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17C-030 (2) 81 NORTH MAPLE ST BP-2017-1258 GIS#: COMMONWEALTH OF MASSACHUSETTS Mao:Block: 17C-030 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: window replaced BUILDING PERMIT Permit# BP-2017-1258 Project# JS-2017-002103 Est.Cost: $1917.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WINDOW WORLD/ROBERT E BUSHEY JR 57011 Lot Size(sq.ft.): 11674.08 Owner: POWERS PAMELA 1 Zoning: URB(100)/ Applicant: WINDOW WORLD/ROBERT E BUSHEY JR AT: 81 NORTH MAPLE ST Applicant Address: Phone: Insurance: 1029 NORTH RD (413)485-7335 0 WC W ESTFI ELDMA01085 ISSUED ON:S/4/2017 0:00:00 TO PERFORM THE FOLLOWING WORK:INSTALL 4 REPLACEMENT WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final: Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Signature: FeeType: Date Paid: Amount: Building 5/4/2017 0:00:00 $40.00 212 Main Street, Phone(413)587-1240.Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner j - /j Department use only City of Northampton Status of Permit ‘10 ` 2 Building Department Cud Calot exey Pemul 212 Main Street Sewer/Septic Availability Room 100 WataoWaltAvaltattity Northampton, MA 01060 TWO 844s1 ShUFWig}-P ,g phone 413-587-1240 Fax 413-587-1272 PIOUSiteKar4a {ktiir Specify . APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 17P-17- ( u 1.1 Property Address: This section to be completed by office Bi N, Maplf Si- Map ( a, Lot Q 30 Unit F(Dren(e 100 O i b 2-. Zone Oyeday District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Tannela Powers 81 N. Maple St F}orpnru mTo(ot2 Name(Print) Cunelp�i g Addr0/ess^ - 6 290 ( s2:: (...-.; ,(1--r,"-Cr ) Telephone�J -77J- Signature 2.2 Authorized Agent: cZ) 5—? i {3..s - IO2`1 ,v:ITN U) 4oCSF4ItLD ,utti CIC6 Name(Prnt) L 0 Current Mailing Address ( L� �' 1/ 4n .4% 1 33 5 Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Bui.ding CM (a)Building Permit Fee 141 2. Electncal (b)Estimated Total Cost of Construction from(6) 3 Plumbing Building Permit Fee 4 Mechanical(HVAC) 5. Fire Protection527,4,0 ly �f /,SO 6. Total=(1 +2+3+4+5) 7 )ci 17. COCD Check Number S 7 This Section For Official Use Only Building Permit Number Date Issued: 3 /�'J Signature: / ���� � S _/ - / Building Commissioner/Inspector of Buildings Date SECTION 8-CONSTRUCTION SERVICES B.1 Licensed Construction Supervisor Not Applicable CI Name of License Hower: R1t3i-1:;.I t_ iJkSlj of Cisme Number 5 70 11 � vL ocke- Address Expiration Date I'tEDisj6 ii /Lit.. +ticSCi-1`! Signature Telephone l A1,C i /9.Reoistorod Name improvement Contractor: Not Applicable U o r, , h k5 sv 3 R. I Lf 5 it H geompan5 NamE Registration I Numberp Vii u:t1LL t„- G'� 3 I_ /N rS=;: 'Ir 'S i 8 Address ..... ..._— Expiration Date u itTiri T=L WC'. t I Wig L'iU'i Telephone 1 3`i$F /335 { SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M-tL c 15Z,§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... .. CI II... - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-opcuoied Durations of one(I) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780. Sixth Edition Section 168.3.5.1. Definition of 1[omeowner.Person(s)who own a parcel of land on which heishe 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 fano structures.A person who constructs more than one dome in a two-year period shall pot be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official.that he/she shall be responsible for all such work performed nnder the building permit As acting Construction Supervisor vour presence on the job site will be required from time to time,during and upon completion of the work for which this permit is issued Also be advised that with reference to Chapter 152(Workers'Compensation) and Chapter 153(Liability of Employers to Employees for injuries not resulting in Death)of the Massachusetts General Laws Annotated,von may be liable for person(s) you hire to perform work for you under this permit The undersigned"homeowner'certifies and assumes responsibility for compliance with the Stare Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature Section 4. ZONING AU Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information Ecistine Proposed Required by Zoning This column to be filled in by