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32C-163-012 BP-2023-1552 23 RANDOLPH PL #112 COMMONWEALTH OF MASSACHUSETTS Map:Block:Lot: 32C-163-012 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-2023-1552 PERMISSION IS HEREBY GRANTED TO: Project# WINDOWS 2023 Contractor: License: WINDOW WORLD OF WESTERN Est. Cost: 3404 MASS INC 115719 Const.Class: Exp.Date: 04/30/2025 Use Group: Owner: LLC BRANNA Lot Size (sq.ft.) Zoning: URC Applicant: WINDOW WORLD OF WESTERN MASS Applicant Address Phone: Insurance: 641 DANIEL SHAYS HIGHWAY (413)485-7335 C56098598 BELCHERTOWN, MA 01007 ISSUED ON: 11/03/2023 TO PERFORM THE FOLLOWING WORK: 3 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: • >2 - CAly Fees Paid: $40.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Office of the Building Commissioner / /6,,,,‘,,'N / / i �` 6'The Commonwealth of Massachusetts` °r W lt Board of Building Regulations and Standards\/2/'9 c Massachusetts State Building Code, 780 CMR ti-v�'% cyUNI ALIT ��ih,o SE Building Permit Application To Construct,Repair,Renovate Or D o iOrm, R sed M -2011 One-or Two-Family Dwelling 1,70', s /� l Th' Section For Official Use Only Building Permit Number: �f/''� �A Date Applied: 41p.-)%Zs //�/l 1i-3-2oZ3 Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 P o erty Add es : 1.2 Assessors Map&Parcel Numbers J Rav1dd vi P] 19p(- Oa 1.la Is this an accepted street?yes .t) 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❑ Private 0 _Zone: Outside Flood Zone? Municipal 0 On site disposal system 0 Check if yes❑ SECTION 2: PROPERTY OWNERSHIP 2.1 Owne.r1 of Record; PO k1 CI ,:(- ra IA d f 'a 5 sa 1 ar alp of N 04 kio i/ti 1/3 ITO1 W( 4 c0100 Name(Print) City,State,ZIP 023 IOVIdd 01 P 00- IIa g173"71/ 3%0( bra lid I- urea!-14iii3 GI eeplj 'cow/ No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED W9RK2(check all that apply) New Construction 0 Existing Building Owner-Occupied'111., Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition 0 , Accessory Bldg. 0 Number of Units 1 Other Specify: \(' v\(1tc'_ait'S of O it, - Brief Description of Proposed Work2: GJ i ✓i do w S . Q ce vvr e vi t Mom J .ike_f-Ac4,2 SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1. Building $ 3 4/e y 1. Building Permit Fee: $ indicate how fee is determined: 2.Electrical $ / ❑Standard City/Town Application Fee ❑Total Project Cost3 (Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: iii Check No.51K I Check Amount:' 41) Cash Amount: 6. Total Project Cost: S 3 �'o 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) c -. 1 q at 04 hhV\C \ c) „`-t>vLLicense Number Expiration Date Name of CSL Holder List CSL Type(see below) 0 K .)_ (\e)'cl,-a> •�\\Ie No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu. ft.) og.Coil\tt t ��'\ �Cx (2:) 1�-1� -k R Restricted I&2 Family Dwelling City/Town,S M Masonry ,� \ 1-- RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances 60J)l'AS-1 S Q.t2."t'rr..V , c Lk)\A.&-lt)Iik' (-mil I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) w\'\ 0u' IIIC Registration Number Expiration Date HIC Company -�i 'Name or HIC\Registrant Name\ (D1-1k )dl\f.,t. ott1..1:J ^\'1.3y\ c Ch.� n LL:\!‘ftpf."yli llLoy—L-1..k'i,vkr• and Street Email address si_Qs,.,—. -- -rv. k_c\W1 �`-i�3)t-cAVA33S 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 ..)3\1\c.• tom? V O\.) e, to act on my behalf,in all matters relative to work authorized by this building permit application. /d/9 7/,D Print Cer's Name(Electronic Signature) gn ) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained' this ap ' •ati is true and accurate to the best of my knowledge and understanding. _...... I 0 Id 7 4;2'3 Print er' uthon &win flame(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/dos 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 Massachusetts Sys s4;a� ,tit :s 4, DEPARTMENT OF BUILDING INSPECTIONS t' \\\\ 212 Main Street • Municipal Building `n Northampton, MA 01060 ' ... ^C 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: Ol'l5.0 \1�6L e lo%lp' `MCLAc\ 'DV (Thi ( :1q The debris will be transported by: Name of Hauler: ‘f\N O-N,u / ic) /92 Signature of Applicant: Date: City of Northampton e M Myl• es Massachusetts i ��`, DEPARTMENT OF BUILDING INSPECTIONS j +P � '� '"(ti '.!ri' 4,'. 