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42 Platinum CirThe Commonwealth of Massachusetts Board of Building Regulations and Standards Massachusetts State Building Code, 780 CMR Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Two -Family Dwelling FOR MUMCIPAI..ITY USE Revised Mar 2011 This Section For Official Use Only Building Permit Number: Date Applied: .building Official (Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property A dC1reps:?. 1.2 Assessors Map & Parcel Numbers Map Number Parcel Number I . la Is this an 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? ("Beck if yes❑ 1.8 Sewage Disposal System: Municipal © On site disposal system El SECTION 2: PROPERTY OWNERSHIP' 2.1 Ow,,nneri of Rec rtl:, -r loyt ® I Name (Print) i City, State, ZIP IM C Il "f 81 �1 �� SSq� n= c� ��a �V, MOJ 0(�' -�vv� CA,� No. and Street Telephone Eh i) Address SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction ❑ Existing Building'E, Owner -Occupied ' Repairs(s)❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other b/S eci Brief Description of Proposed Work': h ► \ W a vVl Vl SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs; Labor and Materials Official Use Only 1. Building $ c� 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: 2. Electrical $ 3. Plumbing $ 4. Mechanical (HVAC) $ 5. Mechanical (Fire Su ression) $ Total All Fees: $ Check No. Check Amount: Cash Amount: 0 paid in Full 0 Outstanding Balance Due: 6. Total Project Cost: $ \ �j I . {gyp (m SECTION 5: CONSTRUCTION SERVICES 5.1. Construction Supervisor License (CSL) cv-' '2�� As) [1 1 �� (L. ` � ��� "T. '�� ...� _.. License: Number Expiration lbate Name of CSL holder +� List CSL Type (see below) Type Description No. and Street _ r U Uiirestricted Buildin s u to 35,000 cu, ft.) R Restricted 1&2 Fami ly Dwel ling City/Town, Sta_t_e, TP M Masoi�i RC Roofing Covering V ors WS Window and Siding; SF Solid Fuel Burning Appliances K it I Insulation Tole hone Entail address D Demolition 5.2 Registered Home Improvement Contractor (HIC) to �tra 111C Regishntion Nui�tbca Expiration Daf6 I11C Company Name or II1C Registrant Name e t Name (o X 1 N ,and Street Entail address City/Town, State, ZIP Tclepinone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT (M.G.L. c. 1.52. § 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 .......... EY", No ........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETE, ID WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property, hereby authorize ;ti t, L "� ;� (\", to act on my behalf; in all matters relative to work authorized by this building permit application. Print OW' Iler'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 lication is true and accurate to the best of my knowledge and understanding. .� 1 , y Print O ; cr' o Autliot) =d-Agoe- 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 I IC Program can be found at www.mass, ov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned, provide the information below: Total floor area (sq. ft.) (including garage, finished basement/attics, decks or porch) Gross living area (sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Ntunber of half/baths Type of heating system Nwnbcr 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 .BUILDrNG .INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 y.; 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:�_` The debris will be transported by: Name of Hauler: G1q'A' Signature of Applicant: Date: City of Northampton Massachusetts DEPARTMENT Or BUILDING XNSPECTioNS 212 Main Street, ® Municipal Building Northampton, MA 01060 HOMEOWNERS' EXEMPTION ELIGIBILITY AFFIDAVIT 10(CC r Y" 0. ( ` (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 requirements of the Massachusetts State Building Code, codified at 780 CUR 110.