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29-074 (5) BP-2023-0820 46 ACREBROOK DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-074-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2023-0820 PERMISSIO IS HEREBY GRANTED TO: Project# WINDOWS/DOORS/SIDING Contractor: License: WINDOW WORLD F WESTERN Est. Cost: 16023 MASS INC 115719 Const.Class: Exp.Date: 04/30/202 Use Group: Owner: P HAR OW PAUL J&SHEILA Lot Size (sq.ft.) Zoning: WSP Applicant: WI W WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C5186654A BELCHERTOWN, MA 01007 ISSUED ON: 06/21/2023 TO PERFORM THE FOLLOWING WORK: REPLACEMENT WINDOWS, SIDING AND DOOR POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: it Fees Paid: $100.00 212 Main Street,Phone(413)587-1240,Fax (413)587-1272 Office of the Building Commissisner r .cI / The Commonwealth of Massac, se v Board of Building Regulations a : Sta d ards 1/4/ O a R Massachusetts State Building Co;- 78a . k R 1 UNI PALITY o� SE Building Permit Application To Construct,Repair,Re�•r�i -molt Revi•-d Mar 2011 One-or Two-Family Dwelling 'loN/Nsp This Section For Official Use Only MHO o a�°N& Building Permit Number: bp„ A 3> Date Applied: 11 ` Ii ,�. • i# f: (D c:11 ;3 Building Official(Print Name) ' Signature ' Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers i. �r Pere-brook ►' 1.1 a Is this an accepted street?yes X no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private El _ Outside Flood Zone? Check if yes❑ Municipal ElOn site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of R ord: _6 he i Ia l aVlopj c/ore NGe M4 O/D6a Name(Print) City,State,ZIP I/6' fCre-brook- Nr ti/3 a96(2g a n014e-- No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building` Owner-Occupied '$. Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg.0 Number of Units 1, Other /Specify:VS-3 s ' 1110 Brief Description ofProposed Work2: 3 a-( 1 N 0 t4)5 1 5 1 a k v. cc c+ooc 't'`k Ce WI e vt SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ l 6 O.R. .. I. Building Permit Fee: $ Indicate how fee is determined: i 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 Fides: $�1 — ; do 6. Total Project Cost: $ Check No\1 l Check Amount\ Cash Amount: 6�®02 3 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C.S_ 1 -5 r.1 1 o� QM License Number Expiration bate Name of CSL Holder S� �\J Q List CSL Type(see below) No.and Street JJ Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) ' \f_ Od R Restricted l&2 Family Dwelling City/Town,S IP Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances ( -�)�%.S.1 c t)\n.Lno us ed t_v" 1 lhsulation Telephone Email address D Demolition 5.2 Registered Home Improvement` � Contractor(HIC) � � '� � v (t-{� aoa ' ^� � HIC Registration Number Expiration Dater HIC Company Name or HIC Registrant Name (t)L-k Slott Lks �s�J`1 t1o�r l � to\Abrloc►-c1rw_e_x)o) zyq and Street Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes li1"/ 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 V)\& 't. Lk\ t jUV to act on my behalf,in all matters relative to work authorized by this building permit application. e. 1M, c ) 6//-;./'� 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'• this ap• ' . ': is true and accurate to the best of my knowledge and understanding. Print I er',:o uthon Al 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 ` f/ Department of IndustrialAccidents r = 0i y I Congress Street,Suite I00 ='I Boston,M4 0.2114 20I7 , www.mass.gov/dia ,41161, Workers'Compensation Insurance Affidavit:Builders/Contractors/Electruelons/Phambers. TO BE FILED WITH i'l3L PERM TTiNG 417THORTTY, Applicant Information 14 ur Q Please Print Lem `�. a s faj Name (Business/Orgemzation/fndivirbhal): t.;�h y Address: 64. �` i3, MA O 1[it)T . BetchertOti City/State/Zip: Phone#: if/3 .8 5 73 3 Are you an employer?Check the appropriate box _/� Type of project(required):1. I am a employer with 5 6 employees(frill andlorpa[t-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership andhave no employees working for roe in ki. 0 Remodeling any capacity.[No workers'comp.insurance required.] - 3.0 I am a homeowner doing ail work myself[No workers'comp.insurance required.]t 9. ❑Demolition 10[]Building addition 4.0 lam a homeowner and will be hiring contractors to conduct all work on my property. Iva ensile that all contractors either have workers'compensation insurance or am sole 11.[]Electrical repairs or additions proprietors with no employes. _ 12.El Plumbing repairs or additions S.❑I am a general contractor and Move hired the subcontractors listed on the attached sheet 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. b.❑We am a corporation and its officers have exercised their right of exemption per MGL c. IA.WOther Rep k C.e, Mr! / 152,§1(4),and we have no employees.[No workers'comp.insurance required.) *.Any applicant that checks box#1 mast also fill out the section below showing their workers'compensation policy information. t homeowners who submit this affidavit indicating they are'doing all work and then hue outside conhactoss must submit a new affidavit indicating such. ' tConhactors 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. Iftbe 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 La the policy and job site information. irl . Insurance Company Name: 17C t iq yvi e r I CO /tri S CA T a 0CC" CO Policy#or Self-ins.Lic.#: C 5- / < 5-1./ 14 Expiration Date: /v/0//c2 3 Job Site Address: N 6 Pr 1J 6 roc)L r City/State/Zip: FioreG 1 ce N'1 c/C6e.2 Attach a copy of the workers'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 violationpthnishable by a fuze 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 ve catiuu. I do hereby certif�yp under the pains and penalties ofperjury that the information provided above is true and correct. Signature: e. 4;2 ),131 Date: w//61w� �J 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 30City/Town Clerk 4.0 Electrical Inspector 51:1Plumbing Inspector 6.DOther Contact Person: Phone#: City of Northampton ?►y. �` SAS . SAC Massachusetts d+ : .. 41 4. � . DEPARTMENT OF BUILDING INSPECTIONS 't• . • �.6!,' 212 Main Street • Municipal Building v . :'. � Northampton, MA 01060 r `4--• 1. 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: O'l3o \Q \ LiAco ��. � ��� MOX The debris will be transported by: Name of Hauler: cA \ /a3 Signature of Applicant: Date: City of Northampton c--- DEPARTMENT Massachusetts ,�t _ ''1. IC OF BUILDING INSPECTIONS S1� 212 Main Street • Municipal Building J`1IP s Northampton, MA 01060 : 4 HOMEOWNERS'EXEMPTION ELIGIBI ITY AFFIDAVIT 'I, 5 gel 10 /1'a r/6 G✓ (i serf 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. 1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. 1 am not engaged in, and the project or work for which I am seekin: the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings const cted 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 etached structures accessory to such use and/or farm structures. A person who constructs more than ne home in a two-year period shall not be considered a home owner. 4. I 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 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 demob, 'on 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 wi h the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the sup' isor for said project or work. CISigned under the pains and penalties of perjury on this f`7 day of . t ' 20 (9o iature) -��..., WINDWOR-01 LAURA ACvRv CERTIFICATE OF LIABILITY INSURANCE DATD/YYYY) �� 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 Phillips Insurance Agency,Inc. PHONE FAX/c 97 Center Street (A/C,NO,Ext►:(413/ 594-5984 (A ,,No)_(413) 592-8499 Chicopee,MA 01013ss:laura@phillipsinsurance.com I IISURERJ)AFFORDING COVERAGE NAIC# INSURER A:EMCA`SCO Insurance Co INSURED INSURER B:Empi4yers Mutual Casualty Company Window World Of Western Massachusetts Inc INSURER C: 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. INSR TYPE OF INSURANCE ADDL,SUER' POLICY NUMBER POUCY EFF POLICY EXP UMRS LTR INSR WVD IMM/DD/YYYY) (MMIDD/YYYY) A X COMMERCIAL GENERAL LIABILITY 1,000,000 �_. I EACH OCCURRENCE $ CLAIMS-MADE I_X OCCUR 6Q44324 : 4/9/2023 4/9/2024 I DRAEM SES R occurrence) $ 500,000 _- I 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 PE X_ LOC PRODUCTS-COMP/OP AGG $ 2,000,O00 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) $ ! I ANY AUTO I1 6Z44324 4/9/2023 . 4/9/2024 BODILY INJURY(Per person) $ i71 OWNED SCHEDULED I AUTOSREp ONLY X AUTOSUNp Ep BODILYO INJURYp (Per accident) $ X,AUTOS ONLY I X AUTOS ONNLY (Per accident)AMAGE $ $ B X UMBRELLA LIAR 1_ OCCUR 1,000,000 EACH OCCURRENCE $ �'EXCESS LIAB CLAIMS-MADEI 6J44324 4/9/2023 4/9/2024 AGGREGATE $ 1,000,OUO I DED X I RETENTION$ 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER I ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEiMB EXCLUDED? NIA ( andatory m NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under !. DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ I I 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 Building Department ACCORDANCE WITH THE POLICY PROVISIONS. Attn: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) .t( C.)ROA 02/10/2023 ._. CERTIFICATE OF LIABILITY INSURANCE Attt#:297D777 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 NAMEPHONE: FAX 3657 BRIARPARK DR.,SUITE 700 (A/c,No,Eat):888-828-8365 (A/C,No): HOUSTON,TX 77042 E-MAIL ADDRESS: I N SPE RITYCERTSQLOC 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 POLICY EFF) (MM/DDY/YYYY) LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS- OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY l IPF O- FLOC PRODUCTS-COMP/OP AGG $ OTHER: I AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY ) AUTOS ONLY AUTOS (Per accident $ 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 X PERTUTE ERH AND EMPLOYERS'LIABILITY YI A ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? $ 1,000,000 (Mandatory in NH) N/A C5186654A 12/25/2022 1010112023 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/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 Affaire&Business Regulation Registration valid for individual use only before the HOME IMPROV o t CONTRACTOR expiration date. If found return to: 19!° ,',, , Office of Consumer Affairs and Business Regulation R • 1'•n 1000 Washington Street -Suite 710 2e ..* 5 Boston,MA 02118 VICHOLAS DROST - At z _ 1 17. VICHOLAS DROST _ 7 ii7. �"7✓ 102 OAKRIDGE DRIVE a.j/ 1 �/i j 3ELCHERTOWN.MA 0107 ..h Undersecretary Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR T:YP_E: pOratlon, Realsti'a1Ioo- ==Eitigratlo0 - 4. Commonwealth or Massachusetts 165843-_=1.1f.03f1412.024 WINDOW WORLD OFWET-RN SAGNUSETTS,INC. ;�} Division of Professional Licensure t �—' = ',lc Board of Building Regulation and Standards V'� :' i 1 Const�utti r� i}p�rvisor Y. - -, �‘ TIMOTHY DROST � = --_ CS-115719 * . '.hires:04/30/2025 ' ' 1 V •-� 1 J �� 641 DANIEL SHAYS Ht�VY �/��^'�' ''�� NICHOLAS T)RO BELCHERTOWN,MA 01007.: • Undersecretary 102 OAKRIOGE DR X�'',�' '`- BELCHERTO I NIA$o1007, i.it ,Ir -i - -• ° -., -11. Commissioner C ja.G 4 ' F:aclw� t��..:�;- x 'z saec..�i.. suffkihnt or ` � 'tt. Ml Windows And Doors MI Windows And=Doors pit a_5ra t Market St ir: Gratz,PAi7t)30 or destroy the �1+,�j 850WestMarketSt ♦� y 'Gratz,PA17030 �'!;'k. 1UN '■ �� a-t;;rarF n OHNlNYUNa Qrids 1685 Rarj Cps*� Faneti&2:Lital:fti8',CTesr,LOE tT. SLIDERVVINYL1Grids -- —._ Anrrealed);Lite-2: lieu It to (7/8',C(oar,NONE,Antteaiedp,Argen;371r2 X 37 s that can be i fe!>t>`>t> On Panel 1&2:Llte-1:(1t8",Ctest.LOE.Annetnfed);Lire-2: re cacleaner, 0 a mg.,G6ar,NoNE,Amaaled)I Argon;45 ii2 X it t/2 tat natenugs-0000i rnaivicust products may ba subject to variation in parformanee m for differnt f taA•ale >lt1>b a and doors tamviauu product,raw t»supped to vasty len in performance ENERGY PERFORMANCE RATINGS Olen using a U-Factor(U.SJI-P (lotus an the ENERGY PERFORMANCE RATINGS /� ) Solar Heat Gain Coefficient U•Factor(U.S.iI-P) Solar Heat/h�Latri�n��+CaeYtic[eM Y,2T 0.29 ire generally 0.27 V.2 V ADDITIONAL-PERFORMANCE RA7 iNC3S 'oductcer- • Visible Transmittance (orations in ADDITIONAL PERFORMANCE RATINGS Air Leakage(U.SJ!-P) wts. :•-•- • Visible transmittance Air Leakage(U.S.Ii-P} �.�� n g�y ` '"�uwt,coplanrmnaMarrri,emro tim < als�i hi-, -; 1j 46 S 0.3 xasnmree ,,am y t► re euraa naraboirorooecourecaronanranaaar�rvow,�eNeaa ■ warnsr,e fie, .uAcaocsoe ■I!a'kia ta.litr to r�pprtlaon rsRC pro it ru tr oaanWa is VIM Prmuct ac3arnnenme e�rnClcPrtQ,apertpmykt ry"%'K'ceat�.0 ra w air .wel,ac orgy A. . �RCRsagaaratlrorannaettatemtranxm+wndtla�etMa.p�P�am. P*41yea noirawn,e.rie argrproastana w+t ntlt MairNR tr a+esetKy at tryprnautttat iVy tomato.Mum tnuicaaeaan■a rr"1°'"'rc'"f0f"`a'Q° FNff1GY STAR'Certflied in Highlihlt(ed Rt ginns. tie.Use :' Ccrli{�8(13 nor 6NF$Gy STAR on las replaces resalfadas.. • .i .. .. -- 1 ffif Rev,TAfl Ccitrfirr(ti tIiglitu)Iitad hc{jin t:. q t;r,tth ,,rlo lrrt FNfRG1-STAR on to>rsginne: ro altadas IIIMMII,71 a'' %% /). 1 fir --.1','-".1(,�W NERG4"STAR �`"� ' r C .. �^ � cue r4rxrsr.9eW'win,(aars• f E)`!f -,1.�1 :1.�R `afl a comedreertthe.ado For Emil infrmution,sea label en product enenneteepeeMieeerr ff cert�editettifieede Para informaerbq corrpknr roasrtltar is'risotto del ptoducto. Far full inferntrtiao,us labs!oa Padget PerfGrade + Pita idaatuaeitSe cor eiata,cambia to atn paatn del produce. LC-AG35' 35 3o O) ! 50.13 D) ,ter Max Terri Size , Repo F arid,1D Pori Grade +DP(ASD) 1 -DP(•-D ate 40.00 X 7200 a+sr2.w-dos erxo LC-PG3$ 3i.09 � f_.�—----,_. 2fl840 - X (feport { ' Y/ ,dings are for individual windows and doom on Fn 72.00 X Nat ��too slam I r :and anus.Please eortaet aifarmation regarrlmg mulled nd test ajre.7ela to AA your rej>recerttative.Fos and Neg DP firrt3ud by Ratings are for individual windows and doors ordy. For inforrratlon pegardtrty nruteed . STM Et30p.AAMA fbel matey p�MA/CSA�Q 1t. a ad or tack ti8er.Farto w ctardaed ants.¢base contact your sales representative.Aos and Nag DP I_ _muted. rrdted by ddaiorrai in(orrnapflrt regardi by glazing `��! ng instaAatlon i+>sttittkions,please vie t wwvv rn tyd.tom. trine tttd test ste.Tedsdta pu4tAW1AtD6!iAfCSA 161t1.3.21A440 tl5 AAMA label laY taa ,67856/i7. concealed by ptautg:said or trat:k filer.For addiitlrral information regtuding P '1. :,nail instigation instructions,please vitt www.miwd.corn, rre,e.a en et12rz01e a:10:12 tun en . 26772468.1.1.1 7t6�t6I d EK era am n Window World of Western Massachusetts E,ERp„S at""F>commanu 641 Daniel Shays, Hwy,Belchertown, MA 01007 ,West 975 North Road,Westfield,MA 01085WatdOW jl,(�, Office: (413)485-7335 WIN DOW WORLD CARE www.WindowWorldofWesternMA.com Sheila Harlow Phone: 4138962852 Install Address: 46 Acrebrook Dr Florence, MA 01062 Contract Name: Sheila Harlow- Sales-Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 6/17/2023 Status: Contract Payment Method: Check Lender: Contract Type: Sales Comments: Product Description Txbl Qty Price Extension Permit& Administrative Permit&Administrative Fee N 1 $200.00 $200.00 Fee Setup and landfill Setup and landfill disposal fee- Windows N 1 $500.00 $500.00 disposal fee - Windows 4000 2 Lite 4000 - 2 Lite Slider N 2 $1,399.00 $2,798.00 Slider 4000 - 3 Lite 4000 - 3 Lite Slider N 1 $3,280.00 $3,280.00 Slider Woodgrain Int. Woodgrain Int. Hillside Oak N 5 $250.00 $1,250.00 Hillside Oak Full Exterior Full Exterior Capping -- Color: N 5 $169.00 $845.00 Capping Remove existing Remove existing Bay/Bow N 1 $600.00 $600.00 Bay/Bow Misc labor- Siding. replace left side gable WHITE and replace missing siding Misc labor- piece which homeowner has , replace siding where bow roof is with 3 ps. Everest N 1 $1,500.00 $1,500.00 Siding d4 replace metal bent on right back corner @ 2 feet ...reinstall siding pop next to gable vent on right Mullion Mullion Removal N 3 $60.00 $180.00 Removal Entry Door, Entry Door, Casing + Capping 32x REMOLDER 4-9 left 1/2 lite with blinds , Casing + N 1 $4,870.00 $4,870.00 Capping prepaintec white satin nickel narrow multi Total Information Unit Total: 16 Subtotal: $16,023.00 Tax Rate: 0% Tax: $0.00 Total: $16,023.00 Amount Financed: Payment Method: Deposit Amount: Balance Paid to Installer upon Completion: $8,0 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 1963 RRP Signed Date: / Window World of Western Massachus ttS �erewwns P� F>commwno 641 Daniel Shays, Hwy,Belchertown, 01007 �.• 975 North Road,Westfield,MA 01085 WINDOW WORLD c'Z&z Office:(413)485-7335 CARED www.WindowWorldofWesternMA.com, a- - 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 �Ruc VETERRRS P 1C.' 641 Daniel Shays, Hwy,Belchertown, MA 01007 W """""' 975 North Road,Westfield, MA 01085 ,� 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 ift 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 e installer leaves the job site. When the job is complete, we ask that you pay the installer the remaining balance due on your THOD OF PAYMENT: Our installers will accept your final payment in the form of check, money order, Wells Fargo financing, or isa/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 ..."147/14i/Viecoloipr.„,_ Secondary Homeowner Design Consultant On Pa es- 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.