25C-187 (10) 28 HIGHLAND AVE BP-2018-1344
GIS#: COMMONWEALTH OF MASSACHUSETTS
Mao Blo k:25C- 187 CITY OF NORTHAMPTON
Lot: .001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Cateew,window replaced BUILDING PERMIT
Permit# BP-2018-1344
Proiect# JS-2018-002388
Est.Cost: $1545.00
Fee:$40.0o PERMISSION IS HEREBY GRANTED TO.
Const.Class: Contractor: License:
use Group WINDOW WORLD/ROBERT E BUSHEY JR 57011
Lot Size(sa.ft.): 10497.96 Owner: BATTEN ROLLAS W
Zoning URC(100)/ Applicant. WINDOW WORLD/ROBERT E BUSHEY JR
AT. 28 HIGHLAND AVE
Applicant Address: Phone: Insurance:
1029 NORTH RD (413) 485-73350 WC
WESTFIELDMA01085 ISSUED ON.6/18/2018 0:00:00
TO PERFORM THE FOLLOWING WORK:3 REPLACEMENT WINDOWS AND TRIM
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: Obi; 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 6/18/20180:00:00 $40.00
212 Main Street, Phone(413)587-1240, Fax: (413)587-1272
Louis Hasbrouck—Building Commissioner
RECEIVED w/ Noows
JUN City�oDf�Npod am on NAMILY
ilamgDe nt 212 Main ITE t
DEPT OF BUILDING IN D1NOHTHA 1060
phone 413-587-1240 Fax 413-587-1272
APPLICATION TO CONSTRUCT,ALTER,REPAIR,RENOVATE OR DEMOLISH A ONEORRRTWOFDWELLING
SECTION 1 -SITE INFORMATION
1.1 Property Address: / e ]This section to be compha cod by office
OFF- ,/CJ]�tknd Tl tlee Map v"6v-- Lot
/Y'G/' sY Pa O,? �� 0%6 o Zone Oyeday District -*
Elm SL Distrlet CB DM4WF
SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT
2.1 Owner
_ Owner of Record:
�z&—; /37G/�/JH,? l ` hIIJ i9lL• 046
0
NmB(PC I
(see
C.0mraCf) Telephone
Signature
2.2 Authorized Agent:
ED 1029 NorVh Rd WrStfitkA MA 010$5
Name(Pd
n
Cunent Melling Address:
�/ 413-485--.
Signaturer'/'� Telephone
SECTION S-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
cpm laced b rmitapplicant
1. Building / r /' �Q (a)Building Penna Fee
2. Electrical J J (b)Estimated Total Coat of
Construction from il
3. Plumbing Building Permit Fee (/y' !
4. Mechanical(HVAC) /
5.Fire Protection
6. Total=(i +2+3+q+5 ks. �� Check Number
This Section For O(aclal Use Only
Building Permit Number: Date
Issued:
$IDnafU
Bulling iedoner/Inspector a(Bulltlings
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
Section 4. ZONING All Information Must Be Completed.Permit Can Be Denied Due To Incomplete Information
Existing Proposed Required by Zoning
This cduvm b be feed in by
Building Deprtmmr
Lot Size J L--
Frontage
__ _Fronta
Setbacks Front
SSSS L: R:1.__: L-1 R:'
Rear
Building Height
Bldg.Square Footage --� �_. .� r__
_
Open Space Footage
(Lot srm mins bide a pved i �_. ..J r.__._I
paddow
#ofParking Spaces - l
Fill: _ -
wluvaalucaEov
A. Has a Special Permit/Variance/Finding ev r been issued for/on the site?
NO O DONT KNOW O YES O
IF YES, date issued:!
If YES: Was the permit recorded at t e Registry of Deeds?
NO O DONT KN O YES O
IF YES: enter Book L Pagel and/or Document# j
B. Does the site contain a brook, y of water or wetlands? NO O DONT KNOW O YES O
IF YES, has a permit been r need to be obtained from the Conservation Commission?
Needs to be obtained O Obtained O , Date Issued:
C. Do any signs exist on t property? YES O NO O
IF YES, describe size type and in
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. Will the construction activity disturb(clearing,grading, ceve
vatlnn,or filling)or lam or Is K part of a common plan
that wilt disturb over i acre? YES O NO
IF YES,Barn a Northampton Storm Water Management Penne from the DPW Is required.
SECTION S-DESCRIPTION OF PROPOSED WORK(check all applicable(
New Nouse ❑ Addition ❑ RePlawment VJY 1tAowa AKaration(s) El Roofing ❑
or Doors (r
Accessory Bldg. ❑ Demolldon ❑ New Signs Jp] Docks [C] Siding JpJ Other JIB
al- 7�
Brief Description of Proposed ���
Work: ,W4t^O r
Alteration of existing bedroom_Yap No Adding new bedroom Yes No
Attached Narrative Renovating unfinished basement —Yes No
Plans Attached Roll -Sheet
e::IF NwNklou.rMRt-addWicanit illAI nD:rtuwB(u3 ,marete:tlrsrgNeyM1DD:
a. Use of building:One Family Two Famlly Other
b. Number of moms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Pmposed Square footage of new censbuction. Dimensions
e. Number of stories?
f. Method of heating? Fireplaces or Woodstoves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
h. Type of construction
I. Is construction within 100 h.of wetlands?_Yes _No. Is construction within 100 yr. floodplain_Yee_No
J. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yas_No.
I. Septic Tank_ CitySewer Private well City water Supply,
SECTION Ta-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
L 11a ,as Owner of the subject
property I
/A1 L //�� —L�r
herebyauthodze / / d// � VU_Y/��
to act on my behae,in allage—n�is retail"to work euthorl�y this buildKii permit application.
(Set. COrylyaco 6 _12-
Signature of Owner Date
1, olxrfi �JLl6�lf V .as Owner/Authorized
Agent hereby declare that the etatemen and information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penalties of perjury.
Prim Name
�✓ (+ /2 (g
Sigrmlure of Oen t ± Date
SECTION 8-CONSTRUCTION SERVICES
8.1 Liesne9d Construction Supervisor Not Applicable 11
m
Name of Lim"Haer: ROI J (-t
l"{�J��`1�r
1 License Number
12 DOiq Ln ,�uthw(ck MR aon� 5,1Wt
Adhaca Expiration Date
Signature Telephorw 4-13- 4k5--1335 Io /Z`61 Iq
- NotApplicable ❑
Rotex+ busYwq 1165b41
Geometry Name Registration Number
V\hrySnw Wor1(1 of Western Mass Inc. 3� 14 �2q
Address Expiration Date
1029 NQEbQ RA NkStfi e� d MA OIO�b ephpne 413 4$5'1335
SECTION 10•WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.O.L.e.152,§25C(8))
Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this affidavit will roeuN
in the denial of the Issuance of the building permit
Signed Affidavit Attached Yea...... No...... ❑
The correct exemption for"homeowners"was extended to include Owner-occupied DweWngs of one(1) or two(2)families
and to allow such homcownm to engage an individual for hire who does not possess a license,provided that the owner acts
as sucervlsor.CMR 780, Sixth EdlUop Section 10835.1.
DeDnithen of Homeowcer:Person(a)who own a parcel of land on which he/she resides or intends to reside,on which there
is,or is intended to b0.a one or two family dwelling,attached or detached structures accessory to such use and/or farm
structures.A Parent who construct;more than one home in a two-veer period Wag not be considered a homeowner.
Such"homeowner"Wall submit to the Building OfficiaL on a form acceptable in the Building Officia4 that Ii shall be
responsible for all such work cerformed under the building permit
As acting Construction Supervisor your presence on thejob site will be required from tince 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 Ce eral Laws Annotated,"a may be battle for persons)
you hire to perform work for you under this permit
The undersigned"homcowner"certifies and assumes responsibility for compliance with the Sate Building Code,City of
Northampton Ordinances,Sate and Local Zoning Laws and Sate ofMasaachusetts General Laws Annotated.
Homeowner Sigostore
ti The Commonwealth of Massachusetts
Department of IndustrialAccidents
Qrce of Investigations
I Congress Street, Suite 100
Boston,MA 02114-2017
If www massgov/dia
Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name (Business/Organizationnndividual): MOA 01 western MR
Address: 1Ucl Nork'n Rd
Ci /State/Zi : VV ifiA 5 Phone#: 663' 985 13 S
Are you an employer? Check the appropriate box: Type of project(required):
1.X I am a employer with b 4. ❑ I am a general contractor and I
employees(fall and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These subcontractors have g, ❑Demolition
working for me in any capacity, employees and have workers' g E]Building addition
[No workers' comp.insurance comp. insurance.:
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs
insurance required.] t a 152,§I(4),and we have no
employees. [No workers' 13.X 0ther_&jp]QCe Mf'( t
comp.insurance required.] 11 W 1
*any applicentthe checks box must also fill out the sectios below showing theirworkern'cnmpemationpoficy information,
T
Homeowacra who mbmitthis affidavit indicating they are doing all work and then hire outside convectors must submit a new affidavit indicating such,
iCmtnctotsthat cheek this his mast studied an additional sheet showing the name of die sub-comtradms and state whether or act those entities have
employees. if the orb-conaxton have employm,they mint provide then workers'comp.policy number.
lona an employer that is providing workers'compensation imurance for my employees Briow is the policy and job site
information.
Insurance Company Name: UbaN Muh/Gl I nsuro n e
Policy#or Self-ins.Lic. #: �1 C, - I "�-1 —I q4'7 ' n 18 _ Expiration Date: 5 111 q
Job Site Address: Z.8 City/Statemp: nP� M-✓+ 61U1t
a
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 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 mantxmce coverage verification.
1dohembycerdjYufdff
n thepenaahn ofpedury that the informabove Is provided aboIs true and correct
Si lure: o/(i �'�/ Date: (a 17 -(-i
Phone#:
Official use only. Do not write In this area,to be completedby ehy or town official.
City or Town: PermitUcense#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Contact Person: Phone#:
MI Wkw1ows And Doors
Mlaaoaf..,rww.eift
Gratr PAIMD
wafCas4 w MIyyAARtP
eeoww+�°Mx ieeo
wdmalab � '� PAAoie � DwlrotnlNeabs
PraftsR:uaa. .F,1vGta1:
t!!6 tai'�iY.b,�.afasa:i7 MXiP
MID � taa.L +®wawwaoamm
matb prMMlkf yM,�urtg4a'Ar'J.aUxYM pa.0 rw+Y.a.YrwbM.arr.ufsrpwwnww
stlfrtom85 F041 Mds (M'A+A,a�" ENERGY PERFORMANCE RATINGS
•dwner,
mdordnimt YYabft.Y� +aiYaae.b P.rwr U-Pj W (U.S.A-m Tolar NeW Gain CoefficWd
dofwmnae RATINGSGw,co.n1 0.27 0.29
U Fadnr N ADDITIONAL-0OtFORMANCE RATRM'
0.27 0.26 visor"Tn mmWence AM LSOMP(U.S")
rin
in Fn , PATINGS
0.5,12 s 0.3
IOwW.f wrwYuw M..RMb NMMp
n.Yw�Y wrYrwrr>Ypswrwwwwa sa
ypE,taTranaS11�°a wcmrwrY Pwrwarrxarr.ryaayYaY.rasY�ap..
50.3
Cady 0.46
fY•s'•aayw.ar. +.w,,, --
wsarrarfYb+�..
_i °.rras[w..ra�iaW.Y _
sihea' .,i Ae
`M°�"�" afrfarT.frm.
MY6eao6sawew Iwbwfa�+f�id
• waabw�°'a' rade Is�p PpYM *A3 _ 6.11
a0.dDX72aD amtaear.wlaaW
avpnirYaNNtl.adbwndaon rb. Fwiihibeoa awed
raaabdaeb,idabaeYYd,wafis rapawasaw Pasty MgaPlmgy
� olbalrw.TwMbN+IMMAWV48A tG0Ulr.'yAlrp4661n.AswAym
Enl Et1a0.aaaabbYb.rb.YwaraaY9ha0awawtr.wllw.fw
fladad � datlurYlbtrFof r.prdp a.YYlbpYWueflans.PlsARwww.mA.dwb.
pafarwatrfa//daf'600 d av* perw+r rd`e as a
�afb ,, .s. «, AmAmmm„s ” !6785673.1.1.1
a�iwrabd Is Va Now,waalr.Par.
772468.1.1.1 '"°°"' �'"'
amooYNM WPWMISWM0S01Mtmwa9omVUVA (YOOLOi NOMOD
'P•uNW iro
lJ Wm+wMatlamw:m.
