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06-022 (31) 46 EVERGREEN RD 111 BP-2020-0045 GIs#: COMMONWEALTH OF MASSACHUSETTS Map: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) Category:window replaced BUILDING PERMIT, Permit# BP-2020-0045 Proiect# JS-2020-000073 Est.Cost: $5023.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WINDOW WORLD/ROBERT E BUSHEY JR 57011 Lot Size(sg.ft.): Owner: MASON JOHN F Zoning URA(99)/ Applicant: WINDOW WORLD/ROBERT E BUSHEY JR AT: 46 EVERGREEN RD 111 Applicant Address: Phone: Insurance: 1029 NORTH RD (413)485-7335 WC WESTFIELDMA01085 ISSUED ON.711512019 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL 7 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: Fee'1'ype: Date Paid: Amount: Building 7/15/2019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use only City of Norte am ton St tus o Permit: Building De art ent Cu b Cu Driveway Permit 212 Main tre t AUL 1 0 2019 Room 00 Seyver/S ptic Availability __ n4er/W II Availability fi Northampton, Ar•ui�D es - kPSets of Structural Plans phone 413-587-1240 Fax ___ e tans Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 1.1 Prccopertv Address: r�) � 1 I This section to be completed by office �b L��r�Grt t�C�• C Uh 1 t' I ( Map in Lot Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 66hn Name(Print) rrent il' A _ (See C NTVa( Telephone '13 Signature 2.2 Authorized Age t: 0�11, P� Name;-Pr 102.�f n1or��n rid "ecA A MA ©W165 It) !6 Current Mailing Address: �l`` , ignature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed b permit applicant 1. Building (a)Building Permit Fee 2. Electrical ) (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) `D 5. Fire Protection `7 6. Total=(1 +2+3+4+5) Check Number 53Q This Section For Official Use Onl Building Permit Number: Date Issued: Signature: 2 -ZD)q Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacemenowndows Alteration(s) Roofing ❑ Or Doors ,EM-- Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [[] Siding[O] Other[a Brief Description of Proposed LolaWork: l J W Alteration of existing bedroom Yes X No Adding new bedroom Yes xNo Attached Narrative Renovating unfinished basement Yes �No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing complete the following: 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. mensions 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 within10 .of wetlands? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of base nt or cellar floor below finished grade k. Will b ' ing conform to the Building and Zoning regulations? Yes No. I. eptic Tank City Sewer Private well City water Supply SECTION 7a-OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to vvbrk authorized by this building permit application. l' Dee, Gorytrn r 1-) 1101 q Signature of Owner Date as Owner/Authorized Agent hereby declare that the statementd 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. Print mei+ Ij Signature df Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: R,0 b(t License Number _a2 wry Lin 0iQ-I J�1C�11 Address Expiration Date 4--I 4�5-7133S Sign ure Telephone r 9.Reaistered Home Imprbvement Contractor: Not Applicable ❑ ROb�.rt tit ►��nPt I b`�b'+I Company Name Registration Number ddendn`�� W006 Cif' Wfni-�ern -0(13s. . ince 31 14120 Address __11 l jj Expiration Date QtAROt%lephone qt3 S'1335 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... ❑ 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 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 be 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 Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Pant Legibly Name(Business/Organization/Individual):Window World of Western MA Address:1029 North Road City/State/Zip:Westfield, MA 01085 Phone#:413-485-7335 Are you an employer?Check the appropriate box: 1•❑✓ I am a employer with 20 employees(full and/or part-time). Type of project(required): 2.[]I am a sole proprietor or partnership and have no employees working forme in 7. E]New construction any capacity.[No workers'comp.insurance required.] 8. F1 Remodeling 3.E]I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on m property. 10 O Building addition ensure that all contractors either have workers'compensation insurance or are solI will 11.0 Electrical repairs or additions proprietors with no employees. 5.0 I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.❑Plumbing repairs or additions These sub-contractors have employees and have workers'comp,insurance.= 13.❑Roof repairs 6.[:]We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[Z Other Replacement Window! 152,§1(4),and we have no employees.[No workers'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:Liberty Mutual Insurance Policy#or Self-ins.Lic.#:WC2-31 S-377947-020 05/07/20 Expiration Date: Job Site Address:`LID C L� l 1 City/State/Zip: QV;:3 Attach a copy of the workersi compensation policy declaration 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$250.00 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. Ido hereby ee tify under pains and penalties of perjury that the information provided above is true and correct 1i A Si nature.` Date: 7 l h `1 Phone#:413-485-7335 F only. Do not write in this area,to be completed by city or town ofcialwn: Permit/License# hority(circle one): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector rson: Phone#: A�Ro® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDEROTHIS19 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 the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CON IAUT NAME: Forrest Insurance Agency PHONE 413-858-2680 603 North Main St A/C No E.,): A/c No): 413-858-2685 East Longmeadow, MA 01028 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: ARBELLA PROTECTION INSURANCE CO. INSURER B: LIBERTY MUTUAL FIRE INSURANCE CO. WINDOW WORLD OF WESTERN INSURER C: MASSACHUSETTS INC 1029 NORTH RD INSURER D: 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 OF ANY CONTRACTOR 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, RTW ATME LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DDIYYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE F OCCUR 7TO REl PREMISES Ea occurrence $ 100,000 MED EXP An one person) $ 10,000 A 7520025998 04/09/19 04/09/20 PERSONAL BADV INJURY $ 1,000,000 GEN'POLICY❑GATE LIMIT AP PLIES PER: GENERAL AGGREGATE $ 2,000,000 OTHER POLICY PRO- ❑ JECT LOC PRODUCTS-COMP/OPAGG $ 1,000,000 . AUTOMOBILE LIABILITY $ COMBINEDINGLE LIMIT ANYAUTO Ea accident $ 1,000,000 A OWNED BODILY INJURY(Per person) $ C AUTOS ONLY X AUTOSSHEDULED 1020063881 04/09/19 04/09/20 BODILY INJURY(Per accident $ X HIRED NON-OWNED ) AUTOS ONLY X AUTOS ONLY PROPERTY DAMAGE $ Per accident X UMBRELLA LIAR XFco-LAIMSMADE CCUR A EXCESS LIAR EACH OCCURRENCE $ 1,000,000 4600055451 04/09/19 04/09/20 AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY STATUTE ER R OT - ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N S OFFICER/MEMBER EXCLUDED? ❑ N/A Certificate To Follow E.L.EACH ACCIDENT $ (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town Of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main Street Northampton, Ma.01060 AUTHORIZED REPRESENTATIVE Attention: Building Department, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD w 11wenr,or or d Mi Windows And Doors R MI Windows And Doors esrtroy the 650 West Market St NF'gC M� 650 West Market St Mi. Gratz, EFIRC PA 17030 Gratz,PA 17030 1585 1650 `a �"e'10.Stra•ipn DHMNYL! ficultto SLIDER21VINYUGrids Rat.agccasys Panel 1 No Grids s that can be ' � Panel 132:Lite-1:(1/r,Clear,LOE,Annealed);Lite-2: (1!8•, af�N�ME1/8",Clear,LOE,Aftne,jed)Lite-2: e clean er, RAG ® (1/8',Clear,NONE.Anneided);Argon;451/2 X 45 112 a �ne�ed);Argon;37172 X 37 in for differnt Idtllwtluat rotluets MEId1216-034Q3-000Qj MEI be subject to 0002 p may be sub and d00rs Indlvldud product■may ba■ubJ■et to v■ri■tion U performance lett to variation;n Peftcrmanee then using a ENERGY PERFORMANCE RATINGS Bows on the ENERGY PERFORMANCE RATINGS U-Factor(U.S./I-P U-Factor(U.S.1loP) Solar Heat Gain Coefficient 0j Solar Heat Gain Coefficient 'egenerally ■�� 0■29 )ductcer- 0.27 0■26 ` ADDITIONAL-PIII V ocations in ERFORMANCE RATINGS' ADDITIONAL PERFORMANOE RATINGS Visible Transmittance )Is. 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For fall infomt ta.c sea Jabal on product. Lerf Gra e ) -DP Para ittfomtacibn complete.consultor►6 Nigneta del pralucto. +DP(ASD 35.30 (ASD) Water Perf Grade DP(ASD) -DP(ASD) Water Max Test Size 50.13 LC-PG35 35.08 35.09 B.OB — 40.00X 72.00 Repo Florida 1D 5.43 Max Test Size eport# - STC/OlTC 20840 72.00 X 60.00 F2M.ol-10947.rm - 29/24 stings are for individual windows. i /- r11t test ed units Please contact our d doors piesOnly For information regarding mulled Ratings are for individual windows and doors only. For information regarding mulled r nh test size A4VDNIaCSA j X711 S tiA4e.Pos and Ne 0 y or stacked units,please contact your sales representative.Pos and Neg DP limited by dditional information laebei maybe concealed b g P limited b OS Glass to e unit test size.Tested to AAMANYDMAICSA 101tLS.2/A440.OS AAMA label maybeBarding installation instructions,9 bead or track filler. For it concealed by glazing bead or track filler.For additional information regarding Please visit wvrw.miwd.com. installation instructions,please visit www.mWd.com. .)6785673.1.1.1 26772468.1.1.1 L ft PrUtted on 8n2rtpfs Printed on g: 3 7XI12016 3:U:03 PM 10:72 AM Window World Of Western Massachusetts ut�ot�s 1029 North Road 413-485-7335 npyn,.er.rartr.." westernmass@windowworld.com John Mason johnnymase@hotmaii.com Estimate: Lower lever unit Bill Address: Install Address: Estimate#E1561812773619 46 Evergreen Rd, Building C,unit 111 46 Evergreen Rd, Building C, unit 111 Leeds, MA Leeds,MA Date of Estimate:6/29/2019 01053 01053 Valid Until:7/29/2019 DESCRIPTION • • 4000 Series DH 7 389.00 2,723.00 SolarZone Low-E 7 110.00 770.00 Full Exterior Capping 7 110.00 770.00 Install Interior/Exterior Stops 7 80.00 560.00 Permit&Administrative Fee 1 200.00 200.00 TOTAL AMOUNT $5,023.00 CUSTOMER PAYMENT DETAIL TOTAL PAID $0.00 CUSTOMER DUE $5,023.00 *No extra work if not in writing *Customer Comments: *Installer Notes:Lower level Customer ID Details Id TypeDriver's license Id#* Sw56 Id Issue State* Mass Id Expiration Date 23r56 Sales Rep Recommended: r Interior Stops r Exterior Capping Customer Declined: jj r Interior Stops r Exterior Capping - � !/R? Pre 1978 built homes: cy� 7 �„ My home was built in the year 1980 (initial) (initial)I decline third party verification (initial)I have received copy of the Lead hazard information pamphlet informing me of the potential risk of the lead hazard exposure from renovation activity to be performed in my dwelling unit.The EPA"Renovate Right"brochure was received before the work began. The EPA"Renovate Right"brochure can be viewed and printed from here:h11ps:i1goo.g11chD3JG property.We are not responsible for any damage to plants,shrubs or landscaped areas. 5.Arrival and Departure Times.We will advise you of the expected arrival time for our crew at the time we set up the installation date with you.We generally stay till the job is done,unless it will be a 2 or 3-day job,in which case we may work as long as there is daylight.It is our policy that our installers get a sign-off form and collect the outstanding balance at the completion of the job.We ask that you be available to approve the job and make final payment at the time of completion.if this is not convenient for you,we need to know before we start the job.Inclement weather and other unforeseen hindrances are a fact of life and as such we ask that you understand if the weather,traffic,etc.cause a delay or cancellation of an Installation appointment.We typically do not schedule more than a day or two in advance to try to avoid such issues. 6.Our 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 driveway will block a garaged car,please be ready to pull it out upon arrival. 7.Alarm Systems.For those of you who have alarm systems,the alarm company should be notified and advised of our job.They will be responsible for the disconnection and reconnection of your alarm system. 8.Where do we start?Upon arrival,the crew leader will survey the job and determine where to begin.if you have a preference,feel free to advise us and we will accommodate to the best of our ability.Because we work in stages(i.e.,removal of old windows,setting the new window,wrapping of exterior,etc.),we don't complete the job one window at a time.The job moves along in a rolling progression where each operation is done on all windows at the same time.This produces a qualityjob. 9.if the job takes more than a day,will there be any openings in my house?Of course not.We only remove that which can be reinstalled in the same day. Although there may not be a complete window,it will be weather-tight and secure for overnight.(Please no critiquing at this time). 10.Pets.We love furry,four-legged creatures;however,we need your help in supervising them.We are not always able to close a gate or door behind us when carrying a window,so please keep them in a safe place.Our job description does not include scampering down the street after Fido with new found freedom.Many people say,don't worry,he doesn't bite,but many installers have been bitten.So please secure dogs that have an aggressive bark towards strangers. 11.Expect some dust,noise and general disruption of your living space.Construction work can sometimes be messy depending upon the scope of your job.It's an unfortunate reality of remodeling,but we do our best to keep,things under control.We appreciate your patience and understanding,during the job and until everything is finished.Even after we have cleaned up,it is advisable to survey the areas for something we may have overlooked(Le„kids rooms,baby's room). 12.*Damage to walls and old trim stops.For those of you who have old aluminum and steel windows and are replacing them due to sweating and damaging of the walls be advised that all water damage plaster will most likely 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 to the experts.In some cases,due to out of square openings,new trim is required to make the window look good."Unless noted on the contract new trim will not be provided or installed by us.You can expect to do some touch up painting on the trim after the installation of your new windows.This is not always necessary and is usually minor if it occurs.If your trim stops around your sashes are very old,dry,and brittle,they may snap and crack upon removal.If this happens,we can leave them off if you please,or for a small up charge,replace them with newer ones.Many of the old-style stops are no longer available so we would replace the entire window with newer style stops.Should we discover any hidden damage to the frame or wall area we will advise you before we proceed.Should you decide to replace or repair anything,the price will be added to your balance. 13.Relax and enjoy the show.After we've been introduced to your home,feel free to run errands,take a walk,or just relax.If a question should arise;ask the crew leader for clarification.We enjoy people who are interested in what we do,and most customers are intrigued with the process.We do get nervous,however,when a customer constantly hovers over our shoulder.Like any professional,we're always happy to answer questions,but we appreciate being able to concentrate on our work without intemtptions and distractions.This ensures a safe and quality installation. 14.Past Due Balances are subject to a service charge of 1.5%per month.In the event that this amount is placed in the hands of an attorney for collection,the purchaser agrees to pay all costs of collection,including a reasonable attorney fee.Return check fee is$50(fifty dollars). `1 'N/ 6111 V Mr, J�frm . Customer Signature Sales Person Signature P.S.Now would be a good time to review contract with the salesman to be sure of your order options and work to be done.Only the items and services on the contract will be done.If you have any questions whatsoever,now is the time to ask. Window World of Western Massachusetts may not require an acceleration of payments as specified in the payment section(front)for the reason that he deems himself or the payments to be insecure.However,where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due under the contract,which are in possession of the owner,shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. Arbitration;Window World of Western Massachusetts and the PURCHASERS)hereby mutually agree in advance that in the event Window World of Western Massachusetts has a dispute concerning the contract,Window World of Western Massachusetts may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration in M.G.L.c 142A. Window World Owner Date..................... ....................................................Date NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor.The owner may initiate dispute resolution even"where this section is not signed separately by the parties." This Window World@ Franchisees independently owned-and operated by Window World of Western Massachusetts,Inc.under license from Window World, Inc. 46 EVERGREEN RD-UNIT 14 BP-2020-0046 GIS#: COMMONWEALTH OF MASSACHUSETTS M .Block:06-022 j CITY OF NORTHAMPTON Lot:-020 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: window replaced BUILDING PERMIT Permit# BP-2020-0046 Proiect# JS-2020-000074 Est.Cost: $2756.00 Fee:$40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WINDOW WORLD/ROBERT E BUSHEY JR 57011 Lot Size(sq.ft.): Owner: LOWNEY KIMBERLY Zoning: URA Applicant: WINDOW WORLD/ROBERT E BUSHEY JR AT. 46 EVERGREEN RD - UNIT 14 Applicant Address: Phone: Insurance: 1029 NORTH RD (413)485-7335 O WC WESTFIELDMA01085 ISSUED ON.7/15/2019 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 Sh.3nature: FeeType: Date Paid: Amount: Building 7/15/ 1019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240, Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use only f, City of Northa pt --- I rmit: - Building Dep rtme t veway Permit r� - �c. 212 Main S reet JUL 1 p fews Availability Room 1 0 �� Availability Northampton, KA 01 Structural Plans ^^ phone 413-587-1240 Flax 4"1� T 1 ,,! 72 - ns y APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 10iq- A o— C/(p 1.1 Property Address: II�� `` r I L This section to be completed by office -4 p �,VZt-cte Wl K� �tt� .C o n t ` t�' Map __ Lot O' Unit L(.eif s ) (� �� Zone Overlay District Elm St.District CB District SECTION 2- ROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: 1 YY1 ✓��� ww YU v >;C,�1 �C L n i I�" 1 Name(Print) ret 1ddr s: (Se C, CIGPITm Telephone Signature 2.2 Authorized Agent: Name, Pri l02.G ©rt�n �d VJc�S������j SMA CMAC S t). — • a; � Current Mailing Address: ignature 1 4-13- 435 --1336 Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only cpm leted b ermit a licant 1. Building '1 G� (a)Building Permit Fee 2. Electrical ' (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee ,r 4. Mechanical(HVAC) LIP 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number This Section For Official Use 0.1 - Building Permit Nu ber: Date Issued: Signature: 7- Z Zo)y Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House Addition ❑ Replacement Windows Alteration(s) ❑ Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [O] Decks [0 Siding[p] Other[a] Brief Description of Proposed Work: Alteration of existing bedroom Yes _No Adding new bedroom Yes No X Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the following: 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 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. I. 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 I'-- KI'Y) " �y �yi� property � as Owner of the subject I,,',, hereby authorize �UY/e to act on my behalf, in all matters relative to wok authorized by this building permit application. C ,Q GanytY t r) I� Signature of Owner Date I. 1�'aberf �3UG 1 as Owner/Authorized Agent hereby declare that the statement 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. t P me nntPN Signature df Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: Ro beli" — License Number !2 D u rA Ln �� 1 � �� Nl►� c�► Address —1—i Expiration Date Sign ure Telephone 9. Registered Home Improvement Contractor! Not Applicable ❑ Robtrt rpt if��ev I 1015b 1 Company Name Registration Number �n`I�� ic�rlrl cif' lr�l s�e� n Mass in , Address Expiration Date lull)- �AR OIt1k lephone 413" 51335 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... 10 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 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 be 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 Massachusetts W Department of IndustrialAccidents a 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Lea�bly Name(Business/Organization/Individual):Window World of Western MA Address:1029 North Road City/State/Zip:Westfield, MA 01085 Phone#:413-485-7335 Are you an employer?Check the appropriate box: 1.[D I am a employer with 20 employees(full and/or part-time).* Type of project(required): 2.E31 am a sole proprietor or partnership and have no employees working for me in 7' ❑New construction any capacity.[No workers'comp.insurance required.] 8. E]Remodeling 3.01 am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.❑I am a homeowner and will be hiring contractors to conduct all work on m roe I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 12.E]Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insurance.t 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑✓ Other Replacement Window! 152,§1(4),and we have no employees.[No workers'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. $Contractors 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:Liberty Mutual Insurance Policy#or Self-ins.Lic.#:WC2-31 S-377947-020 05/07/20 Expiration Date: Job Site Address: ��✓ rL' U n j C `C City/State/Zip:LZ45, 11 )� Q 10 3 Attach a copy of the workers compensation polic declaration page(showing the policy number and expiration date). P6 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 cu up to$$250.00 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. I do hereb rtify unde a pains and penalties of perjury that the information provided above is true and correct. Signatu Date: '714 /1- Date: #:413-485-7335 Official use only. Do not write in this area,to be completed by city or town official 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#: AC R® CER TIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 04/0 THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS 19 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 the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT— NAME: Forrest Insurance Agency PHONE 413-858-2680 603 North Main St A/C No Ext): A/C No): 413-858-2685 M East Longmeadow, MA 01028 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: ARBELLA PROTECTION INSURANCE CO. INSURER B: LIBERTY MUTUAL FIRE INSURANCE CO. WINDOW WORLD OF WESTERN MASSACHUSETTS INC INSURERC: 1029 NORTH RD INSURER D: 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 OF ANY CONTRACTOR 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. I LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR LN I LU PREMISES Ea occurrence $ 100,000 MED EXP An one person) $ 10,000 A 7520025998 04/09/19 04/09/20 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 OTHER POLICY PRO- ❑ JECT LOC PRODUCTS-COMP/OPAGG $ 1,000,000 : AUTOMOBILE LIABILITY $ OMBINED SINGLE—LIMIT ANYAUTO Ea accident $ 1,000,000 OWNED BODILY INJURY(Per person) $ A AUTOS ONLY X SCHEDULED X HIRED AUTOS 1020063881 04/09/19 04/09/20 BODILY INJURY(Per accident) $ AUTOS ONLY X NON-OWNED PROPERTY DAMAGE AUTOS ONLY Per accident) $ X UMBRELLA LIAB X OCCUR A EXCESS LIAB CLAIMS-MADE 4600055451 EACH OCCURRENCE $ _1,000,000 04/09/19 04/09/20 AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY PER T - Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A Certificate To Follow E L EACH ACCIDENT $ (Mandatory in NH) If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town Of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main Street Northampton, Ma.01060 AUTHORIZED REPRESENTATIVE Attention: Building Department, j J. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD —niutrnr,or �z r or destroy the MI Windows Anil Doors MI Windows And Doors 650 West Market St 650 West market St IUFkC �� Gratz,PA Mt .Gratz,PA 17030 17030 NFRC 1ss5 1650 `�'�Fenasira�; DHNtNYL/No Grids ficuitto NMI SLIDER21VINYLIGrids Ra1jQcua)--.-ie Panel 182;LitO S that can be ----- (118°.Clear,LOE,Anneafedj;Lite-2: 'e cleaner, RatN Cou,610 (1/8',Clear,LNONE Anneatled);Argon;451/2�X 45 1/2 (118',Clea,NONE,AnneaseZ Argon.371/2 X 37 m for differnt MEI-A-216-03 ME-A-216-0=40002 tntlividuai products rnsy be subject and doors individual products may be subject to variation in performance tett to variation in Porrormance /hen using aENERGY ( PERFORMA dows on the ENERGY PERFORMANCE RATINGS U-Factor U, E S./!-P) NC RATINGS U-Factor(U.S.fI-P) Solar Heat Gain Coefficient Solar Heat Gain Coefficient v■27 •e generally !duct cer- 0.27 0.26 ADDITIONAL-PER 0029 ocations in ADDITIONAL PERFORMANCE RATINGS Visible Trans FORMANCE RATINGS' t ►pittance Air Leake tfs. Visible Transmittance Air Leakage(U.S./1-P) 0.5 9e(U.S./1_p) /t� 3 . � � 3 t,bake � 0.46 C ■■ 3 pe^;cmance M RC Rya!flet Clete nays eeruorm tce �. ■ tesnunm,nr seputtnt LnttC ue nSnpt Conform to appsutH wFRC !andunl tOr awmdnin wnete proaua rrot ref t-0S Le oatermd ooes ! o S � r Rce^ancLanO� ;e ^ P p R tpedfc proeuctsize. �rmnen 4��rstaeraturc�omE pmt en,trtyo!ar7Pracvarera speCi.�cI erro ma^ee.NERC RCin t to den.7ra ed for a foo en a7 errvtron r■tit rorvmiatt end a p,wx;s j NERC Quer ndt n:dmmindtnyproirici d date notwe7erd Cls suitlAiiydt my product tar any spe:ei:use.consu.R wM�..Nli.C! Perrormancear.'Gr28A7n. y-ftWd,..te Cu-s�i S.Use a mtnuflcvnrt sant ne ro!amer proCu:t pertc mtrxe mtormmll. y ..� w4nr.M!CAtQ - i t t t r ighl ighted por ENERGY STAR on las rogionosr I s �� �♦ energrntacgov(windowt ,'�� � /��~� energyetar.povAvindovte For fall information,see!abet nn pro �rtifiedCenpficado ®CertifiedlCettidead0 Para infomtaciai complera,cons,&,,la For full infomtation,see label on etirptera del producro.product Perf Grade Para infomlacibn complera.consultar la efiquela del producro. +DP(ASD LC-PG35' j -DP(ASD) 35.30 Wafer Perf Grade +DP(ASD} —DP(ASD) Water /1 Max Test Size 50.13 5.43 LC-PG35 35.Q9 L 35.09 6.08 40.00X 72.00 A4s�2241.10 �,� Florida ID Max Test Size eport# - STC/OITC 20840 _ 72.00 X 60.00 x.01-109.T4W _ 29/24 .atings are for individual windows - I stacked units,please contact and doors only. Far information re Ratings are for individual windows and doors o For information regarding mulled nit fest size,Tested to AAfA your sales representative.Pos and Ne a p ng mulled or stacked units,please contact your sales representative.Pos and Neg DP limed by ditio al info' q 6MA label maconcealed e S rfi.S.2/A440-05 Glass According im ted by e unit test size.Tested to AAMAIWDMA/I 101A.S.2/A440-05 AAMA label maybe f�''nfQrmation regarding installation by glazing bead or track filter. o it concealed by glazing bead or track filler.For additional information regarding �85 please visit nri installation instructions,please visit www.mWd.com, 673.1.1 .m-Wd.com. 26772468.1.1.1 Printed on r V Printed on 3 7!82018 3:64:0 PM 6,12/2016 6:10:72 qct o Window World Of Western Massachusetts 10 29 North Road V ^� 413-485-7335 "'�►r^ �°r+x" westernmass@windowworld.com Kimberly Lowney klowney@research.umass.edu 1Bill Address: Install Address: Estimate . Bedroom Yankee Hills Condos,Bldg C Unit 314 Yankee Hills Condos,Bldg C Unit 314 Estimate#E1561821373464 Leeds, MA Leeds,MA Date of Estimate:6/2912019 01053 01053 Valid Until:7(2912019 DESCRIPTION • • 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/Exterior Stops 4 80.00 320.00 TOTAL AMOUNT $2,756.00 CUSTOMER Credit Card Amount $1,476.00 TOTAL PAID $1,476.00 CUSTOMER DUE $1,280.00 'No extra work if not in writing "Customer Comments: `Installer Notes:3 rd flllor Customer ID Details Id Type" Driver's license Id#' S2455 Id Issue State` Mass Id Expiration Date 24555 Sales Rep Recommended: r Interior Stops r Exterior Capping Customer Declined: J _ r Interior Stops r Exterior Capping Pre 1978 built homes: My home was built in the year 1980 (initial) - � J (initial)I decline third party verification ' (initial)I have received copy of the Lead hazard information pamphlet informing me of the potential risk of the lead hazard exposure from renovation activity to be performed in my dwelling unit.The EPA"Renovate Right"brochure was received before the work began. The EPA"Renovate Right"brochure can be viewed and printed from here https:Ugoo.g11ch03Jc property.We are not responsible for any damage to plants,shrubs or landscaped areas. 5.Arrival and Departure Times.We will advise you of the expected arrival time for our crew at the time we set up the installation date with you.We generally stay till the job is done,unless it will be a 2 or 3-day job,in which case we may work as long as there is daylight.it is our policy that our installers get a sign-offform and collect the outstanding balance at the completion of the job.We ask that you be available to approve the job and make final payment at the time of completion.If this is not convenient for you,we need to know before we start the job.Inclement weather and other unforeseen hindrances are a fact of life and as such we ask that you understand if the weather,traffic,etc.cause a delay or cancellation of an Installation appointment.We typically do not schedule more than a day or two in advance to try to avoid such issues. 6.Our 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 driveway will block a garaged car,please be ready to pull it out upon arrival. 7.Alarm Systems.For those of you who have alarm systems,the alarm company should be notified and advised of our job.They will be responsible for the disconnection and reconnection of your alarm system. 8.Where do we start?Upon arrival,the crew leader will survey the job and determine where to begin.If you have a preference,feel free to advise us and we will accommodate to the best of our ability.Because we work in stages(i.e.,removal of old windows,setting the new window,wrapping of exterior,etc.),we don't complete the job one window at a time.The job moves along in a rolling progression where each operation is done on all windows at the same time.This produces a qualityjob. 9.if the job takes more than a day,will there be any openings in my house?Of course not.We only remove that which can be reinstalled in the same day. Although there may not be a complete window,it will be weather-tight and secure for overnight.(Please no critiquing at this time). 10.Pets.We love furry,four-legged creatures;however,we need your help in supervising them.We are not always able to close a gate or door behind us when carrying a window,so please keep them in a safe place.Our job description does not include scampering down the street after Fido with new found freedom.Many people say,don't worry,he doesn't bite,but many installers have been bitten.So please secure dogs that have an aggressive bark towards strangers. 11.Expect some dust,noise and general disruption of your living space.Construction work can sometimes be messy depending upon the scope of your job.It's an unfortunate reality of remodeling,but we do our best to keep,things under control.We appreciate your patience and understanding,during the job and until everything is finished.Even after we have cleaned up,it is advisable to survey the areas for something we may have overlooked(Le„kids rooms,baby's room). 12.*Damage to walls and old trim stops.For those of you who have old aluminum and steel windows and are replacing them due to sweating and damaging of the walls be advised that all water damage plaster will most likely 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 to the experts.In some cases,due to out of square openings,new trim is required to make the window look good"Unless noted on the contract new trim will not be provided or installed by us.You can expect to do some touch up painting on the trim after the installation of your new windows.This is not always necessary and is usually minor if it occurs.If your trim stops around your sashes are very old,dry,and brittle,they may snap and crack upon removal.If this happens,we can leave them off if you please,or for a small up charge,replace them with newer ones.Many of the old-style stops are no longer available so we would replace the entire window with newer style stops.Should we discover any hidden damage to the frame or wall area we will advise you before we proceed.Should you decide to replace or repair anything,the price will be added to your balance. 13.Relax and enjoy the show.After we've been introduced to your home,feel free to run errands,take a walk,or just relax.If a question should arise;ask the crew leader for clarification.We enjoy people who are interested in what we do,and most customers are intrigued with the process.We do get nervous,however,when a customer constantly hovers over our shoulder.Like any professional,we're always happy to answer questions,but we appreciate being able to concentrate on our work without interruptions and distractions.This ensures a safe and quality installation. 14.Past Due Balances are subject to a service charge of 1.5%per month.In the event that this amount is placed in the hands of an attorney for collection,the purchaser agrees to pay all costs of collection,including a reasonable attorney fee.Return check fee is$50(fifty dollars). e4le Customer Signature Sales Person Signature P.S.Now would be a good time to review contract with the salesman to be sure of your order options and work to be done.Only the items and services on the contract will be done.If you have any questions whatsoever,now is the time to ask. Window World of Western Massachusetts may not require an acceleration of payments as specified in the payment section(front)for the reason that he deems himself or the payments to be insecure.However,where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due under the contract,which are in possession of the owner,shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. Arbitration;Window World of Western Massachusetts and the PURCHASERS)hereby mutually agree in advance that in the event Window World of Western Massachusetts has a dispute concerning the contract,Window World of Western Massachusetts may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration in M.G.L.c 142A. Window World Owner Date..................... .......................................I............Date NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor.The owner may initiate dispute resolution even"where this section is not signed separately by the parties." This Window World@ Franchisees independently owned-and operated by Window World of Western Massachusetts,Inc.under license from Window World,Inc. 44 EVERGREEN RD BP-2020-0047 GIS#: COMMONWEALTH OF MASSACHUSETTS MV.-Block:06-022 CITY OF NORTHAMPTON Lot:-020 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL e.142A) Category: window replaced BUILDING PERMIT Permit# BP-2020-0047 Proiect# JS-2020-000075 Est.Cost: $2956.00 Fee: $40.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: WINDOW WORLD/ROBERT E BUSHEY JR 57011 Lot Size(sa.ft.): Owner: DALEY ERIN Zoning URA Applicant: WINDOW WORLD/ROBERT E BUSHEY JR AT: 44 EVERGREEN RD Applicant Address: Phone: Insurance: 1029 NORTH RD (413) 485-7335 O WC WESTFIELDMA01085 ISSUED ON.711512019 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 Inspect�r 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 REI OKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Sig(nature: FeeTyae: Date Paid: Amount: Building 7/15/1019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner (,tiv�OG(J I /OD Department use only City of Northar pton V Per it: Building Depart�nen .i /Dri way Permit 212 Main Street I JUL 1 1 2eptic Availability '� � Room 100 ell A ailability Northampton, MA 010 0 of ructural Plans phone 413-587-1240 Fax 41 7r; ��Q 'lanNC na N.t,1 rIff er pecify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION 6A-a719-V7 1.1 Property Address: I TDs to be completedbyoffice �v{X r> PV�1�' Map_�(�/n_ Lot �/ Unit Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner ot Record: 10 Name(Print) l C re t Signature Mailjp dress- l See C onxaC f 1 Telephone 2.2 Authorized Agent: C}l' n-t ( 4wj I()2.c1 NOW0 Rd "CSVE66 d MA 010165 NamePn t) . Current Mailing Address: J' 4-0- 435 - 13 Signature v Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building 1 (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 41-0 5. Fire Protection 6. Total=0 +2+3+4+5) Check Number aZ This Section For Official Use Only Building Permit Num r: Date Issued: Signature: 7 12-7419 Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House ❑ Addition ❑ Replacement windows Alteration(s) Roofing ❑ Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [p] Decks [M Siding[p] Other[CD] Brief Description of Proposed (� Work: lail 60 1►.111' ikwcj Alteration of existing bedroom Yes X _No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes _�No Plans Attached Roll -Sheet 6a. If New house and or addition to existing housing, complete the followina: 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 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 . I. 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 I, l'l lel i_) as Owner of the subject property hereby authorize W��d( J LK6J-V l a o to act on my behalf, in all matters relative to work authorized by this building permit application. SSignature of Owner Date I, MWr fiUS�1e� as Owner/Authorized Agent hereby declare that the statement 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. Print.N me ., f4/1 to Signature df Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:—... Robat BUs\*�t'A License Number !2 )� 1 0< Nle oi(C) `1 15 1011 Address Expiration Date X1555---13'-65 Sign ure Telephone 9.Reals,tered Home Impr6y6ment Contractor- Not Applicable ❑ Robert 1 b5 b 41 Company Name Registration Number w indcml wod(A Cif MUSS In 3J k,+ /2-1) Address r� Expiration Date 1 oll) N OrbQ V,6 V sks fif\ a tqk Oho lephone !-[3 —3j3S SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... 114 No...... ❑ 11. - Home Owner Exem don 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 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 be responsible for all such work performed under the buildine 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 Massachusetts W Department of Industrial Accidents a I Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia Nkorkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):Window World of Western MA Address:1029 North Road City/State/Zip:Westfield, MA 01085 Phone#:413-485-7335 Are you an employer?Check the appropriate box: Type of project(required): 1. ✓❑I am a employer with 20 employees(full and/or part-time)." 7. New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required.] g• ❑Remodeling 3.❑I am a homeowner doingall work myself t 9. El Demolition Y [No workers'comp.insurance required.] 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property.ro I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.a I am a general contractor and I have hired the sub-contractors listed on the attached sheet. These sub-contractors have employees and have workers'comp.insurance.: 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑✓ Other Replacement Window: 152,§1(4),and we have no employees.[No workers'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. :Contractors 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:Liberty Mutual Insurance Policy#or Self-ins.Lie.#:WC2-31 S-377947-020 Expiration Date:05/07/20 Job Site Address: VYL10 City/State/Zip:�&AJ5 ��f,?� Attach a copy of the workers' mpensation policy declaration 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$250.00 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. I do hereby ertify under th ains and penalties of perjury that the information provided above is true and correct I Signature: ��w Date: t^ Phone#:413-485-7335 Official use only. Do not write in this area,to be completed by city or town official 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#: A)Rb® CERTIFICATE OF LIABILITY INSURANCE FDATE(MM/DD/YYYY) 04/02/19 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 A 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(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME: Forrest Insurance Agency PHONE 413-858-2680 603 North Main St A/C E-MAIL E,,,: A/C No): 413-858-2685 East Longmeadow, MA 01028 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: ARBELLA PROTECTION INSURANCE CO. INSURERS: LIBERTY MUTUAL FIRE INSURANCE CO. WINDOW WORLD OF WESTERN INSURER C: MASSACHUSETTS INC 1029 NORTH RD INSURER D: 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 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. I LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR PREMISES Ea occurrence $ 100,000 MED EXP An one person) $ 10,000 A 7520025998 04/09/19 04/09/20 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑ PRO- JECT LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO Ea accident $ 1,000,000 A OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY Ix AUTOS 1020063881 04/09/19 04/09/20 BODILY INJURY(Per accident) $ X HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ X UMBRELLA LIAB X OCCUR $ A EXCESS LIAB EACH OCCURRENCE $ 1,000,000 CLAIMS MADE 4600055451 04/09/19 04/09/20 AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATIONPER OT - AND EMPLOYERS'LIABILITY Y/N STATUTE I ER OFFICER/MEMBER/EXCLUDE/D7ECUTIVE❑ N/A Certificate To Follow E.L.EACH ACCIDENT $ (Mandatory In If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN Town Of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. 