Loading...
23A-243 (3) BP-2024-0235 43 MANN TERR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-243-001 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-2024-0235 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2024 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 10380 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: J BURNETT SHEPARD W&NORMA Lot Size (sq.ft.) Zoning: URB Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C56098598 BELCHERTOWN, MA 01007 ISSUED ON: 03/04/2024 TO PERFORM THE FOLLOWING WORK: 10 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: i/7:titiA g ,64j. Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / -. 121 i .,._ The Commonwealth of Massachusetts �� 4 '/ VI: Board of Building Regulations and Standard . 2( Q `FOR,` Massachusetts State Building Code, 780 CMR:,;,y' , MU/.Jl IPA LITY Building Permit Application To Construct, Repair,Renovate Or Demons il;Pt'c ised Mar 2011 ,,, Ng One-or Two-Family Dwelling ,, This Section For Official Use Only Building Permit Number:, 7 ' of q' ,?'35 Date Applied: LOU l S l4S 6roc,c.r.jc / 3 2 Building Official(Print Name ignature ate SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 43 /`/ano ICI 1.la 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: Check yes Outside ifFlood yes❑Zone? Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of R rd: /V&rviln 4,ciroeff r/vpe. � i1r`t 0/06 Name(Print) City,State,ZIP 4.. Ha no lees y/3 .771,_ 8b jack//c s �,r(� vna i,(.4304 No. and Street Telephone Email Addre. SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building''t Owner-Occupied 'LK Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units ` Other bSpecify: le,.E.? \ot c.6a t f It A,\ Brief Description of Proposed Work': /0 W 10 4ON 5 rco/0CGI i'1ev6 f %teei✓y ,(Mite_kn,_. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) I. Building $/V/ .3 1. Building Permit Fee: $ Indicate how fee is determined: 0 Standard City/Town Application Fee 2.Electrical $ 0 Total Project Cost' (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $L Check No.h�U''Check Amount:''f 40 Cash Amount: _ 6. Total Project Cost: $ /. 3 0 Paid in Full 0 Outstanding Balance Due: — SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) t\.3 (04 Cam,\CA,� ��`c 7>�� License Number Expiration Date Name of CSL Holder List CSL Type(see below) l�� CYIN—) .„-N Sag No. and Street Type Description Unrestr`��G • CA06-1 Restricted I 2 Family ys up toel 35,000 cu.ft.) City/Town,S R I&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances t13�U1�5 4.t2V ey...VS eJ LONA.CI u3 g,z.1i I insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) ����, c �. --'�c?, ;�r N �+ HIC Registration Number Expiration Date' HIC Company Name or HIC Registrant Name 1sV.�Q `+ct \ S142/rICY..� s(✓ U.-1\INPr',yti:ka le rtr3,` (+4 C't4 Ni.and Street Email address Q_ Prt&_C C'001 Vt-t‘3)(4 5'1 ' 5 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 E 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 t\ JN ikhis tj\ V)Cy\,9\, , to act on my behalf,in all matters relative to work authorized by this building permit application. 4,2 3 /0 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 lieatio is true and accurate to the best of my knowledge and understanding. Print 0 er' /ofAuthort d Aga�tf'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 I-IlC 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 ?sAr!MY Massachusetts , '�.. 4 14$ K W :i 1(.64'1 DEPARTMENT OF BUILDING INSPECTIONS :4 212 Main Street • Municipal Building va:�s—• 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 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: c ' . ( - , � (1 Location of Facility: ��� � � \� �,����� ,��� h���,� ������ ��., �, �;� �, The debris will be transported by: Name of Hauler: ��.