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22-017 (6) BP-2023-0389 35 SPRUCE HILL AVE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 22-017-001 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-2023-0389 PERMISSION IS HEREBY GRANTED TO: Project# 2023 WINDOWS &DOOR Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 18046.00 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: NEAL-FOURHAWKS AMALIA E TRUSTEE 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: 04/03/2023 TO PERFORM THE FOLLOWING WORK: REPLACE 12 WINDOWS & 1 DOOR, NO STRUCTURAL CHANGES 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: csrAtt..1/4_, sU 3-, • . Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner s n The Commonwealth of Massachusetts Board of Building Regulations and Standards FOR WC,..) Massachusetts State Building Code, 780 CMR MUNICIPALITY USE o Building Permit Application To Construct, Repair,Renovate Or Demolish a Revised Mar 2011 `c One-or Two-Family Dwelling -1 This Section For Official Use Only Building Permit Num,er: Be 20?3-D 321_ Date Applied: 411—) &O.'S ////-*-2- 3 31 Zt 23 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 3.5"5?rUGe Ni'(I t4ye 22-017 - 00I 1.1a Is this an accepted street?yes A no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Ws . 56acrr. 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: OutsidePublic CI Private 0 Zone. F— lood❑Zone? Municipal 0 On site disposal system 0 Check if Ye SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: I/ W14 11%1 rOu ►�horw I,�s Flor�vi& MA 0/06a Name(lint) City,State,ZIP 35 5 p ru ce, N!G1 K) ve ,i/3 as 18-66 7 prr,haw k5-iud/0 e jatiav,COO No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building* Owner-Occupied 'IA_ Repairs(s) ❑ Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units ' Other a✓Specify:V.2.Q\aCilrflo .._. Brief Description of Proposed Work2: / /a h'Ina0ws Chid ciaor 1.�149laceemeo i- Nom , ate-r ,i___/ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only jLabor and MaterialsL I. Building $ 13 UitC 1. Building Permit Fee: $ indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ �(� Check No.3?27 Check Amount:1h 0_ Cash Amount: 6. Total Project Cost: S / / 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) � tI O�5 .�>5�r License Number 0. Expiration bate Name of CSL Holder List CSL Type(see below) V No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) off.( s�\ x L\Q . '�� . �� A R Restricted l&2 Family Dwelling City/Town,S M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances /-(\)\)LaS.1 jS QQ.rrrA- Insulation Telephone Email address D Demolition 5.2 RetgistleredAHome Improvement Contractor(HIC) O�l��at7? " � HIC Registration Number Expiration Date/ HIC Company Name or HIC Registrant Name (� (cL-\ LAS C)o_rry-t.1.-S a� L3\nhc u]c�1ri.(r(f and Street \\ Email address 0 r\r.c. �-t\3) 5' E) 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 E V 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\ V7ON) to act on my behalf,in all matters relative to work authorized by this building permit application. Print is 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 in this ap ' a is true and accurate to the best of my knowledge and understanding. 1./ Pei /02 Print 0 er' o uthori A s Name(Electronic Signature) Date NOTES: I. 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 f4 t. Massachusetts w DEPARTMENT OF BUILDING INSPECTIONS 7 212 Main Street • Municipal Building �Jit:N, Northampton, MA 01060 s'' k ., CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: On \Q_ 1p%p \N(NC>L\c-r CYO-LAO The debris will be transported by: Name of Hauler: kf' xv,O Signature of Applicant: Date: l The Commonwealth of.Massachusetts } '=„.1 Department of IndustrialAccidents ;+nl- 1 Congress Street,Suite 100 " ) ,_ Boston,MA 0 114 2017 www.massgov/dia Workers'Compensation Insurance Affidavit:Bnilders/Contractors/EIectririanc/Plumbers. TO BE FILED WITH t'ag PELIMITIINGr4IiTHORITY. Applicant Information { WO tt]] Please Print Legibly (Business/Organization/Individual): it t . t S�avS`yam"� 64 �1� 7 Address: hert0'", NIA(� Vv City/State/Zip: Phone#: /3 hr 85 7 3 3 Are you an employer?Check the appropriate box. Type of project(required): 1.efl am a employer with 570 J employees(Tll and/orparttime).* 7. Q New construction 2.0lam a sole proprietor or partnership andhave no employees working for me in S. Q Remodeling any capacity.[No workers'comp.insurance required.] 9. Q Demolition 3.0 I am a homeowner doing all work mynah:[No workers'comp.insurance required.]t 4.0 lam a homeowner and will be hiring contractors to conduct all work on my property. I will 10 0 Building addition ensure that aA contractors either have workers'compensation insurance or am sole I1.0 Electrical repairs or additions proprietors with no employees. 