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BP-2023-1265 545 COLES MEADOW RD COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 03-013-001 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-2023-1265 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: Est. Cost: 9335 Const.Class: Exp.Date: Use Group: Owner: L FUNK DENNIS L& LINDA Lot Size (sq.ft.) Zoning: WSP Applicant: L FUNK DENNIS L & LINDA Applicant Address Phone: Insurance: 545 COLES MEADOW RD NORTHAMPTON, MA 01060 ISSUED ON: 09/13/2023 TO PERFORM THE FOLLOWING WORK: 7 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: 1 2 • Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner r-vn ( 1'66'. ti The Commonwealth of Massachusetts x Board of Building Regulations and Standards FOR Massachusetts State Building Code, 780 CMR MUNICIPALITY USE Building Permit Application To Construct,Repair, Renovate Or Demolish a Revised Mar 2011 One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: - /?06— Date Applied:/� //7 ' J(' l✓�-21Z3 Building Official(Print Name) Signature Date ,5JIs`0 f ps filgadoci) PA SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 1.1a Is this an accepted street?yes ✓ 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 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: l)E ( -ice I-u D/DfoO Name(Print) City,State,ZIP -.cgs/tiles rr. 40) I2- 413 ? 349e Q.-Fa t\lo< s@ ease_- Oft No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building U Owner-Occupied U Repairs(s) U Alteration(s) ❑ Addition ❑ Demolition 0 Accessory Bldg. 0 Number of Units Other 0 Specify: Brief Description of Proposed Work': A)r p jWkc 7 11-0 h OC-1-(,.t_,t(12 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined: ❑ Standard City/Town Application Fee 2.Electrical $ ❑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. �( Check Amount: IK 6.Total Project Cost: $ 933. --- 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expiration Date Name of CSL Holder List CSL Type(see below) No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Email address City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes 0 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 to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's 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 in this application i true ccurate to the best of my knowledge and understanding. 44t.1-10-- ' ZI- C1--- 91/-1-4_ rint wner's or Authonze Agent' 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 Ir `7 Department of Industrial Accidents _mol= 1 Congress Street,Suite 1O0 �t. t Boston, MA 02114-2017 wwwmass gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors!Eiectrkcians/Plumbers. 'It)RE HUED WITH THE PERMITTING:AUTHORITY. Applicant Information _ Please Paint Legibly Name(liusincss�orhanizationtlndivrdual): Linda L Address: S4S ( -�/„os J City/State/Zip:11 p-' r- hinif , pi I d Ib 7 Phone#: 3 d Are yea..esopkayer!Check lire appr.pr'iate boat: Type of project(required): I.❑1 am a employer with employees troll andlor pan-time)' 7_ 0 New construction 201 am a sole proprietor or partnership and have no employees working For me in Ei. Remodeling any capacity.[No workers•comp.insur- u. required] 30 1 am a homeowner doing all work myself.[No workers`corm.insurance required_]' 9. ❑Demolition 10 Building addition 4. I am a hurneuwner and will be hiring central ors to conduct all work on my property. I will ensure that all contractors either have workers'compensation inauranix or are sole 1 1C Electrical repairs or additions proprietors with nu employees. 12.0 Plumbing repairs or additions 50 I am a general contractor and I have hired the sub-contractors fisted etn the attached sheet_ 130Bood repairs These sub-contractors have employees and have workers'comp.insurance.: 6.0 We are a corporation and its officers have exercised their right of exemption per Mc;L c. 14.U Outer 152.§1(4).and we have no employees.[No workers'comp.insurance required.j 'Any applicant that checks box#1 mast also fill out the section below showing their workers'compensation policy inftrrrnatiutr t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mew submit a new attidaa it indicating such_ tContratiors that check this box must attached an additional sheet showing the name of the sub-contractors and stale whether Or nut ilium:entities hat cmplutleti. If the sub-euniractors have emplu+ci s.they must pros idetheir workers'comp.policy nuinber_ ant dirt employer that is providing workers'compensation insurance for my employees. Below is the policy and job site inf urniutiwt. Insurance Company Name: Policy#or Self-ins.Lie.#: Expiration Date: Job Site Address: City/State/Zip: 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 S 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 S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance co+rraL!e+erification. I do hereby certifi nder the pains ar •. %:of perjory that the lnformadox provided above is true land correct. dor ()MJit-irri use mar Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.CltylTown Clerk 4. Electrical Inspector 5. Plumbing Inspector b.Other ( untact Person: Protein 4: - City of Northampton ix.y.,.:,.„,,,, ��`�. ,�.� Massachusetts �' '%, \ �(1,, tit DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building f 1. Northampton, MA 01060 �'', , 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: ; Oyt(, f(9-�-� - j /741,4 J j >44�(/Y 414t4'' The debris will be transported by: Name of Hauler: ,OclUg f)/1J2d Oindot 6-r-A Yr) Signature of Applicant. Date: /../113 City of Northampton '"°v. ' Massachusetts c!i� 1 t �{G ft► DEPARTMENT OF BUILDING INSPECTIONS . 370 , "' 212 Main Street • Municipal Building Ig � C'� -^•' Northampton, MA 01060 �1. �04 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT 1, L 1 nd(t L. 1-(-1 11 (insert full legal name), bo (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 homeowners' exemption, does not involve the field erection of manufactured buildings constructed 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 resides or intends to reside, on which there is, or is intended to be, a one-or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a home owner. 4. 1 do not hold a valid Massachusetts construction supervision license and, except to the extent that I qualify for and will abide by the Massachusetts State Building Code's requirements 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 demolition 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 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 erjury on this /c day o 20_. -e-lef— , GZ4a___ (Sig attire) HiMark Windows, LLC. ORDER: 482609 400 Crossings Drive ORDER DATE: 9/12/2023 Bristol,H1 PA-7 1-7 07 EST. COMPLETION DATE: 9/15/2023 PH: 215-788-7000 @EKI& Fwww.ok-781-1166 nawi dows.com ORDER CONTACT: ORDER ACKNOWLEDGEMENT INVOICE INFORMATION SHIPPING INFORMATION ADVANCED WINDOW SYSTEMS ADVANCED WINDOW SYSTEMS 14 Alcap Ridge 14 Alcap Ridge Cromwell, CT 06416 Cromwell, CT 06416 PH: 860-829-8044 FX: 860-892-8042 PH: 860-829-8044 FX:860-892-8042 SHIP VIA: Hand Deliver ORDER I ORDER DATE ( PO NUMBER I CUSTOMER REF TERMS 482609 9/12/2023 FUNK NET 30 ITEM DESCRIPTION QTY SIZE PRICE TOTAL 1 DH600 Welded Double Hung Eco-Pro 6 36 W X 53 3/4 H ROUGH OPENING-REP=[Exact size: 35 3/4 x _ 53 1/4] XR-15-TRIPLE PANE 2XHEAT SHIELD +ARGON EUROPEAN WHITE EURO-WHITE HARDWARE THRUVISION PLUS HALF SCREEN FOAM FILLED BLACK SPACER Egress=[requirements are not met] DH WINDOW SURCHARGE Energy Ratings: U-Factor 1 0.19 0.25 0.41 75.00 ITEM SUBTOTAL: 2 DH600 Welded Double Hung Eco-Pro 1 28 W X 33 3/4 H ROUGH OPENING-REP=[Exact size: 27 3/4 x __--- 33 1/4] XR-15TM-TRIPLE PANE DOUBLE HEAT SHIELD TEMPERED PANES ORDERED EUROPEAN WHITE EURO-WHITE HARDWARE THRUVISION PLUS HALF SCREEN FOAM FILLED BLACK SPACER Egress=[requirements are not met] DH WINDOW SURCHARGE Energy Ratings: U-Factor VT 0.19 0.25 0.41 74.00 ITEM SUBTOTAL: TOTALS: 7 SUBTOTAL: TOTAL: COMMENT: 9/12/2023 3:48:41 PM v1.5 1 of 2 #: 482609 Page 1 of 11 Advanced Window Systems, LLC 1111: Aws 14 Alcap Ridge, Cromwell, CT, 06416 HIC CT#0556507 HIC MA#176974 Advanced Window Systems,LLC Production Department: (860) 829-8043 Windows•Siding•Roofing•Doors www.advancedwindowsystems.com Customer Information Linda Funk (413)341-3888 Date: 08/31/2023 545 Coles Meadow Rd (413)588-7043 Rep: Anthony Templeton Northampton MA 01060 DLFunk@comcast.net The following windows will be installed by Advanced Window Systems, LLC Manufacturer Okna Production Labels Applied Yes Window Type Double Hung Quantity 2 Floor 1st Floor --- Window Package Value Size 36 x 54 Location Master Bedroom Color White Interior/Exterior Hardware White Grid Type No Grids I: , Trim Color White Exterior Trim Screen Half Screen Visible Rot? No ir_ Window Type Double Hung Quantity 3 Floor 1st Floor Window Package Value Size 36 x 