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23B-067 (5) 3 BERKSHIRE TER BP-2020-0664 GIS#: COMMONWEALTH OF MASSACHUSETTS Map.Block:23B-067 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO qOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: window replaced BUILDING PERMIT Permit# BP-2020-0664 Project# JS-2020-001122 Est. Cost: $1788.00 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.): 17554.68 Owner: ABBOTT DAVID A Zoning: URB(100)/ Applicant: WINDOW WORLD/ROBERT E BUSHEY JR AT: 3 BERKSHIRE TER Applicant Address: Phone: Insurance: 1029 NORTH RD 413 485-7335 WC WESTFIELDMA01085 ISSUED ON:11/22/2019 0:00:00 TO PERFORM THE F OWING WORK:INSTALL 2 REPLACEMENT WINDOWS POST THIS CARD SO IT I 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 DeDartment 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 GULATIONS.' Certificate of Occupanqy OccupancySignature: Feer e: Date Paid: Amount: Building 11/22'2019 0:00:00 $40.00 12 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner �xs Departrnent'use nl � � i Ci of Nop North m tx} °{� *, ry ,g tatusyferm�( a w } az Bu Idin �De artm nt ' 3 �.•w a ASF x S 4.r _ 'x ''Tx-a8'k 2S �t 9 y Ear 77 12 Mal Stre t' q er/fie tIC At/al{at3l�lty o, Roo 100 Nov // �* "uI �M �� � '�F.r� I�iAVdlla�l 4t�t:,.. ��.'� `s si Nort ampto 1060 4T Se Qftructural't'lans �Fn hone 413-5 8 7-12 r" Tg f r F P �t� _ 272 -W- *, 1^ -'� �..• `�� N'f fv..�,�.;cs�. .r+.::Px 4n�u?�.-�,,* 1� ,,aye vva ��.s APPLICATION TO CONSTIRL CT,ALTER,REPAIRS RENOM kISH A ONE OR TWO FAMILY DWELLING SECTION 1 SITE INFORMATION This secf�on to be coin'leted b office 1.1 Properrtty,Address: p y 1-3 Ylhl►'P/ 1�� s'i ap ' ,LotVg, Uitt Ir,N f one,- Overlay Distrrct h i f 3 r CB Uistnct r SECTION,2 PROPERTY OWNER$ ,I /AUTHORIZED`AGENT V 2.1 Owner of Record: l Name(Print) fr nt M K g ddre Signature See Telephone ., 2.2 Authorized Agent: r Name Pri ') } yC�2.�S NOVA-Y) Rd l�+1�S�rFi��1(� MA 01015 Current Mailing Address: ignature Telephone SECTION 3=:ESTIMATED CONSTRUCTION COSTS':, , Item Estimated Cost(Dollars)to be Official Use Only ; completed b permit applicant 1. Building (a)Building Permit Fee 2. Electrical (b)Estimated Total Costiof Construction from 6 3. Plumbing BuildmgrPermit Fee rt 4. Mechanical(HVAC) 5. Fire Protection 6. Total (1 +2+3+4+5) Cheek Numb Tls'Section For'Official.Use r Bu1ld1ng;Pgmit Number Issued ' 1 n s s z =:BuildingComrnissionErflnsp'ector'ofBui�tlmgs .:Date V EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION:5 D SCRIPTION' OFp OPe)SED WORI( check`'II a licable New House [] Addition ❑ Replaceme t indows Alteration(s) ❑ Roofing Or Doors , Accessory Bldg. Demolition ❑ New Signs [p] Decks [Q Siding M Other[C]] Brief Description of Proposed Work: kmaa,. 9 Vv16'�CCC�1A�� Alteration of existing bedroom Yes No Adding new bedroom Yes X No Attached Narrative Renovating unfinished basement Yes No Plans Attached Roll -Sheet Ga If New.house;and or4additio t`o.existilg1housring� compieteathe followlnp a. Use of building:One Family Two Family Other b. Number of rooms in each family uni: Number of Bathrooms c. Is there a garage attached? d. Proposed Square footage of new c Instruction. rim ensIons 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 ft.of wetl nds? Yes No. Is construction within 100 yr. floodplain Yes No j. Depth of bas ent or cellar floor be ow finished grade k. Will b ' Ing conform to the Building and Zoning regulations? Yes No. I. Septic Tank City Sewer Private well City water Supply SECTION 7a OWNER'AUTHQRIZATI N-TO BE COMPLETED WHEN OWNERS AGENT;OltCONTRACTORPPLIES,FOR-:BUILD.ING:PER as Owner of the subject property hereby authorize IS)r)'dU4N O Yld of a)6o MA— to act on my behalf,in all matters relatives to work authorized by this building permit application. l-) t Signature of Owner l5ate I1�Npe,fit ,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 I ierjury. nhext - Printe 'me Signature"f'Owner/Agent.