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23A-112 (5)
BP-2022-1434 7 PINE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-112-001 CITY OF NORTHAMPTON Permit: Alts Renovations Repair PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit # BP-2022-1434 PERMISSION IS HEREBY GRANTED TO: Project# SIDING/WINDOWS Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 60913 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: C KALISH ALEXANDER M&JULIE Lot Size (sq.ft.) Zoning: URB Applicant: WINDOW WORLD OF WESTERN MA'.S Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 ECC-600-4001086-202 A BELCHERTOWN, MA 01007 ISSUED ON: 11/02/2022 TO PERFORM THE FOLLOWING WORK: 17 WINDOWS, 1 DOOR AND SIDING 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 ATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I ' f' . - ''� a I II Fees Paid: $100.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner / A& L. The Commonwealth of Massa use NOV ,o) Board of Building Regulations a Sta dards - 2i, FOR Massachusetts State Building Co e, 78 J7MU ICIPALITY OP USE Building Permit Application To Construct,Repair,ReitovakOtpe R• ised Mar 2011 One-or Two-Family Dwelling '��` A— ,1 c r`oti s This Section For Official Use Only -�-4 Building Permit Number: ?). — iy 34/ Date Applied: 1/V Q55 /�12. i1'210Z Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers _ '7 Pe''i c 5J- 1.1 a Is this an accepted street?yes x 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 0 Zone.• — Outside Flood'Lone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Rec rd: TeX �l rx� k) lorcncc Mg &( 26 Q Name(Print) City,State,ZIP 7 fit o 61- /3<376'5 7( alexka(i54 eq mai( .0 04 No.and Street Telephone Email Add s SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building' Owner-Occupied 'lil, Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units 1_, Other "Specify:'r \Gl L.LcU 1✓1.A__.. Brief Des9ription of Proposed Work2: ,5;0/i r) / /'`1 it inci0uJ 5 4- / G/moor ref/ace rn 1-f- /YdAr Me er-ic.r,¢-.i SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 0 q C 3 1. Building Permit Fee: $ Indicate how fee is determined: 2. Electrical $ 1 ❑Standard City/Town Application Fee ❑Total Project Cost3(Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ Check No:3� Check Amoun1:l,0 Cash Amount: q 6. Total Project Cost: $ 60 / ' ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) c.s� \L:yiic aCaS Q 54[\OAS License Number Expiration Date Name of CSL Holder List CSL Type(see below) k t `>Q Y) N1t'J ��\J e No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) ,0 C�` U ^��`� � CA0�l R Restricted I&2 Family Dwelling City/Town,S _ M Masonry rM RC Roofing Covering WS Window and Siding ( SF Solid Fuel Burning Appliances U N-1. S S c?i,, L.:.) t,. . I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) \ct. (4,)L-14, vV t l _ L De,.:� c. w A �� HIC Registration Number Expiration Date/ HIC Company Name or HIC Registrant Name 'AA 5\ott b\\ Cl�r . (.:\rsArNI,Oti?ctirtc4_l'ArAf \ N .and Street \ 4 Email address t &_ C\C\,'1 k 3) aS'a x 5 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 111-' 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 �0\Ni`'},\,tk: "dt-y\ to act on my behalf,in all matters relative to work authorized by this building permit application. e )4-1 e_A-) /0(6? 7/62,40(2 Q Print Owner's Name(Electronic Signature) Dat 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 p ation is true and accurate to the best of my knowledge and understanding. (0J 7 A2i° Print er"orAuthori. A s 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,fmished 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" Cityof Northampton Q,�fHA.4/fn .. �~ C... • Massachusetts N$. SA � 4 € x DEPARTMENT OF BUILDING INSPECTIONS jv u v^ f•� 212 Main Street • Municipal Building �Jd; �f(1/-1 v V ,?'1 Northampton, MA 01060 r' � 1`"C 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: (F<,)c, \ \)C \c' lfs \ft \-Nc1ct \-`.�KiL,\Nv.Q,A The debris will be transported by: Name of Hauler: r\q,resO \K2>cq Date: /�/� 7/6Wa Signature of Applicant: ,.? '"., The Commonwealth of Massachusetts _=~,_.:-. .' • Department of industrial Accidents Sµ = _ w Office of Investigations Lafayette City Center - " 2 Avenue de Lafayette, Boston, MA 02.1.1.1-1750 .i� 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): 1.1 I am a employer with 40 4. 0 I am a general contractor and I: employees (fu11 and/or part-time).* have hired the sub-contractors6 ❑ New construction 2.E I am a sole proprietor or partner- listed en the attached sheet. 7. 0 Remodeling ship employees to and have no ees These sub-contractors have p Y 8. 0 Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.'insu.rance.t 9. 0 Building addition. required] 5. 0 We are a corporation and its i o.❑ Electrical repairs or additions 3.El I 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 12.0 Roof repairs insurance required] t c. 1.52, §1(4), and we have no Re employees. [No workers' 1.3.(� Other p acoment __ comp. insurance required.] ''Any applicant that chocks 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 arid 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 Jro my employees. Below is the policy and job site information. Insurance Company Name:Ne, 6 e7 , fr, ;: 4%ye^ ,4 _ ___ Policy#or Self-ins. Lie. #: d w-4,pd., 900/D 4 y; ,,d, Expiration.Date: / g Job Site Address:_ 1/ i `iV1 Rd City/State/Zip:f_//O/el/I leg o/d 6,2 Attach a copy of the workers' compensation policy declaration page(showing the policy number and xpiration date). Failure to secure coverage as required under Section.25A Of MGL c. 1.52 can lead to the imposition of crimi al penalties of a. fine ttp to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK )RDER.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 th Office of Investigations of the DIA tier insurance coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true an correct. S.tg is#Gturc: t l �S Date: (o/a 7/ aq_ •413-4485-7335 Phone 1F: ._____._ .___ __.._.___. ; Official use only. Do not write in this area, to be completed by city or town official. F City or Town: ' Permit/License # —_ Issuing Authority (check one): 10.13oard of Health 20 Building Department 3,lCity/Town Clerk 4.❑.Electrical Inspector 5 'lurnbing Inspector 6.DOthcr Contact Person: Phone#: { __ —'1 WINDWOR-01 LAURA AtI,C:C.)1?v CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 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 MACT Laura MIsserl Phillips Insurance Agency,Inc. PHONEFAX —J 97 Center Street INC,EI No,Ext):(413)594-5984 (NC No);(413)592-8499 Chicopee,MA 01013 leaks8:laura@phiIlipsinsurance.com - INSURER(S)AFFORDING COVERAGE NAIC a ------ INSURERA:EMC Insurance Companies 21415 INSURED INSURER B:New Hampshire Employer Insurance Company Window World of Western Massachusetts,Inc. INSURER C: 1029 North Rd INSURERD: Westfield,MA 01085 INSURER S: 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. INSR ADDL SUER LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP lMWDD/YYYY) (MM/DD/YYYY) LIMITS A X ,COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 - CLAIMS MADE X OCCUR D531150 4/9/2022 4/9/2023 DAMAGE TO RENTED) $ 500,000 -- -- — MED EXP(Any one person) $ 10,000 - — PERSONAL 8 ADV INJURY $ 1,000,000 GEM.AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY L yo& X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 ' OTHER . $-MO A AUTOMOBILE LIABILITY C M&aBINED SINGLE LIMIT 1,000,000 ' ANY AUTQ Z531150 4/9/2022 4/9/2023 BODILY INJURY(Per person) OWNED ONLY X SCHEDULED - _x AUTOS ONLY X AUTOS ONNLY BODILY INJURY(Per acdden p1OPERTY pAMAGE {Per accident) $ $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE J531150 4/9/2022 4/9/2023 AGGREGATE $ 1,000,000 DED X RETENTIONS 10,000 ---- B WORKERS COMPENSATION y PER OTH- $ AND EMPLOYERS'LIABILITY X STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE YIN ECC-600-4001086-2022A 5/7/2022 5/7/2023 1,000,000 Q'FICE /M B it EXCLUDED? N N/A EL EACH ACCIDENT ends o N If es,describe under E.L.DISEASE-EA EMPLOYS=_S 1,000,000 .-.... DESCRIPTION OF OPERATIONS below E.L.DISEASE•POLICY LIMIT $ 1,000,000 I DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be 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 g : ,.,y ,/)'I L s 1.e 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 Const uititM ISt5pprvisor CS-115719 E1it�pires:041301202S NICHOLAS TTIROST } '4 102 OAKRIDGE OR; iip f� BELCHERTOW_N MA 401O07, • , �. �t,4,4 Commissioner day,I �.._ ..... __.../r�`�ivdrirrvrrivo/// I - Office of Consumer Affairs&Du4lness RNM1(11icm mom IMPROVEMENT CONTRACTOR TYPE:Individual . • RegistwSic?n -Expi on 201746 OiI271202:t NICI HOL.AS DROST OFIOST •.. , NICIIOLAS 'i rF. ' .:.._.r • BELCHERTOWN,MA 01007 Undersecretary THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR • TYPE:r corporation, R istratien " E$Pitatlon 165691 :r,0•L14112024 WINDOW WORLD OF yiIES_7}jRNI:1 „ SAC(HUSETTS,INC, Sj7 fd TIMOTHY DROST -1' 641 DANIEL SHAYS HWY /) BELCHERTOWN,MA 01007. 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Pnntea on 811I201 s 8:10.12 Am Patted en 26772468.1.1.1 mess +' t 3,� a Window World of Western Massachusetts VETERRf15 PR RT ComTPDD 641 Daniel Shays, Hwy, Belchertown, MA 01007 975 North Road,Westfield, MA 01085 WindOW W Office: (413)485-7335 CA ROES www.WindowWorldofWesternMA.com Alex Kalish Phone: 4133745511 Install Address: 7 Pine St Email: alexkalish@gmail.com Florence, MA 01062 Contract Name: Alex Kalish - Sales -Siding Design Consultant: Tim Drost Measured By: Measure Approved Date: 10/19/2022 Status: Contract Payment Method: Cash Lender: Contract Type: Sales Comments: Product Description Txbl Qty Price, Extension Permit&Administrative Fee Permit&Administrative Fee N 1 $200100 $200.00 Setup and landfill disposal fee - Windows Setup and landfill disposal fee -Windows N 1 $1,500j00 $1,500.00 4000 Series DH Solarzone 4000 Series DH Solarzone N 15 $87900$13,185.00 Colonial Grids (Contoured) Colonial Grids (Contoured) N 16 $45.00 $720.00 Install Interior Casing Install Interior Casing 2-1/4 colonial prime picture N 16 $295.00 $4,720.00 frame Tempered Glass - Full Tempered Glass - Full bathroom N 2 $250.00 $500.00 5-6 Ft. Patio Door-casing+capping 6 Ft. Patio Door-casing+capping reframe patio door N 1 $6,000.00 $6,000.00 HOMEOWNER RESPONSIBLE FOR ELECTRICAL Siding Soffit and Fascia (NO STRIPPING Siding Soffit and Fascia (NO STRIPPING STRUCTURAL N 1 $26,000,00$7.6,000.00 STRUCTURAL LAYER OF SIDING) LAYER OF SIDING) Reframe/Retrim Reframe/Retrim entry door, remove Sheetrock return N 1 $650.00 $650.00 and install casing 3-1/4 prime Reframe/Retrim Reframe/Retrim remove old vent on side N 1 $400'00 $400.00 4000 Awning 4000 Awning N 1 $1,449 00 $1,449.00 Basement Slider- 1 panel (Min 11.5") Basement Slider 1 panel (Min 11.5") REBUILD N 1 $599 00 $599.00 FRAMES Colored Exterior Colored Exterior GREEN N 16 $265 00 $4,240.00 Exterior Color Upgrade (Patio Door) Exterior Color Upgrade (Patio Door) N 1 $750 00 $750.00 Total Information Unit Total: 56 Subtotal: $60,933.00 Tax Rate: 0% Tax: $0.00 Total: $60,913.00 Amount Financed: $0.00 Payment Method: Cash Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $60,913.00 Renovation, Repair and Print Act (RRP) Compliance Window World of Western Massachusetts 641 Daniel Shays,Hwy, Belchertown,MA s, ��.pp�.40134.) -mp=' atcitz U 01007 W 975 North Road,Westfield,MA 01085 (t(( Office:(413)485-7335 WINDOW WORLD ww WindowWorldofWesternMA.com CARE w. Product Acknowledgements I have received a copy of the lead hazard information pamphlet informing me of the potential risk of the lead hazard exposure from renovation activity to be performed in my dwelling unit. I received this pamphlet before work began. Primary Homeowner (PIN Secondary Homeowner Window World of Western Massachusetts Ycrewnns P"RLI commnno 641 Daniel Shays, Hwy,Belchertown, MA OS 'Ldim 975 North Road,Westfield, MA 01085 D W [1,� Office: (413)485-7335 CARE WINDOW WORL$.41k1 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 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 / 1 )LO\) Secondary Homeowner ari-eAA Design Consultant \ 'On a ro._<-)- 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 deposi 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 an material or equipment of a special order or custom-made nature,which must be ordered in advance of the start of the work o assure that the project will proceed on schedule. No final payment shall be demanded until the contract is completed to the sati•faction of all parties.All home improvement contractors and subcontractors shall be registered. No work shall begin prior to PI e signing of the contract and transmittal to the owner of a copy of such contract.WW of W. Massachusetts under provision of Ch.pter 142A of the general laws is required to apply for and obtain all construction-related permits.WW of W. Massachusetts shall of be deemed responsible for delays in the work described in this agreement caused by regulatory,permit granting agencies, a thorities, or individuals. Notice: If the PURCHASER(S) obtains his own construction related permits for the work described u der this agreement or deals with unregistered contractors, the PURCHASER(S)is hereby advised that in the event of a dispute,judgment and nonpayment, the PURCHASER(S)will not be entitled to make a claim or collection from the guaranty fund estab 'shed by chapter 142A, M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day afte the date of this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the folio i ng third business day. THIS IS A CUSTOM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Windo World of Western Massachusetts,Inc.under license from Window World,Inc. II City of Northampton Massachusetts � s« s * DEPARTMENT OF BUILDING INSPECTIONS out 'ut 212 Main Street • Municipal Building yet Northampton, MA 01060 J,/HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT i/Q/J /1ex a/t'S 1-2 (insert full legal name), born (insert month, day, year), hereby depose and state the following: 1. 1 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 pr. ect 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 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 try to such use and/or farm structures. A person who constructs more than one home in a two-year per od shall not be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent ' at 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 or work involving construction, reconstruction, alteration, repair, removal or demolition involving any activity r•gulated by any provision of the Massachusetts State Building Code. 5. If 1 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 02 7 day of()CIO 6&r , 20!. (Signature)