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42-062 (4)
BP-► 022-0912 15 GLENDALE RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 42-062-001 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-2022-0912 PERMISSION IS HEREBY GRANTE I TO: Project# WINDOW Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 2475 MASS INC 115719 Const.Class: Exp.Date:04/30/2025 Use Group: Owner: MOFFETT BARBARA A&DAVID J OFFETT Lot Size (sq.ft.) Zoning: WSP Applicant: WINDOW WORLD OF WESTERN MAS. Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 ECC-600-4001086-2022, BELCH ERTOWN, MA 01007 ISSUED ON:08/03/2022 TO PERFORM THE FOLLOWING WORK: REPLACE WINDOW 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 VIOL• TION OF ANY OF ITS RULES AND REGULATIONS. Signature: l • CP1 I ' I Fees Paid: $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner V The Commonwealth of Massachusetts / 40G ) F ty Board of Building Regulations and Standar s `2c'�2 O� �Massachusetts State Building Code, 780 C F3 2 M NIC ALITY 7.0 1 Building Permit Application To Construct, Repair,Reriov� 10 a levise Mar 2011 One- or Two-Family Dwelling a,yAroti A Qpec�'r�+s �q qq his Section For Official Use Only Building Permit Number:0. Ol 3 c 7a Date Applied: (eJi&) as 11Z..- 8-3-20ZZ Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Asses rs Map&Parcel Numbe /, 1.la Is this an accepted street?yes eV 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: Name(Print) City,State,ZIP 15 CI)t'fl& lc. Q—A 4113 -Sq -gill? No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) New Construction 0 Existing Building*, Owner-Occupied ' . Repairs(s) El Alteration(s) 0 i Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units `, Other Specify:'C. `OLCA.M0 J1.k.--- Brief Description of Proposed Work': 1 f CNCVQ,Pat nti 1,01 "uS %t/''N fr,,Qk Lr-tug,¢...I 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 Cost; (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Total All Fees: $ J/40 Suppression) Check No.,?730Check Amount: Cash Amount: 6. Total Project Cost: $ 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) \Ct)4A LI\o o 1 „`c i- \r. License Number Expiration Date Name of CSL Holder List CSL Type(see below) Li 1c3� C\AA6 se-Nct,4.A� ��\,ie No.and Street <) Type Description U�`). C 3 c-'8v-I' Thi d\C1.. R Unrestricted(Buildings upel 35,000 cu.ft.) R Restricted i 8t2 Family Dwelling City/Town,S M Masonry RC Roofing Covering (- WS Window and Siding SF Solid Fuel Burning Appliances �'"kk-'3)k2k '1 5_ cor,...vs�`Je tJ\AA)-AS 4;,' to I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) �� \cic>c-11 O? I HI Du 711 W. - 0 HIC Registration Number Expiration Date HIC Comp-any Name or HIC Registrant Name kit 1\ )f1 rV.II—S <-\.,,cG s.�.S Ni-V►J`‘ c) ►-r.„1. i ti_A roc':y� k cit y1,--S.l e,;:et) land Street Email address tQtti‘L, A‘-n. ".(N O'.C' 9 �-t‘3) "bS`X &) 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 . II]" 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 ".\.l\hu u\ .k`)C) & to act on my behalf,in all matters relative to work authorized by this building permit application. C c , ) '7I L7 1 Z Z-' Signat(Electronicure)Bn ) Print4-3.e....e-, er's Name Si 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 ' "atin is true and accurate to the best of my knowledge and understanding. Print er'. o uthori 1AgsName (Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton 4.4>Ck � ' Massachusetts 4,2,----1-:-."it $., . , l ,�.l ;F 4-'4:4i" DEPARTMENT OF BUILDING INSPECTIONS OF `4 77;:f'' 212 Main Street • Municipal Building O L ,,JT!',, Northampton, MA 01060 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: 0(150 X61_ \6Q e (0% ,) Y`C\C1.NcN �`Q& [,, °. The debris will be transported by: Name of Hauler: \_ \ 14 ; Signature of Applicant: Date: '71 ZZ I t City of Northampton t• g1S,,.,7."-- ifs s , Massachusetts ,.' <<. y'1 ! f rpw , {t " DEPARTMENT OF BUILDING INSPECTIONS 7( ; ' r 212 Main Street • Municipal Building Northampton, MA 01060 s'••,. . . �� HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I' (insert full legal name), born .1`u 8 ) (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 re irements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a pri'ect 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 home, ers'exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 MR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.''5.1.2: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on w ich there is, or is intended to be, a one-or two-family dwelling, attached or detached structures access ry to such use and/or farm structures.A person who constructs more than one home in a two-year pe od shall not be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent , at I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of th. 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 r-gulated 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 Z7 day of July , 20 Zg- (Sigt '' 0 ' V\-- cue kr nature) I . , The Commonwealth of Massachusetts , `-,----- • Department of industrial Accidents : '" Office of Investigations _c. i« Lafayette City Center " .—. 2 Avenue de Lafayette, Boston,MA 02.1.1.1-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricia s/Plumber•, Applicant Information Please . tint Legibly NA* (Business/organizationflndividual):Window World of Western Massachusetts , Address:641 Daniel Shays Hwy City/State/Zip:Belchertown, MA 01007 phone #:413-485-7335 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 40 4. 0 l:am a general contractor and l: 6. New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ t am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling, ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity. employees and have workers' 9. 0 'k3uildiaa.g addition [No workers' comp. insurance comp. insurance.t 5. We are a corporation and its 10.0 'Electrical .pairs or additions required,] ❑ p 3.0 1 am a homeowner doing all work officers have exercised their :I 1.[] Plumbing repairs or additions • myself. workers'elf. [No comp. right of exemption per MGL � 12.0 Roof repairs insurance required.] `► c. 1.52; §1(4), and we have no 13 other. Replacement employees. [No workers' .[� comp. insurance required.] _,^ _ :Any applicant that checks box.#1 must also till out the section below Showing their workers'compensation policy information. 1.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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: , .,-to e lere.e Policy#or Self ins. .Lic. #:, „ ,...612�-. 9otle Oa m„fe z.z,,t.- Expiration Date: 5' . .. ____, Job Site Address: ) 5 G 1Gneteil[, _ __ City/State/Zip:!_f vfLt Aka evict_ Attach a copy of the workers' compensation policy declaration page(showing the policy number and a pira.tion date). :Failure)to secure coverage as required under Section 25A o;f MGL c. 152 cart lead to the imposition of criminal penalties of 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. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. - I do hereby certify under the pains and penalties of perjury that the In formation provided above is true and correct. Dte: 71z7/Z 1'hotxe#• ' 413-485-7335 O f j"icial use only,' Do not write in this area,to be completed by city or town official. City Or Town: • Permit/License # Issuing Authority (check one): 1013oarcl of Health 2Q Building Department 3 fCity/Town Clerk. 4.0 Electrical Inspector 5 'lumbing inspector 6.DOther Contact Person: Phone# _________ ----...„11 WINDWOR-01 LAURA AC:C.:JI/2U CERTIFICATE OF LIABILITY INSURANCE DATE(M �..