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17A-069 (7) BP 022-1665 16 MOUNTAIN ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 17A-069-001 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-2022-1665 PERMISSION IS HEREBY GRANT D TO: Project# DOORS 2022 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 9591 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: PIERCE LABOUNTY KERRY D&M JORIE A Lot Size (sq.ft.) Zoning: RI/WSP Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 ECC-600-4001086-2022 BELCHERTOWN, MA 01007 ISSUED ON: 12/29/2022 TO PERFORM THE FOLLOWING WORK: REPLACE 2 ENTRY DOORS 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 VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: I Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Buildine Commissioner ^„r�\ / .' .. ti The Commonwealth of Massachus / �F . v c� Board of Building Regulations and S ndatxhs.. C FOR \-.. • NI Massachusetts State Building Code, 780 g cepM U'CMR o ^ /USEC1PAtTY RL/ Building Permit Application To Construct, Repair,Renovate Or l ' h a Revised Mdr 2011 One-or Two-Family Dwelling '.'/44s,°� /if This''�S For Official Use Only .°,,,-,,`� �(1U 6,, r,�. / Buildin Permit Number: ��� °- Date Applied: L u1a—) / // ' /2-29IOZ7 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Addres • 1.2 Assessors Map&Parcel Numbers !(p Mc9Jn1-CA%Y, 3\- 1.la Is this an accepted street?yes A' 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 Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: V)ti (ci LA Dc) \r j i'/OR.crl u s M() Li oG Z Name(Print) 1 City,State,ZIP 1 (P moon-4 g j ‘) . (y/ 3-) Co 95 y5v5 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building'` Owner-Occupied Vt. Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units 1.. Other Specify:Y'-a2.01.e_crc1P ,L Brief Description of Proposed Work2: zFA-icyd c - New , ',Q/t.Lriti',_ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use (Labor and Materials) Only 1. Building $ q 5 q i 1. Building Permit Fee: $ Indicate how fee is determred: 2.Electrical $ ❑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• �� 1 C Check No.J�.7Check Amount: Cash Amount: 6.Total Project Cost: $ -I � / 0 Paid in Full ❑Outstanding Balance Due: City of Northampton f‘tC • TMAM� 4.9 Massachusetts DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 rs` •,. `��� 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(1 \a_ lo3SLp `lY'c\c\ The debris will be transported by: Name of Hauler: Signature of Applicant: �, f(S Date: `ZI7 z /,7 Z SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Ca c y ��5 a CQ S Gnp\t �5 N✓t�b�- License Number Expiration ate Name of CSL Holder List CSL Type(see below) No.and Street Q Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) 61\9_c c \ ‘Cv\c_. C\0(-‘1 R Restricted I&2 Family Dwelling City/Town,S M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances k 4%5•1313S QQ.1-v,-se ta>>&cZ) . vok I Insulation Te ephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) Lo vlzst—ik 1 I t9AZ rAA HIC Registration Number Expiratto Date HIC Company Name or HIC Registrant Name dst�etc'Ltti.L Sic n,..�s �r4v.)`1 V�rrr,.l-s t.1\4c�r �,r�-e-t',�`1rl lstEmail address c`hQ_.(-Aeo,iAcv.; \ek_01000 .49) 54-A335 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 EV 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 W\.t,s Lk\ 1,.)L�a, to act onn my behalf,in all matters relative to work authorized by this building permit application. /zrzz/Z � Print is Name(Electronic Signature) Date 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' this ap ' is true and accurate to the best of my knowledge and understanding. lZ/ZZ/ 77 Print er' o uthon 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,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 Department of Industrial Accidents r Office of Investigations ', Lafayette City Center 4` 2 Avenue de Lafayette, Boston,MA 021.1.1-1750 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:Beichertown, MA 01007 Phone #:413-485-7335 Arc you an employer? Check the appropriate box: Type of project( ecluired): I.0 i am a employer with 40 4. [] I am a general contractor and employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.0 I am a sole proprietor or partner- listed on the attached sheet. 7. [] R.emodcling shipand have no employees These sub-contractors have 8. [] Demolition working for me in any capacity. employees and have workers' insurance.• 9. [] Building addition. comp. [No workers' comp. insurance required.] 5. [] We are a corporation and its 10.111 Electrical repairs or additions 3.0 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 I 2.0 Roof repairs insurance required.] t c. .1.52, §1.(4),and we have no employees. [No workers' 13•® other Replacement----- comp. insurance required.] *.Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t.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. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. insurance Company Name: ;► y 1� t I /_ 0- e .�. j ,e:.� --_. Policy#or Self ins. Lic. #:410-a.49,0.- 9 /Oa -- ,,,,c 2-2...,d.. Expiration Date: ._ ,2.. _._ job Site Address: ] Co ,/Li((;V(1jl:l i Yl �:-' City/State/Zip:1'f 1D((c)C' , -- ._ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of:MGL c. 1.52 can lead to the imposition of crime al penalties of a. fine up 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 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 is true and correct. Signature: f'''"IJ#i ,y� ._. Date: 1� Z Z 1 _-- 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): 1.0Board of.Health 20 Building Department 31:City/Town Clerk 4.0 Electrical inspector 5fPlumbing inspector 6.0Other Contact Person: Phone#: �'....mmil, WINDWOR-01 LAURA AC —RU CERTIFICATE OF LIABILITY INSURANCE DATE(MM/ODlYYYV) 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 Phillips insurance Agency,Inc. PHONE 97 Center Street (A/C,No,Ext):(413)594-5984 I FAX Nol;(413)592-8499 Chicopee,MA 01013 nDOREss:laura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC s INSURER A:EMC Insurance Companies 21415 _- INSURED INSURER a:New Hampshire Employer Insurance Company Window World of Western Massachusetts,Inc. INSURER C: 1029 North Rd INSURERD: 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR R TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POUCY EXP INSD WVD IMM/DD/YYYYI IMWDDIYYYY►, LIMITS A X COMMERCIAL GENERAL UABIUTY EACH OCCURRENCE !$ 1,000,000 CLAIMS-MADE X OCCUR D531150 4/9/2022 4/9/2023 DAMAGETO RENTEE ante) $ 500,000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY , $ 1,000,000 GEN'L AGGREGATE pCT X LOC LIMIT� APPLIES PER: GENERAL AGGREGATE $ 2,000,000X POLICY X JE PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITYCOM(Ea BD SINGLE LIMIT nt) $ 1,000,000 — ANY AUTO Z531150 4/9/2022 4/9/2023 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS— EE�� ONLY X AUTOS BODILY R p x AUT03 ONLY X AUTOS ONLY (( err acEcdent)AMAGE $ $ A X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAR CLAIMS-MADE J531150 4/9/2022 4/9/2023 AGGREGATE $ 1,000,000 DED X I RETENTIONS 10,000 B WORKERS COMPENSATION ' X I PER I I OTH- $ AND EMPLOYERS'LIABILITY YIN ECC-600-4001086-2022A 5/7/2022 5/7/2023 STATUTE ER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ FICER/MEMBE;EXCLUDED? N N/A andMo In HMH E.L DISEASE-EA EMPLOYEES 1,000,000 If yes,describe under -- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation Coverage Includes the llowing 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 ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD CommonweDivisionalth reos sf iMoansasi cheunsseut rtse - Board of Budding Regulations and Standards OC snstrutArilAtipprvi or CS-115719 rjtoires:0413012025 /- NICHOLAS T;DRObT.:Vtl 102 OAKRIDGE DR%;•47' ; BELCH ERTO cri,1MMpfiloy, t4)'' • • 161A.10 Commissioner d.aiA 4 1116 Office of Consumor Affairsa Business Reputation NOME IMPROVEMENT CONTRACTOR TYPE:lnuJivitktl Reqlstrillicr • xiIiIi&C.0 201746 /27/202:1 NICHOLAS DFlOST NICHOLAS OFIOST 102 OAKRIDGE DRIVE (`'‘,6',•`` '• • BELCHEFITOWN,MA 01007 Undersecretary THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:tagration RealstrW' lon77EXpiration WINDOW WORLD OF.IAltS:.TRN tvlASSACHUSETTS,INC. !.) 6T41MiODTAHYNTEDLRSOHSATys Efi:tvyLV BELOHERTOVVN,MA 01007.- Undersecretary - z _ . S„ kt3Y '`fie !-' MI Windows And Doors 1! �, ME 856 West Market St MI Windows And'QpOrS NPRc .' Gratz,PA17030 or destroy ����iii]] 850 West Minkel St -" - • 1685 BLIDER2lV(NYL1Ctrids '9 � nef 7d2:Lice l:{1td',CIav,LGE Anrreatedj;Lite.2: r... ficultto _ it 11�'>Cfaar,NOteE jy d}i Ar9et1:3T1r2 X 37 s that can 6e NW& Paul ul lit LY�M:l1 �Argon; X A51 j2 re cleaner, i (11 r,tiearNONE, r ►air a st6as�oamoot ,e for cleaner, differnt individual products may be subject to'wasted In pert manse 1111 tetatb�o:ss-0000s ENERGY PERFORMANCE :and doors y,dwili,product'ntay be subject to variation to parformanc• RATINGS Men using a �-Factor(i1,SJi-P edowsnnthe ENERGY PERFORMANCE RATINGS ) Solar Neat Gain Coefficient U-Factor(U.S./1-F) Eclat Heat Gain Coefficient 0.�7 V a � ire uctgenerallycar- 0.27 0.26 ADDITIONAIr-PERFORMANCE RATJ�IQS' •oductcar- a Visible� nsm locations in r„� ADDITIONAL.PERFORMANCE RATINGS Transmittance Air Leakage(U•SJI-P) Visible Transmittance Air Leakage(U.S.II-P) .!ft2, C �.3 M15. - p . siss osSe rrYVf esnumm.pgrcaret - pr ra!tee athrmrypw yr+�y,a■�.� ttanr+-a4.716roaasuaen,•voras.r common►anaa�acgrlrcaacsxe htr bake ' 0.46 Y ssnor pr ' 2711.anr zr eaarew 'din•p'm'� 'o1nik ran enrot �e"r' +ra ai+or�rwt co:r,ae . . - ' r wn,r rtuu sup�au1 tram"raanps conrarm m spptuor ra• �mana.rfRC NOW an aoirnrrrc v s boa m m ar,��rvnarsn rorYyCaa sra a■pry a<___ i rt anunomtoea6.6*1pro"1anasoacnawmrrruruaw4a*ap t it p ut" C9''""t FNF GYST omarco As.the a --r �'ra�`"'rawadDsnM0. AR'Certified in H,ghliflltted Regions. • t Errlifir,xl.Por ENERGY STAR en 1as raglans resaltadas.! I Fht RGY STnR' Ccttrftcrl in tluililiWitt:r1 Neu inits, • Crir,h to rr., FNFRGt'STAR on is tsyionn,ta:,alt,des PF.111,14,. ,. „ , • —A ; i ENERGY STAR r FItIPtoe rQrsu4leww a".. ENERGY S MR -`,,,7,, aCert eaCert ca,fd `� Fur fad iarmaatian re•label an prods`-t Para infom,:.cibp eorrpkt:.cossututr Id Viiiperoi dal product*. errrprstu.aoalrrinlort 0 CertiledtC•rslfteado Far fell irtternrtiap.to label oR puled PertGrade p� ! DP(A5D} Pars idstaracefin earopl•[a camas:is wtueut lei pteAucro. LC-PG35' 50.13 +DP(MD) rDP( Co i ater 3 / i Max Test Size , Report# - Grids ID Pero'Grade 35.00 3508 t tf.08 40.00 X120p Ewm.d.,,,,,,v.sa"::::ors jL ; stings are fax indmd<ra FpS-1a��p : r stacked urns, on For'` 12.ES,,00 : p(saseitta y +formation regardm9 mulled ne test airs-Tasted to AA Yot1 asks roPreserRative.Por and Meg DP funded by Fix inlormat[on regarc8tp �. Sl'l4l s are f.r. -to AA many be SA�Oti es p.p5 Gob ra acor 9 or stacked a for fiplease contact windows and duets prec _mulled. s� Vi orral L00.MtmA regard y. g bead or track or unite,please contact your sales representative.Pot and ANg QP irtite by ng instaRatlorr i+rstructions, For At test sire.Tested to ad t 1M1f k ME.S 4101/I.S.2JA4ri9 d5 AAMA(abet may he Please fist k be rwd-aom. ttfie ccoceated by glaring bead or track fder.For additioml information rogardnp �G785673r .'� Printed on c,Wait inateestion instructions.Please yid wanw.mi id.cont, en2.2ois aye••42 au Printed an ,,wmtas m Pie oac,tnc 26772468.1.1.1 1 Qr 2oJ City of Northampton tri E .� 5, .L. ..;� �' Massachusetts ! t • r c ex DEPARTMENT OF BUILDING INSPECTIONS 7 I� 212 Main Street • Municipal Building yJ ,`./1 '1 r Northampton, MA 01060 �� ®r HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, t`r(jf 1.1i100 i -L (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 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. ' .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.ry to such use and/or farm structures.A person who constructs more than one home in a two-year pe '•d shall not be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision license and, except to the extent t 't I qualify for and will abide by the Massachusetts State Building Code's requirements for the supervision oft : 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 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 day of ptctwy1a(,2o1Z cSo_Q c�se-�r�, (St ature) Window World of Western Massachusetts Hwy, ,eu 641 Daniel Shays, aranana a �rca„mwno Belchertown,MA ;= 1 01007 975 North Road,Westfield,MA 01085 WatdOW l� Office: (413)485-7335 WINDOW WORLD$7) CARE www.WindowWorldofWesternMA.com Kerry Labounty Install Address: 16 Mountain St Florence, MA 01062 Contract Name: Kerry Labounty- Sales- Doors Design Consultant: Lanea Bushey Measured By: Measure Approved Date: 12/16/2022 Status: Quote Payment Method: Lender: Contract Type: Sales Comments: interior painted white Product Description Txbl Qty Price Extension Permit&Administrative Permit&Administrative Fee N 1 $200.00 $200.00 Fee Setup and landfill Setup and landfill disposal fee -Windows N 1 $200.00 $200.00 disposal fee -Windows Entry Door, Casing + Entry Door, Casing + Capping - 1/2 lite 91ite painted color TBD N 1 $4,531.00 $4,531.00 Capping multipoint locking system Venture oil rubbed bronze Entry Door, Casing + Entry Door, Casing + Capping -Craftsman raised panel 61ite painted N 1 $4,660.00 $4,660.00 Capping color TBD multipoint lock Venture oil rubbed bronze Total Information Unit Total: 3 Subtotal: $9,591.00 Tax Rate: 0% Tax: $0.00 Total: $9,591.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $9,591.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: Window World of Western Massachusetts �a�l� 641 Daniel Shays,Hwy,Belchertown,MA ETEwwns P commwno ( $/UtC1041J01007 975 North Road,Westfield,MA 01085 Window t& Office:(413)485-7335 WINDOW WORLD CARE ww WindowWorldof WesternMA.com 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 k -D Lc.&IIR Secondary Homeowner Window World of Western Massachusetts E,�gp�s A�nurt commwnu 641 Daniel Shays,Hwy,Belchertown,MA nZ. u 01007 ' 1 ui W y 975 North Road,Westfield,MA 01085 K Office: (413)485-7335 WINDOW WORLD eall) 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 IisCed 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 measurem nt 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 informa:ion 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 o 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 L0 L 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 requird 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.