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32C-338 (10)
BP r 022-1315 14 HENRY ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-338-003 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-2022-1315 PERMISSION IS HEREBY GRANT, D TO: Project# DOOR Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 4930 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: S TIBBETS ERICA Lot Size (sq.ft.) Zoning: URC Applicant: WINDOW WORLD OF WESTERN MA`S Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 ECC-600-4001086-2022 BELCHERTOWN, MA 01007 ISSUED ON: 10/13/2022 TO PERFORM THE FOLLOWING WORK: REPLACEMENT DOOR 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: Final: Final: Final: Rough Frame: Gas: Fire Department Driveway Final: Fireplace/Chimney: Rough: Oil: Insulation: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIO I ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I • T}013'£ Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner l'N f. / /9 NN The Commonwealth of Massachusetts \O (A9 Board of Building Regulations and Standa s p \ 7//NG,TM � FOR C'f UNICIPALITY Massachusetts State Building Code; 78 R 1' • ,USE Building Permit Application To Construct, Repair,Reno', Demolish a Revised Mar 2011 One- or Two-Family Dwelling ,�^<'�, -� This Section For Official Use Only `��1.'12' Buildin QJ Permit Number: A.� t - 3/ Date Applied: �4 " L-'vi� &c.,5 // 2 14 13 02Z Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers iy fie n nal 61- 301 .3 I.la Is this an accept street?yes .V no Map Number Parcel Num r 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(It) 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 El Private 0 Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP` 2.1 Owner'of Record: P7 ly.`If r Nod- ha►o )4Oti M 6 01060 Nan e(Print) City,State,ZIP 1 /Y /�Crl r�l .Si413 a,2Q �S"17'/ pivtl '(Iert S v►1c0 .c cM No.and Street J Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2 (check all that apply) • New Construction 0 Existing Building 1 l Owner-Occupied 'I Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units I Other VSpecify: 'V )Vitt cfl k A,kc-. Brief Description of Proposed Work2: ,Kyac 0 to0C CE VIA i k k 4' Nei . .r ie tC r-tcrti__ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ il 930 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ 1 ❑ Standard City/Town Application Fee ❑Total Project Cost' (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire $ Suppression) Total NZ Fe $ Check oMV Check Amount: ,�a Cash Amount: 6. 'Total Project Cost: $ 1 ,q 30 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) S \�► �?.1 + ( S j ( )v\- License Number Expiration Date Name of CSL Holder List CSL Type(see below) V No.and Street Type Description ti t U Unrestricted(Buildings up to 35,000 cu.ft.) ,o\k, c ' sz �'r.h'"\ `N\C C)\C'. l R Restricted I&2 Family Dwelling City/Town,Sate IP , M Masonr y '/ / RC Roofing Covering WS Window and Siding �1 (r SF Solid Fuel Burning Appliances 1.)N n.Au'1t.)la.J 'I y , n 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) \cpv- iA.)i--k 1 �� l Lql✓-ly W\VS a ok= HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email address 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 i No 0 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 V"ac ) to act on my behalf,in all matters relative to work authorized by this building permit application. ( e i /6 as Print Owner's Name(Electronic Signature) ate 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 icatiolt is true and accurate to the best of my knowledge and understanding. io 6 Aeoaa Print er' o(, uthori A s Name(Electronic Signature) Date NOTES: I. 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(H1C)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" „ ,,, The Commonwealth of Massachusetts -w�,7” = =--- Department of industrial Accidents �i• . w Office of Investigations a s . = 2 Avenue de Lafayette, Boston,MA 021.11-1750 ),,., www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print .Legibly. Name (Business/Organization/Individual):Window World of Western Massachusetts ! _ ,. Address:641 Daniel Shays Hwy _._.___ _.-._ City/State/Zip:Belchertown, MA 01007 phone #:413-485-7335 Are you an employer? Check the appropriate box: Type of project(required): 1.0 I am a employer with 40 4. 0 I am a general contractor. and..i employees OW and/or part-time). * have hired the sub-contractors 6. 0 New construction 2,0 l am a sole proprietor or partner- listed on the attached sheet. 7. 0 Remodeling ship and have no employees These'sub-contractors have 8. 0 Demolition workingfor me in anycapacity. employees and have workers' 9, ❑ 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.❑ 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 MGL. 12.❑ Roof repairs insurance required.] t c. 152, §l.(4), and we have no , Replacement employees. [No workers' l 3. Other comp.,insurance required.] *Any applicant that checks box.#1 must also fill out the section below showing their workers'compensation policy information. •I•Homeowners 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. l am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:4,4, J a'� c' too /a? e. .. � Policy#or Self ins. Lie. it:&4.„6,p�— 9,90/D'll s - 4- , Expiration Date: 3' _ lob Site Address: /y /ieo t i `5 f City/State/Zip:;.. r' h nl pl o� AM (O U Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). lPail.ure to secure coverage as required under Section 25A of MGL c. 1.52 can lead to the imposition of criminal penalties of a. line 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. Be advised that a copy of this statement may be forwarded to the;Office of Investigations of the DIA for insurance coverage verification. ' I do hereby certify under the pains and penalties of perjury that the information provided above s true and correct. Si rllatltr ' AI1 Date: /v 6/Z0,R Phone#: 413-485-7335 _. _ __-.— Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License issuing Authority(check one): �.,, l OBoard of'.Health 20 Building Department 3DC,ity/Tows►Clerk 4.0 Electrical Inspector sa.}u•.lumbing Inspector 6E:Other i Contact Person: Phone#: -.1 WINDWOR-01 LAURA qc_c3►li_1 CERTIFICATE OF LIABILITY INSURANCE DATE(MM"'DIYYYY) 4/28/2022 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 FAX 97 Center Street (NC,No,Ext):(413)594-5984 (Ale,hp):(413)592-8499 Chicopee,MA 01013 ADDRESS:laura@phillipsinsurance.com INSURER(8)AFFORDING COVERAGE NAIC#,—_ --_-- --- INSURER A:EMC Insurance Companies 21415 INSURED INSURER B:New Hampshire Employer Insurance Company Window World of Western Massachusetts,Inc. INSURER C: 1029 North Rd Westfield,MA 01085 INSURERD: 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. IN8R TYPE OF INSURANCE ADDL SUBRI POLICY EFF POLICY EXP LTR LSD..INyD POLICY NUMBER (MMIDD/YYYY) /MM/DD/YYYY) LIMITS A X ,COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCURDAMAGETO RENTED _ D531150 4/9/2022 4/9/2023 PREMISES(Ea occurrence) 500,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY X IisaX LOC PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER: $ (EaA AUTOMOBILE LIABILITY CO aBINEDISINGLE LIMIT $ 1,000,000 _ ANY AUTO Z531150 4/9/2022 4/9/2023 BODILY INJURY(Per person' $ OWNED CH DULED — 0NLY X SE BODILY INJURY(Par acddanl) $ X ATS ONLY ' AUTOON OcYRAMAGE $ $ A X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE J531150 4/9/2022 4/9/2023 AGGREGATE $ 1,000,000 DED X7 ETENTION$ 10,000 - - -- B WORKERS COMPENSATION X PER OTH- $ AND EMPLOYERS'LIABILITY STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVEse YIN ECC-600-4001086-2022A 5/7/2022 5/7/2023 1000000 OFFICE�tIMF1n NHj EXCLUDED? I N I N/A E.L EACH ACCIDENT _$_ + + ( soda o 1,000,000 If yes,describe under E.L.DISEASE-EA EMPLOYEE S_.-_______ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMI $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may he attached if more space is required) Workers Compensation Coverage Includes the following 3A States: MA,CT This certificate cancels and supersedes all previously issued certificates,only as they relate to workers compensation coverage. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Northampton THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD ®� Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards Construttil rjI6i p9rvisor • CS•115719 t i; I jtpires:0413012025 NICHOLAS T ROSTr 102 OAKRIDGE t)R C a 1 BELCHERTO(! I MAtk Q MI6j/ /f a' �!)l5��•ll� Commissioner dap f.' ,» .� �r' �rvdri�rrravri//�. ,. �ii•:dorlrri�/•.' Office of Consumor Affairs a 0ualnns Regulation HOME IMPROVEMENT!$ONTnACTOR TYPE:Individual Registration it L<P Ming 201746 104127r2023 NICHOLAS DROS1• NICHOLAS DROST rr. . • 102OAKFRIDGE DRIVE ir•„ BELCHERTOWN.MA 01007 Undersecretary • THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation 4 HOME IMPROVEMENT CONTRACTOR TYPE: orporatlon. Realstrition7z-t7Eiiiiration 16564-1 'l 03L1412024 WINDOW WORLD OF.WES1ER(J ASSACHUSETTS,INC. (.N' c. 1 • �•=-1 Y?.,1 r ,. TIMOTHY DROST '- i:it;'7.7 *; � W 641 DANIEL SHAYS HWY.. :: r--: : /) BELCHERTON,MA 01007.. .'y �srn.al'G rr414"° • Undersecretary ti F s r i-i•3'..•7ss- - • 1s-'9 stiff ru,or '!• Wii Windows And Doors- i �� Ng Windows:knit Doors Qt St �dASO Ward Market St estroy the �, Gratz,A77030 jttI A - Nr iSSQ I GBS i Fsnesggrk, t]HNftiYUNo Grids �` } ® Aanet7E Lita�I:(1►8;ciaaar t G i:+)rrea r SL.IDERWANYLIQrids -- t ;CitafNoltEArete };tiEe�?; MINIM d7;Argon;37 9i2 X 37 fictottc ttatnatfanestrabi Parisi 102:Lkit—t'iir.CistGLO INn. ; t Ra5n2(X 0 (118,Ctasr l , i 9°ni 45112 X b51i2 mai•A.ztsasaosto s that can he os te cleaner, ----- individual is May ba:ua to varvabn m partcrma,ur 3n for dt7fernt ti6,00esa-00002 and doors tnah te,t>u pretexts raw b•s tO V k+A`�OCma'e• ENERGY PERr=ORMANCE RATi�,tGs Olen using a !1-Factor(U.SJ!-P )tows on the ENERGY PERFORMANCE RATINGS rr�� } Solar Heat Gaut Coe# tctent It-Fedor�U.S,i'l�) Solar Heat Gain Coefticlelrt A =L 0•2 re 8eneraity 0.27 0.26 Dr7lONAt.PERFORMANCE RATINGS •adrutr�r- Visible Transmittance locations in ADDITIONAL PERFORMANCE RATINGS rr Air Leakage(tJ.SJI-A} • - • Visible Transmittance Air Leakage{U.S.rr.P} �,�7 �. )ols. tratotu rhino moans sa a yFaopr. ras tot4earmw,iotwor .a ■p■ 0.3 aprnoaCeseicir - ana ayscrYwt p;ra:,�.s:t lit,bake7r � "ssaufac' nresanrerarolnaryttare�, �,'eFesto-se tc:a,.v • L'ir .1Q Mtda Ftaouct •" - ,,ydy�y�ar aRR AB?37a rat9�s canrarmffir�pKaWr lPi�rlaaa�T•s _ y �..`..prp :l":14'9r.2iar� r1RMaRHa 4Ma 0— r.dcwlsCgel ap.041wmYa. ! a tsrctr mansrd ae rame�6• a ENFRI,Y STAR :iCertlficdtn liigtttir�ttlsd Rs giotts. Iris.Use a 4 m :, £crh1 ratdapeT ENEA£3Y STAR en las regiones resailatlas. i HIE r;y si rt Certified'II_ lrqtllighi tihtljisns. fr.ttf) rrin:prr FNERGY STAR on lit,Wynne:,ro,att,das: jar-. . ��/�. r it • ,f ,. .* ..- _ ' ..,......„,,,A.,.....!zg aaaas Para 7nkraunf� infrut Pkta cass)dt e la ripe� epadgadC� p .` �,ENErt S fl em.ryrnar.erchTioaart 0 pattaeditetaado Far kill kilo-amiss,ea lahal at_predast LGAC35' +DA(ASD) aP{ASD} f Pars ink ata ciSn c lets camtdtar to e s,au del prcduea. 35 30 •3 Max Test Size 50.13 ! Pert Grade +DP(Aso} -DP{{LSD) i Water Rep Florida ID L.C-PG35 35.09 ` 6A8 40.40 K 72pQ I 7eat-tosar ro stings are fat indtvidsal ax"eel ""ize .. r sipcked unis witssdows and doors only. Fari orrntafion ro • 72,00 X t30.r , r aae.otaar-rr� luease atmtact You spies gardrtg mulled nt tau size-TaVad to AA t esenta;44 Pos and Nag DP�mded hY For information regarafg trw�ed 5 r r Ei3oo.AAWtA tat,ei manrbel lCSaa t01/l.S tal ve p5 amass Accardetgto Ratings are for ixllv6duai wirdows and doors orttS'- ddeionsl H Y ed by gr. a bead or traekfi@er,For or stacked) k�.pRtsaee contact yours eg reprnsemGthve•Pas and Net DP tented by rnatart rEyaruns in fort insiructians, turf tact sine.Tested fa AAMAIWD�••SA i4lii_S.2iA4da-Q5 MIA label may be �6785�73.�'�.I please visit rnvw,miwd.com. *tiltconcealed by ptamD bead or traott flat.for a4 wtal rtrformation r arrgng niam irttxams,please visk w++w.mavd.can Milted on 8112n016 e;ro12 ass Printsil on »ax 26772468.1.1.1 7t61209 214 Fk Imam City of Northampton .° Massachusetts � r ,.. c�G rr ti,. ft 4 ' it f. DEPARTMENT OF BUILDING INSPECTIONS t Ai { '.�.� ;' ,-. 212 Main Street • Municipal Building yJ 'C,y�� Northampton, MA 01060 fi:' ''' �'V HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, f /1( l/CI Y (insert full legal name), born (insert month, day, year), depose and state the following: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit req irements 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 home, ers'exemption, does not involve the field erection of manufactured buildings constructed in accordance with 780 1 MR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner"as defined at 780 CMR 110. 5.1.2: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on w. ich there is, or is intended to be, a one-or two-family dwelling, attached or detached structures access cry to such use and/or farm structures. A person who constructs more than one home in a two-year pe od shall not be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent hat I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision of th' project or work on my parcel, I am not engaged in construction supervision in connection with any project o work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity •gulated 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 projec 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 4 day of ( . CtibE" , 20�. (..' )),,t_ 0<uN \AN-I—cue i. --) (Signature) City of Northampton agHtrotia S`s . SI y, Massachusetts , ••�� y (, ,t, A W�"i W , DEPTNT OF BUILDING INSPECTIONS �212 Main Street • Municipal Building , - 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: Olt.30 \•c icv,,-fir' �o' ke \ \O \ -N �, `;(. fin Q.1/4Ma ClOutO The debris will be transported by: Name of Hauler: \iA ovo. \)3c--X. Signature of Applicant: Date: /a 6 Aaw0`7 Window World of Western Massachusetts verennns Pp RT commnnn 641 Daniel Shays,Hwy,Belchertown,MA ��-„ �--=7 �� 01007 975 North Road,Westfield,MA 01085 CARE Office:(413)485-7335 WINDOWCARE www.WindowWorldofWestemMA.com PJ Miller Phone: 4132228774 Install Address: 14 Henry St Email: pjmiller058@gmail.com Northampton, MA 01060 Contract Name: PJ Miller- Sales- Doors Design Consultant: Tim Drost Measured By: Measure Approved Date: 10/3/2022 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 $200.00 $200.00 Setup and landfill disposal fee-Windows Setup and landfill disposal fee - Windows N 1 $250.00 $250.00 5-6 Ft. Patio Door-casing+capping 6 Ft. Patio Door-casing+capping left N 1 $3,980.00 $3,980.00 Exterior Color Upgrade (Patio Door) Exterior Color Upgrade (Patio Door) cocoa left N 1 $500.00 $500.00 Total Information Unit Total: 2 Subtotal: $4,930.00 Tax Rate: 0% Tax: $0.00 Total: $4,930.00 Amount Financed: $0.00 Payment Method: Credit Card Deposit Amount: $2,500.00 Balance Paid to Installer upon Completion: $2,430.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: f Window World of Western Massachusetts VETEHNf1S 0‘"LIRr commAno 641 Daniel Shays,Hwy,Belchertown,MA ,Wst 975 North Road,Westfield, MA 01085 WittdOW ?&j/ Office:(413)485-7335 WINDOW WORLD www.WindowWorldofWesternMA.com CARE � 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 (14 Secondary Homeowner Window World of Western Massachusetts veraRnns Oeuat c�mano 641 Daniel Shays, Hwy, Belchertown, MA __� ,d iu.i 01007 ul u" "' 975 North Road,Westfield, MA 01085 CARED 3Office: (413)485-7335 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. I agree that a property owner will be present for the duration of the installation to ensure that the work is performed to my s tisfaction 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 ust sign off on completion certificate and leave final payment with installer if he/she wishes to leave the job site prior to completion. Custo er 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 instlalling 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 rayment 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 d or 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 infor ation pamphlet informing the Homeowner of lead hazard exposure from renovation activity to be performed in their home.The Homeowne understands and agrees to indemnify and hold Contractor, Contractor's representatives, and employees harmless for any lead paint health i sues. 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. I 9. UPON COMPLETION OF INSTALLATION: After the installation is complete, you will be asked to inspect the entire project with our Installer. An evaluation cheef will hP nrovirlprl for the Homeowner to Sian after the final insoection 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 ((.0 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. THIS 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.