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29-359 (6) BP-2024-0824 243 ACREBROOK DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-359-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2024-0824 PERMISSION IS HEREBY GRANTED TO: Project# SIDING/WINDOWS/DOORS Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 49495 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: STEPHANIE RAFTERY RICHARD& 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: 06/28/2024 TO PERFORM THE FOLLOWING WORK: REPLACEMENT SIDING, WINDOWS AND DOORS 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: 1.72_ Fees Paid: $100.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Buildinc Commissioner I RECEIVED ED j A The Commonwealth of Massachusetts JUN 2 6 2024 '',0): Board of Building Regulations and Stan4rds FOR Massachusetts State Building Code,780 MU ICIPALI'I'Y +' F aU1CD1NG USE I1JSP�CTIQ Building Permit Application To Construct, Repair,Renovate-Or'l ernolisli,a o 41evi,cd Mar 2011 One-or Two-Family Dwelling This — This Section For Official Use Only Building Permit Number: ' , 9' f.1-y_ Date Applied: • e „„ l 1 55 (o —Z7-Z0Zil wilding Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers a 13 Rc rt°br"oo(N b ,-- 1.1a Is this an accepted street?yes •V 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 I 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: -/Ore`1 R,'c 163rc( R,cff ortj 6e ti 0 0/06 a Name(Print) City,State,ZIP c 113 A c r�b rot , b r 07a$5ZI 7 /6 75 r.S, rn f I ry e_ yviar,1.ro.0 No.and Street Telephone EmaH'Addrt t SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building't Owner-Occupied 111... Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units t, Other Specify: VP-0(II<«t t li.:- t Brief Description of Proposed Work2: S 1 Oh'✓ij i X hl I.vl CI 6tnl 5 b r . 5E wr C r t vt r RA, otAi s — r1 ico r s rr--10 ace of e vt 1. /WA. it e_ -lrtt, _. SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 4gl Cj ?5-- 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: _ 5. Mechanical (Fire $ Suppression) Total All Fees:,$ 11 II 0 /,A Check No. ‘' Check Amount: Cash Amount: _ 6.Total Project Cost: $ J/91 `.t i 0 Paid in Full 0 Outstanding Balance Due: __ SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) a \V 041O\t?--.� —0 Z\-, License Number Expiration Date Name of CSL Holder List CSL Type(see below) k-) 10•l (`Icy �c�0 < ��\q e No.and Street <N Typc Description U Unrestricted(Buildings up to 35,000 cu.ft.) --- ---)(,A. c V., , c 1.-![ a Th'N � \ CA O.0 ` R Restricted 1&2 Family Dwelling City/Town,5�;,,,4 IP M Masonry RC Roofing Covering 4 . / �'. WS Window and Siding f SF Solid Fuel Burning Appliances 614k. Ll rJ.�'-)- 4.-,v- ..1-cz cat t LC4ji9k (,.vat. I Insulation _ Telephone Email address 1) Demolition— _ 5.2 Registeredl Home Improvement Contractor(HIC) V ��\,� 191.„� ��ic3 a"Ac� \�[+v-jt.04--1 1 01 Nil;.at r, , HIC Registration Number Expiration Date" HIC Company Name or HIC Registrant Name\ p 4�1 \\ )CL4t,Z \i\lC'� ‘� �t S�`t Vo_ir rn.,r�,e ti71\l�/'04,04.1:< J"t: �,'•:•vi N .and Street [ ` Email address tl r Vle.r- n,�:J:•t.�C(\(&_C Clll`� \-tk3)t{15`=11? 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 . 1117. 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 +\X�, uZ k..0c-e)k.�, to act on my behalf,in all matters relative to work authorized by this building permit application. 75.E c �, ) 1/$'I �/ Print 0er'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 icatio is true and accurate to the best of my knowledge and understanding. ./ Print er' 'orAuthorn Agen's N tame(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 l-lome Improvement Contractor(MC)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 halflbaths 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 ox�HAMpto _.-�I Massachusetts ��� -- k 41i; v :. DEPARTMENT OF BUILDING INSPECTIONS y , r. Ir'- '.r �' 212 Main Street • Municipal Building vti. �a * w' � Northampton, MA 01060 3'5frt, ')j'1' 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: 0(k.)e_ a \k\,(1%�AC le`ls `CN\C_,;, ` A \\\'' ! \ ;� ., . The debris will be transported by: Name of Hauler: 0\N , ova` \ C4-k C\.., Signature of Applicant: /�%� Date: City of Northampton 5..:.~.S 1" �=�, Massachusetts A.,,' S` .* �`''<< c. K, ( >, i. DEPARTMENT OF BUILDING INSPECTIONS 25 J r' a 212 Main Street • Municipal Building �Jti. D Northampton, MA 01060 ship-pjn�C HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, elG /)6rJ Rol ler- (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. 1 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 t 8/ day of JO 11 C , 20 `� SO I, C 9e-yr. > ) (Si ature) c The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston, MA 02114-2017 www mass.govIdia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Leliblv_ Name(Business/Organization/Individual): Window World of Western Mass Address:641 paniel Shays Hwy City/State/Zip: Belchertown MA 01007 Phone#: 413 485 7335 Are you nn employer?Check the appropriate box: Type of project(required): Le I ant a employer with 50 employees(full and/or part-time).* 7. New construction 2.CI 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 3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.) 9. Dernolition 10 0 Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure thin all contactors either have workers'compensation insurance or are sole 11.0 Electrical repairs or adcl i tie•n proprietors with no employees. I2.0Plunthing repairs or adtliii' 5.L"jl am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.0 Roof repairs These subcontractors have employees and have workers'comp,insurance. d 1 14.[other Replacement 6.0 We are a corporation and its officers have exercised their right of exemption per MOL e. 152,§I(4).and we have no employees.[No workers'comp.insurance rcquin d.1 ' *Any applicant that checks bun,Cl 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 contnaaors musi submit a new affidavit indecatinv•inch TContructors that cheek this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities hue e employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. =ierx• 1 am an employerthat 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 Self-ins..Llc.#: C56098598 _ Expiration Date:10/01/2024 ' Job Site Address: 02 i3 /iC)r city/State/Zip: F/o v-c I? if 4 10/(06 2 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration dote). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,S )0.(N) and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$2 O.01) day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the l)1A for insurance coverage verification. I do hereby ce un er the pains as d penal ' s of pedury that the information provided above is true and correct. Signature V/t Date; l" 1 c) phone#; 413 485.7335 _ 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 of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#:_. AA 11 ail DATE 'IF I)O YYYY) AC C)RI) 0'I,22(2073 �-- 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.n If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A st.Tt^ment on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT LOCKTON COMPANIES,LLC NAME: PHONE 3657 BRIARPARK DR.,SUITE 700 (NC.No.Ertl'888-828-8365 I FAX 3657 HOUSTON,TX 77042 E-MAIL ADDRESS: _INSPERITYCERTSOLOCKTONAFFINRY.COM _._INSURER(S)AFFORDING COVERAGE NAU:/r AMER A:IndemrltY In3UranceSro of.North America ^-''!', INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. —"- 641 DANIEL SHAYS HWY INSURER C: _ BELCHERTOWN,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. CER11FICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL 1111 1ERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILT R TYPE OF INSURANCE -_---" ADDL SUBRWD P POLICY NUMBER (Me DCY D/YYYY) (MWDO/YYYY) LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S DAMAGE'To RENTED CLAIMS- OCCUR PREMISES(Ea occurrence) S — MED EXP(Any non parson) S ,_, PERSONAL&ADV INJURY_ S GEM.AGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE S EL POLICY I I-RO. ID-ccPRODUCTS.COMP/OP AGG $ I IIFGT OTHER: S AUTOMOBILE LIABILITY COFtBINEDSINGI.E LIMIT '$ µ ._ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Pon accident)!$ __ AUTOS ONLY __ AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ __ AUTOS ONLY AUTOS ONLY _(Per accident) i$ - - —. ... .. UMBRELLA LIAB OCCUR .EACH OCCURRENCE I S EXCESS LAB I CLAIMS-MADE AGGREGATE I$ DED RETENTION$ $ WORKERS OMPENSATION r XI STATUTE I I OTH AND EMPLOYERS'LIABILITY Y,N_ - A IANYPROPRIETORIPARTNER)EXECUTIVE E.L.EACH ACCIDENT I(MandatoryInN EXCLUDED? $ 1,000 U00 In ER —N f A X C56098598 10/01/2023 10/01/2024 ' If yes,describe under ESCRIPTION OF OPERATIONS below E.L DISEASE•EA EMPLOYEE; : 1,000,000 E.L DISEASE-POLICY LIMIT I$ 1.000.100 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule,may be attached if morn space is required) CERTIFICATE 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 WII_I RE DEI IbERED IN Northampton,MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. _____ AUTHORIZED REPRESENTATIVE C — - -,ly 01988-2016 ACORD CORPORATION. All right /osnrve'f ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD .-....--.N WINDWOR-01 _ LIRA ,4corrr CERTIFICATE OF LIABILITY INSURANCE DATE(MnMDIVYVY) `� 1 4/9/2'F24_ THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEI:.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED (HY THE I'(•LICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTII('RI7-ED 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 stal•H.lant on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ _ PRODUCER CONTACT Laura Missed ,_NAME: ---- -- -. Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (A/C.No,Est):(413)594-5984 lac,Nol:(413) 59 A99 Chicopee,MA 01013 ""R"ES&:laura@phillIpslnsurance.com INSURER(S)AFFORDING COVERAGE NAIC a INSURER A:EMCASCO Insurance Co _ ,21"'l17 INSURED INSURER B:Employers Mutual Casualty-Company 2Ill15 i r 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 POLK Y 'EHI(Xl INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI II(:H THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI II: 'ERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. BIER ADM TYPE OF INSURANCE AD N M SUER POUCY NUMBER POUCYN EFF POUCY EXP LIMITS LTR SD D (MMD/YYYY1 IMYIDDIYYYYI A X COMMERCIAL GENERAL LIABILITY _EACH OCCURRENCE $ 1,000,000 J CLAIMS-MADE I X I OCCUR 6A44324 4/9/2024 4/9/2025 PREMISES(Ea.o iDAMAGE TO rrencu)._ S 500,000 10,000 MED EXP(Any ne pe±S°0)... $ PERSONAL BADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ ',MONO X1 POLICY I X T . X LOC PRODUCTS-COMP/OP AGG $ ',000,000 OTHER $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 , {Ea_accidont) 1,000,000 ANY AUTO 16Z44324 4/9/2024 4/9/2025 _BODILY INJURYSPer person) $ OWNED ' SCHEDULED AUTOSRREE�� ONLY X AUTOS BODILY INJURY(Per accident) $ X A1UTOS ONLY X ; NOS-OWNED PROPERTY�AMAGE $ (Psr S B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE 6J44324 419/2024 4/9/2025 AGGREGATE a 1,000,000 DED X RETENTION$ 10,000 _ — $ WORKERS COMPENSATION I PER I- `r I OR_. AND EMPLOYERS'LIABILITY --- ANY PROPRIETORlPARTNERrEXECUTIVE YINn -E.L EACN_ACCIDENT -- $ a1nClR/ory r1EXCLUDED? NIA _E.L_DISEASE-.EA EMPLOYEE S 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 le required) CERTIFICATE HOLDER CANCELLATION _____ ._ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED I:EFORE THE EXPIRATION DATE THEREOF, NOTICE WILL FIE DELI''F I:FD IN Town of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street - --_ -- --- Northampton,MA 01060 AUTHORIZED REPRESENTATIVE P )'(-' h��1 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All right.i :served. The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts, �l Division of Professional Licensors aatltrJ of tiulJdinn Regulations and rliandarde ConStvaudttff^rAaiippvimar iJ CS•115710 '' 4ras:04130J20 5 NJCHOLAB TjltipSl tiiF. ; r „ y"e 102 oAKRIDGE oetzliscroV�n�t �'t,J ,ref?J4 T'1ttit�, o Commissioner dateei' THE COMMONWEALTH OF RIASSACHUSETTS Office of Consumer Afinirs&Business Reputation Rogistfation valid for indivlcivaf uSconly ttefoi c tl u: HOME IMPROVEMENT CONTRACTOR expiration dale. It found return to: TYPE:lndio,iciuril Olficu of Consumer Afi:tirs and Uusinosrs Itcgi iIdt o.i L�r_Qlattxlioa gig/Y.0110n. 10130 Washington Street -SuHa 710 u� 201146 • 04F77+7425 Roston,MA 02118 VICHOLAJ U'i L,3 NICHOLA.S DROST Jrp, '11 102OAKRWI:7GE DRIVE r<<«7,.0rr�; Nr. .�� /_, �4'1 :iELC11ERTOWN.MA 01007 -1 e Undnrsocrnfary Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs 6 Business R0UulaUon NovlsIrauon valid for indivlUual use only Uolore tht HOME IMPROVEMENT CONTRACTOR expiration data. If tumid rokxn to: TYPE:Coiporatiun Office of Consumer Affairs and(Weirton.Rsyulotk ut Registration g p1ratlon 1000 W*51111 ton Street -Siete 2•10 I04641 03/14,202c Easton,MA 02118 WINDOW WORLD OF WESTERN MASSACIIUSEI`TS.INC. TIMOTHY DROST 641 DANIEL SHAYS t W1Y fJELCHEkT04'dN,MA 01007 —Ihulr�rse rt t:try Not valid without signature 1 4' -.t.., wino •�a, ow World ssacti - i'tSrn+si. 4. No•IA W�plSEorO.NC 1865D 4000 9 D tVINYL No Gripa - Drnal fit "t1.a1. __ A .44.47[t6.A.Yaa.r4)l.c4-1 i C L R T II' lNn i fi:t L) tUi`'C4W X10,Q,Arwpax q:Alvin:31 12 X 45 rF.A-ll••MS.:GO ENERGY PERFORMANCE RATINGS U-Factor(U.S.I P) Solar Heat Gain Coethtient 0.27 0.28 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Air Leakage(U.S.1.P) 0.51 5 0.3 •.t. . <..•p .,..•a�r...,..,m ....._ ..~ ~•. ..:•...• A.A. r'r 1 14e i.'r . a a.-..-..a L..•.w.,a«.r..n.-a,.to..r-•.r••r.+!.••,• •r.:'a-a-e .'<r1>...^.<a..•...ee..r.... .*.r.t,':w M•••4., ..A cr.-.-wnnAr•rr..b CO.."...,A'*-.%a -w' ..r Mt<. t XL RGY SIAR-CetiOcc m 1,0414.94ted ttl 0. Cr'val.abo Pao tItt.R6Y S[A!4 c a tai•cypeant.eiaa.dac kL.NIRli rSt::RjIl •? �J for be.4I..r..44 sgi44044p4/441 .DPtA O) pPi t Waur )' Pad Grade T 6 0 55 A•PG10' t pray STC;Oi1C Max'rev 5YXt 4htioSY 27.0 i 24.0 ) 36.00 X 60.00 +artet t..<t�na r•. 20840 r; c,.. Nsr.•pGq N Tr.c u.u0'•i ) p.,y,.nlf•.'•d.Ga'e.Y.tw{!".:%•1 Cry 9 aSW clp-q'ie ' .41,1.out.K:-<t',.X;4.!..,'V;Ci1L A;,„„-tlA$, mvA aGQ%nff:f Window World of Western Massachusetts ,.' n �come-nano Daniel Shays,Hwy, Belchertown, MA 01007 975 North Road,Westfield, MA 01085 /utaziti 1►�,p� Office: (413)485-7335 CARES ) www.WindowWorldofWosternMA.com Richard Raftery Phone: 2285471675 Install Address: 243 Acrebrook Dr Email: r.g.raftery@gmail.com Florence, MA 01062 Contract Name: Richard Raftery- Sales- Siding Design Consultant: Lanea Bushey Measured By: Measure Approved Date: 6/6/2024 Status: Contract Payment Method: Lender: Contract Type: Sales Comments: Product Description Txbl Qty Price Extension Permit&Administrative Fee Permit&Administrative Fee N 1 $300.00 $300.00 Setup and landfill disposal fee Setup and landfill disposal fee N 1 $500.00 $500.00 Siding Soffit and Fascia (NO Siding Soffit and Fascia (NO STRIPPING STRUCTURAL LAYER STRIPPING STRUCTURAL LAYER OF SIDING) - Limited Lifetime Warranty on product + 5 Years N 1 $16,828.00$16,828.00 OF SIDING) Labor-QUIET WILLOW D4 ALL AROUND - FB ALL AROUND- WHITE TRIM 5" Gutter& DuoPro 5" Gutters & DuoPro- white N 1 $3,180.00 $3,180.00 4000 Series DH Solarzone 4000 Series DH Solarzone Double Pane-white int/ext N 8 $899.00 $7,192.00 Tempered Glass- Full Tempered Glass- Full - Bathrooms N 1 $220.00 $220.00 Obscure Glass- Full Obscure Glass- Full - Bathroom N 1 $100.00 $100.00 6Ft. Patio Door-casing+capping DOUBLE PANE- CUT DOWN 5-6 Ft. Patio Door-OPENING/ADD HEADER-WHITE INT/EXT- HOMEOWNER TO N 1 $6,598.00 $6,598.00 casing+capping DOUBLE PANE GET ELECTRICIAN TO REMOVE ELECTRICAL/HEATERS Basement Slider- 1 panel (Min Basement Slider- 1 panel (Min 11.5") OR Fixed Unit N 5 $599.00 $2,995.00 11.5") OR Fixed Unit Dryer Vent Wall Dryer Vent Wall N 1 $225.00 $225.00 Entry Door, Casing + Capping FRONT Entry Door, Casing + Capping - 3lite Craftsman shaker N 1 $4,517.00 $4,517.00 pre-painted black int/ext-Venture hardware Black SIDE Entry Door, Casing + Capping - 1/2 lite 4block pre- Entry Door, Casing + Capping painted black/black- HOMEOWNER PROVIDING KEYLESS N 1 $3,990.00 $3,990.00 ENTRY HARDWARE (no warranty) FULL VIEW RETRACTABLE FULL VIEW RETRACTABLE STORM [MANUFACTURER STORM [MANUFACTURER WARRANTY ONLY-NO WINDOW WORLD WARRANTY- WARRANTY ONLY-NO WINDOW Manufacturer Defects: Limited Lifetime Frame, 5yr. Screen, N 2 $1,425.00 $2,850.00 WORLD WARRANTY] NEW ENTRY lyr. components]NEW ENTRY DOOR- RETRACTABLE BLACK W/ DOOR BLACK HARDWARE Total Information Unit Total: 24 Subtotal: $49,495.00 Tax Rate: 0% Tax: $0.00 Total: $49,495.00 Amn,,nf Finnnrcr!• Qn nn Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $49,495.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: RRP Signed Date: • Window World of Western Massachusetts (nTTRnO 641 Daniel Shays,Hwy,Belchertown, MA `i _ 01007 WOVAdind"/ 975 North Road,Westfield, MA 01085 Office:(413)485-7335 CARE www.WindowWorldofWesternMA.com Product Acknowledgements d 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 Secondary Homeowner Window World of Western Massachusetts ,,,..,,,,,,.a"L��r co,nn,gnu 641 Daniel Shays,Hwy, Belchertown, MAt 01007 975 North Road,Westfield, MA 01085 ValdOW [,l4 Office:(413)485-7335 WINDOW WORLD {{ www.WindowWorldofWesternMA.com CARE J 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 ift 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 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 $50 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 i /e/(/ /a47. Secondary Homeowner Design Consultant EPA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure WW of W. Massachusetts anticipates starling this work on and being substantially completed in days.Any deposit.requiJ c .I iit advance of the start of the work SHALL NOT exceed 33 1/3%of the total contract price OR the actual cost of any mate: or equipment of a special order or custom-made nature, which must be ordered in advance of the start of the work to assu r that.the project will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction parties. All home improvement contractors and subcontractors shall be registered. No work shall begin prior to the sigt,inq of the contract and transmittal to the owner of a copy of such contract. WW of W. Massachusetts under provision of Chapter l I 'A c>1 t he general laws is required to apply for and obtain all construction-related permits. WW of W. Massachusetts shall not be c e •med responsible for delays in the work described in this agreement caused by regulatory, permit granting agencies, authorit c 4,i individuals. Notice: if the PURCHASER(S)obtains his own construction related permits for the work described under tl r• acir.,emon; or deals with unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute, judgement t nonpayment, the PURCHASER(S)will not be entitled to make a claim or collection from the guaranty fund established I :h<r�ter 142A, M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the duo of this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following thud business day. THIS IS A CUSTOM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World i Western Massachusetts, Inc.under license from Window World, Inc.