-�- 4128/2022YY) 2022 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 Laura Misseri NAME: Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street 1n/c,No,Extd413)594-5984 (A/C,spg413)592-8499 Chicopee,MA 01013 MAIL ,laura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:EMC Insurance Companies 21415 INSURED INSURER e:New Hampshire Em_ploy_erInsurance Comp_eny Window World of Western Massachusetts,Inc. INSURER C: 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 ADDL SUBR POLICY EFF POLICY EXP ^� LTR TYPE OF INSURANCE INSD WVD, POLICY NUMBER (mpq/DWYYYYL MM/DD/YYYYI, LIM TS A X ,COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE �_,____,. ' CLAIMS-MADE X I OCCUR D531150 4/9/2022 4/9/2023 DDAMA$ES(>ia4ccurreis e) $ 500,000 10,000 MED EXP(Any one person) $ PERSONAL&ADV INJURY $ 1,000,000 _GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X 1 POLICY rX 1'Q X LOC PRODUCTS-COMP/OPAGO $_ 2,000,000 ll OTHER: $ A 'AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 __ Me accident) $_ ANY AUTO Z531150 4/9/2022 4/9/2023 BODILY INJURY(Per person) $ _ OWNED SCHEDULED ___ AUTOSE� ONLY X AUTOS yy BODILY INJURY(Per accident,$ X AUTOS ONLY X AUTOS ONLY SPeccacciident)AMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE J531150 4/9/2022 4/9/2023 1,000,000 AGGREGATE $ .__ DED X RETENTION$ 10,000 $ B 'WORKERS COMPENSATION X I STATLM I Ems- AND EMPLOYERS'LIABILITY Y N - -'-'--- ECC-600-4001086-2022A 5/7/2022 5/7/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE EL EACH ACCIDENT _ _._._.�._ OFFICER/MEMBER EXCLUDED'? �N1 NIA 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $___._..__. If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL,DISEASE-POLICY LIMIT $ _._. DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Workers Compensation Coverage Includes the following 3A States:MA,CT 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 Division of Professional Licensure Board of Building Regulatio s and Standards ConstruttQuiltiti ervisor • /I CS-115719 0,16W1F'jt ires:04130/2025 NICHOLAS T_DROST4,0e G 102 OAKRIDGE DR�� I , C • BELCHERTOSN!i MAk0 00NAM, C 7 f °Jar^ ♦ qi SI • Commissioner .Ti• ClivdwrvrWvn//f r/. /,ri:idnifirib//,; Office of Cnnsumor Minim&Di slnoss negulnlion HOME IMPROVEMENT C.NTRACTOR TYPE:Individtal • oeglstrntiitn xf?IL14.n 2017,16 04/27r2023 NICHOLAS DROST NICHOLAS DROST •'•1,,.• 102 OAKRIDOE DRIVE • '`r'' • " BELCHERTOWN,MA 01007 Undersecretary THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs 8 Business Regulation HOME IMPROVEMENT CONTRACTOR • TYPE:tor`poration, Realstration - 165641 Xi+3/t4I2024 • WINDOW WORLD OF�WiESThR SACHUSETTS,INC. r �1 TIMOTHY DROST t• 641 DANIEL SHAYS HM, -75^••' BELCHERTOWN,MA 01007.•• ? ~ Corg✓t"'r :tll' Undersecretary • I , • r t _ r poi%.. r.=rIr�cs-z..... - - siff�Ent,or � � iAti: a ssain#es11 yfltindows An�Crs �'tiç (� Drat or destroy the i..i• Gt West M Market St j PA 17030 4r %:'` .Gratz,PA1703d ': {-N 4654 ' !s .1i. : matt DFtNSt t 1630 Grids a'. 1685 • R {,g comas) Aanat t32:Lrte.l:i�8`.ciear.t.Ot '`.`.. • - - • SLIOER2IVINYLIGrids - -- --- -_ at�l;t ite 2: kulttn t t ',Claar,NONE,ltrtnealedl;Argon;37112 T t2 X 37 s that can 6e ti85Ry�'aC�f Faerris Panel 11..4:Li tit:('tir,efear.LOE,AnnasSed);Lite-T. +'W^'il a I'If$',Gba�1rR1tn06Qf; ti 43 711�C+�!'1f2 MEi-AQf6dZ{OJ•OOOd1 • te cleaner, .---�— FnQiWduN products s9.y W cubftct t0 r.rfubn in post er m for ddfernt Sea4216 7� 2 :and doors mmvie„tt products raw t m vxttdon to Pt ENERGY PERFORMANCE RATINGS ;hen usinga U-Factor(U,SJI-P rdotsrs on the ENERGY PERFORMANCE RATINGS ) Solar Heat Gain�� Coefficient L!-Pat or(U.SJI-P) Solar Heat Gain Coefficient 1 A 0.27 0.C9 ire generally 4e27 0.26 ADDITIONAL-PERFORMANCE RATIAtGS • Dductcer- Visible riansntittaace locations in ADDITIONAL PERFORMANCE RATINGS ry Air Leakage(U.SJt-P) • Visible Transmittance Air Leakage(U,S.Ji-P) 0.52 5 0. 7ols. - - a +,N+W mums' cmvorssa.pp;c.�Er�RC ht,baka 0.46 0.3 �usrotr'ea ::::aersTA �"ers"�n�*w4e,4,xaeW Pf°`tcowmn;mutas tar eagpw./+a.a�f7DVE tYppiE[ E ��r5'K� V4ECi.2utl_ QIl6 Tilt rrLY�t C9flfNer A�WI tQ'RG Prcisasu Mr a'r�.rg*� lgt. >wa��,.r�- !� >0 rev;amp sch emrteaa sit or rrMr�rrnst�W C4Ut any gragE laacanetr +swPsnasonnararaerrsyssrarP� 'aa.�suc • IT iet tt<rs7.r.mr>lncOr�+�Psi'�0fMt7°°- FNF R'Ce rf tfie d.itt Nighiii�lilerl Regj Qtis ris.Use a aver a crtifica<i3 Poi r NFA�y STA art tas rbginires resaltadas t ••r i A€f FGY ST/1f1 t;cttdit•d.itl Htghtittir0 t,cgtsitts '{ f f rr rfr, eri Pis FhiERGti STAR tas•td sssione rosaltadas ** t-2.-;.9•:.‘:::,,,•;,!;--;:-.e%•=-7:,i',1W,...,•%*.41--,' i flrl-. r. ENERGY ST.;Rmas ..,� w T a� E-n.ar F=+iE:nl;'I'�i�B ..,aD `• " Forf t iinformat ®CerrMedl 1111:ada information,sa PAW on od srapostu•ttdvrinlors @ t;ertldtedite*MIcado Para ietorsl eorrpk�scimitar la eagireM del prad�o For full irtttrru tiea.sa label of prodset Pert Grade Para idtirsactbn aornsisra cansulta to etonitut Of produeta. •--` LC-PG35` 1 +DP D) -DP(Asp) f Water � Max Test Size ! Report## 3Q,73 i Perf Grade +DP(ptSB) -D3(ASD) j d0.00 X 720U AAz2.lH-tosaT�o Flaritia tD LC-PG 35.09 ' 6 48 2D84Q ax eat ize •• y/ CBS are far irdivial windows an0 t'2ma.ot-tD"741° r stacked ut�s.Pyzse caYaet doors only. For sZfarmation reBardtnp muffed 72,Qfl X t30.00 ni test size.Tested to Aq}tA eats representative.Pos and Nag DP forted by For boor:slim Taganrog__►agartr _muted_ r� SrM P730p.fL4MlAlabel ma be �Ob1 ee ItaU -OS Glass Accor�appto Ratings bra it,pis dual v#tdowy and doors txth+•er>;ative.Pos and N�DP t#rdte0 by das atfaiorrai HfarmatioR Y Y 9taartg bend a tracktiller;For or stacked wits. eel in corterd your sates raprea °�_ .r taltaatton inslruarans, rust Iasi sits.Tested to AANSAAMDMAfCSA t61A.S.21A444 Qit r re ar n mtYJt• 15 1.6785673 �l�����. pkue t wwrvrriwd_eom- ttfse =eealed by ptaing bead or track tiler.For addt+oral irformaucn roSardre0 :,nail inctatation instructions,Pieria vitt wvw.mrvd.00m, Prm.a on 8/122016 8:10:17 AM Pentad on 26772468.1.1.1 mrdof I tg19173 Pk et 7VJ Window World of Western Massachusetts erennnf 0NLiy"T corn Ann 641 Daniel Shays, Hwy,Belchertown,MA ` 01007 975 North Road,Westfield,MA 01085wivoow woa�oWindOW ZI((� Office:(413)485-7335 CARE www.WindowWorldofWesternMA.com David Moffett Phone: 4135484447 Install Address: 15 Glendale Rd Email: davemoffett357@yahoo.com Florence, MA 01062 Contract Name: David Moffett-Sales-Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 7/22/2022 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-Windows Setup and landfill disposal fee -Windows N 1 $250.00 $250.00 4000-3 Lite Slider 4000-3 Lite Slider N 1 $2,819.00 $2,819.00 Install Interior Casing Install Interior Casing N 2 $400.00 $800.00 Full Exterior Capping Full Exterior Capping--Color: N 3 $169.00 $507.00 Remove existing Bay/Bow Remove existing Bay/Bow N 1 $400.00 $400.00 Total Information Unit Total: 8 Subtotal: $4,976.00 Tax Rate: 0% Tax: $0.00 Total: $4,976.00 Amount Financed: $0.00 Payment Method: Credit Card Deposit Amount: $2,500.00 Balance Paid to Installer upon Completion: $2,476.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: 7/22/2022 Year Home Built: 1980 RRP Signed Date: 7/22/2022 Window World of Western Massachusetts PInh, corm-nano 641 Daniel Shays,Hwy,Belchertown,MA 1 01007 975 North Road,Westfield,MA 01085 WindOW ta Office:(413)485-7335 WINDOW WORLD CARE www.WindowWorldofWesternMA.com 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 • 1 Window World of Western Massachusetts ve P wur ienwns i commnno 641 Daniel Shays,Hwy, Belchertown, MA A 01007 `(l�� 975 North Road,Westfield, MA 01085 WINDOW WORLD Wadt" (.GUi Office: (413)485-7335 CARE 1 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 pcoming 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 fac ory 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 I 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 lis ed 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 sa isfaction 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 oin 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 eith r 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 nderstands and agrees to indemnify and hold Contractor, Contractor's representatives, and employees harmless for any lead paint health iss es. 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 i 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 7-1 tA/N 1> EPA"Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure 1V W 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 writing postmarked no later than midnight of the following third business day. Ti IIS 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.