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29-209 (5) 88 ACREBROOK DR BP-2021-1138 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:29-209 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRA('PING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: window replaced BUILDING PERMIT Permit# BP-2021-1138 Project# JS-2021-001911 Est.Cost: $1698.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WINDOW WORLD/ROBERT E BUSHEY JR 57011 Lot Size(sq. ft.): 29664.36 Owner: ROTH BARRY Zoning: Applicant: WINDOW WORLD/ROBERT E BUSHEY JR AT: 88 ACREBROOK DR Applicant Address: Phone: Insurance: 1029 NORTH RD (413) 485-7335 () WC WESTFIELDMA01085 ISSUED ON:4/7/2021 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 2 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: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. • cfr Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 4/7/2021 0:00:00 $40.00 212 Main Street, Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use only fTHAMp�: City of Northampton <> Status of Permit: ' 1`z Building Department gj49 `.'Curb Cut/Driveway Permit n' 212 Main Street ' Sewer/Septic Availability 4— ". Room 100 T n. c20 Wat /Well Availability V; w' Northampton, MA 01060'/,'-, �, Two Sets of Structural Plans `\,.: phone 413-587-1240 Fax 413-587-1272 Piot/Site Plans ',`)io Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION This section to be completed by office 1.1 Property Address: D t9C.f C OCOGtt 0( I Map A ` Lot RV q Unit 0((nCi / /)/� 6ii 7 Zone Overlay District lJL ! �(�1 ( Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 1«y Cr-f h 51 kanontc , F/1r°ri&, ',w Name(Print) Current Mailing Ar jho�3 ,- q ,y - See COnlratl Telephone Signature 2.2 Authorized Agent: K brrt au e\i 102q NortAn kd wPrStfit,i CI 'MA 0 VAS Namefi Pnh) f ( Current Mailing Address: � . °� f I 4-k3-- 4tTS -133- Signature,./ SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building / ctG,w gp� (a)Building Permit Fee 2. Electrical o (b)Estimated Total Cost of Construction from(6) 3. Plumbing Building Permit Fee j�G CO 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) l (SQ.Qn Check Number go3q This Section For Official Use Only Building Permit Number: 8o-011'/0d DIate Signature: Zig '"'I - 4 LOZI Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House E] Addition [D Replacement Win ows Alteration(s) ❑ Roofing r-� Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [DI Decks [[] Siding[CI] Other[0] Brief Description of Proposed p L Work: ciprea��►itae GeT - Alteration of existing bedroom Yes ZNo Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following: a. Use of building :One Family Two Family Other b. Number of rooms in each family unit: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new construction. Dimensions e. Number of stories? f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? h. Type of construction i. Is construction within 100 ft. of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, eG h ,as Owner of the subject property / ec hereby authorize 4kri 7- site lmodociu L t,Cx/0 to act on my behalf, in all matters relative to work authorized by thi uilding permit application. (3e ', corifira(1-) / /'4 / Signature of Owner Date I, Fes,o oer t 13Uht\I ,as Owner/Authorized Agent hereby declare that the statementg and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. 'rhe:Print.N mer iiis, Signatureyff/z07/ g df Owner/Agent Date 9 SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable 0 Name of License Holder: Re be r t P)us` 1c\,y 1 License Number 12 ocric1 Ln 3ov v\Iicy 1AP\ oloi i 5-1011 Address Expiration Date 4--13 . 4 -71335 Sign u re / / Telephone (D l2� I Al , .1 , 9.Registered Home Imortvi9ment Contractor: Not Applicable ❑ Robt','(t PA_ISYIty , br-5b4� Company Name Registration Number I�(idnw \A)or lci of 1 k ern ma5s lr1c, 3 i i4 /2Z Address Expiration Date �t rf\ d �1A O)O lephone 41J" 5.11J35 SECTION 10-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 Vi, No ❑ 11. — Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,you may be liable for person(s) you hire to perform work for you under this permit. The undersigned"homeowner"certifies and assumes responsibility for compliance with the State Building Code,City of Northampton Ordinances, State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature The Commonwealth of Massachusetts 11 =w = /. Department of Industrial Accidents _;p11� 1 Congress Street,Suite 100 _E=_ f Boston,MA 02114-2017 ��� www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Window World of Western Massachusetts, Inc. Address: 1029 North Road City/State/Zip:Westfield, MA 01085 Phone#:413-485-7335 Are you an employer?Check the appropriate box: Type of project(required): LEI I am a employer with 20 employees(full and/or part-time).* 7. ❑New construction 20 I am a sole proprietor or partnership and have no employees working for me in 8. ❑ Remodeling any capacity.[No workers'comp.insurance required] 3.0I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ['Demolition 4.0I am a homeowner and will be hiring contractors to conduct all work on m y p perty.ro I will 10 El Building addition ensure that all contractors either have workers'compensation insurance or are sole 1 1.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.0 I am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp,insurance.: 13.0Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.E✓ Other Replacements 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:A.I.M. Mutual Ins. Co. Policy#or Self-ins.Lic.#:WJMZ 800 Expiration Date:05/07/21 Job Site Address: v� -88007695 2020A teb1cx)ZC � City/State/Zip:Northampton, MA 01060 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cert un�j. airs and p 'es o erjury that the information provided aboçguaydco ir rrect.nture: i� ( () / i Phone#:413'48 -733 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: AFFIDAVIT In accordance with the provisions of MGL c 40, §54, I acknowledge, as a condition of the Building permit, all debris resulting from construction activity governed by this Building Permit shall be disposed of at 1Wcwt (NAME OF FACILITY) a properly licensed solid waste facility d 'fined b MGL C 111i§150A. L ir 1(.67 Date Signature of Permit Applicant PRINT OR TYPE THE FOLLOWING INFORMATION: (NAME OF PERMIT APPLICANT)' (TYPE OF MATERIAL TO BE DISPOSED OF) (PROPERTY ADDRESS) .� A City of Northampton Massachusetts at/ DEPARTMENT OF BUILDING INSPECTIONS r, 1": 212 Main Street •Municipal Building . =b~ • .J -a Northampton, MA 01060 4 .. 4 Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: anokfl( (Please print house number and street name) Is to be disposed of at: Coa5f-co Zc(2 ,Alan y l 66u 44 -- (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) Signa e f ermit A cant r er Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. Mf Windo- ��'• 4* i. wsAntf Doors Ls sufficient,or .44 550 West Market St -_-- F tg rfoWS And Doors c :[NF'RC e Y Gratz,PA17030 k or ae c =" C-0 West Market t v4 lc ' / _ , _ G'Ftz,PAt7 0 � .S' 1650 441 T i�e^estra�on Pallet Grid€ t� ft----ie � 8.2:Lice-F: 4I8",Ciear,LOE.Anneated);Lite-2• 7 (hE t�`l fit€: f ,r eas,fS�. �,; reeatod);Argots;ST d);X e- �li : KA tar '. Y . u.+"tt6W { ` • �:- ' -:''E ti,-.A 4; ,.goEEl`y`a t eC Mi+if� F • 4`td}eiduai products is Mat-A subje t to variation _: ,� maybe subject to lion to Tarifact:: • pert'or'mance t�t��,b ENERGY PERi=C3F�iVif NCE rs and doors tidal Prods fray Os sl::ca a,araaien in Performance RATINGS ,en net.. .. C pp pp.pffia.r► E ) Solar Heat G$in(�`O@ [CI@nt .ndc,--..a n the a vCE k1`ATIIF T jam/1y ..sCc_. rt'Y. €LcF �i4E4tfS f r-r i* . r" � Sa_ff€c`;ems TTin Coefficient �.2 0.26 ADDf`i i@NAL PERFORMANCE RATINGS' are generally L _O27 srerdtsct cer- _ — _ — ltisibte Transmittance locations in ADDiTiGNAL PEtMANGE RA'TifGS Air Leakage(U.S.tt-P) • )—— Air Leakage(U.S.A-P) 2 < 4i.� r € '!` E':Stt1i` ttC 3rgE5etWeraa t3 t.. d s4� a3 • °-:.a.7,.„,E nor u�aawr pwares mu mar ttinz sic to doesem mart as p pr WRaarr"f°rI'D sze per �ht,bake unto asurc aoram�ce y eu&s ;.,c€max; r#4� d i eg?P�ssc p eaaiicttaras`ermHur¢ wreac, wwwnsc aaHu, faraQterproauCrpe MP•aauc[ta-r, r fe c .r `tsar re�£Frrt atrlt7:aflrGA _my rot any__ tWa•COitSUR 2161,?> .:d•• r err• catsr c.re-x6u> ueoitor�ear i ! i'v l'E fl t a.F aQ tp f ,__krvy f : t *E,fiFr�'*6r£iRS.�.tPefaraSE[' PWr� _ gittetl Regions. bris.Use 8 J amcs� "° _i, 'TA#t�tf � � 1a; tones resaltadas. • t .. t�st It.d t$ i' - itadas. �i/`// { t, ones rash II �%%��,"' t J j���1/ / �/�/j �f- ' ENFRGY ) _ ..., I / ,. -. .f t' STAR' - `" �:, . ., - ? { ', f ":,:. _, t�ter9rstargay.Sviaaows j ..�y '- d•• Pd Certi6ed1Certificada ENERnY A. h zze aioformacibnlcomaple a eansu Nar�ia uiq rieta aet praAucro. anefyypu'o lWiaimer: i0 Certiied/C.40*W For fail infomtatien,sn Ubel°nProduct Pe +DP ASDPara inforreaci6e lets.COasrlar la epquera del producm. LC 3530 j -DP{ASDjjWater �"� Max Fte 50,13 J 5.43 .D (ASD) iWaterPad# Florida ID Pet{Gccie }DP( SD) 35.08 B.08 40.00 X 72.00 aa3rs.or_tat�ar ro 2 i 35.09 r t— -I LC-PCs35 _ g(C f O1TC stings are44oa r r stacked .Pos and Neg OP limited b it t gq�y C�t OStt.S,21pg4p.05 Glass According to Ratings are for individual wetdovra and doors only. For iMorrna6on regarding mulled ddd gnat information r��maybe concealed by glazing bead or track faler.For Please contact Your sates reproserstatnre.Pos and Neg OP rtited by seegardingri�nstallation instructions, (ease visit or stacked units,pi �������`7. I. p www.miwd.com. the unit test stze.Tested to AAMAMIDINAtCSA 1II1/t.S net iMarmatsa^segardsng y ba concealed by gtaairtg bead or track fifier.mi�wd�m Pnntea on nail installation instructions,please l isk vv+rw. s fzrzots 6:}a t2 Ana Printed on %int 26772468.1.1.1 z e3� �" tans �- WINDWOR-01 CHRYSTAL AWRO DATE(MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 4/7/2020 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 suchppendorsement(s). PRODUCER NAMEACT Chrystal L Greenleaf Phillips Insurance Agency,Inc. 97 Center Street (A/C,No,Eat):(413)594-5984 jac,N04413)592-8499 Chicopee,MA 01013 Realess:chrystal@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC 8 INSURER A:State Automobile Mutual Ins Co INSURED INSURER B:State Auto Property&Casualty Window World of Western Massachusetts,Inc. INSURERc:A.I.M. Mutual Ins.Co. 33758 1029 North Rd INSURER D: Westfield,MA 01085 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYYI IMM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE I X I OCCUR PBP2891125 4/9/2020 4/9/2021 PREMISESO(EaEoccccuirencel $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEM_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY[j f LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ B AUTOMOBILE LIABILITY ((EOMBINED deennt)SINGLE LIMIT $ 1,000,000 ANY AUTO BAP2480934 4/9/2020 4/9/2021 BODILY INJURY(Per person) $ OWNED X SCHEDULED BODILY INJURY(Per accident) $ AUTOS�EQ ONLY AU�TRULE D X AUTOS ONLY X AUTO ONLY ( e s d entpAMAGE $ $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE PBP2891125 4/9/2020 4/9/2021 AGGREGATE $ 1,000,000 DED X RETENTION$ 0 $ C WORKERS COMPENSATION X STATUTE X RP - AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVEWMZ-800-8007695-2020A 5/7/2020 5/7/2021 1,000,000 OFFICERAIEMBUt EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.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/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space is required) Workers compensation insurance coverage applies only to the workers compensation laws of the state of MA.This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ( # Commonwealth of Massachusetts °) t7/ Division of Professional LIcensure • Board or Building Regulations and Standards Construdit4tf tit(1 rvisor CS-057011 t �' i. 1 Ejtoires•0612812021 vti{ ROBERT E BSfbHEY' 44T^i 12 DAIRY LN e. 7 , SOUTHWICK'MA'0104 [ • !? e t' 'r"�" 71 [ i Commissioner 44;..,r7t/.4 —•-- Re 1Mnomnn9,N,rr/ae�b' !lmurt Anti,/t5 0UIco of Coneumor Malrt;&Buatnoss Regutallon HOME IMPROVEMENT CONTRACTOR TYPE:Cornorelfon RegfstraIlor Exnlrgtion 165041 03/14/2022 WINDOW WORLD OF WESTERN MASSACHUSEI IS,INC. ROBERT BUSHEY JR. 1029 NORTH RD (,.•,.wr'lG.gatft",4 WESTFIELD,MA 01035 Undersecretary • Window World of Western Massachusetts e 641 Daniel Shays, Hwy,Belchertown,MA .. common/1 u. 01007 W K.W^'•' 1029 North Road,Westfield,MA 01085 Office: (413)485-7335 WINDOW WORLD CARE www.WindowWorldofWesternMA.com - Barry Roth Phone: 4135879842 Install Address: 88 Acrebrook Dr Email: abenideemail@comcast.net Florence, MA 01062 Contract Name: Barry Roth- Sales-Windows Design Consultant:Tim Drost Measured By: Measure Approved Date: 3/29/2021 Status: Contract Payment Method: Credit Card Lender: Contract Type: Sales Comments: Product Description Txbl Qty Price Extension Permit&Administrative Fee Permit&Administrative Fee N 1 $200.00 $200.00 Setup and landfill disposal fee Setup and landfill disposal fee N 1 $0.00 $0.00 4000 Series DH Solarzone 4000 Series DH Solarzone N 2 $609.00 $1,218.00 Full Exterior Capping Full Exterior Capping N 2 $140.00 $280.00 Total Information Unit Total: 3 Subtotal: $1,698.00 Tax Rate: 0% Tax: $0.00 Total: $1,698.00 Amount Financed: $0.00 Payment Method: Credit Card Deposit Amount: $800.00 Balance Paid to Installer upon Completion: $898.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: 3/29/2021 Year Home Built: 1985 RRP Signed Date: 3/29/2021 Window World of Western Massachusetts o.,.,„,,,,M"�►r commwno 641 Daniel Shays,Hwy,Belchertown,MA Window 01007 1029 North Road,Westfield,MA 01085 Office:(413)485-7335 WINDOW WORLDCARE www.WindowWorldofWesternMA.com Product Acknowledgements 1 have received a copy of the lead hazard information pamphlet informing me of the potential risk of the lead hazard exposure from renovation activity to be performed in my dwelling unit. I received this pamphlet before work began. Primary Homeowner Secondary Homeowner a ♦ Window World of Western Massachusetts 04n�ie>cu�mmano Window 641 Daniel Shays, Hwy,Belchertown, MA * 4 01007 t 1029 North Road,Westfield,MA 01085 Office: (913)485-7335 WINDOW WORLD CARE www.WindowWorldofWesternMA.com - - Preparing for Your New Windows and Doors Thank you for choosing Window World to complete your home improvement project.This letter is designed to simplify your upcoming installation experience by letting you know what to expect. 1. HOW LONG DOES IT TAKE? It takes approximately 4-20 weeks to receive your custom-made window order from the factory following your final measurement and your job exiting the Massachusetts State three day rescission period.A Window World associate will contact you shortly after your windows have arrived to schedule the installation.Please note that we will make every effort to install your windows within a reasonable time after they have arrived, but weather(rain, snow, high winds and extreme cold), high volume sales periods or other conditions (factory production delays,factory closure for holidays,shipping delays, etc.) beyond our control may govern the installation date. Homeowner understands and agrees that any such delays will not result in a discount from their contract total. 2. HOMEOWNER REQUIREMENTS: I understand that by signing this, I am certifying that I am the owner of the property listed on the contract. I agree that a property owner will be present for the duration of the installation to ensure that the work is performed to my satisfaction and to inspect the work completed. If a property owner is not present,the contractor will be released of liability for any installation issues.This allows us to better satisfy our customers and ensures that the windows or materials are installed in the correct openings.Customer must sign off on completion certificate and leave final payment with installer if he/she wishes to leave the job site prior to completion. Customer understands that by not being present at the time of installation may result in the automatic charging of the final payment to the credit card used for deposit. 3. UNFORESEEN CIRCUMSTANCES: If during the installation process a condition is found that would prohibit properly installing a window(i.e. wood rot,termite or other hidden damages,etc.),the installer will promptly notify the Homeowner as well as the Window World office of the problem.Any additional work that is required to properly complete the job will be discussed with the Homeowner and billed on a time and materials basis. In the event we have received the incorrect or damaged window for your job(due to an incorrect measurement or factory error), Window World will reorder the proper window and will schedule the installation as soon as possible. Window World expects payment on the work completed to date at the time of installation that is not affected by warranty issues. 4. WHAT YOU NEED TO DO PRIOR TO OUR STARTING THE INSTALLATION: • You will need to remove all curtains,shades, blinds,window air conditioning units etc.from the existing windows. • We also ask that you remove any pictures mirrors,etc.on nearby walls and tables. • Move all furniture away from the area around each window leaving approximately 3 ft in front of the window and lft on either side of the window to be replaced. • Secure any pets(and children)for their own safety and for the safety of our installers. 5. ALARM SYSTEMS: It is the responsibility of the Homeowner to inform the alarm company of the upcoming window or door installation and to arrange reconnection after installation is complete. 6. EPA-LEAD SAFE GUIDELINES: Homeowners of homes built before 1978 have received a copy of the lead hazard information pamphlet informing the Homeowner of lead hazard exposure from renovation activity to be performed in their home.The Homeowner understands and agrees to indemnify and hold Contractor, Contractor's representatives, and employees harmless for any lead paint health issues. 7. INSIDE INSTALLATION (Normal): If the windows are to be installed from the inside,the interior stop moldings will be removed from the existing windows and reused after the new windows are installed. Please note that the paint or stain on the trim/moldings may get chipped and would need to be touched up by the homeowner. 8. OUTSIDE INSTALLATION (Special): If the windows are to be installed from the outside,the existing window's wood "stops"will need to be removed. In addition, if there are existing storm windows in place outside of your current windows,these will need to be removed as well. Please note that the area(s) where the wood "stops" and/or storm windows were removed will need to be patched and painted by the Homeowner unless the exterior trim is to be installed by Window World. 9. UPON COMPLETION OF INSTALLATION:After the installation is complete,you will be asked to inspect the entire project with our Installer.An evaluation sheet will be provided for the Homeowner to sign after the final inspection is complete. Please make sure that any corrections have been made before the installer leaves the job site. When the job is complete, we ask that you pay the installer the remaining balance due on your` contract. 10. METHOD OF PAYMENT: Our installers will accept your final payment in the form of check, money order,Wells Fargo financing,or Visa/MasterCard/Discover Card authorization. As a courtesy and to ensure the safety of our installers; please DO NOT pay your final payment In Cash. 11. REFERRALS: Our goal is that you are pleased with the work we have done and will refer us to your friends and neighbors.You will receive a $50 referral fee for each person you refer who purchases 8 or more windows. Please have your referral mention your name when contacting our office. We trust that your remodeling experience will be a pleasant one. If for some reason you are not completely satisfied, please contact our office. Your comments are welcomed and will be used to better serve you. Thank you for your business! Primary Homeowner Secondary Homeowner Design Consultant EPA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure WW of W. Massachusetts anticipates starting this work on and being substantially completed in days.Any deposit required in advance of the start of the work SHALL NOT exceed 33 1/3% of the total contract price OR the actual cost of any material or equipment of a special order or custom-made nature, which must be ordered in advance of the start of the work to assure that the project will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all parties.All home improvement contractors and subcontractors shall be registered. No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract. WW of W. Massachusetts under provision of Chapter 142A of the general laws is required to apply for and obtain all construction-related permits. WIN of W. Massachusetts shall not be deemed responsible for delays in the work described in this agreement caused by regulatory, permit granting agencies, authorities, or individuals. Notice: If the PURCHASER(S) obtains his own construction related permits for the work described under this agreement or deals with unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute,judgement and nonpayment, the PURCHASER(S)will not be entitled to make a claim or collection from the guaranty fund established by chapter 142A, M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following third business day. THIS IS A CUSTOM ORDER NOT FOR RESALE This Window World@ Franchise is independently owned and operated by Window World of Western Massachusetts, Inc.under license from Window World,Inc.