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35-276 BP-2024-0820 78 WOODLAND DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 35-276-001 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-2024-0820 PERMISSION IS HEREBY GRANTED TO: Project# WINDOW/DOOR 2024 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 44870 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: J DELAMATER RONALD J & LINDA 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: 20 REPLACEMENT WINDOWS AND 1 DOOR 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: 17Z- Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner RECEIVED JUN 26 2024 • The Commonwealth of Massachusetts J Board of Building Regulations and StandarH.PT of BUILDING INSPECTIONS FOR Massachusetts State Building Code, 783 CMRNORTHANIf>TON.MA O10 t INICiPALl'fY USE Building Permit Application To Construct,Repair,Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling �T9his Section For Official Use Only Building Permit Number d�: )y� �v Date Applied: / 6-Z7"Z,Z9 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Pr0 erty Address: 1.2 Assessors Map&Parcel Numbers hfo,zt'/c h �Y 1.1a Is this an accepted street?yes .l; no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: — Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP 2.1 Owner' fRecord: .ov Id it Frio r - IO re v►Gr H iq 0,0 6 a Name(Print) City,State,ZIP 'y$ 4oc (cwtd ,_br k/3($7710( r c e(QfrviOtter&Gmct4`I.Co No.and Strcct Telephone Email Address(—) SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building'Eitl, Owner-Occupied ' 1,, Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units 1, Other Specify: a 'a it's Brief Description of Proposed Work2: 8Z7 W ndaw 5 a oat door '/aG (116) 0 ivew SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ L j 1 f 1. Building Permit Fee: $ Indicate how fee is determined: 2. Eloctrical $ ❑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�•++ t Check No. cR)D Check Amount: "1 Cash Amount:_,_ 6.Total Project Cost: $ 414870 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) \► Q\ }tl(-NO, ,�\ Yt ;A_, License Number Expiration Date Name of CSL Holder List CSL Type(sec below) ) k 0 C\cl_VI\,-%riV \ -x- \ 4 t — No.and Street ,'J Type Description U Unrestricted(Buildings up to 35,000 en.ft.) _ \�.--uA('i ti \- imk,i rI\ t\c\ \ 0 . `ACd~t R Restricted I&2 Family Dwelling City/Town,S 1, .iP . M Masonry � / 0 `,/" RC Roofing Covering __ ` ) WS Window and Siding — �- SF Solid Fuel Burning Appliances �_ � �'>)L1 `�1� � ce422cm..k o)to\A,.., Al 1�:�'+'4 ( . I Insulation Telephone Email address I) Demolition 5.2 Registered Home Improvement Contractor(HIC) \t,s>k;-;t c,'- \k et--1 I'"-ti -'____i;J. W\^c,k C1\ S \.:_ ),--Ac . IIIC Registration Number Expiration Date MC Company Name or IIIC Registrant Name (.0 LA \�(1 tit @_� S\(\C4�.i1/44> \�‘`l''\ 42Ii.t rvkav-`;. 0 ' tf'. p\,P4At", _:;, t• .6 1,,.:t 4!G,:;1 /$9.and Street Email address Q r�ir.Q �t-�sr), c 7�-v.,t'Yv�_ CACTI ` Vi 143 (-0,t..):- 'a:x 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 Ev- No 0 s 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 Wv.1\X•tN u1 ..k k0 k,c`, to act on my behalf,in all matters relative to work authorized by this building permit application. —. 1-e N'- (' r r-c- ‘.vY, e A- Print cr'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 itatio&l is true and accurate to the best of my knowledge and understanding. 6 /1' �2 V Print er' o Author A 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(i 11C)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.gqy/tIps 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 x ,i" ? ` Massachusetts -�`�'�. e. " ""'' 141 ft' DEPARTMENT OF BUILDING INSPECTIONS y v. _r r 212 Main Street • Municipal Building �,+,_ 4c. s,....'' Northampton, MA 01060 $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 Di 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: On—)Q \k)� �s,\f, . l`6\1e v \c ", ' \ \ L.‘, !. k ' The debris will be transported by: Name of Hauler: �0\t� . o ) \1C -- - t ////e47 d?" Signature of Applicant: `; '.