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29-256 (8) BP-2023-1785 101 OVERLOOK DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-256-001 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-2023-1785 PERMISSION IS HEREBY GRANTED TO: Project# WINDOW 2023 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 2218 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: A ALDRICH DALE & DEBRA Lot Size (sq.ft.) Zoning: WSP Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C56098598 BELCHERTOWN, MA 01007 ISSUED ON: 12/26/2023 TO PERFORM THE FOLLOWING WORK: REPLACEMENT WINDOW 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: g • >2 • CP1 • Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner einu l The Commonwealth of Massachusetts • if, Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY USE Building Permit Application To Construct, Repair,Renovate Or Demolish a Revised Mar 2011 One- or Two-Family Dwelling This Section For Official Use Only Building Permit Number: ' - 01 3- /7 (/j Date Applied: Building Official(Print Name) ' Signature ►oC/ SECTION 1: SITE INFORMATION 1.1 P o erty Address: 1.2 Assessors Map&Parcel Numbers � ever100te, �r 1.1a Is this an accepted street?yes 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 0 Zone: _ Outside Flood Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Reco d: . nA �GI �� fildric 4 F/Or 1GC l ' fi 006,7 _ Name(Print) City,State,ZIP /0/ Over/Oo�-< ,)✓ yi3310 - 73 S C (A ►ia,56.ar03& hc.9 ,Goy No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction 0 Existing Building'liy Owner-Occupied ' Repairs(s) 0 Alteration(s) 0 Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other ( Specify: '. .-tiii + t'S it•^r t_ Brief Description of Proposed Work': All n dcv✓ rep/e min —--- A/4L', , Ac:rz;-i, _I — SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ / 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost3 (Item 6)x multiplier _ - 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: _ 5.Mechanical (Fire $ - Suppression) Total All Fees: 'I i O Check No.6'a5 Check Amount: Cash Amount: 6. Total Project Cost: $ / K' 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expirationik ate Name of CSL Holder List CSL Type(see below) C-0 No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) 4 `fit , \0 - R Restricted I&2 Family Dwelling City/To ,S IP Masonry RC Roofing Covering WS Window and Siding -� SF Solid Fuel Burning Appliances `gk3)1t4S-1 S 4..e_srvr..V5 e)to\AAu]C)AL"4,,rkek �. t1. I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) W it t NA') V. 6 HIC Registration Number Expiration Date HIC Company Name or HIC\Registrant Name LIL.k \ ld\-'kJ 5(vt S�J 'r'c�1.�`� CY1 � ' • f:oa ''',� •.I.i ' e, i._':' , land Street Email address �r,wo n.�. -yam►.PAtk OSCm �-1‘3}1-fi5' ?' S 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 lid 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 ����� u. \"t1\3 K 2., to act on my behalf,in all matters relative to work authorized by this building permit application. /02 /7 /() . ems) Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this ap rcalt is true and accurate to the best of my knowledge and understanding. Print O er' o uthon A Name(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. 11.) 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 Massachusetts \\ :y `1: DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of B ii!ding 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, 5 150A. The debris will be disposed of in: Location of Facility: (( o \Q \k)Q e (0% (_) `C`'1C \ The debris will be transported by: Name of Hauler: J‘f \))0".X lal7Ia3 Signature of Applicant: Date: City of Northampton. �/ MA 0,. My fo\ ^� Massachusetts f +6• DEPARTMENT OF BUILDING INSPECTIONS v' i i 212 Main Street • Municipal Buildina '''.1. i-,Y ram. Northampton, MA 01060 "' •;' HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, i le ///r,' '4 day, year),hereby depose and state the following: (insert full legal name), born _ (insert month. 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requiremerris of tilt' 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 nog,be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work i nvolving 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 lily 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 7 day of - ce"'' °" ,2002 ( oL2 ature) The Commonwealth of Massachuseas Department of Industrial Accidents 1 . 1 Congress Street, Suite WO w Boston, MA 02114-2017 www.nzass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. To BE FILED WITH THE PERMITTING Atmr ()grrY. Applicant Information Please Print I,t0 :'i.v. Window World of Western Mess Name(Business/Organization/Individual). __.._._._..__.. Address:641 ganiel Shays Hwy City/State/Zip.: Belchertown MA 01007 'hone , 413 485 7335 . ? Are you an employer?Check the appropriate box; i Type of project(required): l Ellam a employer with 50 employees(full and/or parl•linx)." 1 7, 0 New construction 2.01 am a sole proprietor or partnership and have no employees working for me in d 8. 0 Remodeling any capacity:iNo workers'comp.insurance required.) j 9. 0 Demolition 3.0 I ant a homeowner doing all work myself.INo workers'comp.insurance required,) ' 1 i 10 0 Building addition a 4,Q 1 inn a homeowner and will be.hiring contractors to conduct all work on my property. I will 1 ensure that all:contractors comp have workers'com ensation insurance or arc sole 1 i 1 si Electrical repairs or t dditiiifl,' 4 proprietors with no employees. i i 12.0 Plumbing repairs or;otitis;•pis . • 5.U 'am a general contractor and i have hired the sus-contractors listed on the attached sheet. t These sul>contt ac.ors have employees and have workers'comp.insurance.s 13, Roof repairs 14,( Other_Replacement ti.L. 9 We are a:corporation and its officers have exercised their right or exemption per MOL c, . 152,§1(4),and we have no employees.No workers'comp.insurance required,l '5Any applicant-that checks box#1 must also till 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 affidavit indicating.0:1i tContrnctot's that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entitic'a iaiti employees. If the sub-contractors have employees,they must provide their workers'comp,policy nutt>her. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job Kitt:' information. Insurance Cttntptit>yName: Indemnity Insurance Co.of North America • • C56098598 10/01/2024 Policy#or Self-ins..Lie.# Expiration.Date:_ _.............. Job Site Address: /0/ Over/ 1 . ,6 r City/rState/Zip:._ /O "l.C°wY,_.eC/6°? Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration rote) Failure to secure coverage as required under MCI..e, 152, §25A is a criminal violation punishable by a fine up to Iii,;i(1(),()(+ and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine id.up to S25(l,00 day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for instiftrno: coverage vein?ication. 1 do hereby cer un .er the pains a d penal 'es of perjury that the information provided above i:;;lase and e;rrreci. Signature, '"fie "-/ Date; 3 Phone#, 41 3 485 7335 .. ......_,...._,......._.__.............................v..........._..................... ,w-,.+,...- .— .,.,,,.., Official use.only.''Do not write in this area,to be completed by city or town official. j City or Town: r Permit/License#_ _ __ _V___._.__ _...,.. ._. Issuing Authority(circle one): I.Board of If pith 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspecttr 6.Other '! Contact Person:_,_.,. Phone#: __._,_.__. I ,.•�� DATE(MM/DD/YYYY) • 091221202 `.. CERTIFICATE OF LIABILITY INSURANCE ACCt#:2970777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. T111- 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 he endorser! If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may iegulre an endorsement. A stalemOHt rn j this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _V PRODUCER CONTACT LOCKTON COMPANIES,LLC NAME: PHONE I FA1r. 3657 BRIARPARK DR.,SUITE 700 (Ale,No,Ext):888.8284365 Isle,No): HOUSTON,TX 77042 EMAIL ADDRESS: INSPERITYCERTSOLOCKTONAFFINITY.COM INSURER(SI AFFORDING COVERAGE NAIL;i __INSURERA:Indslpnityts_suresceCo.of_NerthAmerica INSURED INSURERS: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. 641 DANIEL SHAYS HWY INSURERC: BELCHERTOWN,MA 01007-9529 INSURER D: t INSURERE:_ 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 POI ICY PE lOUr'��I INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH MI' CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL Ihl1 'fi;I<Mt; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF Poucr EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER I/AMMO/YYYY) (MM@D/YYYY) LIMBS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $DAMAOE TO RENTED i CLAIMS- OCCUR PREMISES(Ea occurrenco) MED EXP(Any nne pitmen) I _PERSONAL 8 Any INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE. $ POLICY rRO- C iOC PRODUCTS-COMP/OP ACC, $ IFCT 'OTHER: .-.. -... _.. e AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ _ (ca_xcyiddntl ..- 1 ANY AUTO BODILY INJURY(Por person) ;$ OWNED SCHEDULED BODILY INJURY(Per acnaonl)I$ AUTOS ONLY AUTOS HIRED NON-OWNED -PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY -1Peracciden0.. IS UMBRELLA L1Ae OCCUR EACH OCCURRENCE EXCESS UAB CLAIMS-MADE AGGR[CAn E - 1 , DED I RETENTION$ WORKERS COMPENSATION v PER OTH- M_ i AND EMPLOYERS'LIABILITY YIL _^ I STATUTE I ER A ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? —NSA E.L.EACH ACCIDENT 'I,M;fl,f7(1 (Mandatory in NH) x C56098598 10101I2023 1p10112024 _ If yes,describe under EL DICGASE-EAEMPLOYEE 1,0f:0,tdjtl DESCRIPTION OF OPERATIONS below ------- - --- - Et.DISEO-CE-POLICY LIMIT $ 1,0(iO.1,IN --..-_._..._... _....._. _.i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is rsquind) CERTIFICATE HOLDER CANCELLATION _.__--.._..._. . .., 2970777 Town fo Northampton ) SHOULD ANY OF THE ABOVE DESCRIBED POLICIE" HI: Building Dept C'I`:hrC:f'Llkl' j 212 Main St BEFORE THE EXPIRATION DATE THEREOF,NOTICE W r. ILL OF P `-11/1'I?..•"C)II'= Northampton,MA 1060 ACCORDANCE WITH THE PoI.iGY PROVISIONS. AUTHORIZED REPRESENTATIVE cry,-ac��ccy A)1988-2016 ACORD CORPORATION. API rir;h*; ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD .--� WINDWOR-Or i LA jIRA A�RL) CERTIFICATE OF LIABILITY INSURANCE _j DATE 44UDD,•.YY-1 I4l2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HO'..flEi2.THY.: CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICE: BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),ALf 1HORIZE:: 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 b:>:r.ulorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an'endorserrieni. A ssa tei iurit(..Ni 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 41 1 FAX �,I� 4 6�:3�J 97 Center Street (A/C,No,Ext):( 31 594-5984 ,(A/c,Nc):( ) Chicopee,MA 01013 E-MAIL ADDRESS: �laura/�p P hiili sinsurance.com INSURER(S)AFFORDING COVERAGE EAIC# .. INSURER A:EMCASCO Insurance Co_-- INSURED INSURER B: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 RESPECC'i'O WHlCI I THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO A!..L TI-Ii=TEEMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LIMfi S LTR ID TYPE OF INSURANCE INSD WVD POUCY NUMBER IMMIDD/YYYYI (MM LOCaI A X COMMERCIAL GENERAL LIABILITY 1,000,900 EACH OCCURRENCE I CLAIMS-MADE I-X OCCUR 6Q44324 4/9/2023 4/9/2024 DAMAGE TO RENT<:D $ 500,609 PREMISES(Ea acurrsnoe) f$ _MED EXP(Any one person) . _$ 10,600. PERSONAL&ADV INJURY $ 1'0110'4.)0 GEN'L AGGREGATE LIMpIT.APPLIES PER: GENERAL AGGREGATE I$ 2'UOO,0r10 X POLICY I xj JE CT X LOC .PRODUCTS•COMP/OP AGG ." 2,000,CC O OTHER: __ F$ --- — COMBINED SINGLE LIMIT I,U00 '3 B AUTOMOBILE LIABILITY lEa accident)_ - ._ ..$ , 7 ANY AUTO 6Z44324 4/9/2023 4/9/2024 BODILY INJURY(Per parson) $ OWNED SCHEDULED AUTOS ONLY X AUTOS Ep BODILY INJURY(Per accident) _S. X A�TOS ONLY _X AUOTO ONLY `PeOOPERlde tpAMAGE , - B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 111$ )rQUD,U30 EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2023 4/9/2024 AGGREGATE $ 1,000,000 DED rx RETENTION$ 10,000 WORKERS COMPENSATION _ f_STATUfE 1 ER I AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE NIA _E L.EACH ACCIDENT .._.I --.. OFFICER/MEMBEER EXCLUDED? � (Mandatory m NH) _El.DISEASE-EA EMPLOYEE$ - If yes,describe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $ 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 CANCELLE:I BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL EF Jci.i'?:FED I1,1 Town of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street ----- ------._ --_---_.------.------- Northampton,MA 01060 AUTHORIZED REPRESENTATIVE 7Ji2V1.--'d-1jr h,,.L., ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. Ail rights,lo'Aei Ind. The ACORD name and logo are registered marks of ACORD .-„ ,:::-,. ,,p.-,N,„1-.....,,,,:11.4 0,4i,t.s r..0 Crmst.Fr--7,Affatt* &1:2;, 'oess fr--z.,., Vc.-• c4viistretom,,-.?Is::f,..:-irecivus!--isa.-.nly c:eftirs the E0l,,AF IF:77-IOvi:1,1ENT CONTRAUf OA e4piration date. If tome return tc: Office of C.:oncurrer Affairs end B,J-iinef:s Recuietfr I" .-::z.---„if.;_c3 6. ..:,-. ,C.:3C, .hinq,I.ar:;:.-treet -Sulte?:'::, 04P.20205 Boston,M. 02116 \IICHOLAS DROST : ,',1 ' 102 0 1‘KR!DGE DRIVE Z."------ - -' 3ELCI-!EPTOWN,MA 010(17•. , Undersecretary Not valid without signature TiaF COMMONWEALTH OF MASSACHUSETTS S4 Coss,nner Affalts&Business Regulation HOME impRovEOpire CONTRACTOR 1PEbporatiOr, RealstfallOtr,.. ,=:-L.F.r.-1111111W1 ..-- 16,5 -_-4:If:DWI:V(124 ki. Commonwealth of Massachusetts . '''''------------1-iiisErrs,INC._74C Division of Professional Licens WINDOW WORLD MAVESX.; _ure ---:::i 14 Board of Guth:ling Regulations and Standards 1; \- t 1 -_-.=- -...1.../..1 noC sstt*9ttirMilpgrvi or ,, -,.._-=-.:14)-.J1:- ._.--;"--,"' -'1 TIMOTHY DROST \,,y,'''.----.-tii.i.i7.I...- :i CS-115719 ,,:_,_ . ::'' -."'-` .z-1 Opires:04/3012025 641 DANIEL SHAYS HWY "-----7:.-'—" -, •-:.."-- ..144....of 4-4.9.zays E3ELCHERTOWN,MA 01007,;,.-- :: Undersecretary NICHOI.ASTMCIOS'Tc,' i ';'..Y2 i,: 5 -''..-:."' •_,._ 102 OAKRIDGE DR ", . .,-- , ,4. I ,.. - - , , .t•-• :-,'i-,-::-',4 -1 Ibis'4A.•iOlv t.:-..:*;.-,,,,, ll"11! Commissioner da.,A 4 _ Stmt.._ ..._. 'f h � 1� a'�4-,- 7 - ' 16,r,,,,,,d/may"J. e It. •; ,. fete Best-in-Class Features: _•• -,•'J.—, ,, Q Welded,heavy-duty vinyl construction provides superior strength and durability. •. ©High-density foam enhancement throughout the mainframe offers superior thermal protection. Q SolarZone TG2T"and SolarZone TK2T" triple-pane insulating glass enhanced •f . with Low-E coating and argon(TG2)or krypton (TK2)gas ensures the elements , won't make an impact on the comfort of your home. 0 A Duralite warm-edge spacer system further improves energy efficiency. Q The beveled exterior edge provides style and curb appeal to an already sleek • 0 design. i } . 0 Recessed, opposing cam locks secure your window without interrupting sight ,A1 lines. Q Heavy-duty weatherstripping and interlocking sashes help to keep weather and wind outside. r>,i 1 Y 0 Balance channel covers ensure a polished look. •k Q Spring-loaded, push-button vent latches allow for overnight ventilation while giving you added peace of mind. 0 Full-length, integrated ergonomic lift rails provide convenient, easy operation. ' • Bevel on bottom rail enhances grip. Q Metal reinforcement in the meeting rail enhances strength and protection }' against wind and weather. 0 Recessed tilt latches can be released to tilt both top and bottom sashes into the home for easy cleaning. le Welded combination sill featuring a deflection leg offers rigid structure and a c.:„" five-degree sloped sill that directs water away from the home and eliminates - unsightly weep holes. 0 An easily removable latching half screen gives you the freedom to let air in while i keeping pests out. Featuring Clarity' mesh,the screen allows you to focus on a; what's important the view. r. 0 Detent clip keeps the top sash from drifting while an inverted-coil balance {'• *-' t'. , ., " • 1", - t'. system ensures both sashes will stay where you put them, no matter the ;►,w • position. - iilf; t ''�° `.I' 4 0 Series consists of double-hung,double slider,casement, awning, picture, and l,;• t, architectural shape windows. ;.:,• -fir • �s atii; Energy-Saving Glass Packages: A Our SolarZoneTM insulated glass packages help you save on heating and coolinn costs while also keeping your home more comfortable. In warm weather, Tr,+' I ,', , SolarZone reduces solar heat gain, minimizes interior glare,and lowers inside glass: temperature to save energy and keep you cool. In cold weather, SolarZone helps to control the heat inside your home by providing thermal protection that keeps the inside glass panel warmer. 1 Window value,ate based onsina;e-svenUU '(rut:Re TG2:1,.r4•.,:I,.. + _ , THERMAL PERFORMANCE COMPARISON' glxs,standard 6caose,iPsoff.'r .`Alin vary n etntrr depending on grids and opti'nnl(Pass thichnrss,> r-h :ramrnt vi ,;el+ ,:,,).1 DOUBLE-HUNG uparacic(I/;"laminated,lie"ten ,,•rnd.:;16' nh.•,•rl n:,',b .,, decorative glass etc)ST and HPa,rlo!'a-t„cc-Akin SOItIr;u-•TR7:-,.!,!• '.,•, ,,^,;.,' U"FACTOR SHOC arc also available. 2 TK2 isavnilablean6000satin d,Obe•,0111r,.1 •,,,.::,'rl .. , ,' Solar Zone TG2 0.21 025 double:I!'nna vnr„m:•r'On'y :n,i.r•.,,+i'+[••:1.;.'s,';r,•,. !i„inr/one lG2 w/Grids 0.22 022 a-!i+:+ h , , . !,uLu'/one TK2 0.17 0.25 '! Window World of Western Massachusetts vrrFnan� Nup'comnir.�o 641 Daniel Shays,Hwy, Belchertown, MA 01007watdow 975 North Road,Westfield, MA 01085 _nzld Office: (413)485-7335 C WINO'AN wcR,ARE www.WindowWorldofWesternMA.com Dale Aldrich Phone: 4133207735 Install Address: 101 Overlook Dr Email: chevynascar03@yahoo.com Florence, MA 01062 Contract Name: Dale Aldrich - Sales -Windows Design Consultant: Valmore Willhite Measured By: Waiting Measure Measure Approved Date: 11/29/2023 Status: Contract Payment Method: Financed Lender: Wells Fargo 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 $150.00 $150.00 6000 - 2 Lite Slider Triple Pane 6000 - 2 Lite Slider Triple Pane N 1 $1,399.00 $1,399.00 Install Interior/Exterior Stops Install Interior/Exterior Stops N 1 $80.00 $80.00 Full Exterior Capping Full Exterior Capping --Color: N 1 $169.00 $169.00 Tempered Glass- Full Tempered Glass- Full N 1 $220.00 $220.00 Total Information Unit Total: 4 Subtotal: $2,218.00 Tax Rate: 0% Tax: $0.00 Total: $2,218.00 Amount Financed: $1,218.00 Payment Method: Financed Deposit Amount: $1,000.00 Balance Paid to Installer upon Completion: $0.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: 11/29/2023 Year Home Built: 0 RRP Signed Date: 11/29/2023 Window World of Western Massachusetts WETiPwm 01RLI Commnno 641 Daniel Shays,Hwy,Belchertown,MA Z = € � , st W 975 North Road,Westfield,MA 01085 WINDOW WORLD ) Office: (413)485-7335 CARE www WindowWorldofWesternMA.com — I Product Acknow ecagernents I have received a copy of the is-ad 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 I Secondary Homeowner � 5 Window World of Western Massachusetts N41Fppns On'l<<commnnn 641 Daniel Shays,Hwy, Belchertown, MA T �— Window 01007 �``���� 975 North Road,Westfield, MA 01085 (y(,�,((, Office: (413)485-7335 WIND:W WOR._D AIr 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 allow.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 1.ft 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 ...,�I..��:,.n rh,...�..,:II hr. ......,i.J,.rl Fr.r Fh,. LJ.......r...,r.r.r♦..r,r.r. �F*.,r th..F:..�I 4'nn ,r rmmmln*n Dlnmrn mns,rnrenrl•innc hnvo 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 tee: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 ..c.:?j„. ..1/2._5' :27 Secondary Homeowner Design Consultant I'.PA "Renovote Might" Brochure can be viewed and printed from here: Renovate Itirlht Brochure WV: of W. Ma;sachusetts anticipates starting this work on and being substantially completed in days.Any deposit required in adv,,rice 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 o a special order or custom-made nature, which must be ordered in advance of the start of the work to assure that the prni ct\vili proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all All home improvement contractors and subcontractors shall be registered. No work shall begin prior to the signing of the &ims:act and ransmittal to the owner of a copy of such contract. WW of W. Massachusetts under provision of Chapter 142A of the dean(,:al taws Is required to apply for and obtain all construction-related permits.WW of W. Massachusetts shall not be deemed rcat,:.utsible fc;r delays in the work described in this agreement caused by regulatory, permit granting agencies, authorities, or indi !dunis. Notice: If the PURCHASER(S)obtains his own construction related permits for the work described under this agreement or ucais with .mregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute,judgement and non,,.:,yinent, .he EURCHASER(S) will not be entitled to make a claim or collection from the guaranty fund established by chapter M.C.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this trat naciion. Notice of cancellation must be in writing postmarked no later than midnight of the following third business 1l li iS a 1_:l :UM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western Iric under lithos&from Window World, Inc. /