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29-115 (3) BP-2023-0145 77 FOREST GLEN DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-115-001 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-2023-0145 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 15988 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 GOODRIDGE SARAH E Use Group: Owner: CHRIS BENT Lot Size (sq.ft.) Zoning: WSP Applicant: WINDOW WORLD OF WESTERN MA.S Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 ECC-600-4001086-202.A BELCHERTOWN, MA 01007 ISSUED ON: 02/09/2023 TO PERFORM THE FOLLOWING WORK: 16 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 VI el ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I i csr'I1 If Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner The Commonwealth of Massachusetts _ r Board of Building Regulations and Standards ��® ��23 FOR M NICI'ALITY Massachusetts State Building Code, 780 CMR (� USE Building Permit Application To Construct,Repair,Renovate Otj iJd e@if_ � R-ed,ised ffar 2011 � �5�lv�Feri�,�,.MA 010-3O J One-or Two-Family Dwelling This Section For Official Use Only ' Building Permit Number: " 013-/L1s Date Applied:: 4vi , Z.S / / 2-q.ZbZ3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Addres : 1.2 Assessors Map&Parcel Numbers 77 f / G`eo) 1.1 a Is this an accepted street?yes iti ,.:k; 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❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP 2.1 Owner'of Record: Chr /5 &, I- F/o'evlcc HA O/06? Name(Print) City,State,ZIP 77 6ore-5f G/ei hi- yi337V/339'7 c&nf,34 ma,YCO'" No.and Street Telephone Email Addrsis SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building Owner-Occupied 111., Repairs(s) 0 Alteration(s) 0 Additio 0 Demolition 0 Accessory Bldg. ❑ Number of Units k, Other ei/Specify:T..2.1Q\c1CJLtY1p Brief Description of Proposed Work2: fb NI n,alaws rp/acevn eh k Neil/ rrallterlr,1—r SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ /5 q 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All F�e �� Q. rr5 /7 d Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ /0 `7 8'0 ❑Paid in Full 0 Outstanding Balance Due: City of Northampton /�Ca AM1y� fr ">' r 1 St •r •'4I Massachusetts �' '.e,G DEPARTMENT OF BUILDING INSPECTIONS 7 \e%,, t `J� 212 Main Street • Municipal Building � Northampton, MA 010604. -,�C� irri..r. North `s..•'-+.. '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 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: Ch.jo \Q QHAE , Q% P \NC\Cic.n S\, C. tt1L The debris will be transported by: Name of Hauler: Signature of Applicant: Date: / / - 3 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 4 G License Nk%.-Cr r 1 e Ex g.3 1,�i irationa P Name of CSL Holder • List CSL Type(see below) V 10 1 C` Y") O��u �-'\J e . No.and Street Type Description oVc��� � ���� �"L C G\C ,- U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted I&2 Family Dwelling City/Town,S , IP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances kA5•rily1jS Q�Y'va.. 5rn LONAt) la t.l L.'a't'l I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement\ � � Contractor(HIC) \� ��1 1�i aka etw '1 t3-v0 "� ��C HIC Registration Number Expiration Date HIC Company Name or IUC Registrant Name (DU\ 'Thd R S�c�as-1/4.5 Jy c(21r t2\rrbryvu-2,yAni.Car,crl and Street Email address ZOCr ek.°keel t�3La5`1135 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 El, 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 t —'1 `I,')c to act on my behalf,in all matters relative to work authorized by this building permit application. Cry-c, cie) / 3/ 0Za02 Print O er's Name(Electronic Signature) ate 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 ' is true and accurate to the best of my knowledge and understanding. / 3/ c210 02 Print er' o uthon A s Name(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" ,e The Commonwealth of Massachusetts `� Department of Industrial Accidents I. ' , Office of Investigations R a Lafayette City Center T." ti 2 Avenue de Lafayette, Boston,MA 02.1.1.1.