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22B-016 (4) BP-2024-1111 64 MEADOW ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 22B-016-001 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-2024-1 11 1 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2024 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 2197 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: BRICKER,BARBARA FERRANTE TRUSTEE Lot Size (sq.ft.) Zoning: URB 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: 3 REPLACEMENT 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: 17p, Fees Paid: $60.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner /fr 400 F, The Commonwealth of Mas chin 204 Board of Building Regulations and Ps',„ FOR Massachusetts State Building Code, 780 ` t n°4vr;/�� M ICAI,I"1'Y oa IP ,� pE�T USE Building Permit Application To Construct, Repair,Renovate Or q 11.9 vised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number;/(/lid(/, //,/ Date Applied: S/ 6P-�e Building Official(Print Name) ignature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers mead v1-4 1.1a Is this an accepted street?yes X 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 Lone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP` 2.1 Owner'of Record: t G� r 12 it r l G�:, -Fiore via . 14 0 0/06 Name(Print) City,State,ZIP G ( Lc d o(r‘i 3 (- it/ 303 0L114 cl4e5 imut @c�. rmcc,i 1, U0(4,1 No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building'lj Owner-Occupied 111,, Repairs(s) ❑ Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units `. Other Specify: r,c'_6.t Brief Description of Proposed Work2: Cf( /wilt .(1`.Pk(!rityxr¢_I SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $<� (( ! 1. Building Permit Fee: $ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees p� Check No.'47 A Check Amount: Cash Amount: 6. Total Project Cost: $ Q ( q ' ! ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) .5-- \\5 r 1(( Uy-i 3i� o.) \C'N\t�\(j-� � C° �-1>u\.. License Number Expiration Date Name of CSL Holder t L Cia ,'1 S e \)NC"\J C List CSL Type(see below) No.and Street <J Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) \-c?�C -u ' .T'\ �� N c • CA�>l R Restricted Idt2 Family Dwelling City/Town,S M Masonry • RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances CWC3\jLO.,S-135S QIZ.`f`or..\S c+J t.>>A.(-oh)1,10 (.fit 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) W\r, O NZ WV HIC Registration Number Expiration Datd' HIC Company Name or HIC Registrant Name (v L11 �Ct_rV,R.S, SNvt L b v.:, n y pp and Street Email address 5Lc.vxo .v-Y,,x.;--INA Wit.OkW1 -k9) 9 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 DV No . ❑ 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 .�‘.kA, u\ A`lt;V .c1, to act on my behalf,in all matters relative to work authorized by this building permit application. CPrint C) er'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 in this ap it:atio(t is true and accurate to the best of my knowledge and understanding. Print cr o uthon A s Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the 111C 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.11.) (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 Massachusetts � • �.. DEPARTMENT OF BUILDING INSPECTIONS �. 10 .-' w 212 Main Street • Municipal Building y y a� Northampton, MA 01060 '''f \ 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: (i i.)tr, \i.1Ci`?\(' . l(;)ts `-NCAck_\ The debris will be transported by: Name of Hauler: \.f\c &yr,:' \K:2Nc Signature of Applicant: i"' Date: J City of Northampton r' otiti_ �g , Massachusetts o2S`. * �o wi y B y DEPARTMENT OF BUILDING INSPECTIONS H l _ S'r�"�`"� '9 212 Main Street • Municipal Building �3• Ca Northampton, MA 01060 s" �• �� HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, 864 r l r i 4"J r Gl t, (insert full legal name), born _ (insert month, day, year), hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit 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, 1 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 0 VA 5 ,206Qg (Si ature) The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 021.14-2017 �,- www.mass.gov/dia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. ADolicant.Inforrnation Please Print Legibly Window World of Western Mass • Name(Business/Organization/Individual): Address:641 l)anlel Shays Hwy City/State/Zip:Belchertown MA 01007 Phone#: 413 485 7335 Are you an employer?Check the appropriate box: i Type of project (required) I.R1ama employer with 50 employees(full and/or part-time).` 7. New con truction • • 2.01 am a sole proprietor or partnership and have no employees working for me in S. Q Remodeling any capacity.[No workers'comp.insurance required.] I i 9. Q Demolition 3.01 am a homeowner doing all work myself.(No workers'comp.insurance required.] 10 0 Building addition • i 4.Q I am a homeowner and will he hiring contractors to conduct all work on my property. 1 will i ensure that all contractors either have workers'compensation insurance or arc sole 1 1.Q Electrical repairs or Achill*• proprietors with no employees. 1 12.0 Plumbing repairs or adtliht'i . 5.01 am a general contractor and I have hired the sub-contractors listed on the attached sheet. { These sub-contractors have employees and have workers'camp.insurance.r 11.Q ltuctf repairs 14,2 Usher Replacement -" '" i 6.0 We are tt:corporation and its officers have exercised their right of exemption per Mal,c. i 152,11(4).and we have no employees.(No workers'comp.insurance rexquired,I "Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy infonnalion. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contnuctots must sahmmt a new]affidavit 1tldivat Inv-.ttcll TContractors that cheek this box must attached an additional sheet showing the name of the sub-contractors and state whether or not thus entities lam: employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Indemnity Insurance Co.of North America Policy#or Self-ins.Lic.#: C56098598 Expiration Date:10/01/2024 Job Site Address: C 1 l OdOCJ J 5 r City/Stateizip: /ol'I,n(L O 06,2 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL a. 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 of up to$250,00 day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for instirano. coverage verification. 40 I do hereby ce un er the pains a penal es of perjury that the information provided above is true and correct. Signature: /t' Date: .___ Phone#: 413 485.7335 Official use.only. Do not write in this area,to be completed by city or town official • City or Town: Permit/License# 'Issuing Authority(circle one): 1.Board of:Heealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: _ Phone DATE(E MIDD/YYYY) + 49/22/2023 4COKO `.� CERTIFICATE OF LIABILITY INSURANCE ACCt#: 2970777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE() REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed ' If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT LOCKTON COMPANIES,LLC RAW.. PHONE FAX 3657 BRIARPARK DR.,SUITE 700 (NC,No,Eat):888-828-8365 (A/C.Noy HOUSTON,TX 77042 E-MAIL ADDRESS: INSPERITYCERTS LOCKTONAFFINrTY.COM INSUR);,g($jAEFORDING COVE)AGE_ _ NAIC M INSURER AlindeRmIt 1R-i.11Al1OS_Co 91_NNfll AIINrIs✓A _ 43576 INSURED INSURERS: WINDOW WORLD OF WESTERN MASSACHUSETT$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 I FIE_'fEItMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. AOCILARIOR TYPE OF INSURANCENISD ENO IsOLICY RUNNER (IIyIppTyY�YFtr) UNITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S _ DAMAGIS'fO RENTED I CLAIMS- OCCUR ,PREMISES(Es occtmence) . S MED EXP(Any Min pnr.son) S j PERSONAL&AOV INJURY 3 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S ! POLICY PRO- LOC 'PDT PRODUCTS-COMP/OP AGG $_ OTHER: $ -^I AUTOMOBILE LIABILITY COMBINEDSIIVGLE LIMIT .-1E0 accident/ ANY AUTO BODILY INJURY(Par parson) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY , AUTOS _ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY _ AUTOS ONLY Jeer.acddene 8 UMBRELLA LIAB OCCUR• EACH OCCURRENCE EXCESS UAB CMS-MADE AGGREGATE S DED RETENTION$ WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY YI�L _X STATUTE I,_. I_ER A IANYPROPRIETOR/PARTNEILEXECUTIVE OFFICER/MCMBER CXCLUDCD7 _NIA E.LEACHACCIDENT $ 1,000,{100 (Mandatory In NH) X C56098598 10101/2023 10/01/2024 - If yes,describe under DESCRIPTION OF OPERATIONS below EL.DISEASE•EAEMPLOYEE _ 'Ir000.000 EL DISEASE-POUCY LIMIT $ 1.000.000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached II more space Is required) CERTIFICATE HOLDER CANCELLATION 2970777 Town to Northampton Building Dept SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 212 Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Northampton,MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE _^ ©1988-2016 ACORD CORPORATION. All rights rennrve I. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD WINDWOR-01 LAURA ACORo CERTIFICATE OF LIABILITY INSURANCE DATE(MiNnDnYYY) 4/9/2024_— 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 I'r►LICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTIfr'RIZED 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.n lorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A star el.rent on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER corITACT Laura Misseri NAME: Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (A/C,No,Ext)(413)594-5984 (Arc.No)(413)592..1499 Chicopee,MA 01013 ,VADArli ;laura@phIllipsinsurance.corn INSURER(SLAFFOR DING COVERAGE NAIC a INSURERA:EMCASCO Insurance Co 214'07 INSURED INSURER L:Employers Mutual Casualty Company 2le 15 Window World Of Western Massachusetts Inc INSURERC:. 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 POLO Y I'LHIOII INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO MI :H Ti II:. CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL Ti I: I ERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. MISR TYPE OF INSURANCE NDS�SUER POLICY NUMBER POLICY EFF I POLICY EXP UNITS _ ___ A X COMMERCIAL GENERAL LIABIUTY J (MMInD(YYYY) (MM/DD/YYYYI 1,000,000 EACH OCCURRENCE S CLAIMS-MADE U OCCUR 6A44324 4/9/2024 4/9/2025 DAMAGE TO RENTED 500,000 PREMISES.(Es..ajrrenl:Q)-__ $ MED EXP(Any one pe see) $ 10,000 f PERSONAL R ADV INJURY Si 1,000,000 GENL AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE S ,000.000 X1 POLICY X jER X LOC i PRODUCTS-COMP/OP AGG $ ',000,(100 I OTHER: $ _ B AUTOMOBILE LIABILITY t COMBINED SINGLE LIMIT i,000,000 __ ANY AUTO 6Z44324 025 4/912024 4/9/2 (Ea eccidonq _ S BODILYINJURYperpersop) S 1,000,000 OWNED SCHEDULED AUTOS ONLY X AUTOS BODILY INJURY(Per accident) $ PP�RtOPPERlRent AMAGE X AH�TORREED S ONLY X (Pe ) ... _ $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 1,000,000 EXCESS LIAR LCLAIMS-MADE 6J44324 4/9/2024 4/9/2025 _ $ 1,000,000 AGGREGATE DED X l RETENTIONS 10,000 $ WORKERS COMPENSATION I PER 1OTH- AND EMPLOYERS'LIABILITY l STATUE _LER_ YIN ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S O�FFICERIMEMg F)I EXCLUDED? I J N/A (Mandatory m NA► E,L DISEASE-EA EMPLOYEE S It yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I 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 CANCELLED ItEFORI Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL HE DELIVI kED IN P ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Building Department 212 Main Street - . Northampton,MA 01060 AUTHORIZED REPRESENTATIVE ,14"V ryl k'.T ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All right '.dirt rl The ACORD name and logo are registered marks of ACORD � Commonwealth of MaswieliuretI ,`� Division of l rofesslona)La:unsure Board of Building Huguladons oral Slarnl.-tfdt: Construattttrs I4ifpgrvisor CS-l15719 .,� , L, pireS:04)30UA25 NICHOLAS TDROfii'''' 4i;,•: i' •-'•, '"'M'',;. ' 102OAKRIUGE I'M y. „l..r ^ �,.. ; , ,,:.' ,.t , BELCt91:RTOWj1 MA' .i1• ,t�'•'r ,• ,•*I w ` I.Ii. )I�S�it `"g `�4 Commist:ionor c,""-�a /; , ,mink. THE COMMONWEALTH Of MASSACHUSETTS Office of Consumer Affairs&Business Reguistion Registration valid for individual use only betnt.x tltr, HOME IMPROVEMENT CONTRACTOR expiration date. If found return lu: TYPE:Individual Oltico of Consurnor Alleirsund Uuslnoss How tint op I:t! LS.ttP.lis7n • i;zpIrfitittn 1vU0 WeshIngton Strent -Suite 710 2011146 0417719.025 Boston,MA 02110 NICHO AS L)HOST • .; tel i. NICHOLAS(Row- r t I ,a t IO2OAKRlDGE DRIVE 7,.r..11.!• �tdnre' '!��',I t i 3ELCHERtOWN,MA 01007.. "` "� _y t)ndersecrnlary Not valid without zsignaturo • THE COMMONWEALTH OF MASSACHUSETTS °nice or Consumer Affairs&Business Regulation Registration valid for Individual use only Ooloro th, HOME IMPROVEMENT CONTRACTOR expiration date. IF found return to: TYPE:Comom.un Office of Cue,sumer Affairs and Business Royuluuun &MAMMY Eagaili1111 1000 Wasltdnotou Street •Suite 710 165041 03/1412026 U0-too,MA 021itt V:IND(YvV WORLD OF WESTERN tV1ASSACHUSE T IS.INC. 'MOOTIIY DROST • 641 DANIEL SHAYS HWY 1ELCULHTOi/N.MA 01007 Undersecretary Not valid without signature Quote Date 8 8 2.023 area Oita Watdcw ��G Customer Name: Project Name: Unassigned Project Address: Quote Name: Unassigned Quote Quote Number:4818686 Phone: Order Date: Quote Not Ordered Fax: PO Number: Customer Information: Comments: RO size for Flange is for standard lx buck with precast sill. Please contact your supplier for other Flange openit g RO's. ITEM&SIZES LOCATION/TAG PRODUCT DESCRIPTION UNIT PRICE I EXTENDED PRICE Line Item: 100-1 None Assigned ""PRODUCT"' Quantity: 1 Row 1 1280 2 Lite Single Slider-XO-1 Units-30W x 12H """DIMENSIONS"' RO Size: 30.5"X 12.5" 30W x 12H Unit Size: 30"X 12" ""FRAME"' East,Vinyl,Framo Type-Finless,Foam Tape,Exterior Color-White "'GLASS"' Glazing Type-Insulated,Glass Tint-Clear, Low-E,Argon Gas,Glass Strength-DSB ""SCREEN"' 1 — - i 1 Screen-Rollform Half,Screen Mesh Type-Clarity WRAPPING"' Extension Jambs-None ""NFRC"" Series 1200::SingleSlider,U-Fact ::0.3, GC::0.3,VT::0.57 -- — "'"Performance"' Series 1200::SingleSlider,Calculated Positive DP Rating::25.06, Calculated Negative DP Rating::35.09,DP Rule ID::3580 SLIDER2, Rating Type::DesignPressure. Performance Grade::R-PG25',Water Rating::3.76,FL ID::13349.STC Rating::27,OITC Data::22 1280 2 Lite Single Slider-XO-No Call Width-No Call Height Units are viewed from the Exterior Total Unit Count: 1 Submitted By: Accepted By: Signature: Signature: Date: Date: Quoted by: Window World Western Quote Number: 4818686 Pages: 1 of 1 Print Date: 8/9/2023 1:02:30 PM towvsachussetts Docusign Envelope ID:6873D1AC-1185r4C38-9F84-B1D7247C13E3 Window World of Western Massachusetts 641 Daniel Shays,Hwy,Belchertown,MA „ 01007 975 North Road,Westfield, MA 01085 Viltd.VW ,n/, Office: (413)485-7335 w NI w, www.WindowWorldot esternMA.com CARE Barbara Bricke Phone: 4133030414 Install Address: 64 Meadow St Email: chestnutcabin@gmail.com Florence, MA 01062 Contract Name: Barbara Bricke-Sales- Windows Design Consultant: Valmore Willhite Measured By: Measure Approved Date: 8/8/2024 Status: Contract Payment Method: Credit Card Lender: Contract Type: Sales Comments: Product Description TxblQty Price Extension Permit&Administrative Fee Permit&Administrative Fee N 1 $300.00 $300.00 Setup and landfill disposal fee Setup and landfill disposal fee N 1 $100.00 $100.00 Basement Slider- 1 panel (Min 11.5") OR Fixed Basement Slider- 1 panel (Min 11.5") OR Fixed N 3 $599.00 $1,797.00 Unit Unit Total Information Unit Total: 4 Subtotal: $2,197.00 Tax Rate: 0°0 Tax: $0.00 Total: $2,197.00 Amount Financed: $0.00 Payment Method: Credit Card Deposit Amount: $1,098.00 Balance Paid to Installer upon Completion: $1,099.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: RRP Signed Date: Docusign Envelope ID:6873D1AC-1185-4C38-9F84-$1 D7247C13E3 Window World of Western Massachusetts ,w.,� 641 Daniel Shays,Hwy,Belchertown, MA v•T•^^^•N T commano !/tdoif/ 01007 e� 975 North Road,Westfield,MA 01085 C 7G�.G Office:(413)485-7335 WINDOW WORLD www.WindowWorldofWesternMA.com CARE ) 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 r'ArbAl 1 fiAlCt-t r Secondary Homeowner Docusign Envelope ID:6873D1AC-1185-4C38-9F84-B1 D7247C13E3 Window World of Western Massachusetts "641 Daniel Shays, Hwy, Belchertown, MA ;1 Window 01007 z� 975 North Road, Westfield, MA 01085 Q Office: (413)485-7335 w,4r R Eta, 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 ift on either side o*the window to be replaced. • Secure any pets(and children)for their own safety and for the safety of our installers. S.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 Docusign Envelope ID:6873D1AC-1185-4C38-9F84-81D7247C13E3 ueen mace oetore me installer leaves cne joo site. 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 —Signed by -erVilA4CP, bunter Secondary Homeowner Design Consultant I.PA "Renovate Right" Brochure can be viewed and printed from here: Renovate I:ighI. Di ochure NV1‘11 of W. Massachusetts anticipates starling this work on and being substantially completed in days.Any deposit required in ,,(Ivanci•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 e quipment r,l a special order or custom-made nature, which must be ordered in advance of the start of the work to assure that the project will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all l..irties. All tome improvement contractors and subcontractors shall be registered. No work shall begin prior to the signing of the r ruitract aril transmittal to the owner of a copy of such contract. WW of W. Massachusetts under provision of Chapter 142A of the c r'neral lav, ; is required to apply for and obtain all construction-related permits.WW of W. Massachusetts shall not be deemed i.:sponsible for delays in the work described in this agreement caused by regulatory, permit granting agencies, authorities, or dividiials. Notice: If the PURCHASER(S) obtains his own construction related permits for the work described under this agreement ( r deals wit i unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute,judgement and i onpaymer, the PURCHASER(S) will not be entitled to make a claim or collection from the guaranty fund established by chapter l-l2A, M.G.L . l'ou the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.ansactiori. Notice of cancellation must be in writing postmarked no later than midnight of the following third business clay. i ils IS,1 r;1 S 1 OM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western t !issoclrusei?s Inc.under license from Window World. Inc. /