Loading...
38D-049 (3) BP-2024-0932 33 WINTHROP ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 38D-049-001 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-2024-0932 PERMISSION IS HEREBY GRANTED TO: Project# WINDOW 2024 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 1319 MASS INC Const.Class: Exp.Date: Use Group: Owner: JEFFREY VOLLINGER, ELLEN& WICE, Lot Size (sq.ft.) WINDOW WORLD OF WESTERN MASSJEFFREY Zoning: URB Applicant: VOLLINGER, ELLEN &WICE, Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C56098598 BELCHERTOWN, MA 01007 9622 PARKWOOD DR BETHESDA, MD 20814 ISSUED ON: 07/30/2024 TO PERFORM THE FOLLOWING WORK: WINDOW REPLACEMENT 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/ ;-.----. Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner RECEIVED At, The Commonwealth of Massachpsett. J U L 2 3 2024 Tit Board of Building Regulations and$tand Ards FOR � Massachusetts State Building Code, 780�- F BUILDING INSPFCTIONS MUN USECIPAL,ITY NOf?THAMP?ON MA 01060 Building Permit Application To Construct, Repair,Renovate Or Dernulish a R1 via&I Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building P it Number: ,f;A) '//. 34)- Date Applied: e.i,.s,70,5 /7 Zq ZOO! Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: L 1.2 Assessors Map&Parcel Numbers 33 W�h4- hrop I 1.1a Is this an accepted street?yes 4' 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: Zone: Outside Flood Zone? _ Public 0 Private 0 Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Recprd: � 771�el(Pr�i i`I nt 114 Npr1 het ter► pivvi M 11 0i060 NSm ) City,State,ZIP 3-5 W,vithrop s� a0a4g4 'WI i ' lmwice i(, �t No.and Street Telephone Email' res� SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building' Owner-Occupied 1/1, Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units `, Other &✓Specify:V.k.,OCAti.ks tY k t'. Brief Description of Proposed Work2: , WI11J0 (A) rylaremeVI1- /Yc flf Melt,u—fur,L/ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ i '3 `CI 1. Building Permit Fee: $_ Indicate how fee is determined: 0 Standard City/Town Application Fee 2. Electrical - $ 0 Total Project Cost3(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees: $ /� Check No.!)1 I Check Amount (P Cash Amount: 6. Total Project Cost: $ I , 3 19 ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C9� �1\ r� C .s__ �V � 11� U .A i Off.. -) ,)'(.-e)u\.., License Number Expiation Date Name of CSL Holder List CSL Type(sec below) U l (I" Vi N A(3 4 1�\.1V No.and Street .' Type c� Description ` Q\�,' U Unrestricted(Buildings up to 35,000 Cu.ft.) C i ���� �, -1 R Restricted l&2 Family Dwelling City/Town,S , IP M Masonry i t-- RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances ��k3)k-arS-1"3)S QOYvy..vro uDvvc-).:-.1v'1,c,i.', -wk. I Insulation Telephone Email address D Demolition 5.2 Registered �Home Improvement Contractor(HIC) W n ( l)uz o-�c\ <<,t:�lc,° (�''�t . ;)t: ,.) HIC Registration Number Expiration Date' HIC Company�Name or HIC Registrant Niue 1 IL•L\k ?C�iV>Z� Slt LAS �`t V"-k r,tv (f 1�41l 1 c'.yt:�..:c 'rt` Is.C' 4. Ng.and( Street _ `�vr ^^��`/�p� (\ \( (�) C� \ Email address t3CKl°y\Li ,, �i)iC:�1 . 1 1 c c 1 \ `?1�lO5'1 S 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 l 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 )..)‘i\Mi.u,_\ q")(.-)V & to act on my behalf,in all matters relative to work authorized by this building permit application. il IC/ / y 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 i this ap t lieatioft is true and accurate to the best of my knowledge and understanding. Print er' o •uthort.i A Name(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(1-11C)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the l IIC 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 M»- a�-: Massachusetts a?a , l p w,4 , DEPARTMENT OF BUILDING INSPECTIONS v- ' CA ex�7 212 Main Street • Municipal Building yvb ' 't Northampton, MA 01060 �J6%h;'• k-v 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(t43c .\q,,\ The debris will be transported by: Name of Hauler: i\( c ` Signature of Applicant: Z/7 Date: City of Northampton /,%• `' (( =\ Massachusetts ty'/ �� ,� ( t DEPARTMENT OF BUILDING INSPECTIONS 7 . .9L.*.;):-. ,\�',."<_ r 212 Main Street • Municipal Building 9' tea` \ �' Northampton, MA 01060 454 ; �... HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT 1, je Ai' Ge (insert full legal name), born _ (insert month, day,year), ebyse 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 11().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 9 day of 20j 9 SOr C(`'YX.\--czt..< ) (Signature) The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia • Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Window World of Western Mass Name(Business/Organization/Individual): Address:641 paniel Shays Hwy City/State/Zip: Belchertown MA 01007 Phone#: 413 485 7335 Are you an employer?Cheek the appropriate box:• Type of project (required): 1. 1 am a employer with 50 employees(full and/or part-time).* 7. J New construction 2.DI am a sole etor or partnershipand have no employees workingfor me in❑ ProF'n P Y� 8. 0 Remodeling any capacity.[No workers'comp.insurance required. • 3.E3 1 am a homeowner doing all work myself.(No workers'camp.insurance required.] ' 9. 0 Demolition 's 1 10 0 Building addition 4,01 am a homeowner and will be hiring contractors to cx nduct all work on my property. 1 will i ensure that all contractors either have workers'compensation insurance or are sole i 1 1.0 Electrical repairs or add Ito ii proprietors with no employees. 12.[]Plumbing repairs or add tt,•n S.Q i tun a general contractor and I have hired the sub-contractors listed on the attached sheet. 13. Roof rcpni is These subcontractors have employees and have workers'comp.insurance. 14.r-Other Replacement 6. We are tccorpuration and its officers have exercised their right of exemption per MaL c. — —" 152,§I(4).and we have no employees.[No workers'comp•insurance required.) *Any applicant;that checks box#)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 contractors must submit a new affidavit indicating such Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and stale whether or not those entities ha'e employees. If the:tub-emtractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site in )rrnatlon, Insurance CompatiyName: Indemnity Insurance Co.of North America Policy#or Self-ins.Lic,#: C56098598 Expiration Date:0/01/2024 r(W lob Site Address: 3 3 14 t V) VI rO 0 .. T City/Statcfiip: NOr'i h Q' rn rc21i1 / AI �i06 Attach a copy of the workers'compensation per icy 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$+1,500 t l( and/or one-year imprisonment,as well as civil penalties in the form of rt STOP WORK ORDER and a fine of up to$2511.0it day against the violator.A copy of this statement may be forwarded to the Office of investigations of the IAA for insurunrr coverage verification. .1 do hereby cer un er the pains a d penal 'es of pedury that the information provided above is true and correct. laq Iq Signature; Date: 7 -- 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# ..w,- 1 Issuing Authority(circle one): - 1.Board or Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector• 6.Other Contact Person: _._ Phone#: DAli O IM:UD/YYYY) A -!J+'/� n9/2 212 0 2 3 [J CERTIFICATE OF LIABILITY INSURANCE Acct#: 2970777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed_ ' If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT LOCKTON COMPANIES,LLC NAME: PHONE 3657 BRIARPARK DR.,SUITE 700 INC,No,Ent):888-828-8365__ _ FAX Nn): HOUSTON,TX 77042 EMAIL ADDRESS. INSPERITYCERTS5i LOCKTONAFFINITY.COM -__ INSURER(S)AFFORDING COVERAGE NAIC H INSURER A:Indemnity Insurance Co.of North America 43375 INSURED INSURER B: I , WINDOW WORLD OF WESTERN MASSACHUSETTS INC. 641 DANIEL SHAYS HWY INSURERC: _ j • 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 POI ICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO W IICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL II i. IERMS. EXCLUSIONS AND CONDITIONS OF SUCH POUCIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSRPOLICY EFF POLICY LTR TYPE OF INSURANCE I!NM)lyVADITCUVD —_- POLICY NUMBER DAVIN1YYYY) (MMIDD/YrYYY) ---- LIMITS LT _ COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE I b CLAIMS n OCCUR PREMISES Ea occurrence) i s I MED EXP(Any one person) I$ _ __J _PERSONALS ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- I IOC —P RO DUCTS_COMP/OPAGGIF"T OTHER: S 11 S _1 AUTOMOBILE LIABILITY COMUINEU31NG1.ET1M1T $ III (Ee accident) ANY AUTO BODILY INJURY(Por person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ _. AUTOS ONLY AUTOS - HIRED NON-OWNED PROPERTY DAMAGE $ __ AUTOS ONLY AUTOS ONLY _ Per na:14one_ $ _ ^- UMBRELLA LAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE S DED RETENTION$ $ 2_ WORKERS�MPENSATION X rPM� -1 AND EMPLOYERS'LIABILITY Y:�L, 1. 1._ A IANYPROPRIETOR/PARTNERIEXECUTIVE E.L EACH ACCIDENT 000 :OFFICCR/MEMDER EXCLUDED') ,^NIA x C56098598 10/01/2023 10/01/2024 $ 1,000, (Mandatory in NH) __ ._. _ _._ _ If yes.describe under'DESCRIPTION OF OPERATIONS below E.L.DISEASE-EAEMPLOYEE $ 1,000,000 E.L.DISEASE-POLICY LIMIT $ 1 000,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES IACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION Z970777 Town to Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Building Dept 212 Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEL PARED IN Northampton,MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. AJIIORIZED REPRESENTATIVE �. ©1988-2016 ACORD CORPORATION. All rights Ioservo'l. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ----"-''".141 WINDWOR-01 _LAURA ACORL I DATE(MCI'D/YYYY) 40.----- CERTIFICATE OF LIABILITY INSURANCE 1 4/9/7024 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•rr:lorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A stalerrlent on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ PRODUCER ICSkeCT Laura Misseri ' NAM[:._-- Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (A/C,No,E:t)j413)594-5984 I(A/c,No►:(413)592 8499 Chicopee,MA 01013 mialifli@phillipiimiurance.com --_—INSURERS)AFFORDING COVERAGE NAIC N INSURER A:EMCASCO Insurance Co 21'107 INSURED INSURER B:Employers Mutual Casualty Company 21r'15 Window World Of Western Massachusetts Inc INSURER C:__ 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 POLII Y PERIOD 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 Till: IERMS. _EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. _ INSR TYPE OF INSURANCE ADDL SUBR POLICY E POLICY EXP LIMITS LTR B,tstL_Wvo POLICY NUMBER TPOLICY MMIDDIYYYY1 I(MMIDD/YYYY1 A X COMMERCIAL GENERAL LIABILITY 1,000,000 • EACH OCCURRENCE. __ $ _ CLAIMS-MADE l X1 OCCUR 6A44324 4/9/2024 4/9/2025 DAMAGE TO RENTED 500,000 PREMISES.(Eaogomnince)._. S.. .. MED EXP(Any one porson1_ $._ 10,000 PERSONAL SADV INJURY_ $ 1,000,000 GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE__. $ 2,000,000 X POLICY X LOC PRODUCTS_COMP/OP AGO_ S 2,000,000 OTHER: $ B COMBINED SINGLE LIMIT 1,000,000 AUTOMOBILE LIABILITY ._(EAOSOCcDt)-_ $ — ANY AUTO 6Z44324 4/9/2024 4/9/2025 Booty INJURY1Per person)_ $ 1,000'00(i OWNED XSCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ raE E $XATS ONLY .X_ AUOOOfiY nI).. _._. I $ B X UMBRELLA LIAB X OCCUR _EACH OCCURRENCE $ I,000,000 EXCESS LIAB CLAIMS-MADE 6.144324 4/912024 I 4/9/2025 AGGREGATE s ,000,000 DED I X I RETENTION S 10,000 ----ERI— -- $ ------.,_ OTH- WORKERS COMPENSATION AND EMPLOYERS'LIABILITY l,$TATUTE I L>R— IN ANY IPROtM IIETORWAR NERD?ECUINE Yn NIA E.L.EACH ACCIDENT_ $ (MtandatorylnNH) EL.DISEASE- A EMPLOYEE $ If yea,describe under DESCRIPTION OF OPERATIONS below EL.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space is required) CERTIFICATE HOLDER CANCELLATION _ . - _,__._ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED'IEFORI THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department __ — 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) CO1988-2015 ACORD CORPORATION. All rights I eserved. The ACORD name and logo are registered marks of ACORD • Commonwealth of Maauuchum:Hs Dwislon of Professional Licensor* dwarf of Building A guldtierrt,anal SlandgrtIS Cunstru tsf'Ail.p..rvir.nr `' r CS•115710 ;. r.11g' ++flu F.; afar.:0.4130011 5 NICHOL AS TJ7 • t 7. Ic"-- 102 OAKRIOGE Alt 4,1.�. ,( Rt7LCHER701:94 MA' j.1.•f .i i9K' .et •`• .r:.�•' ��♦Nam~ 1 ,, ,% .: Comme&sioner e.tve, I; ?e....Lk_ THE COMMONWEiAL;fH OF MASSACHUSETTS Ofticu al Consumer Affairs&Business Regulation Registration valid for Individual use only befot a tlw HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPEOitc.Jividual 011ice of Consumer Minks and flusinovs Regi tinti,ne 1109[&itHiiAtl €ispirsitcLi 1Ua10 Washington Street -Suite 710 201746 : 04177l20,i Roston, MA 02118 1ICHOLAS D 1OST ' VICHOLAS OROST r; i f a 't I IO2OAKRtDGE DRIVE • '• r:aG„^ d:,rG ,•'oa C0,4* �I� _� � � i 3ELCIiERYOWN.MA 0100c:.'. a. Uctdorsecrotai f Not valid without sion iture THE COMMONWEALTH OF MASSACHUSETTS Office of ConsurnorAlfeirs&Business Regulation Registration valid for Individual use only before Sti IIOME IMPROVEMENTCONTRACTOR expiration date. If tumid return to: TYPE:c..oiporasun Office or Cunaumur Atlairs and ISuslnoss RoyuIatlur. ROolstrattai EipIritlotn 1000 Washington Street •Suite 710 105641 .03(14/202G IJomton,MA 02118 so'/INDOW WORLD OF WESTERN MASSACHUSETTS.INC. TIMOTHY DROST ' • • .. h ►r. 641 DANIEL SHAYS HWY. t?LLC1IERTOWN,MA 01007 Jut1.1nibxsecretary Not valitt without signature I C •'e w. : W indow Hlart,ty Natth.W lMrst to NC 28659 40 DHVINrYLHo Gras Pe••1 lit LRwl{I H Cvw-RLl7CMArrettatn/.L,b-7 ItTralladi (1,r. miiioikArryaiasi:Anal.31.2 X 45 04,4714-1.614400a• ENERGY PERFORMANCE RATINGS U-Factor(U.S.I-P) Solar Heat Gain Coefficient 0.27 0.28 , ADDITIONAL PERFORMANCE RATINGS Visible Transmittance 1—Air Leakage(U.S.1-P) ' 0.51 <_ 0.3 ....,.t.,r s nw-np......-a.,„"..VAC a.fl#S yr.+...,•..al ti«re.•>.O WPC ti"a.Y.telye.'N Y.61..e rr a..es.w,:NHr'.r:.M✓+•W..r.r+" V►:Ya..4 *N'K l fi ner.eV eer1•,..tree r.g.. .'.0 rea•N.<M K Iw'-_w Ca .*.a'wee..r.-r7.lbit►>7M6Ml.6.r.*M ' ENERGY STAR.Certified w tls}hlrcsided Regard ' Ifrhkca5oP5,E MAGI S14511 tele'rcq.thc>rc laladaL tid � . ENCIOGY ST>1R , '.: .. 1 'n .w,v..1.....v.,..' t►fir .ai sasdr 1. Txa 101.5e..coAPP+cl+�'�!a oya-W/ M.lY a�p Ia I wear Pa Grade - +DP IA ) 6 0 1 A•PGW' 50J 55.1 S 4iotIct STC ITC , - Max rest Re Repent, 27.o 26.0 ? 38.00 X 60.00 me c'••4* )r. 208a0 t': Prrranls..6.c.a'«.•,c.1s✓o:w+crr rc•Nena-A,'P+gNr_taov--4, -ir owe a•7x r.w tat•.vts•r,„.pas a w Ntp Do ureic w.r.11w cif'aa� • ..AN"N'DVArg.•'J1 t( AM.ltl GNa a�7dtd*AVM Er Y:',y.YA 474' 1! C°741.ro2'tiar2..44 f°;•w7 �. "'vyinewYa+•p gt. Docusign Envelope ID:9170C905-183D-488D-A877-179EA2D026F7 Window World of Western Massachusetts ,,,,.AAn. 641 Daniel Shays, Hwy,Belchertown, MA li at do 01007 975 North Road,Westfield, MA 01085 W & Office: (413)485-7335 w'NI. w,,,, te CARE www.WindowWorldofWesternMA.com - Jeffrey Wice Install Address: 33 Winthrop St Northampton, MA 01060 Contract Name:Jeffrey Wice - Sales - Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 6/21/2024 Status: Quote Payment Method: Lender: Contract Type: Sales Comments: Product Description Txbl Qty Price Extension Permit&Administrative Fee Permit&Administrative Fee N 1 $200.00 $200.00 Setup and landfill disposal fee Setup and landfill disposal fee N 1 $50.00 S50.00 4000 Series DH Solarzone 4000 Series DH Solarzone N 1 $849.00 $849.00 Tempered Glass - Full Tempered Glass - Full N 1 $220.00 $220.00 Total Information Unit Total: 3 Subtotal: $1,319.00 Tax Rate: 0% Tax: $0.00 Total: $1,319.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $1,319.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: RRP Signed Date: Docusign Envelope ID:9170C905-183D-488D-A877-179EA2D026F7 Window World of Western Massachusetts 1 .rkn.Popc,RTcommnno 641 Daniel Shays,Hwy,Belchertown,MA �•� j 01007 •��� /1 / 975 North Road,Westfield,MA 01085 { Windt/4V l Office: (413)485-7335 WINDOW 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 UocuSipietl by: r_ , itzitti %a, -- ,. 79644D Secondary Homeowner Docusign Envelope ID:9170C905-183D-488D-A877-179EA2D026F7 Window World of Western Massachusetts ,,• p , 641 Daniel Shays,Hwy,Belchertown, MA ; W.._../_w 01007 c:; II��L�1 975 North Road,Westfield, MA 01085 Z&i Office: (413)485-7335 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. l his 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 oui 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 Docusign Envelope ID:9170C905-183D-488D-A877-179EA2D026F7 peen rnaoe oerore me installer leaves me joo sire. vvnen me joo 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 550 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—uocaS�Qro d by: Witt, Secondary Homeowner Design Consultant I.PA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure \VW of W. Massachusetts anticipates starting this work on and being substantially completed in days.Any deposit required in k,ttvance 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 c quipment i it a special order or custom-made nature, which must be ordered in advance of the start of the work to assure that the l,rojject will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all .:trties. All tune improvement contractors and subcontractors shall be registered. No work shall begin prior to the signing of the „ntract art transmittal to the owner of a copy of such contract. WW of W. Massachusetts under provision of Chapter 142A of the eneral law; is required to apply for and obtain all construction-related permits.WW of W. Massachusetts shall not be deemed :sponsibl.- for delays in the work described in this agreement caused by regulatory, permit granting agencies, authorities, or i iclividuals. Notice: If the PURCHASER(S) obtains his own construction related permits for the work described under this agreement i•deals wit t unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute,judgement and t onpaymeil ., the PURCHASER(S) will not be entitled to make a claim or collection from the guaranty fund established by chapter 1•E2A, M.G.I.. Thu the bu v4.r may cancel this transaction at any time prior to midnight of the third business day after the date of this I ransactioii. Notice of cancellation must be in writing postmarked no later than midnight of the following third business clay.. 1 I Hs IS A I.S fOM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western t lassachusett,, Inc.under license from Window World, Inc. •