Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
29-542 (4)
BP-2022-0959 53 INDIAN HILL COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-542-001 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-2022-0959 PERMISSIONIS HEREBY GRANTE TO: Project# WINDOWS Contractor: License: ALLIANCE HOME IMPROVEMENT Est. Cost: 6590 INC 104327 Const.Class: Exp.Date: 11/29/2023 Use Group: Owner: D MACTAVISH MICHAEL L &DENIS Lot Size (sq.ft.) Zoning: FFR/WSP Applicant: ALLIANCE HOME IMPROVEMENT 1N ' Applicant Address Phone: Insurance: 375 CHICOPEE ST (413)883-3802 6S62UB-4N622734 CHICOPEE, MA 01013 ISSUED ON:08/12/2022 TO PERFORM THE FOLLOWING WORK: 4 REPLACEMENT WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOL. TION OF ANY OF ITS RULES AND REGULATIONS. Signature: I is . 3-1'I • Fees Paid: $40.00 212Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Buildine Commissioner .1 ,- The Commonwealth of Massachusetts ' 406 i o 2022 s R W Board of Building Regulations and Sanda ds Massachusetts State Building Code, 180 C UNI f IPALITY SE Building Permit Application To Construct,Repair, kenova�e Qt� iMI�crro i . ire, Mar 2011 14 01060 One-or Two-Family Dwelling " �---- This Section For Official Use Only Building Permit Number: 209 a.- ' 'S I Date Applied: X.1)1N ' mugs // 6 12 - Z)Z2 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION -1.1 Property Address: I f 1.2 Assessors Map&Parcel Numbers 5.5 2-n ct In q t 11 i (Or P.vt Cam__ ct tstreet? no Map Number Parcel Number l.la Is this an accepted yes m 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 CI Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of ecord• K2y S fob,t Pro pe '�'G.t d�av;o� ale-40h I-lor c.0 , MA Name(Print) City,State,ZIP - SS 7_0.d;aU, 4-UI ? q13 aa4 tOcol l oblelvoterril�es123 No.and Street Telephone Em it Ad ress 8►+,4r•C.0vv, SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units O er lVSpecify: CA))hCI O L,t7S Brief Description of Proposed Work2: e e/p lee Io u1 f v�cie2(4.1 � V SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 6 Soa, 00 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: $.Mechanical (Fire $ 'Suppression) Total All Fees: , Check No.�4eck Amount: Cash Amount: 6.Total Project Cost: $ -.).l 59 0. 00 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) CS— 10.3 (21 ,l l2 q t-S Sep, ,C,, ,ri—(he L.k License Number Expiration ateD Name oYCSVHolder l_ 1 List CSL Type(see below) (� .3�f 5 �t Lc��I-PL � No.and Street 7 Type Description �� /L/� /D�3 U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,Sta ,ZIP R Restricted 1&2 Family Dwelling M Masonry RC Roofing Covering p WS Window and Siding 4/3 Si 3 �0� �P ,�f - / SF Solid Fuel Burning Appliances J /C/&(-Gt,'�hc.Q I e;kw.Cpry I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) Sy iS 02 I ? A Ilia/7(-Q lion, /.r i l7Ve/r,eta t< i6 iC___ HIC Registration Number Expiratio Date HIC Company Name or HIC Registrant Nam 3 q S- GL,,:c —e-x. ..ci- Se rO, e all; te, is i'ht. � N9,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 Issuuancce of the building permit. Signed Affidavit Attached? Yes iit 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 C„ n 7et to act on my behalf,in all matters relative to work authorized by this building permit application. -Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION • By entering my name below, • -. est under the pains and penalties of perjury that all of the information contained in , is . ..• �d accurate to the best of my knowledge and understanding.i VOC/2 2 diili# -Print I - - •u sized , ,- 's Name(Electronic Signature) Date NOTES: 1. An Own- , ho ft s a building permit to do his/her own work,or an owner who hires an unregistered contractor (not regi.. - ed 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" A The t:omnlon luealth of.1fus uchusetts t ?• Department of Industrial Accidents 1 congress Street,Suite 100 t • Boston, MA 02114-2017 www:muss.gor/diet 11 urkers'('umprnsation Insurance Affidas it:Buildersa'('ontracturs'I:ecsriciansiPlumhcrs. 10 Bk.l ILI])1A all I IIE PI RNI1TEI t;AI 11101taal. Applicant Information // Please Print I.el;ibls th Milne(Business gan a non lndnrdualy �II L Q l�1 1- O Th e to X t- c Address: 3 7 S CI,.ft - City/State/Zip: Cklc 0/ -ex /Vx) 0ro13 Phone#: W3 dJ23 3?02 Are)M an e'ntphn re(lurk the i.pprupritllc hut: Type of project(required): t.E1 ant a employer with eE1 JL ca I.l uJi andux pad-timer' 7. 