212 Main Street Northampton,Ma.01060 AUTHORIZED REPRESENTATIVE Attention: Building Department, , ©1988.2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD ARO® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/V0 19 VVY) 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 the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. r statement d. this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER FORREST INSURANCE AGENCY 603 NORTH MAIN STREET NAME: r E LONGMEADOW, MA 01028 PHONE A/C,,Lq�F3ct E-MAIL (AIC,No ADI�RE$S_ INSURERS AFFORDING COVERAGE NAIC 8 INSURED -INSURER A: Li arty Mutual Fire Insurance 23035 WINDOW WORLD OF WESTERN MASSACHUSETTS INC INSURER B: 1029 NORTH ROAD INSURERC: WESTFIELD MA 01085 INSURER D: INSURER E: COVERAGES INSURER F: CERTIFICATE NUMBER: 48525637 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR D NAMED D ABOVEB OR. . THE POLICY PERIOD INDICATEDNOTWITHSTANDING 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 A D R LTR TYPE OF INSURANCE POLICY EFF POLICY EXP COMMERCIAL GENERAL LIABILITY POLICY NUMBER MMIDD/VYYY MM/Doty LIMITS CLAIMS-MADE E]OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP(Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL$ADV INJURY $ POLICY[:1JECT PRO- LOC GENERAL AGGREGATE $ [:] _ OTHER: PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT $ ANY AUTO Ea accident OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY AUTOS BODILY INJURY Per accident $ HIRED NON-OWNED ( ) AUTOS ONLY _ AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB $ OCCUR EXCESS LIAB EACH OCCURRENCE $ CLAIMS-MADE AGGREGATE $ DED RETENTION$ A WORKERS COMPENSATION ✓ $AND EMPLOYERS'LIABILIIY V/" WC2-31S-377947-019 5/7/2020 PER OTH- FI ?ECUTIVE STATER OFFICER/MEMBER NIA (Mandatory In NH) E.L.EACH ACCIDENT $1000000 If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more apace is required) 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 TOWN OF NORTHAMPTON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 212 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. NORTHAMPTON MA 01060 AUTHORIZED REPRESENTATIVE ...r Jon Smith ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 48525637 1 1-3'/7947 119-20 WC 1 n0270258 1 5/5/2019 7:59:45 PM (PDT) I Page 1 of 1 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 (NAME OF FACILITY) a properly licensed solid waste facility as defined by`MGL C 111, §150A. / . 7 I O r�, , Date Signature of Permit Applicant PRINT OR TYPE THE FOLLOWING INFORMATION: (NAME OF PERMIT APPLICANT)' i,�►r1ra,��,�/g� T L (TYPE OF MATERIAL IrO BE DISPOSED OF) (PROPERTY ADDRESS) auntctent,or or destroy the MI Windows And Doors a All Windows And Doors _650 Weet Market St typ` C � 650 West Market St NPRC Mt Gratz,PA 17030 Gratz,PA 17030 1685 1650 aaFilatj Fe,,BsU DH/VINYL/No ficuitto SLIDER21VINYUGrids Ratr 82:Ute-1 Grids Panel 1.(1!8",CtearLQE, ,that can be lYaRac Fenestration Panel 1&2:Lite-1:(1/8',CIear,LOE,Annealed);Lite-2: (1/8',ciear,NONE,/�tne4 Annealed) Lite-2: e clean', RaEng � (118',01ear,NONE,Annealed);Argon;451!2 X 45 112 d};Argon;371!2 X 37 m for differnt +yet-A-Zis-0��i ME-A-215-00841-00004 tndiWduai products and doors individual products may be subject to variation in performance rrnY be subject to variation in /hen using a ENERGY P perform dows on the ERFORMANCE RATINGS ENERGY PERFORMANCE RATINGS U-Factor(t1,S./I-p U-Factor(U.S./I-P) Solar Heat Gain Coefficient Solar Heat Gain Coefficient 0.27 . 'e generally )duct cer- 0.27 0.26 ADDITIONAL,pERFORMA 0Z ocations in ADDITIONAL PERFORMANCE RATINGS Visible Transmittance NCE RATINGS' )Is. Visible Transmittance Air Leakage(U.S./I-P) 0.52 Air Leakage{U,S./I_p) • �t,bake "_ _ .+N,+racturers:gMtates tnu 3 GE�rrRa tnalraGa ! . - - ■� � 0.3 cn rtrc.MERG Ra- as Gomorra w a C� sriotrecamnlnr�sareaereMR"rcrarueu�aa��RCpraceaures)erecter rnsrudacornr lapuuutFatima rasngscontormtosppiamsRFRcpranaurettorisie"ingwnoisproauct °n�'pr�xtaraaacs setcrinvranmen[arcpnoo�sana�ma'�"tepra r performance.I*RO Rrtmgs ars astermir.a tar a fees tat or enwonmerm car mam ane a spa=praouct size. Manursctu ors 4 aou rhnwnE praZi te art"arar7 amara rcr- rig p:ca�ct s j NERC Qaet net tfCartYnlna atlyproQueT ana aott natwlrrVdthe turtealmY at anl'proauct for arty 6pei7aa use.Consort wxa-.nttc.orp perrormanrcvra rcuat Y_Fcunr ate Citic.+; s.Use a rAmAcomry werstura for amor praauatpertormancs tnformston. •. t a � - �.� � 9Y targov/weadovrt 47 r.� etnrggrter.govtwindowe to Far faN i+tforatatan,See label an Product ettifredtrerli ficado ®Cett�iedlCertficado Para infamtacion camplere,consnkar to etir nota dot pradttcto For full infamution,ase label on product t Para intomtacibn complete,consuhar la etiqueta del praducto. Pe►f 5.Grade DP(ASD)LC-PG35• ) -DP(ASD} Perf Grade +DP(ASD} -DP 35.30 Water (ASD) Water /1 Max Test Size Re 50'13 LC-PG35 35.09 35.09 6.06 40-00X(72.00 aaa Reps rt# Florida 043 Max Test Size epot# - STC 101TC = ng-07-r0 20840 _ 72.00 X 60.00 F2048•Qt-104 4T RO - 29124 _stings are for individual windows -! r stacked units,please contact our d doors only. For information re Ratings are for individual windows and doors only. For information regarding muffed s'rut nh t sLve Tested to AAMA/WDMA/C P 9arding mulled or stacked units, lease cordal our sales representative.Pos and[de DP limited b y its 4101II.S,21A440 OS Glass os and eg DP limited by P Y Pr 9 Y dddiortal informs ion�e elm 8 be concealed by glazing bead or track filter. For unit test size.Tested to AAMAMfDMAlCSA 101/itionaAnforma AAMA label maybe gardin installation instructions,please visit wvwv mitnd com. fl concealed by glaring bead or track filler.for add-lions!information regarding - t installation instructions,please visit www.mWd.com. ,6786673,1.1 e' 26772468.1.1.1 Printed on Printed on s 716rt01e 3.'64:08 PM 8/12l2016 S:i0:i2 qat Window World Of Western Massachusetts c�s�ocu 1029 North Road 413-485-7335 •aenprrre.e&OWL s- westernmass@windowworld.com Erin Daley erin_kyle04@yahoo.com Estimate : Secon Bill Address: Install Address: Estimate#E1561814230319 48 Evergreen Rd,Unit 214 48 Evergreen Rd, Unit 214 Leeds, MA Leeds, MA Date of Estimate:6/29/2019 01053 01053 Valid Until:7/29/2019 DESCRIPTION • • 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/Exterior Stops 4 80.00 320.00 Permit&Administrative Fee 1 200.00 200.00 TOTAL AMOUNT $2,956.00 CUSTOMER PAYMENT DETAIL Credit Card Amount $1,450.00 TOTAL PAID $1,450.00 CUSTOMER DUE $1,506.00 *No extra work if not in writing *Customer Comments: *Installer Notes: Customer ID Details Id Type* Driver's license Id#* S2345 Id Issue State* Mass Id Expiration Date 2344 Sales Rep Recommended: r Interior Stops r Exterior Capping Customer Declined: r- Interior Stops r Exterior Capping Pre 1978 built homes: My home was built in the year 1980 (initial) (inilial)I decline third party verification windows.Delicate plants and shrubs in areas right below a window should be temporarily relocated if they cannot survive being stepped on and you want to preserve them.We strive to be careful when working around vegetation,but our priorities are to focus on our work,your windows and our safety while working on your property.We are not responsible for any damage to plants,shrubs or landscaped areas. 5.Arrival and Departure Times.We will advise you of the expected arrival time for our crew at the time we set up the installation date with you.We generally stay till the job is done,unless it will be a 2 or 3-day job,in which case we may work as long as there is daylight.It is our policy that our installers get a sign-off form and collect the outstanding balance at the completion of the job.We ask that you be available to approve the job and make final payment at the time of completion.if this is not convenient for you,we need to know before we start the job.Inclement weather and other unforeseen hindrances are a fact of life and as such we ask that you understand if the weather,traffic,etc.cause a delay or cancellation of an Installation appointment.We typically do not schedule more than a day or two in advance to try to avoid such issues. 6.Our 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 driveway will block a garaged car,please be ready to pull it out upon arrival. 7.Alarm Systems.For those of you who have alarm systems,the alarm company should be notified and advised of our job.They will be responsible for the disconnection and reconnection of your alarm system. 8.Where do we start?Upon arrival,the crew leader will survey the job and determine where to begin.If you have a preference,feel free to advise us and we will accommodate to the best of our ability.Because we work in stages(i.e.,removal of old windows,setting the new window,wrapping of exterior,etc.),we don't complete the job one window at a time.The job moves along in a rolling progression where each operation is done on all windows at the same time.This produces a qualityjob. 9.if the job takes more than a day,will there be any openings In my house?Of course not.We only remove that which can be reinstalled in the same day. Although there may not be a complete window,it will be weather-tight and secure for overnight.(Please no critiquing at this time). 10.Pets.We love furry,four-legged creatures;however,we need your help in supervising them.We are not always able to close a gate or door behind us when carrying a window,so please keep them in a safe place.Our job description does not include scampering down the street after Fido with new found freedom.Many people say,don't worry,he doesn't bite,but many installers have been bitten.So please secure dogs that have an aggressive bark towards strangers. 11.Expect some dust,noise and general disruption of your living space.Construction work can sometimes be messy depending upon the scope of your job.It's an unfortunate reality of remodeling,but we do our best to keep,things under control.We appreciate your patience and understanding,during the job and until everything is finished.Even after we have cleaned up,it is advisable to survey the areas for something we may have overlooked(Le„kids rooms,baby's room). 12.*Damage to walls and old trim stops.For those of you who have old aluminum and steel windows and are replacing them due to sweating and damaging of the walls be advised that all water damage plaster will most likely 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 to the experts.In some cases,due to out of square openings,new trim is required to make the window look good"Unless noted on the contract new trim will not be provided or installed by us.You can expect to do some touch up painting on the trim after the installation of your new windows.This is not always necessary and is usually minor if it occurs.If your trim stops around your sashes are very old,dry,and brittle,they may snap and crack upon removal.if this happens,we can leave them off if you please,or for a small up charge,replace them with newer ones.Many of the old-style stops are no longer available so we would replace the entire window with newer style stops.Should we discover any hidden damage to the frame or wall area we will advise you before we proceed.Should you decide to replace or repair anything,the price will be added to your balance. 13.Relax and enjoy the show.After we've been introduced to your home,feel free to run errands,take a walk,or just relax.If a question should arise;ask the crew leader for clarification.We enjoy people who are interested in what we do,and most customers are intrigued with the process.We do get nervous,however,when a customer constantly hovers over our shoulder.Like any professional,we're always happy to answer questions,but we appreciate being able to concentrate on our work without interruptions and distractions.This ensures a safe and quality installation. 14.Past Due Balances are subject to a service charge of 1.5%per month.In the event that this amount is placed in the hands of an attorney for collection,the purchaser agrees to pay all costs of collection,including a reasonable attorney fee.Return check fee is$50(fifty dollars). Customer Signature Sales Person Signature P.S.Now would be a good time to review contract with the salesman to be sure of your order options and work to be done.Only the items and services on the contract will be done.If you have any questions whatsoever,now is the time to ask. Window World of Western Massachusetts may not require an acceleration of payments as specified in the payment section(front)for the reason that he deems himself or the payments to be insecure.However,where the contractor deems himself to be insecure he may require as a prerequisite to continuing said work that the balance of funds due under the contract,which are in possession of the owner,shall be placed in a joint escrow account requiring the signatures of the home improvement contractor and the owner for withdrawal. Arbitration;Window World of Western Massachusetts and the PURCHASERS)hereby mutually agree in advance that in the event Window World of Western Massachusetts has a dispute concerning the contract,Window World of Western Massachusetts may submit such dispute to a private arbitration service which has been approved by the Secretary of the Executive Office of Consumer Affairs and Business Regulations and the consumer shall be required to submit to such arbitration in M.G.L.c 142A. Window World Owner Date..................... ....................................................Date NOTICE:The signatures of the parties above apply only to the agreement of the parties to alternate dispute resolution initiated by the contractor.The owner may initiate dispute resolution even"where this section is not signed separately by the parties."