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18-002-012 BP-2023-0678 70 PINES EDGE DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 18-002-012 CITY OF NORTHAI'IPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-0678 PERMISSION,IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: WINDOW WORLD F WESTERN Est. Cost: 2887 MASS INC 115719 Const.Class: Exp.Date: 04/30/202 Use Group: Owner: PAUL ENKOWSKI, Lot Size (sq.ft.) Zoning: RI/RR Applicant: WINDO WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C5186654A BELCHERTOWN, MA 01007 ISSUED ON: 05/24/2023 TO PERFORM THE FOLLOWING WORK: 3 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 NOREUHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: •� q - C ,t . 10 Fees Paid: S40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commiss over 0/} /1 11 C E The Commonwealth of Massacliuse . { Board of Building Regulations and!Stan.ards A? 2 3 2023 FOR Massachusetts State Building Code 780 , k MU ICIPALITY DEar o. :ui .1 i USE Building Permit Application To Construct, Repai ,-Reno i' t% tataWilooNsRevi.ted Mar 2011 One-or Two-Family Dwelling 'b60 This Section For Official Use Only - Building Permit Number: 69 ?•3. mG 7 ' Date Applied: kau,o 47),3 5- zoz Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 PopQ1ty vies: r d 1.2 Assessors Map&Parcel Numbers 1.1 a Is this an accepted strreeett(`?yes X no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public El Private❑ —Zone: Outside Flood Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP1 2.1 owlert of Record: pet,w eke vax„.1Sk Now(ha,m toi-on H14- ( 000 Name(Print) City,State,ZIP 70 Pies EdCI� ` r tli3530oui q plivkoo�j�/loi-vout�:( No.and Street ) Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building` Owner-Occupied 1$1., Repairs(s) ❑ Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units 1 Other b/Specify:'�C Q C) Q C&%la ti_. Brief Description of Proposed Work2: `3 1,0 On OWS A vvleA SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Offi lal Use Only (Labor and Materials) 1. Building $ `G 1. Building Permit Fee: $ Indicate how fee is determined: Cl2.Electrical $ Standard City/Town Ap.1'cation Fee ❑Total Project Cost3(Item •)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: Check No4 I IW Check 'i ount: v Cash Amount: 6.Total Project Cost: $ 0 Paid in Full ❑ s tstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) N\ 54 License Number Expiration bate Name of CSL Holder List CSL Type(see below) No. and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) cAc-iTh•sJ i ‘k\f1 ti Od- R Restricted I&2 Family Dwelling City/Town,S , lP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 340)k-k9S.5 1-6S QP.Yvtr.A-Sr. n) L4 t,''t S41 ( i'. 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) 031 Do l HIC Registration Number Expiration Date HIC Companyan Name or HIC Registrant Name �O nd \)C�CV./�sl S 1.,5 \t�t VQ-f'r1n.�S �:\/l(�c �1-1&T '(Y.(CC and Street Email address c (-Nt-Nz&_ _CIY1 ��-E‘3)L Vq335 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 EI,V 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 W\kA,t u\ \i)0N) a, to act on my behalf,in all matters relative to work authorized by this building permit application. ee C / 71<,23 Print O 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. this ap 9 ' . is true and accurate to the best of my knowledge and understanding. S/171 a? �J 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" • The Commonwealth of Massachusetts fr Department of industrial Accidents' _ 1 Congress Street,Sate 100 `:�legit'1 Boston,M<4 02114-2017 www.tnass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FJLED WITH iltE,'PER1VRTTING utORTTY. Applicant Information v V Or�� Please Print Legibly* dill h s Name(Business/D ization/tndivitwi): oat,iet S ay .007 Address: 6 rtVin, City/State/Zip: Phone#: 1/1.3 118•.5 7 j 3 ) Are you an employer?Check the appropriate box: Type of project(required): 1.1Y6 am a employer with 5 0 employees(full and/orpaa-time).* 7. New construction 20Iam a sole proprietor or partnership andhave no employees working forme in 8 ❑Remodeling any capacity.[No workes'comp.insurance required.j 3.01 am a homeowner doing ail work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. twill 10 0 Building addition ensure that all contractors alter have worlcers'compensation insurance or am sole MO Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.0 I am a general contactor and nave hired the sub-contractors listed on the attached sheet m These sub-contractors have employees and have workers'comp.insance,t 13.Q Roof repairs 6.0 We am a corporation and its officers have exercised their right of exemption per Mtn.c. l4. Re f�� Mc? 152,§1(4),and we have no employees.[No workers'comp.insurance requireck] *Any applicant that checks box#1 rent slap fill out the section bellow showing their workers'compensation policy informationt Homeowners who submit this affidavit indicating they are•doing ail work and then hire outside codtractbra 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. If the sub-contractors have employees,they must provide their workers'comp.policy numbed 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 iqy i e r I CO.vl I✓i J Policy#or Self-ins. �Lyic.#: C 5 / �j (�5 4frg Expiration Date: I CYO 7A / _c Job Site Address: / Pi City/State/Zip: No4h G m p-%oi g C iv6'y Attach a copy of the workers'compensation p cy 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 against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage vim. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct signatuicit ed i ' Date: 5 I i 7 /a 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): 10.Board of Health 20 Building Department 3.00ity/Town Clerk 4.0 Electrical Inspector 51:1Plumbing Inspector 6.0Other Contact Person: Phone#: City of Northampton 114 ,A '_ o\ S .a. s` •''` s, Massachusetts ��'' s . la I +• DEPARTMENT OF BUILDING INSPECTIONS . i . r � 212 Main Street • Municipal Building J a� Northampton, MA 01060 s411 ‘‘�� 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: Or1‘pQ,\Q \G ,(AL‘) 'CL\c\ S\- i(3k The debris will be transported by: Name of Hauler: « \)3a�L� i7 /02� Signature of Applicant: Date: City of Northampton ty Massachusetts �� ;mac DEPARTMENT OF BUILDING INSP CTIONS � 212 Main Street • Municipal Su ldin yJ' 14 .r _ p 4 pf.wY rC� %f Northampton, MA 01060 s %O HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, Pt "( cite14 6604436CA (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' • emption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.!.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 seeki g the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings cons cted in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowne "as defined at 780 CMR 110.R5.1.2: Person(s)who owns a parcel of land on which he/she resid:- 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. 1 do not hold a valid Massachusetts construction supervision lic• se and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requir , • is 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 demo 'tion 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 w th the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the supe isor for said project or work. Signed under the pains and penalties of perjury on this /7 day of /111.611i 20 ....2 V (Soc 0 , .r, -) (Si nature) ----""N WINDWOR-01 LAURA AC_ORO DATE(MM/DD/YYYY) �_ CERTIFICATE OF LIABILITY INSURANCE 4/14/2023 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 97Ph1Center St Insurance Agency,Inc. PHOQk//CC,Nr o,EXt:(413 594-5984 I la.No:(413) 592-8499 Chicopee,MA 01013 E.M .Iaura®phillipsinsurance.com NSURE- S AFFORDING COVERAGE NAIC N ' INSURERA:EMC SCO Insurance Co INSURED INSURER B:Em•I; ers Mutual Casual Com•any Window World Of Western Massachusetts Inc INSURERc: 641 Daniel Shays Highway INSURER D: - ----- ----- _ -Belchertown,,MA 01007 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. WM — - TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR INgp yyyp POUCY NUMBER (MMIDD/YYYYI (MM/DD/YYYY) LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE _�OCCUR 6Q44324 4/9/2023 4/9/2024 1 DAMAGE SET R NT Dote) $ _- 500,000 --.--- MED EXP(Any one person) $ 10,000 PERSONAL&MN INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X JET5CI LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ B I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ 1 ANY AUTO 6Z44324 4/9/2023 4/9/2024 BODILY INJURY(Per person) $ AURRTEEO��S ONLY X AUUWNED TNOpSULED p BODILY INJURY(Per accident) $ X AIMS ONLY X AUTOS ON Y PROPERTY DAMAGE (Per accident) $ $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2023 4/9/2024 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) 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 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) ACt7)R,U 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 PPHO N: 3657 BRIARPARK DR.,SUITE 700 (A/C,No,Ext):888.828-8365 E FAX 3657 HOUSTON,TX 77042 E-MAIL ADDRESS: NS ERITYCERTS@LOCKTONAFFINITY.COM INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Ace A)nerican Insurance Co. 22667 INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. i 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 POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER (MMIDD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS- OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY nPRO- LOC ll IFC'T PRODUCTS-COMP/OP AGG $ OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (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 UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER A ANYPRO RIE OR/PARTNER/XECUTIVE AND EMPLOYERS'LIABILITY Y�- X STATUTE ER _ OFFICER/MEMBER EXCLUDED? N/A C5186654A 12/25/2022 10/01/2023 E.L.EACH ACCIDENT $ 1,000 000 (Mandatory in NH) 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/LOCATIONS/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 ©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 Affp)'iR*..&Business Regulation Registration valid for individual use only before the HOME 1MPROV- . ONTRACTOR expiration date. If found return to: Office of Consumer Affairs and Business Regulation Resist V I.tion 1000 Washington Street -Suite 710 r ' •..2:5 Boston.MA 02118 VICHOLAS DROST - —- ;,` 1 tf ' all —I '"-' / ViCHOLAS DROST € 4 102 OAKRIDGE DRIVE "` l 3ELCHERTOWN.MA 01 ' - i Undersecretary Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYEE:Zgpgratiort ftealstration- EXPIration s Commonwealth of Massachusetts 165$4 '- =03F1912024 ill -!--• Division of Professional Licensure RN SACFiUSETTS.INC. WINDOW WORLD Ot?;WE�`� ,� t Board of Building��R,�etguflations and Standards I ; ram` f I:I ConstruttM.r{ tSrvisor ,y c._ _,__sf r ,. 1 TIMOTHY DROST ° •-10:: C5.115719 1= "1. '; r�yires:04/3012025 641 DANIEL SHAYS HWY .or - ;%+40Pe NICHOLAS T paps° BELCHERTOWN,MA 01067.,, : •:.b c Undersecretary 102 OAKRIDGE DR — BELCH ERTO y MA ^" 7i '" -` .k \`` •ens- ., Commissioner cle8G g Utftr{'..L•• sUfffrlent,or ` ••s�;�` -- 1. �; M! Windows And Doors MI Windows i rtidDoors 44 r; o►dderoythe �'� e50 West Market St Ni'RC I : mt G Wen Market St -�!, f Gratz,PA 17030 �t2+PA 17030 ,•.... +�' 1650 ` 1685 '°beat F No Grids Rai, DHNINYU ficulc to SLIDER2NINYLIOrids Panel1 .2 Lite-1:(1/t-,ctea,,�o�q„neated);L;te,2: s that can be Naticnd Panel 182:Lka1:(1/i',Cbar,LOE,Mrnalsd);L'rte-2: CER?1F IF D (1B-,Claar,NO �rbaled);Argon;37112 X 3)e leaner, Raiff COund. (1/i.Clev,NONE,Annoeled);Argon;45 1/2 X 451/2 m for differnt C r i-t T i t if; individual MEt Asss oat Penestracn and d MEI-M21e. iszco001 Product.m.y ye�o �� • doors Individual products may be subject to vrrl.tlen In perfotrmnce ENE i•et to vah■lion m Peryormance Then using a - ENERGY PERFORMANCE tdows on the ENERGY PERFORMANCE RATINGS U-Factor MANCE RATINGS (U,S./I-P) Solar Heat Gain Coefficient U-Factor(U.SJI-P) Solar Heat Gain Coefficient . 0.,,�.7 ire generally 0.27 0.26 I ADDITIO//NAL-PERFORM 0.29 r dull cer- generally locations in Visible Transfrli AL-PERFORMANCE RATINGS` ADDITIONAL PERFORMANCE RATINGS ttance ,ols, Visible Transmittance Air Leakage(U.SJI-P) 0r C� Air Leakage(U.S./I-P) 0.46 .i O.� `�' !caawu aur`aw7meu S 0.3 ht,bake renAmrr rRftnlla nstrrre Mops raMerm m*picas.rr RC procedures for Mezm 6l5 ire.worn, °ray x '',� ,tri aroaccr O f m a::,z,scwu�oru arw�„ O41 °Wry i men not te' w ^^ana sear txsrrvtj Pr r a ery Pormi tet Erl 1acn uo'uecconvA ""'n'a"Dn F;;« rr ra u c��a e iris.Use a MellabPro+m� araare rar emit prea+a pe ranurcs Warmscon. - w.arrcare ENrRry STAR Ce►tdied u1 Highlighted Regions. r Nf itfY:TAR- Certified in Highltslhtr.d Regions. CcrIiFc,"h ►or ENERGY STAR en las rsgiones resalladas. • Crrlthr Air pot ENERGY STAR on las nay nnnsrosaNadas. Pli."114 , rr (:--t . ,r ''r,ttps ` ENERGY TA � ' �-v ENEIII:tY S MR7,y --1e- enar9yyce avlwioIowa '� 0 snsresstu.eeeMiaesara Para iMo For fvN information,see label onProduct01;en6ed'Cenificado ■CettifiedlGttitcado mracicu tnmpkq,consultor la et/u el prolucw. For till informatier,sae label oe predict. Perf Grade Para iadettaacidn canpleta.coestdtar la etNueta del product°. LC-PG35" +D3S(30 D) DP(ASD) I Wate► Pelf Grade +DP(ASD) -DP(A D Water Max Test Size P n Re o FlorOida ID 5.43 .13 LC-PG35 35.0ti 35.09 6.06 40.00 X 72.Op M372.o1.109,Q rp r hex test I�eport�k lie �,. — 208g0 i RROMA1a0e sr+m - ahngs are for individual windows and doo 72.00 X QO.QO r stacked units,please contact on For information repardm rat test size.Tested to AA your sales representative.Pos and Meg ppgtlip[elde by Ratinor gs ors for indnddual se windows and doors only. For information repane'rg muted STM E 1300. iDMA/CSA 101/I.S.2/ _ we Nee AAMA tabs)may A440 05 Glass Accord unit test s¢s Testedato MMAMDMAJCSAr /t S VA440 OS AAMA Iabet may bed ddRionai information reganingd installer�b Wang bead or track filler to :t the ructions,Please :,nail concealed by glazing bead or track firs.For additional information regarding ) "�+r worn,.n"Nd.com. installation instructions,please visa www.miwd.com, •6785673.1.1.1 Fruited on 26772468.1.1.1 Pintos'°" er122016 °,2 , m. 7airJ0la a el:0>t PM mr 2ot3 Window World of Western Massachusetts �auF 641 Daniel Shays, Hwy, Belchertown, MA ^^^�a *commnnn 01007 975 North Road,Westfield,MA 01085 Qif��G o) Office: (413)485-7335 WINDOW WORLD CARE www.WindowWorldofWesternMA.com Paul Lenkowski Phone: 4135300111 Install Address: 70 Pines Edge Dr Email: aplink00@hotmail.com Northampton, MA 01060 Contract Name: Paul Lenkowski - Sales- Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 5/11/2023 Status: Contract Payment Method: Check 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 $50.00 $50.00 4000 Series DH Solarzone 4000 Series DH Solarzone N 3 $799.00 $2,397.00 Install Interior/Exterior Stops Install Interior/Exterior Stops N 3 $80.00 $240.00 Total Information Unit Total: 4 Subtotal: $2,887.00 Tax Rate: 0% Tax: $0.00 Total: $2,887.00 Amount Financed: $0.00 Payment Method: Check Deposit Amount: $1,400.00 Balance Paid to Installer upon Completion: $1,487.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: 5/11/2023 Year Home Built: 1967 RRP Signed Date: 5/11/2023 Window World of Western Massachusetts VETERHfl9 OAurr 641 Daniel Shays,Hwy,Belchertown,MAWidow 01007 %•n 0975 North Road,Westfield, MA 01085 lal Office: (413)485-7335 WINDOW WORLD wwWindowWorldofWesternMA.com CAR E w. 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 VETERRfS PORllpr commnno 641 Daniel Shays, Hwy,Belchertown, MA rdindow01007975 North Road,Westfield, MA 01085 0.11) Office: (413)485-7335 WINDOW WORLD 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 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 ba 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 I 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 —19 VC21/14k Secondary Homeowner Design Consultant I I I 11/4b .51 An 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.