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23A-270 (2) 45 MIDDLE ST BP-2020-0291 GIs#: COMMONWEALTH OF MASSACHUSETTS Map.Block:23A-270 CITY OF NORTHAMPTON Lot: -001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Categ_ory:window replaced BUILDING PERMIT Permit# BP-2020-0291 Proiect# JS-2020-00048G Est.Cost: $3436.00 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.): 13634.28 Owner: WALLACE JENNIFER Zoning URB(100)/ Applicant. WINDOW WORLD/ROBERT E BUSHEY JR AT. 45 MIDDLE ST Applicant Address: Phone: Insurance: 1029 NORTH RD (413)485-7335 O WC WESTFIELDMA01085 ISSUED ON:9/6/2019 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. iwiming 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: FeeTyDe: Date Paid: Amount: Building 2'6'2019 0:00:00 $40.00 I' 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner _ Department use only � �.. City of Nort amp CE!V Ptus-of- it: Building De art ent bway Permit I - 212 Main Stre t SEp S vailability r. Room 100 5 2[7�Q W tailability Northampto , M 060T otructural Plans phone 413-587-124 FaF4Ta�5t8, nlot/THA'v1 ETOSPECTIreqoroso che APPLICATION TO CONSTRUCT, ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION �j� -Ql D -c"gi 1.1 Property Address: -�- This section to be completed by office �6It l lddIC/ Map l-+ Lot Unit _ lQ1re,nL i? MA U icx,-�. Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 OwnerofR�eco�rd::,, �,/� � " G,� n L r 'A ��►�_l 1'C�►' V (311' LI I I i I C� Le ,Jt f L U i'�La'�Ce- Mr 0101v2. Name(Pnnt)t rr t Mail I ' I dyes ^ I /c _ l See ,l?Y1h((�C� Telep one Signature 2.2 Authorized Agent: cke\"IId2.q NOVVV) Ed "e,'A�-if\ NIA Q USS Name, Pn t) Current Mailing Address: Signature iTelephone SECTION 3 -ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by 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) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number 70 This Section For Official Use Only Building Permit Number: Date Issued: Signature: 9 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 [Q Siding[p] Other[CA Brief Description of Proposed Work: 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 following: a. Use of building : One Family Two Family Other j 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 ce4orm 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''.. as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to v4rk authorized by this building permit application. cornua c ) Signature of Owner Date I,— F.V./t Ir A— 1���'1{'� 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. ,me tON ✓1 6 Signature df Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: belt R->uS he—A License Number - LpG1rA Ln ,n Chi AhNWk mp\ 011 Address Expiration Date 4A 3 4�5---13` 5 Sign Aare Telephone 1 q 9.Registered Home lmrw6vement Contractor Not Applicable ❑ Rob-.rt I lbs b o l Company Name Registration Number W i ndow woh(A ref' Wt S) Vr\ MXSS Inc, 311+ 12-6 Address t� �(�` 1 g Q Expiration Date V2q 1�orty) V SIeE 6 ftq��� lephone 443-4r 55" 535 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) 7 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....... Vk 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 a W Department of Industrial Accidents a 1 Congress Street,Suite 100 v�t< 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 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 2t7 employees(full and/or part-time).* 7. ❑Ncw Construction 2.❑I am a sole proprietor or partnership and have no employees working for me in 8. [:]Remodeling any capacity.[No workers'comp.insurance required.] 3.❑I am a homeowner doingall work myself. t 9. El Demolition y [No workers'comp.insurance required.] 4.F_1 I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 Q Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12.Q Plumbing repairs or additions 5.0 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.insuranceJ 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.[D 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.#n:�WC22-/3,1 S-377947-020 Expiration Date:05/07/20 Job Site Address:`4`5 I r I I c.X.