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35-219 (11) BP-2024-1109 26 LADYSLIPPER LANE COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 35-219-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2024-1109 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS/DOORS 2024 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 22322 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: CAPLAN JAMIE ANN &JENNIFER M DIGRAZIA 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: 2 REPLACEMENT DOORS AND WINDOWS 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: 7 2_ Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner ,,, ,,,,,,.\\ ,,, \.&.<\ G The Commonwealth of Massach►-..� C -` W W Board of Building Regulations and Sta 4,. �� \ FOR Massachusetts State Building Code, 780 i cb \�1'�NIUSE 1.11Y Building Permit Application To Construct,Repair, Renova� y., %emolish . Rev'�d Mar 2011 One-or Two-Family Dwelling °,o0', This Section For Official Use Only ' ' Building Permit Number:4510-„,1 ii-e09 Date Applied: _____ -- --'71-: FP-0-ig -2,/ Bw din Print Name) ature Date _. SECTION 1:SITE INFORMATION 1.1 Propert A1dreys: ii -y • yF� 1.2 Assessors Map& Parcel Numbers 1.la Is this an accept``e�treet?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: Public 0 Private 0 Lone: _ Outside Flood Zone?Check if yes❑ Municipal 0 On site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of R ord: t ere )c t ig ©f 06 n ►y e :a.P I c�►�\ ZIP O[ i e(PrinY\t) City,State,ZIP t OOG skAilui 5 I i. p r & VI 11/302lg 7310 javYvIc q tecet�,(aK ,(4144 No.and Stncet Telephone Entail Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building 11, Owner-Occupied '1 ,, Repairs(s) Cl Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units 1, Other III/Specify:r. ()\t'itt1ka t i lc a<1 .k Brief Description of Proposed Work2: W i 0 nd G (A) 5 A- 09 clr OOY 5 re. p t a c,e VY1 e-Yi I SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ a � ql a 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 $ Suppression) Total All Fees:A 11r� Check NoIh� Check Amount: (Al) Cash Amount: 6. Total Project Cost: $ a q) ,5 a a 0 Paid in Full 0 Outstanding Balance Duc: i SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) 0 C . 1� 64001. 0.) U•11tA$9,- � , .� i�f\-- License Number Expiration Date Name of CSL Holder �,t List CST,Type(sec below) Cl k )- -t- * )`� N C�-U.N No.and Street Type Description `��C,4\ v- 1:\NN, �` , C\ Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,S R Restricted I8t2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 0' "))k-:\\S•`l' S QtLr�►�r..�S c�u)\n(?.t,n)14:0 A t~wi. I Insulation Telephone Email address D Demolition 5.2 Registered HHome Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name 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 1E17 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�e�v t 1.1 V)1."1Q to act on my behalf,in all matters relative to work authorized by this building permit application. ( � �.�, ,r-r ("A-) CI Ia Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained this ap icatiop is true and accurate to the best of my knowledge and understanding. • <' i1I(9q Print O . er' o Author' dAgateE'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(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 I lIC 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" �r• City of Northampton f� Massachusetts �� :.� • r. ;.`�l,1;. `. DEPARTMENT OF BUILDING INSPECTIONS in w :. ti 212 Main Street • Municipal Building Z',. cD;;__. Northampton, MA 01060 JNNW "S° 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: Crt,�c _ �-_,\c, - l0` In `CNiytt\: 1/4A \ \ ;‘r The debris will be transported by: Name of Hauler: V►J >\A (Ark' \,cq*X, Signature of Applicant: /` _ Date: City of Northampton oµtnAliplO\ ' i Massachusetts otS' e. t. 1\\�" p r 41.DDEPARTMENT OF BUILDING INSPECTIONS yl "� :tip' .• ':lL 47 212 Main Street • Municipal Building ��• C� Northampton, MA 01060 . ,"" HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT WI/t C' Ccqo t a r1 (insert full legal name), born (insert month, day, year), reby depose and stale 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'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. 1 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 q day of fiti6(if 5 r , 20a col2 C ( ature) The Commonwealth of Massachusetts c=. 4?„ Department of Industrial Accidents — isa— ' I Congress Street, Suite 100 F Boston,MA 021142017 �K', ,,ES www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. . TO BE FILEI)WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly__ Window World of Western Mass Name(Business/Organization/Individual): • Address:641 Daniel Shays Hwy City/State/Zip: Belchertown MA 01007 • Phone#: 413 485 7335 1 ! Are you an employer?Cheek the appropriate box: Type of project(required): ' 1.0.l am a employer with 50 employees(full and/or part-tints)."` 7. 0 New construction 2.01 am a sole proprietor or partnership and have no employees working for me in 1 8. D Remodeling any capacity.INo workers'comp.insurance required.] i 3 3.01 ant a homeowner doing all work myself.(No workers'comp.insurance required,] ' i 9. 0 Demolition 1 10 0 Building addition 4.0I ant a homeowner and will be hiring contractors to conduct all work on my property. t will y ensure that all contractors either have workers'compensation insurance or are sole # I 1.0 Electrical repairs or addili''t • i proprietors with no employees. I I 12. Plumbing repairs or;additi,a '• m 5.01 a a general contractor and I have hired the suh•contntctors listed on the attached sheet. ' 13. Roof repairs 1 These sub-contractors have employees and have workers'comp,insurance 14.r Other Replacement i 6.G We are a:corpuration and its officers have exercised their right of exemption per MOL c. - 152,I1(4).and we have no employees.(No workers'comp.insurance required.' i°Any uppliutntthat cheeks boxtfl must also 1111 out the section below showing their workers'compensation policy information. r Hemmeownersa who subnit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating,ueh 5Contrueiors that check this box must attached an additional sheet showing the tone of the sub-contractors and state whether or not flax c entities have employees. if the sub-contractors have employees.they must provide their workers'comp.policy neither. I an:an employer that is providing workers'compensation insurance for my employees. Below is the policy and job sitc- information. Insurances Company Name: indemnity Insurance Co.of North America Policy#or Self-ins.:Lic.#: C56098598 Expiration Date:10/01/2024 Job Site Address: 07C 0204 ) i i t3) = ✓, 01 City/Statk/7_ip: l 0 it)Ge Pivoc.2 Attach a copy of the workers'com'peMatiou 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$1.500.110 an /or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up too$250,(10 day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for instlrnncc coverage verification. illitrA I do hereby ce un er the pains a d penal es of perjury that the information provided above is true and comer". 1ici /may . Siunaturc: Date: _......_.._.__ Phone#: 413 485 7335 _ Official use only. Do not write in this area,to he completed by city or town official. ' City or Town: 1 Permit/License# __..._......_._ ... I Issuing Authority(circle one): 1.Board of.Ife:I}h 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other I Contact Person: _ Phone#: _.__...__._.______ . . .Pk«A.- .r •ems DATE(MMIDDIYYYY) �^wwwill +, 49/22/2023 `.-- 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: 3657 BRIARPARK DR.,SUITE 700 PHONE Ext):888.82843.65 INC.Nm HOUSTON,TX 77042 E-MAIL ADDRESS: IN SE ERITYCERTMI.00KTONAFFINITY.COM _ INSURER(S)AFFORDING COVERAGE _. _ NAIC It ' INSURER A:Indemnity_insur nce Co.of North America .- . 43575 ' INSURED INSURER B WINDOW WORLD OF WESTERN MASSACHUSETTS INC. —'- 641 DANIEL SHAYS HWY INSURER C BELCHERTOWN,MA 01007-9529 INSURER D INSURER E: __ INSURER F: ---- COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POI I(Y PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL II IL-TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR -- - ---- ---_---- - ' ADOL SUER ----_— --- — POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MAIDDIYYYY) (MMIDD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY _EACH OCCURRENCE S DAMAGE TO RENTED CLAIMS- I I OCCUR _PREMISES(Es occurrence) $ ,__ MED EXP(Any one portion) $ — _PERSONAL E ADV INJURY S I GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY rtRO• �OC IFr:T PRODUCTS-COMP/OP AGG S BOTHER: ---. - I _ s AUTOMOBILE UABILITY `I:OMBINEDSINGLE LIMI I $ y �-__- - (Ea accident) ) ANY AUTO BODILY INJURY(Per person) S —OWNED SCHEDULED BODILY INJURY(Per accldaN) S _._AUTOS ONLY .AUTOS HIRED NON•OWNED PROPERTY DAMAGE S __- AUTOS ONLY , AUTOS ONLY .(Per acadent) 1 8 - -— UMBRELLA UAe EACH OCCURRENCE S EXCESS UMj OCCUR CLAIMS•MAOE_ AGGREGATE______, S DEO I RETENTIONS IO S �. .- WORKERS COMPENSATION � X STATUTE -_.I TUTE T A ANYPROPRIE OR/PARTNER/EXECl1TIVE I AND EMPLOYERS'LIABILITY YIN_ OFFICCRMCMBCR EXCLUDED? --,N/A x C56098598 10101/2023 10/01/2024 EL.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) If yes,describe under EL.DISEASE•EAEMPLOYEE $ 1,0(10.1)00 DESCRIPTION OF OPERATIONS below EL DISEASE-POUCY LIMIT $ 1,000,000 M DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101.Additional Remarks Schedule.may be attached if more spare Is required) CERTIFICATE HOLDER CANCELLATION 2970777 town fo Northampton Building Dept SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 212 Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DUI I`7ERED IN Northampton.MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights restorve,I. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD WINDWOR-01 LAIR ACORL7 CERTIFICATE OF LIABILITY INSURANCE DATE(MMilOIYYYY) 4/9/2')24 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 P))LICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHI)RIZED 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.n•lorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A stet)r,rent 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 (A/C,No,Exq:(413)594-5984 I(Fa Noy(413)592•si499 Chicopee,MA 01013 VD*ss:laura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC a INSURER A:EMCASCO Insurance Co 21,07 INSURED INSURER B:Employers Mutual Casualty Company_ 21'15 Window World Of Western Massachusetts Inc INSURER C_:. 641 Daniel Shays Highway INSURER D: Belchertown,MA 01007 --- -- INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED 10 THE INSURED NAMED ABOVE FOR THE POUt Y I'ERN)E) INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI fl :H THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI I_ TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. L ADDLISUBR POLICY EFF 1 POLICY EXP ---• — --'-' _ _ ..___. TYPE OF INSURANCE JNSD WVD POLICY NUMBER (MMIDD/YYYYI (MMIDD/YYYY) LIMITS - A X COMMERCIAL GENERAL UABILITY 1,000,000 EACH OCCURRENCE _.. _ $ CLAIMS-MADE f Xl OCCUR 6A44324 4/9/2024 4/9/2025 DAMAGE TO RENTED 500,000 PREMISEStEaoavrrsnc6)__, $ MED EXP(Ary_gnn pnrsn - $ 10,000 n)- PERSONAL&ADVINJURY_ S 1,000,000 G AGGREGATE UMIT APPLIES PER: GENERAL AGGREGATE S `'000.000 ENT. gyp. X POLICY X jECT ri LOC .PRODUCTS-COMPI()P AGO S ',000,000 OTHER: ;> _ 6.0 _ B COMBINED SINGLE LIMIT I,000 AUTOMOBILE LIABILITY (E eccdonu_.__.. S ANY AUTO 6Z44324 4/912024 4/9/2025 8001LYINJURY_IferQerson) s 1,000,000 OWNED SCHEDULED _ AUTOS ONLY X AUTOS BODILY INJURYjPer acddent) 5 X A�RTOEOS ONLY X PROPERTY pAMAGE (per occident) _ B X UMBRELLA UAB X OCCUR EACH OCCURRENCE S 1'000'000 EXCESS LIAB CLAIMS-MADE 6J44324 4/912024 4/9/2025 AGGREGATE $ I'000'000 DED X RETENTIONS 10,000 S —__• — PER II . WORKERS COMPENSATION STATUTE _ OTH AND EMPLOYERS'LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L ACHACCIDENT QFECMMBHEXCLUDED? NIA $ _EA DISEASE-EA EMPLOYEE $ II yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached II more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEI).iEFORI Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL DI DI I_R/I hI D IN P ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE CP"' ryi I1.1.r ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All right': eserved. The ACORD name and logo are registered marks of ACORD Cammunwrrrlati of Maarnminlal>tts - ,9 Drvislon p1 Professional I rof ssional Lk:anyn1ra Sating of Building Rregulation.and;rtandirti s Construe:Ali rAilprrvi-.rir It CS•115719 • ti;' • 113piros 04130)2(125 NJCHOLAI T,DROS 4, lr '( I` �r h?� 102 OAKRIOcit OR t1 +�'% r : c 13ELCHERTOLJI falAya �i•' fy N.t, Commissioner dap R �+rt.,?.r.{ . THE COMMONWEALTH OF MASSACHUSETTS Chico el Consumer Affairs&Business Regulation Registration valid for Indivlduat use only befog a ttu: HOME IMPROVEMENT CONTRACTOR expiration dale. If Found!clout to: TYPE:'inillvaaunl Office et Consumer Affairs and UualnQsrr.Roca Oat uI iketa1rr1ipn ,irptIQn 1UU0 Washington Street -Suite 710 201746 • 044,421/2C'z5 Boston,MA 0211B NICHOLAS DFIOST • vlcl reins oRosT /1,,r , i ,rt 102 OAKRIDGE DRIVE , ,�,.a'�G ••"."404' 7 3ELCI1LR SOWN,MA 0•1U0?. "• Ur>:rlorsecrntnr; Not valid without signature • THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for Individual use only bolero the HOME.IMPROVEMENT CONTRACTOR aspiration data. If found rotten lo: TYPE:Cotptx:aiun Office of Consumer Affairs and ESu Ino s Ruyululaun BULItalliCe E on 1000 Washington Strool •StIto 710 rtiai841 03/1412026 Roston,MA 0211E WINDOW WORLD OF WESTERN MASSACNUSE 1-f S.INC. TIMOTHY OROST ' 641 DANIEL SHAYS HWY _ RELCVI[RTd1YN,MA 01007 1Jnrieraocretary Not valid without signature •4.0 ' 7's4— i Window World y_\FRC:%� • 1leSR eest.s ez NorH1 WiMes4or0.NC 2a658 4000e zFrrra Psb(ta2 LNe.DEt tVI.R 3 alga1161 (t1`.gw,EOM,��X Mon:l1 v2 X45 14wb-1,4.s101.4C08. ENERGY PERFORMANCE RATINGS U-Factorp) Solar►teat Gain Coefficient 0,27 0.28 ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Air Leakage(U.$.A.P) 0.51 <_ 0.3 Vir,ale.Ware rr.w.hpc•..ar•x.rn,M.'...1-avu..s..fw.r{lr.,,.... ....WW1*V Cnor,.h r.N'.., .SJpl..h'+4Y4y fW1h.•-.1M.a....w.M VOC.x,..nil•MM.•ec1.a.M•Y....U.t•n r.Shah Y MytheM b• hh•.l Ch..hhhh•.r.•bOY>M08•61'•w.yhll CNLRO,SIAR'Candied m HqNh. ded Repays fi.nt.-ado rat ENCRGY STAR es la'ng,o✓ros.cs•Rndbs. \i\.,,,11/4 i yN �.t .'::ate...'. ` f .tip. LNLRGYSTAR 9 '•, -- J \!1 MNu.M•MM.'' '£a C.�4L"*i/ M) F For 1-1-1 a w+ !r_.en M J pcw/ ', ►word as.r.•.MOO lrb.tt�u w 4�a rga /►eobti, T L )' Pod Grads *DP(ASD) -OP(A YVater g) ji R•PGJO' 52.1 55_1 60 Max Test Sire Report" Ponds 1D STD;(Siff )j 36.00 X 60.00 arts::•.+ts•er.gs if 20840 27.0.26.0 )j Rs yip are W+Avc..10 r.K.t.tsa:xa ur rer"r^rL' ;4*W-a.cuYa%:Mi MNa 9C2K'TW fiN'WMU tt7.w vSi7a'P.:F.o l.t.tY.q..,.. _.: b`•d r muS:.AM>+1G•a =df,r."? a£s:t :s r:e:R•a� O-bA1 rfN FY)1t'n."Y✓e Tt•o"/yb Y 11111Y:r ) en nl0]MCOT. Windsor Pinnacle Select Line Triple Glazed Energy Efficiency Table 2023 Pane Product IG Thickness Glass Type U Value SHGC Thickness Select Casement 3.1mm 11/4" 366/180/Air 0.24 0.17 Triple 366/180/Argon 0.22 0.16 Select Awning 3.1mm 11/4" 366/180/Air 0.24 0.17 Triple 366/180/Argon 0.22 0.16 Select Casement 3.9mm 11/4" 366/180/Air 0.23 0.20 Picture Triple 366/180/Argon 0.20 0.19 Cad Direct Set 3.9mm 11/4" 366/180/Air 0.23 0.21 Triple 366/180/Argon 0.20 0.21 Clad Radius& 3.9mm 11/4" 366/180/Air 0.21 0.22 Low-Profile Direct Set Triple 366/180/Argon 0.18 0.22 Window World of Western Massachusetts vr•wnn• '" ir,u•mmnnn 641 Daniel Shays, Hwy, Belchertown, MA a 4f 1._�� 01007 tip, �.�� 975 North Road,Westfield, MA 01085 Vindow Office: (413)485-7335 wNc- w,,,, www.WindowWorldofWestcrnMA.com CARE ? Jamie Caplan Phone: 4132187310 Install Address: 26 Ladyslipper Ln Email:jamie@jamiecaplan.com Florence, MA 01062 Contract Name:Jamie Caplan-Sales- Doors Design Consultant:Tim Drost Measured By: Measure Approved Date: 8/12/2024 Status: Contract Payment Method: Credit Card Lender: Contract Type: Sales Comments: Product Description Txbl Qty Price Extension Permit&Administrative Fee Permit&Administrative Fee N 1 $300.00 $300.00 Setup and landfill disposal Setup and landfill disposal fee N 1 $250.00 $250.00 fee Windsor Pinnacle Select Windsor Pinnacle C3 REVIVE prepainted white , white N 1 $5,790.00 $5,790.00 Windsor Pinnacle Select Windsor Pinnacle Picture revive white white hall next door N 1 $2,670.00 $2,670.00 Shutters Louvered Shutters Louvered (Additional $50 if installing into masonry)tuxedo N 1 $235.00 $235.00 gray, homeowner will paint before installing 14x39 5-6 Ft. Patio Door- casing+capping DOUBLE 6 Ft. Patio Door-casing+capping DOUBLE PANE left N 1 $4,200.00 $4,200.00 PANE 9 Ft. Patio Door 9 Ft. Patio Door left N 1 $8,877.00 $8,877.00 Total Information Unit Total: 6 Subtotal: $22,322.00 Tax Rate: 0% Tax: $0.00 Total: $22,322.00 Amount Financed: $0.00 Payment Method: Credit Card Deposit Amount: $11,000.00 Balance Paid to Installer upon Completion: $11,322.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: RRP Signed Date: Window World of Western Massachusetts pwR ,,,,,,,, 641 Daniel Shays,Hwy,Belchertown,MA J ,tdw 0]007 975 North Road,Westfield,MA 01085 ) 7fd Office:(413)485 7335 WINDOW WORLD CARE wwWindowWorldofWesternMA.com w. 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 •,•q,,• 641 Daniel Shays,Hwy, Belchertown, MA F 01007 %%� �;975 North Road,Westfield, MA 01085 Watdow zni Office: (413)485-7335 wNI` w<,.. www.WindowWorldotWesternMA.com CARE 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 they 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 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 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 550 referral tee 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 Design Consultant nn D1Z-° I.PA "Renovate Right" Brochure can be viewed and printed from here: Renovate Eight Brochure 11'W of W. I.iassachusetts anticipates starting this work on and being substantially completed in days.Any deposit required in i,t.lvance of I lie start of the work SHALL NOT exceed 33 1/3%of the total contract price OR the actual cost of any material or luipment" I a special order or custom-made nature, which must be ordered in advance of the start of the work to assure that the I roject will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all 1 trties. All tome improvement contractors and subcontractors shall be registered. No work shall begin prior to the signing of the ontract awl 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 t sponsible for delays in the work described in this agreement caused by regulatory, permit granting agencies, authorities, or i idivichials. 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 onpaytnet the PURCHASER(S) will not be entitled to make a claim or collection from the guaranty fund established by chapter •12A, M.G.I.. 1 ou the bu ver may cancel this transaction at any time prior to midnight of the third business day after the date of this I t ansac:tiott. Notice of cancellation must be in writing postmarked no later than midnight of the following third business (lay. (IS IS,1 1 a S IOM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western Plas>ach use'1,. Inc.under license from Window World, Inc.