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42-141 (4)
BP-2022-0477 763 WESTHAMPTON RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 42-141-001 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-2022-0477 PERMISSIONIS HEREBY GRANTED TO: Project# WINDOW/DOOR Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 24332 MASS INC 115719 Const.Class: Exp.Date:04/30/2025 Use Group: Owner: BUZZEE BLISS DAVID K&TODD H Lot Size (sq.ft.) Zoning: WSP Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 WMZ-800-8007695-2021A BELCHERTOWN, MA 01007 ISSUED ON:05/04/2022 TO PERFORM THE FOLLOWING WORK: I WINDOW, 1 DOOR, GARAGE DOOR, PATIO DOOR 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: yJ u �,� • -- , -------------- - !in Fees Paid: $40.00 212 Main Street, Phone(413) 587-1240,Fax:(413)587-1272 Office of the Building Commissioner I : —' fI/c- The Commonwealth of Massachusetts: V �� c' Board of Building Regulations and Standards 44Y FOit Massachusetts State Building Code, 780 CMR 3 2O22 MUNICIPALITY I USE Building Permit Application TCt,Repair, enovat4n h aRkvisedMai2011 One- Two-Family Dwelling , N This Section For Official Use Only ..�oso it Buildin Permit Number/3a a 4'47 '1 Date Applied: 49/ZUI22_ ' --` KUit.) 4 ,5 // 5-4-202 . Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 7 7j /141, I-* 7i /2d 1.la Is this an accepted street?yes 4 no Map Number Parcel Number 1.3 Zoning Information: `� 1.4 Property Dimensions: '1/J`Tii?c}' /k n Le2i 1/41!/ Zoning District Proposed Use Lot Area(sq ft) Frontage(It) 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: ® /D_ z1 /5✓./it Alar2.-,•r� /?1 6Z. Name(Print) City,State,ZIP 7e J al cH, f,, f �i§ . y 4 h f l LZ �e .,�,F- No.and Street elephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction❑ Existing Building' Owner-Occupied VI, Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 17 Accessory Bldg. 0 Number of Units ', Other bSpecify:V,P.tc)\OtC LM!'1nA. Brief Description If Proposed Work': r iAtL,_. ! uJindoil_1 It -ekr '27 J / .Gi'I- ;—y da,fj / ‘9,414Q.y. d ,0s-- tc-- /o1-4i a deter SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑ Standard City/Town Application Fee ❑Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees)qCheck j,#) Check No.2 R Amount: 7 v Cash Amount: 6. Total Project Cost: $2 / 332` oe 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) c.S 211)aS ( e t \C w1 `c"'"n License Number Expiration Date Name of CSL Holder ;� List CSL Type(see below) No.and Street tl Type Description �� , �� � Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted I&2 Family Dwelling City/Town,S M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances ''<<3)t4S' V)S lrJ\ AL".7)L 14:,k-'1Ack c 4n. I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 1 �L1 )C�fV..2Q ��C S.\ 't'��`\ 1[ln � �AI\ir'.uCi?c�-L-1.(.efirl and Street r ` Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes Q'� 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 Wv Vim\ �1c ) to act on my behalf,in all matters relative to work authorized by this building permit application. � 't? Lis, i C_r) 7/t-71 4 Print Owner's Name El ni( ectro c 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' this ap icati. is true and accurate to the best of my knowledge and understanding. Print er' o uthon Agns Name(Electronic Signature) 1/ate NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton Massachusetts (' ,Iir , DEPARTMENT OF BUILDING INSPECTIONS } Xr ; 212 Main Street • Municipal Building ; ` Northampton, MA 01060 ti 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: On,-,��cit \13Q .e c)\-, f The debris will be transported by: Name of Hauler: nAtO � a Signature of Applicant: i'1 ' Date: 4/2.4/2_7 City of Northampton . r2 Massachusetts h��'s �,,• •••,�� r i w L DEPARTMENT OF BUILDING INSPECTIONS p pa 212 Main Street • Municipal Building 9 Northampton, MA 01060 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I' (insert full legal name), born (insert month, day, year),hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s)who owns 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 home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel,I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this day of , 20 . (Si ature) A f Sr ,4,..offinionweattn rMassachusetts . ..... ...... Department of industrial Accidents Pr .::;70•:f - ...:t-- ... 