+16 5We_&+- City/State/Zip: [' (D1'4na— f rA Attach a copy of the workers'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 certify under epains andpenalties ofperjury that the information provided above is true and correct Si natu e• Date: f Phone#.41 -485-7335 Official use only. Do not write in this area,to be completed by city or town ojj<ciaL 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" CERTIFICATE OF LIABILITY INS FDATE(MM/DD/YYYY) 04/02/19 �- INSURANCE N C E 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 A/C,N Ext, 413-858-2680 A/c No): 413-858-2685 603 North Main St East Longmeadow,MA 01028 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: ARBELLA PROTECTION INSURANCE CO. INSURED INsuRER e: 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 0=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/YYW MM/DD/WYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE XOCCUR PREMISES Ea occurrence) $ 100,000 MED EXP An one person $ 10,000 A 7520025998 04!09/19 04/09/20 PERSONAL 8 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 COMBINEDaISINGLE LIMIT $ 1,000,000 ANY AUTO BODILY INJURY(Per person) $ A OWNEAUTOSDONLY rx AUTOSULED1020063881 04,'09/19 04/09/20 BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAR CLAIMS-MADE 4600055451 04iO9/19 04/09/20 AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N/A Certificate To Follow (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under 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 ACOR��' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS 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 FORREST INSURANCE AGENCY ONTA T 603 NORTH MAIN STREET NAME: — E LONGMEADOW, MA 01028 PHONEC N_o, — FAX AIExtj__ LA/C E-MAIL _ADDRESS'---------.._--_ -----" INSURERS COVERAGE NAIC# INSURED INSURER A: Liberty—Mutual Fire Insurance 23035 WINDOW WORLD OF WESTERN MASSACHUSETTS INC INSURERS: — ---- 1029 NORTH ROAD INSURERC: WESTFIELD MA 01085 - INSURER D:_ INSURER E: COVERAGES INsu RER F: — CERTIFICATE NUMBER: 48525637 NU THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUR DEVISION NAM D ABOVEB 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. R LTR TYPE OF INSURANCE ADDL BR POLICY EFF POLICV EXP COMMERCIAL GENERAL LIABILITY POLICY NUMBER MM/DDIYYYY MM/DD/YYYY LIMITS CLAIMS-MADE OCCUR EACH OCCURRENCE DA R T D -$ _.._- PREMISES Ea occurrence $ MED EXP(Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ POLICY❑ PRO- - JECT 0 LOC GENERAL AGGREGATE $ PRODUCTS-COMP/OP AGG $ OTHER: PROD AUTOMOBILE LIABILITY $ - COMBINED SINGLE LIMIT ANY AUTO 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 AGGREGATE $ RETENTION$ A WORKERS EMPLOY EMPLOYERS' COMPENSATION WC2-31S-377947-019 5/7/2019 5/7/2020 PER OTH- $ AND EMPLOYERS'LIABILITY ✓ STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE YIN OFFICER/MEMBER EXCLUDED? FY N/A E.L.EACH ACCIDENT $1000000 (Mandatory In NH) _ If yes,describe under E.L.DISEASE-EA EMPLOYEE $ Qnn(U)n DESCRIPTION OF OPERATIONS below i E.L.DISEASE-POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached 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 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 Jon Smith " Tom' 91988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 48525637 1 1-3'17947 1 19-20 WC 1 n0270258 1 5/5/2019 7:59:45 PM (PDT) I Page 1 of ]. 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 (A W, 100 (NAME OF FACILITY) a properly licensed solid waste facility, d 'fined b MGL C 111, §150A. Date Signature of Permit Applicant r PRINT OR TYPE THE FOLLOWING INFORMATION: k rt (NAME OF PERMIT APPL CANT) n (TYPE F MAT IAL TO BE DISPOSED OF) 4 /r) ddLi h O w feu MA (PROPERTY ADDRESS) auurclent,or �4 MI WindOWg or destroy the MI Windows Doors 650 West And Doors 650 West Market St tVFRC Market SI iRC M1 Gratz,PA 97030 Grater PA 17030 1650 9685 1 `Q �IF.tAstra DHIVINYL/No Grids ficuitto SLIDER21VINYLIGrids Panel 1&2:Life-1:(1/8- s that can be Na6orial`Fera mkin Panel 1&2:Lite-1:(1/8',Clear,LOE,Annealed);Lite-2: (V8`,ClearNON ,Ctear,LOE,Anneal8d),Lite- 2-'e cleaner, Rates 0WI)CRO (1/8',Clear,N0NE,Annealed);Argon;45112 X 45 1/2 �tnealed);Argon;37112 X 37 m for differnt tntlivltluai Products MEI-A-276-09403 GM and doors lndvlduat products m y bs subjectto melon in performance P Y be subject to varietlan in performance then using a _ - ENERGY PERFORMANCE RATINGS dows on the ENERGY PERFORMANCE RATINGS U-FaCtor(U.S./I-p) Solar Heat Gain Coefficient U-Factor(U.S./I-P) Solar Heat Gain Coefficient 0.27 0.29 eduuctct cerer re ►ly 0.27 0.26- ADDITI1'11O 11 NAL.PERFORMANCE ovations in ADDITIONAL PERFORMANCE RATINGS Visible Transmittance RATINGS` FIs. Visible Transmittance Air Leakage(U.S./I-P) n C2 Air Leakage(U.S,/I-p) X03 t,bake �0 < //SS�� r+�Jtmure"FRCRarm.,Mill mescntu ares•orror1; 0.46 � 0.3 ye��:awrhe.r+FRC Ratm p'' ! ■ k�ices rot rec:xnneno a pP�anre rvFRC prxedures rar ectero raanuhcd rer eGpvuur Irl:Mill raenpe conform M sppiilos MRC procedures for astem�miny whale proaue" may 4luctarr""a does rm wau anrorerN rarme�r commons ens;_ "�"�Preo a i penbrmana.MRC ItOnpe en aetsmf Arad foo a rima eat or anwontnerau 1:011=011 Inc a spedfle product s1ze. ac4rraro utcrature r+xotnerpro�alct �2ore, tvaorrcanaa ar.�Pec6urd aau;,1 s_e r NFRC does not recti norm IIIproductaw con notwarr2rd a autdt l!>cl arty product for"speeific Use.consul w,r,�.ntr,;.or8 P y 2 t4e Ciw�•_"i: is.Use a - manuf curat9$erawl for ofiar protluct partormanaa InforliI WAWJ zj FNERGY.STARi Cerlawd III Highlighted Regions. r Cfttific�idopor ENERGY STAR on e r. r. I .. �� energYs4v.gov/windowa '*r? t ve—'� Pe Oenlfied� enargyater.yovJwindowe Para infom�acioiit�aformatinu,see label on product riificado ®CenfiedtCertidcado rrpiera,consulrar la etilr For!y{I infomtation,ese label all product airs del proAucro. Para infomacidn completa,consuBar In etiqucta del producto. Perf Grade LC-PG35' +DP(ASD) -DP(ASD) 0 j 35.3Water Perf Grade +DP(ASD) 7F -DP(ASD) Water /1 Max Test Size Report: 50.13 5.43 LC-PG35 35.09 35.09 6.06 40.00 X 72.00 A43r2.o1.1os-47� Florida ID _ Max Test Size eport# - STC 1 t31TC 20840 72.00 X 60.00 F2=-01-109.4744 - 29/24 stings are for individual windows -!- rstacked units, lease and doors only. For information re g r11y g g STA7nft sE1300t size re ed to contact Your sales representative.Pos and Ne regarding Ael y b J a 9 mulled Ratings are for Ind vidual windows and doors only. information regarding mulled '�� SA 101II.S.2/A440- 9 DP fim ted by or stacked units,please contact your sates representative.Pos and fVeg DP limed by i;ditional informs ion retarding nstaNation instructions, 05 Glass According to 1e unit test size.Tested to AAMAANDMA/CSA 101Fl.S.2/A440.05 AAMA label may be g y glazing bead or track filter.For til concealed by glazing bead or track filler.For additional information regarding please visit w,Av.mf*d.com. installation instructions,please visit www.mWd.com. .6785673.1.1.1 Printed on 26772468.1.1.1 Printed on 8112/2016$:10:12 AM 113 7fef2016 3:1510:03 PM Window World Of Western MA 1029 North Road 413-485-7335 western mass@wi ndowworld.com Jennifer Wallace Jw653@nyu.edu Estimate : Home Bill Address: Install Address: Estimate#E1567037336722 45 Middle St, 45 Middle St, Florence,MA Florence,MA Date of Estimate:8/28/2019 01062 01062 Valid Until:9127/2019 DESCRIPTION • • 4000-2 Lite Slider 2 699.00 1,398.00 SolarZone Low-E 4 110.00 440.00 Install Interior/Exterior Stops 2 80.00 160.00 Permit&Administrative Fee 1 200.00 200.00 EPA Lead Containment 4 60.00 240.00 4000 Series DH 2 389.00 778.00 Mullion Removal 2 60.00 120.00 Setup and landfill disposal fee 1 100.00 100.00 TOTAL AMOUNT $3,436.00 CUSTOMER Credit Card Amount $1,700.00 TOTAL PAID $1,700.00 CUSTOMER DUE $1,736.00 *No extra work if not in writing *Customer Comments: *Installer Notes: Design Consultant-Tim Drost HIC:165641 FEID#27-1993659 Customer ID Details Id Type* Driver's license `M Id#* S24t Id Issue State* Mass Id Expiration Date 24t6 Sales Rep Recommended: r Interior Stops r Exterior Capping Customer Declined: DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. Vi Customer Signature Sales Rep Signature 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.