44-081 (3) 38 AUTUMN DR BP-2019-1337
GIS#: COMMONWEALTH OF MASSACHUSETTS
Map-.Block:44-081 CITY OF NORTHAMPTON
Int:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL 042A)
Category: Dour Revilement BUILDING PERMIT
Permit# BP-2019-1337
Proiect# JS-2019-002157
Est.Cost:$4038.00
Fee: $40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Con&acfor: License:
Use Group: ROBERT BUSHEY JR 057011
Lot Size(sp.It.): 10018.80 Owner: GORMELY SANDRA I
Zoning: Applicant. ROBERT BUSHEY JR
AT. 38 AUTUMN DR
Applicant Address: Phone: Insurance:
1029 NORTH RD (413)455-7335 () WC
WESTFIELDMA01085 ISSUED ON.51242079 0:00:00
TO PERFORM THE FOLLOWING WORK:REPLACE ENTRY DOOR & CASING/STORM
DOOR
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 It Foundation:
Driv v ay 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.
Certtficate of Occupancy Signature:
FeeTvpe: Date Paid: Amount:
Building 5/24/20190:00:00 540.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
rpm(L
Dapartment use only
-�. City of Northa pton Statue f Pe it:
4 ' L Building Depa en MAY 2 ro V d eway Permit
212 Main St et I 3 2 wer Septi Availability
'�. Room 10 Water ell vallability
Northampton, 01(180 or BmUWYc IN _ of tructural Plans
phone 413-587-1240 F ' °N `"^ s
Other Specify
APPLICATION TO CONSTRUCT,ALTER REPAIR,RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION 9P—(q- O 3 7
1.1{t)g A mrl MA-
Map seelionof be mylgtetl by office
Uni
rtortncz-) SIA- ototo- Zone Overlay District
Elm St.District Cg District
SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.10wner Re rd
M 0✓rvllet 1 3R A� �r. —4I6renu- MA oue
�ne(Print) Current M II
(see contrast) t�"'"So-88
Telephone
Signature
1.2 Authorized Agent:
102.9 North Rd VJerSAC f1 MA 0108S
Nems
Current Mailing Address:
413-4B5--1336
Teleplwne
SECTION 3-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollars)to be Official Use Only
completed by permit applicant
1. Building `i'A OHO _ (a)Building Permit Fee
2. Electrical J� (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
S.Fire Protection
6. Total=(i +2+3+4+5) Q Check Number
This Section For OlRclal Use Only
Building Permit Number. Date
Issued:
Signature: 5-23-2019
Building Commosionedlnspector of Buildings Dole
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 5-DESCRIPTION PROPOSED WR all applicable
New House ❑ Addition ❑ ReplacementTnndows Alteration(s) Roofing
Or Dom L�
Accessory Bldg. ❑ Demolition ❑ New Signs I[I] Decks [0 Siding[p] Other[U
Brief Descn% Pm
Work: eYN E FYI
Alteration of existing bedroom_Yea_No ding new bedroom Yes ✓ No
Attached Narrative Renovadng unfinished basement Ym No
Plans Attached Roll -Sheet
Ga.If New house and or addition to existina housing, complete the IF0110WIDE.
a. Use of building:One Family 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
e. Number of stones?
I. Method of heating? Fireplaces or Woudstuves Number of each
g. Energy Conservation Compliance. Masscheck Energy Compliance form allached?
h. Type of construction
I. Is construction within 100 fl.of wetlands?_Yes _No. Is construction within 100 yr. floodplain_Yes_No
]. Depth of basement or cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yea_No.
I. Septic Tank_ Cityfiawer Private well City water Supply
SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, m, GtYyn CGU .as Owner of the subject
property
hereby authorize
toactonmybehaiY 7
rkUSh
ing pemuti applcation.
Signature of Owner �r-� Data
NEW-
I, 0l/cXt 1'7Ub�V as Owner/Authorized
Agent hereby declare that the statemen 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.
anhie�&
Pnnb ma
�i, / Z 5tl(Al°I
S reO
, �wner/Agent Date
AFFIDAVIT
In accordance with the provisions of MGL c 40, §54, 1 acknowledge, as a
condition of the Building permit, all debris resulting from construction activity
governed by this Building Permit shall be disposed of at
� • �, v� -I ', I 46AWAw% Ail) , 01001
(NAME OF FACILITY)
a property licensed solid waste facility Tifinecib MGL C III §150A.
Date Signature of Permit Applicant
PRINT OR TYPE THE FOLLOWING INFORMATION:
P'QKaT E 0k5115u 5YZ
(NAME OF PERMITAPPLICANT)'
WoA61a LYlM Ititr1�
(TYPEOFMATERIAL TO BE DIS SED OF)
,- A)b) nn )rIUQ �Itoyez(11mA wi'oZ
(PROPERTYADDRESSi
SECTION 9-CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor. �c tom,, Not Applicable ❑
Name of Llcanae Holder ue
: Ro 1 Jl.f 1 I'J ,I
License Number
12 IMiN LY1 got ythwid, nt
MR o1 51 01
� 1
aaa.n FxplraWn Det.
- 485--1 335 (0Z5t I Iq
S re Telephone
9.Roalstered Home ImontsAmeat Contractor, Not Applicable Cl
Robfrt t3tebinf-xl Ib5b4t
Company Name Registration Number
Window Worlfi of Wf6-tern MIISS Inc. 3114I20
Address Expiration Date
Incl NOftifl RA W-intfie dNIA(AOF&Japhons413-4x55.1335
SECTION 10•WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.D.L.c.154,125C(8))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this elgtlevit will reaua
In the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... No...... ❑
11. - Home Owner EXemD6011
The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or twoQ)families
and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts
m aupervisor.CMR 780, Sixth Edition Section 1083.5.1.
Definition of Homeowner:Person(s)who awn 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/m farm
structures.A Person who constructs more than one home in a two-year Darted shall not be considered a homeowner.
Such"homeowner"shall submit to the Building Official,on a form aceepmble to the Building Official,that he/she shall be
responsible for all such work performed under the bu0dine 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,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 State Building Code,City of
Northampton Ordinances,State and Local Zoning Laws and State of Massachusetts General Laws Amnotated.
Homeowner Signature
I
The Commonwealth of Massachusetts
Department oflndustrialAccidents
-
Office of Investigations
_ I Congress Street, Suite 100
Boston,MA 02114-2017
www massgov/dia
Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leejbly
Name (Business/Organization/Individual): W�rXd" "(J-IA O'F WY-,)tt rrl MR
Address: K314 N Dr-11 Rd
City/State/Zip: r4f6Wifjd MA 0jQ1pS Phone #: 4V_;54 5 13 5
Are our an employer?Check the appropriate box: Type of project(required):
1. I am a employer with b 4. ❑ I am a general contractor and I
employees(full and/or part-time).' have hired the subcontractors 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
[No workers' comp. insurance comp. insurance.: 9. ❑Building addition
required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions
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.❑Roof repairs
insurance required.] t c. 152, §1(4),and we have no
employees. [No workers' 13.�Other R ]QCt.1YtCX��-
comp. insurance required.]
*My applicant that chmksbox#1 must also fill out the section below showing their workers'compensation policy infamation.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contmcmre most submit a new affidavit indicating such.
:Contra Tors that cheek this box most attached an additional sheet showing the name of the sub<ontmctors and sum whether or not those entities have
employees. If the sub-wntmemm have employees,they must provide their wmkm.comp,policy number.
1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information I,�
Insurance Company Name: Ube-VN MutuG] 1nsu ncf.
Policy#or Self-ins. Lic.M WC,2_-3IS-A11gg'1 - 01A _ Expiration Daft-e::
Job Site Addresag kKynN V City/State/Zip:17 11)Mn( IC.?Io2-
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 a pains and penalties of perjury that the information provid-5.1140111
d above is true and correct.
Signs r l f/ .1 kj �/.2/ Date: 51140 111
r
Phone#: 4-i_3
official use only. Do not write in this area,to be completed by city or town official.
City or To": Permit/License #
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#:
A O CERTIFICATE OF LIABILITY INSURANCE DA ora9vlDe
THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLYAND 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 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(les)must have ADDITIONAL INSURED provisions or be en orsa .
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 endorsements).
PRODUCER
NAME:
Formal Insurance Agency PHoxE „. 413-858-2680AIC xe H3-068.2686
603 North Mein St
Past Longmeadow,MA 01028 ADDRESS:
INSURERSAFFORDIMGCOVEMOE NNCa
INSURERA: ARBELLA PROTECTION INSURANCE CO.
INSURED INSURERS: LIBERTY MUTUAL FIRE INSURANCE CO.
WINDOW WORLD OF WESTERN INSURER C:
MASSACHUSETTS INC INSURER o:
1029 NORTH RD
WESTFIELD,MA 01085 INSURER E:
INSURER F:
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 OFANY CONTRACT OR OTHER DOCUMENT HATH RESPECT TO NMICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCEAFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTOALLTHE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
NINK
LTR TYPE OF INSURANCE INSO SAND POLK w."R lvauY
X COMMCRCMLGENEMLLABIUW EACH OCCURRENCE s 1,000,000
CLAM. OOCCUR PREMISES Ea aw. S 100,000
MED EXP(my w S 10,000
A 7520025998 041011/19 04/08120 PERSONAL.ADVINJURY $ 1,000,000
GEWL AGGREGATE LWIT APPLIES PER: GENERALAOGREGATE f 2,000,000
POLICY�JMT LOC PRODUCTS%CCMPIOPAGG S 1,000,000
O HER. S
AUTOMOBILE LJA&I Ece idnl S 1,000,OOD
A =PHV WITO BODILY INJURY(PY recon) S
m'Ev Y X Mhos°uLED 1020063881 04109119 04109120AUTOS BODILY INJURY(Pe ercl,frn0 S
X
HIRED X NON- NNED S
AUTOS ONLY AUTOS MY PelrzMe,1
f
X UEENE DAB X OCCUR EACH OCCURRENCE f 1,000,000
A MCESB LAB CWMSAIADE 4600055461 04109110 04/09/20 AGGREGATE f
DEO I I RETENTIONS i
VgRNE"CWPENSATON
McEMPLOYERY LABMJIY YIN TA TE ER
ANY PROPRIETORIPARTNERIEXECUTNE E.L.EACH ACCIDENT S
OFFICERUM SEREXCLUDED? NJF` Certificate To FoU"
ryYIaMixy MxH) E.L mSFASE-EAFAIROYE f
OE664IPTI0N OF OPEMTION6 CFIw E.L.DIBE49E-POLICY LIMn f
DESCRIPNONOFOPERATONS1 LOCATONSIVEHICM NCORDtel,AOMImYRemaM10 Ue We,msybM hedninonc c$W, lM)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE HALL BE DELIVERED IN
Town Of Northampton ACCORDANCE WITH THE POLICY PROVISIONS.
212 Main Street
Northampton,Ma,01060 AUTHORISED REPRESENTATIVE
Attention: Building Department, /
f lu,(lrewe2
01988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
4� CERTIFICATE OF LIABILITY INSURANCE FaA s5nots '
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($), AUTHORIZEO
REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER,
IMPORTANT: If the sertlflcate holder Is an ADDITIONAL INSURED,the polley(les)must have ADDITIONAL INSURED provisions or be endorsed.
N SUBROGATION IS WANED,subject W the him.and conditions of the policy,c In policies may require an endorsement. A statement an
Mb carliReate does net confer rights W the osrNfisete holder in lieu W auch endomenW •.
PRW.ER FORREST INSURANCE AGENCY CORTAUT
603 NORTH MAIN STREET INIOME
E LONGMEADOW,MA 01028 L
86�
AFFOIIdNa COYFAAa[ NNG/
IMURER A: Utherth,Mutual Fye Insurance 23035
Inte,
WINDOW WORLD OF WESTERN MASSACHUSETTS INC IesuRERa:
1029 NORTH ROAD /IBIxMn c:
WESTFIELD MA 01085 INSURER
MWER E:
INaU E0.F:
COVERAGES CERTIFICATE NUMBER: 40525637 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. NOTWIfHBTANDING 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 UNITS SHOWN MAY MVE BEEN REDUCED BY PND CLAIMS.