12.[l Plumbing repairs or additions s.0 ram a general contractor and I have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have workers'comp.insruance.t 13.0 Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL G. 14.( 'Otfrer Rep/Q Me i' 152,§1(4),and we have no employees.[No workers'comp.insurance required.] • *,buy applicant that rho 1cs box#1 most also fill out the section below showing their workers'compensation policy ir*6rp7atinn t Homeowners who submit this affidavit indicating they misdoing all work and then him outside contactors must submit a new affidavit indicating such. tContractors 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. It'the suds-contactors 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 information. Insurance Company Name: PC E T rn N r i co Vi I vi 3(.4 ice ce, 0) Policy#or Self-ins.Lic.#: tC 5 / 8' 6 5 k f4 Expiration Date: /0/0 7/c2(22 Job Site Address: . r i, e f i t ' /1✓�i City/State/Zip: fr/Oite//I6 /C7 a Attach a copy of the worker 'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c.152, §25A is a criminal violation punishable by 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 aft the violator.A copy of This statement may be forwarded to the Office of Investigations of the DIA for insurance covczage verithcatiun. I do hereby certify under the pains and penalties of pedury that the information provided above is true and correct. ChSi gnat L!ta Date: 3/02 9 2 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): lDBoard of Health 2Q Building Department 3QCity/Town Clerk 40 Electrical Inspector 50Plumbing Inspector 6.00ther Contact Person: Phone#: City of Northampton 41�r�ir�. Massachusetts ie. 1./, DEPARTMENT OF BUILDING INSPECTIONS • ,rs 212 Main Street to Municipal Building y � Northampton, MA 01060 ' � • HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, a ma you V haw 15 (insert full legal name), born _ (insert month, day, year), hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one-or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this___ day of 'a r&i ,2GF 3 (cW, C (Si nature) Best-in-Class Features: 1 2 Q Welded, heavy-duty vinyl construction provides superior strength and durability. 0 High-density foam enhancement throughout the mainframe offers superior • thermal protection. Q SolarZone TG2T"and SolarZone TK2T" triple-pane insulating glass enhanced with Low-E coating and argon (TG2)or krypton (TK2)gas ensures the elements won't make an impact on the comfort of your home. 0 A Duralite warm-edge spacer system further improves energy efficiency. 0 The beveled exterior edge provides style and curb appeal to an already sleek Q-0 design. Q Recessed, opposing cam locks secure your window without interrupting sight 3 lines. QHeavy-duty weatherstripping10 y- y and interlocking sashes help to keep weather and wind outside. 0 Balance channel covers ensure a polished look. Q Spring-loaded, push-button vent latches allow for overnight ventilation while giving you added peace of mind. 0 ; CI Full-length, integrated ergonomic lift rails provide convenient,easy operation. Q ■ Bevel on bottom rail enhances grip. 0 Metal reinforcement in the meeting rail enhances strength and protection p against wind and weather. ®Recessed tilt latches can be released to tilt both top and bottom sashes into the home for easy cleaning. ®Welded combination sill featuring a deflection leg offers rigid structure and a five-degree sloped sill that directs water away from the home and eliminates unsightly weep holes. Q An easily removable latching half screen gives you the freedom to let air in while keeping pests out. Featuring Clarity'*mesh,the screen allows you to focus on what's important:the view. ®Detent clip keeps the top sash from drifting while an inverted-coil balance ^^ system ensures both sashes will stay where you put them, no matter the • position. 0 0 Series consists of double-hung,double slider, casement,awning, picture, and architectural shape windows. 15 Energy-Saving Glass Packages: Our SolarZoneT"insulated glass packages help you save on heating and cooling costs while also keeping your home more comfortable. In warm weather, Triple-pane glass and a foam-enhanced SolarZone reduces solar heat gain, minimizes interior glare, and lowers inside glass perfor mainframemance.results in superior thermal temperature to save energy and keep you cool. In cold weather, SolarZone helps to control the heat inside your home by providing thermal protection that keeps the inside glass panel warmer. THERMAL PERFORMANCE COMPARISON' 1 Window values are based on single-strength SolarZone TG2:Triple-pare,single-strength glass,standard 6000 Series offering.Values vary glass with two coatings of Low-E,argon depending on grids and optional glass thicknesses enhancement,warm-edge spacer system,and DOUBLE-HUNG upgrades(1/4"laminated,l/B"tempered,3/16" foam-enhanced mainframe decorative glass etc)ST and HP performance values SolarZone TK2:Triple-pane,single-strength U-FACTOR SHGC are also available. glass with two coatings of Low-E,krypton 2 TK2 is available on 6000 series double-hung and enhancement,warm-edge spacer system,and SolarZone TG2 0.21 0.25 double sliding windows only. foam-enhanced mainframe SolarZone TG2 w/Grids 0.22 0.22 Foam Enhancement:Foam enhancement Is injected Into the mainframe of the window, SolarZone TK2 0.17 0.25 providing increased performance �--..41 WINDWOR-01 LAURA A�vRv CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) 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 Nasser' Phillips Insurance Agency,Inc. PHONE 1 ( ) I FAX );(413)592-8499 97 Center Street (NC,No,Ext: 413 594-5984 Arc,No Chicopee,MA 01013 ADMDRRESS:laura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE I NAIC ft INSURERA:EMC Insurance Companies 21415 INSURED INSURER B;JUnw Yam�{�Ir_ e�hfynr L.eW s..Ge CO4iY4ny Window World of Western Massachusetts,Inc. INSURERC: 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 INVD POLICY NUMBER (YMrDD/YYYY! IMM/DD/YYYY! LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1$ 1,000,000 CLAIMS-MADE X OCCUR D531150 ' 4/9/2022 4/9/2023 PDAMAGE ETOES RENTED E rrDence) $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL 8 ADV INJURY $ 1,000,000 GEM_AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X X LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: A $ AUTOMOBILE LIABILITY (Ea accident) ,$ LIMIT $ 1,000,000 ANY AUTO Z531150 4/9/2022 4/9/2023 BODILY INJURY(Per person) $ OWNED AUTOS ONLY x AUTOSULED �������� ��pyy Ep BODILYOR INJURY(Per accident) $ X ONLY X AUTOS ONLY I or accidentrMAGE $ $ A o X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE J531150 4/9/2022 4/9/2023 AGGREGATE $ 1,000,000 DED X RETENTION S 10,000 B WORKERS COMPENSATION PER I OTH- 3 AND EMPLOYERS'LIABILITY X STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 85-2022A —5/7P/022 5/7/2023 1,000,000 FFICER/M 5ER EXCLUDED? N N/A1,000,000 E.L EACH ACCIDENT (Mandatory1n H E.L DISEASE-EA EMPLOYEE _______ _ If es,describe under 1 000 000 DESCRIPTION OF OPERATIONS below , E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I 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 Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE r%r4' ill kv..,,, ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) A Cc l Ei 02/10/2023 CERTIFICATE OF LIABILITY INSURANCE Acct#: 2970777 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 LOCKTON COMPANIES,LLC P PHHOON` NE 3657 BRIARPARK DR.,SUITE 700 (NC,No,Ext):888-828-8365 FAX No): HOUSTON,TX 77042 E-MAIL ADDRESS: INSPERITYC ERTS@JLOC KTONAFFINITY.COM INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Ace American Insurance Co. 22667 INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. 641 DANIEL SHAYS HWY INSURER C: BELCHERTOWN,MA 01007-9529 INSURER D: 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 SUER I POLICY EFF (POLICY EXP ) LIMITS LTRINSD WVD POLICY NUMBER (MM/DD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS- I I OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC IFC..T PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE LIABIUTY COMBINED SINGLE LIMI( $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION NiEH AND EMPLOYERS'LIABILITY Y� A. STATUTE ER A ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N(AE.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) C5186654A 12/25/2022 10/01/2023 If yes,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION 2970777 Town fo Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Building Dept BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 212 Main St ACCORDANCE WITH THE POLICY PROVISIONS. Northampton,MA 01060 AUTHORIZED REPRESENTATIVE c ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affaib,&Business Regulation Registration valid for individual use only before the HOME IMPROV `.-.i ONTRACTOR expiration date. If found return to: Office of Consumer Affairs and Business Regulation Regi , ii.n 1000 Washington Street -Suite 710 Boston,MA 02118 VICHOLAS DROST 1- ;„ t a' f Sk VICHOLAS DROST , ". � I ,i , 41/*f02 OAKRIDGE DRIVE . t 3ELCHERTOWN,MA 0 ;r. - x — e U Undersecretary Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENICONTRACTOR TYP_E:tiirporatIont Reaisti'ationi== `Eitoiratlon Z®) Commonwealth of Massachusetts 16589i= 031.1912424 Division Or Professional Llcensure _ __ WINDOW WORLD OFWESTERN A$SACHUSETTS,INC, Board of Budding Regulations and Standards i_ '� t. Constrvtti ri�i5pprvisor ;? 