Loading...
24D-023 (2) BP-2023-1309 215 PROSPECT ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 24D-023-001 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-2023-1309 PERMISSION IS HEREBY GRANTED TO: Project# DOOR/WINDOWS 2023 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 21903 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: • Owner: JOHN THORPE Lot Size (sq.ft.) 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: 09/19/2023 TO PERFORM THE FOLLOWING WORK: REPLACEMENT DOOR AND 20 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: ' • if Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner fr The Commonwealth of Massa usett Sep / 0 c Board of Building Regulations a S s 9(90 UN I r PALITY Massachusetts State Building Code, :4 �,� SE Building Permit Application To Construct,Repair,Renovat- * t h a Rev'.ed Mar 2011 One-or Two-Family Dwelling oF`eo �ro This Section For Official Use Only s Building Permit Number: ,g 0- 13 - ) 3Qt Date pplied: 400-45-5 9-1 R-Zoz3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 P operty Address: C 1.2 Assessors Map&Parcel Numbers 1.la Is this an accepted street?yes Ai 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'off ord: 1l ✓1 / viorpc. a it SIG wl p Vl I`( I3 O/06o ?tette(Print) City,State,ZIP 0215 ProsioPcJ 5f yl358'7 O914 hhfinisi z//e ahoc, CO 141 No.and Street Telephone J Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction 0 Existing Building'l Owner-Occupied 'I Repairs(s) ❑ Alteration(s) 0 Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units t. Other It/Specify: V.I? (4 K'1i i Brief Description of roposed Work2: 020 �i'v1 dow 3 et1,1 dct, Clloo r ref is 6e r iet t McAf ,rrigeteT1c��L l SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ a l q o 3 1. Building Permit Fee: $ Indicate how fee is determined: t ❑ 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: C (� Check No.410 Check Amount: l " Cash Amount: 6. Total Project Cost: $ 02 I qo 3 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Number Expirlition Date Name of CSL Holder List CSL Type(see below) U t ( (N? .`r"\v Q Type Description No.and Street .`�).CS.1A xs--�'\ �1 ti CAOd U Unrestricted(Buildings up to 35,000 Cu.ft.) City/Town,S R Restricted I&2 Family Dwelling M Masonry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances \.4C- k4SS•1 S c7.i2_,'vy...�iN)IL)\AcZv1i.1 Li.i.. k�'. I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) \ u- e HIC Registration Number Expiration Date HIC .. p Company Name or HIC Registrant Name �Lk )CkCV _Q ��I,RNCC S.VJ \c's�`1 Vouch. -`a \Aritv::1.c:c;-\.1c-l.i.i„`M$ and Street Email address %A.o .s— >, :.cv' &_C Cle19 <<1/4‘3) 5 ? S City/Town,State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes EV' No 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize \N\l\A. t\ V'IICS\V .t , to act on my behalf,in all matters relative to work authorized by this building permit application. q//0ZioR Print04 er's Name afore(Electronic Si Date Signature) 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 ' alien is true and accurate to the best of my knowledge and understanding. Print er' uthon A s Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A. Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" The Commonwealth of.11Massachusetts Department of.Industrial i:= 1 Congress Street,Suite 100 ;' Boston,.MA 02.114-2017 www.mass.gov/dia Workers'Compensation Insurance Affidavit:Bxdiders/Conn'actors/Electairtong/i'lumbers. TO BE MED WITH t li1!;PERIVILTTING A1TEORITY. Applicant Information \NOV O Please,Print Legibly Nance(Business/Organization/Individual): 4 )as � �°'� 0� ) �p Address: 1lr r'O Y1, euA City/State/Zip: Phone#: 4'/3 185 71 ,:.3 > Ara you an employer?Check the appropriate box: 'Type of project(required): 1. I am a employer with ' 6 employees(full and/or pub-time).* 7. ❑New construction 2.[]I am a solo proprietor or partnership andhave no employee%working form in 8. ❑Remodeling any capacity.[No workers'comp.insurance required.] 3.0 I am a homeowner doing all wont myself[No workers'comp.insurance required]t 9. ❑Demolition 4.0 I am a homeowner and will be hiring conractors to conduct all work on nay property.I will 10 El Building addition ensure that all contractors either have workers'compensation insurance or am solo IL❑Electrical repairs or additions proprietors with no employees. 12. Plumbing repairs or additions 5.0 lame general contractor until have hired the sub-contractors listed on the attached sheet These sub-contractors have employees and have workers'comp.insurance. [HOth13. Roof repairs 6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Re 152,§1(4),and we have no employees.[No workers'comp.insurance required.] • *Any applicant that checks box#1 roast also fill out the section below showing their workers'compensad=policy information. t Homeowners who submit this affidavit indicating they are'doing>xlk wdxk and then him outside edrilxactbra must submit a new affidavit indicating such. i'Centrnctors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy numb= I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: AL, E f '{'i(`,r I cat/1 I v1 S(A Y CI t/l (r: Policy#or Self ins.Lic.#: C 5 / l> ti> 1 g Expiration Date. Ule(�f/ ,)x) Job Site Address: td 5 f O S ,r 1 City/State/7.,iP:AA 41 G�'Y� / 1 /7 c/tO Attach a copy of the workers'compennsat�on policy£ 5/declaration page(showing the policy number and expira n 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 form.of a STOP WORK ORDER and a foie of up to$250.00 a day against A copy ofthis statement may be forwarded to the Office of Investigations of the DIA for insurane a coverage verift:<ationr. I do hereby certify under the pains and penalties of perjury that the information provided above is true and coined Signruture: ., e.1,4 ' A lief—. Date: 9//°vf a Phone it: 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): 1OBoard of Health 20 Building Department 3fCity/Town Clerk 4.0 Electrical Inspector S1.3Piumbing Inspector 61:Other Contact Person: Phone#: City of Northampton e,0.'(NAMy A /141 Massachusetts 4,73. r� k- tic 4 �r DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building D%, OS Northampton, MA 01060 y' ••» �'��' CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, S54, a condition of Building Permit Number is that all debris resulting from this work shall be disposed of in a properly licensed waste disposal facility, as defined by MGL c 111, S 150A. The debris will be disposed of in: Location of Facility: 0(1,3QAa \A sse 'c c\ck \c-N b\. k\s`Z:,t- k \."". The debris will be transported by: Name of Hauler: ‘1\cV \Acr. � / Signature of Applicant: /�` "" Date: G / P City of Northampton oKT 1iA Mp)b\ SNS Massachusetts •..• mai DEPARTMENT OF BUILDING INSPECTIONS O� ti, 212 Main Street • Municipal Building 9it:.• t✓ Northampton, MA 01060 4 wA� 1,074 HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, JO 11 l hor/Qe (insert full legal name), born (insert month, da d ose and state the oy, y hereby depose 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. I 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 of perjury on this /07 day of Je /e m f '/, 200R'3 (St ature) T'c7ii..1.4.� MI Windows And Doors sus_., 1 II,/ M �' [0:1M� 85I West Windows Market3t or 1�■ • M1 Windows And Doors - na. c -` Gratz,PA 17030 txdasboytM , ii4 � Gratz,AA 1703t) Ia. • 165Q • ,� • :somas Fawn DHN(NYiJN a Grids t35 Rarq Canal!) Pane?•Id2:Lite-1:(11',C1av,LPE,Ansealed);t.ite�Z: j x:, 16 (11r,Clear,NONE,Anneale 8LIDEFt21�11NYLIt3 rids d);Argon;3I 112 X 37 ficultto p)siorMtfern�.e,s,.C�4tJj�m Pat*1S2:Lila-teti ",Cteu,LOF.Annetledl;L '2: s that can be fig% orr,deectiONSAnnea}ed1;At1 ;A511t%d51(! rom,r arodr,�a �'sa�rcasw�-0000t lhaarw� r'taY ba L6:13 t to wfrtlem In porfonnante ie cleaner, ^------ Xnfordilfernt wt ,emvaa-0000s ENERGY PERFORMANCE RATINGS and doors U ey's:psi products re:sy Pit subject to var,rtlen In parrornturce ;then using a U-Factor(U,SJI-P) Solar Heat Gain Coefficient Wows on the ENERGY PERFORMANCE RATINGS 0. � U-Factor(U.s•r1-P) Solar Heat Gain Coefficient ®*'�� a.ZC ADDf7It}NAt PERFORMANCE RATiNQS ire generally 0.27V vis�--ibis Tralnstniltance 'oductcer- Leakage(U.SJI-P) Air tocationsin ADDITIONAL PERFORMANCE RATINGS Visible Transmittance Air Leakage(U,S,11-Py Q.�2 �w Or� �-.4-.cX±wd coasts*slat ONU is ravacm.ppielink MIS. ® u: �+n r >me aamys m arrrmrra rrt a rxae 1etasn+:orrr r rarcewmme,�euretr:s a . 4� xv.,,,„r,,,,, w.Nr.oyy. ..,fav vran_.........= a*stilt s;e ht,bake N N "1D{k �waare two►er en,c •tine p'ooect w+"" A+.QM 7orcmnce'x°'ae'ae ens srrar,.rz c�_,.a asardrint ary • ""la" "la nppar----v-.rya mcPP � ' pitu claim tlelreraa ads°'. :/RC a rose nue wt at arntr�rriNra cerrs�aN use.cc�wc 1 . " ";"t""0`tier �i eh Mr "�'par°�'r�r:NOI I'' ENFRr,Y SCAR"Certified in Highli{lltted Reginrts. •ris.Use a , Ccrti6cada OOP ENERGY STAR on las regions ras altadas. ttifRGY;TAR-Ccttdwd in tlrllhail)tltl:d Retlinus. " ... �` CIinh:.,sin pm ENERGY STAR on Vast©gion[~s rcn.Al1sdas. i. � MUM ~ -- 'xf1"frsfj- i r: 1 ` " (� sne,Irsru.So.Aviaixn fit . 7„, s ENERGYi:1LR Pa For talt inferum;oo,sea libel on productC6RfEedTetttficxlD i> ra inforntei64 earrpka dl .coasnr la eliquera del protti errfa. .MA^nlert a Cort�ed/Ce'?Maeda Far lull irdemartiep:w label ilk�odcst Part Grad° +DP(ASD) -DP AS11 raiiPara iatonascrbn eanplota.car•liar la ougt tiA Iet proAueto. - LGAG35' 35.30 I { Water 59.13 5.43 ater il ilex Test Size Ropottl# Florida ID Pa Grade ' +DP(ASO) -DP D 6 Q8 40.t70 X 72 00 rz.at-109 d7 ro 2°84Q __ _. _ ._ _._-- 36.00 (j"� atings are for irdividrral vrindows and doors Doty, for anforrnaticn manic. eB 14 mufletl sic sat - spo - r s7aeked un ts, 72.e0 X 80 �+r .ot-1os•ar+� P ee eantaK your sales representative.Pos and Nen BP tinted by nit test ails.Tasted to AANAJIJIfptitAlCes totlf.S.?1A44D f)n Glaas Acoerderout NON m E130p•AAMA label may be concealed by obtain bead or track tier.For el Windows and doors onH• For intottrutlon re4ardrigmilled ddeiortal infrnmatan r arise nstaAatloAinstnrctions,pkase visa wuee.niwd.com. RstltQs are for itdividu antative.Aos and Nag OP trrdted by -� Q `j 9 or staCkEd yoke,pbtee bead or t t year caiee teases '�78��/ �. tttie unit feet size.7eated to gp}ApJNIDtdAfCSA 101ti.S.Zl rform�ttio ron Strding ty .1.1 concealed by glazing or track filer.For a4d3iona! Prvrted on c,nail inett4ation instructions,pleats visit www.mlwd.cirrn, 8n2t2n,s e;ta:ts a,,, Printed on 26772468.1.1.1 706J74183:0=PN 0,12013 --"'� WINDWOR-01 ' ACC-WI'. U DATE(MM/DD/YYYY) �+^. CERTIFICATE OF LIABILITY INSURANCE 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(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Laura Misseri Phillips Insurance Agency,Inc. PHONE 97 Center Street (A/c,No,Ext):(413)594-5984 jvc,No):(413)592-8499 Chicopee,MA 01013 Mass,(aura@phillipsinsurance.com INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:EMCASCO Insurance Co INSURED INSURER e: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. - - - ADDL SUBR ILT R TYPE OF INSURANCE INSD WVD POLICY NUMBER POLICY EFF POLICY EXP LTR INSD WVD IMM/DD/YYYYI rMM/DD/YYYYI UNITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 I CLAIMS-MADE I X OCCUR 6Q44324 4/9/2023 4/9/2024 =�F�1 ses0(Ea oocurD r .$ 500,000 MED EXP(Any oneeersonZ ...$ 10,000 PERSONAL&ADVINJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE 2,000,000 X POLICY I X I JE [X J LOC PRODUCTS-COMP/OP AGO $ 2,000,000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 _CD accident) .._..... $ ANY AUTO 6Z44324 4/9/2023 4/9/2024 BODILY INJURY(Per person) $OWNED y AUTOS ONLY X l AUTOSULED BODILY INJURY Per accident)T$_ RREE AN.pyy Ep pRR X AUTOS ONLY X AUTOS ONLY (Per ac a tDAMAGE 3 1 $ B X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 1,000,000 EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2023 4/9/2024 1,000,000 AGGREGATE �._ $ DED X RETENTION$ 10,000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY L YIN E.L.J _._STATUTE_-__..E_R..___.__. ANY PROPRIETOR/PARTNER/EXECUTIVE . .EACH ACCIDENT . OFFICER/MEMBER EXCLUDED? - N/A . -- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE$If -------------------------yes,describe under _ — 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) 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 riA I _ ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved The ACORD name and logo are registered marks of ACORD DATE(MMIDD/YYYY) AC( RL7� o2nazn2s �.. 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` --PHONE FAX 3657 BRIARPARK DR.,SUITE 700 (A/C,No,Ext):888-828-8365 (NC,No): —.... HOUSTON,TX 77042 E-MAIL ADDRESS: INSPE RITYCERTSQLOCKTONAFFINITY.COM —_ INSURERO_AFFORDING COVERAGE NAIC -- -- - - _ INSURER A:Ace American Insurance Co. 22667 INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. - -- ---- ----- -- -- -- 641 DANIEL SHAYS HWY INSURER 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 LTR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP -— INSR WVD (MM/DD/YYYY) (MM/DD/YYYY) L66RS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED CLAIMS- OCCUR PREMISES(E4Qccurrencel MED EXP(Any one person) $ PERSONAL&ADV INJURY GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY PRO- OC — IFr.T PRODUCTS-COMP/OP AGG S OTHER: _------------- _ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea acciden0 --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 LIAB CLAIMS-MADE AGGREGATE $ r DED RETENTION$ $ WORKERS COMPENSATION �/ PER OTH- AND EMPLOYERS'LIABILITY Y N /�I STATUTE I I 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,describe under E.L.DISEASE-EA EMPLOYEE $ 1,000 000 DESCRIPTION OF OPERATIONS below r E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/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 THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation Registration valid for individual use only before the HOME IMPROVEMENT CONTRACTOR expiration date. If found return to: TYPE:lhdividual Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 2121746 $ 1-f2025 Boston,MA 02118 VICHOLAS DROST VICHOLAS DROST - _ 102 OAKRIDGE DRIVE - c ,of a. - 3ELCHERTOWN,MA 0160 Undersecretary Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Males&Business Regulation HOME IMPROVEMENT CONTRACTOR T.YPE: orporation, Reatstratlon7=1" 165$41- : :03L-L412024 r Commonwealth or Massachusetts WINDOW WORLD OF;WE RN �S4CI IUSETTS,iNC. % ) Division of Professional Llcensure t t ~N .,ter °-t Board of Building Regulations and Standards I", -�ll = 1.•i Conti t�r31§iS rvisor I;y 5-_3� ` r ; '.! 5.11S71g t :A-kill ter TIMOTHY DROST --:-'? `' l 641 DANIEL SHAYS. +. i Ires:©d13012025 "` {,4,01'u NICHOLAS T DRO . '' i_ <>, BELCHERTOWN,MA 41007;..y�--'. Undersecretary 102 OAKRIDGE DR t" , ; , — BELCHERTOIAAI MA'f'01Q07i •' ,;, L ,y • Commissioner clia.A 4 so..,,, 1 1 Window World of Western Massachusetts �Rl'1 Shays,H VE TERRRE P T CORIRIPOD 641 Daniel Hwy,Belchertown, MA ram_ . O _. 01007 'a: I�L(LH/ 975 North Road,Westfield,MA 01085 Wu_ui Office: (413)485-7335 WINDOW WORLD CARE I www.WindowWorldofWesternMA.com John Thorpe Phone: 4135870914 Install Address: 215 Prospect St Email:jhntimothy41@yahoo.com Northampton, MA 01060 Contract Name:John Thorpe- Sales-Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 9/7/2023 Status: Contract Payment Method: Cash 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 $250.00 $250.00 4000 Series DH Solarzone 4000 Series DH Solarzone N 16 $799.00$12,784.00 Basement Slider- 1 panel (Min 11.5") OR Fixed Basement Slider- 1 panel (Min 11.5") OR Fixed N 4 $599.00 $2,396.00 Unit Unit 5-6 Ft. Patio Door-casing+capping DOUBLE 5-6 Ft. Patio Door-casing+capping DOUBLE N 1 $3,780.00 $3,780.00 PANE PANE Tempered Glass - Full Tempered Glass - Full N 2 $220.00 $440.00 Obscure Glass- Full Obscure Glass - Full N 2 $100.00 $200.00 Colonial Grids (Contoured) Colonial Grids (Contoured) 1V each sash N 16 $83.00 $1,328.00 Dryer Vent Wall Dryer Vent Wall N 1 $225.00 $225.00 Tempered Glass - 1/2 Tempered Glass - 1/2 N 2 $150.00 $300.00 Total Information Unit Total: 29 Subtotal: $21,903.00 Tax Rate: 0% Tax: $0.00 Total: $21,903.00 Amount Financed: $0.00 Payment Method: Cash Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $21,903.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: f 111 Window World of Western Massachusetts use Neurr mnwmo 641 Daniel Shays,Hwy,Belchertown,MA WàtdCUL/ p� 01007 dij975 North Road,Westfield,MA 01085 Office: (413)485-7335 WINDOWvyORLD CARE www.WindowWorldofWesternMA.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 YE TERROi� r,01911T 641 Daniel Shays, Hwy,Belchertown, MA ' a ���,�,,_ uM„/:,,, 01007 .:,11 1' uussT/ 975 North Road, Westfield, MA 01085 Q/�� Office: (413)485-7335 w,r,:, w- x www.WindowWorldofWesternMA.com CARES 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 balance due on your contract. 10. METHOD OF PAYMENT: Our installers will accept your final payment in the form of check, money order, Wells Fargo financing, or Visa/MasterCard/Discover Card authorization. As a courtesy and to ensure the safety of our installers; please DO NOT pay your final payment In Cash. 11. REFERRALS: Our goal is that you are pleased with the work we have done and will refer us to your friends and neighbors.You will receive a $50 referral fee for each person you refer who purchases 8 or more windows. Please have your referral mention your name when contacting our office. We trust that your remodeling experience will be a pleasant one. If for some reason you are not completely satisfied, please contact our office. Your comments are welcomed and will be used to better serve you. Thank you for your business! Primary Homeowner Secondary Homeowner Design Consultant EPA "Renovate Right" Brochure can be viewed and printed from here: Renovate Right Brochure �1-W 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 of 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 I,I2A, 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. TI IIS IS A CUSTOM ORDER NOT FOR RESALE This Window World® Franchise is independently owned and operated by Window World of Western M. ssdchusetts, Inc.under license from Window World, Inc.