- ;' Date i� SECTION 8 'CONSTRUCTION SERVI II ES 8.1 Licensed Construction Su ervisor: Not Applicable ❑ Name of License Holder: Ro rtU { 1f, License Number ►o l �1�� l Address Expiration Date 1111) `i-�5--I ��� c✓ Si re' Telephone, 9�12eaisteredHome��Imgri� einent Cogtractor, ' 'rt;, �r rr� �. Not Applicable ❑ obt?xf taw',Int,\1 n... I b5 b 4 i Company Name Registration Number -Mass 31 14` 12-1)Address Expiration Date o'f V\k4 , a-14A QW0.W5Iephone4-43-74bS233,5 .'SECTION 10.WORKERS'COMPEN3AII ION INSURANCE AFFIDAVIT(M.G L c 152,§25C(6)) Workers Compensation Insurance affidairit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the builds g permit. Signed Affidavit Attached Yes....... No...... ❑ The current exemption for"homeowners"meowners"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:Parson(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 oner two family dwelling,attached or detached structures accessory to such use and/or farm structures.A person who coi structs more than one home in a two--year veriod shall not be considered a homeowner. Such"homeowner"shall subi At 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 w ich this permit is issued. Also be advised that with refe enee 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"homeowne_y'certifies and assumes responsibility for compliance with'the State Building Code,City of Northampton Ordinances,Sta a and Local Zoning Laws and State of Massachusetts General Laws Annotated. Homeowner Signature The Commonwealth of Massachusetts v Department oflndustrialAccidents a 1 Congress Street,Suite 100 W= Boston,MA 02114-2017 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/In 'vidual):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): 1.2 I am a employer with 20a nployees(full and/or part-time).* 7. ❑New construction 2.❑I am a sole proprietor or partnership and have no employees working for me in an capacity. ' 8. 0 Remodeling y p ty.[No workers comp. surance required.] 3.❑I am a homeowner doing all work i nyself.[No workers'comp.insurance required.]t 9. ❑Demolition 4.0 I am a homeowner and will be hi ' contractors to conduct all work on m property. 10[]Building addition g y p perty. I will ensure that all contractors either ha ve worker'compensation insurance or are sole 11.Q Electrical repairs or additions proprietor with no employees. 12.Q Plumbing repairs or additions 5.❑I am a general contractor and I hav 3 hired the sub-contractor listed on the attached sheet. These sub-contractor have emplo lIees and have worker'comp.insurance) 13.❑Roof repairs 6QWe are a corporation and its officers have exercised their right of exemption per MGL c. 14.El Other Replacement Window; 152,§1(4),and we have no employees.[No worker'comp.insurance required.] *Any applicant that checks box#1 must al o fill out the section below showing their worker'compensation policy information. t Homeowners who submit this affidavit' 'cating they are doing all work and then hire outside contractor must submit a new affidavit indicating such. #Contractors that check this box must attac ed an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractor have a loyees,they must provide their workers'comp,policy number. I am an employer that is providin workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:LibeM,Mutual Insurance Policy#or Self-ins.Lic.#:WC2' 1 S-377947-020 Expiration Date:05/07/20 Job Site Address:-/.2 l ir(/ I/1-t � rCL�C� City/State/Zip:'fIOVCYIGL 014)10;t Attach a copy of the workers'coi npensation 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 ell 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 dfy under t pain' and penalties ofperjury that the information provided above is true and correct Siena e• Date: Phone#:41 -485-7335 11 Official use only. Do not write n 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#' AFFIDAVIT r In accordance with the provisions of MGL c 40, §54, 1 acknowledge, as a r condition of the Building permit, all debris resulting from construction activity governed by this Building Permit shall be disposed of at 3 (NAME OF FACILITY) a properly licensed solid waste facility d fined by'fi'AGL C 111 §150A. ' If( t1111-5 11 Dae Signature of Permit;Appllcanf PRINT OR TYPE THE FOLLOWING INFORMATION: i i (NAME OF PERMIT PPL CANn, (TYPE OF MATERIA TO BE DISPOSED OF) (PROPS TYADDR SS) y ACORO® DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 04/02/19 THIS CERTIFICATE IS ISSUED AS A MATT ER OF INFORMATION ONLY AND.CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVEL 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 HE 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 ti e certificate holder in lieu of such•endorsenIent(s). PRODUCER CON lAU7 NAME:' Forrest Insurance Agency aHcoNr o 603 North Main St Ext: 413-858-2680 A!c No): 413-858-2685 East Longmeadow,MA 01028 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: ARBELLA PROTECTION INSURANCE CO. INSURED INSURER•B: LIBERTY MUTUAL FIRE INSURANCE CO. WINDOW WORLD OF WESTE N INSURER e . MASSACHUSETTS INC INSURER D 1029 NORTH RD WESTFIELD,MA 01085 INSURER E: INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INXURANCE 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',POLfCIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLI IES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. SR LTR TYPE OF INSURANCE INS INVD'I POLICY NUMBER MM/DDNYYY MM/DD;ffiWLIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR UAMAUF TO RENTED PREMISES Ea occurrence $ 100,000 MED EXP(Any one arson $ 10,000 A 7620025998. , ..'04/09/19 04/09/20 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $ 2,000,000 POLICY❑ PRO- ❑ JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ AUTOMOBILE LIABILITY Ea accident) COMBINED S NGLE LIMIT $ 1,000,000 ANYAUTO A OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY X AUTOS 1020063881 .. .:. :::04/09/19 04/09/20, ) $ X HIRED ceNON-OWNED BODILY INJURY(Per accident) DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident X UMBRELLA LIAR H�X OCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAR CLAIMS-MADE 4600055451. 04/09/19 04/09/20 AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? N! 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/LOCATIONS!VEHICLES.:ACORD 101,Additional Remarks Schedule,:may be attached If more space Is required) CERTIFICATE HOLDERCANCELLATION. . SHOULD.ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THEEXPIRATION 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 Departmen, ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) he ACORD name and logo are registered marks of ACORD AC"REP EP CE L,..� TIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) THIS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIV LY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSU 1ANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,ANE THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is n ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject t the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to a certificate holder In lieu of such endorsement(s). PRODUCER FORREST INSURANCE A ENCY 603 NORTH MAIN STREET NTA T NAME: E LONGMEADOW, MA 01028 PHONE x FAX E MAIL AIC No): ADD ESS: INSURERS AFFORDING COVERAGE NAIC# INSURED INSURERA: LibertyMutual Fire Insurance 23035 WINDOW WORLD OF WESTERN MASSACHUSETTS INC INSURER B: WESTF ELD MA 0085 INSURERC: INSURER 0: INSURER E: COVERAGES INSURER F: CERTI ICATE NUMBER: 48525637 THIS IS TO CERTIFY THAT THE POLICIES O INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDNAMED IOD ABO EB OR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY RE QU REMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PE TAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PO (CIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR A L S B LTR TYPE OF INSURANCE POLICY EFF POLICY EXP COMMERCIAL GENERAL LIABILITY POLICYNUMBER MMDD MM D LIMITS CLAIMS-MADE FlOCCUR EACH OCCURRENCE $ D T PREMISES Ea occurrence $ MED EXP Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ POLICY❑PRI LOC GENERAL AGGREGATE $ OTHER: PRODUCTS-COM P/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 LIAB $ OCCUR EXCESS LIAB EACH OCCURRENCE $ CLAIMS-MADE ' DED AGGREGATE $ RETENTION A WORKERSPLOYE S'LI A I NILII WC2-31 S-377947-019 5/7/2019 5/7/2020 PER OTH- $ AND EMPLOYERS'LIABILITY Y/N ✓ STATUTE ER OFFCER/M M ERREAXCLUDED?ECUTIVE NIA E.L.EACH ACCIDENT $1000000 (Mandatory In NH) "yes,describe under E.L.DISEASE-FA EMPLOYEE $ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1000000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(A CORD 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 STREETACCORDANCE WITH THE POLICY PROVISIONS. NORTHAMPTON MA 01060 AUTHORIZED REPRESENTATIVE Jon Smith ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) Th ACORD name and logo are registered marks of ACORD 48525637 1 1-377947 1 19-20 WC 1 n0270258 1 5/5/201, 7:59:45 PM (PDT) I Page 1 of 1 M f Windowsd ®Ora s... 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PertC:rade 4°eta defProPlacrQ *OP Pert'Grade +DP(ASD) -DP ASD) Water M TPG35' 3 D) -OP 0) Water LGPG35 35.08 35.09 8:06 est8ize Re o SO f3 - 40.00X 7200 P A#f Fro 543 af! est ize eporw - STC/OIC A4ft611oq a r, 2 rida LD 72.00X60.00 r sotaoq r rro - 29/.24 � .affngs are forincMdual QB40 -l- r stacked units windows•��nrld doors o datings are for indifto Windom and doors only. For In bnnation regarding mulled °C test size -este Contact yord salmi re For°dCmratien re or stacked wtts,Please corded your sales representative.PCs and Net DP fmited by sTy Eiaoo.HAMA �A&j6 'f pr�mative.PCs gardmg Wed the emit test size.Tested to I�AMAfYIfDlllq/CSA 101A.S.21A440.05/1AINglabel may d0rral Wormation r g���be ion d y� OS G�gnrmrted by loll conceal®d by g +►0 bead grtraCk filler.For addtional brfonnation regarding ,�`����� 9 fastalfatipn msftohotm 8 bead or track Fo to- lactallation[AMCtions,please visit www miwd.com. 7 please yid .1.1.1 ftW.MWd.com. 25772488.1.1.1 Printed on OF12nClse:10:12nrr Window World Of Western MA 1029 North Road 413-485-7335 westernmass@windowworld.com David Abbott Estimate : Partial Bill Address: nstall Address: 5 Berkshire Terrace, 3 Berkshire Terrace, Estimate#E1573590984923 Florence,MA lorence,MA Date of Estimate: 11/12/2019 101062 1062 Valid Until:12/12/2019 DESCRIPTION • • 4000 Series DH Solarzone 2 = 549.00 3,294.00 Tempered PH Sash 2 180A 360 00 EPA Lead Containment Z" 65.00 455.00 Misc Labor(Block window at,bottom;) 400.00 400,0.0. 4000 Picture Window 713.00 713.00 Permit&Administrative.Fee 1 200,00. 200.00 TOTAL AMOUNT $5,422.00 CUSTOMER PAYMENT DETAIL Check Amount $2,750.00 e� 1 at TOTAL PAID $2'750.00 `J J roe CUSTOMER DUE *No extra work if not in writing *Customer Comments: *Installer Notes:Need to cut back sill..no wraps.....ake a door and build raised panels$1500 Design Consultant-Tim Drost HIC:165641 FEID#27-1993659 Customer ID Details Id Type* Driver's license_ 1 Id#* S355 Id Issue State* Masd Id Expiration Date 24t7 Sales Rep Recommended: / r Interior Stops r Exterior Capping Customer Declined: r Interior Stops r Exterior Capping Pre 1978 built homes: 3.Window Coverings.To gain access to the interior of the windows,we need all mini blinds,vertical blinds,roll-up shades,shutters,drapes and any other window covering removed prior to our installation.We are not responsible for removing or re-installation of these items and are not responsible for damage resu4ting in tl e 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 undei stand 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 frame or wall area we will advise you before we proceed.Should you decide to replace or repair anything,the price will be added to your balance. 13.Relax and enjoy the show.After we've been introduced to your home,feel free to run errands,take a walk,or just relax.If a question should arise;ask the crew leader for clarification.We enjoy people who are interested in what we do,and most customers are intrigued with the process.We do get nervous,however,when a customer constantly hovers over our shoulder.Like any professional,we're always happy to answer questions,but we appreciate being able to concentrate on our work without interruptions and distractions.This ensures a safe and quality installation. 14.Past Due Balances are subject to a service charge of 1.5%per month.In the event that this amount is placed in the hands of an attorney for collection,the purchaser agrees to pay all costs of collection,including a reasonable attorney fee.Return check fee is$50(fifty dollars). 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. ffaC(?!lY6r �A. 0 Window World of Western Massachusetts 1029 North Road-Hampton Ponds Plaza, • Westfield MA 01085 Phone (413) 485-7335 • Fax (413) 315-3714 www.WindowWorldofSpringfield.com CL/Jbcoq Customer: Phone (h) Install Address:_ ` �i-et^�- ire 1 �o�('2r ��. Phone (w) Bill Address: E-mail 14 4iAitCL t .GL . .�� G C�N'1 CA c" 2 You the buyer may cancel this transaI ion at any time prior to midnight of a Chir busines ayy of er the date of this transaction. Notice of cancellation must be in wrng postmarked no later than midn'ght of t e follow n th'r b es ay. HIS IS A CUSTOM ORDER N R ESAL 1 This Window World®Franchise is indepe dentiy owned and operated by Window World of Vestenn Ma a hu tts, nc unde II e s m nd w odd,Inc. Ow er D to 7 talesman DE4e Owner Date Extrawark 1.07