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31B-312 (11) 26 CRESCENT ST 102 BP-2020-0355 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 3 1 B-312 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-2020-0355 Proiect# JS-2020-000598 Est. Cost: $5525.00 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: TAYLOR PAT Zoning: URC(100)/ Applicant: WINDOW WORLD/ROBERT E BUSHEY JR AT. 26 CRESCENT ST 102 Applicant Address: Phone: Insurance: 1029 NORTH RD (413) 485-7335 O WC WESTFIELDMA01085 ISSUED ON.9/18/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL 5 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: FeeType: Date Paid: Amount: Building 9/18/2019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner lv /N� OGvS _ Department use only - City of Northampton Status of Permit: Building Department Curb Cut/Driveway Permit ,� - 0, 212 Main Street Sewer/Septic Availability Room 100 Water/Well Availability - ` Northampton, MA 01060 Two Sets of Structural Plans Win^ phone 413-587-1240 Fax 413-587-1272 Plot/Site Plans Other Specify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION V C 1.1 Property Addrest�s: JThis section to be completed by office l� aW I���Jc(.✓1TL�C�i`, (Ud1 Map 3t LotUnit _ nbo ► Pklvi , � Ulwo Zone Overlay District lJ �u((JJElm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 1 Owner of Record: Name(Print) IIS re t M In �� �L IMM6 l sp-e C �� �� / C''i��M���ddr�s�`� I TI Signature Telephone 2.2 Authorized Agent: 102. 1 I�c�r�`n 12c� 1N�st�>°1 C� Name/l Pri ) ? Current Mailing Address: MA C00165 �f� IVED Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS P 1 7 2019 Item Estimated Cost(Dollars)to be Offi ial Use Only completed by permit applicant 1. Building (a) Building Permit F DEPT.OF BUILDING INSPECTIONS NORTHA PTON,MA 01080 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) J 5. Fire Protection 6. Total=(1 +2+3+-4+5) 5 Check Number This Section For Official Use Only Building Permit Number: Date Issued: Signature: -1 l Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 5-DESCRIPTION OF PROPOSED WORK(check all applicable) New House F--J Addition ❑ Replacement VVindows Alterations) ElRoofing r-1Or Doors Signs [a] Decks [[j Siding [O] Other[CQ Accessory Bldg. ED Demolition E-1 New Brief Description of Proposed Work: Alteration of existing bedroom Yes No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet tea. 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 ANO 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, "' as Owner of the subject property hereby authorize� jnj('t) (06V I CI t+ to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Da e I, O)PE uc'Yw�q 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 N.me' -- ,1 Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder:--... License Number All DcA i fA Ln wo-1 -1 �1 C)I Address Expiration Date Sign ure 1. �' ! Telephone 4A 3 4X55.. 13 65 9. Registered Home Imors6yement Contractor Not Applicable ❑ _Robat 1105 b 41 Company Name Registration Number 61►()(Jnvs1 W0KACA Of Mac Inc, 31 14 �20 Address Expiration Date (QZ gain gA L(\R�w]f� d A OIOSSslephone q{3"�SS"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....... V4 No...... ❑ I 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.] 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 0 1 Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia «'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY.Aaplicant Information ITPlease 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): l.a 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.] 9. ❑Remodeling 3.01 am a homeowner doing all work myself[No workers'comp.insurance required.]t 9. El Demolition 4.[]l am a homeowner and will be hiring contractors to conduct all work on m property. I will 10❑Building addition ensure that all contractors either have workers'compensation insurance or are sol p 11.❑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.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. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or no-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 ADz'eel , � City/State/Zip: ov I�l(�t.Y1) k. 1 I�� (�I wo Attach a copy of the workers'compensation policy declaration page(showing the policy number and ex ration 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 fire 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 under4re pains andpenaldes ofperjury that the information provided above is true and correct. Signatur :A `J/1 411 a-, Date: ll Phone#:41 -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" CERTIFICATE OF LIABILITY INSURANCEDATE(MM/DD/YYYY) �- THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS19 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 PHONE413-858-2680 603 North Main St Arc No Ext): a/A No 413-858-2685 E-MAIL East Longmeadow, MA 01028 ADDRESS: INSURERS)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 NSURER 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. IN9_R LTR TYPE OF INSURANCE MMUFUEM INSD WVD POLICY NUMBER P L E F P I Y EXP MM/DD/YYW MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR NtNItU 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 LIMITAPPLIES PER POLICY❑ PRO ❑ LOC .. GENERAL AGGREGATE $ 2,000,000 JECT OTHER: PRODUCTS-COMP/OPAGG $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANYAUTO Ea accident $ 1,000,000 OWNED BODILY INJURY(Per person) $ A SCHE7ULED X HIRED AUTOS ONLY X AUTOS 1020063881 04/09/19 04/09/20 BODILY INJURY(Per accident) $ AUTOS ONLY X AUTOSNON-OONLY PROPERTY DAMAGE AUTOS ONLY Per accident $ X UMBRELLA LIAB X OCCUR _ A EXCESS LIAR EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 4600055451 04/09/19 04/09/20 AGGREGATE $ DED RETENTION$ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY PER 0TH- —'— YIN STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED El N/A Certificate To Follow F EACH ACCIDENT $ (Mandatory in NH) If yes,describe under E L DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E .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, � (,:t..d,,�,�r,C�.�--CSI_- � �3-'4;fzu�: •;� ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/VVVy) 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 y(i is an ADDITIONAL INSURED,the polices) 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 FO ST INSURANCE AGENCY ONTACT 603 NORTH MAIN STREETNAME:AME: ---_..--.—__ PHONE LONGMEADOW, MA 01028 (A/c No-Ext) FAX E-MAIL ----- ----- A/C No1:.-- ----_. .ADDRESS: -- -------------------- INSURER(S)AFFORDING COVERAGE NAIC N INSURED ---- INSURERA: Liberty Mutual Fire Insurance 23035 WINDOW WORLD OF WESTERN MASSACHUSETTSINC !NSURERB: 1029 NORTH ROAD WESTFIELD MA 01085 INSURERC: INSURER D: INSURER E: —'---- - COVERAGESINSURER F: — CERTIFICATE NUMBER: 48525637 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDEVISIONAM 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. INSR LTR TYPE OF INSURANCE ADDL BR POLICY NUMBER MM/DD/YVYY MM/DD/yYVYY COMMERCIAL GENERAL LIABILITY LIMITS CLAIMS-MADE E OCCUR EACH OCCURRENCE $ DA T PREMISES Ea occurrence $ _ MED EXP(Any one person) $ EN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ POLICY PRO- ECT D LOC GENERAL AGGREGATE $ OTHER: PRODUCTS-COMP/OPAGG $ 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 LAB $ ---------- _ OCCUR _ EXCESS LIAB CLAIMS-MADE EACH OCCURRENCE $ DED RETENTION$ AGGREGATE $ A WORKERS COMPENSATION WC2-31S-377947-019 $ AND EMPLOYERS'LIABILITY 5/7/2019 5/7/2020 PER OTH- ANYPROPRIETOR/PARTNER/EXECUTIVE YIN N ✓ STATUTE ER (MandatoryOFFICER/M In NEREXCLUDED7 N/A E.L.EACH ACCIDENT $1000000 (Mandatory In NH) yes,describe under DE.L.DISEASE-EA EMPLOYEE $ 0Qp00C DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1000000 i DESCRIPTION OF OPERATIONS I LOCATIONS I 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 JAUTHORIZED LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE ATTN: BUILDING DEPARTMENT EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 212 MAIN STREET RDANCE WITH THE POLICY PROVISIONS. NORTHAMPTON MA 01060 REPRESENTATIVE ith _..T ACORD 25 2016/03 ©1988-2015 ACORD CORPORATION. All rights reserved. ) The ACORD name and logo are registered marks of ACORD 48525637 1 1-3'77997 1 19-20 WC 1 n0270258 1 5/5/2019 '7:59:95 PM (PDT) I Page 1 of i AFFIDAVIT ' x x, 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 't governed by this Building Permit shall be disposed of at 6i el W, "114 01001 (NAME OF FACILITY) a properly licensed solid waste facilityl defined b MGL C 111, §150A. 9jjIIja Date Signature of Permit Applicant :w PRINT OR TYPE THE FOLLOWING INFORMATION: (NAME OF PERMIT APPL CANT) (TYPE OF fdATERIA TO BE DISPOSED OF) �U am r fY11� 0 road (PROPERTY ADDRESS) -uJucient,or, or destroy tfle 650 West Market St MI Windows Alid Doors MI Windows And Doors Mt 650 West Market St 1VF{tG G l\rFRC ratz,P Mt Gratz,PA 17030 A 17030 1685 � 1650 �attal!enastr-Uo OH/VIN YL/No Grids ;that c SLIDER2NINYUGrids �''rJ�c e� Panel1&2;Lite-l-(1/8- s that can be 'FenestraS Panel 1a2:Lite-i:(1/8-,Clear,LOE,Anneabd);Ute-2: �'""��"�"�-- (1/8-,Clear,NoO W .ear,LOE,Anneated);Ute-2- incleaner, R:112 COu � (1/8',Clear,NONE,Anneeled);Argon;451/2 X 45 1/2 si�.e� �nealed);Argon;371/2 X 37 m for differnt individual MEI-A-216-0303.000pt and doors products mayl be subject to in performance products may be subject to varf ,"in 'hen using a Indlvldusi ENERGY PERFORMANCE ERFORMANCE RATINGS down on the ENERGY PERFORMANCE RATINGS U-Factor (U.S./I-p) Solar Heat Gain Coefficient U-Factor(U.S.II-P) Solar Heat Gain Coefficient 0.27 )generally )duc ■11�j O■�� f Ae I�� Xati ns i 2,�// ! ADDITIONAL-PERFORMANCE 0 L xations in Visible Trans ADDITIONAL PERFORMANCE RATINGS RATINGS' Transmittance Air Leakage its. 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Fat foil infomiation,see label on product Para inforiincidn completa,constthar la etiquela del proAucto. Perf Grade LC-PG35` +DP(ASD) -OP Perf Grade +DP(ASD) -DP(ASD} Water Max Test Size 35.30 5013 } Water LC-F 35.09 35.09 6.06 a 40.00X 72.00 A4372.01-109�, Florida ID 5.43 Max Test Size sport# - STC/OlTC20840 - 72.00 X 60.00 F2ose•ct-1oa�r t� - 29!24 atings are for individual windo -/ n t test sizr slacked e units, e c°ntact and doors only. For information regardin p your sales representative. Pos and!Vie D Ratings are for individual windows and doors only. For information regarding moiled s STM Eli '�vfA1VV /C p 9 mulled or stacked units,please contact your sales representative.Pos and tVeg DP limited by L jpnfebet ma t0j/t•S.2/A440- g P limited by Ybe concealed b OS GtassAccordine and test size.Tasted to AAMA/WDMA/CSA 101/f.S.2/A440 OS AAMA label maybe gardinginstallationinstrucgtions9,case rtrvisit ck filler. Forto i( concealed by glazing bead or track filfer.For additional information regarding ��� p installation instructions,Please visit www.miwd.com. v M•m wd.com. 26772468.1.1.1 Prtllfed Ort Panted on 3716/2016 3:69:03 PM 81t�016 8:10:12 AM u� Window World Of Western MA 1029 North Road */0 413-485-7335 westernmass@windowworldworld.com Pat Taylor pat@hpmgnoho.com Estimate : Magna condo 102 Bill Address: Install Address: 150 Main St,c/o HPMG Pat Taylor 26 crescent st, Estimate#E1568125277092 Northampton,MA Northampton,Ma Date of Estimate:9/10/2019 101060 01060 Valid Until: 10/10/2019 DESCRIPTION • • 4000 Series DH 5 550.00 2,750.00 Colored Exterior 5 165.00 825.00 SolarZone Low-E 5 110.00 550.00 Install Interior/Exterior Stops 5 80.00 400.00 Full Exterior Capping 5 110.00 550.00 Permit&Administrative Fee 1 200.00 200.00 Setup and landfill disposal fee 1 250.00 250.00 TOTAL AMOUNT $5,525.00 CUSTOMER Cash Amount $1.00 TOTAL PAID $1.00 CUSTOMER DUE $5,524.00 *No extra work if not in writing *Customer Comments: *Installer Notes:MATCH PREVIOUS INSTALL EXACTLY..EUGENE ONLY Design Consultant-Tim Drost HIC:165641 FEID#27-1993659 Customer ID Details Id Type* Driver's license-,� Id#* S45t6 Id Issue State* Mass Id Expiration Date 244 Sales Rep Recommended: r Interior Stops r Exterior Capping Customer Declined: r Interior Stops r Exterior Capping DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. 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.