Loading...
Lauder permit application1 The Commonwealth of Massachusetts Board of Building Regulations and Standards FMUNICIPALIT'Y R Massachusetts State Building Code 780 g CMR USE Building Permit Application To Construct, Repair, Renovate Or Demolish a Mar 201I One- or Two -Family Dwelling Building Permit Number: This Section For Official Use Only Date Applied: Building Official (.Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map & Parcel Numbers 1, la Is this an accepted street? yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Ilimiensions: — Zoning District Proposed Use Eot Area (sq ft) Frontage (lt} 1.5 Building Setbacks (ft) Front Yard Side Yards Rear Yard Required Provided Required q ,Provided Required Provided 1.0 Water Supply: (M.G.L c. 44, §54} 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public ❑ Private ❑ Zone: _ Outside I'locxl Zone? Check if yes❑ Municipal ❑ On site disposal. system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner' of RcIord: t Name (Print) � � � 11 City, State, ZIP dd No, and Street Tele Atone I Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK' (check all that apply) New Construction ❑ Existing Building'I Owner-OccupiEd'1 ,,, Repairs(s} ❑ Alteration(&) ❑ ddition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Uni�, Other Specify: Brief Description of Proposed Work': tet]t 1. Building 2. Electrical 3. Plumbing 4. Mechanical (HVAC) S. Mechanical (Eire SECTION 4: ESTIMATED CONSTRUCTION COSTS Estimated Costs: Labor and Materials) Official Use Only 1. Building Permit Fee: $ Indicate how fee is determined.; $ ❑ Standard City/Town Application :Fee © Total Project Cost' (Item 6) x multiplier x $ 2. Other Fees: $ $ List: $ 6. Total Project Cost: I $ 13 1� 4 4 � Total All Fees: $ Check No. Check Amount; Cash Amount: 11 Paid in Full 13 Outstanding Balance Due: l ( , "o�uv SECTIONS: CONSTRUCTION SERVICES 5.1 Constraction Supervisur License (CSL) c w• License Number Expiration .ate Name of CSL 11 der (S { %• No. and Street t_ City/Town, S ate, TP'" l v,.a,uvitu L--" address 5.2 Registered Home Improvement Contractor (HIC) HIC Company Name or HIC Registrant Name -c 194q. and Street City/Town, State, ZIP List CSI, Type (see below) is Type Description U Unresticted Buildin , u to 35,000 ell. R Restricted I&2 Family Dwelling M Malnnry - WS Window and Sidin- SF• Solid 1F eueu Burning Appliances I Insulation D Dr mnlifinn I I-IIC Registration Number 1�ExpirationlDat�'' :Email address 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 -- 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_to act on my behalf, in all matters relative to work authorized by this building permit application. --- Print O er's Name (Electronic Signature) Date SECTION 7b: OWNEW 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 lit ali is true and accurate to the best of my knowledge and. understanding. Print O er' uthorl d Age slName (Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work, or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor (HIC) Program), will not have access to the arbitration program or guaranty fund under M.G.L, c. 142A. Other important information on the HIC Program can be found at www.tnass. Joy/oca Information on the Construction Supervisor License can be found at www,mass,gov/dt)s 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 Treating 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 DEP.AIRrIaAW OF BU.TLDXN•G XKSPEC!".IONS 212 Main Street o Municipal Building Northampton, MA 0106o 4 Wi 9: ti CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit N umber 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: Signature of Applicant: l ` Date: p -� City of Northampton Massachusetts DEPARTMENT OF BUILDING IN&PECTION,S' v,e 212 Ma'n Street a Mucxicipal Bui,lciing Northampton, MA 01060 HOMEOWNERS' EXEMPTION ELIG.TBIL.TTY AFFIDAVIT I, " ADO/e day, year), hereby depose and state the following: 0 04 i as (insert full legal name), born — (insert month, i. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirementt> of the Massachusetts State Building Code, codified at 780 CMR I10.R5.1.,3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I 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 I f 0.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 anal/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision license and., except to the extent that Iqualify 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 d day of tC A r- 20 Y' (signature) i ne ulNnmonweair'n (Jf lYlll.1'.1'la1Ci? ,CJeTi, ' Department of Industrial Accidents Office of Investigations .La fayette City Center 2 Avenue de Lafayette, .Boston, MA. 02.1..1.1-1750 www mass.gov/dra Workers' Compensation Insurance Affidavit: Builders/Contractor.s/Electr-icians/1'llj11, Name (Business/orgat7i'ation/Individual): Window World of Western Mass Address:641 Daniel Shays Hwy 13elchertown MA 01007 ibh, Phnnp lt•413 485 738.ri .ire you 20 employer? Check the appropriate box: 1.9 1 am a employer with, 50 4. D 1 any a general contractor and 1 employees (full and/or part-time).* 2. ❑ 1 am a sole proprietor have hired the sub -contractors listed or partner- on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity, employees and have workers' [No workers' comp, insurance comp. insurance.* required.] 3, ❑ I am a homeowner doing 5.0 We are a corporation and its officers have all work exercised their myself [No workers' comp, right of exemption per MGL insurance required.] t c. 152, § .1(4), and we have no employees. [No workers' Type of project (requit•ca 'p 6. ❑ New construction 7. ❑ Remodeling 8. ❑ .Demolition 9. [] Btulding addition 10.❑ Electrical repairs m lditiow J LE] Plumbing repairs w , lcli9iWIS 12. [] Rao f repairs 13.1p ()therreplacemen: comp. insurance requited.] Any applicant that checks box iF 1 trust also hil out the section below showing their workers' compensation policy infori rtation. Hnlnenwnet's who submit this afitidavit indicating they am doing all work and then hire outsid.c contraci:ors must s�Ghntit a new ifl'ic�avi[ in�.ficeiti, tContractors that check this box must attached an additional sheet showing the name of the sub -contractors and state whether or not those cntitie" employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. Ian: an employer that is providing workers iinformation.' compensation insurance far my employees. Below is the policy aiPiidj r Insurance Company Name: Indemnity Insurance Co. of North America Policy # or Self ins. Lic. #: C72408342 Expiration Date: 10/01 /20 Job Site Address: I �' f City/State/ip: j? ✓1 >� �f �tv Attach a copy of the workers' compensation policy declaration page (showing the policy number and expirati# t� ciw[l c,)_ Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of crimin,.1 t polio i ,s of "I fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form ofa STOP WORK Olt.DFT1 ; ,td of up to $250.00 a day against the violator. Beadvised that a copy of this sta.tenient may be forwarded to the t � Cf ic'e Investigations of the DIA for insurance coverage verifIca.tiora, t day lrmrebr cersI& tender thc'.pains and.penalties raf pq ury tkat the ip imma donprovided alcove i � vaaw aanuc6 , �r , [oc_rm413-485-733 Fonly. Do Trot write in tins area, tar ire completed by city or trrwn rrf wn: Ieranit:ll:,ncerase ii Au cl Issuring A y ( j(vk one). I0-Boardoftlealtlr 2E]BuildiingDepartment 3i1City/'.FowvnCleric. 4L] lectricai Q.'nspccto ��fl�tatrr�npvii ;, [71spector 6.EDUtber Contact Parson: �� AcCIIA; 2UIU/II MIX r/GUxq l THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOi„DER, THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE C� BY T9IPOLICIES AFFORDE BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN TWE ISSUING I REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. NSURER(S), Till: AUTHORIZED us IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or bo endorsed, Iff SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement, A stata)lnent; on this Certificate does not confer rights to the certificate holder in Iieu of such endorsement(s). PROIDUCER coNrAcr LOCKTON COMPANIES, LLC NAME: 3657 Briarpark Dr., Suite 700 PHONE 888-828-8365 FAx Houston, TX 77042 ADDRESS: insperitycerts@IOcktonaffinity.com _ INSURER S AFFORDING COVERAGE NAIL fA INSURED INSURER A : indemnity Insurance Company o€ North America - 43575 WINDOW WORLD OF WESTERN MASSACHUSETTS INSURER S : 641 DANIEL SHAYS HWY SELCHERTOWN, MA 01007-9529 INSURER C : INSURER D :--.__..._.._. INSURERE: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: INDICATED. NOTWITHSTANDING ANY " THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOp — REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH CERTIFICATE MAY BTHIS E ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALG 71IF_ TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TR TYPE OF INSURANCE AD R POLICY EFF FOLICY EXP im POLICY NUMBER MMIDDIYYYY lD MMDIYYYY LIMITS _ COMMERCIAL GENERAL LIABILITY _ EACH OCCURRENCE CLAIMS -MADE OCCUR DAMA E RE TE — T�- A NIA C72408342 10/01/2024 PREMISES Ea occurrence $ $ -. - ---- -_ _ $ $ $ MED EXP (Any ono person) -- GEN'LAGGREGATELIMITAPPLIES- AUTOMOBILE PER: POLICY ❑ JECOl ❑ LOO OTHER: LIABILITY ANY AUTO ALL OWNED SCHEDULED AUTOS AUTOS HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAB OCCUR EXCESS LIAB CLAIMS -MADE PERSONAL&ADV INJURY ---- GENERAL AGGREGATE' PRODUCTS - COMP/OP AGG COA/BINED SINGLE LIMIT Ea accident $ $ $ --- — F S -�-- $ $ - $ BODILY INJURY (Per parson) BODILY INJURY (Per accident} PROPERTY DAMAGE - (f'er accidentl 101D1I2D25 EACH OCCURRENCE AGGREGATE DED RETENTION$ WORKERS COMPENSAT[ON AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE YIN OFFICERIMEMBER EXCLUDED? (Mandatory In NH) If es, describe under DESCRIPTION OF OPERATIONS below X STATUTE ERH _ —_ a 1,000,fiflo --- - ---- — -- $ 1,o00,rn0 $ 1,0W,00 — i E.L. EACH ACCIDENT E.L, DISEASE - EA EMPLOYE- E,L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attaohod If more spaoo Is required) CERTIFICATE HOLDER CANCELLATION Town to Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Building Dept THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED 212 Main St IN ACCORDANCE WITH THE POLICY PROVISIONS. Northampton MA 1060 AUTHORIZED REPRESENTATIVE WINDWOR-01 LAU �.....--- CERTIFICATE OF LIABILITY INSURANCEF,-;A— TA(„"'n""NVYYY) lHiS E IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDS k,;. T'FHIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE R, ILIC11;S BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTI•11 IRI7ED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. 11 VIU cerTmeaze noider Is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or ue , n.:lorsrd. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A stal,rl+lent ran this certificate does not confer rights to the certificate holder In lieu of such endorsernent(s). PRODUCER CONTACT Laura Missed —...`.._. Phillips Insurance Agency, Inc. AM>: ----.---. 97 Center Street PHONE FAX _ . Chicopee, MA 01013 _fart, No, Exy: (413) 594-5984 - (AIC, No : 413 59a 13499 E—MAID — _ r ( ) INSURED Window World Of Western Massachusetts Inc 641 Daniel Shays Highway Belchertown, MA 01007 law %—yPnlllipsinsurance.com *+� V 4VYCri K[aC NAIC r! ante Co 21, 07 1I-Casua.Ity Company 2 P 15 INSURER F.......�. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED' OED AB OfV�OR THE POLk Y I'L I,I[)L'I INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WI #h J-1 TI il;, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI I : IERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. J R TYPE OF INSURANCE ADDL SUBR ----...------------- -�___ . _. _ _ POLICY EFF POLICY EXP A POLICY NUMBER LIMITS X COMMERCIAL GENERAL LIABILITY _(=ALH OCCURR�iVL'E ...., $ i ,Daa,aaa CLAIMS -MADE OCCUR 6A44324 4/9I2024 4/912025 PREMISESTO ERENTED 3 aaa,Oca MEp EXP (Any nne Ilrrsnn]_ ,$ 1 tl,aaD PEijSONAL t3 ADV-INJURY _ 3 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: � X POLICY X PRO' X LOG ,GNERALAGGREGATE, ;� ',aOO,naa JECT PRODUCTS- COMPIOPAGG ;S 1,000,000 OTHER: B AUTOMOBILE LIA9ILITY $ a00,aaa COMBINED SINGLE LIMIT ANYAUTO X SCHEDULED 6Z44324 4/9/2024 4/9/2025 _{ .�n.acr,.idonl)_.._.,.-__ _ BODILY€NJURy_(Pelperson) 3OWNED S i,aaa,aaa AUTOS ONLY AUTOS X HlRED ry�}�# pWN p AUTOS ONLY X - BODILY INJURY (Per nccidont) AMAGE .."o — AUTOS ONLY POPE d Y ;a S X UMBRELLA L1AB X OCCUR "i EXES LIA5 EDEI� 41912024 419/2025 _EACH OCC_URR_ENCEC ;S ,aaa,OaD 000,000 X RETENTION$ 1t),000" AGGREGATE___._- _- _ _ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY PER OR.- 4 -----w-- ---- OFFR3EOrR�M IMBOwEXCLUDED? EGUTiVE Yj'"� NIA ____ _T_ATUTF.,._... _ER._ E.L. EACH ACCIDENT (Mandatory n NH) L_J __ _... _....--- _......... $ If yyes, describe Linder EmL: �I5E115 __En EMPLOYEE S DESCRIPTION OF OPERATIONS Lelow E.L. DISEASE - POLICY LIMIT 5 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (ACORD 101. Addillonal Remarks Schedule, may be ellachad If more space is required) Town of Northampton Attn: Sulkling Department 212 Main Street Northampton, MA 01060 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED IF'FORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVF. RI-D IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) O 1988-2015 ACORD CORPORATION. All right,; i !t;c rvk cl. The ACORD name and logo are registered marks of ACORD 'Ci tl•ril llliTl41�'�A!'UkCIT >,7'1 ri'iA;4�llri,.l kAl',afrC'I;: �—�•�:"4,4,:,.4....:..., I�ar��:,iiali €ri Prrar¢etG4Wo.nirt N,dc Lirrr�kl�m 4 eyelrTJ �ilatrrdda"tq��! Itrsrl:IJ,I�Cr[�t�� r,fl€l,�q�rs€i�ar.el� 102I;fAKNI[&gl '7 h �+ �t >�l,YP99'@N`Iilir�ll.tifi7�r t��l':L�V,p�a s`v fiJ+4;i•vPrtikza,,, �rfNr?�'*'�rr;.'i THE 009-11VIONWIwAL,I H q1° 1e7A1',yS,t1,.04h11,1 eTTS 041€ 0 Of Consumer AIAgjVai 8 ntjtflC'IwLr.j I�G��VYp�83ch!?i hrC3�ui.lr Il++1F�FI�rJ1„It��14j1'����f�T1��1�Tr~71� 14> [$9s�1 Jr Hoer: mow:+1� � tir m7t?1$x'�r Ind. VICI~IrJt h f 1 OOS SE- G,1•IEA6`2bWNi MA 1L"1Ur, _,,. �3s1�CJcrl otiGlCstl�;l'',�' THE COMMC9N VlEAVII OF MASSAalUSIETra 0(GOD OR 0011SURTI€Fr.AW11ra,& Stiult eau R-ogulaalwil HOME IMF*EGf}1i1;14Mt37;CIr'I>ITRAC.TOR T'•Y.I�C:: i;:[�rj, br4•ralun RngrctraUm y ; J xul=01 wiNDovv woi:R1 D Of +iJ aT CT�gw,tvt u1�CFlU �L r f s. INC. TlhOTHY I ROST 649 A]RMEl. $11AY51 IlkY' r31_Lf..dAITI'Cir, K NIA WON - .,..I.PrTrl+�r��.rr:.rr3l€ir+y A00stivl1on va'Jid cair Ifn€@6v'r€IMW 1il5D Lr 011.1m1't)ru'tiir: -eKj lrATN'm rd,1Ilii;, 11 rlirw id rd-AL11e3 10'. 01111to qr Caor;.ulahurAll, dies'al"Id IMPSiitus:.4 Re-gk.norli4;lri 1000 IIVN1'rbnF UNi ;; Uant -nisi a Yy1d :i ILLYL'�I �j4f f•�AGr I � .Li ln. r , Not V�-,IIIIId wlr -hIaut s`r¢1awrrI1'r 1{il{)IICtMlilal6 wi€1 m 1Ir€Ilv atrrl ma•aa* balr m it , uxplreiiratl €IAQr I.rr'ULPIri ruturm tui. Clfdlarn d OrrArP3lJilr€;r MUM err d Walm ns Apulnr4 m tlPOCIWasIrllr;plrarrSTruot-Sulra7lvj Ho,,ton-, MA 02118 Not ua.iltl without signature .......... i Window World of Western Massachusetts 641 Daniel Shays, Hwy, Belchertown, MA 01007 �,,Lp� 975 North Road, Westfield, MA 01085 Office: (4t3) 485.7335 www.WindowWorl.dofWesterntvl.A.cosn i I Ian Lauder Phone: 4135881792 Install Address: 76 Longview Dr Email: ilauder904@hotmail.com Florence, MA 01062 Contract Name: Ian Lauder - Sales - Siding Design Consultant: Tim Drost Measured By: Measure Approved Date: 9/28/2024 Status: Contract Payment Method: Financed Lender: Contract Type: Sales Comments: Product Description Permit & Administrative Permit & Administrative Fee Fee Setup and landfill disposal Setup and landfill disposal fee fee Siding Soffit and Siding Soffit and Fascia (NO STRIPPING STRUCTURAL LAYER OF SIDING) - Fascia (NO Limited Lifetime Warranty on product + 5 Years Labor (this price does not STRIPPING include any porch ceilings, post and/or beams) **Window World is not an STRUCTURAL electrical contractor. We will remove exterior lights and cap wires as we are LAYER OF installing new siding. Customer is responsible for obtaining an electrician to SIDING) pull a permit (as applicable) and re -install exterior lights at their sole cost and expense.** ul;z�nm�s �„i•, camni�znn df! GARE8 Txbl Qty Price Extension N 1 $300.00 $300.00 N 1 $900.00 $900.00 N 1 $16,959,00$16,959.00 5" Gutter & 5" Gutters & DuoPro N 1 $2,500,00 52,500.00 DuoPro Entry Door, Entry Door, Casing + Capping 9 lite 1 panel nickel multipoint cabarnet exterior Casing + N 2 $4,467.00 $8,934.00 white interior venture brush nickel Capping Premium Larson Storm Door (32 Premium Larson Storm Door [MANUFACTURER WARRANTY ONLY -NO WINDOW or 36 width, 80- WORLD WARRANTY -Manufacturer Defects: Limited Lifetime Frame, Syr. N 2 $1,425.00 $2,850.00 81 height) NEW Screen, lyr. components] NEW ENTRY DOOR ENTRY DOOR Total Information Unit Total; 7 Subtotal: $32,443.00 Tax Rate: 0% Tax: $0,00 Total: $32,443.00 Amount Financed: $0.00 Payment Method: Financed Deposit Amount: $0.00 Balance Paid to Installer upon Completion: S32,443.00 RRP Pamphlet Provided Date: Renovation. Repair and Print Act (RRP) Compliance Year Home Built: 0 RRP Signed Date: Window World of Western Massachusetts �c scnnns pIn 'r cumin vu *4rw 641 Daniel Shays, Hwy, Belchertown, MA01007 975 North Road, Westfield, MA 01085 WINpOW 'N q LiS Office; (413) 485-7335 CARES) www.WindowWorldofWesternMA.com ef-+ rrAff �� Product Acknowledgements i 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 Rf Z�9-� -111Q� Secondary Homeowner Window World of Western Massachusetts 641 Daniel Shays, Hwy, Belcherlown, MA aL. 01007 "- 975 North Road, Westfield, MA 01085 *4ew Office: (413) 485-7335 WINDOW A R[ D �a www.WindowWorldofWesternMA,coin CH' `�8 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, 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 1ft 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 our Ir staller. An evaluation sheet will be provided for the Homeowner to sign after the final inspection is complete. Please make sure that any correction. 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. 3.1. 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 Secondary Homeowner ;rA Z,04-� 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 requi1-e-I n advance of the start of the work SHALL NOT exceed 33 113% of the total contract price OR the: actual cost of any mat.eria! equipment of a special order or custom-made nature, which must be ordered in advance of the start. of tihe work to assure I aal Lh project. will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction 1, ill parties. All home improvement contractors and subcontractors shall be registered.. No wo.rlc shall begin prior to tho signk i -7f H)o contract and transmittal to the owner of a copy of such contract. WW of W, Massachusetts under provision or Chapter 1 d-, of Lllo general laws is required to apply for and obtain all construction -related permits. WW of W. Massachusetts shall not be cic( vwd responsible for delays in Lhe work described in this agreement caused by regulatory permit granting agencies, auLhoriUr, . '11, individuals. Notice: If the PURCHASER(S) obtains his own construction related permits for the work described under [his ,1 Ti"w.inoi.1l or deals with unregistered. contractors, the PURCHASER(S) is hereby advised that in the event or a dispute,, judgenie=nl al .1 nonpayment, the PURCHASER(S) will not be entitled to make a claim or collection from the guaranty fund e.stablished by 'I lriph,r 142A, M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the dal of this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following third business day. THIS IS A CUSTOM ORDER NOT FOR RESALE This Window World(D Franchise is independently owned and operated by Window World of si rani Massachusetts, Inc. under license from Window World, Inc.