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38A-007 (11) BP-2024-0259 52 LAUREL ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38A-007-001 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-2024-0259 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2024 Contractor: License: Est. Cost: 20663 RENEWAL BY ANDERSEN 090125 Const.Class: Exp.Date: 10/06/2024 Use Group: Owner: TANNER BANKS CARRIE M&JESSICA E Lot Size (sq.ft.) Zoning: URB Applicant: RENEWAL BY ANDERSEN Applicant Address Phone: Insurance: 30 FORBES RD 508-351-227 MWC314158 NORTHBOROUGH, MA 01532 ISSUED ON: 03/11/2024 TO PERFORM THE FOLLOWING WORK: 7 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: Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner 4'u"` 'fise 50 1,er,... 443. '° r3 �+ t 0o$5;bk �� it -t- G1,at i I se (Of y 0 1 At �•�S�i et "wind 6j e t Qrav,kt `:,. The Commonwealth of Massachusetts �(° ` I Board of Building Regulations and Standards FOR 41exa.4.k Massachusetts State Building Code, 780 CMR MUNICIPALITY E V 1,`„ BuilAjtg POlmit)pplication To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 ti>> \ 1 () )(:-- j One-or Two-Family Dwelling `; \-- It` -•`,-s- This Section For Official Use Only ' *ildin l xti'(1.L: A g •I'f Date Applied: 1 n-r a /1 42.01...) a //, G_- 3.H i 2o214 ';-- Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers SZ i t 64- luorAuLv An evi 1} 1.la Is this an accepted street?yes v no "4° 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 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.I Owner'of Record: ;Jessie. 7`4 q',e' /Y..,44 ao-.frie 7401 Alit o/o G o Name(Print) City,State,ZIP cL Lam reA S+r4-4-4- L/(3-7-2 7 .324.E)t ssi ea 4-inie 7oaera9 .i,.o.n No.and Street Telephone Email Address 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: ft?14ce e.t J Brief Description of Proposed Work2: w•b+dw.,S auK - ay.. d Oft&e c "q-- w,144iW S krAt /7ec. SECTION 4: ESTIMA D CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ 2a ♦64 2,� 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ 7 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 $ U4 Suppression) Total $ q Q Check Check Amount: .14 Cash Amount: 6. Total Project Cost: $ ,. b 6 3.op 0 Paid in Full 0 Outstanding Balance Due: i1 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 090/t.5— /o —os— zy ' ARt Non^ License Number Expiration Date Name of CSL Holder �5 0 G� s in" List CSL Type(see below) No.and Street Type Description /O"') /�/I O/f 3 2-- U Unrestricted(Buildings up to 35,000 Cu.ft.) �orA l/ R Restricted I&2 Family Dwelling City/Town,State,ZIP M Masonry Roofing Covering .1100 Window and Siding (€"Z"m/ 6� , a 4 eieeft" SF Solid Fuel Burning Appliances o-9S1 - Y//2 9 a/Gem/4-.pry 1 Insulation Telephone V Email address' D Demolition 5.2,QRegistered Home Improvement Contractor(HIC) / —?2- Z f [_` 6���� ^ HIC Re-gistration Number Expiration Date HI�jc Company N e r HIC Registrant Name No.and Street / .f s S renewal 4ot rs<v r 4 e'S A/ei*g�,/d!'1 j� IVt k p/.�32 g60" VsZ-4/le Email address ,J City/Town, State,ZW 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 0 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 accurate to the best of my knowled.e and understanding. '4/1/ (114 3 - e- 7-1 Print Owner's or Authorized Agent's Name(Electronic' ature) op ature) 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 y0 fi c ,s �• siMassachusetts ��� y.