-1750 4-`'' iso- '4f www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):Window World of Western Massachusetts Address:641 Daniel Shays Hwy City/State/Zip:Belchertown, MA 01007 Phone #:413485-7335 Are you an employer? Check the appropriate box: Type of project(required): 1. /❑ I am a employer with 40 4. 0 I am a general contractor and I 6employees (full and/or part-time).* have hired the sub-contractors 0 New construction 2.❑ l am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Rcntodciin ship have no employees These sub-contractors have and8. ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance. 9. El Building " Mon 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 111.0 Plumbing repairs or additions myself [No workers' comp. right of exemption per.M.GL 12.0 Roof repairs insurance required.] t c. 152, §.1.(4),and we have no Replacement employees. [No workers' 13.® Other p comp. insurance required.] *.Any applicant that checks box#1 must also fill 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. ,i am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site in formation. Insurance Company Name: /Ea m^ Policy#or Self-ins. Lic. #:4'�„4.-b,n,a - 'fit,0/ d "' 2.«=,d- Expiration Date: , -- Job Site Address:- I f2?y 5 Gle✓► ?)r City/State/Zip: , kr ei /1/� ()/c'6a 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 MGL c. 152 can lead to the imposition of criminal penalties of a. tine 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 tine 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 information provided above is ue and correct. Signatu4 2 1A ._ Date: / .?/ ol/vo 3 ------------- Phone#: 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): 1.0.Board of Health 20 Building Department 3DCity/Town Clerk 4.0 Electrical inspector 5DPlumbing inspector 6.0Other Contact Person: Phone#: 1 WINDWOR-01 DATE(MM/OD/YAURA .4�� 1R0 CERTIFICATE OF LIABILITY INSURANCEYY) 4/28/2022 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 ' Phillips Insurance Agency, Inc. PHONE(A/C,No,Ext:) 413 594-5984 Nol:(413)59248499 97 Center Street Chicopee,MA 01013 ADDRESS:laura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:EMC Insurance Companies 21415 INSURED INSURER B New Hampshire Employer Insurance Co pany _ Window World of Western Massachusetts,Inc. INSURER C: 1029 North Rd INSURERD: 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 SUBR POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MM/DD/YYYYI (mM/DD/YYYY) LIMITS A X ,COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1,000,000 ' CLAIMS-MADE I X I OCCUR D531150 4/9/2022 ' 4/9/2023 pREM 8ES(Ea occurrerlce1 $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X 78: X LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY accident) SINGLE LIMIT 1,000,000 AgeB $ ANY AUTO Z531150 4/9/2022 4/9/2023 BODILY INJURY(Per person) $ AUTOSD ONLY X AUTOSULED E Oyy Ep BODILYO INJURYUU (Per acddentt $ X AUTOS ONLY X AUTOS ONNLY I erraccident)AMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 j EXCESS LIAB CLAIMS-MADE J531150 4/9/2022 ' 4/9/2023 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 B WORKERS COMPENSATION X PER OTH- ER $ AND EMPLOYERS'LIABILITY Y/N STATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE ECC-600-4001086-2022A 5/7/2022 5/7/2023 1,000,000 MFFICER/MEMBEREXCLUDED? N N/A E.LEACHACCIDENT $ andatory In NH) EL DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under _DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS!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 1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL E DELIVERED IN 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 itDivision of Professional Licensure Board of Building Regulations and Standards Construtt#6411.1prvisor -,_l• ofi CS-115719 •1-- ''il,T' •' Ex/pires:0413012025 NICHOLAS T i.,DROST'';, i•,,,,, . 7- , ,, 102 OAKRIDGE DR , BELCHERTOV,34 mivkolpoP ---: Arit •,' ';`,P :' 16141.i&` Commissioner daiA 4 bi&ncii.a.., —.....—__—_—...__...... ........— . Kfv.,,,..yrm..,,,,,,/.<3/4 V. /%;044.•••,:kric/t, Office of Consumor Affairs&Buefness Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Individual • FlilasJia1l00 -t4P-H-L112C1 201746 /2712023 NICHOLAS DROST NICHOLAS DROST 102 OAKRIDGE DRIVE c"..,'• • .. BELCHERTOWN.MA 01007 Undersecretary . . . _ • THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation < HOME IMPROVEMENT CONTRACTOR TYPE:tbrpiiratIon Reciistittiott7:f7EXisiration 165Y.