29-014 (5) BP-2023-1498
16 HICKORY DR COMMONWEALTH OF MASSACHUSETTS
Map:Block:Lot:
29-014-001 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-2023-1498 PERMISSION IS HEREBY GRANTED TO:
Project# windows 2023 Contractor: License:
Est. Cost: 8753 WINDOW NATION LLC 116396
Const.Class: Exp.Date: 05/20/2025
Use Group: Owner: E WARAWKA, MICHAEL E&MARY
Lot Size (sq.ft.)
Zoning: WSP Applicant: WINDOW NATION LLC
Applicant Address Phone: Insurance:
575 UNIVERSITY AVE (866)217-9582 45WEAAX5VN6
NORWOOD, MA
ISSUED ON: 10/25/2023
TO PERFORM THE FOLLOWING WORK:
INSTALL 6 REPLACEMENT WINDOWS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector
Underground: Service: Meter: Footings:
Rough: Rough: House # Foundation:
Final: Final: Final: Rough Frame:
Gas: Fire Department Driveway Final: Fireplace/Chimney:
Rough: Oil: Insulation:
Smoke: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF
ANY OF ITS RULES AND REGULATIONS.
Signature:
Fees Paid: $40.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Office of the Building Commissioner
• RECEI v — ,
Sh, The Commonwealth of Massac sett-
Board of Building Regulations and .tans ard Cr 2 4 2023 U .CIPALITY
Massachusetts State Building Cod-. 780 MR OR
USE
Building Permit Application To Construct, Rep' Rends 8€L er,!,-I : • , • Revi ed Mar 2011
One-or Two-Family Dwelling 'F' ' 'T rv.'trnq o c T.o
This Section For Official Use Only 146.41.1
Building P
ermitNumber: 2-i�3 "/Os Date Applied:
/-& 10-25-20Z3
Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address7k )7L, ? q bk 1.2 Assessors Map&Parcel Numbers
1.1 a Is this an accepted street?yes n'o 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 CI Private CI Municipal` Outside Flood Zone? Municipal❑ On site disposal system 0
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owne 'of Record: Z iitiiiviiitS?)9. '-'/.0z.,rive.._ ywk, 01.42__
mempi
Name(Print) f/ / zw
tate,ZIP
/ Dk- 13 -. -g --22k7
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check 1 that apply)
New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) Alteration(s) 0 Addition 0
Demolition ❑ Accessory Bldg. ❑`/ N mb ' s Oth r ❑ Specify:
Brief Descr��ipj�on of Pro�osed Work2: /i14 /
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials)
1. Building 22 1. Building Permit Fee: $ Indicate how fee is determined:
2. Electrical $ ❑ Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire $
Suppression) Total All Fee�sf: }/'� r1
Check No. I(P Check Amount: Ltv Cash Amount:
6.Total Project Cost: ,7' ❑Paid in Full ❑Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor Lic rise(CS ) )/4.. 9Z 22j -4�,_,2
9,2 JI License Number Expiration Date
Name of CSL Hnickr
)42- gAb.Pfc,2c---1?)-7) AK List CSL Type(see below) V
No.and Street�y, �,-}� TTee Description
C� 3r p�z/b k/ ^ b��j�j Unrestricted(Buildings up to 35,000 Cu.ft.)
`fit Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
L)iy 1 T'23 j;�, j SF Solid Fuel Burning Appliances
i �'-�~ I Insulation
Telephone Email address D Demolition
5.2 RegiereHome Imprpve�n tContractor(�C) 1�7.? z/2-�
W� �,-rA) ' %y� ! HIRegistration Number Expiration Date
H.7 papy�Na,qr I{I,egis r%tp ame 4J 1e
a d Sob D 2�� ,1�/ /7 2-3�?9 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 Issuan of the building permit.
Signed Affidavit Attached? Yes No ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDDING PERMIT/
I,as Owner of the subject property,hereby authorize A 9 L> )� _1-� /
to act on y b
Pfhalf,in all matters relative to work authorized by this building permit app cation.
i 42/ 1 --SE- C � 7 1&- z3
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER1 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 application is true to the s of m knowledge and understanding.
Print Owner's or Authorized A ent's NI—me ectronic 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"
City of Northampton
• 0,1H6MP TO
`S Si
•', • Massachusetts ��+5 0,�`
�-..t W, *.v s
R�� 1 . DEPARTMENT OF BUILDING INSPECTIONS 9 n
v' A' -.' 212 Main Street • Municipal Building Jti l'
Northampton, MA 01060 ,r's ,11, s'
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: /T�'A/_ 2) "/"9—
The debris will be transported by:
Name of Hauler:
52—P E17vAL
Signature of Applica • Date: /� —2- 2l1-2
. ;The f ortirrtortn'ealih
h uj,L1u.�,�rrt htr,�i7t�
I)eparrrrrertt ornlu.�lriul.Ieeiileiitl
- ik' •
(Vile r►/ Investigation N
Oil 11 t+•shirtg►turt .Sleet'!
lluN7rrrl, .11,i 02111
vi '►r,tau,cl•l,'ntvrlia
1'lorkers' Compensation In4illnincc iflidasit: ituildcrsl'ontractors;I';Ieetricitrnsl'lumhers
1I)nlicunt information Please Print I:ejihls
ti W1 ttt11N1'It'\%t II ' , ili.nl 1!1 VV l/ " pg) NA-7/"/ _ fr fi^
Address: ' `/i M F?P 2, i't',v Yi)
J7( ilk"state tp: fL72'/V1 � �a� 7� Phone ��: �0 3�� Jr
Are it an einplo�er. ( heck the appropriate Ito‘: 1)pc ot•project(required)
2 I ! um a gent:rill ;r1!'ar.u•+s}r,+r.t, I
anl8 i'llttlrl;!'11iih ❑ ( `�11 ellltNtlttilt,l!t
cltthhlt cc+t null and,►r painn unto)." hat,;Insect tin: sub-contracts,' I t'
jissosi.on the astaelwit Nh:rt licn ►ticlinl!
'..El I :sit a sole pro 1r toot or partner-
ship and lut%c 1W C it1p11+1 eYN 111t!l'�llh t Vllll:kt�l►�Itilt i 0 I)etittllitra11
1t11sf,inl� for inc its any capaetit. cnytll>yl c.,tntl Ir,stc tulrl.l ..( t) rj Builtintg aJditiun
(\o workers' Comp itttititatt�C comp.Iltstll'ItttCN"
❑ til'c ,ac a cutiun,ll;tln mid ,,, lu 0 I let'trsc;ti palm or additions
� I ant a Is,'is owner&ship all work officer,have rNcr;tied then s 11.0 I'Iunthinn ',Tail.;or Idditiuns
`II 1l uekt:rs' comp, vigil'hi+►f t.;cmptsun r 11N�I I:.1 Roof reps•• •
IrI,111.tCC�I'CIIt►11'tl;.! f e, I «. \101,and Kt i as,: i' ,,
l'lllphlyCC> �\sr N1+1'hl'r�*
�, t tihe►
Ct11111', 111S1IrAliCv le 11111,1! L
.1 1 1 I t ! t I t•Id !:•.,',. I ,. ,`Fo+%I hot ,••! !.II.IItlI, 'II
to t. t. tt. .tt .,hrt t II 1. ' r .i ! tt t1. t IL I Al !II d+>r* ', II, 1 ,! 1.1•,I., 11'11, ,t'`ni;l,nrtll!,;dln;,•.nch
I ;•I,I�,I 1 I 1„i 1'1 •.I,. t .i-.!.r1 ., t 1 1' i;,.. ••uraiu 111r I III .-I tl ..•!. 4 :I:,i"-61a t,t10:i :us:Ad IIIt14,t; illk
•1!(� • t I. . I Iq. Is.le 110' ,,U01.:1\•..,1 Ili '
1 tins ali cm/plover tlw(it providing tvaritt.'rs't i'l 5perr,ialiat insurance fir flu,e,npinrees. Below I\the polity lainir►h Nile
informant'''.
lnlmath:c tln','.,';, ,,;:!II,' fr- //11 /`1) .•� ,/Z // 1 `• E. Co) 1 .�
Pohcl to Sclf•itts.1 Sc. ! .3.--vY 6'"Ax 6.-- V N6 .2t9
tir//445( ..; 10)2) 2"--
Attach a eopy of the workers'compensation police declaration page(shim log the polio nuother and elpirilrinn date),
Failure to secure cuter ge its required urulci sect nun or\1t sl C. I can Icad to the imposition or crnninal penalties of
tine up to SI..s00.Ih)and or ono-year imprisonment,;N tech a;c '111NenAllie� in the film or a S i e)I'Wok t)ItI)I•k .Insl a link*
of up to S25I),O0 a dad against the 1 wlalor. IIc at11I>eti ih•It a ,01)r ur this Ntatentcta ll't he totttaukd to beet)Iticc trl
1111e.nealions of she IDI;1 IlIr Irlttlf.Itt e.I+1vs-Age te►'t11 at11'i! _ __ ••_ _`
!di,hereby t't'r ' 'urtdl' t'pair t and prualtee►of perjury that the iujurnlutiun provider)abort'it true and twrrec't.
� , t ) Z1
rttt,rt,• 491-- 3L 1?2�
Page 4 of
urvIa.un 01 Vccupatfonai Lucensure
Board of Budding Regulations and Standards
C DRLoR11Visor
CS-116396 z Btpires:05/20/2025
ON L.LOYLE
142 RHODE 14U►NQ AXE' .,
CUMBERLAN1)RI 020414 ril#4
� a
'I'ti711.1,1'i.l)3 #',:
Commissioner dig bjfmc.b*.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affairs and Business Regulation
1000 Washington Street-Suite 710
Boston,Massachusetts 02118
Home im ravemei*c1 ractorRe/gistration
1
Type: Supplement Card
Registration: 197968
WINDOW NATION LLC Eit6iiation: 02/12/2024
8110 MAPLE LAWN BLVD,#335
FULTON,MD 20759
w
Update Address and Return Card.
THE COMMONWEALTH OF MASSACHUSETTS
Office of Consumer Affair's IN Business Regulation Registration vatld for Individual use only before the
HOME IMPROVEbtlrr CONTRACTOR expSratIon date. i found return to:
TYPE Supement Card Office of Consumer Affairs and Business Regulation
Btai115[ltkil Expiration 1000 Washington Street -Suite 710
197968 02/12/2024 Boston,MA 02118
WINDOW NATION LLC
BRANDON BOYLE
575 UNIVERSITY AVE
NORwooO,MA 020e2 Undersecretary Not valid without signature
,---"', WINDO-1 OP ID:PAF1
' .�RCr CERTIFICATE OF LIABILITY INSURANCE DATEIMMIDDIYYYY)
_ 08l0212023
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 pollcy(les) 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 440-461-1101 1 gaWCT Cindy Verhsgen
Todd Assoc,an ALERA Group Co. ,PHONE440461.1101 PAX 440-446-0192
23826 Commerce Park,Suite A Alc ►o,ExtF (A/C,Nol:
Beachwood,OH 44122 cverhagen(Dtoddaseoclates.com
Timothy P.Fitzpatrick
INSURER/II WORDING cOV*RAGs NAICI
.lt164lBPBA:Union Insurance Company _25544
IS
yyellyyyy��Ldg°wap�ga Ion rL11 ___..._.__.____._......javottuHartford Insurance Co. 22357
F l0 M of awn Blvd INSURER
u ton0759 ,LNSURERD; _-
.111LI EREl
-
INSURER P I
COVJRAGES CERTjFICAT):NUMBER: Ru(SION 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,LIMBS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
IR TYPE OF INSURANCE I mfg.rat _ POLICY NUMBER PMNQC P I_ N�L�� XPYU. LIMITS
A X COMMERCIAL GENERAL LABILITY 1,000,000
X OCCUR
CLAIMS.MADESACN_QCCUR _
CPA4547388 08/04/2023 08/04/2024 ������RENTED.,, i _! 500,000
— ,- MED EVIAnw era oacI _I 15,000
PEROONAADVINr(JRY _ I 1,000,000
)J
L AOOR ppUppNp�IT ( PER: O(NFJQ,I AOQ5 G,,IE } 2,000,000
POUCY JECT U LOC PRODUCTS-COMP/OPA Q L 2,000,000
Ba
Is
QTHEL f Ma( b SINGLE UNIT 1 1 0b0 0Q0
A AUTOMO a L1ABIlnY fgaD edent) } r r
X ANY AUTO 9 MEp CAA4649781IMAA4560263 OS/04/2023 08/0412024 BODILY INJURY !
AU��TCCO��S ONLY —AUpTµ0.p9yULNEDo BODILY INJURY lPtr accM 1 } +~
r X AVT08 ONLY X AAUTOS O Y I OPER7lPllY DAMAGE $
Q $
A X uMERELLA LAS OCCUR EA IOCCURRENT I
5,000,000
EXCESS LIA$ CLAIMS-MADE CPA4547388 08/04/2023 08/04/2024 AGGREGATE _I 6,000,000
y�qI DED ., RETENTIONS !
I► MPWv 1e LIAaLfk MUTE H.
ANYPRO0pRIETORiPARTNER,EKECUTNE 46WEAAXSVN8 0810412023 08104/2024 EL EACH ACCIDENT ! 1'�'�0
ICE EXCLUDE Ell
NIA
nde ory n 1,000,000
If ee wsalbe v,da EL DISEASE•EAEMPLOYLE,t
,) SL�RIPTION OF OPERATIONS Seto EL.DISEASE-POLICY UMI/ ! 1,000,000
-
1
DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACONO 101,Additional Remarks Module,may be attached N more space Is required)
CERTIFICATE HOLDER CANCELLATIO.
SHOULD ANY OP THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
7:::d ? "*#.4-:IP'
ACORD 26(2018/03) C 1988-2016 ACORD CORPORATION, All rights reserved.
The ACORD name and logo are registered marks of ACORD
cr�{'
c jro
!�f '
s 1%i l v=i ., 'r; �
r .
x 'r✓/ � /, /
,
47
�` / '' . r ,4r •i " a ✓ _
h ,,ri
r . fir_ ,`:olt .,{.3 • i• •
. j•• •.,4'• 1?
ti , ,• 4
..
i ; . / • r-1
:�� '' Certlflect
w ��
j
F ,,
t
0104648518 K — 08 36 08/1612022
r filyid4ON Classic DH
^� HIGH SHGC LOAN— E:ARGON:DOUBLE GLAZED
}�• VINYL FULLY WELDED DOUBLE HUNG ' •,
•i' HII — M - 48-00018 - 00001
chi. - ,'ri.:
National Fenestration
d es, Rating Council9 •
.9 fe, cgnFIED '
ENERGY PERFORMANCE RATINGS
U-Fact (U -P) Solar Heat G 'noficlent
rui.rti'
:.3 t ADDITIONAL PERFORMANCE RATINGS
'. Rs Visible Tr ns i nce Air Leakage (USJl-P).
, <0,0 i 3 _
• „
, ...
„.........................................,
;`;Manufacturer stipulates that these ratings conform to EIpp cb 3 NFRC procedure3 for determining whose
tact performance, NFRC ratings are determined fe,a fixeii set cp erruironmental conditions and a
ii •,nnn:+rn „,,,,r,inf es;-In MC[DP Anne+nn1 r.,;,t-1r,,f-r,cr• .. ^.:191: =-.ri"1i tiA 7lir4 Ar nr,t•.xr_Irrorit the ciiitohiliht of arw 1
1(570 North Farms RoadNOWV Date of Agreement:
Wallingford, CT 06492 September 27, 2023
WINDOW NATION Sales: 866-446-2846
License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582
PRODUCT SPECIFICATIONS
Buyer's Information and Buyer Contact Information: Buyer Email Information:
Description of Property: (413) 588-2267 Home mary.warawka@gmail.com
Mary Warawka michaelw59@verizon.net
Michael Warawka /
16 Hickory Dr
Florence, MA 01062
Buyer(s) listed above hereby jointly and severally agrees to purchase the goods and/or services
listed on the accompanying specification sheets, in accordance with the prices and terms
described in the Custom Remodeling and Improvement and the Product Specifications
(collectively, this "Agreement").
Windows - Ultravision inclusions: Beveled exterior frame with slimline look, Fusion welded frame and sashes,
Limit lock on double hung windows, dual-fin wool pile weather stripping, cam-action lock, special formula uPVC,
block and tackle balance system on double hung window, Integral lift rail, Intercept spacer system, reinforced
meeting rail and bottom sash rail, , Dura-Sill engineered sloped sill, Soft-Seal straddle gasket, exterior custom
capping,installation by factory certified crew,clean up and haul away of all job related debris.
Refer to attachment for complete description
DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.
It is agreed and understood by and between parties that the Product Specifications, along with the
Custom Remodeling and Improvement Agreement, constitutes the entire understanding between
the parties, and replaces any and all prior negotiations, representations, or agreements, either
written or oral. The Product Specifications may not be changed, modified, or varied in any way
(with exception that installation materials may be substituted with similar products when
inventory shortages exist) unless such changes are in writing and signed by both Buyer(s) and
Window Nation, LLC. Buyer(s) hereby acknowledge that Buyer(s)has read the Product
Specifications.
I have read and received each page of this 2 page Product Specification.
Window ation y, uyer(s)
Signature of Exterior Design Consultant Signature
Jonathan Cornwell-License#On File
YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION
OF THIS RIGHT.
September 27, 2023 www.windownation.com Page 1 of 2
1070 North Farms Road Date of Agreement:
Wallingford, CT 06492 September 27, 2023
WINDOW NATION Sales: 866-446-2846
License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582
PRODUCT SPECIFICATIONS
Buyer's Information and Buyer Contact Information: Buyer Email Information:
Description of Property: (413) 588-2267 Home mary.warawka@gmail.com
Mary Warawka michaelw59@verizon.net
Michael Warawka
16 Hickory Dr
Florence, MA 01062
Work Order Details:
Model:ULTRAVISION W:35"H:49"Location:Level 1,Living Room
1 Quantity:3
• Style:Double Hung • Configuration:Equal Sashes
• Grids:None • Glass:Extreme 2 Pane/Low-E&Argon
• Screen:Half Screen
• Color:Interior White/Exterior White
Model: ULTRAVISION W:31" H:49"Location:Level 1,Kitchen
2 Quantity: 2
• Style:Double Hung • Configuration:Equal Sashes
• Grids:None • Glass:Extreme 2 Pane/Low-E&Argon $L
• Screen:Half Screen
• Color:Interior White/Exterior White
Model:Special Product W:32" H:80"Location:Level 1,Kitchen
3 Quantity: 1
• Style:Special Product • Provia Entry Door:Refer to Provia App 1
• Style:Awning Window and Entry Link#
10657392
Additional Items
5-EPA Lead Containment Install-Window(Per Opening)
1 -EPA Lead Containment Install-Any Door(Per Opening)
Installation Details:
Window Removal Type:Wood Additional products needed in the future:No
Exterior Trim: G8
Exterior Trim Color:White Customer agrees to allow Window Nation to post a yard
Sealant:OSI Quad Max sign until 30 days after install:Yes
Insulation Around Window: OSI Quad Foam Year house was built: 1960
Clean Up and Haul Away:Yes EPA Lead Containment Required:Yes
EPA Lead Testing Required:Yes
HOA Approval Required: No
September 27, 2023 www.windownation.com Page 2 of 2
1670 North Farms Road ItOtfar
Date of Agreement:
Wallingford, CT 06492 September 27, 2023
WINDOW NATION Sales: 866-446-2846
License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582
CUSTOM REMODELING AND IMPROVEMENT AGREEMENT
Buyer's Information and Buyer Contact Information: Buyer Email Information:
Description of Property: (413) 588-2267 Home mary.warawka@gmail.com
Mary Warawka michaelw59@verizon.net
Michael Warawka
16 Hickory Dr
Florence, MA 01062
All home improvement contractors and subcontractors shall be registered. Inquiries about a
registered home improvement contractor should be directed to the Office of Consumer Affairs and
Business Regulation Home Improvement Contractor Program, 1000 Washington Street, Suite 710,
Boston, MA, 02118, 617-973-8787
Buyer(s)listed above hereby jointly and severally agrees to purchase the goods and/or services of Window Nation,LLC.
("Contractor")in accordance with the prices and terms described in this 6 page document and the Product Specifications,which
are incorporated as part of the Agreement(collectively,this"Agreement"). This Agreement represents a cash sale of goods and
services. Buyer(s)agrees to pay the cost of the goods and services purchased as described herein,regardless of timing or
approval of any financing Buyer(s)may seek for their purchase.
Sale Total $8,753.00
Setup&Disposal Fee $0.00 Estimate Project Start: 10-12 weeks
Permit Sale Price $8,7533.00
Fee $ .00
Total Estimate Project Finish: 1 to 3 days after start
Sales Tax(0%) $0.00
Total Amount Due $8,753.00 Buyer(s)acknowledge that definite start and completion
Down payment-Check 3747 $2,850.00 dates are NOT of the essence. Delays beyond Contractor's
Balance Due $5,903.00 control not included in calculating timeframes. See
COD(Payable at time of install) $5,903.00 Section 6 of the Terms and Conditions.
Amount Financed $0.00
This Agreement constitutes the entire agreement and understanding between the parties,and this Agreement replaces any and all
prior negotiations,representations,or agreements,either written or oral. No amendment,modification or waiver of this
Agreement shall be valid or effective unless in writing and signed by both parties. Buyer(s)hereby acknowledge that Buyer(s)
1)has read the entire Agreement and has received a completed,signed,and dated copy of this Agreement,including the two
accompanying Notice of Cancellation forms,on the date first written above and 2)was orally informed of his/her right to cancel
this transaction.
Buyer(s)also agrees and understands that if Buyer(s)finance the work with a third-party,the terms of that financing will be
contained on separate documents,including any finance charge.
Price includes all discounts and promotions.
I have read and received each page of this 5 page Agreement.
Window ation ,,,,;,,Auyer(s)
Signature of Exterior Design Consultant Signature
Jonathan Cornwell-License#On File
YOU,THE BUYER(S),MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY
AFTER THE DATE OF THIS TRANSACTION. SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION
OF THIS RIGHT.
September 27, 2023 www.windownation.com Page 1 of 5
1 b70 North Farms Road Date of Agreement:
Wallingford, CT 06492 September 27, 2023
WI N DOW NATION Sales: 866-446-2846
License#: 197968 WINDOWS • SIDING • DOORS Service: 866-217-9582
PRODUCT SPECIFICATIONS
Buyer's Information and Buyer Contact Information: Buyer Email Information:
Description of Property: (413) 588-2267 Home mary.warawka@gmail.com
Mary Warawka michaelw59@verizon.net
Michael Warawka
16 Hickory Dr
Florence, MA 01062
Order Summary:
ULTRAVISION Special Product
5 Double Hung 1 Special Product
Configuration: Equal Sashes Provia Entry Door:Refer to Provia App and Entry Link#
Grids:None 10657392
Glass:Extreme 2 Pane/Low-E&Argon
Screen: Half Screen
Color: Interior White/Exterior White
Total Order Summary of Units 6
Additional Items
5-EPA Lead Containment Install-Window(Per Opening)
1 -EPA Lead Containment Install-Any Door(Per Opening)
Installation Details:
Window Removal Type: Wood Additional products needed in the future:No
Exterior Trim: G8
Exterior Trim Color:White Customer agrees to allow Window Nation to post a yard
Sealant: OSI Quad Max sign until 30 days after install:Yes
Insulation Around Window:OSI Quad Foam Year house was built: 1960
Clean Up and Haul Away: Yes EPA Lead Containment Required:Yes
EPA Lead Testing Required:Yes
HOA Approval Required:No
September 27, 2023 www.windownation.com Page 1 of 1