Loading...
29-098 (7) BP-2022-0200 39 BRIERWOOD DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 29-098-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-0200 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 3145 MASS INC null 115719 Const.Class: Exp.Date:04/30/2025 Use Group: Owner: WILLIS DAVID T Lot Size (sq.ft.) Zoning: WSP Applicant: WINDOW WORLD OF WESTERN MASS INC Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 WMZ-800-8007695-2021A BELCHERTOWN, MA 01007 ISSUED ON:03/02/2022 TO PERFORM THE FOLLOWING WORK: 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: Gas: Final: Final: Rough Frame: Rough: Fire Department Driveway Final: Fireplace/Chimney: Final: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Ijg . Cfro f j I' I Fees Paid: $40.00 212 Main Street, Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner t 1 / ,' MAR The Commonwealth of Massachusetts 1 2022 i `FOR W Board of Building Regulations and Standards �� 1 JMUNICIPALITY Massachusetts State Building Code,780 C>!ilaF c+.m rnn�r,,���PE na,,�, i,crvs USE Building Permit Application To Construct, Repair,Renovate Or ITerttoli - :`_'_. .Revised Mar 2011 One- or Two-Family Dwelling This Section For Official Use Only Building Permit Number: 6a' .1)--. O o Date Applied: /4010 ( 2055 /Z/3-2 3-r-2v2Z Building Official(Print Name) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers/, . q Gc,(�(WQ be D( "` 1.la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private CIZone: _ Outside Flood Zone?Check if yes!: Municipal CIOn site disposal system 0 SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: Q U�? 1'rn WI I1 15 ekien a ,MO Name(Print) City,State,ZIP 3CY 131-lau.rnek 0( 913 -S&S-q54 ci No. and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction ❑ Existing Building''litl, Owner-Occupied ,a, Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. ❑ Number of Units V Other /Specify: V )\cA(..tLC'f1Q v A--- Brief Description of Proposed Work': .. (CQICA r .CUX\1 wrn6 0vJ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) l. Building $ 31 C,1 S 1. Building Permit Fee: $ Indicate how fee is determined: 1 0 Standard City/Town Application Fee 2.Electrical $ 0 Total Project Cost3 (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total All Fees $. ii, Check N l.1 Check Amount: —l.V Cash Amount: 6. Total Project Cost: $ 1 ( 5 0 Paid in Full 0 Outstanding Balance Due: -, SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C. (� i - License Number,71 1 l Expirationlb_ li V4 S (!)e t ea-•13 N. i>v�r Name of CSL Holder 1 List CSL Type(see below) U No. and Street t, Type Description U Unrestricted(Buildings up to 35,000 cu.IL) �4' ck-,(. .7),N `��C C.)\��it R Restricted I&2 Family Dwelling City/Town,S , IP M Masonry <../,t,,,, 14. _ RC Roofing Covering '-- WS Window and Siding SF Solid Fuel Burning Appliances Ci-kV1)LO r-`l?�S 42..v`vr...\5 \A.C.UK:,tz Q,Adt 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) \� (0L-1 1 031 IApt aal '� `` �� � a� HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name li,/ k k \ )f1.2tV-Zl; `7\11CG A_`J ‘3.-:9`'1/4 Vo r'hr.. ..a n G'.\rx(C1c,,Oi.c^.6-y-t 4.1'.+r- r1 and Street Email address raite . - C'A &_ (.. .001 " \3)44.b:It3 S City/Town,State,ZIP Telephone SECTION 6: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 EY' No ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize \ ,J\,hv V.1 lk,`NduV ? , to act on my behalf,in all matters relative to work authorized by this building permit application. - C 'r ems) ?/e67&T Print Oner's.'t'Name ) nature(Electronic Si Date Signature) SECTION 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this ap icatioti is true and accurate to the best of my knowledge and understanding. 6.---"--i- 7 f' t-ritL Print er' o Authon Agos Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" City of Northampton RTNAMP*'. i� Massachusetts (07-i !A. r 'VA-'2-' 1 ',d '�: ' ' mot' m^ rr F '`aet . �« ., DEPARTMENT OF BUILDING INSPECTIONS 7: 14 w '",.«5 212 Main Street • Municipal Building �v, fs a ..., '« Northampton, MA 01060 .r, ,_ `q0 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: 0/415e.a \k)( (199s `(•C\qL\c\ ` ,., �`,Lt t•, .Mok, The debris will be transported by: Name of Hauler: \\r k 0\10 \))c," Signature of Applicant: - — Date: ZI z Lt 1 Cr City of Northampton /t4MAMP I V a"� Massachusetts ,? *L ''F.1. t) Y7i f 3i '' k '� ( '': DEPARTMENT OF BUILDING INSPECTIONS '', K w r"w 212 Main Street • Municipal Building ��•, ti ~yf ' Northampton, MA 01060 Jj ; 0� HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, d m kkh I I r 3 (insert full legal name), born (insert month, day, year),hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110.R5.1.2: Person(s) who owns 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 home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection with the aforementioned project or work on my parcel, I acknowledge that I am required to and will act as the supervisor for said project or work. ..-- Signed under the pains and penalties of perjury on this L if day ofreb , 20 is c(St ature) Iviassaellusetts „._. Department qf industrial Accidents ' Vice ofinvestigations =ri Lafayette City Center S7:14= c; 2 Avenue de.Loikvetie, Boston, MA 0211,1-1750 www.Inass,gov/dia Workers' Compensation Insurance Affidavit: Butiders/Contructors/Etectricians/Plumbers Aoplictult triformation Priln,t Legg& Name (Business/Organization/individual):VVIndow World of We$tern Ma8sachusetis Address:641 Daniel Shays Hwy alyi§t2ItLiziEBelchertowri, MA 01007 .. phone #:413-485-7335 Are you an employer? Check the appropriate box: Type of project(required): .01 i am a employer with 4,° 4, I am a general contractor and I 6, New eonatruetion employees (full andior part-tinte),* have hired the sub-contractors 2.0 i am a sole proprietor or partner- listed on the attached sheet, 7. 0 Remodeling ship and have no employees These sub.contractors have 8. Demolition working for me in any capacity, employees and have workers' 9. 0 Building addition [No workers' comp, insurance comp. insurance,1 required.] 5. 0 We are a corporation and its 10,0 Electrical repairs or additions 3.U 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MCI 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.I OtherRePlacement co. insurance re.uired.] *Any applicant that checks box#1 roust also Sill out the section below showing their workers'compensation policy information, t I icannowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating sucii, ‘tutractors 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-eontraotors have employees, they roust provide their workers'comp.policy number, ong an employer that is providing.worhers'compensation insurance for my employees. Below is the policy and fob site information„ insurance Company Name:A.I.M. Mutual Ina. Co. Policy#or scif„ins, Lie, #:V1/114Z-800-8007695.2021A Expiration Date;05/07/2022 • Job Site Address: 2 CI Bfi C.-f lit) CO& city/state/zip britbotblee) dik Attach a copy of the workers' compensation policy declaration page(showing the policy number in expiration date). Failure to secure coverage as required under Section 25.A of MOL c. 152 can lead to the imposition of'criminal penalties of a tine up to$1,500,00 and/or one-year imprisonment, WS 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. Be advised that a copy of this statement may be forwarded to the Office of investigation.8 of the DIA for insurance coverage verification, do hereby ce, u dr e pains and e f edury that the infartnation provided above is trlie and correct. Ihts; Z I Z- mcmg...t....413.-4.8 -7335 Official rose only. Do not write in this area, to be completed by clo or town official, City or Town: Permit/License # flouting Authority(chett. one): I I Li Board of Health 2—/Building Department 3L City/1.own Clerk 4. !Electrical Ins pec to r Dilunsbln Inspector 6,00ther Couttaiet Persow_ Phone#; —"1 WINDWOR-01 CHRYSTAI_ AG'4JRLI CERTIFICATE OF LIABILITY INSURANCE DATEIMM/DD/YYYY) 4/6/2021 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 CONTACT Laura Misseri NAME:--- -- -- --_ Phillips Insurance Agency,Inc. PHONE o,Ext 413 594.5984 FAX 413 592$499 97 Center Street S k ) i(�,No):( � Chicopee,MA 01013 _Ape sg;laura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC It INSURER A:State Automobile Mutual Ins Co :INSURER B State Auto Property&Casualty INSURED _ Window World of Western Massachusetts,Inc. INSURER C A.I.M.Mutual Ins.Co. _ 33758 1029 North Rd INSURER 0: 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.LIMIT S SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR ,JNSD WVQ D(_IMWDYYYY),(MM/DD/YYYYI A X COMMERCIAL GENERAL LIABILITY 1,000,000 EACH OCCURRENCE A 1 CLAIMS-MADE [Xl OCCUR PBP2891125 4/9/2021 4/9/2022 _Encomias a °,x,oa)_ $ - 500,000 MED EXP(Any one peon) $ 10,000 Demon) PERSONAL&ADV INJURY $ - 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY i X1 JECT X LOC PRODUCTS-COMP/OP AGO $ 1,000,000 OTHER: — _ _ $ B AUTOMOBILE LIABILITY COMND Ea a8BI den SINGLE LIMIT 3 1,000,000 ANY AUTO BAP2480934 4/9/2021 4/9/2022 BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOSE ONLY X AUTOS yy BBODILY INJURY(Per accident) $ X AUTOS ONLY X AUTOS ONLYY (Perr accident)AMAGE $ _ $ _ EACH OCCURRENCE $ 1,000,000 A X UMBRELLA LIAR X OCCUR _ _ EXCESS LIAB CLAIMS-MADE PBP2891125 4/9/2021 4/9/2022 AGGREGATE $ 1,000,000, DED X RETENTION$ 0 - $ C WORKERS COMPENSATION X PER STATUTE X TRH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER)EXECUTIVE Y/N WMZ-800-8007695-2021A 5/7/2021 5/7/2022 E.L EACH ACCIDENT , 1,000'D00 OFFICER/MEMIIER EXCLUDED'? Ni N/A 1,000,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEES If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below EL DISEASE-POLICY LIMIT $ ' 1 1 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached it more space is required) Workers Compensation Coverage Includes the following 3A States: MA,CT CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Evidence of Insurance ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD - r0:1 m -r—m°"'4.1.. M11t41indowsArsd Doors svff nt,or faSSDWest Market St EMl Windows Ail E30ors :iiii, ;'. zr A 17030 or dtst7oytFtP 4f% sidi 1rk8t r'. • •- Gmtz,PA1703it 1rI-; 1650 - Fl tesraix DHMNYUNo Grids l ��.; 1685 CommRVnq Panel 1&2:Lire-1:(t�s•,Ciesr,E, SLIDER2IVINYUG rids t►/s`,Claar,HoxE,a�rre�tedi;Argon;37 sn x 37 EISIBMIll I At) Anne6fed};Lite-x i onsiFer Pmf 753:Lbtt�f(1i8",Cteu.L F, s that can be 45 V2 X 451 F2te sseauea-0000-t {1l8�,t l9e i(aNEa e�'��� frwhidu.t p......t.mry Ab cutl.a to r.ui8ion In pa,rarmarxe le cleanerr, .----� 3n for dfoernt IMMO" - y{ra t6 ENERGY PERFORM ANCE :and boors trarndaso pnodutte rely b•:dope to variation to Ac a RATINGS re U-Factor(1.SJI-P ) Solar Heat Gain Coefficient vixen using a WOWS an the ENERt3Y PERFORMANCE RA'tIN 0.Z7' U.Factor(U.B.tI-P) Solar Heat Gain Coefficient 4.�� 4.Z6 ADO TIONAI.PERFORMANCE RATINC3S ire generally 0.27 Risible Transmittance•oduct cer- Air Leakage(l1.SJ`' locations in ADDITIONAL PERFORMANCE RATINGS 0,r�7 Visible Transmittance Air Leakage(U.S,II-P) .76e 9..xii.MIS. A s�swesrxe.rr rtrrgrmaetaaryarrrat ra tfaxara: Prayttr,bake ` 0.46 0 wtmeFm�txwcar a"f�tr earl tKaa,af a nza„ a +rs�twt casestrmx+u+c ._ = ,mu roam c Tsii MP Mrit Witt paaetasa infa.na a" t °`p macaw pm;Maur& IM.rn.c at et 1VfAr�rrfl.rmowff l �'lege"snr mr.�r.tr pc t >UO a i Alffir,Y sTA�' Gerii#icd in Htghii3hie8 Regl>1tts. iris.Usea , "" Ccrlifi a�f3 pox FNEAGY STAR en!a;regione;resalEatias: f ail ff,Y;TAfI`Cctiiltrtf iit I1t}ItIISl4tit tl i;>i�is its. T H oa tas r ionP rosaif adds: f, rtsft:,+rla nr•t FNERGF'S n rbS ""1.4_71 f "„ -; OP ENERGt'STAR ••_ �1► crumrvaza0,/rrafeaz V • to Cedti§edrCenacado NE Illy '^a �'�~' For flbinf.mtati2D,se.fahelonp,odn_^t 0. P4i1 WOrmMibn pk�caasadtnr 1a etiitferd del p~ad esn atyryr.W.go.rx alo.ra 2 CertifiedrCettificado Far fallirdersafan,se*Ma mt.,PGdsst. PettGrad +DA{ASi?} -DP ASD Pita islomesei5nmtcPlsto,corrsubm to et ets det Pt uc a t�AG35' 35.30 ; ) Water ' r Max Test Sizfa Repo 50.13 5,43 -DP(ASD) Water1 Portlf Florida XI _ '- Ferf Grade *DP(ASD) P(AS09 i B.t� 40.00 X 72.00 AA'rz.CM-1 •47-03 . 2D$40 _t LC-PG35 35.E , l� �inSS are for inp eas windows and doors only. For i tformatxin rogardmQ muffed ax 68t 129 ep0 I r�aCked of or I !2C9B.Gi422.47�m �' Tested o Ail Yors saes rrpreserstative.Pos and Neg DP"ad by 72.00 nt taro size. r+t4tiHE7M1tAaa es t01J1.&?1 Far intarrr�tian tepardlr�rt.�ed �' .STM E1300.RAMA label maybe concealed by;Acting beador track Ord orto Katin�are for incGvaitral WIndO h5 and d47rf oniY. s &Mortal in et orTanaFas ssd Ne9 IIP died by �" t re rt9 instaAathn instructions,Please vise ww,,r miwd.c xn_ or stacked unke,Please eD 3tttt Y sales r15 21A44ff tT5 AAMA libel mtty be °� y ,g drit test sire.Tested to AA rtWD °• - !6 18567 i. ! Prv,s.e on :tote concealed hY gtaae4 head ar track ti3er.Far adti3aatnl irf3rmaticn ropar�ne i,nail natation instraetiarr,;Seoul vita mew.miwd.can, enz�otr a to i2 AM Printad art 26772468.1.1.1 Iffinat6314=tM Cd xr-1 Window World of Western Massachusetts ......ns a""FT command 641 Daniel Shays,Hwy,Belchertown,MA �,w , st 4�= �� 975 North Road,Westfield,MA 01085 W+;1�;,�d4 Office: (413)485-7335 WINDOW WORLD www.WindowWorldofWesternMA.com CARE $ Tim Willis Phone: 4138854599 Install Address: 39 Brierwood Dr Email: toysrfun@comcast.net Florence, MA 01062 Contract Name:Tim Willis-Sales-Windows Design Consultant: Lanea Bushey Measured By: Measure Approved Date: 2/2/2022 Status: Contract Payment Method: Credit Card Lender: Contract Type: Sales Comments: Product Description Txbl Qty Price Extension Permit&Administrative Fee Permit&Administrative Fee N 1 $100.00 $100.00 Setup and landfill disposal fee-Windows Setup and landfill disposal fee -Windows N 1 $150.00 $150.00 Basement Slider-2 panel (Min 14") Basement Slider-2 panel (Min 14") N 5 $579.00 $2,895.00 Total Information Unit Total: 6 Subtotal: $3,145.00 Tax Rate: 0% Tax: $0.00 Total: $3,145.00 Amount Financed: $0.00 Payment Method: Credit Card Deposit Amount: $1,000.00 Balance Paid to Installer upon Completion: $2,145.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: Window World of Western Massachusetts srEnwns P=IF:c„n,mwnn 641 Daniel Shays,Hwy Belchertown,MA WiltdOW 01007 975 North Road,Westfield,MA 01085 W Office:(413)485-7335 WINDOW WORLD wwWindowWorldofWesternMA.com CARE w. Product Acknowledgements I have received a 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. I received this pamphlet before work began. Primary Homeowner tA> Secondary Homeowner Window World of Western Massachusetts RLI 641 Daniel Shays, Hwy, Belchertown,MA •.•�a�� T i�ma�o „/. ._. 01007 I�L�W 975 North Road,Westfield,MA 01085 WOK�u_ Office: (413)485-7335 WINDOW WORLD 41) CARE www.WindowWorldofWesternMA.com Preparing for Your New Windows and Doors Thank you for choosing Window World to complete your home improvement project.This letter is designed to simplify your upcoming installation experience by letting you know what to expect. 1. HOW LONG DOES IT TAKE?It takes approximately 4-20 weeks to receive your custom-made window order from the factory following your final measurement and your job exiting the Massachusetts State three day rescission period.A Window World associate will contact you shortly after your products have arrived to schedule the installation. Please note that we will make every effort to install your products within a reasonable time after they have arrived, but weather(rain,snow, high winds and extreme cold), high volume sales periods or other conditions (factory production delays,factory closure for holidays,shipping delays, etc.) beyond our control may govern the installation date. Homeowner understands and agrees that any such delays will not result in a discount from their contract total. 2. HOMEOWNER REQUIREMENTS: I understand that by signing this, I am certifying that I am the owner of the property listed on the contract. agree that a property owner will be present for the duration of the installation to ensure that the work is performed to my satisfaction and to inspect the work completed. If a property owner is not present,the contractor will be released of liability for any installation issues.This allows us to better satisfy our customers and ensures that the windows or materials are installed in the correct openings.Customer must sign off on completion certificate and leave final payment with installer if he/she wishes to leave the job site prior to completion.Customer understands that by not being present at the time of installation may result in the automatic charging of the final payment to the credit card used for deposit. 3. UNFORESEEN CIRCUMSTANCES: If during the installation process a condition is found that would prohibit properly installing a window(i.e. wood rot,termite or other hidden damages,etc.),the installer will promptly notify the Homeowner as well as the Window World office of the problem.Any additional work that is required to properly complete the job will be discussed with the Homeowner and billed on a time and materials basis. In the event we have received the incorrect or damaged window for your job(due to an incorrect measurement or factory error), Window World will reorder the proper window and will schedule the installation as soon as possible. Window World expects payment on the work completed to date at the time of installation that is not affected by warranty issues. 4. WHAT YOU NEED TO DO PRIOR TO OUR STARTING THE INSTALLATION: •You will need to remove all curtains,shades, blinds,window air conditioning units etc.from the existing windows. • We also ask that you remove any pictures mirrors, etc. on nearby walls and tables. • Move all furniture away from the area around each window leaving approximately 3 ft in front of the window and lft on either side of the window to be replaced. • Secure any pets(and children)for their own safety and for the safety of our installers. 5.ALARM SYSTEMS: It is the responsibility of the Homeowner to inform the alarm company of the upcoming window or door installation and to arrange reconnection after installation is complete. 6. EPA-LEAD SAFE GUIDELINES: Homeowners of homes built before 1978 have received a copy of the lead hazard information pamphlet informing the Homeowner of lead hazard exposure from renovation activity to be performed in their home.The Homeowner understands and agrees to indemnify and hold Contractor, Contractor's representatives, and employees harmless for any lead paint health issues. 7. INSIDE INSTALLATION (Normal): If the windows are to be installed from the inside,the interior stop moldings will be removed from the existing windows and reused after the new windows are installed. Please note that the paint or stain on the trim/moldings may get chipped and would need to be touched up by the homeowner. 8. OUTSIDE INSTALLATION (Special): If the windows are to be installed from the outside,the existing window's wood "stops"will need to be removed. In addition, if there are existing storm windows in place outside of your current windows,these will need to be removed as well. Please note that the area(s) where the wood "stops" and/or storm windows were removed will need to be patched and painted by the Homeowner unless the exterior trim is to be installed by Window World. 9. UPON COMPLETION OF INSTALLATION:After the installation is complete,you will be asked to inspect the entire project with our Installer.An evaluation sheet will be provided for the Homeowner to sign after the final inspection is complete. Please make sure that any corrections have been made before the installer leaves the job site. When the job is complete, we ask that you pay the installer the remaining balance due on your contract. 10. METHOD OF PAYMENT: Our installers will accept your final payment in the form of check, money order,Wells Fargo financing,or Visa/MasterCard/Discover Card authorization.As a courtesy and to ensure the safety of our installers; please DO NOT pay your final payment In Cash. 11. REFERRALS: Our goal is that you are pleased with the work we have done and will refer us to your friends and neighbors.You will receive a $50 referral fee for each person you refer who purchases 8 or more windows. Please have your referral mention your name when contacting our office. We trust that your remodeling experience will be a pleasant one. If for some reason you are not completely satisfied, please contact our office. Your comments are welcomed and will be used to better serve you. Thank you for your business! Primary Homeowner Secondary Homeowner Design Consultant EPA"Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure WW of W. Massachusetts anticipates starting this work on and being substantially completed in days.Any deposit 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. 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. 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. TilIS IS A CUSTOM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western Massachusetts, Inc.under license from Window World,Inc. Division of Professinnat Licensor* Board of Building Regulations awl Standards CS-115719 Expires: 04/30/2025 • NICHOLAS T DROST 4.• 102 0A,KRIDGE OR BELCHERTOWN MA 01007 • 1,,I IN" N Commissioner . • " Pe 1,7r Ne ce:r(747;cy12 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:Corporation Registration Expiration 165641 03/14/2022 WINDOW WORLD OF WESTERN MASSACHUSETTS,INC, • ROBERT BUSHEYJR. 72 1029 NORTH RD (4, ez,G404" WESTFIELD,MA 01085 Undersecretary •