INeEOFmg11MMCE POLICYNUMafl( FKKKyFFF lMla
CIA MERCIALOENEML!LABILITY EILHIXFVRREXLE• E
cub,034IME F-1OXUR Eg E
MEO EXP M m E
PER6dVLeIDV MIRY E
OEMLAOOREMTELIMn APPYESP01: OENEMLAOOREWTE F
PUUCY❑JCM FLOC PROOUCI3-COMPpPApe E
OTHERIftexedwiti
'. /
AUTouoelLEUAaanv p u X
NIY AUTO BOMLYIMIURY(E-i n) S
OWNED 6CNEWlED BOdLY INJVflY IPeraeVM,la a
AUTOS ONLY BC Eo
HIM) NONGYNED RTY E a
AUTOS OILY WTOSONVY
X
YMMELLALW MCUR EACHOCCMRENCE S
)� CLNMSAWpE AWRE(MTE f
DED RETENTION F
A yNIM®dcdN:ENP WC2-31S-377947-019 5/7/2018 020
NOErNOYEb'WBllry Y/M
ANYFnOPPoETdrpNnrEFF%ECImYE E.L.VvCNA00DEM EIOOODOD
( flE %CLUDEOi O NIA
MaMaoryMXH
We. ElDISEASE-EAELNLIODDDDO
FDYE a
OCPoPndi OFOPERATORSbbs E.L.dSEASE-Nt1CY 11MT f1
OEKRPINNp OPEM1XN15/LOMTICaa1 VFHX:LFe P,CORDIOf,AG111b,W WrnN senMulA„uYb aWtlndXnen NMn MnWIMI
WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA.
This Cadificete cel osis and suPernedea all prevbusly I66ued Certificates,only as they relate b Workers..'rhetbn coverage.
CERTIFICATE HOLDER CANCELLATION
TOWN OF NORTHAMPTON TH�EDEXPwnnaTM DATE THEREOF,DESCRIBED
WILL BECDELI DELIVERED LED BE
FORE
ATTN:BUILDING DEPARTMENT ACCORDANCE WITHTHEPOLICYPROVISIOMS.
212 MAIN STREET
NORTHAMPTON MA 01080 ANTHORIiEDREPPesexTAnvE e:%��
Jon Smith
®1938-2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo ere registered marks of ACORD
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ropneralW 0.27 0.25 I ADDITIONALPERFORMANCE RATINGS'
watt ter-
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,a. Visible Transmittance Air L (U.S.II•P) 0.52 3
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Thy, ,��gl Window World Of Western Massachusetts
CA Vcali 6 10413485-73335
Re d
hka,,�w.- westernmass@windowworld.com
Sandra Gormley
gcasandra@comcast.net
Estimate: Partial
101062
Bill Addreutumn r, Install AddressEstimate#E1557939586581
33Autumn s: In Autumm Or,Flarence,MA Florence,MA Date of Estimate:5/152019
01062 Valid Until:6/142019
DESCRIPTION QTY UNIT RATE($) AMOi
Entry Door,Casing a Capping 1 2,988.00 2,988.00
Storm Door 1 900.00 900.00
Permit 1 150.00 150.00
TOTAL AMOUNT $4,038.00
CUSTOMER PAYMENT DETAX
Credit Card Amount $2,000.00
TOTAL PAID $2,000.00
CUSTOMER DUE $2,038.00
'No extra work It not In writing
'Customer ComnI :
9nstaller Nutas:32 60 full view retractable-brass handle Instal on back deck....side door is being replaced has mold peed-ORDERED
Customer ID Del
Id TypeDriver.Ikenx
Id#' S2344
Id Issue State' Mass
Id Expiration Date 2233
Sales Rep Recommended:
r hail r Exterior Capping
Customer Declined:
r Interior Stops r Exterior Capping
Pre 1978 built homes:
MY hpnewas Buil In Na ywr r99e pni0Y1 � ^^''��� ` "
2..-)y�irr9e'1 (NYY)I de.YrntlYN PamY vanfirafim
tmn.pl have received myauc Lead added 1:xmine lead daraw a,rosereaom—maeonew.lrylocecevro mad i,my
devig wH.Th@ EPA W ab R.ghl'hroch .a ...b Ne.k an
pa
5.Arrival and Departure Time.We will advise you of the expected arrival titce fm one crew at the time we set up the installation date with you.We generally say
fill thejob is done,unless it will be a 2 m3-day job,in which case we may work ae long as there is daylight.It is one policy that ourinstallers get a sign off form and
collect theontstardingbalaz at the completion of the job.We ask that you be availableto approve thejob and make final payment at to timeofcomplelion.Ifthis is
not convenient fm you,we need to krww 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,tmffe,on.cause a delay or cancellation of an Inmllation appointment We typically do not schedule more am a day or two in advance to
try to avoid such issues.
6.Our Work-she-We like to set up am work-site as close to your windows and doors as possible and generally your driveway is the best spuf.Ifusing the driveway
will block a garaged car,please be ready to Pul it cut Mom 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
discmmection and reconnection ofyour alarm system.
S.Where do we start?Upon arrival,the am leader will survey the job and determine where to begin.If you have a preference,feel fiee to advise m and we will
accommodate to the best of our ability.Because we work in stages(i.e,removal of old windows,seeing the new window,wrapping of exterior,etc.),we dont
complete the job one window a a time.Thejob moves along in a rolling progression where each operation is done on all windows at the same time.This produces a
quahtyjob.
9.If the job takes more than a day,will there be any openings in my house?Of cause not.We only remove that which can be reinstalled in the same day.
Although dere may not be a comphsewindow,it will be weather-tight and secure for overnight(Please run critiquing at this time).
10.Pets.We love furry,fora-legged creatures;however,we need your help in supervising them.We are act always able to close a gate or door behind us when
carrying a window,m plea¢keep them in a safe place.Our job description does not include scampering down the sncet after Fido with new found freedom.Many
people say,don't worry,he doesn't bite,but many Instagen have been Innen.So plemc secure dogs that have an aggressive bank towards strong=.
11.Expect some dust,noise and general disruption of your giving apace.Construction work can sometimes be messy depending upon the scope ofyour job.It's
an unfortunate reality ofremodeling,but we do cur best to keep,things under control.We appreciate you patience and understanding,during the job and until
everything is finished.Even after we have cleaned up,it is advisable to survey the areas fm something we may have overlooked(Lc„kids rooms,baby's town).
12.*Damage to walls and old trim stops.Fiat throe of you who have old aluminum and seer windows and are replacing than due to sweating and belonging of the
walls be advised that all water damage planta will most likely fail out.in addition,all the patch works you have done over the years will fall out also.This is normal;
however,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 opensup,new than is required in
make the window look good."Unim noted on rhe contract new nim will not be provided or installed by m.You can expect to do some touch up painting on the Inco
after the installation of you new windows.This is not always necessary and is usually minor if it occurs.Ifyour trim amps around you sashes am very old dry,and
brittle,they may snap and crack upon removal.If(his happens,we can leave them off ifyou please,or for a stall 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 my Incident damage to the Gonne or wall
area we will advise you before we proceed Should you decide to replace or repair anything,the price will be added to yourbdance.
13.Relax and enjoy the show.After we've been introduced to your home,feel Gee to min errands,Like a walk,orjust relax.If a question should arise;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 eminently hovers over our shoulder.Like my professional,we're always happy to answer questiom,bur we appreciate being able to concentrate on our
work without Intemtptions and distractions.This ensures a safe and quality irmallmod.
14.Past Due features are subject to a service charge of 1.5%per month.In the event that this amount is placed in the hands of an momey fm collection,the
purchaser agrees to pay all costs ofcollalicn,including a reasonable attorney fee.Return check fce is$50(fifty dollars).
to
Customer Situation Sales Person Signature
P 5.Naw would be a good done to review contract witn rile samsman to be sure of your order options and work m be done.Only the items and services on Me contract will he
done.If you have any meadons whatsoever,mer is the time to ask.
Window Wood of Western Massachusetts may not require an acceleration of payments as spooned in the payment section(frond nor the reason that he deems himself or the
payments to be insecure.However,whom the connector deems himself to be insecure he may require as a prerequisite to coomming avid work Mal Me balance of Ponds due
under the contract,which ere in possession of Me owner,shall be placed in a lose escrow account requiring to signatures of the home imarovement contractor and Me owner
for withdrawal.
Arbitration',Window World of Western Massachusetts and the PURCHASERS)hereby mutually agree in advance that in the event window World of Western Massachusetts
has a dumum concerning the correct,Window Wood of Western Massachusetts may submit such dispute to a Private arbitration service when has been approved by to
Serol or the Execrative Office of Consumer Affame and Business Regulations are Me consumer shall bs required to submit to such arbitheon in M L c 142A.
Window World Owner
tete..................... ...,....Date
............................................
NOTICE'.The signatures of the names above apply only to the agreement of the pandas to alternate dispute resolution inaiemJ by the contracucr.The wiser,may mins
dispute resolution even Where this section is not signed separately by ere ponies.'
This Window Worts®Franchisees independently owned-and men led by Window Ward of Western Massachusetts,Inc.under license than Wlydav Wed,Inc.