06-022 (24) 44 EVERGREEN RD 203 BP-2019-1506
GIs#, COMMONWEALTH OF MASSACHUSETTS
MV Block:06-022 CITY OF NORTHAMPTON
Lot:-000 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS
Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A)
Cateeorv:window replaced BUILDING PERMIT
Permit# BP-2019-1506
Project# JS-2019-002439
Est.Cost:$2956.00
Fee:$40.00 PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor. License:
Use Groin WINDOW WORLD/ROBERT E BUSHEY JR 57011
Lot Size(sa.R.): Owner: GORDON TATRO
zoning: URA(99y Applicant.- WINDOW WORLD/ROBERT E BUSHEY JR
AT: 44 EVERGREEN RD 203
Applicant Address: Phone: Insurance:
1029 NORTH RD (413)485-7335 O WC
WESTFIELDMA01085 ISSUED ON.71312019 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:
FeeTyoe: Date Paid: Amount:
Building 7/320190:00:00 540.00
212 Main Street,Phone(413)587-1240,Fax:(413)587-1272
Louis Hasbrouck—Building Commissioner
(,c.lr�t'WrcvS
/C Department use only
i City of N am HECEIVC tus o Permit:
.r BUilding De art ant C b Cu Driveway Permit
212 Mel Str t JUN 2 7 2019 S war/ plic Availability
I, 'I Room 100 ler ell Availability
Northampton MA T Se of Structural Plans
phone 413-587-1240 FaRWVIt 'aq'c-- Sit Plans
city
APPLICATION TO CONSTRUCT,ALTER REPAIR,RENOVATE OR DEMOLISH A ONE OR/TWO FAMILY DWELLING
SECTION 1 -SITE INFORMATION 60
1.1 Property Address: (�� a /� Oh 1 /�T1AIIS section to be completed by office
L14 C VG1�111�1 {LY1 ICU 614 A r l �3 MaPLot��Unit
�s.. NA- Q10S3 J Zone Overlay District
Elm St.District CS District
SECTION 2-PROPERTY OWNFRSHIPIAUTHORIZED AGENT
2r.1�Owna�r � � coM:
'tat 7or,,9 1!A}YD 44 �yrn eLn
Ne a(Print) trent Ma
(See contrad) Telephone
Signature
2.2 Authorized Agent:
1029 North Rd WeSk4NAA MA OW'S
Neriie ) Current Mailing Address:
413-455 -1336
Igneture F/'— Telephone
SECTION 3-ESTIMATED CONSTRUCTION C0515
Item Estimated Cost(Dollars)to be Official Use Only
completed b permit applicant
1. Building Oh (�G,r (a)Building Permit Fee
2. Electrical �hG (b)Estimated Total Cost of
Construction from 6
3. Plumbing Building Permit Fee
4. Mechanical(HVAC)
5. Fire Protection Ill
6. Total= 1 +2+3+4+5) —' Check Number
This Section For Official Use Only
Building Permit Number: Date
Issued:
Signature: 7 2-2019
BUIMing Commleslaner4mpechar of Buildings Day
EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR)
SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicablel
New House ❑ Addition ❑ L
VIAdows Alteratlon(s) ❑ Rooting ❑
Aensssory Bltlg. ❑ Demolltlon ❑ D] Decks [p Siding[p] Omar(LA
Brief Description of Proposed g iom-
Work: lit /
Alteration of existing bedroom_Yes k/ No Adding new bedroom Yes
Attached Narrative Renovating unfinished basement _Yes IN
Plans Attached Roll -Sheet
ea.If New house and or addition to existing housing,complete the following:
a. Use of bullding:One Family Two Family Other
b. Number of moms in each family unit: Number of Bathrooms
c. Is there a garage attached?
d. Proposed Square footage of new mnsintWon. Di sons
e. Number of stories?
I. Method of heating? Fireplaces or Woodstoves Number of each_
g. Energy Conservation Compliance. Masscheck Energy Compliance form attached?
In. Type of construction
I. Is construction within 100 It wetlands?_Yes _No. Is construction within 100 yr. floodplain_Yes No
J. Depth of basement cellar floor below finished grade
k. Will building conform to the Building and Zoning regulations? Yes No.
I. Septic Tank_ City Sewer Private well City water Supply_
SECTION 7e-OWNER AUTHORIZATION-TO BE COMPLETED WHEN
OWNERS
11AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, UIC�Au1'1 �(A1�() as Owner of the subject
property
hereby aufftCrze 0I rldnfa 1&i J aF &)c4,y n 4 Fr
to act on my behalf,in all madam relative to work authorized by this building permit application.
( sP.r, coniya(0 �PqIiq
Signature of Matt
T1 1,.,,, D le
I, P,Matt B"'O lcV ,as Owner/Authorized
Agent hereby declare that the statements!and Information on the foregoing application are true and accurate,to the best of my knowledge
and belief.
Signed under the pains and penallim of perjury.
Printme J
i
t;. �:i� ��IIG
Signature CIN OwnsdAgera
SECTION 8•CONSTRUCTION SERVICES
8.1 Licensed Construction Supervisor: c Not Applicable ❑
Name of License Holder: ROI kri
License Number
12 put q Lin .quithwoK MA mo-vi 51011
Adtlraec nxpirMbn Data
- 4k5--i 335 to LZ`61 .
Sign as r / Telephone
0.Rapisbretl Home Imorovement Contractor Not Applicable ❑
kobt'rt Px')sYieV IbSb41
Company Name Registration Number
Windnw World of Western MASS Inc. 3114In
Address Expiration Date
1019 14 Orth t d Vl-&ffid A 1A A 010roIaphone 43'-065.1335
SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.O.L c.
Workers Compensation Insurance affidavit must be completed and submitted with this application.Failure to provide this aMdevit will result
In the denial of the issuance of the building permit.
Signed Affidavit Attached Yes....... )( No...... ❑
11. - Home Owner Exemption
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,provided that the owner acts
as supervisor.CMR 750, Sixth Edition Section 10835.1.
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"bomeownee,shall submit to the Building Oficial,on a form acceptable to the Building Official,that he/she shall be
responsible for all such work conformed 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 sol resulting in Death)ofthe 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 ofMassachuseus General Laws Amwtated.
Homeowner Signature
The Commonwealth ojMossaehuseas
Department ojlndustrialAccidents
1 Congress Street,Suite 100
Boston,MA 01114-2017
wwRtmasr&gov/dia
Workers'Compensation Insurance Affidavit:BuBders/Contr ctora/Eleetridans/Piumben.
TO BE FD.ED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Leeibly
Name(eminesVOrgmimaon/Individtw):Windtnv World of Westem MA
Address:1029 North Road
City/State/Zip:Westfield,MA 01085 Phone 0:413-485-7335
Myeo u mpbrerT Clerktle appmpaYte too:
Type of project(required):
L[D r am.employer with 20 emPloyeee(full uW/or pmt-tinny." 7. ❑New construction
2❑Iaoawlc propriemrorpannerhip..abw<.o envloy«.working fmmeia 8. Remodeling
my ea swiN.[No workers'voter.insurance required.]
a.❑I who humwwmr doing all wast myself IN.worker.'con,a hit voce MuiraLlt 9. ❑DemOBtion
4.[:]]are a homeowner and will In hiring contractors to contact all work an my property. I will 10❑Building addition
eusme thatell eretunors rither have workers'compmmtion ineursnce or are vole 11.❑Electrical repairs or additions
pmprietom withno employees.
12.❑Plumbing repairs or additions
5{2 1 am a gasman contractor ea I have hired or rub-wnfined uc the altmhed ateat.
These.ubcmpctoo
te have empoyw
leaM have wodeert,cri M woof.ineuomce.s 13.❑Roof repairs
6.E]We§1•),an]wehre was n officershave owodaretheir rightofeaeevn.nper MOL c.
14 ❑r OthmReplacement Windtwa
I52,41(q,w we have an employe..(No wo.tm'wrap.imarancerey.ima.l
"My apptcml that claeksboa 41 must do.fill nut the sectien below dmwi.g their worker'casnpensation p.li,information
.t
t Flonaownera wM submit this aeration indicenng they ora doing dl work and then hireoutride contractor,moa submit a row alridavit ftu1k rang such.
tConuacmn that check this box mw atneLrd m additiasel sheet"housing the move ofne auto eon rvexas and eum whether mart these mhhea have
erepleyeu. If the win-contractors have e"k,wee,the,moat provide their workers'wasp,policy numhm,
I am an employer chat is providing workers'compensation insurancefor my employees Below is the policy andjob site
information.
Insurance Company Name:Liberty Mutual Insurance
Policy#or Self-ins.Lic.#:WC2-31 S-3��77��1947-020 Expiration Date:05107/20
Job Site Address:l't &trcran PA N4 A- bnl�,n City/State/Zip: I jetAs 0 01 -3
Attach a copy of the workerO compensation poticy4leclainflons page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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 5250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
Jdo htnbye under pains alndpenaBies ofperjurythatthe injormadonprovided above is hue and correct.
Si m � 11NL hd'ol-1jC.h Dew ( ' I
Phone#:413 85-7335
Officialuseonk Do not write in this area,as,be eamplaed by city or town oJficiaL
City or Town: Permit/Licensc#
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#:
A� CERTIFICATE OF LIABILITY INSURANCE LA�OVo&19
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 CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must haw 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
NAME:
Forrest Insurance Agency PHONEp . 473-888-2880 Aro Ne: 013-868-2886
603 North Main St
East Longmeadow,MA 01025 AODRsss:
INSURERBAFFOnpNOOOVERN°E HADD
INSYRERA: ARBELLA PROTECTION INSURANCE CO.
INSURED INSURER e: LIBERTY MUTUAL FIRE INSURANCE CO.
WINDOW WORLD OF WESTERN INSURER c:
MASSACHUSETTS INC INSURER 0,
1029 NORTH RD
WESTFIELD,MA 01085 INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFYTHATTHE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUEOTOTHE INSURED NNI EDABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDINGANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECTTOALLTHE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMBS SHOWN MAY HAVE BEEN REDUCED By PAID CLAIMS.
1.1-IcY Ell
NL?R TYPEOF IHSUMXCE ppLICY HUMBER MMI00 MISM LIMITS
x COMMERCIAL°ENEMLU BILITY EACHOCCURRENCE E 1,000,000
CIAIMS#NDE ❑X OCCUR PREMISES fE,-1, $ 100,000
MEOEXP M on E 10,000
A 7520028998 041OW19 0009120 PERSONu c ADV INJURY $ 1,000,000
GEMLAOOREWTE UMITAPPUES PER GENERALAGGREGATE F 2,000,000
POLICY❑jEC LOC PRODUCTS-COMPIOPAGG 4 1,0D0,000
OTHER. i
AUmMOMLE IU&MT1' Ee,,I.,i 3 1,000,000
NIY AUTO BODILY INJURY(P.Roorl a
A AAUTTOS ONLY x AUTOSULE° 1020083861 04IM19 04109120 BOULY INJURY(Par e ) F
x HIRED x NOWOMED a
AUTOS ONLY AUTOS ONLY PeleabeM
f
x UMBRELLA We x OCCUR EACH OCCURRENCE 3 1,000,000
A E%CESS LMB CIAMIBlM°E 4800055451 04109119 04109120 AGGREGATE a
DED I I RETENTIONS I 1 E
WORKERS COMPENSATION
AND EMPLOYERS'LIABILITY YINANY TTUTE ER
OFFICEWEM ER E%CLUOEOtNE ECUTNE❑ NIA Certificate To Follow E.L.FALHACCIOEM f
(a.".,In Nm E.L.DISEASE-EA!EMPLOYEE E
Ifassume J.
ES
DCRIPTION OF OPERATIONS bIm' E.L.DISEASE-POLCTL
OESCMPTgI OF OPEMTp15I LOCATON4I VEHCIES IACOROIaT,AEMIonY RemvMe 9eMEule,mrybeaeeMtlM n,on epee YrgYMI
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
T°Wn Of Northampton ACCORDANCE WITH THE POLICY PROVISIONS.
212 Main Street
Northampton,Ms.01060 AUTHORIZED REPRESENTATIVE
Attention: Building Department, i
t �u ulce,viTx_ �� Rtin
01988.2015 ACORD CORPORATION. All rights reserved.
ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD
'
'�� R� �® CERTIFICATE OF LIABILITY INSURANCE p" ° a1VOd
sr51zo19
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: If die caHlOcate holder is an ADDITIONAL INSURED,Na pollcylles)must have ADDITIONAL INSURED provisions or he endorsed.
N SUBROGATION IS WANED,subject to the bans and conditions of the policy, certain policies may require an endorsement. A statement on
this caNMcate does not confer rights to the RaHlHcate holder In lieu of such andome a.
PRODUCER FORREST INSURANCE AGENCY =sc
603 NORTH MAIN STREET PHONEE
E LONGMEADOW,MA 01028 Aa " ' —
_accgE88.' _
aaW11 afFollpIN CDY[IV16e IMLI -
INSURER A: Uperty,Miami File Insurance 23035
"MURW :
WINDOW WORLD OF WESTERN MASSACHUSETTS INC INRVRER a
1029 NORTH ROAD HSURERc:
WESTFIELD MA 01085 INSURER O:
INRVRER E:
INRURERP:
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 FON 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 SEEN REDUCED BY PAID CLAIMS.
Abilt eRq
L MEDFMRURAXLTe PoLICYNVMRFA Laara
LDIaFACMLCEXFAKIMIRY FACNOCCUeRENLE {
CWdNMRDE
F-1OCCUR8 {
MEDENP a
PERaolauewvlwuRY s
EXLMIEREMTEIHIITM PLEB PETI GENERALMMREWTE {
POLICY 11 T LOC PRODUCTS.COMPIOPAOD S
On ER a
AVTONOaILEL1ABILgT BIN DSI LE {
ANYM110 angRX vVkkcu Ya`�psil,) 1
ONNED RCNEDUED RpgLV IwWYITY e,AaX:B {
MUD of Y MIT0.9
WRED Na40WNE0 P PERTY {
AUTO90NLY MITOROILY
s
UMRRELLALMB OCCUR EALHOCCURRENCE a
ET.CERS LMS pMpg,gApE A,Raac.,m a
OED REIEVTIOH a
q Wcesses COMPENSATION WC2-31S37794M19 5/1 018 M020
ANOEWLOYERS LAeum
MIVPROPRIETOWPARTNER,EXEOmva Y " E.L EACH ACCIOENT {1000000
FTT
OCERNM %MXEREXCLUDERIA
pYnWl ,n 4
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a�s, n,roe-.
pERCWPnW OF OPERAToBs kg EL DISEASE-PoLICYLMT I loragoo
aaeDRilpNp OPER,LTMNe/LnCAIMNIa I VENM:IER(ACOROIaI.AEAtlanY PwnNa eLI.ANA my W eWJxe X:,wn y.wb,quiMl
WORKERS COMPENSATION INSURANCE COVERAGE APPLIES ONLY TO THE WORKERS COMPENSATION LAWS OF THE STATE OF MA.
This cadificate cancels and supersedes all previously Issued certificates,only as they relate to md,ers compensation coverage.
CERTIFICATE HOLDER CANCELLATION
TOWN OF NORTHAMPTON THEUEXPIOAE IBED TIWLCCELLED BEFORE
EXPIRATION THEREOF, NOTICE WILL DELIVERED IN
ATTN: BUILDING DEPARTMENT ACCORDANCE WRITHE POLICY PROVISIONS.
212 MAIN STREET
NORTHAMPTON MA 01060 AUTHORI MDREPRESENTATIVE
Jon Smith
a 1988-2015 ACORD CORPORATION. All HgMs reserved.
ACORD 25(2018103) The ACORD name and logo are registered marks of ACORD
uvsen I Lavern I v-ao xc I mo+mss 1 sYspav Tsv,ss a Ieml I es. L of s
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
� , WASTE � (,iN Hw1
'Vi 14 , GIDD 'I
(NAME OF FACILITY)
a properly licensed solid waste facility as defined by MGL C 111,§150A.
i
Date Signature of Permit Applicant
PRINT OR TYPE THE FOLLOWING INFORMATION:
Rofert E Pxs3-a
-
(NAME
S
(NAME OF PERMIT APP ANT)'
UJItu1,� /hld� . Uc� ' 1
(TYPE OF MA RIAL BE SPOSED OF)
q14 �ve,>arL{,n Q3 '�A3 Ida A'
(PROPERTYADDRESS)
,�
`k c
MI Windows And Doors
850 Wast Market S<
- - "—�•
a
� Mt Grat;PA 17030
Ime"enc or MWi
I ndows And Odom VVV
B50 Weal Market 6t 1650
ordemm'tho M Gratz,PA 17038 gmvefearmakin DHNINC1wLGritls
PHret142:kd 0hlFArmmear,LO Argon;
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so fen"floret monk.,pnw—mu pi iiel`Ya ( )
and doors
RATINGS 0.27 0.29
find doings ENERGY PERFORMANCE i .
doyrs od the Solar Heat Gain Coefficient
U¢eetor(U7SJIA) ef�e ADDITIONALPERFORMANCE RATINGS`
re gederegy Q e2/ 0.26 Visible Tire rinittence Air Leakage(U.SJI-P)
no vertuud r RMANOE RATINGS 0.52 5 0.3
orations in ADDITIONAL PERFO
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26772468.1 .1 .1
Window World Of Western Massachusetts
�i*tB4ru LFI 1029 North Road
p PhVll
413485-7335
7335
a„wym.ew rwwr wevternmevv�windowworid.com
Gordon Tatro
gordonta@comcast.n of
Estimate: Bed
Bill Address. Install Address: Estimate#E7561207923838
44 Evergreen Rd,Building A Unit 203 44 Evergreen Rd,Building A Unit 203
Leads,MA Leeds,MA Date of Estimate:6122/2019
101053 01053 Valid Unit:7/22/2019
DESCRIPTION QTY UNIT RATE($) AMOUNTS)
4000 Series DH 4 389.00 1,556.00
SolarZone Low-E 4 110.00 440.00
Full Exterior Capping 4 110.00 440.00
Install interior/Exonor Stops 4 80.00 320.00
Permit&Administrative Fee 1 200.00 200.00
TOTALAMOUNT $2,956.00
CUSTOMER PAYMENT DETAIL
Check Amount $1,500.00
TOTAL PAID $1,500.00
CUSTOMER DUE $1,456.00
'No extra work If not In writing
'Customer Comments:
'Installer Notes:
Customer ID Details
Id TypeDrivels license
Id#- S244
Id Issue State' Ass
Id Expiration Date 23444
Bales Rep Recommended:
r Interior Stops r Exterior Capping }' /
Customer Declined;
r Interior Stops r Exterior Capping
Pre 1978 built home.:
Myeenrewaaruhln Me Yer 19W (,nAal)
,4. I, o/�--
flnllial)I tlxLnetlYN pan wiRoation
windows.Delicate plants mid shrubs in areas right below a window should be propinquity relocated ifthey 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 you windows and our safety while working on your
properly.We are not responsible for any damage to plants,shrubs or landscaped areas.
5.Arrival and Departure Times.We will advise you ofthe"peeled arrival time for our crew at the time we ad 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 on installers get a sign-off form and
collect the outstanding balance at the completion ofthejob.We ask that you be evadable M approve the job and make final payment at the time ofcompletion.Ifthis is
not convenient for you,we need to know before we that the job.Inclement weather and other unforeseen hindrances are a fact of life and as such we ask that you
understand ifde weather,Millie,K.cause a delay car cancellation of an Installation appomm t.We typically do act schedule more Man u Jay or two in advance to
try to avoid such issue.
6.Our Work-site.We like to set up our work-site as close to your windows and doors as passible and genaalty your driveway is the best spm.If using the driveway
will black a garaged en,please be ready to pall it out upon arrival,
7.Alarm Systems.For those of you who have damn systems,the alarm company should be notified and advised of our job.They will be responsible for the
disconnection and recorndtian ofyour 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 ufour ability.Because we work in stages(i.e.,removal of old windows,setting the new window,wrapping of eaterioq dc.),we don't
complete aejob one window at a time.The job moves along in a rolling progression where each operation is done on all windows at the same ince.This produces a
qualityjob.
9.If the job takes more than a day,w61 there he 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 weathar-tighu and secure for overnight.(Please no critiquing in this time).
10.Pets.We love linty,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 school after Fido with new found haedom.Many
people say,don't worry,he doesn't bite,but many howlers have hecto bitten.So please secure dogs that have an aggressive bark towards strangers.
11.Expert some dust,noise and general disruption of your Hying space.Construction work cin sometimes be messy depending upon the scope ofyomjob.Its
an unfortunate reality of remodeling,but we do our beat an keep,things and"control.We appreciate your patience and understanding,during the job and unlit
everything is finished.Even after we have cleaned up,it is advisable to survey the areas for something we my have overlooked(Le„kids rooms,baby's ma m).
12.*Damage to walls and old trim stops.For those ofyou 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 fail out.h1 addition,all the patch works you have done ova 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 to the expeds.In some cases,due to out ofsquare openings,new trim is required to
make the window look good."Unless noted on the contract new min will not be provided or installed by us.You can expect to do sonic touch up painting on the trim
aft"the installation ofyour new windows.This is not always necessary mrd is usually minor ifit occurs.If your trim stops around your sashes are very old dry,and
bristle,they may snap and crack upon removal.If this happens,we can leave them offifyou please,m for a smell up charge,replace them with new"on".Many of
the old-style stops are no longer available an we would replace the entire window with newer style stops.Should we discover any bidden damage to the home or wall
area we will advise you before we proceed.Shedd 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,«just relax.If a question should arise;ask the crew
lead"for clarification.We early people who are interested in what we do,and most customers are intrigued with etre 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 barbarians and distractions.This enures a sate and quality installation.
16.Past Due Balances are subject to q service charge of 1.5%per month.In the event that this amount is placed in the hands ofan attorney for collection,the
purchaser agrees to pay dl costs ofoullcieic n,including a reasonable attorney fm.Ream check fee is$50(fitly doffil
10
Customer Signature Sales Person Signature
P.S.New would be a good time to owlew coned with the salesman to be sure of your order options and work M be done.Only Me items and services on the contract will be
done.If you have any questions whatsoever,now is the time to ask.
Window Would of Weatem Massachosa n may not require an acceleration of payments as specified In Me payment archon(tont)for 0e reason that he deems himself or the
payments to be insecure.However,where the connector deems himself to be insecure he may require as a prerequisite to continuing said war,that the balance of ands due
under the marred which are In possession of the owner,shall be placed in a joint equal account refusing the signatures of ore home improvement connector and the owner
for oulim wal.
Arbitration;Window Wood of Western Massachusetts and Me PURCHASERS)hereby mutually agree in advance that in the event Window World of Westem Massachusetts
hes a dispute concemirg the contact,Wmdow Wood of Weslem Massakens em may submit such dispute b a private arbit atlm service whirr has been approved by the
Seaetary of the Exemkve OMce of Consumer About and Business Repulsions and are consumer shall be required to submit to such amination in Is c 1aL
Window Wood Owner
Data..................... ....................................................Oats
NOTICE:The signatures of the caoles above apply only to Me agreement of Me paries to alternate disputa resolution initiated by Me connector.The owner may senate
dispute resolution even'where this section is not signed separately by to pams.'