32A-217 (2) BP-2023-0499
14 HANCOCK ST COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
32A-217-001 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-2023-0499 PERMISSION IS HEREBY GRANTED TO:
Project# 2023 ROOF Contractor: License:
Est. Cost: 22337 RENEWAL BY ANDERSEN 090125
Const.Class: Exp.Date: 10/06/2024I
Use Group: Owner: LEVINSON ARNOLD G&MARILYN ROBIN
Lot Size (sq.ft.)
Zoning: URC Applicant: RENEWAL BY ANDERSEN
Applicant Address Phone: Insurance:
30 FORBES RD 508-351-227 MWC31415822
NORTHBOROUGH, MA 01532
ISSUED ON: 04/24/2023
TO PERFORM THE FOLLOWING WORK:
REPLACE 4 NON-STRUCTURAL WINDOWS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House# Foundation:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: i Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
yQy '1 •
II
Fees Paid: S40.00
212 Main Street,Phone(413)587-1240,Fax: (413)587-1272
Office of the Building Commissioner
Department use only
I 6AI
City of Northampton Status of Permit:
Building Department Curb Cut/Driveway Permit
- -:I C-71
: .. ; 212 Main Street Sewer/Septic Availability
Room 100 Water/Well Availability
ry G-7."=1 Northampton, MA 01060 Two Sets of Structural Plans
w phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans
Other Specify
1 1
AI PUICATIQN TO CONSTRUCT,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: i'/- Map 3 2
?- Lot `J
C� �CD CA— { Unit C (
Ale, n�I J i7 /„9 0/06o Zone °Re Overlay District
Elm St.District CB District
SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record: '�` ,t
'c 0/4f( J iji>7.5-0,2 1y N.,-7 oci__ Y� 44,- 1a.4 !/ h mo
Name Print) Current ailing Address: O L UEr0
l �/3 - 3 � - a9el
6' Telephone
atur
2.2 Authorized Agent: �r
Getz 1 C L . c2 r?P,r T2 / 5 6 -Ira , Ba.� c C�/4)14,4 4 e
Name(Print Current Mailing Address: 6/6d
ICO - 1`5"2— yl/7--
Signature Telephone
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building At 2 2/ 33? Jo (a)Building Permit Fee
2. Electrical (b) Estimated Total Cost of
Construction from(6)
3. Plumbing Building Permit Fee ...0.
g_v
4. Mechanical(HVAC)
5. Fire Protection
6. Total=(1 +2+3+4+5) CR 2 a, 33 7, Check Number t 2.S'I 2--
//�� This Section For Official Use Only
Building Permit Number: 8p_ 2D23 O i ?1 Date
Issued:
Signature: �/2 LI-ZLI 2Z3
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 ev r been issued for/on the site?
NO Q DON'T KNOW YES Q
IF YES, date issued:
IF YES: Was the permit recorded at the Regis of Deeds?
NO O DON'T KNOW YES Q
IF YES: enter Book Page and/or Document#
B. Does the site contain a brook, body of water or wetlands? NO 0 DON'T KNOW YES Q
IF YES, has a permit been or need to be obtained from the Conservation Commission?
Needs to be obtained Q Obtained Q , Date Issued:
C. Do any signs exist on the property? YES Q NO
IF YES, describe size, type and location:
D. Are there any proposed changes to or additions of signs intended for the property? YES Q NO a
IF YES, describe size, type and location:
E. Will the construction activity disturb(clearing,grading,exc Lion,or filling)over 1 acre or is it part of a common plan
that will disturb over 1 acre? YES NO
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 Wi aI'ows Alteration(s) n Roofing D
Or Doors
Accessory Bldg. ❑ Demolition ❑ New Signs [El] Decks [Q Siding [0] Other[El]
Brief De ription of Propos I J
Work: Q/rlff►u., c a-[',Pi .J�✓��Uws /!ram 1� ev , "v S��
Alteration of existing bedroom G Yes 17No Adding new bedroom Yes ✓ No oa.
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
I, ,as Owner of the subject
property
hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
I, Gera.)d L. (.ia rke,r q2 ,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.
Print Name
( — zo z)
Signature of Owner gent Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: Not Applicable ❑
Name of License Holder: ,Ja,'/✓k /11
- i' 141t//I 0 / D I15-
License Number
3 D (2sht5 , /14 4" li 104 015 32 /0/6L Z y
Ads,ss )) Expiration Date
AGrect4.
/ P q j
wir
ignatt 1 ` Telephone
9.Re istered Home Improvement Contractor: Not Applicable 0
e /41'41 -) /qnekerS (Li-' / =f-C, g 7 0
Company Name Registration Number
SO .r,,rhr? 4 el /t)d 614boro.01• pi 4 -o /c 3 Z (2-/ z z1/ z
Address ,� (, Expiration Date
Q�e)Telephone - 95e--Li/Z
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6))
Workers Compensation Insurance affidavit ust be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the buildin ermit.
Signed Affidavit Attached Yes No 0
11. - Home 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
a 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: /' /'1cotit- //0 a i)14 i4/ of oho
The debris will be transported by: fit,, Cfa6µe ' r' "
The debris will be received by: Wctif /14a -e444 ekti
Building permit number:
Name of Permit Applicant (oaf-a"d C. Crot x- J2
tg-
Date Signature of Permit Applicant
,,,..
The Commonwealth of Massachusetts
Department of Industrial Accidents
.',. .e.._; Office of Investigations
Lafayette City Center
-,' -;r•1• --- -
2 Avenue fie Lafayette. Boston,MA 02111-1750
• www.mass.govidia
Workers'Compensation Insurance Affidavit: Buildersit'ontractorsiElectricians/Plumbers
Applicant Information Please Print Legibly
Renewal by Andersen
Name(Business°OrgartuationAndi vidual):
Address: 30 Forbes Rd ,
,
City/State:Lip:Northborough, MA 015_32 Phone tt:508-351-2277
Are you an employer?Check the appropriate box: Type of project(required i
1.0:4 I am a employer with 30 4. ID 1 am a general contractor and I
6. 0 New construction
employees(full and'or part-time).* have hind the sub-contractors
listed on the attached sheet. 7. 0 Remodeling
2.D I am a sole proprietor or partner-
ship and have no employees These sub-contractors have 8. Ei Demolition
working for me in any capacity. employees and have worker,:
9. 0 Building addition
[No workers' comp.insurance comp. insurance.:
required.) 5. El We are a corporation and its 10.0 Electrical repairs or additions
3.0 I am a homeowner doing all work officers have exercised then 1 1.0 Plumbing repairs or additions
myself. (No workers' comp, right of exemption per MU_
12.0 Roof repairs
insurance required.) ' C. 152.4104).and we have no 1 3.18/other Replacement
employees. [No workers'
comp. insurance required.]
°An y applivain that ciweks box#1 must also fill our the seviieri below siwiwing their\visite&cottons:mon policy infoornation.
+
Homeowner,who submit this Aida+.a indii:ating the are doing all woli and then hire outside contractors must submit a new affidavit indicating such.
:r.unitise:tors that closet this but must attached an additional sheet showing filename of the sub-conaractots and state whether or not those entities has
Cfnflk.) . If the•tilf-1..t)Itif.A.Elit.\Li\C 014,10±...-c...the:!, ni of pilt\tdc then 'A of k..'r\'comp.rwiliev nuintsei.
I am an employer that is providing worlters•contpenstition insurance for my employees. Below 15 the policy and job site
infOrmation.
Insurance company Name Old Republic Insurance Co.
Policy 4 or Self-ins. Lie. MWC 314158 22 Expiration inc. 10/01/2023
lob Site Address. 14 HANCOCK ST CityStaie tip NORTHAMPTON, MA 01060
Attach at cops of the vs+fawn° compensation polio declaration page ts.hipoing the policy number and expiration date).
Failure to see urs. ,,,\eiage as requosJ under Section 25A of Wit.c. 152 can lead to the imposition of criminal ps.:..ntieN of a
fine up to S1.5tXI_00 antler orie-sear imprisonment, as well as civil penalties in the tOrin of a STOP WORK ORDER and a fine
of up to$250.01)a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
lmestigations of the DIA tot in-mance s to.,cra.2%.• N.\litication.
I do hereby certify under the'pains and penalties of perjury that the information provided abate is true and correct.
Siguiturc: kield4OP 4401Z Ra, 4/13/2023
Phone 4 9 -?00 - qsz
Official use only. Do not write in this area.to he completed by city or town official
( it% or Town: Permit/been kr # a
Issuing Authorit icheek one):
101Inard of Health 20 Building Department 33 itylovin Clerk 4.0 t R,irit.:il Inspector Salunibirit
Inspector 6.00ther
( optic'*Pertain: l'h.,ii, -. . .
Page 1 of 1
ACCPROr CERTIFICATE OF LIABILITY INSURANCE osnlr o 'THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER.AND THE CERTIFICATE HOLDER.
IAPORTANT: N the caetMate holder Is an ADDITIONAL INSURED.the pobcy(lee)must have ADDmONAL INSURED provisions or be endorsed.
If SUBROGATION IS WANED.subject to the terms and conditions of the policy,certain polid'ss may require an endorsement. A statement on
this certitude does not confer tights to the atlM.ate holder In lieu of such endoresmem(s).
PNOOUCER COMACT
NA NE. 11111.111 Torero Watson C.rtificat. C..tar
Rill i. 20.ar. N.taoa Wawa t, lee. PRONE
c/o 26 caetuey laird .a� 1-077-945-7379 I,FA"s.NaL 1-ee11-467-2374
EARL
P.O. act 305191 Armamu cer tlf icat..lmillia.ma
Markel 11a, 151 372305191 Con Nµp19VS)AFFOm.O COVERAGE NAIL*
NNIRERA. Old a publ1c insurance Company 24117
IMUIED NsWER$:
ll..a.mal by•.dense. LLC
30 rumba* bead Ne1RERC:
Nortbbere.pb, NA 01532 NIUER D
DIMMER E
INSURER F.
COVERAGES CERTIFICATE NUMBER:N26007451 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE NSURED 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. TIE 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.
LIR TYPE OF NaURANCE POLcr wnalER ereormn, r urns
X CORG1301214.GEIERAIUMIJTY EACH OCOM ENCE 6 2,009,000
UNNSICIETCINurreu
' 1 I CWMSMAOE X OCCUR PREMISES iSe 0401nenan t SOO,000
A RED EXP(Net orr DANORI ; 10,000
1N1T 314161 22 10/01/2022 10/01/2023 PER96NAL A AWINAIRy f 2,000,000
GEM.AGGREGATE UNIT/PRIES PER: GENERAL AGGREGATE ; 4,ODD,000
PCUCV Q AC [J 10C PROoucrs-COMFMDP AGO a 4.000,000
I OTHER.
AUTOGOGLE UMUTY LCOOAaPI D SINGLE LSAT $ 5.000,000
blirb
0-+
X ANY AUTO BODILY INJURY(Per p.rmoni I
A ~OMNED ._9C3EDULED MOM 314159 22 10/01/2022 10/01/2023 BODILY NARY(Per ac dent $
OS
HAD ONLY �� AUTNObbsNED PNOPERTY DAMAGE
AUTOS ONLY AUTOS OILY *Per amemm
rW`I r A UAB _J OCCUR EACH OCCURRENCE e
EXCESS LIAR CLASIBJMDE AGGREGATE ;
DED I I RETENTION; ;
MIOIe®sCOMIPENIA710N X I STATIRE i I Will-
AND BILOYER6'LAAdLRY
A AIMPROPtIETOWPARTNER,EXECUTNE Y)N EL EACH ACCIDENT $ 1.000,000
OFFCERMELr3EREXCLUOED7 El N/A I! 3141Se 22 10/01/2022 10/01/2023
U7..611rs NINON EL DISEASE-EA EMPLOYEE t 1,000,000
OErCR. 00O PERATON6 O.or EL DISEASE PCUCY UNIT t 1, 0,000
osscassor OF OPERATIONS/LOCATIONS I M6MC US IACORO IM.A4ee...1 alaMaa GROG A as/5.AaMdud Rant yem.Y rb9M.M
CERTIFICATE HOLDER CANCELLATION
SHOULD AMY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIATION DATE THEREOF. NOTICE WILL BE DELNERED N
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTNONRE0$E,5U®RATNE
` � -
d1d..o. .t Insurance'
01111111-2016 ACORD CORPORATION. Al rights!monad.
ACORD 25(2016/03) The ACORD name and logo me registered marls of ACORD
aw ID: 23076070 nx.: 267 632 4
V Commonwealth of Massachusetts COaialftwratt111aar
Division of Occupational Licensure Doraaenctod_B+ililla s of tw l to ti group w hit h contort •
Board of Building Regulations and Standards less than gpp topic Mal OM cubic anlat:)of andouisd
cnstort-rt"714 on IS rvtsor 'a
p
CS 090125 spires; 10/06/2024
JAIME L 161041171 i
54 NOTTINGRAM RD
RAYMOND Nit 0307T:
-L;t:: li..,,
.44)aval FMlws to possess a curls*salba ot the StawdNaaMs
CcaTur s.s:oncr `""Q /. i3,aacg+t. sub etdbilog Coda Is come for macaw ofthis Mn oae.
For wdormation about Ibis license
Cal 017)71T-32S or visit wwts.ws.goatdp1
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washingty Strom-Suite 710
Boston, Massachusetts 02118
Home lmproyeine11.Contractor epistration
,n=7 Type Supplement Card
--:Reg abod, 170010
RENEWAL BY ANDERSEN LLC Ertpfatton 12/22/2023
30 FORBES RD
NORTI4sOROUGH.MA 01532
J1,4.f, t.., Update Address and Raton Card.
THE COMMONWEALTH OF MASSACHUSETTS Registration valid for individual use only before the
pthcs of Cornunwr Affairs Si Business Regulation Rem oo therm N Mond rotten to
HOME IMPTYPE.ROVEMENT Sig 4Ile CONTRACTOR tit Office of Consumer.Affabrs and Business Regulation
RIO01 �Yx+ wnt finaliees Loop wuAlngton Street -Suite 710
170410
1211212023
Boston,MA 02111
RENEWAL BY ANDERSEN LLC
30 FORSWORE) ;,,,,,.,r r a4d..t �j --
NOp�OROuGH.MA 01532 Undersecretary Not lid without s19ri3tura
‘Iffit
RENEWAL
2./trt
brANDERSEN
filkiEnG►MMOON;CON t� sages
To Whom It May COMM:
This letter will authordtt the ffi1ow=ng personls) to act as agent(s)on behalf of Renewal by
Andersen LLC, 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
doors EntiPr Massachusetts 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
Authorized person(si:
Go Permits L1.0 Sarah Hammad David Anderson Maureen Kivel
Scott Doughman Ryan Bkondo Sovannara Kuy Mark Foster
Wynn Norgan Jennifer w►nke Wendy Holden Gerald Cramer
Nick Raeo Dane!Vitkerrnan Stepher Wilder Katie Grocott
Bonnie Myers Carrie 1oligno Michael Rogers Rachel Orloff
. amie Morin_ w._.
Renewal by Andersen lit
H IC 170810
CSL—CS090125
local District Office Address
30 Forbes Rd
14crthboraugh, MAO1532
41 issf Andersen Lit 9900tarnxtrsAwe South,(COW nae MV SSCi1G
, _ RENEWAL
y:, brANDERSEN
FULLNCE WINDOW&DOOR REPLACEMENT
J SER
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
RENEWAL BY ANDERSEN SPECIFICATION Et TECHNICAL MANUAL
PERFORMANCE RATINGS AND TEST DATA
NFRC Total Unit Performance
.,.. r u-Factor
Renewal by Andersen High Performance Glass Type (Bit)1(hr ft2 oF)) SHGCyr
Product
Air HP Gas Blend Air HP Gas Blend
Without Grilles 0.42 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 0.32 0.29 0.25 0.25
Casement Without Grilles 0.32 0.29 0.17 0.17 .40
G Low-E4E 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®SmartSun,u
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 Heatlocki" 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 0.32 0.29 0.25 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®SmartSun1°
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 HeatLockTM Full Divided Light Grilles 0.27 0.25 0.17 0.16
Without Grilles 0.46 - 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
uble-Hung Without Grilles 0.33 0.30 0.20 0.19 .40 IN
(All 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
Clow-E4®SmartSun
ivided Light Grip 0.34 (fs , 0.19 0.19
___fur � Without rrillpc n n n 25 n 2n n 2q Al oil
with Heatlock"" Full Divided Light Grilles 0.30 0.27 0.18 0.18
09-9 COMPANY CONFIDENTIAL- REVISION AA-Ol
RENEWAL BY ANDERSEN SPECIFICATION &TECHNICAL MANUAL
PERFORMANCE RATINGS AND TEST DATA
NFr
0-Factor SHGC f
Renewal by Andersen High Performance Glass Type (BlU/(hr ft2 oIl) VT
Product
Air HP Gas Blend Air HP Gas Blend
Without Grilles 0.42 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-E4e
[
run uroiaea trgnr urines use u.ca u.cn 0.25
Casement Without Grilles 0.32 0.29 0.17 0.17 .40
a Low-E4 Sun
Fixed Full Divided Light Grilles 0.33 0.30 0.16 0.15
ithuut 6rilfes� 0.31 0.2: 0.19 0.18 .65
Low E4�SmartSunT"
Full Divided Light Grilles 0.32 0.29 0.17 0.17
Low-E0 SmartSun Without Grilles 0.26 0.24 0.18 0.18 .63
with Heatlock'" 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-E4m
Full Divided Light Grilles 0.32 0.29 0.25 0.25
Without Grilles 0.32 0.29 0.17 0.17 .40
Awning Low-E4C 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®SmartSunw
Full Divided Light Grilles 0.32 0.29 0.17 0.17
Low-E43 SmartSun Without Grilles 0.27 0.25 0.18 0.18 .63
with HeatLockTM Full Divided Light Grilles 0.27 0.25 0.17 0.16
Without Grilles 0.46 - 0.58 - .82
Clear
Full Divided Light Grilles 0.46 - 0.52 -
Without Grilles 0.33 0.30 0.31 0.31 .72
Low-E40
Full Divided Light Grilles 0.34 0.31 0.28 0.28
Double-Hung OG Without Grilles 0.33 I 0.30 0.20 0.19 .40
(All 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®SmartSunr"
Full Divided Light Grilles 0.34 0.30 0.19 0.19
Low-E4$SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63
with HeatLockr" Full Divided Light Grilles 0.30 0.27 0.18 0.18
09-9 COMPANY CONFIDENTIAL- PEVISION AA-01
Agreement Document and Payment Terms
DBA:RENEWAL BY ANDERSEN OF BOSTON Arnold Levinson
kfr,Ds
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t Legal Name:Renewal by Andersen LLC 14 Hancock St
RENEWAL HIC#170810 Northampton,MA 01060
byANDERSEN 30 Forbes Road I Northborough,MA 01532 I H:(413)320-6982
Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(413)584-3034
Arnold Levinson 04/07/23
BUYER(S)NAME CONTRACT DATE
14 Hancock St, Northampton , MA 01060 (413)320-6982 (413)584-3034
BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER
toarnie41@gmail.com
PRIMARY EMAIL SECONDARY EMAIL
NOTES:
Buyer(s)hereby jointly and severally agrees to purchase the products and/or services of Renewal by Andersen LLC d/b/a Renewal By Andersen of
Boston("Contractor"),in accordance with the terms and conditions described in this Agreement Document and Payment Terms,any documents listed in
the Table of Contents,and any other document attached to this Agreement Document,the terms of which are all agreed to by the parties and
incorporated herein by reference(collectively,this"Agreement").Buyer(s)hereby agrees to sign a completion certificate after Contractor has completed
all work under this Agreement.
TOTAL JOB AMOUNT: $22,337 By signing this Agreement,you acknowledge that the Balance Due,and the Amount Financed
must be made by personal check,bank check,credit card,or cash.
DEPOSIT RECEIVED: $0
BALANCE DUE: $22,337 Estimated Start: Estimated Completion:
14 weeks 2 days
AMOUNT FINANCED: $22,337
We schedule installations based on the date of the signed contract and secondarily on the date
METHOD OF PAYMENT: Financing in which we complete the technical measurements.The installation date that we are providing at
this time is only an estimate.We will communicate an official date and time at a later date.Rain
and extreme weather are the most common causes for delay.
NOTES: 12 month SAC
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 04/11/2023 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.
___--- --- - ___---- ---------.__...---
SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE
William Abdelnour Arnold Levinson
PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME
04/07/23 Page 2/ 33
A Itemized Order Receipt
AWA DBA:RENEWAL BY ANDERSEN OF BOSTON Arnold Levinson
Legal Name:Renewal by Andersen LLC 14 Hancock St
RENEWAL HIC#170810 Northampton,MA 01060
byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)320-6982
Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(413)584-3034
ID#: ROOM: SIZE: DETAILS: PRICE:
101 Sun rm Window Casement Triple 1:1.:.1 Left Vent/ Stat / Right Vent,
Base Frame, Exterior White Interior White. Performance
Calculator PG Rating: 35 I DP Rating: + 35 / - 35 Glass,All
Sash: High Performance SmartSun Glass. No Pattern,
Hardware, White. Screen,Aluminum, Full Screen. Grille Style,
No Grille. Misc, None
201 Bedroom Window Double-Hung tDG, :1 Slope Sill. Insert Frame.
Traditional Checkrail, Exterior Black. Interior White,
Performance Calculator P Rating: 40 I DP Rating: + 40/ -
40 Glass, All Sash: High P rformance SmartSun Glass. No
Pattern, Hardware, White, creen, Aluminum. Full Screen,
Grille Style, Grilles Betwee i Glass (GBG). Grille Pattern,All
Sash: Colonial 2w x lh, MI c, None
'
202 Wifes Bath Window Double-Hung (DG1:1 Slope Sill. Insert Frame.
Traditional Checkrail. Exter or Black. Interior White,
Performance Calculator P Rating: 40 I DP Rating: + 40/
40 Glass, All Sash: High P rformance SmartSun Glass. No
Pattern, Tempered Glass, ardware, White. Screen,
Aluminum, Full Screen, Gri le Style, Grilles Between Glass
(GBG), Grille Pattern, All Sash: Colonial 2w x lh. Misc, None
203 Wifes Bath Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame.
Traditional Checkrail, Exterior Black. 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. Screen,
Aluminum, Full Screen, Grille Style, Grilles Between Glass
(GBG), Grille Pattern, All Sash: Colonial 2w x 1h. Misc, None
301 third floor Specialty
04/07/23 Page 3/ 33
At. Itemized Order Receipt
‘410, DBA:RENEWAL BY ANDERSEN OF BOSTON Arnold Levinson
RENEWAL Legal Name:Renewal by Andersen LLC 14 Hancock St
HIC#170810 Northampton,MA 01060
byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)320-6982
UI'.Si41'-!;MO.COR4ir„t(;ylf
Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(413)584-3034
ID#: ROOM: SIZE: DETAILS: PRICE:
Springline Base Frame. Exterior Black. Interior White,
Performance Calculator PG Rating: 50 I DP Rating: + 50 / -
50 Glass, All Sash: High Performance SmartSun Glass, No
Pattern, Tempered Glass. Grille Style, Grilles Between Glass
(GBG). Grille Pattern. All Sash: Colonial 2w x 2h, Misc,
Custom. Replacement of window frame and sash, includes
casing that does NOT require a knife.
WINDOWS: 4 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 1 MISC: 0 TOTAL $22,337
Renewal by Andersen is committed to our customers'safety by
complying with the rules and lead-safe work practices specified by the EPA.
04/07/23 Page 4/ 33
Payment Authorization Form
1111
A
r DBA:RENEWAL BY ANDERSEN OF BOSTON Arnold Levinson
RENEWAL E Legal Name:Renewal by Andersen LLC I
14 Hancock St
EN HIC#170810 Northampton,MA 01060
,u ANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)320-6982
umaroomommumw
Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(413)584-3034
Arnold Levinson
BUYER NAME
14 Hancock St Northampton
ADDRESS CITY
MA 01060 (413)320-6982 (413)584-3034
STATE ZIP CODE PHONE NUMBER 1 PHONE NUMBER 2
4521 $22,337
FINANCE PROGRAM" FINANCE PLAN#" CONTRACT BALANCE
William Abdelnour 2309701823
SALES REP APPLICATION ID OFFER EXPIRATION DATE
*If your financing is pending,the Finance Program and Finance Plan Number are subject to change
PAYMENT SCHEDULE ($22,337)
CASH DEPOSIT(1) FINANCE DEPOSIT(2) START OF JOB(3) SUBSTANTIAL COMPLETION(4)
FINANCING $0 $7,445 $7,445 $7,447
(1)CASH DEPOSIT: 1/3 of the purchase price is due at Contract Signing. This may be paid in part or in whole by cash,check,or credit card
("Cash Deposit"). I
(2) FINANCE DEPOSIT: 1/3 of the purchase price is due at Contract Signing. This may be paid in part or in whole with financing("Finance
Deposit"). I
(3) START OF JOB: 1/3 of the purchase price is due at Start of Job.
(4) SUBSTANTIAL COMPLETION:Final payment is due on the day of installation when all windows and/or doors included in this agreement
have been installed into their openings and any interior and exterior trims have been applied( Substantial Completion").If there are any outstanding
warranty claims or service items,customer may retain an amount equal to the value of the outstanding item(s)or work to be done,not to exceed
10%of the total purchase price.Due to project changes after Contract Signing,the final paym nt is subject to change.
BY SIGNING BELOW, I/WE,THE BUYER(S):
1.Authorize Renewal by Andersen to transact payments based on the amount(s),form of payment(s),and timing specified in the Payment
Authorization Schedule above.
2.Acknowledge the use of the loan to make a purchase will constitute acceptance by all Borrowers of the Loan Agreement.
3. Instruct the Lender(if applicable)to disburse the proceeds of the loan to Renewal by Andersen as identified above in the amount(s)
and timing specified in the Payment Authorization Schedule.
4. Understand that Renewal by Andersen must be notified in writing of a change in payment method in advance of the respective payment.
Arnold Levinson N"tX",) f -�tl�� 04/07/23
BUYER NAME SIGNATURE DATE
04/07/23 Page 5/ 33
Go Permits, LLC
105 Buttonball Lane
G0011111 Glastonbury, CT 06033
PEilMU1S Scott Doughman
Phone: 860-952-4112
Fax: 860-430-6719
scottdoughman@gopermits.org
Re: Building Permit Application - Licenses
Good day,
Please find attached permit application, licenses and supporting documents.
Renewal by Andersen sold the job and is the G.C. and CSL
- CSL #CS-090125 — Exp. 10/06/24
- HIC #170810 -- Exp 12/22/23
- Workers Comp -#MWC 3145822 — Exp. 10/01/23
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: renewal byandersenAgopermits.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