Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
35-051 (4)
BP-2022-0913 960 RYAN RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 35-051-001 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-2022-0913 PERMISSIONIS HEREBY GRANTED TO: Project# WINDOW/DOOR Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 6748 MASS INC 115719 Const.Class: Exp.Date:04/30/2025 SADLOWSKI DOROTHY A & KENNETH R Use Group: Owner: DZIUBA Lot Size (sq.ft.) Zoning: WSP Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 ECC-600-4001086-2022A BELCHERTOWN, MA 01007 ISSUED ON:08/03/2022 TO PERFORM THE FOLLO WING WORK: WINDOW/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: � CP 4 • • ).2 • SIT Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner FECEIV = The Commonwealth of Massac use Board of Building Regulations and Stan,i.r FOR Massachusetts State Building Code 780 uG — 2022 MU ICIPALITY USE Building Permit Application To Construct,Repai Re. .F27 - s���s • h a Rev:`sed Mar2011 One-or Two-Family Dwel in RTHAMPTON'MAfCTIO S This Section For Official Use Only Building Permit Number: OP- ' �9i3 Date Applied: /C�svr*.1 �, ��//L 6.3 )022 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address:� `' � 1.2 Assessorse� Map&Parcel Numbers/ GG�� � MapNumber Parcel Number l.la Is this an accepted street?yes � no 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 Zone9 Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: rA Name(Pint)�1ot City,Stat ZIP �L.o gpi &c1 /i3 -ZC�7-L/IZS No.an Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building' Owner-Occupied Repairs(s) ❑ Alteration(s) ❑ Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units 1, Other "Specify: \O f'A.t71P 1i.& _. Brief Description of Proposed Work': iplylcifv3 j cof 'c t1 SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 7 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ 0 Standard City/Town Application Fee 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ _ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees:,,,S Check NoXIXDCheck Amount: Cash Amount: _ 6.Total Project Cost: $ /Qj7 0 Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) NC).r\ll . `,-l)u 4" License Number Expiration ate Name of CSL Holder List CSL Type(see below) 0 1 O.) ( Ja Y) rxl ��.v e No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) -- ---No).C�&.t1 v- -T) \ N`(\(1 o_ . (:)\061 R Restricted I80 Family Dwelling City/Town,S M Masonry is' J T RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances Iskk3)11.k9SSA S_ Qe_rly..V. 0\nc-\utv:1a;►.`y' t,:w►. 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) W ' v `� 4" HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name tnt-\\ —c."")C>Lrv.11-C1 S��Ctc % > '.)', �)c�v"INN.k=-..,�✓ L2\r‘A,..4i:ca^c;Y'14.l�C.�t`'1 and Street ` 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 Ica"' 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 L\i\e�u kJ.), V)(..y',) to act on my behalf,in all matters relative to work authorized by this building permit application. Cle.. C �, , e 7/T7J - Print Or'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' this ap ' ale is true and accurate to the best of my knowledge and understanding. Print er' ° Author''Ze-A s Name(Electronic Signature Date b"' ) 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 fouled 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" MF City of Northampton Massachusetts � 3► * cter-t0' 0� DEPARTMENT OF BUILDING INSPECTIONS ?. 212 Main Street • Municipal Building •G v: y 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: (c�)c \ ��,( ` �< (.()%p `MCI_\c, `7� �-z,L$ � , kk(\c . The debris will be transported by: Name of Hauler: Signature of Applicant: Date: 711,7 I T,Z .y�irr City of Northampton Massachusetts S,-� '"'''c.� T 9 DEPARTMENT OF BUILDING INSPECTIONS 7• 4'' 212 Main Street • Municipal Building •S, ,� Northampton, MA 01060 4tiO4C 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 req, irements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a pr.'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 ' 't 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 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 Z, day of 5uty ,20 ZZ (St ature) The Commonwealth of Massachusetts =, M Department of industrial Accidents Office of investigations Lafayette City Center 2 Avenue de Lafayette, Boston, MA 02.111-1750 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Nance (Business/Organization/Individual):Window World of Western Massachusetts Address:641 Daniel Shays Hwy Belchertown, MA 01007 413-485-7335 City/State/Zip: Phone #: Arc you an employer? Check the appropriate box: Type of project(required): 1.El1'am a employer with 40 4. 0 I am a general contractor and:I employees (full and/or part-time).* have hired the sub-contractors G. El New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling shipand haveemployeesThese 8 sub-contractors have no ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building atidition [No workers' comp. insurance comp. insurance. required.] 5. [] We are a corporation and its 10.0 Electrical r•pairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11..❑ Plumbing pairs or additions • myselfworkers'[No comp. right of exemption per MGI, 5"' p 12.0 Roof repai s insurance required.] t c. 1.52; §1.(4), and we have no am 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. T. i lomoowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tC;ontractors 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 fib site. information. insurance Company Nana.e: y e./^ ,„ liczt+^ c= policy#or Self-ins. Lie. #:,u' . .6p0•-• 9O0/� � - ''- = .rt- Expiration Date: ." 2.. Job Site Address:_ 910 g1 anV6 City/State/Zip:: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).. Failure to secure coverage as required under section 25A of M:GL e. 152 can 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 forth 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 ofperjury that the information provided above is true and correct. Signal a Date: 71 Z ihone#: 413-485-7335 _ Official 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): I❑Board of Health 2❑Building Department 3fCity/Town Clerk 4.0 Electrical Inspector 5E1Plumbing Inspector (.❑Other Contact Person: Phone##: _.--"`.,„,1 WINDWOR-01 LAURA 4�v'�`ry CERTIFICATE OF LIABILITY INSURANCE DA4(28r2o22YYl 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(les)must have ADDITIONAL INSURED provisions or be endorsed. IfSUBROGATION 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 (A/C,No,Eat)_(413)594-5984 (A/C,Ng1_(413)592-8499 Chicopee,MA 01013 E-MAIL _ADDRESS:laura@phillipsinsurance.com _ INSURER(S)AFFORDING COVERAGE NAIC S INSURER A:EMC Insurance Companies-_ 21415 INSURED INSURER 6_New Hampshire Employer Insurance Company- - 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 TYPE OF INSURANCE ADDL SUBRQ W POLICY NUMBER POLICY EFF POLICY EXP LIM TS LTR INSVDIMM/Drl/YYYY) (MM/DD/YYYYI A X ,COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 ' CLAIMS-MADE rXi OCCUR D531150 4/9/2022 4/9/2023 pRE,Il(ISESLEa u�npe) $ -_ 500,000 MED EXP(My one person) $_ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIESPER: GENERAL AGGREGATE $` 2,000,000 X POLICY X JECT X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY (Ea AOCAPMl T$ ANY AUTO Z531150 4/9/2022 4/9/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSR�� ONLY AUTOS BODILYBO INJURYp (Per accident $ X AUTOS ONLY X AUOTOS ONLDY (Per accident)AMAGE S_._.�__. $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE .8 1,000,000 EXCESS LIAB H CLAIMS-MADE J531150 4/9/2022 4/9/2023 1,000,000 AGGREGATE $ DED X RETENTION$ 10,000 $ B WORKERS COMPENSATION X PERTUTE OER TH AND EMPLOYERS'LIABILITY Y N ECC-600-4001086-2022A 5/7/2022 5/7/2023 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A E.L.EACH ACCIDENT _T____.___. OFFICER/MEMBER EXCLUDED? 1,000,000 (Mandatory In NH) E.L DISEASE•EA EMPLOYEE $_..__ E yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if 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 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 Division of Professional Licensure Board of Building Regulations and Standards ConstrutAr{f§ttipprvisor t 1 CS•115719 4• �jtpires:0413012025 NICHOLAS T,DROST tx ' 102 OAKRIDGE DR�+4P; � BELCHERTOf 11 MA0j0..� i ' �N ` ! r ii ,r1°°Iti'i•t�� �`` `, Commissioner �`irrra f; 9/ nta.. ,1/rP �lvd/Nwrrr•/via^� Office Cansumer t: eInoss Regufoiion HOMEof IMPROVEMENT Di CONTRACTOR TYPE:Individual ticgIstratIsrn • e111110.n 201746 04/27/202.3 NICHOLAS DROST NICHOLAS DROST ,,_.r•• 102 OAKRIDOE DRIVEr«r`' BELCH ERTOWN,MA 01007 Undersecretary THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation 4 HOME IMPROVEMENT CONTRACTOR TYPE:Z',orparatioi> Reaist atlon -TExviration 165t341'��: �:�::03/_14l2024 WINDOW WORLD OF,WESJgR SACHUSETTS,INC. TIMOTHYDROST 44 N "'iJ;:. 641 DANIEL.SHAYS H4VY 'r=':5:3:BELCHERTOWN,MA01007.;�. .. '0e a,'allr"r Undersecretary 4 1 I i r i I i • soft nt,or - 44416. , if:. M€WindoWS ARd Doors MI Windows An;ifdaoi•s ~''` Mi4vest�tar*etst Fe; �,pa�7o3a or destroy the `�.�; ggafNaetMarketSt Y x;' • ME Gratz,PA17030 }. ,i — r�F al-WINYUNa Grids kr,y`�' 1683 gauras, Pan tS132:Lita-[:(1/8',Ctear,L0'e,knnea(et!);tie•2: ftc�rltta SLIDERIN1NYLIGrids Egallian (1/8',Ctaar,AfOAJE,Artttezled€;Argorl;37 v2 X 37 s that can be r1e Panel lea:U ts-ig ir•Clear,L0E. 4511t%d51(2 +a caps as m cleaner, (118,Ctear.Nt ed1l !}m� rnd117 ra a for nee,daf n2 a 1■rt=y 1H suDJ.R t0 variztb,rn parwmanee • u6metaoaoz ENERGY PERFORMANCE and doors inetvtassd products ra►Y a to vartrtlam to p.rtaas►nc. AAiCiy RATINGS vhen using a �►-Factor(U,S,�f�� Soar Heat Gain Coefficient Wows an the ENERGY PERFORMANCE RATINGS U•FactOr{U.S.ti•fs) far Heat Gain Coefficient 0:27 So U.29 Ire generally ■2�` ADDITIONAL-PERFORMANCE RATINGS -oductcer- �" Visible Transmittance locations in ADDITIONAL PERFORMANCE RATINGS rg Air Leakage(U.SJ€-p) Visible Transmittance Air Leakage(U,S.tt'- Q,� .3 )0lsbake S ■3 ,,.rocs ra a �+e �won►��A tar d,�,a*sa,egaa, , 'lleA.saG 4, ■ aCYaer7�rioYl rJr pt#gaaKloa ,sn rirs+as r r e Tsi►rt ■1 R'nr ana aiymee srr ssa. as rarc rr rrs�e• cr._. arcr�+uaeeatitn+nrrnerm �'�-0`d aeu not Wows lgrg=i grotOiq+xtr4r i 'sic .. rr.mrxwccr�,eaeau4 r>r�u Pan 'TAR l Cer1iflsd in Hlghiit�itted Regions. mrw.ma As.Use a wor Ccrti6c:ati3por ENERGY STARonlasregi a resailadas. r NI.RI,Y STAR'Ccitihrri in IInililnititr.d Rt•girlrs. ,.. ),4;,?..;„('-'::::':,:':,----'-::-.';'..