19 Office qf invt,°stigations , =!.!•710,--- ,4 Lafayette City Center 2 Avenue de tidfigette, Boston, MA 021714750 ... -.... . . m; -,.. — ,... www.inass,gov/dia Workers' Compensation insurance Affid;ivit: BuiteerS/COiltraetorsiEiectricians/Plumbers Applicant Information Name (Business/Organizationandividua.1):Window World of Western Massachusetts __________________,,,, Address;641 Daniel Shays Hwy ......._....______Cit /State/Zi.:Belchertown, MA 01007 Phone #:413-486-7335 Are you an employer? Check the appropriate box: Type Of project(required): i.gli I am a employer with 40 4 0 I 4111 a general contractor and I 6, El New construction have hired the sub-contractors employees (full and/or part-tirne).* listed on the attached sheet. 7. 0Remodeling 2,0 I am a sole proprietor or partner- ship and have no employees These sub-contractors have ' 8, 0 Demolition working for me in any capacity. employees and have workers' 9. 0 Building addition [No workers' comp, insurtmee comp. insurance. required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.0 1 am a homeowner doing all work officers have exercised their I 1.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no DM other Replacement employees. (No workers' _ corn!, insurance re 4iiired. 'Any applicaut that checks box#1 must also MI out the section below showing their workers'compensation policy information. 1 1 ha oeowners who submit this affidavit indicating they are doing all work and thee hire outaide contractors must submit a now affidavit indicating ma), ;(',tractors that eheck this box must attached an additional sheet showhig the DAM of the sub.contractors and state whether or not those entities Wive colpicyees, If the sub-contractors We)empioyees,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 divforonatictin. Insurance Company Name:A.I.M. Mutual Ins. Go „....— p„licy#or solf.„ins. Lie, #:WMZ-800.43007695.2021A Expiration Data:05/07/2022 . . Job Site Address: 7,6 5 1V4 1144-itm4u Ad City/State/Zip \p: 4t.V.Ari--41_1*,1, Attach a copy of the workers' compensation policy declaration page(showing the policy number tilA expiration date). Failure to secure coverage as required under Section 25A of MOL c, 152 can lead to the imposition of criminal penalties of a tine up to $1,500,00 and/or one-year imprisoturient, 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. -- - -- - - - / if do hereby co u der'me pains and penalties ofi)edury MO the InfOrmaglon provided above iS true and correct, , ,,/: L71/.. .;.:-b 2— ____..... \..... Itsuct#2,_.413-4.8 '7335 ' r ...... ' Official use only, Do not write in this area, to be completed by city or town official, 1 City or Town; PermWLicense #______________________ Willing Authority(check, one); r---i , „... ,, il 1...-J Board of Heath 21:1 Building Deportment 311City/Town Clerk 4.0 Electrical Inspector SD/Plumbing It ONpooto r 6.0other ( ti»iitaielt Person: ,Pitime#: W ........,.........1.1.1•ompW•••P•••••,••••••••••••.•••ryl"*.1•106.1.411MOINVIW., ,.,...,,,..,..,, ' 'I. II • 1 i '1 WINDWOR-01 LAURA I 11 !i c '7 I' ii I CERTIFICATE OF LIABILITY INSURANCE DATE AT MMID22""' THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS ;N CERTIFICATE DOES T 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 Icertlficate holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS i;WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does net confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER • C ACT Laura Misseri Phillips Insurance Agency,;Inc. PHONE FAx 97 Center Street Sac,N�tl:(413)594-5984 I( NoZ(413)592 8499 Chicopee,MA.01013 E-mail INSURER(S)AFFORDING