4 "f 212 Main Street • Municipal Building a t .'5 Northampton, MA 01060 •` ..„.... ®P HOMEOWNERS'EXEMPTION ELIGIBILITY AFFIDAVIT I, /rc N d I A /J n S1 a ibiV iCtc O► (insert full legal name), born _ (insert month, day, year),hereby depose and state theAllowing: 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 supervisionz 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 &7' day of Oc/O6er , 20'2 3 c ao 0 c`'Y\ -i-cuel (St ature) • The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 '''" '" www.mass.gov/die Workers'Compensation Insurance Affidavit:Builders/('omt.rectors/Elcctrici.utc/Plumbers. TO BE I+ILEI)WITH THE PERMITTING AUTHORITY. Applicant Information Please Print. Legihl Window World of Western Mass Name(Business/Organization/Individual): Address:641 Poole(Shays Hwy City/State/Zip:Belchertown MA•01007 • Phone#: 41 3 485 7335 ? Are you an etnglayer"Charck the appropriate box; i Type of project(required): a l,�.l am a employer with 50 employees(full and/or patt•rima).* i 7. 0 New construction t 2.01 am a sole proprietor or partnership and have no employees working for mein i 8. 0 Remodeling any.capacity.[No workers'comp.insurance required,) I i 9. 0 Demolition t 3•0I am a homeowner doing all work myself.iNo workers'comp,insurance required•) " i tt,C 1 ant a homeowner and will be hiring contractors to conduct all work on my property. I will ) 10 Building addition mute that all contractors-either have workers'compensation insurance or are sole 1 11.0 Electrical repairs or additions i proprietors with no employees. I 12.0Plumbing repairs or:additions S.01 am a general contractor and 1 have hired the sub-contractors listed on the attached sheet. E • These subcontractors have employees and have workers'comp.insurance.S I3. Roof repairs • R i 6,0 We are a:corpor�ation and its officers hove exercised their right or exemption per Mal,e. 14.2Other eplacement .�_.. 152,It 1(4).and we have no employees.iNo workers'comp.insurance requircrd,l "Any applicant;that checks hostil must also rill out the section below showing their workers'com pensation policy information, , q,Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such '1Contractots that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not thous entities have employees. if the subcontractors have employees,they must provide their workers'comp,policy number. 1 ant an employer that is providing workers'compensation insurance for my employees. Below is the policy and Job ti'Ite' information. insurance CnhtgpartyNanlc: indemnity Insurance Co.of North America • C56098598 10/01/2024 Policy#or Stiff-ins.:Lic.#: Expiration paten:' AO- Job Site Address: 0?3 Pa 1/1d 02' PI )9p r I l 2 City/State/Zip; /h2 4 ha' m p jh Attache copy of the workers'compensation policy declaration page(showing the policy number and expiration date). 076-,o Failure to secure coverage as required under MOL e,152,§25A is a criminal violation punishable by a line up to Ill e4OO,1)fl and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250,00 a day against.the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby cer un .erthe pains a d penal .es of perjury that the inurmation provided above is true and correct. 0 Signature: Date: l °? 7 02 _. .. Phone#; 413 485.7335 _M Official use only. Do not write in this area,to be completed by city or town official. . ( City or Town: • Permit/License# r •issuing Authority(circle one): 1.Board of.Nealth 2.Building Department 3.City/Town Clerk 4.Electrical inspector 5.Plumbing Inspector 6,Other,.,, ContactPerson:.., ........._.__.�_............_..._.. _...__ _....__. .,.,... �.,.. ...w__..., Phone#:..._....._......_......._.,_...._..._............. DATE(MMIDD/YYYY) AC:C)1?iii oBlzznoza �--- CERTIFICATE OF LIABILITY INSURANCE ACct#:2970777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER VW- CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POI ICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AlITFIOPI7_ED 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 art 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 pAX 3657 BRIARPARK DR.,SUITE 700 (NC,No,Ext):888-828 8365 (NC,No): HOUSTON,TX 77042 &MAIL ADDRESS: I NSPERITYCERTSCILOCKTONAFFINRY.COM INSURERS)AFFORDING COVERAGE_- NAIC# ----- ------- IN_SURER_ALD_demnity bumpy.cq of Nom America 43575 INSURED INSURER B: WINDOW WORLD OF WESTERN MASSACHUSETTS INC. — 641 DANIEL SHAYS HWY INSURERC: _ BELCHERTOWN,MA 01007-9529 INSURERD: 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 PERIODa INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THI`; CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR INSD WVD POLICY NUMBER TMMIDDIYYYY) (MMIDDIYYYY) LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE DAMAGE TO RENTED CLAIMS OCCUR PREMJ$E$(Ea occurrence)_ $ -- MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ I POLICY PRO- FILOC _.----------'POT PRODUCTS PRODUCTS-COMP/OP AGG $ OTHER: $ _f AUTOMOBILE LIABIUTY COMBINED SINGLE LIMI I $ _LEa 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 accIdenti.___ _ $ UMBRELLA I IAB OCCUR EACH OCCURRENCE $ ? EXCESS UABCLAIMS-MADE AGGREGATE $ RETENTION DED COMPENSATION WORKERS $ $ E OTH- AND EMPLOYERS'LIABILITY Yy . X P _ STATUTER ,.—LER A ANYPROPRIETORIPARTNERIEXECUTIVE ' OFFICER/MEMBER EXCLUDED? _N/A x C56098598 10/01/2023 110/01/2024 E.L.EACH ACCIDENT $ 1.000,000 (Mandatory in NH) 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,may be attached If more space Is required) _! r _I CERTIFICATE HOLDER CANCELLATION 2970777 !, Town fo Northampton Building Depl SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 212 Main St BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Northampton,MA 1060 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD WINDWOR-01 LAURA AiCGNRL) 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 ) FAX ,No):(413)592-8499 97 Center Street (A/c,No,Est):(413)594-5984 Chicopee,MA 01013 5,- Ess:laura@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. INSR TYPE OF INSURANCE ADDLSUER POLICY EFF POLICY EXP LT INSD UNITS LTR INSD WVD POLICY NUMBER /MM/DD/YYYYI (MM/DD/YYYYI _ A X COMMERCIAL GENERAL LIABILITY 1,000,OOU EACHOCCURRENCE $ CLAIMS-MADE I X OCCUR 6Q44324 4/9/2023 4/9/2024 _DMAG STOE EoD nce) $ 500,000 MED EXP(Any oneperson) 10,000 PERSONAL&ADV INJURY _$ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: 2,000,000 E J RO GENERAL AGGREGATE_ $. X I POLICY[X PECT" X LOC PRODUCTS-COMP/OP AGG $ 2,000,000 1 OTHER: $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 _CEa accident) $ _ ANY AUTO 6Z44324 4/9/2023 4/9/2024 BODILY INJURY(Per person) $ AWNED y I AUTOS SCHEDULEDSSULEEDp BODILYO INJURY(Per accident) $ X AUTOS ONLY X_ AUTOS ONLY _�Pe.Scc Ae tDAMAGE $ H D N - WN L $ B X UMBRELLA LIAB X OCCUR 1,000,000 EACH OCCURRENCE $_ EXCESS LIAB CLAIMS-MADE 6J44324 4/9/2023 4/9/2024 AGGREGATE 1,000,000 ---__..--- DED X RETENTION$ 10,000 $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN ST_ATUT.E`....._-ER___._.____. ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $,._.. pFFICER/MEMBEREXCLUDED9 �J N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE.3 If yes,describe under -- -- -- -- DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ -_-- DESCRIPTION OF OPERATIONS I 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 p ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Building Department 212 Main Street Northampton,MA 01060 AUTHORIZED REPRESENTATIVE 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;thefividtia) Office of Consumer Affairs and Business Regulation liegialmgcn t. ram 1000 Washington Street -Suite 710 291746 WA Boston.MA 02118 . . VICHOLAS DROST ,. VICHOLAS DROST 102 OAKRIDGE DRIVE _ 3ELCHERTOWN.MA 01047 Undersecretary Not valid without signature -— THE COMMONWEALTH OF MASSACHUSETTS Office of Consumer Affairs&Business Regulation HOME iMPR.OVEMENt CONTRACTOR TYP.E:feerrporationt Renistratlefilictign s- _ 16564.1 .:::4?. .-.03Lt4/424 Commonwealth of Massachusetts 110 Cewsion of Professional Licansure WINDOW WORLD OF.I.;,..rWEi Clt,H:stUSETTE.INC. Board of Building Regulations and Standards ConstruttWI§1.1 •flortltsor 1):v\-,-4 -4?.,1K-7- '-7.-- 7 CS-11571a -_- 4.11 ''!..41T.I'' ,IC,..piros:04130/2025 TIMOTHY DROST 1, . -,-...:---.51;:::s. - ciiesAd a I ,eav.4 641 DANiEL SHAYS 1-01W =' -,' e, BELCHERTOWN,MA 01087.;,...L., NICHOLAS T:DROSTql'jm,i: Undersecretary 102 OAKRIDGE DR%,' .V,,.,4; •7: — BELCHERTOIMA'i007, ., 4e-0 "1, • Zr. k" 4;141#1:'q. ()MTh.- PI 1.:•'14.•< '-.'4. - -`,-•:;.,;'' commissioner cf,a8G g Stmito _.._ Best-in-Class Features: 1 2 Q Welded,heavy-duty vinyl construction provides superior strength and durability. 5 Q High-density foam enhancement throughout the mainframe offers superior thermal protection. IK Q SolarZone TG2T"and SolarZone TK214 triple-pane insulating glass enhanced r" , 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 0 design. Q Recessed, opposing cam locks secure your window without interrupting sight 7 3 lines. i 1 o a: Q Heavy-duty weatherstripping and interlocking sashes help to keep weather and wind outside. r+ 0 Balance channel covers ensure a polished look. Q Spring-loaded, push-button vent latches allow for overnight ventilation while I "; giving you added peace of mind. ® -ti .r, a 6 1 0 Full-length, integrated ergonomic lift rails provide convenient, easy operation. v. Bevel on bottom rail enhances grip. 12.. !"ti CO Metal reinforcement in the meeting rail enhances strength and protection ' 7 against wind and weather. ®Recessed tilt latches can be released to tilt both top and bottom sashes into the `' ‘,t.,,,,,,:w:.... ,,., 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. , An easily removable latching half screen gives you the freedom to let air in while - • 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. 15 Energy-Saving Glass Packages: Our SolarZoneTM insulated glass packages help you save on heating and cooling costs while also keeping your home more comfortable. In warm weather, Trinle-nane glass and afnam-errarrr.rl SolarZone reduces solar heat gain, minimizes interior glare,and lowers inside glass pemainforrnonce.frameresuitsinsuperinrt! 'rn.iI temperature to save energy and keep you cool. In cold weather, SolarZone helps to control the heat inside your home by providing thermal protection that keeps the inside glass panel warmer. THERMALPERFORMANtECOMPARISON' 1 Window values are based on single-strength SGarZeneTG2:Triple-pane,singio-ctronn't glass,standard 6000 Series offering.Values vary glass with two coatings of Low-t.argon depending on grids and optional glass thicknesses enhancement,warm-edge;parer cvstem and DOUBLE-HUNG upgrades(1/t"laminated,l/a"tempered,3/16" foam-enhaneed mainframe decorative glass etc)ST and HP performance values Snlaracme TK2:Nate-paw!.sinus-ctrnnntr U-FACTOR SHOO are also available. g155s With two Coating'of Lnw-t.•krypton 2 TK2 is available on 6000 series double-hung and enhancement,wa m-edge snnv et,.vsterri.and sulnr/_o11e TG2 0.21 0.25 double sliding windows only. loam-enhanced mamtetme r;ulnrl--one TG2 w/Gods 0.22 022 ream snhancemcnt:roam ennnnr_em•n' • Infected into the mainframe of mi.witrb.yv buinr/one TK2 0.17 0.25 Pmvldisg increased pr•lon••anr Window World of Western Massachusetts ,,.,Ewans piers" commcno 641 Daniel Shays,Hwy,Belchertown,MA VArt*j in Oi4/ 01007 _� 975 North Road,Westfield,MA 01085 (YLl.U� Office: (413)485-7335 WINDOW WORLD www.WindowWorldofWesternMA.com CARE Brandt Passalacqua and Anna Phone: 9173748801 Install Address: 23 Randolph PI Apt 112 Email: brandt@breathingdeeply.com Northampton, MA 01060 Contract Name: Brandt Passalacqua and Anna - Sales - Windows Design Consultant: Tim Drost Measured By: Measure Approved Date: 10/23/2023 Status: Contract 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-Windows Setup and landfill disposal fee- Windows N 1 $0.00 $0.00 6000 Series DH Triple Pane 6000 Series