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31A-058 (3) BP-2023-0670 270 CRESCENT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 31A-058-001 CITY OF NORTHA�VIPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-0670 PERMISSION IS HEREBY GRANTED TO: Project# DOOR 2023 Contractor: License: Est. Cost: 9658 RENEWAL BY ANDERSEN 090125 Const.Class: Exp.Date: 10/06/2024 Use Group: Owner: W SA ANO CARL R&BRIDGIT A Lot Size (sq.ft.) Zoning: URB Applicant: RENE AL BY ANDERSEN Applicant Address Phone: Insurance: 30 FORBES RD 508-351-227 MWC31415822 NORTHBOROUGH, MA 01532 ISSUED ON: 05/23/2023 TO PERFORM THE FOLLOWING WORK: ENTRY DOOR REPLACEMENT 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: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax (413)587-1272 Office of the Building Commiss' ner // �'l �, �qy . 1 9 /Z., The Commonwealth of Massachusetts'' :°Fn c2Q?, /' 1.0). Board of Building Regulations and Standardstiq�oti, `�a'' FOR Massachusetts State Building Code, 780 CMR nti'tiso MUPALITY \q J NICIUSE Building Permit Application To Construct,Repair,Renovate Or Demo`�'fj ivs Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 0g A 3- (,70 Date Ap lied: 4i—) /� - 5-23-zoZ Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address + J pp� 1.2 Assessors Map&Parcel Numbers 2 .'O Crc 1.1a Is this an accepted street?yes t--'..--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 0 Private 0 Zone: _ Outside Flood Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Rec d: ,�y� Name(Print) City,State,ZIP Z q-o G1c s CC4- I c 1- ci/3- 5g6 .19'10 , /sa v440as ,•ram,/x., No.and Street Telephone Email Addre SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units Other Specify:ite,4e /e4v40, Brig Description of Proposed 4 ork.]: ,/20 am-d , 1 c-e-c / eAler) al 04— /,ice it l(C w r if, no 51h-daiALC C, SECTION 4:ESTIMATEO'CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 9(o ce�cfb 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 0 Standard City/Town Application Fee 0 Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire Suppression) $ Total All Fees: $ W Check No.LII coo Check Amount: Cash Amount: 6. Total Project Cost: $ 9Cfp ,ov Co Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) off) !zC- D z J,a, ;e //40,- /. License Number Expiration ate Name of CSL Holder l List CSL Type(see below) �j 30 Fv/-Ixs /�a4-d No.and Street Type Description '`,4 61"4 cc��.�� A c3 2 UR Unrestricted(Buildings up to 35,000 Cu.ft.) City/Town,State,ZIP M Masonry cted 1&2 Family Dwelling Rom..,_ Roofing Covering �. ) Window and Siding _ //� SF Solid Fuel Burning Appliances 760-4S1 Alt Z (Grl( 14)44a,S(A 90 �'4i) I Insulation Telephone Email addre D Demolition 5.,2Q Registereds Home Impro ement Contractor(HIC) lqj ?/0 1,,ju JL3 (le4e^' �� g A GC, L HIC Registration Number Expiration/Date HIC Comp Nan or HIC Regi ant Name Fa/( ,<c Ie/l Gl7R.t, ei!eB of<O0 No and Street ! Email addr s City/Town, Staff,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... [V/ 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 to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true an' accur.. -h i e best of my knowledge and understanding. (d C. Oxita.r2. 41 40411111 z V19- 3 Print Owner's or Authorized Agent's N: - Elec,oni :ignatur 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 www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton Massachusetts 4? f * V�. ,, , DEPARTMENT OF BUILDING INSPECTIONS �• 212 Main Street • Municipal Building b. PD. Northampton, MA 01060 SNjy' CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGIr c 111, S 150A. The debris will be disposed of in: AAA Location of Facility: L� cr! s 53 z- The debris will be transported by: j�� /10d/t. Name of Hauler: (,/i,( nyAo.,j.Sz_ Signature of Applicant: Date: Z3 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations� Lafayette City Center .. 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 (BusinesstOtganization/individual): Renewal by Andersen Address: 30 Forbes Rd. City/State/Zip:Northborou•h, MA 01532 Phone#:5508 351-2277 Are you an employer?Check the appropriate box: Type of project(required): l.N[ i am a employer with 34 4. ❑ I am a general contractor and ! b. ❑New construction employees(full and/or part-tithe).* have hired the sub-contractors 2.0 I am a sole proprietor or partner- listed on the attached sheet. ❑ Remodeling and have no employees These sub-contractors have g. O Demolition working for me in any employees and have workers' K } capacity. y. Building addition [No workers' comp. insurance comp. insurance.: required.] 5. Q We are a corporation and its In.❑Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised theit 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MU_ 12 ❑Roof repairs insurance required.] ' c. 152.1i1(4).and we have no Replacement employees. [No workers' other comp. insurance required.) *Any applicant that cheeks box#1 must also fill out the section below showing their workers"a mpensation pulley intuimat:un. i Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 1C"ontracturs that ehcck this box must attached an additional sheet showing die name of the sub-contractors and state whether or nut those entities have employees. If the sub—contractors hay c employees.they must provide their workers"comp.police 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. Lie.#: MWC 314158 22 Expiration Date: 10/01/2023 ,� Job Sift Address: -�D Cr<5 lei �'� t'tt► state:zap/j_l c �rr�. i1` ' ago o Attach a copy of the aaorkere compensation policy declaration page(showing the policy number sad expiration date). Failure to secure coverage as required under Section 25A of MtiL c. 152 can lead to the imposition of criminal penalties of a tine up to S1.5(x).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 S250.00 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 cotierage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct • 5turr: Qaim4 �u _ : 03 3123 _sees, phone#: - S. Z ' cf 7/2� Official use only. Do not write in this area.to be completed by city or town official. (ity or 1 own: Pena/Limy Issuing.tsuthorit% (check one): iOBoard of health 20 Building l)partnient 3IJCity/Towa Clerk 4.0Electrical Meter 5O'lumbing Inspector 6.00thrr contact Person: Phone M: RENEWAL f ; byANDERSEN FULLSERVICE WINDOW&DOOR REPLACEMENT U a j 3 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 YOUR PROFESSIONAL-CLASS PRODUCT E '!PY! V Legacy 20-Gain 5mtrottr Steel Entry DeOt watt t le;r(axis a I r t s" . tip"1141•4 e Dear lift tosorslimore Orem. ] "it sir tsuit t 1 thi Ste.1E'%t "xatteem~ tiro trkti 3*"6" a&tckmrakl 4 foP4 Marti inswrrl ,rsti,ra+r 4.0111ine t I. F 0***404 490 Stybr r"4Caa 'tstr tr46e'st 140. ; SaamriarsA as ws « aot**1ttWrtoutt.4Aa a Grp-At*244 a' Soo*iAs t#ht+c tr[d$ Iisodreare Aa meat dt40.1it art Satin t r.i4 Anne* Geer tiara A..et1 t2 kVIll uattturas tkn ear- 42 'flacktita c is A to*utkl Sena#YYt15rYt rt#Atwrtestum to a r r{cseS k tr, Seolalikulaftle irnolot Ft Oft ilMil....1.11.1.1111111 Ma tln i /.11�';M .<4 ,#vsc'a4 II r..• 2.tC AA O Adp :err;?h st+tald lS Si1i' ': .: Set WO*Putt ,. artxr>o r .a z r>* , Agreement Document and Payment Terms A `�J DBA:RENEWAL BY ANDERSEN OF BOSTON Bridget&Carl Saviano RENEWAL Legal Name:Renewal by Andersen LLC 270 Crescent St HIC#170810 Northampton,MA 01060 byANDERSEN 30 Forbes Road l Northborough,MA 01532 H:(413)586-1970 I;,StNVE WAJOY a D04 PIPL1(i"±R Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:(413)387-9117 Bridget& Carl Saviano 05/15/23 BUYER(S)NAME CONTRACT DATE 270 Crescent St,Northampton, MA 01060 (413)586-1970 (413)387-9117 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER bridgetsaviano@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: $9,658 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: $3,219 BALANCE DUE: $6,439 Estimated Start: Estimated Completion: 16-20 weeks 16-20 weeks AMOUNT FINANCED: $0 We schedule installations based on the date of the signed contract and secondarily on the date METHOD OF PAYMENT: Check in which we complete the technical measurements.The installation date that we are providing at this time is only an estimate.We will communicate an official date and time at a later date. Rain and extreme weather are the most common causes for delay. NOTES: Buyer(s)agrees and understands that this Agreement constitutes the entire understandings between the parties and that there are no verbal understandings changing or modifying any of the terms of this Agreement. No alterations to or deviations from this Agreement will be valid without the signed,written consent of both the Buyer(s)and Contractor. Buyer(s)hereby acknowledges that Buyer(s)1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and 2)was orally informed of Buyer's right to cancel this Agreement. NOTICE TO BUYER: Do not sign this contract if blank.You are entitled to a copy of the contract at the time you sign. YOU,THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME NOT LATER THAN MIDNIGHT OF 05/18/2023 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 John Pitro Bridget Saviano Carl Saviano PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 05/15/23 Page 2/ 26 Go Permits, LLC 105 Buttonball Lane 001 Glastonbury, CT 06033 PERMITS Scott Doughman Phone: 860-952-4112 Fax: 860-430-6719 scottdoughman©gopermits.org Re: Building Permit Application - Licenses Good day, Please find attached permit application, licenses and supporting documents. Renewal by Andersen sold the job and is the G.C. and CSL - CSL #CS-090125 -- Exp. 10/06/24 - 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: renewalbyandersen(c gopermits.orq • If you unable to mail the permit to the homeowner please send to the below address and we will ensure the permit is at the home posted at the time of installation: Go Permits, LLC 105 Buttonball Lane Glastonbury, CT 06033 If we are required to pick up the permit in at the building department, please call 860-952- 4112 once it's ready and we will come to get it. Thank you, Go Permits Page 1 of 1 ACCORO, DATE rruDarm± CERTIFICATE OF LIABILITY INSURANCE 09/21/2022 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 pollcy(Ias)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED.sub)ect 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 etdorsement(s). PRODUCER kussACTUi11is Tows. Watson GLEE-Mutts Canter Will is Dams* Ylatrne Midvaat, loc. Pliant efo 26 Coatuq MEdcar 1-977-915-737e I Wac.Nat 1-989-167-2379 P.O. Dos 305191 Eli cArtilicataspwillia.cca Naah,Ylla, MI 372104191 DM IIIIIMMERMI AFFORDING COVERAGE RACI souses A: Old Srpublic Za.urana Copse' 24147 Asaral by Aadaraer LIC 30 Worbsa Road 91811619.111C: hbrthboro.46. NL 01332 NRURERD: NIURER E INSURER F COVERAGES CERTIFICATE NUMBER:W26007651 REVISION NUMBER: THIS IS TO CERTIFY THAT THE PCEICIES 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 WINCH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN_THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS 41111-1FR'T TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LIC ES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS IISM cvery an TYPE OF INSURANCE AsDISIS POLICY NUMBER n YEx► WITS X CONIERCIAE OEIERAL LA MM, EACH OCCURRENCE 6 2,000,000 CwSMA MDE El OCCUR ha r�+ata t 540,000 MED E%P(Ara tali Denim 6 10,000 Mtn 311141 22 10/01/2022 10/01/2023 PERSONAL ADVULURy 6 2,000,000 GE1(I AGGREGATE LINT APM ES PER GENERAL AGGREGATE. .1 4,000,000 POUCY 2, cjLCC PRODUCTS.COMPOP 4GG i A,DOD,000 OTHER t AUTONOIMELIAaUTY COMBINED SINGLE LSAT s 5,000,000 arnme X ANY ALTO BODILY*WRY MN Amon) 6 A —"'OO4E0 SO,EDULED NETS 311159 22 10/01/2022 10/01/2023 BDOILY 01AJRY teal accusal} 6 HMO MONGERED OILY AUT PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Par amsufu 6 UOMIEL1AUAll OCCUR EACH OCCURRENCE $ ...�EXCESS NMI CCA*BJNDE AGGREGATE 6 CEO I I RETENTION 6 S NOM ERSCOMPEMIATION x 1 STATUTE I I FFiH AND EMPUMENE UAMUTY Y)N 1,0011,000 A ANYPROPRtETOR�PARTHERrECECUTWE � EL.EACH ACGOENT 6 CFFICERMEINERFrn OCE07 ._.,i MIA NEC 314155 22 10/01/2022 10/01/2023 I,OOD,ODO DINNI Ny la NM Et,DISEASE-EA EMPLOYEE ; n Tyrc iPT OF 1,000,000 EJESCRJPTION OF OPERATIONS drdoa EL DISEASE-POPJCY UMIT f OESCMODN OF OPERATIONS!LOCATIONS I VESICLES MO NH.MINI aa1 nmuA*SrasAas,am I.Mach/A News*NCO fr raNOs5 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFd1E TIM EXPIRATION DATE THEREOF. NOTICE WLL BE DELIVERED IN ACCORDANCE VRTH THE POLICY PROVISIONS. AUTNORQEOip� ENTATWVE tlridaao. of Insurance1- C 1 2O10 ACORD CORPORATION. AN rights reserved. ACORD 25(2015f03) The ACORD name and logo are registered marks Of ACORD a ro,23076070 RATCI 2676124 Commonwealth of Massachusetts Coo lMOO a loor �'i. Division of Occupational Lrcensure Unrestricted-DoiM i ms of aly see group re**dentate Board of Building Regulations and Standards `. less than}8,000 cubic OMt(r01 cubit metes)of enclosed ConsL(i f1(SkAre4'elsor *Pc* w 3 CS 090125 spires: 1010612024 JAIME L MO90N 54 NOTTINGMAM Rl! RAYMOND NM 03077 •i. It r'r, !t't rr%r.LY o� Frain to possess a csinsnt edition of the Illassachinietts ` Ccrnrruss:cn r 4 if Set it&-t.• Shags cane is cae for revoca fl of this license. f For intermettion about this kcense Cad(S1T)IV-32SS at visit wwwneess.gOwfdyt THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washingtoft Street- Suite 710 Boston, Massachusetts 02118 Home Impro' , - , ,actorRe9istration _ ,j «w I l ,Type Supplement Gard Regi5aration: 170810 RENEWAL BY ANDERSEN LLC enpefatan 12l22r2073 30 FORBES RD Er. e NORTI4BOROUGH,MA 01532 , ,yt,, , ,.., ..w�.:; x ,y * - " I Up I Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Registration valid for individual use only before the Office or Consumer Affairs&Business Regulation R�s�AIM M ter nd return ko: HOME tTAP 1 Suppresses es CardaRACTOR Office of Cansunter Affairs and 8aearness Regulabon TYPE:SDI 1000 n Street _Suns 710 1 R y0E�i0 122212vv13 Boston,BA 02111 RI-' WAL F?,Y ANDERSEN LLC JAIME MORIN :e r:ofsEsRD r4+"n..e. i,...-4,-0t MORTHUOROUGIA,MA 01532 Undersecretary Not lid without signatue RENEWAL 1°11 , byANDERSEN OHM 010000 DON mow To iNhom It may Concern: This letter will authorize the following persortls)to act as ag t(s)on behalf of Refloat tv, Andersen LLC 9900 Jamaica Ave South, Cottage Grove MN 55016 to pull for permits and IrKpections with respect to the installation,. maintenance and repair of sivinoows and entry donri onf4Pr SAftsarhi'setts State Home Irnnrcvvement Contractor license n b€,r 170810 rd Construction Supervisor License number CS-090125. If you have any questions, please call me at 508-351-2277 ext 6 Authorized persontst Go Permits 1.1.0 Sarah Ha rnmad David Anderson Maureen Kivel Scott Doughman Ryan &woo Sovannara Kuy Mark Foster Glynn N organ Jennifer wit*e wenov Pipicien c3eraict Cramer Nkk Rao Dane!'Ackerman Stephen Wilder Katie Grocott Bonnie Myers Carrie Folfgrio Michael Rogers Rachel Or toff X wile Morin Renewal by Andersen N1C 170810 CSL CS090125 Local District Office Address 30 Forbes Rd Northborough, MA 01532 South,Cottage Gnome MN S5016