-:-4.11,03L1.4(2024 WINDOW WORLD OF,,,VVES:INRN.MASSACHUSETTS,INC. 1 _2 ‘,. ,....•zay i•-.) '.:-•:: 'f.IA '(7:11-3: i.. TIMOTHY DROST , ‘) 641 DANIEL SHAYS HWY. '•,-..S1'-5.2-77?••••` Are ',2 BELCHERTOVVN,MA 01007- '.- *. - (&1 Undersecretary , . r.T ';- I`eV e`s"'!' MI Windows And Doors sutfretnr,of � � ; p R �t,. M650West Market St MI Windows Ataa�DooisFi:D:j �r�tz,l�AT7o3o or destroy the ►,,i j Mr 850 West Marko St 1 E._. ;`. a.. Gratz,PA 17O3017030 l .i 9650 ,o �a->rrai E : r DNN(NY650 Otitis 1b.F r�;. 1 685 • R&Y,g Caryl Fartef 7d2:Line-1:(118',Cfar,LOE,Mrreafed Lite 2; : SLIDEft2MNYt1C3rids —` -- (1/S',Ctear,NO l: TiculttoC F rt?!Fi s NE,Arttseaiedr Argpn;3Y 1/2 X 37 s that can be r48324sl Fes 1 Pa1tme 1aea LfG:641( rinlir ag,LCB,Anneak ; x _(7 re cleaner, • F' 9 a (1l8".C�er1 ' ,Anneaied#1 Arponc 451/1 x114,745 1t2 ta�aareasas nooai h+61Wdi+ru Dredw.le n+ry W cUej•ct to Y.rSr♦llbn rn performarur m for driffernY ZSGEMEM as+6ms� ENERGY P and doors trratvrduel products raw ei• loot to vanrd•n M p•torrouu• PERFORMANCE R14TilYGS Vhen using a U-Facts}r(�.5.1(-1° Wows an the ENERGY PERI=OR.MANCE RATINGS ) Sa1ar Heat Gain Coefficient U-Factor or(U.S./I-Pj i Solar Heat Gain Coefficient ���7 ”Nt rre8ar+elatiy Q.2"T i1.`VADD17£ONAL-PERFORMANCE ' .oductter- Visible Transmittance locations in r ADDITIONAL PERFORMANCE RATINGS Air Leakage(U.SdI-P) Visible Transmittance ; Air Leakage(U.S.II-P) Q•:52 5 0.3 x)ls. domes*moat ennformm.q,pc.�le SRC pt�ct kraf fa nawo:^+q.a�eycha aCtarrs mantle +ataaruraaaara a .. - wn�mt•r 1gxirtstt e!!7sir rime carrarT m WWII M4C parranr M satroltint w�po= ArrdmLxa:vamrsrun.Mi rod c wz ta...0 e 1bf r 1be to�thArOruntr4l COn7kOfM rM r■p•�Pr��• •rG curtnx rf ;r6441 inYPro nx,ctmrpe�r,twaotarrtrapo,021. ►p " ENERGY.STAR'Certified in Highli�litell RBgians. ris.Use a + rtrrearar� nct pie tr7onra�� t Ceriificalb por ENERGY STAR on las regioires rasa.Nadas. t r flf nr,Y STAtl'Cctidrrd,rii.00t1i9411a0 IiTo,its. (r.�• eda�:psi FNERG}STAflonlass©+jiotitr;ririall,das: - ENERGY'S A` �►0 +'ram; ` (..� *jr --.. �. .,ram' errorprsuca 0W wince ws ENERGY S TAR .., 7,•. .. certitiedrCertrTcad, •fl Para lira rm��mF►routraa,se•Izbe!an prodtrt •rorVrriu.e•+n^ nlara a Certdietnei freade eorrpkra.co•srVtnr la eigireM dei pmdureo- For fell Itttem+•nep.sa label OR redact. fLc-rrriad0 Pare ialarmacifsn megrims.eeresoker tr ones re del products. +d R? -QQ(Aso} I tC-AG35' Water R1ax7ast ize 5D•13 ! +DP ASD) Fieporg# F arida aD : EEIZ. t -DP(ASS 35.09720Xu 01-C6-47 1 r•. 29124 r stHack d uni<sp�temase z aws and doors only. For a�formation reQar rg mulled T2.OD X 60,4P • na test sire.Tasted to AAMA your sales representative.Fos and Neg DP warted by nations are for blvidual Windows and doors 0*. by Far iMorrr>allon reflatdrtg muiad 0 STkt E1300.AAMp label may b MA1CSA�O1/i:star d Neg D Farm or stacked surtts,phase contact Your sales representative.Pos and Neva g DP dyad by ddRiortal lnfon ati'onn�reegarrsr�instaRatton instructions B lease tisR uNt test siza.Tested b AAMNWOMA.CSA 101/a.S.?IA4t4�05 AAMA ac n maY►� ±L77S5�l a7.1 p �"��"rrawdcom. t the eancaated by o bead or track .For add+tiwnl it formation regardng '1. i,nail inetafation instructions,please visit www.miwd.com, 1 Pr.,t.a a, en2rmts ell:•2 AM Printed en 7161201B 351a0 P$ City of Northampton o�T MAirfp �5�} Massachusetts s� • �� �� '` DEPARTMENT OF BUILDING INSPECTIONS y MI� tfe 212 Main Street • Municipal Building Jam. Vi Northampton, MA 01060 s amp sNIY..4/01'‘ HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, rl 5 ac 7L (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 proj ct 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.*5.1.2: 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 3/ day of a✓/(AU. , 200 O�.. L (Si ature) Window World of Western Massachusetts „ar,at„ons osup,,commarT -�^--. 641 Daniel Shays,Hwy,Belchertown,MA &Iciw 01007 •`' ,. 