860 Florence RdThe Commonwealth of Massachusetts
kW
Board of Building Regulations and Standards FOR
JMassachusetts State Building Code, 780 CMR MUNICIPALITY
USE
Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Mar 2011
One- or Two -Family Dwelling
This Section For Official Use Only
Building Permit Number: Date Applied:
.Building Official (Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Ad!
d ess: 1.2 Assessors Map & Parcel Numbers
1, l a Is this an accepted street? yes no Map Number Parcel Nwnber
1.3 Zoning Information: 1.4 Property Dimensions:
,Zoning District Proposed Use Lot Area (sq fi) Frontage (ft)
1.5 Building Setbacks (ft)
Front Yard
Side Yards
Rear Yard
Required
Provided
Required
Provided
Required
Provided
1.6 Water Supply: (M.C.L c. 40, 04)
Public ❑ Private ❑
1.7 Flood Zone Information:
Zone: _ Outside Flood Zone?
Check if yes❑
1.8 Sewage Disposal System:
Municipal ❑ On site disposal system 0
NEE 11ON z: PROPERTY OWNERSHIP'
2.1 wrier' of R •ard: r
9iai� FI�1
Name (Print) City, State, ZIP
Z�
No, and Street Telephone ail Address `.
SECTION 3: DESCRIPTION OF PROPOSED WORK !check all that annlvl
New Construction ❑
Existing Building'o,
Owner -Occupied 'l l
Repairs(s) ❑
Alteration(s) ❑ Addition ❑
Demolition ❑
Accessory Bldg. ❑
Number of Units. L
OtherSpeeify:
nnci L,ewcripzion oT rroposea worx-:
a $ , o cr o o K d- ca( H 1 ki a i0 W J M401 L?i CC vn r", Yt
SECTION 4; ESTIMATED CONSTRUCTION COSTS
Item
Estimated Costs:
Labor and Materials
Official Use Only
Y
1. Building
$ . 11 g
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 (HVAQ
$
5. Mechanical (Fire
Suppression)
Total All .Fees: $
Check No. Check Amount: Cash Amount:
13 Paid in Full 0 Outstanding Balance Due:
6. Total Project Cpst:
$ / �9
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License (CSL)
Q
license Number Expiration Date
List CSL Type (see below)
Name of CSL Holder
.
lko,a z \�Nr'e.Ie__
Type
Description
No. and Street ON
U
Unreshicted Bui Idinp up to 35,000 cu. ft.
R
Restricted 1&2Family Dwelling
City/Town, S , TPA
M
Masonry
RC
Roofing Covering
WS
Window and Siding
SF
Solid Fuel Bunning Appliances
l
1
Insulation
Tele hone Email address
D
Demolition
5.2 Registered Hoene Improvement Contractor (HIC)
\.K) \ ' L�' r+\
HIC Regististion Nu�r�ber Expiration Data"
any Name or Registrant Name
IC
Hsi pI�C�r�t,�
1S:3I \a : c
N.Q. and Street
Email address
City/Town, State, ZIP Tel. hone
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 .......... ®"', 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 a "R 'a'\ 6N,
to act on my behalf, in all matters relative to work authorized by this building permit application.
/1f��la�
Print ner's Name (Electronic Signature) Date
SECTION 7b: OWNERS OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pairs and penalties of perjury that all of the information
contained i this ap i ati is true and accurate to the best of my knowledge and understanding.
Print O , cr' o utlior� Ap 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 Horne improvement Contractor (1-I1C) 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.ina.ss. og v/oca Information on the Construction Supervisor License can be found at www.mqss.goY/dPq
2. When substantial work is planned, provide the information below:
Total floor area (sq. it.) (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 Numbcr of decks/ porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage" may be substituted for "Total h-oject Cost"
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 brain Street o Municipal Building
Northampton, MA 01060
i4✓
NY
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: "
Signature of Applicant:
Date:
,N�r
City of Northampton
Massachusetts
DEPARTMENT OF BUILDING INSPECTIONS
212 Main 5troot • Municipal Building
Northampton, MA 01060
HOMEOWNERS' EXEMPTION ELIGIBILITY AFFIDAVIT
I, Kc�o�" Coic]()51
day, year), hereby depose
tate 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. 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 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 Iand 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 thaii 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 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 j� day of Noe-y420ca�
(Si ature)
i ne Lommonwearrn of ivtassaenusens
Department of Industrial.Accidents
Office of Investigations
Lafayette City Center
2Avenue de Lafayette, Boston, MA. 02111-.1750
www mass.gov/dia.
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electriicians/I'ltinr� :_,,A•;
Applicant Information Please Print Lo, �Jh)Iy
Name (l3usitiess/Organization/Itidividual): Window World of Western Mass
Address:641 Daniel Shays Hwy
City/State/Zip: Belchertown MA 01007 Phone #: 413 485 7335
Are you an employer? Check the appropriate bax;
1. IN 50 4. i
'.type of ro ect r. ec utrca��
I am a employer with [] am a general contractor and i
employees (full and/or hart -time).* have hired the sub -contractors
G. ❑ New construc6011
2. ❑ I am a sole proprietor or partner- listed on the attached sheet.
7. ❑ Remodeling
shipand have no employees These sub -contractors have
8. ❑ Demolition
working for me in any capacity. employees and have workers'
9. ❑ Building acic l6mi
[No workers' conlp. insurance comp. insurance.'
required.] 5. We are a corporation and its
10.❑ Electrical rep firs of .: lditioir,
3. ❑ 1 ain a homeowner doing all work officers have exercised their
1 LE] Plumbing repairs of Ic64101 r;
myself. [No workers' comp, right of exern.ption per MGL
1.2.[] Roof repairs
insurance required.] t' c. 152, §1.(4), and we have no
13.0 Otherre p lact�men�
employees. [No workers'
comp, insurance required.]
`Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy intbrmatiot,
# Homeowners who stibniit this affidavit indicating they arc doing all then hire
work and outside contractors must subrnit a new affidavit iiidicaitii i h.
$Contractors that check this box must attached an additional sheet sbowing the name of the sub -contractors a.n(1state whether or not those cnt.il.ic", c
employees. If the sub -contractors have employees, they must provide their workers' comp, policy number.
I ant an employer that is providing workers' compensation insurance for my employees.
Below is tine policy rtmdji .,, .sitar: .......
information.
Insurance Company Name: Indemnity Insurance Co. of North America
Policy # or Self ins. Lic. #: C72408342 Expiration Date: 10/0112025__.. _
Job Site Address: F6 U C) ye,') o City/State/Zip: i ti r� Pi Gf, tY 19010667
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expir,'Ui+[ tlMct ..
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of cri.minv I pena + ,s or ' rr
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ( RDI,'b : d ,r Pilot•
of up io $250,00 a day against the.violator. Be advised that a copy of this statement may lie forwarded to the t )fficc }
Investigations of the DIA for insurance coverage verification.
I clew herebly cert?to under the pains and penalties o f per'iury that the intbrmadon provided above iv
Iq la�l
z�jttttwrur N"� - _.• _ _ •_. wlatc�._.__�_.� l__....
_
1,3r-485-7335
Official use only. Do not iorite in this area, to he eompleted by city or town gfficia
City or Town:
Issuing Authority (cheep; oue):
i ❑.Board o#'.flea.lth 20 Building Department
hispector 6.EJ0thicr
I ormitt/License it
300ty/Town Clerk �i.❑�lec^trietal l.atsheed:a�t° 5,❑ffhNttirmliriir a; p
Contact Person. 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 1NSURER(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 Etndorsed. 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
NTA T
NAME:
PHONE
N Ext . 888-828-8365 AIC
E-MAIL insperitycerts(Plocktonaffinity.com
INSURERS AFFORDING COVERAGE T
NAIC P!
INSURER A: Indemnity Insurance Company Of North America
43575
INSURED
WINDOW WORLD OF WESTERN MASSACHUSETTS
—'-
INSURER B:
--�
INSURER C :
--
--_.—
641 DANIEL SHAYS HWY
BELCHERTOWN, MA 01007-9529
-
INSURER D ;
INSURER E :
INSURER F ;-
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
ADD
POLICY NUMBER
MMI�D/YYYY
MMI�DIYYYY
—
LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
EACH OCCURRENCE
$ - — --
$ — Y �_----
AMA €RT€U "'
PREMISES Ea occurrence
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
—
$
GEN'LAGGREGATELIMITAPPLIESPER:
POLICY PRO- ❑
JECT LOC
GENERAL AGGREGATE
_
$
—
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)
-------
$
HIRED AUTOS NON -OWNED
AUTOS
$
PROPERTY DAMAGE
Per accident
UMBRELLA LIAB
OCCUR
EACH OCCURRENCE
$
AGGREGATE
$
EXCESS LIAR
CLAIMS MADE
DED RETENTION $
$ --
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY ,rI N
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERIMEMBER EXCLUDED?
(Mandatory in NH)
IFyes, describe under
NIA
C72408342
10/01/2024
10/01/2025
X STATUTE RH_---
E.L. EACH ACCIDENT —
$ 1,00D,000
E.L. DISEASE - EA EMPLOYEE
--
$ 1,000,000
E.L. DISEASE -POLICY LIMIT
----
$ 1,000,000
DESCRIPTION OF OPERATIONS below
DESCRIPTION OF OPERATIONS f LOCATIONS 1 VEHICLES (ACORD 101, Additional Remarks Sohodulo, may bo attached If more space Is required)
i
E
{
t.CK I II-IUA I C MUL.L)LK
Town fo Northampton
Building Dept
212 Wain St
Northampton MA 1060
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL DF DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
WINnwniz.n1
CERTIFICATE OF LIABILITY INSURANCE
FDAT
4/M
4!9
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLD
CERTIFICATE; DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUT
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT. If the certificate holder Is an ADDITIONAL INSURED, the poliay(ies) must have ADDITIONAL INSURED provisions or be I
If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A stat
this certificate does not confer rights to the certificate holder in lieu of such endorsements ,
PRODUCER
CAONTACT Laura Missed
Phillips Insurance Agency, Inc.
97 Center Street
11�� ....,,.
PHONE
(AIC, No, Exf). (413) 594-5984 (81C, No)_(413) 59
Chicopee, MA A1013oDs
__ _
IS : [auhillipsinsUranct?.com
R�sra@p
_,_,_, INSURER{� AFFORDING COVEEiAGE,
INSURER A:EMCASCO Insurance Co 2
INSURED
INSURER B : Employers Mutual CasualtyCOm.pany_ 2
INSURER C :
Window World Of Western Massachusetts Inc
641 Daniel Shays Highway
INSURER D :�
Belchertown, MA 01007
— — ---- -- -
INSURER E ;
INSURER F :
Imrl 1I)IYYYY)
!2924
ER. THIS
POLICIES
IIORIZED
vrlorsed.
(anent on
2- 8499
NAIC V
1407
1415 _
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 RECUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WI
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TI II.
_ EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR NSR
TYPE OF INSURANCE
ADDL
wvnSUER
POLICY NUMBER
POLICY EFF
POLICY E%P
YYYYL
-
LIMITS
A
X
COMMERCIAL GENERAL LIABILITY
CLAIMOCCUR
6A44324
EACH OCCURRENCE_. ____
DAMA
IS-MADE ^ I
4/9/2024
4/9/2025
E TO R qNq 6_-_ ...-..
3 _.,. .
MED EXP (Ay tnt_p_liorsRq),
PERSONAL & ADV INJURY
GEN'L
X
AGGREGATE LIMIT APPLIESPER:
1XI Fx�
GENERAL AGGREGATE
$
PRODUCTS - COMPIOP AGG
POLICY JECr LOC
p
OTHER;
S
AUTOMOBILE
LIABILITY
COMBINED SINGLE LIMIT
AUTO
6Z44324
41912024
419/2025
BODILY INJURY (Per parlor)_„
S
OWNED SCHEDULED
X
IxANY
AUTOS ONLY AUTOS
BODILY
BODILY INJURY_(Pera_ccldent)
S„
Ep
MRS ONLY X BMW
ONNLY
�Per�acEc d nt�/tGE
,.
B
X
UMBRELLA LIAB
X
OCCUR
EACH OCCURRENCE
$
EXCESS LIAB
CLAIMS -MADE
6J44324
4/912024
41912025
gGGREGA7E
fk
--RE --. -- __
__.....
DED X RETENTION $ 10,600
WORKERS COMPENSATION
1PER I I OTH-
AND EMPLOYERS' LIABILITY YIN
TATU r:____..
OFFICEOr�M IMB R1EXCLUDED�7ECUTIVE ❑
IMandatory In NH)
N/A
E.L. EACH ACCIDENT
$
_-_
If es, de5Cfl under
E.L. DISEASE- EA EMPLOYE
__ W....-._..-.___. _._ ...._ ____
S
DESCRIPTION OF OPERATIONS below
N
E.L. DISEASE - POLICY LIMIT
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may he attached if more space is required)
I IIFR10p
h if -I Ti Il
TERMS,
1,000,000
500,000
10,000
1,000,000
1,000,
1,000,
1,000, 000
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED FIEFORE
Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE ❑ELIVF RED IN
P ACCORDANCE WITH THE POLICY PROVISIONS.
Attn: Building Department
212 Main Street - -
Northampton, MA 01060 AUTHORIZED REPRESENTATIVE
,;�l7"• 1� ,P�rt Imo" 'I ,r
ACORD 25 (2016103) O 1988.2015 ACORD CORPORATION. All rights roserved.
The ACORD name and logo are registered marks of ACORD
VU)MI.lu Ru. vw;k
'1472 OAKRID04 D
TI-lit C0fM0:NWkA1,'j'fl MI. WSSACHUSMS
0 is ol: Consumor Affaigs, & Ou slness floplwilam
IN PROVE�.RNMCQUIR ACTOR
71 lidiftn'
�MHOIAS DFIGST
'11cl-louvq lmov
MA
'M9 COMMONWEALTH OF MASSACHNUTlES,
011100 of U00illeas Roflulotion
HOME IMPROVEMENT'CONTRACTOR
W WIDOW WORLD 6J ."hbSTE' I N INC.
TIMOTHY OROST
641 DANILL:SHAY5 I-MrY
8ELCHERTOWN, MA 010W,
ROL 'n
0111le'o alld
1000 'MTSh 1111 C#O 1p MMMt - �UIW 710
Rontav, AM. 02110,
11,4 lj
Nat nifid Wki-hout sigKirturo
Rugharatilom vand wr Indmduai uso-oniy wom niw
EMPIMPM dillQ. I It FULimid ruttirm to,.
OfflCo! OILCojisumer ARalramid Burinoss klophition
i0aawashIngwastmot -Suauylo
Uo-,Aon, MA 02illt
Not vallild without signature
Window World of Western Massachusetts
641 Daniel Shays, Hwy. BelcherCown, MA
01007
10�tw
975 North Load, Westfield, MA 01085 Office: (413) 485-7335
www. W indowWorldo f Wes ternMA.Com
I----- ------------- .......... .........
.. _-
Karen Cangialosi Phone: 6038523623
Install Address: 860 Florence Rd Email: kcangial@gmail.com
Florence, MA 01062
Contract Name: Karen Cangialosi - Sales - Windows
Design Consultant: Tim Drost
Date: 11/12/2024
Payment Method: Check
Contract Type: Sales
Comments:
Product
Permit & Administrative Fee
Setup and landfill disposal fee
5-6 Ft. Patio Door-casing+capping
DOUBLE PANE
4000 Double Hung Double Pane - New
Construction
Colonial Grids (Contoured)
Misc labor- Windows
Install Interior Casing - Primed
Measured By:
! 7 Measure Approved
Status: Contract
Lender:
Description
Permit & Administrative Fee
Setup and landfill disposal fee
!F
nzrcnnns P T' c_gmmr3nn
5p „�
'•✓dl 536��
WJNDOW WORLWA
CARE
Txbll Qty Price
.................. .
N 1 $300.00
N 1 $499,00
Extension
$300.00
$499.00
6 Ft. Patio Door casing-Fcapping DOUBLE PANE right N 1 $4,098.00 $4,098.00
4000 Double Hung Double Pane - New Construction unit N 2 $1 599.00 $3,198.00
size are 36 x56
Colonial Grids (Contoured) N 2 $83.00 $165.00
Misc labor - Windows N 1 $3,000.00 $3,000.00
Install Interior Casing - Primed N 2 $350.00 $700,00
Total Information
Unit Total:
Subtotal:
Tax Rate:
Ta x:
Total;
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:
9
$11,961.00
0%
$0.00
$11,961.00
$0.00
Check
$6,000.00
$5,961.00
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ed
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Window World of Western Massachusetts I vrrcRnns p'n callms,no
641 Daniel Shays, Hwy, Belchertown, MA
01007
975 North Road, Westfield, MA 01085
_L� ► CAR°E
Office: (413) 485-7335
www. Window WorldofWesternMA, co in
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 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.
8. OUTSIDE INSTALLATION 1Special): 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. Please make sure that any corrections have
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