-'..4 --/...-:. , 1x,Ili:.,,I.pot FNERGY STAR n t Vas rsgionP:.rc1�.aAscias r .. '• .� - i/ - kip ti o'"4r14+z9e.lwiotaaz . v, JaleYinr►Twat ��°rr�sd'CewCaeD FatAinkretaAkaoatsuttnrta�ierddtlprad�wa arararstarialminiawa ill h. For fall Hamada,sal label al.pm iliatt. PerfGrade +DA{ASp} ! -DP(Asia) f f LGPG35' 35.33` R9ak Tast Size I 50.13 1 ' +DP p$D} -DP( D) Water M1111 Report# Florida JD Pelf Grade { 35.d9 35.08 + 6.06 Q1t.a{I X?2ap ; nFrr2.a1-1a9 d��0 �� LC-PCt35 _— 111 tax est -ma j - r �uac aze for indivirkral windows and doors only. For alfarmation ro ardor muffed + r stacked vas please comet & D 72.00 X 60 .r nil test size.lasted to AA your sales representative.Pas and Neg DP limbed by For information reQartirg rrpoledwog E1300.AAMAlatish concealed b/t.Sflt rdalptn Itat�t�arc for biiuiclual windows and doors MY. �t40-OS Glass Acco enitrtme.Pas and Nog DP Iirrdtad by 1 ddaional Lrbrma anrega Y fltam+;bead or trackr8�Cr,Far or stuMei un>te,ptaace contact Your an 1r s 21A440 05 AAMA at»1 tna<Y be ►diets ila-„lion instructlals,Please tis,1 www mired oon, A the Irateat tee.try; ad toad rack flier. Fo ream r '6785673.1.1.1 ccrrc+a3ed by Gtazmp bead or track filar.Fat addiUotal isliOitntti0a s,nail instal Wien instructions,picric visit wwat.miwd.eorn. Protect on 8,122016 8 Y0;12,U4 tit 2013 26772468.1.1.1 > . r � Window World of Western Massachusetts TERM'OW 1.44-COTRIRDD 641 Daniel Shays,Hwy,Belchertown,MA 01007 975 North Road,Westfield,MA 01085o tJuuici1it, zf i Office : (413)485-7335 WINDOW WORLD CARE S) www.WindowWorldofWesternMA.com Ken Dziuba Phone: 4132074125 Install Address: 960 Ryan Rd Email: sziubaf@comcast.net Florence, MA 01062 Contract Name: Ken Dziuba-Sales-Windows Design Consultant: Lanea Bushey Measured By: Measure Approved Date: 7/18/2022 Status: Contract Payment Method: 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 N 1 $250.00 $250.00 Entry Door, Casing + Capping Entry Door, Casing + Capping oval white int/ext w/brass N 1 $4,200.00 $4,200.00 hardware Premium Larson Storm Door[NO WARRANTY] Premium Larson Storm Door-white brass hardware N 1 $1,299.00 $1,299.00 4000 Series DH Solarzone 4000 Series DH Solarzone N 1 $799.00 $799.00 Total Information Unit Total: 4 Subtotal: $6,748.00 Tax Rate: 0% Tax: $0.00 Total: $6,748.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $6,748.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: Window World of Western Massachusetts swans PL i PL! 641 Daniel Shays,Hwy,Belchertown,MA FT commwno .tier 01007 975 North Road,Westfield,MA 01085 WindOW& Office:(413)485-7335 WINDOW/� pWORLD www.WindowWorldofWesternMA.com C/`yiZ E 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 KLA%-"E ° .2.&). Secondary Homeowner Window World of Western Massachusetts vETEnansP NL=.c«„mnno 641 Daniel Shays, Hwy,Belchertown,MA 01007 (L�MU�( KW/ 975 North Road,Westfield,MA 01085 WINDOW WORLD WOltC((i Office: (413)485-7335 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 fact ry following your final measurement and your job exiting the Massachusetts State three day rescission period.A Window World associate will c ntact 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 i 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 dug 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 g e 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 writing postmarked no later than midnight of the following third business day. TI 11S 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.