COVERAGE NAIL#___ - INSURERA:EMCInsuranceCompanies _21415 ___ INSURED INSURERB:A.I_M_Mutual Insurance Company ___ _ Window World of Western Massachusetts,Inc. INSURER C:_._-_ _ 1029 North Rd INSURER D: Westfield,'MA 01085 ----- INSURERS: ._--._-- ___________ ' 1 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 " SUBR POLICY EFF POLICY EXP ,� . POLICY NUMBER „1,'Ai III „ J „�� LIMITS EACH OCCURRENCE _____ X COMMERCIAL GENERAL LIABILITY 1,000,000 CLAIMS-MADE' X OCCUR DAMAGE TO RENTED �— ' D531150 4/9/2022 4/9/2023 gap $ 500,000 MED EXP(Anyone person) $ 10,000 ,1 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT A PLIES PER: GENERAL AGGREGATE 2,000,000 POLICY 1 X�JECTI X LOC PRODUCTS-COMP/OP AGO $ 2,000,000 l ( l o ',R: r 1 i ' •, j If i �,I j •: i i COMBINED LE LIMIT $ 1,000,000 ' 11 ` I..U •� I. 2531150 4/9/2022 4/9/2023 BODILY INJURY(Per•arson i 1 ; I u�"', D CHEDULED �I 1UTOS it 1 j' ° �1 I BODILY INJURY(PeracGdenU $ ' 41 • Y•' 1 ON OWNED WrIO er DAMAGE ' Da., '. I •UTOS ONLY (Per accident $ ' ' UOCCUR 1,000,000 �Ey EACH OCCURRENCE $ 1 t ' I 1 I XC.ES! = i11 CLAIMS-MADE J531150 4/9/2022 4/9/2023 1,000,000 �(„ 10 O0O AGGREGATE , 1 rr r XU,ilt, . i• $ r $ M Cr.' X STATUTE I X OTH- i A DPMP •' WMZ-800-8007695.2021A 5f7/2021 5/7/2022 1 00000U W•RK R-C Y L , YIN j ; •,-IV �E • j•,7 ECUTIVE N H/A E.L.EACH ACCIDENT ' ' l p 110` n��� hi 1 E.L.DISEASE-EA EMPLOYE 1,000,000 If I,a Ilia r 1,000,000 n D.11 ,PION•} d;l:e •, �„ E L.DISEAS.-P•_ Y I I I ' • I II DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached N more apace Is required) Workers Compensation Coverage Includes the following 3A States:MA,CT i• CERTIFICATE HOLDER _CANCELLATION I ' SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE IEvlden of l Urantae THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN M ACCORDANCE WITH THE POLICY PROVISIONS. i • i 1 AUTHORIZED REPRESENTATIVE i I I' 11.11 '-- - I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD �� Commonwealth of Massachusetts 111,C Division of Professional Licensure Board of Building Regulations and Standards CanstruttMrP%iupprvisor CS•115719 r �y. �jtfpires:0413012025 NICHOLAS T•3)ROST , 102 OAKRIDGE DR BELCHERTO*1 MAk010bT/ . " r, Commissioner do'? / Office of Consumer Affairs a Business Regulation NOME IMPROVEMENT CONTRACTOR TYPE:Individual F1aglstrt t10P 13-En LhL.tl 201746 04/27/2023 NICHOLAS DROST NICHOLASOROST •� ,r� ,i,,r, 102 OAKRIDOE DRIVE i�•'^ _ BEI_CHERTOWN.MA 01007 Undert;ecretary THE COMMONWEALTH F SHE7T Office of ConsumerONW AA ffairs O$BusinessMASAC Regulation HOME IMPROVEMENT CONTRACTOR TYPE:torporaIlon, Reetsti fled, ESniration 165841 `a :-,03L14/2024 WINDOW WORLD OF;WES1 RN MASSACHUSETTS,INC. TIMOTHY DROST `l ' 641 DANIEL SHAYS HWX. _ BELCHERTOWN,MA 01007.,•:,: • � `-srn.ar'G c.4-1 Undersecretary 1 • T .is.::.w s00wtt is 1�1 Windows An. Doois : Matz,PA 17030 or destley the - j' t BSC West Market St -I xx �� A Gratz PA 17030 'i. :.:. - 1650 All inrraiFene r CHNSNYL/NoGrids f �4K; 1685 {� zimisme Paneilti,2:1-Re1:(1/3`,Cieair,LOE,Annealed tire,?: •'. — (1!$`,Ctear,NQt Mnealed}; }' SLIDE ANYLIG rids Argon:3712 X 37 fruit to NtattalF Pans(1&2:Lila-f.(•U8-,CU,g,LGE.AnotiOa 3i Ld,i2 s that canbe { 3 ' o r",cloor,Not Aonoslo 'Argon;45 1/2%d51i2 fnflri3vuDrod�ta ieE�,4QtedJ4pl-0ppot re cleaner, "�— ntaY ba cub)aQ to vat albn(n Aorfarmarue �nfordTfernt aRs-AZt6QW� 4 ENERGY PERFORMANCE RATINGS incevidim products Lary es subject to vattstran la Secrasann and doors U-Factor(U.Sit-P Solar Heat Gain Coefficient vitt n acing a .fir odours on the ENERGY PERFORMANCE RATINGS [ Li-Factor{U.S.tt-P) Solar Heat Gain Coefficient 1 • .- a Z (� ADt3E7lONAtr PERFORMANCE RATlt`1GS` ire generally 0 o 2� �.2� Visible Transmittance 9 orfax#ter- _ .. .. IocaEinns in p�}lTlOt+lP,l.PERFORMANCE RATINGS Air Leakage U.SJ!-P) Visible Transmittance Air Leakage(U.S./1-P) 0.5� �.� rots. - • u ataasuI itTWAO+ra+mmm.�pac,,,e,aRcpr�xaraaaraarac�wa a,�et+ K�.