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42-001 (3) BP-2024-0197 245 WEST FARMS RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 42-001-001 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-2024-0197 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2024 Contractor: License: Est. Cost: 25198 RENEWAL BY ANDERSEN 090125 Const.Class: Exp.Date: 10/06/2024 Use Group: Owner: P. OMASTA, JOHN Lot Size (sq.ft.) Zoning: WP/WSP Applicant: RENEWAL BY ANDERSEN Applicant Address Phone: Insurance: 30 FORBES RD 508-351-227 WLRC50668058 NORTHBOROUGH, MA 01532 ISSUED ON: 02/26/2024 TO PERFORM THE FOLLOWING WORK: 3 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: v �� • ),2 Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner If possible, please email a copy of the issued permit to perfnitsqpefmits.prg. Thank you. The Commonwealth of Massachusetts r ° Board of Building Regulations and Standards FEBML)NIFOR'CI$ALITY Massachusetts State Building Code, 780 CMR 6 2024 i USE Building Permit Application To Construct, Repair, Renovate Or emolish a Revised Mar 2011 One-or Two-Family Dwelling ?t.'nr - - This Section For Official Use Only 1'''f`�, Building P rmit Number: 8/-151— 10 7 Date Applied: Ctt �ss /�/�- Z.Z/ ZI,ZV Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers .1 VS At Fart.s 4 4 PONACe fill4 0106 2 1.1 a Is this an accepted street?yes ✓ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 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: f o► Qa rhzh )& /'1 Pkvee4 oIO(,Z Name(Print) City,State,ZIP 214S Ili . ftiMS Rd 03-520-C24,Z 'Ica•ow34,01, ,5w►aI1 . c0►.t No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Existing Building 0 Owner-Occupied ❑ Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units Other Epecify:wi>td ffPidleeele,tf Brief Description of Proposed Work': RE/aa‘Z- Ai* d e?ql ae .i d ee iv• 'd rim S� CA-e Ch a S a tac t aT1 . 2 S SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 2 S ifs .00 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 0 Total Project Cost'(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ / Check No.lf Check Amount: —1 Cash Amount: 6. Total Project Cost: $ ZS /98N CI Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 090/2 s /eA/2-A/ .8IM4 Pl orli+ License Number Expiration Date Name of CSL Holder List CSL Type(see below) �,✓S'' 2. Fofbet Qa No.and Street Type Description /Yii 6 e�roy�rrN n U Unrestricted(Buildings up to 35,000 Cu.ft.) MA O 1,f3Z R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofmg Covering ea) Window and Siding SF Solid Fuel Burning Appliances �64-9S'Z• Y//2pet".4 0 tOti 7�.orq I Insulation Telephone Emil ceddress `- D Demolition 5.2 Registered Home Improvement Contractor(HIC) �P va �s oer�t �, L!-G / r0 I pi 2 t 2S HIC Registration Number Expiration ate HIC Company Name(THE Registrant Name L No.and Steel mil address Na•147 bffei—JA e•/S3z k6d vikt 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 Issuanncce of the building permit. Signed Affidavit Attached? Yes .......... f9' 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 accurate the best of my knowledge and understanding. Print Owner's or Authorized Agent's Name(Elec i onic `/nat • 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 wwvv.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 wS . '. L1; �n x. Y i DEPARTMENT OF BUILDING INSPECTIONS r. yJ 1 a` 212 Main Street • Municipal Building ffS 1`� ., ,,,,) Northampton, MA 01060 Np471 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: 3o 6,bes G f d 44--7144"'0.44, 4 ?41 A o/S,7z The debris will be transported by: Name of Hauler: iA/4/16, Xa.t (hem e.ti _ / , l Signature of Applicant: �� Date: 2-2-5- Z f The Commonwealth of Massachusetts L 7 E $........ Department of Industrial Accidents 1 Office of Investigations', ...--= 1mi . Lafayette City Center ...... 4•11•1 % 2 Avenue de Lafayette, Boston, MA02111-1750 www.mass.goe/dia Workers'('ompensation Insurance Affidavit: Builders/Contracto rs/Electricians/Plumbers Applicant Information Please Print Legibls. Renewal by Andersen Name (Businessp`Orgaization I mhlid nal): ------- Address: 30 Forbes Rd. • City/State/Zip:Northborough, MA 01532 phone :508-351-2277 „., . Are you an employer? t heck the appropriate buk: Type of project(required): .., 4 D I arn a general contractor and I I 4. 0. I am a employer with 306. 0 New construction employees(fil)!and/or part-time).* have hired the sub-contractors 2 0 I am a sole proprietor or partner- listed on the attached sheet. , 7. El Remodeling . ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' 9. Ei Building addition [No workers' comp. insurance comp. insurance.: required.] 5. 0 We are a cotporation and its 10.0 Electrical repairs or additions 3.0 lam a homeowner doing all work officers have exercised then 1 1.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MCI 12.0 Roof repairs insurance required.]4 C. 152,§1(4),and we have no 13.2f other Replacement employees [No workers' _ comp. insurance required.] . 'An applicant that cheeks box#1 must alto fiLl out the section below showing their workers'ecienpensation policy information. Honieowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a nev,affidavit indicating welt. 1Contractors that check this box must attached an additional sheet showing the name of die sub-commit:tors and state whether ur nut those entities ha,,.: emilto...,,.-,. If the sub-contractor.have,:tnplo!,ces.the must provide theii %otters'comp porwy!wither 1 am an employer that is providing workers'compensation insurance for my employees. Below iS the policy and job site information. 1 Insurance Company Name: Old Republic Insurance Co. Policy#or Self-ins. Lic.#: MWC 314158 22 Expinown Lxii,.. 10/01/2024 Job sae Address: 1:9 VS- Al ,Qr/i/S if d CitytStaic zip ,i-----.4e/ve Se o/06 4 1tiach a cops of the workers' compensation polies declaration page(showing the policy number*admit Alittll date). f ailure to S.4:k.WC cis Cratte as required under Section 25A of!s161..c. 132 can lead to the imposition of criminal penalties of a fine up to S1,500 1$1 and'or one-year inipnsonrnent. as well as cis il penalties in the formula STOP WORK ORDER and a fine of up to$250.00 a day a,e,mat the violator Be ads ised that a copy of this stateinent may be forwarded to the Office of Investieations of the DIA for insurance co ,:iiitze verification. / - I du hereby certify under the pains and penalties of perjury that the information provided above is true and correct. 2a"... .1.4z. —1.1,-/ ' Si:palm,: I,..:41'1.14.- t),„,.: 10/10/23 Mont ; i40— 9.52-- Y//2, _........_......_ ........=., Official use only. Do not write in this area.to be completed by city or town official Cio, or lawn: Permit/License 00 Issuing ‘uthority(cheek orie): I 0 Board of Health 20 Building I/epartment 31a:it'll ow n Clerk 4.0 Eketrical Inspector 5011umbio1 Inspector 6.0(it her Contact Person: Phone 0: =iiimac===3======0mIIIMIIINIIII 54€ RENEWAL byANDERSEN FUt13ERVICE WINDOW&DOOR REPUUCEMENT 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 Go Permits, LLC G0 105 Buttonball Lane Glastonbury, CT 06033 PEIIM'ITS Scott Doughman Phone: 860-952-4112 Nk, Fax: 860-430-6719 p " 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: renewalbyandersena opermits.orq I• 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 at Massachusetts Conathvction litDivision at Occupational Licensure Unrestricted-difildings of any tsar group which contain l; Board at Budding Regulations and Standards less thin 3E,OOO cubic Beat( P chit suitors)at andstiod t Coast silt+" b 1 d sue CS 090125 }S pines: 10/06/2024 JAIME L MOFIN ; 1 54 NOTTINGIAAM RD i _- RAYMOND Nis 030 l ti01,0 4.1'` I Fodor*to poasss a canoeist odium of the M� I. State> Code Is Clues Mr revocation of ibis ikons*. 1 C"cnirni,,v,...,,., , 4, s, For Information shout this license Cad(017)727-3200 or visit www.ahsas.lio'sO4p1 Unice of consumer Attat s atll business Keguiation 1000 Washingtq, ct - Suite 710 Boston,..Massacbu -t12118 Home Im ro rrent • • • r re istration t rIt """`_ ,_*-- .1. I "- n Type: Supplement Card e �: .' a anon: 170810 RENEWAL BY ANDERSEN LLC ;,i E „ :bon: 12/22/2025 30 FORBES ROAD NORTHBOROUGH. MA 01532 w mmirgaramdeor Z t yam ,, Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Supplement Gard Office of Consumer Affairs and Business Regulation Kggt;;ttltion ' gxpiratism 1000 Washington Street -Suite 710 170810 1212212025 Boston,MA 02118 tENEWAL BY ANDERSEN LLG RIME MORIN i 2 ° ,0 FORBES ROAD Q ,HI :::frwith‘u' dORTHBOROUGH.MA 01532 � w Undersecretary Not signature RENEWAL brANDERSEN sow timr miaow To Whom It May Concern: This letter will authorize the following personls) to act as agent(s) on behalf of Renewal by Andersen L1C, 9900 Jamaica Ave South, Cottage Grove MN 55016 *.o pull for permits and Inspections with respect to the installation, n-taintenarice and repair of windows and entry rinnrt !map; Nigistarhilsetts State Home improvement Contractor license number 17(1810 and Construction Supervisor License rurroer CS-090125 If you have any questions, please call me at 508 351 2277 ext 6 Authorized person(s); Go Permits LC Sarah Hammad David Anderson Maureen Kivel Scott Doughrnan Ryan Biondo Sovannara Ku y Mark Foster Glynn Niorgan lennifer Winke Wendy Holden Gerald k_rarner Nick Raeo Panel Vickerrnan Stephen Wilder Katie Grocott Bonnie Myers Carrie Fol,gno Michael Rogers Rachel Orloff amie Morin Renewal by Andersen tLC MC 170810 CSL-05090125 Local District Office Address 30 Forbes Rd Northborough, MA 01532 Page 1 of 1 GO ACUR© DATE(MM//2023 ) CERTIFICATE OF LIABILITY INSURANCE 09/212023 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. FAX c/o 26 Century Blvd (A/C No.Ext)• 1-877-945-7378 ( Noy' 1-888-467-2378 E-MAIL certificates@willis.com P.O. Box 305191 ADDRESS: Nashville, TN 372305191 USA I INSURER(S)AFFORDINGCOVERAGE 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 (MM/DD/YYYY) IMMIDD/YYYY) X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 3,000,000 DAMAGE 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 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 31 159 23 10/01/2023 10/01/2024 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OAMED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I RETENTION$ $ WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY STATUTE ER Y/N A ANYPROPRIETOR/PARTNER/EXECUTIVE EL.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? NO N/A MWC 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 1 LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION ISHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED R/ZE�RE�PRESENTATI�. REPRESENTATIVE Evidence of Insurance ' MAL be /�'' 1J ©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 BY ANDERSEN SPECIFICATION Et TECHNICAL MANUAL TECHNICAL INFORMATION PERFORMANCE RATINGS AND TEST DATA NFRC Total Unit Performance (continued) U-Factor ,; Renewal by Andersen® High Performance Blass Type (BTUt(hr ft2 on)} SHBC Product Air HP Gas Blend Air HP Gas Blend Without Grilles 0.46 0.44 0.57 0.57 .82 Clear Full Divided Light Grilles 0.46 0.44 0.51 0.51 Without Grilles 0.33 0.30 0.31 0.31 .72 Low-E4® Full Divided Light Grilles 0.34 0.31 0.28 0.28 Double-Hung DB Without Grilles 0.33 0.30 0.19 0.19 .40 (Full Frame) Low-E0 Sun Full Divided Light Grilles 0.35 0.31 0.18 0.17 Without Grilles 0.33 0.29 0.21 0.21 .65 Low-E4®SmartSunTM Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E48SmartSun Without Grilles 0.28 0.25 0.20 0.20 .63 with HeatLockTM Full Divided Light Grilles 0.28 0.25 0.18 0.18 Without Grilles 0.46 0.44 0.57 0.57 .82 Clear Full Divided Light Grilles 0.46 0.44 0.51 0.51 Without Grilles 0.33 0.30 0.31 0.31 .72 Low-E4® Full Divided Light Grilles 0.35 0.31 0.28 0.28 Double-Hung DB ® Without Grilles 0.34 0.30 0.20 0.19 .40 (Insert Frame) Low-E4 Sun Full Divided Light Grilles 0.35 0.31 0.18 0.18 Without Grilles 0.33 0.29 0.21 0.21 .65 Low-E4®SmartSun