54 Location Living Room Color White Interior/Exterior Hardware White Grid Type No Grids Trim Color White Exterior Trim Screen Half Screen Visible Rot? No —rWindow Type Double Hung Quantity 1 Floor 1st Floor Window Package Value Size 27 x 34 I! Location Bathroom 1 Color White Interior/Exterior Hardware White Grid Type No Grids Trim Color White Exterior Trim Screen Half Screen Existing Window Remove Replacement Window Visible Rot? No Glass Type Top Sash Tempered Glass Glass Type Bottom Sash Tempered Glass Window Type Double Hung Quantity 1 Floor 1st Floor Window Package Value Size 36 x 54 Location Office Color White Interior/Exterior Hardware White Grid Type No Grids L___ Trim Color White Exterior Trim Screen Half Screen Visible Rot? No 55% Off Window Installation Has Been Applied To This Contract Page 2 of 11 aLl/1/4 /1a °UZI Customer Representative Anthony Templeton Linda Funk 08/31/2023 08/31/2023 Date Date Page 3 of 11 Customer Information Linda Funk (413)341-3888 Date: 08/31/2023 545 Coles Meadow Rd (413)588-7043 Rep: Anthony Templeton Northampton MA 01060 DLFunk@comcast.net Advanced Window Systems Production Department: Email: production@advancedwindowsystems.com Phone: (860) 829-8043 Total Contract Total Contract Amount $9,675 De osit Deposit Amount Given Today $4,822 Deposit Form of Payment Given Today Enerbank Deposit Amount Due At Re-Measure $0 Deposit Form Of Payment At Re-Measure Not Applicable Balance Balance Due Upon Installation $4,853 Balance Form of Payment Enerbank Products Included In This Contract Windows Building Permit Building Permit Permit and Fees Covered by Contractor Type of Home Single Family Re-Measure Date Re-Measure Date Scheduled No ESTIMATED Date Range For Installation Estimated Start Date 10/15/2023 Estimated End Date 11/15/2023 Page 4 of 11 Terms & Conditions It is further agreed that 30% of the total consideration herein above named, plus a reasonable attorney's fee, if said 30% is not paid immediately on demand, shall be and the same hereby is declared to be the liquidated damages due and recoverable by the Contractor in the event of any breach of this agreement by the Owner before any of the work provided for herein, (other than the delivery of materials) has been performed by the Contractor. It is agreed that should the OWNER transfer or encumber his premises or any part thereof or should said premises or any part thereof be destroyed or damaged by fire or otherwise, said promissory note shall become due and payable forthwith. It is further agreed that performance of this agreement is subject to labor strikes, fires, wars, acts of God, ability to obtain material and to any other circumstances not reasonably within the control of the Contractor. It is further agreed that in the event of any breach of this agreement by the owner{s) hereafter named, the Owner(s) shall be liable to the contractor for any costs of collection of monies due, including but not limited to, reasonable attorney's fees and court costs. It is further agreed and understood that if any monies due are 30 days or more past due, the account is subject to a FINANCE CHARGE by a "periodic rate" of 1 12% per month which is an annual rate of 18% or the maximum allowed by law, whichever is less. It is further agreed that this contract contains the entire agreement of the parties, that all prior negotiations, agreements and understandings have been merged in or superseded by this contract and that no representations, warranties or understandings of any kind shall be binding on either party unless incorporated in writing in this contract. You, the buyer, may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. See the attached notice of cancellation form for an explanation of this right. Linda Funk 08/31/2023 Date Page 5 of 11 NOTICE OF CANCELLATION Date of Contract 08/31/2023 Third Business day from date of the contract 09/04/2023 You may cancel this transaction,without any penalty or obligation,within You may cancel this transaction,without any penalty or obligation,within three business days from the above date. three business days from the above date. If you cancel,any property traded in,any payments made by you under this If you cancel,any property traded in,any payments made by you under this contract or sale,and any negotiable instrument executed by you will be contract or sale,and any negotiable instrument executed by you will be returned within 10 