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23A-270 (3) B '-2023-0243 45 MIDDLE ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-270-001 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-2023-0243 PERMISSION IS HEREBY GRAN ED TO: Project# window 2023 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 1479 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: M WALLACE JENNIFER Lot Size (sq.ft.) Zoning: URB Applicant: WINDOW WORLD OF WESTERN M SS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 ECC-600-4001086-20,2A BELCHERTOWN, MA 01007 ISSUED ON: 02/28/2023 TO PERFORM THE FOLLOWING WORK: REPLACEMENT WINDOW 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: at, 1' y Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner . Jf The Commonwealth of Masgachu efts -:^'C _+.' +- ,i ) Board of Building Regulations And S n. FOR Massachusetts State Building Code„ 80 C `' 28 MUNICIPALITY (� USE Building Permit Application To Construct, Repair, Re e Or Dem��llish a Revised Mar 2011 One-or Two-Family Dwelling ?rtiq t!mn,",r; This Section For Official Use Only -1''ti•^ AF riof,, BuildingPermit Number: 1- A3",�q Date Applied: CIAO 4 5 .// - 2-26-20Z3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 45- t d I/e s f- 1.la Is this an accepted street?yes ,r no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public 0 Private 0 Zone: _ Outside Flood Zone? Municipal❑ On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: ' �(Pnnmr Neill� �r' (,e a V�° viceN( 1l QID Warne �o a City,State,ZIP tf� 0`'1 d d l e 3 f' q, 7 g i-7 7 7/9 hr‘S3 »tic,f ,eda No.and Street Telephone EmairAddtest SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction Cl Existing Building Owner-Occupied . Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units 1., Other Specify:'Y',Q.010$ � ti 1' ado__ �0�a oWre� Brief Description of Proposed Work2: Re it. J ae.-zu4, _/— SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ / if /q 1. Building Permit Fee: $ Indicate how fee is determined: 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: tip IY, /y CI Check No Check Amount. Cash Amount: 6. Total Project Cost: $ / ` / ! Paid in Full 0 Outstanding Balance Due: I City of Northampton NAMN /vo°a.+�' �Nti S SI f Massachusetts �• . 1 DEPARTMENT OF BUILDING INSPECTIONSIP 212 Main Street • Municipal Buildinge` Northampton, MA 01060 3 •1 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: Ort o ,\Q \a(,t ��L,tg NC` q.\� COul The debris will be transported by: Name of Hauler: 1\1\ct, ; \)3r,r�X, Signature of Applicant: Date: o2/7?11 o2/0.2 a SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C. 1et a . 5 \V\Q�•(\ License Number Expiration bate Name of CSL Holder 0-4 C � ��\J Q List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) CSZ\St._ vJ� ��� CA adl R Restricted I&2 Family Dwelling City/Town, S IP Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances tj n 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) \� �� 1 v'� (�� auk w\ �u' �C HIC Registration Number Expiration Date, HIC Company Name or HIC Registrant Name ()Lk ---s)as\ vJA �oy I.3\raAcv..) r �.S.�tYI and Street Email address 4c•Vvo Ptvx_ of clt>1 <<-k ) s'=1335 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 IV 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 ���/\� t. i c ) to act on my behalf,in all matters relative to work authorized by this building permit application. 1-v-0., C. /32/0/020(2 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. (oZOo? Print • er',:o •�uthon• A 'i 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 Industrialr4ccadenis ..-1_ 1 Congress Street,Suite 100 i Boston,MA 02114--2017 wwwanass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electririanc/Piumbers. TO BE RILED WITH nut PERIVRIT.INGr4 ti uat)RTTY. Applicant Information �,�( v v u S� Please Print Legibly Name(Business/Organization/Individual): 4� gt'1 0ays H00 ®\N f - 4J A JT Address: Be, City/State//Zip: Phone#: y/3 If 85 7 3 3 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 6710 employees(full and/orpeat-time).* 7. ❑New construction 2.0 I am a sole proprietor or partnership andhave no employees working forma in S. Remodeling any capacity.(No workers'comp.insurance required.] 3.0 I am a homeowner doing all work mysel£[No workers'comp.Insurance required.]t 9. ❑Demolition 4.0 I am a homeowner and will be hiring oonttaetors to conduct all wort on my property. I will 10 0 Building addition ensure that all contractors either lava workers'compensation insurance or am sole 11l Electrical repairs or additions proprietors with no employees. 12.0 Plumbing repairs or additions 5.0 I am a general contractor and Drava hired the sub-contractors listed on the attached sheet 13.[�Roof repairs These sub-contractors have employees and have workers'comp.insmaace, L 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.j 'O#merep la(� /�'4- / 152,§1(4),and walleye no employees.[No workers'comp.insurance required.] *Any applicant that nturks box#1 mast also fill out the section below showing their workers'compensation policy information. :Homeowners who submit this affidavit indicating they are doing kit work and then hire outside contractors must submit a new affidavit inrliraring 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. Ifthe sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information y� Insurance Company Name: AC t /'7 y'1 N r I CO.LI l f'1 3 U YG'l t/l ce, Policy#or Self-ins.Lie.#: C 3 / 6 5 1-1 frg Expiration Date: /42/0 7/ Job Site Address: 115 v%, dd / S f City/State/Zip:80 l ice M✓q 0/06 02 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL o.152,§25A is a criminal violation punishable by a fine up to$1,500.00 • and/or one-year imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage yea-trice n. • I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: e l elifility Date: c 2A A24(20Q- _-- 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): 10Board of Health 20 Building Department 30City/Town Clerk 4.0 Electrical Inspector 51:1Plumbing Inspector 6.DOther Contact Person: Phone#: City of Northampton 1 Oti M A iR,� -,A 4 f.:;-,.... ., s\,A A1 'iX01 Massachusetts At,' }_ '� ¢ �' DEPARTMENT OF BUILDING INSPECTIONS 7 , 4 212 Main Street • Municipal Building s%) a� " Northampton, MA 01060 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, Y] p) i e r Ala //Q Cfi (insert full legal name), born (insert month, d ar), hereby lie 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 pr. 'ct 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'ry 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 ' 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 o 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 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 11 day of 7'Cb I 01 20Z3 cSow 0se-� ,t. (Sr ature) WINDWOR-01 LAURA .ACORO 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 CONTACT Laura Misseri NAME: Phillips Insurance Agency,Inc. PHONE FAX 97 Center Street (Pdc,No,Ertl:(413)594-5984 I(MC,No):(413)592-8499 Chicopee,MA 01013 ADDRESS:E-MAIL )aura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA:EMC Insurance Companies 21415 INSURED INSURER B:'NeW I4 mp hi� re Emp Iny r Incur s Compdny Window World of Western Massachusetts,Inc. INSURERC: 1029 North Rd INSURER D Westfield,MA 01085 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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 TYPE OF INSURANCE ADDL SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVO IMM/DDIYYYYI IMM/DD/YYYY1 A X COMMERCIAL GENERAL LIABIUTY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X OCCUR D531150 4/9/2022 4/9/2023 DAMAGISE TO RaENTEoccurrence) $D 500,000 PREMISES(E 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 JECT X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: $ A AUTOMOBILE LIABILITY (CEO BINED SINGLE LIMIT $ 1,000,000 ANY AUTO Z531150 4/9/2022 4/9/2023 BODILY INJURY(Per person) $ OWNED AUTOS ONLY X SCHEDULED BODILY INJURY(Per accident) $ _ AUTOS X HIAUR S ONLY X AU O O Y NOfI OWNID PROPERTY DAMAGE (Per accident) $ $ A X UMBRELLA LAB X OCCUR EACH OCCURRENCE $ 1'000'000 EXCESSLIAB CLAIMS-MADE J531150 4/9/2022 4/9/2023 AGGREGATE $ 1,000,000 DED X RETENTIONS 10,000 S B AND EMPLOYERS'LIAORKERS BILITY Y/N X STATUTE ERION y PER ANY PROPRIETOR/PARTNER/EXECUTIVE ��U2f6-2022A S///ZU22 5/7/2023 E.L EACH ACCIDENT 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory In NH) 1,000,000 El.DISEASE-EA EMPLOYEE.$ If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below i E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I 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 P 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 DATE(MM/DD/VVYY) AC CPR 02/10/2023 �.- CERTIFICATE OF LIABILITY INSURANCE Acct#: 2970777 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 LOCKTON COMPANIES,LLC NAMEPHONE: FAX 3657 BRIARPARK DR.,SUITE 700 (A/C,No,Eel):888-828-8365 (A/C,No: HOUSTON,TX 77042 E-MAIL ADDRESS: INSPERITYCERTS(r12LOCKTONAFFINITY.COM INSURER(S)AFFORDING COVERAGE NAIC If INSURER A:Ace American Insurance Co. 22667 INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. 641 DANIEL SHAYS HWY INSURER C: BELCHERTOWN,MA 01007-9529 INSURER 0: 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. INTRR TYPE OF INSURANCE ADDL SUER POLICY NUMBER MM/DDIIYYY YY POLICY EXP LIMITS INSD WVD ( ► (MMIDD/YYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS- OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY LOC PRODUCTS-COMP/OP AGO $ 11FrT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ' $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN X STATUTE ER A ANYPROPRIETOR/PARTNER/EXECUTIVE IL E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory In NH) CS1866S4A 12/23/2022 10/01/2023 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-EAEMPLOY�E : 1,000,000 E.L.DISEASE-POLICY LIMI $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION 2970777 Town fo Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED Building Dept BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 212 Main St ACCORDANCE WITH THE POLICY PROVISIONS. Northampton,MA 01060 AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards ConstraitAritipprvisor CS-115719 *s. Ocoires:0413012025 NICHOLAS T:DROSt. t' 102 OAKRIDGE DR ' ' ^ BELCHERTOir MA p• 't • A 16/ 411W. Commissioner egail OfficeiioottlEComnspurimoorvAEffroaiErsNaT TYPE:Individual aCiOitTat.;sRARCeTgoulRation FIJiaqrslligyi -Eispiatign 201746 04127/2023 NICHOLAS DROST NICHOLAS DROST 102 OAKRIDGE DRIVE BELCHERTOWN,MA 01007 UnderefiCretary • THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE:tapOsratIork Realstration7Taviration WINDOW WORLD OF VESTRN MASSACHUSETTS INC. TIMOTHY DROST 641 DANIEL SHAYS HWi. • aeG DELCHERTOVVN,MA 01007- 4 ( ivi 6.1 Undersecretary T T- �'W P=*r- sue-. j c'ta suffitit‘nt or � MI Windows And Doors ' ! 856WAatMartretSt Ml Windows And Doors NFRC" Nit Drat i ...s r 65 i7830 or destroy the AN., ?-i 1350 What Market St !� �� +- MI. "Grratz,PA17030 ' •'t t65Q ra •. �rat Ftgrpn DHNfNYL1No Grids ', y; 16t35 R>y�9�ctKx`® Panet�dy:Late-i:(i/8'.C1ear.LQi Annaafed),t ite,2: r! S{.IDM4�3NlNYLJOrids (i/$',C1aar,tJD1lE,Mmxled icult to },Argon;371r2 X 37 s that tan be tj&3�nalfe astrt ) pale la&UM:(1/8", arALAnneIMO t te-2: 116".Ckat NpN6,Amaaalad);Arai 45112 X 451i2 tee aatsasaos moat ,e cleaner, ._,-....-.-.-•- — ( • Indirtduv pradv;ts may bf cubj/ct to vartsUon fn p.furmuxe m for d ffernt tb a000t and doors andMttuu product/racy Po athjoet to WMden In p. s ENERGY PERFORMANCE RATINGS Vhen using a U-Factor(U.$J{�) Solar Heat Gain Coefficient Wows on the ENERGY PERFORMANCE RATINGS rr�� U•Factor(U.S.II-P) Solar Heat Gain Coefficient 0.27 7 ®.�9 ADDITIONAL-PERFORMANCE RATIN{iS re generally 0.27 0.26 "(Plod ter- Visible Transmittance locations in ADDITIONAL PERFORMANCE RATINGS Air Leakage(U.SJI-P) • ' Visible Transmittance Air Leakage(U.S.f{-P) O, 2 O LG:.u'lC4�fN k 7iv CONoryr.ID 0.3 MIS. • A1ir/1 R'/tPM lit,bake 5 V e 3 is rw r �,�Rill Sri aas� rre f�.i. ronml.xn ana a� - F.:-.,,,.. ���� rnif"a aery+"Cl'en arotly -1:111: ::Jriln::FedTt 4�t Craw .- - .• iun.tamnr /QKTle/Mee ortnn to WOW"tat6 pavdnl rnr"'"f W rprti prmutt P prrum�ra nronafrua wrnorod acru+a eon n/t ra rra n euawv zt>t4r praam'x/MTt a/.rt�t e parr rmt7r:/..' :W7net rd.Qpt(1NV C Cr*fe77 Yt lK/frA�rfrMra aCrfdtlOfM/M i ap/dl�prea�cr l01 ,rjs.Usea _( rfttCaeanocr/aarmu+r*+Y m rarer Rad�rt•�r wanraGt. • ENFRGYSTAR'Certified in Mghll0lfled {ggl0tls weirI�CAfe Ccriifira43o por ENERGY STAR en fas re.giones resalladas. -a i OP111.1, cner4rsuc�e.Ac4nra«s J/ ENERGY i.AR ...c> ti\ y Y falaOinFrruutan sts►la6aF �� Certt§adJCeriihcatfo u trgigitr. Nrinlert Sr Fars intormaeibn earrpkat coasttt4nr la etiquera dei P adncw. fi CattdledlCartifieado Far full inferna l/awes*label of pcaOct Pelf Grade *DP(ASB) Pere istemssr:i6n canpleu.censulun t+etrtatur bat preAucto. LC-PG35• -OP(ASO) Water 35.30 50.13 per f Canada +DP(ASD) -DP( D Water rTh Max Test Size r Report# Florida ID 5.43 35.08 _ 6.06 40.00 X 7200 +rz.m-tog er,o LGpG35 33.08 I ft(dirt I ' 208gp sans ifze �e it - ¢"�` slings are for inQNidtral windows and doors only. For information regard�g mulled rxee of-toeai tm 29124 r stacked ants,plaast a rtdct 72.00 X 00,00 ni tau afire.Tolled to AA Y sales��esetttatives.Pax and Nag DP fcmi<ed by Fax tMBrmaflon reflatrrfrtfl mtdled �r STM Et30o aalutA re ar aRat nsir:i:mad ar tack Kdtinss ant for i►3iutdual windows and kart ctn. ddeional Infor»tation r rr y 6 s ead Gtrac Bar.Forr'to it bads ad stales,pleads eanteat your silos representative.Poa and NEI DP�mlted tN e4a 8 instaRatlon instructions.Please vastanus-rnwd.com. aria test t4:ee.by; to AAMI+1YV0144fCSA 101A.S.2/A44t0-051 A label may be 16785673.1,1.1 :t the apneadled by fltaaaa t bead or track filer.For additional tofatmatton nnarcin9 nail Mediation instructions,please vita ww i.mhvd.corn, ',mud on een212ais 6:10:12 AM aas,Mc 26772468.1.1.1 11617416I MPM ` Window World of Western Massachusetts YETERROs ar cummARU 641 Daniel Shays,Hwy,Belchertown,MA u_„'i 01007 LU�1N/ 975 North Road,Westfield, MA 01085 WINDOW WORLD Q/fl,� Office: (413)485-7335 .) CARE $ www.WindowWorldofWesternMA.com Jennifer Wallace Phone: 9178177719 Install Address: 45 Middle St Email:Jw653@nyu.edu Florence, MA 01062 Contract Name:Jennifer Wallace - Sales -Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 2/19/2023 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 $0.00 $0.00 4000 Casement 4000 Casement N 1 $1,199.00 $1,199.00 Install Interior/Exterior Stops Install Interior/Exterior Stops N 1 $80.00 $80.00 Total Information Unit Total: 2 Subtotal: $1,479.00 Tax Rate: 0% Tax: $0.00 Total: $1,479.00 Amount Financed: $0.00 Payment Method: Credit Card Deposit Amount: $740.00 Balance Paid to Installer upon Completion: $739.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: Window World of Western Massachusetts VereRa s POUF)COMMR110 641 Daniel Shays, Hwy,Belchertown, MAW04411.4444946 01007 975 North Road,Westfield, MA 01085 Ara. WORLD O Office: (413)485-7335 CARE www.WindowWorldofWestemMA.com "'• "' 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 Secondary Homeowner Window World of Western Massachusetts VETERROS CORUFr commRno )�/n,, 641 Daniel Shays,Hwy,Belchertown, MA �����- idow 01007 %n. a... 975 North Road,Westfield, MA 01085 WINDOW WORLD()C Widow Office: (413)485 7335 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. 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 ift 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 dbor 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 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 C9QOAK9-- Secondary Homeowner Design Consultant ( -1"--) 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.