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29-291 (6) BP-2024-1 110 297 ACREBROOK DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-291-001 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-2024-1110 PERMISSION IS HEREBY GRANTED TO: Projcct# ROOF 2024 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 14177 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: KATHLEEN MALYNOSKI GREGORY A& 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: 08/29/2024 TO PERFORM THE FOLLOWING WORK: STRIP AND REROOF POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Final: Heal: 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: Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner chi 9GG „ The Commonwealth of Massachuse' 09T o <90<, Board of Building Regulations and Standar..4440,,,0 F R • 1 Massachusetts State Building Code, 780 CMR °ti sA� UN USE Ll"I'Y ." ' q C Building Permit Application To Construct, Repair, Renovate Or Den ?sy s R ised Mar 2011 One-or Two-Family Dwelling Thie c' tion For Official Use Only Building Permit Number: V,d iT,`0—1 Date Applied: :uilding Official(Print Name) Si ature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers aq 17 Mr br 1.1 a Is this an accepted street?yes .1' 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 OWNERSHIP1 2.1 Owner'of Record: 6 rtur,r 4 (a111Ieetrl Mali, ylo�i,,,' F-/0 ✓?Cc 1'1 14 0/0Ca Name,(Print),-) I City,State,ZIP . /, 02Ci r1 I 0&bc� br 413 58'6 43l''Id► C Iqv v5L 41 0 ►0t.f C�vXcf No.and Street Telephone `J mail Address 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 1. Other Specify: V. )u a e k t s lc'V% ‘, Brief Description of Proposed Work2: r00f rti i or ceyr,eri k SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ I li I ) 7 1. Building Permit Fee: $ indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost3 (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Total All Fees: No`�tICheck Amouj.JUO Cash Amount: 6.Total Project Cost: $ /L/ / 7 7 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C.S_ 11 h Ex 3o etl4;\a� ��t— . License Number ExpirationDate Name of CSL Holder 10.. _ CKi c� a �.�--\J e List CSI,Type(see below) U No.and Street {, Type Description mot-{ U Unrestricted(Buildings up to 35,000 cu.ft.) � Cok t�Q e' t_v1 `c\ft G . 0V � l R Restricted ldt2 Family Dwelling City/To ,S I, M Masonry i RC Roofing Covering WS Window and Siding r \ SF Solid Fuel Burning Appliances ` 13)kA�`'J`l `S 4•�Yvv..� t�)\.n.ttUyt)1410-AA (..T.A 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) W\i>tJ.0 u� frA \c,+ l.t.>'.-1 l i�►'",) 1'' i,� ,. HIC Registration Number Expiration Date HIC Company Name or MC Registrant N me ial 11 ---')c1tiv.R Q Sic s..1S �-‘ vi„r��....:.. i.�\r�.iel.O,..:c-it`•.ti g and Street Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes EV. 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 W‘trM1 u.\ it`'1--N),J to act on my behalf,in all matters relative to work authorized by this building permit application. i.e._ . C ry-c-1 , ) %1 a,o laV Print Oer's Name(Electronic Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained i this ap icatin is true and accurate to the best of my knowledge and understanding. Lam, 0020/aV Print er' Authort'AgoaPs Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,fmished basement/attics,decks or porch) Gross living area(sq. (t.) 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" rA City of Northampton �. Massachusetts 4? d'• .� ��' kt DEPARTMENT OF BUILDING INSPECTIONS `e, (k t ' + I 212 Main Street • Municipal Building Jti a Northampton, MA 01060 Jr 3%A‘ 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(t \a \O `cN\ci\, �,) \�, The debris will be transported by: Name of Hauler: f\A. 0\AI \ \c /a y Signature of Applicant: Date: City of Northampton "r ; . Massachusetts 4.,?,:. ,.. < O4 ( u;A 7 DEPARTMENT OF BUILDING INSPECTIONS �( , r A r"w ,9V/ 212 Main Street • Municipal Building y�3�•. �a� ' �L r Northampton, MA 01060 <° HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT 1, G r u 4- }'at h Ice if( Ha 110 OS kA (insert full legal name), born (insert month, day, year), rebpose and state the following: v 1. 1 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 willil act as the supervisor for said project or work. Signed under the pains and penalties of perjury on this O" day of P G6v.A.5 T ,20 Y (9oo �-C4 Cyr% ri.13, ( ature) The Commonwealth of Massachusetts `mammon. Department of Industrial Accidents 1 Congress Street, Suite 100 • 144 " Boston, MA 02114-2017 >"-at_1,,, www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly • Name(Business/Organization/Individual): Window World of Western Mass Address:641 ()ante!Shays Hwy City/State/Zip:Belchertown MA 01007 Phone#: 413 485 7335 t Are you an employer?Check the appropriate box:• i Type of project I required): h.10 l am a employer with 50 employees(full and/or part-lime).* 7. : l New construction 2.01 am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required..) 3.0 1 ant a homeowner doing all work myself.INo workers'comp.insurance required.] + 9 Demolition 10 0 Building addition I 4.01 am a homeowner and will be hiring contractors to conduct all work on my property, t will ensure that all ontI8ctors either hove workers'compensation insurance or arc ante t II.0Electrical rcpai is or add iii proprietors with no employees. 12.Q Plumbing repairs or addnt•,I 5.01 ant a general contractor and I have hired the subcontractors listed on the attached sheet. 13.f-i Roof repairs These subcontractors have employees and have workers'comp.insurance, • l..J • I4.2Other Replacement 6•0 we are r corporation and its officers have exercised their right of exemption per Mal,c. — —" 152.*1(4).and we have no employees.[No workers'comp.insurance required.) *Any applicant,that checks box Ml must also fill out the section below showing their workers'compensation policy information. a Mona:owners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit it new affidavit indicating such 1Contraetora that check this box trust attached an additional sheet showing the name of the sub-contractors and slate whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'cornpensation insurance for my employees. Below is the policy and job site information. Insurance CompanyName: Indemnity insurance Co.of North America Policy#or Sell-ins,.Lic.#: C56098598 Expiration Date 10/01/2024 Job Site Address: o2 I Oc ( broo( -`J ✓ City/State/Zip: ri 0 rC C/ ,,, 19 0/O62 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to sexlure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine()I'up to$25I,0(10 day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA 1'or insurance coverage verification. 1 do hereby ce un er the pains a d penal es of perjury that the information provided above is true and correct. •Signature: " V/LI Date; Phone#; 413 485.7335 • Official use-only. Do not write in this area,to be completed by city or town official. ( City or Town: Permit/License# Issuing Authority(circle one): 1.Board oC Nealllh 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing inspector 6.Other Contact Person: �___ Phone#:_._� __- -� DATE(r1M/DDIYYYY) M1: 09/72/2023 A`O ?� 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 NAME LOCKTON COMPANIES,LLC PHONE FAX 3657 BRIARPARK DR.,SUITE 700 (A C.No,Ext):888-828.8.365 IA'C.Noi HOUSTON,TX 77042 E-MAIL ADDRESS: I NSPERITYCERTS®LOCKTONAFFINrr Y.COM____.. INSURE R(S)AFFORDING COVERAGE NAIL A INISIRERALMdsmnity IRlIfRADo,C9,0„NlNth Aimrfl:a 43575 INSURED mums: WINDOW WORLD OF WESTERN MASSACHUSETTS INC.641 DANIEL SHAYS HWY INBURERC_.___ BELCHERTOWN,MA 01007-9529 INSURERD: INSURER E: INSURER P: 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 WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL ILIE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1NSR AODL SUBR PO TYPE OF INSURANCE ' p ICY EPF LICY EXP LTR INSD WVD POLICY NUMBER (M�IDD/WYY) (MMIDDIYYYY) LIMITS _ COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S CLAIMS- OCCUR DAMAGETORENTED = PREMjSES(Ea ooaxrence) MED EXP(Any ono portion) $ PERSONAL 6 ADV INJURY $ OWL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- LOC j IFC.T PRODUCTS-COMP/OP AGG S OTHER: AUTOMOBILE LIABILITY (E MFIINdentblNGLE LIMIT S ANY AUTO BODILY INJURY(Per parson) () OWNED SCHEDULED BODILY INJURY(Pot acodontl $ __ AUTOS ONLY - AUTOS -. HIRED NON-OWNED PROPERTY DAMAGE 1 _- AUTOS ONLY AUTOS ONLY _(Peraccldenl) $ UMBRELLAL1AB OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMS-MADE AGGREGATE S DED RETENTION S - --- '-- WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y.N_ XJ STATUTE I L A ANYPROPRETOR/PARTNER/EXECUTIVE OFFICCRIMCMBER EXCLUDED? _NIA X C56098598 10/01/2023 10/01/2024 EL EACH ACCIDENT $ 1,000,000 (Mandatory in NH) If yes,describe under E.L DISEASE-EA EMPLOYEE DESCRIPTION OF OPERATIONS below = 1,�OO,000 E.LDISEASE-POLICYLIMIT $ 1,000.400 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more specs is required) CERTIFICATE HOLDER CANCELLATION 2970777 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 DEI IVLRED IN Northampton,MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All right, ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD �..N WINDWOR-01 ,.AURA► AFRO CERTIFICATE OF LIABILITY INSURANCE DATE(MMnrOnYYY) _ 4/90)24_ --- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE:12.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(les)must have ADDITIONAL INSURED provisions or be r n lorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A stain•lent on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Laura Misseri Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street Arc,No,r.I):(413) 594-5984 (MC,No).(413)592 3499 Chicopee,MA 01013 oR'Ess.laura@phillipsinsurance.com ___ INSURER(S)AFFORDINQ_COVERAGF ___ NAIC u • INSURER A:EMCASCO Insurance Co __ 21.107 INSURED INSURER B:EmploYers Mutual Casualty Company 21' 15 Window World Of Western Massachusetts Inc INSURERC: _ _ __ 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 POLII Y PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI 11 ;H TI II:: CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TFIL IERMS. _ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER I POLICY EFF I POLICY EXP UNITS _ -AT, ____ LTR MID WVD ,IMM/DD/YYYY1 1MMIDD/YYYYI A X COMMERCIAL GENERAL LIABILITY - 1,000,000 _EACH OCCURRENCE __ 3 CLAIMS-MADE I X OCCUR 6A44324 4/912024 4/9l2025 DAMAGE TO RENTED 500,000 ( PREMISE$(Es el eUrrtlnoB)__ $ MED EXP(Any one poison)__. S 10,000 I _PERSONAL 8 ADV INJURY _ S I'000'000 GEN'L AGGREGATE U�taMR.A ES PER: _GENERAL-AGGREGATE- ___ S L,000,000 X POLICY 1-1JE I I LOC PRODUCTS-COMP/OP AGG S >,000,000 OTHER: S B AUTOMOBILE LIABILrrY COMBINED SINGLE LIMIT S 1,000,000 ( ^q 1,000.000 — ANY AUTO _ 6Z44324 4/9/2024 4/9/2025 BOOILY INJURY/per perwn)_ S AUTOS OS ONLY X 'AAUUTNOSSSCHE�WNEEOp BODILY INJURY(Per accident) S X AUTOS ONLY X AUTOS ONLY (Pe ec Me DAMAGE S _ $ _ B X UMBRELLA UAB X OCCUR EACH OCCURRENCE S '000'000 Excess LIAR CLAIMS-MADE 6J44324 4/9/2024 4/9/2025 AGGREGATE S ,000,000 DED XTRETENTIONS 10,000 $ ___ -- ' I PER I- I TH WORKERS COMPENSATION I� AND EMPLOYERS'UABILITY STATUTE. R.._-. ANY PROPRIETOR/PARTNER/EXECUTIVE YINi E-EACH ACCIDENT .. S gQ�FICERINI MBEREXCLUDED? N/A (MMaY ^NH) E.L-DISEASE-EA EMPLOYEE,$ If yes describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ _ -y.— .. DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) CERTIFICATE HOLDER CANCELLATION _ ___._. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED'i FORT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVE RFD IN Town of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street Northampton,MA 01060 AUIHOKILEU REPRESENTATIVE a ;' l" d. -I ky..T r ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights i'e::erveil. The ACORD name and logo are registered marks of ACORD • r-- - ,... .._._.. ,,pq1� Commonwealth of Maau+,;Itt, eCfa Divisionof F rohissional LiCEnsure tlo:rtd of RuiWing Hogutatioru,and Atanclards ConstrraLttttrs laiyp}rvisr,l CS•I t5T1 ".;:4 '%,p� F,,x�iron:0413fj ..{ki:3 NICHOLAR T7)fOS'in ' l£,rd • w j t `"rl'A.;. 102OAKRIUGEt)Rt,t,,,A, t ,, rit:LCHFFtT'OIAf ��� ; `',, .,, fV1A+ii;'.il. +Ji ,� Cumrntssionar ('n,_ , I �Nu,t„wt. . THE COMMONWEALTH Ot MASSACHUSETTS OH ice of Consumor Affairs&business Regulation Registration valid for individual use only hem e dn. HOME IMPROV )"NT'CONTRACTOR expiration date. If found return to: TYPE: 60vfdual Dilicu of Consumer Alluirs and UusiitosK Uoij lintAn, lte_tus.trrli0n• ElippjrH1Igr 100O Washington Street -Suite 710 201746 04,,2/t2 2;i Boston,MA 02118 IICHOLAS[MOST <, I., '1 -•, �i f' �1 tr "41111- 'lCFIOIA,S DROST ;r 1; ``� I .a£�(I f 1020AKRIDGE DRIVE' ,.;,4,�..rr"r t`.xx`!�'4' ��/!1 j� ''�r� i 3ELCHER'1OWN,MA 01007 r_ ' • Undersocrrttru,r Not valid without signature THE COMMONWEALTH OP MASSACHUSETTS Duke of Consumer Affairs 6 t81.4s1n0ss kopulauon ltodletranon valid for individual use only before du limit.IMPROVEMII.,NT CONTRACT oft oxplratio+date. If found return to TYPE:Cinporatiun Office or Consumer Affairs and ttuslness Reguiunon Roglrt■a lay E tp1ratlol1 1000 Washington Street •Suite 710 165641 i 03/1412026 Roston,MA 02118 WINDOW WORLD OF WESTER MASSACQIUSET TS.INC. TIMOTHY DROST 641 DANIEL SHAYS IiWY RELCfIERT04YN,MA 01007 Undersecretary Not valid without signature Window World of Western Massachusetts 641 Dante]Shays,Hwy, Belchertown, MA d'2w 01007 %1t �• (���easw 975 North Road,Westfield, MA 01085 (/�ul Office: (413)485-7335 CARES www.WindowWorldofWesternMA.com Greg Malynoski and Kathleen Phone: 4135884314 Install Address: 297 Acrebrook Dr Email: gmalynoskil@gmail.com Florence, MA 01062 Contract Name: Greg Malynoski and Kathleen- Sales- Roofing Design Consultant: Mark Newhouse Measured By: Measure Approved Date: 8/14/2024 Status: Contract Payment Method: Lender: Contract Type: Sales Comments: Product Description Txbi Qty Price Extension Permit& Administrative Permit&Administrative Fee Roofing N 1 $300.00 $300.00 Fee Setup and landfill Setup and landfill disposal fee Roofing N 1 $900.00 $900.00 disposal fee Remove 2 Layer roofing and inspect decking. Re nail deck as needed. Install 8" White drip edge on all edges. Install leak barrier on all eaves, roof to wall junctions and protrusions. Cover balance of roof with synthetic Pro Armour underlayment. Install specialty boots on all vent pipes. Start roof with specialty Roofing starter shingles. Install Owens Corning Duration SureNail Architectural Shingle N 1 $12,977.00$12,977.00 with Platinum Owens Corning lifetime (50 yr) architectural shingles. Install ridge vent on all ridges. Cap all hips and ridges with specialty hip and ridge shingles. Remove all job related debris from job site.Additional Shingle Removal $150/square. Re Deck$125 per 4x8' sheet plywood Eliminate 6 roof vents WILUAMSBURG GREY Not Shed Boot Electrical Total information Unit Total: 2 Subtotal: $14,177.00 Tax Rate: 0% Tax: $0.00 Total: $14,177.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $14,177.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: RRP Signed Date: Window World of Western Massachusetts 641 Daniel Shays,Hwy,Belchertown,MA 01007 975 North Road,Westfield,MA 01085 CARES) WindVii/ GlG Office:(413)485-7335 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 Secondary Homeowner Window World of Western Massachusetts vflVaPn• 641 Daniel Shays, Hwy, Belchertown,MA = f 01007 ••• '� 975 North Road,Westfield, MA 01085 p 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. This allows us to better satisfy our customers and ensures that the windows or materials are installed in the correct openings.Customer must sign off on completion certificate and leave final payment with installer if he/she wishes to leave the job site prior to completion.Customer understands that by not being present at the time of installation may result in the automatic charging of the final payment to the credit card used for deposit. 3. UNFORESEEN CIRCUMSTANCES: If during the installation process a condition is found that would prohibit properly installing a window(i.e. wood rot,termite or other hidden damages, etc.),the installer will promptly notify the Homeowner as well as the Window World office of the problem.Any additional work that is required to properly complete the job will be discussed with the Homeowner and billed on a time and materials basis. In the event we have received the incorrect or damaged window for your job(due to an incorrect measurement or factory error), Window World will reorder the proper window and will schedule the installation as soon as possible.Window World expects payment on the work completed to date at the time of installation that is not affected by warranty issues. 4. WHAT YOU NEED TO DO PRIOR TO OUR STARTING THE INSTALLATION: • You will need to remove all curtains,shades, blinds, window air conditioning units etc.from the existing windows. • We also ask that you remove any pictures mirrors,etc.on nearby walls and tables. • Move all furniture away from the area around each window leaving approximately 3 ft in front of the window and lft on either side of the window to be replaced. • Secure any pets(and children)for their own safety and for the safety of our installers. 5.ALARM SYSTEMS: It is the responsibility of the Homeowner to inform the alarm company of the upcoming window or door installation and to arrange reconnection after installation is complete. 6. EPA-LEAD SAFE GUIDELINES: Homeowners of homes built before 1978 have received a copy of the lead hazard information pamphlet informing the Homeowner of lead hazard exposure from renovation activity to be performed in their home.The Homeowner understands and agrees to indemnify and hold Contractor,Contractor's representatives,and employees harmless for any lead paint health issues. 7. INSIDE INSTALLATION (Normal): If the windows are to be installed from the inside, the interior stop moldings will be removed from the existing windows and reused after the new windows are installed. Please note that the paint or stain on the trim/moldings may get chipped and would need to be touched up by the homeowner. 8. OUTSIDE INSTALLATION (Special): If the windows are to be installed from the outside, the existing window's wood "stops" will need to be removed. In addition, if there are existing storm windows in place outside of your current windows,these will need to be removed as well. Please note that the area(s)where the wood "stops"and/or storm windows were removed will need to be patched and painted by the Homeowner unless the exterior trim is to be installed by Window World. 9. UPON COMPLETION OF INSTALLATION:After the installation is complete,you will be asked to inspect the entire project with out Installer.An evaluation sheet will be provided for the Homeowner to sign after the final inspection is complete. Please make sure that any corrections have been made before the installer leaves the job site. When the job is complete,we ask that you pay the installer the remaining balance due on your contract. 10. METHOD OF PAYMENT: Our installers will accept your final payment in the form of check, money order,Wells Fargo financing,or Visa/MasterCard/Discover Card authorization. As a courtesy and to ensure the safety of our installers; please DO NOT pay your final payment In Cash. 11. REFERRALS: Our goal is that you are pleased with the work we have done and will refer us to your friends and neighbors.You will receive a S50 referral fee for each person you refer who purchases 8 or more windows. Please have your referral mention your name when contacting our office. We trust that your remodeling experience will be a pleasant one. If for some reason you are not completely satisfied, please contact our office. Your comments are welcomed and will be used to better serve you. Thank you for your business! Primary Homeowner Secondary Homeowner 1K0414x# } e4• e Design Consultant I.PA "Renovate Right" Brochure can be viewed and printed from here: ienovate fight Brochure W of W. lk a;sachusetts anticipates starling this work on and being substantially completed in days.Any deposit required in i.dvancf of he start of the work SHALL NOT exceed 33 1/3%of the total contract price OR the actual cost of any material or I (luipment ud a special order or custom-made nature, which must be ordered in advance of the start of the work to assure that the l,r(lject will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all l,,►rties. All come improvement contractors and subcontractors shall be registered. No work shall begin prior to the signing of the untract ano( I.ransmittal to the owner of a copy of such contract.WW of W. Massachusetts under provision of Chapter 142A of the ( oneral lav+ ; is required to apply for and obtain all construction-related permits.WW of W. Massachusetts shall not be deemed t-sponsible fur delays in the work described in this agreement caused by regulatory, permit granting agencies, authorities, or dividuals. Notice: if the PURCHASER(S) obtains his own construction related permits for the work described under this agreement e r deals wit i unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute,judgement and I unpaymen ., the PURCHASER(S) will not be entitled to make a claim or collection from the guaranty fund established by chapter 1.12A, M.G.i.. 1 ou the bit ver may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following third business tfay. 1 1115 iS A I:I s rUhl ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western 1'I,iss,,chuset i,, Inc.under license from Window World, Inc.