business days following receipt by the seller of your returned within 10 business days following receipt by the seller of your cancellation notice,and any security interest arising out of the transaction cancellation notice,and any security interest arising out of the transaction will be cancelled. will be cancelled. If you cancel,you must make available to the seller at your residence,in If you cancel,you must make available to the seller at your residence,in substantially as good condition as when received,any goods delivered to substantially as good condition as when received,any goods delivered to you under this contract or sale,or you may,if you wish,comply with the you under this contract or sale, or you may,if you wish,comply with the instructions of the seller regarding the return shipment of the goods at the instructions of the seller regarding the return shipment of the goods at the seller's expense and risk. seller's expense and risk. If you do not make the goods available to the seller and the seller does not If you do not make the goods available to the seller and the seller does not pick them up within 20 days of the date of your notice of cancellation,you pick them up within 20 days of the date of your notice of cancellation,you may retain or dispose of the,goods without any further obligation. If you fail may retain or dispose of the,goods without any further obligation. If you fail to make the goods available to the seller,or if you agree to return the goods to make the goods available to the seller,or if you agree to return the goods to the seller and fail to do so,then you remain liable for performance of all to the seller and fail to do so,then you remain liable for performance of all obligations under this contract. obligations under this contract. To cancel this transaction,mail or deliver a signed and dated copy of this To cancel this transaction, mail or deliver a signed and dated copy of this cancellation notice or any other written notice,or send a telegram to cancellation notice or any other written notice,or send a telegram to ADVANCED WINDOW SYSTEMS, LLC at 14 Alcap Ridge.Cromwell. ADVANCED WINDOW SYSTEMS, LLC at 14 Alcap Ridge, Cromwell, Connecticut 06416. Connecticut 06416. NO LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FROM THE NO LATER THAN MIDNIGHT OF THE THIRD BUSINESS DAY FROM THE DATE OF THIS CONTRACT. DATE OF THIS CONTRACT. I HEREBY CANCEL THIS CONTRACT. I HEREBY CANCEL THIS CONTRACT. BUYER'S BUYER'S SIGNATURE DATE: SIGNATURE DATE: J/L Customer Representative Anthony Templeton Linda Funk 08/31/2023 08/31/2023 Date Date Page 6 of 11 Advanced Window Systems LLC AWS 14 Alcap Ridge, ■■ Cromwell, CT, 06416 HIC CT#0556507 HIC MA #176974 Advanced Window Systems, LLC Production Department: (860) 829-8043 Windows•Siding•Roofing•Doors What To Expect Window/Door Installation Customer Information Linda Funk (413)341-3888 Date: 08/31/2023 545 Coles Meadow Rd (413)588-7043 Rep: Anthony Templeton Northampton MA 01060 DLFunk@comcast.net 1. Product Received When the product and/or materials arrive at the AWS warehouse the install must be scheduled in a timely manner. I understand that AWS does not have the warehouse space to store product and materials for extended periods of time, so once the product arrives, I will work with AWS to schedule the installation as quickly as possible. I understand I must make reasonable accommodations to ensure a timely installation. 2. Window Treatments I must remove all of my window treatments prior to my installation. AWS does not take down or reinstall any blinds or draperies. Most blinds will fit after the new windows are installed, but this is not guaranteed. I will need to reinstall my own blinds and window fixtures. 3. Clearance All windows that are being replaced will need at least 3 feet of clearance both inside and outside for the AWS installers. I must move all valuables, furniture, personal property, electronics, and pictures to a safe location to ensure they are protected and to prevent them from being damaged during the installation process. On the outside of my home I must trim bushes within 3 feet, and remove personal property to allow installers ample access to the outside of the windows and doors. 4. Painting AWS does not do any painting or staining. AWS windows and doors fit inside my existing frame and sometimes require stops or casings inside or outside which are not painted or stained. 