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06-022 46 EVERGREEN RD#310B BP-2020-0127 GIS#: , COMMONWEALTH OF MASSACHUSETTS Map:Block:06-022 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-2020-0127 Project# JS-2020-000204 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(sq.ft.): Owner. LEHRING GARY toning Applicant. WINDOW WORLD/ROBERT E BUSHEY JR AT. 46 EVERGREEN RD #310B Applicant Address: Phone: Insurance: 1029 NORTH RD (413)485-7335 WC WESTFIELDMA01085 ISSUED ON.7/31/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-REPLACE 4 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: FeeType: Date Paid: Amount: Building 7/31/2019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner W IAt/(JCJW3 _ Department use only �. City of Nort am St tus o Permit: Building De art ent Cu b Cu Driveway Permit I, 212 Main tre t Se er/S pticAvailability A Room 00 Wa er/W II Availability " Northampton, A 0 060 SSets f Structural Plans phone 413-587-1240 ax 44&58 ! tMA01 � US' ans - NOR HA - Other Specify APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION P 0— ;?0 — 12— 1.1,^E IP^^ro`perty Address: T�section to be completed by office Map Lot oJ Unit W5 , fn Q to53 Zone Overlay District Elm St. District CB District SECTION 2 -PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: a zt o► -3 Nam (P nt) C�r�egt M 'li Addr 17 _ see. .ontaffl Telephone Signature 2.2 Authorized Agent: IC)Z�� f�1�rfi�nc°� VJc�`�1fi�ld MA Ui(7S :Najme4Pr t) Current Mailing Address: 41�S -1335 Signature i Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only com leted b ermit a . :ant 1. Building (a) Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = 0 +2+3 +4+5) Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: 7. 31- ��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 ReplacementtWindows Alterations) Roofing Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [[J] Decks [Q Siding[p] Other[©] Brief Description of Proposed Work: �/ Uit„15 Alteration of existing bedroom Yes J� No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes x 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, oarvhn nas Owner of the subject property ll,,,,&+'''' "" 1, hereby authorize —&'b&+ S Z IA-) QY to act on my behalf, in all matters relative to worVauthorized by this building permit application. " co c' Gd`i YtYCt r -� `1 �� to, Signature of Owner bate I,-- h,C))qe r f 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. notNrn f �r" / 'A, : Signature df Owner/AgentDa et SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: RCS be c 1 l",� h!N License Number 12 C ' LY1 �c,� C �C9�' M►� c�►o� �d� 1 Address 15 Expiration Date . Sign ure � f Telephone 4�5 9. Registered Home Impr6vi�ment Contractor Not Applicable ❑ 90b,,rt E5( -y4) l X 41 Company Name Registration Number "in6flw rlrl cif IK ID -Z-4 n MASS lnc. 311420 Address Expiration Date N ort" �.('� W QS tAA 01OF&Iephone 4l3'- s5'1-35 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 u Department of Industrial Accidents 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.[0 I am a employer with 20 employees(full and/or part-time)." 7. E]New construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in any capacity.[No workers'comp.insurance required.] 9. El Remodeling 3.[:]1 am a homeowner doing all work myself.[No workers'comp,insurance required.]t 9. El 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.E:]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.❑Plumbing repairs or additions These sub-contractors have employees and have workers'comp,insarance.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#I 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 "woXker�' Expiration Date: Job Site Address. r lye -310 City/State/Zip: Attach a copy ofompensation policy declaration page(showing the policy number an 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 certify under he pains and penalties of perjury that the information provided above is true and correct. Si atur . Date: / l Phone#:413-485-7335 Official use only. Do not write in this area,to be completed by city or town ofjicial City or Town: Permit/License# Issuing Authority(circle one): 11 L6. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector Otherntact Person: Phone#: AC"^O® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED AS A 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 FADDRESS: Forrest Insurance Agency 413-858-2680 603 North Main St t: A/c No; 413-858-2685 East Longmeadow, MA 01028 INSURER(S)AFFORDING COVERAGE NAIC p 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 0: WESTFIELD,MA 01085 INSURER E: INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THATTHE 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. 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 OCCUR PREMISES Ea ocREN currence $ 100,000 MED EXP An one person) $ 10,000 A 7520025998 04/09/19 04/09/20 PERSONAL BADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: POLICY PRO- GENERAL AGGREGATE $ 2,000,000 OTHER: JECT LOC PRODUCTS-COMP/OPAGG $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE-LIMIT ANYAUTO Ea accident $ 1,000,000 OWNED BODILY INJURY(Per person) $ A AUTOS ONLY X SCHEDULED AUTOS 1020063881X AUTOS04/09/19 04/09/20 BODILY INJURY(Per accident) $ AUTOS ONLY HIRED X AUTOS NON-OWNED ONLY PROPERTY DAMAGE $ 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 COMPENSATION PER $ AND EMPLOYERS'LIABILITY Y/N STATUTE ERT 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, �1} ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AR'o� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYVVY) 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 must have ADDITIONAL INSURED provisions or b eendorsed. , the otic If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on P y(ies) this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER FORREST INSURA11 NCE AGENCY TACIF 603 NORTH MAIN STREET AM NAME: -NE - E LONGMEADOW, MA 01028 Arc°°_No,-Ext: FAX E-MAIL (_AIC,No): _ _- _ INSURERS AFFORDING COVERAGE INSURED INSURER A: Llbert Mutual Fire Insurance NAICA WINDOW WORLD OF WESTERN MASSACHUSETTS INC 23035 1029 NORTH ROAD INSURERS: WESTFIELD MA 01085 INSURERC: INSURER D: INSURER E: COVERAGES CERTIFICATE NUMBER: 48525637 INSURER F: - -- - THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAREVMED D ABOSION VEB OR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR IT LTR TYPE OF INSURANCE A L eR POLICY NUMBER MM DDIYYYV MMI ICY EXP COMMERCIAL GENERAL LIABILITY LIMITS CLAIMS-MADE J OCCUR EACH OCCURRENCE $ PREMISES Ea occurrence $ MED EXP(Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ POLICY EI PRO' GENERAL AGGREGATE $ JECT D LOC OTHER: PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY $ ANY AUTO COMBINED SINGLE LIMIT Ea accident $ OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY AUTOS HIRED NON-OWNED BODILY INJURY(Per accident) $ _.- AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAB $ OCCUR _ EXCESS LIAB CLAIMS-MADE EACH OCCURRENCE $ DED RETENTION$ AGGREGATE $ A WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN WC2-31 S-377947-019 5/7/2019 5/7/2020 PER ANYPROPRIETOR/PARTNER/EXECUTIVE ✓ STATUTE ERH $ OFFICER/MEMBEREXCLUDED? �Y N/A (Mandatory in NH) E.L.EACH ACCIDENTif $1000000 Dyes,describeunder -EA EMPLOYE $ DESCRIPTION E.L.DISEASE OF OPERATIONS below Q J E.L.DISEASE-POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedula,may be attachod If more space 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 BqFORE ATTN: BUILDING DEPARTMENT THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVER 212 MAIN STREET ACCORDANCE WITH THE POLICY PROVISIONS. NORTHAMPTON MA 01060 AUTHORIZED REPRESENTATIVE Jon Smith - Oc 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 48525637 1 1-377947 1 19-20 WC I 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 /%,114 x 0 10 01 "I (NAME OF FACILITY) a properly licensed solid waste facility as defined by MGL C 111, §150A. Date Signature of Permit Applicant w PRINT OR TYPE THE FOLLOWING INFORMATION: I ii a=i F- au"*.4.4 -i'� _ (NAME OF PERMIT APPL CANT) (TYPE-10F MATE IAL TO BE DISPOSED OF) 46 ver recyi. 0 31 b f (PROPERTY ADDRESS) t ord MI Windows And Donis �! Windows estroytfte >e And Doors M� 650 West Market St NbPC � 6511 W F t Market St XFRC ■ �� Gratz,PA 17030 A 17030 ficuitto 1685 :aY11-2ii:mwll- OH/VINYL/No SLIDER21VINYLIGrids ka'rtgCca � Panet182: Grids s that can be Natiatl&F2n6Str3Ii0(1 1`' ANON{E/Bp Ctear,LOE,Anneated);Lite-2- 'Ll OoLililS Panel Clea:Lite-1:Anneaie );Argon; 45 Jed);Lite-2, (9J8`,Clear, Annealed •e cleaner, (1f8',CIear,NONE,Anneafed);Argon;451!2 X 45 1/2 l:Argon;371/2 X 37 in for differnt ME-A-216-0DdD44= Individual Products MEf-A-216-034Qo.p��Qt P ducts and doors maybe subJeet to v Indlvldu■I products may be aubJaet to variation U performance ENERGY p asiation in partormanee then usinga PERFORMANCE sows on the ENERGY PERFORMANCE RATINGS U-Factor RMANCE RATINGS (U.S,/I_p) Solar Heat Crain Coefficient U-Factor(U.S./1-P) Solar Heat Gain Coefficient .�7 e generally 0.A 7 O.26 V Q 0.w,4 )ductcer- (� ` ADDITlpNAL-P L ovations in SRFQRMANCE RATINGS Visible Trans ' ADDITIONAL PERFORMANCE RATINGS Transmittance fist Visible Transmittance Air Leakage(U.S./1-P) n.C� Air Leakage(U.S./I_P) t,bake 0.46 atxuatturersLppa�sma < 0 3 e a.3 oera•?aril!.r+FRC Rarnpr ue aaL�14(f�1E�(Gr°b fMLC S![or -e ■ n�sees rlol rec- ppi'taou'NFRC r Manuhcomr a5putttet trio:trot racnpa canmrm to appsaata NFRC prdeeauraa for detemun,np,mme product vn6'°eno arty pr°Q�arm pals rml e, 1r`rnitnrat ccnma°rs a t apEClfla pl0du:t Et2l. RpnN1C[urtrg tget3wre foroomprpf tnc su3aamty or arty procutl rcr art pec6rt performan:a.PeRC Rannps bra attarmfnaa for a fuata an a1 anw 0rintm aondtaona and a P'r, s� t NFRc does nal re MEW any Monet and or"nol"Tam vm 1WMV.!,ydt any product for any epotific use.ConsuR Proauctperrarrnartl ira°rnara7n. y Flcd,C e s.Ilse a manunmirors turas re for amar praauct parfamance wormarean. •�.nr¢.ora car_,,q :� waw.nKaarp 1 I , , s s 1 -1 M. s rogionos rosalladas. 1' • l �,` energrs[arg OvAwodowst� �•-� � ensrgyaac9avlwindorre For full information,sea la6ef an i2 OenifledOegihcado ®Cettdied/Certlf dodo Para infamtanion ca npiera,canstdrar is eligneta duct producro. Fos foil infomlation,csa label on product Para infomlacibn complete,consuflar Ia etiqueta del producro. Perf Grade Z LC-PG35 L30 SD) -DP(ASPelf Grade +DP(ASD) -DP(ASD) Water Max Test Size 35 5013 } Water LC-PG35 35.08 35.08 6.06 40.0o Repot Florida ID 5.43 X 72.00 A4372.�J1.109�7.rt) Max Test Size sport# IL - STC/WTC 20840 72.00_X 60.00 •o1-losas7 tm - 29/24 stings are for ind victual windo -/- rstacked units, �and doors on Please contact your sales representative. Pos acid Ne Ratings are for ind victual windows and doors ardy. For information regarding muffed nit test sire Tested to qAM1Y For regarding mulled or stacked unfts,please contact your sales representative.Pas and Neg DP Hinked by dd I E1300.AAMA Iabel m��co CSA 101/J.S.2/A440-05 GlassAccording rm ted by unit test size.Tested to AAMA/NIDMA/CSA 101/1.S.2/A440.05 HAMA label may be rral information regardin ncealed by gJ�;n bead Prto ,i concealed by glazing bead or track filler.For additional information regarding 9 installation instructions 9 or track filter. For installation instructions,please visit www.mWd.com, � Please visit W"' mid com. 8785fi73.9.1.� 26772466.1.1.1 Pffrded an printed on c 71=16 3:69:03PM 8J72t2p16 8:10:12 AA4 a Window World Of Western MA 1029 North Road 413-485-7335 westernmass@windowworld.com Gary Lehring glehring@gmail.com Estimate : Bedr Bill Address: Install Address: Estimate#E1561830259093 46 Evergreen Rd, Building B#3108 46 Evergreen Rd, Building B#3106 Leeds, MA Leeds,MA Date of Estimate:6/29/2019 101053 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 Check Amount $1,456.00 TOTAL PAID $1,456.00 CUSTOMER DUE $1,500.00 *No extra work if not in writing *Customer Comments: *Installer Notes: Design Consultant-Tim Drost HIC:165641 FEIDt127-1993659 Customer ID Details Id TypeDriver's license Id#* S28216006 Id Issue State* Ma Id Expiration Date 06/21/2024 Sales Rep Recommended: w r Interior Stops r Exterior Capping _ Customer Declined: r Interior Stops r Exterior Capping / Pre 1978 built homes: covering removed prior to our installation.We are not responsible for removing or re-installation of these items and are not responsible for damage resulting in the removal and re-installation.We also are not responsible for any window covering alterations that may be required to reinstall them. 4.Plants and Bushes.Occasionally we need to work in planters and other landscaped areas of your home that are adjacent to the windows and doors.Please survey your yard prior to us arriving and look for potential problems. Some trees and vigorous bushes need to be pruned back to give us access to your 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,do not 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 fiame 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). 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. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES.