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17A-134 (3) 253 CHESTNUT ST BP-2020-0689 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block: 17A- 134 CITY OF NORTHAMPTON Lot:-001 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-2020-0689 Project# JS-2020-001175 Est.Cost: $1836.00 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.): 12283.92 Owner: TAMBURRO PATRICK J Zoning URAO 00) Applicant. WINDOW WORLD/ROBERT E BUSHEY JR AT. 253 CHESTNUT ST Applicant Address: Phone: Insurance: 1029 NORTH RD (413)485-7335 O WC WESTFIELDMA01085 ISSUED ON.12/4/2019 0:00:00 TO PERFORM THE FOLLOWING WORK.INSTALL 4 REPLACEMENT WINDOWS IN BASEMENT 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 12/4/2019 0:00:00 $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner Department use only City of North�mpt �` Status of Permit: _ Building De artm nt `�V'.0 --Cut/Driveway Permit 212 Mai Stre t a� er/Se is Availability Roo 100 C 3 W ter/W II Availability r Northampton, 060 2019 T o Se of Structural Plans ' phone 413-587-1240x3 72 lot/Si Plans Tfi�1�^TIA ", � Other pecify APPLICATION TO CONSTRUCT,ALTER, REPAIR, RENOVATE-OR DEM LISH A ONE OR TWO FAMILY DWELLING SECTION 1 -SITE INFORMATION ` 1.1 Property Address: ` This section to be completed by office Map 1714 Lot_ { ✓ Unit _ Zone Overlay District Elm St.District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Owner of Rec tro Inc�� ro ` Name(Print) C ) C rr�ntNyilQ ddrgss: c _ (Sec. 0f)w�(1( Telephone S� Signature 2.2 Authorized Agent: k(�b er.AY " 1 W.C1 NOV t1) k6 "eSV-id b SMA 0\0165 Name`jPri ) f Current Mailing Address: 4"13 /V� J33 5- tignaturee j Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only completed by permit applicant 1. Building I �?j/,_. (a) Building Permit Fee 2. Electrical CC (b) Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical (HVAC) 5. Fire Protection 6. Total = 0 +2+3 +4+5) Check Number This Section For Official Use Only P ) 0, Date Building Permit Number: 01 Issued: Signature: kl1w, VU 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 [p] Decks Siding[0] OtherBrief [Cl] Work:Description of Proposed leVjace_ (4`1 1) �nln F Alteration of existing bedroom Yes No Adding new bedroom Yes No Attached Narrative Renovating unfinished basement Yes i-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? Fireplape ori 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 cellaa"or b w finished grade k. Will building conforto he Building and Zoning regulations? Yes No. I. Septic TanCity Sewer Private well City water Supply SECTION 7a -OWNER AUTHORIZATION-TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, �L4rla_ property as Owner of the subject hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner bate -' 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' Signature of Owner/Agent Date SECTION 8-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of License Holder: obe11 License Number IZ �Gi ry Ln ©1 iihy,4 Wk M wai -1 15-1011 Address Expiration Date J) A zV�5--1335 Sign re 1' f Telephone � ' 0 Al 9.Registered Home Imgr vment Contractor; Not Applicable ❑ Robcxt t x-1S1nt\T 1105 b 41 Company Name Registration Number _w irl lchw Word of W t-e-rn MC,SS Inc. 314 /2-0 Address Expiration Date t02C1 N(Tbn V, W Sti6 d MA 010 iephone_g4 -A-&1335 SECTION 10-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... No...... ❑ 11. - Home Owner Exemption The current exemption for"homeowners"was extended to include Owner-occupied Dwellings of one(1) or two(2)families and to allow such homeowner to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor.CMR 780, Sixth Edition Section 108.3.5.1. Definition of Homeowner:Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures.Aperson 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 1 Congress Street, Suite 100 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 (BusinessiOrganization/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.EJ I am a employer with 20 employees(full and/or part-time).* 7. E]New 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.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑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.insurance.: 13.❑Roof repairs 6.0 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 Ilomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors 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 AddresJ6t Chernoi VT-'.P_' City/State/Zip: 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 the pains andpenalties ofperjury that the information provided above is true and correct Si natu , - , Date: 41 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#: 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 WAS-FE /46AWNW) /Villi (NAME OF FACILITY) a properly licensed solid waste facility d 'fined by, MGL C 111, §150A. Date Signature of Permit Applicant PRINT OR TYPE THE FOLLOWING INFORMATION: izcs �2� FF_ (N't sit#: _ (NAME OF PERMIT APPLICjANT) AdA f'I I 1 00 (TYPe OF MATER AL TO BE DISPOSED OF) 5?� C-S k n ok S�QJ qlorjevu (PROPERTY ADDRESS) A��RO® CERTIFICATE OF LIABILITY INSURANCE FDATE(MMIDDYYYY) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Hoaro2/1 s OLDER.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 GON FACT NAME: Forrest Insurance Agency PHONE 413-858-2680 F 603 North Main St A/C No Ext): n/c No): 413-858-2685 M IL East Longmeadow, MA 01028 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: ARBELLA PROTECTION INSURANCE CO. INSURED INSURER 13: 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 MAYBE 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. TN TSR --PUL—ICY —EF-9— POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 100,000 MED EXP(Any oneperson) $ 10,000 A 7520025998 04/09/19 04/09/20 PERSONAL&ADV INJURY $ 1,000,000 GEN'LAGGREGATELIMIT APPLIES PER : - GENERAL AGGREGATE $ 2,000,000 POLICY❑ PRO- ❑ JECT LOC PRODUCTS-COMP/OPAGG $ 1,000,000 OTHER $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident) $ 1,000,000 ANY AUTO A OWNED BODILY INJURY(Per person) $ EDULED AUTOS ONLY X ASCHUTOS 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 XOCCUR EACH OCCURRENCE $ 1,000,000 A EXCESS LIAB CLAIMS-MADE 4600055451 04/09/19 04/09/20 AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE ER _ ANY PROPRIETOR/PARTNER/EXECUTIVEEL EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED ❑ N/A Certificate To Follow (Mandatory in 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, ©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(MMIDDIYYYY) 5/ 2019 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 b eendorsed. 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 603 NORTH MAIN STREET NTA T NAME.— PHONE ---- E LONGMEADOW, MA 01028 _A/C Na ExtL_ FAX E-MAIL - (AIC Nol: ADDRESS: -- INSURER(5)AFFORDING COVERAGE _ NAIC_#_ INSURED -------- INSURERA: Liberty Mutual Fire Insurance 23035 WINDOW WORLD OF WESTERN MASSACHUSETTS INC INSURER B: — ---- 1029 NORTH ROAD INSURER C: WESTFIELD MA 01085 - SURER D INSURER E: -- COVERAGESINSURER F: CERTIFICATE NUMBER: 48525637 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDS AIM D ABOSION VE FOR 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 ADDL BR LTR TYPE OF INSURANCE POLICY EFF POLICY EXP COMMERCIAL GENERAL LIABILITY POLICY NUMBER MM/DDryVYY MM/DDryYYy LIMITS CLAIMS-MADEEACH OCCURRENCE $ OCCUR DA R - PREMISES Ea occurrence $_ MED EXP(Any one person) $ GEN'L AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ POLICY❑ PRO- GENERAL AGGREGATE JECT D LOC $ OTHER: PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY $ COMBINED SINGLE LIMIT ANY AUTO Ea accident $ OWNED SCHEDULED BODILY INJURY(Per person) $ AUTOS ONLY _. AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED AUTOS ONLY — AUTOS ONLY PROPERTY DAMAGE Per accident $ UMBRELLA LIAR $ OCCUR EXCESS LIAB CLAIMS-MADE EACH OCCURRENCE $— DED RETENTION$ AGGREGATE $ A WORKERS EMPLOY RS'LI COMPENSATION WC2-31 S-377947-019 5/7/2019 5/7/2020 PER OTR- $ AND EMPLOYERS'LIABILITY ✓ STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE Y I N OFFICER/MEMBEREXCLUDED? N/A E.L.EACH ACCIDENT $1 OOOOOO (Mandatory In NH) _ If yes,describe under E.L.DISEASE-EA EMPLOYEE $ DESCRIPTION OF OPERATIONS below 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD 48525637 1 1-3'/7947 1 19-20 WC 1 n0270258 1 5/5/2019 7:59:45 PM (PDT) I Page 1 of 1 .'m Windows At Fd Doors � fllil Windows 6�0 West Market rz - And Coors 550 V'Jest C-rats,PA 47030 Gratz PA Market t St "z FI€� 2frf � fhilfLf FiE `Q �lpe.w'ra]ott n DFi v t t ! t a fi+n�seetvrt 1 •' .`"` rr t � �t d`t 6€fe-2: rte~- ganef 4bt2:Life.s:f4 fNL/N�Grids ivE�iearr6r.`<.. -:<:� ..:.sE,.'.�-t6,,,€:7�e aafi f,:Sock; .a 4!k k 4S`ifE a ('l:f'+Cteat;!VCf( 8",Clear LQg,Mrteale r � .::.trreatcd dl;tfte-2: ion to,otfiet It ),Argon;87 9/2 X 37 5 and doers Met."Ist=404= 4tefet6uai ME/-A276 VV►ton r,rt trtE'£[tc"u.E ftffi1fSi.ki iTfEy fie s,r.,,00t,to var(�lon to performance ,- Produ is be b,iQOg orj� d maY su � � r va�g _ €r t �! 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Kara entamtacibts campleta,c005uhar la etiqueta dee prodncro. rade OP (ASD)Grade +DP(ASD) -DP(ASD) Water �' LC'FG35* 38 D) -DP(ASD) Water LG-PC35 35,pg Max Test Size 50.f3 35.09 6.06 40.00X 7 . Repot 3.43 Max Test Size =%109!14MW - STC/OITC = 2 00 "372.01-10947 Florida ID 72.00X60.00 Fzoss• 29124 atings are for individual20f340 - r stacked units, Windows end door on -! Ratings aro for individual windows and doors only. For information regarding mulled nit test size.Tested Please contact N• For info Nag by S7 Ei30o. ��dNtNpnggSalesrepresentative,pOstionregardin or stacked units,please contact your sales representative.Pos and IVs ®P limited SMA label ma S 4 10111.g and fVeg OPgfimrteq b the until test sine.Tested to AAldArtglOMAtCSA 701/1.S,2IA440 OS AAMA label may be ddt10nal irrforrnation regarding installation concealed st y 91az 94ba d oGlass f ecrdprng to y 7alt concealed try gta<tg bead or track fitter.For additional iMormation regarding ntctions For installation instructions,please visit wkYw.miwd.cam. please visit wv N m wd co n 6785673•�•1.� 26772468.1.1.1 Printed on Pnnted on ?°'a 7tB2076 S:ti9:0.--PM 6/t2rl0ts 8:10:12 AM Window World Of Western MA 1029 North Road 413-485-7335 westernmass@windowworldworld.com Patrick Tamburro shoeklanding@comcast.net Bill Address: Install Address: Estimate : Basement hoppers 253 Chestnut St, 253 Chestnut St, Estimate# E1574447642065 Florence,MA Florence, MA Date of Estimate: 11/22/2019 01062 01062 Valid Until:12/22/2019 DESCRIPTION • • Basement Hopper 4 409.00 1,636.00 Permit&Administrative Fee 1 200.00 200.00 TOTAL AMOUNT $1,836.00 CUSTOMER Credit Card Amount $900.00 TOTAL PAID $900.00 CUSTOMER DUE $936.00 *No extra work if not in writing *Customer Comments: *Installer Notes:Metal frame Design Consultant-Tim Drost HIC:165641 FEID#27-1993659 Customer ID Details Id Type I Driver's license Id#* S23e Id Issue State* Mass Id Expiration Date 24t35y89 Sales Rep Recommended: r- Interior Stops r Exterior Capping " Customer Declined: r Interior Stops (— Exterior Capping Pre 1978 built homes: y� My home was built in the year 1952 (initial) (initial)I decline third party verification (initial)I have received copy of the Lead hazard information pamphlet informing me of the potential risk of the lead hazard exposure from renovation activity to be performed in my dwelling unit.The EPA"Renovate Right"brochure was received before the work began. The EPA"Renovate Right"brochure can be viewed and printed from here:http8:/19oo.g11chD3JG (initial)I have received a copy of the lead test results(s). Click on the link to view the Renovate Right Pamphlet> https:/tgoo.gilchD3JG WW of W.Massachusetts anticipates starting this work on and being substantially completed in dayh Security Interest:Yes No An�Jeposit required in advance of the start of the work SHALL NOT exceed 33 1/3%of the total contract price OR the actual cost of any material or equipment of a special order or custom-made nature,which must be ordered in advance of the start of the work to assure that the project will proceed on schedule.Another 1/3%will be expected upon beginning the installation(If the Installation process is expected to exceed one day).No final payment shall be demanded until the contract is completed to the satisfaction of all parties.All home improvement contractors and subcontractors shall be registered and that any inquiries about a contract or subcontractor relating to a registration should be directed to:Office of Consumer Affairs and Business Regulation,Ten Park Plaza,Suite 5170 Boston,MA 02116.Phone:(617)973-8700 No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract.WW of W.Massachusetts under provision of Chapter 142A of the general laws is required to apply for and obtain all construction-related permits.WW of W.Massachusetts shall not be deemed responsible for delays in the work described in this agreement caused by regulatory,permit granting agencies,authorities or individuals.Notice:If the PURCHASER(S)obtains his own construction related permits for the work described under this agreement or deals with unregistered contractors,the PURCHASER(S)is hereby advised that in the event of a dispute,judgement and nonpayment,the PURCHASER(S)will not be entitled to make a claim or collection from the guaranty fund established by chapter 142A,M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction.Notice of cancellation must be in writing postmarked no later than midnight of the following third business day.THIS IS A CUSTOM ORDER NOT FOR RESALE (Date) 12/18/2017 (Customer Signature) This Window World,-.,Fnmchisc is md,pendently owned and operated by Window World of Westem Massachusetts,Inc.under license from Window World,Inc. By signing below,you the home owner,certify that you have read the below terms&conditions of this contract and you understand and agree to all the below terms& conditions.You also certify that you understand the meaning of INT.EXT.on this contract and that you are entering this contract knowingly and voluntarily. Terms & Conditions PREPARING FOR YOUR NEW WINDOWS AND DOORS Congratulations on your decision to increase the comfort level,value and appearance of your home.To maximize your investment and enable the installation to take place as smoothly as possible,we have created this handout to acquaint you with what to expect when our installers arrive. 1.Expected Delivery Time.All our windows are custom made at one of our manufacturing plants located around the country and shipped to any of our over 200 Window World locations.The time between when your order is placed and when the windows are ready to be installed,though not guaranteed is typically 6 to 8 weeks.At that point,we will call you to set an installation date,if for some reason you need to delay your installation for more than a couple of weeks after notification that we are ready to install your order we will be happy to work with you.We will need to collect the remaining balance before installation if the delay you request is more than three weeks. 2.Access to the Windows and Doors.We will need approximately 2 feet in front of each window,inside your home,so we can place our drop cloths and tools necessary to perform our work.When the old windows are removed,gusts of wind typically flow through your home,It is advisable to gather together important papers,and other small items that can be disturbed by the wind and relocate them.Computers and other electronic equipment should be covered or relocated temporarily.Please move aside any fiunishings that are in the way of our work If any firmiture items are too heavy to move easily,we will gladly assist you. 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 resulting in the removal and re-installation.We also are not responsible for any window covering alterations that may be required to reinstall them. 4.Plants and Bushes.Occasionally we need to work in planters and other landscaped areas of your home that are adjacent to the windows and doors.Please survey your yard prior to us arriving and look for potential problems. Some trees and vigorous bushes need to be pruned back to give us access to your windows.Delicate plants and shrubs in areas right below a window should be temporarily relocated if they cannot survive being stepped on and you want to preserve them.We,strive to be careful when working around vegetation,but our priorities are to focus on our work,your windows and our safety while working on your property.We are not responsible for any damage to plants,shrubs or landscaped areas. 5.Arrival and Departure Times.We will advise you of the expected arrival time for our crew at the time we set up the installation date with you.We generally stay till the job is done,unless it will be a 2 or 3-day job,in which case we may work as long as there is daylight.It is our policy that our installers get a sign-off form and collect the outstanding balance at the completion of the job.We ask that you be available to approve the job and make final payment at the time of completion.If this is not convenient for you,we need to know before we start the job.Inclement weather and other unforeseen hindrances are a fact of life and as such we ask that you understand if the weather,traffic,etc.cause a delay or cancellation of an Installation appointment.We typically do not schedule more than a day or two in advance to try to avoid such issues. 6.Our Work-site.We like to set up our work-site as close to your windows and doors as possible and generally your driveway is the best spot.If using the driveway will block a garaged car,please be ready to pull it out upon arrival. 7.Alarm Systems.For those of you who have alarm systems,the alarm company should be notified and advised of our job.They will be responsible for the disconnection and reconnection of your alarm system. 8.Where do we start?Upon arrival,the crew leader will survey the job and determine where to begin.If you have a preference,feel free to advise us and we will accommodate to the best of our ability.Because we work in stages(i.e.,removal of old windows,setting the new window,wrapping of exterior,etc.),we don't complete the job one window at a time.The job moves along in a rolling progression where each operation is done on all windows at the same time.This produces a qualityjob. 9.If the job takes more than a day,will there be any openings in my house?Of course not.We only remove that which can be reinstalled in the same day. Although there may not be a complete window,it will be weather-tight and secure for overnight.(Please no critiquing at this time). 10.Pets.We love furry,four-legged creatures;however,we need your help in supervising them.We are not always able to close a gate or door behind us when carrying a window,so please keep them in a safe place.Our job description does not include scampering down the street after Fido with new found freedom.Many people say,do not worry,he doesn't bite,but many installers have been bitten.So please secure dogs that have an aggressive bark towards strangers. 11.Expect some dust,noise and general disruption of your living space.Construction work can sometimes be messy depending upon the scope of your job.It's an unfortunate reality of remodeling,but we do our best to keep,things under control.We appreciate your patience and understanding,during the job and until everything is finished.Even after we have cleaned up,it is advisable to survey the areas for something we may have overlooked(Le„kids rooms,baby's room). 12.*Damage to walls and old trim stops.For those of you who have old aluminum and steel windows and are replacing them due to sweating and damaging of the walls be advised that all water damage plaster will most likely fail out.in addition,all the patch works you have done over the years will fall out also.This is normal; however,we are not plaster experts,so the repair to those wails would best be left to the experts.In some cases,due to out of square openings,new trim is required to make the window look good."Unless noted on the contract new trim will not be provided or installed by us.You can expect to do some touch up painting on the trim after the installation of your new windows.This is not always necessary and is usually minor if it occurs.If your trim stops around your sashes are very old,dry,and brittle,they may snap and crack upon removal.If this happens,we can leave them off if you please,or for a small up charge,replace them with newer ones.Many of the old-style stops are no longer available so we would replace the entire window with newer style stops.Should we discover any hidden damage to the 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. 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."