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18C-113 (5) BP-2024-0395 186 JACKSON ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 18C-113-001 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-2024-0395 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2024 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 9300 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: C.JOHNSTON, ADIA 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: 04/05/2024 TO PERFORM THE FOLLOWING WORK: 13 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: 1/2' Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner \----FAEIVE-Irj- " \-- ) 1 pti - 4r024 \ ' The Commonwealth of Massachusetts n Board of Building Regulations and Standardst. R Massachusetts State BuildingCode, 780 Cl'IR eir of nuI o'No 1 1 i1U,-'u PAL" �� �` o :2�HA.^nP,,•, rs�n 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 Buildingj Permit umber:0 a- .19`' 3.9 Date Applied: !` ,Vi6> 1209 S /7. LI-5-7424 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 1.la Is this an accepted street?yes A' no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 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❑ SECTION 2: PROPERTY OWNERSHIP' 2. Owner'of ec rd: t1 ido Q� v1,5{�ii 4vor' havi4 pkv1 /1la oll�� Name(Print) City,State,ZIP l8 , 1c Cc5c 3/ yi3aim 9/-/(03 cjolriv1 r� gOOho/mctf`/. No.and Stye Telephone v Email Address Gwj4 SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building 1 1., Owner-Occupied '.. Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units 1.. Other Specify: Ne P )\OV a_t t IC it‘ k Brief Description of Proposed Work2: . /3 Nr rl o,olr✓5 reploa? Me I Mow Mote_r-Ir,2 I SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 9 2,00 I. Building Permit Fee: $ Indicate how fee is determined: I ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost; (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fe,s;vi ef A Check No.+j Check Amount. ti V Cash Amount: 6. Total Project Cost: $ q �'OJ 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C.S. -- k\�5 rl 11 V (3 A(..Sa , M.Q.-)•I'NO\tea- -t)c�.. License Number Expiration ate Name of CSL Holder List CSL Type(see below) 0 No.and Street J Type Description U Unrestricted(Buildings up to 35,000 Cu.ft.) ` 'o)'°C1N. - -SA\ o_ . © OC, \ R Restricted I&2 Family Dwelling City/Town,S IP x M Masonry t /� RC Roofing Covering • ((.• WS Window and Siding SF Solid Fuel Burning Appliances i1A6)LaS•1193S 4.zrN... `�c>J 10\ntli.a°'it_)Le,OrkSk ij,uA, I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) \,4 0 a HIC Registration Number Expiration Date' HIC Company Name or HIC Registrant Name (.o LA k - )Cks\.i. `.(Nrc,..`.b bJ`k cj oi!'ry,tyrS la2\rA..,43,,t"c, Ra`M�,ric .. 'i„ Ny,p�.and Street ` Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ®'`, No........... ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize ‘0...)\liAv Li,'1 `.k�tc\,,) , °),, to act on my behalf,in all matters relative to work authorized by this building permit application. Print Oer'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' this ap. icatii is true and accurate to the best of my knowledge and understanding. ,,---"" 2 /22 e02/./ Print O er' ‘Authori r 1-Ag Ti s 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. 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 THAMp �� �} Massachusetts :w.. 'C�; $ Y c it � , 4 DEPARTMENT OF BUILDING INSPECTIONS D' �' ,u i . t Y 212 Main Street • Municipal Building J b` Northampton, MA 01060 '' �e' CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: ��' )4, \ a 6Q ' _ � ` �c� 1 k��� t7 • ��� ,� ...1� ` `��` The debris will be transported by: Name of Hauler: \..0‘f\X« \A Signature of Applicant: ,, Date: `� M92 City of Northampton °%. nn row - f/ s Massachusetts � f, f �r * tr ,, 6 c.µ;w DEPARTMENT OF BUILDING INSPECTIONS y,. !' , ,, „,; 212 Main Street • Municipal Building '-. ;,F T*' Northampton, MA 01060 N' ;'o l I HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT , g �� /f"' j2A n,s%ofr) (insert full legal name), born g ) (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 11 0.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 �` day of ��r , 20±' (Si nature) c The Commonwealth of Massachusetts s Department of industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-20.17 • www.mass,govldia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE TIDED WITH THE PERMITTING AUTHORITY, Applicant Information Please Print Lettibly Window World of Western Mass Name(Business/Organization/Individual): __ Address:641 i,}aniel Shays Hwy Cityl, tote/ ip:Belchertown MA 01007 413 485 7335 AT^µ- Are yna an employer?Check the appropriate box; Type of protect(required): 1, y.lamaetrplvyerwith 50 employeis(full and/or part rirtwl.* 7, New construction1 2,01 am a sole proprietor or partnership and have no employees working for me in 8. 0 Remodeling any capacity.INo workers'comp.insurance required..] , i 3.0I am a homeowner doing all work myself,1No workers'comp,insurance required,] ' 9, 0 Demolition 1 ' s 10 Building addition P 4,0i ant a homeowner and will be hiring contractors to conduct all work on my property. I'will ensure that all contractors either have workers'compensation insurance or are sole i • 11.0 Electrical repairs or addili'ttl' I proprietors with no employees. . R ^- 1 12.( Plumbing repairs or additiow, 5.0 i am a general ccnttratctor and i have hir ed t he suh•conlractors listed on the attached sheet. These suh•contraelors have employees and have workers'comp,insurance. t ,{ 13, Itlto{'repairs • 14. (]otter Replacement 6.0 We are a:corporation and its officers have exercised their right or exemption per MOL e, -- ''^°"" ' 152,§I(4),and we have no employees,INo workers'comp.insurance required,) i w.. *Any applicant.that cheeks box#l.muat also rill out the section below showing their workers'compensation policy infarminion, q,Homeowner;s who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new arpdavit indicating such tContrttctors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those cutities NM: tnnphryees. if the,suh-eentraelors have employees,they must provide their workers'comp,policy number. I am an employerthat is providing workers'compensation insurance for my employees. Below is the policy and jolt site information, insurance Company Name: Indemnity Insurance Co,of North America • Policy#or Sclf-ins,.Lic,#: C5605ti598 Expiration l')ate:10lI]1/2024 Job Site Address: /ff(ojCrck ,SUvi c3[ City/State/Zip:/V')�r 1/0 iy1 J.y N' Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date),(9/a&t:7 Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by a fine up to$1.500.00 and/or one-yetir imprisonment,as well as civil penalties hi the form of as STOP WORK ORDER and a fine of up to$250,00+t day against.the violator.A copy of this statement may be forwarded to the Office of Investigations of the NA for insurance coverage verification. ,l do hereby cer a run .erthe pains d penal) 'es of perjury that the information provided above is'true and correct, � � Date; Si natur �� , ,� ,542/021./ .r�=� ,... Phone#: 413 485.7335 . ,M.. ,_. • I Official use only.'Do not write in this area,to he completed by city or town official. City or Town: : Permit/License#_,.,_„ Issuing Authority(circle one): 1,Board orHe&li.h 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector 6.Other ' Contact Person: _ _ _ ..�_. ....,,.,_,_,.M. ..........,_.. Phone#: ?. .,` _.. .. .. yF,Q t ae ra r.3._.. i,. C.-.,•y. �.Ca,,-.S 1a3. •,.-,m-' arw. .:C' mac. ,, . . ..,.._...._...,....m.••............. DATE(MMIODIYYYY) ACC)Kn 09122/2023 �--- CERTIFICATE OF LIABILITY INSURANCE ACCt#:2970777 _ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE. POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have 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: PHONE F 3657 BRIARPARK DR.,SUITE 700 (NC,No,Ext):888-8284365 AX (A/C,No) H USTON,TX 77042 E-MAIL ADDRESS: I N S P E RITYC E RTSQLOCKTONAF F I N rTY,C O M INSURESS)AFFORDING COVERAGE NAIC 0 ---- ---- - ______. INSURER INSURERA:IndemnItvJflrance Co.of North America__ 43575 INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. ----------- 641 DANIEL SHAYS HWY INSURERC: BEL HERTOWN,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 1HE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR -- - _ LTR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP -- - _ INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY --� EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS- OCCUR _PREMISES(Eaoccurrencel_. $ MED EXP(Any ono person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY RO- OC IFCT PRODUCTS-COMP/OP AGG $ OTHER: ---- ----. AUTOMOBILE LIABILITY (Eaecd entl GLE LIMIT $ (Ea acdden0 ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Par accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY (Per accident)— UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB - CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION V PER OTH- �� AND EMPLOYERS'LIABILITY Y/N. STATUTE I I ER_. A ANYPROPRIETOR/PARTNERIEXECUTIVE - OFFICER/MEMBER EXCLUDED? NIA E.L.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) X C56098598 10/01/2023 10/01/2024 If yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-EA EMPLOYEE $ 1,000,000 E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is nqutred)CERTIFICATE HOLDER HOLDER CANCELLATION ^! 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 -tom— ©1988-2016 ACORD CORPORATION. All rights reserved, ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD WINDWOR-01 URA .A RL3" CERTIFICATE OF LIABILITY INSURANCE DATDrYYY) 4/14/214/2023 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 Missed Phillips Insurance Agency,Inc. PHONE —— FAx 97 Center Street (A/c,No,E:t):(413)594-5984 (A/c,Ne):(413)592-8499 Chicopee,MA 01013 q Amiss:laura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIL# 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: e c ertown,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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYYI (MMIDDIYYYY) A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR 6Q44324 4/9/2023 4/9/2024 ---- AMG $OE Ra EoNccTuErDe nce_ $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL$ADV INJURY $ _ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 X POLICY L X]PRO- LX LOC.I $ 2,000,000 JECT PRODUCTS-COMP/OP AGG $ _ __. OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (Ea accident) ANY AUTO 6Z44324 4/9/2023 4/9/2024 BODILY INJURY(Perperson) _ $ OWNED AUTOS ONLY X SCHEDULED AUTOS BODILY INJURY�Per accident)_ $ X HIRED X NON-OWNED PROPERTY DAMAGE AUTOS ONLY _--__ AUTOS ONLY (Per accident) B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 1,000,000 EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2023 4/9/2024 AGGREGATE $ 1,000,000 DED X RETENTION$ 10,000 WORKERS COMPENSATION PER F� 1OTH- AND EMPLOYERS'LIABILITY Y/N STATUT __ E.B___..__._._._..... ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT_____-_�_„__ OFFICER/MEMBER EXCLUDED? N/A — -- -- --- (Mandatory in NH) E.L.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 CANCELLED BEFORE Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN P ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE �o lam" "kfr ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD . :4. ,^1,is.vne•Noirov. C UM MMIWOUItt41 of Ma SIO114;IYOSOtt% It DINCOPO of ProresalenaI Lie ensure '•••• Rea1•0 of No1,1011111 lia0fifittl ens and alma:led e. cistwilatlAyi rgtitr,,rvimr r - ''..., - 'F5t)piren:0413012025 4JOHIOLAS1 toriottit41 V1 : — 4 10 OAKRID f;•''''''''"i'•'',ti'', 47. ,'"q„ " 2: 618 DR u ilr tit.rfietcrotyli 0.444.ia' •' ;:!". . .';V ..,, :'.P 49 -,... Y ..;., 'ioolf,t4,,'.' Sli "w • Ns 1:4;',,1 ,,, ',;..,,,,I.,:,, /f.,,,,. ,,,.„., 4., 14.:',4 '11,,:!•''.. °,1,1.1r, Commissioner rA's112.7i 01 '.'..A.N.Li.to,„ • .. . ,.... _ ........................ THE COMMONWEALTH Oh MASSACHUSETTS ()Nice ol Consumer Allan's&Ruin .ss Regulation Registration'valid for Inffinrtrivall USO 0111 y Ifinfoi n•the HOME IMP ROVEMENT',CONTR ACTOR ,explratiori data. Il found,r,e1orn to Citirld :. ri'PE';,1•11' lual Mee 01 Consumnr Minas Cilild Li usinesa RegHlatilen 1000 Mil'aS11111gton Strent, -Sulfa 710 amitLttittion . Ettairatian BOStOO, MIA 02116 `41CHOLAS D1-101:3J T ,,, / NIC1-10LAS DROST ,;,, • 12' i 4, lei:/7 UI02 OAKRIGE DRIVE „ , f. ,1 e ,t...,•i r, ,l I ELCHEHTONN MA 06:0? —"-- Unidersacrotary Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Alfairs&Bus1ness Regulation ikauluirmiori valid far ladIvIdual use otaly bollard ihv HOME IMPROVIEMKNTCONTRACTOR aiadratiail data, If found return 14X TYPE:CCdpOlalio0 Office of COnStoneir Af(WM end IP,IGInifsS Re Lo.kli.itiq o BUtliltatiaD .EXIAMIfia 1000 Washington Strain ,Sono?le I60641,' . ,I.e.054412026 Boston,MA 0211K . . . .. WINDOW WORLD Cl WESTERN MASSACHUSETTS.INC. ,. . . .. . • TIMOTHY()ROST ,..'' • . ', ' ,. ,, ,. c.,k , 641 DANIEL SHAYS MVO". ' . . '1'44 i'' ‘• ''''l''"• • BELCHERTOWN,MA 01007 , •Undersetratary Not,vailici without signature t . .' f'!.,:itt ';'::, Best-in-Class Features: 1 a Q Welded,heavy-duty vinyl construction provides superior strength and durability. 5 0 High-density foam enhancement throughout the mainframe offers superior thermal protection. 10t , a SolarZone TG2TM and SolarZone TK2'" triple-pane insulating glass enhanced . . 0 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. Q A Duralitet'warm-edge spacer system further improves energy efficiency. Q The beveled exterior edge provides style and curb appeal to an already sleek 0 design. "' Q Recessed, opposing cam locks secure your window without interrupting sight lines 14r1 Q Heavy-duty weatherstripping and interlocking sashes help to keep weather and wind outside. 0 Balance channel covers ensure a polished look. Q Spring-loaded, push-button vent latches allow for overnight ventilation while giving you added peace of mind. , x 4 0 Full-length, integrated ergonomic lift rails provide convenient, easy operation. Bevel on bottom rail enhances grip. "ti 12.ter d 0 Metal reinforcement in the meeting rail enhances strength and protection against wind and weather. i( .}Recessed tilt latches can be released to tilt both top and bottom sashes into the ," *. home for easy cleaning. 0 Welded combination sill featuring a deflection leg offers rigid structure and a *`�' five-degree sloped sill that directs water away from the home and eliminates '- `• unsightly weep holes. 1 ` � nk , 0 An easily removable latching half screen gives you the freedom to let air in while ;,0 lit keeping pests out. Featuring Clarity'mesh,the screen allows you to focus on j" what's important the view. q'f4't 0 Detent clip keeps the top sash from drifting while an inverted-coil balance gi, system ensures both sashes will stay where you put them, no matter the position. W' .• Series consists of double-hung,double slider,casement, awning,picture, and architectural shape windows. . is Energy-Saving Glass Packages: Our SolarZonetM insulated glass packages help you save on heating and cooling costs while also keeping your home more comfortable. In warm weather, Trinle-pane(.4 and a fr),3rn•,r,mi- I SolarZone reduces solar heat gain, minimizes interior glare,and lowers inside glass mainframeresultsinsupr�ren l,'I ,al performance. 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. THERMALPERFORMANCE COMPARISON' 1 Window values are based on single-strength SolarZone TG2:Triple-pane,slim' •tong'I glass,standard 6000 Series offering.Values vary glass with two coatings of Low-I at.ton depending on grids and optional glass thicknesses enhancement,warns-edge soaa-s;;tem,and DOUBLE-HUNG upgrades(1/4"laminated,l/a"tampered.3/16" foam-enhanced mainframe decorative glass etc)ST and HP performance values solarZene TK2:Triple-pane,sins! ,tremill U-FACTOR SHGC are also available- glass with two coatings Of Law-I k!veto.' rxd,nLoneTG2 0.21 u.2b doubleslidingble on 6000 windowssonlyrlesdoub[e-hung and enhafoarnr�enharncd ralntrennsoncr �teni.:,nd i01(11lone 162 w/Gods 0.22 0.22 roam Cnh!nray,wnl:raanr slit,. ' rn.r•! i merle d into tile mainf row oft., ,,II II,so 'iuku'/_one TK2 0.17 025 providing lot rease<1IPrforw m, Window World of Western Massachusetts 641 Daniel Shays Hwy Belchertown, 'v1A, 01007 https://www.windowworldofwesternma.com/ Tel: (413)485-7335 I Fax:(413) 213-0559 westernmass@windowworld.com Quote No. Q307690 Quote Date:03/26/2024 QUOTE Adia Johnston Design Consultant:Grace Drost Address: Measured By: 186 Jackson St Northampton, MA 01060 Mobile(413)210-9463 Comments: Quote Exp Date:04/25/2024 Name Description Taxable Quantity Price Total Permit& Administrative Fee Permit &Administrative Fee False 1 $200.00 $200.00 (Actual Price) Setup and landfill disposal fee Setup and landfill disposal fee False 1 $0.00 $0.00 6000 Series DH Triple Pane 6000 Series DH Triple Pane (2 False 13 $700.00 $9,100.00 tempered) Unit Total 14 Subtotal $9,300.00 WINDOW REPLACEMENTS APPROVED 3/27/2024 Tax Rate 0% Chuck Gain Tax $0.00 Total $9,300.00 Amount Financed $0.00 Payment Method Deposit Amount _ $0.00 Balance Paid to Installer upon Completion $9,300.00 Renovation,Repair and Print Act(RRP)Compliance RRP Provided date: Year home built: RRP signed date: 1 Work Order Community Action Pioneer Valley Job Number:24-437W P.O.Box 1432 Work Order Date:3/21/2024 Greenfield,MA 01302 Ownership:Owner Phone:413-774-2310 Window World Auditor: Victor Almeida 641 Daniel Shays Highway Email: VAhneida(iP communityaction.us Belchertown MA 01007 Cell: 413-686-6314 Email:adrost@windowworid.com Phone:413-485-7335 Adia Johnston NGRID Electric $9,300.00 186 Jackson St UNKNOWN $250.00 Northampton Ma 01060-1650 Total $9,550.00 ajohnston40@hotmail.com UNKNOWN Repair/Health&Safety $0.00 Additional Contractor Instructions: Authorized Actual ',leasure Description Qty price Total Qty Total Comments Other t)thr•r 1 $250.00 $250.00 Disposal Fee Permit Building Permit 1 $200.00 S200.00 Window&Door Replacements Low E Triple-Pane t-'aloe 11.23+ 13 $700.00 S9,100.00 IHEATPUMPI Total $9,550.00 Page 1