at Full Divided Light Grilles 0.34 0.30 0.19 0.19 Low-E4®SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLackm Full Divided Light Grilles 0.27 0.25 0.18 0.18 Without Grilles 0.47 0.45 0.59 0.59 .82 Clear Full Divided Light Grilles 0.47 0.45 0.53 0.53 Without Grilles 0.34 0.30 0.31 0.31 .72 Low-E4® Full Divided Light Grilles 0.35 0.32 0.29 0.28 Without Grilles 0.34 0.30 0.20 0.19 .40 eliding Low-E4®Sun Full Divided Light Grilles 0.35 0.32 0.18 0.18 Wit 0.33 ® 0.21 0.21 .65 Low-E46SmartSu Full Divided Light Grilles 0.34 0.31 0.19 0.19 Low-E4®SmartSun Without Grilles 0.27 0.25 0.20 0.20 .63 with HeatLockN Full Divided Light Grilles 0.27 0.27 0.18 0.18 09-10 COMPANY CONFIDENTIAL-REVISION AA-01 Agreement Document and Payment Terms DBA: RENEWAL BY ANDERSEN OF BOSTON Faye Omasta Legal Name:Renewal by Andersen LLC 245 W Farms Rd RENEWAL HIC#170810 Florence,MA 01062 EN RE NEWAL N 30 Forbes Road I Northborough,MA 01532 H:(413)320-6262 Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com Faye Omasta 02/21/24 BUYER(S)NAME CONTRACT DATE 245 W Farms Rd , Florence , MA 01062 (413)320-6262 BUYER(S)STREET ADDRESS PRIMARY NUMBER SECONDARY NUMBER faomasta@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: $25,198 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: $25,198 Estimated Start: Estimated Completion: 2-3 months 2-3 days AMOUNT FINANCED: $25,198 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 02/24/2024 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. {C)N\,-A)21/-1. SIGNATURE OF SALES PERSON SIGNATURE SIGNATURE Daniel Blood Faye Omasta PRINT NAME OF SALES PERSON PRINT NAME PRINT NAME 02/21/24 Page 2 / 34 Itemized Order Receipt Y �f f DBA:RENEWAL BY ANDERSEN OF BOSTON Faye Omasta RENEWAL Legal Name:Renewal by Andersen LLC 245 W Farms Rd HIC#170810 Florence,MA 01062 byANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)320-6262 FOUSIWKI MOM P PWI PPRM.IIHPI Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston#gmail.com ID#: ROOM: SIZE: DETAILS: PRICE: 100 main entry door Mlsc Misc, ProVia, Entry Door System, Quantity 1, See attachment for details. 101 kitchen Window AcclaimTM Gliding Double 1:1 Active / Passive, Base Frame, 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,TruScene, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern,All Sash: Colonial 2w x 3h, Misc, None , 102 dining rm Window AcclaimTM Gliding Double 1:1 Active/ Passive, Base Frame, 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, TruScene, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, All Sash: Colonial 2w x 3h, Misc, None , 103 dining rm Window AcclaimrM Gliding Double 1:1 Active/ Passive, Base Frame, 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, TruScene, Full Screen, Grille Style, Grilles Between Glass (GBG), Grille Pattern, All Sash: Colonial 2w x 3h, Misc, Non$ , 105 side entry Mise, Misc, ProVia, Entry Door System, Quantity 1, See attachment for details. WINDOWS: 3 PATIO DOORS: 0 ENTRY DOORS: 0 SPECIALTY: 0 MISC: 2 TOTAL S25,198 Renewal by Andersen is committed to our customers'safety by 'EPA 5 complying with the rules and lead-safe work practices specified by the EPA. 02/21/24 Page 3/ 34 ,ya C ' Payment Authorization Form DBA:RENEWAL BY ANDERSEN OF BOSTON Faye Omasta RENEWAL Legal Name:Renewal by Andersen LLC 245 W Farms Rd HIC#170810 Florence,MA 01062 brANDERSEN 30 Forbes Road I Northborough,MA 01532 H:(413)320-6262 Phone:(508)351-2200 I Fax:(508)986-7072 I rbaboston@gmail.com Faye Omasta BUYER NAME 245 W Farms Rd Florence ADDRESS CITY MA 01062 (413)320-6262 STATE ZIP CODE PHONE NUMBER 1 PHONE NUMBER 2 interest deferred for 12 mon $25,198 FINANCE PROGRAM* FINANCE PLAN#* CONTRACT BALANCE Daniel Blood 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 ($25,198) CASH DEPOSIT(1) FINANCED DEPOSIT(2) SUBSTANTIAL COMPLETION(3) FINANCING $0 $8,399 $16.799 (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. Faye Omasta 02/21/24 BUYER NAME SIGNATURE DATE 02/21/24 Page 4/ 34