�� f� 0-,A) c. -�,„ ala3Pq Signature of Applicant: �-� Date: /,, �M ,,-, City of Northampton Massachusetts �� j • HI %. , DEPARTMENT OF BUILDING INSPECTIONS P% 4. '"y "' , 212 Main Street • Municipal Building .. �� ti •* - + Northampton, MA 01060 .{y`.,... �n HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, ,/OYyy! a 6i/ -0&fF (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 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 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�3 day of 1.ebrli+ele j ,2002 3 001.9 0 c,A1,\--rn_,e1 --.) (Signature) w The Commonwealth;of Massachusetts • • Department of Industrial Accidents 1 Congress Street, Suite 100 f • Boston, MA.02114-2017 • ' www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant:Inforrnation Please Print: Legibly Name(Business/Organization/Individual); Window World of Western Mass • ,Acicii•ess• 641 paniel Shays Hwy City/State/Zip: Beichertown MA 01007 • Phone#: 413 485 7335 Are yon an emi)loyer•''Check the appropriate box: Type of prliieet(r etltrir rd I. i,R.1 am a employer with _employees(full and/or part•tintn).* 7. D New construction r 2,D1 am a sole proprietor or partnership and have no employees working for me in 8. D Remodeling (nay capacity.[N(i workers'comp.insurance required.] I r 9. 71 Demolition 1,01 mu a homeowner doing all work myself.INo workers'comp.insurance required,) '' • i 4,01 mu a homeowner and will be hiring contractors to conduct all work on my property. I will j #0 Building addition ensure that all contractors either have workers'compensation insurance Or are stale i 1 1.0Electrical rcptiirs or add taro'n' '1 proprietors with no employees. • �r 1 12.0 Plumbing repairs or additi..,tr, 5.L_.:i not a general contractor and i have hired the suh..contractors listed on the attached sheet. i These subcontractors have employees and have workers'comp,insurance.t' , I:i, Roar repairs �J 1 14,(�Other. Replacement 6. We are a:corporation Duration and its officers have exercised their right of exemption _____.._........�....• ., t...;t 1 111 pt per MO,c, e 152,§1(4).and we have no employees.[No workers'comp.insurance.required,) d t *Any applicant that cheeks box 4iI must also fill out the section below showing their workers'compensation policy irrhrrnration. q.Homeowners who submit this aaffidtwit indicating they are doing all work and then hire outside contractors mist Winn it It new aril davit indicating:stud i tC:Untrnclors that[:heck this box must attached an udditiorlrl sheet showing the Marne of the sub-contractors and Santie whether or not Iho4c cot es time employees. If the.Sub-contractors have employees,they must provide their workers'comp,policy number. 1 am an ernployer.that is providing workers'compensation insurance for my employees. Below is the policy and fob Site information, Insurance Con:perriyNmmc, Indemnity Insurance Co.of North American C66098598 10/01/2024 Policy#or Selffins..Lic.#. Expiration Date:___.__......_. Job Site Address: 4 /Val/K /e r— City/Shale/'Jip:F/oroc_ M�e9/66 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 MOL e. 152, §25A is a criminal violation punishable by a fine up to!l;I,50(100 and/or one-year imprisonment,na well as civil penalties in the form of a STOP WORK ORDER and a.fine of up to$250.(0(1 a day against.thc violator.A copy of this statement may be forwarded to the Office of Investigations of the DI A for inst roue a coverage verification. 1 do hereby cer• ' un .er the painsQa .d penal :es of perjury that the information provided above is true and co ect. signature; ---�/ Utr e: �a 3 4�it gr ature; l 1 — t M.....m, Phone#: 413 485 7335 W ._.. Official use.only.''Do not write in this area,to be completed by city or town official. City or'Gown: I, Permit/License#_ _....,,... Issuing Authority(circle one): • I.Board otHcai h 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing inspector I 6.Other Contact Person: Phone#: ,i . y sa f �. , ,.a".,.o�.,....A'. ..-.o r 4, 4... �.6r^.,1 .r;''I..¢a:.-.1....'"'t DATE IMMIDOIYYYY) AC-ORf) o9nvzoza CERTIFICATE OF LIABILITY INSURANCE Acct#:2970777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOI.-DER. 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 NAME'_ 3657 BRIARPARK DR.,SUITE 700 (A/C,No,No,EXt):888.828-8363 ( No): HOUSTON,TX 77042 E-MAIL ADDRESS: I NSPERITYCERTS@LOCKTONAFFINITY.COM INSURERJS)_AFFORDINGCOVERAGE NAIC ft INSURER A:Indemnity Insurance Co,of North America..._....__.__ . __ 43576 INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. — 641 DANIEL SHAYS HWY INSURERC: B E LC H ERTO W N,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-IHE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. . . . INSR TYPE OF INSURANCE IADDL NSD SUBRPOLICY EFF WwMI POLICY NUMBER (MDDIYYYY) (MMIDDY EXP LTR /YYYY) UMITS LT COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE __- )$ DAMAGE TO RENTED CLAIMS- OCCUR _PREMISES(Ea ocaurrannan_ ,$ MED EXP(Any,one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY lIF I LOG PRODUCTS-COMP/OP AGG $ OTHER: - _-_-_ AUTOMOBILE LIABILITY COMBINED SINGLE-LIMIT SEa occldgnll__—_—_ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Por accidenl) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY UMBRELLA LIAR OCCUR EACH OCCURRENCE $ �y EXCESS LIAB CLAIMS-MADE AGGREGATE y $ DED RETENTION$ $ ----- WORKERS WORKERS COMPENSATION PER STATUTE OTIH- X _ ER AND EMPLOYERS'LIABILITY YEN —...._._. _ _ A ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 1,000,000 OFFICER/MEMBER EXCLUDED" _N/A X C56098598 10/01/2023 10/01/2024 (Mandatory in NH) -If yes,describe under DESCRIPTION OF OPERATIONS below EL DISEASE-EAEMPLOYEE $ 1,000,000 E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION w r 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 cit3 ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD .r^'_"^'V f-� WINDWOR-01 LAURA Ai- R1 DATE(MM/OD/YYYY) �,._.� CERTIFICATE OF LIABILITY INSURANCE 4/14/2023 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Laura Misseri Phillips Insurance Agency,Inc. PHONE ) ( ) jn/c,No):(413)592-8499 97 Center Street (A/c,No,Est: 413 594-5984 Chicopee,MA 01013 EMDRAIL laura@ phillipsinsurance.com p la hilli sinsurance.com AD INSURER(S)AFFORDING COVERAGE NAIL# INSURER A:EMCASCO Insurance Co INSURED INSURER a: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: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP r: , . .I.. POLICY NUMBER ,,,,.++IASI ,,., ..1AAt1 LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1+O00 000 CLAIMS-MADE I X OCCUR 6Q44324 4/9/2023 4/9/2024 DAMAGE TO RENTED 500�000 SlEa occurrgnge)_ $ MED EXP An one person $__ - 10,000 PERSONAL&ADV INJURY $ 1+000+000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ — - 2+000+000 X POLICY[X J PE X LOC 2,000,000 PRODUCTS-COMP/OP AGG _$.__ _ OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 a accident) $ ANY AUTO 6Z44324 4/9/2023 4/9/2024 BODILY INJURY Per person) $ OWNED SCHEDULED BODILY INJURY Per accident AUTOS ONLY X AUTOS $SI HIRED XU"OONLD 2e �RY AMAGEOS ONLY NON-OWNED Y — $ 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 TX FRETENTION$ 10,000 $ AND WORKERS COMPENSATION ILI I PER OTH- STATULE I ER AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $_.,, OFFICER/MEMBER EXCLUDED? N/A - -— --- (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 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 CANCELLER BEFORE Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD .„-------_--- :91 C arn m4 trim)eolith a f Ma saw;I n.r waits, INVIO IOU a ProroNO4Onal ILA:unsure 004;011m Reljulatiurm and.rolandmoda• Co plStpOdittli,r1 r!,§0pFroisciP 'I C541571,0 :1 '''".6;i'Vil g;i3PirlIC:042130,12425 ALICHOLAS r1:40Str,;A: ki.')f"rn I. 14,2,0AKRIOOE:OR iiirril' ' ; 5:::. 1;:;';',`/' '. .:'',4,111`;j BELCH Ertirofiyi riitgcliiitit' . ' -• 1,Y,4.,,;;A, • ) i'.1 , t.1. 01::,:.,: Pk,.,A i'''.4::'',':;E:-b• ,', '1,4'14. Corntnis*ioner al‘fkya g .;,4,:titimtn.. ' -...........,. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs,&OM f.;Iness Regulation Registration volild for Indivtclual OS e only*elm R.the: HOME IMP ROVEMENTHCONTH ACTOR 'expiration date.. II ikond return to: TYPE:Inblit*Ittil. 011Ite ol Cons utrts r Allaits and 0 diSillOSti:ROW 410C1011 .. ,. ,...,,, n 100 Briii104.'1'4,'Lifitgrlikt'll 0 ViNSIIIIgton Street 710 -Suite , 20 ,11.6.i ', •ii,e41.41P:1720245 mostott, mA 0211B. NICHOLAS OFItIST . I , . /I41 . il ,A- ,p--"' NICFIOLAS laROST . .. /.ifyi I ...lii.I 102 OAKTilDGE()HIVE'.••;:. ', ;:,' .ef,.,';,.• .1-,,,,:4,0,06' iliv 1 '0 /f6r1 f,,,q, rt, , ,4V 0,,' . '3ELCHERTOWN,MA 0100. '' -• . -----• t)n.rinTSOCTOTOTy Not valid without signotairo THE COMMONWEALTH OF MASSACTIUSET'T'S Office of Consumer Affairs&Sticlnes.s Regulation Registration valid Par Individual use only botom tht, HOME IMPROVENIE;NT;cONTRACTOR expiration date. II tumid return to: TYPE:Coeporaiion Office of Consumer Affairs and BoSi f YOSS.NO91.111400 o Roulatration &amigo 1000 Wastsingdoii Street ,Suits!I10 pa/1412026 Claxton,M A, 02118, WINDOW WORLD OF:1AIESTENN MASSACHUSETTS.INC. TIMOTHY ortosT ,„'' - .., ; -, . i• c.,k 641 DANIEL SHAYS HWY BELCHERTOWN,MA 01007 = , - , 'Undersecretary N ot valid without signattina . , .. . t !"4.f aM w0att(nd 6atriwse tAn d Daos.stivsiaP�, - , iii .-�e .a ➢ A � gyp West*ekes St h- a Gratz,PA17030 jri-N 1650 `s 1685 okra Fern a y OHNif�tYL/No Grids r ` RatgCp s, Pane I&2:Lite-l:(1fi.eteer.L Fr:ultm SLIDER /VINYL//rids (1�;L'lear,NONE,Attnt.3t.!}; ` lam);Lie 2: s that can be i Fett 4a Panel 1&2:litaktifi ,Cteer,Lt3E,Annealed);L t Argen;37 v2 X 37 f { S ' (1ra fir ,a edlp Argon;451/2 X45 ift ticaa�s�atpJm i te cleanerr, hrdirtaua ra lrt for diTferntMEM a dt rta may bra subhct to var at&MI rn Fc+lwmance e s ` `0m ENERGY PERFORM :and doors tr -pretties raw e•• t° '•n�"p`dO`Q"t"• PERFORMANCE RATINGS vhen using a U-Factor(U.S,II-P) Solar Heat Gain Coefficient 'alms on the ENERGY PERFORMANCE RATINGS �At **g� U-FacMr(tl.S,II.F) Solar Heat Gain Coefficient 0.27 6�.C irerterally 0.2/ 0.2 RDDl7lONAL I'i:RFOftMANCE RATiidGS •odtx#cer- Visible TrlRstnlftatRc� locations in ADDITIONAL PERFORMANCE RATINGS - Air Leakage(U.S.II-A) Visible Transmittance Air Leakage(U.S.II-P) 0.52 a 0.its. . '"` a.:< rA )..= - c-- -- ttl,crake ac r ta4,11 Ina eau mcwsa serer im a*"t jv'm' a 5 ®. a raaoe�racwerasaY riA stia�mru00,0,,01re ma rave to to oPpnctiry aerrevro° myanner�rererara,aptsc,cvra;owaas�u e�sf cr:_e .vat:+ xs aaSr2tsaa war tewera ollcm+�an+gxs ATaaurisC mute aarsnotrk"e41"f P anawunuretern tpetferce c rpraa�etatanl.R!ar��ue.Ca�s"r I rert ram, ra>t ' ' EN_'Any STAR`Certified art Hightigltied Re-cons Ids.usea • Cerlifica4a pot ENERGY STAR en IaS regions resaltar as .t rHinr,V,TAR'Certified Tit titilliltt.1l111:d iit rslltS. fr itth:ad pr.1.ENERGY STAR ray fa<.rillone-.roaatadas: - 011 Y / rr r.{ a�`Glr df / s —;;; OO JJ -- 1 'r tz l r ENERGI STAR- A-- . . o :. .. r'- 41ffiftjrtfiL90smi AOwa • EPIE GY S•TAR .., - .,ti -.7r`" For fah inrs o Unite:We:Winds Q Paraintonn 1A'sea1"anpradai ' arurpaau.s•*h*ntdaart a Gerti tediLeracedo a eterpkta.caaseltar le vigtrera del productn la e tFarintlinhsnetieR.salabeloa}redut PerfGrada +DA{ASB} DF(AS I Paratreac:3n earspiet+eettstrAar a Ott pradut'A. —� LGAG35' 5fl.13 } Part Grade *DP(ASD) -OP(ASD) Water Max Test Size ' Report# Ftari- da 1D t GPG35 33.p8 35 08 toe OM X 7200 nRr2.at-tos-0r ro ;tax test tza aportN "-" `- C 1 ratings are for aidual vondows;and doors on 72.00 X 8O.0O Fie ts1 tog-tt�m j 29124 n?test esidaec *ao ct your sales representative Pos and N gazDP Frrn ed by RatEtgs era far in viakral windows and doors only. For information mgar tg Traded �. -57?R E43Ei0.Tested label ma be WCSA t01/L.5.21A640-OS Glass Accra ddffkmal in Y ra at- 1I &2j bead ortrickii�x.For or stacked unte'please aordect your ales rapreser>;ative. .D5Pas and A DP limited by r tormatxin regartfrtg msta&atinn+r>siructinr>s,Ptcasevis t sek test size.Tested toad or t WD►+IAfCSA 1t1111.5.2lArforms AAMA label may j���v �. . wt`i"r rr6wd-cwn. :t via ccncreed by pu stta bead or track Mar.For ada3iora�rl iaforman regarc5rtg nail ingestion instructions,please visit www.miwd.com. Prarted on eei zatsa:to:12era PrinitC4 Cat oas Mc 26772468.1.1.1 7f621161 M P e eta mu Window World of Western Massachusetts vs-roams*WT commnno 641 Daniel Shays,Hwy,Belchertown, MA ��+�'�V 01007 975 North Road,Westfield, MA 01085 Watdow . Office: (413)485-7335 CAE www.WindowWorldofWesternMA.com Norma Burnett Phone: 4137775486 Install Address: 43 Mann Ter Email:joylicsw@gmail.com Florence, MA 01062 Contract Name: Norma Burnett-Sales -Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 2/15/2024 Status: Contract Payment Method: Cash Lender: Contract Type: Sales Comments: Product Description Txbl Qty Price Extension Permit&Administrative Fee Permit&Administrative Fee N 1 $200.00 $200.00 Setup and landfill disposal fee -Windows Setup and landfill disposal fee-Windows N 1 $250.00 $250.00 4000 Series DH Solarzone 4000 Series DH Solarzone N 9 $849.00 $7,641.00 Basement Slider- 1 panel (Min 11.5") OR Fixed Basement Slider- 1 panel (Min 11.5") OR Fixed N 1 $599.00 $599.00 Unit Unit Full Exterior Capping Full Exterior Capping -- Color: N 10 $169.00 $1,690.00 Total Information Unit Total: 21 Subtotal: $10,380.00 Tax Rate: 0% Tax: $0.00 Total: $10,380.00 Amount Financed: $0.00 Payment Method: Cash Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $10,380.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: RRP Signed Date: Window World of Western Massachusetts VErENHns PIR•Ic.rcpNngno � 641 Daniel Shays,Hwy,Belchertown,MA %/utacu' 01007 975 North Road,Westfield,MA 01085 WINDOW WORLD O Office: (413)485 7335 CARE $ www.WindowWorldofWesternMA.com 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 r).t.:30 Secondary Homeowner Window World of Western Massachusetts ve Means,.°4"I'T commnno 641 Daniel Shays,Hwy,Belchertown, MA u 01007 975 North Road,Westfield, MA 01085 Window / Office: (413)485-7335 WINE, J,W<,' ARE www.WindowWorldof WesternMA.corn Preparing for Your New Windows and Doors Thank you for choosing Window World to complete your home improvement project.This letter is designed to simplify your upcoming installation experience by letting you know what to expect. 1. HOW LONG DOES IT TAKE?It takes approximately 4-20 weeks to receive your custom-made window order from the factory following your final measurement and your job exiting the Massachusetts State three day rescission period. A Window World associate will contact you shortly after your products have arrived to schedule the installation. Please note that we will make every effort to install your products within a reasonable time after they have arrived, but weather(rain, snow, high winds and extreme cold), high volume sales periods or other conditions (factory production delays,factory closure for holidays, shipping delays, etc.) beyond our control may govern the installation date. Homeowner understands and agrees that any such delays will not result in a discount from their contract total. 2. HOMEOWNER REQUIREMENTS: I understand that by signing this, I am certifying that I am the owner of the property listed on the contract. I agree that a property owner will be present for the duration of the installation to ensure that the work is performed to my satisfaction and to inspect the work completed. If a property owner is not present,the contractor will be released of liability for any installation issues. This allows us to better satisfy our customers and ensures that the windows or materials are installed in the correct openings. Customer must sign off on completion certificate and leave final payment with installer if he/she wishes to leave the job site prior to completion.Customer understands that by not being present at the time of installation may result in the automatic charging of the final payment to the credit card used for deposit. 3. UNFORESEEN CIRCUMSTANCES: If during the installation process a condition is found that would prohibit properly installing a window (i.e. wood rot, termite or other hidden damages, etc.),the installer will promptly notify the Homeowner as well as the Window World office of the problem.Any additional work that is required to properly complete the job will be discussed with the Homeowner and billed on a time and materials basis. In the event we have received the incorrect or damaged window for your job(due to an incorrect measurement or factory error), Window World will reorder the proper window and will schedule the installation as soon as possible. Window World expects payment on the work completed to date at the time of installation that is not affected by warranty issues. 4. WHAT YOU NEED TO DO PRIOR TO OUR STARTING THE INSTALLATION: • You will need to remove all curtains,shades, blinds, window air conditioning units etc.from the existing windows. • We also ask that you remove any pictures mirrors, etc. on nearby walls and tables. • Move all furniture away from the area around each window leaving approximately 3 ft in front of the window and lft on either side of the window to be replaced. • Secure any pets(and children)for their own safety and for the safety of our installers. 5. ALARM SYSTEMS: It is the responsibility of the Homeowner to inform the alarm company of the upcoming window or door installation and to arrange reconnection after installation is complete. 6. EPA-LEAD SAFE GUIDELINES: Homeowners of homes built before 1978 have received a copy of the lead hazard information pamphlet informing the Homeowner of lead hazard exposure from renovation activity to be performed in their home. The Homeowner understands and agrees to indemnify and hold Contractor, Contractor's representatives, and employees harmless for any lead paint health issues. 7. INSIDE INSTALLATION (Normal): If the windows are to be installed from the inside,the interior stop moldings will be removed from the existing windows and reused after the new windows are installed. Please note that the paint or stain on the trim/moldings may get chipped and would need to be touched up by the homeowner. 8. OUTSIDE INSTALLATION (Special): If the windows are to be installed from the outside, the existing window's wood "stops" will need to be removed. In addition, if there are existing storm windows in place outside of your current windows,these will need to be removed as well. Please note that the area(s) where the wood "stops"and/or storm windows were removed will need to be patched and painted by the Homeowner unless the exterior trim is to be installed by Window World. 9. UPON COMPLETION OF INSTALLATION:After the installation is complete,you will be asked to inspect the entire project with our Installer.An tax/Anal-inn cheat will he nrnvirlerl fnr the Hnmenwner to cinn after the final incnertinn is rmmnlete Pleace make dire that env rnrrertinnc haves 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 550 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 r"--/// 1:41. vitst+/— Secondary Homeowner Design Consultant (*)(' OGi 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.