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18-002
93 PINES EDGE DR BP-2020-0377 GIs#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 18- 002 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-2020-0377 Project# JS-2020-000648 Est. Cost: $8042.00 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: JENNINGS GRETCHEN Zoning: Rlicant: WINDOW WORLD/ROBERT E BUSHEY JR AT. 93 PINES EDGE DR Applicant Address: Phone: Insurance: 1029 NORTH RD (413) 485-7335 O WC WESTFIELDMA01085 ISSUED ON.9/24/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.-INSTALL 8 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 9/24/2019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Louis Hasbrouck—Building Commissioner _ Departmentuse only City of Northampton s S 'o Building Department F/p Curb Cu way P rmit 212 Main Street $�r/Septi Avail ility '�. Room 100 Wa4�Wel Avail ility " Northampton, MA 0106 p 0 Two Sets f Str tura) Plans phone 413-587-1240 Fax 413-587-1272 Pio sans O 7 S$ecify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE OR DEMOLISH ONE OR TWO VFAMILY DWELLING SECTION 1 -SITE INFORMATION 66,,-2-O`?0-3 1.1 Property Address: This section to be completed by office —, / L� �, VjVU Map-- j � Lot —Unit— Zone nitZone Overlay District Elm St. District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: n nr1I kLv) rolln as q�, , I rIvei Name(Print) C rrgt MailingAd ess: C ' - conxa( � Telephone Signature 2.2 Authorized Agent: MA Name(Print) Current Mailing Address: Signature Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building b 144 _ (a)Building Permit Fee 2. Electrical (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) f 5. Fire Protection 6. Total = 0 +2+3 +4 +5) Check Number This Section For Official Use 09!y.— Building Permit Numb r: Date Issued: , ,--,7 Signature: 9'23 -zo/7 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 W' dows Alteration(s) F-1Roofing Or Doors Accessory Bldg. ❑ Demolition ❑ New Signs [0] Decks [Q Siding[a] Other[a Brief Des�riptM of Propose \ Work: \fit/ (� l I (,�iiYlGlUic�-� Alteration of existing bedroom Yes_ 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 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 f' 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 —T OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT a / as Owner of the subject property II 1' ll �Yrt hereby authorize w.il?il) kirl d J L `A1✓n ffb� _ to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 1, _ 1�C- !1a fi �30'4l{ 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..Ime ! f P J I Signature of Owner/Agent ! Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: V}wo(-t ( usheA —T_ License Number 12 D W N Ln 11)dt rft),N�0:� NIR o n-1 -I �10311 Address Expiration Date Sign Telephone (D '2—CK I � 9.Registered Home Imprtiyf rnent Contractor Not Applicable ❑ 1105 b 4 Company Name Registration Number "1f-ldO W W01-Ad Cif' MASS JnC, 31 i4 IZo Address t� j Expiration Date A 019 1�(A h(1 V,6 ��tfl f U L4 Oen slephoneA3" 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....... yk 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 1 Congress Street,Suite 100 Boston,MA 02114-2017 �•�'•W www mass.gov/dia Uorkers'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• El Remodeling 3.E]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.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.E]Plumbing repairs or additions These sub-contractors have employees and have workers'comp.insuranceJ 13.❑Roof repairs 6Q 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.#:WC2-31 S-377947-020 Expiration Date:05/07/20 Job Site Address: P)AL-) Ir \0 City/State/Zip: o 1p(ol) Attach a copy of the workers'compensation1policy declaration page(showing the policy number and a piration 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 S"atumiry un7thains 1a/nd penalties ofperjury that the information provided above is true and correct Sl Q/ Date: 9 1 `) Phone#:413 85-7335 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#: ACQRE) DATE(MM/DD/YYYY) �.►^" CERTIFICATE OF LIABILITY INSURANCE 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 CONTArT— NAME: Forrest Insurance Agency PHONE 413-858-2680 603 North Main St A/c No Ext): A/c No): 413-858-2685 East Longmeadow,MA 01028 ADDRESS: INSURERS)AFFORDING COVERAGE NAIC# INSURER A: ARBELLA PROTECTION INSURANCE CO. INSURED INSURER 8: 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, 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: POLICY PRO- GENERAL AGGREGATE $ 2,000,000 JECT LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITYO BINEDt SINGLE LIMIT g 1,000,000 ANY AUTO (Ea A OWNED BODILY INJURY(Per person) $ C AUTOS ONLY X AUTOSSHEDULED 1020063881 04/09/19 04/09/20 BODILY INJURY(Per accident) $ X HIRED X NON-OWNED PROPERTY DAMAGE: $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS MADE 4600055451 04/09/19 04/09/20 AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER H- AND EMPLOYERS'LIABILITY 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/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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD '4C IIOR"® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YVYY) 04/02/19 THIS CERTIFICATE IS ISSUED ASA 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(les)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 No Ext;ft MAIL 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. LTR TYPE OF INSURANCE X COMMERCIAL GENERAL LIABILITY INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS EACHOCCURRENCE $ 1,000,000 CLAIMS-MADE � OCCUR PREMISES Ea occurrence $ 100,000 A MED EXP(Any oneperson) $ 10,000 7520025998 04/09/19 04/09/20 'PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY PRO- D JECT �LOC ]OTHER: PRODUCTS-COMP/OP AGG $ 1,000,000 AUTOMOBILE LIABILITY $ ANYAUTO Eaaccdent N L LIMIT $ 1,000,000 OWNED ZAGGREGATE INJURY(Per person) $ A AUTOS ONLY X SCHEDULED X HIRED AUTOS 1020063881 . 04/09/19 INJURY(Per accident) $ AUTOS ONLY X NON-OWNED AUTOS ONLY DAMA $ dent $ X UMBRELLA LIAB X OCCUR A EXCESS LIAB CCURRENCE $ 1,000,000 CLAIMS-MADE 4600055451 04/09/19 ATE $ DED RETENTION$ WORKERS COMPENSATION $ AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE Y/NTUTE ER OFFICER/MEMBER EXCLUDE 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/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.01 060 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 AFFIDAVIT t:4 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 jls� , yV A 5 i G A G A-W) NI t c; (NAME OF FACILITY) a properly licensed solid waste facility defined by, MGL C 111, §150A. i � Date Signature of Permit Applicant PRINT OR TYPE THE FOLLOWING INFORMATION: P-0gF- T F a )W��, —1 V— (NAME OF PERMIT APPL CANT) Nillw,(A fribi I /Nwd(AAxD (TYPE OF MATERIAL TO BE DISPOSED OF) ^' m� d1U(taC (PROPERTY ADDRESS)) sufticlbnt,or Mf Windows And Doors a MI Windows And Doors or destroy the 650 West Market st 650 West Market St NFkC Grat P NFRC MI. -Gratz,PA 17030 zr A 17030 16$5 1650 Q&2Kral FenAstra•i0n DHNINYL/No ficultto SLIDER21VINYUGrids Ra!"QCt�nue Panel 1&2: Grids S that can be Na�Fenestraliaa ( ) 11/8-,Ci ar,NONE,�^elalardLOE,Annealed);Lite-2: Rai1a�C�unCil� Panel 1E2:Lite-1:1/8',Clear,LQE,Annealed;lite-2: ),Aro ; le cleaner, (1/8-,C4ear,N0NE,Anneated);Argon;451/2 X 45 1/2 9 ^ 371/2 X 37 m for differnt Individualr MEI-A-27643403.0=1 MEi,0.�S6 2-00002 P otlucts May be subject to v and doors Individual products may be subject to variation In performance anagon,n pertormanee /hen using a ENERGY PERFORMANCE RATINGS doves on the ENERGY PERFORMANCE RATINGS U-Factor(U.S,1I_p) Solar Heat Gain Coefficient U-Factor(U.S.f{-P) Solar Heat Gain Coefficient 0.27 'generally i r 0.29 )duct cer- 0.27 0.26 ADDITIONAL-PERF ,cations in ORMANCE RATINGS Visible Transmittance ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Air Leakage(U.S./I-P) n C2 Air Leakage(U.S./I-P) V.a7 e t,bake 0.46 < 0 !� Saar.gs�ier malestnt.tnnerat pseGniormma _ �•3 ,t/ GE.Kiu'Rw t � . 'K�sces rot re 1 Ratvtps are datermrnEa rra rues PP✓aao�E :PC praceaures ror oewinir, tnaMft=rer 14VIatoI mat inatera5npt C0110rm tO apPSce➢It NFRC VON 0MI W oetem!ntrp»nele Proouct twnmenoa procun anaaxsrmlrarrart the set Of a ntiranrren�r luno,Grs enc b_ n8 vrc�te prcz,;;r i perrormartte.M`RC RatMpt are 41MMiMil r,f t Wt tet at arMronmerr0l Cortatlont ane t aPedtu proauct size. accurers p s aorery ora, �reclfx Sa4`eu r3eraIure faWA!W r cm Performance lydurma➢an. NPrat�tt fG:bre � ttFRC acct nc fettlmminC illy preoutt iro colt not wtnaM mt tuttidtCy Ot trly procutt for arty tpntific use.C.OnerLT w�m�_MrC.orrt is.Use a mtnvftearrtrt nerttwe for cmilf pnoun pertamance intefmmn. waw.MrcArp FNERGY STAW Certified in • t Highlighted ` r Ccrtificadopor ENERGY STAR on las rogionosrosaltailas. I ~ energrstargovlwindows s!� �'�V,�.f'r'� ,s yFor in Certifredxg rtifcada enef9Ynar.gov/windowt ®Cett�iedlCertifiead0 Para intomlac•citlcomp(eta.consn label mr pr°duct For full infamiation,tea label on product 11ar la etigneta del prod,,,,. Para infomtaci6n cam lets,consuhar to etiqueta del producto. Perf Grade p +OP(ASO) LC-PG35* -OP(ASO) 35.30 Water Perf Grade +pp(ASD) [--DP(ASD) Water /1 Max Test Size 50.13 Repot�t 5.43 LC-PG35 35.09 35.09 6.06 40.00 X 72.00 A4372.o1.1pg.47-ro Florida ID Max Test Size sport# - STC/OlTC 20840 F2096.ot-109.4r.rm an s 72.00 X 60.00 - 29/24 ti9 are for individual windows and doors on I stacked units,Please contact ly. For information regarding nit test size.Tested to yOOf sales representative. POs and Ne 9 mulled Ratings are for individual windows and doors only. For information regarding mulled STM E1300.q t11A c ArvlA/UUIIMA/CSA 101Jt S 2/A440_ BOP limited by maybe concealedb 05 GlassAccordngto or stacked e.Te please,Ansa your safes representative.Pos and Neg DP limited by d o!ai information regardinglastalfation instructions,Please visit y gtazin 1e and test size.Tested to A or tra. MA/CSA 101/I.S.2/A44Q 05 AAMA label maybe " 9 bead or track filler. For ril concealed by glazing bead or track filler.For additional information regarding 785673. v✓1A1V.miwd.com. installation instructions,please visit www.mWd.com. Panted on 26772468.1.1.1 Printed On 8112l2016$;t0;f2 AM nc ns 7/6/2016 3:69:03 PM Window World Of Western MA 1029 North Road 413-485-7335 westernmass@windowworld.com Gretchen Jennings gertbj@yahoo.com Estimate:Whole house Bill Address: Install Address: 93 Pines Edge Dr, 93 Pines Edge Dr, Estimate#E1568409766142 Northampton,MA Northampton, MA Date of Estimate:9/18/2019 101060 01060 Valid Until: 10/13/2019 DESCRIPTION • • 4000 Series DH 6 389.00 2,334.00 Full Screen 6 65.00 390.00 4000 Casement 1 799.00 799.00 SolarZone Low-E 7 110.00 770.00 Full Exterior Capping 7 110.00 770.00 Permit&Administrative Fee 1 200.00 200.00 Setup and landfill disposal fee 1 250.00 250.00 Install Interior/Exterior Stops 1 80.00 80.00 SolarZone Low-E in Patio Door 1 150.00 150.00 6 Ft. Patio Door-casing+capping(5 foot) 1 2,299.00 2,299.00 TOTAL AMOUNT $8,042.00 CUSTOMER PAYMENT DETAIL Check Amount $4,000.00 TOTAL PAID $4,000.00 CUSTOMER DUE $4,042.00 *No extra work if not in writing *Customer Comments: Installer Notes:Left hinge on casement.....5 foot left Design Consultant-Tim Drost HIC:165641 FEID#27-1993659 Customer ID Details Id Type I Driver's license Id#* S2466 Id Issue State* Mass Id Expiration Date 2345 Sales Rep Recommended: 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. 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.