Building<Xmevnarc Lot Size Frontage Setbacks Front Side L: 2 L. R Rear Building Height Bldg_Square Footage % Open Space Footage (lar areamus bldg&paved Ping) m #of Puking Spaces I Fill: I 1" (volume&Laaton) I A. Has a Special Permit/Variance/F". ding ever been issued for/on the site? N0 O DONTKNo O YES 0 IF YES, date issued: IF YES: Was the permit r: orded at the Registry of Deeds? NO 0 DONT KNOW 0 YES 0 IF YES: enter Book Page and/or Document# B. Does the site co, .in a brook, body of water or wetlands? NO O DONT KNOW O YES 0 IF YES, has : permit been or need to be obtained from the Conservation Commission? Needs to be obtained O Obtained 0 , Date Issued: C. Do any signs exist on the property? YES O NO O IF YES, describe size, type and location: D. Are there any proposed changes to or additions of signs intended for the property? YES O NO O iF YES, describe size, type and location: E. MI the construction activity disturb(clearing,grading,excavation,or filling)overt acre or is d part of a common plan that will disturb over 1 acre? YES O NO O IP YES, then a Northampton Storm Water Management Permit from the DPW is required. I SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House n Addition ❑ Replacemendows Alteration(s) n Roofing I l Or Doors 1174 Accessory Bldg. ❑ I Demolition Q New Signs (CI Decks El= Siding ED] Other(C] Brfef Desmiption of Proposed v l Work' An M119 `F PP pi a(ejWRi vv l ado S NM- Ctni LIU)R1t : Alteration of existing bedroom Yes No Adding new bedroom Yes No I Attached Narrative Renovating unfinished basement Yes No I Plans Attached Roll -Sheet Ga. If New house and or addition to existing housing, complete the following: a Use of building One Family Two Family Other I b. Number of rooms in each family unit. Number of Bathrooms c. Is there a garage attached?_ d. Proposed Square footage of new construction. Dimensions e. Number of stades? 1 f. Method of heating? Fireplaces or Woodstoves Number of each g. Energy Conservation Compliance. Masscheck Energy Compliance form attached? I h. Type of construction Is construction within 100 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No I. Depth of basement or cellar floor below finished grade �1' k. Will building conform to the Building and Zoning regulations? Yes No. II. l Septic Tank! City Sewer Private well City water Supply I SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN IOWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I. Thniet a ( \A)-e s ,as Owner of Me subject i property hereby authorize ZoroeyL at e - _ to act on my behalf,in all matters relative to work author by this building permit application. �! Signature of Orner Date I I I. IfZ 0 niadrl BA S lie LI as Owner/Authorized I Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge 1 and belief i i Signed under the pains and penalties of perjury. r Olid E„-T SvSHE / Print Name (;) y /l f I(o 9 1 b7,34 r e- y- 2 i7 I Signature of Owner/Agent Date The Commonwealth of Massachusetts I. -._— Department of Industrial Accidents z. if Office of Investfga6ons a=_ 600 Washington Street . _ .��4 Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Lemibh' Name(Bnsinessrorgnimdonmaividual): WINDOW Nn9I D DF WESTFRtJ MAcsACHNSETfS Address: l oza Nv m Rb Ciry/State/Zip: Wes-rneup MA (JOSS Phone#: 413 LIIS - 7336- Are yea an employer? Check the appropriate box: ! - Type of project(rogtrcd): 1.g I am a employer with (p 4. ❑ I an a general contractor and I b. ❑ New construction employees (hill and/or parr-rime).• have hired the subcontractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees - These sub-contractors have 8. 0 Demolition working for mein any capacity. employees and have workers' 9. ❑ Building addition [No workers'comp, insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.0.1 am a homeowner doing all work officers have exercised their I L❑ Phnnbingrepairs or additions myself [No workers'comp. right of exemption per MOL 12.0 Roof repairs insurance required.]' c. 152,§I(4),and we have no employees.[No workers' 13.®Other R MENT comp. insurance required.] W lam 'Any whew Oa checks pox s I must also fill ow the section blow showing their workers'COITIFCrISIllOO policy infOrmatioa r Bonsowmers.ho submit this affidavit indicating they we doing all work and Nen hire outside contractors moa satinet new twit indicating such. :Contractors that cheek this boa met ached an additional sheet showing the runs of the sobmom+ors and came wheel//or not those entities have engloym. If die sob-covna.nn have employee,they mer protide their workers cortin policy mites. I am an employer that is providing workers'compensation resmroacefor my employees Below n Me policy and Job site information Insurance Company Name: LI BERT? MICTUAL INStapANCE Policy 4 or Self-ins.Lic..44. We 2.- 31S- 37947 -01(p Expiation Dane: $-7-an I. 1- y� Job Site Address: li I 1\1 , 1' , I T Si—S city/stareaip:f 1rtI-IC Gl 1 (XD Attach a copy of the workers'compensation policy declaration page(Mowing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MOL c. 152 can lead to the imposition of criminal penalties of a fine up to 51,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Idahereby cerdfy a the pains and of perjury Nm the information provided above is tae and correct. �/��( 7 Sienature: 1 r;"(//l -..,L.2.,.- pa �/' amu Phone a: N 13 yQ S - -7335 Official use only. Do not write in the area,to be completed by city or town oflirsd City or Town: Permit/License it Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 16.Other Contact Person: Phone it: CERTIFICATE OF LIABILITY INSURANCE OABSPtiefo Yn 03/31/2017 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{Sj, AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT; If the certificate holder is en ADDITIONAL INSURED, the policytes) must 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). s0D110Ex NAYFLr Laurence R. Forrest Forrest Insurance PgertcyAT E Em EPi, 413 858 2680 f tie: 858 2685 603 North Main Street AM A000ESS: east Longmeadow, Mass. 01028 INGORPnm)ARFOPPING COVERAGE I NAeo edexER A:Arbella Protection Insurance Company I wsxxno warese _ _. .. —.. Window World Of Western Massachusetts, Inc. —— — ,,,DDLn c 1029 North Road IxeUNERD: Westfield, Ma. 01085 INSYMER E: INSURER E j COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE 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. ISSN h ini'-0PmsunaxCE a r18' •'..........._ ......... I POLICY eiT POLICY -.. ATP WI POLCY NOISES OISPOCUPPYPI tYMDOnny) LLnS A !OEMRALUADLRY a _ "Aw O.wvRRENce s 1000000 - -R,I c MEnauGElERALLwBLITY 7520025998 04/09/17 04/09/18 tnremsEs lne _ s 100,000 CLAIMs,MPOP ix,DOWN MED EXP Noy one NYILLI ''5 10,000 PERSONAL 5ACV wmY 151,000,000 _ ' n i ;GENERAL PIE 5 2,000,000 I UPI AGGREGATE:mrr APPLES PER: LPN TS- PLOP AGO I5 1,000,000 1 POLICY 1 LEO Ix I LOC i5 PrOMOBLE CASS:Y . 1020018702 04/09/1.7 04/09/18 {Eos ENtr Le LIMB s 1,000,000 ANY AUTO I COO INJURYepers:PI s AUTOS , SCNEOurla eWEYW.uGT LPN aIYmnn :‘‘T I R'.. WIPP rOS R x Eo 'pia Mwn ..• _. -' AUTOS (POI ausden0 s _ A ix Me e R OCCUP 4600055451 04/09/17 04/09/18 EACH OCCURRENCE $ 1,000,000 B s I Cwux+sxDE „.n,„„, a DI ALLEN-FON 5 t a mC"PUPEs I Certificate Of S Ts OT I ANY H- TVE Y N x Insurance To Follow E.L Nr $ I EE . UEDV lA WEXKU '1 Ary 1 E.L DISEASE-EA EMPLOYEE 15::JCS.descCe aPPC .OSSCCipnCS Of OPERATIONS Sapp I A CISESSE-FOS:CP LIWi IS OESCMIP1ON OF OPERATWNS LOCATIONS,VEHICLES Pn.ch ACORO IDI,Aee4rel Renvoa Schedule,it Sure spat*ie Ittulnp) CERTIFICATE HOLDER CANCELLATION City Of Northampton 212 Main streetSHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION BATE THEREOF, NOTICE WILL BE DELIVERED M Northampton, Ma. 01060 ACCORDANCE MTh THE POLICY PROVISIONS. AUTHORIZED REPSEsat4Y Tivw Attention: Building Depattment .� LB 198E2010 ACORO CORPORATION. Ali rights reserved. ACORD 25(2010M5) The ACORD name and logo are registered marks of ACORD AcoRO® CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDryYVY) `.---"' 4/15/2016 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: It 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 FORREST INSURANCE AGENCY CONTACT 603 NORTH MAIN STREET PHONE FAX "- E LONGMEADOW, MA 01028 LAIC NO E"¢RAIL INC.NO):_-- ADDRESS; INSURER(S)AFFORDING COVERAGE 4 NAICp INSURER A: Liberty Mutual Fire Ins I 33600 INSURED INSURER S: WINDOW WORLD OF WESTERN MASSACHUSETTS INC - 1029 NORTH ROAD INSURER C: WESTFIELD MA 01085 INSURER D: ' INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 29470857 REVISION NUMBER: 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 TYPE OF INSURANCE DLISUBR POJCY EFF POLICY EXP , - - - LTRINESn WVn POLICY NUMBER IMMIDWYYIYI IMMNOryYYT LIMITS [ COMMERCIAL GENERAL LIABILITY DAMAGE10OCCURRENCE S DAMAGE RLNTED GW M6NAOE OGOUR I PREMISES(Ea nccurrerv_e) 5 - _ MED EXP(Any One peleml 5 __ - - PERSONAL S ADV INJURY 5 GENL AGGREGATE LIMIT APPLIES PER ''. GENERAL AGGREGATE 5 -1 PRO- 1 POLICY I JEOT I LOO PRODUCTS-COMPIOP AGG 5 OTHER S IAUTOMODILELIARIUTY COMBINED SINGLE LIMIT(Ea accident) 5 ANY AUTO BODILY INJURY(Pe;MOON 15 OWNED SCHEDULED L AUTOS ONLY ❑NOTO6 PROERTY DAMAGRY 'ecciEenl:S AAUTO'✓rN Y -PROPERTYcdeDAMAGE AUTOS ONLY ONLYAOi05 (Per accident) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE S EXCESS UAB CLAIMS-MADE AGGREGATE 5 DED RETENTIONS �Is A WORKERS COMPENSATION WC2-31S-317947-016 5/7/2016 5/7/2011 PER 0TH- ANOEMPLOYERS'LIABILITY YINANYPROPRIETORWARTNERTEX ✓ STATUTE ER OFRC RM M EREXCLUDE@ECVTIVEri N/A ELEACH ACCIDENT S 1000000 (Mandatory In NIT E L DISEASE-EA EMPLOYEE 5 1000000 I If yea,describe under DESCRIPTION OF OPERATIONS belga I EL DISEASE-POLICY LIMIT 5 1000000 DESCRIPTION OF OPERATIONS I LOCATORS/VEHICLES IACORD 101,Additional Remarks Schedule,nay be attached irmore space Is required) WORKERS COMPENSATION INSURANC COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA. This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation Coverage. CERTIFICATE HOLDER CANCELLATION CITY OF NORTHAMPTON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE BUILDING ORTH. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 12 BMAIN SD ACCORDANCE WITH THE POLICY PROVISIONS. NORTHAMPTON MA 01060 AUTHORIZED REPRESENTATIVE i ,94-(rd- LQd-423ti I Liberty Mutual Fire Insurance ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 24473a:7 1-377247 La-IC WC shit kar-Pada-e®L:e rcyma:ua c 4/151401€ 12 14:18 An (PDT! Page 1 of 1 `-- � n -N-- Window World of Western Massachusetts -f t :---- 1029 North Road-Hampton Ponds Plaza, • Westfield MA 01085 e?Arfc,' F O.l ;dl, Phone (413) 485-7335 • Fax (413) 315-3714 NAT-41779-1 : —. Imams i Il www.WindowWorldofSpringfield.com HIC# 165641 .moo "Simply the Best for Less" CSL#57011 HOUSEKEEPING pp /J .�ti�,"...../1'��'�.Ei Customer: 7A f" `4wE'0'S Phone (h) i 3 S 5'2 - '-fv Install Address: /1 r, / �l • Phone (w) Bill Address: i' "/ ; ,'r' .I (`)f((7&z E-mail WINDOW WORLDGLASS OPTIONS ADD U-VALUES _-- _ 4000 Series DH $295 . , 6000 Series DH (Triple Pane) S309 fie `7 SolarZone Glass Package* (LE) $79 Picture Window S394 SolarZone Elite Glass Package* (LEE) $89 2 Lite Slider S359 SolarZone Triple Pane Glass Package $99 3 Lite Slider 11,4.1,2,1,4) (1,3.1,3,1..) S716 *All SolarZone packages include 1,'2 screens,Foam Insulation on Jambs and Head.Double Awning , I S295 Strength Glass,Double Locks l>29"),Lifetime Glass Breakage and Labor Warranty,Argon Gas Casement' LH RH $316 MISCELLANEOUS LABOR Twin Casement(Requires 2 Value+)(0973) (0979) $630 _ Three Lite Casement (Requires 3:Value+) $945 Full Exterior White Trim/Wrap(SMOOTH) (PVC) $79, --- lididk*- ' Basement Sliders.<55.1R -; $280 Color Other Than White $10 I Hopper(In exiating'wood) (Vent +$150) $250 Specialty Window $ Specialty Custom Int./Ext.Trim Wrap $ Bay/Bow)rsula:ec seat,Int.Casing&Ext.Cap') $3475 Aluminum 1 Vinyl or Steel Out $50/$150 Garden Window ;Insulated seat Int.Casirg&Ext Cao) $1995 Mull Removal $30 Grds/Ext.Color/Int Nloodgrain,Coors calcWatedinWWUpgrades Mull to Form Multi-unit $30 Remove Existing Bay,/Bow $400 Reframe&Retrim (stainipaint not included) $400 Customer Provided Stops,Trim $45 _Roof for Bay/Bow Window $600 Install Interior,'Exterior Stops f.VH1TE'VI tivu$55 Second Floor Installation $500 Woodgrain Interior Stops $75 Window Package $ Install Interior Casing $95 Window Color (Ai / ( / 1/ti{fi-r Repair I Replace Sill or Brickmould $75 Inside Outside • Mobile Home Conversion $200 WINDOW WORLD UPGRADES - Remove! Re-Install A/C or Awning $100 Full Screens S45 BEIGE Color charge S50 EXTRA LABOR•MUST.BE IN WRITING Exterior Color $165 Woodgrain Interior $95 r Contoured/Flat Grids(TOP) (I U,i. (ENDS) $49 ' •f i^' t°�� '—Prairie Grids(Single)((Double)-(F at)I(Contour) S69 Diamond/Brass Grids(TOP) (FULL) $120 �t L, Oriel,'Cottage Style (40,'60) (60/40) S60C Si `��'� I Obscure Glass Per Sash (BOT) (FULL) $351S70 Tempered Glass Per Sash (BOT) (FULL) $60/$120 ; Catalog Options $ i97Z , t PRE 1978 BUILT HOMES (FEDERAL LEAD CONTAINMENT LAW) Y OME WAS BUILT IN THE YEAR I`f'�"7,,INITIAL: .. , EPA LEAD SAFE (Per Window) $60 i., t • . EPA LEAD SAFE(Patio Dr r Bay i Eow!Garden) $100 -" 'Sales Rep Recommended: [) Interior Stops (1 Exterior Capping: Customer Declined: [r Interior Stop [] Exterior Capping:'_ EPA Lead, third party verification: $47.5.00 d line third party verification ❑ (INITIAL): r'' Site Setup. Removal, In Home Service, etc.: $-250700 kindle!)I have received a copy of the Lead hazard information pamphlet Extra labor (Box above for description)$ infort linme of the potential risk of the lead hazard exposure from renovation activity to be Total Amount Due$ / /i,,w/ performed in my dwelling unit.the EPA"Renovate Right'brochure. 50% Deposit Amount: S 7 S to. YKvnitial)I have received a copy of the lead test result(s). Cash Sign: 4 Klif Date: [] Finance- ( )Wells Fargo ( ) Other � ^ (.}'check made to Window World of WM# f 4 33 Name(s)(Print) PP 1.V1 r L. W 1 ID [] CC# - - r - Exp. Date: V-code If tenants reside in home, Renovate Right Booklet left with: Final Payment Amount$ ".i , - 6. i, , To be paid to the installer noon ins^al'ation.Thank You- ' WINDOW WORLD CARES or left at: St. Jude Children's Research Hospital $ WW of W.Massachusetts anticipates starting this work on ' / 5 ' / and being substantially completed in //days. Security Interest:Yes No Any deposit required in advance of the start of the work SHALL NOT exceed 33 113% of the total contract price OR the actual cost of any material or equipment of a special order or custom made nature,which must be ordered in advance of the start of the work to assure tnat the project will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all parties. All home improvement contractors and subcontractors shall be registered and that any inquires about a contract or subcontractor relating to a registration should be directed to. Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170 Boston, MA 02116. Phone: (617)973-8700 No work shall begin prior to the signing 01 the contract and transmittal to the owner of a copy of such contract. WW of W. Massachusetts under provision of Chapter 142A of the general laws is required to apply for and obtain all construction-related permits.WW of'N.Massa- chusetts shall not be deemed responsible for delays in The work described in this agreement caused by regulatory,permit granting agencies,authorities or individuals. Notice:If the PURCHASER(S)obtains his own construction related permits for the work described under this agreement or deals with unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute. judgement and nonpayment. the PURCHASER(S) will not be entitled to make a claim or collection from the guaranty fund established by chapter 142A, M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date 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! .--. - /;/' q— i)—/—5 V lijafflia . e&?4-41) 1 Date Salesman l j Date Owner Date This Window Wortdf Franchise is independently owrec and operated by Window World of Western Massachusetts,Inc.under license from Window World,Inc. wee WC 08.16 White Copy-Original Yellow Copy-File Pink Copy-Customer Hayes P•inting 88B-667.1116 PREPARING FOR YOUR NEW WINDOWS AND DOORS Congratulations on your decision to increase the comfort level, value and appearance of your home. To maximize your investment and enable the installation to take place as smoothly as possible, we have created this handout to acquaint you with what to expect when our installers arrive. 1. Expected Delivery Time. All of our windows are custom made at one of our manufacturing plants located around the country and shipped to any of our over 200 Window World locations.The time between when your order is placed and when the windows are ready to be installed.though not guaranteed is typically 6 to 8 weeks.At that point we will call you to set an installation date.If for some reason you need to delay your installation for more than a couple of weeks after notification that we are ready to install your order we will be happy to work with you.We will need to collect the remaining balance before installation if the delay you request is more than three weeks. 2. Access to the Windows and Doors.We will need approximately 2 feet in front of each window, inside your home,so we can place our drop cloths and tools necessary to perform our work.When the old windows are removed.gusts of wind typically flow through your home. It is advisable to gather together important papers,and other small items that can be disturbed by the wind and relocate them.Computers and other electronic equipment should be covered or relocated temporarily. Please move aside any furnishings that are in the way of our work. If any furniture items are too heavy to move easily, we will gladly assist you. 3. Window Coverings.To gain access to the interior of the windows,we need all mini blinds,vertical blinds,roll-up shades,shutters,drapes and any other window covering removed prior to our installation.We are not responsible for removing or reinstallation of these items and are not responsible for damage resulting in the removal and reinstallation. We also are not responsible for any window covering alterations that may be required to reinstall them. 4. Plants and Bushes. Occasionally we need to work in planters and other landscaped areas of your home that are adjacent to the windows and doors. Please survey your yard prior to us arriving and look for potential problems. Some trees and vigorous bushes need to be pruned back to give us access to your windows. Delicate plants and shrubs in areas right below a window should be temporarily relocated if they cannot survive being stepped on and you want to preserve them.We strive to be careful when working around vegetation. but our priorities are to focus on our work,your windows and our safety while working on your property. We are not responsible for any damage to plants, shrubs or landscaped areas. 5. Arrival and Departure Times.We will advise you of the expected arrival time for our crew at the time we set up the installation date with you. We generally stay till the job is done. unless it will be a 2 or 3-day job. in which case we may work as long as there is daylight. It is our policy that our installers get a sign-off form and collect the outstanding balance at the completion of the job.We ask that you be available to approve the job and make final payment at the time of completion. If this is not convenient for you, we need to know before we start the job. Inclement weather and other unforeseen hindrances are a fact of life and as such we ask that you understand if the weather, traffic, etc. cause a delay or cancellation of an installation appointment. We typically do not schedule more than a day or two in advance to try to avoid such issues. 6. Our Worksite. We like to set up our worksite as close to your windows and doors as possible and generally your driveway is the best spot. If using the driveway will block a garaged car, please be ready to pull it out upon arrival. 7. Alarm Systems. For those of you who have alarm systems. the alarm company should be notified and advised of our job.They will be responsible for the disconnection and reconnection of your alarm system. 8. Where do we start?Upon arrival,the crew leader will survey the job and determine where to begin. If you have a preference,feel free to advise us and we will accommodate to the best of our ability. Because we work in stages (i.e., removal of old windows, setting the new window, wrapping of exterior,etc.),we don't complete the job one window at a time.The job moves along in a rolling progression where each operation is done on all windows at the same time.This produces a quality job. 9. If the job takes more than a day,will there be any openings in my house?Of course not.We only remove that which can be reinstalled in the same day.Although there may not be a complete window,it will be weather-tight and secure for overnight. (Please no critiquing at this time). 