5. Access I understand that our installers require access to the inside and outside of my home to install my windows and doors. Installers do not carry generators and will need to use my electricity. I agree to provide access to my power at time of install. 6. Children and Pets I will provide a safe location away from the work area during the installation process for my children and pets. I understand that installers use power tools. There may be nails and debris around the premises during this time, so I will take the necessary extra precaution while the work is being performed. 7. Alarm Contacts Your alarm company will need to come out to disconnect and reconnect your alarm, as you must be a licensed alarm company to work on alarms. AWS will leave the wires exposed for the alarm company. 8. Window A/C Units I understand that I am responsible for removing any A/C units in my windows prior to installation. I acknowledge that AWS does not guarantee that the A/C units will fit in the replacement windows. AWS installers will not re-install any A/C units after the install is completed. Page 7 of 11 9. Installation Team AWS crews typically consist of 1 to 4 installers and all installation arrival times are between 8-10am, as we cannot pinpoint an exact arrival time. 10. Estimated Start/Completion I understand that the estimated start and completion dates on my contract are not the exact dates, and that the products could be installed sooner or later than those dates. In addition, special order items may also add to the lead time. 11. Length of Installation I understand that the average length of time for a window installation is 1-5 days depending on the job. I also understand that this time frame is based on the size and degree of difficulty of the job, so longer installation times may occur 12. Saturday Installation I understand that if I must have an installation on a Saturday, my projected time of installation may be longer than what is written on the contract. 13. Lead Prevention If my house is built before 1978, I acknowledge receiving the "Renovate Right" Pamphlet. 14. Rotted Wood AWS will repair visible rot on sills or exterior casings around the openings of any windows or doors we are installing. This does not include any unseen, hidden, or structural rot discovered during the installation. In the event rot is discovered that prevents the completion of the project, the homeowner is responsible to make the necessary repairs in a timely manner in order for AWS to complete the installation. 15. Balance Due n some cases, there may be manufacturing defects with the products. In the situation that AWS must order new parts or material, the balance will be collected from me based on the percentage of how much of the job is complete. Anthony Templeton Linda Funk 08/31/2023 08/31/2023 Date Date Page 11 of 11 PRE-RENOVATION FORM This is form must be used by renovation firms to document compliance with the Federal pre-renovation education and renovation, repair, and painting regulations. Occupant Confirmation Pamphlet Receipt 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 the work began. YtAt,---//t4 Owner-occupant: Linda Funk 08/31/2023 Date Renovator's Self Certification Option (for tenant-occupied dwellings only) Instructions to Renovator: If the lead hazard information pamphlet was delivered but a tenant signature was not obtainable, you may check the appropriate box below. Declined - I certify that I have made a good faith effort to deliver the lead hazard information pamphlet ❑ Unavailable for signature - I certify that I have made a good faith effort to deliver the lead hazard information pamphlet to the rental dwelling unit listed below and that the occupant was unavailable to sign the confirmation of receipt. I further certify that I have left a copy of the pamphlet at the unit by sliding it under the door or by(fill in how pamphlet was left). • Person Certifying Delivery Anthony Templeton 08/31/2023 Date Unit Address 545 Coles Meadow Rd Northampton MA 01060 Note Regarding Mailing Option — As an alternative to delivery in person, you may mail the lead hazard information pamphlet to the owner and/or tenant. Pamphlet must be mailed at least seven days before renovation. Mailing must be documented by a certificate of mailing from the post office. Please make checks payable to HiMark Windows, LLC. Quotes are valid for 5 days and are