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31B-312 (9) 26 CRESCENT ST BP-2019-0714 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 3 1 B-312 CITY OF NORTHAMPTON Lot: -000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category:REPLACEMENT WINDOWS/DOORS BUILDING PERMIT Permit# BP-2019-0714 Project# JS-2019-001166 Est.Cost: $21817.00 Fee:$152.60 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WINDOW WORLD/ROBERT E BUSHEY JR 57011 Lot Size(N. ft.): Owner. MAGNA HOUSE CONDOMINIUMS Zoning:URC(100)/ Applicant: WINDOW WORLD/ROBERT E BUSHEY JR AT. 26 CRESCENT ST Applicant Address: Phone: Insurance: 1029 NORTH RD (413)485-7335 WC WESTFIELDMA01085 ISSUED ON:1/3/2019 0.00.00 TO PERFORM THE FOLLOWING WORK.-14 REPLACEMENT WINDOWS AND 2 REPLACEMENT PATIO DOORS 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 1/3/2019 0:00:00 $152.60 212 Main Street,Phone(413)587-1240, Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner City of Northampto. Building Department 212 Main Street Room 100 Northampton, MA 01060 "- phone 413-587-1240 F APPLICATION TO CONSTRUCT,ALTER, REPA IR,RENOVATE OR DEMO ISH C o C' SECTION 1 -SITE INFORMATION %`` 1.1 Property Address: DEPT OF BUILDING INSPECT14 95 84 DtI0n to be co111pleteo,by 0000 NORTHAMPTON,MA 0106 26 G1.Q az#1 " s_� Ma N DY4harYi p'1 i MO © ft U Zone OvgrlaX Dl�rtrl� . 7 d10 K P A G- Pc,4 1 CLui I p Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: M rni� la6NA USe- C,0tJ�QS ll�rlath NOAkMPH71 /04 0JUbn Name(Print) l Current Mailing Address: — (See G(�ifY1ud) Telephone Signature 2.2 Authorized Aaent: RnlbErt 1\11 1029 North Rd WPStfid d MA W016 Name(Print) Current Mailing Address: l � 413-4�5-133 Signature Telephone SECTION 33-ESTIMATED CONSTRUCTION COSTS7 Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building a I ' p (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee �[ 4. Mechanical(HVAC) 5. Fire Protection 6. Total= 1 +2+3+4+5) Check Number �' 3 This Section For Official Use Only Date Building Permit Number: Issued: Signature: / Building Commissioner/Inspector of Buildings Date 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 column to be filled in by Building Department Lot Size ------ Frontage -------- Setbacks Front Side L t s R:'- LL-- R:L—j--" Rear Building Height Bldg.Square Footage F.- % Open Space Footage % (Lot area minus bldg&paved paddsg) #of Parking Spaces ------ ------i Fill: (volume&Location) A. Has a Special Permit/Variance/Finding ever bee issued for/on the site? NO 0 DONT KNOW 0 YES 0 IF YES, date issued:! IF YES: Was the permit recorded at the R stry of Deeds? NO 0 DONT KNOW YES 0 IF YES: enter Book i i Pagei and/or Document#1 B. Does the site contain a brook, body f water or wetlands? NO 0 DONT KNOW 0 YES 0 IF YES, has a permit been or n to be obtained from the Conservation Commission? Needs to be obtained Obtained Date Issued: C. Do any signs exist on the pro rty? YES NO 0 IF YES, describe size, type and location: D. Are there any proposed cha ges to or additions of signs intended for the property? YES 0 NO 0 IF YES, describe size, type land location: E. Will the construction activity disturb(dearing,grading,excavation,or filling)over I acre or is it part of a common plan that Will disturb over I acre? YES 0 NO 0 IF YES,then a Northampton Storm Water Management Permit from the DPW is required. SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable _ Now House Addition E3 Replacement windows Alteration(s) E3 T Roofing E:] Or Doors 1:3 1 Accessory Bldg. E3 Demolition ❑ Now Signs [C3] Docks [(:] Siding[0] Other Brief Description of Proposed Work: I q 5 jl"�V Alteration of existing bedroom Yes No Adding new bedroom Yes x No Attached Narrative Renovating unfinished basement Yes ..AX,__No Plans Attached Roll -Sheet salf'Rew a. Use of building:One Family_X Two Family Other 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 a. 