�.:a c�reexanyraFye p'oa;.eta's�aaee mt.'Kir set a arHzarrer�rcaummt any aer6t pw:,Cz�a • ht,bake S 0.3 manu+acrar earaanca # btdanyPra2sarsayerr$r t cL_r rotas.na:}a •n"m t PreQa a:1 r sob a ep. it w�reoaay Astumancer �apoa ceil lei 1°11: arorataeernes rwntraopor ENFfi6Y STAB`Certified Iti Highltir�ltted Regions. j az"61•t cur ter ne v "ara"'i:¢!aeuca.ca�wc Retriteclurers ris.Urea i ""� Cerli{r�ai13 nor ENERGY STAR on 1as regions rosaitadas. t I f fifFGY;IMI-Cc'Viva In tli4hli±,tltti t1 htpiow,. J %i '-- t;i,sih ,,I�.(trr ENERGY STAR nn la:,r£:+done..or-,alt.,das- ��cF Yri ;:%,.!.-. 1%.1i.:;:i'.!:.1:--:a.,..;:4....ail ' . •i F F air -1 . 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For fn44Rrtatiott reQu A ttitsHed os. ddA"iorraiinformationr Y. ad or track ti3et.Farn(gtative.Posutd A pF&totedbf .E 9staRation .rriwd_cam- or statdced t>�>te.pleaca t aniaot year t oS.2!l+444 0s AAt�A�bei rnsiY s��573. 1. wm.a an :t the sxit fast sits.Tested tc bud or try it Mars o Fanccatad try; or track Mar.For additional icformatlan ro4a► A i,nail intstnfation instnic pans.piens vit t wwbt,mnYd.eom, artmors 8.•e0••t2 as Printed en 26772468.1.1.1 maw 6 ISO=Pid eta ma • w Window World of Western Massachusetts ......n■W �r common,' 641 Daniel Shays, Hwy, Belchertown, MA ;�; V 01007 975 North Road,Westfield,MA 01085 WOVilind()W Office: (413)485-7335 WINDOW WORLD CARE www.WindowWorldofWesternMA.com David Bliss Phone: 4135869221 Install Address: 763 Westhampton Rd Email: blsbuz@comcast.net Florence, MA 01062 Contract Name: David Bliss- Sales- Doors Design Consultant: Tim Drost Measured By: Measure Approved Date: 3/30/2022 Status: Contract Payment Method: Check Lender: Contract Type: Sales Comments: Product Description TxblQty Price Extension Permit&Administrative Fee Permit&Administrative Fee N 1 $200.00 $200.00 Setup and landfill disposal fee- Windows Setup and landfill disposal fee-Windows N 1 $800.00 $800.00 Entry Door, Casing + Capping Entry Door, Casing + Capping N 2 $4,678.00 $9,356.00 Premium Larson Storm door Premium Larson Storm door white 32 hinge on left retractable N 1 $1,299.00 $1,299.00 NICKLE Garage Door Garage Door shot panel 4 block white ...need bracket and new N 1 $4,280.00 $4,280.00 steel for hanging Garage Door Opener Belt Drive Garage Door Opener(one remote included) N 1 $799.00 $799.00 (one remote included) 5-6 Ft. Patio Door- 6 Ft. Patio Door-casing+capping full frame 82 left operating N 1 $4,290.00 $4,290.00 casing+capping Patio Door Grids (both panels) Patio Door Grids(both panels) N 1 $450.00 $450.00 4000 Awning new construction 24 width 36 height rough 4000 Awning N 1 $1,889.00 $1,889.00 CUTING opening homeowner install interior trim Siding (NO STRIPPING STRUCTURAL LAYER OF SIDING) Siding remove and replace exsisting siding to enlarge opening N 1 $800.00 $800.00 Full Exterior Capping Full Exterior Capping --Color: CAMEO N 1 $169.00 $169.00 Total Information Unit Total: 10 Subtotal: $24,332.00 Tax Rate: 0% Tax: $0.00 Total: $24,332.00 Amount Financed: $0.00 Payment Method: Check Deposit Amount: $12,000.00 Balance Paid to Installer upon Completion: $12,332.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: 3/30/2022 Year Home Built: 1941 RRP Signed Date: 3/30/2022 4 011 Window World of Western Massachusetts we/swans M^"'P commwno 641 Daniel Shays,Hwy,Belchertown,MA ?� 01007Vita`n11 975 North Road,Westfield,MA 01085 e€.L Office: (413)485-7335 WINDOW WORLD 3 www.WindowWorldotWesternMA.com CARE --- Product Acknowledgements I 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 r � Window World of Western Massachusetts ,,.,.n„ns M"L'i'r common° 641 Daniel Shays,Hwy, Belchertown, MA 01007 975 North Road,Westfield,MA 01085 Office:(413)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 products have arrived to schedule the installation. Please note that we will make every effort to install your products 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.WW 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 wilting 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.