3Yw4°+880 daFPTF09 :aatiwiil
M
UNW= m Sown 'Ammom 0 09050 Sao
'moi '>sai8m+giz41
SWM a9TalPMra N 9MZ a30AMS NARY SK 10 ANY ougw 38833! OF M
=Sa"V► fts so am
MOurtt9am IualoxuvaLiu�e;
71 L
O:AMY•rM•'7N+ggrw::IwMy'uta4ar:sulP•zmMINaLWaNlw:•wre+oe:aurupe
t amum+•SMBO•r9
•MeYaeplveYxn�Y�aYae
• NA9Lbr9•NNat19'i
t lAOaYreorl�'9 —TTaZ a& Bwn:neaT ••• Mame t'iw.a ww
VIA Au.S8188Waauwr
t so v4"T a"
• NaMlol om
• urwtl•p SmwMerP 9rP8YN• 9
000'000'1 t •anawmPMYi 61/60/00 Bt/d0/90 t9►Q9000f► rrem Z
aYtYtYesM V
f
t ® IS gllnanM Y
• bM1AYY AYI'MAIaY �� ][ �� '.
t &aa+adAYM1NA'XOM WIIYAlN i
000'000'% t low dT 60 ►0 9T/60/11LB9%9oovoT unNnYweawa
Y m qq+
000'00011 t 9W'+3'+aPt'uomau o+•zeYwaenuw•utww0
000'000`1 • nvaraer�0ai9e
000'00011 • EuaMnPv'.rxW18+
00010% t aeue•A9Y}m01n aam� mrM•M+a
000'00T • 6S/d0/►0 8%/40/►0 966910019A Aun•rnmmwewme0:m
000'00011 t Y'eWrnam NiN Ya q
Wat 1YMA9110! m1:MIIMMYW.4 W'1
Vfi
9NYIDOrad A90YCAGVO NQ�6 BaN AVMNASa WVA AVft O 9t6)4lI= AOMtaVOI M
OU M 01 Ol U>WY & NNV91i 3ML H OBOYDidf 300 W SMl 'NV1Y3d AMT VO a m AM\ 31YOftlIUHO
SIIit MOM OL Jl�!®tl NUM l93'P10m0 "Im PO LrytlLLOM MM !0 NOI110B00 tl0 P1®1 'It8/mtl100911 J.NY OMWYI9:um '091Y0NM
tlBd � 1 aft,-.
A"
3200swav011aam BSOMAo0
llww
lv m 99010 'M 'PTSF€LBM
:9•neu PROW -PSM SLOT
el•nrn:t `aaT '933a99sNY99gq Pzs3YM so PT3M w0PUU
�twa m:NM
KPYSa91lS YaF3aeiazH 9T1aa31L'r YNMM
t� 81050 '89V1 'WaD►9edlnvt 18Vm
9992 $so 6T 099E 388zge aFp[ tpzOZ Q09
991 Q%►
ieeazyl 'Z 80veanwl +°� 6aPea9 BaYYYaYYZ 3
'(1*Aepw ma Wm mw• MPlaltN•fP:n
tM VI •IYL9+ nWw t•U n•P M•SPMo tPR m Wt•MM Y V+•a:MLONa w •WaW Aw tMepd MYN 'A•Spd ai N NMN9a9t M a19ry Wp
91 WO tOrMM IVM=aV al
MSOMMILVOWA WMUMV'W089W0UOWU
ommmiw OV YBhN00Wd owmw mu MBSAMSB Imam m Y BUWWM00 Aa" moo 909V9mom i0 91VOWW90 au 'Maus
8Wo1Wd BML A9 amomy 9aVWfA00 au 9arro 90 omm 'aM NV AF9AUV99Q tlo ATdALLVMUAV AOM Sime BLVOWNUMM
QSLL 'ice QAVOYam al NOe91 WON ON am A'tm wmvmmw 0 asavif V 9V tiMM $1 B1V0MWM 9411
9m1/QS/6a
a+AAarrdum I 3ONV!ll1SN1 "118V1'1 :10 31VOLA GO
ac CERTIFICATE OF LIABILITY INSURANCE
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: N the aRMcass holder Is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or M endorsed.
N SUBROGATION IS WAIVED,aWkW to the femme and conditions of the pollcy,certain policies may require an endorsement. A etammore on
this card8cme does not confer rights to the artincam holder In Iiw of such endmeame a.
PwoucMr FORREST INSURANCE AGENCY
803 NORTH MAIN STREET Pxcal
E LONGMEADOW. MA 01028 .w6 Mak
m e1W0 xa NAG,
EDN RML : Liberty Mutual Fin humane 23035
mNSURED
VANDOWWORLD IN WESTERNMASSACHUSET1N8VPGN
esuaue:
1029 NORTH ROAD IesuRes :
WESTFIELD MA 01085 mesulMR e:
COVERAGES CERTIFICATE NUMBER: 41675072 REVISION NU IEFJL
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INmCATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT NTH 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.UNITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
m TYPEQMMIRANC! LYm
CDMYMMMLpENMMLLINBI111Y EACH OC URRDICE !
CLAWMeGE F-1 OCCUR r
MEDEXP R
PERSONALAADYM URY t
GEWASmiEGATE Us"TAPPLIESPBi GENERPLAp(mE TE
n4CY[ JECT LOC PRODUC -Govip"ANG i
t
Auimmsuu uw t
ANYAUIO BODILYOJJURY(Pe PNnOn) t
OVINEDmY AVTOa LED WWLYMJURY(Prempee) t
NIRFD
40N 1!1)
Aura ONLY AUTOBONLY t
i
UesESUALAS OCCUR EACH OCCURRENCE
W
i
excels LCLgR18,NipE AGMEGATE
D
A Axe YG N WC2-31S377047-018 8/72018 3/X2019
AApp YIN
OFM£PAI�BERIXGLR�NEC FY NIA LEACN HENT
(W in We $1000000
I UYvb W11
E.L.019 -POLDY 11MR 1
DgGNP1MX W OPM41nONellOC11TIMJeIVMM:uIR(Rf.OIm1a.RNmnLhuM BaMpM,mry a YnmMnn6nrpubngJnrq
WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA
This artBcats canoe,and supersedes all prevbusly,sued o HNI MRA ony es they mist,to worker,nompomaum novenge.
CERTIFICATE HOLDER CANCELLATION
CITY OF NORTHHAMPTON SHOULD ANY OF THE ADM DESCRIBED POLICIES BE CANCELLED BEFORE
212 MAIN STREET THE EXPIRAnON DATE THEREOF, NOTICE WILL BE DELIVERED W
NORTHHAMPTON MA 01080 ACCORDANCEWRHTIEP000YPROMBION9.
ABTXOIIesOnAneWTATM
Jon SmBn
01958.2015 ACORD CORPORATION. All rights mesNed.
ACORD 26(20160S) The ACORD name and logo am registered marks of ACORD
,675072 1 1-377911 1 18-19 eC m nD256981 15/2/2018 0:39:52 n( m¢ml I sew t , ,
Window World Of Western Massachusett
I/I�ofrJ 1029 North Ron
ft 413-485-733
.yalayur•warrw.^ westernmass@windowworld.cor
20LLAS BATTEN
ollasbatten@hotmaii.com
Estimate : Livinroon
Bill Address: Install Address: Estimate#E152797572117
28 HIGHLAND AVE,28 HIGHLAND AVE 28 HIGHLAND AVE,28 HIGHLAND AVE
NORTHAMPTON,MA NORTHAMPTON,MA Date of Estimate:6/2/2017
01060 01060 Valid Until:7/2/2011
4000 Series DH 3 295.00 885.00
Solar2one Low-E 3 110.00 330.00
EPA Lead Containment 3 80.00 180.00
Permit 1 150.00 150.00
TOTAL AMOUNT $1,545.0(
CUSTOMER PAYMENT DETAIL
Credit Card Amount $545.00
TOTAL PAID $545.0(
CUSTOMER DUE $1,000.0(
Vo extra work If not In writing
:ustomer Comments:
hall Notes:
ustomer ID Details
d TypeDriver's license
d#- S33645975
d Issue State' Mass
J Expiration Dale 12152019
ales Rep Recommended:
Interior Stops r Exterior Capping 4Zacn� pQv
astomer Declined: ( 1l
KC'l al ky jj'�/uP
- Interior Stops f- Exterior Capping _
re 1978 built homes:
y /�pp
name was built In the KrO �-5> t$' year 1909 (nitiall
I<Cv'-�Cf j���✓ _
gmtielll Decline Piro party venfiretlon
(Initial)l have recaivetl Copy aLIM1e Lead hazard Inlolmetion pampM1lel lMouning me of the potential maker IFe leatl hazertl eryosure Van renWalion adivlry.ro be pedormetl in my
II 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 signoff form an
olleet the outstanding balance at the completion of the job.We ask that you be available m approve the job and make finel payment m the time of completion.If this i
of 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 yo
nderstand if the weather,traffic,etc,cause a delay or cancellation ofan Installation appointment.We typically do not schedule more than a day or two in advance f
y to avoid such issues.
.Our W ork-site.We like baser up our work-site as close to your windows and doors as possible and generally your driveway is the best spot.If using the drivewa
rill block a garaged car,please be ready to pull it out upon arrival.
.Alarm Systems.For those ofyou who have alarm systems,the alarm company should be notified and advised ofourjob.They will be responsible for th
isconnection and reconnection ofyour alarm system.
.Where do we start?Upon arrival,the crew leader will survey the jab and determine where to begin.Ifyou have a preference,feel free to advise us and we wi
ecommodelc to thebest of our ability.Because we work in stages(i.e.,removal of old windows,setting the new window,wrapping of exterior,etc.),we dou
omplefe 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
ualityjob.
.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 dor
dthough there may trot be a complete window,it will be weather-tight and secure for overnight.(Please no critiquing at his time).
0.Pets.We love fury,four-legged creatures;however,we need your help in supervising them.Weare not always able to close a gate or door behind us whe
arrying 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.Man
enfold say,dont worry,he doesn't bite,but many installers have been bitten.So please secure dogs that have an aggressive bad towards strangers.
1.Expect some dust,noise and general disruption of your living space.Construction work can sometimes be messy depending upon the scope ofyourjob.It
a unfortunate reality of remodeling,but we do our best to keep,things under control.We appreciate your patience and understanding,during the job and unt
verldning is finished.Even after we have cleaned up,it is advisable to survey the areas for something we may have overlooked i kids rooms,baby's room).
2.*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 IF
+ells be advised that all water damage plaster will most likely fail out.in addition,all the patch works you have done over the years will fall out also.This is norma
oweveq we are not plaster experts,so the repair to those wails would best be left in the experts.In some cases,due to out of square openings,new trim is required f
take 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 Mt
fter the installation ofyow new windows.This is not always necessary and is usually minor if it crocurs.Ifyour trim stops around your sashes are very old,dry,an
riffle,they may snap and crack upon removal.If this happens,we can leave them off ifyou please,or for a small up charge,replace them with newer ones.Many c
to old-style stops are no longer available so we"old replace the entire window with newer style stops.Should we discover any hidden damage to the frame or wa
res we will advise you before we proceed.Should you decide to replace or repair anything,the price will be added to your balance.
3.Relax and enjoy the show.After we've been introduced to yew home,feel free to run errands,take a walk,or just relax.If a question should arise;ask the cm
inter 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
ustomer constantly hovers over our shoulder.Like my professional,we're always happy to answer questions,but we appreciate being able to concentrate on OL
rock without interruptions and distractions.This ensures a safe and quality installation.
4.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 atfomey for collection,th
umhaser agrees to pay all casts of collection,including a reasonable attorney fee.Renu check fee is$50(fifty dollars).
�/
44_
Customer Signature Sales Person Signature
.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 Is,
one.If you have any questions whatsoever,now is the time to ask.
/indow World of Western Mattoon useds may net require an adxmeratlen or payments as spacRi ed in the payment section(front)for the reason that he deems himself or in
ayments to be insecure.However,whore the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due
maker the contract,which are in possession of the owner,shall be placed in a joint narrow account requiring the signatures of the home improvement contractor and the owns
o withdrawal.
ustration;Window Wotltl of Western Massachusetts and the PURCHASERS)hereby mutually agree in advance that in the event Window Wodtl of Western Massachusetts
as a dispute concerning the contract,Window Word of Western Massachusetts may submit such dispute to a private arbitration service which has been approved by the
ecretary 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.
!indow World Owner
ate...... _.......... ........Date
OTICE: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
ispute resolution even-where this section is not signed separately by the parties.'
his Window Wotltl ,Franchisees independently owned-and operated by Window World of Western Massachusetts,Inc.under license from Window World,Inc.