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42-034 (4) BP-2024-0615 745 WESTHAMPTON RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 42-034-001 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-2024-0615 PERMISSION IS HEREBY GRANTED TO: Project# ROOF 2024 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 11450 MASS INC 115719 Const.Class: Exp.Date:04/30/2025 Use Group: Owner: TRUSTEE AYERS NANCY D 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: 05/16/2024 TO PERFORM THE FOLLOWING WORK: STRIP AND REROOF 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: //77...P Fees Paid: S40.0(1 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Buildine Commissioner The Commonwealth of Massachusetts M4 y 1 5 202 OltV�° rt:-.—. -,„ Board of Building Regulations and StandaLds Q M• Massachusetts State Building Code, 780 CNI �u U ICIYALI'I'Y USE Building Permit Application To Construct, Repair,Renovate Or'fYein �4sh N Revised Mar 2011 One- or Two-Family Dwelling °�� a " This Section For Official Use Only Building ermit Number: 6P- 3-el- 6j G6 Date Applied: cUl, �55 /i2 5- 16. zaz' Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Pr perty A dress• / 1.2 Assessors Map&Parcel Numbers 1.1a 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' 2.1 Owner'of Record: Nah out I eri r/Ore vl&C H iq 0/06 oil Name(Print)) City,State,ZIP 7115 iJ6c1,5 Tham p Svc 1q.ol / ,3 .S8"6. /3'73 No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building'll, Owner-Occupied I. Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units \. Other Specify: V.k v,)\O°-•s t S k 1\ \. Brief Description of Proposed Work2: roll rio/06e m i i New ,17- a_r-ic..4,4( SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ /// y 5- 0 I. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑Standard City/Town Application Fec ❑Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fe � � Check MA)I eck Amount. Cash Amount: 6. Total Project Cost: $ 7 / 0 Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Ca.S_ \'‘.5 1.1 6 U:)t . \C�Y]l1�O ) ���c(-)v License Number Expiration ate Name of CSL Holder List CU.Type(see below) U 10.) L�CC\fj J t2 No.and Street Type Description C "�� � � G �j\L`lU Unrestricted(Buildings up to 35,000 Cu. ft.) R Restricted l&2 Family Dwelling City/Town,S iP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances Q. )tAS°l'AS Q.zr1v.Al--So t,DNA.Aint)I L:AA,Iwt I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) `•��U —�c� �C�+flu` 1 1 7 W u, a HIC Registration Number Expiration Date HIC Company Name or�HIC Registrant Name `. \t\a LvS r\C )JA (d4+u^rrti.�r 5 n li�\lN.7rV:l:':c Nrtc�i. N .and Street _ (i_t x Yam& CAW'C�tI `3\���i�� 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 1\hu L.\ to act on my behalf,in all matters relative to work authorized by this building permit application. ( E'er C' e�-sue r /� " 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 licatiop is true and accurate to the best of my knowledge and understanding. //off Print er' o uthon Agortf's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/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 oft"A p'.D,� ,5..:'�' •r ��✓• " Massachusetts mow?• ►.- w: 41 DEPARTMENT OF BUILDING INSPECTIONS 2. `' ' 212 Main Street • Municipal Building I.!' /. oar.", _• Northampton, MA 01060 st',y 3,4� 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: (c.)c \cam \,6ci`1\c. 44qt, \-\syt ,A \\,-, t a, The debris will be transported by: Name of Hauler: VKi \r\: //ay Signature of Applicant: Date: ``/ City of Northampton -t&: :. 5 (jf-''' ''` ((' Massachusetts � 5� • F #. '" DEPARTMENT OF BUILDING INSPECTIONS Dt ' �v' wi''a + 212 Main Street • Municipal Building 1.1, °, � Northampton, MA 01060 sY•'''ir'jk - HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, Ma'1 J' er& (insert full legal name), born _ (insert month, day, year), ereby epose and state the following: 1. amhomeowners' requirements I seeking a building permit pursuant to the exemption to the permit 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 / day of 11' ,20a2II cin0 C'd h�. -zti e (St ature) c • • The Commonwealth of Massachusetts r- .y a Department of Industrial Accidents worms _;; _ I Congress Street, Suite 100 _ r'�—. Boston, MA 02114-2017 • •w• _t�.c' www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY, Applicant Information Please Print Leeiblv_ Name(Business/Organization/Individual): Window World of Western Mass Address:641 paniel Shays Hwy City/State/Zip: Belehertown MA b1007 Phone#: 413 485 7335 t - Are you an employer?Chock the appropriate box; 3 Type of project (required): 1.g l ant a employer with 50 employees(full and/or part-time).' 7. J New construction 2.01 am a sole proprietor or partnership and have no employees working for me in 1 8. ,,Remodeling any capacity.[No workers'comp.insurance required.] 1 9. Demolition 3.0 I am a homeowner doing all work myself.(No workers'comp.insurance required.] ' • 10 0 Building addition 4.❑1 am 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 arc sole 11.0Electrical repairs oraddilt, proprietors with no employees. 1 I 2.0 Plumbing repairs or uloltti , 5.0 tame general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Roof repairs These suh•contractors have employees and have workers'camp,insurance. i (:)(her Replacement L._ 6.C we are a corporation and its officers have exercised their right of exemption per MUL c. 152,§1(4),and we have no employees.[No workers'comp.insurance required.' 14. '"Any upplicantthat checks box 01 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contntctors must submit a new affidavit indicating-midi sContmetors that check this tax must attached an additional sheet showing the name or the sub-contractors and mule whether or ma those entities bu%r employees. If the subcontractors have employees,they must provide their workers'comp.policy number. I ant an employer.that is providing workers'compensation insurance for my employees. Below is the policy and fob site information. insurance Company Name: Indemnity Insurance Co.of North America - - Policy#or Scif-ins..Lic.#: C56098598 _ Expiration Date:10/01/2024 Job Site Address: '7 ham P /d City/State/Zip: Florence HI 0/06'0 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiratlott date). Failure to secure coverage its required under MGL e. 152,§25A is a criminal violation punishable by a fine up to$1.500•tN' and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up io$25(),(l() day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insuranex• coverage verification. einotiminorm.• -= I do hereby ce un er the pains a d penal 'es of pedury that the information provided above is true and correct. Signature: . �. Date: Phone#: 413 485.7335 . Official use only. Do not write in this area,to be completed by city or town official. • City or Town: Permit/License# __ __ Issuing Authority(circle one): I,Board ot:Nealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: __. -- — - — _ - DATE(MWDWYYYYI AC C.)Rt) a9nz/zaza CERTIFICATE OF LIABILITY INSURANCE Acct#: 2970777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. PHIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THI POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AII1 HORIZED 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 bn '1ndo1•sed 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 --- —t NAMF LOCKTON COMPANIES,LLC PHONE 3657 BRIARPARK DR.,SUITE 700 IA CN o,Exq.888-828-8365 I FAX No) HOUSTON,TX 77042 E-MAIL ADDRESS. I NSPERITYC E RTS®LOCKTONAFFINRY.0 O M _INSURER(S)AFFORDING COVERAGL NAIC It INSURER A:Ind.mnity In rance&AofNorthAmerica ^;•7•• INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. 641 DANIEL SHAYS HWY INSURERC:_ BELCHERTOWN,MA 01007.9529 INSURER D: INSURER E IINSURER 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 POLITY 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 II-Il 11-I-MS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR COMMERCIAL GENERAL LIABILITY O SUER POLICY EFF POLICY EXP INSR TYPE OF INSURANCE INS ADOL,MI1/D POLICY NUMBER (MMIDD/YYYY) (MMIDD7VYYY) UMITS _ EACH OCCURRENCE $ it DAMAGE TO RENTED CLAIMS- OCCUR PREMISES(Ea occurrence) S I MED EXP(Any one person) I$ PERSONAL&ADV INJURY I S GE_N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY (RO- [OC PRODUCTS-COMP/OP AGG $ IF(.T OTHER: $ - AUTOMOBILE LIABILITY CUMcINeU SALE LIMIT $ (Ea acdden0 ANY AUTO BODILY INJURY(Por person) $ OWNED AUTOS SCHEDULED BODILY INJURY(Por acddonl) S AUT _ -. HIRED NONOWNED PROPERTY DAMAGE $ _ AUTOS ONLY AUTOS ONLY (Per accident) S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE $ DEO RETENTION$ $ ___- _ _ W6 KERS MPENSATION v 1 PER 1 OTH- ANO EMPLOYERS'LIABILITY YEN. STATUTE I _ ER_ A ANYPROPRIETOR/PARTNERIEXECUTIVE OFFIGCR/MCMDER ExCLUDE07 _NIA x C58098598 10101/2023 10/01/2024 Et.EACH ACCIDENT $ 1,001),')00 (Mandatory In NH) - - -- If yes,describe under EL DISEASE-EA EMPLOYEE!$ 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION Z970777 Town fo Northampton Building Dept SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCEL(Et) 212 Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DFI P/ERED IN Northampton,MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. AJTIO9I1t[ RtPRESENIAIIVE ©1988-2016 ACORD CORPORATION. All rights.osnrve•1. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD WINDWOR-01 LAILRA A�OR� CERTIFICATE OF LIABILITY INSURANCE DATE(MM2'I)/YYYY) 4/9/2 124__.-- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEIt.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 r n iorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A stat•li lent on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). - ___- -- PRODUCER CONTACT Laura Misseri NAME: Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (A/C,No,Extj(413)594-5984 IA(c,�):(413)59'2•8499 Chicopee,MA 01013 _ADORES$,laura( phillipsinsurance.com INSURERS)AFFORDING COVERAGE NAIL t' INSURER A:EMCASCO Insurance Co 214'07 INSURED INSURER B:Employers Mutual Casualty_Company_ 21615 Window World Of Western Massachusetts Inc INSURERC: 641 Daniel Shays Highway INSURERD: 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"ERIOLI 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 TFII': TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF 1 POLICY EXP LTR TYPE OF INSURANCEPOLICY NUMBER LIMITS _ ____ INSD VIVO (MMlODIYYYYI (MM/OD/YYYY1 A X COMMERCIAL GENERAL LIABIUTY I000,0O0 EACH OCCURRENCE CLAIMS-MADE FX l OCCUR 6A44324 4/9/2024 I 4/9/2025 I DAMAGE To RENTED 500,000 PBF,MISES.(Ea 4a IrrsnES)_— $ MED EXP(Any ono pruso�_-- 10,000 PERSONAL$ADV INJURY..— $ I,000,00 GENT.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ '_,000,000 POLICY X I PRO- ' X I Loc ,-,000,000 JECT PRODUCTS•COMP/QP AGO $ OTHER $ _ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 (EaacEidonq_.__ -_._-._.. $._... ANY AUTO 6Z44324 4/9/2024 4/9/2025 BODILY INJURY.(Perperson)_. $ ',000,000 OWNED X SCHEDULED __ AUTOS ONLY AUTOS BODILY INJURY(Per eccideM� $ II MTV Ep I PROPERTY DAMAGE X AUT OS ONLY X. Al7TOS ONNLY kPer accident), $ B X UMBRELLA LIAB X OCCUR1,000,000 __- EACH OCCURRENCE 3 EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2024 4/9/2025 AGGREGATE _ __ 000,000 DED X[RETENTION$ 1I0,000 — WORKERS COMPENSATION i -• .� AND EMPLOYERS'LIABILITY YIN PER ._1 ER ..-...- ANY PROPRIETORIPARTNER/EXECUTIVE EL...EACH ACCIDENT $ pFICER/MEMBER EXCLUDED? N I A ( sndatory in 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 CANCELLED BEFORL Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVF RED IN p ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE d7,.i I,y.. ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All right': •eserved The ACORD name and logo are registered marks of ACORD • �++Milt l:ommonwCu Itit of Maauur.IrusCCt: D1v,Sion of I rorltHl Tonal Lit:UM:11M tiO:nrl Of tlnldinq Reljuhitiuns and S randaa.l:•. Constr ue:14ilti}p}rvisor r CS.I7571D ' i ;i., Liires:04t130J,I4r5 NiCHOL A! T DfiocT w • 'il;' •' 'I! 102OAKRIGGEcDRy.,.,,,..i.,/ ' .tiii itEICitEKTO114ff MA j01007, f .i �''` i.i'R'u: e+ ., :'A ,,., . .;'i Commissioner Ci p g „,..6.�� THE COMMONWEAL.FH OF 1.1ASSACHUSETTS Office of Consumer Attaits&Business.Regulation Registration valid for Individual use only hetni a Bic HOME IMPROVEMENT'CONTfACTOR eicpic Lion date. II found return to: TYPE:InJiiuc5ual olfice of Consumer Affairs and 19usinuau Uetl ltat"nn I3.cglsttalisan rlitl.sln 1000 Washington Street -Suite 710 201-[46 Q4i27I2c; ; Hoeton, MA 0211E NICHOL.AS D IOST ' .! is •—•.1 NIC-IOLAS DROST '. - !i J I ,1r' ' 102OAKRIDGE DRIVE f 4 r4,0,'rs ./.( 'r `j i •iIELCI1EN'OWN.MA 0100/.' r.�10+61� _/ < _.__.. Undersecretary Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS Oflico of Consumer Aft;urs&Bu,lnees Regulation Kopletratfon valid for IndIvleual use only notate the HOME IMPROVEMENT-CONTRACTOR expiration dMo. If found return to: TYPE:Cnporaawt ice orConsunler Affair,ant Business Regulation Roglstratlort Expiration 1000 Washing en Street -Suite T10 16M341 03t142021- Boston.MA 02118 WINDOW WORLD OF WES tERN MASSACI II ISE I T S.INC. TIMOTHY DROST 641 DANIEL SHAYS HWY :('•' r' ' "'"' BELOI RTOWN.MA 01007 . Undenteerettlfy Not valid without signature Window World of Western Massachusetts v.nwen, ��,,o,„,,a n o 641 Daniel Shays, Hwy, Belchertown, MA �V -�^•-. 01007 � �syZ ull(ll�f/ 975 North Road, Westfield, MA 01085 Window Office: (413)485-7335 CARE www.WindowWorldofWestern MA.com Nancy Ayers Phone: 4135861373 Install Address: 745 Westhampton Rd Florence, MA 01062 Contract Name: Nancy Ayers- Sales- Roofing Design Consultant: Tim Drost Measured By: Measure Approved Date: 4/15/2024 Status: Contract Payment Method: Cash Lender: Contract Type: Sales Comments: Product Description Txbl Qty Price Extension Permit& a T Administrative Permit&Administrative Fee N 1 $200.00 $200.00 Fee Setup and landfill Setup and landfill disposal fee N 1 S250.00 $250.00 disposal fee Remove all existing roofing and inspect decking. Re nail deck as needed. Install 8" drip edge on all edges. Install leak barrier on all eaves, roof to wall junctions and protrusions. Cover balance of roof with synthetic Pro Armour underlayment. Install specialty boots on all vent pipes. Start roof with specialty starter shingles. Roofing Install Owens Corning Duration SureNail Architectural Shingle with Platinum N 1 $11,000.00$11,000.00 Preferred Owens Corning lifetime (50 yr) architectural shingles. Install ridge vent on all ridges. Cap all hips and ridges with specialty hip and ridge shingles. Remove all job related debris from job site., left side addition and back shed only,ADD RIDGE VENT to SHED, re, center pergola on main , ROTTED SHEATHING IS ADDITIONAL Total Information Unit Total: 2 Subtotal: $11,450.00 Tax Rate: 0% Tax: $0.00 Total: $11,450.00 Amount Financed: $0.00 Payment Method: Cash Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $11,450.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: RRP Signed Date: Window World of Western Massachusetts wnwAm PI"Litt comrnnno ��/���� 641 Daniel ShaysOH y.Belchertown,MA "' 1007 975 North Road,Westfield,MA 01085 W Office:(413)485-7335 CARES) 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 01./l'eN• V CO2/e Secondary Homeowner Window World of Western Massachusetts fTf Pf5 641 Daniel Shays,Hwy.Belchertown, MA W u`�A`��"" 975 North Road,Westfield, MA 01085 ((Ui Office: (413)485-7335 wirr.: w CARE www.WindowworldofWesternMA.com 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 out Installer. An evaluation sheet will be provided for the Homeowner to sign after the final inspection is complete. Please make sure that any corrections have been made before the installer leaves the job site. When the job is complete,we ask that you pay the installer the remaining balance due on your contract. 10. METHOD OF PAYMENT: Our installers will accept your final payment in the form of check, money order,Wells Fargo financing,or visa/MasterCard/Discover Card authorization. As a courtesy and to ensure the safety of our installers; please DO NOT pay your final payment In Cash. 11. REFERRALS: Our goal is that you are pleased with the work we have done and will refer us to your friends and neighbors.You will receive a S50 referral fee for each person you refer who purchases 8 or more windows. Please have your referral mention your name when contacting our >r 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 Secondary Homeowner Design Consultant I:PA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure \\1A'of W. l a;sachusetts anticipates starting this work on and being substantially completed in days.Any deposit required in ialvancf• of!.he start of the work SHALL NOT exceed 33 1/3%of the total contract price OR the actual cost of any material or t iluipment,tt 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 p.oceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all parties. All uwme improvement contractors and subcontractors shall be registered. No work shall begin prior to the signing of the 4'mtrac t an l transmittal to the owner of a copy of such contract. WW of W. Massachusetts under provision of Chapter 142A of the c.'mera; l;tH; is required to apply for and obtain all construction-related permits.WW of W. Massachusetts shall not be deemed t+spon•.iblt for delays in the work described in this agreement caused by regulatory, permit granting agencies, authorities, or divtdudIs. Notice: If the PURCHASER(S)obtains his own construction related permits for the work described under this agreement deal,. wit 11 unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute,judgement and t onpdynter., the PURCHASER(S)will not be entitled to make a claim or collection from the guaranty fund established by chapter 12A, M.G.I.. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this I ransact.ioii. Notice of cancellation must be in writing postmarked no later than midnight of the following third business flay. its IS:\t a s IOM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western t Liss ie:l.uset s, Inc.under license from Window World, Inc.