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 ft.of wetlands? Yes No. Is construction within 100 yr. floodplain-Yes No j. Depth of basement or cellar floor below finished grade k. Will building conform to the Building and Zoning regulations? Yes No. 1. Septic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, PAAGNA kjAS� CoNbo5 as Owner of the subject property hereby authorize 201)E9T (3vshEv! to act on my behalf,in all matters relative to work authorized by this building permit application. ( Set. CI(MAY0(0 ):) ,q- ) j Signature Signature of Owner Date W 1, P())Ocrt- I:�L vc,� as Owner/Authorized Agent hereby declare that the statement d 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. enhrett R*vShem Print Name ) 2 - y- i Signature 2 - I- Signature of Owner/Agent Date SECTION 8•CONSTRUCTION SERVICES 7 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of Llcenso Holder: g0brt License Number -1 5=1011 Address Expiration Date 4c6 Signature Telephone 9..Registered-Mome1morn otmentiContractor; Not Applicable ❑ Robc t P�u�Y�,y 1 bs b41 Company Name Registration Number W 1ndnw WorkA a W-e��tyr\ MESS Inc, 311+ 12(3 Address Expiration Date (029 N or s Rd VV-2stCt\ d JPA O10$€�lephone 4i3A;bG-1335 SECTION 10•WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152,§25C0)) 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...... ❑ The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provkied that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the Building Official,that he/she shall bg responsible for all such work performed under the building permit. As acting Construction Supervisor your 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,you 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 State Building Code,City of Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature The Commonwealth of Massachusetu Department of Industrial Accidents Office of Invesdgadons UT 1 Congress Street, Suite 100 Boston,MA 02114-2017 www.massgov/dia Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name (Business/Organization/Individual): Wi►1C 6 \i WtEkd Qi ` ttf rXn Mit Address: 1 OZq W ortln R d City/State/Zip: Ntbifj3d MA d S Phone#: Are you an employer? Check the appropriate box: Type of project(required): 1.X I am a employer with 4. [] I am a general contractor and I employees (full 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 sub-contractors have g. ❑Demolition workingfor me in an aci employees and have workers' y capacity.�� insurance.t 9. ❑Building addition [No workers' comp. insurance comp' 10. Electrical errs or additions required.] 5. ❑ We are a corporation and its ❑ rep 3.❑ 1 am a homeowner doing all work officers have exercised their 11.[]Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152,§1(4),and we have no employees. [No workers' 13.4Other &P �1f.`(l�" comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: l.,l bytq MutuCts I nsuro f1Cf. Policy#or Self-ins. Lic.#:_ANL Z"31S"?x1 A+ Q I$ Expiration Date: rJ `1 rq Job Site Address: 2U C re s c e-d- Si City/State/Zip: N""jLhw Ma h b to d 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 insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone M 413- 60 SS --13?,S Official use only. Do not write in this area,to be completed by city or town qfticial. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: clokoze CS467011 Ealplrss:v _ +° CERTIFICATE OF LIABILITY 1111 OANtY LN ►�,r,�er. THIS CERTIFICATE 18 ISSUED AS A NATTER OF INFORMATION ONLY AND CORM 801fT411MlCK MA OIrR ; CER71R0ATE DOES NOT AFFIRMATIVELY OR FSGATIVELY AMEND, EXTEND N A BELOW. THIS CERTIMATR OF INSURANCE ODES NOT CONSTITUTE A CONTRA( I REPRESENTATIVE OR pRODUCER,AND THE CERTIFICATE HOLOER. Commissioner T ia an D, pot must SCA t a XWW17 theoMaM imp msli NO� an andoraamsnt A sts the taees and oondRions of the Policy, 3G Y..,WWW~0�j./"lesr+W400WA cwU#oata hOWK 10 10 of such andonwmftga� OuNeor c"IENE r'Axonia Il"Irwas RquWlon II L Now aura HOMEWAPlt&MWrTVPp + r rrest tasurauC* AgsacY ve be: 413 8 $1' oan . I 603 North MILLA Strost AOREMsWINDOW WORLGOFWEIT MMAN ND East Longmeadow, Mass. 01028 MMu1me1 A.Arbella ROBERT SUSHEY JR: uMUneO MMUMM e: 1039NORTH RD L Window World Of West&= Mas3tachusetts, Inc. OMURMltC: WESTFIELD,MA 01085 1029 North Rastd MNAIRsf o, Westfield, WEL. 01085 INSURER a: Ma UFM P: COVERAGES CERTIFICATE NUMBER: REVISION NUIMSSR:- THIS IS TO CERTIFY THAT THE OF IN Us= BELOW HAW WON ISSUED 10 THE INSURED NAMED ABOVE FOR THE POLICY PERF INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR COMMON OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHIM THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE FQUCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,UMITS SHOWN MAY HAVE BEEN REDUCED BY PAH}CLAIMS. Nom PQLWB" LTR TYPeOPMNURAM POLICYr0HUM {M!iAPDl1tYYYU Lam ° UASMm' x EACH OCCURRENCE 11,000,000 EgEM QOMMeFicw aENeRAI LMSILITY 7520025998 04/09/18 04/09/19 piusnbcaMfamM I 100,000 CLAeAe•MAOe ®0OW" MEC EXP(Any one poen) 1 �10,000 PIRSONALBACV IVJURY 11,000,000 uNERALAwRwTa s 2,000,000 ELK AOMMATE LIMIT APPLIEe poopip PROMOft•COMPIOP ASS s 1,000,000 POLICY �T ADTOYA,@LYIeLRY AN1020063881 04/09/3.8 04/09/19 ANY AUTO : 1,000,000 AUTOS FXX emsomED I'W LYRMRY(P promo I R MED AUTOe NM4vWwC eOOLY INJURY(PW ealkenq 4 i A UMNOW UAB $ OCCUR 4600055451 I3 elI roes un 04/09/18 04/09/3,9 RAW--)URRENCE s 1,000,000 DED AVIVMON I AGGPINATe e woRKSRs DaeteewA AND EYPI.O EWLIA1LWY YIN L"ertificate Of ANY l P/bPAIaTCRIPAR w-ja iQmmr. 3;T381irat10e TO E"011atr all-onAA��fty or,we MMLUD 01 El NIA If yes,dolWoo WOW LL.MACH ACCIDENT EobedMN.ea:aeePe�N OENAWt*OP abm EEHEJEE1TCe IN ("Coo"MOPOPIPATIONVILOMWLUANehACORD101,MN,yReeyr :ER'TIpiCATE HOLDER :ity Of imom=oxpton CANCELLATION '.12 se>ietiu street SHOULD ANY OF THE ABOVE DESCRIBED PDLICISE BE CAtErBLU torthaa0ston, Ma. 01060 ° gXWRATR)N DATE THEREOF, NOTICE WILL BE DEUYEREBEFORE p Ey �ttetit3 On: $uildi D ACCORDANCE WITH THE ATE PRDV � �Z'tMeAt AUTRORREp REPREIENTATNE CORD 25(2010/0$) T988-ROtd ACORD . BM hMs The ACORD Hama and logo ora r+$tetarad marks of ACOAD CORPORATIONA9 �. f CERTIFICATE OF LIABILITY INSURANCE 03/23/2018 THIS CERTIFICATE 18 ISSUED AS A NATTER 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 CONSTTIUTE A CONTRACT BETWEEN THE ISSUING INBUREFIX AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. holder Is an ADDITIONAL INSURED, PD loy must be o . subW to the toms and acriftans of the policy, owlsin policies may require an andorsomenL A statement on this cordRoab doss not oonfar rights to the ceRiflats holder in Neu of such andorwnent(•). PRODUCER HAMLaurence R. Forrest Forrest Insurance Agency PHOW 413 858 2680 IMM0413 858 2685 603 North Main Street A411AIL Rast Longmeadow, Mass. 01028 INSUREXa)APFORDINGODVBRA� NAX• IaummA:Arbella Protection Insurance Company IIN LURED MUNI"a. Window World Of Western Massachusetts, Inc. MwNMC: 1029 North Road MgNaeRo: Westfield, Ma. 01085 Mumma: MWREI P: 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 POLICIE8.