Loading...
18C-089 (7) BP-2023-1592 58 GLEASON RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 18C-089-001 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-2023-1592 PERMISSION IS HEREBY GRANTED TO: Project# DOOR 2023 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 5025 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 MCNAIR THOMAS P & ANDREW J VIDAL- Use Group: Owner: MCNAIR Lot Size (sq.ft.) Zoning: URB Applicant: MCNAIR THOMAS P& ANDREW J VIDAL-MCNAIR Applicant Address Phone: Insurance: 58 GLEASON RD NORTHAMPTON, MA 01060 ISSUED ON: 11/15/2023 TO PERFORM THE FOLLOWING WORK: REPLACEMENT PATIO 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: o . 51'1,1 • Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Buildine Commissioner RAC The Commonwealth of Massach efts 02, Board of Building Regulations and nd. ds Nov F R UNi IPALITY Massachusetts State Building Code, 80 r MR ` 9 �Q SE Building Permit Application To Construct,Repai Ret969ar r2 I emolish a 'evil d Mar 2011 ing One-ThisOfficial Section For lUse Only oRrkA No Fop of o Building Permit Number: Y 2 3 "1 �- Date Applied: il eiit-3��-5 P lit Zee3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 P party, dire s: ,.� f nnleci 1.2 Assessors Map&Parcel Numbers 1.1a Is this a�acccepted street?yesye A' _ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided I 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public CI Private 0 Zone: — Outside Flood Zone? Municipal CI On site disposal system CICheck if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2. oir'°MOT �v G /vly /1/0441 ►il Aim k14 0/062 Name(Print) City,State,ZIP Se &lea5o4 84 4/3 ,5-38' 02130 kr•I.l04c via;r e ,,,,,,,,a si, e No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building'l Owner-Occupied'$. Repairs(s) ❑ Alteration(s) ❑ Addition 0 Demolition 0 Accessory Bldg.0 Number of Units V Other "Specify:'C.2()1(t+e..d_C([',1 ;.'V Brief Description of Proposed Work2: i faf' c/too✓ re..10(QG ' 144e e bdAV (re perA"¢._l . SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 5 ea S 1. Building Permit Fee: $ Indicate how fee is determined: / ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Costa(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Total All Fees: $ Suppression) _ Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ ,,b / Oa--/ 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) •3\.041. License Number Expiration Date Name of CSL Holder List CSL Type(see below) I L-\)G ; Y1 `r-1 C O a �)`(`'`, e . No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) �ca�C�.C\ilcr" Th`'"\ 'c.NA i' , d�l��� R Restricted I&2 Family Dwelling City/To ,S IP M Masonry • RC Roofing Covering WS Window and Siding �••.� SF Solid Fuel Burning Appliances r `I.'t1-sb)k4S•119jS 1.0\ LinAA t.Z.bk 1 Insulation _ Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) t�-I �q�;�Ir;," W ,� r� HIC Registration Number Expiration Date' HIC Company Name or HIC Registrant Name lilt\k `)CLtV.RQ S\t \'tv.)`1 , r> CA.Jl \1\�c tit:e:;c y�...1••' w,;;y r 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 . 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 f1/4 L.0 V1tvi-) S, to act on my behalf,in all matters relative to work authorized by this building permit application. aid/c Print Owner's Name(Electronic Signature) Date —1 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 ieati is true and accurate to the best of my knowledge and understanding. J02/a Print er' uthori Ag 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/djs 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" 00.�MN City of Northampton L Massachusetts 'G; rK�t °°�` � f � . DEPARTMENT OF BUILDING INSPECTIONS t. , wr 1. 212 Main Street • Municipal Building J.. i;,� Northampton, MA 01060 ��s ,- 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: Or15Q to 1/4)Q In%gyp `Mck__\c- ` \,- ��.•7;lt , `k,•r , ?,; -": '. w The debris will be transported by: Name of Hauler: \\•Zkr\8.r— \�c " ///d/d3 . Signature of Applicant: ,--_ Date: City of Northampton ?MAMA Massachusetts it,. ds ;tr.. u 4 ` DEPARTMENT OF BUILDING INSPECTIONS K x "rsa 212 Main Street • Municipal Building J b .7.7;7 Northampton, MA 01060 Art'Y � HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, ✓i0M l`7ciPCt/r (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 1 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 �V��1 'r, 203 i '01:a 0C-'NA. zee (Signature) • . The Commonwealth of Massachusetts e 4 `. !. 1 Department of Industrial Accidents .01.- 1 Congress Street, Suite 100 ?;-,,.. 5 Boston, MA 02112017 j www.mass.gov/diet Workers' Compensation Insurance Affidavit:Builders/Contractors/Electrician (Plumbers. TO BE FILED WITH THE PERMITCING AUTHORITY. Ao,giicantInformation Piea►se Print Leeibil, Name(Business%Organization/Individual): Window World of Western Maas • Address:641 Daniel Shays Hwy City/State/Zip;Beichertown MA 01007 • Phone#: 413 485 7335 Are you an employer/Cheek the appropriate box: i l Type of project.(required): i g 1 am a employer with 50 employees(full and/or part-time).* 7. New construction t 'i ,i 2.01 am a sole proprietor or partnership and have no employees working for me In i 8. Remodeling capacity.[NU workers'comp.insurance required..) 03.01 am a homeowner doing all work elf.(No workers'comp,insurance required.) y Demolition mys• 4, 1 ant a homeowner and will be hiringcontractors to conduct all work on 10 0 Building addition my property. I will ensure that all contractors either have workers'compensation insurance or are sole . 11.0 Electrical repairs or additioon:4 i proprietors with no employees. �—, d 12.0Plumbing repairs or arltlitittu i 5.tw,:I ant a general contractor and i have hired the suh-contractors listed on the attached sheet, These subcontractors have employees and have workers'comp,insurance.s f 13,[J Roof repairs 1 14.©Other Replacement i 6,0 We are a:corpuration and its officers have exercised their right of exemption per MOL c. - -- — .... 152,k 1(4),and we have no employees,[No workers'comp.insurance requI ed,l 1 3. • "t Any applicant;that checks boxlfl must also fill out the section below showing their workers'compensation policy information. _� Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new niT tin vit indicating r.ech rContractors that check this box must attached an additional sheet showing the name of the sub-contractors and stale whether or not those entities NM,' employees. if the sub-contractors have employees,they must provide their workers'comp,policy number. /am an employer that is providing workers'compensation insurance for my employees. Below ix the policy and Job Niter information. Insurance Company Name: indemnity Insurance Co.of North America Policy#or Sell'-.ins..Lic.#: C56098598 10/01I2024 / � Expiration.bate: /,, !4 0/6960 Job Site Address: �8 Gl'eGfc501 red City/Statc/Zip• �O ha01l �N Attach acopy 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 violation punishable by a fine up to 1i1,50 ,i o and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,1)t)it day against.the violator.A copy of this statement may be forwarded to the Office of Investigations of the IAA for instiranvc coverage verification. .1 do hereby cer ' urn er the pains a d penal 'es of perjury that the information provided above is true and correci. Signature: // l 1 _ -e Date: a/o?3 _.�.w._. Plume#: 413 485.7335 _ ., . . ,_. ,w - ..tee . . . ... •• •_-•- _ el.—t. Official use only. Do not write in this area,to he completed by city or town official. ' City or Town: i Permit/license# __._._.._.________.___.___.._.........._. Issuing Authority(circle one): I.Board of:Health 2.Building Department 3.Cityrl'own Clerk 4. Electrical I Spector 5.Plumbing inspector 6.Other _ Contact Person:. _...,_.._,. ....,..._..,.,..._..,........ Phone#:..,.,..._.................._.._...__._..._._..... . . /�rl DAZE IMM/n0/YYYY) —_ /tC C) 1 0m7212023 `-- CERTIFICATE OF LIABILITY INSURANCE ACCt#'2970777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER_ IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADD:T:OI AL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT LOCKTON COMPANIES,LLC NAME:—-- 3657 BRIARPARK DR.,SUITE 700 PHONE(AI ( C,No,Ext):888-8284365 (A/C.No)• HOUSTON,TX 77042 E-MAIL ADDRESS: — — INSPERITYCERTS4LOCKTONAFFIN(TY.COM _ INSURER(S)AFFORDING COVERAGE NAIC - - ----- -- _ INSURER A indeIRfJty IDsur$nce Co.of North America i 4:1575 INSURED ---- - --- WINDOW WORLD OF WESTERN MASSACHUSETTS INC. INSURER B: 641 DANIEL SHAYS HWY INSURER C: BELCHERTOWN,MA 01007-9529 INSURER D: ' INSURER E: ' _ I 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 PFRIOP!I INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIt, 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 ___-_. ----._ __ ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MM/DO/YYYY) (MM/DD/YYYY) LIMITS _ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ --_— CLAIMS- OCCUR PREM SE$Ee occurrence)- $ MED EXP(Any ono person) $ ---- PERSONAL 8,ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY TIiFPRO- I ILOC CT PRODUCTS•COMP/OP AGO $ IDTHER: AUTOMOBILE LIABILITY -COMBINED SINGLE.LIMB $ - ANY AUTO .(Ea accident) - - BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident)HIRED AUTOS ONLY AUTOS ONEDD PROPERTY DAMAGE $ JPer_accldent) I$ UMBRELLA LIAR OCCUR EACH OCCURRENCE III$ EXCESS LIAB CLAIMS-MADE AGGREGATE I$ DED RETENTION$ I$ WORKERS COMPENSATION �/ PER OTH- l —4 AND EMPLOYERS'LIABILITY Y� .X�STATUTE i_.._1_ER t A ANYPROPRIETOR/PARTNER/EXECUTIVE -- - i OFFICER/MEMBER EXCLUDED? E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) N/A X C56098598 10/01/2023 10/01/2024 If yes,describe under EL DISEASE-EAEMPLOYEE $ 1,000,000 'DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT Is ,000.000 4 -- DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) f�f CERTIFICATE HOLDER CANCELLATION v 2970777 Town fo Northampton Building Dept SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 212 Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Northampton,MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD i"""1 W!NDWOR-01 URA AcoErca► CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YVVV) k....------- _ 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. AIc°°,No,Ext):(413)594 5984 FAx 97 Center Street t ' i (A/C,N0):(413)592-8499 Chicopee,MA 01013 _Mass:IauraephIllipsinsurance.com INSURERLLAFFORDING COVERAGE NAIC4 INSURER A:EMCASCO Insurance Co INSURED INSURER s Employers Mutual Casualty Company Window World Of Western Massachusetts Inc INSURER c__. 641 Daniel Shays Highway INSURER D: Belchertown,MA 01007 INSURER E: INSURER F: __,_J 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 — — ADDL SUBR POLICY EFF POUCY EXP LTR TYPE OF INSURANCE INS° yyyD POUCY NUMBER (MMIDDIYYYYI (MMIDDIYYYYJ_ UMITS A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE $ CLAIMS-MADE C_J OCCUR 6Q44324 4/9/2023 4/9/2024 DAMAGE TO RENTED 500,000 _P�tEMI_SES-(Eq occurrence)_ $ MED EXP(Any oneperson)._ $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 X POLICY[X 1 j Cf X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: I$ B AUTOMOBILE LIABILITY ,COMBINED SINGLE LIMIT 1,000,000 L(Ea accident) __—_ S. _` ANY AUTO 6Z44324 4/9/2023 4/9/2024 'BODILY INJURY(Par perrson)_ $ OWNEDSCHEDULED -X--_ _ AUTOSREp ONLY v AUTOS WNEp pBODILY INJURY(per accident)!$ X_ AUTOS ONLY _X AUTOS ONLY (Px a Icc tlt)AMAGE_ -_ II$ I$ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1'000'000 EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2023 4/9/2024 1,000,000 AGGREGATE _ $ -.. ._ _-- DED X RETENTIONS 10,000 $ _ WORKERS COMPENSATION I PER jII 1OTH- AND EMPLOYERS'LIABILITY YIN STATUTE_ ._.l.ER ANY PROPRIETOR/PARTNER/EXECUTIVE I I NIA E.L.EACH ACCIDENT ti., OFFICER/MEMBER EXCLUDED? J (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE _ _ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMITS .- 1 DESCRIPTION OF OPERATIONS I 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 P ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE 1 - ACORD 25(2016(03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affa►'s&Business Regulation Registration valid for Individual use oniy before the HOME IMPROVE;1llEr rT CONTRACTOR expiration date, If found return to: TYPE:ii,di'iaua' Office of Consumer Affairs and Business Regulation Registration E___xpizatigg 1000 Washington Street -Suite 710 3 74a 04l23.120 5 Boston,MA 02118 ViCHOLAS DROST , VICHOLAS DROST a ;2 _ 102 OAKRIDGE DRIVE � v ; - 3ELCHERTOWN.MA 01007 Undersecretary Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR T:Y.P_E 3;'orporation. Reaist+attvi9r—:E$p lion Commonwealth or Massachusetts 165$4_i` :¢03L-t4/2024 j� Division or Professional Litensure WINDOW WORLD OF;WERN ASSAC{.-IUSETTs,INC. Board of Budding Regulations and Standards I l r I,i Const�ut t dr� i5p�n,isor !,-.::. A'i:_' i ,, TIMOTHY DROST =:=�f C5.1157 f9 t bi "- 641 DANIEL SHAYS =z"xti �:, Otiras:04130/2025 HAT, — ,v..rU r'ri4,.s MICHOLAS T DROSTz BELCHERTOWN,MA 010t17. ,, Undersecretary 102 OAKRIDGE DR try, �' — BELCHERTOIl i M, 10 T ''I , '.t,7 .. ` 'fir , Commissioner ia,A 4 r3firui,.i, �r�g-z ao-- —z - - _ - - 4-31 ,_ Windows And Doors <<rff�tl ,or c,-... ss.I !�' . E 550Wast Market St Gy t A mrltAk-13 ,t Eir-c, ' NFIte i ' Gratz,FA77fl30 or destroy titer " vi`tta i < ,^ 0SO`Waist hit rket St r c ' ,r4:11yaj'tt ` ' i 'wit!,FA.470�t t /Falestakl - .\ 463'�s, s, strn Iaii Vii�1'lJf�t Crit3s -*St 1Gla • gGxrrf6 f`aart,J.%;Lite-1 t1t8•Clew L j;s - n.1SLJl RBJViNYUarida {118',C1aar,NOrJE,Artttt knnpfsxft;Lite3: a-;. r4 •s' Mann ��Arg4A;3TV2X37 tJ uJt n JiB:�tJ`ttv+Sr+t Para•I tit:Lilrtdt:(111t",C�ecar,tOE, U'�Kdt�b if2 tag aaiss+e.umoas s that can be Rg Raft (1J8",der ldati0,An d J i 45 tna s[a y., t� Ray r,sue�st tc..rueton m pxrore,at,� art for dfiFetni t+s 2te-0oaaa ENERGY PERF® and doom dnrierta products tow de scope to sorunml to parfurse,nce PERFORMANCE RATINGS Men uatrg a U-Factor(ti,SJ!-P} Solar Heat Gain Coefficient tams on the 'Y ENERGY RERFORiNIlttIGE RATINGS U Fac r{u.Su Pj J Solar Neat Gain inn Coefticiefit " �� 0�27 ®.G ��. ADDiTIONAt.PERFORMANCE Rlk7i�iGS` 'a ' `J� ` 0.27 ` : Visible TJraiiSfltittBJTd o�ud cc Air Leakage(i1.3J1-P) locations in ADDITIONAL PERFORMANCE RATINGS AA • Air Leakage(U.S,II-P) E�,52 CA . .b. • - Visible Transmittance +As*.r,cuir txutraermarEra ....eta y�4� _ nairta�rgtaaan.mrraar.raaas�`aaa+rao+�pw�xeuaa tit,bake ' 0.46 5 0. f^Y�IG�(asamesmsvuraramexaa yota anaa espsAroaaGsa - .._ • � ,,- r 7'si� ♦brrE}nl rtl ammo won plasm ontrefidro�l'A am. eame, atw �,��AU}1 tr�$r Lst r.F._.4' araratraa Mir Irmo ENERGY STAR'Certi71.7:Ft ghlir�hted Rt gtnns. tis_Use a '"" Ccriifi ado Pon ENERGY STAR on fa,ragiopes resaitadas. r Fir RC,V;TAR'Cutrtrcri in 111%Itliohtr d l:evoir;. s ionos cosah.idasP.1.1"11 ';',"---, - , (.r_,tth;:c l:,F Pr ENERGY STAIR on}a T6 j -_A.- ENERGY STAR 1J ENERGY STAB fl Jror t�h FnF.tsusiism sw r�ei �.ea Para infarmhcien couplers.coasuttar la etigcKra de!pm, ENERGY ®Cxr:�rodlLatitTcndo Vas full ichn otie..tNfsbalaeptndsct Per-Grade I +DP(AS 0) ; -aP II Para idetmacilm comista consultor is onto to dei pratiura. tC Ats35' r ? Ail , Re orof 5t).S3 Water I P Florida JD +Dp ASJ3 -DP{ASD} dJ}.cJa x t2oorz.at•��ar ro q Jeer-PG35 . } 35,09 eaoe _ 2t)840 LC-PCs35 (.! .a:are fo-r:livicical rrindows and doors only, Fw rftsrmaticn regard tg muhed!ZX tX 1Z8 f2096 tt aT�D WM 2912A rife urls.Please contact your sales Po f� X��- ne test size_Tested to{�AMAA+V AWCSA Jve.Pas and Neg DP kat"by RtAIGSA tOtll.&21tcGdt OS GJass Accardatgto For afomatiso regarcina tnaed ST#A E13t>0.AAMA Sabel may be rssareafed by gJa g bead rx tuck fiber.Far FtitFtgs era for iYted t of.14M N and doors oohs. STP.T ral in 0.AAMA S rezoning may instattat an snsti".S.ns, 4 or slacked nuke.plena Want Your'see represertattve.Fos and Nag DP meted try please visa wvwr.miwd_tam. Ira test ize.Tested to an or 11NJ)rY4AfCSA tOtA.S.2JA44f3 t?5 AAAfJ+arbel may ire ��78 6/ 3. . Y the conceited by.Atari tp bead or track flier.For adtrbonai hrformaticn regarding t'rmtea on i,nail ktcfatation instructors.Please via Vtww.miwr.coat. 812,2016 8:0:12 urn Pitted en 26772468.1.1.1 woofs?WA Fla t Window World of Western Massachusetts vcrcnnns p,nury>comm.no 641 Daniel Shays,Hwy,Belchertown,MA a `=� 01007 975 North Road,Westfield,MA 01085RLDWatdOW ?,llt Office: (413)485-7335 CARWINDOWWOE$�) www.WindowWorldofWestemMA.com Tom McNair Install Address: 58 Gleason Rd Northampton, MA 01060 Contract Name: Tom McNair- Sales- Doors Design Consultant: Tim Drost Measured By: Measure Approved Date: 10/30/2023 Status: Quote Payment Method: Lender: Contract Type: Sales Comments: Product Description Txbl Qty Price Extension Permit&Administrative Fee Permit&Administrative Fee homeowners pulling N 1 $0.00 $0.00 Setup and landfill disposal fee-Windows Setup and landfill disposal fee-Windows N 1 S250.00 $250.00 Patio door w/blinds (5-6 ft) Patio door w/blinds 6 foot left N 1 $4,775.00 $4,775.00 Total Information Unit Total: 2 Subtotal: $5,025.00 Tax Rate: 0% Tax: $0.00 Total: $5,025.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $5,025.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: r � Window World of Western Massachusetts varennns 01"").camment" 641 Daniel Shays,Hwy,Belchertown,MA 01007 975 North Road,Westfield,MA 01085 WOlddindL441 Office: (413)485-7335 WINDOW WORLD ) www WindowWorldof WesternMA.com CARE$� 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 641 Daniel Shays,Hwy, Belchertown, MA at dUW 01007,Westfield, MA 01085 975 North Road W2�,(� Office: (413)485-7335 www.WindowWorldofWesternMA.com CARES 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 killed 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 he 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 choet..,ai hn,,,-,,,,ielnel far rho unman.unar r.,cinn nftor rho final incnartinn is rmmnlata Pleaca makes ci ira 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 hi(Yi)f 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.