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 1 T U3, 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 lie/she resides or intends to reside, on which there is, or is intended to be, a one -or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on any 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 trey 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 I f day of AhAlf "'' 6er 200& (Signature) l ne uummunweatm of llyfussucnusear.,� Department of Industrial Accidents l Office of Investigations �M Lafayette City Center 2 Avenue de Lafayette, Boston, MA. 0211.14 750 www mass.gov/dia Workers' Compensation Insurance Affidavit: Build ers/Contractors/Electricia;ns/Plume i,, °r•: ApRlicant Information Please PlriiLt 1,yhq's;' Name (Busi>_less/Organization/individual): Window World of Western Mass uY Address:641 Daniel Shays Hwy ZiD: Bel chertown MA 01007 Phone #:4-13 486 7335 Are you an employer? Cheep the appropriate box: 1.0 I am a employer with 50 4• ❑ 1 am a general contractor and l employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet, ship and have 110 employees These sub -contractors have working for ine in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.'- required,] 5. ❑ We are a corporation anti its 3. ❑ I am a homeowner doing all work officers have exercised their myself: [No workers' comp, right of exemption per M.GL insurance required.) i' c. 152, §t(4), and we have tro employees. [No workers' camp, insurance required. Type of protect (requireol 6. ❑ New construction 7. ❑ Remodeling 8. ❑ De17201itiOn 9. ❑ Building addition 10.❑ Electrical repnirs or , ldi onr ,,, 11.❑ Plumbing repairs or kiiiic7riG; 12,❑ R.00f'repa.i.rs 13.N Othcrreplacerrlenl try applicant that checks box # 1 trust also fill out the section below showing their workers compensation policy information. i Homeowners who subnirit this affidavit indicatingthey aro doing all work andthen hire outside contractors must submits new affidavit indjcaitii tContractors that check this box must attached an additional sheet showing the frame of the sub -contractors and state whether or not those entitics 0 employees, if the subcontractors have employees, they must provide their workers' comp, policy number. Iam an employer that is providing workers' compensation insurance for my employees. Below is the policy andj, ,i We information. Insurance Company Name: indemnity Insurance Co, of North America Policy # or Self -ins. Lie, #: C72408342 Expiration Date: 10/01 /2025 Job Site Address: a, �1 W Mc' v- City/State/Zip: FiO Ye- MCC Iq..14 d 1®( a Attach a copy of the workers' compensation policy declaration page (showing the policy numberand expiralb i- drtW,'), Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminu t pono r "s ofl fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the: form of a STOP WORK OIZDl l:;ad a rim, of up to $250.00 a day against the,violator. Be advised that a copy of this statement may be :forwarded to the Office Investigations of the. DIA for insurance coverage verification, l' atam hereby ce s°I0 isud'er tie pouts and penalties of perjury that the ;igftwina donprovided above vwe erne 413-485-7335 +C?Mcinl u8c only» Da not write in this area., to be eotnpleted by city or town qlf �:k• al. City or Town: Issuing Authority (check; o11e): 1❑.Hoard of..11ealth 20 Build ing.Departanent Inspector 6Q0thcr ___ 1t,"��ratmittl:l:aiccunsc # ❑City/Town Clerk 4.0'ElectricRal inspector �❑�IlTlatrrxtlfs ii l; C011taC.t Parson: Phone #: THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCKTON COMPANIES, LLC 3657 Briarpark Dr., Suite 700 Houston, TX 77042 UUNTAUT NAME` PHONE SBS-82$-$365 FAX Arc No Ext Arc Ne] _ E-MAIL ADDRESS: ins eril cerlsQlocktonaffinit cam INSURER(S) AFFORDING COVERAGE NAIC_ft INSURER A : Indemnity Insurance Company of North America _ 43575 INSURED WINDOW WORLD OF WESTERN MASSACHUSETTS INSURER B ; INSURER C : 6411 DANIEL SWAYS HWY BELCHERTOWN. MA 01007-9629 ------ INSURER D : INSURER E : INSURER F : UUVt! KAUI_S [:FW 1_IFIf_ATF {U1 IMRPD. nC\frcrnnr Nil Iaanl_-n THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY 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 THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADpL 13R POLICY NUMBER POLICY EPF iMMIDDIYYYYI POLICY EXP (MMIDDNYYYILIMITS COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR EACH OCCURRENCE $ _ — — DAMAGEE TED PREMISES Ee occurrence)$ MED EXP (Any one person} $ PERSONAL & ADV INJURY $ GFN'L AGGREGATE LIMIT APPLIES PER: POLICY 0JECPRO- LOC GENERAL AGGREGATE W_ $ $ PRODUCTS - COMPIOP AGG _ OTHER: $..___ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident $ --_-_ BODILY INJURY (Per person) ANY AUTO $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY Per accident) ( ) $ -- PROPERTY DAMAGE Per accident HIRED AUTOS NON -OWNED AUTOS UMBRELLA LIAR OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS -MADE DED RETENTION $ $ A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE Y ! N OFFICERIMEMBER EXCLUDED? N 1 A C7240B342 10/01/2024 10/01/2025 X PERSTATUTE ER OTI-i- _ E.L. EACH ACCIDENT — $ 1,00D,t)p0 E,L. DISEASE - EA EMPLOYEE (Mandatory In NH) $ 1,O00,000— If yas, desorlbe under DESCRIPTION OF OPERATIONS below $ 1,000,000 E.L. DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS! LOCATIONS / VEHICLES (ACORD 101, Additlonal Remarks Schedule, may be attached if more space is required) CERTIFICATE HOLDER Town fo Northampton Building Dept 212 Main St Northampton MA 1060 CANCELLATION SHOULD ANY OF' THE ABOVE DESCRIBED POLICIES BE CANCI1LLFD BFFORF THE EXPIRATION DATE THEREOF, NOTICE WILL Brz DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE WINDWOR-01 LAL11 CERTIFICATE OF LIABILITY INSURANCE DATE (MA1117,YYYY) 4190124 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDE1-:. 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. 1141r%JM 1 Hry 1 It the certnicate noluer is an AI.7DITI[JNAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be (vwiorse(I. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statoment nil this certificate does not confer rights to the certificate holder in [lou of such endorsement(s), _ PRODUCER CONTACT Laura IVIisseri Phillips Insurance Agency, Inc. PHONE--_-� _ FAX 97 Center Street IA!C, No, Ext : (413) 594-5984 _ _ I (Arc, No,; (413) 592-<i499 Chicopee, MA 01013 E-MAIL laura@philriRsinsurance.com INSURED Window World Of Western Massachusetts Inc 641 Daniel Shays Highway Belchertown, MA 01007 INSURER F : NAIL 11 214 07 npany 2,44 i 5 envIlZRA1117A i r-r>''1r1n AY'c �u lanQca. or..r�,...� rnr�eor_o 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 CONTRACT OR OTHER DOCUMENT WIT14 RESPECT TO CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL'rl- EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP — LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR 6A44324 4/912024 41912025 EACH OCCURRENCE DAMAGES ( RENTED _PR.Fh�iISt=S(EaoCwrren.c.@)._.. S MED EXP-(Any ann_pnrsnnj... S PERSONAL & AOV INJURY h GENT X __.._... AGGREGATE LIMIT APPLIES PER: POLICY P COT- LOC GENERAL AGGREGATE PRnDUCTS_rCOMhlnh AGG $ OTHER: $ 13 AUTOMOBILE LIA131LITY COMBINED SINGLE LIMIT ANY AUTO 6Z44324 41912024 4/9/2025 6001LY INJURY_{Per person}_, 5 OWNED SCHEDULED AUTOS ONLY AUTOS _f3gDILY INJURY (Per acoioenl) a X �y AUTOS ONLY RUTOS ONNLY Ix era c den,��MI1GE a 5 B X UMBRELLA LIA13 X OCCUR EACH OCCURRENCE y EXCESS LIAB CLAIM&MADE 6.144324 4/912024 419/2025 AGGREGATE ;6 DED X RETENTION 10,040 $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETORiPARTNERIEXECUTIVE O,.FICERIMEMBER EXCLUDED? {Mandatory In NH) N ! A PER OTH- STATUTE=.,. .- �R_ _ E.L. EI�CH /1GGI�ENT_ ,_ ` E.L. DISEASF - EA EMPLOYE $ ,$ If yes, desedho under DESCRIPTION OF OPERATIONS below — - E.L. DISEASE - POLICY LIMIT .8 DESCRIPTION OF OPERATIONS 1 LOCATIONS 1 VEHICLES (ACORD ID1, Addillonal Remarks Schedulo, may be atlached If more space is required) Town of Northampton Attn: Building Department 212 Main Street Northampton, MA 01060 Y i'LN101) WI flc;H THI,:� it, ERMS, I ,000,001 500,00, 10,00, i ,000,001 ',000,001 ',000,(101 i ,000,001 1,000,001 1,000,001 1,000,00, SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEI f 3EFORL THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVFRED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) © 1988.2015 ACORD CORPORATION. All right,. 1 nserved The ACORD name and logo are registered marks of ACORD OqIj 11141 I)Wi,°;)aflj a�r ma am w;i hi, 54!.t t, 111i'M1011 of Prvfimvvlanat w,:lc vnrw!ovp 0113 1111411MIQ R(�Jjalai tj urpm a od, CO rvil.- C,S-,I,WVq NJOHOViI; '147Z THE COM PAONMALTH OFINIASSACHUSETTS Rice ol Consumor Affqjvs A KILISIM'5a RO9vJ,,..0-Ion HOW 'ICHOLAS 141cI-IatA13 102. OAKRIPOAF DRIVE THE OOMMONMAUVII OF MASSACHUBUTS Offloc of Oomufyier.Malra & Smullwas R91juJailon HOME IMPROVEMP ,N'T'CONTRACTOR OMM2026 wimDow, war�u) oj-. wr--srC RN MA8SACH UO C-11's. i NC, 'M40THY DROST 1341 f)ANII.'L:SI-IAYS 1,1WV. 2ELCAERTOWN, MA 01007 ell kc,91sm,ailion valid I�air IthavlavaL w5n rjm.,Ovftm P Thcr ovirolion doilp, if tounel,mmorn tv- 094f.0 of C&ION-umarAffriks and Vwqhwrl*a ft.aj(,p.,IIrvhI(w 1000 ftsblinotan Strant - �WRP. 710 Hustoll, AAA. 02110, UptvniHd wi�tmaut s,I:gRmtIjF,.rI OXIJIGWOO VUlta. I r fUM111 tat LIM L41: Offico or Cansunicr Afitiles iind audnoss WiLitilritWim -SWAUVIO IRLMOI. MA W119 Not vallid wIthoutsignaturo Quote Date: 11112/2024 Customer Name: Address: Phone: Fax: Customer Information: Comments: Project Name: Grimaldi S307171 Quote Name: Grimaldi S307171 Quote Number: 5511783 Order Date: 11/1212024 PO Number: Grimaldi S307171 RO size for Flange is for standard I buck with precast sill. Please contact your suigpAier for other Flange opening RO's. ITEM &.SIZES LOCATION ITAG: PRODUCT DESCRIPTION UNIT PRICE I EXTENDED PRICE Line Item: 100-1 None Assigned Quantity: 4 RO Size: 31.25" X 12.75" unit Size: 30,75" X 12.25" aw 1 *** PRODUCT *** Row 1 11W Lite Single Slider - XO - 1 units - 30.75W x 12.25H *** DIMENSIONS *** 30.75W x 12.25H *** FRAME *** East, Vinyl, Frame Type - Finless, Foam Tape, Exterior Color - White *** GLASS *** Glazing Type - Insulated, Dual, Glass Tint - Clear, Low-E, Argon Gas, Glass Strength - DSB *** SCREEN *** Screen - Rollform Halt, Screen Mesh Type - Clarity *** WRAPPING *** Extension Jambs - None *** NFRC *** Series 4JIN&SingleSiider, U-Factor::0.28, SHGC::0.29, VT::0.56 *** Performance *** Series Oft-:SingleSlider, Calculated Positive DP Rating::25.06, Calculated Negative DP Rating::35.09, DP Rule ID::3580 SLIDER2, Rating Type:: Design Pressure, 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 Submitted By: Print. Narno Signature Date: Accepted By: i Signature: Date: Total Unit Count: 4 Quoted bv: Window World Western Quote Number: 6511783 "sachussetts Pages: 1 of 1 Print Date: 11/1212024 12:3 M Window World of Western Massachusetts 641 Daniel Shays, Hwy, Belchertown, MA. 01007 975 North Road, Westfield, MA 01085 Office: (413) 485-7335 www.WindowWorldolWesternMA.coan Nicholas Grimaldi Install Address: 32 Platinum Cir Florence, MA 01062 Contract Name: Nicholas Grimaldi - Sales - Windows Design Consultant: Lanea Bushey Date: 10/31/2024 Payment Method: Contract Type: Sales Comments: Product ............... . Measured By: Measure Approved Status: Quote Lender: Description Txbl Qty Price Permit & Administrative Fee Permit & Administrative Fee N 1 $300.00 Setup and landfill disposal fee Setup and landfill disposal fee N 1 $250.00 Basement Hopper Basement Hopper N 4 $599.00 Total Information Unit Total: Subtotal: Tax Rate: Tax: Tota I: Amount Financed: Payment Method: Deposit Amount: Balance Paid to Installer upon Completion: Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date; Year Home Built: RRP Signed Date: nn5 P[nr it l'Inmm�Rfi] CARE , Extension $300.00 $250.00 $2,396.00 5 $2,946.00 0% $0.00 $2,946.00 $0,00 $0.00 $2,946,00 (-sj"QVO T-IMOAN MOONIM qp �r RUgUrtuR]'�i11YtN iYYYs;fin I I •uek Am u j pow -toped aq o; 44IA14ae uola aN; jo aw 6ulwjo;ul;alyduzed u( ��'tlINuzarsa�opi.roM;+�opu? SEE-S8i7 (£T-V) *DT1.10 S8010 dw ,-?M3,5aM 'AM11121 u7- LOOTO VW TIM07xau:;109 'A^LMH 's6'gS sy�asny�esseL4 uiaasom 3a plso sodxa N peal Jaumo �augm iGep4jO:)asl aau QaWOH A-im+unacl 43 panla:,4a-4 I ';lun G-il"WAp 4 u peal 1144a )IsI�i�.ua;ad Ado a �at%�aDOA amey usafipala DU I3d;:Inpoadl Window World of Western Massachusetts (341 Daniel Shays, Hwy, Belchertown, MA 01007 975 North Road, Westfield, MA 01085 Office: (41.3) 485-7335 www. W indowWorldofWester. nMA. coin Preparing for Your New Windows and Doors u ern y C" rF cwnm mu 1 CARE 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, Z. 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 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. 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. B. 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 Installer. An evaluation sheet will be provided for the Homeowner to sign after the final inspection is complete. 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