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 9111111 off LTR TYPBOPINFA ANCBsea 1AIDPOLICYwAnm (MINlDOIA" (aYaOf T; Laine A GEMMALLIABL" x EACH OCCURRENCE B 1,000,000 COMMERCIAL GENERALLIASILITY 7520025998 04/09/18 04/09/19 PREcaEooeaawm:w $ 100,000 d.A1Ma•MADE ®OCCUR MBon D EXP(Any opmml) a 10,000 PERSONAL&ADV INJURY S 1,000,000 GoNmft Ammem S 2,000,000 GEMAGGREGATEUMITAPPLIESPaR PRODUCTS•OOMP/OPAM S 1,000,000 POLICY JEGT X LOC S AUTOMOBILE LIABILITY 1020063881 04/09/18 04/09/19 ag Woo S 1,000,000 MY AUTO aODILY INJIJRY IPM p@=n) S ALL OWNED AUTO $ AV EWJLED BODILY INJURY owMNpMQ S NOWOMIRD X HIRED AUTO• X AUTOS Pa $ i A UNNIN I" X OODUR 4600055451 04/09/18 04/09/19 EACH OCCURRENCE s 1,000,000 B xxeas UAB cLAste.MAoe AGGREGATE $ DBD ReMMON a : ANDB Rs YIN Certificate Of ER AND EMFLOYEn'LMaLRY I I ANY---- WrORIPARTNINVEXRCUTIVIIIInsurance To Follow LLEACH ACCIDENT S OFFXNB WWMEXCLUD�► (MandO0y In NIS E.L.DISEASE.EA EMPLOYEE 8 Ilyp,dMarb uMv DESCRIPTION OF OPERATIONS bW* EA.018BASE•POLICY LIMIT 18 INCRIPMNOPOPSRATI miLaCATNDNS/VINICLltt"tpehACORD101.Aa1dBWnMRar,kaSalndWA,Bmsnfp�eahnpWnd) :ERLIFICATE HOLDER CANCELLATM 7ity Of Nowthe ton .12 Main Street THEE EXPIRATION DATEOTHEREOP, NOTICE WILLBE BCANCELD�EB ORIF (orthampton, MS. 01060 ACCORDANCE WITH THE POLICY PROVISIONS. 6ttention: Building Department AUTBORVEDREPNMWAYNE ®195&2010 )CORPORATION. All rights reserved. CORD 25(2010/05) The ACORD name and logo aro registered marks of ACORD cod CERTIFICATE OF LIABILITY INSURANCE DAT 5=018YYY) 01 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: H the certiflcate holder Is an ADDITIONAL INSURED,the policy(les)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 99 reemen s. PRODUCER FORREST INSURANCE AGENCY MW 603 NORTH MAIN STREET PHONE P -MAIL E LONGMEADOW, MA 01028 E " INS S AFFORDING COVERAGE NAIL* HISURERA: LbeN Mutual Fire Insurance 23035 INSURED INSURERS: WINDOW WORLD OF WESTERN MASSACHUSETTS INC INSURERC: 1029 NORTH ROAD INSURER D: WESTFIELD MA 01085 INSURERS: INSURER F: COVERAGES CERTIFICATE NUMBER: 41675 72 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 POLICY N BER POLICY EFF POLICY LIMITS COMMERCWLGENERALLUIBILITY EACH OCCURRENCE $ CLAIMS-MADE 1-1 OCCUR $ MED EXP oneperson) $ PERSONAL&ADV INJURY $ M'OTHER: LAGGREGATELIMITAPPLIESPER. GENERALAGGREGATE $ POLICY ElJECT7LOC PRODUCTS-COMPIOP AGG $ $ AOTpMMLE VABIUTy C faMBIN D SIN LE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per ao ddeM) $ AUTOS ONLYAUTOS HIRED NON-OWNED PR PERTY DAMAGE $ AUTOS ONLY AUTOS ONLY UMBRELLAU A0 OCCUR EACH OCCURRENCE $ EXCESS LUU3 CLAIMS-MADE AGGREGATE $ DED I I RETE N $ A wORKERSCOMPENSATION WC2-31S-377947-018 5/7/2018 5/7/2019 1 PERT R AND EMPLOYERS'LIABILITY YIN TA UTE ANYPROPRIETORRARTNERIEXECTIVE UE.L.EACH ACCIDENT $1000000 OFFICERWEMBEREXCLUDED? EYE NIA (Mandatory In un E.LDISEASE-EAEMPLOYE $ descritsDESCder RIPTION OF OPERATIONS be E.L.DISEASE-POLICY LIMIT I$100 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,AddIdonal Remarks Schedule,may be attached N more space is mgwreQ WORKERS COMPENSATION INSURANCE 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 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF NORTHHAMPTON 212 MAIN STREET THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN NORTHHAMPTON MA 01060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Jon Smith ®1988-2015 ACORD CORPORATION. All rlghts reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD .675072 1 1-377941 1 18-19 WC I n0254981 1 5/2/2018 4:39:52 pM (EDT) I page 1 of 1 s Mi VAndows And Doors #'"#r. � 0 0Went tt wk et at Gratz,PAI MO mt vandows 161 iiar+�� ordeat�r the �'Enda,PA 1� PaidUt �yOHNINYLIN.o Grids ism Y\Mi�471. "WAWM �� Argon;V112XV kmWiMiicukta PartN ryo1h X +M n•.dxe.=W w soMed a vwkdm b r s that can be ticilrlclE (1R'�tr� ENERGY PERFORMANCE RATINGS e cleaner, m for WkInt t tK•+•d' o wba" U-Factor(U.SA P) Solar Heat Gain Coefficient f ` enn8a a cE�►`r � 0.27 0.29 Wbw on the Solar�u.a.n-� ftin ADDITE?NAL.-PERFORMANCE RATINGS` t�Fac�t' 26 'Visible TransmRt m* Air Leakage(U.SA-P) Oe2 IIIA 0.52 :s.0.3 In n.awerew�s►ame.�.e � a«.a.e.eKam�..rre+•••r Tf�anstrdEs Air Lie "�.,a....�,�..�...�a�.�..�....�.....�.,.��. rtes S O"3 =a+^-aaes.ete.ea..ene.ey .mace.aas.rmi.owaranrpo•�ex.nr.