- '<<,t G ' m. y t +r DEPARTMENT OF BUILDING INSPECTIONS *3 ti '�y:iilL1 212 Main Street •• Municipal Building Jti CD -^�� Northampton, MA 01060 .rsl 3i7�^� 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: 34 ,be Re/ /4,4 sca& j Aaj/11 o/S32. The debris will be transported by: Name of Hauler: 6Va4 / ti Muj _ Signature of Applicant: Date: 3 �F✓4Y The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations t t-; Lafayette City Center • ' _'Avenue de Lafayette. Boston.MA(12111-1750 www.ala s.goridia Workers"Compensation Insurance Affidavit: Builders/('ontractors.JElectriciansiPlumbers .1pplicant Information ('lease Print Leg bls_ Renewal by Andersen Name (Bu_sincssOrgarization Indi�iduall Address. 30 Forbes Rd. ('its State Zip:Northborough, MA 01532 phone#:508-351-2277 Are sou an emploer'('heck the appropriate hot: -1 Apr of project(required 1.X lama employer with 30 4. 1 am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors h ❑New aorustttuctrw► listed on the attached sheet. 7. El Remodeling '.El t am a sole proprietor or partner- ship and have no eniployees These sub-contractors have R. Demolition Cac working g for me in any ca employees and have workers' € + ti 9. Building addition [No workers* comp.insurancecomp. itt�urance. required.] 5. [] We are a curpcxation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised then 11.0 Plumbing repairs or additions myself. f No workers' comp. right of exemption per MCI. 12.0 Roof repairs insurance required.) " c. 152.ZI(4),and we have no t employ ces. (Nu workers' t 3.�Other pl itlen comp. insurance required.) 'Ail%at+pltcattl that dilLS ks l5 =1 must al.xr fell tilt Iht• XI,It I baitu,lu•u iue tltctt l+Oaken:L•.ttttitr+etn%atiuu j .hei iu&formation_ +Hertteuune.1 N)w subtint du,atlida%it Itkilcattiv th4A all'dutets all Nock and then lute outside cUmtta.t&rt,tuust sub nitt a tie%atttdat a tulle."atiin su,t, knottattots dntt chctikthisbot titu.t att:s;b d an additional,hcet%hot,.una the tattle or the Ague-eutttr.ttct'n and ahetha tit not ttote entitle,ha%c c`ssupli yeY's. If thesttb-cr+totaLtot,twvc thin,html pouch..dent Nutke s. Utlttl.puL*ea euuttl y. I am ma emplojerthal is providing t<•urlle rs'compensation insurance for my employees. Below is the policy and job site informattion. insurance Company Name._ Old Republic Insurance Co. Policy n or Self-ins.. Lie.. MWC 314158 22 Expirattun Date: 10/01/2024 lob Site ,Address S2. 1_,._au.r.c,1 'i ird city. Lip fro,>Ll it..0( l�.1 /9/!'�J /p6o %teach a cups of die workers'compensation polirs declaration page(showing the poke, number and expo atom date 1. Failure to secure cosera)c .:. tequued under Section 25A of MGt.c. 152 can lead to the imposition of ctunuul penaltte.of a fine up to SI.5(i()()tl and or one-year imprisonment. aS well as civil penalties in the form of a tii()1'%%t iRK t)RUI K and .t fine of up to S250.00 a day against the violator. He advised that a trot's .rl this statement ma), be form aided to the t►ttice tit In%esttratitrn- of the 1)1.\ for insurance tt+sera>;c timilk:anon I do hereby certify under the pains and penalties of periur) that the infirmato n provided above is true urtd turret t. Si.n.tture �'' tudt.- tt: , ''t;tC g^ 8 -zy Plt,tne `&00 - QS 2 - Y/12- Official use only. Do not write in this area.Its be completed by city or town offiriaL ( its or town: Prrmitll.icraw It IssuinL lttlhurity It heck uncl: I Board of 2❑Building Department 11:1( its Ion Clerk 4.0EkciricslInspector 5011nmbing Inspector ti.0Other ( ontact Person: Phone b: 5J � '; ,�{ , R E N E WA L fi brANDERSEN FUtISERVICE WINDOW A 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 U.S. Canada ENERGY ENERGY cc Andersen" Andersen NFRC Certified `o o < ° STAR STAR U w v 6.0 v4.1 Product Line& Glass Grille Type Products o o " 2 > v Product Type Type Directory Number j g 5 _ A N U Q C 0 5 r m c o Z o U U 0 0 N N N 2 (/ Simulated Divided Lite or Installed Interior Removable AND-N-54-02154-00003 0.23 1.31 0.42 0.51 35 <0.2 - - Z3 w 7 j v Finelight''.(grilles-between-the-glass) ANDN-54-02160.00001 0.23 1.31 0.47 0.57 38 <0.2 - - - Z3 9 H = r 3 Frill Divided Lite ANDN-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 - - +- a Simulated Divided Lite or Installed Interior Removable AND-N-54-01925-00020 0.26 1.48 0.31 0.53 25 <0.2 N - - - - 3 3 FinelightTM(grilles-between-the-glass) ANDN-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 II - - - No Grilles ANDN-54-01926-00019 0.27 1.53 0.21 0.32 18 <0.2 '. - - e Simulated Divided Lite or Installed Interior Removable AND-N-54-01926-00020 0.27 1.53 0.19 0.29 17 <0.2 I. - - 3n -, 2 = Firelight`"'(grilles-between-the-glass) ANDN-54-01932-00007 0.27 1.53 0./9 0.29 17 <0.2 r! - - Full Divided Lite ANDN-54-01944-00007 0.28 1.59 0.19 0.29 16 <0.2 II - - No Grilles ANDN-54-01927-00019 0.26 1.48 0.23 0.53 21 <0.2 N I - - ea j Simulated Divided Lite or Installed Interior Removable ANDN-54-01927-00020 0.26 1.48 0,21 0.48 20 <0.2 N - - Nr Firelight`"'{grilles-between-the-glass) ANDN5 0 4-01933-00007 .26� 1.48 0.21 0.48 20 <0.2 N - - Full Divided Lite ANDN-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 w = Simulated Divided Lite or Installed Interior Removable ANDN-54-01924-00020 0.27 1.53 0.50 0.58 35 <0.2 N Z3 v 3 ,'- o „ FinelighY"(grilles-between-the-glass) AND-N-54-01930-00007 027 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 - No Gelles ANDN-54-02140-00007 0.22 1.25 0.33 0.58 31 <0.2 N w 2 Simulated Divided Lite or Installed Interior Removable ANDN-54-02140-00008 0.22 1.25 0.30 0.52 30 <0.2 N 3 o = Firelight""(grilles-between-the-glass) AND-N-54-02143-00003 0.22 1.25 0.30 0.52 30 <0.2 N - Full Divided Lae ANDN-54-02149-00003 0.24 1.36 0.30 0.52 27 <0.2 N 400 Series Picture No Grilles ANDN-54-02141-00007 0.22 1.25 0.22 0.52 25 <0.2 N - w S o Simulated Divided Lite or Installed Interior Removable ANDN-54-02141-00008 0.22 1.25 0.20 0.47 24 <0.2 N - 3 " o E = Finelighl<e(grilles-between-the-glass) AND-N-54-02144-00003 0.22 1.25 0.20 0.47 24 <0.2 N - "3 Full Divided Lite ANDN-54-02150-00003 0.24 1.36 0.20 0.47 22 <0.2 r. No Grilles ANDN-54-02139-00007 0.23 1.31 0.50 0.64 40 <0.2 rr - - - Z3 w ° o Simulated Divided Lite or Installed Interior Removable ANDN-54-02139-(10008 0.23 1.31 0.45 0.57 37 <0.2 N - - - Z3 v = Firelight'.(grilles-between-the-glass) AND-N-54-02142-00003 -0.23 1.31 0.45 0.57 37 <0.2 N Z3 a 3 Full Divided Lite ANDN-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 Simulated Divided Lite or Installed Interior Removable ANDN-54-01925-00021 0.26 1.48 0.28 0.47 24 <0.2 II - - - c 3 Fi relight`"'(gnllesbetweenthe-glass) AND-N-54-01937-00007 0.28 1.59 0.31 0.53 23 <0.2 - - - - - 0 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 ANDN-54-01926-00021 0.27 1.53 0.17 0.26 16 <0.2 - - "a rn Firelight""(grilles-between-the-glass) ANDN-54-01938-00007 0.28 1.59 0.19 0.29 16 <0.2 - - - J Full Divided Lite ANDN-54-01950-00007 0.28 1.59 0.17 0.26 15 <0.2 - F. Simulated Divided Lite or Installed Interior Removable ANDN-54-01927-00021 0.26 1.48 0.19 0.42 18 <0.2 I - w 3 ''c Firelight`""(grilles-between-the-glass) ANDN-54-01939-00007 0.27 1.53 0.21 0.48 18 <0.2 I. - - o Full Divided Lite ANDN-54-01951-00007 0.27 1.53 0.19 0.42 17 <0.2 I. I I - - Simulated Divided Lite or Installed Interior Removable AND-N-54-01924-00021 0.27 1.53 0.45 0.52 32 <0.2 11 - I - - - w j Firelight""(gralesb M N etweehe-glass) AND -54-01936-00007 0.28 1.59 0.50 0.58 34 <0.2 - - - Z3 a Full Divided Lite ANDN-54-01948-00007 0.28 1.59 0.45 0.52 31 <0.2 - - - - !c Simulated Divided Lite or Installed Interior Removable AND-N-54-02140-00009 0.22 1.25 0.27 0.46 28 <0.2 - - e 3 i Firelight"'(grillesbetween-the-glass) 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 by unit size and options selected. R 15 of 155 Date is current es of December 1S,op201 pogo end is moeInfct change. PapSee pays 1 for more Informetlon. For specific unit performance information, please contact your dealer or Andersen Sales Representative. U.S. Canada ENERGY ENERGY Andersen" Andersen NFRC Certified 4. o u K y° STAR STAR Product Line& Glass TypeGrilleter w v80 v41 Products � y = 5 � g Product Type Type Directory Number i 2 rn m E r • _ N 0 :It, f .• a ar m 2 U U N N N N Z N 2.2 Annealed Glass-w/No Grilles and Grilles Less Than 1" No Grilles AND-N-59-00849-00001 0.29 1.83 0.32 0.55 22 <02 - - iv Simulated Divided Lite or Installed Interior Removable AND-N-59-00849-00002 0.29 1.65 0.29 OAS 20 <02 - o Full Divided Lite AND•N-5940855-00001 0.31 1.78 0.29 0.49 17 <02 - - - - Flnelight'"(grillee-between-the-glace) ANO-N-59-00867-00001 D.30 1.70 0.29 0.49 19 <02 - No Grilles AND-N-59-00850.00001 0.30 1.70 0.20 0.30 14 4 02 - - - - c Simulated Divided Lite or Installed Interior Removable AND-N-59.00850-00002 0.3D 1.70 0.18 0.27 12 <0.2 - I Full Divided Lite AND-N59-0085600001 0.31 1.76 0.18 0.27 11 <0.2 - - - - Flnellaht^(gille9-betwsen-hegl5at ,PFIO-N-59-00868-011001 0. 10 0.19 0,27 11 <0.2 - IMO Simulated Divided Lite or Installed Interior Removable AND-N-59-00851-00002 0.29 1.65 0.19 0.44 14 <0.2 - - 0 Full Divided Lite AND-N-59-00857-00001 0.30 1.70 0.19 0.44 13 <0.2 - - - - - - - - 4�mc 1 ,� e LIJ Simulated Divided Lite or Installed Interior Removable AND-N-59-00848-00002 0.30 1.70 0.47 0.54 29 <02 N i _ S Full Divided Lite AND•N59.00854-00001 0.31 1.76 0.47 0.54 28 4 0.2 - - o. FlnellghtT•(grilles-between-the-glass) AND-N59-00866-00001 0.31 1.76 0.47 0.54 28 40.2 - - ' No Grilles AND-N59-00969-00001 0.28 1.59 0.31 0.54 22 40.2 - - - s Simulated Divided Lite or Installed Interior Removable AND-N59-00969-00002 0.28 1.59 0.28 0A8 21 <02 - - - w Full Divided Llte INO-N•59•00972-00001 0.28 1.59 0.28 0.48 21 4 02 3 Finelight'•(grilles-between-the-glass) AND-N-59-00978-00001 0.20 1.59 0.20 0.48 21 <02 - - - No Grilles ANDS-59-00970-00001 0.28 1.59 0.21 0.48 17 4 02 - - - w o Simulated Divided Lite or Installed Interior Removable AND-N59-00970-00002 0.28 1.59 0.19 0.43 15 <02 - - - a Y a 200 - -, E = Full Divided Lite AND-N-98•00973-00001 0.28 1.59 0.19 0.43 15 <0.2 - - - Tilt- "3 OO1.syt .. Finelightr•(gdllee-between-the-glass) AND-N-59-00979-00001 0.28 1.59 0.19 0.43 15 <02 - - - t No Grilles AND-8159-00968-00001 0.26 1.48 0.48 0.59 35 <0.2 N - - - l Z3. Y c oSimulated Divided Lite or Installed Interior Removable AND-N-59-00968-00002 0.24 1.46 0.43 0.52 32 <0.2 N - - - ,i x$ Full Divided Lite AND-N59.00971.00001 0.29 1.85 0.43 0.52 28 <02 N - - - - a ; - I _ FlnellghtT•(grilles-between-the-glass) AND-N59-009T7-00001 0.29 1.85 0.43 0.52 28 <02 N 22 Annealed Glass-w/Grilles 1"or Greater Simulated Divided Lite or Installed Interior Removable AND-N-59-00849-00003 0.29 1.55 0.26 0.43 18 <0.2 - - - - - - 4' 3 Full Divided Lite AND-N.59-00861-00001 0.30 1.70 0.28 0.43 17 <02 - - - - - s Flnellght'"(gdllea-between-the-glees) AND-N-59-00873-00001 0.31 1.76 0.29 0.49 17 <02 - Simulated Divided Lite or Installed Interior Removable AND-N-59-00850-00003 0.30 1.70 0.16 024 11 <0.2 - i< N Full Divided Lite AND-N-59-00862-00001 0.31 1.76 0.16 024 10 <02 - - - - - Finalight*•(grlllesbetweendhe•glua) AND-N59-00874.00001 0.32 1.82 0.18 0.27 10 4 0.2 - - - - - E Simulated Divided Lite or Installed Interior Removable MID-N59.00851-00003 0.29 1.65 0.17 0.39 13 <0.2 - - - #yL - _9 Full Divided Lite AND�159-00863g0001 0.30 1.70 0.17 0.39 12 <02 N Finelightr•(grilles-between-Ore-glass) AND-N59-00875-00001 0.31 1.76 0.19 0.44 12 <02 - - - - c Simulated Divided Lite or Installed Interior Removable AND-N59-00948-00003 0.30 1.70 0.42 OAT 28 <02 - - - S N Full Divided Lib AND-N-59-00060-00001 0.31 1.76 0.42 0.47 25 <02 - - - a. FlnellghtT•(grilles•between-theglasa) AND-N-59-00872.00001 0.32 1.82 0.47 0.54 27 4 02 - - - - - Y Simulated Divided Lite or installed Interior Removable AND-N59-00969-00003 0.28 1.59 0.25 0.42 19 4 0.2 - - - S i Full Divided Lite AND-N-59-00975-00001 0.28 1.59 0.25 0.42 19 4 02 - - - 2 3 FlnellghtT•(grilles•between-the-glass) AND-N59-00981.00001 0.28 1.59 0.28 0.48 21 <0.2 - - - - t :1r Simulated Divided Lite or Installed Interior Removable AND-N59d0970-00003 0.28 1.50 0.17 0.30 14 4 0.2 - - - i v Full Divided Lite AND-N-59-00976-00001 0.28 1.59 0.17 0.38 14 c 02 - - - - u N; Finelight'•(grilles-between-the-glass) AND-N50-00682-00001 0.28 1.59 0.19 0.43 15 <02 - - - - This information is for reference only. s20155 Da is auenlaear°«amne lS'ea14 end ore to change, Performance varies by unit size and options selected. Pu gs See page 1 for more more Information,, For specific unit performance information,please contact your dealer or Andersen Sales Representative. Commonwealth of Massachusetts COtislfrC1i01i>ttlpstritar itDivision of Occupational Licensure Unrestricted-Bit of any use group which contain Board of Building Regulations and Standards less than 35,000 cubic feet(11,1 cubic motels)of enclosed l e i CS-090125 f. L'ypires 10/06:2024 JAIME L MORIN �� 54 NOTTINGHAM RD 45 RAYMOND Nti 030T? i 0/1:14033 Fakirs to possess a current edition of the Massschusetts ��. State Building Code is cause for revocabnn of this license. Cam crcr di K. re COVIAA. For information about this license Can(017)727-3200 or visit www.msss.govidlti Unice of Uonsumer Attat anci business Kegulation 1000 Washingtgrwt- Suite 710 Bostori1 Massaca cs4tts,. 42118 Home Im ro i.�•, �P._ :«.• egistration A i }., �.. "",t T14.0 ype: Supplement Card RENEWAL BY ANDERSEN LLC ^ === i=- ation: 170810 30 FORBES ROAD ,, « a E �itation: 12/22/2025 NORTHBOROUGH, MA 01532 . • S i../ f S$ IPUpdate 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: Supplement Gard Office of Consumer Affairs and Business Regulation Registration Expiratisn 1000 Washington Street -Suite 710 170810 12!22/2025 Boston,MA 02118 tENEWAL BY ANDERSEN LLC 64) AIME MORIN 3 . t? + 0 FORBES ROAD a: ?1�ph (.r itz, l� � '� JORTHBOROUGH.MA ___ 01532 Undersecretary ` Not valid with ut signature Page 1 of 1 8.AFRO CERTIFICATE OF LIABILITY INSURANCE D09/21ATE IDD/YYYY) 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. PHONE c/o 26 Century Blvd (NC,No,EXt) 1-877-945-7378 (NC.No): 1-888-467-2378 E-MAIL cm P.O. Box 305191 ADDRESS: ertificates@willie.co Nashville, TN 372305191 USA INSURER(S)AFFORDINGCOVERAGE NAIC0 INSURER A: Old Republic Insurance Company 24147 INSURED INSURER B: Renewal by Andersen LLC - 30 Forbes Road INSURER C: Northborough, t A 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 (MMIDDIYYYY) (MMIDD!YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 DAMAGE RENED CLAIMS-MADE X OCCUR PREMISESO(Ea occurrence) $ 500,000 A MED EXP(Any one person) $ 10,000 MWZY 314161 23 10/01/2023 10/01/2024 PERSONAL BADVINJURY $ 3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 6,000,000 X POLICY PRO JECT 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 MWTB 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 LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ERH YIN A ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? No NIA MWC 314158 23 10/01/2023 10/01/2024 (Mandatory in NH) EL.DISEASE-EAEMPLOYEE $ 1,000,000 If yes describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 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�REPRESENTATIVEI, J Evidence of Insurance I1UL ' ©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 Go Permits, LLC 105 Buttonball Lane G�INI Glastonbury, CT 06033 KPERMITS Scott Doughman Phone: 860-952-4112 dk 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(n 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 RENEWAL1111 bvANDERSEN N4 CON 11111.0 To Whom It May Concern:. This letter will authorize the following person(s) 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 w,th respect to the installation,maintenance and repair of windows and entry dorm ur►d c Masza.rhtisetts State Home improvement Cc ntractor license number 170810 and Construction Supervisor License number CS-090125. if you have any questions, please call me at 508,3S1•2277 ext 6. Authorized person(s): Go Permits LLC Sarah Harnmad David Anderson Maureen Kiwe! Scott Doughman Ryan B ondo Sovannara Kuy Mark Foster Glynn Morgan Jennifer Wtnke Wendy Hoiden Gerald i.ramer Nick Raeo Dane!Vickerrnan Stephen Wilder Katie Grocott Picionie Myers Carrie Follgno Michael Rogers Rachel Orloff l �r Fr, amie Morin Renewal by Andersen tIC HIC 170810 CSL—CS090125 Local District Office Address 30 Forbes Rd Northborough, MA 01532 ;r:+Irwal by Andersen l tC farm**Aye South t'e".'aa+' DocuSign Envelope ID 90076B9F-D474-48D0-A321-C65742BD87A9 4 �� Agreement Document and Payment Terms DBA:RENEWAL BY ANDERSEN OF BOSTON Jessica Tanner RENEWAL Legal Name:Renewal by Andersen LLC 52 Laurel St HIC#170810 Northampton ,MA 01060 ENL 30 Forbes Road I Northborough,MA 01532 H:(413)727-3295 Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:4133209809 Jessica Tanner 02/29/24 BUYER(S)NAME CONTRACT DATE 52 Laurel St, Northampton ,MA 01060 (413)727-3295 4133209809 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER jessicatimetrader@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: $20,663 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: $20,663 Estimated Start: Estimated Completion: 9-13 weeks 1-2 days AMOUNT FINANCED: $20,663 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: 1/3 deposit. Finance; 2/3 sub comp. Finance 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 03/04/2024 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. f7;jffff‘"° c—DocuSi ed by: SIGNATURE OF SALES PERSON \ si6ipottetfec42t SIGNATURE Jeffrey Noel Jessica Tanner PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 02/29/24 Page 2 / 36 DocuSign Envelope ID:90076B9F-D474-48D0-A321-C65742BD87A9 $ ' Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF BOSTON Jessica Tanner RENEWAL Legal Name:Renewal by Andersen LLC 52 Laurel St HIC#170810 Northampton,MA 01060 byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)727-3295 IlrtkYnR MOO t P00P MIMIC Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:4133209809 ID#: ROOM: SIZE: DETAILS: PRICE: family room Misc Misc, Bay & Bow, Bay& Bow Frame, Quantity 1, [35 Degree], [White Birch Seat Board Species], [3 Lites], [1:2:1 Ratio], [Prefinish color, white, Misc Misc, Additional Job Notes, Notes, Quantity 1, Last look program. 101 bay Window Acclaim Double-Hung (DG) 1:1 Flat Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware,White, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, None , 101-a bay Window Acclaim Double-Hung (DG) 1:1 Flat Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator PG Rating: 40 DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware,White, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, None , 101-b bay Window AcclaimTM Picture Base Frame, Exterior White, Interior White, Performance Calculator PG Rating: 50 I DP Rating: + 50 / - 50 Glass,All Sash: High Performance SmartSun Glass, No Pattern, Grille Style, No Grille, Mlsc, None , 02/29/24 Page 3/ 36 DocuSign Envelope ID:90076B9F-D474-48D0-A321-C65742BD87A9 Aop Itemized Order Receipt 'J/' DBA:RENEWAL BY ANDERSEN OF BOSTON Jessica Tanner RENEWAL Legal Name:Renewal by Andersen LLC 52 Laurel St HIC#170810 Northampton,MA 01060 brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)727-3295 WOW YOWL 00011MMIXINT Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:4133209809 ID#: ROOM: SIZE: DETAILS: PRICE: 102 Kitchen Window Acclaimmi Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware,White, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, Aluminum Wrap Casing, Aluminum wrap of exterior casing., 201 office Window Acclaim^" Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, White, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc,Aluminum Wrap Casing, Aluminum wrap of exterior casing., 202 Bedroom Window Acclaimn" Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, Interior White, Performance Calculator PG Rating: 40 I DP Rating: + 40 / - 40 Glass, All Sash: High Performance SmartSun Glass, No Pattern, Hardware, White, Window Opening Control Device, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, Aluminum Wrap Casing, Aluminum wrap of exterior casing., 203 Foyer Window AcclaimT"" Double-Hung (DG) 1:1 Slope Sill, Insert Frame, Traditional Checkrail, Exterior White, 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, Window Opening Control Device, Screen, Fiberglass, Full Screen, Grille Style, No Grille, Misc, Aluminum Wrap Casing, Aluminum wrap of exterior casing., 02/29/24 Page 4/ 36 DocuSign Envelope ID:90076B9F-D474-48D0-A321-C65742BD87A9 5 5 Itemized Order Receipt DBA:RENEWAL BY ANDERSEN OF BOSTON Jessica Tanner RENEWAL Legal Name:Renewal by Andersen LLC 52 Laurel St HIC#170810 Northampton,MA 01060 byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)727-3295 NU SIM(MINOMRUOpROPIM{MfMI Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:4133209809 ID#: ROOM: SIZE: DETAILS: PRICE: WINDOWS: 7 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 2 TOTAL $20,663 ,'.'P`^', Renewal by Andersen is committed to our customers'safety by ,, complying with the rules and lead-safe work practices specified by the EPA. 02/29/24 Page 5/ 36 DocuSign Envelope ID:90076B9F-D474-48D0-A321-C65742BD87A9 r ' MAW/ Payment Authorization Form � DBA:RENEWAL BY ANDERSEN OF BOSTON Jessica Tanner •ENEWAL Legal Name: Renewal by Andersen LLC 52 Laurel St R R AND A L HIC#170810 Northampton ,MA 01060 30 Forbes Road I Northborough,MA 01532 H:(413)727-3295 Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com C:4133209809 Jessica Tanner BUYER NAME 52 Laurel St Northampton ADDRESS CITY MA 01060 (413)727-3295 4133209809 STATE ZIP CODE PHONE NUMBER 1 PHONE NUMBER 2 R Finance $20,663 FINANCE PROGRAM* FINANCE PLAN#' CONTRACT BALANCE Jeffrey Noel 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 ($20,663) CASH DEPOSIT(1) FINANCED DEPOSIT(2) SUBSTANTIAL COMPLETION(3) FINANCING $0 $6,887 $13.776 (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. —I Docu - ned by: Jessica Tanner 02/29/24 ''.--_ 3C411ADA61EC42F... _-- - --- BUYER NAME SIGNATURE DATE 02/29/24 Page 6/ 36