1 r;-I.. "l TIMOTHY DROST � ' :-) /' CS•113719 ' , Kx�piras:04/30/2025 841 DANIEL SHAYS l ,eie'"'d 4;"ze4s NICHOLAS T DROST BELCHERTOWN,MA 01007;, 3: -, s, Undersecretary 102 OAKRIDGE DR ___ BELCHERT0100 MAIt0ttf007' ' 91P' y1 } Commissioner c,1a8G 4 `Ytnc ,,, Window World of Western Massachusetts , LA 641 Daniel Shays Hwy Belchertown, MA 01007 Tel: (413)485-7335 I Fax: (413) 213-0559 westernmass@windowworld.com https://www.windowworldofwesternma.corn/ Contract No. 5303736 Contract Date: 03/15/2023 CONTRACT Amalia Fourhawks Design Consultant:Tim Drost Address: Measured By: 35 Spruce Hill Ave Florence, MA,01062 Sold Date:03/15/2023 Mobile(413) 221-8662 Email:firehawkstudio@yahoo.com Comments: Product "m �- iM 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 Windows Entry Door,Casing +Capping - Entry Door, Casing +Capping N $3,860.00 $3,860.00 PRIMED 32XREMOI.DER RIGHT 0 5-1/4 1/2 LITE CLEAR BRASS 4000 2 Lite Slider - 6000 -2 Lite Slider TRIPLE PANE N It $1,299.00 $1,299.00 6000 Series DH 6000 Series DH N , $949.00 $7,592.00 Full Exterior Capping Full Exterior Capping- N 9 $169.00 $1,521.00 �j Color:WHITEE `— Ajj. ill011/al eZ)-- ON Unit Total 20 l .G* p' _0 4-6.--(&( ,,,n � � Subtotal $14,722.00- D //�/ / `/ 1 Tax Rate 0% Tax: $0.00 Total $14,722.00 Amount Financed $9,722.00 r Payment Method Financed Deposit Amount $0.00 Balance Paid to Installer upon Completion $14,722.00 Renovation,Repair and Paint Act(RRP)Compliance RRP Provided date: Contract.doc Window World of Western Massachusetts verenans 0%L•ri commnno .__�^^----,, 641 Daniel Shays, Hwy,Belchertown, MA f„� __ 01007 975 North Road,Westfield, MA 01085 Office: (413)485-7335 WINDOW WORLD GAR E$e� www.WindowWorldofWesternMA.com Amalia Fourhawks Install Address: 35 Spruce Hill Ave Florence, MA 01062 Contract Name: Amalia Fourhawks - Sales -Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 3/15/2023 Status: Quote 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 Setup and landfill disposal fee - Windows N 1 $250.00 $250.00 -Windows Entry Door, Casing + Capping Entry Door, Casing + Capping PRIMED 32XREMOLDER RIGHT 5- N 1 $3,860.00 $3,860.00 1/4 1/2 LITE CLEAR BRASS 4000 - 2 Lite Slider 6000 - 2 Lite Slider TRIPLE PANE N 1 $1,299.00 $1,299.00 6000 Series DH 6000 Series DH N 8 $949.00 $7,592.00 Full Exterior Capping Full Exterior Capping -- Color:WHITEE N 9 $169.00 $1,521.00 Total Information Unit Total: 20 Subtotal: $14,722.00 Tax Rate: 0% Tax: $0.00 Total: $14,722.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $14,722.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: Window World of Western Massachusetts UETERAns PIsRLIp.commnno 641 Daniel Shaysidow , Hwy, Belchertown, MA _����� ♦ 11'� _ 01007 (1�(ClG 975 North Road,Westfield, MA 01085 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 Window World of Western Massachusetts Uereawne 01R"FT commnno 641 Daniel Shays, Hwy,Belchertown, MA Window 01007 975 North Road,Westfield, MA 01085 WINDOW WORLD {i (,al Office: (413)485-7335 CARE I www.WindowWorldofWesternMA.com Preparing for Your New Windows and Doors Thank you for choosing Window World to complete your home improvement project.This letter is designed to simplify your upcoming installation experience by letting you know what to expect. 1. HOW LONG DOES IT TAKE? It takes approximately 4-20 weeks to receive your custom-made window order from the factory following your final measurement and your job exiting the Massachusetts State three day rescission period. A Window World associate will contact you shortly after your products have arrived to schedule the installation. Please note that we will make every effort to install your products within a reasonable time after they have arrived, but weather(rain, snow, high winds and extreme cold), high volume sales periods or other conditions (factory production delays,factory closure for holidays, shipping delays, etc.) beyond our control may govern the installation date. Homeowner understands and agrees that any such delays will not result in a discount from their contract total. 