�ew. ease �bta - e.ew ...�a.r.,a►��..ea.a.a.... �ba<re ",46 mePP� P'� traeM�� • � mwnnta "�iraee•sxaerr . Is.Um a a ea. ..hwaie.. �tAdiBadfCwMicado r.9'teti ,sae���r.dllet ,�.w ' P'en► aeail�lefa.Clliatiq�adetpoAuCsq. t> ■ Perf Gm" +DP j -DP pA Water ortrNhdomdwfe �tt tc.Pc�' rX30 sots sw�i sat poral da 40.00X 200 AbW era to kdvidual wmdwm W doors any. For v*mvftn reparft Waded r stacked unb.pbam contest ycur win repreaarrtadwr.Pas and Nag OP united by sit tat Was.Toted toAAWAMONAMA 101n.s.p/A"045 tdMmAeswftto STM E1800.AAMAWW nuyb.ea ftd by Ob D bsad a traaiciMler.For tsdsd dcaimul mnywdlon reauft Lt wo *-t kftucww.please visit www.niwd.cam. s ty lde.Pa.� W P.6785673.1.1.1 AM21101e 91012 AM or paewd u"b-080* 1C1A��rair Pra,ais an �No for 67724 .1.1.1 4 Cft Of Louis Hasbrouck<Iasbrouck@northamptonma.gov> Ror0murWOon .... ......................... __ RE: 26 Crescent St 1 message Patricia Taylor<PAT@hpmgnoho.com> Fri, Dec 21, 2018 at 9:52 AM To: Louis Hasbrouck<Iasbrouck@northamptonma.gov> Im ok with signing it,but after today I am on vacation all next week. I can stop over if I need to today. Patricia Taylor Property Manager Hampshire Property Management Group 150 Main Street P.O. Box 686 Northampton MA 01061 Phone:413-650-6018 Fax:413-582-9973 www.hpmgnoho.com From: Louis Hasbrouck [mailto:Ihasbrouck@northamptonma.gov] Sent:Thursday, December 20,2018 6:21 PM To:Patricia Taylor<PAT@HPMGnoho.com> Cc: Kim Carson<kcarson@northamptonma.gov> Subject:26 Crescent St Pat, I don't have contact information for the window company, but we need a couple things to issue the permit. They submitted a single family permit;it's a commercial job;different application.Copy attached. Also the fee:they paid$40,the single family fee.The commercial fee is$152.60.They can just send the difference. Actually,as long as you're signing as the owner's representative, I'll use the permit application they already sent if you'll sign it(instead of just the contract). Louis Hasbrouck Building Commissioner City of Northampton t' CJ Of Louis Hasbrouck<Iasbrouck@northamptonma.gov> ,�, ;r 1ParOw�npfort ....... ......... ......... 26 Crescent St 1 message Louis Hasbrouck<Iasbrouck@northamptonma.gov> Thu, Dec 20,2018 at 6:21 PM To: Pat Taylor<pat@hpmgnoho.com> Cc: Kim Carson <kcarson@northamptonma.gov> Pat, I don't have contact information for the window company, but we need a couple things to issue the permit. They submitted a single family permit;it's a commercial job;different application.Copy attached. Also the fee:they paid$40,the single family fee.The commercial fee is$152.60.They can just send the difference. Actually, as long as you're signing as the owner's representative, I'll use the permit application they already sent if you'll sign it(instead of just the contract). Louis Hasbrouck Building Commissioner City of Northampton Town of Williamsburg (413)587-1240 office (413)587-1272 fax S.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 windoi overing removed prior to our installation.We are not responsible for removing or re-installation of these items and are not responsible for damage resulting in th ;moval and re-installation.We also are not responsible for any window covering alterations that may be required to reinstall them. 1.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. Pleas urvey 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 you iindows.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 presery iem.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 yot roperty.We are not responsible for any damage to plants,shrubs or landscaped areas. .