0 New construction 2.01 am a &ik prupriclur ur purtter.itip and ha a n. ertgaiurytx-a+aurkLutrL' for nue in 8_ a Remodeling any capacity.[Nu uurien.'comp.uuuranr'c t2'yunrell_11 .3.01 am a Iurnpuov. 7 n doing all H irna 1 url l.I No N adrs 'COOP n4r_anaur.un L'rq ruana.l 9. Demolition I0❑ Building addition •t.❑I am a ltunseuv nas and will be hiring ouauraoura.tri conduct all work on my pmlprasty.. 1 sill aL+urc that all can ir.a.lura other Inns Nnerltes"ruIapoL,aloLat LUI.Ijraner,LA an wk 11.0 Electrical repairs or additions pntpnetcns tit ith nu Lsnpluyces.. 12.0 Plumbing repairs or additions 1 ant a itisucral cunt:actor and 1 Ilan a hind the,uh rattaclura listed on[lw attached,beet_ Tins aubi.untracturs Isat a>e anpluymcs and Ian. ac'rlcra'..aanp.insurance. I3�Roof repairs 14.ErOthei (.t,/In C/C)(.4.) it.E]Wean:a rLntletratiun and it,Aker.hat r etcreixd then nght of exemption per Wit_c. 152, Il4i.and sac llawe nu Lsttgrluyecs.[No µmien, comp.insurancc monied.I applicant that cheeks boa. '1 mum also[all out the section b.:lua sho air their u drier,'compensation puiiey m(rlu rtatiun_+ILatrtenaa Ines u hu submit than al'Ida 1 it trodecatinc dies are d.Anni,all vturl and then hoc uulsitk eLrttraeLars mint yuhnut a MU alfulak i indicating such. 't onnaclorn that check tillo,bon must at t:h'Ia d an additional sheet shuts ing the thane of the xu'lrcontraetoc.nasal,talc N holier or not drone.atlitica hate employee... Iftlx sub-cunlractLrs have crtq.loyeen.they must pro%idetheir v.urker:..:unnp.hr.'Jrr'.number.. I am an employer that is/in/tiding workers'compensation insurance for my employees. Below is the polity aand job site information. /� Insurance Company Name: ee- P m e✓'i Co h _ a e—t..(✓Q�/l s[�v l.�0Nn.p Q N,i Policy#or Self ins. Lie.#: _S 6 a - to 6 al 3 ty Expiration Date: 12(0.5- 12 2 Job Site Address: .S ah of rl et in ? tr I I CityfState'Zip: Or.e - ILI 13 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under:W.A. c. 152.{25A is a criminal a iulation punishable by a tine up to S1,500.00 and'or one-year imprisonment,as well as ci►i l penalties in the forth of a STOP WORK ORDER and a tine 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 eery erage verification. /, I do hereby certify der s a of perjury thy!the information provided above is true and cprrecL Signature: Date: G •. A l,t,,.,ttt: k(3 2 3 02_ OJficiral use only. Do not write in this area. to he completed by city or lawn official ('it% air l oat it: PerntitiLicense 11 Issuing.‘uthurity (circle one): 1. Board of Health 2.Building Department 3.('it►rTuwsn Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other ('intact Person: Phone#: City of Northampton _ C Massachusetts 4,, ��, `,,,,,,, DEPARTMENT OF BUILDING INSPECTIONS ti 'ri x, , 212 Main Street • Municipal Building v� a c Northampton, MA 01060 �SNry `-0 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit N'.amber 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: SS I 0,i `t'c O (l� O ,£ �'l� U Tie debris will be transported by: Name of Hauler: CaS e l f a QS 14 0,1' CO Signature of Applicant: Date: ( SZ, u cc of Consumer Affairs and Business Regulat on 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement contractor Registration - = Typo: Corporation eg ALLIANCE HOME IMPROVEMENT,INC lj" `� 'f - R listratipiretioonn:: 02N184218 376 CHICOPEE ST — CHICOPEE,MA 01013 T-!� lt'f ` r .1{'f r tpdsto Address and Card. 2a11.c5I17 Office of ConeumerAffelre&Dueln=Re®ula4.'or HOWIE IMPROVEMENT CONTRACYCP. MrektratIon velld for Individual umi only TYPE:Corporation the extelvetien date. If found return to: ssossEssan dm; OMaa of c®raeuidor Affairs and Sualmna R ulatlola Mite 2E2 1000IfIreei7ln on Sheet•Bulb 71 w A;JANCE H• ,I ) ti.^. 2;1A �7 ,_----" • SERSIYSUPR 6: re S CH COPEE ST ate-6211--' 211. t.oabisal2aaeakc646o cy;[':Jmea<sialijcjS e 1,4 Division of P'mfeasiar:;7� I�:CJSi©2953 Nord ti 1,1ca0ulmitlasan c ri 8i uka(?oc',“ y„ Cd-104317 i='1� i':'J 1M12023 Y ell LINN # 11 ' 447 UCH:uuriduEuiJCC�h"J6' 7 ® DATE(MM/DD/YYYY) A o CERTIFICATE OF LIABILITY INSURANCE 03/02/2022 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 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). CONTACT David Jarry PRODUCER NAME: Neill&Neill Insurance Agency Inc PHONE FAX 662 Riverdale Street (AIC,No.WI; 413 732 4137 (AIC,No): 413-731-6629 West Springfield,MA 01089 AIL ADDRESS: dy'@neillins.com ' INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: State Auto Insurance Companies STA INSURED Alliance Home Improvement, Inc INSURER B: SAFETY INSURANCE COMPANY 39454 Sergiy Suprunchuk Ace American Insurance Company 12165 375 Chicopee Street INSURER C I Chicopee, MA 01013 INSURER D: 4 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, 1 EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRT— TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR� INSR WVD POLICY NUMBER (MMIDD/YYYYL(MM/DD/YYYY) A GENERAL LIABILITY PBP2689283 03/12/2022 03/12/2023 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED 300,000 COMMERCIAL GENERAL LIABILITY PREMISES(Ea occurrence) I $ CLAIMS-MADE Lvi OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY , $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 I 9rN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 4 1 POLICY PRO- $ CrJE I LOC 3 )AU COMOBILE LIABILITY 6226463 12/04/2021 12/04/2022 CO aBINEDDt)SINGLE LIMIT 1,000,000 _ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED - j SCHEDULED AUTOS BODILY INJURY(Per accident) $ _ AUTOS V` NON-OWNED PROPERTY DAMAGE $ VI HIRED AUTOS �/ AUTOS (Par accident) $ i UMBRELLA LIAB OCCUR EACH OCCURRENCE $ —I I EXCESS LIAB CLAIMS-MADE AGGREGATE $ ___ $ DED RETENTION$ _ C WORKERS COMPENSATION 6S62UB-4N622734 12/05/2021 12/05/2022 ,I WC STATU- OTH- ! ' 9NO EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETOR/PARTNER/EXECUTIVE YN N/A E.L.EACH ACCIDENT $ 1,000,000 , OFFICER/MEMBER EXCLUDED? Mandatory In NH) EL.DISEASE-EA EMPLOYEE $ 1,000,000 _ ,JE@s,describe under CRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 I —_L.._. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CLRTIFiCATE IS FOR PROOF OF INSURANCE PURPOSES ONLY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Sergiy Suprunchuk THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 375 Chicopee Street ACCORDANCE WITH THE POLICY PROVISIONS. Chicopee, MA 01013 * - AUTHORIZED REPRESENTATIV �1_l__: i , (L ©1988-2010 ACORD COR ORATION. ights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Doc()Sign Envelope ID:OCDBCA6C-DD05-4F43-BOA6-BF26200D8D�226�y tflbO(� All home improvement contractors and subcontractors engaged in -v home improvement contracting, unless specifically exempt from i registration by Provisions of Chapter 142A of the general laws, must be registered with the Commonwealth of Massachusetts. 1.00jJ�{ Inquiries about registration and status should be made to the Alliance Noma Improvement r \ Director. Home Improvement Contract Registration, One from uouri notion to Ashburton Place,Room 1301,Boston,MA 02108(617)727-8598 sogi375 Chicopee St. Chicopee,MA 01013 Phones:(413)883-3802 (413)331-4357 Fax:(413)331-4358 �>u Can pay more,but you can't buy bette‘�� MA Lic#154218 CT Lic#0635847 www.AllianceHomelnc.com SUBMITTED TO: Phone: 413-297-1094 Cell: Keystone Properties, LLC c/o David Shelton project address: 55 Indian Hill Email: keystoneproperties123@gmail.com Florence, MA We hereby submit specifications and estimates for work to be performed and materials to be used: Remove 4 twin casement windows&dispose. Install 4 Mezzo series 2-lite slider window units by Alside in"White". All units Double Pane ClimaTech ThermD glass package w/enhance cavity foam. Install new interior stops. Cap exterior w/PVC aluminum trim in"White". (painting/staining not included). Perform complete clean up,remove all old materials&debris.This offer subject to company approval ❑Aluminum Trim ®Alliance Trim ❑Flat Coil x❑PVC Coil ❑G8 Coil Color: White ❑Corners Color: ❑x WINDOWS Grids:❑YES ❑x NO E Flat ❑Contour ❑Colonial E Diamond ❑Other: ❑x How many? 4 ❑D/H ❑PIC ®2LS 4 ❑3LS ❑Csmt ❑2Lt/Csmt ❑3Lt/Csmt ❑AWN E HOP ❑BOW(4 or 5 lines) ❑Bay Full Screen:❑YES 0 NO 1/2 screen only ['Wood grain Interior: Color: Exterior Color:❑YES 0 NO Color: Mull:D YES ❑NO ©How many? 4 ®Glass Option: Type: 0 ClimaTech ❑ClimaTech TK2 ❑ClimaTech TG2 ❑ENTRY DOOR:❑YES ❑NO ❑Type: _ ❑Style: ❑STORM DOOR:❑YES ❑NO ❑Type: ❑Style: ❑Material Location: driveway delivery x❑Waste Disposal: haul away included WORK SCHEDULE Proposed Start and Completion Schedule-The following schedule will be adhered to unless circumstances beyond the contractor's control arise: l / 15 / 7n27 Date when contractor will begin contracted work. 11 / 1 S / 2(122 Date when contracted work will be substantially completed. Contracted work may not begin until both parties have received a fully executed copy of the contract,and the three day rescission period has expired.The Owner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that are not avoidable by the Contractor including,but not limited to strikes,Acts of God,shortages of materials,accidents,and all other delays beyond its control,shall not be considered as violations of this Agreement. WARRANTY Lif +me All materials have Lifetime Warranty or as otherwise specified by manufacturer.Labor and workmanship have a warranty of ow g' goer from the date of installation. All work to be completed in a workmanlike manner according to standard practices.Any alteration or deviation from the above specifications involving extra costs will be executed only upon written orders,and will become an extra charge over and above the estimate. PAYMENTS We propose hereby to furnish material and labor-complete in accordance with Payments to be made as follows: above specification for the sum of: _ 33 %(s 2,195.00 )upon signing Contract; Six Thousand Five Hundred Ninety&0/100 dollars 33 %(s2,195.00 )upon delivery of materials; ($ 6,590.00 1- %($ )upon job completion; Name of Salesman David Mikuta 34 %$ 2,200.00 , •oncueign.d by: ( )shall be made forthwith upon {� completion work under this contract. Authorized Signature atkiict 1vl.sl *i a, The customer hereby understands and agrees to pay finance charge of 1.5%per month(or annual percentage rate of 18%)on the outstanding balance not paid within 30 days after completion of work.All payments 'eceived after 30 days after completion of work shall be applied first to unpaid finance charges and then to outstanding balances.In the event of default,customer hereby understands and agrees to pay,in addition to the outstanding indebtedness,all costs associated with collection including reasonable attorney's fees. Acceptance of Proposal:I have read both sides of this document and accept the prices,specification and conditions stated,I understand that upon signing,this proposal becomes a binding contract.You are authorized to do work as specified.Payments will be made as outlined above.You,the Buyer,may cancel this transaction at any time prior to midnight of the 3rd business day after the date of this transaction.Cancellation must be done in writing. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. i..--Docusgn.d by: 8/3/202 2 Signature `` //L ,� Date Signature Date `---ECntACEFtCe1409.. NOTICE OF CANCELLATION:YOU MAY CANCEL THIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE ABOVE DATE.IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE BY YOU UNDER THE CONTRACTOR SALE,AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN TEN BUSINESS DAYS FOLLOWING RECEIPT BY THE SELLER OF YOUR CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE TRANSACTION WILL BE CANCELLED,TO CANCEL THIS TRANSACTION,MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND A TELEGRAM TO:ALLIANCE HOME IMPROVEMENT,INC.,375 CHICOPEE ST.,CHICOPEE,MA 01013 (Date.Sunday and holidays excluded) I HEREBY CANCEL THIS TRANSACTION ._____ _-_(Buyers Signature) • 4 Cert Agency: AAMA Test Method: AAMA/WOMA/CSA 101/I.S.2/A440-08 and CSA A440S1-09 Window Size: 32x58.5 413-078693 PG35 1111111111111111111111111111111111111131 . RLSIOE NFRC .�: WINDOW C:MFANY !�•`� ':DEL 3Z1 " JLELE National Fenestration CPD* ASO—R-89-68131-00002 Ratting Councils SOLID UINYL — WELDED — DOUBLE GLZD CERTIFIED 3/4" IC, DS LE—S3, ARGON. THERMD, GRIDS < 1" 111111111111111111111111111 ENERGY PERFORMANCE RATINGS U-Factor Solar Heat Gain Coefficient 0 28 59 33 (U.S,/I-P) (Metric/SI) ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Air Leakage _in,. 0 3 49 (MetrlclSl) amoimmiris Manufacturer stipulates that these ratings conform to applicable NFRC procedures for determining whole product performance. NFRC ratings are determined for a fixed set of environmental conditions and a specific product size, NFRC does not recommend any product and does not warrant the suitability of any product for any specific use. Consult manufacturer's literature for other product performance information wi t wi nfrr nrn