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29-195 (11) BP-2024-0245 38 OVERLOOK DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-195-001 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-2024-0245 PERMISSION IS HEREBY GRANTED TO: Project# WINDOW 2024 Contractor: License: Est. Cost: 9983 PELLA PRODUCTS, INC 096558 Const.Class: Exp.Date: 03/01/2026 Use Group: Owner: KINNER NANCY LEILANI Lot Size (sq.ft.) Zoning: WSP Applicant: PELLA PRODUCTS, INC Applicant Address Phone: Insurance: 155 MAIN ST 413-512-5968 6H15382 GREENFIELD, MA 01301 ISSUED ON: 03/07/2024 TO PERFORM THE FOLLOWING WORK: 8 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: or444 Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / / - :&[ / /I4R 6 ?0494 �,� The Commonwealth of Massachusetts . ,,,ry p Board of Building Regulations and Standards MUNIF POR ALITY Ulf ,1rro4assachusetts State Building Code, 780 CMR ' ,,60 ', 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: 4, A.(1.. -y,4*- Date Applied: 1-o (AI*3 Na s b ro uc,(r .,.._ lA✓C--...e. 3 7 2- Building Official(Print Name) Signature to SECTION 1:SITE INFORMATION 1.1 Prop rty Address: 1.2 Assessors Map&Parcel Numbers 3 3 OVP fir,o Dnv 1.1 a Is this an accepted street?yes V no Map Number Parcel Number 1 3 Zoning Information: 1.4 Property Dimensions: e`41/tiTho,\ Ex i S'h ff-'\ 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 0 On site disposal system 0 Check if yes❑ ?r�,, SECTION 2: PROPERTY OWNERSHIP' /� �/ , i [n .1,r'oK n r P.01 el-\C i ( (jOLo? NameJ(Prim ,)V 1 p/�1. City,State,ZIP f 1� t - 3 OVC! b iL 1 Dn De c ..d21— -' ✓ It riiit !mail kddrea`tt,l`1=!) No.and Street Telephone 1"` SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 0 Owner-Occupied 0 Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition ❑ Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': R i0ci` c t 1 )(L (.&,� 0()-1 In GPenInr_, LL 'COaA(- r l Vie 3. Lt-cQ*r)v0 5 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ q 1q q..3.:27 1, 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ ie 0 Total Project Costa(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ t' List: 5. Mechanical (Fire $ /�;' Suppression) K J Total All eQs�$. Check No. '101# eck Amount: �a Cash Amount: 6.Total Project Cost: $ 7 Ot 1 0 Paid in Full 0 Outstanding Balance Due: r SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) ditCP i f3Z ! v`-,l)CO 1 V)r. �r.).' License Number xpiration ate a bt� ` � � Q�( Name of CSL Holder 1 f ,, 1, C Cporr� '6e� List CSL Type(see below) !J� W Nand Street T Description (t.)Y11 \ev n ` f UJ Unrestricted(Buildings up to 35,000 Cu.ft.) 1 u. /� 1 `�2 Restricted 1&2 Family Dwelling City/T te,ZIP _ M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 1413�13-�31(02 , erl)1l` t plYk'�_,«01) 1 Insulation Telephone Emai ddress D Demolition 5.2 Registered Home oo Im�e�Improvement Contractor(HIC) 1 Ltaa "I bA cln "Pe 1 PiT) i-.0 1 inn. HIC Registration Number Expiration Date HIC CompanyCompanykIame or HICAegistrant Name Oand Street., Email address r_erentvela , ORO) 41 --,CDs-G- VOS 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 Issuanc f the building permit. Signed Affidavit Attached? Yes 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 ��/ )r �b�J� L�� l�(l Pry to act on my behalf,in all matters relative to work authorized by this building permit application. fl(3 lj)tnnex- F1\ )� Print Owner's Natne(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 application is true urate to the best of ledge and understanding.---LAY 1 r b�� ' 4311)311 Print Owner's or Authorized Agent's Na a(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" Contract - Detailed Pella Window and Door Showroom of Greenfield dfOlk 155 Main Street Sales Rep Name: Rousseau, Mitchell Sales Rep Phone: 413-768-8379 Greenfield, MA 01301 Sales Rep Fax: Phone: (413) 774-7231 Fax: Sales Rep E-Mail: mrousseau@pellasales.com Customer Information Project/Delivery Address Order Information Nancy Kinner Kinner Nancy 38 Overlook Dr Florence MA Quote Name: Nancy and Susan Kinner-38 Overlook Dr., 38 Overlook Dr GF 38 Overlook Dr Order Number: 739Z3CR151 FLORENCE, MA 01062-3527 Lot# Quote Number: 17840292 Primary Phone:(252)3425925 FLORENCE, MA 01062-3527 Order Type: Installed Sales Mobile Phone: County: HAMPSHIRE Payment Terms: Wells Fargo Other Fax Number: Tax Code: MASS E-Mail: aff3838©gmail.com Quoted Date: 2/19/2024 Great Plains#: 1007700773 Customer Number: 1011439132 Customer Account: 1007700773 Customer Notes: Estimated payment of$167/month with Wells Fargo 60 months at 0% (half charged at contract,half charged after installation. Purchase total$9,983.26) *$40 late fee for Wells Fargo if payment is missed* More customer information is provided during application process via Wells Fargo or Credit, Debit or Check purchase available with 10%discount Two payments of$4,450 due at contract and installation(Purchase total$8,900) *IN HOUSE INSTALLERS*includes new aluminum capping,low expansion foam insulation around new windows, haul away and disposal, building permit,sales tax,order verification For more information regarding the finishing, maintenance, service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 2/29/2024 Contract-Detailed Page 1 of 12 Customer: Nancy Kinner Project Name: Kinner Nancy 38 Overlook Dr Florence MA Order Number: 739Z3CR151 Quote Number: 17840292 Line# Location: Attributes 10min Pella 250 Series, Double Hung, 39.75 X 45.25,White Item Price Qty Ext'd Price $1,303.13 mom $1,303.13 r"7" 1 1:Non-Standard SizeNon-Standard Size Double Hung,Equal 'in ' PK# Frame Size: 39 3/4 X 45 1/4 2159 General Information: Standard,Vinyl,Block,Foam Insulated,3 1/4",3 1/4",Sill Adapter Included,Head Expander Included Exterior Color!Finish: White Interior Color!Finish: White I Glass: Insulated Dual Low-E NaturalSun+Low-E Insulating Glass Argon Non High Altitude r Hardware Options: Cam-Action Lock,White,Standard Vent Stop,No Limited Opening Hardware Viewed From Exterior S ex.Evil Screen InViewn, P. -HGC 0.48,VLT 0.59,CPD PEL-N-211-00263-00001,Performance Class R,PG 30,Calculated Positive DP Rating 30,Calculate. egative •- -a ing ',Year Rated 08111,STC 26,OITC 22,Clear Opening Width 34.704,Clear Opening Height 17.214,Clear Opening Area 4.148574,Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: Pella Recommended Clearance, Perimeter Length=170". Frame Size:39.75"X 45.25" PF-1 -Interior Pocket Installation Qty 1 LP-1 -Lead safe practices this opening Qty 1 EAC-1 -Exterior Aluminum Capping(Coil Stock) Qty 1 Line# Location: Attributes 15 Pella 250 Series, Double Hung, 35.75 X 45.25,White Item Price Qty Ext'd Price 1 $1,279.50 NW, $1,279.50 _ F"."1 1:Non-Standard SizeNon-Standard Size Double Hung,Equal PK# Frame Size: 35 3/4 X 45 1/4 I 2159 General Information: Standard,Vinyl, Block,Foam Insulated,3 1/4",3 1/4",Sill Adapter Included,Head Expander Included Q Exterior Color!Finish: White Interior Color!Finish: White 1 Glass: Insulated Dual Low-E NaturalSun+Low-E Insulating Glass Argon Non High Altitude Hardware Options: Cam-Action Lock,White,Standard Vent Stop,No Limited Opening Hardware Viewed From Exterior S • I Screen InV w'*" SHGC 0.48,VLT 0.59,CPD PEL-N-211-00263-00001,Performance Class R,PG 35,Calculated Positive DP Rating 35,Calcu a ed Negative D a mg ,Year Rated 08111,STC 26,OITC 22,Clear Opening Width 30.704,Clear Opening Height 17.214,Clear Opening Area 3.670408,Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: Pella Recommended Clearance,Perimeter Length=162". Frame Size:35.75"X 45.25" PF-1 -Interior Pocket Installation Qty 1 EAC-1 -Exterior Aluminum Capping(Coil Stock) Qty 1 LP-1 -Lead safe practices this opening Qty 1 For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 2/29/2024 Contract-Detailed Page 2 of 12 Customer: Nancy Kinner Project Name: Kinner Nancy 38 Overlook Dr Florence MA Order Number: 739Z3CR151 Quote Number: 17840292 Line# Location: Attributes 20 NOW. Pella 250 Series, Sliding Window, Fixed I Vent Left, 35.75 X 45.25,White Item Price Qty Ext'd Price $1,258.11 $1,258.11 III1:Non-Standard SizeNon-Standard Size Fixed/Vent Left Double Slider PK# Frame Size: 35 3/4 X 45 1/4 2159 General Information: Standard,Vinyl,Block,Foam Insulated,3 1/4",3 1/4",Sill Adapter Included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White 1. 3b Glass: Insulated Dual Low-E NaturalSun+Low-E Insulating Glass Argon Non High Altitude Hardware Options: Cam-Action Lock,2 Locks,White,No Limited Opening Hardware Viewed From Exterior Screen: Half Screen, InViewT"' O244 SHGC 0.50,VLT 0.61,CPD PEL-N-210-00255-00001,Performance Class R,PG 30,Calculated Positive DP Rating 30,Calculated Negative DP Ra ng`30,Year Rated 08111,STC 25,OITC 22,Clear Opening Width 12.917,Clear Opening Height 41,Clear Opening Area 3.677757,Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: Pella Recommended Clearance,Perimeter Length=162". Venting Width: Equal Frame Size:35.75"X 45.25" PF-1 -Interior Pocket Installation Qty 1 EAC-1 -Exterior Aluminum Capping(Coil Stock) Qty 1 LP-1 -Lead safe practices this opening Qty 1 Line# Location: Attributes 25 Pella 250 Series, Double Hung, 36 X 45.5,White Item Price Qty Ext'd Price $1,279.50 Mat s $2,559.00 r";"1 1:Non-Standard SizeNon-Standard Size Double Hung,Equal in PK# Frame Size: 36 X 45 1/2 2159 General Information: Standard,Vinyl,Block,Foam Insulated,3 1/4",3 1/4",Sill Adapter Included,Head Expander Included Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Dual Low-E NaturalSun+Low-E Insulating Glass Argon Non High Altitude _. Hardware Options: Cam-Action Lock,White,Standard Vent Stop,No Limited Opening Hardware Viewed From Exterior Screen: Full Screen, InViewTM WOO Ail11c. eat 'SHGC 0.48,VLT 0.59,CPD PEL-N-211-00263-00001,Performance Class R,PG 35,Calculated Positive DP Rating 35,Calculated Negative' ing 35,Year Rated 08111,STC 26,OITC 22,Clear Opening Width 30.954,Clear Opening Height 17.339,Clear Opening Area 3.727163,Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: Pella Recommended Clearance, Perimeter Length=163". Frame Size:36"X 45.5" LP-1 -Lead safe practices this opening Qty 1 PF-1 -Interior Pocket Installation Qty 1 EAC-1 -Exterior Aluminum Capping(Coil Stock) Qty 1 For more information regarding the finishing, maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 2/29/2024 Contract-Detailed Page 3 of 12 Customer: Nancy Kinner Project Name: Kinner Nancy 38 Overlook Dr Florence MA Order Number: 739Z3CR151 Quote Number: 17840292 Line# Location: Attributes 30 4011011D Pella 250 Series, Sliding Window, Fixed I Vent Left, 30.75 X 11.75,White Item Price Qty Ext'd Price $847.40 ailav $2,542.20 1:Non-Standard SizeNon-Standard Size Fixed/Vent Left Double Slider n �1 PK# Frame lSize:nfm30 3/4 X 11 3/4 �' General Information: Standard,Vinyl,Block,Foam Insulated,3 1!4",3 1/4",Sill Adapter Included,Head Expander Included 2159 Exterior Color/Finish: White Interior Color/Finish: White Glass: Insulated Dual Low-E NaturalSun+Low-E Insulating Glass Argon Non High Altitude Hardware Options: Cam-Action Lock, 1 Lock,White,No Limited Opening Hardware Viewed From Exterior Screen: Half Screen, InViewM Perform; :""` • = SHGC 0.50,VLT 0.61,CPD PEL-N-210-00255-00001,Performance Class R,PG 35,Calculated Positive DP - culated Negative DP Rating 5,Year Rated 08111,STC 25,OITC 22,Clear Opening Width 10.417,Clear Opening Height 7.5,Clear Opening Area 0.5425521,Egress Does not meet typical United States egress,but may comply with local code requirements Grille: No Grille, Wrapping Information: Pella Recommended Clearance, Perimeter Length=85". Venting Width: Equal Frame Size:30.75"X 11.75" MP-BWPS-Basement window install w/PVC stops Qty 1 LP-1 -Lead safe practices this opening Qty 1 Line# Location: Attributes 35 None Assigned BPC -Permit-subject to change if actual cost greater than shown Item Price Qty Ext'd Price $95.00 1 $95.00 For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 2/29/2024 Contract-Detailed Page 4 of 12 DocuSign Envelope ID:B2732B93-8202-4CE8-AB05-674292A3E56B tusiorner. Nancy arta Jusarl Winner rroject Name: Kinner Nancy and Susan 38 Overlook Dr Florence Order Number: 739 Quote Number: 17840292 MA Nancy Kinner Mitchell Rousseau Order Totals Cu fo rn n me (Please print) P,� olQ,Name (Please print) Taxable Subtotal $5,188.95 �y: 6tA.lt.t,lr kitattil, 41ASSt,auti Sales Tax @ 6.25% $324.31 L`a'dF(5' ' cgrii tare PeIra1Sa '4 'nignature Non-taxable Subtotal $4,470.00 2/23/2024 2/23/2024 Total $9,983.26 Date Date Deposit Received $9,983.26 Amount Due $0.00 Credit Card Approval Signature For more information regarding the finishing,maintenance,service and warranty of all Pella®products,visit the Pella®website at www.pella.com Printed on 2/23/2024 Contract-Detailed Page 9 of 9 DocuSign Envelope ID:B2732B93-8202-4CE8-AB05-674292A3E56B Pella Products Inc. 155 Main Street Greenfield, MA 01301 To Whom it may Concern: 1, Nancy Kinner , as property owner, give permission to our contractor, Pella Products Inc.to obtain a building permit for the installation of windows and/or doors in my home. Located at; 38 Overlook Dr Florence, MA, 01062 Please accept this letter in place of my signature on the permit application. Thank you, ,-DocuSigned by: Signature: Nam''' 61AAALr 1,--4FF9E0=O3CC6463... Date: 2/23/2024 The Commonwealth of Massachusetts f Department of Industrial Accidents L 3. l�1 Office of Investigations — Lafayette City Center ii - 2 Avenue de Lafayette, Boston, MA 02111-1750 ,,s, www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual):Pella Products, Inc _ Address: 155 Main st City/State/Zip:Greenfield MA. 01301 Phone#:413-774-7231 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 70 4. D I am a general contractor and I 6. El New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. El Building addition [No workers' comp. insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑ Other comp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: EMC Insurance Company Policy#or Self-ins. Lic. #:6H 15382 Expiration Date: 1/1/2025 Job Site Address: 38 Overlook Dr City/State/Zip:Florence, MA 01062 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby cer ' r [der the pains an es of perjuty that the information provided above is true and correct Si afore: Date: Phone#: 413- 12-5968 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License # Issuing Authority(check one): 10Board of Health 2❑Building Department 31:City/Town Clerk 4.❑Electrical Inspector 5alumbing Inspector 6.DOther Contact Person: Phone#: ____—°", PELLPRO-01 CHRISTINE A�R�s CERTIFICATE OF LIABILITY INSURANCE D 12/1a202) 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 Christine Sullivan NAME: Phillips Insurance Agency,Inc. 41 97 Center Street ja/"c°°,"o,Eye):( 3)594-5984 (A c,No):(413)592-8499 Chicopee,MA 01013 ADDRESS:christine@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC R INSURER A:EMC Insurance Companies 21415 INSURED INSURER B:EMCASCO Insurance Co 21407 Pella Products,Inc INSURER C: 155 Main St INSURER D Greenfield,MA 01301 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 EXP TYPE OF INSURANCE INSD ADDL WVD POLICY NUMBER (MIDBR DI YYYY1 (MM!DD 1 OMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 6A15382 1/1/2024 1/1/2025 DAMAGE TO RENTED 500,000 PREMISES(Ea occurrence) $ MED EXP(Any one peon) $ 10,000 person) PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X LOC PRODUCTS-COMP/OP AGG _$ 2,000,000 OTHER: $ COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY (Ea accidentl $ _ X ANY AUTO 6Z15382 1/1/2024 1/1/2025 BODILYINJURY(Perperson) $ OWNED SCHEDULED AUTOSE� ONLY AUTOS BODILY INJURY(Per accident) $ HIRED ONLY NON-OWNED PROPERTY DAMAGE (Per accident $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE 6J15382 1/1/2024 1/1/2025 AGGREGATE $ 4,000,000 DED X RETENTION$ 10,000 $ B AND EMPLOYERS'LIABILITY RS COMPENSATION X STATUTE ERA Y/" 6H15382 1/1/2024 1/1/2025 500,000 ANY PROPRIETOR/PARTNER/EXECUT1VE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N N I A 500,000 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 500,000 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) Installation Floater 5100,000 Included Operations usual to the sale and installation of doors&windows. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Florence(Northampton)BuildingCommissioner's THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ( P ) ACCORDANCE WITH THE POLICY PROVISIONS. Office 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PELLA PRODUCTS INC. 155 MAIN STREET GREENFIELD, MA. 01301 Date: p9l To: lhrenL Subject: Disposal of Debris The purpose of this letter is to certify that all debris from any project undertaken by Pella Products, Inc. in your town will be transported to a dumpster at our main facility; 1S5 Main Street, Greenfield, MA. Pella Products, Inc. is under contract with Waste Management of Massachusetts For the disposal of the contents of this dumpster. Very truly yours, PELLA PRODUCTS, INC. ' Joy Grover Accounting Manager THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street-Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration M =As g Type: Supplement Card Registration: 142279 PELLA PRODUCTS,INC. Expiration: 03/23/2026 155 MAIN STREET — • GREENFIELD,MA 01301 1 11.1 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs 8 Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:Supplement Card Office of Consumer Aff ..an.Business Regulation Registration Expiration 1000 Washington e 710 142279 03/23/2026 Boston,MA 0 PELLA PRODUCTS,INC TREMOR BROSS y �_(} 06 155 MAIN STREET .-:-<y ;o. V �� GREENFIELD,MA 01301 Undersecretary r< Without signature Pella Products, Inc. 155 Main Street Greenfield, MA 01301 Office:413-512-5968 Cell:413-834-8799 To: Building inspector From:Trevor Bross—Installation Manager Date: February 17, 2022 Subject: Building Permit Applications& Designees Pella Products Incorporated is in the business of replacing windows and doors for our customers. Our process includes providing a building permit for each and every project. I am a licensed Construction Supervisor. Building Permits will be applied for using my CSL#CS-096558 and my HIC#142279. Please find a copy of my licenses below. __u VC- Commonwealth of Massachusetts Construction Supervisor Division of Occupational Licensure I Unrestricted-Buildings of any use group which contain Board of Building R tr V I lations and Standards less than 35,000 cubic feet(991 cubic meters)of enclosed i Cony onwisor space. CS-096558 Qt4pirest 0310112024 TREVOR BR SS.. d o 10 GEORGE it ', GREENFIE , C i3. y4'nt Lvta)� Failure to possess a current edition of the Massachusetts Commissioner dill it c•Jc I State Building Code Is cause for revocation of this license. f"7,t0O+ati � f For Information about this license Call >I M or visit www.massgov/dpt THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer A * , Business Regulation Registration valid for individual use only before the T HOME IMPROVEy 8 CONTRACTOR expiration date. If found return to: TYP ;13iein'entCard Office of Consumer Affairs and Business Regulation Re.is r•:, ..-- piration 1000 Washington Street -Suite 710 '[a.r _f-Q3/23120?4 Boston,MA 02118 'ELLA PRODUCTS.It ate- .°. O 1. ,/ �'/fig , ,.. -REVOR BROSS t f 55 MAIN STREET . '•r( ,,.trr1: _- 3REENFIELD,MA 01301 Undersecretary Each Installation will be staffed by our installers who are all licensed in accordance with current building codes. Below listed are our installers and their license numbers.Please accept these individuals as my designees. Willard Brown CS106010 Vladimir Shevchuk CSSL099209 Scott Bowdish CSSL100232 Bill Leger CS89338 Christian Lambert CS065102 Robert Kairnes CS113305 Igor Kravchuk CS094911