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 sta 11 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 an ollect 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 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 of an Installation appointment.We typically do not schedule more than a day or two in advance t y to avoid such issues. .Our Work-site.We like to set 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 sill block a garaged car,please be ready to pull it out upon arrival. .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 th ieconnection and reconnection of your alarm system. .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 wi ccommodate 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 omplete 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 da., although there may not be a complete window,it will be weather-tight and secure for overnight.(Please no critiquing at this time). 0.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 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 eople 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. 1.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 n 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 verything is finished.Even after we have cleaned up,it is advisable to survey the areas for something we may have overlooked(Le„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 th calls 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 owever,we are not plaster experts,so the repair to those wails would best be left to the experts.In some cases,due to out of square openings,new trim is required t lake 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 hir fter 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,an rittle,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( ie 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 wa rea 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 your home,feel free to run errands,take a walk,or just relax.If a question should arise;ask the cre) ;ader 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 any professional,we're always happy to answer questions,but we appreciate being able to concentrate on of cork 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 attorney for collection,th urchaser agrees to pay all costs of collection,including a reasonable attorney fee.Return check fee is$50(fifty dollars). 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 be one.If you have any questions whatsoever,now is the time to ask. ✓indow 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 th ayments 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 nder 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 owne )r withdrawal. Window World Of Western Massachusetts 1029 North Roa 413-485-733733 'Skn*Ow Bast for L"s" western mass@windowworld.cor 'at Taylor )at@hpmgnoho.com Estimate : Manga House Bill Address: Install Address: Estimate# E1543409793W 150 Main St,c/o HPMG Pat Taylor 26 Crescent St, Northampton,MA Northampton,MA Date of Estimate: 11/28/201£ 01060 01060 Valid Until: 12/28/201£ DESCRIPTION • • 4000 Casement(Left) 1 799.00 799.00 4000 Series DH 13 550.00 7,150.00 6 Ft.Patio Door-casing+capping(CUSTOM) 2 2,999.00 5,998.00 Colored Exterior 18 165.00 2,970.00 SolarZone Low-E in Patio Door 2 150.00 300.00 SolarZone Low-E 14 110.00 1,540.00 Full Exterior Capping 14 110.00 1,540.00 Install interior Stops 14 80.00 1,120.00 Permit 1 150.00 150.00 Setup and landfill disposal fee 1 250.00 250.00 TOTAL AMOUNT $21,817.0( CUSTOMER PAYMENT DETAIL Check Amount $1.00 TOTAL PAID $1.0( CUSTOMER DUE $21,816.0( Vo extra work if not in writing 'ustomer Comments: nstaller Notes:Hampshire Property...previos installed by Eugene...Schedule with Eugene only...match prior install exactly ustomer ID Details d Type IlDrivers license d#* S246yu d Issue State* Mass d Expiration Date H2455 ales Rep Recommended: Interior Stops t" Exterior Capping — - ustomer Declined: