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23D-044 (7) BP-2023-0605 100 RIVERSIDE DR COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23D-044-001 CITY OF NORTHAMPTON Permit: Exterior Res PERSONS CONTRACTING WITH UNREGISh'ERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) BUILDING PERMIT Permit# BP-2023-0605 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 17370 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: LAUREN WEINSIER Lot Size (sq.ft.) 1 Zoning: URB Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C5186654A BELCHERTOWN, MA 01007 ISSUED ON: 05/09/2023 TO PERFORM THE FOLLOWING WORK: 20 REPLACEMENT WINDOWS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House # Foundation: 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 j ' '0 • V • >2 . 7- , i . I I ' Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fa : (413)587-1272 Office of the Building Commis ioner r-~_ . /Als. &.. The Commonwealth of Massachuse 1441' , 4!,* ) Board of Building Regulations and Sta 9 j FOR yy Massachusetts State Building Code, 780.. ```, 0 MUNIC�SE L1TY Building Permit Application To Construct, Repair,Renovate Cii'-1 nj lish a , Revised Mar 2011 One-or Two-Family Dwelling ",4„ cil;J °mac ks This Section For Official Use Only BuildingPermit Number: ' O ),?2 -L/l'J‘ Date Applied: Lv���ye _� 5-9-ZOZ3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property A ilress: 1.2 Assessors Map&Parcel Numbers 1.la Is this an accepted street?yes ,V 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 CI _ Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: kan m&v, Hotirivicter Floc Nig o(o( a Name(Print) City,State,ZIP (W 1cJe S,(C1l,C1-C Ai/358g 81914 Icw yew,'rwtcL wiq,1C . (Aw No.and Street Telephone Email Ads SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building`I Owner-Occupied 1/11, Repairs(s) 0 Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. ❑ Number of Units t. Other bSpecify:T..2.43 t1C'.Ar1P 1— Brief Description of Proposed Work2: bo k IA C.ta LA s Ala ce w► e New frdwe YLyl, __/ SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Building $ 11 3 'I 0 1. Building Permit Fee: $ Indicate how fee is determined: 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: _ (� Check No.I4 Check Amount: Vl Cash Amount: 6. Total Project Cost: $ i 1 l 3 '1M 0 0 Paid in Full 0 Outstanding Balance Due: City of Northampton H�Mpr� Massachusetts ��� DEPARTMENT OF BUILDING INSPECTIONS v 212 Main Street • Municipal Building yti �a llorthampton, MA 01060 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: On5QAd \r3(L- cp ` \a_\ N<Nc1/4 The debris will be transported by: Name of Hauler: f cv Signature of Applicant: Date: 5/4J2 3 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C S_ 1'�5 rl 1 t S M\L1 M p\QL -.c0 5 . License Number Expiration Date Name of CSL Holder 0 ..,c-- J List CSL Type(see below) No.and Street O Type Description �okc�� c xs�iN `C1[-tl_• C\ , U Unrestricted(Buildings up to 35,000 cu.ft.) City/Town,S t R Restricted I&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances CiA11\1 t4S-11.6S QQ_Y'en.1-sr til\AAA W„NM,LtIok 1 Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement� Contractor(HIC) � �, O?S� l4q ao�q \S\ �� `^� �� HIC� �Registration Number Expiration Date HIC Company Name or HIC Registrant Nagle Lot- k ^Thc1Yv.R.R S43.rS W..Jy VOSM," a L2\nilc3yvucr �S] r _C-001 and Street Email address - `I <4‘3) 511335 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 V 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 t yu.l V10\) & to act on my behalf,in all matters relative to work authorized by this building permit application. e ��, .) -�/1//� 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 r ' `.