10. Pets.We love furry, four-legged creatures; however, we need your help in supervising them. We are not always able to close a gate or door behind us when carrying a window,so please keep them in a safe place.Our job description does not include scampering down the street after Fido with new found freedom. Many people say, don't worry, he doesn't bite, but many installers have been bitten.So please secure dogs that have an aggressive bark towards strangers. 11. Expect some dust, noise and general disruption of your living space. Construction work can sometimes be messy depending upon the scope of your job. It's an unfortunate reality of remodeling, but we do our best to keep things under control. We appreciate your patience and understanding during the job and until everything is finished. Even after we have cleaned up, it is advisable to survey the areas for something we may have overlooked (i.e., kids rooms, baby's room). 12. *Damage to walls and old trim stops. For those of you who have old aluminum and steel windows and are replacing them due to sweating and damaging of the walls be advised that all water damage plaster will most likely fall out. In addition, all the patch work you have done over the years will fall out also.This is normal; however,we are not plaster experts, so the repair to those walls would best be left to the experts. In some cases due to out of square openings. new trim is required to make the window look good. *Unless noted on the contract new trim will not be provided or installed by us.You can expect to do some touch up painting on the trim after the installation of your new windows.This is not always necessary and is usually minor if it occurs. If your trim stops around your sashes are very old. dry, and brittle, they may snap and crack upon removal. If this happens, we can leave them off if you please, or for a small up charge, replace them with newer ones. Many of the old style stops are no longer available so we would replace the entire window with newer style stops. Should we discover any hidden damage to the frame or wall area we will advise you before we proceed. Should you decide to replace or repair anything,the price will be added to your balance. 13. Relax and enjoy the show. After we've been introduced to your home, feel free to run errands, take a walk, or just relax. If a question should arise; by all means ask the crew leader for clarification.We enjoy people who are interested in what we do, and most customers are intrigued with the process.We do get nervous, however,when a customer constantly hovers over our shoulder.Like any professional, we're always happy to answer questions,but we appreciate being able to concentrate on our work without interruptions and distractions. This ensures a safe and quality installation. 14. Past Due Balances are subject to a service charge of 1.5% per month. In the event that this amount is placed in the hands of an attorney for collection, the purchaser agrees to pay all costs of collection, including a reasonable attorney fee. Return check fee is$50 (fifty dollarsl. Salesperson Home Owner P.S. Now would be a good time to review contract with the salesman to be sure of your order options and work to be done. Only the items and services on the contract will be done.If you have any questions whatsoever, now is the time to ask. Window World of Western Massachusetts may not require an acceleration of payments as specified in the payment section (front) for the reason that he deems himself or the payments to be insecure. However,where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due under the contract,which are in possession of the owner,shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. Arbitration: Window World of Western Massachusetts and the PURCHASER(S) hereby mutually agree in advance that in the event Window World of Western Massachusetts has a dispute concerning the contract, Window World of Western Massachusetts may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration in M.G.L. c 142A. Window World Owner Date Date NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor. The owner may initiate dispute resolution even "where this section is not signed separately by the parties." This Window World'Franchise is independently owned and operated by Window Word of Western Massachusetts,Inc.under license from Window Worm,Inc. NM V'C 08-16