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23A-022 (11) BP-2023-1515 21 PARK ST COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 23A-022-001 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-2023-1515 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: WINDOW WORLD OF WESTERN Est.Cost: 4571 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: KRIS BAKER Lot Size (sq,ft.) Zoning: URB Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C56098598 BELCHERTOWN, MA 01007 ISSUED ON: 10/26/2023 TO PERFORM THE FOLLOWING WORK: 4 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: ' •. cgs'1 Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax: (413)587-1272 Office of the Building Commissioner RE The Commonwealth of Massathus tts OCT Board of Building Regulations arid St ndar s 5 2023 M NlC''ALITY Massachusetts State Building Code, 7:0 PT OF SE Building Permit Application To Construct,Repair,Ren• : Oetri ise• Mar 2011 One-or Two-Family Dwelling Ton,.mA pEos NS This Section For Official Use Only Building Permit Numbers -,1 5/:6' Date A lied: WfJ �,�'Kos v� s IO Z -ZOZ3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.pp Sees: 1.2 Assessors Map&Parcel Numbers 1.lla Is this an accepted street?yes X 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 Cl Private El _Zone: Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP` 2.1 Owner`of Recgrd: lOte 14 c /i 0/C)602 �lrrs �304 Py T f6 Name(Print) City,State,ZIP Pat r S f 4'0/6 33.515029 kr/5-6t /2(Pdrwa it co No.and Street Telephone Email Address �J SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply) New Construction❑ Existing Building'! Owner-Occupied ', Repairs(s) ❑ Alteration(s) ❑ Addition 0 Demolition 0 Accessory Bldg. 0 Number of Units t, Other l /Specify:'C )\lite sit.mo .A Brief Description of Proposed Work': 06W S t' /o/0Ce/ 1 4 4div .f /,. J IiY',r/_I SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ Li/ 5-7/ 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost; (Item 6)x multiplier x 3. Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fels:) ,,yyl� / Check No.'7 Check Amount: "lv Cash Amount: 6.Total Project Cost: $ 4 5- `7 ( 0 Paid in Full Cl Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) Q ` License Number,11 l l Expirationbate a cs S .i�,( tv\(1\ak !'-� ��\r`t f._\- Name of CSL Holder List CSL Type(see below) 0 No.and Street , Type Description t U Unrestricted(Buildings up to 35,000 Cu.ft.) r' "'‘`'C `tL�.'`... -�"\ ���C . C\ 1 R Restricted I&2 Family Dwelling City/Town,State IP ////yT//mow 14 M Masonry JY ..'✓V /s, .,',ff ® r., R Roofing Covering WS Window and Siding ` SE Solid Fuel Burning Appliances xj5S c) A int')Le.014Nrk (+►4k X Insulation Telephone Email address I Demolition 5.2 Registered Home Improvement Contractor(HIC) i` \ \c4 �' --t 1 01 lye Do c/ 1...k)\%\CR o\,., '^\AL'r�A HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name e,.«t.\k \._14:x_Y\i.,4- S\t‘rt_L...\) \ s\ I VI, rr�-,.1.- 42\ e Nq.and Street `` e�t�ry�tt_cvlc�.C.e,�1'� ( Email address i, ��e.Vr.` .--a,-er. :. v0.(lc\tk ok,c t� q) 5c1 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 ❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize W\i 2),.,u.\ '4"1cgti)\e, to act o(n my behalf,in all matters relative to work authorized by this building permit application. 1 Print Owner's Name(Electronic Signature) r 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 apt ' atiop is true and accurate to the best of my knowledge and understanding. -.4 /,07/6 /02 -- Print O er' ofAuthon r.-Agarif'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" City of Northampton ,,✓wawa yo m_ • = Massachusetts ,„, C.,`t 4,1 e. ,\,.: r DEPARTMENT OF BUILDING INSPECTIONS �.: ` ° Street • Municipal 212 Main Building yv. a �y, b'. O, r' '� Northampton, MA 01060 ssyyp,. 1 CONSTRUCTION DEBRIS AFFIDAVIT (FOR ALL DEMOLITION AND RENOVATION PROJECTS) In accordance of the provisions of MGL c 40, 554, 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: ki \c ,00 rk,)(° `, r\r. 1,.(` 1p l MN \c `;)\ _')(..k4*C...iMCk The debris will be transported by: Name of Hauler: ' y;,,,i.\, ) rw, \ki c ' t f 7) _ Signature of Applicant: %, 1 `, "� Date: i0//�O/�3 N b :rtri City of Northampton Massachusetts ote- Fr%e 1 q Why <,, DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building '. I% Northampton, MA 01060 8y•. a HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT a f/ (insert full legal name), born (insert month, day, year), hereby depose and state the following: 1. I am seeking a building permit pursuant to the homeowners' exemption to the permit requirements of the Massachusetts State Building Code, codified at 780 CMR 110.R5.1.3.1, in connection with a project or work on a parcel of land to which I hold legal title. 2. I am not engaged in, and the project or work for which I am seeking the aforementioned 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 th•is /6 day of O06N►' , 2002 i('i ('(L' lc�� ztc (Signature) ' The Commonwealth of Massachusetts -„ `` Department of lrtdtrstrial Accidents �� / Congress Street, Suite .100 'It Boston, MA 02114.2017 i .., www.mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILET)WITH THE PERMITTING AUTHORITY. Agpliicant.Information Please. Print. I egalil►. Name(Business/Organization/individual): Window World of Western Mass Address:641 Daniel Shays Hwy City/State/Zip:Beichertown MA 01007 Phone#: 413 485 7335 Are yeti anstmp(oyer"Cheek the appropriate box; Type of project(required): i I,E t urn tt employer with 50 employees•(full and/or part-lime).* 9 ], 0 New construction 2.01 am a sole proprietor or partnership and have no employees working For me in ( 8. 0 Remodeling any capacity.[No workers'comp.insurance required..) 1 3,01 ant a homeowner doing all work myself.(No workers'comp,insurance required,l '' 9. Demolition . 4, 1 ant a homeowner and will be hiringcontractors to conduct all work on myI 0 Building addition properly. Iwill ensure that all contractors either have workers'compensation insurance or are sole i I 1.0 Electrical repairs or additions proprietors with no employees. I I2.0 Plumbing repairs or additions 5,01 ant a general contractor and i have hired the sub-contractors listed on the attached sheet, 1 These sub-contractors have employees and have workers'comp,insurance.s i 13,❑Roof repairs ' 14,©other Replacement O.l..l We are a:corporation and its officers have exercised their right of exemption per Mtil,c. --• -•--- , �^�; 152,li 1(4),and we have no employees,(No workers'comp,insurance required,'l , i *Any applicant that checks boxlfl must also fill out the section below showing their workers'compensation policy information, r.Homeowner*who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating smell 1Contraeioas that cheek this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. li the sub•contractars have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below i,s are policy and job .it( information. lnsurttnce Company Name; Indemnity Insurance Co.of North America . . Policy#or Self-ins. l..ic,#:_C56i09859g Expiration.bate:10/01/2024 �, , ._„,. Job Site Address: 0? PaY 1 r City/Stale/zip:17C1 '7CC /7 il p/c6 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 MOL e. 152,§25A is a criminal violation punishable by a line up to 51.500,()0 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$25(1,00 tt day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DiA for insurance coverage verification. ®-.. , _ I do hereby cer ' un er'the pains a d penal es of perjury that the information provided above is true and correct. Signature: " Date: /C//6 ,z ) Phone#: 413 485 7335 .� Official uxi.only. Do not write in this area,to be completed by city or town official. City or Town: I Permit/License#_ ' -Issuing Authority(circle one): 1.Board ofHealth 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5. Plumbing Inspector 6.Other Y __ _ Contact Person: ..m..._ .._ .�._ . .... ...... . ..... ....... .. Phone#:_.__..__ .._. ...__ _......-..... DATE(MM/DOIYYYYI .�. 09/22/2023 A►....1-)-111 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 NAME: LOCKTON COMPANIES,LLC PHONE FAX 3657 BRIARPARK DR.,SUITE 700 (A/C,No,Eat).888-828-8365 1(A/C,NO HOUSTON,TX 77042 E-MAIL ADDRESS: INSPERITYCERTs LOCKTONAFFINITY,COM INSU RER(S1 AFFORDING COVERAGE _._..NAIC# _ INSURER A_InlemnitV Insurance Coo of fNE1111_Amerloa-, 43575 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. I R SUER POLICY EFF POLICY EXP LT TYPE OF INSURANCE INSD WVDOMITS LTR INSD POLICY NUMBER (MMIDD/YYYY) (MMIDDIYYYY) COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED - _� CLAIMS- _ OCCUR PRE$ E_8.(Eaoccurrence)_,_.-$ MED EXP(Any oneepersonl _ $ PERSONAL 3 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ rOLICY [ ROT �I 11• rILOC PRODUCTS-COMP/OP AGO $ IIIFC THER: $ AUTOMOBILE LIABILITY COMBINED SINGLE WAIF— _ (Ea aoddent) ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(Per accident) $ HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY .12eLacclden0 _..�.._...._.. $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $� EXCESS UAB CLAIMS-MADE AGGREGATE $___ DEO RETENTION$ _ $ 'WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YEN X STATUTE ER ._ A ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? —N/A EL.EACH ACCIDENT $ 1,000,000 (Mandatory in NH) X C56098598 10/01/2023 10/01/2024 If yes,describe under EL DISEASE-EA EMPLOYEE DESCRIPTION OF OPERATIONS below $ 1,000,000 E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more space is required) CERTIFICATE HOLDER CANCELLATION 2970777 Town fo Northampton SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 212 Building Dept Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Northampton,MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE _p ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD �„�.••.� WINDWOR-01 LAURA AC'ORCJ CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD/YYYY) �-- 4114/2023 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). "- CONTACT Laura Misseri PRODUCER NAME: Phillips Insurance Agency,Inc. PHONE 4 97 Center Street (A/C,No,Ext):(413)594-5984 FAx(a/c,No( 13)592-8499 E-MAIL laura hilli Chicopee,MA 01013 ADDRESS: @P sinsurance.com p INSURER(S)AFFORDING COVERAGE .NAIC# INSURERA:EMCASCO insurance CO INSURED INSURER B:Employers Mutual Casualty Company _y 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. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE ,JNSD WVD POLICY NUMBER IMM/DD/YYYYI (MM/DD/YYYYI LIMITS A )( COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $__ - 1,000,000 l CLAIMS.MADE X OCCUR 6Q44324 4/9/2023 4/9/2024 DAMAGETORENTED 500,000 - PREMISES IE�oS&urr�nce) ��--_ __ _ MED EXP(M_y_one person) $ 10,000 PERSONAL&ADV INJURY__$__ 1,000,000 _GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X 1 POLICY I X I JECT (X_.J LOC PRODUCTS-COMP/OP AGG 1 2,000,000 OTHER' $ B AUTOMOBILE LIABILITY (EaMABdEenDOSINGLE LIMIT $ 1,000,000 ANY AUTO 6Z44324 4/9/2023 4/9/2024 BODILY INJURY(Per person) _$ _ OWNED X SCHEDULED AUTOS ONLY AUTOS yy D pBODILY INJURY(Per accident).—___,--_,___ X AUTOS ONLY X AUTOS ON Y (Per accIdB�rlt)AMAGE —_$_ B X UMBRELLA LAB X OCCUR EACH OCCURRENCE 1,000,000 EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2023 4/9/2024 1,000,000 AGGREGATE �._.._------__- DED I X RETENTION$ 10,000 $ WORKERS COMPENSATION PER ER OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ _.. a CER/M in NH)EXCLUDED? I ] N/A E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS I 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 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Northampton ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE izzV ,-1`v''1� I ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. 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:Individsa Office of Consumer Affairs and Business Regulation Registration Expiration 1000 Washington Street -Suite 710 201746 04/27,2025 Boston,MA 02118 \ICHOLAS DROST NICHOLAS DROST - 102 OAKRIDGE DRIVE �o�viu°fl�.( �/ i 3ELCHERTOWN,MA 011 r Undersecretary Not valid without signature THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR T:YP_E:TDorporatioq Realstirattiin- -F.Xviratlon Commonwealth of Massachusetts t65$43=_ - 03Lt�r2.029 ;it Division or Professional Licensure WINDOW WORLD t3FYi7E57ERN SAC(iUSETTS,INC. Board of Building y , `—'` ..° ' n Regulations and Standards �'^+ ._�' !•'� Construtti 1rvisor t1• -� 1 _ •�•i i TIMOTHY DROST -. CS-1157 9 ._. Y xDires:04/30r2025 841 DANIEL SHAYS HWY *' �.4 4" i ro NICHOLAS T DRO ; t :} 1 B1 LCHERTOWN,MA Oi 007:,. +_:.s Undersecretary 102 OAKRlD(3E DR � - - BELCHERTO11 MAIr01Q ' i Lt')ly,*A,ik.•," .s ,i,`. Commissioner Best-In-Class Features: 1 2 . • Q Welded,heavy-duty vinyl construction provides superior strength and durability. tie so S 0 High-density foam enhancement throughout the mainframe offers superior thermal protection. Q SolarZone TG2"'and SolarZone TK2" triple-pane insulating glass enhanced r°-' with Low-E coating and argon(TG2)or krypton(TK2)gas ensures the elements won't make an impact on the comfort of your home. Q A Duralite°'warm-edge spacer system further improves energy efficiency. Q The beveled exterior edge provides style and curb appeal to an already sleek Q design. Q Recessed, opposing cam locks secure your window without interrupting sight 3 tines. 10 Q Heavy-duty weatherstripping and Interlocking sashes help to keep weather and wind outside. Q Balance channel covers ensure a polished look. Q Spring-loaded, push-button vent latches allow for overnight ventilation while ® 4- 4 giving you added peace of mind. 6 Q Full-length,integrated ergonomic lift rails provide convenient, easy operation. ., Bevel on bottom rail enhances grip. 12 Q Metal reinforcement in the meeting rail enhances strength and protection against wind and weather. e Recessed tilt latches can be released to tilt both top and bottom sashes into the '$ home for easy cleaning. ®Welded combination sill featuring a deflection leg offers rigid structure and a five-degree sloped sill that directs water away from the home and eliminates 4 unsightly weep holes. 0 An easily removable latching half screen gives you the freedom to let air in while r' keeping pests out. Featuring Clarity')mesh,the screen allows you to focus on • what's important: the view. ®Detent clip keeps the top sash from drifting while an inverted-coil balance system ensures both sashes will stay where you put them, no matter the position. 0 0 Series consists of double-hung,double slider,casement, awning, picture,and *. architectural shape windows. ,s Energy-Saving Glass Packages: Our SolarZone'^' insulated glass packages help you save on heating and cooling costs while also keeping your home more comfortable. In warm weather, Trinie-pane(Hass and a foam-enhancers SolarZone reduces solar heat gain, minimizes interior glare,and lowers inside glass maiformance.nframe results in superior thr'rl,ii temperature to save energy and keep you cool. In cold weather,SolarZone helps per to control the heat inside your home by providing thermal protection that keeps the inside glass panel warmer. 1 Window values are based on single-strength SolarZone TG2:Tdpie-pane,single-strength THERMAL PERFORMANCE COMPARISON' glass,standard 6000 Series offering.Values vary glass with two coatings of Law-r.argon depending on grids and optional glass thicknesses enhancement,warm-edge spacer system,and DOUBLE-HUNG upgrades(1/4"laminated,1/8"tempered.3/16" foam-enhanced mainframe decorative glass etc)ST and HP performance values SolarZone TK2:Triple-pane,single-strength U-FACTOR 'SHGG are also available, Maas with trio coatings of Low+,krypton 2 TK2 is available on 6000 series double-hung and enhancement,warm-edge spacer system,and :tut,alone 5G2 021 025 double sliding windows only. foam-enhanced mainframe `wl:nr'Lorte 1 G2 wj Grids 0.22 022 foam Enhancement:foam enhancement v., irgected into the mainframe of the window. SoktirZorte TK2 0.17 0.25 providing increased performance Window World of Western Massachusetts vs rFwan Onire>commn no 641 Daniel Shays,OH y. Belchertown, MA �� 7 inflow � 975 North Road,Westfield, MA 01085 J ,d Office: (4]3)485-7335 CAR E te www.WindowWorldofWesternMA.com Kris Baker Install Address: 21 Park St Florence, MA 01062 Contract Name: Kris Baker- Sales-Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 10/9/2023 Status: Quote Payment Method: 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 Setup and landfill disposal fee-Windows N 1 $150.00 $150.00 Windows 6000 Series DH Triple Pane 6000 Series DH Triple Pane N 4 $899.00 $3,596.00 Tempered Glass - Full Tempered Glass- Full N 1 $250.00 $250.00 Misc labor Windows Misc labor-Windows remove bathroom mull and install stool or N 1 $375.00 $375.00 trim as neeeded Total Information Unit Total: 6 Subtotal: $4,571.00 Tax Rate: 0% Tax: $0.00 Total: $4,571.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $4,571.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 0 RRP Signed Date: Window World of Western Massachusetts ,,...,,m■w""Rcoalman° 641 Daniel Shays,Hwy,Belchertown,MA 01007 ``f 975 North Road,Westfield,MA 01085 WINDOW WORLD() WCZaed"fild Office:(413)485-7335 DARE 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 f v Window World of Western Massachusetts vrTvnnns Pnr,Fr,omm1 nn _ - 641 Daniel Shays, Hwy,Belchertown, MA =_= 01007 � $ 975 North Road,Westfield, MA 01085 Window Office: (413)485-7335 wirdow,w<, ;o www.WindowWorldofWesternMA.com CARES w 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 avalrratinn choot V1,ill no nrnvirlarl fnr tho Nnmonwnor to Ginn aftor tha final incnortinn is rmmnlata Plaaca makes cures that anv rnrrartinnc haves been made before the installer leaves the job site. When the job is complete, we ask that you pay toe installer use ferrlall11r1y uoianc.c uucyw yuu;‘, 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 M rssdchusetts, Inc.under license from Window World, Inc.