975 North Road,Westfield,MA 01085 WINDOW WORLD Wrld Office:(413)485-7335 CARE $�� www WindowWorldofiNesternMA.com Chris Bent Phone: 4133743397 Install Address: 77 Forest Glen Dr Email: cbent33@gmail.com Florence, MA 01062 Contract Name: Chris Bent- Sales - Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 1/24/2023 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 $300.00 $300.00 4000 Series DH Solarzone 4000 Series DH Solarzone N 16 $799.00 $12,784.00 Full Exterior Capping Full Exterior Capping --Color: N 16 $169.00 $2,704.00 Total Information Unit Total: 33 Subtotal: $15,988.00 Tax Rate: 0% Tax: $0.00 Total: $15,988.00 Amount Financed: $0.00 Payment Method: Credit Card Deposit Amount: $8,000.00 Balance Paid to Installer upon Completion: $7,988.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: 1/24/2023 Year Home Built: 1959 RRP Signed Date: 1/24/2023 Window World of Western Massachusetts uETERROf P.RL�pT c. 01007 641 Daniel Shays,Hwy,Belchertown,MA Window �.��. 975 North Road,Westfield,MA 01085 Office: (413)485-7335 WINDOW WORLD CARE www.WindowWorldofWestemMA.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 Window World of Western Massachusetts 1ET6ggns pfRUpr commnno 01007 641 Daniel Shays, Hwy,Belchertown, MA 975 North Road,Westfield, MA 01085WINDOW WORLDWt./atm � 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 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 d or 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 contract, job Site. When the job is complete, we ask that you 10. METHOD OF PAYMENT: paythe Visa/MasterCard/Discover Our installers installer the er Card will accept your fin remaining balance due Cash, authorization,As a courtesy al Payment in the form of check, on Your Y and to ensure the s installers; money 11. REFERRALS; Our safety of order Wells Fargo ' $50 referral feegoal is that our Installers; please financing,for each you are pleased DO NOT g' or office, person you with the work Pay your final refera who purchases 8 we have done and Payment In We trust that or more window will refer us to your friends Your remodeling ex s Please have your referral and neighbors. You Your comments are experience mention your will receive a welcomed e will be a better s ceiv and will bepleasant one. !f forname when contacting used to betters some reason our serve you, you are not co Thank you for completely satisfied,your business! Please contact our office. Primary Homeowner Secondary Homeowner Design Consultant i i trY‘Pett4t EPA "Renovate Wight" Brochure can be viewed and pri Renovate Right Brochure nted from here: WW of W. Massachus advance of the etts anticipates starting this work on equipment of a S work SHALL.NOT and being project will special orderT exceed ,;3 o substantially proceed or custom-made 1/3�° of the total col:trierr Completed in days. parties. °n schedule. No nature, which Any All home improvementfinal payment shall ismust be ordered m ad a ce ofOR the actual the fa°?it required a contract and tr teed oal contractors and bedemanded transmittal to until the ante of the start of the Y material or general laws is re the ow subcontractors shallcontract is work to required to applyowner of a copy of such be re completed assure that the responsible for for and contract. WW of registered. No work shall to the satisfaction individuals. delays in the obtain all construction-related W. Massachusetts beginof all Notice; work described inam this agreement husetts under prior to the sig ningo of the unregistered �S) obtains caused byW. MassachusettsAter 142A of the nonpayment, the e: If Contractors, his own construction regulatory, shall not be A, PURCHASER(S) the PURCHASER S action related permit grantingdeemed 142 M.G.L. (Sa contractors, not )is herebypermits for agencies, authoritie s or be entitled to advised that in the the work described make a claimevent of ta under this You the buyer may cancel or collection froma dispute,judgement agreement transaction, Notice this transaction at the guaranty Bement and daycancellation tY fund established n must be , any time prior to mid by chapter night of the THIS s A CUSTOM Notice of NOTin Ming Post third b Massachusetts, marked no later thanbusiness day after the usetts, Inc, under FOR RESALE license from E This Window midnight of the following date of this om Window World, Inc World®Franc 9 third Franchise is independently business Y owned and operated by Window World of Western /