subject to the availability at time of the order.Any revised quote with the same part number, for the same project supersedes and nullifies any prior quote. We accept payments with credit cards(Visa,American Express, Mastercard and Discover)with an additional 3%processing fee. • Please review this acknowledgement to ensure your order was entered to your exact specifications and sizing. If there are discrepancies noticed, contact your customer service representative immediately. • Your signature below is your confirmation that all elements, description, sizes, etc. are correct and all units are ready for production as specified. • Delays in confirming acknowledgement will result in extended lead time. • A late charge of 2% per month will be charged for past due invoices. Should this matter be turned over for collections, you will be responsible for all collection costs, including a reasonable attorney's fee. • Any and all revisions, information or cancellation requests for an order MUST be submitted in writing. • Once an order is confirmed, there is no grace period to make changes or cancel. It is the responsibility of the dealer to verify that the order placed is correct. Prior to confirming, please ensure that all information is correct and acceptable to your customers. SIGNATURE DATE 9/12/2023 3:48:41 PM v1.5 2 of 2 #: 482609 Page 8 of 11 �,. +r .r .r .r a♦ ..r .r .• .r a r .r.-_•Y__-_yam f_r___.♦ �.r- .� .r- *r ., / l t\' , STATE OF CONNECTICUT + DEPARTMENT OF CONSUMER PROTECTION Be it known that t ADVANCED WINDOW SYSTEMS LLC - W ' 14 ALCAP RDG .u*' CROMWELL,CT 06416-1002 i + w' i tfi i !, I'• has satisfied the qualifications required by law and is hereby registered as a v I HOME IMPROVEMENT CONTRACTOR I, ' „^�1 Registration#: HIC.0556507 Effective: 04/01/2023 !; I Expiration: 03/31/2024 'L�""^G '4"‘ ' Page 9 of 11 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs and Business Regulation 1000 Washington Street - Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Out of State Corporation ADVANCED WINDOW SYSTEMS, LLC Registration: 176974 14 ALCAP RIDGE Expiration: 11/22/2023 CROMWELL, CT 06416 Update Address and Return Card. THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs 84 Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE: Out of State Corporation Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 176974 11/22/2023 Boston,MA 02118 ADVANCED WINDOW SYSTEMS,LLC • MARK LAVOIE • 14 ALCAP RIDGE y`f , (,:"% %�U�o< CROMWELL,CT 06416 Undersecretary Not valid without signature ACcRD® CERTIFICATE OF LIABILITY INSURANCE DA 12/16/2202 �11 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 CONTACTE Jaclyn Ptendergast Roland Dumont Agency,Inc. PHONE 860-582-8161 FAX 860-584-9885 985 Farmington Avenue (NC.No.Ext): (NC,No): Bristol,CT 06010 EADDRE -MAIL SS: jackie@dumontagency.com INSURER(S)AFFORDING COVERAGE NAIC# INSURERA: Main Street America Assurance 29939 INSURED Advanced Window Systems,LLC INSURER B: NGM Insurance Company 14788 14 Alcap Rdge Crow/ell,CT 06416 INSURER C 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSD WVD (MM/DD/YYYY) (MMIDDIYYYY) A ✓ COMMERCIAL GENERAL LIABILITY Y BPF5742Y 01/09/2023 01/09/2024 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE . I OCCUR PREMISES(Ea occurrence) $ 500'000 MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GEHL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 V POLICY PROT LOC PRODUCTS-COMP/OP AGG $ 2,000,000 JEC OTHER: $ B AUTOMOBILE LIABILITY B1 F5742Y 01/09/2023 01/09/2024 COMBINED SINGLE LIMIT $ 1,000,000 (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) $ B V UMBRELLALIAB ✓ OCCUR CUF5742Y 01/09/2023 01/09/2024 EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 4,000,000 DED V RETENTION$ 10,000 $ A WORKERS COMPENSATION WCF5742Y 01/09/2023 01/09/2024 PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE EL.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) State of Connecticut;Workers'Compensation and Errployers Liability;Certain Officers/Partners/Members may be excluded from coverage. Certifiacte holder is included as additional insured subject to written contract in place. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE SAMPLE CERIIFIACATE ONLY THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN for infomrational purposes ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 444r 77 / I ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD