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Baker permit applicationThe Commonwealth of Massachusetts r Board of Building Regulations and Standards Massachusetts State Building Code, 780 CMR r Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Two -Family Dwelling FOR MUNICIPALITY USE Revised Mar 20.71 This Section For Official Use Only Building Permit Number: Date Applied: Building Official (Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 P rape ty Addres 1.2 Assessors Map & Parcel Numbers Map Nrunber Parcel Number 1. l a Is this art accepted street? yes no 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: 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) Public ❑ Private ❑ 1.7 Flood Zone Information: .Zone: _ Outside Flood Zone? Check if yes❑ 1.8 Sewage Disposal System: Municipal ❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP, 2.},Or i of�c �� rio Name (Print) City, Statc, ZIP iPar i 6 3 S�Yq f`7& No. and Street Telephone Email Address ,ryl SECTION 3: DESCRIPTION OF PROPOSED WORKZ (check all that apply) New Construction ❑ Existing Building'OI, Owner -Occupied `0,, Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units. l.., Other NY'Specify: T2-J. , CA f,'f ;? p Brief Description of Proposed Work 2: SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Labor and Materials Official Use Only 1. Building $ 3 PC 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee ❑ Total Project Cost' (stern 6) x multiplier x 2. Other Fees: $ List: 2. Electrical $ 3. Plumbing $ 4. Mechanical (HVAC) $ S. Mechanical (Eire Suppression) Total All Fees. S Check No. Check Amount: Cash Amount: 0 Paid in Full Ci Outstanding Balance Due: 6. Total Project Cost: $ � Q ' 0 Ut SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License (CSL) o License Number Expiration Wte List CSL Type (see below) Name of CSL Holder - \e e Type Description No. and Street �' `i CA C� U Unrestricted (Buildings up to 35,000 cu. ft. R Restricted 1 &2 Earrnily Dwelling + City/Town, S a , ll' ✓ M Masoni RC Rooffn Coverin J WS Window and Siding SF Solid Fuel Burning Appliances l 1 ?��w' ��1 r '�� e',va�� la "'A Q �a� t Insulation , Tole hone Email address D Demolition 5.2 Registered Home Improvement Contractor (H.IC) HIC Registration'Number Expiration Date" HIC Company Name or HIC Registrant Name and Sheet w -. .. ;m,..,P, ' "^y t L�� ....� '..T�. .mail address Cit /Town, State, ZIP Telephone SECTION G: 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 .......... ®,`� 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 e�R,Ii.eaz �.kAI-Ay a �,•, to act on my behalf, in all matters relative to work authorized by this building permit application. yId - Print ner'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 pcKjury that all of the information contained i this applieatioq is true and accurate to the best of my knowledge and understanding. if [;u Print O , er' o Authorr cd"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 riot 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. og v/oca Information on the Construction Supervisor License can be found at www.mass.l,,oy/dins 2. When substantial work is planned, provide the information below: Total floor area (sq. ft.) (including garage, finished basoment/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 212 Main Street r Municipal Building Northampton, MA. 01060 W? CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROTECTS) In accordance of the provisions of MGL c 40, 554, 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: The debris will be transported by: Name of Hauler: rN\rc �& C- " Signature of Applicant: ,' Date: r dF F,� n �1'1� � 1A G 6' %, 'K j j. , City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street . Municipal Building Northampton, MA 01060 Cb Al HOMEOWNERS' EXEMPTION ELIGIBILITY AFFIDAVIT day, year), hereby depose and state the following: (insert full legal name), born ____ (insert month, 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. 1 am not engaged in, and the project or work for which I am seeking the aforementioned homeowners' exei�iption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CM.R 110. R3. 3. I qualify under the State Building Code's definition of "homeowner" as defined at 780 CM. R 110.R5.1.2: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which ther,� is, or is intended to be, a one -or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two -yeas period sha I.I. 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 far 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 �2 day of�'b`� r20 �12Y (Signature) qv� The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Streo, Suite 100 Boston, MA 021 ' 14-2017 ............ www.mass,govIdia Workertr' Compensation Insura"ce Aftlavit.- BuilderslComtructom/ U�exetrichlin,,/.Pluni hers. TO BE FILED WITFITH E PE"ItM11171ING AVTM)A1'UV. Applicant.1 Xorm.ation - NawC Window World of Western Mass Address: 641 Panlel Shays Hwy ....... . .. .......... ..... . .... ......... ........ --- ........ ...... UY/State/Z'ILP: Belchertown MA 01007 4134857335 Phalle jmibwjiw� ............ Aro,vols sin t)m1sloyer? Cjlev% tl)e appropriale WON; I.EJ Rill 11 QTV)Ployerwiiill so []I AM a Rok Proprietor or pgrillership 011d have no 0111playces wf.vkJ)jg for ilia in tiny -Gapticity,JN6 warkers' voillp, lnqurgfu.a rquirod.] 110PPOMR01' d0i.11g klij[ work nrywif, JN(5 workers' collip, inglivance requind..j boincowncrsand wilt all workoyi si)y pixilierly, )will ellstire. 14101 All colaractors Qh1wr have jil.%ol,1110v ol. g,c solo Prolli'loors will) 110 ampkiyaos. 0111 it I hiivc hired the m1b-oonlinictors hated mi the have VAIIA(iYee'S M1 linvt workors'c,*mp, itvqrarjce. Cr, We ores za, corpwl pion nod imoffiviM, likive excivised their right orL,,veij.jpjjojj porMOL c. 152, § 1(0, and we have, no tnplt)yot,, [No w(wlirrs' canip, insuramoo reLiklinti, I Type otproject (roqulrvl)� T Now ccntstructitarr ;i, k�cstYrrs[:Ictiin� 9, 7-Denlohijon 10 Ej Building tiddil4w 11,0 Elcctrical rcpidvor rapaiv� or,,ldelh-ioo, 1t04 replan", Replacement "An I ,, i .y UPPlic"Al (hat eheckg Nx� #"F"MR( ftl80 I"ill ot1t 11w NeC11011 bel(A'5110wing dleirworkorx* compol-ALlion IN)l1ey inknijudion. "1°lM1100wilefm wlNy subilil t[ii 8 allidavil ill4cali'lls I 110Y are, doijim Ail I wvrk and then hire U01141001', MUM StihIllit ;I 71cw liff'] gijl%' i I j :Vonuneton Aw dmkibIN box ultist 11flat"hed an additiolud gildet 8110wing the name of the 11taiC 59'hC11ker ol'i)(11 (1106V ejitjtjQ.-L lit . ivv Ulliploym, If ImW 4MJ)l0Y0LK IficY M1191 Provide, shalt workers' comp, policy 111111:11her. aM elfr emptoyer thal. iv providing workers' MPPOMW100 insulvace,for my employees. 1jej#w iv tile policy andjoh y4v inforazation. Indemnity Insurance Co. of North America l"'OlicY # or Se . If -ins, Exoirndoll uato: 10/01/2024 Job ,"tits Addross: C9 I (a C- L S �' Attuch,a eiVy oftlie workergs t!0r"penSfttij)jj policy dec. Arati(l,k, p g0 a Ts1-17(wing the PtAicy arumber and Failure to secure covc-ruge its required under MGL'c. 152, §25A is as criminal violaflon punighable 1-.5y st fine up to $1 •,'()0.00 avidlor one-yo-ar impri-gollillevit, as well us Civil Peluild'Os its Ilia form of a STOP WORK ('.)RLW[� and a fitle ol, up to day againa.zhe violator. A copy or this statclnent may be fiorwardod fist thr, Officc of Investigalions of Ifie DID for i iir;u nihcc Coverage velij."joatio.n. I is thee and vorrerf, ,7, q /, 2 q 11biwo #: 413 48-8-7335 Official U0, 0111Y, -DO rr Ot write in th kv area, to be completed ky city rare town officia I city w-rown-, Permit/fAcense ;Cr aoing Author-ity (circle one -. I -floord OtHeqlfh 2. BuildingDepartment 3. City/'i Clerk 4. E lectritm] Ing & Other , metor S. Plurmbing Impeetor Con tact Person.- DATE (MM001YYYY) o91::2nd2a AteC"RE> 16.� CERTIFICATE 4F LIABILITY INSURANCE Acct#:2970777 _.__. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDF R. 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 he endorsed If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement ort this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). _ PRODUCER CONTACT ....-Y LOCKTON COMPANIES, LLC -PHONE--- ---- - _FAX 3657 BRIARPARK DR., SUITE 700 IAIC, Nn, Ext): 888-828-8365 (Alo, Na). HOUSTON, TX 77042 E-MAIL ADDRESS: INSPERITYCERTS©LOCKTONAFFINITY COM INSURED WINDOW WORLD OF WESTERN MASSACHUSETTS INC. 641 DANIEL SHAYS HWY BELCHERTOWN, MA01007.9529 COVFRAAFS (:FRTIF1rATF NI IMIRFR- REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLI INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO 1 CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALI. "I EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR �� TYPE OF INSURANCE ADDL SUBR POLICY EFF PpLECY EXP LIMIT$ LTR INSD WVD POLICY NUMBER tMMIDD1YYYY) (MMIDMYYYY) — COMMERCIAL GENERAL LIABILITY OCCURRENCE $ _EACH DAMAGE TO RENTED _ CLAIMS- OCCUR PREMISE$ Me occurrence) MED EXP (Any ono, pnrsonj_. $ PERSONAL & ADV INJURY a GEN'L AGGREGATE LIMIT APPLIES PER: GL-NERAL AGGREGATE F POLICY nPRO- nLOC -_----- ---_. ._.,.. . l IFr.7 ICJ pRQDU(-TSC75-C('1MP10PAGG $ THER: Y. AUTOMOBILE LIABILITY COMBINED .(FA nc0derit)_. — __ $ ANY AUTO BODILY INJURY (Per porson) $ OWNED SCHEDULED BODILY INJURY (Per accidcnl) S AUTOS ONLY _ AUTOS HIRED NON -OWNED -- PROpERTY bAMAGE $ ' AUTOS ONLY AUTOS ONLY _(Per.auuIdenl)__.. ........ _.. UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS MAU CLAIMS -MADE AGGREGATE tb DET) T I RETENTION $ WORKERS COMPENSATION Y PER O'fH- STATUTE„_ER- A AND EMPLOYERS' LIABILITY ANYPROPRIETCWPARTNERIEXECUTIVE _ El, EACH ACCIDENT OFFICI RIMCMURR EXCLUDED? (Mandatory In NH) If yes, describe under NIA x C56098598 10f01l2023 10101f2024 E.L. DISEASE - EA EMPLOYEI= y0( $ 1,Or DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1 ,0( �. DESCRIPTION OF OPERATIONS / LOCATIONS! VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more SPnCa iS squired) Town fo Northampton Building Dept 212 Main St Northampton, MA 1060 IN5URER(5),AIFORbING_Cp,VERAGE NAIL'17 )NSURER A Jndemnity_lnsuran_c_c. Cn. of_No.rt)a AmerLca__-- _ . _ .... A3:i75 INSURER B INSURER C INSURER D t INSURER E INMRFR F Y PFRIOD - VI-II<;I-I III 'r�::ItMs I 0,000 i d 0000 ; 0000 ANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE Di:I.IVr_`RI D IN ACCORDANCE WITH THE POLICY PROVISIONS. ITHORIZED REPRESENTATIVE C::f3L,---I-� © 1988-2016 ACORD CORPORATION. All right : resnrvv,1. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD WINDWOR-01 _t�,i'_P CERTIFICATE OF LIABILITY INSURANCE DAT419/7n"YYYY) 41912.A 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 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 erviorserl. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statol n,-mt on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s), PRODUCER COM.NTACT Laura M1sserl LV.A.._.__. ...------------....._.—_......--- ----- Phillips Insurance Agency, Inc. PHONE FAX 97 Center Street _(Arc, No, Ext (413) 594»5984 _ I (Arc, No)_(413) 592 i 499 Chicopee, MA 01013 E" laura@phiIIIpsinsurance.com INSURER(S)AFFOROf_NGCOyERAGENAICiF INSURER A:EMCASCO Insurance CO 21407 INSURED INSURER s:Empiny_ers Mutual Casualty_ Company_21/05 Window World Of Western Massachusetts Inc 641 Daniel Shays Highway Belchertown, MA 01007 INSURER F : COVERAIRPR r'FRTIFI!'ATF All IRAQ1=10- oEtincln Ri K111RApED. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLK INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO" CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI _ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS_. INSR LTRTYPE OF INSURANCE ADDL SUBR pOLICY NUMBER — POLICY EFF POLICY EXP_ _ LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR I " I 6A44324 4/912024 4/912025 _DEACH OCCUR gtIGE AMAGE TO RENTED ..EBEMISES_(Ea.Occurrync�.).-- S _ S MED EXP (Any onr pnrFnn}____ ,. GEN'L AGGREGATE LIMIT APPLIES PER: POLICY G?1 � LOC GENERAL AGGREGATE S PRODUCTS,- COMPIOP AGO _.___.....__....... _. OTHER: S B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO OWNED SCHEDULED AUTOS ONLY X AUTOS 6Z44324 4/912024 4/9/2025 BODILY INJURY (F'erperson),_6 BONA Y INJURY accident) _ 5 �( NIIRED )( NON-OWNEp OT05 ONLY AUTOS ONLY iO�PERTY ppAMAGE eT [�gcldent)_,,,__- B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE 3 EXCESS LIAB CLAIMS -MADE 6J44324 4/9/2024 4/9/2025 AGGREGATE .--- 15 DECI I X I RETENTIONS 10,000 10ESCRIPTION WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANpY PRRRO��PRIETO��R��IPARTNERIEXECUTIVE (M ndEJVMEMB EXCLUDED? Vyes, descrbe under OF OPERATIONS below NIA IPER I OTH- __.. $T.A_TUTE _ __ ER...-_ E;L. F,lSCFi,ACCI�ENT_.. ..__._._. E.L. DISEASE - EA EMPLOYEE --.----- _.. .... _ E.L. DISEASE - POLICY LIMIT . $ -$ DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, AddltlDnal Remarks Schedule, may he attached IF more space is required) Town of Northampton Attn: Building Department 212 Main Street Northampton, MA 01060 Y f 'LIRIOLI II( H _rI IiS I I-P.MIS, ;ooa,00 500,00 10,00 000,00 .'000,00 Ann nn I,000,0 1.00C1.0 I ,000, 1,000, SHOULD ANY OF THE ABOVE DESCRIBED) POLICIES BE CANCELi_EI s 3EFORC THE EXPIRATION DATE THEREOF, NOTICE WILL FEE DELVIF :El) IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) C 1988-2015 ACORD CORPORATION. All right • I °Ise rur;rl. The ACORD name and logo are registered marks of ACORD "C C1111 1IT11:11mo kj[-ou ,j 11,L EIYKPIVM! 04), 5 n� ell, THM COMMONMALTH 01P,MA-SSA.(! HU BUTS '0� C01180110V MIVS A 11M Sineyo; RequRmflory MOME OUPRovi;T 4.vN'C,KTnACTOn A VCHMAS DROST" Wve ,!MA THE COMMONVYVA12111 Oft MASSACI,IusmL ra 11OMt lMPR0V14M.kNT-00XTRAG TOR awmJ oil WINDOW WorjLv OF.;i" LSTC.RN. --rs, a4c. yApsAdiusri T[MOTHY ORDST 041 DANIEL 81,likys I -I& BELONLR'. I . OWN, MA 01007 Roc jiWaration vmiia or jr),mvi-c�wg 111I IIr. e,xql roll on dallp., 114CUFATkARITI! r Affiniies and O kcal 111) Reop 11'.1acm 11MV W4611 I'll ROM MO'et - �WPe 710 B'DrV1,11, MA 021lia 4" . ... . .............. Not'v6ilki -wit IAuro Rq1tuiruilom vaso ior IfltllvlAaacll U60 0111V ljogaro liv, UpIratims d.ita, If 1`01Md 101LIm M, Buonoss 10100watiflingto16APM1 •Su[tjjTjo Ucumcn, MA 021ju Not vallid without signature Best -in -Class Features: Q Welded, heavy-duty vinyl constructfnn provides superior strength and durability. a High -density foam enhancement throughout the mainframe offers superior thermal protection. SolarZone TG2''^ and SolarZone TK2" triple -pane insulating glass enhanced with Law-C coating and argon (TG2) or krypton (TK2) gas ensures the elements won't make an impact on the comfort of your home. `: A Duralite- warm -edge spacer system further improves energy efficiency, Q 1-he beveled exterior edge provides style and curb appeal to an already sleek design. Q Recessed, opposing cam locks secure your window without interrupting sight lines. Q Heavy-duty weatherstripping and interlocking sashes help to keep weather and wind outside. Q Balance channel covers ensure a polished look. +� Spring -loaded, push-button vent latches allow for overnight ventilation while giving you added peace of mind. Full-length, integrated ergonomic lift rails provide convenient, easy operation. Bevel on bottom rail enhances grip. Metal reinforcement in the meeting rail enhances strength and protection against wind and weather. ® Recessed tilt latches can be released to tilt both top and bottorn sashes into the horde for easy cleaning. Q Welded combination sill featuring a deflection leg offers rigid structure and a five -degree sloped sill that directs water away from the home and eliminates unsightly weep holes. An easily removable latching half screen gives you the freedom to let air in while keeping pests out. Featuring Clarity mesh, the screen allows you to focus on what's important: the view. IDetent clip keeps the top sash from drifting while an inverted -coil balance system ensures both sashes will stay where you put them, no matter the position. 0 Series consists of double -hung, double slider, casement, awning, picture, and architectural shape windows. Energy -Saving Glass Packages: Our SolarZone''" insulated glass packages help you save on heating and cooling casts while also keeping your home more comfortable. In warm weather, SolarZone reduces solar heat gain, minimizes interior glare, and lowers inside glass terrlporature to save energy and keep you cool. In cold weather, SolarZone helps to control the heat inside your home by providing thermal protection that keeps the inside class panel warmer. PERFORMANCETHERMAL • DOUBLE -HUNG U-FACTOR SHGC Sui.irZcne TG2 0,21 02b 6ofarLone TG2 w/ GrMs 0,22 0.22 gnlorZone TK2 0-17 025 s❑ H Z L�1C Triple -pane glass and a foam- en hrinr rrl mainframe results in superior thermal performance. 1 Window values are based on single-sirength glass, standafd 6000 5erlesofforing. Values vary depending on grids and optional glass thicknesses upgrades (t/d" laminated, 1/2" tomparod, $/16p1 decorative glass etc) ST and Hp performance values are ahn nwil[abfa. 2 TX2 is avahable an 6000 series double -hung and double sliding windows only. SolarZone 7G2: Triple -pane, singie-strength glass with twra coatings of Law-E, nruon enhancemnt, warm -edge spacer sy5lefn, and foam -enhanced mainframe SolarZone TK2; Triple -pane, single -strength glass with Iwo coatings of Law-E, krypton enhancamenl, warm -edge spacer system, and roam-enharKed niatnhame Foam Enhomarnani: roam enhancement is injected intotise mainframe of the wlndpw, providing Increased performance Window World of Western Massachusetts 691 Daniel Shays, Hwy, Delche-town, MA 01007 (IL(4(1( 975 Nortli Road, Westfield, MA 01085 (j Office: (413) 485-7335 www.WindowWorldofWosternMA.com Kris Baker Install Address: 21 Park St Florence, MA 01062 Contract Name: Kris Baker - Sales - Windows Design Consultant: L.anea Bushey Date: 9/9/2024 Payment Method: Contract Type: Sales Comments: Measured By: Measure Approved Status: Quote Lender: IJC3k.RfIRR 7' li PmR iti CARES Product Description Txbl Qty Price Extension Permit & Administrative Fee Permit & Administrative Fee N 1 $200.00 $200,00 Setup and landfill disposal fee Setup and landfill disposal fee N 1 $150.00 $150.00 6000 Series DH Triple Pane 6000 Series DH Triple Pane N 4 $989.00 $3,956.00 Total Information Unit Total: 5 Subtotal: $4,306.00 Tax Rate: 0% Tax: $0.00 Total: $4,306.00 Amount Financed: $0,00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $4,306.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: Window World of Western Massachusetas 6,11 Daniel Shays, Hwy, Belchertown, MA 01007 975 North Road, Westfield, MA O1085 Office; (413) 4 85-7335 www.WindowWorldofWesternMA.com Product Acknowledgements N+ 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. 1 received this pamphlet before work began. Primary Homeowner Secondary Homeowner rrrfi� s '�s ' "Ft cc amr nn WIND. V- WOR .()'y-V CARES) i E Window World of Western Massachusetts 641 Daniel Shays, Hwy. Belchertown, MA+�� 01007 ��IIIIVVIIWWII //VVIIllYY(//Vlll 975 North Road, Westfield, MA 01085 wwn, v, WOR..n (3 Office: (413) 485-7335 CARES 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 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 $50 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 7�� Secondary Homeowner Design Consultant EPA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure WW of W. Massachusetts anticipates starting this work on and being substantially completed in days. Any deposit. reqLW < d In advance of the start of the work SHALL NOT exceed 33 1/3% of the total contract price OR the actual cost: of any € ate) ;, ] or equipment of a special order or custom-made nature, which must be ordered in advance of the start of the worst to ass€: " tha: tho project will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisft:cctio) (!' oll parties. All home improvement contractors and subcontractors shall be registered. No work shall begin prior to tli.e sigc iijq of the contract and transmittal to the owner of a copy of such contract. WW of W Massachusetts under provision of Chapt.ec 1. 1-'A of tlu-a general laws is required to apply for and obtain all construction -related permits. WW of W. Massachusetts shall not: be c ki mite responsible for delays in the work described in this agreement caused by regulatory, permit granting agencies, authorii f m individuals. Notice: If the PURCHASER(S) obtains his own construction related permits for the work described under Itw agroxnm of i or deals with unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute, judgonlent F id nonpayment, the PURCHASER(S) will not be entitled to make a claim or collection from the guaranty fund establi.::hed I y (,halr[(, 142A, M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after- the d,al o ofthis transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following this d busine,,, day. THIS IS A CUSTOM ORDER NOT FOR RESALE This Window World© Franchise is independently owned and opera Led by Windmo £+boric!. � W(,,,l n.ri Massachusetts, hic. under license from Window World, Inc.