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24B-020 (3) BP-2024-0128 39 DENISE CT COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24B-020-001 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-2024-0128 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2024 Contractor: License: Est. Cost: 34562 RENEWAL BY ANDERSEN 090125 Const.Class: Exp.Date: 10/06/2024 Use Group: Owner: CORWIN LINNE V& BARBARA SWEET Lot Size (sq.ft.) Zoning: URB Applicant: RENEWAL BY ANDERSEN Applicant Address Phone: Insurance: 30 FORBES RD 508-351-227 WLRC50668058 NORTHBOROUGH, MA 01532 ISSUED ON: 02/07/2024 TO PERFORM THE FOLLOWING WORK: 11 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: 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: Q • cS)Aiy Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner Plea. �ma.,I al, Copy of .e a- Prm it t i w /14-pleZe. -to re i e wo-l b y 0v) sere 9 a perm;rs -or) The Commonwealth of Massachusetts ,- l Board of Building Regulations and Standards �_ FOR / Massachusetts State Building Code, 780 CMR _-C&`/`- MUNICIPALITY USE, Building Permit Application To Construct, Repair, Renovate r Demolish-a—, ---'-kevised Mar 2011 One-or Two-Family Dwelling , FEB _ This Section For Official Use Only / c024 Buildin Permit Number: 11-- 51-/a, Date Applied! .`�_ / .1 C'- i - ^nq /p l Vlil) 125 � n;�,._ NS Z-7Zy Building Official(Print Name) Signature 'y` -? ;"Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 37 Oeoise Cr NoyiAaN-ebn 07A 0/06,0 1.la 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❑ Private 0 Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP 2.1 Owner'of Record: �,/ L.,'nnC Corwin /✓ii Y'�9at.yAi., fri.9 0/060 Name(Print) City,State,ZIP 39 Denis-c cr y/3- 320- 4SYL 6surciibk 2r.@ s rtia,'I.con. No. and Street Telephone Email AddrKs 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 trSpecify: l4aw.u1 w,nd.,,.vs Brief Description of Proposed Work': ge/bect anc/ 'ep14<G 1/ Gviad t il4e F� /1 w r7o Sta, wrJ cAt fur U 4 air 4 ,Z-8 SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 3y 56Z,on 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $...r. `� Check No4 Q�llLheck Amount: "l ) Cash Amount: 6. Total Project Cost: $ 3Y S 61, 00 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) c9 y'o/Z,S /o/Ob/z.y 'Oa i At. /ha'%n License Number Expiration Date Name of CSL Holder �QO f�-h -s fro/ �t b i i b ura , et- O/S 3 z List CSL Type(see below) w-s No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) ivo'A+6eivi f)l f} IS3 Z R Restricted 1&2 Family Dwelling City/Town,St(at<s,ZIP M Masonry Roofing Covering Window and Siding SF Solid Fuel Burning Appliances 9Sl-V/I L 044,,,,,a 444/3-(4 @ aPt/r7Y1�•o, I Insulation Telephone Email addrns D Demolition 5.2 Registered Home Improvement Contractor(HIC) 44-46%444*,t 14-ncJerzei) Lc.G HI HIC Registration Number Expiration Date C Company Name or f C Registrant Name /� L 30 f' 1 e re,,e e I ti Qnde/itilC���Gler!2J-Oi5 No.and Street Email address ot/o iOcov 444 o/S3z (60 952- y/- City/Town, State,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 C? 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 and accurat• th- best of my knowledge and understanding. Ge ea id G. (r(re/-�2 �.I / Z -6 Lit' Print Owner's or Authorized Agent's Name(Ele•_ smc •tnature) 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" -- The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Lafa ette City Center • 2 Avenste de Lafayette, Boston,MA 02111-1756 www .mass.gov/dia Workers'Compensation Insurance Affidavit: Builders/ContractorsiElcctricians/Plumhers Applicant Information Please Print Legibly Renewal by Andersen Name (I3utiin..,Illrriiii testis Address 30 Forbes Rd. City,State/2 •:Northborough, MA 01532 Phone # 508-351-2277 Are you an employer? ('beck the appropriate hot: f vpe of project(required): 1.X I am a employer with 30 4_ ❑ 1 am a general contractor and L 6 t.e s construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- ship listed on the attach•_d sheet. 7_ ❑Remodeling and have no employees These sub-contractors have g. ❑Demolition workingfor the in anycapacity employees and have workers' P tY 9_ 0 Build ng addition [No workers' comp.i surance CO .mp insurance.; required.) 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3E1 I am a homeowner doing,all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No markers con . p' right of exemption per MGL 12.0 Roof repairs insurance required.]" c. 152. 11(4),and we hose no Replacement employees. [No workers' 13.�$[otherP camp. yrtsurance required.] 'Any applicant that cheeks box VI trust al xi fill out the seoiun below diowitig their workers'compensation policy,information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new, affidavit ind.atins su.h_ Conir-aet.K,that dhcck Uri,i...anu t anx;hcd an additional shim showing the name of thy sub-conoractots and slate whether or not rho,c entities Iiatic employe,. IfthesribcarwaaorsIu+c.rnp1w.o.v,.the!, must pruvidcthen tieuikcr,'svnio polle. number. 1 rat an employer that is pr©►idin/ workers'compensation insurance for a.; employees. Below Lr the policy and job site information. Insurance t.ompany Name: Old Republic Insurance Co.___ Policy#or Self-ins.Lic. • MWC,314158 22 Expiration Date' 10/01/2024 Job Site Addict, 39 Deni,s-e Cow•l (ity State 4p ,L/o/d G "f M4 0/019a Attach a copy of the+turners' compensation policy declaration page(showing the policy number and etpirsalon date). Failure to secure coverage as required under Section 25A of MGL e. 132 can lead to the imposition of criminal penalties of a tine up to S1.5(X).00 and'or one-year impris'<mment. as well as cis it penalties in the form of a STOP WORK ORDER and a fine of up to$250.(10 a thy against the violator. 13e ads ised that a copy of this statement may be forwarded to the Of tee of Inscatgattons of the I)l for insurance cos erag t'�Yifreatron. /do hereby certify under the pains and penalties of petlisty that the inlornrruian provided above is true and correct. 512.u� 10/02/23 Signature: 1).rtr !'homei.': 940- �lSZ- (.0lZ Official use only. Do not write in this area,to be completed byc sr town official. CO or'town: PernitiLiceese M Issuing Authority(che k octe): 1❑Board of health 2U Building Department 3O('ity trots n Clerk 4.0 Electrical Inspector 51:3'hosibiog Inspector 6.00ther (intact Person: ('hone 0: City of Northampton oath ro S`s s� Massachusetts �� .. 6`e 1 j r N, �, DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building vti Cb s Northampton, MA 01060 rsNjy 303 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 MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: 30 .Fo-ks /14M boc00-3)1 14411 oil 3 z- The debris will be transported by: Name of Hauler: Was4 mg-tot S cwitbt Signature of Applicant: Date: Z - G 'L Go Permits, LLC 105 Buttonball Lane GO_ 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 12/22/2025 - Workers Comp - #MWC 314158 23 — Exp. 10/01/24 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(a�gopermits.org, • 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 Commonwealth of Massachusetts ' Coostructiou Supervisor v Drvis�on of Occupational Ltcensure Unrestricted - Ofargow group addihcom air Board of Budding Regutatons and Standards *se than 35,000 cubic feet psi cubic st ts)of MCIdsN I.CConstkutron tAigery sor Web. r CS 090125 ,,r p 10/06/2024 yres: JAIME L MOR N 54 NOTTINGHAM RD " ' — RAYMOND NM 03077 f y Oir 4014,140 3 Failure to possess a turwwt*aeon of the Stassaehusstis r,(' r Z 4`rJS Stele 6a IW1p Cods is cslrss for revocation of this ikons*. o;^r :ya:urc' ,,, f. �•• �•t' For information about this license a U Cad($1T)727-3200 or visa www.arass.govidpi Unice of Uonsumer Attat s and business Kegulation 1000 WashingtQ,�rcet - Suite 710 BostorfMassachusetts 02118 Home im ro;,, m. • tractor Re istration wit '' . .... .... c. ,Type: Supplement Card *a �1:= -:. ration: 170810 RENEWAL BY ANDERSEN LLC k E fitation: 12/22/2025 30 FORBES ROAD • NORTHBOROUGH, MA 01532 :::... � fi \Cs.\,,,...t..7 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEM TCONTRACTOR expiration date. If found return to: TYPE:Su`� ..e Card Office of Consumer Affairs and Business Regulation RPS j51fittiart R EXPirigh2f1 1000 Washington Street -Suite 710 170810 12722124?5 Boston,MA 02118 :ENEWAL BY ANDERSEN LLC; 4f--, 2 AIME MORIN .- . , 0 FORBES ROAD '. -�° '`'-/ -`a`.J L�L� __} // IORTHBORUUGH,MA _ Undersecretary Not valid Without signature ----. -1 RENEWAL 1111 t..___,i i brANDERSEN i ci.....i:/..___, ,. wow SIM t GON 1114)6,101/ To Whom It May Concern This letter will authorize the following person('s) to act as agent(s) on behalf of Renewal by Andersen LIC, 9900 Jamaica Ave Soutn, Cottage Grove MN 55016 to pull for permits and inspections with respect to the installation, maintenance and repair of windows and entry rinors undo Massachusetts State Home impreAtement Contractrir !ice-1,-e number 170810 ald Construction Supervisor License r umper C5-090125. If you have any questions, please call me at 508151-2277 ext 6 Authorized personts): Go Permits LI.0 Sarah Ha mmact David Anderson Maureen Kivel Scott Doughman Ryan Bodo Sovannara Kuy Mark Foster Wynn Norgan Jennifer win ke Wendy Holden Gerald Cramer Nick Ratio Dane,Vkkerrnan Stepher WIlder Katie Grocott Bonnie Myers Carrie Fol,gno Michael Rogers Rachel Orloff 17 .----- - Renewal by Andersen I.LC HIC 170810 CSL—CS090125 Local District Office Address 30 Forbes Rd Northborough, MA 01532 Page 1 of 1 1 DATE(MM/DDIYYYY) ACORO� CERTIFICATE OF LIABILITY INSURANCE 09/21/2023 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 NAME: Willis Towers Watson Midwest, Inc. c/o 26 Century Blvd PHONE FAX 1-877-945-7378 I� No): 1-888-467-2378 E-MAIL certificates@willis. rn _ P.O. Box 305191 ADDRESS: co Nashville, TN 372305191 USA INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B: Renewal by Andersen LLC -- -- _-- 30 Forbes Road INSURER C: Northborough, MA 01532 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: W30224860 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MMIDD/YYYYI (MM/DDIYYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 AMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES(Ea occurrence) $ 500,000 A MED EXP(Any one person) $ 10,000 MWZY 314161 23 10/01/2023 10/01/2024 PERSONAL 8 ADV INJURY $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 X POLICY LOC PRODUCTS-COMP/OP AGG $ 6,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 5,000,000 (Ea accident) X ANY AUTO BODILY INJURY(Per person) $ A OWNED SCHEDULED MNTB 314159 23 10/01/2023 10/01/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION XPER OT AND EMPLOYERS'LIABILITY STATUTE ERH YIN A ANYPROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT $ 1,000,000 OFFICER/MEMBEREXCLUDED? NIA Mt 314158 23 10/01/2023 10/01/2024 (Mandatory in NH) EL.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES IACORD 101,Additional Remarks Schedule,may be attached if more space 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 J Evidence of Insurance t.' lUL I>r'H42i ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD SR ID: 24694639 BATCH: 3138744 RENEWAL 1:•;/__ 9% brANDERSEN f ULL SERVICE WINDOW&DOOR REPLACEMENT 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 . Agreement Document and Payment Terms DBA: RENEWAL BY ANDERSEN OF BOSTON Linne Corwin&Barbara Sweet •RENEWAL Legal Name:Renewal by Andersen LLC 39 Denise Court HIC#170810 Northampton,MA 01060 byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)320-6542 IM OAft WMON 6 DMA RERUEMFN? Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com Linne Corwin & Barbara Sweet 02/02/24 BUYER(S)NAME CONTRACT DATE 39 Denise Court, Northampton, MA 01060 (413)320-6542 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER bsweetbkind2u@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: $34,562 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: $34,562 Estimated Start: Estimated Completion: 16 weeks 2 days AMOUNT FINANCED: $34,562 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: 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 02/06/2024 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. ir/ffrbrf-- SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE Rich Gizzie Linne Corwin Barbara Sweet PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 02/02/24 Page 2/ 25 Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF BOSTON Linne Corwin&Barbara Sweet RENEWAL Legal Name:Renewal by Andersen LLC 39 Denise Court HIC#170810 Northampton,MA 01060 byANDERSEN 30 Forbes Road i Northborough,MA 01532 H:(413)320-6542 fW SEM6 000 OOOM MOOT Phone:(508)351-2200 i Fax:(508)986-7072 i rbaboston@gmail.com ID#: ROOM: SIZE: DETAILS: PRICE: Misc Misc, Additional Job Notes, Notes, Quantity 1, Military discount 101 Living Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior Black, Interior Black, Performance Calculator PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Black, Screen, Aluminum, Full Screen, Grille Style, No Grille, Mlsc,Aluminum Wrap Casing, Aluminum wrap of exterior casing., 102 Living Window Picture Base Frame, Exterior Black, Interior Black, Performance Calculator PG Rating: 50 DP Rating: + 50 / - 50 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Grille Style, No Grille, Mlsc, Aluminum Wrap Casing, Aluminum wrap of exterior casing., 103 Living Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior Black, Interior Black, Performance Calculator PG Rating: 40 I DP Rating: + 40/ - 40 Glass,All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Black, Screen, Aluminum, Full Screen, Grille Style, No Grille, MIsc,Aluminum Wrap Casing, Aluminum wrap of exterior casing., 104 Primary Bedroom Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior Black, Interior Black, Performance Calculator PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Black, Screen,Aluminum, Full Screen, Grille Style, No Grille, Misc, Aluminum Wrap Casing, Aluminum wrap of exterior casing., 105 Primary Bedroom Window 02/02/24 Page 3/ 25 (. ..4 Itemized Order Receipt r• � li DBA:RENEWAL BY ANDERSEN OF BOSTON Linne Corwin&Barbara Sweet ENEWAL Legal Name:Renewal by Andersen LLC 39 Denise Court R RENEWAL HIC#170810 Northampton,MA 01060 30 Forbes Road I Northborough,MA 01532 H:(413)320-6542 Phone:(508)351-2200 l Fax:(508)986-7072 I rbaboston@gmail.com ID#: ROOM: SIZE: DETAILS: PRICE: Double-Hung(DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior Black, Interior Black, Performance Calculator PG Rating: 40 I DP Rating: + 40/ - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Black, Screen, Aluminum, Full Screen, Grille Style, No Grille, Misc, Aluminum Wrap Casing, Aluminum wrap of exterior casing., 106 Bedroom 2 Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior Black, Interior Black, Performance Calculator PG Rating: 40 I DP Rating: + 40/ - 40 Glass,All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Black, Screen, Aluminum, Full Screen, Grille Style, No Grille, Mlsc, Aluminum Wrap Casing, Aluminum wrap of exterior casing., 107 Bedroom 2 Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior Black, Interior Black, Performance Calculator PG Rating: 40 I DP Rating: + 40/ - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Black, Screen, Aluminum, Full Screen, Grille Style, No Grille, Misc, Aluminum Wrap Casing, Aluminum wrap of exterior casing., 108 Kitchen Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior Black, Interior Black, Performance Calculator PG Rating: 40 I DP Rating: + 40/ - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Black, Standard Color Extra Lock, Screen, Aluminum, Full Screen, Grille Style, No Grille, Misc, Aluminum Wrap Casing, Aluminum wrap of exterior casing., 109 Kitchen Window 02/02/24 Page 4/ 25 � OItemized Order Receipt � " DBA:RENEWAL BY ANDERSEN OF BOSTON Linne Corwin&Barbara Sweet RENEWAL Legal Name:Renewal by Andersen LLC 39 Denise Court HIC#170810 Northampton,MA 01060 by ANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)320-6542 WOW Mp00r ROM REPIA M{XI Phone:(508)351-2200 i Fax:(508)986-7072 I rbaboston@gmail.com ID#: ROOM: SIZE: DETAILS: PRICE: Double-Hung(DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior Black, Interior Black, Performance Calculator PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Black, Screen,Aluminum, Full Screen, Grille Style, No Grille, Misc,Aluminum Wrap Casing, Aluminum wrap of exterior casing., 110 Kitchen Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior Black, Interior Black, Performance Calculator PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, Black, Screen,Aluminum, Full Screen, Grille Style, No Grille, Misc, Aluminum Wrap Casing, Aluminum wrap of exterior casing., 111 Bathroom Window Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior Black, Interior Black, Performance Calculator PG Rating: 40 I DP Rating: + 40/ - 40 Glass,All Sash: High Performance SmartSun Glass, No Pattern, Tempered Glass, Hardware, Black, Screen, Aluminum, Full Screen, Grille Style, No Grille, Mlsc, Aluminum Wrap Casing, Aluminum wrap of exterior casing., WINDOWS: 11 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 1 TOTAL $34,562 °` : Renewal by Andersen is committed to our customers'safety by o .:, complying with the rules and lead-safe work practices specified by the EPA. 02/02/24 Page 5/ 25 i- Payment Authorization Form DBA:RENEWAL BY ANDERSEN OF BOSTON Linne Corwin&Barbara Sweet RENEWAL Legal Name:Renewal by Andersen LLC 39 Denise Court HIC#170810 Northampton,MA 01060 byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)320-6542 Jim SEIMW NW 6000 tt%WWXt Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com Linne Corwin Barbara Sweet BUYER NAME CO-BUYER NAME 39 Denise Court Northampton ADDRESS CITY MA 01060 (413)320-6542 STATE ZIP CODE PHONE NUMBER 1 PHONE NUMBER 2 0%for 12 months $34,562 FINANCE PROGRAM' FINANCE PLAN#" CONTRACT BALANCE Rich Gizzie 02022024000053 02/02/2025 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 ($34,562) CASH DEPOSIT(1) FINANCED DEPOSIT(2) SUBSTANTIAL COMPLETION (3) FINANCING $0 $11,520 $23.042 (1) CASH DEPOSIT: Renewal by Andersen requires thirty-three percent(33%)of the purchase price paid at Agreement Signing. Buyer(s)may pay through the following payment methods:cash,check,debit card,or credit card("Cash Deposit"). (2) FINANCED DEPOSIT: Renewal by Andersen requires thirty-three percent(33%)of the purchase price advanced at Agreement Signing. For Buyer(s)that receive approved financing through a Renewal by Andersen lender("Lender"),the Lender will advance this required amount directly to Renewal by Andersen("Financed Deposit"). For open-end credit loans,the Lender will not extend credit to the Buyer(s). For all financings,the Buyer(s) will not owe any payments until Substantial Completion(as defined in item 3 below)and the Lender has advanced or otherwise delivered the remaining balance to Renewal by Andersen. (3) SUBSTANTIAL COMPLETION: Renewal by Andersen requires the final payment(which shall be delivered by the Lender in the case of projects financed through Lenders)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 Change Orders associated with the project covered by this Agreement,the difference in the Job Amount will be reconciled in the final payment requested from the Buyer(or the Lender in the case of a project financed by a Lender)upon Substantial Completion. BY SIGNING BELOW, I/WE,THE BUYER(S): 1. Buyer(s) authorize Renewal by Andersen to transact payments, including with Lenders, based on the amount(s),form of payment(s), and timing as specified in the Payment Authorization Schedule above and, if applicable,final payments in the amount requested by Renewal by Andersen upon the execution of a Change Order. 2. For Buyers that finance a project through a Lender, Buyer(s): (i) understand that the Lender will disburse the Financed Deposit and final payment at Substantial Completion to Renewal by Andersen as specified in the Payment Authorization Schedule,(ii) understand that the Lender will not extend credit to the Buyer(s)for open-end credit loans,(iii)the Buyer(s)will not owe any payments until Substantial Completion,and (iv) acknowledge the use of the loan proceeds for payment upon Substantial Completion will constitute reaffirmation by all Buyer(s) of the loan agreement with the Lender. 3. Buyer(s) agree to notify Renewal by Andersen in writing of any change in payment method at least three business days' prior to the respective payment due date. 4. Linne Corwin (* j 02/02/24 BUYER NAME SIGNATURE DATE 02/02/24 Page 6/ 25 Barbara Sweet /f ?'t jZ ' 02/02/24 CO-BUYER NAME SIGNATURE DATE U.S. Canada ENERGY ENERGY Andersen. Andersen NFRC Certified `o 0 0 o STAR STAR u' v6.0 v4.1 Product Line& Glass Grille Type Products 0 e' m 0 r' -o Product Type Type Directory Number f m c .0 - T. _ U Q t o C yC 0 0 0 Z U U N N N Z el Simulated Divided Lite or Installed Interior Removable AND-N-54-02151-00003 0.23 1.31 0.42 0.51 35 <0.2 - - - I Z3 w j v Firelight`'(grilles-between-the-glass) AND-N654-02160-00001 0.23 1.31 0.47 0.57 38 <0.2 - - - Z3 o a N x 3 Full Divided Lae AND-N-54-02166-00001 0.25 1.42 0.42 0.51 33 <0.2 - - - 3.9 Annealed or 3.9 Tempered Glass-w!No Grilles and Grilles Less Than 1" No Grilles AND-N-54-01925-00019 0.26 1.48 0.34 0.59 27 <0.2 N - - - . ai Simulated Divided Lite or Installed Interior Removable AND-N-54-01925-00020 0.26 1.48 0.31 0.53 25 <0.2 It I - Finelight""(grilles-between-the-glass) AN D-N-54-01931-00007 0.26 1.48 0.31 0.53 25 <0.2 N - Full Divided Lite AND-N-54-01943-00007 0.28 1.59 0.31 0.53 23 <0.2 0 - I No Grilles AND-N-54-01926-00019 0.27 1.53 0.21 0.32 18 <0.2 . w Simulated Divided Lite or Installed Interior Removable AND-N-54-01926-00020 0.27 1.53 0.19 0.29 17 <0.2 '. 3 9 o J Finelighl""(grilles-between-the-glass) AND-N-54-01932-00007 0.27 1.53 0.19 0.29 17 <0.2 rl I - Frill Divided Lite AND-N-54-01944-00007 0.28 1.59 0.19 0.29 16 <0.2 I No Grilles AND-N-54-01927-00019 0.26 1.48 0.23 0.53 21 <0.2 N - et Slnxdated Divided Lite or Installed Interior Removable AND-N-54-01927-00020 0.26 1.48 0.21 0.48 20 <0.2 N E Finelight"'(grilles-between-theglass) AND-N-54-01933-00007 0.26 1.48 0.21 0.48 20 <0.2 N el Full Divided Lite AND-N-54-01945-00007 0.27 1.53 0.21 0.48 18 <0.2 N No Grilles AND-N-54-01924-00019 0.27 1.53 0.56 0.65 39 <0.2 N - Z3 it, ' Simulated Divided Lite or Installed Interior Removable AND-N-54-01924-00020 0.27 1.53 0.50 0.58 35 <0.2 N - Z3 2 „ Finelight"'(grilles-between-the-glass) AND-N-54-01930-00007 0.27 1.53 0.50 0.58 35 <0.2 N - Z3 Full Divided Lite AND-N-54-01942-00007 0.29 1.65 0.50 0.58 33 <0.2 N - Y No Grilles AND-N-54-02140-00007 0.22 1.25 0.33 0.58 31 <0.2 N . v o Simulated Divided Lite or Installed Interior Removable AND-N-54-02140-00008 0.22 1.25 0.30 0.52 30 <0.2 N x m 5 = Firelight""(grilles-between-the-glass) AND4J-54-02143.00003 0.22 1.25 0.30 0.52 30 <0.2 N 3 Full Divided Lite AND-N-54-02149-00003 0.24 1.36 0.30 0.52 27 <0.2 N 400 Series Picture • No Grilles AND-N-54-02141.00007 0.22 1.25 0.22 0.52 25 <0.2 N - Y er N S Simulated Divided Lite or Installed Interior Removable AND-N-54-02141-00008 0.22 1.25 0.20 0.47 24 <0.2 N - w It E = Firelight'.(grilles-between-the-glass) AND-N-54-02144-00003 0.22 1.25 0.20 0.4/ 24 <0.2 N - u 3 Full Divided Lire AND-N-54-02150-011003 0.24 1.36 0.20 0.47 22 <0.2 tl - No Grilles AND-N-54-02139-00007 0.23 1.31 0.50 0.64 40 <0.2 11 - - - Z3 w2 9 o Sirreilated Divided Lite or Installed Interior Removable AND-N-54-02139-00008 0.23 1.31 0.45 0.57 37 <0.2 N - - - Z3 2 Y 6 - - = Firelight'"'(grilles-between-the-glass) AND-N-54-02142-00003 0.23 1.31 0.45 0.57 37 <0.2 N Z3 ° 3 Full Divided Lite AND-N-54-02148-00003 0.25 1.42 0.45 0.57 35 <0.2 N - - - Z3 3.9 Annealead or 3.9 Tempered Glass-wl Grilles 1"or Greater Siinrdated Divided Lite or Installed Interior Removable AND-N-54-01925-00021 0.26 1.48 0.28 0.47 24 <0.2 - - 0 3 Firelight""(grilles-between-the-glass) AND-N-54-01937.00007 0.28 1.59 0.31 0.53 23 <0.2 - - - - - 0 J Full Divided Lite AND-N-54-01949-00007 0.28 1.59 0.28 0.47 21 <0.2 - - Simulated Divided Lite or Installed Interior Removable AND-N-54-01926-00021 0.27 1.53 0.17 0.26 16 <0.2 - - 0 Z , Finelight^"(grilles-between-the-glass) AND-N-54-01938-00007 0.28 1.59 0.19 0.29 16 <0.2 - - J Full Divided Lite AND-N-54-01950-00007 0.28 1.59 0.17 0.26 15 <0.2 - - - t Simulated Divided Lite or Installed Interior Removable AND-N-54-01927-00021 0.26 1.48 0.19 0.42 18 <0.2 - - w .t Firelight`'"(grilles-between-the-glass) AND-N-54-01939-00007 0.27 1.53 0.21 0.48 18 <0.2 - - o E v1 Full Divided Lite AND-V-54-01951-00007 0.27 1.53 0.19 0.42 17 <0.2 - - Simulated Divided Lite or Installed Interior Removable AND-N-54-01924-00021 0.27 1.53 0.45 0.52 32 <0.2 - w 3 S Finelight""(grilles-between-the-glass) AND-N-54-01936-00007 0.28 1.59 0.50 0.58 34 <0.2 - - Z3 I. Frill Divided Lite AND-N-54-01948-00007 0.28 1.59 0.45 0.52 31 <0.2 - - - - ..le Simulated Divided Lite or Installed Interior Removable AND-N-5-02140-00009 0.22 1.25 0.27 0.46 28 <0.2 - w 2 3 w Fmelight""(grillesbetween-theglass) AND-N-54-02146-00003 0.23 1.31 0.30 0.52 28 <0.2 - - - o = 3 Full Divided Lite AND-N-54-02152-00003 0.24 1.36 0.27 0.46 26 <0.2 - - - This information is for reference only. Performance varies byunit size and options selected. Pao 15 of 155 Data is current es of December 15,2014end Is subject to manya. P ae See page 1 fa mete information. For specific unit performance information,please contact your dealer or Andersen Sales Representative.