2. HOMEOWNER REQUIREMENTS: I understand that by signing this, I am certifying that I am the owner of the property listed on the contract. I agree that a property owner will be present for the duration of the installation to ensure that the work is performed to my satisfaction and to inspect the work completed. If a property owner is not present,the contractor will be released of liability for any installation issues.This allows us to better satisfy our customers and ensures that the windows or materials are installed in the correct openings. Customer must sign off on completion certificate and leave final payment with installer if he/she wishes to leave the job site prior to completion. Customer understands that by not being present at the time of installation may result in the automatic charging of the final payment to the credit card used for deposit. 3. UNFORESEEN CIRCUMSTANCES: If during the installation process a condition is found that would prohibit properly installing a window (i.e. wood rot, termite or other hidden damages, etc.),the installer will promptly notify the Homeowner as well as the Window World office of the problem.Any additional work that is required to properly complete the job will be discussed with the Homeowner and billed on a time and materials basis. In the event we have received the incorrect or damaged window for your job(due to an incorrect measurement or factory error), Window World will reorder the proper window and will schedule the installation as soon as possible. Window World expects payment on the work completed to date at the time of installation that is not affected by warranty issues. 4. WHAT YOU NEED TO DO PRIOR TO OUR STARTING THE INSTALLATION: • You will need to remove all curtains, shades, blinds, window air conditioning units etc. from the existing windows. • We also ask that you remove any pictures mirrors, etc. on nearby walls and tables. • Move all furniture away from the area around each window leaving approximately 3 ft in front of the window and lft on either side of the window to be replaced. • Secure any pets(and children)for their own safety and for the safety of our installers. 5. ALARM SYSTEMS: It is the responsibility of the Homeowner to inform the alarm company of the upcoming window or door installation and to arrange reconnection after installation is complete. 6. EPA-LEAD SAFE GUIDELINES: Homeowners of homes built before 1978 have received a copy of the lead hazard information pamphlet informing the Homeowner of lead hazard exposure from renovation activity to be performed in their home.The Homeowner understands and agrees to indemnify and hold Contractor, Contractor's representatives, and employees harmless for any lead paint health issues. 7. INSIDE INSTALLATION (Normal): If the windows are to be installed from the inside,the interior stop moldings will be removed from the existing windows and reused after the new windows are installed. Please note that the paint or stain on the trim/moldings may get chipped and would need to be touched up by the homeowner. 8. OUTSIDE INSTALLATION (Special): If the windows are to be installed from the outside,the existing window's wood "stops" will need to be removed. In addition, if there are existing storm windows in place outside of your current windows,these will need to be removed as well. Please note that the area(s)where the wood "stops"and/or storm windows were removed will need to be patched and painted by the Homeowner unless the exterior trim is to be installed by Window World. 9. UPON COMPLETION OF INSTALLATION: After the installation is complete, you will be asked to inspect the entire project with our Installer.An evaluation sheet will be provided for the Homeowner to sign after the final inspection is complete. Please make sure that any corrections have been made before the installer leaves the job site. When the job is complete, we ask that you pay the installer the remaining balance due on your contract. 10. METHOD OF PAYMENT: Our installers will accept your final payment in the form of check, money order,Wells Fargo financing, or Visa/MasterCard/Discover Card authorization. As a courtesy and to ensure the safety of our installers; please DO NOT pay your final payment In Cash. 11. REFERRALS: Our goal is that you are pleased with the work we have done and will refer us to your friends and neighbors.You will receive a $50 referral fee for each person you refer who purchases 8 or more windows. Please have your referral mention your name when contacting our office. We trust that your remodeling experience will be a pleasant one. If for some reason you are not completely satisfied, please contact our office. Your comments are welcomed and will be used to better serve you. Thank you for your business! Primary Homeowner 41vsktel 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. THIS IS A CUSTOM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western Massachusetts, Inc.under license from Window World, Inc.