DH Triple Pane N 3 $899.00 $2,697.00 Full Exterior Capping Full Exterior Capping -- Color: N 3 $169.00 $507.00 Total Information Unit Total: 7 Subtotal: $3,404.00 Tax Rate: 0% Tax: $0.00 Total: $3,404.00 Amount Financed: $0.00 Payment Method: Deposit Amount: $0.00 Balance Paid to Installer upon Completion: $3,404.00 Renovation, Repair and Print Act (RRP) Compliance RRP Pamphlet Provided Date: Year Home Built: 1988 RRP Signed Date: Window World of Western Massachusetts � winpwns P� r common., 641 Daniel Shays,Hwy,Belchertown, MA �� 01007 9975 North Road,Westfield,MA 01085 t/àtdcl4u Vil / Office: (413)485 7335 WINDOW WORLDdit) CAR E www.WindowWorldotWesternMA.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 HwyVFr.wa„• 641 Daniel Shays, ^ m,n. Belchertown, MA01007975 North Road,Westfield, MA 01085 Wiwdow `�� �ML(Gl• Office: (413)485-7335 CARE www.WindowWorldofWesternMA.corn 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 lft 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 he 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 ovnl,ufinn cheef,•,ill he nrn.,iimorl fnr fhe l-Inmenu,ner+n einn offer fhe final incnn,-Hnn ,o,n,nnle+e Dln,re• r„ret*hn+ ,...,neterno-f; nn been made before the installer leaves the job site. When the job is complete, contract. we ask that you pay the installer the remaining balance due on 10. METHOD OF PAYMENT: Our installers will accept Visa/MasterCard/Discover PA M CardT: installers p your final Your Cash, payment in the form of check, money order, As a courtesy and to ensure the safety • of our installers; Wells Fargo financing, or • 11. REFERRALS: Our please DO NOT $50 fee for each is that you are pleased with the pay Your final payment In person you refer who work we have done and will refer us to $50 referral purchases 8 or more windows. Please have your friends and neighbors. You will receive a We trust that Your referral mention your name your remodeling experience will be a pleasantwhen contacting Your comments are welcomed and will be used to better serve c our one. If for some reason you are not completely satisfied, please You. contact our office. Thank you for your business! Primary Homeowner Secondary Homeowner Design Consultant EPA "Renovate Right" Brochure can be viewed and printed from Brochure m here: Renovate Right �W of V! Massachusetts anticipates starting advance of the start the work SHALL NOT exceed 33 1/3%of the total contract priy ce O the in actual days. equipment entwill of proceed ed onal schedule.dormade nature, which must be ordered in advance of the startAnye work deposit required a Price OR actual cost of any material or Parties.A11 home improvementNO final payment shall be contract and transmittal to the contractors demanded until the contract is completed to the satisfaction sure that the and subcontractors shall be registered.generalofo No work shall begin of all greener l la for in the work ando described in thisal agreement �l t df e Massachusetts Massachusetts g prior to the signing apply for and obtain all construction- individuals. Notice:delays PURCHASER(S) relatedu W. Provision ieof Chapter or the g ment caused b Permits. WW of m Massachusetts shall not in wads with office:If theed contractors, the PURCHASER(S)ins his own construction Y relatedra perm,permit grantingbe deemedagreement o diisi nonpayment the permits for the work described j under thisn authorities, l-I2A M.G.L. PURCHASER(S)will not be entitled to hereby advised that in frome event of raa dispute, ' make a claim or collectiongreement You the buyer the judgement and Y may cancel this transaction at anyguaranty fund established b transaction. Notice of cancellation by chapter time prior to midnight of the d�lY• must be in writing third 9 postmarked no later than businessfday after the d Tl tl�IS A CUSTOM ORDERmidnight of the followingdate of this Ni�ssechusetts, Inc. NOT FOR RESALE third business under license from E This Window World®Franchise is independent] te Window World, Inc. Y owned and operated by Window World of Western