name) Signature i Da( SECTION 1:SITE INFORMATION 1.1 Property Address: • : • 1.2 Assessors Map&Parcel Numbers • 547 Audubon Rd. 04 014-001 1.1 a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) • Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public CI Private❑ Zone Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERS13IP1 • 2.1 Owner'of Record: Alan McBride Leeds, MA 01053 Name(Print) City,State,ZIP 547 Audubon Rd. 413-427-9932 , amcbride3@msn.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction Existing Building) Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) 0 Addition 0 Demolition Cl Accessory Bldg.❑ Number of Units Other Specify: Replacements Brief Description of Proposed Work2: Replacement of 1 window and 6 doors. No structural changes. • SECTION 4:ESTIMATED CONSTRUCTION COSTS . Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building S 22,01.5 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee CI Total Total Project Costa(Item 6)x multiplier x 3.Plumbing $ -2. Other Fees: $ 4.Mechanical (IIVAC) $ List: 5.Mechanical (Fire Suppression) Total All Fees:$ / Check No.2 l q Check Amount 'I Cash Amount: 6.Total Project Cost: $ 22,015 •0 Paid in Full ❑Outstanding Balance Due: • • 'SECTION 5: CONSTRUCTION SERVICES 5.1 ConstructIon Supervisor License(CSL) CS-090125 10/06/2022 Jaime Morin • License Number Expiration Date • - ' Name of CSL Holder ' List CSL Type(see below) •• U 86 Gardiner St. No.and Street • Type Description Lynn, MA 01905• • U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted l&.2 Family Dwelling • City/Town.State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel.Burning Appliances 508-351-2277 rbabostonpermitting@andersencorp.com I Insulation Telephone Email address D Demolition • • 5.2 Registered Rome Improvement Contractor(MC) • 170810 12/22/2023 Renewal by Andersen HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name • 30 Forbes Rd. rbabostonpermitting@andersencorp.corn No.and Street Email address Northboroucih, MA 01532 508-351-2277 City/Town,State,ZIP • Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(NLG.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 IS( • 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 • to act on my behalf,in all matters relative to work authorized by this building permit application. . Alan McBride( See signed contract attached) 1/9/2022 Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNERI 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 acc' . e best of my knowledge and understanding. • Jaime Morin 1/9/2022 Print Owner's or Authorized Agent's Name'.'ectronic 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 .waw.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.nov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.fr.) (including garage,finished basement/attics,decks or porch) • Gross living area(sq.fi.) Habitable room count Number of fireplaces Number of bedrooms • Number of bathrooms Number of half/baths • Type of beating system Number of decks/porches • Type of cooling system • Enclosed Open 3. 'Total Project Square Footage"may be substituted for"Total Project Cost" • The City of Northampton A.:11 Building Department 4 212 Main Street Northampton,Massachusetts 01060 • Phone(413) 529-1402 Fax (413) 529-1433 • CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance with the provisions of MGL c40, 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 Forbes Rd.LNorthborough, MA 01532 The debris will be transported by: Name of Hauler Renewal by Andersen • Signature of Applicant:__ _ _ _ Date: 1/9/2022 The Commonwealth of Massachusetts E I. Department of Industrial Accidents y _ ►= 1 Congress Street,Suite 100 1.�� _��:i= Boston,MA 02114-2017 =_ 4 www.mass.gov/dia .r Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly• Name(Business/Organization/Individual): Renewal by Andersen Address: 30 Forbes Rd. City/State/Zip:Northborough, MA 01532 phone it: 508-351-2277 Are you an employer?Check the appropriate box: Type of project(required): 1.E I am a employer with 30 employees(full and/or part-time).* 7, 0 New construction 2.0 I am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.(No workers'comp.insurance required.) 9. ❑Demolition 3.❑I am a homeowner doing all work myself(No workers'comp.insurance required.]t • 10❑Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.E]Plumbing repairs or additions 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Roof repairs These sub-contractors have employees and have workers'comp.insurance. 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.®Other Replacement 152,§I(4),and we have no employees.[No workers'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. /O//P f/ Policy#or Self-ins.Lie.#: MWC 3141582. Expiration Date:-1/ 2/21 • Job Site Address: 547 Audubon Road City/State/Zip: Leeds, MA 01053 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration 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$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certzfy under the pains allies of perjury that the information provided above is true and correct Signature: Date: 1/9/2022 pbuac#: 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(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone II: • Agreement Document and Payment Terms 10 , dba:Renewal By Andersen of Boston Alan McBride Legal Name:Renewal by Andersen LLC 547 Audubon Rd RENEWAL HIC# 170810 Leeds,MA 01053 NYANDERSEN rwsunxE MOM DON:fvaux g 30 Forbes Road I Northborough,MA 01532 H:(413)427-9932 i Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com Alan McBride 09/03/21 Buyer(s) Name Contract Date 547 Audubon Rd, Leeds, MA 01053 (413)427-9932 Buyer(s)Street Address Primary Telephone Number Secondary Telephone Number amcbride3@msn.com Primary Email 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. Total Job Amount: $22,015 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: $7,337 Balance Due: $14,678 Estimated Start: Estimated Completion: Amount Financed: 16-20 weeks 4 days $0 Method of Payment: Credit Card We schedule installations based on the date of the signed contract 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 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 09/08/2021 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. &t('/Th•D1 Signature of Sales Person Signature Signature Steven Drury Alan McBride Print Name of Sales Person Print Name Print Name UPDATED: 09/03/21 Page 2 / 26 NAV Itemized Order Receipt• dba:Renewal By Andersen of Boston Alan McBride Legal Name:Renewal by Andersen LLC 547 Audubon Rd RENEWAL HIC# 170810 Leeds, MA 01053 brANDERSEN H:(413)427-9932 30 Forbes Road 1 Northborough, MA 01532 Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com ID#: ROOM: DETAILS: 100 all Misc: Misc, Boston Misc. Job Charges, ProVia - Entry Door System, See attachment for details. 101 den Window: Picture, EJ Frame, Exterior White, Interior White, Glass: All Sash: High Performance SmartSun Glass, No Pattern, Grille Style: No Grille, Misc: None 102 sunroom Patio Door: Gliding, 200 Series Perma-Shield, 2 Panel, Stationary/Active, Exterior Dark Bronze, Interior Dark Bronze, Glass: All Sash: Tempered High Perf. SmartSun Glass, Hardware: Tribeca®, White, Screen: Gliding, Full Screen, Grille Style: No Grille, Misc: None 900 All Misc: Misc, Boston Misc. Job Charges, Additional Job Notes, Military Discount - Customer's father Army veteran WINDOWS: 1 PATIO DOORS: 1 SPECIALTY:0 MISC:2 TOTAL $22,015 401` 41. Renewal by Andersen is committed to our customers'safety by &EPA complying with the rules and lead-safe work practices specified by the EPA. UPDATED: 09/03/21 Page 3 / 26 If Using a Builder dba:Renewal By Andersen of Boston Alan McBride Legal Name:Renewal by Andersen LLC 547 Audubon Rd RENEWAL HIC# 170810 Leeds,MA 01053 6yANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)427-9932 iwunxErwvdt HOURI fnrrr orou 9 Phone:(508)351-2200 I Fax:(508)986-7072 I rbabostonegmail.com 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. ivr-L. - Signature of Sales Person Signature Signature Steven Drury Alan McBride Print Name of Sales Person Print Name Print Name UPDATED: 09/03/21 Page 9 / 26 The Commonwealth of Massachusetts Department of Industrial Accidents _` ;'? Office of Investigations == = ' Lafayette City Center la" 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: Type of project (required): I.14 I am a employer with 30 4. ❑ I am a general contractor and 1 employees (full and/or part-time).* have hired the sub-contractors 6. El New construction 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. ❑ Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers' comp. insurance comp. insurance.t 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 employees. [No workers' 13.X Other Replacement 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 31415821 Expiration Date: 10/01/2022 Job Site Address: 547 Audubon Road City/State/Zip: Leeds, MA 01053 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 penal ' jury that the information provided above is true and correct Signature: Nd4-��L Date: 1/9/2022 Phone#: 3C7 0)2-77 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 51:'lumbing Inspector 6.0Other Contact Person: Phone#: Page 1 of 1 AWRD CERTIFICATE OF LIABILITY INSURANCE ° 2021 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 Willis Towers Watson Midwest, Inc. PHON. PHONE E No.EMI. 1-677-945-7378 INC.No): 1-888-467-2378 c/o 26 Century Blvd P.O. Box 305191 ADDRESS: certificatesfwi Ills.coat Nashville, TN 372305191 OSA INSURER(S)AFFORDING COVERAGE _ NAICS INSURER A Old Republic Insurance Company 24147 FIRMED INSURER B: Renewal by Andersen LLC 30 C Forbes Road INSURER C: Northborough, Ha 01532 INSURER D: INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER:W22288053 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. ADOL SUBR POLICY EFF POUCYEXP TBR TYPE OF INSURANCE NSO WVD POLICY NUMBER (MMVDDA'YYY) (MMI00IYYYY) LIMBS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000,000 CLAIMS-MADE I X I OCCUR PREMISES(Ea occurrence) $ 500,000 A MED EXP(Any one person) $ 10,000 MNZY 314161 21 10/01/2021 10/01/2022 PERSONAL BADV INJURY $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 4,000,000 X POLICY Li Ta• I LOC PRODUCTS-COMP/OP AGG $ 4,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE UNIT $ 5,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED IWITH 314159 21 10/01/2021 10/01/2022 BODILY INJURY(Per accident) $ _AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ _AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAR _OCCUR EACH OCCURRENCE $ EXCESS LIMB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X I STATUTE I IER AND EMPLOYERS'LIABILITY A ANYPROPRIETOR/PARTNER/EXECUTIVE YIN E.L.EACH ACCIDENT $ 1,000,000 OFFICERSAEMBEREXCLUDED? n NIA MAC 314158 21 10/01/2021 10/01/2022 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE$ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY UNIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more specs 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 Evidence of Insurance %. /Y�~ ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD art ID:21636556 551CI: 2252220 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washingto, reet-Suite 710 Boston,-Massachusetts. 02118 Home Im•ro; ;i �-i-; -e istration �it P . x t ,"Type: Out of State Corporation RENEWAL BY ANDERSEN LLC ,r Iation: 170810 ...-....� Eafkation: 12/22/2023 30 FORBES RD NORTHBOROUGH,MA 01532 `= ^4.1 ' � ". '''.r>' /4t 14„ ,tb 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:Out of State Corporation Office of Consumer Affairs and Business Regulation Regjatrgt.Loo '_ g_zo atr tion 1000 Washington Street -Suite 710 170810 12,,22/2023 Boston,MA 02118 RENEWAL BY ANDE 0 ' i'� TODD CORBO 1. I 30 FORBES RD5:40...K'. , iGLw6 NORTHBOROUGH NIA 01532 Undersecretary Not valid without signature x. «« cau JIII Division«Pw1.ssioral tensors i trt-ttl~/-Ea/ i__d a y use group which qs Board of Building R trdfons sod Standards We SO ISM�M eellte fad pi cubic meters)of ancieasd ( Y5 a{aa* ePaea 1 f C3-dn9O12= yg ' , Ares:1Oi05/2 22 JAM i. -/„1 II ON �H /r, O �5'di�af ,of � '. sf ' trine le poem asu stAlBaatwMossmeloodie 3',,!.,, 1tIMe8 ptleUeoMe�rwSIPSonfttlleEeMe� L. EM it y Meol�ett abed SIP Sono cdl Ap)7Mr4IN wale wrweaegsiSpl ' fee 264,umo4ruiea, ?ale 4 a Cka ei Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration ... • / Type: Supplement Cent RENEWAL BYANDERSEN Lt.0 ij:{ 's j- t-` 170810 , :�1�'�. ri Expiration: 12�/2021 30 FORBES RO 1: NORTHBOROUGH,MA 01532 M�ail r' 4y = i ac x t 0 oam VUpdate Address and Ratan C. =seataess aatarMain•u+aYuaa cass H EEWIrdVEVENT Registration valid forIndMNdW use only TYltr Suoner,ent Card Maas the ao:pirseon data B Staid return to: gagtstratloO miasma Clued Ca sumar Attaira and Business RapYen 1/grata 12/22/2021 tt100 WWilnplon Street-Sults 710 RENEWAL BYAtaDERSEt113.0 ttteebn,SA 0211e JAIME MORIN w �- n 90 FORBES RD fj it 4.44.4. NORTHBOROUGH,MA 01532 UndMee01ete1y w)," Not valid stgn.turr • Y m .povia.00m sw.»t.ma YOUR PROFESSIONAL-CLASS PRODUCTOtsN Legacy 20-Gauge Smooth Steel Entry Door with bear Glass QUOTE INFORMATION -�_Mcbuue __- =rantr. OE i ' . --s 0ETA0.S terrear Snipe entry Deer Tn Freopedever f..wa. 36"a 80'Nominal Size Unit Sue 37S116';at11a1b' - Frarne Depth:4 9WM16' No Brick t old Lght Hand tna,ong-inside L6oking Out 4 Panel 420 Style 20-Gauge Smooth Steel Doc. tornforTeth DtA ii X;, Cnetdgo tir-1 nwl Fervid•SA1-01 NI kel internal Grtei.N x--. __-. Geneva Bile Inside f Coal Stack Outside w Na dware AI Ha,r'veare et Satin N ctei Ruch Georgian Lockset Thumbwrn Deedbolt fNillt --- Ted.wed Coal Black Aiumluart frame Cladding•is Separate Box Geneva Blue Ptsxde kern Mk0 Rush ZAC Auto-Adenheig'rives/lead tS Sra'Depth) Satin N.ckel Bat Bearing hinges otmoa Puri Aunt vcw Security Plate SIZING 1111=1:111111 ENERGY gYpOg lip �� 0.21. 0.08 x'vrir' WIWIKt*,14.011 1 .f.t k..T1NBs tfbtr' bi 1I16 '- � ' t11,+'Ip,`K 1 0.08 vs NAM VI roan ate • mOdia,prorna.corn 920351-7S76 YOUR PROFESSIONAL-CLASS PRODUCT sax0tsr2 Legacy 20-Gauge Smooth Steel Entry Door with Clear Glass QUOTE INFORMATION Ick., MM1ctiride Tag'Back Entry DETAILS ) _ t Legacy Single Entry Door in FrameSaver Frame _ .• 4 .. - .. yr;x..y.+ P ,.ua1'S_. , - °_ Unit Size-#74Jt6'x 611tJt6" {y Fume Depth:9 yr16` ; ---°. No Bricideold - light Hand atswing-inside cooking Out 2 Panel 430 Style 20-Gauge Smooth Steel Doan Comforteth OtA • Colonial Pend!-Satin Nickel triter-nal Grid-2V x 29 stetting Gray Inside I Coat that*Outside It iH1dwar• All Hardware n Satin Nickai Rnrsh Georgian Lockset 'ty k mot.= � -J Thurrbturn Dcadbolt ix'-a, t` Pratna e1 3� ` -fir ',..e- - ry; Textured Coal Mark Alumatum Frame C'aacide g-in Separate Box Stetting Gray Inside Frame Mall Finish ZAC Auto-Adtustrng Threshold tS 5r8"Depth) Satan P ckel Bail Beanng Hinges yri;aE vo.'- .,,,,a .t. Security Plate .._. >ii41 y _. --___ .___.... IiANDi46 - -. = ME UN Mac B4.481.00 Tot*MAMAS lip 1111===.11.11. ' ..a et„ 1w}:. > s 0.13 ypryty Va MOW WS { It C sC rk.,,, I '::;a,'.+r ,r•.ava'anz r• ,-- -.--.., ',' ''. ,......,..,;,..,...wnm..rwvYrvr p,Ian.' wf<+l ia aW rs Vi. CC,I5airi.1'a a^rm n{odnantdsale-nwwylewteM1Mmt I modia.ppvl..com toalslma YOUR PROFESSIONAL-CLASS PRODUCT rota id irweeireieet Legacy 20-Gauge Smooth Steel Entry Door QUOTE INFORMATION DETAILS Ugary Singh Entry Door in FramtSaver Frame 20 Minute Fire Rated Door 32 x drY Nommai Sue Unit Sue:33 9V16'x!1 11 f 16' Frame Depth.4 9116' No Brs k,noid REBf t Nand insixong-lnvde tool ng Out ON Style 20 Gauge Smooth Steel Door erhng Gray!nsde and Outside Magdw.te Al Hardware n Satin Nickel Anon Fire Rated Georges!Lockset(2 3/8•Ba(kseti Fee Rated Thumbturn DeadboR(2 3/6'Backse4U a«.. Textured Sterkrtg Gray Munx!um kame Clatldxas Separate Box Sterling Gray Inside Frame 7 tikll Finish ZAC Auto•Adpx h}tetg Threshold fS sir Dept Satin Nickel Sprang Sommer Hinges ♦.« v ,....a _,._. ..,.,s Security elate ..- &MOE NEW WANG 04180r OUTI e aiwirwoolks. roe NAM Ir 6 a Ui .1EDri1 41 40014r SI 3.45 Psa Fr 5p 3 s r media prowa corn +fines+-734 YOUR PROFESSIONAL-CLASS PRODUCT ..,. I.Pgacy 20.Gauge Smooth Steel Entry Door with Clear(55ts`. QUOTE INFORMATION DETAILS Legacy Single Entry Dow in FrameSaver Frame 3 . .re _ t i Urns',qr.- 3 'i, "81 11/16. Frame Depth:a 4/16" - No Brickmold Mom Leh Hand Mahal-Innoe Looking Out th Steel Cm,. Comtor Tech DLA le % Colonial Pend Sam Sa tckel internal God--2V r 214 Stating Gray Made i Coal Black Outside _ .__.._...-- Matdwu All Hardware et Satin Nickel Finch Georgun Lotkset 12 3B'Backset) Thumbturn Deadbott(2 Yr Sacksetl Textured Coal Black Aluminum Frame Cladd+ng,-Mn Separate6ox. Starting Gray Made Frame '" MIN Finish ZAC Auto-Ad)ustmg Threshold(5 SW Depth) f;s +,..: Satin Nickel Bam Bearing Hinges u.n:or AN' 'Aron 14w Security Plate 11111.11111111=1111.11111 - ------_ - —-- - -- Se4l Price:Se,661.00 HANDtNG Totak s4,661.00 IIIIIIIIIIIIIIMIIIOIIIIMMIIIIIIIMI ors ir--•Ni err t]yT&EYE � ..� ,,.. ..w..,_..-.... MOW 0.24 0.08 0.13 `� n VW" III nvu t:+l,of+� >r WPM w Men as ENERGY STAR"Lerhtted to AB 50 stales t/dS ipynpr Si.2Cc:I-)..*ro me.ax et.n cola aM'i,Jactsw it pa et muse,,vnar sr.,ray Porn fwl p.rcr Arcr,ue•ailla 3D erys I f onms and,.•f3.onc ce'..• .cww yivna rorr.•rr- o m.ah.w+ovia.com smsstuis YOUR PROFESSIONAL-CLASS PRODUCT le lefts ft Nerelerftelraw01W Legacy 20-Gauge Smooth Steel Entry Door UOTE INFORMATION DETAILS Legacy Smite Entry Door in FramtSaver Frame R 8li'Nominal Salt • it tic rame Depth 4 4 tb• No enckmold Night Hand hs ong-inside Looking Out 001 Style 20{Gauge Smooth Steel Door rm Ean Blue inside and Outside �- - _. _.. ___ __ _. - ~ *lardtwra AN Hardware in Satin Nickel Fresh Georges Lockset Thurnbturn Deadboit Frame Textured Coa4 Black Aluminum Frame Cladding•in Separate Boa -.. . _..... _ Enaan Blue inside Frame Mill Finish UDC AMO•AdiuStng Threshakd(5 SB'Depth) Satin Nickel eat Bearing Hinges Security Plate GIME VIM ?a'SIOF vcw HANDING amen 0.17 0.00 f. .. I VW to Utf �IIIPi fie.—ntm 1 0.00 H tMOM VS WNW as 1111111111111111 U.S. Canada ENERGY ENERGY ix o STAR STAR Andersen" Andersen NFRC Certified S g u 6 w 7, v 6.0 v 4.1 Product Line 8 Glass Grille Type Products Ti it 12 ;Ag Product Typo Type Directory Number i i. to m .0 To U C v n Q = U V N N N N 2 N 3.1 Tempered Glass 'ad Pia Grilles and Grilles Loss Than 1 No Grilles AND-N-134135240001 0.28 1.59 0.32 0.55 23 <0.2 N NC - - W Simulated Divided Lite or installed Interior Removable AND-N-13-01352-00002 0.28 1.59 0.28 0.48 21 <0.2 V NC - - - - - Full Divided Lite AND-N-13-01358.00001 0.30 1.70 0.28 0.48 19 <0.2 N NC - - Fineilght"'(9ntlla-belween•theylass) AND-N-13-01370-00001 0.28 1.59 0.29 0.48 21 <0.2 -"1 NC - - No Grilles AND-N-13-01353-00001 0.29 1.85 0.20 0.31 15 <0.2 N NC - - tit s Simulated Divided Llte or Installed Interior Removable AND-N-13-01353-00002 0.29 1.65 0.18 0.27 14 <0.2 N NC - - IFull Divided Lite AND-N-13-01359-00001 0.31 1.76 0.18 0.27 11 <0.2 II - - - - - FlnelighP"(gdlles-between4he-glass) AND-N-13-01371-00001 0.29 1.65 0.18 0.27 14 <0.2 N NC - - 1NO Grilles AND-N-13-01354-00001 0.28 1.59 0.21 0.50 17 <0.2 N NC - - ) tit,q S1mulMed Divided UM or Installed Interior Removable AND-N-13-01354-00002 0.28 1.59 0.19 0.44 16 c 0.2 N NC EFull Divided Lite AND-N-13-01360-00001 0.30 1.70 0.19 0.44 13 <0.2 N NC II - - N FlnelighN"(grilles-between-the-glass) AND-N-1301372.00001 0.28 1.59 0.19 0.44 16 <0.2 N NC - - No Grilles AND44-13-01351-00001 0.29 1.65 0.53 0.81 34 <0.2 - - - Z3 C ut H Simulated Divided Lite or Installed Interior Removable AND-N-13-01351-00002 0.29 1.65 0A7 0.53 31 <0.2 - - - - 3 S Fug Divided Lite AND-N-1301357-00001 0.31 1.76 0A7 0.53 28 <0.2 - - - - a a. Finellghtr"(grilles-between-the-glass) AND-N-1341369-00001 0.29 1.65 0A7 0.53 31 <0.2 - - - - ! No Grilles AND-N-13-01522-00001 0.24 1.36 0.32 0.54 28 <0.2 N NC - - ut 4 Simulated Divided Lite or installed Interior Removable AND-N-13-01522-00002 0.24 1.36 0.28 0.47 28 <0.2 N NC - - - S i Full Divided Lite AND-N-13-01525-00001 0.28 1.59 0.28 0.47 21 <0.2 N NC - "''1 e 3 Finallght"(gr9lesbetwsen4haglass) AND-N-13-01531-00001 0.24 1.38 0.28 0.47 26 <0.2 N NC - - ZI --� No Grilles AND-N-13-01523410001 0.24 1.38 0.21 0.49 22 <0.2 N NC SC Z - 6 as 1 Simulated Divided Lite or Metalled Interior Removable AND44.13-01523410002 0.24 1.36 0.19 0.43 21 <0.2 N NC SC Z1 200 Series 9 3 }' Full Divided Lite AND-N-13-01526-00001 0.28 1.59 0.19 0.43 16 <0.2 N NC SC Zi II - Perma-Shield® ; _. Gilding Patio Door Finellghtm(grilles-between-the-glass) AND-N-13-01532-00001 0.24 1.36 0.19 0.43 21 <0.2 N NC SC 'A1 - ! No Grilles AND-N-13-01521-00001 0.25 1.42 0.48 0.60 36 <0.2 - - - Id' Z3 C e Y 1Q Simulated Divided Lite or installed interior Removable AND-N-13-01521-00002 0.25 1.42 0.43 0.52 33 c 0.2 - - - L.) - s Full Divided Lite AND-N-13.0152400001 0.29 1.65 0.43 0.52 28 <0.2 - - - - o- II - Finelightr"(grillesbetween-theglass) AND-N-13-01530-00001 0.25 1.42 0.43 0.52 33 <0,2 - - - Y: - 3.1 Tempered Glass-w/Grilles 1"or Greater Simulated Divided Lite or Installed Interior Removable AND-N-13-01352-00003 0.28 1.59 0.25 0.42 19 <0.2 NC SC Zt - - Full Divided Lite AND-N-13-01364-00001 0.30 1.70 0.25 0.42 17 <0.2 NC SC - - - Finelight"'(grilles-bstween4heglaes) AND-N-13-01378-00001 0.28 1.59 0.2a 0.48 21 <0.2 NC - I 1( - - Simulated Divided Lite or Installed Interior Removable AND-N-13-01353-00003 0.29 1.65 0.18 0.23 13 <0.2 NC SC - - - S a Full Divided Lite AND-N-13411365-00001 0.30 1.70 0.16 0.23 12 <0.2 NC SC - - - Finelight"(grilles-between-the-glass) AND-N-13-01377-00001 0.29 1.65 0.18 0.27 14 <0.2 NC SC - - - ! Simulated Divided Lite or Installed Interior Removable AND-N-13-01351.00003 0.28 1.59 0.17 0.38 15 <0.2 NC $C - - - W 5 S Vs Fug Divided Lite AND-N-13-01386-00001 0.29 1.65 0.17 0.38 13 <0.2 NC SC - - - e FinelightT"(grilles-between-the-glass) AND-N-1341378.00001 0.28 1.59 0.19 0.44 16 <0.2 NC SC -2t - - 1 Simulated Divided Lite or installed Interior Removable AND-N-1341351.00003 0.29 1.65 0.41 0.46 27 <0.2 - - .4 - - w S'a Full Divided Lite AND-N-13-01363-00001 0.31 1.76 0.41 0.48 25 <0.2 - - 1i FlneligM"(grillesbetween.theglass) AND-N-13-01375.00001 0.29 1.85 0.47 0.53 31 <0.2 - - 'if it Simulated Divided Lite or installed Interior Removable AND-N-13-01522-00003 0.24 1.36 0.25 0.41 24 <0.2 NC Ac ZI - W Full Divided Lite AND-N-13-01528-00001 0.28 1.59 0.25 0.41 19 <0.2 NC SC FlnNight"'(grilles-between-heglass) AND41-13-01534-00001 0.24 1.36 0.28 0.47 26 <0.2 NC - III it - c I Simulated Divided Lite or Installed Interior Removable AND-N-13-01523-00003 0.24 1.36 0.16 0.37 19 <0.2 NC SC Z1 - - c 1 Full Divided Lite AND-N-13-01529-00001 0.28 1.59 0.16 0.37 14 <0.2 NC SC - - J m n= i Finagght'v(gr9labetween-thaglass) AND-N-13-0153500001 0.24 1.36 0.19 0.43 21 <0.2 NC rSC _ 21 - This information is for reference only. 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