• is true and accurate to the best of my knowledge ant_understanding. f1_ . Al -5-/ti /� Print I 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 IndustrialAccidents r 1 Congress Street,Suite 100 _ _ Boston,MA 02114-2017 •` www.massgov/dia Workers'Compensation Insurance Affidavit:Builders/Confaractors/Electridans/Plumbers. TO BE FILED WITH mil P1 ITtNG 4t.1nioRTTY. Applicant Information ijlLOr Cal Please Punt Legibly Name(SusinessJO.tgemiization/fndivirinAt): • Shay 64't o MA 01 Address: i3etcpertO\Nn' City/State/Zip: Phone#: 11/3 if 85 7 j 3 Are you an employer?Check the appropriateor.box: Type of project(required): !glom a employer with 5 6 employees(full anNorparhtimo).* 7. ❑New construction 2.0 Iaro a sole proprietor or partnership aedhave no employees working for me in 8. D Remodeling any capacity.[No workers'camp.insurance required.] 9. D Demolition 3.0 I ern a homeowner doing all work myself[No workers'comp.insurance required.]t 10 D Building addition 4.0 I am a homeowner and will be hiring contractors to conduct all work on ray property. I will ensure that all contactors either have workers'compensation insurance or am sole 112.I.DD Plum Electribical repairs. or additions proprietors with no employees. ng repa rs or additions 5.❑I am a general contractor and'have hired the sub-contractors listed on the attached sheet 13.D Roof repairs These sub-contractors have employees and have workers'comp.insurance.t y 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.( 'Other ep/a 2'!�(✓ 1 152,§I(4),and we have no employees.[No workers'comp,insurance rnquireaj *Any applicant that ebeclm box#1 most also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing sit work and then hire outside codhnclora must subunit a new affidavit indicating sock. • tContactors 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 roust pmvide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and fob site information. y� �c1 ^ Insurance Company Name: Re E /?y i(`'r I co. /vi S C4 rY G CO Policy#or Self-ins.Lic.#: / 1'4 Expiration Date: /0/0 7/C 3 Job Site Address: /t20 . i firers U r City/State/Zip:fi/O mice H a 0/( 7 Q 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 c.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 forum of a STOP WORD 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 coyticaage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. 5ignatttre; Date: ` `02 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): lDBoard of Health 2E1 Building Department 3fCity/Town Clerk 4.0 Electrical Inspector 51:Plumbing Inspector 6.DOther Contact Person: Phone#: City of Northampton �, Massachusetts 4ti i;" 'kt w �"ritit DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building y` %1 `4_, . Northampton, MA 01060 slii-_ ,:10 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I a tf h /-40/0/14 de r (inert 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' emption 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. 1 am not engaged in, and the project or work for which I am seeking the aforementioned homeowners'exemption, does not involve the field erection of manufactured buildings const cted in accordance with 780 CMR 110.R3. 3. I qualify under the State Building Code's definition of"homeowner'as defined at 780 CMR 110.R5.1.2: Person(s)who owns a parcel of land on which he/she resid-• or intends to reside, on which there is, or is intended to be, a one-or two-family dwelling, attached or •etached structures accessory to such use and/or farm structures. A person who constructs more than 4,ne home in a two-year period shall not be considered a home owner. 4. I do not hold a valid Massachusetts construction supervision lic• se and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requir • is for the supervision of the project or work on my parcel, I am not engaged in construction supervision in connection with any project or work involving construction, reconstruction, alteration, repair, removal or demol lion involving any activity regulated by any provision of the Massachusetts State Building Code. 5. If I engage any other person or persons for hire in connection w th the aforementioned project or work on my parcel,I acknowledge that I am required to and will act as the sup isor for said project or work. Signed under the pains and penalties of perjury on this II day of /y ,20E. � 0 . (Sn�ature) WINDWOR-01 LAURA A`CO�RO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) 4/14/2023 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(les)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. PHOr -- - _ 97 Center Street (A/c,No,Ext):{413)594-5984 FAX No):(413)592-8499 Chicopee,MA 01013ss:laura@phillipsinsurance.com INSURERS)AFFORDING COVERAGE NAIC# INSURER A:EMCASCO Insurance Co INSURED 1 INSURER B:Employers Mutual Casualty Company Window World Of Western Massachusetts Inc INSURER C: 641 Daniel Shays Highway INSURER D: Belchertown,MA 01007 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. INSRLT ADDLTYPE OF INSURANCE INSD; VD POLICY NUMBER • POLICY EFF I POLICY EXP LIMITS LTR INSD'WVD '(MMIDD/YYYYI I(MM/DDIYYYYI' A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE X!OCCUR 6Q44324 4/9/2023 4/9/2024 PREMG T(EaE rrence) $ 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 3 X POLICY X ja X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 OTHER: B $ AUTOMOBILE LIABILITY (COMBINEDdtSINGLE LIMIT !$ 1,000,000 ANY AUTO 6Z44324 4/9/2023 4/9/2024 BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOSIRE ONLY X AUTOSONO pR p AUTOS ONLY X AUTOS ON�Y (Perr aE dent)AMAGE $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2023 4/9/2024 AGGREGATE ,$ 1,000,000 BED X RETENTION$ 10,000 WORKERS COMPENSATION PER I OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I ER ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/ME;MBER EXCLUDED? N/A E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ • I I DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) 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 1 DATE(MM/DD/YYYY) ACORO 02n0/2023 �... 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 NAME` 3657 BRIARPARK DR.,SUITE 700 (NC,No,Ext):888.828-8365 NE (N,No): HOUSTON,TX 77042 E-MAIL DRESS: SPER TDYCERTS4ILOCKTONAFFINITY.COM INSURER(S)AFFORDING COVERAGE NAIC# 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 D: 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 EFP POLICY EXP LTRINSR WVD POLICY NUMBER (MM/DDIYYYY) (MM/DD/YYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLAIMS- OCCUR DAMAGE TO RENTED PREMISES(Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY PRO- [—pc IF(:T PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ (Ea accident) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Pi $ AUTOS ONLY AUTOS ( eraccdent) HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY _ AUTOS ONLY (Per accident) UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS UAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y X STATUTE H ER A ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? N/A C5186654A 12/25/2022 10/01/2023 E.L.EACH ACCIDENT $ 1,000,000 (Mandatory In NH) If yes,descrbe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/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 Maln 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 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Anal/Mac Business Regulation Registration valid for individual use only before the HOME IMPROV:i . CONTRACTOR expiration date. If found return to: ' ' Office of Consumer Affairs and Business Regulation R •• , •n 1000 Washington Street -Suite 710 ' ;ii. Boston,MA 02118 NICHOLAS DROST 4` f {VICHOLAS DROST K`?t i 102 OAKRIDGE DRIVE // y 3ELCHERTOWN,MA 0 ` u 'Il Undersecretary Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR b TYPE: poration, Reaist ion: EftPMatlon Commonwealth of Massachusetts 185647=_;' =0311412029 S Otvtslon of Professional Licensure WINDOW WORLD OFiWESTfRN SACHUSETTS.WC. Board of Building Regulations and Standards I:: Canstrasttiil�r� pprvisor .,.. {YFt,.M.i CS•115719 ll TIMOTHY DROST �, �1 = /' 4 KxDIres:0+613012025 6a1 DANIEL SHAYS a. G NICHOLAS TbROST`tk ,@ 4ftr' gELCHERTOWN,MA 01007 . : Undersecretary 102 OAKRIDGE DR , • BELCHERTOt `� �/ `' MAi07�7� - ,,,,If a< Commissioner dad f; FA,tci(.ea, __ ;-T" "�' MI Windows And Doors suf lent,or - L. tJME • MI Windows pne Doors F>zc'• GratwPAest 17030 tSt or destroy the 0.,,,, riBg0WestMarketSt �4`/ Gratz,PA1708D ��, - 165UI1.~ 1685 Okra!Fr nkn DtiNlNYUNo Grids R �q canoe Paner ld,2:Life-1:(118',C1ear,LOEAnnealed);Lite•2; �'' SLIDER2NIMYUGrids (1/',Clear,NONE,Anne sled BcttlttA Lits�2: ).Argon;371r2 X 37 sthatcanbe t Parental Ru►rt1&2:LW-1:(1!8",dearLOE.Ar(nededj� ReSnpOJuslca (118*,getr.NONE.►tnruslatili7irpen➢451/2Xd51t2 tasaarcuxazmoor tndlrtausi products mlY ba eubjett to vertstIon(n performance re Cleaner, - - --^ "----' 3n for di ferns Wa. 16,owss-00002 ENERGY PERFORMANCE RATINGS :and doors in dNt[ust products my be subject.to cariden In pe cremes Vann using a U-Factor(U•SJI-P) Solar Neat Gain Coefficient tdows on the ENERGY PERFORMANCE RATINGS �' U-Factor fV,g,lip) Solar Heat Gain Coefficient ! a 2 e ng+ RDDITIONAL•PERFORMANCE RATINGS ,re senerauy O.2T V Visible Transmittance Air Leakage(U.SJi-A) locations in ADDITIONAL PERFORMANCE RATINGS n e r� • Visible Transmittance Air Leakage(U.S.II-P) V•�z e 3 sa:.rscwrrr OpcdNti QtttOMY raYps rervorm m.ppsca; tdFgC r01S. /yb� ��w/ r<:.wvsnrr.s Rsapstrion+nwrsnr...armaxrara Prxmvs►rarseurarwgw1w • at,bake ' r 0 a46 S V u K a is rm rw�m,anc sny p rrYe>a am a taro p ca<warrant�ia MrmncntM twoo.o fee' K�t 634 �a rrnle pmaud msn,lsC metes IMP sn Nrt�trs sN ' CEDu[tr}Or tilr/kt'W tiMrX7t U. .. - • , � irNn y�QyYfrfYyt abon T.YMil:M*111v tCf .'CfM In riv 445aSiU D �CMM,[ . 1 p0f°�,itIordo q � a. ENERGYStAR'Cerfificd Ira Hlgftli�ltted Reglacls. >tis Urea u Ccrtifrra+laPny ENERGY STAR en ias regiortes resallatlas. r tit Ct,Y;TAR-COMM!in tItilhUghR:d lioginus. fcrrta ado pm FNERG\STAR on la,- p1.1"4 K,;',,..:-!"-.= -- rcontrs ro att.,das f ii -11-, ir : > t s tSAR a u c \trw7ync3 co/windows Pura infar mFhi(Crmpmul ke acos 5er►�tv bela attnipeodndtdrt e!p6 adelCw NID, TT ? ' l= .N.Rt]\ Fr /R flti - srrrsrttu.sesAeinlerr aCerti>iedlCert3fieado - far tall inttmateq.tee label oa tsedtst Pert Grade +DP(ASD) D¢(ASD) yyat� Para laternacitin eoropSe s.cetsntlar It strews Ael produc'o. LGAfi�35' r 30 f r Max Test Size , Re • 59.13 5A3 +DP ASD DP( D ; gardt?.t30 X 72 00 A+srz.0ot�f ro Florida 1D Pert Grade 3ti.dB ~ LC-PG36 �� Y stings are for individual windows and doors only. For information regardtn9 moiled e ■ !K eat F2C9ee t1 aiaT� r stacked units,please corYact your saes representative.Pos and Ne OP 72 42 nd test size.Tested to AA► S inr3gd by For iMtstirnUon resartfsia ttrtilled STM E73tf0.AAMA label�bsi"+ICSA�peyl giasirr bead err track fitter Fogrto rtaNnps am for individual vfindows and teem onN• a� ddRiorrdl intorma�on restarting nstaAatkm insttuctiax, lease vis•t or stacked ante,Fla e(tiati+b.Aos and Ne9 DP�rrdted by estartS ace t: Isct Yanr s>dee repres �+ A h�+w.rrtiwd.eom. Attie unit test stet Tested t dAAMAANDWACSA arF 16 ., .al irfo¢rmauio ron 4� 8 iy .6785673,1.1. concealed by Gla D oat hot wvnv.miwd.duo a Panted on b nail ktttatsation inatrruaticns.P� snsnoie*10:12 Ara 26772468.1.1.1 7 e,ez on PPfaujoifi Window World of Western Massachusetts 641 Daniel Shays Hwy. • Belchertown, MA 01007 Phone (413) 485-7335 • Fax (413) 315-3714 www.WindowWorldofSpringfield.com Customer: —6(.1't-12-e- Phone (h) ..i5 45311 Install Address: 100 g'v4dC_ or. F i to o - Phone (w) Bill Address: E-mail ,mod PIV tr4 ,4-11 c3---) e 15 Nreor 274 4 %0 cov4,0,44- 4.--- s(-3 0 r3 7i 1 0 n L4 C .„._ 4 A- - VL4_ - F' 1c—( 3 ,-,2 id o t 0d .J I d- x 1' 2 4'�' t- j, - 'frr c) GI a ctra .4- y", d, vd /JLLLJ 1' t ? 3 7 ) . c5 C.�T r r , - ? t 6 lfr 6 c) 4 A -%-.).1-1c ate_ 0-4— - 1/trs le_4( ,, 9- .? '7 0 F: do 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 W stem Massachusetts,Inc.under license from Window World,Inc. Owner Date Y/29/2,3 Salesman t Owner Date Window World of Western MassachusettsS �nuF 641 Daniel Shays, Hwy, Belchertown, MA VETS Jcommnno 01007975 North Road,Westfield, MA 01085wiNoow WORLDWindow jld, Office: (413)485-7335 CARE www.WindowWorldofWesternMA.com J Lauren Hollander Install Address: 100 Riverside Dr Florence, MA 01062 Contract Name: Lauren Hollander- Sales - Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 4/28/2023 Status: Quote Payment Method: Lender: Contract Type: Sales Comments: additional $100 per window for triple pane 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 4000 Series DH Solarzone 4000 Series DH Solarzone N 18 $799.00 $14,382.00 Tempered Glass - Full Tempered Glass - Full BOTH BATHROOM N 2 $220.00 $440.00 Obscure Glass- 1/2 Obscure Glass- 1/2 second floor bathroom ,just bottom N 1 $50.00 $50.00 Total Information Unit Total: 22 Subtotal: $15,322.00 Tax Rate: 0% Tax: $0.00 Total: $15,322.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $15,322.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: Window World of Western Massachusetts j �nur VETERAIlf P T[O(1'VIIR 641 Daniel Shays,Hwy,Belchertown, MA - ��01007 �o/ 975 North Road,Westfield,MA 01085 (J(!t&1ti thi Office:(413)485-7335 WINDOW WORLD ) wwWindowWorldofWesternMA.com w. CARE $� I . 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 vE.enan:P� F,�a»mp�o 641 Daniel Shays, Hwy,Belchertown, MA i W 01007 975 North Road, Westfield, MA 01085 Wjc�ua!as WINDOW WORLD() 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 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 bala contract. 10. METHOD OF PAYMENT: Our installers will accept your final payment in the form of check, money order, Wells Fargo financing, or Visa/MasterCard/Discover Card authorization. As a courtesy and to ensure the safety of our installers; please DO NOT pay your final payment In Cash. 11. REFERRALS: Our goal is that you are pleased with the work we have done and will refer us to your friends and neighbors. You will receive a $50 referral fee for each person you refer who purchases 8 or more windows. Please have your referral mention your name when contacting our office. We trust that your remodeling experience will be a pleasant one. If for some reason you are not completely satisfied, please contact our office. Your comments are welcomed and will be used to better serve you. Thank you for your business! Primary Homeowner Secondary Homeowner Design Consultant EPA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure WW of W. Massachusetts anticipates starting this work on and being substantially completed in days.Any deposit required in advance of the start of the work SHALL NOT exceed 33 1/3%of the total contract price OR the actual cost of any material or equipment of a special order or custom-made nature, which must be ordered in advance of the start of the work to assure that the project will proceed on schedule. No final payment shall be demanded until the contract is completed to the satisfaction of all parties. All home improvement contractors and subcontractors shall be registered. No work shall begin prior to the signing of the contract and transmittal to the owner of a copy of such contract. WW of W. Massachusetts under provision of Chapter 142A of the general laws is required to apply for and obtain all construction-related permits. WW of W. Massachusetts shall not be deemed responsible for delays in the work described in this agreement caused by regulatory, permit granting agencies, authorities, or individuals. Notice: If the PURCHASER(S) obtains his own construction related permits for the work described under this agreement or deals with unregistered contractors, the PURCHASER(S) is hereby advised that in the event of a dispute,judgement and nonpayment, the PURCHASER(S) will not be entitled to make a claim or collection from the guaranty fund established by chapter 142A, M.G.L. You the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Notice of cancellation must be in writing postmarked no later than midnight of the following third business day. 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.