-�'0 - '`� Date: k i'' pe ..f , ., City of Northampton 4:�'', '`r'Y A Massachusetts 4 F.: W: DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building 63 Northampton, MA 01060 / HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, IQC)) ef ryia 16)f (insert full legal name), born (insert month,da day, year), hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirement: 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'el(' nption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 1►l R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CM.R 110.R5.1,2: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which ther . is, or is intended to be, a one-or two-family dwelling, attached or detached structures accessory to su :h use and/or farm structures.A person who constructs more than one home in a two-year period shail not be considered a home owner. 4. 1 do not hold a valid Massachusetts construction supervision license and, except to the extent that I quaiifi/for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project r r work on my parcel, I am not engaged in construction supervision in connection with any project or work i►n olving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulate(' .'y 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 ►n 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 1 t day off �(.l , 20y (------100 4 YX.4 (Signature) The Commonwealth of Massachusetts —''" a Department of Industrial Accidents c_.,fit-= ;18y,:..,. ;, I Congress Street, Suite 100 • ,.., -4. Boston, MA 02114-2017 ?,,a i.,.t www mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/ktcctricians/I'luntbers. TO BE FILED WITH THE PERMITTING AUTHORITY. • Applicant Information Please Print Legibly ' Name(BusineseOrganixation/Individual): Window World of Western Mass Address:641 ganlel Shays Hwy �_._..... _._.....__._...._.__-- City/State/Zip:Belchertown MA 01007 • Phone#: 413 4"7335 iAreyou an employer?Ch O e appropriate box; 1• Type of project(requircrll; t 1,to.iama employer with employees ees(full undior V Y part-lima).'" 7. 0 New construction 2.E31 am a sole proprietor or partnership and have no employees working for me In 8. 0 Remodeling • my-capacity.[No workers'comp.Insurance required.] . y. D Demolition i 3.01 ens a homeowner doing all work myself.(No workers'comp.insurance required.] l• I 4,0 1 am a homeowner and will be hiring contractors to conduct all work on my property. t will 10 Building addition I ensure that ell contractors either have workers'con pensatlon insurance or arc sole 11.0 Electrical repairs rs or add it t proprietors wills no employees. 1 12.a Plumbing repairs or add I s,..r 5.ED lama general contractor and I have hired the sub-contractors listed on the attached sheet. t 11, Roof repairs The se © sub.contrncinrs have employees and have workers'comp.insurance Repleclament 6.0 We are a:corporation and its officers have exercised their right of exemption per MOL e. 14. ()thee, 152.*1(4).and we have no employees.[No workers'rs'comp.insurance required.] . "Any upplieanuhut-checks box#1.must also fill out the section below showing their workers'compensation policy information. i Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit it new affidavit indicutify Much 1Contrachxs that Cheek this box must attached an additismul sheet showing the name of the sub-contractors and state whether or not those entities hire employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. ra:meow I am an etnployer.that is providing workers'compensation insurance for my employees. Below is the policy and Job site information. Insurance-CompanyNatne: indemnity insurance Co.of North AmericaM.-w— 056098598 10/01/2024 Policy#or Seif-ins,:Lic,#: Expiration.Date:_ ___._.w_. .,_..,,„.. Job Site Address: 78 I-.ICod (Q iii c .0 k City/Stoic/zip: P./ 06e M 4 D/06 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to ii1.g00.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$2511.00 day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the 1.)IA for insurance coverage verification. I do hereby.cer un er the pains a penal es.of perjury that the information provided above is trip and correct. 6//i /o?ei Signature, Date; ---- phonc#: 413 485.7335 , __-.,___ Official use only.'Do not write in this area,to be completed by city or town official City or Town: 1 Permit/License#_ —.- -_- Issuing Authority(circle one): 1.Bard of:Negl$h 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector 6.Other Contact Person: �__. ___.__..._ .. Phone#:_.._.___-..____.--_ DATEIMMflONYYY) F y, 11'v/2I2e73 A � CERTIFICATE OF LIABILITY INSURANCE Acct#:2970777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOt DLR. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE ;'OLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), MITI-ORELEL' 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 br`t•Worried �I If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A Mtat^tnenl on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). — PRODUCER CONTACT LOCKTON COMPANIES,LLC PHON: 3657 BRIARPARK DR.,SUITE 700 (NCC,NE N,Ext):888-828-8365 I(A/C.FAX 3657 HOUSTON,TX 77042 EMAIL ADDRESS: INSPERITYCERTSQLOCKTONAFFRMTY.COM INSURERISI AFFORDING COVERAGE NAIL R _...___.._.__.1148URERA;�<(e(BlRhy Insurance Co_Oi.North America 43675 INSURED ... INSURERS:._ __. ., ..._._ WINDOW WORLD OF WESTERN MASSACHUSETTS INC. 641 DANIEL SHAYS HWY INSURERC_ I l BELCHERTOWN,MA 01007-9529 INSURER 0: INSURER E: INSURER F: __ _ COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: _ THIS IS TO CERTIFY THAT THE POUCIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLI PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH"IHI:. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL'1111 1E•RMS EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN AD ADMSUBRi .—_ .. -_ _- POLICY EFF POLICY EXP ... ....-.. TR TYPE OF INSURANCE INSD WVO POLICY NUMBER (MM/DD/YYYY) (MMIDDIYYYY) LIMITS COMMERCIAL GENERAL UABILITY EACH(x)(:URRENCE _ S CLAIMS- I (OCCUR pR ORe MJ EORENTED .._ $ S.ESlEe occurrence). MED EXP(Any nnn porson).. S PERSONAL 6 ADV INJURY_ 13 GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S I POLICY nO- llPRiFnT f FOC �I PRODUCTS•COMP/OP AGG 3 -OTHER: _ . .. _._._ S AUTOMOBILE LIABILITY - —COMINNED SINGLE LIMI r — 1F.a soddentl ANY AUTO BODILY INJURY(Par parson) $ OWNED SCHEDULED __. AUTOS ONLY -, AUTOS BODILY INJURY(Per etxidanl) f HIRED NON-OWNED PROPERTY DAMAGE $ —. AUTOS ONLY . AUTOS ONLY (Pet acdden0.. .._. 5 UMBRELLA LIAR OCCUR EACH OCCURRENCE f F EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION¢ - -- WSRKERS COMPENSATION X PEATUTE".1 _I ERH AND EMPLOYERS'LIABILITY Y(!L, - A ANYPROPRIETOR/PARTNER/EXECUTIVE (ffFICERAICUDER EXCLUDED? —NIA EL.EACH ACCIDENT = 1,0011,f/- (Mandatory In NH) X C56008598 10/01/2023 10/01/2024 If yes,describe under EL DISEASE-EAEMPLOYEE $ 1,0(10,^)00 DESCRIPTION OF OPERATIONS below .._.__...__ ..._ .. . .. E.L.DISEASE•POLICY LIMIT $ 1,000..100 r DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached ifmore space Is required) ! CERTIFICATE HOLDER CANCELLATION —._. _ -- 2970777 town to Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE /:ANCEI.LFI) ' Building Dept 212 Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILLBE MI 1.FRED IN Northampton,MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rlghh ,'es ervn I. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD WINDWOR-01 LAIIRA A�ORO CERTIFICATE OF LIABILITY INSURANCE r DATE(Mlri 2 4YY) 4I9i'' 4 _ .. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDI::I..THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE i'( I..ICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTI I( i2IZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provision,.or be r t 'orsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsemeni A stet I .ant 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. PHONEn/ o,Ezt413 594-5984 FAX No):(413)59 '• 499 97 Center Street p� 1 (..__�_ __._-.... Chicopee,MA 01013 nDRss:lauraaphillipsinsurance.t;.om INSURER(SI AFFORDINGCOYERAGE ._ ._ __ NAK:fi INSURER A:EMCASCO Insurance Co 2 A1)7 INSURED •INBURER-BSEmploye_rsMutual Casualty Company.. 2.^ 45 Window World Of Wostorn Massachusotts Inc iNsuREgc.;_. 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 THL:I'OLII Y 'ERIIHI INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI It.H'tt llS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLTI1 • 'ERM:i. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE 8Q.1 POLICY NUMBER AI YI EXP Ulan A X COMMERCIAL GENERAL LIABILITY 3,000A00 CLAIMS-MADE X OCCUR 6A44324 4/9/2024 4/9/2025 DAMAGE TO RENTED- 500,000 PREMISES(Eaoccurrence)._ $ _MED EX!(Any onn!Jenne)___ S 1U,11110 • _PRSO ENA_L RY R ADV INJU _ _ S 000,000 GEN1.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE_ GGATE S '0�'0� X lPOLICY LX i PEei [ X LOG PRODUCTS•COMP/OP.AGO. S OTHER. _ _ _ B COMBINED�p����;�, SINGLE LIMIT T I,000,000 AUTOMOBILE LIABILITY _(5a cCdent) .__. .___. $ ANY AUTO 6Z44324 4/9/2024 4/9/2025 .BODILY INJURY(Per peregoi $ .000,000 OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) 3 X-- ��� OµpyyN�p � ppfi�tt DAMAGE _ nGTOS ONLY X. AUTOS ONLY - M)_ ..• _ $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE- S 0011,000 EXCESS UAB CLAIMS-MADE 6J44324 4/9/2024 4/9/2025 Af3GREOATE S 000,000 DELI X RETENTIONS 10r000 _.__ 2- WORKERS COMPENSATION / S I SER 1 I I.ER_EMPLOYERS'LIABILITY Y/N TATt).• - �H-__. - ANY PROPRIETORIPARTNER/EXECUTIVE I N/A _E.L_EACHACCIDENT_ _.... S MFFICER41 rNlI :R EXCLUDED? andatory In NH) .E. Dis_ASE_EA EMPIQY€E $ If yes,desalbe under DESCRIPTION OF OPERATIONS below _ EL DISEASE•POLICY LIMIT ,_,� ._- .. DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace is required) CERTIFICATE HOLDER CANCELLATION -- - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLE+t .EFORE' THE EXPIRATION DATE THEREOF, NOTICF WILL HE DEU',1':ED IN Town of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE 1 vv ry, w.,,, ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All right ,solved. The ACORD name and logo are registered marks of ACORD Commonwealth at Ma ausralrtraottr. IOrvt01011 o1 Protutiplonnl Licmnrun e — ROM d of IStrladitio Saguia tla reel ion(1nrd9. Cans:11utt# 4a�ti$113Frvinrsr /1 CS•II571i :.-" Jjs/4 ,,,• 1•,xp,irrr.:C14i:IOJ".(11.45 NICHOLAS rpao y^ ar,.:.'!l �,1'•a, °1a IO2 oAKRIOtiE OR v;"� ✓F;l. ,;r.' i A,,, rWLctHEraotiyi J MA1,nioApr ,•; ,,, ;; , :• . , •fo, r Comrnissionor 6fdt8G /4 $'r „t • . .. TI•IE COMMONWEALTH OP MASSACHUSETTS Oaaico of Consumor Affairs&[fusinons Regulation Registration vnl'id for hndivitfu:ll use only ttofoi rt the HOME IMPROVEM EN?,GONJTf1ACTOR expiration date. N found return to: TY.1►Eiarr 0yiurtl. Office of Cotteurnor Atlrfrs and 0usinotrx Not'Anton, ,E ta2taal 1000 Washington Street -Suite 710 aq d •Ir,7gas Realise,MA 0211n NICHOLAS DfOST I'd It 4`�� ;aiNICHOLAS DROST -"`102OAKRIDGF.DRIVE` S, .- forG•'1 '64 „iaGG .'r; , ..,, ( J 1, r 3ELCHEHTOWN.MA U1007p,.t:,'. s .•• Undorsocrotarr, Not valid without stgnaturo THE COMt,AC<NV ALTlI OP MASSACI•Iuslsrrs Office of ConsumerAltafre,d Vuolnua6 Rollulatlon Regional/On wind tar Indlvldurrl uoe only aotors tM, HOME IMPRovf Mt; 1'r'GONTHAGTQIt exptratleo date. If found return to: TYPE:fiatpor.nlua Office of Cuneumar Aflalrr and iPuslnoss Ptoyfulndurr R4111111'atlo 1. ''., Eallrstlon 1000 Washfnlltolt&drool •Suds 710 16:i641':. si 03/1 412 0 2i, Boston,MA 02110 WINDOW WORLD OF VdES1ERN MAMACI Ill:it.I IS,INC. TIMOTHY DRO T .' . ..... •• �a 4. 641 DANIEL SHAYS HWY ..»1 ' �` "`4" '�- -- ©ELCttERTOwN.MA 01007 Not valid without signature i Best-in-Class Features: 1 2 0 Welded,heavy-duty vinyl construction provides superior strength and durability. s 0 High-density foam enhancement throughout the mainframe offers superior ,i�+ : thermal protection. f J . 6 i 0 SolarZone TG2''and SolarZone TK2'" triple-pane insulating glass enhanced ; ►"'r!,,, 1t 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. 01 0 A Duralite"warm-edge spacer system further improves energy efficiency. 0 The beveled exterior edge provides style and curb appeal to an already sleek 0 design. 0 Recessed, opposing cam locks secure your window without interrupting sight 3 • lines. 0 Heavy-duty weatherstripping and interlocking sashes help to keep weather and l0 3 i wind outside. 1 0 Balance channel covers ensure a polished look. 0 Spring-loaded, push-button vent latches allow for overnight ventilation while a giving you added peace of mind. a 6'' 0 Full-length, integrated ergonomic lift rails provide convenient, easy operation, t Bevel on bottom rail enhances grip. 12._,.1 rm� 0 Metal reinforcement in the meeting rail enhances strength and protection against wind and weather. 0 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. < 0 An easily removable latching half screen gives you the freedom to let air in while keeping pests out. Featuring Clarity"mesh,the screen allows you to focus on / 7 what's important: the view. 0 Detent clip keeps the top sash from drifting while an inverted-coil balance system ensures both sashes will stay where you put them, no matter the . `' position. 0 ' , 0 Series consists of double-hung,double slider,casement,awning, picture,and architectural shape windows. , .r 1s Energy-Saving Glass Packages: Our SolarZone'" insulated glass packages help you save on heating and cooling costs while also keeping your home more comfortable. In warm weather, Triple-pane glass and afaim-rrh.1: SolarZone reduces solar heat gain, minimizes interior glare,and lowers inside glass pemar inframere lormence- sults in superior therm it 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. 1 Window values are based an single-strength SolarZone TG2:Tdple•pane,sings—',enrol. THERMAL PERFORMANCE COMPARISON' glass,standard 6000 Serifs offering.Valuesvary °lass with two coatings ofLow•r sr on dperving at grids and optional glass thea ter:Sea enhancement,warm•edge space sy stem,asp DOUBLE-HUNG upgrades(Va-laminated.va-tempered,VW foam-enhancodmainframe decorative glass etc)St and HP performance values Solarzane TK2 Triple-pan..sing•-'t rengtt U-FACTOR UGC an aboa a•• glass with two coatings of low-L kr.don 2 TK2 Is available on 6000 series double-I-mg and enhancemerd,wamt-edge space sy tem.aid Sd srZone 702 021 025 double sliding windows only. toam•enhanced mainframe Foam Enhancement.roam what e<.ant n SolarZone 702 w/Golds 0.22 O� 'seeded Into the mainframe of th v.iridow. SOWZone 7K2 0.17 025 providing increased performane. Window World of Western Massachusetts 641 Daniel Shays,Hwy,Belchertown,MA 01007`�� 975 North Road,Westfield,MA 01085WINooKV )RLD/�VatdOW 61,6(� Office:(413)485-7335 CAF ES I www.WindowWorldofWesternMA.com Ronald Delamater Phone: 4136877106 Install Address: 78 Woodland Dr Email: rjdelamater@gmail.com Florence, MA 01062 Contract Name: Ronald Delamater-Sales-Windows Design Consultant:Tim Drost Measured By: Measure Approved Date: 5/31/2024 Status: Contract Payment Method: Lender: Contract Type: Sales Comments: Tim Drost 413 636 5329 Product Description TxblQty Price Extens on Permit&Administrative Fee Permit&Administrative Fee N 1 $200.00 $200.00 Setup and landfill disposal fee Setup and landfill disposal fee N 1 $750.00 $750.00 6000 Double Hung Triple 6000 Double Hung Triple Pane-New Construction 3 INCH TRIM , Pane New Construction remove siding from right side garage , replace back house where grill N 19 $1,499.00$28,481 00 melted siding Install Interior Casing Install Interior Casing N 20 $295.00 $5,900.00 Tempered Glass- Full Tempered Glass-Full N 2 $250.00 $500.00 Colonial Grids Colonial Grids(Contoured) N 20 $93.00 $1.860.00 (Contoured) 5-6 Ft. Patio Door- casing+capping TRIPLE 6 Ft. Patio Door-casing+capping TRIPLE PANE right N 1 $4,980.00 $4.980 00 PANE Patio Door Grids (both Patio Door Grids (both panels) N 1 $300.00 $300.00 panels) 6000 2 Lite Slider Triple 6000 2 Lite Slider Triple Pane-New Construction N 1 $1,899.00 $1,899.00 Pane- New Construction Garage Door Wrap Garage Door Wrap (No charge per Tim) N 1 $0.00 $0.00 Total Information Unit Total: 65 Subtotal: S.14,870.00 Tax Rate: 0% Tax: $0.00 Total: 5,14,870.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: 5.14,870.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: :a;ea pau6i5 &IV Window World of Western Massachusetts Vf rananc a� "'commnno 641 Daniel Shays,Hwy, Belchertown,MA 01007 l 975 North Road,Westfield,MA 01085 Jut_doiii � Office:(413)485-7335 wWDOV.0 >'-'— t www.WindowWoridotWestemMA.com CAF ES 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 Home ner Secondary Homeowner Window World of Western Massachusetts writ:awnsPI"Tcommnno ,��,//,� 641 Daniel Shays, Hwy,Belchertown, MAA�tj GILIiow 01007 Dp 975 North Road,Westfield,MA 01085 ()lidOffice (413)485-7335 WINCDOW WORLD w WindowWorldofWesternMA.com RE ww. Preparing for Your New Windows and Doors Thank yo: Ir choosing Window World to complete your home improvement project.This letter is designed to simplify your upcoming installation expenenc, :%y 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 rneas ement and your job exiting the Massachusetts State three day rescission period.A Window World associate will contact you shortly after your .y oducts have arrived to schedule the installation. Please note that we will make every effort to install your products within a reasonable time after :hey have arrived, but weather(rain,snow, high winds and extreme cold), high volume sales periods or other conditions (factory productior relays, factory closure for holidays, shipping delays. etc.) beyond our control may govern the installation date. Homeowner understarYis 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,snsfy our customers and ensures that the windows or materials are installed in the correct openings.Customer must sign off on completion, ertificate and leave final payment with installer if he/she wishes to leave the job site prior to completion.Customer understands that by not beiiic: 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,'el mite or other hidden damages,etc.), the installer will promptly notify the Homeowner as well as the Window World office of the problem..'ny additional work that is required to properly complete the job will be discussed with the Homeowner and billed on a time and materials!uo:sis. In the event we have received the incorrect or damaged window for your job(due to an incorrect measurement or factory error), Window W)rid will reorder the proper window and will schedule the installation as soon as possible. Window World expects payment on the work completed tr)date at the time of installation that is not affected by warranty issues. 4.WHAT'fOU 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 isk 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 replt ced. • Secure<rn•,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 re_unnection 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 he 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 w n.lows and reused after the new windows are installed. Please note that the paint or stain on the trim/moldings may get chipped and would nee I ro be tr.;,iched 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. n 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:he area(s) where the wood "stops" and/or storm windows were removed will need to be patched and painted by the Homeowner unless the exteri.r 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 beer.made before the installer leaves the job site.When the job is complete,we ask that you pay the installer the remaining balance :l on /our 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 p.ry rneni 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 r:'ceive a $50 referral fee for each person you refer who purchases 8 or more windows. Please have your referral mention your name when cont ling our office. We trust that your remodeling experience will be a pleasant one. If for some reason you are not completely satisfied, please contact or.r office. Your comments are welcomed and will be used to better serve you. Thank you for your business! Primary Homeowner V0Y Secondary Homeowner Design Consultant 1 EPA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure WW of W. Massachusetts anticipates starting this work on and being substantially completed in days. Any deposit required: advance of the start of the work SHALL NOT exceed 33 1/3%of the total contract price OR the actual cost of any material or equipment of a special order or custom-made nature,which must be ordered in advance of the start of the work to assure i i•at the project will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of . 11 parties.All home improvement contractors and subcontractors shall be registered. No work shall begin prior to the signin•t of the contract and transmittal to the owner of a copy of such contract.WW of W. Massachusetts under provision of Chapter 142.E of the general laws is required to apply for and obtain all construction-related permits.WW of W. Massachusetts shall not be deen •;cl responsible for delays in the work described in this agreement caused by regulatory, permit granting agencies, authorities. rr individuals. Notice: If the PURCHASER(S)obtains his own construction related permits for the work described under this -r.Ireernent or deals with unregistered contractors, the PURCHASER(S)is hereby advised that in the event of a dispute,judgement an,i nonpayment,the PURCHASER(S)will not be entitled to make a claim or collection from the guaranty fund established by :l ,ipter 142A. M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date ,f this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following third Business day. THIS IS A CUSTOM ORDER NOT FOR RESALE This Window World®Franchise is independently owned and operated by Window World of .% stem Massachusetts,Inc.under license from Window World,Inc.